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Modern concept of health and disease

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GREEK PHYSICIANS - HIPPOCRATES<br />

School <strong>of</strong> medicine (5-4th centuries BC,<br />

on the isl<strong>and</strong> <strong>of</strong> Kos, age <strong>of</strong> Pericles<br />

Corpus Hippocraticum – Hippocratic Collection, Hippocratic Oath<br />

Father <strong>of</strong> scientific medicine: Establishing medicine<br />

as a discipline distinct from religion <strong>and</strong> philosophy<br />

Summarising the medical knowledge <strong>of</strong> previous schools<br />

Disease: Not a punishment inflicted by the gods but rather the product <strong>of</strong><br />

environmental factors, diet <strong>and</strong> living habits<br />

Cause <strong>of</strong> illness: Imbalance <strong>of</strong> the four humours in the body<br />

Giving prognosis; Therapeutic approach: Based on the healing power <strong>of</strong> nature; Body has<br />

the power to re-balance the four humours <strong>and</strong> to heal itself; Therapy: Simply easing this<br />

natural process by prescribing rest <strong>and</strong> immobilization; Gentle treatment, keeping the<br />

patient clean (clean water or wine being used on wounds)<br />

Importance <strong>of</strong> observation <strong>and</strong> documentation: Physicians recorded their findings <strong>and</strong><br />

medicinal methods in order to be employed by other physicians<br />

Clinical symptoms <strong>and</strong> devices named after Hippocrates:<br />

• Hippocratic face: Change produced in the countenance by death;<br />

• Hippocratic fingers: Clubbing, a deformity <strong>of</strong> the fingers <strong>and</strong> fingernails<br />

• Hippocratic succussion: Internal splashing noise <strong>of</strong> hydropneumothorax or pyopneumothorax<br />

• Hippocratic bench: A device which uses tension to aid in setting bones<br />

• Hippocratic b<strong>and</strong>age: Cap-shaped<br />

b<strong>and</strong>age

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