Hippocrates of Cos was born around 460 BC on the Greek island of Cos; historians agree on that much, but most of the other stories about his life are probably untrue.1 He is traditionally called the Father of Medicine, and yet very little is known for certain about what he himself thought, wrote or did, because his name came to be attached to the work of many other doctors.1
A famous doctor in his own century
He was famous in his own lifetime, and remembered as famous by the next generation. In Plato's Protagoras, Socrates asks a young man what he would be paying for if he paid a fee to «Ἱπποκράτη τὸν Κῷον, τὸν τῶν Ἀσκληπιαδῶν», “your namesake Hippocrates of Cos, the Asclepiad”; the answer is, to become a doctor.2 The title Asclepiad ties him to Asclepius, the god of healing, from whom the ancient Life of Hippocrates says his family descended.2,3 In the Phaedrus, Plato has Phaedrus say that “If Hippocrates the Asclepiad is to be trusted, one cannot know the nature of the body, either”, without knowing the nature of the whole.4
Aristotle uses him to make a point about size. A city is great, he says, by what it can do, not by its numbers, «οἷον Ἱπποκράτην οὐκ ἄνθρωπον ἀλλʼ ἰατρὸν εἶναι μείζω φήσειεν ἄν τις», in Rackham's translation “just as one would pronounce Hippocrates to be greater, not as a human being but as a physician, than somebody who surpassed him in bodily size.”5 Jones took this sentence to show that he was “already known as ‘the Great Hippocrates’”, and Wikipedia repeats the claim; the Greek itself says only that he was greater as a doctor, whatever his height.1,5,7
Life and legend
Ancient tradition / legend Almost everything else comes from a short Greek Life of Hippocrates that goes under the name of Soranus, a Greek doctor of the second century AD.1,3 It makes his father Heraclides his first teacher, and traces his descent to Heracles and to Asclepius: twentieth from the one and nineteenth from the other.3 It dates his birth, on the authority of one Ischomachus, to the first year of the 80th Olympiad, and adds from an earlier Soranus of Cos, who searched the archives there, the day on which the people of Cos still made offerings to him.3
Ancient tradition / legend A hostile writer, Andreas, claimed that he left Cos after setting fire to the record office at Cnidus; others said he left to see how medicine was practised elsewhere, and Soranus of Cos that a dream told him to settle in Thessaly.3 He is said to have cured King Perdiccas of Macedon, whose wasting disease was really love for his late father's concubine; to have been called to Abdera to treat Democritus for supposed madness; and, when a plague struck Illyria, to have worked out that it would reach Attica, foretold it, and looked after the cities and his pupils.3 When the Persian king Artaxerxes offered him rich gifts through Hystanes, the governor of the Hellespont, he refused.3 A letter that goes under his name tells Hystanes: «Περσέων δὲ ὄλβου οὔ μοι θέμις ἐπαύρασθαι», “it is not right for me to enjoy the wealth of the Persians” (our translation).6
Ancient tradition / legend He died at Larissa in Thessaly, aged ninety, or eighty-five, or 104, or 109, according to different authorities.3 For a long time, the Life says, bees made honey in his tomb, and nurses cured babies' mouth sores with it at the grave.3 His two sons, Thessalus and Draco, were his most famous pupils.3
Many writers under one name
Some sixty to seventy works have come down under his name: W. H. S. Jones counted some seventy, the classical scholar Ann Ellis Hanson some 60.7,8 Most were written in the last decades of the fifth century BC and the first half of the fourth, but some are Hellenistic, and Precepts and Decorum belong to the first and second centuries AD.9 The editor F. Z. Ermerins found the hands of at least nineteen authors, some of them contradicting one another.9 The whole collection is in Ionic Greek, although Cos itself spoke Doric.9 The reader has 53 of these works under Hippocrates' name, 19 of them with an English translation beside the Greek.10
Debated among scholars Which of them, if any, Hippocrates wrote himself is the Hippocratic question, and it has no agreed answer; modern debate turns on only a few treatises.1,9 The argument is ancient: the Life reports much disagreement about his writings, and Galen, the great doctor of the second century AD, was certain that Hippocrates himself wrote Epidemics I and III, and thought that books II, IV and VI were notes that his son Thessalus found among his papers.3,8 In 1923 Jones, the first editor of the Loeb Hippocrates, was content to leave “the Hippocrates of tradition” in obscurity, but held that certain treatises are “impressed with the marks of an outstanding genius”.7 Hanson goes further: there is nothing to connect the Hippocrates of Plato and Aristotle “with any single medical treatise in our present Hippocratic Corpus”.8
What reading it is like
The books are anonymous: unlike Herodotus and Thucydides, who put their names in their first words, the medical writers never name themselves.8 Airs, Waters, Places begins «ἰητρικὴν ὅστις βούλεται ὀρθῶς ζητεῖν», in Francis Adams's translation “Whoever wishes to investigate medicine properly”, and tells the doctor to study the seasons, the winds, the waters and the lie of a town.11 The Sacred Disease, on epilepsy, opens with a challenge: the disease «οὐδέν τί μοι δοκέει τῶν ἄλλων θειοτέρη εἶναι νούσων οὐδὲ ἱερωτέρη», “it appears to me to be nowise more divine nor more sacred than other diseases”, and people call it divine from ignorance and wonder.12 In Hanson's words, these writers ask not who causes a sickness, but “By what process does this sickness occur?”8
The Epidemics follow patients day by day. The first case of book I begins «Φιλίσκος ᾤκει παρὰ τὸ τεῖχος», “Philiscus, who lived by the Wall”, traces his fever through black urine, delirium and cold sweats, and ends: “about the middle of the sixth day he died.”13 Books I and III hold forty-two case histories, and in twenty-five of them the patient died.9 The same book gives the rule «ἀσκεῖν περὶ τὰ νοσήματα δύο, ὠφελεῖν ἢ μὴ βλάπτειν»: in Adams's translation, the doctor should have “two special objects in view with regard to disease, namely, to do good or to do no harm”.14
The Aphorisms are short sayings, and the first begins: «ὁ βίος βραχὺς, ἡ δὲ τέχνη μακρὴ», “Life is short, and Art long; the crisis fleeting; experience perilous, and decision difficult.”15 The art is medicine: elsewhere in the collection, Jones notes, it is called simply the art.7 You can hear the Ionic dialect in μακρή, “long”: in Attic Greek alone this η after ρ changed back to α, so an Athenian said μακρά.16
The Oath
The Oath is one of the best known of all Greek medical texts, and most modern scholars do not think that Hippocrates wrote it.17 As Jones put it, “Whatever its origin, it is a landmark in the ethics of medicine.”7 The new doctor swears «ὄμνυμι Ἀπόλλωνα ἰητρὸν καὶ Ἀσκληπιὸν καὶ Ὑγείαν καὶ Πανάκειαν», by Apollo Physician, by Asclepius, by Health, by Panacea, and by all the gods and goddesses.18 He promises to hold his teacher equal to his own parents, to share his livelihood with him, and to teach the teacher's sons the art “without fee or indenture”.18 Then come the rules: “Neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course. Similarly I will not give to a woman a pessary to cause abortion.”18 He will not operate even for bladder stone, will enter every house “to help the sick”, will abuse no one, man or woman, free or slave, and will keep what he hears to himself, “holding such things to be holy secrets”.18
Debated among scholars Readers have argued over these lines since antiquity: the earliest surviving reference to the Oath, by the Roman doctor Scribonius Largus in AD 43, took it to forbid all abortion; Soranus decided that it forbade only abortive pessaries.8,17 Modern scholars still disagree about what the clause on poison was meant to forbid.17 And the Latin motto primum non nocere, ‘first, do no harm’, is not in the Oath, though the Oath does promise to “abstain from all intentional wrong-doing and harm”; the rule from the Epidemics quoted above is close to it too.14,17,18
Why it matters
Whatever their disagreements, the Hippocratic writers agree in rejecting divine causes and religious cures of disease in favour of natural ones.9 Galen's enthusiasm for some of the treatises kept later doctors reading them, and once the collection was translated into Latin early in the sixteenth century, the prestige of Hippocrates grew throughout Europe.8 Jones noted that Hippocrates was still a medical textbook almost down to about 1840.7 The Oath has given way to newer codes and oaths, such as the World Medical Association's Declaration of Geneva of 1948; by 2018 every graduate of a United States medical school took some form of oath, but none used the original.17