MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

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194 Aristotle and his school

It is further the task of the student of nature to study the first principles of health


and disease; for neither health nor disease can occur with that which is deprived


of life. For this reason one can say that most of those people who study nature end


with a discussion of medicine, just as those doctors who practise their discipline


in a more inquisitive way (philosoph ̄oter ̄os) start dealing with medicine on the basis


of principles derived from the study of nature. (Sens. 436 a 17 –b 2 )


Concerning life and death and the subjects kindred to this inquiry our discussion


is practically complete. As for health and disease, it is the business not only of


the doctor but also of the student of nature to discuss their causes up to a certain


point. However, in what sense they are different and study different things, should


not be ignored, since the facts prove that their discussions are to a certain extent
contiguous: those doctors who are ingenious and inquisitive do have something to


say about nature and think it important to derive the principles of their discipline


from the study of nature; and concerning those students of nature who are most


distinguished, one may well say that they end with the principles of medicine.


(Resp. 480 b 22 – 31 )


In these passages Aristotle says that it belongs to the task of the student

of nature (phusikos) to deal also with health and disease, because health

and disease are characteristics of living beings.^41 However, this interest is

limited to a discussion of theprinciplesor thecausesof health and disease.^42

Those who do so are called the ‘most distinguished students of nature’; the

same wordcharieisis used here as in the passage fromOn Divination in

Sleep, where it is said of doctors. He further remarks that there are doctors

who base their medical practice on the principles of the study of nature in

general: these are called the doctors who ‘practise their discipline in a more

inquisitive way (philosophoter ̄ ̄os)’ and who are ‘ingenious and inquisitive’.

This is reasonable, he says, because natural science and medicine, though

being different and studying different things, are ‘contiguous’ (sunoroi): up

to a certain point their procedures run parallel or even overlap.

In a passage from theNicomachean Ethicswe find the same expression as

inOn Divination in Sleep:

clearly it is the task of the student of politics to have some acquaintance with the
study of the soul, just as the doctor who is to heal the eye should also know about


the body as a whole, and all the more since politics is a higher and more honourable


art than medicine; and among doctors those who are distinguished devote much


(^41) I.e. animals and plants. The scope of theParva naturaliais the ‘affections’ experienced by beings that
possess soul, e.g. life and death, youth and old age, respiration, sense-perception, sleep, dreaming,
memory, recollection. See the preface toOn Sense Perceptionand the discussion in van der Eijk ( 1994 )
68 – 72.
(^42) Similar remarks about the limited interest of medicine for the student of nature are to be found in
Long. et brev. vitae 464 b 32 ff. andPart. an. 653 a 8 ff.

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