Hippocrates
A towering figure in the
history of medicine was the physician Hippocrates of Kos (c. 460 – c. 370 BCE),
considered the "father of modern medicine." The Hippocratic Corpus is
a collection of around seventy early medical works from ancient Greece strongly
associated with Hippocrates and his students. Most famously, the Hippocratic’s
invented the Hippocratic Oath for physicians. Contemporary physicians swear an
oath of office which includes aspects found in early editions of the
Hippocratic Oath.
Hippocrates and his
followers were first to describe many diseases and medical conditions.
Hippocrates and his students systematized the thinking that illness can be
explained by an imbalance of blood, phlegm, black bile, and yellow bile.
Hippocrates is given credit for the first description of clubbing of the
fingers, an important diagnostic sign in chronic lung disease. For this reason,
clubbed fingers are sometimes referred to as "Hippocratic fingers".
Hippocrates began to
categorize illnesses as acute, chronic, endemic, and epidemic. Another of
Hippocrates's major contributions may be found in his descriptions of the
symptomatology, physical findings, surgical treatment and prognosis of thoracic
empyema, i.e. suppuration of the lining of the chest cavity. His teachings
remain relevant to present-day students of pulmonary medicine and surgery.
Hippocrates was the first documented person to practice cardiothoracic surgery,
and his findings are still valid.
Some of the techniques
and theories developed by Hippocrates are now put into practice by the fields
of Environmental and Integrative Medicine. These include recognizing the
importance of taking a complete history which includes environmental exposures
as well as foods eaten by the patient which might play a role in his or her
illness.
In the 19th century,
western medicine was introduced.
The practice of medicine
changed in the face of rapid advances in science, as well as new approaches by
physicians. Hospital doctors began much more systematic analysis of patients'
symptoms in diagnosis. Among the more powerful new techniques were anesthesia,
and the development of both antiseptic and aseptic operating theatres.
Effective cures were developed for certain endemic infectious diseases.
However, the decline in many of the most lethal diseases was due more to
improvements in public health and nutrition than to advances in medicine.
Medicine was
revolutionized in the 19th century and beyond by advances in chemistry,
laboratory techniques, and equipment. Old ideas of infectious disease
epidemiology were gradually replaced by advances in bacteriology and virology.
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