MEDICINE AND PHILOSOPHY IN CLASSICAL ANTIQUITY

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Introduction 25

(cf. fr. 56 ), his references to obscure causes (fr. 177 ), his interest in cogni-

tion, sense-perception and locomotion, and even in the field of dietetics his

endeavours to develop and systematise dietetics into a detailed regimen for

health and hygiene aimed at disease prevention – all this confirms the ‘the-

oretical’, ‘philosophical’ nature of Diocles’ medical outlook. It must have

been these characteristics which prompted later Greek medical writers to

reckon Diocles among the so-called Dogmatist or Rationalist physicians,

who preferred to base medicine on a proper, theoretical and philosophical

foundation, and who wanted to raise medicine from a craft to a systematic

and explanatory intellectual discipline that obeyed the strict rules of logical

coherence.

Nevertheless, as we have seen, there was also a tradition in antiquity that

represented Hippocrates as being hostile to philosophy, indeed as the one

who liberated medicine as an empirical, practical art aimed at treatment

of diseases from the bondage of theoretical philosophical speculation (cf.

fr. 2 ). And there is that side to Diocles as well; for, as we shall see in

chapters 2 and 3 , several fragments testify to Diocles’ awareness that the

use of theoretical concepts and explanatory principles constantly has to

be checked against the empirical evidence, and that their appropriateness

to individual circumstances has to be considered time and time again in

each individual case. Diocles’ reputation as the first to write a handbook

on anatomy, in which he provided detailed descriptions of all the parts of

the human body including the female reproductive organs, and his status

as one of the leading authorities in the area of gynaecology, as well as the

fame of some of his surgical instruments and bandages all suggest that we

are dealing not only with a writer, communicator and thinker, but also with

an experienced practitioner.

Yet whatever the title of ‘younger Hippocrates’ means, it certainly does

not imply, and perhaps was not meant to suggest, that Diocles faithfully

followed in the footsteps of the Father of medicine in all respects. For, as we

will see in chapter 2 , several fragments of his works bear out that, whatever

the authority of Hippocrates may have been in Diocles’ time, it did not

prevent Diocles from taking issue with some ideas and practices that are

similar to what is to be found in texts which we call Hippocratic. Diocles

can therefore be regarded as an independent key figure in the interaction

between medicine and natural philosophy (at least in its epistemological

results) in one of the founding periods of Greek science who long exercised a

powerful influence on later Greek medicine. Diocles provides an important

connection between Hippocratic medicine and Aristotelian science, and he

is a major contributor to the development of early Hellenistic medicine,
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