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                                                      400 BC
                              ON ANCIENT MEDICINE

                                 by Hippocrates

                          Translated by Francis Adams


  WHOEVER having undertaken to speak or write on Medicine; have
first laid down for themselves some hypothesis to their argument; such
as hot; or cold; or moist; or dry; or whatever else they choose
(thus reducing their subject within a narrow compass; and supposing
only one or two original causes of diseases or of death among
mankind); are all clearly mistaken in much that they say; and this
is the more reprehensible as relating to an art which all men avail
themselves of on the most important occasions; and the good
operators and practitioners in which they hold in especial honor。
For there are practitioners; some bad and some far otherwise; which;
if there had been no such thing as Medicine; and if nothing had been
investigated or found out in it; would not have been the case; but all
would have been equally unskilled and ignorant of it; and everything
concerning the sick would have been directed by chance。 But now it
is not so; for; as in all the other arts; those who practise them
differ much from one another in dexterity and knowledge; so is it in
like manner with Medicine。 Wherefore I have not thought that it
stood in need of an empty hypothesis; like those subjects which are
occult and dubious; in attempting to handle which it is necessary to
use some hypothesis; as; for example; with regard to things above us
and things below the earth; if any one should treat of these and
undertake to declare how they are constituted; the reader or hearer
could not find out; whether what is delivered be true or false; for
there is nothing which can be referred to in order to discover the
truth。
  2。 But all these requisites belong of old to Medicine; and an origin
and way have been found out; by which many and elegant discoveries
have been made; during a length of time; and others will yet be
found out; if a person possessed of the proper ability; and knowing
those discoveries which have been made; should proceed from them to
prosecute his investigations。 But whoever; rejecting and despising all
these; attempts to pursue another course and form of inquiry; and says
he has discovered anything; is deceived himself and deceives others;
for the thing is impossible。 And for what reason it is impossible; I
will now endeavor to explain; by stating and showing what the art
really is。 From this it will be manifest that discoveries cannot
possibly be made in any other way。 And most especially; it appears
to me; that whoever treats of this art should treat of things which
are familiar to the common people。 For of nothing else will such a one
have to inquire or treat; but of the diseases under which the common
people have labored; which diseases and the causes of their origin and
departure; their increase and decline; illiterate persons cannot
easily find out themselves; but still it is easy for them to
understand these things when discovered and expounded by others。 For
it is nothing more than that every one is put in mind of what had
occurred to himself。 But whoever does not reach the capacity of the
illiterate vulgar and fails to make them listen to him; misses his
mark。 Wherefore; then; there is no necessity for any hypothesis。
  3。 For the art of Medicine would not have been invented at first;
nor would it have been made a subject of investigation (for there
would have been no need of it); if when men are indisposed; the same
food and other articles of regimen which they eat and drink when in
good health were proper for them; and if no others were preferable
to these。 But now necessity itself made medicine to be sought out
and discovered by men; since the same things when administered to
the sick; which agreed with them when in good health; neither did
nor do agree with them。 But to go still further back; I hold that
the diet and food which people in health now use would not have been
discovered; provided it had suited with man to eat and drink in like
manner as the ox; the horse; and all other animals; except man; do
of the productions of the earth; such as fruits; weeds; and grass; for
from such things these animals grow; live free of disease; and require
no other kind of food。 And; at first; I am of opinion that man used
the same sort of food; and that the present articles of diet had
been discovered and invented only after a long lapse of time; for when
they suffered much and severely from strong and brutish diet;
swallowing things which were raw; unmixed; and possessing great
strength; they became exposed to strong pains and diseases; and to
early deaths。 It is likely; indeed; that from habit they would
suffer less from these things then than we would now; but still they
would suffer severely even then; and it is likely that the greater
number; and those who had weaker constitutions; would all perish;
whereas the stronger would hold out for a longer time; as even
nowadays some; in consequence of using strong articles of food; get
off with little trouble; but others with much pain and suffering。 From
this necessity it appears to me that they would search out the food
befitting their nature; and thus discover that which we now use: and
that from wheat; by macerating it; stripping it of its hull;
grinding it all down; sifting; toasting; and baking it; they formed
bread; and from barley they formed cake (maza); performing many
operations in regard to it; they boiled; they roasted; they mixed;
they diluted those things which are strong and of intense qualities
with weaker things; fashioning them to the nature and powers of man;
and considering that the stronger things Nature would not be able to
manage if administered; and that from such things pains; diseases; and
death would arise; but such as Nature could manage; that from them
food; growth; and health; would arise。 To such a discovery and
investigation what more suitable name could one give than that of
Medicine? since it was discovered for the health of man; for his
nourishment and safety; as a substitute for that kind of diet by which
pains; diseases; and deaths were occasioned。
  4。 And if this is not held to be an art; I do not object。 For it
is not suitable to call any one an artist of that which no one is
ignorant of; but which all know from usage and necessity。 But still
the discovery is a great one; and requiring much art and
investigation。 Wherefore those who devote themselves to gymnastics and
training; are always making some new discovery; by pursuing the same
line of inquiry; where; by eating and drinking certain things; they
are improved and grow stronger than they were。
  5。 Let us inquire then regarding what is admitted to be Medicine;
namely; that which was invented for the sake of the sick; which
possesses a name and practitioners; whether it also seeks to
accomplish the same objects; and whence it derived its origin。 To
me; then; it appears; as I said at the commencement; that nobody would
have sought for medicine at all; provided the same kinds of diet had
suited with men in sickness as in good health。 Wherefore; even yet;
such races of men as make no use of medicine; namely; barbarians;
and even certain of the Greeks; live in the same way when sick as when
in health; that is to say; they take what suits their appetite; and
neither abstain from; nor restrict themselves in anything for which
they have a desire。 But those who have cultivated and invented
medicine; having the same object in view as those of whom I formerly
spoke; in the first place; I suppose; diminished the quantity of the
articles of food which they used; and this alone would be sufficient
for certain of the sick; and be manifestly beneficial to them;
although not to all; for there would be some so affected as not to
be able to manage even small quantities of their usual food; and as
such persons would seem to require something weaker; they invented
soups; by mixing a few strong things with much water; and thus
abstracting that which was strong in them by dilution and bo

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