MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

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54 Hippocratic Corpus and Diocles of Carystus

chapter 13 the same expression is used (the wording of the whole sentence

13. 13 is closely similar to that of 18. 1 – 2 ),^23 and since in chapter 13 the author

has discussed the influence of winds, it seems safe to conclude that the same

restriction is intended in 18. 1.

Fourthly, this interpretation requires that the wordtheiosin 18. 2 is used

in two different ways without this shift of use being marked explicitly in the

text. First, in the sentence ‘these things are divine’, it indicates an essential

characteristic of the things mentioned, but in the following sentence it is

attributed to the disease in virtue of the disease’s being related to divine

factors. This need not be a problem, sincetheiosin itself can be used in

both ways; but it seems unlikely that in this text, in which the sense in

which epilepsy may be called ‘divine’ is one of the central issues, the author

permits himself such a shift without explicitly marking it. The point of this

‘derived divinity’ becomes even more striking as the role assigned to the

factors mentioned here is, to be sure, not negligible but not very dominant

either. Admittedly, the influence of winds is noted repeatedly and discussed

at length (cf. 10. 2 , 6. 378 L.; ch. 13 ); but the effects of heat and cold can

hardly be said to play a dominant part in the author’s explanation (see

above). This may also help us to understand the use of the wordprophasis

here; for if the writer ofOn the Sacred Diseaseadheres to a distinction

betweenprophasisandaitios, withprophasisplaying only the part of an

external catalyst producing change within the body (in this case particularly

in the brain),^24 this usage corresponds to the subordinated part which these

factors play in this disease. Then the statement about the divine character

of the disease acquires an almost depreciatory note: the disease is divine

only to the extent that climatic factors play a certain, if a modest part in

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(^24) This is suggested by the use ofaitiosandprophasisin 3. 1 : ‘the brain is causally responsible (aitios)
for this affection, as it is for the greatest of the other affections; in what manner and through
what cause (prophasis) it occurs, I am going to tell you clearly’ ("1 1 A
  
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0 F  ) ).Cf. 10. 4 , 6. 378 L.; 10. 7 , 6. 380 L.). But the whole
question, especially the meaning ofprophasis, is highly controversial. N ̈orenberg ( 1968 ), discussing
the views of Deichgraber ( ̈ 1933 c) and Weidauer ( 1954 ), rejects this distinction on the ground that,
ifprophasishad this restricted meaning, then ‘durfte der Verfasser bei seiner aufkl ̈ ̈arerischen Ab-
sicht und wissenschaftlichen Systematik gerade nicht so viel Gewicht auf dieprophasieslegen,
sondern er musste vielmehr von den “eigentlichen” ̈ aitiaisprechen’ ( 67 ). However, I think that
the use ofprophasishere (apart from other considerations which follow below) strongly suggests
that there are good reasons for questioning this ‘aufkl ̈arerische Absicht’. Onprophasisandaitia
see also Lloyd ( 1979 ) 54 n. 31 , and Rawlings ( 1975 ); Nikitas ( 1976 ); Robert ( 1976 ); Hunter ( 1982 )
326 – 31.


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