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Hippocrates · On the Nature of Man §12-13

Causes of Purulent Discharges and Age-Related Body Heat

Passage 7 of 8 · Greek

Summary

This section explains that cold empyema, purulent urine, and chronic dysentery share a common cause in bodily disharmony resulting from youth labor followed by sudden ease, relates age-dependent body heat to urinary stones, and outlines the principles of medical prognosis and treatment by contraries.

§1212.
12.
Ὁκόσοι πῦον πολλὸν πτύουσιν ἄτερ πυρετοῦ ἐόντες, καὶ ὁκόσοισιν ὑπὸ τὸ οὖρον πῦον ὑφίσταται πολλὸν ἄτερ ὀδύνης ἐούσης, καὶ ὁκόσοισι τὰ ὑποχωρήματα αἱματώδεα ὥσπερ ἐν τῇσι δυσεντερίῃσι καὶ χρόνιά ἐστιν ἐοῦσι πέντε καὶ τριήκοντα ἐτέων καὶ γεραιτέροισι, τουτέοισι πᾶσιν ἀπὸ τοῦ αὐτέου τὰ νουσήματα γίνεται·
Those who spit up much pus without having a fever, and those in whose urine much pus is deposited without pain, and those whose stools are bloody as in dysentery and become chronic, being thirty-five years of age and older—for all of these, the diseases arise from the same cause.
ἀνάγκη γὰρ τουτέους ταλαιπώρους τε γενέσθαι καὶ φιλοπόνους τῷ σώματι καὶ ἐργάτας νεηνίσκους ἐόντας, ἔπειτα δὲ ἐξανεθέντας τῶν πόνων σαρκωθῆναι μαλθακῇ σαρκὶ καὶ πουλὺ διαφερούσῃ τῆς προτέρης, καὶ πολλὸν διακεκριμένον ἔχειν τὸ σῶμα τό τε προϋπάρχον καὶ τὸ ἐπιτραφὲν, ὥστε μὴ ὁμονοεῖν.
For it is necessary that these people were hard-working and industrious with their body and active laborers when they were young, and then, being released from their labors, they became fleshed with soft flesh very different from the former, and that their body has the pre-existing and the newly nourished parts widely separated so as not to be in harmony.
Ὁκόταν οὖν νόσημά τι καταλάβῃ τοὺς οὕτω διακειμένους, τὸ μὲν παραχρῆμα διαφεύγουσιν, ὕστερον δὲ μετὰ τὴν νοῦσον χρόνῳ τήκεται τὸ σῶμα, καὶ διαῤῥέει διὰ τῶν φλεβῶν, ᾗ ἂν εὐρυχωρίης μάλιστα τύχῃ, ἰχωροειδές·
Therefore, when any disease overtakes those who are in this condition, they escape it for the moment, but later, after the disease, in time the body wastes away and flows through the vessels, wherever it meets with the greatest space, as an ichor-like fluid.
ἢν μὲν οὖν ὁρμήσῃ ἐς τὴν κοιλίην τὴν κάτω, σχεδόν τι οἷόν περ ἐν τῷ σώματι ἂν ἐνέῃ τοιοῦτον καὶ τὸ διαχώρημα γίνεται· ἅ τε γὰρ τῆς ὁδοῦ κατάντεος ἐούσης, οὐχ ἵσταται πολλὸν χρόνον ἐν τῷ ἐντέρῳ.
If, then, it rushes to the lower belly, the evacuation becomes of almost the same sort as that which was in the body; for since the path is downwards, it does not remain for a long time in the intestine.
Ὁκόσοισι δ’ ἂν ἐς τὸ στῆθος ἐσρυῇ, ὑπόπυοι γίνονται· ἅτε γὰρ τῆς καθάρσιος ἀνάντεος ἐούσης, καὶ χρόνον ἐναυλιζόμενον πουλὺν ἐν τῷ στήθει, κατασήπεται καὶ γίνεται πυοειδές.
But for those in whom it flows into the chest, they become empyemic; for since the purgation is upwards, and it lodges for a long time in the chest, it putrefies and becomes like pus.
Ὁκόσοισι δ’ ἂν ἐς τὴν κύστιν ἐξερεύγηται, ὑπὸ τῆς θερμότητος τοῦ χωρίου τοῦτο καὶ θερμὸν καὶ λευκὸν γίνεται, καὶ διακρίνεται· καὶ τὸ μὲν ἀραιότατον ἐφίσταται ἄνω, τὸ δὲ παχύτατον κάτω, ὃ δὴ πῦον καλέεται.
But for those in whom it discharges into the bladder, because of the heat of that place it becomes both warm and white, and it separates; and the thinnest part stands on top, and the thickest below, which is indeed called pus.
Γίνονται δὲ καὶ οἱ λίθοι τοῖσι παιδίοισι διὰ τὴν θερμότητα τοῦ χωρίου τε τουτέου καὶ τοῦ ὅλου σώματος, τοῖσι δὲ ἀνδράσιν οὐ γίνονται λίθοι διὰ τὴν ψυχρότητα τοῦ σώματος.
Stones also form in children because of the heat both of this place and of the whole body, but in men stones do not form because of the coldness of the body.
Εὖ γὰρ χρὴ εἰδέναι, ὅτι ὁ ἄνθρωπος τῇ πρώτῃ τῶν ἡμερέων θερμότατός ἐστιν αὐτὸς ἑωυτοῦ, τῇ δὲ ὑστάτῃ ψυχρότατος· ἀνάγκη γὰρ αὐξανόμενον καὶ χωρέον τὸ σῶμα πρὸς βίην θερμὸν εἶναι· ὁκόταν δὲ ἄρχηται μαραίνεσθαι τὸ σῶμα, καταῤῥέον πρὸς εὐπέτειαν, ψυχρότερον γίνεται·
For one must know well that man is warmest in himself on the first of his days, and coldest on his last; for it is necessary that the body which is growing and moving with force is warm; but when the body begins to wither, sliding down with ease, it becomes colder.
καὶ κατὰ τοῦτον τὸν λόγον, ὁκόσον τῇ πρώτῃ τῶν ἡμερέων πλεῖστον αὔξεται ὁ ἄνθρωπος, τοσοῦτον θερμότερος γίνεται, καὶ τῇ ὑστάτῃ τῶν ἡμερέων, ὁκόσον πλεῖστον καταμαραίνεται, τοσοῦτον ἀνάγκη ψυχρότερον εἶναι.
And according to this reasoning, by as much as man grows most on the first of his days, by so much he becomes warmer, and on the last of his days, by as much as he withers most, by so much it is necessary that he is colder.
Ὑγιέες δὲ γίγνονται αὐτόματοι οἱ οὕτω διακείμενοι, πλεῖστοι μὲν ἐν τῇ ὥρῃ, ᾗ ἂν ἄρξωνται τήκεσθαι, πεντεκαιτεσσαρακονθήμεροι· ὁκόσοι δ’ ἂν τὴν ὥρην ταύτην ὑπερβάλλωσιν, ἐνιαυτῷ αὐτόματοι ὑγιέες γίνονται, ἢν μή τι ἄλλο κακουργῆται ὥνθρωπος.
Those who are in this condition recover spontaneously, most of them within forty-five days in the season in which they began to waste away; and those who exceed this season recover spontaneously in a year, unless the man is otherwise harmed.
§1313.
13.
Ὁκόσα τῶν νουσημάτων ἐξ ὀλίγου γίνεται, καὶ ὁκόσων αἱ προφάσιες εὔγνωστοι, ταῦτα δὲ ἀσφαλέστατά ἐστι προαγορεύεσθαι·
Those of the diseases that arise suddenly, and those whose causes are easily known, are the safest to predict.
τὴν δὲ ἴησιν χρὴ ποιέεσθαι αὐτὸν ἐναντιούμενον τῇ προφάσει τῆς νούσου· οὕτω γὰρ ἂν λύοιτο τὸ τὴν νοῦσον παρασχὸν ἐν τῷ σώματι.
And one must perform the treatment by opposing the cause of the disease; for in this way that which caused the disease in the body would be dissolved.

Notes

  1. p.62Ὁκόσοι ... καὶ ὁκόσοισιν ... καὶ ὁκόσοι ... τουτέοισι πᾶσιν — The opening relative clause begins with the nominative Ὁκόσοι ("those who..."), but the subsequent clauses transition into the dative Ὁκόσοισιν... and Ὁκόσοι... ("for those in whom..."). This syntactical shift (anacoluthon) is resolved by the concluding dative resumptive pronoun τουτέοισι πᾶσιν ("for all of these"), which governs the main clause.
  2. §12τῇ πρώτῃ τῶν ἡμερέων — Literally meaning "on the first of days," this expression refers to the "beginning of life" (infancy or youth). It is contrasted with τῇ ὑστάτῃ ("on the last [of days]"), which represents old age.
  3. §13τὴν δὲ ἴησιν χρὴ ποιέεσθαι αὐτὸν ἐναντιούμενον — This is an infinitive clause governed by the impersonal verb χρή. αὐτόν is the subject accusative of the infinitive ποιέεσθαι and the participle ἐναντιούμενον, referring in this context to the physician or the practitioner.

Cite this passage

Hippocrates, On the Nature of Man §12-13. Humanitext Reader, https://reader.humanitext.ai/en/text/urn:cts:greekLit:tlg0627.tlg019.humanitext-grc1:12-13

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