🩺

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

  1. Cold

    • Symptoms: shivers, phlegm, snot.
    • Cause: too much phlegm.
    • Treatment: extract phlegm (blowing nose, inhaling vapors).
  2. Rash and Fever

    • Symptoms: redness of skin, high temperature.
    • Cause: too much blood.
    • Treatment: bloodletting to restore balance.
  3. 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.