At another time he showed his skill by curing the queen, who was suffering from a chronic abscess of long standing. This so pleased the monarch that he offered him as a reward anything he might desire, except his liberty. But the costly gifts of Darius did not satisfy him so long as he remained a slave; and determined to secure his freedom at any cost, he volunteered to lead some Persian spies into his native country, promising to use his influence in converting some of the leading men of his nation to the Persian cause. Laden with the wealth that had been heaped upon him by Darius, he set forth upon his mission, but upon reaching his native city of Croton he threw off his mask, renounced his Persian mission, and became once more a free Greek.
While the story of Democedes throws little light upon the medical practices of the time, it shows that paid city medical officers existed in Greece as early as the fifth and sixth centuries B.C.
Even then there were different “schools” of medicine, whose disciples disagreed radically in their methods of treating diseases; and there were also specialists in certain diseases, quacks, and charlatans. Some physicians depended entirely upon
external lotions for healing all disorders; others were
“hydrotherapeutists” or “bath- physicians”; while there were a host of physicians who administered a great variety of herbs and drugs. There were also magicians who pretended to heal by sorcery, and great numbers of bone-setters, oculists, and dentists.
Many of the wealthy physicians had hospitals, or clinics, where patients were operated upon and treated. They were not hospitals in our modern understanding of the term, but were more like dispensaries, where patients were treated temporarily, but were not allowed to remain for any length of time. Certain communities established and supported these dispensaries for the care of the poor.
But anything approaching a rational system of medicine was not established, until Hippocrates of Cos, the “father of medicine,”
came upon the scene. In an age that produced Phidias, Lysias, Herodotus, Sophocles, and Pericles, it seems but natural that the medical art should find an exponent who would rise above superstitious dogmas and lay the foundation for a medical science. His rejection of the supernatural alone stamps the greatness of his genius. But, besides this, he introduced more detailed observation of diseases, and demonstrated the importance that attaches to prognosis.
Hippocrates was born at Cos, about 460 B.C., but spent most of his life at Larissa, in Thessaly. He was educated as a physician by his father, and travelled extensively as an itinerant practitioner for several years. His travels in different climates and among many different people undoubtedly tended to sharpen his keen sense of observation. He was a practical physician as well as a theorist, and, withal, a clear and concise writer. “Life is short,” he says, “opportunity fleeting, judgment difficult, treatment easy, but treatment after thought is proper and profitable.”
His knowledge of anatomy was necessarily very imperfect, and was gained largely from his predecessors, to whom he gave full credit. Dissections of the human body were forbidden him, and he was obliged to confine his experimental researches to operations on the lower animals. His knowledge of the structure and arrangement of the bones, however, was fairly accurate, but the anatomy of the softer tissues, as he conceived it, was a queer jumbling together of blood-vessels, muscles, and tendons. He does refer to “nerves,” to be sure, but apparently the structures referred to are the tendons and ligaments, rather than the nerves themselves. He was better acquainted with the principal organs in the cavities of the body, and knew, for example, that the heart is divided into four cavities, two of which he supposed to contain blood, and the other two air.
His most revolutionary step was his divorcing of the supernatural from the natural, and establishing the fact that disease is due to natural causes and should be treated accordingly. The effect of such an attitude can hardly be over-estimated. The establishment of such a theory was naturally followed by a close
observation as to the course of diseases and the effects of treatment. To facilitate this, he introduced the custom of writing down his observations as he made them–the “clinical history” of the case. Such clinical records are in use all over the world to-day, and their importance is so obvious that it is almost incomprehensible that they should have fallen into disuse shortly after the time of Hippocrates, and not brought into general use again until almost two thousand years later.