Hahn J
Universität Heidelberg.
Sudhoffs Arch. 1991;75(2):209-39.
Pliny's historical outline of the development of medicine, in Natural History 29.1-27, is our primary source concerning the reception of scientific medicine at Rome during the later Republic and early Empire. Here, as elsewhere, Pliny handles Greek doctors and their medical practices with vehement disapproval. But this attitude, at first glance anti-Hellene, traditionalistic, and critical of his coevals, arises from more deeply rooted notions: a specific conception of nature which can be shown to be the basis of Pliny's critique of medicine and his own times. Reconstruction of this "Plinean" conception reveals a view of nature marked by Stoic terminology and categories, though in fact derivate from various sources, idiosyncratic and characterized by a genuine love of and respect for nature and her creations. True comprehension of the lessons offered by nature, resulting in concrete mores of behaviour and moral categories, as opposed to theory and speculation, is the proper modus operandi for Pliny. And thus, with regard to the human process of self-discovery in the natural world, medicine plays a decisive role--for providential nature displays herself most clearly in the production of healing substances. Pliny notes among the proponents of scientific medicine, a general disregard for nature and her rules, while he finds just the opposite in traditional medicine. His own accomplishment resides not only in the safeguarding of numberless recipies from the world of folk medicine, but also in the facts that he under-pins these traditional methods of healing, and their basic principles, with a specific conception of nature, and that he marks out an exceptionally important place for traditional methods of healing in the canon of general knowledge.
普林尼在《自然史》第29卷第1至27章中对医学发展的历史概述,是我们了解罗马共和国后期和帝国初期科学医学接受情况的主要资料来源。在这里,和其他地方一样,普林尼对希腊医生及其医疗实践持强烈反对态度。但这种乍一看带有反希腊、传统主义色彩且批评同时代人的态度,源于更根深蒂固的观念:一种特定的自然观,这种自然观可被证明是普林尼对医学及其所处时代进行批判的基础。对这种“普林尼式”观念的重构揭示出一种以斯多葛派术语和范畴为特征的自然观,尽管实际上它源自各种不同来源,具有独特性,且其特点是对自然及其造物怀有真诚的热爱和尊重。对自然所提供的教训的真正理解,会产生具体的行为规范和道德范畴,而非理论和思辨,这是普林尼的恰当行事方式。因此,在人类在自然世界中的自我发现过程中,医学起着决定性作用——因为天意般的自然在治愈物质的产生中展现得最为清晰。普林尼指出,在科学医学的支持者中,普遍无视自然及其规则,而他在传统医学中却发现了相反的情况。他自己的成就不仅在于保存了来自民间医学世界的无数药方,还在于他用一种特定的自然观来支撑这些传统的治疗方法及其基本原则,并且他在一般知识的准则中为传统治疗方法划出了一个格外重要的位置。