Saitoh Hiroshi
Department of Urology, Saitama Medical Center, Saitama Medical School.
Nihon Hinyokika Gakkai Zasshi. 2006 Mar;97(3):551-60. doi: 10.5980/jpnjurol1989.97.551.
I analyzed mentions of treatment in the Hippocratic Collection.
I examined quantitatively mentions of treatments in the Hippocratic Collection (Roeb edition, Otsuki edition, and Kon edition) to compare preferences for therapy between the Kos and Knidos schools.
Treatments, mentioned in 2,687 passages, were medical in 2,319 (86%), and surgical in 368 (14%). These 2,687 descriptions included 1,023 (38%) from the Kos, 1,261 (47%) from the Knidos school, and 403 (15%) from unspecified schools. Of the 2,319 descriptions of medical treatment, 560 (24%) referred to medicines and 466 (20%) to diet, followed by baths, vapor baths, exercise, running, walking, warm applications, and others. The 368 surgical descriptions involved traction and adjustment for treating fractures of bones or dislocation of joints in 166 (45%) and surgery using knife or fire in 202 (55%). Of the latter 202 mentions, 87 (43%) referred to incision with knife, 74 (37%) to cauterization and 73 (37%) to bloodletting. Diet, exercises, running, walks, traction, adjustment and bloodletting were mentioned more frequently by the Kos school than the Knidos school, while medicines, baths, vapor baths (for gynecological diseases) and incision were mentioned more frequently by the Knidos school (chi-squared test, p < 0.01). Medicines, diet, baths, warm applications, and incision over the kidney were mentioned among treatments for urinary stones, but cystolithotomy was not. Hippocates stated in "Aphorisms" that diseases that medicines do not cure can be cured by the knife. He also, stressed that any one intending to practice surgery for wounds arising in military service must serve in the army.
A large number of medical treatments were mentioned in Hippocratic Collection, while surgical treatments also were emphasized. Hippocrates warned beginning doctors not to used unproven treatments for urinary stone in the introduction to the "Oath", but did not forbid surgical treatments.
我分析了《希波克拉底文集》中提及的治疗方法。
我对《希波克拉底文集》（勒布版、大月版和孔版）中提及的治疗方法进行了定量研究，以比较科斯学派和尼多斯学派在治疗方法上的偏好。
在2687篇文章中提及的治疗方法，其中2,319篇（86%）为医学治疗，368篇（14%）为外科治疗。这2687条描述中，1,023条（38%）来自科斯学派，1,261条（47%）来自尼多斯学派，403条（15%）来自未明确学派。在2,319条医学治疗描述中，560条（24%）涉及药物，466条（20%）涉及饮食，其次是沐浴、蒸汽浴、运动、跑步、散步、热敷等。368条外科治疗描述中，166条（45%）涉及治疗骨折或关节脱位的牵引和整复，202条（55%）涉及使用刀或火的手术。在这202条提及中，87条（43%）指用刀切开，74条（37%）指烧灼，73条（37%）指放血。科斯学派比尼多斯学派更频繁地提及饮食、运动、跑步、散步、牵引、整复和放血，而尼多斯学派更频繁地提及药物、沐浴、蒸汽浴（用于妇科疾病）和切开（卡方检验，p <
0.01）。在治疗尿路结石的方法中提到了药物、饮食、沐浴、热敷和肾脏上方的切开，但未提及膀胱切开取石术。希波克拉底在《格言集》中指出，药物无法治愈的疾病可用刀治愈。他还强调，任何打算为军事服务中出现的伤口进行手术的人都必须在军队服役。
《希波克拉底文集》中提到了大量的医学治疗方法，同时也强调了外科治疗方法。希波克拉底在《誓言》的引言中警告初出茅庐的医生不要对尿路结石使用未经证实的治疗方法，但并未禁止外科治疗。
