Hippocrates: Life and legacy

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Early years

Hippocrates was born in Kos around 460 BC. He was a descendant of Asclepius, from his father Heraclides, and Heracles, from his mother Phaenareti. It is certain that he came from a hieratic family, since his direct ancestors were priests of Asclepios. The first to introduce him to medicine was his father Heraclides, and perhaps his grandfather Hippocrates the First.

The early knowledge Hippocrates received from his father and grandfather would be enriched by his encounters with nutritionists, sophists and philosophers, giving him a broader education beyond medicine. His knowledge would be further enhanced with medicine practice applied in the Asclepieion of Kos, up until that time. The Asclepieion was in operation before Hippocrates was even born and was already keeping records of the patients' treatments. These, therefore, were the things Hippocrates studied, taking particular interest in the diet that patients had to follow in each case.

Life and legacy
The Asclepieion of Kos

The journeys

Hippocrates also gained considerable experience from his travels. Well-travelled, he visited Thrace, Thassos, Delos, Macedonia, Thessaly, Ionia and Egypt. During these journeys, which are estimated to have lasted around 12 years, he collected a wealth of information about nature, climate, the way of life of each region's habitats, the diseases that afflicted them and the effect of the environment on people.

Back on Kos

Hippocrates returned to his island rich in experience. He took over the Medical School of Kos and began teaching. He applied new therapeutic methods, after having condemned witchcraft, magic and superstitions. His teacher and guide was Mother Nature: 'Nature is sufficient in everything for everyone'.

He considered medical science to be closely linked to philosophy. For him, a competent doctor can only be one who has the ability to reflect. "a doctor that is also a philosopher, becomes perfect". Thus doctors had to be patient, kind and unkind, discreet, receptive, modest, with faith in God and love for man.

The Hippocratic Collection

Also known as the Hippocratic Corpus. It's a compilation of works written by Hippocrates or his disciples or at least containing teachings in the spirit of Hippocratic Medicine. The collection was preserved thanks to the famous Library of Alexandria. It covers many diverse aspects of medicine, from Hippocrates' medical theories to what he devised to be ethical means of medical practice, to addressing various illnesses. The most famous work in the Hippocratic Collection is the Hippocratic Oath, the landmark declaration of medical ethics. 

Life and legacy
19th-century engraving of a a Roman "portrait" bust of Hippocrates

The characteristics of Hippocratic Medicine

Briefly, we could summarise the distinctive aspects - innovations of the medicine that Hippocrates founded in the following:

a) It only accepts natural causes as the explanation of diseases.

b) It believes in careful observation and proposes specific methods of diagnosis.

c) The doctor must take into account the patient's condition not only during the examination, but also the whole course of the patient's life up to that point, his quality of life and even his character (psychosomatic concept).

d) It gives particular importance to the prognosis of diseases, but does not consider it an objective in itself but a factor supporting treatment.

e) It attaches great importance to the patient's diet.

f) It emphasises the decisive influence of the natural environment on the patient; therefore a doctor should carefully examine the climate and weather and study the influence they may have.

The reputation of Hippocrates in his time

Hippocrates' fame was quickly spread and everyone invited him to offer his services.

During the Peloponnesian War, Hippocrates came to Athens and helped it rid of the plague. He visited Athens and after having observed that the ironworkers were not sick from the plague, he disinfected the air of the city with fire and prevented the pandemic. In gratitude, the Athenians made him their citizen, granted him free residency in the Prytaneum and honoured him with a golden crown.

Life and legacy
Hippocrates refusing the presents of the Achaemenid Emperor Artaxerxes, who was asking for his services. Painted by Girodet.

Among the incidents revealing Hippocrates' fame in his time along with his courage, here's a notable one.

The Persian king Artaxerxes was facing a major problem with the plague that was threatening his troops. When he was informed of Hippocrates' medical prowess, he persistently sought his help. In return, he offered him a rich reward and parity in status with the Persian aristocrats. Hippocrates firmly refused to offer his services to a man who was exploiting the Greeks. Enraged, Artaxerxes sent a letter to the residents of Kos demanding that they send Hippocrates to him or suffer the destruction of their entire city and island.

To their credit, the people of Kos refused to succumb to Artaxerxes' extortionate demands, replying to his messengers: "Leave the land of Koans, for Hippocrates will not be surrendered. And tell to him (the King) that the gods will not neglect us."

So it really seems that Hippocrates was not only highly esteemed by his fellow citizens, but also highly loved, since they did not hesitate to risk everything in order not to surrender him.

Or as the historian I. Zaraftis comments on that reply by the people of Kos with a laconic but very characteristic phrase: "The Kosnians responded to Artaxexes manly."

Hippocrates' last years

Hippocrates left Kos at an advanced age and moved to Thessaly.

There are different opinions about the reasons that prompted Hippocrates to leave his homeland. What is certain is that he died at an advanced age, which in his honour, tradition raised up to 104 or even 109 years. He was buried there, between Tirnavos and Larissa.

Life and legacy
The plane tree of Hippocrates in Kos town

The legacy of Hippocrates

In general, Hippocrates' teaching gave a special glory to his science and ensured the spread of the medical tradition of Kos. Before Hippocrates, the art of medicine was hereditary. Its teaching was passed on from father to son within the limited circle of the Asclepiades family. Essentially "School of Kos", or rather the medical circle of Kos, was expanded by Hippocrates. After him and until the end of the classical period, many physicians from Kos stood out.

Today, scholars and historians of medicine are returning to the study of Hippocrates' works ("Hippocratic and Neo-Hippocratic Medicine"), attaching great importance, among other things, to the fact that it was he who placed not the disease but the human being at the centre of medicine.

A number of images and statues of Hippocrates were commissioned in the centuries following his death as a tribute to the great Teacher.

Today, the people of Kos have firmly established the belief that Hippocrates is the brightest chapter in the history of their land. Popular tradition, which always correctly conveys the pulse of the people's feelings, has continued to put his figure in the heart of the island's tales and legends.

Footnotes / Source

"Ancient History of Kos - from prehistoric until Roman years" by O. Aspetaki - Kiritsi and M. Toulanta - Parisides.
Painting of Hippocrates with Artaxerxes by Anne-Louis Girodet de Roussy-Trioson - Public Domain

Kos Island Greece