Asclepiades of Bithynia

Asclepiades (Greek: Ἀσκληπιάδης; c. 124 or 129 – 40 BC), sometimes called Asclepiades of Bithynia or Asclepiades of Prusa, was a Greek physician born at Prusias-on-Sea in Bithynia in Asia Minor and flourished at Rome, where he established Greek medicine near the end of the 2nd century BC. He attempted to build a new theory of disease, based on the flow of atoms through pores in the body. His treatments sought to restore harmony through the use of diet, exercise, and bathing.

Asclepiades was born in Prusias-on-Sea in Bithynia. He travelled much when young, and seems at first to have settled at Rome as a rhetorician. In that profession he did not succeed, but he acquired great reputation as a physician. His pupils were very numerous, and his most distinguished pupil, Themison of Laodicea, founded the Methodic school. It is not known when he died, except that it was at an advanced age. It was said that he laid a wager with Fortune, that he would forfeit his character as a physician if he should ever suffer from any disease himself. Pliny the Elder, who tells the anecdote, adds that he won his wager, for he reached a great age and died at last from an accident. Nothing remains of his writings but a few fragments.

Family lineage of Asclepiades is not well known. It is assumed that his father was a doctor due to ancient physicians coming from medical families. He received the names Philosophicus due to his knowledge of philosophy and Pharmacion for his knowledge of medicinal herbs. Antiochus of Ascalon said about Asclepiades, "second to none in the art of medicine and acquainted with philosophy too."

Asclepiades began by vilifying the principles and practices of his predecessors, and by asserting that he had discovered a more effective method of treating diseases than had been before known to the world. He decried the efforts of those who sought to investigate the structure of the body, or to watch the phenomena of disease, and he is said to have directed his attacks particularly against the writings of Hippocrates.

Discarding the humoral doctrine of Hippocrates, he attempted to build a new theory of disease, and founded his medical practice on a modification of the atomic or corpuscular theory, according to which disease results from an irregular or inharmonious motion of the corpuscles of the body. His ideas were likely partly derived from the atomic theories of Democritus and Epicurus. All morbid action was reduced to the obstruction of pores and irregular distribution of atoms. Asclepiades arranged diseases into two great classes of Acute and Chronic. Acute diseases were caused essentially by a constriction of the pores, or an obstruction of them by an excess of atoms; the Chronic were caused by a relaxation of the pores or a deficiency of atoms. Asclepiades thought that other mild disease were caused by a disruption in bodily fluids and pneuma. He separated illnesses into three separate categories: status strictus (too tightly held), status laxus (too loosely held), and status mixtus (a little of each). He also believes that there are no critical days of diseases, meaning that illnesses do not end at a definite time.

His remedies were, therefore, directed to the restoration of harmony. He trusted much to changes of diet, massages, bathing and exercise, though he also employed emetics and bleeding. A part of the great popularity which he enjoyed depended upon his prescribing the liberal use of wine to his patients, and upon his attending to their every need, and indulging their inclinations. He would treat all his patients fairly and not discriminate based upon gender or mental illness. He believed treating his patients kindly and amicably was a staple to being a good physician. Cito tuto jucunde meaning to treat his patients "swiftly, safely, and sweetly" was a motto that he followed. Many physicians during his era had a tendency to be uncaring and have a lack of sympathy towards their patients.

This page was last edited on 23 October 2017, at 12:31.
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