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[German version] (Ἀκουμενός; Akoumenós) [of Athens] Doctor from the late 5th cent. BC. As father of the doctor  Eryximachus, who was a friend of Socrates and Phaedrus, A. emerges briefly as a fictitious dialogue partner in Pl. Phdr. 268a and 269a, in order to emphasize the thesis that the art of medicine comprises more than merely knowledge, which has been gleaned from books and teachers. Nutton, Vivian (London)

[German version] (Φυλότιμος; Phylótimos) of Cos. Physician and chief magistrate ( mónarchos) of Cos in the first half of the 3rd cent. BC; along with Herophilus [1], he was a pupil of Praxagoras and became one of the classic authorities of Greek medicine (cf. Gal. De examinando medico 5,2), although only fragments of his writings now survive. He pursued anatomical interests, placed the seat of the soul in the heart and held that the brain was merely a useless extension of the spinal medulla (Gal. De usu pa…

[German version] The idea that physical health was connected with bodily fluids was widespread. Mucus is already mentioned in ancient Egyptian medicine, and also in Babylonian medicine particular attention was paid to the quantity and colour of bodily fluids. The Greeks regarded   ichṓr of the gods, blood (α(̃ιμα; haîma) in humans and sap (χυμός; chymós) in plants as the bearers of life. These fluids (χυμοί/ chymoí, Latin humores) could also become dangerous in excess. Two humours, phlegm (φλέγμα; phlégma) and bile (χόλος; chólos or χολή; cholḗ), are already represented as hazard…

[German version] Evodus (Εὐστόχιος; Eustóchios) from Alexandria. He encountered  Plotinus towards the end of the latter's life ( c. AD 269), who converted him to philosophy. E. also acted as Plotinus' physician, accompanied him on his last journey, and was with him when he died (Porphyrius V. Plot. 7). Nutton, Vivian (London)

[English version] Documentary evidence for a use of the HO in Late Antiquity is ambiguous. Gregory of Nazianzus (Greg. Naz. Or. 7,10) reported that his brother Caesarius did not have to swear the oath as a medical student in Alexandria, thus implying that others probably had to. However, there is no record for the Byzantine or Muslim world to confirm any official obligation to swear this oath, even though it was evidently well-known. In practice, it was superseded by the Galenic concept equating e…

[German version] also ‘Hansen's Disease’. A chronic disease caused by Mycobacterium leprae affecting the peripheral nerves, and often also the skin. Palaeopathological finds prove its existence in the Mediterranean area only for the Hellenistic period [1], but texts from Babylon, Egypt and Israel from c. 800 BC onwards describe disfiguring skin diseases, among which could be included leprosy, even though the descriptions probably refer to psoriasis. The biblical name of the disease ṣaraʿat, in the Middle Ages wrongly translated as leprosy, referred to a disease whic…

[German version] I. Greece Greek medicine is fundamentally different from Egyptian and Babylonian medicine because it allots dietetics in the broader sense of a regime of eating, drinking, exercise and bathing, a key role within therapeutics [2. 395-402; 3]. Originally, dietetics referred to the administering of balanced foods in liquid, pasty or solid form, depending on the degree of illness (Hippocr. De medicina vetere 5 [4. 241-257]). However, about the mid 5th cent. BC it expanded well beyond a …

[German version] Several MSS of Dioscorides contain an anonymous poem of 215 hexameter verses about the qualities of herbs, which was written probably in the 3rd cent. in highly stylized Greek. It refers back to Nicander, Dioscorides and Andromachus [4, the Elder] According to [1], the poetic language shows similarities with the Orphica (newest edition: [1; cf. 2]). Nutton, Vivian (London) Bibliography 1 E. Heitsch, in: AAWG 1964, 23-38 2 NGAW 1963, 2, 44-49.

[German version] Medical writer, 4th cent. AD, author of a Latin paraphrase of a Greek letter to (an undefined) king Antigonus that is passed down under the name of Hippocrates [6] and that contained a dietetic plan and advice on treating diseases of the head, chest, belly and kidneys. This paraphrase is extant in the introduction to a medical treatise of Marcellus Empiricus, where it is preceded by a letter of L. to his sons. Both texts probably belonged to the introduction to a medical work by L. that is lost today. Nutton, Vivian (London)

[German version] Physician, the son of Hesychius of Damascus, changed his residence in the early 6th cent. AD in order to join his father's medical practice in Constantinople. He treated emperor Leo, whereupon he became a   comes and   archiatros (Chron. pasch. 8254a; Malalas, Chronographia 370 Dindorf; Photius, Bibliotheca 344A). As a pagan philosopher who was honoured in Athens and Constantinople with statues, he ordered the rich to help the poor. The latter he incidentally treated without charging a fee. His nic…

[English version] Whereas between about AD 500 and 1100,  Galen was almost unknown in Western Europe, the orthodox  medicine of the Byzantine and Muslim world was substantially based on his concepts that were increasingly systemized and put into a logical order, with a particular focus on their theoretical content.  Galen's monotheism and teleology commended his works also to an environment dominated by religion. From the 12th cent. on, Galenism reached Western Europe in an Arabic guise where it s…

[German version] (Σάλπη/ Sálpē). Midwife of the Hellenistic era, whose medical and cosmetic recipes were quoted by Plinius [1] in his Historia naturalis (Plin. HN 28,38; 28,66; 28,82; 28,262; 32,135; 32,140). Athenaeus [3] (Ath. 322a) knows a S. as the author of παίγνια/ paígnia (‘light poems’), but it is problematic to consider the two identical [1]. Nutton, Vivian (London) Bibliography 1 D. Bain, Salpe's ΠΑΙΓΝΙΑ; Athenaeus 322a and Plin. H. N. 28,38, in: CQ 48, 1998, 262-268.

[German version] from Marseilles ( Massalia), physician, who came to Rome in the time of Nero (Plin. HN. 29,9). He gained renown when he combined astronomy with medicine by orienting the diet plans for his patients according to the course of the stars. When he died, he left 10 million sesterces after having already spent the same sum on repairing the walls and other defences in his native town. Nutton, Vivian (London)

[German version] (Δημοκήδης; Dēmokḗdēs) of Croton. Greek physician, lived about 500 BC and according to Hdt. 3,125 was the best physician of his age. He was the son of Calliphon and practised in Croton before going to Aegina. After a year the town of Aegina employed him for one talent as the community's physician but a year later he moved to Athens for a higher salary and finally into the service of Polycrates of Samos who paid two talents. After Polycrates' assassination D. was taken as a slave to…

[German version] (also Muscio) Translator and adapter into Latin of two gynaecological treatises by  Soranus of Ephesus.One of these, now lost in Greek, was a shorter manual of questions and answers; the second the celebrated Gynaikeîa (‘Gynaecology). Some MSS of M.'s compendium end with an appendix listing vaginal pessaries. Although not a faithful translation of Soranus, M.'s adaptation does offer help in the constitution of the Greek text, and it was the most popular treatise on gynaecology to survive from Antiquity into the …

[German version] (Ἀρχιγένης; Archigénēs) of Apamea. Physician, student of  Agathinus, lived under Trajan (AD 98-117) and died at the age of 63 (Suda s. v. Archigenes). He was an eclecticist and had close ties to the Hippocratic view that disease is caused by the dyscrasia of hot, cold, moist and dry. A. was predominantly influenced by the Pneumatists and wrote extensively about the study of the pulse. Galen (8,625-635) criticized his list of eight different pulse qualities as too tenuous. Some of t…

[German version] (Ἀγαθῖνος; Agathînos) of Sparta (Ps.-Gal. 19,353). Greek doctor of the first cent., student of Athenaeus of Attaleia, teacher of Archigenes and the Pneumatist  Herodotus. Even though he was mostly counted among the Pneumatists, some believed that he had founded his own, the Episynthetic or Eclectic School. The handed-down fragments of his writings allow connections to the Empiricists and Methodists to be recognized. He wrote about medicines (a fragment about stinking hellebore is i…

[German version] Military doctor, who according to Lucian (Quomodo historia 16,24 = FGrH II 210), wrote, in a highly tragic and stilted style, a history of the Parthian Wars of Lucius Verus in the years AD 162-166 that bore the title Parthica. Unless this was a figment of Lucian's imagination, it appears that he served in the Parthian War, either in the legio VI Ferrata, or in an ala contariorum (a troop division of pike-bearers). Nutton, Vivian (London)

[German version] (φαλλός/ phallós, lat. mentula (for synonyms, see [1]). Its anatomy, including the glans, scrotum, and testicles, was established by 250 BC, but its physiology, especially its capacity as to achieve an erection, was harder to explain. Galen ( De usu partium 15,3) called it a 'nerve-like part', and in De motibus dubiis discussed the possible effects of imagination on the process. Although circumcision (Circumcisio) was seen as essentially Jewish, infibulation was widely practised. Medical and surgical texts offer a variety of treat…

[German version] Masseur, a profession that seems to have become fashionable in the 1st cent. AD (e.g. CIL 6,9476) but the linking of medicine and gymnastics extends as far back as Herodicus [1] of Selymbria (5th cent. BC). Trimalchio was treated by three aliptae (Petron. Sat. 28). Pliny considers this entire branch of medicine a form of quackery (HN 29,4-5). Vespasian however guaranteed all who practiced this art various privileges (FIRA 1,77) and Pliny the Younger managed to persuade Trajan to confer Roman (and Alexandrian) citizenship to his Egyptian iatraleiptes Harpocrates, w…

[German version] A. Egypt and ancient Orient Anatomy in the sense of a systematically gained body of knowledge on the basis of dissections appears to have been a Greek invention. We do know that Babylonian (and later also Etruscan) hepatoscopy entailed the removal of an animal liver, but aside from the relatively differentiated terminology for this organ and the assignment of certain emotions to the main organs, Babylonian texts are silent about the topic of anatomy [17]. The beginnings of anatomical r…

[German version] The term originally designated treatises about antidotes, for instance Gal. de antidotis, 14,1-209 (trans. and comment. by [1, cf. 6]) and Philomenus (ed. by [2]), but, in medieval Latin, it referred to all writings about composite medications. It is unclear when exactly the shift in meaning occurred, since most collections of medications in late antiquity show neither titles not authors. The earliest documentation of the title is found in a MS from the 11th cent., which, however,…

[English version] In Late Antiquity, a hospital was a place within an environment of religious character, where one cared for people in need including old and sick ones. In the early MA, along the great routes of pilgrimage, chains of small inns developed. Many Benedictine monasteries had their own hospital wards, which may also have catered for the needs of a large part of the public. As of the 11th cent., hospitals were constructed in cities, again under the influence of eastern Mediterranean cu…

[German version] I. Prehistory and early history Epidemic diseases (ED), or in the broadest sense, diseases that attack a large number of living beings simultaneously have been documented archaeologically since the middle of the Bronze Age, that is, since c. 2800 BC. Their appearance has been linked to population growth and the resulting ease with which disease can spread from animals to humans and from person to person [9. 251]. In Egypt, smallpox appears to have been known since c. 1250 BC, although papyri with medicinal content do not refer to this or any other compara…

[German version] The papyrus inventory no. 137 of the British Library in London is the most important surviving medical papyrus. It was written towards the turn of the 1st to the 2nd cent. and is divided into three parts: columns 1-4,17 contain a list of definitions that concern the páthē of body and soul (cf. the discussion in Gal. Meth. med. 1); columns 4,21-20,50, present different views about the causes of diseases; columns 21,1-39,32 deal with physiology. The text as well as many internal characteristics indicate that these chapters, thou…

[German version] (Πλειστόνικος; Pleistónikos). Doctor fl. c. 270 BC; he was a pupil of Praxagoras of Cos (Celsus, De medicina, proem. 20) and one of the 'classics' of Greek medicine in the so-called Dogmatic tradition (Dogmatists [2]; Gal. Methodus medendi 2,5; Gal. De examinando medico 5,2). It is difficult to assess his individuality, as, according to tradition- i.e. fundamentally in Galen - his views are transmitted as being in agreement with those of Praxagoras or other Dogmatists. Like his master…

[German version] Originally meaning a teacher of medicine (esp. in Alexandria), iatrosophistes could later refer to any experienced practitioner ( medicus sapientissimus, Corpus Glossatorum Latinorum 3,600,32 Goetz), either in orthodox medicine (e.g.  Agnellus, In Galeni De sectis commentarium 33) or in the magical arts of healing (Ps.-Callisthenes, Vita Alexandri 1,3) [1]. Contrary to the emendation by von Arnim in Dion. Chrys. 33,6, the term was probably not coined before the late 4th cent. AD (Epiphanius, Adversu…

[German version] (Φανοστράτη; Phanostrátē). Greek-Athenian midwife and doctor, depicted on Attic grave stelae from the end of the 4th cent. BC (IG II/III2 6873; Clairmont, 2. 890). The inclusion of the professional title midwife suggests a certain degree of specialisation in medicine and shows at the same time that women were able to work as doctors and earn a considerable income, as is suggested by the quality and individual designs of the stone mason’s craftsmanship. Nutton, Vivian (London)

[German version] (μέλαινα χολή/ mélaina cholḗ, ‘black bile’). The fourth humour in the tradition of Hippocratic medicine represented by De natura hominis, ch. 4, and later by Rufus of Ephesus and Galen. It was predominant in autumn, associated with the element earth, and cold and dry. It was viewed as the antithesis of blood, having many deadly properties [1]. According to Galen (De atra bile 5,104-148 K.) in its purest form it was highly destructive to everything it touched, and had its origin in the spleen. Not ev…

[German version] In Babylonian, Egyptian and also Greek medicine, blood-letting was part of standard medical practice. This procedure was carried out either by directly opening a vein, by scarification or by using a cupping vessel. Considering how often the latter are depicted on monuments connected with physicians, cupping may have been the most common method [1]. Two notions seem to have favoured phlebotomy: on the one hand, it supposedly prevented the stagnating of the blood and its transformat…

[German version] (Ἀκεσίδας; Akesídas). According to Paus. 5,14, A. was considered a hero in Olympia and was elsewhere known under the name Idas. His name offers the assumption that he was worshipped as a healing god, who possibly shared a healing cult, which was very common on the Peloponnese, with  Paeonius,  Iason and  Heracles. Nutton, Vivian (London)

[German version] Greek grammarian, middle or end of the 1st cent. AD, author of a glossary of Hippocratic words, which he dedicated to  Andromachus [4 or 5], a doctor at the imperial court in Rome [2; 3]. The alphabetic structure of the glossary, in its surviving form, does not go back to E. since, in his preface (9), he expressly emphasizes that he had explained the words in the sequence of their appearance in c. 37 Hippocratic texts which in turn could be classified into 1) semiotic, 2) physiological-aetiological, 3) therapeutic texts, 4) miscellaneous, 5) texts on…

[German version] (Ἀκεσίας; Akesías). Greek doctor of 3rd cent. BC (?). According to an intentionally ambiguous proverb, he only treated those who suffered the worst (suffering or doctor) (Aristoph. Byz., Zenob. 1,52). It is possible that he also wrote about culinary art (Ath. 12, 516c). Nutton, Vivian (London)

[German version] (Πραξαγόρας; Praxagóras) of Cos. Doctor, at the end of the 4th cent. BC, teacher of Herophilus [1], Phylotimus, Pleistonicus and Xenophon. His family claimed its descent from Asclepius; his grandfather who shared the same name and his father, Nicarchus, were likewise doctors. His family continued to be very prominent on Cos for generations [1]. A poem composed by Crinagoras still survives on a statue in his honour (Anth. Plan. 273). Amongst the works of this doctor are a treatise on therapy in at least 4 books, a work about diseases in at least 3 bo…

[English version] Classical ideas of dietetics, based on the Hippocratic and Galenic notions of a balance between the four humours, continued to play an important role in medicine  into the 20th cent. (Humoral Theory). In Arabic medicine, all substances taken into the body had properties that could affect its health, for good or ill, and hence it was the doctor's duty to prescribe diets for health, as well as for disease, and equally that of his patient  to understand the rules for a healthy lifes…

[German version] A. Egypt The eye-doctors of Egypt were already famous when in about 540 BC the Persian king Cyrus [1] asked the Pharaoh Amasis for one to cure him (Hdt. 3,1; cf. 2,84). Diseases of the eyes were quite common in Egypt. Three of the seven early medical papyri are devoted to such diseases. P. Ebers alone contains more than 100 recipes for blindness. Some of these prescriptions involve Dreckapotheke, while others, for example, use liver - rich in vitamin A and a valuable remedy for xerophthalmia. Eye surgery seem to have been rarely performed and Egy…

Nutton, Vivian (London) [German version] A. Arabic Medical Historiography (CT) The historiography of ancient medicine goes back at least to Late Antiquity, when a 'History of the Physicians' is said to have been written by John Philoponus (6th cent.). Material from this work was drawn upon by Ishaq ibn Hunayn (d. 910/911), for his own 'History' ( Ta'rikh al-atibba), which is largely concerned with chronology [11]. Ishaq's example was followed by a variety of writers in Arabic, some, like the bookseller Ibn an-Nadim (fl. 987), producing largely lists of…

[German version] A. Near Eastern Mental illnesses (MI) are described in both Jewish and Babylonian texts. Sometimes physical signs are indicated, as in epilepsy, sometimes behaviours are described as in 1 Sam 16:14-16; 21:13-15, but all MI are ascribed to the intervention of God, or, in texts from 500 BC onwards, of a variety of demons [1]. Treatment might be limited to confinement (Jer 29:26-8) or exorcism, including music, but the Jewish ‘Therapeutae’ took an approach that involved the entire lifes…

[German version] Latin contagio, ‘infection’, refers to the transmission of disease (TD) from person to person, directly or through an intermediary. TD is associated with the idea of pollution: Judaism, for instance, holds that people suffering from certain diseases (such as leprosy) or menstruating women must be avoided (Purification). The stated reasons were either hygienic or religious. Similar precepts are known from ancient Babylon and Greece as well. The observation that those in close contac…

[German version] A., of Alexandria, worked during the first half of the second cent. as doctor and writer. He wrote about medicines and sympathetic remedies [1; 2]. The manuscripts also count among the writings of A. a treatise about toxicology [3], the core of which originated in A.'s time and which was apparently one of the main sources for  Aetius [3] of Amida, even if it shows signs of revisions in the meantime. Nutton, Vivian (London) Bibliography 1 E. Rohde, KS vol.1, 1901, 380-410 2 M. Wellmann, in: SBAW 1908, 772-777 3 S. Ihm, 1995.

(Ερασίστρατος; Erasístratos) [German version] A. Life Physician, born in the 4th-3rd cent. BC at Iulis on Ceos; the son of Cleombrotus, physician to Seleucus I, and Cretoxene; brother and nephew to other physicians (fr. 1-8 Garofalo). Information on his education is contradictory, but, if we ignore Eusebius when he tells us that E. attained the zenith of his career in 258 BC, a link with Theophrastus and the Peripatos appears possible [7]. The professional practice of his father and E.'s own associati…

[German version] of Sardis. Teacher and physician, who worked around AD 390. The son of a physician and a pupil of Zeno of Cyprus, he was well respected, particularly regarding his services to practical therapy, pharmacology, the art of bandaging, and surgery. In addition, he was a philosopher with particular gifts in medical prognostication as well as in fortunetelling (Eunapius, Vitae Philosophorum 499). Furthermore, he is reported to have distinguished himself as a well-known orator and poet, even though none of his works have survived. Nutton, Vivian (London)

[German version] From 1050 BC onwards we find careful descriptions of epilepsy and its various manifestations in Babylonian texts [1]. There, epilepsy is linked to gods, spirits, or demons. The belief in a religious cause of epilepsy and the corresponding treatment of it through religious, magical, and folk-medicinal methods can be traced throughout all of antiquity and across cultural borders. In c. 400 BC, the Hippocratic author of De morbo sacro propagated a purely somatic interpretation of epilepsy , wherein he suspected that changes in the balance of bodily fluids we…

[German version] In the absence of unambiguous diagnostic evidence it is difficult to reconstruct the ancient history of VD. Less harmful infections such as herpes genitalis (Hippocr. De mulierum affectibus 1,90 = 8,214-8 L.) and chlamydia [2. 220] are well attested, the two major VD of modern times, gonorrhoea and syphilis, can be detected in surviving material only with difficulty. Gonorrhoea, a Greek word coinage presumably from the Hellenistic period, describes any form of excessive production of fluid in a man. It…

[German version] Doctor, and follower of Asclepiades of Bithynia (Caelius Aurelianus Morb. acut. 3,113), was in Philippi with Octavian where a dream saved the life of the future emperor (Plut. Antonius 22; Brutus 47; Val. Max. 1,7,2; Vell. Pat. 2,70,1). He was honoured by the Athenians (IG II/III2 4116), probably on the occasion of a journey to Delos (IDélos 4116), and died around 27 BC in a shipwreck (Hieron. Chron. Olymp. 127). A. believed that rabies first attacked the brain and that it spread to the stomach and caused hiccups, unquenchab…

[German version] Greek physician, head of an Erasistratean school in Smyrna, early 1st cent. BC (Str. 12,8,20); he wrote on  dietetics (Plin. HN 14,130; 20,35; 27,31), embryology (Tert. De anima 25) and toothache (Plin. HN 12,40). He was the inventor of a famous black plaster that ‘helped with all types of wounds’ (Gal. 13,787). Galen, who recorded four different recipes for this medication (13,780; 787; 810; 812) and cites the four authors ( Andromachus [5] the Younger,  Heras,  Heraclides [27] a…

[English version] One of the first official acts of the World Medical Association, founded in 1947, was drafting the Geneva Declaration (GD), a contemporary reformulation of the Hippocratic Oath; further improvements were made in 1968. The so-called abortion paragraph and the ban on surgery made way for more modern general provisions to respect human life from the moment of conception and always to use medical knowledge in harmony with the laws of humanity. It retained mention of a doctor's obliga…

[German version] (πυρετός/ pyretós, Lat. febris) strictly refers to a symptom only, i.e. a raise in body temperature, but all ancient medical authors frequently use this term to refer to a specific illness or class of illness. In modern diagnostic usage, the term covers a variety of conditions; thus the identification of any ancient ‘fever’ without any further sub-classification or other description of symptoms is bound to fail. Such aids to identification could consist of observations regarding the periodicity of fever attacks, as in the febris tertiana or febris quartana, when epi…

[German version] A. Introduction Medical ethics can be defined as the attitude of those schooled in the art of healing towards those whom they want to heal. How this appears in detail, depends on the healer's social group and standing and also the society in which he or she works. Furthermore, healers and those seeking healing may well have completely divergent views on medical ethics. It is possible to regulate for any desired attitude in the sense of the earlier definition by laws or professional …

[German version] (Νουμισιανός; Noumisianós), anatomist and teacher of medicine in the 2nd cent. AD. A pupil of Quintus, he wrote many works on anatomy in Greek, but these were hoarded by his son Heracleianus and were eventully destroyed by fire (Galen, Administrationes anatomicae 14,1). Although Galen praises his promotion of anatomy, he attributes no discovery to him. Like other Alexandrians, N. commented upon Hippocrates (Galen, In Hippocratis Epidemiarum librum II, commentum 4: CMG V 10,1, 345-3…