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Romans and the Four Humours

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The did not come up with many new ideas in apart from the progress with health. They used many Greek ideas as they were not really thinkers and were better with practical projects. They had a typical love- relationship with Greeks as although they used their ideas and their doctors they also looked on them. This was because they had conquered their empire and were not seen as tough enough. The Romans used doctors because they had some respect for their ideas and had some explanation for illnesses. However they did not fully trust them and many remained slaves.

Before the Romans used Greek doctors they used the idea that families look after their medical problems with the at the head of this treatment. ( familias). Medicine was very simple such substance like , cabbage, herbs and fat.

From about 200BC full time Greek doctors appeared in parts of the Roman . They were greeted with hostility at first as Romans like said “any man can call himself a doctor…they risk our lives while they are earning…there is no penalty for a doctor for killing a man”.
Eventually Greek doctors became an accepted part of . They were followers of the tradition and gave advice based on belief in the Humours. Claudius Galen is considered the most important doctor of this time.

However the Romans also used the Greek ideas of religion and adopted the cult of Asklepios building many temples to the god at this time.

Why was Galen important?

Galen was born in Pergamum in approximately 129 AD. He came from a family and trained at an followed by more training at Alexandria in where he witnessed human and vivisection. He returned to Greece and worked at a school which developed his surgical and knowledge. .His famous public experiments brought him to the attention of the and he became doctor to several including Marcus Aurelius, Commodus and Septimius.
He is famous for developing anatomy and physiology although he made very many as he used animals such as apes, and dogs for dissection.

Galen was influential in communicating Hippocratic ideas throughout the Empire. He developed his own from the Four Humours called the theory of . Like Hippocratic doctors, he carried out careful observations but he was willing to make to Hippocratic teaching.

Hippocrates had said to rely on nature and let take its course - he often said that humours out of balance may rectify themselves without invasive treatment. However Galen developed more treatments and he called for the use of ‘opposites’. This meant to treat symptoms using the opposite substance e.g. giving to patients who were too cold and cucumber to those with a . He suggested hard physical exercise for people and singing for chest complaints.

However he emphasised the use of much more than Hippocratic doctors. He believed in this for fevers, imbalance of blood and other illnesses, even if a patient had lost blood through a or illness.

Galen took the Greek ideas on observation and case notes to record and report on all of his medical procedures. He wrote over one hundred which were used by Western and Eastern medicine for the next years. The Christian and Islamic religions adopted his ideas as they believed he was supporting their religions. This was because his writing reflects a belief in only god and he said the body was an instrument of the . Therefore in the Middle Ages challenging Galen became a sin.
It was not until the work of Andreas in the sixteenth century that medicine in Europe began to recognise the mistakes of Galen.