MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

(Ron) #1
The Methodism of Caelius Aurelianus 319

This ban is also expressed in the following passage:

( 24 ) sed superfluum estcausas adicere, cum passionem diffinimus, quibus fuerit


confecta defluxio. item alii defluxionem esse dixerunt uentris turbationem celerem


uel acutam, quae fit ex corruptione ciborum. sed etiam nunc habet quaedam


superflua diffinitio; dehinc etiam sine corruptione ciborum aut simili causa posse


defluxionem fieri praeuide[a]mus. (Acut. 3. 22. 221 )


But it is useless, when we are giving a definition of the disease, to add the causes


through which diarrhoea is brought about. Others have said that diarrhoea is a


rapid or acute disturbance of the belly taking place as a result of food that has gone


off. Yet even now the definition contains superfluous elements; moreover, we can


perceive that diarrhoea also occurs without corruption of food or a similar case.


These very interesting passages show the compatibility of the various

Methodist attitudes towards definitions and causal explanations that we

find in Caelius. The reason why the definitions Caelius rejects here (defini-

tions of cholera and of diarrhoea given by Asclepiades and other anonymous

people) are unsatisfactory is that in their references to causes they are mis-

leading (because the cause stated does not necessarily lead to the disease in

question), incomplete (because there may be other causes as well) and factu-

ally inaccurate. The reason is not the alleged general reason why Methodists

refuse to give definitions, namely that a definition would commit them to

views about the essence of diseases, essential and accidental characteristics,

and suchlike – which would amount to the kind of commitment they do

not wish to make – this also being the reason for their reluctance to use

other instruments of Dogmatist dialectic such asgenus,species,accidens, and

so on. On the contrary, passage ( 23 ) shows, first, that Caelius (and Soranus)

have no difficulty with giving a definition, provided that it is a proper def-

inition – in this case, a concise statement of the generality (coenotes), of

the affected parts, and of the acuteness of the disease – where properness

is determined not only by factual correctness but also by the relevance of

the components of the definition to diagnosis and treatment.^77 Secondly,

the passage indicates that Caelius has no qualms about speaking about the

nature or essence of the disease (id, quod ex causis conficitur,ornatura,or

quae sit distentio, also referred to as thegenus passionisor justpassio). Indeed,

we also see Caelius at a number of occasions using concepts such asgenus,

speciesandaccidens,asin:

( 25 ) at si omnes partes fuerint solutione laxatae, similiter haec omnibus sunt ad-


hibenda, in illis etiam, quae occulta diaphoresi contabescunt. differentia etenim


accidentium mutata uidetur, genus autem passionis idem manet. (Acut. 2. 37. 217 )


(^77) Cf.Acut. 2. 1. 5 for criticism of the definition of lethargy as given by Alexander of Laodicea.

Free download pdf