Greek Biology & Greek Medicine

by Charles Singer

Fig. 9.
ΣΟΝΚΟΣ ΤΡΥΦΕΡΟΣ = Crepis paludosa, Mœn.

Fig. 10.
ΓΕΡΑΝΙΟΝ = Erodium malachoides, L.

But the greatest biologist of the late Greek period, and indeed one of the greatest biologists of all time, was Claudius Galen of Pergamon (a. d. 131-201). Galen devoted himself to medicine from an early age, and in his twenty-first year we hear of him studying anatomy at Smyrna under Pelops. With the object of extending his knowledge of drugs he early made long journeys to Asia Minor. Later he proceeded to Alexandria, where he improved his anatomical equipment, and here, he tells us, he examined a human skeleton. It is indeed probable that his direct practical acquaintance with human anatomy was limited to the skeleton and that dissection of the human body was no longer carried on at Alexandria in his time. Thus his physiology and anatomy had to be derived mainly from animal sources. He is the most voluminous of all ancient scientific writers and one of the most voluminous writers of antiquity in any department. We are not here concerned with the medical material which mainly fills these huge volumes, but merely with the physiological views which not only prevailed in medicine until Harvey and after, but also governed for fifteen hundred years alike the scientific and the popular ideas on the nature and workings of the animal body, and have for centuries been embedded in our speech. A knowledge of these physiological views of Galen is necessary for any understanding of the history of biology and illuminates many literary allusions of the Middle Ages and Renaissance.

Between the foundation of the Alexandrian school and the time of Galen, medicine was divided among a great number of sects. Galen was an eclectic and took portions of his teaching from many of these schools, but he was also a naturalist of great ability and industry, and knew well the value of the experimental way. Yet he was a somewhat windy philosopher and, priding himself on his philosophic powers, did not hesitate to draw conclusions from evidence which was by no means always adequate. The physiological system that he thus succeeded in building up we may now briefly consider ([fig. 11]).

The basic principle of life, in the Galenic physiology, is a spirit, anima or pneuma, drawn from the general world-soul in the act of respiration. It enters the body through the rough artery (τραχεῖα ἀρτηρία, arteria aspera of mediaeval notation), the organ known to our nomenclature as the trachea. From this trachea the pneuma passes to the lung and then, through the vein-like artery (ἀρτηρία φλεβώδης, arteria venalis of mediaeval writers, the pulmonary vein of our nomenclature), to the left ventricle. Here it will be best to leave it for a moment and trace the vascular system along a different route.

Ingested food, passing down the alimentary tract, was absorbed as chyle from the intestine, collected by the portal vessel, and conveyed by it to the liver. That organ, the site of the innate heat in Galen’s view, had the power of elaborating the chyle into venous blood and of imbuing it with a spirit or pneuma which is innate in all living substance, so long as it remains alive, the natural spirits (πνεῦμα φυσικόν, spiritus naturalis of the mediaevals). Charged with this, and also with the nutritive material derived from the food, the venous blood is distributed by the liver through the veins which arise from it in the same way as the arteries from the heart. These veins carry nourishment and natural spirits to all parts of the body. Iecur fons venarum, the liver as the source of the veins, remained through the centuries the watchword of the Galenic physiology. The blood was held to ebb and flow continuously in the veins during life.