Aretaeus
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Aretaeus () is one of the most celebrated of the ancient Greek
physician A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Med ...
s. Little is known of his life. He was ethnically
Greek Greek may refer to: Anything of, from, or related to Greece, a country in Southern Europe: *Greeks, an ethnic group *Greek language, a branch of the Indo-European language family **Proto-Greek language, the assumed last common ancestor of all kno ...
, born in the Roman province of
Cappadocia Cappadocia (; , from ) is a historical region in Central Anatolia region, Turkey. It is largely in the provinces of Nevşehir, Kayseri, Aksaray, Kırşehir, Sivas and Niğde. Today, the touristic Cappadocia Region is located in Nevşehir ...
,
Asia Minor Anatolia (), also known as Asia Minor, is a peninsula in West Asia that makes up the majority of the land area of Turkey. It is the westernmost protrusion of Asia and is geographically bounded by the Mediterranean Sea to the south, the Aegean ...
(modern day
Turkey Turkey, officially the Republic of Türkiye, is a country mainly located in Anatolia in West Asia, with a relatively small part called East Thrace in Southeast Europe. It borders the Black Sea to the north; Georgia (country), Georgia, Armen ...
), and most likely lived in the second half of the second century AD. He is generally styled "the Cappadocian" ().


Diagnostic method

Aretaeus wrote in
Ionic Greek Ionic or Ionian Greek () was a subdialect of the Eastern or Attic–Ionic dialect group of Ancient Greek. The Ionic group traditionally comprises three dialectal varieties that were spoken in Euboea (West Ionic), the northern Cyclades (Centr ...
. His eight treatises on
disease A disease is a particular abnormal condition that adversely affects the structure or function (biology), function of all or part of an organism and is not immediately due to any external injury. Diseases are often known to be medical condi ...
s, which are still extant, are considered to be among the most important Greco-Roman medical works ever written. His valuable work displays great accuracy in the detail of symptoms, and in seizing the diagnostic character of diseases. In his practice he followed for the most part the method of
Hippocrates Hippocrates of Kos (; ; ), also known as Hippocrates II, was a Greek physician and philosopher of the Classical Greece, classical period who is considered one of the most outstanding figures in the history of medicine. He is traditionally referr ...
, but he paid less attention to what have been styled "the natural actions" of the system; and, contrary to the practice of the ''Father of Medicine'', he did not hesitate to attempt to counteract them, when they appeared to him to be injurious. Aretaeus offered clinical descriptions of a number of diseases among which he gave classic accounts of
asthma Asthma is a common long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wh ...
,
epilepsy Epilepsy is a group of Non-communicable disease, non-communicable Neurological disorder, neurological disorders characterized by a tendency for recurrent, unprovoked Seizure, seizures. A seizure is a sudden burst of abnormal electrical activit ...
,
pneumonia Pneumonia is an Inflammation, inflammatory condition of the lung primarily affecting the small air sacs known as Pulmonary alveolus, alveoli. Symptoms typically include some combination of Cough#Classification, productive or dry cough, ches ...
,
tetanus Tetanus (), also known as lockjaw, is a bacterial infection caused by ''Clostridium tetani'' and characterized by muscle spasms. In the most common type, the spasms begin in the jaw and then progress to the rest of the body. Each spasm usually l ...
,
uterine cancer Uterine cancer, also known as womb cancer, includes two types of cancer that develop from the tissues of the uterus. Endometrial cancer forms from the lining of the uterus, and uterine sarcoma forms from the muscles or support tissue of the ute ...
,
liver cancer Liver cancer, also known as hepatic cancer, primary hepatic cancer, or primary hepatic malignancy, is cancer that starts in the liver. Liver cancer can be primary in which the cancer starts in the liver, or it can be liver metastasis, or secondar ...
, and different kinds of insanity. He differentiated nervous diseases and mental disorders and described
hysteria Hysteria is a term used to mean ungovernable emotional excess and can refer to a temporary state of mind or emotion. In the nineteenth century, female hysteria was considered a diagnosable physical illness in women. It is assumed that the bas ...
,
headache A headache, also known as cephalalgia, is the symptom of pain in the face, head, or neck. It can occur as a migraine, tension-type headache, or cluster headache. There is an increased risk of Depression (mood), depression in those with severe ...
s,
mania Mania, also known as manic syndrome, is a Psychiatry, psychiatric Abnormality (behavior), behavioral syndrome defined as a state of Abnormality (behavior), abnormally elevated arousal, affect (psychology), affect, and energy level. During a mani ...
and
melancholia Melancholia or melancholy (from ',Burton, Bk. I, p. 147 meaning black bile) is a concept found throughout ancient, medieval, and premodern medicine in Europe that describes a condition characterized by markedly depressed mood, bodily complain ...
. Some of his thinking about neurological disorders anticipated 19th and 20th century notions. He wrote the first known description of
coeliac disease Coeliac disease (British English) or celiac disease (American English) is a long-term autoimmune disorder, primarily affecting the small intestine. Patients develop intolerance to gluten, which is present in foods such as wheat, rye, spelt ...
, naming it disease of the abdomen, ''koiliakos''. He also wrote the first known description of
diabetes Diabetes mellitus, commonly known as diabetes, is a group of common endocrine diseases characterized by sustained high blood sugar levels. Diabetes is due to either the pancreas not producing enough of the hormone insulin, or the cells of th ...
. The account which Aretaeus gives of his treatment of various diseases indicates a simple and sagacious system, and one of more energy than that of the professed Methodici. Thus he freely administered active
purgative Laxatives, purgatives, or aperients are substances that loosen stools and increase bowel movements. They are used to treat and prevent constipation. Laxatives vary as to how they work and the side effects they may have. Certain stimulant, lubri ...
s; he did not object to
narcotics The term narcotic (, from ancient Greek ναρκῶ ''narkō'', "I make numb") originally referred medically to any psychoactive compound with numbing or paralyzing properties. In the United States, it has since become associated with opiates ...
; he was much less averse to
bleeding Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur internally, or externally either through a natural opening such as the mouth, nose, ear, urethr ...
; and upon the whole his ''Materia Medica'' was both ample and efficient. It may be asserted generally that there are few of the ancient physicians, since the time of Hippocrates, who appear to have been less biased by attachment to any peculiar set of opinions, and whose account of the phenomena and treatment of disease has better stood the test of subsequent experience. Aretaeus is placed by some writers among the Pneumatici because he maintained the doctrines which are peculiar to this sect; other systematic writers, however, think that he is better entitled to be placed with the Eclectics.


Works

Aretaeus' work consists of eight books, two ''De causis et signis acutorum morborum'', two ''De causis et signis diuturnorum morborum'', two ''De curatione acutorum morborum'', and two ''De curatione diuturnorum morborum''. They are in a tolerably complete state of preservation, though a few chapters are lost. The work was first published in a
Latin Latin ( or ) is a classical language belonging to the Italic languages, Italic branch of the Indo-European languages. Latin was originally spoken by the Latins (Italic tribe), Latins in Latium (now known as Lazio), the lower Tiber area aroun ...
translation by Junius Paulus Crassus (Giunio Paolo Grassi), Venice 1552, together with Rufus of Ephesus. The first Greek edition is that by Jacobus Goupylus, Paris, 1554, which is more complete than the Latin version of Crassus. In 1723 a major edition in folio was published at the
Clarendon Press Oxford University Press (OUP) is the publishing house of the University of Oxford. It is the largest university press in the world. Its first book was printed in Oxford in 1478, with the Press officially granted the legal right to print books ...
at Oxford, edited by John Wigan, containing an improved text, a new Latin version, learned dissertations and notes, and a copious index by Michel Maittaire. In 1731, Boerhaave brought out a new edition, of which the text and Latin version had been printed before the appearance of Wigan's; this edition contains annotations by Pierre Petit and Daniel Wilhelm Triller. The edition by C. G. Kühn, Leipzig 1828, included Wigan's text, Latin version, dissertations, etc., together with Petit's commentary, Triller's emendations, and Maittaire's index. An edition by F. Z. Ermerins was published in Utrecht in 1847. A more recent standard edition is by Karl Hude (1860–1936) in the ''Corpus medicorum graecorum'' (2nd ed., Berlin, Akademie-Verlag, 1958
online
. The four books ''De causis et signis'' have now been issued in an annotated bilingual edition in Greek and French (Arétée de Cappadoce, ''Des causes et des signes des maladies aiguës et chroniques'', trans. R.T.H. Laennec, ed. and comm. Mirko D. Grmek, pref. by Danielle Gourevitch, Geneva, 2000).


Secondary literature

The medical opinions of Aretaeus have been discussed by such scholars as
Johann Albert Fabricius Johann Albert Fabricius (11 November 1668 – 30 April 1736) was a German classical scholar and bibliographer. Biography Fabricius was born in Leipzig, son of Werner Fabricius, director of music in the church of St. Paul at Leipzig, who was the ...
,
Albrecht von Haller Albrecht von Haller (also known as Albertus de Haller; 16 October 170812 December 1777) was a Swiss anatomist, physiologist, naturalist, encyclopedist, bibliographer and poet. A pupil of Herman Boerhaave and Jacob Winslow, he is sometimes r ...
, and Kurt Sprengel. Aretaeus has been treated more recently in a couple of short monographs: * Karl Deichgräber, ''Aretaeus von Kappadozien als medizinischer Schriftsteller'', Berlin, 1971. * Fridolf Kudlien, ''Untersuchungen zu Aretaios von Kappadokien'', Mainz, 1964. For Aretaeus' influence on
Giambattista Morgagni Giovanni Battista Morgagni (25 February 1682 – 6 December 1771) was an Italian anatomist, generally regarded as the father of modern anatomical pathology, who taught thousands of medical students from many countries during his 56 years as Prof ...
, the father of anatomical pathology, see: * Giorgio Weber, ''Areteo di Cappadocia: interpretazioni e aspetti della formazione anatomo-patologica del Morgagni'', Florence, 1996


References


Sources

*


Further reading

* New York: Blom, 1970. * * * * * * * *


External links


Aretaeus' complete works in Greek and English
(edition of Francis Adams, 1856) at the Digital Hippocrates project
The extant works of Aretaeus, the Cappadocian, edited and translated by Francis Adams, London, printed for the Sydenham Society, 1856Works
a
Open Library
{{DEFAULTSORT:Aretaeus of Cappadocia 2nd-century Greek physicians Ionic Greek writers Cappadocia (Roman province) People from Cappadocia