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Great Ideas of Philosophy

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Lecture ElevenHippocrates and the Science <strong>of</strong> LifeScope: One <strong>of</strong> the signal achievements <strong>of</strong> the classical world <strong>of</strong> the Greeks was the naturalization <strong>of</strong> what hadlong been absorbed into mysticism, superstition, and magic. The perspective <strong>of</strong> the natural scientist isnowhere more evident, however, than in the commonsense approach <strong>of</strong> the Greek medical writers andpractitioners whose teachings come down to us in the form <strong>of</strong> “Hippocratic” treatises. In other societies <strong>of</strong>the ancient world, medicine was regarded as a part <strong>of</strong> religion; even among the mass <strong>of</strong> Greeks, mostconsulted oracles and believed that disease was visited on the body by the gods in punishment for wrongdone (the Christian era would take up this view again). But the Hippocratic empirikoi, or empiricalpractitioners, believed no disease was more divine than another; observation and clinical practice were <strong>of</strong>the essence; and health was a matter <strong>of</strong> balance, diet, and the right kind <strong>of</strong> life.OutlineI. Hippocrates (469–399 B.C.) falls between Plato and Aristotle and should be dealt with between them, in part,because he and his school promoted a perspective on life that points to Aristotle: the perspective <strong>of</strong> naturalisticscience.A. Unlike the civilizations <strong>of</strong> Persia and Egypt, Hellenism conferred on the priesthood no special insight intomatters <strong>of</strong> a scientific, medical, or philosophical nature.B. In all other early societies, medicine was inseparable from magic and religion; in Hellenic society, whichnever had a religious establishment, it was not.1. The ancient Greek medical perspective is nothing short <strong>of</strong> amazing. The idea that the conditions <strong>of</strong>health and disease must be understood in a naturalistic, systematic, and scientific way is a great leapforward in the history <strong>of</strong> ideas.2. Even in Homeric epics, one finds a matter-<strong>of</strong>-fact biology as a means by which to understand complexpsychological processes: what drives us are conditions in our bodies.3. The school <strong>of</strong> Pythagoras, who was, <strong>of</strong> all the early Greeks, most focused on the abstract and the divine,applied Pythagorean scientific precepts to medicine, treating the soul through the body by diet and atherapeutic regimen.II. Hellenic society was singular in the ancient world for its tendency to objectify itself—its beliefs, its practices,its thoughts—for the purpose <strong>of</strong> scrutiny.A. In doing so, it stands in vivid contrast to an understanding based on revelation or the canons <strong>of</strong> a religiousfaith. For the Hippocratic physician, there is no scriptural authority or divine voice to settle naturalisticquestions.B. Note that Hippocratic medicine comes to us in the form <strong>of</strong> “Hippocratic writing,” treatises that weredeveloped over a period <strong>of</strong> time and not necessarily written by Hippocrates himself.C. According to these writings, the power <strong>of</strong> the gods can exert itself in any and all medical conditions; thus,there is no reason to regard any disorder as any more or less “divine” than any other. No disease (e.g.,epilepsy) is any more “sacred” than any other.D. This perspective is available only to those who have not accepted priestcraft as having epistemologicalauthority. Whatever problems are to be addressed by oracles and priests, the problem <strong>of</strong> knowledge is notone <strong>of</strong> them, at least as this problem arises from the facts <strong>of</strong> the natural world.1. If the chief knowledge claims <strong>of</strong> a society are religious in nature, progress is difficult.2. Interpretations <strong>of</strong> reality are in the hands <strong>of</strong> the priests, and scholarship is confined to the analysis <strong>of</strong>divinely inspired texts.E. The Greeks did not lack religious impulses even in their science and philosophy (vide Pythagoras), butinquiry was seen as an essential feature <strong>of</strong> rationality.1. The Hippocratic doctors were not skeptical about the gods but about their power in the body.2. This is part <strong>of</strong> the process <strong>of</strong> the secularization <strong>of</strong> knowledge that the Greeks would bequeath tophilosophy and science.28©2004 The Teaching Company Limited Partnership

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