Explore the intriguing history of the Four Humours, from ancient beliefs shaping health to bloodletting's placebo effect. Learn how Galen and Vesalius influenced medical theories, and how humours impacted diet, literature, and urine diagnosis. Discover the transition from traditional to mechanistic views, and the evolution of medical practices over the centuries.
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Quick takeaways
The Four Humours theory linked psychology and personality to bodily fluids, shaping medical practices like bloodletting and purging.
Galen's expansion of the Four Humours theory emphasized balance and humoral imbalances, influencing medical treatments and practices.
Deep dives
Origins and Evolution of the Four Humors
The concept of the Four Humors, dating back to the 5th century, consists of blood, phlegm, yellow bile, and black bile, linked to the four elements and qualities in the body. This theory explained disease, psychology, and personality throughout history, shaping medical practices like bloodletting and purging.
Influence and Adaptation by Galen
Galen popularized and expanded the Four Humors theory, turning it into the dominant medical theory for centuries. Despite its earlier obscurity, Galen's persuasive arguments and logic solidified the theory's authority in Western and Eastern medicine. His emphasis on balance and correcting humoral imbalances influenced medical practices and treatments.
Transition and Challenges in Medical Thought
The gradual decline of the Four Humors theory in the 1600s and 1700s was marked by the rise of empirical anatomical investigations and scientific advancements challenging humoral concepts. Vesalius's anatomical explorations and Harvey's discovery of blood circulation altered medical perspectives, paving the way for a mechanistic understanding of the body.
Contemporary Relevance and Holistic Perspectives
The enduring influence of humoral theory is evident in language, literature, and alternative therapies that emphasize holistic health and individualized treatments. While the specifics of the Four Humors may not be currently accepted, there remains a societal yearning for a more personalized and integrated approach to medicine, echoing elements of the humoral system's emphasis on balance and mind-body connections.
Melvyn Bragg and guests talk about blood, black bile, yellow bile and phlegm. These are the four humours, a theory of disease and health that is among the most influential ideas aver conceived. According to an 11th century Arabic book called the Almanac of Health, an old man went to the doctor complaining of a frigid complexion and stiffness in winter. The doctor, after examining his condition, prescribed a rooster. Being a hot and dry bird it was the perfect tonic for a cold and rheumatic old man. This is medicine by the four humours. The idea that the body is a concoction of these four essential juices is one of the oldest on record. From the Ancient Greeks to the 19th century it explained disease, psychology, habit and personality. When we describe people as being choleric, sanguine or melancholic we are still using the language of the humours today. It also explains why, in the long and convoluted history of medical practice, pigeon livers were an aphrodisiac, blood letting was a form of heroism (and best done in spring) and why you really could be frightened to death. The theory was dismantled from the 17th century but in its belief that the mind and body are intimately connected and that health requires equilibrium the humours retain an influence to this dayWith David Wootton, Anniversary Professor of History at the University of York; Vivian Nutton, Professor of the History of Medicine at University College London; Noga Arikha, Visiting Fellow at the Institut Jean-Nicod in Paris
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