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[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] 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] In Late Antiquity in Alexandria [1] writings by Galenus and to a lesser extent by Hippocrates [6] were assembled into a medical compendium. Known as the '16 Books of Galen', it covers the basic areas of medicine  (including anatomy, physiology and therapeutics). According to Arab sources [1], a number of teachers ( Iatrosophistḗs ) in Alexandria are supposed to have written a series of summaries or abridgements of the books contained in this compendium, which were then collected under the title SA and translated into Arabic and perhaps also into Hebrew [2]. In…

[German version] (Φιλάγριος; Philágrios). Doctor from Epirus, fl. 3rd-4th cents. AD; he practised in Thessalonica and was the author of more than 70 books: treatises on dietetics, gout, dropsy and rabies as well as a commentary on Hippocrates [1]. He is often cited by later authors, especially in Arabic, for his treatment of diseases of the liver and spleen. Doctrinally, he often follows Galen, but pays particular attention to pneuma (Pneumatists) as the co-ordinating force in organisms. His name appears often in garbled form as Filaretus (e.g. frr. 131-133: Rhazes, Continens, V…

[German version] An eye disease characterized by exudation, covering a variety of specific diseases like trachoma and conjunctivitis. A dry variety of lippitudo, xerophthalmía, in which the purulent eyes become stuck shut over night is also described (Celsus, De medicina 6,6,29). Celsus [7] (ibid. 6,6,2) reports a large number of ointments and other agents against lippitudo, an extremely common condition; this is confirmed by many ‘oculists' stamps’ for eye ointments ( Kollyrion) with the inscriptions ‘against lippitudo’ and by the large number of manufacturers of such …

[German version] [1] Doctor Doctor and iatrosophist, who as Jew was expelled from Alexandria in c. AD 412, converted to Christianity in Constantinople and returned to Alexandria. Author of an abridged version of the Physiognomy of  Polemon of Laodicea, (ed. R. Förster 1893). Some prescriptions, which are ascribed to him, are handed down by Oribasius (Syn. ad Eustathium 2,58-59; 3,24-25; 9,57). He is probably not the author of the treatise ‘About the Winds’, Ed. V. Rose 1864), which refers to Peripatetic meteorology and apparently dates from the 3rd cent. AD.  …

[German version] According to Varro [2] (Rust. 2,1,19) derived from Latin volvere, 'roll', by which is meant the swathing of a fetus. In the early Imperial Period, vulva, like matrix, was used in addition to the technical term uterus as a term for the womb [1]. All three terms remained in use throughout Antiquity; in late Latin medical authors, vulva seldom occurs. In the course of time the term changed in meaning, in that it also included the vagina (Celsus, De medicina 4,1,12) and even the clitoris (Iuv. 6,129). In his Etymology (Isid. Orig. 11,1,137), Isidorus [9] of Seville connec…

[German version] (ἀρχιατρός; archiatrós). In the original use of the name during Hellenistic times, archiatros was the title of the king's personal physician. The term first appeared in connection with the Seleucids (IDelos 1547, cf. TAM V 1,689). A similar title, wr sinw, ‘supreme physician’, is documented in pre-Ptolemaic Egyptian texts; it is missing from early Ptolemaic papyri purely by accident. Dating to 50 BC, documentations are extant from Egypt (Athenagoras, SB 5216) and Pontus (IDelos 1573) [2. 218-226]. A physician known at t…

[German version] (πνευματικοί/ pneumatikoí, Latin pneumatici). Greek medical sect, founded by Athenaeus [6] of Attaleia under the influence of Stoicism. Galen (De causis contentivis 2) makes Athenaeus a pupil of Posidonius [2], which might indicate a date in the latter half of the 1st cent. BC. However, Cornelius Celsus [7] who wrote in Rome in the mid-1st cent. AD, seems not to have been aware of this sect at all, and its most famous representatives - Agathinus, Herodotus [3], Antyllus [2] and Archi…

[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] Iatrosophist and commentator of medical texts around AD 600, Milan. Ambr. G 108 f. contains his commentaries on Galen's De sectis, Ars medica, De pulsibus ad Teuthram and Ad Glauconem, just as they were recorded by Simplicius (not the famous Aristotle commentator!). The first mentioned is in many places in agreement with a commentary which is ascribed to Iohannes Alexandrinus or Gesius, as well as Greek passages of text, which are associated with Iohannes and Archonides (?). As controversial as the question …

[German version] (Χάρμις; Chármis) Greek physician from Massilia, who went to Rome c. AD 55. Thanks to his cold-water cures he soon made a name there, and gained many wealthy patients (Plin. HN 29,10). For one treatment he invoiced a patient from the provinces for HS 200,000 (Plin. HN 29, 22), and demanded a similarly exorbitant price of 1,000 Attic drachmas for a single dose of an antidote (Gal. 14,114,127). During his lifetime C. invested HS 20 million in public construction projects in Massilia, and at h…

[German version] Even though the analysis of skeletons has shown that lead played a larger role in the classical period than in prehistoric times, the measured values are lower than expected in view of the considerable rise in lead production between 600 BC and AD 500 and its use in the manufacture of household goods and water pipes [1; 2; 3]. As the symptoms of lead poisoning (LP) are very similar to other diseases, there are hardly any descriptions which can be taken as referring to it unambiguo…

[German version] (Ἀρεταῖος; Aretaîos) of Cappadocia. Greek Hippocratic physician who was influenced by Pneumatic theory. [13] therefore assigned him to the middle of the 1st cent. AD. A.'s name was first mentioned in the late 2nd. cent as the author of a text about prophylactics in Ps.-Alex. Aphr. De febribus 1, 92, 97, 105. However, Galen repeats A.'s story of a leper that appeared in Morb. chron. 4,13,20 without any reference to the source in Subfig. emp. 10 = Deichgräber 75-9. Thirty years later…

(Γαλήνος; Galḗnos) [German version] A. Life AD 129 to c. 216, Greek doctor and philosopher. As the son of a prosperous architect named Aelius or Iulius Nicon (not Claudius, as older accounts have it), G. enjoyed a wide education, especially in philosophy. When he was 17, Asclepius appeared to Nicon in a dream which turned G. towards a medical career. After studying with Satyrus, Aiphicianus and Stratonicus in Pergamum, G. went to Smyrna c. 149 to learn from Pelops, a pupil of the Hippocratic Quintus. From there he journeyed to Corinth to find Numisianus, another pupi…

[German version] (Θεοδᾶς; Theodâs) from Laodicea. Greek physician c. 125 AD; he and Menodotus [2] were pupils of the sceptic Antiochus [20]; he was a leading representative of the School of the Empiricists. He wrote (1.) Chief points (Κεφάλαια), which Galenus and a later (otherwise unknown) Theodosius commented on; (2.) On the parts of medicine (Περὶ τῶν τῆς ἰατρικῆς μερῶν), in which he emphasised the significance of autopsy, historíē ('research') and analogy; (3.) an Introduction to medicine (Εἰσαγώγη). His works were  still being copied in the 3rd cent. in Egypt. Only…

[German version] Although most healers in Antiquity learned their trade from their fathers or as autodidacts, some also went to study with a master (e.g. Pap. Lond. 43, 2nd cent. BC), or travelled to medical strongholds to receive training. Remains of these teaching centres are to be found in Babylonia [1] and in Egypt, where the ‘House of Life’ in Sais, rebuilt by Darius c. 510 BC, may have served as such a centre and scriptorium [2]. If, in the Greek world, the Hippocratic tradition (Hippocrates) emphasized the superiority of healers trained at Cos, Cnidus …

[German version] A. Egyptian The high prestige widely accorded to Egyptian medical practitioners for their surgical skills (Hdt. 3,129), was well-earned. Skeletal finds show the successful treatment of bone fractures, esp. in the arms, and rare cases of trepanation. However, there is no reliable indication of surgical intervention in body cavities [1; 2]. The great diversity of knives, spoons, saws and needles reflects a highly-developed specialism, rooted in wide-ranging medical practice. Early pap…

[German version] (‘birth-helper’, ‘midwife’). Midwifery was usually practiced by women but was not exclusively in their hands. A Parian inscription, for example, records two male birth-helpers (IG 12,5,199) and the preserved treatises on midwifery address a male readership. Iatromaia as an occupational name appears in two Roman inscriptions of the 3rd and 4th cents. AD (CIL 6,9477f.); in one, a Valeria Verecunda is named as the ‘first iatromaia in her region’, an epithet that seems to refer to the quality of her work rather than a position in a collegium.  Midwife Nutton, Vivian (Lon…

[German version] A. Definition Hospital in the sense of public institutions for the medical care of exclusively sick people are not encountered before the 4th cent. AD, and even then the majority of terms used (Greek xenṓn, xenodocheîon, ptōcheîon, gerontokomeíon, Latin xenon, xenodochium, ptochium, gerontocomium, valetudinarium; ‘guesthouse’, ‘pilgrims' hostel’, ‘poorhouse’, ‘old people's home’, ‘hospital’) point to a diversity of functions, target groups and services that partly overlap with each other. Private houses for sick members o…

[German version] or Gessios, from Petra (Steph. Byz. s.v. Γέα/ Géa), physician and teacher, end of the 5th/early 6th cent. AD, close friend of Aeneas [3] (Epist. 19; 20) and Procopius of Gaza (Epist. 38; 58; 123; 134). He studied medicine under the Jew Domnos (Suda s.v. Γέσιος/ Gésios) in Alexandria, where he practised as   iatrosophistḗs (teacher of medicine). Although opposed to Christianity, he was baptized at the instigation of the emperor Zeno but retained a cynically negative attitude towards his new religion. He protected th…

[German version] (Μνησίθεος; Mnēsítheos). Athenian doctor, fl. 350 BC. His tomb was seen by Paus. (1,37,4). He was wealthy enough to erect statues and was one of the dedicators of the beautiful ex-voto inscription to Asclepius IG II2 1449. He is frequently associated with Dieuches [1]; he wrote extensively about dietetics including diets for children, and is counted amongst the more important Dogmatic physicians (Dogmatists) [1]. Galen ascribes to him a logical classification of illnesses that follows Plato's method (fr. 10,11 Bert…

[German version] (Ερυξίμαχος; Eryxímachos) Son of  Acumenus, Athenian doctor and Asclepiad, 5th cent. BC. As a friend of the sophist Hippias (Pl. Prt. 315A) and of Phaedrus (Pl. Phdr. 268A; Symp. 177A), he plays an important part in Plato's Symposium, in which he delivers a long speech in honour of Eros (185E-188E). His slightly pedantic manner earns him only the good-natured laughter of the invited guests but contemporary parallels to his linking of natural philosophy and medicine can be found in the Corpus Hippocraticum. Nutton, Vivian (London)

Nutton, Vivian (London) [German version] A. Introduction (CT) The history of Classical medicine developed in different ways in the three cultures of Byzantium, Islam (Arabic medicine, Arabic-Islamic Cultural Sphere) and Latin Christianity. The first two shared a heritage of late-Antique Galenism, which was far less pervasive in Western Europe and Northern Africa than in the Greek world and among the Syriac Christians of the Near East. From the 11th cent. onwards, Western Europe rediscovered Galenism lar…

[English version] This research project was begun in 1901 at the suggestion of the Danish scholar Johan Ludvig Heiberg and with the assistance of the Saxon and Danish Academies of Science and the Puschmann Foundation was established in the Berlin Academy of Sciences. Its self-defined task was the editing of all extant ancient medical authors, initially under the directorship of Hermann Diels. Diels' catalogue of manuscripts by Greek physicians (1906), together with a supplement (1907), remains to …

[German version] (ἀλεξιφάρμακα; alexiphármaka). ‘Medications that protect from poisons’. The search for effective antidotes is as old as the poisons themselves.  Theophrastus ( c. 380-288/5 BC) already presented discussions of a few antidotes (fr. 360, 361 Fortenbaugh), but a more serious investigation into poisons seems to have begun in Alexandria with  Herophilus and  Erasistratus (around 280 BC) and was continued by Apollodorus and Nicander of Colophon (2nd cent. BC), whose Theriaka and Alexipharmaka are the oldest surviving treatises on the topic. Alexipharmaka can be us…

[English version] Even though in Byzantium and the medieval Christian Occident Hippocrates was seen as the founder of medicine and given legendary status, his teachings, as compiled in the Corpus Hippocraticum, were studied only on a very narrow textual basis, and the few available texts were known only through Galen's interpretation or from the lemmata of the Galenic commentaries on Hippocrates. In the Western medicine of the Middle Ages, pseudonymous treatises were at least as influential as those contained in the modern edition of Hippocrates' texts, with the exception of the Aphor…

[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…

[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)