Midterm #2 Flashcards
“The Seed”: twins
- pouches –> womb was split in two halves, allowing for two children to be carried at once
- ‘mouth’ of womb closes during gestation –> if mouth does not close properly, repeat sex could induce another pregnancy
“The Epidemics”
set of 7 books describing ~ 400 medical cases, as described by traveling physicians
–> completely practical, with very little theory
–> no mentions of medical history
Hippocratic surgery: cupping
wet cupping: light candle under cup –> make incision –> cup suctions to skin from heat, draws up humors and releases
dry cupping: no incision
Themison
theorist, 1st century BCE; immigrant to Rome and student of Asclepiades
–> three commonalities: flux (good), constriction (bad), and mixed (both)
–> “three-day period”: doctors should monitor patients in pockets of three days, in order to allow for change to occur
–> no anatomy, diseases, or patient individuality; limited use of drugs, surgery
Ptolemy
general of Alexander the Great; established Ptolemies, the ruling family in Egypt, by marriage
–> wanted Alexandria to be the center of culture and learning in the empire (e.g. Library of Alexandria)
–> era ends with the rise of Rome (last Ptolemy, Cleopatra, sides with Mark Anthony and then loses)
Nicander
figure in Alexandrian Museum; cross-disciplinary pharmacological poet (wrote two epics)
–> Hellenistic literature was attracted to science, obscurity; Nicander drew from tradition of recipes written in verse (for memory, spectacle, and preservation of correct ingredient list)
–> themes: celebration of medicine (discoveries in Museum); man vs. “monstrous nature”; learning as heroism
–> first written description of medicinal use of leeches
“The Seed”: life of the fetus
fetus is different from the child after birth; “plant soul” (being nurtured) –> “animal soul”
–> later thinkers would consider the fetus as a potential living thing
“one-body model”
the normal body was the male body; the female appeared only in the Corpus when it differed
–> female existence is just a modification of male
–> extremes: some women transition back into men when menstruation stops, as it is the only distinct female trait
“In the Surgery”
Hippocratic treatise describing how to prepare a room for a surgery
remedies for pnix
–> changes in diaita introducing more moisture (more sex, childbirth, bathing)
–> drugs (fumigation): burning substances under womb might “lure” it back into place, by straddling over a burning pot
–> magical: “uterine magic”, or using spells/charms; supernatural attempts to control the opening/closing through spells, curses, or amulets
plaga
Latin, “blow”/”strike”; plague
–> implies punishment, more so than disease
–> something brought from elsewhere (non-native), as not all diseases are plagues
–> something inflicted, not endured
“The Seed”: development
–> legitimate children must resemble their parents (though to what degree depends on strength of each’s sperm)
–> cucumber comparison (sections 9-10): a child can only grow to the size and shape allowed by the womb
–> ideoplasty: a child can be shaped by a woman’s mind, as well as her body
“The Heart”: the atria
“ears”; function as bellows, allowing for respiration (as air is “captured” by the ears)
modern parallel to sects
disputes still exist, but not as sharply; doctors use combinations of expertise and experience to make diagnoses
Erasistratus
follower of Herophilus and researcher in Museum; made theory of digestion (role of stomach in decomposition), theory of heart as a pump (influenced by nearby engineers) even though no understanding of blood circulation
–> story: Antiochus, the prince, fell ill. Father, king, sent for Erasistratus - who sees that prince is sick because his pulse races near his father’s new wife, Stratonice. Tells king that prince is in love with Erasistratus’ wife -> king tells him to give her up, so he reveals the truth. King gives son the bride.
the womb
purpose: store moisture, nurture fetus –> childbirth seen as necessary for the health of woman, making later menstruation easier
–> imagery: house/care, oven (digestion/gestation), jar (amphorae = wine-jars)
–> “wandering womb”: no fixed place within the woman’s body
Hippocratic prejudice against drugs
association with women, even going back to Homer
–> women to drugs, drugs to poison
–> Greek word “pharmacon” means drug OR poison
–> witchcraft
–> foreigners (outside influence)
–> hard to understand path of a drug, and mystery of unknown was frightening
Alexandrian pharmacology
transition from margins –> center of medicine
–> Herophilus: “drugs are the hands of the gods”
–> more disparate ingredients available (Egyptian, imported)
–> detailed measurements (more “scientific”), which was very rare for the time
–> recognition of “powers” of drugs (Diocles: substances have strength regardless from their size, shape, arrangement)
Sophists vs. “The Science of Medicine”: arguments against medicine as a techne
- medicine is just luck –> based on past successes, people who follow principles are more likely to be healed
- patients can heal without doctor’s help –> principles of diaita can be fixed without a doctor
- patients can die with doctor’s help –> “not our fault”; maybe they didn’t follow instructions
- doctors are unwilling to help everyone –> proves rationality; to heal everyone would be evidence of magic
“The Science of Medicine”: goal
to answer the question, “does medicine exist?”
–> prove against Sophists that medicine is a techne
–> argue that medicine can be the “complete removal” of distress of the sick; alleviation of violent disease; or even refusal to treat certain cases
modern heart
left chest, under sternum; about 1 pound and the size of a first
–> sits in a sac with some fluid (pericardium), which allows it to pump without getting stuck
–> collect in right atrium > pump > collect in right ventricle > pump > out to lungs, oxygenation > pump > collect in left aorta > pump > collect in left ventricle > pump > out to body
–> valves prevent backflow, preserve regular flow
–> vessels bringing blood to: vena cava, pulmonary veins
–> vessels bringing blood away: aorta, pulmonary artery
–> thickness of myocardium varies according to function of the chamber, except in the fetus; the atria are thin-walled, while ventricles are thicker (and left is thickest to support full circulation)
“The Heart”: experiment one
“Drinking Pig”: dye water blue and give it to a pig; it will drink quickly, and by slitting its throat, one can see blue dye in the trachea, showing how epiglottis let some go through
–> problem: this is intermediate step (doesn’t prove that liquid goes all the way to heart); also, pig drinks so fast that water in trachea is inevitable
“The Heart”: experiment three
animal’s heart; animal’s left ventricle is always empty at death, which is why the left ventricle is seen as perpetually being empty
epidemic
Greek, “to the people”
–> “epi” (towards) + demos (people)
patients in Hippocratic Corpus
–> men and women
–> free and enslaved (confusion with pais)
–> those who could pay fee, and charity in some cases for those who could not
“Tradition in Medicine”
in section 3, “the anthropology”, a reversal of pessimistic narrative of human civilization
–> weak, ignorant in primitive state; didn’t understand our relationship to food
–> discovery of cooking, powers of food (within diaita) allowed civilization to be born
–> arguably either optimistic (we are getting better) or pessimistic (we are so weak that we needed to discover our diaita)
gender of the child: Hippocratic Corpus
- contest of the sperm (same as “The Seed”)
- left/right (more sperm from left testicle = girl, right = boy)
- menstrual cycle (conception after period, when body is dry, is boy; close to period, with moisture, is girl)
Asclepiades’ 5 Step Regime
- regulate food/wine
- give massage
- go for a walk
- take a bath
- go on a swing
“The Heart”: orifices
text is dubious; valves? atria?
Great Plague of Athens: symptoms
–> fever
–> chest cough
–> separations (bile, vomit)
–> pustules/ulcers
–> 7th/8th day krisis
–> loss of body parts (fingers, toes, eyes)
hairesis
Greek, “sect”; any intellectual group with systematized knowledge
–> medical sects: central arguments were on basis of epistemology, or origin of knowledge; how do we know what we know? Where does new knowledge come from?
–> both Dogmatists and Empiricists considered themselves Hippocratics, but in different ways (Dogmatists = “Airs, Waters, Places”; Empiricists = “Aphorisms”)
“spongy” female bodies
male flesh should be hard, but female soft to the touch and better at absorption
–> female body sometimes compared to wool; as if needing more protection, or being delegated to the home (weaving as only chore?)
trends in pharmacology
as empires expand, importance of pharmacology increases
–> access to new drugs, recipes
–> growing demand for recipes (increase in population)
–> also true in Colonial period (e.g. in Britain, expanding into India)
–> movement from pharmacology to pharmaceuticals occurs in Chemical Revolution in 19th century (chemistry allows for extraction of active ingredients from substances, like nicotine from tobacco or cocaine from cocoa)
Herophilus
scientist in Alexandra (worked at the Museum); not a healer, but only a researcher
–> only fragments of any of his writings survive; probably the first person in Greek, though maybe all of Western, history to deliberately research via dissection
Hippocratic Bench, Board, and Ladder
idea of spectacle: Hippocratic doctors were opposed, but they impressed crowds
–> Bench: relocate joints by spinning patient on a rotating panel
–> Board: correct spinal deformities by strapping to board, jumping on back
–> Ladder: correct spinal deformities by strapping upside down, raising and then dropping ladder
techne (τέχνη)
Greek, “rational body of knowledge”
–> plural: technai
–> process of organizing knowledge into systems
Hippocratic pharmacology
certainly drugs existed, but almost only ever mentioned in Corpus in treatises about women
–> 82% of mentions are in gynecological texts
–> drugs as “gendered female”? assumption by men that drugs should only be prescribed after changing diaita, and even then only for women
–> typically local, simple ingredients (about 60% of all recipes contain only local Greek ingredients)
–> layering: adding something expensive/luxurious to otherwise cheap recipe to enhance its value, create a trademark, assist dealers in markets
Great Plague of Athens: Thucydides
not a doctor (though maybe knowledgable in the Corpus, given interest in diaita); rather a military general, historian
–> wrote doctors were “useless” during plague because they were the first to die
–> qualified because he had the plague, then survived
shift in narratives of humanity
early: pessimism (humans have become worse as time has passed)
in Classical period: achievement has brought us out of our primitive state, into our knowledge today
–> achievement makes this less divine
“The Heart”: heart & pericardium
pyramid-shaped, crimson; sits in “sac”