Ierodiakonou K
Clio Med. 1995;28:473-85.
Medical practice in antiquity was conspicuous for its failures, which seriously challenged medicine's status as an art. Ancient philosophers and doctors tried to explain how a whole group of arts including medicine, the so-called stochastic arts, was characterised by the fact that even the most competent exercise of the art could not guarantee a successful outcome. This paper focuses on Alexander of Aphrodisias' (second century AD) explanation and compares it to some other ancient views, in particular to Galen's. The central feature of Alexander's suggestion is a distinction between the end of an art and its function. In the case of medicine end and function do not coincide; for the end is to heal the patient, whereas the function consists solely in doing artfully what is possible to attain the end.
古代的医疗实践因诸多失败案例而引人注目,这些失败严重挑战了医学作为一门技艺的地位。古代哲学家和医生试图解释包括医学在内的一整套技艺,即所谓的随机技艺,其特点是即便最熟练地运用这门技艺也无法保证成功的结果。本文聚焦于阿弗罗狄西亚的亚历山大(公元2世纪)的解释,并将其与其他一些古代观点,尤其是盖伦的观点进行比较。亚历山大观点的核心特征是区分一门技艺的目的及其功能。就医学而言,目的和功能并不一致;因为目的是治愈患者,而功能仅仅在于巧妙地做一切可能实现目的之事。