MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

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Heart, brain, blood, pneuma 129

does not prevent him from repeatedly speaking of ‘experiences typical to

the soul’, activities a human being carries out ‘with his soul’, or perceptions

which ‘penetrate the soul’. According to Aristotle, the functioning of the

dual entity that body and soul constitute is governed by a large number of

organs and material factors. The heart is assigned the role of ‘beginning’ or

‘origin’ (arche ̄), both as a source of essential bodily heat (required among

other things for the digestion of food) and as the seat of the central sense

organ, which is connected with the limbs and the separate sense organs and

co-ordinates the data it receives from them.^21 Furthermore, in exercising

this co-ordinating task the heart is supported by the blood (as a medium

for transporting sensory information) and air (pneuma, for the transmis-

sion of motor signals). Their role is important, yet not fully defined.^22 The

size of the heart, which differs in each species of animal, has an influence

on certain character traits and on susceptibility to certain emotions;^23 the

condition of the blood (pure, turbid, cold, hot) influences the quality and

speed of sense perception.^24 The brain is not involved in all this: it has no

cognitive faculties and serves only as a chilling element in the body, for

tempering the heat that radiates from the heart.^25

An even more elaborate physiological theory is presented by Diocles of

Carystus (fourth centurybce). He assumes interaction between the heart

(to him the real seat of the mind), the brain (which plays a pivotal role in

sense perception) and the so-called ‘psychicpneuma’, a delicate substance

that is responsible for transmitting sensory and motor signals.^26

It is clear, then, that many medical authors of the fifth and fourth cen-

turiesbceassume a cognitive centre somewhere in the body from where

abilities such as perception and movement are ‘transported’ or ‘transferred’

to peripheral organs. Organs for perception, limbs and other parts of the

body are assumed to be connected to each other and to a centre via cer-

tain ‘passages’ (poroi,phlebes,neura).^27 Through these passages air or blood

are conducted; an accumulation of certain bodily fluids (such as phlegm

or bile) can cause the passages to get blocked. The assumption of the

existence of this network of passages and the ideas about their course and

ramifications are highly speculative and hardly based on what we would

(^21) On Youth and Old Age(De iuventute et senectute, De iuv.) 468 b 32 ff.
(^22) There is much debate on the question whether it is the blood orpneumawhich, according to
Aristotle, carries sensory information in the body. A summary and standpoint can be found in van
der Eijk ( 1994 ) 81 – 7.
(^23) Part. an. 667 a 10 – 20. (^24) Part. an. 656 b 5 ; 648 a 2 ff.; 650 b 19 ff.
(^25) Part. an. 2. 7. (^26) Diocles, frs. 78 and 80 vdE.
(^27) In this respect it should be noted that nerves were not discovered until after Aristotle, in third-century
Alexandria.

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