Reviewed by: On the Elements According to Hippocrates Geoffrey Lloyd Galen. On the Elements According to Hippocrates. Edition, translation, and commentary by Phillip De Lacy. Corpus Medicorum Graecorum V 1, 2. Berlin: Akademie Verlag, 1996. 236 pp. DM 220.00. Galen’s short treatise On the Elements According to Hippocrates (De elementis secundum Hippocratem, hereafter El. sec. Hipp.) was among the more influential of his works. In it he sets out the physiological and pathological theories he ascribes to “Hippocrates”—mainly on the basis of an interpretation of the Hippocratic treatise On the Nature of Man—and since he endorses those theories on his own account, the work can be considered a brief summary of his own views on those questions. It was one of the works used in teaching Galenic medicine in the so-called Alexandrian curriculum, and it became the subject of extensive commentaries, abridgments, and translations into Arabic and Latin. Galen’s analysis of Hippocrates’ views leads him to criticize the element theories of a wide variety of other Greek medical writers and philosophers—ranging from the Presocratics, through Plato, Aristotle, and the Stoics, to such writers as Asclepiades of Bithynia and the “Pneumatist” physician Athenaeus of Attalia. This treatise is one of our most important sources for the ideas of the last two especially. The treatise was better served by nineteenth-century scholarship than was much of the Galenic corpus collected in the monumental but highly unsatisfactory twenty-volume edition of C. G. Kuhn—at least G. Helmreich produced an edition in 1878. Now Phillip De Lacy, whom scholars have to thank for the magisterial edition of On the Doctrine of Hippocrates and Plato (De placitis Hippocratis et Platonis, hereafter PHP), has put us all further in his debt with an exemplary modern edition of El. sec. Hipp. A careful introduction begins by setting out the sources for the text, and not just the Greek manuscript tradition. The important Arabic translation, on which J. S. Wilkie and I reported briefly in an article in Journal of Hellenic Studies in 1982, is here the subject of a more thorough analysis contributed by G. Strohmaier, and R. J. Durling has performed a similarly useful service for the Greco-Latin translation. The text of the treatise itself is provided with a very full apparatus criticus and ample cross-references to other works of Galen or to relevant passages in the Hippocratic Corpus or elsewhere. There is an eminently readable English translation, and there are extensive notes on problems of interpretation. De Lacy argues that, despite the references within the treatise to a “prior” and a “second” logos, the work consists of a single book, not the two into which Helmreich (for instance) divided it. He holds that Ilberg’s view that it was composed around a.d. 169 is reasonable and that, although it has a clearly defined coherence, it may, like PHP, have been subject to a revision of plan, for there are signs of Galen responding to comments and criticisms made by his [End Page 310] colleagues on an earlier version. De Lacy’s careful notes are a mine of information on many doxographic and interpretational problems. His discussions of the tetrapharmakos (of wax, resin, pitch, and tallow) on pp. 182–83, and of Galen’s views on transpiration and respiration, on pp. 194–95, are particularly to be commended. On two points, however, the perfectionist might have sought more. The quality of the notes on points of epistemology and of logic is comparatively thin. Nor does De Lacy do full justice to the major, simple, but embarrassing question of what justification (if any) there was for Galen to find the standard four-element theory based on fire, air, water, and earth in the Hippocratic On the Nature of Man in the first place. He discusses Galen’s rejection of the view that Hippocrates made the primary qualities (hot, cold, wet, and dry), as such, the elements—but the rhetorical moves whereby Hippocrates becomes the discoverer of a theory that most would now associate with Empedocles are not exposed. Debate will, no doubt, continue on this and many other tactical and strategic questions that El. sec. Hipp...
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