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Hippocrates
~ HIPPOCRATES or HIPPOKRATES of COS or KOS id+ | FATHER OF MEDICINE | id+ | PERSONIFICATION OF MEDICAL ETHICS | more precisely | FATHER OF HIPPOCRATIC (EUROPEAN) MEDICINE | implies | HIPPOCRATIC SCHOOL OF MEDICINE based upon the CORPUS HIPPORCATUS name for COMPILATIONS OF MEDICAL WORKS which perdured to the RENAISSANCE as the "HIPPOCRATI SCHOOL OF MEDICINE" and the authoritative source of WESTERN (EUROPEAN) MEDICINE and from which EMERGED THE MEDICAL PROFESSION note the names HIPPORATEA HYPOCRATEA HIPPOCRATACEAE hx> SORANUS [#] WROTE IN THE 2ND CENTURY AD THAT HIPPOCRATES [#] WAS BORN ON THE ISLAND OF COS or KOS ABOUT 460 BC - HE IS PRESENTED AS A PHYSICIAN AND THE FATHER OF MEDICINE - OTHERS PRESENT HIM AS A PARTICULAR MEDICAL SCHOOL IN ANY CASE HIPPOCRATES IS THE MOST CELEBRATED PHYSICIAN EVER HIPPOCRATES IS ALSO VIEWED AS A MAN OF LETTERS A PHILOLOGIST A SCHOLAR AND A PHILOSOPHER lit+ THE HIPPOCRATIC WRITINGS ATTRIBUTED TO HIM ARE VAST and are seen as SIMILAR TO THOSE BY HOMER THOSE WHO POSTULATE HIPPOCRATES DID NOT EXIST MAY BE WRONG MANY IN ADDITION TO SORANUS ASSERT THAT HE WAS BORN IN KOS or COS AND DIED IN LARISSA IN THESSALY PROBABLY BETWEEN 80-104 BC med> THE COLLECTION OF HIS LETTERS AND HIS ACCOUNT OF THE PLAGUE IN ATHENS IS CONSIDERED TO BE SPURIOUS AS IS HIS ANATOMY OF MELANCHOLY WHICH WAS PROPAGATED BY ARABS AS FABULES ALONG OTHER FABULOUS STORIES THAT REACHED EUROPE DURING THE MIDDLE AGES med> HIPPOCRATIC MEDICINE HELD THAT ENVIRONMENTAL FACTORS AND LIVING HABITS WERE CAUSATIVE OF AILMENTS instead of MYSTERIOUS DIVINE CAUSES and CURSES HIPPOCRATIC MEDICAL THEORY PROPOSED THAT ILLNESSES REPRESENTED AN IMBALANCE IN BODY HUMORS WHICH WERE FOUR BLOOD, BLACK BILE, YELLOW BILE and PHLEGM note that TO THIS DAY WE MAY SUFFER FROM "BAD HUMOR" and that "GOOD HUMOR" is viewed as "HEALTHY" note URINE WAS NOT ONE OF THE FOUR HUMORS note THE ANCIENTS HAD LITTLE UNDERSTANDING OF ANATOMY PHYSIOLOGY and other BASIC SCIENTIFIC FACTS and in such a context HIPPOCRATIC MEDICINE RELIED ON OBSERVATION and DOCUMENTATION or in modern terms SEMIOLOGY - THE CLINICAL DISCIPLINE CONCERNED WITH SYMPTOMS SIGNS AND THEIR INTERPRETATION AS SIGNALS COMBINED WITH THE NATURAL HISTORY OR EVOLUTION OF AILMENTS therefore at the time notions of ETIOLOGY or CAUSE were limited as were notions of PATHOGENESIS or MECHANISMS of EXPRESSION OF THE CAUSE regretfully scientific advances have to a great extent reduced the clinical capacity of modern physicians to appreciate fully symptoms and to detect visual clinical signs note another neglected ancient component is "NATURAL HEALING PROCESSES" implicit in NATURAL HISTORY regarding NATURAL or "SPONTANEOUS" HEALING ANCIENT PHYSICIANS EMPHASIZED REST IMMOBILIZATION and SLEEP which inherently were less RISKY than other alternatives note perhaps because of the then limited knowledge of etiology (causes) and pathogenesis (altered physiology) the HIPPOCRATIC MEDICINE stressed the PRINCIPLE of "PRIMUM NON NOCERE" or "MOST OF ALL - DO NO HARM" note increasing proportion of MODERN MEDICAL TESTS POSE RISKS AND THE PROPORTION OF IATROGENIC or PHYSICIAN CAUSED HARM in modern lingo "COMPLICATIONS" SIDE EFFECTS or mislabeled as IDIOPATHIC or ALLERGY manifestations note perhaps related to the above the core HIPPOCRATIC PRINCIPLE STRESSED "PRIMUM NON NOCERE" to this day is a central principle of THE HIPPOCRATIC OATH or alternative versions DEFINING THE CODE OF ETHICS OF MEDICINE to which PHYSICIANS PLEDGE ALLEGIANCE note presently the increasing highly effect of medical pharmacologic agents also call for "PRIMUM NON NOCERE" BECAUSE THE SIDE EFFECTS and UNINTENDED EFFECTS OF THERAPIES ARE INCREASINGLY FREQUENT AND SERIOUS "PRIMUM NON NOCERE" ALSO APPLIES TO THE UNBORN MEDICATIONS CAN BE TERATOGENIC and a prime example is THOLIDOMIDE proven to have caused EPIDEMIC OF MALFORMATIONS IN THOUSANDS OF CHILDREN THOLIDOMIDE was widely used by PREGNANT WOMEN BECAUSE IT WAS AN EFFECTIVE MEDICATION TO REDUCE EMESIS GRAVITARUM or VOMITING DURING EARLY GESTATION med> hx> HIPPOCRATIC MEDICINE PRODUCED AN IMPORTANT LEGACY OF CLINICAL OBSERVATIONS as for example HIPPOCRATIC FINGERS or CLUBBBING WERE RECONGIZED AS A SIGN OF PULMONARY and CARDIAC PATHOLOGY med> HIPPOCRATIC MEDICINE SPOKE OF ILLNESSES AS ACUTE or CHRONIC ENDEMIC or EPIDEMIC and such concepts as PROXYSM CONVALESCENCE med> HIPPOCRATES IS REGARDED AS A PIONEER OF CHEST SURGERY lit+ hx> A PHYSICIAN SERVING AUGUSTUS NAMED HYPOKRAS [#] WROTE THE MOST ANCIENT AND VALUABLE COMMENTARY KNOWN AS "DE ARTICULUS" attr to APOLLONIUS CITIENSIS [#] CONCERNED WITH DE NATURA HOMINIS - THE NATURE OF MANKING DE SALUBRI VICTUS RATIONE - DIETS DE RATIONE VICTUS IN MORBIS ACUTUS - ACUTE DISORDERS PRAENOTIONS - PREMONITIONS PRAEDICTIONS - PREDICTIONS OR PROGNAOSIS APHORISMI - APHORISMS DE MORBIS VULGARIBUS - FREQUENT DISEASES DE FRACTURIS - FRACTURES DE MORIBUS etc - ON DYING A LEADING EDITION IS BY LITTRE [#] OF PARIS IN 1839 med> THE HIPPOCRATIC COLLECTION IS EXTENSIVE AND DIFFICULT TO CLASSIFY THE MEDICAL HIPPOCRATIC SYSTEM DIVIDES DISEASES INTO TWO CLASSES THOSE DUE TO GENERAL INFLUENCES LIKE SEASONS WATER AND THOSE DUE TO PERSONAL (PRIVATE) CAUSES HIS MEDICAL PRACTICE WAS SO CAUTIOUS AS TO BE ALMOST FEEBLE LEADING TO REPROACHES OF LETTING PATIENTS DIE lit+ SOCRATES IS GIVEN CREDIT FOR MANY MAXIMS INCLUDING " WHAT CAN NOT BE CURED BY MEDICINE IS CURED BY THE KNIFE <maxim WHAT CAN NOT BE CURED BY THE KNIFE IS CURED BY FIRE " art> poetry> "ARS LONGA VITA BREVIS " or <maxim "LIFE IS SHORT AND ART ENDURES" maxim> ARS LONGA VITA BREVIS " or ARTS PERDURE LIFE IS EPHEMERAL or alt versions attr to HIPPOCRATES [#] ART IS LASTING LIFE IS SHORT OPPORTUNITY IS ELUSIVE EXPERIMENT IS DANGEROUS JUDGMENT IS DIFFICULT cont> see> MEDICINE lit+ HIPPOCRATIC OATH COULD BE SEEN AS AN INDENTURE AMONG PHYSICIANS FOR HAVING BEEN TAUGHT MEDICAL SKILLS also IT MAY REFLECT A BODY OF PYTHAGOREAN BELIEFS THEN ACCEPTED IN GREECE " I SWEAR BY APOLLO THE PHYSICIAN BY AESCULAPIUS HYGEIA AND PANACEA ... TO CONSIDER DEAR TO ME AS MY PARENTS HIM WHO TAUGHT ME THIS ART ... TO LOOK UPON HIS CHILDREN AS MY OWN BROTHERS ... I WILL PRESCRIBE REGIMEN FOR THE GOOD ... NEVER TO HARM TO ANYONE ... NOR GIVE ADVICE WHICH MAY CAUSE DEATH ... I WILL KEEP SECRET AND NEVER REVEAL ... " {note THE ABOVE OATH IS REGARDED BY MANY CURRENT LEADERS AS "OLD FASHIONED" BUT ON THE OTHER HAND THE SURGE OF "CORPORATIONS" ENGAGED IN "HEALTH CARE MANAGEMENT" RAISES THE QUESTION OF WHAT ARE THE ETHICAL LIMITS OF THOSE WHOSE DRIVING PRINCIPLES ARE TO ACCUMULATE MONEY EVEN BY ILLEGAL ACTS IN THE HOPE OF NOT BEING CAUGHT EVEN IF CAUGHT SUCH "CORPORATE CRIMES" GUILTY VEREDICTS ARE "PUNISHED" AS "COMMERCIAL" RATHER THAN "CRIMINAL" THE CORPORATE CRIMINALS AS INDIVIDUALS ESCAPE AND ARE NOT CONDEMNED NEITHER TO PAY FINES NOR TO SERVE INCARCERATION INSTEAD THEIR CORPORATION MAY BE FINANCIALLY PUNISHED WHICH IMPLIES THAT MOST OFTEN THE PUNISHED ARE THE SHARE HOLDERS INSTEAD OF THE RESPONSIBLE CORPORATE LEADERS see> GALEN cont> see> MEDICINE see> IMAGES 20210812 ww |