MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

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198 Aristotle and his school

small movements escape our notice because they are overruled by more

powerful ones, whereas in sleep, as a result of the lack of input of strong

actual movements, the small ones get a chance to present themselves. This

principle is demonstrated by means of a number of examples derived from

common experience (no. 2 on the list above). The second principle is that

the origins of all things (including diseases) are small and therefore belong

to the category of small movements. The two principles are combined in

the form of a syllogism at the end of the paragraph.

These points are most relevant for an assessment of what Aristotle is do-

ing in the passage under discussion. It has, of course, long been recognised

by commentators that the sentence 463 a 4 – 5 may very well be a reference

to the Hippocratic treatiseOn Regimen, the fourth book of which deals

with dreams and which I quoted at the beginning of this chapter. Although

the Hippocratic Corpus contains several examples of the use of dreams as

prognostic or diagnostic clues,^49 we nowhere find such an explicit theoret-

ical foundation of this as in this book. It is chronologically possible and

plausible that Aristotle knew this treatise, because other places in theParva

naturaliashow a close similarity of doctrine toOn Regimen.^50 That he is

referring to it here becomes more likely when we consider that the writer

ofOn Regimencertainly meets Aristotle’s requirements for being acharieis

iatros. Moreover, the author’s approach must have appealed to Aristotle for

the very fact that the interest of dreams is that they reveal thecausesof

diseases.

However, these similarities should not conceal the fundamental differ-

ence of approach between the medical writer and Aristotle. This difference

not only manifests itself in that Aristotle, as a natural scientist, is only inter-

ested in the causal relationship between the dream and the event, whereas

On Regimenis primarily a text about regimen (both from a preventive and

from a therapeutic point of view), which explains the great amount of de-

tailed attention paid to the interpretation of the contents of dreams and

to prescriptions about preventive dietetic measures. The most important

difference lies in the psycho-physiological explanation of the significance

of dreams given by the two authors. The author ofOn Regimenappeals to

a rather ‘dualistic’ conception of the relation between soul and body, of the

type referred to earlier on in this chapter:

(^49) See the instances listed in van der Eijk ( 1994 ) 279. The most explicit statement apart fromOn Regimen
86 is ch. 45 of the treatiseOn Sevens, but this is considered by most scholars to be post-Aristotelian.
(^50) On this see W. D. Ross ( 1955 ) 56 – 7 , who points out that Aristotle’s ‘comparison of the heart-lung
system to a double bellows [inDe respiratione 480 a 20 – 3 ] is clearly borrowed fromVict.’; see also
Byl ( 1980 ) 321 n. 32 and 325 , and Lef`evre ( 1972 ) 203 – 14.

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