Although Hippocrates followed the current belief that disease resulted from an imbalance of the four bodily humors, he maintained that the disturbance was influenced by outside forces and that the humors were glandular secretions. He believed that the goal of medicine should be to build the patient's strength through appropriate diet and hygienic measures, resorting to more drastic treatment only when the symptoms showed this to be necessary. This was in contrast to the contemporary Cnidian school, which stressed detailed diagnosis and classification of diseases to the point of ignoring the patient. Hippocrates probably had an inkling of Mendelian and genomic factors in heredity, because he noted not only many of the signs of disease but also that symptoms could appear throughout a family or a community, or even over successive generations.
Of the large collection of writings that derived from the Coan school, only a few are generally ascribed to Hippocrates himself, although his influence is felt throughout. Of these, The Aphorisms, summing up his observations and deductions, and Airs, Waters, and Places, which recognized a link between environment and disease, are considered the most important. The collection has appeared in a number of translations, notably that of Littré.
While the Hippocratic oath cannot be directly credited to him either, it undoubtedly represents his ideals and principles. The oath, which still governs the ethical conduct of physicians today, is often recited at the graduation ceremonies of medical schools. Among other things the oath details codes of patients's right to privacy, asks the physician to pledge to lead an honorable personal and professional life, and requires that he or she prescribe treatments only for curative purposes.
See studies by W. Smith (1979) and W. Heidel (1981).
Hippocrates, Roman bust copied from a Greek original, circa 3rd century BC; in the collection elipsis
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However, the achievements of the writers of the Corpus, the practitioners of Hippocratic medicine, and the actions of Hippocrates himself are often commingled; thus very little is known about what Hippocrates actually thought, wrote, and did. Nevertheless, Hippocrates is commonly portrayed as the paragon of the ancient physician. In particular, he is credited with greatly advancing the systematic study of clinical medicine, summing up the medical knowledge of previous schools, and prescribing practices for physicians through the Hippocratic Oath and other works.
Historians accept that Hippocrates was born around the year 460 BC on the Greek island of Kos (Cos), and became a famous physician and teacher of medicine. Other biographical information, however, is likely to be untrue (see Legends). Soranus of Ephesus, a 2nd-century Greek gynecologist, was Hippocrates' first biographer and is the source of most information on Hippocrates' person. Information about Hippocrates can also be found in the writings of Aristotle, which date from the 4th century BC, in the Suda of the 10th century AD, and in the works of John Tzetzes, which date from the 12th century AD. Soranus stated that Hippocrates' father was Heraclides, a physician; his mother was Praxitela, daughter of Phenaretis. The two sons of Hippocrates, Thessalus and Draco, and his son-in-law, Polybus, were his students. According to Galen, a later physician, Polybus was Hippocrates’ true successor, while Thessalus and Draco each had a son named Hippocrates.
Soranus said that Hippocrates learned medicine from his father and grandfather, and studied other subjects with Democritus and Gorgias. Hippocrates was probably trained at the asklepieion of Kos, and took lessons from the Thracian physician Herodicus of Selymbria. The only contemporaneous mention of Hippocrates is in Plato's dialogue Protagoras, where Plato describes Hippocrates as "Hippocrates of Kos, the Asclepiad". Hippocrates taught and practiced medicine throughout his life, traveling at least as far as Thessaly, Thrace, and the Sea of Marmara. He probably died in Larissa at the age of 83 or 90, though some accounts say he lived to be well over 100; several different accounts of his death exist.
Ancient Greek schools of medicine were split (into the Knidian and Koan) on how to deal with disease. The Knidian school of medicine focused on diagnosis, but was dependent on many faulty assumptions about the human body: Greek medicine at the time of Hippocrates knew almost nothing of human anatomy and physiology because of the Greek taboo forbidding the dissection of humans. The Knidian school consequently failed to distinguish when one disease caused many possible series of symptoms. The Hippocratic school or Koan school achieved greater success by applying general diagnoses and passive treatments. Its focus was on patient care and prognosis, not diagnosis. It could effectively treat diseases and allowed for a great development in clinical practice.
Hippocratic medicine and its philosophy are far removed from that of modern medicine. Now, the physician focuses on specific diagnosis and specialized treatment, both of which were espoused by the Knidian school. This shift in medical thought since Hippocrates' day has caused serious criticism over the past two millennia, with the passivity of Hippocratic treatment being the subject of particularly strong denunciations; for example, the French doctor M. S. Houdart called the Hippocratic treatment a "meditation upon death".
Another important concept in Hippocratic medicine was that of a crisis, a point in the progression of disease at which either the illness would begin to triumph and the patient would succumb to death, or the opposite would occur and natural processes would make the patient recover. After a crisis, a relapse might follow, and then another deciding crisis. According to this doctrine, crises tend to occur on critical days, which were supposed to be a fixed time after the contraction of a disease. If a crisis occurred on a day far from a critical day, a relapse might be expected. Galen believed that this idea originated with Hippocrates, though it is possible that it predated him.
Hippocratic medicine was humble and passive. The therapeutic approach was based on "the healing power of nature" ("vis medicatrix naturae" in Latin). According to this doctrine, the body contains within itself the power to re-balance the four humours and heal itself (physis). Hippocratic therapy focused on simply easing this natural process. To this end, Hippocrates believed "rest and immobilization [were] of capital importance". In general, the Hippocratic medicine was very kind to the patient; treatment was gentle, and emphasized keeping the patient clean and sterile. For example, only clean water or wine were ever used on wounds, though "dry" treatment was preferable. Soothing balms were sometimes employed.
Hippocrates was reluctant to administer drugs and engage in specialized treatment that might prove to be wrongly chosen; generalized therapy followed a generalized diagnosis. Potent drugs were, however, used on certain occasions. This passive approach was very successful in treating relatively simple ailments such as broken bones which required traction to stretch the skeletal system and relieve pressure on the injured area. The Hippocratic bench and other devices were used to this end.
One of the strengths of Hippocratic medicine was its emphasis on prognosis. At Hippocrates' time, medicinal therapy was quite immature, and often the best thing that physicians could do was to evaluate an illness and induce its likely progression based upon data collected in detailed case histories.
Hippocratic medicine was notable for its strict professionalism, discipline and rigorous practice. The Hippocratic work On the Physician recommends that physicians always be well-kempt, honest, calm, understanding, and serious. The Hippocratic physician paid careful attention to all aspects of his practice: he followed detailed specifications for, "lighting, personnel, instruments, positioning of the patient, and techniques of bandaging and splinting" in the ancient operating room. He even kept his fingernails to a precise length.
The Hippocratic School gave importance to the clinical doctrines of observation and documentation. These doctrines dictate that physicians record their findings and their medicinal methods in a very clear and objective manner, so that these records may be passed down and employed by other physicians. Hippocrates made careful, regular note of many symptoms including complexion, pulse, fever, pains, movement, and excretions. He is said to have measured a patient's pulse when taking a case history to know if the patient lied. Hippocrates extended clinical observations into family history and environment. "To him medicine owes the art of clinical inspection and observation". For this reason, he may more properly be termed as the "Father of Clinical Medicine".
Hippocrates and his followers were first to describe many diseases and medical conditions. He is given credit for the first description of clubbing of the fingers, an important diagnostic sign in chronic suppurative lung disease, lung cancer and cyanotic heart disease. For this reason, clubbed fingers are sometimes referred to as "Hippocratic fingers". Hippocrates was also the first physician to describe Hippocratic face in Prognosis. Shakespeare famously alludes to this description when writing of Falstaff's death in Act II, Scene iii. of Henry V.
Hippocrates began to categorize illnesses as acute, chronic, endemic and epidemic, and use terms such as, "exacerbation, relapse, resolution, crisis, paroxysm, peak, and convalescence." Another of Hippocrates' major contributions may be found in his descriptions of the symptomatology, physical findings, surgical treatment and prognosis of thoracic empyema, i.e. suppuration of the lining of the chest cavity. His teachings remain relevant to present-day students of pulmonary medicine and surgery. Hippocrates was the first documented chest surgeon and his findings are still valid.
The Hippocratic school of medicine described well the ailments of the human rectum and the treatment thereof, despite the school's poor theory of medicine. Hemorrhoids, for instance, though believed to be caused by an excess of bile and phlegm, were treated by Hippocratic physicians in relatively advanced ways. Cautery and excision are described in the Hippocratic Corpus, in addition to the preferred methods: ligating the hemorrhoids and drying them with a hot iron. Other treatments such as applying various salves are suggested as well. Today, "treatment [for hemorrhoids] still includes burning, strangling, and excising". Also, some of the fundamental concepts of proctoscopy outlined in the Corpus are still in use. For example, the uses of the rectal speculum, a common medical device, are discussed in the Hippocratic Corpus. This constitutes the earliest recorded reference to endoscopy.
The Hippocratic Corpus (Latin: Corpus Hippocraticum) is a collection of around seventy early medical works from ancient Greece, written in Ionic Greek. The question of whether Hippocrates himself was the author of the corpus has not been conclusively answered, but the volumes were probably produced by his students and followers. Because of the variety of subjects, writing styles and apparent date of construction, scholars believe Hippocratic Corpus could not have been written by one person (Ermerins numbers the authors at nineteen). The corpus was attributed to Hippocrates in antiquity, and its teaching generally followed principles of his; thus it came to be known by his name. It might be the remains of a library of Kos, or a collection compiled in the 3rd century BC in Alexandria.
The Hippocratic Corpus contains textbooks, lectures, research, notes and philosophical essays on various subjects in medicine, in no particular order. These works were written for different audiences, both specialists and laymen, and were sometimes written from opposing view points; significant contradictions can be found between works in the Corpus. Notable among the treatises of the Corpus are The Hippocratic Oath; The Book of Prognostics; On Regimen in Acute Diseases; Aphorisms; On Airs, Waters and Places; Instruments of Reduction; On The Sacred Disease; etc.
Hippocrates is widely considered to be the "Father of Medicine". His contributions revolutionized the practice of medicine; but after his death the advancement stalled. So revered was Hippocrates that his teachings were largely taken as too great to be improved upon and no significant advancements of his methods were made for a long time. The centuries after Hippocrates' death were marked as much by retrograde movement as by further advancement. For instance, "after the Hippocratic period, the practice of taking clinical case-histories died out...", according to Fielding Garrison.
After Hippocrates, the next significant physician was Galen, a Greek who lived from 129 to 200 AD. Galen perpetuated Hippocratic medicine, moving both forward and backward. In the Middle Ages, Arabs adopted Hippocratic methods. After the European Renaissance, Hippocratic methods were revived in Europe and even further expanded in the 19th century. Notable among those who employed Hippocrates' rigorous clinical techniques were Sydenham, Heberden, Charcot and Osler. Henri Huchard, a French physician, said that these revivals make up "the whole history of internal medicine".
According to Aristotle's testimony, Hippocrates was known as "the Great Hippocrates". Concerning his disposition, Hippocrates was first portrayed as a "kind, dignified, old country doctor'" and later as "stern and forbidding". He is certainly considered wise, of very great intellect and especially as very practical. Francis Adams describes him as "strictly the physician of experience and common sense".
His image as the wise, old doctor is reinforced by busts of him, which wear large beards on a wrinkled face. Many physicians of the time wore their hair in the style of Jove and Asklepius. Accordingly, the busts of Hippocrates that we have could be only altered versions of portraits of these deities. Hippocrates and the beliefs that he embodied are considered medical ideals. Fielding Garrison, an authority on medical history, stated, "He is, above all, the exemplar of that flexible, critical, well-poised attitude of mind, ever on the lookout for sources of error, which is the very essence of the scientific spirit". "His figure... stands for all time as that of the ideal physician”, according to A Short History of Medicine, inspiring the medical profession since his death.
Another legend concerns how Hippocrates rejected a formal request to visit the court of Artaxerxes, the King of Persia. The validity of this is accepted by ancient sources but denied by some modern ones, and is thus under contention. Another tale states that Democritus was supposed to be mad because he laughed at everything, and so he was sent to Hippocrates to be cured. Hippocrates diagnosed him as having a merely happy disposition. Democritus has since been called "the laughing philosopher".
Not all stories of Hippocrates portrayed him in a positive manner. In one legend, Hippocrates is said to have fled after setting fire to a healing temple in Greece. Soranus of Ephesus, the source of this story, names the temple as the one of Knidos. However centuries later, the Byzantine Greek grammarian John Tzetzes, writes that Hippocrates burned down his own temple, the Temple of Cos, speculating that he did it to maintain a monopoly of medical knowledge. This account is very much in conflict with traditional estimations of Hippocrates' personality. Other legends tell of his resurrection of Augustus's nephew; this feat was supposedly created by the erection of a statue of Hippocrates and the establishment of a professorship in his honor in Rome.
1. Hippocrates II. “The Father of Medicine”
4. Hippocrates I.
32. Sostratus III.
64. Theodorus II.
128. Sostratus, II.
In modern age, a lunar crater has been named after him — the Hippocrates. Hippocratic Museum, a museum on the Greek island of Kos is dedicated to him. The Hippocrates Project is a program of the New York University Medical Center to enhance education through use of technology. Project Hippocrates (an acronym of "HIgh PerfOrmance Computing for Robot-AssisTEd Surgery") is an effort of the Carnegie Mellon School of Computer Science and Shadyside Medical Center, "to develop advanced planning, simulation, and execution technologies for the next generation of computer-assisted surgical robots."