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盖仑与西方生理学的起源。

Galen and the beginnings of Western physiology.

机构信息

Department of Medicine, University of California San Diego, La Jolla, California

出版信息

Am J Physiol Lung Cell Mol Physiol. 2014 Jul 15;307(2):L121-8. doi: 10.1152/ajplung.00123.2014. Epub 2014 May 30.

Abstract

Galen (129-c. 216 AD) was a key figure in the early development of Western physiology. His teachings incorporated much of the ancient Greek traditions including the work of Hippocrates and Aristotle. Galen himself was a well-educated Greco-Roman physician and physiologist who at one time was a physician to the gladiators in Pergamon. Later he moved to Rome, where he was associated with the Roman emperors Marcus Aurelius and Lucius Verus. The Galenical school was responsible for voluminous writings, many of which are still extant. One emphasis was on the humors of the body, which were believed to be important in disease. Another was the cardiopulmonary system, including the belief that part of the blood from the right ventricle could enter the left through the interventricular septum. An extraordinary feature of these teachings is that they dominated thinking for some 1,300 years and became accepted as dogma by both the State and Church. One of the first anatomists to challenge the Galenical teachings was Andreas Vesalius, who produced a magnificent atlas of human anatomy in 1543. At about the same time Michael Servetus described the pulmonary transit of blood, but he was burned at the stake for heresy. Finally, with William Harvey and others in the first part of the 17th century, the beginnings of modern physiology emerged with an emphasis on hypotheses and experimental data. Nevertheless, vestiges of Galen's teaching survived into the 19th century.

摘要

盖伦(公元 129 年-216 年)是西方生理学早期发展的关键人物。他的学说融合了古希腊的诸多传统,包括希波克拉底和亚里士多德的著作。盖伦本人是一位受过良好教育的希腊-罗马医生和生理学家,曾在庇格马利翁为角斗士行医。后来,他搬到了罗马,与罗马皇帝马库斯·奥勒留和卢修斯·维鲁斯有来往。盖伦学派著述颇丰,其中许多至今仍存于世。该学派的一个重点是人体的体液,认为体液在疾病中很重要。另一个重点是心肺系统,包括认为部分来自右心室的血液可以通过室间隔进入左心室的观点。这些学说的一个显著特点是,它们统治了人们的思想大约 1300 年,并被国家和教会奉为教义。最早挑战盖伦学说的解剖学家之一是安德烈亚斯·维萨里,他于 1543 年出版了一本关于人体解剖学的宏伟图谱。大约在同一时期,迈克尔·塞尔维特描述了血液在肺部的循环,但他因异端邪说而被处以火刑。最后,在 17 世纪的前半叶,威廉·哈维和其他人的出现使现代生理学崭露头角,强调假说和实验数据。尽管如此,盖伦学说的残余一直延续到 19 世纪。

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