Giorgianni Franco, Provenza Antonietta
Med Secoli. 2015;27(3):1111-57.
This article aims at dealing with the historical development and the terminology of the notion of generation in ancient Greece, taking as well into consideration several aspects of the notion of heredity, for, at present, research in this field lacks a consistent encyclopedic entry on such subjects. The Presocratic - mainly Empedoclean - notions of 'mixing' and 'separation' lurk behind the Hippocratic treatise De genitura/De natura pueri, in which the process of generation is explained through the 'mixing' mechanism of a female semen and a male one. Semen comes from each part of both parents, so it is sound from the sound parts, and unhealthy from the unhealthy parts. It is considered as the "foam of blood" (Diogenes, A 24 DK), gathering itself into a web of blood vessels that bring it to the genital organs. The mixed semen keeps on fixing itself in the womb thanks to pneuma ('breath'), until the embryo takes human shape. Generation is influenced by both the environment (Airs, Waters, Places) and dietetics (On Regimen, I). Male and female are on different levels in CH, since the former is characterized as hot and strong, and the latter is considered as cold and weak; as a consequence of this, the articulation takes longer in the case of a female embryo. On the other hand, the pangenesis and the preformism theory claim for a strong mutual relationship. Sex determination depends from the 'prevalence' of the male or female semen. The generation of twins of different sex depends from such 'prevalence', as well as from the conformation of the womb and its places (right/male, left/female). Both nature (physis) and use (nomos) have a role in the mechanism of inheritance, as the case of the Macrocephalians in Airs Waters Places shows. On the other hand, Plato's Timaeus exemplifies the theory according to which semen derives from the spinal marrow. The structures of the body - bones, flesh, nerves - aim at protecting marrow itself for the sake of maintaining the continuity of the process of generation. For Aristotle, the female provides a specific contribution to generation, that is menstrual blood, the 'material' that will be fashioned into shape by the 'principle of movement' provided in the male semen. Menstrual blood and semen share the same nature, for they are both the ultimate secretion of nutriment, that is the residue of concocted blood. Considering the female as colder that the male, Aristotle develops the concept of the female as privation in relation to the male. The notion of 'prevalence' in its turn provides explanation for similarities between parents and children. The theory of a double semen originating itself in blood comes back again in Galen's treatise On semen, which links together the Hippocratic notion of a bi-sexual semen and the Aristotelian one of a specific female contribution, the menstrual blood, that provides nutrition for the embryo. Furthermore, similarities between sons and mothers are considered in Definitiones medicae as the main proof of the existence of a female semen. Actually the Alexandrian physicians - Herophilus for instance - considered the female sexual organs anatomy as perfectly corresponding to the male one. As a consequence of the synthesis between the Hippocratic and the Aristotelian tradition, Galen's embryological doctrines were very long-lasting in medical thought.
本文旨在探讨古希腊“生成”概念的历史发展及其术语,同时也考虑到遗传概念的几个方面,因为目前该领域的研究缺乏关于此类主题的一致的百科全书式条目。前苏格拉底时期(主要是恩培多克勒的)“混合”和“分离”的概念潜藏在希波克拉底的《论生成/论婴儿的本性》一书中,在该书中,生成过程通过女性精液和男性精液的“混合”机制来解释。精液来自父母双方的各个部位,所以健康的精液来自健康的部位,不健康的精液来自不健康的部位。精液被认为是“血液的泡沫”(第欧根尼,A 24 DK),聚集在血管网络中并被带到生殖器官。混合后的精液借助气息(“呼吸”)持续附着在子宫内,直到胚胎初具人形。生成受到环境(《空气、水、地方》)和饮食学(《论养生》,第一卷)的影响。在《论人的本性》中,男性和女性处于不同层面,因为前者被描述为热且强壮,后者则被认为是冷且虚弱;因此,女性胚胎的发育过程会更长。另一方面,泛生论和预成论主张存在紧密的相互关系。性别决定取决于男性或女性精液的“优势”。不同性别的双胞胎的产生取决于这种“优势”,以及子宫的形态及其位置(右侧/男性,左侧/女性)。自然(本性)和习俗(惯例)在遗传机制中都发挥作用,正如《空气、水、地方》中大头人的例子所示。另一方面,柏拉图的《蒂迈欧篇》阐述了精液源自脊髓的理论。身体的结构——骨骼、肌肉、神经——旨在保护脊髓本身,以维持生成过程的连续性。对于亚里士多德而言,女性为生成提供了特定的贡献,即经血,经血这一“物质”将由男性精液中提供的“运动原理”塑造成形。经血和精液具有相同的性质,因为它们都是营养的最终分泌物,即经过消化的血液的残余物。由于认为女性比男性更冷,亚里士多德发展了女性相对于男性而言是缺失的概念。“优势”概念反过来又解释了父母与子女之间的相似性。源于血液的双精液理论在盖伦的《论精液》一书中再次出现,该书将希波克拉底的双性精液概念与亚里士多德的特定女性贡献(经血,为胚胎提供营养)的概念联系在一起。此外,《医学定义》中认为儿子与母亲之间的相似性是女性精液存在的主要证据。实际上,亚历山大里亚的医生们——例如希罗菲卢斯——认为女性性器官的解剖结构与男性完全对应。由于希波克拉底传统与亚里士多德传统的融合,盖伦的胚胎学教义在医学思想中长久存在。