{"title":"Galen on the Patient's Role in Pain Diagnosis: Sensation, Consensus, and Metaphor.","authors":"C. Roby","doi":"10.1163/9789004305564_013","DOIUrl":"https://doi.org/10.1163/9789004305564_013","url":null,"abstract":"Pain might be a powerful diagnostic tool, but it is at the same time an intensely private and subjective experience that represents a formidable problem in the communication between physician and patient. Galen addresses (principally in De locis affectis) the problem of constructing a consistent and univocal terminology for different pain sensations, rejecting the system proposed earlier by Archigenes on the grounds that he relies on metaphorical descriptors which indiscriminately incorporate terms belonging to information generated by all the senses, fails to conform to patient testimony, and refers to ambiguous concepts. Galen sets himself the task of developing a system of proper or literal (kyrios) terms for pain sensations, even despite the apparent ineffability of certain sensations and laymen's imprecise self-analysis and description of their suffering. His pain vocabulary, developed through a combination of consensus between patients and physicians' expert descriptions of their own pain, promises to link terminology univocally to sensation, turning patients' testimony about their subjective experience of pain into universally applicable diagnostic guidance.","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"45 1","pages":"304-22"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64525049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction: Towards a History of the Ancient Patient's View.","authors":"Georgia Petridou, Chiara Thumiger","doi":"10.1163/9789004305564_002","DOIUrl":"https://doi.org/10.1163/9789004305564_002","url":null,"abstract":"","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"45 1","pages":"1-20"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64525065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"On Regimen and the Question of Medical Dreams in the Hippocratic Corpus.","authors":"M. Hulskamp","doi":"10.1163/9789004307407_014","DOIUrl":"https://doi.org/10.1163/9789004307407_014","url":null,"abstract":"","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"46 1","pages":"258-70"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64526079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Galen on Hippocratic Physics.","authors":"R. Hankinson","doi":"10.1163/9789004307407_022","DOIUrl":"https://doi.org/10.1163/9789004307407_022","url":null,"abstract":"","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"46 1","pages":"421-43"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64526451","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Treatment of the Man: Galen's Preventive Medicine in the De Sanitate Tuenda.","authors":"J. Wilkins","doi":"10.1163/9789004305564_018","DOIUrl":"https://doi.org/10.1163/9789004305564_018","url":null,"abstract":"Ideally in Galen's model of preventive medicine, the patient does not become a patient at all but remains a healthy person able to maintain his or her health without need of either medicines or other therapies. This chapter is divided into four sections, Galen's ideal patient; less than ideal patients; patients in old age; and patients whose nature is inclined to a bad mixture of humours, and so in need of medication. In all four categories, even those where medical recommendations such as blood-letting are recommended, Galen offers an option based on hygieine, or the art of maintaining good health. Galen's aim in de sanitate tuenda is to ensure that a well-educated person can lead a healthy life by learning what does harm and what benefits him or her. The chapter explores the extent to which the patient can really be independent of the doctor, and the interesting balance between nature and urban life which constitutes good health in Galenic thought.","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"45 1","pages":"413-31"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64524794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Practical Application of Ancient Pulse-Lore and its Influence on the Patient-Doctor Interaction.","authors":"Orly Lewis","doi":"10.1163/9789004305564_015","DOIUrl":"https://doi.org/10.1163/9789004305564_015","url":null,"abstract":"This paper examines the effects of the emergence of pulse measurement as an essential diagnosis and prognosis method used on Graeco-Roman patients. It argues that the introduction of this diagnostic tool brought about changes to the encounter between patients and their doctors and may have also increased intimacy and patients' forthcomingness during these encounters. The paper demonstrates that the popularity and conspicuity of the practical and theoretical engagement with the pulse afforded many opportunities for the transmission of professional knowledge from doctors to patients. It argues that this transmission of knowledge was often actively encouraged by doctors for the sake of self-promotion and promotion of the medical profession as a whole. At the same time, doctors also attempted to restrict this transmission of knowledge in order to use their exclusive competence in the pulse as means for establishing their authority and superiority over patients.","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"45 1","pages":"345-64"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64525131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Author, Argument and Exegesis: A Rhetorical Analysis of Galen's In Hippocratis de natura hominis commentaria tria.","authors":"T. Curtis","doi":"10.1163/9789004307407_021","DOIUrl":"https://doi.org/10.1163/9789004307407_021","url":null,"abstract":"In a culture where philosophical and medical commentators turned to the corpora of their progenitors to uncover and demonstrate the principles of their professions, Galen thought it was extremely important that De natura hominis (Nat. Hom.) be perceived as having been written by Hippocrates.1 He argued that Nat. Hom. was the only text in which Hippocrates methodically investigated the primary substances of the human body, its φύσις, and therefore, it contained the ‘foundation’ (κρηπίς) of the whole art of Hippocrates.2 As will be seen in this chapter, Galen’s understanding of Nat. Hom. was derived from his perception that the venerable Hippocrates held similar theoretical views on the four elements and humors as Galen did.3","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"46 1","pages":"399-420"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64526349","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"\"This I Suffered in the Short Space of my Life\". The Epitaph for Lucius Minicius Anthimianus (CIG 3272; Peek GVn 1166).","authors":"L. Graumann, M. Horstmanshoff","doi":"10.1163/9789004305564_003","DOIUrl":"https://doi.org/10.1163/9789004305564_003","url":null,"abstract":"Herewith we present an interdisciplinary study of the metrical funerary inscription from the third century CE (CIG 3272; Peek GV 1166). This emotional Greek epitaph reports the short life (from birth to death) of the 4 year old Lucius Minicius Anthimianus. This is the first detailed study since the dissertation by Klitsch (1976). The inscription presents an ideal case for a truly interdisciplinary study of the patient-history, in that its interpretation involves the study of Greek literature and linguistics, epigraphy, social and religious history, and ancient medicine. It also offers ample opportunity to show the contradictions inherent in proposing retrospective diagnosis, without neglecting the relevant information modern medicine has to offer for the interpretation of this case history. We argue that Lucius' father was most probably a physician, that the text of the inscription stems from expert knowledge of ancient medicine and that the traditional retrospective diagnosis of this case, tuberculosis, is an untenable hypothesis.","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"45 1","pages":"23-80"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64525077","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Towards a Hippocratic Anthropology: On Ancient Medicine and the Origins of Humans.","authors":"R. Rosen","doi":"10.1163/9789004307407_013","DOIUrl":"https://doi.org/10.1163/9789004307407_013","url":null,"abstract":"The Hippocratic On Ancient Medicine (VM) is one of the earliest treatises in the corpus and, as such, offers a valuable glimpse at an otherwise poorly documented period of intellectual history. What makes this text so intriguing is that, on the one hand, it sits comfortably within the familiar philosophical and scientific debates of late fifth-century Greece, but, on the other, offers what seem to be idiosyncratic approaches to them. At its most fundamental level, On Ancient Medicine offers a polemic against speculative philosophy that relies on ‘newfangled hypothesis’1 (καινὴ ὑπόθεσις at 1.3) to account for disease and formulate treatment, and argues for a method that instead combines empirical research and analogical reasoning. What is distinct about the work, however, is the author’s focus on food and dietary regimen as the foundation of medical τέχνη and the steps in his thinking that lead him to this position. To reach this conclusion, the author deploys in a famous section of the work (ch. 3) his own form of hypothesizing about the condition of the human species in an imagined prehistorical state of primitivity. That chapter is, in part, a self-promotional argument for the antiquity and validity of medicine as a τέχνη, but it also deserves a place, as many have observed, alongside other works of the period that took an interest in what we would call cultural anthropology. It would serve the theme of this volume well if I could argue that On Ancient Medicine’s particular foray into cultural anthropology was distinctly ‘Hippocratic’, and that any ancient doctor aligning himself with Hippocratic medicine would have been familiar with, and sympathetic to, On Ancient Medicine’s anthropological explanation of the origins of medicine. In fact, however, the available evidence does not allow us to say much","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"46 1","pages":"242-57"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64525952","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bodily Features in the Corpus Hippocraticum: On the Classification of Individuals into Groups.","authors":"R. Alessi","doi":"10.1163/9789004307407_019","DOIUrl":"https://doi.org/10.1163/9789004307407_019","url":null,"abstract":"","PeriodicalId":82835,"journal":{"name":"Studies in ancient medicine","volume":"46 1","pages":"345-77"},"PeriodicalIF":0.0,"publicationDate":"2016-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64526233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}