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Understanding the Four Humors in Medicine
Mar 28, 2025
Rapid Revision: Theory of the Four Humors
Introduction
The theory of the four humors is a significant ancient medical concept.
Important in ancient Greek medicine, medieval period, and beyond.
Origin of the Theory
Based on ideas from Greek philosophers, notably Aristotle.
Prominently used by Greek physician Hippocrates for diagnosis and treatment of illnesses.
Focused on logical steps towards diagnosing ailments through symptoms.
The Four Humors
The body comprises four liquids or humors:
Blood
Phlegm
Black Bile
Yellow Bile
Linked to the four elements and seasons:
Blood - associated with warm and moist.
Phlegm - associated with cold and moist.
Black Bile - associated with cold and dry.
Yellow Bile - associated with warm and dry.
Balance and Health
A balanced state of humors indicates good health.
Imbalances in humors lead to illness or unwellness.
Belief that humors also linked to personality traits.
Seasonal illnesses explained through humor imbalances:
E.g., colds in winter/spring due to phlegm.
Examples of Illnesses and Treatments
Cold
Symptoms: shivers, phlegm, snot.
Cause: too much phlegm.
Treatment: extract phlegm (blowing nose, inhaling vapors).
Rash and Fever
Symptoms: redness of skin, high temperature.
Cause: too much blood.
Treatment: bloodletting to restore balance.
Constipation
Symptoms: inability to pass stools.
Cause: too little black bile.
Treatment: consume laxatives for relief.
Historical Significance
Represents progress in ancient Greek medicine.
Shows continuity in medieval practices; treatments based on humors persisted for centuries.
Bleeding remained a common practice even into the 19th century.
Summary of the Theory's Impact
The four humors:
Blood, Black Bile, Yellow Bile, Phlegm.
Imbalance leads to illness; the theory rationalizes illness without supernatural explanations.
Although incorrect, it was an important step in medical history.
Treatments often addressed symptoms rather than root causes.
Remained prevalent for centuries despite advancements in understanding disease.
Conclusion
The theory of the four humors is a foundational concept in medical history, reflecting both progress and continuity in medical thought.
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