Notes on Greco-Roman Medicine


Herophilus [ca. 290 B.C.] and Erisistratus [ca. 280 B.C.] are very significant and accomplished biologists, with emphasis on anatomy and physiology, respectively.

Herophilus:

  • 3 great vessel systems: arteries, veins, nerves [H: discoverer system]
  • Lacteals
  • named duodenum
  • arteries have no blood, only "air"
  • synanastomoses


Erisistratus:

  • 2 Pneuma:
    • p. zootikon [vital spirit; distributed via arteries, must pass through brain]
    • p. psychikon. [animal spirit: in ventricles, distrib to body via nerves]
  • cerebrum distinguished from cerebellum
  • tri [Right side, 3 cusps]  and bi [Left side, 2 cusps]  cuspid valves   discovered and named.  Guard Entrance.
  • Sigmoid or Semilunar valves Guard Exit [Right: blood to lung; Left:   Pneuma to Body]
  • seat of soul in brain, in meninges [~ H]
  • Experiment to show valves unidirectional, heart as unidirectional   pump.
    • [actually the experiment is described in Hippocratic corpus]
  • Arterial blood is pathological
  • muscular contraction: pneuma passing through nerve fills hollow space of muscle, which expands and makes the ends contract.
    • an idea which lasted until the 17th century
  • "copious emanation": like 'insensible perspiration' of Sanctorius.
  • Liver produces blood, which veins distribute to nourish the body.
  • The right side of the heart has only one purpose: to give blood  to the lung.
    • Pneuma enters the trachea, passes through fine connections of bronchioles, and the pulmonary vein, via anastomoses, to the bicuspid valve, into the left ventricle, and out into the arteries.
  • Purpose of left side of heart is to distribute pneuma.
    • Pneuma in arteries is derived from outside air, and is not innate.
    • Galen later adds that diastole draws the pneuma in.
  • Body is composed of atoms, vivified by atoms of pneuma.

  • Vital heat is generated by interaction of venous blood and arterial pneuma.