Anatomical inferences without dissection continued
in Greece with Hippocrates (ca. 460-377 B.C ),
who is known as the Father of Medicine. (Many medical students
still take the Hippocratic Oath upon graduation from medical
school.) He might also be called the Father of Holistic Medicine,
since he advocated the importance of the relationship between
patient, physician, and disease in title diagnosis and treatment
of illness. This philosophy was rejected at a time when diseases
were still thought to be punishments from the gods.
Hippocrates' knowledge of internal anatomy was severely limited
by the lack of dissections, and not until Aristotle (384-322
B.C) did physicians begin to dissect animals carefully enough
to deduce even the barest essentials of human anatomy. Aristotle
corrected many of the anatomical errors of his predecessors,
but because he was primarily a philosopher rather than a physician,
he depended more on logical deduction than on observation
and experimentation. His scanty knowledge of the inner workings
of the human body led to many gross inaccuracies; for example,
He believed that the brain cooled the heart by secreting "phlegm,"
and that the arteries contained only air. Nevertheless, he
had an enormous influence on scientists for hundreds of years.
The Beginnings of Modern Anatomy
With the decline of Greek influence on the mainland, Alexandria
became the transplanted center of Greek culture. It was there
that the Greeks Herophilus (ca. 335-280 B.C) and Erasistratus
(ca. 310-250 B.C) conducted the first systematic dissections
of the human body. Herophilus established the brain as the
center of intelligence, distinguished between veins and arteries,
and made many other accurate observations about the structure
of the human body, especially the nervous system. He conducted
the first public dissection and is supposed to have taught
the first female medical student. Erasistratus, an intense
rival of Herophilus, was more interested in physiology than
anatomy and studied the process of circulation in the body.
He believed that pneuma, or vital air, was carried by the
arteries. The written works of both Greeks were lost when
the library at Alexandria was destroyed in A.D,272, but their
ideas were found in the writings of the Roman Celsus (30 B.C.-A.
D. 30) and the physician Claudius Galenus, popularly known
as Galen.
Galen (ca. A.D 129-199), considered to be the greatest ancient
physician after Hippocrates, was born in Pergamon in Asia
Minor (now Pergama in Turkey). His early knowledge of anatomy
derived from his studies in Asia Minor, Greece, and Alexandria,
and after his return to Pergamon, his job as chief physician
to the gladiators. Galen's dissections of African monkeys
(human dissections were still forbidden) provided him with
enough related information about humans so that he described
correctly many brain structures, the structural differences
between veins and arteries, and many other structures of the
human body, including heart valves. He also observed that
muscles contract in response to a stimulus from nerves, and
demonstrated experimentally that the arteries carry blood,
not air.
Despite Galen's improvements on earlier anatomical studies
and his other achievements, he is often remembered for the
fact that the Catholic church did not allow his ideas to be
criticized; thus many of his erroneous ideas were perpetuated
and major progress in the field of anatomy was halted until
the sixteenth century.
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