第 1 节
作者:旅游巴士      更新:2022-05-01 22:41      字数:9322
  400 BC
  ON ANCIENT MEDICINE
  by Hippocrates
  Translated by Francis Adams
  WHOEVER having undertaken to speak or write on Medicine; have
  first laid down for themselves some hypothesis to their argument; such
  as hot; or cold; or moist; or dry; or whatever else they choose
  (thus reducing their subject within a narrow compass; and supposing
  only one or two original causes of diseases or of death among
  mankind); are all clearly mistaken in much that they say; and this
  is the more reprehensible as relating to an art which all men avail
  themselves of on the most important occasions; and the good
  operators and practitioners in which they hold in especial honor。
  For there are practitioners; some bad and some far otherwise; which;
  if there had been no such thing as Medicine; and if nothing had been
  investigated or found out in it; would not have been the case; but all
  would have been equally unskilled and ignorant of it; and everything
  concerning the sick would have been directed by chance。 But now it
  is not so; for; as in all the other arts; those who practise them
  differ much from one another in dexterity and knowledge; so is it in
  like manner with Medicine。 Wherefore I have not thought that it
  stood in need of an empty hypothesis; like those subjects which are
  occult and dubious; in attempting to handle which it is necessary to
  use some hypothesis; as; for example; with regard to things above us
  and things below the earth; if any one should treat of these and
  undertake to declare how they are constituted; the reader or hearer
  could not find out; whether what is delivered be true or false; for
  there is nothing which can be referred to in order to discover the
  truth。
  2。 But all these requisites belong of old to Medicine; and an origin
  and way have been found out; by which many and elegant discoveries
  have been made; during a length of time; and others will yet be
  found out; if a person possessed of the proper ability; and knowing
  those discoveries which have been made; should proceed from them to
  prosecute his investigations。 But whoever; rejecting and despising all
  these; attempts to pursue another course and form of inquiry; and says
  he has discovered anything; is deceived himself and deceives others;
  for the thing is impossible。 And for what reason it is impossible; I
  will now endeavor to explain; by stating and showing what the art
  really is。 From this it will be manifest that discoveries cannot
  possibly be made in any other way。 And most especially; it appears
  to me; that whoever treats of this art should treat of things which
  are familiar to the common people。 For of nothing else will such a one
  have to inquire or treat; but of the diseases under which the common
  people have labored; which diseases and the causes of their origin and
  departure; their increase and decline; illiterate persons cannot
  easily find out themselves; but still it is easy for them to
  understand these things when discovered and expounded by others。 For
  it is nothing more than that every one is put in mind of what had
  occurred to himself。 But whoever does not reach the capacity of the
  illiterate vulgar and fails to make them listen to him; misses his
  mark。 Wherefore; then; there is no necessity for any hypothesis。
  3。 For the art of Medicine would not have been invented at first;
  nor would it have been made a subject of investigation (for there
  would have been no need of it); if when men are indisposed; the same
  food and other articles of regimen which they eat and drink when in
  good health were proper for them; and if no others were preferable
  to these。 But now necessity itself made medicine to be sought out
  and discovered by men; since the same things when administered to
  the sick; which agreed with them when in good health; neither did
  nor do agree with them。 But to go still further back; I hold that
  the diet and food which people in health now use would not have been
  discovered; provided it had suited with man to eat and drink in like
  manner as the ox; the horse; and all other animals; except man; do
  of the productions of the earth; such as fruits; weeds; and grass; for
  from such things these animals grow; live free of disease; and require
  no other kind of food。 And; at first; I am of opinion that man used
  the same sort of food; and that the present articles of diet had
  been discovered and invented only after a long lapse of time; for when
  they suffered much and severely from strong and brutish diet;
  swallowing things which were raw; unmixed; and possessing great
  strength; they became exposed to strong pains and diseases; and to
  early deaths。 It is likely; indeed; that from habit they would
  suffer less from these things then than we would now; but still they
  would suffer severely even then; and it is likely that the greater
  number; and those who had weaker constitutions; would all perish;
  whereas the stronger would hold out for a longer time; as even
  nowadays some; in consequence of using strong articles of food; get
  off with little trouble; but others with much pain and suffering。 From
  this necessity it appears to me that they would search out the food
  befitting their nature; and thus discover that which we now use: and
  that from wheat; by macerating it; stripping it of its hull;
  grinding it all down; sifting; toasting; and baking it; they formed
  bread; and from barley they formed cake (maza); performing many
  operations in regard to it; they boiled; they roasted; they mixed;
  they diluted those things which are strong and of intense qualities
  with weaker things; fashioning them to the nature and powers of man;
  and considering that the stronger things Nature would not be able to
  manage if administered; and that from such things pains; diseases; and
  death would arise; but such as Nature could manage; that from them
  food; growth; and health; would arise。 To such a discovery and
  investigation what more suitable name could one give than that of
  Medicine? since it was discovered for the health of man; for his
  nourishment and safety; as a substitute for that kind of diet by which
  pains; diseases; and deaths were occasioned。
  4。 And if this is not held to be an art; I do not object。 For it
  is not suitable to call any one an artist of that which no one is
  ignorant of; but which all know from usage and necessity。 But still
  the discovery is a great one; and requiring much art and
  investigation。 Wherefore those who devote themselves to gymnastics and
  training; are always making some new discovery; by pursuing the same
  line of inquiry; where; by eating and drinking certain things; they
  are improved and grow stronger than they were。
  5。 Let us inquire then regarding what is admitted to be Medicine;
  namely; that which was invented for the sake of the sick; which
  possesses a name and practitioners; whether it also seeks to
  accomplish the same objects; and whence it derived its origin。 To
  me; then; it appears; as I said at the commencement; that nobody would
  have sought for medicine at all; provided the same kinds of diet had
  suited with men in sickness as in good health。 Wherefore; even yet;
  such races of men as make no use of medicine; namely; barbarians;
  and even certain of the Greeks; live in the same way when sick as when
  in health; that is to say; they take what suits their appetite; and
  neither abstain from; nor restrict themselves in anything for which
  they have a desire。 But those who have cultivated and invented
  medicine; having the same object in view as those of whom I formerly
  spoke; in the first place; I suppose; diminished the quantity of the
  articles of food which they used; and this alone would be sufficient
  for certain of the sick; and be manifestly beneficial to them;
  although not to all; for there would be some so affected as not to
  be able to manage even small quantities of their usual food; and as
  such persons would seem to require something weaker; they invented
  soups; by mixing a few strong things with much water; and thus
  abstracting that which was strong in them by dilution and boiling。 But
  such as could not manage even soups; laid them aside; and had recourse
  to drinks; and so regulated them as to mixture and quantity; that they
  were administered neither stronger nor weaker than what was required。
  6。 But this ought to be well known; that soups do not agree with
  certain persons in their diseases; but; on the contrary; when
  administered both the fevers and the pains are exacerbated; and it
  becomes obvious that what was given has proved food and increase to
  the disease; but a wasting and weakness to the body。 But whatever
  persons so affected partook of solid food; or cake; or bread; even
  in small quantity; would be ten times and more decidedly injured
  than those who had taken soups; for no other reason than from the
  strength of the food in reference to the affection; and to
  whomsoever it is proper to take soups and not eat solid food; such a
  one will be much more injured if he eat much than if he eat little;
  but even little food will be injurious to him。 But all the cau