MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

(Ron) #1
The Methodism of Caelius Aurelianus 315

the disease is always the same; and conversely the same causes may lead to

different diseases, as is stated in the following passage:

( 20 ) sciendum igitur, quia haec passio ex iisdem causis antecedentibus fiet, quibus


aliae quoque passiones efficiuntur, indigestione, uinolentia, carnali cibo et horum


similibus rebus. (Acut. 2. 10. 65 , more fully quoted under no. 12 above)


One should know, then, that this disease [sc. catalepsy] originates from the same


preceding causes by which the other diseases are brought about, indigestion, drunk-


enness, the eating of meat and things similar to these.^65


This does not come as a surprise, for the lists of antecedent causes of

various diseases that Caelius offers, are always roughly the same: the taking

of certain foods or drinks, drunkenness, a cold, indigestion, and suchlike.

Hence in the majority of cases, the relevance of antecedent causes is very

limited (because they are not peculiar to the disease), and the reason why

Caelius discusses them altogether may be that they have the same status as

signs:^66 theymayconstitute information that is relevant for the diagnosis

and thus for the identification of a disease – and as such indirectly for the

treatment^67 – but in the majority of cases this is not so.

However, as we have seen, there are cases in which a reference to the cause

(or causes) is relevant, and in these cases it is perfectly all right to engage

in causal explanations, for example in cases where the causes constitute

the relevant criteria or differentiae for treatment as, again, in the case of

haemorrhage, and it does not come as a surprise that in such cases they

appear also in the definition of the disease.

3 definitions

Closely related to the subject of causal explanation is the role of definitions.

Again, a similar pattern may be detected. We are told that the Methodists

refused to give definitions or to make use of other epistemological or log-

ical tools derived from ‘Dogmatist’ dialectic, such as arguments based on

demonstration, analogy or inferences.^68 The reason for this is assumed to

be that the use of such Dogmatist logical tools would commit them to as-

sumptions about the essence of diseases, whereas, for the reasons mentioned

what tetanus is’ (Sed his omnibus [sc. Asclepiadis sectatoribus... aliis... aliis nostrae sectae] communiter
respondendum est, quomodo causa a passione plurimum differt. dicendum est igitur, non quae causa sit
distentionis, sed quae sit distentio).

(^65) Cf.Acut. 1. 1. 23. (^66) This is suggested byChron. 1. 4. 105.
(^67) For the requirement of completeness in the symptomatology of the disease seeAcut. 1. 1. 22.
(^68) Galen,De meth. med. 1. 1 ( 10. 5 K.); 1. 3 ( 10. 30 K.); 2. 5 ( 10. 109 K.); see Frede ( 1987 a) 276.

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