MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

(Ron) #1
To help, or to do no harm 105

medicine were incomplete and impotent. ( 10 ) After these, Serapion was the first


to claim that this theoretical discipline had no bearing on medicine at all and that


it [i.e. medicine] was a matter of practice and experience only. He was followed by


Apollonius, Glaucias, and some time later by Heraclides of Tarentum and several


other very distinguished men, who on the strength of the very claim they made


gave themselves the name of Empiricists. ( 11 ) Thus that part of medicine which


heals by regimen was also divided into two parts, some claiming for themselves


that it was a theoretical art, others that it was a matter of practice only. After those


who have just been dealt with, however, no one indeed added anything to what


he had accepted from his precursors until Asclepiades made major changes to the


method of healing.


Four brief comments on this passage are in order here:

(i) The art of medicine as practised by Hippocrates is presented by Celsus

in a rather narrow sense of the art of healing (curare), namely treatment

or therapy, which raises the question what place, if any, is left for

anatomy, physiology, prognostics and pathology – areas which are

well represented in the Hippocratic Corpus.

(ii) Progress in this art is said to have led to a differentiation of modes

of treatment (in diuersas curandi uias) which occurred shortlyafter

Hippocrates ( 8 ).

(iii) It is said ( 9 ) that ‘in the same times’ a tripartition of medicine oc-

curred. It is unclear, however, what Celsus means by ‘the same times’,

and whether this tripartition is identical to, or a consequence of,

the differentiation mentioned in the previous sentence, or in other

words, how the sentencesPost quem... processerintandisdemque tem-

poribus... nominaruntare related to one another.

(iv) The renewal of interest in the theoretical study of nature as well as

the subsequent criticism this provoked among the Empiricists ( 9 – 11 )

is said to have taken place within the specific area of dietetics, which

in its turn, and as a result of this development, was divided into two

branches.

I shall be brief about point (i), for it may be, and often has been, argued

that this perception of Hippocratic medicine reflects, to a much greater

extent than the other three points, Celsus’ personal view of the priorities

in medicine.^8 Yet in at least one respect the surviving evidence does seem

to agree with the picture he presents. The Hippocratic Corpus provides

evidence of an increasingly self-conscious medical profession, which is re-

flecting on and promulgating its own principles, setting high standards

(^8) On Celsus as a reporter of Rationalist medicine see von Staden ( 1994 b); on Celsus’ view of Hippocrates
see Serbat ( 1995 ) liii–lvii; Mudry ( 1977 ) 345 – 52 ; Castiglioni ( 1940 ) 862 – 6.

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