MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

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196 Aristotle and his school

Aristotle also recognises that the latter are often more successful in practical

therapy than the former.

The passage fromOn Respirationfurther mentions differences between

distinguished doctors and distinguished students of nature. These are not

explained by Aristotle, but they probably have to do with the difference

between theoretical and practical sciences mentioned above (differences

of interest, such as the lack of therapeutic details in the account of the

natural scientist, as well as different degrees of accuracy). Moreover, his

remark that the more distinguished natural philosophers ‘endby studying

the principles of health and disease’, whereas distinguished doctors are

praised forstartingwith principles derived from natural science, seems

to imply a certain hierarchy or priority of importance, which is hardly

surprising given Aristotle’s general preference for theoretical knowledge.

This would correspond with the fact that the discussion of health and

disease (Peri hugieias kai nosou) was apparently planned by Aristotle at

the end of the series of treatises which we know as theParva naturalia.

The treatise has not survived, and it is not even certain that it was ever

written.^47 It is at any rate clear that in this treatise medical topics were, or

would have been, discussed from the point of view of the study of nature:

the treatise would probably deal with the principles of physiology, the

causes of disturbances of the equilibrium between warm and cold, and the

formation and the role of the residues (peritt ̄omata). But it would no doubt

refrain from worked-out nosological descriptions and from extended and

detailed prescriptions on prognostics and therapeutics.^48

Thus Aristotle’s views on the relation between natural science and

medicine are quite specific. He obviously approves of doctors who build

their practice on principles of natural science, but he also acknowledges

that more empirically minded doctors often have greater therapeutic suc-

cess. He further praises those liberal-minded students of nature (among

whom he implicitly counts himself ) who deal with the principles of health

and disease. He obviously prefers the study of nature rather than medicine,

because the former is concerned with universals, the latter with particu-

lars, and because the former reaches a higher degree of accuracy, but he

quoted above Aristotle credits the liberal-minded student of politics with a similar awareness of a
limited degree of accuracy in his interest in psychology: one might say that this implies a comparable
awareness with the distinguished doctors with regard to their use of principles derived from the
study of nature.

(^47) On this see Marenghi ( 1961 ) 145 ff.; Tracy ( 1969 ) 161 ff.; Strohmaier ( 1983 ); Longrigg ( 1995 ); R. A. H.
King ( 2001 ); see also ch. 9 below.
(^48) It should be stressed that this does not imply that Aristotle did not devote more specialised treatises
to medical questions. See ch. 9 below.

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