The Origins of Health
“There is nothing better in life than good health,” wrote the poet Menander (4th century BC) and rhetorician Lucian (2nd century AD) agreed that “there is no benefit in possessing every good if health is absent”. Ever since the dawn of its existence, humanity has strived to achieve and maintain good health, while seeking to understand the causes of illnesses and searching for solutions to treat them. This remains one of mankind’s primary concerns – just consider the most common drinking toast (“to good health”). In an exquisite archaeological exhibition entitled HYGIEIA: Health, Illness and Treatment from Homer to Galen, The Museum of Cycladic Art in Athens, Greece, offers an unrivalled journey through the evolution of medical practices from 1200 BC to the 3rd century AD, with the aid of 282 artefacts from 41 museums in 7 European countries. But it is not just the artefacts that matter here, it is the knowledge residing behind them.
In his epics, Homer refers to Asklepios as a mortal King of Trikke in Thessaly and a peerless physician. However, according to ancient myth, Asklepios was the son of god Apollo. He is later referred to as a demi-god, one who possessed the unique ability to grant health. From the 5th century BC onwards, his cult as the foremost healing god spread rapidly and endured even past the advent of Christianity to approximately 500 BC. Asklepios was that tall, mature, bearded man often figured clad in a long robe, leaning on a snake-entwined staff. A snake is a “chthonic” element, it crawls on the ground and is well aware of the herbs and nutrients the earth breeds; thus, also capable of distinguishing between the good and bad – in fact, in Greek the word for medicine (φάρμακο) is just an intonation away from the word for poison (φαρμάκι). The snake, however, is also the symbol of renewal because of its ability to shed its skin. It therefore became the sacred animal of the healing god and today is the international symbol of medical doctors.
Such symbolism is abundant: in the Ancient era, the trademark for physicians was an ancient medical cupping vessel, named “Sikya” because of its resemblance to the tubular fruits of the sikya plant. Trefoil juglets that stored opium resembled inverted poppy capsules (the ones that when slit leak out opium-bearing latex), while they also featured a snake on their handle, cautioning that opium may be used in small doses as an anaesthetic and for soothing pain, but in larger doses can cause damage due to its hallucinatory effect.
In the ancient healing sanctuaries dedicated to the healing god and thus known as Asklipieia, patients seeking divine cure would be bathed and aromatized (a purgatory ritual to ensure good health and ethical purity). They would then sleep in the sanctuary (incubation), experiencing a divinely-inspired dream, where Asklepios would appear and offer advice. In the morning this would be interpreted by the sanctuary’s priests and the illness would be physically treated.
The incubation process was inspired by another symbol: one that depicts Sleep – the brother of Death – as a winged child at the feet of Hygieia found at the very entrance of this exhibition. Hygieia (Health) is one of the daughters of Asklepios and the goddess of good health. It is from her name that the name (and concept) of “hygiene” arises. Asklepios’ entire family was related to the health-treatment process: his wife Epione was the comforter of pain; his two sons Machaon and Podaleirios took care of injured Achaeans in the Trojan War; while there were also the daughters Acesó (goddess of the healing process); Iasó (goddess of healing); Panacea (the all-healing goddess); and a younger son Telesphóros (he who brings fulfillment and protected coalescing patients).
This “theurgic medicine” was so widespread because prevalent belief had it that the gods inflicted illnesses upon humans as a punishment for impious acts. And since the cure of every illness was similarly godsent, people tried to appease the gods with prayers, magnificent sacrifices, and purifications. These also included votive offerings either before or after treatment, which took the form of objects (or ailing body parts) as a supplication to the gods. Centuries would pass before the divine provenance of disease was challenged and treatment dissociated from divine intervention. This occurred with the teachings of the Pre-Socratic philosophers (6th c. BC), which served as the foundation for rational scientific medicine. However, votive offerings still remain an integral part of Christian belief, especially in Greek Orthodox Churches.
Hippocrates (460 BC – 370 BC), today considered as the Father of Scientific Medicine, recorded about 60 ancient treatises in what is known as the Hippocratic Corpus. The medicinal use of healing herbs still used today, originated from thousands of years ago. For example, laurel as an antiseptic, emollient and cathartic; Crocus (or saffron) used for eye inflammation; Lykion (or Goji Berry) extremely well-known for its healing properties; Mandrake used as anaesthetic in surgeries (today is the emblem of the Hellenic Society of Anaesthesiology); and Mastic used, among others, to clean teeth and as a regenerative factor for a radiant complexion.
Hippocratic physicians also emphasized the importance of diet in maintaining health as well as in treating disease. In antiquity, the word diet was not limited strictly to food, as it is nowadays; it expressed a broader concept, which also encompassed – and always in moderation – drink, physical exercise, baths, massages, sleep, sexuality, and a person’s habits and way of life in general.
According to Hippocrates, the human body encompasses four fluids or humours (blood, phlegm, yellow bile, and black bile). The balanced proportion of all four fluids, known as Eukrasia (good mix), is a main characteristic of good health, while the disruption of this balance (Dyskrasia) leads to the onset of various diseases.
Galen (129-216 AD), a prolific Physician from Pergamon whose theories dominated and influenced Western medicine up to the 17thcentury, tried to explain human behavior according to the fluid that prevailed in each human being. So, for example, a Sanguine person, in whom blood prevails, is sociable; a Phlegmatic person, in whom phlegm prevails, is relaxed and quiet; a Choleric person, in whom yellow bile prevails, is tense and aggressive; and a Melancholic person, in whom black bile (melaina cholé in Greek) prevails, is moody and introverted.
In the ancient era, physicians were seen as the “healers of evil” and were greatly respected in society. They enjoyed an elevated status because of their specific skills. They were considered craftsmen, as well as “demiourgoi”, i.e. workers who labored for deme, the public good. Physicians were considered servants of mankind in general and travelled from place to place to practice their craft and offer their services to community. This is also what today’s doctors vow to do through their Hippocratic Oath. To continue practicing medicine, whose origins, as is evident, stem from centuries ago. And despite the fact that people – in their majority – no longer believe diseases are godsent punishes for irreverent human actions – deep down we all hope that someone can find a way to reverse them, to treat even the most incurable ones, and soothe the suffering for all.
* The exhibition “HYGIEIA. Health, Illness, Treatment from Homer to Galen” runs from 19/11/2014 until 31/5/2015 and a short video can be found here.