Return to Magic, Medicine and Science homepage
Return to Magic, Medicine and Science syllabus


Galenic vs Paracelsian Medicine

I.  4 Humour Theory (Galen)
 
Microcosm:  
   Macrocosm:


dry
 moist


dry
moist
hot
  Yellow Bile 
Blood
 
hot
Fire
Air
cold
Black Bile
  Phlegm 
 
cold
  Earth 
  Water 

Summer (hot/dry) - Yellow Bile
Winter (cold/moist) - Phlegm
Fall (cold/dry) - Black Bile
Spring (hot/moist) - Blood

1.  In a healthy body, the 4 humours are balanced and in harmony.  Disease arises from an imbalance in the humours.  The task of the physician is to restore harmony.  There is only one type of disease:  "distemper", and it is a global internal state of the individual.

2.  Treatment:  To restore humourial balance in the individual, one employs a treatment of opposites.  For instance, an overabundance of phlegm is treated by administering substances associated with its elemental opposite, yellow bile.  Such treatment takes the physical form of herbal remedies or poultices of crushed stones.  Also of limited efficacy are amulets that are worn by the patient.  The medicinal power of such amulets rests in their occult properties, which are hidden properties of their whole substances (what come to be known as their substantial forms).

3.  General Galenic world view:  Aristotelian, rational.*
 

II.  Ontological Theory (Paracelsus)

1.  Disease is due to "rogue" astra that enter the body; ie, it is due to external foreign agents.  In particular, a disease is said to grow in the body in the same way fruit grows on a tree, or minerals grow in a mine.  Hence a disease is a physical localized object.  The task of the physician is to erradicate its presence from the body.  Furthermore, there are as many different types of disease as there are possible rogue astra.

2.  Treatment:  Paracelsian medicine treats Like with Like.  The growth of any particular disease in the body is governed primarily by one of the tria prima (the one that is primarily associated with the rogue astrum responsible for the disease).  It is treated with substances employing the same principle.  Such substances usually take the physical form of chemicals (metals and minerals) in which the principle is manifest (mercury, arsenic, and antimony were popular).

Iatrochemistry:  treatment of disease with chemical substances

3.  General Paracelsian world view:  Neoplatonic/Hermetic, empirical

Note one consequence of Neoplatonic basis:  Paracelsians objected to the Galenic practice of blood-letting (required for diseases associated with an overabundance of Blood).  Paracelsians postulated that the spiritus mundi is taken into the lungs and formed into arterial blood (Debus pg. 29).  Draining blood from a patient would thus be draining the life-essence from the patient.
 
 
 
 
 
 
 



*Note that these are generalized characterizations, to be contrasted with the generalized characterizations of the ontological theory below.  Galen (b. ~129 C.E.) was influenced by both Plato and Aristotle and advocated an intermediate position in the debate between Rationalists and Empiricists over the nature of medical knowledge.  This debate flourished between the 3rd century B.C. and the 3rd century A.D. and pitted those who advocated theoretical inference as grounds for medical knowledge (Rationalists) against those who advocated personal experience (Empiricists).  (The terms "rationalism" and "empiricism" have their origins in this debate.  See Galen:  Three Treatises on the Nature of Science, R. Walzer & M. Frede (trans), Hackett, 1985.)