Jouanna Jacques
University of Paris-Sorbonne, Paris IV.
Stud Anc Med. 2010;35:1-21.
Starting from the frescoes of the cathedral of Anagni which present an obvious relationship between Hippocrates as Galen's teacher and the medieval image of man's place in the universe dominated by the number four, this paper returns to the origins of this quaternary theory in Hippocratic medicine with the four humors (Nature of Man), then follows its evolution in Galen and finally into late Greek and Byzantine medicine where the quaternary division will have an unprecedented extension, with the four temperaments. In particular, a new piece of evidence from this late period attributed to Hippocrates (the small treatise of Greek Medicine The Pulse and the Human Temperament) appears as the veritable source of the Latin Letter attributed to Vindicianus. Therefore, contrary to what was believed until now, the doctrine of the four temperaments was not elaborated first in a Latin form. Throughout its history, the quaternary theory will remain connected to Hippocrates, but the image and teaching of the Father of Medicine will change as the theory evolves. A second rediscovered treatise of the late period (The Formation of Man) starts with this phrase: 'Words of Hippocrates to Galen his own pupil'. This seems a felicitous commentary to the medical scene in the cathedral of Anagni.
从阿纳尼大教堂的壁画开始,这些壁画呈现出作为盖伦老师的希波克拉底与中世纪以数字四为主导的人类在宇宙中地位的形象之间的明显关系。本文追溯了这种四元理论在希波克拉底医学中(《人的本性》中的四种体液)的起源,接着探讨其在盖伦医学中的演变,最后研究其在希腊晚期和拜占庭医学中的发展,在那里四元划分将以前所未有的方式扩展到四种气质。特别是,这个晚期归属于希波克拉底的新证据(希腊医学小论文《脉搏与人类气质》)似乎是归属于温迪西亚努斯的拉丁书信的真正来源。因此,与迄今为止人们所认为的相反,四种气质学说并非首先以拉丁形式阐述。在其整个历史中,四元理论将始终与希波克拉底联系在一起,但随着理论的演变,医学之父的形象和教导也会发生变化。晚期重新发现的另一篇论文(《人的形成》)以这句话开头:“希波克拉底对他自己的学生盖伦所说的话”。这似乎是对阿纳尼大教堂医学场景的恰当评论。