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[古代肺病学历史(第二部分)]

[History of pneumology in antiquity (part 2)].

作者信息

Demaeyer Ph

出版信息

Rev Med Brux. 2016 Mar-Apr;37(2):116-22.

Abstract

Nowadays, Hippocrate, "The Father of Medicine", still influences our medicine. He was famous because of the great medical corpus texts preserved in his name. Only recently, our universities have updated the famous Hippocratic Oath to avoid contradictions with our modern ethics. Hippocrate was a great clinician but a poor anatomist. Hippocratical humourism remained accurate until the age of the enlightenment (18th century). Furthermore, it is difficult to distinguish medicine from philosophy in Greek antiquity. So we have to contextualize Greek ancient medicine in this philosophical field. In the 3rd century before Christus (BC), the centre of gravity in medicine shifted to Alexandria. Indeed, a famous academic library was created in 288 BC. At the same time, dissection of human cadavers was authorized until the first century BC. This enabled the evolution of the knowledge in anatomy and physiology. Rome was still polytheistic population until the end of ancient times. Rome integrated Greek gods in his pantheon. Asclepios became Aesculapius. Rome despises physicians in the first ancient age of Rome. The family's father provided medical cares. A lot of Greek physicians settled then in Rome. Again, roman medicine grew in parallel with philosophical trends. These trends were called "sects" but in fact, they were rather medical schools. In this review, we will especially talk about three physicians of this period: Aurelius Cornelius Celsus, Arétée of Cappadocia and Galenus of Pergamon. Thereafter, medical knowledge did not really change significantly until Renaissance period.

摘要

如今,“医学之父”希波克拉底仍然影响着我们的医学。他因以其名义保存下来的大量医学文献而闻名。直到最近,我们的大学才更新了著名的希波克拉底誓言,以避免与我们现代的伦理道德产生冲突。希波克拉底是一位伟大的临床医生,但却是一位糟糕的解剖学家。希波克拉底的体液学说在启蒙时代(18世纪)之前一直都很准确。此外,在古希腊,很难将医学与哲学区分开来。因此,我们必须将古希腊医学置于这个哲学领域中来理解。在公元前3世纪,医学的重心转移到了亚历山大城。事实上,公元前288年建立了一座著名的学术图书馆。与此同时,直到公元前1世纪,人体解剖才被允许。这推动了解剖学和生理学知识的发展。直到古代末期,罗马仍然是一个多神教的群体。罗马将希腊诸神纳入了自己的万神殿。阿斯克勒庇俄斯变成了埃斯库拉庇俄斯。在罗马古代的早期,罗马人鄙视医生。家庭中的父亲提供医疗护理。当时许多希腊医生在罗马定居。同样,罗马医学与哲学思潮并行发展。这些思潮被称为“学派”,但实际上,它们更像是医学院。在这篇综述中,我们将特别介绍这一时期的三位医生:奥勒留·科尔内利乌斯·塞尔苏斯、卡帕多西亚的阿雷泰乌斯和佩加蒙的盖伦。此后,直到文艺复兴时期,医学知识并没有真正发生显著变化。

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