Ancient Greek Medicine and Public Health

Contributed by:
Steve
This booklet reveals Ancient Greek medicine, the Theory of the four senses of humor, The cult of Asclepius, public health in Ancient Greece.

1. Ancient Greek Medicine
Medicine was very important to the Ancient Greek. Ancient Greek Culture was such that a high
priority was placed upon healthy lifestyles, this despite Ancient Greece being much different to
the Greece of the modern World.
Ancient Greece was much different to the Greece of today. In Ancient Times Greece was a
collection of City States. Each of these was independent from the others but shared a similar
culture and religious beliefs. Despite the lack of a coherent government the Greeks developed a
society that matched, if not bettered, that of the Ancient Egyptians.
Medical practice in Ancient Greece, like Egypt, was based largely upon religious beliefs. The Cult
of Asclepious grew in popularity and was a major provider of medical care. This cult developed
old theories and introduced several treatments not too dissimilar from modern 'alternative
The Ancient Greeks though made major strides in medical knowledge. The works of Hippocrates
and his followers led to several scientific facts being recorded for the first time: and perhaps
more significantly the work of these philosophers began a tradition of studying the cause of
disease rather than looking solely at the symptoms when prescribing a cure.
The legacy of the Ancient Greek world on medical practice has been great. Hippocrates theory
of the Four Humours was, for a long time, the basis upon which to develop medical reasoning.
Likewise the methodology employed by the Greeks has, to a large extent, been retained and
modified to form what we now consider to be conventional medicine.
Hippocrates was a Greek philosopher who lived from approximately 460 BC to 377 BC. His work
is of great significance to Historians as the books written by him, or his followers, are the first
examples of what Greek medical thought was based upon.
The theories of Hippocrates dismissed the notion that Magic or spirits could cause or cure
disease. Instead people such as Hippocrates argued that the doctor should not apply the same
theory for the cause of a disease to every case. Instead the doctor ought to observe the
patient carefully and make a judgment after careful consideration of the symptoms. this
differed from the observations of the Egyptians in that there was no 'prescribed' method of
treating the disease, superstition and religion were not part and parcel of Hippocrates method
of treating the sick.
Essentially Hippocratic medicine allowed diseases to run their natural course, with doctors
giving treatments such as herbal remedies to ease pain. Only when absolutely necessary and
after a reasonable period of observation and thought should a doctor resort to Surgery: which
in a world without anesthetics was not always successful.
2. The Theory of the Four Humours
The Theory of the Four Humours was an important development in medical knowledge which
originated in the works of Aristotle. The Greeks believed that the body was made up of four
main components or Four Humours. These Four Humours needed to remain balanced in order for
people to remain healthy.
The Four Humours were liquids within the body- blood, phlegm, yellow bile and black bile. These
could be connected to the four seasons of the year: Yellow Bile with summer, black bile with
autumn, phlegm with winter and blood with spring.
Hippocrates and other Greek practitioners argued that the balance of the Four humours would
be most effected in those particular seasons. For example, if someone has a fever they would
have been thought to have had too much blood in their body. The logical cure therefore is to
'bleed' the patient.
Use of the Four Humours as a diagnostic tool would result in doctors looking for symptoms: the
first time that clinical observation of a patient was recorded.
The Cult of Asclepious
Asclepious was the Greek God of healing. Worshippers built large temple complexes around
Greece in his name. Throughout the period, and into the era of the Roman Empire, people would
visit these temples to be healed.
The Cult of Asclepious, which developed older ideas based on religious healing and introduced
many more forms of 'alternative' treatment, was at it's peak from the Fifth century BC
through to as late as 400AD.
At a Asclepion (one of the temples) a patient would be expected to partake in a number of
rituals, which, it was believed, would cure the infirm. In brief these rituals consisted of:
 Making sacrifices
 Bathing
 Sleeping in the courtyard
It is widely believed that the priests would have healed many visitors to Asclepion's through
the use of ointments and herbal remedies
The city of Alexandria is a lasting tribute to Alexander the Great. It plays an important role in
the development of medicine in both the Greek and Roman eras.
3. Alexander the Great not only had a talent on the battlefield (he created a huge empire between
334 and 326 BC) but was also a man who appreciated science and philosophy. A lasting tribute to
this is the City of Alexandria, in the modern day Egypt. This city was unique in ancient times as
it provided physicians and doctors with opportunities that had hither to been denied.
In Alexandria was built a massive library that contained the works of all of the greatest
philosophers of the day, such as Aristotle and Plato. These men argued that the soul of a person
left the body upon death and that, therefore, dissection of the body was permissible. The
influence of these philosophers in Alexandria was such that dissection was, for the first time,
allowed to happen in Alexandria. This allowed doctors to see the workings of the body and must
have led to a greater understanding of physiology. (For a short period of time the dissection of
LIVE people, criminals who were condemned to death, was allowed to happen in Alexandria).
These practices led to the development of theories of a nervous system (Herophilus) which
were later developed and tested by doctors such as Erastistratus.
Public Health in Ancient Greece
The Ancient Greek would not have been too unfamiliar with some of the health and fitness
regimes that are used by people today. The word 'Regimen' was used by the Greeks to describe
peoples lifestyles: from which can be derived the word regimented (as in organised). The Greek
philosophy of 'Regimen' covered what people ate, drank, the types and amount of exercise that
they took and how much sleep they had.
These ideas were very thorough: it demonstrates that the Greeks knew that lifestyle could
affect the quality of life, as evidenced by their development and championing of the Olympics.
Such is the quality of the remaining evidence that we can even see that doctors advice differed
for those who were rich: and could therefore afford to spend time and money on relaxing, and
those who worked or were poorer: and therefore couldn't maintain as healthy a lifestyle as