Outlines of Greek and Roman Medicine Part 9

It has been a.s.serted that the _miraculous cures_ wrought by Christ for His own purposes were an intimation to His followers to neglect the ordinary means of natural cure, and that this placed a Christian doctor in the position of having to abandon his calling. This is not so. To St.

Luke--a Christian physician and the writer of the third Gospel and the Acts of the Apostles--the performance by Christ of miracles of healing presented no difficulties, for he was the travelling medical adviser of St. Paul, and accompanied him on three journeys, from Troas to Philippi, from Philippi to Jerusalem, and from Caesarea to Rome (A.D. 62). St. Paul wrote: "For we would not, brethren, have you ignorant of our trouble which came to us in Asia, that we were pressed out of measure, above strength, insomuch that we despaired even of life, but we had the sentence of death in ourselves, that we should not trust in ourselves, but in G.o.d, which raiseth the dead: who delivered us from so great a death, and doth deliver: in whom we trust that He will yet deliver us."

St. Paul exercised faith, but also used the means of cure prescribed by "the beloved physician." In a very scholarly book published by the Dublin University Press in 1882, the Rev. W. K. Hobart, LL.D., shows that St. Luke was acquainted with the technical medical terms of the Greek medical writers. St. Luke was an Asiatic Greek. Dr. Hobart writes: "Finally, it should not be left out of account that, in any illness from which he might be suffering, there was no one to whom St. Paul would be likely to apply with such confidence as to St. Luke, for it is probable that, in the whole extent of the Roman Empire, the only Christian physician at this time was St. Luke." In later years the pretence of performing miracles to cure diseases had a great effect in advancing superst.i.tion and r.e.t.a.r.ding scientific investigation.

Tacitus and Suetonius record miracles alleged to have been performed by Vespasian. He is said to have anointed the eyes of a blind man at Alexandria with the royal spittle, and to have restored his sight.

Another case was that of a man who had lost the use of his hands, and Vespasian touched them with his foot and thus restored their function.

It is interesting to follow the career of Proclus, the last rector of the Neoplatonic School, "whose life," says Gibbon, "with that of his scholar Isidore, composed by two of their most learned disciples, exhibits a most deplorable picture of the second childhood of human reason." By long fasting and prayer Proclus pretended to possess the supernatural power of expelling all diseases.

The priests of the Church denounced the practice of _Anatomy_, and so changed the progress made by the Alexandrian School, and by men like Galen, into the ignorance of a thousand years. The body was the temple of the Holy Ghost, and should not therefore be desecrated by dissection. "Strangers' rests" and hospitals were connected with the monasteries, and were exceedingly useful, notably in the time of the Crusades, but these Church inst.i.tutions were in a very insanitary condition, for the maxim that cleanliness is next to G.o.dliness had little application among the religious orders of the Middle Ages. Dr.

Walsh attempts to show that the Reformers blackened the fair fame of the Church they had left, and states that it is to "this unfortunate state of affairs, and not real opposition on the part of the Popes to science," that we owe the belief in "the supposed opposition between the Church and Science."[40] That the Popes did something to foster medical science in a spasmodic kind of way, that papal physicians were appointed and that the Church exercised control over some seats of learning may be freely admitted. That the monasteries preserved some of the Latin cla.s.sics that they were not all corrupt, and that all monks were not ignorant and idle, are facts beyond dispute. No doubt, too, the enemies of Christianity have overstated their case, but when all is said, the fact remains that the Church enjoyed great opportunities for promoting knowledge and investigating disease, and failed to avail itself of them to such an extent that for ages no real progress was made. This is certainly not an extreme opinion. It would be nearer the truth to say that not only was no progress made, but that the advances made by Hippocrates, by the school of Alexandria, by Celsus, and by Galen, were lost.

In conclusion, in spite of the dreadful blunders and perversions of the Church in the Early and Middle Ages, and the partial eclipse which Christianity suffered, the teaching of its Founder slowly but surely ended the harsh and cruel ways of the pagans, and was the prime factor in promoting the altruism of later times, of which medical knowledge and medical service form a very important part.

FOOTNOTES:

[33] "Gesta Christi; or a History of Human Progress under Christianity,"

by C. Loring Brace, fourth edition, pp. 33, 34.

[34] "De Ira," i, 15.

[35] _Vide_ "Gesta Christi," Brace.

[36] _Vide_ "The Bible in Europe," Joseph McCabe.

[37] "Smith's Dictionary of Greek and Roman Antiquity."

[38] Origen, "Contra Celsum," lib. vii.

[39] Adams's translation "Hippoc.," vol. i, p. 216.

[40] "The Popes and Science: The History of the Papal Relations to Science during the Middle Ages, and down to our own Time," J. J. Walsh, M.D., 1911.

CHAPTER XII.

GYMNASIA AND BATHS.

Gymnastics--Vitruvius--Opinions of Ancient Physicians on Gymnastics--The Athletes--The Baths--Description of Baths at Pompeii--Thermae--Baths of Caracalla.

GYMNASTICS.

Gymnastics were held in such high repute in ancient Greece that physical training occupied as much time in the education of boys as all their other studies, and was continued through life with modifications to suit the altering requirements of age and occupation. The Greeks fully recognized that mental culture could not reach its highest perfection if the development of the body were neglected. Lucian attributes not only the bodily grace of the Ancient Greeks, but also their mental pre-eminence, to the gymnastic exercises which they practised. They were also an important factor in the excellence of Greek sculpture, and probably the most important part of their medical treatment.

Unfortunately the baths of the Romans and the gymnasia of the Greeks became in time the haunts of the lazy and voluptuous. The gymnastic exercises of the Greeks date from very early times, and at first were of a warlike nature, and not reduced to a system. Each town possessed a gymnasium, and three very important ones were situated at Athens.

Vitruvius describes the general plan of an ancient gymnasium. It comprised a great stadium capable of accommodating a vast concourse of spectators, many porticoes where athletes exercised and philosophers and sages held discussions and lectured, walks and shady groves, and baths and anointing rooms. The buildings, in true Grecian fas.h.i.+on, were made very beautiful, being adorned with statues and works of art, and situated in pleasant surroundings.

Up to the age of 16 boys were instructed in gymnastics, in music and in grammar, and from 16 to 18 in gymnastics alone. The laws of Solon regulated the use of the gymnasia, and for very many years these laws were strictly enforced. It appears that married women did not attend the gymnasia, and unmarried women only in some parts of Greece, such as Sparta, but this custom was relaxed in later years.

The office of Gymnasiarch (Superintendent of Gymnasia) was one of great honour, but involved also a great deal of expense to the holder of the office. He wore a purple cloak and white shoes. Officers were appointed to supervise the morals and conduct of the boys and youths, and the Gymnasiarch had power to expel people whose teaching or example might be injurious to the young.

Galen relates that the chief teachers of the gymnasia were capable of prescribing suitable exercises, and thus had powers of medical supervision.

Before exercises were commenced, the body was anointed, and fine sand or dust applied. Regulation of the diet was considered of very great importance.

The games of the gymnasia were many and various, including games of ball, tug-of-war, top-spinning, and a game in which five stones were placed on the back of the hand, thrown upwards, and caught in the palm.

One kind of game or exercise consisted in throwing a rope over a high post, when two boys took the ends of the rope, one boy on each side, the one trying to pull the other up. The most important exercises, however, were running, walking, throwing the discus, jumping, wrestling, boxing, and dancing.

The first public gymnasium in Rome was built by the Emperor Nero. In the time of the Republic Greek exercises were held in contempt by the Romans, and the first gymnasia in Rome were small, and connected only with private houses or villas.

The gymnasia were dedicated to Apollo, the G.o.d of healing, and exercises were considered of greater importance for restoring health than medicinal treatment. The directors of the gymnasia were in reality physicians, and acted as such. Plato states that one of these, Iccus by name, was the inventor of medical gymnastics. As in our own day, many creditable gymnasts, originally weak of body, had perfected their strength by systematic exercise and careful dieting.

Hippocrates had occasion to protest against prolonged and laborious exercises, and excessive ma.s.sage, and recommended his own system, that of moderation. He applied ma.s.sage to reduce swellings in suitable cases, and also recognized that the same treatment was capable of increasing nutrition, and of producing increased growth and development.

Hippocrates described exercises of the kind now known as Swedish, consisting of free movements without resistance.

Galen generally followed the teaching of Hippocrates on gymnastics, and wrote a whole book on the merits of using the strigil. Oribasius, and Antyllus, too, in their writings, recommend special exercises which appealed to their judgment.

The ancient physicians had great faith in the efficacy of exercises in cases of dropsy, and Asclepiades employed this method of treatment very extensively, using also pleasant medicaments, so that Pliny said "this physician made himself the delight of mankind." Patients suffering from consumption were commonly sent to Alexandria to benefit from the climate, but Celsus considered the sea voyage most beneficial because the patient was exercised bodily by the motion of the s.h.i.+p. Germanicus was cured by riding exercise, and Cicero was strengthened by travelling and ma.s.sage.

From the writings of Greek and Roman physicians there is no other conclusion to be drawn but that exercises and gymnastics were in great vogue for medical purposes, and were of the utmost benefit. It seems likely that the exercises of the Greeks, and the baths of the Romans, both freed from the abuses which took away in time from their merits, could be adopted at the present day and encouraged by physicians with great advantage to their patients. There is a strong tendency at present in that direction.

Belonging to a different cla.s.s were the contests of the athletes, who, except in very early times in Greece, were people of the baser sort whose bodies were developed to the neglect of their minds. Those who underwent the severest training ate enormous quant.i.ties of meat, and tried to cultivate bulk and weight rather than strength. They did not compete, as a rule, after the age of thirty-five years. Euripides considered these athletes an enc.u.mbrance on the State. Plato said they were very subject to disease, without grace of manner, violent, and brutal. Aristotle declared that the athletes had not the active vigour that good citizens ought to possess.

The athletes and gladiators of Rome were mostly Greeks. Both Plutarch and Galen deride them. The former condemned the whole business, and Galen wrote six chapters to warn young men against becoming athletes. He said that man is linked to the divine and also to the lower animals, that the link with animals was developed by athletics, and that athletes were immoderate in eating, sleeping, and exertion, and were therefore unhealthy, and more liable than other people to disease and sudden death. Their brutal strength was of use only on rare occasions and unsuited for war, or for useful work.

In the time of St. Paul, the athletes were evidently abstemious, for he wrote "every man who striveth in the games is temperate in all things,"

but in Rome, at most periods of their history this cla.s.s of men was notorious for grossness and brutality.

BATHS (_Balneae_).

_Greek Baths._--In Greece from very early times inability to read and to swim were considered the marks of the ignorant. In Homer's time over-indulgence in warm baths was considered effeminate.[41] The system of bathing was never so complete in Greece as in Rome, but in the former country there were both public and private baths, and ancient Greek vases display pictures of swimming-baths and shower-baths, and also of large basins for men and for women round which they stood to bathe. The Greek baths were near the gymnasia. After the bath, the bathers were anointed with oil and took refreshments. Sometimes a material consisting of a lye made of lime or wood-ashes, of nitrum and of fuller's earth was applied to the body. Towels and strigils were employed for rubbing and sc.r.a.ping after the anointing; the strigil was, as a rule, made of iron.

Natural warm springs used for curative purposes are mentioned by ancient Greek writers.

_Roman Baths._--Bathing, which was not much in vogue in Rome in the most ancient times, was more common during the Republic, and became a factor in the decay of the nation in the time of the Empire. Seneca informs us that the ancient Romans washed their arms and legs every day and their whole bodies once a week. The bath-room was near the kitchen in the Roman house, to be convenient for the supply of hot water. Scipio's bath was "small and dark after the manner of the ancients." In the time of Cicero, the use of baths, both public and private, was general, and hot-water and hot-air baths are both mentioned. It has been computed that there were 856 baths in Rome in the time of Constantine.

The public baths were at first used only by the poor, but the mother of Augustus went to the public bath, and in time even the emperors patronized them. The baths were opened at sunrise and closed at sunset except in the time of Alexander Severus, when they were open also at night. The charges for admission were very low. The ringing of a bell announced that the bath was ready. Baths were taken seven or eight times in succession when the people were given to luxury, and some of them wasted almost the whole day there. The voluptuaries of the Empire bathed not only before the princ.i.p.al meal of the day, but also afterwards to promote digestion as they thought. The perspiration induced by the bath took the place of honest sweat induced by work or exercise, and excessive hot-bathing and perspiring in some cases had a fatal ending.

Galen and Celsus differ in their directions to bathers. Galen recommended first the hot-air bath, next the hot-water bath, then the cold bath and finally rubbing; Celsus recommended sweating first in the tepid chamber, then in the hot chamber, and next the pouring of hot, then tepid, and lastly, cold water over the head, followed by the use of the strigil, and anointing and rubbing.

The plan of the baths at Pompeii, which was largely a pleasure resort, is typical of the public baths that were in general use. These baths had several entrances, and the princ.i.p.al one led to a covered portico from which a lavatory opened. The portico ran round three sides of a courtyard (_atrium_) in which the attendants waited, and it was also the exercise-yard for the young men. Advertis.e.m.e.nts of the theatres and gladiatorial shows were exhibited on the walls of the atrium. The undressing room was also the reception room and meeting-place. The bathers' garments were handed over for custody to slaves, who were, as a general rule, a very dishonest cla.s.s. The _frigidarium_ contained a cold bath 13 ft. 8 in. in diameter, and a little less than 4 ft. deep. It had two marble steps, and a seat under water 10 in. from the bottom. Water ran into the bath through a bronze spout, and there was a conduit for the outflow, and an overflow pipe. The frigidarium opened into the _tepidarium_ which was heated with hot air from furnaces, and furnished with a charcoal brazier and benches. The brazier at Pompeii was 7 ft.

long and 2 ft. broad. The tepidarium was commonly a beautifully ornamented apartment, while the anointing-room was conveniently situated off it. Pliny has described the various unguents used by wealthy and luxurious Romans. From the tepidarium the bather might enter the _caldarium_ or sweating room, an apartment constructed with double walls and floor, between which hot air was made to pa.s.s. This room contained a _labrum_, or circular marble basin, containing cold water for pouring over the head before the bather left the caldarium. The method of heating rooms by pa.s.sing hot air between the "hanging" and the lower floor was in use in the better cla.s.s of houses, and the device can at present be seen in some of the buildings on the Palatine Hill in Rome, and in the ruins of the great Baths of Caracalla. After a course of sweating the bather had the sweat removed from his body by the strigil, in much the same way as a horse is sc.r.a.ped with a bent piece of hoop-iron by a groom. The _guttus_ was a small vessel with a narrow neck adapted for dropping oil on the strigil to lubricate its working edge.

Pliny states that invalids used sponges instead of strigils. Rubbing with towels followed the use of the strigil, and the bather finally lounged in the tepidarium for a varying period before entering the outer air.

The boilers in use at Pompeii were three in number. The lowest one, immediately over the furnace, contained the hottest water. The next above and a short distance to the side held tepid water, and the farthest removed contained cold water. This system was economical because as the very hot water was drawn off from the lowest boiler a supply of tepid water flowed down from the boiler next above, and from the highest to the middle boiler.