Hippocrates The Father of Modern Medicine“医学之父”希波克

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Hippocrates: The Father of Modern Medicine“医学之父”希波克拉底作者:特蕾西·佩德森来源:《英语世界》2019年第08期Hippocrates of Kos1 was a Greek physician who lived from about 460 B.C. to 375 B.C. At a time when most people attributed sickness to superstition2 and the wrath3 of the gods, Hippocrates taught that all forms of illness had a natural cause. He established the first intellectual school devoted to teaching the practice of medicine. For this,he is widely known as the “father of medicine.”Approximately 60 medical documents associated with his name, including the famous Hippocratic oath4, have survived to this day. These documents were eventually gathered into a collection known as the Hippocratic Corpus5. While Hippocrates may not have written all of them himself,the papers are a reflection of his philosophies. Through Hippocrates’ example, medical practice pointed in a new direction, one that would move toward a more rational and scientific view of medicine.The four humorsHippocrates is often credited with developing the theory of the four humors6, or fluids. Philosophers Aristotle and Galen7 also contributed to the concept. Centuries later, William Shakespeare incorporated the humors into his writings when describing human qualities.The humors were yellow bile8, black bile, blood and phlegm9,according to “The World of Shakespeare’s Humors,” an exhibition by the National Institutes of Health (NIH) 10. Each humor was associated with a particular element (earth, water, air or fire),two “qualities” (cold,hot, moist, dry) 11, certain body organs and certain ages (childhood, adolescence,maturity, old age).The interactions among the humors, qualities, organs and ages—as well as the influence of the seasons and planets—deter mined a person’s physical and mental health, as well as their disposition12 or personality. (Galen used the term “temperament13” and literally14 meant that health and personality were affected by temperature—cold, hot, dry or wet. This notion is reflected in the idioms “catching a cold” or having a “dry sense of humor.”)According to the theory:Yellow bile is related to the choleric15 disposition and the qualities of hot and dry. It is associated with fire, summer, the gallbladder16 and childhood.Black bile is related to the melancholic17 disposition and the qualities of cold and dry. It is associated with earth, winter, the spleen18 and old age.Blood is connected to the sanguine19 disposition and the qualities of hot and moist. It is linked to air, spring, the heart and adolescence.Phlegm is related to the phlegmatic20 disposition and the qualities of cold and moist. It is connected to water, the brain and maturity.Differences due to age, gender, emotions and disposition could be attributed to the interactions of the humors, according to the NIH exhibition. Heat stimulated action; cold depressed it. Someone with a choleric disposition was courageous, but phlegm caused cowardice21. Youth was hot and moist; age was cold and dry.According to the ancient theory, the key to good health was to keep the humors in balance; an excess22 or deficiency23 in one or more of the humors was associated with disease. Sometimes the doctor would let blood (open a vein24 and drain25 the patient’s blood) or prescribe26 emetics27 (medicine that causes vomiting) in order to balance the humors.These ideas represented the first step away from the predominantly28 supernatural view of sickness and a step toward a new idea that illness is related to the environment and what is going on inside the body.Hippocratic oathOften included in the Hippocratic Corpus is the Hippocratic oath, an ancient code of ethics29 for doctors. Today, the oath is valued as more of a historic example of medical ethics and principles rather than one to be taken completely literally.The following is a modern version of the oath written in 1964 by Dr. Louis Lasagna, then a professor of medicine at Johns Hopkins University and later dean of the Sackler School of Graduate Biomedical Sciences at Tufts University:I swear to fulfill, to the best of my ability and judgment, this covenant30:I will respect the hard-won31 scientific gains of those physicians in whose steps I walk, and gladly share such knowledge as is mine with those who are to follow.I will apply, for the benefit of the sick, all measures [that] are required, avoiding those twin traps of overtreatment 32 and therapeutic nihilism33.I will remember that there is art to medicine as well as science, and that warmth, sympathy,and understanding may outweigh34 the surgeon’s knife or the chemist’s drug.I will not be ashamed to say “I know not,” nor will I fail to c all in my colleagues when the skills of another are needed for a patient’s recovery.I will respect the privacy of my patients, for their problems are not disclosed to me that the world may know. Most especially must I tread with care in matters of life and death. If it is given me to save a life, all thanks. But it may also be within my power to take a life; this awesome responsibility must be faced with great humbleness and awareness of my own frailty35. Above all, I must not play at God.I will remember that I do not treat a fever chart36, a cancerous37 growth, but a sick human being,whose illness may affect the person’s family and economic stability. My responsibility includes these related problems, if I am to care adequately for the sick.I will prevent disease whenever I can, for prevention is preferable to cure.I will remember that I remain a member of society, with special obligations to all my fellow human beings, those sound of mind and body as well as the infirm.If I do not violate this oath, may I enjoy life and art, respected while I live and remembered with affection thereafter. May I always act so as to preserve the finest traditions of my calling and may I long experience the joy of healing those who seek my help.Though many of today’s physicians believe the oath is inadequate to address today’s economic, political and social challenges, doctors still hold sacred its principles: treat the sick to the best of one’s ability, keep them from harm and injustice, preserve patient privacy and teach the secrets of medicine to the next generation.科斯岛的希波克拉底是古希腊医师,大约生活于公元前460年至公元前375年。