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Greek culture, renowned for its masterpieces of
art, poetry, drama, and philosophy, also made great advances in
medicine. The earliest Greek medicine still depended on magic and
spells. Homer considered Apollo the god of healing. Homer's Iliad,
however, reveals a considerable knowledge of the treatment of wounds
and other injuries by surgery, already recognized as a specialty
distinct from internal medicine.
By the 6th century bc, Greek medicine had left the
magic and religious realm, instead stressing clinical observation
and experience. In the Greek colony of Crotona the biologist Alcmaeon
(lived about 6th century bc) identified the brain as the physiological
seat of the senses. The Greek philosopher Empedocles elaborated
the concept that disease is primarily an expression of a disturbance
in the perfect harmony of the four elements-fire, air, water, and
earth-and formulated a rudimentary theory of evolution.
Kos and Cnidus are the most famous of the Greek medical
schools that flourished in the 5th century bc. Students of both
schools probably contributed to the Corpus Hippocraticum (Hippocratic
Collection), an anthology of the writings of several authors, although
popularly attributed to Hippocrates, who is known as the father
of medicine. Hippocrates was the greatest physician in antiquity.
He convinced physicians that disease had identifiable causes and
was not due to the supernatural. His writings were used in medical
textbooks well into the 19th century. Greek physicians introduced
such modern ideas as prognosis, or outcome of disease, and the use
of case histories of actual patients to teach students. The highest
ethical standards were imposed on physicians, who took the celebrated
oath usually attributed to Hippocrates and still used in modified
form today.
Although not a practicing physician, the Greek philosopher
Aristotle contributed greatly to the development of medicine by
his dissections of numerous animals. He is known as the founder
of comparative anatomy. Further progress in understanding anatomy
flourished by the 3rd century bc in Alexandria, Egypt, which was
firmly established as the center of Greek medical science. In Alexandria
the anatomist Herophilus performed the first recorded public dissection,
and the physiologist Erasistratus did important work on the anatomy
of the brain, nerves, veins, and arteries. The followers of these
men divided into many contending sects. The most notable were the
empiricists who based their doctrine on experience gained by trial
and error. The empiricists excelled in surgery and pharmacology;
a royal student of empiricism, Mithridates VI Eupator, king of Pontus,
developed the concept of inducing tolerance of poisons by the administration
of gradually increased dosages.
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