HIPPOCRATIC RECIPES STUDIES IN ANCIENT MEDICINE Edited by JOHN SCARBOROUGH PHILIP J. VAN DER EIJK ANN HANSON NANCY SIRAISI VOLUME 34 Hippocratic Recipes Oral and Written Transmission of Pharmacological Knowledge in Fift h- and Fourth-Century Greece By LAURENCE M. V. TOTELIN LEIDEN • BOSTON 2009 Cover illustration: Aesculapius, the Greek god of medicine, is shown fl anked by Apollo and Hippocrates. Th ey are presented with exotic medicinal substances which are, to the right, turned into medicines in a pharmaceutical laboratory. Oil 18th century. By: Johannes Zacharias Simon Prey. Wellcome Library, London. Th is book is printed on acid-free paper. Library of Congress Cataloging-in-Publication-Data Totelin, Laurence M. V. Hippocratic recipes : oral and written transmission of pharmacological knowledge in fi ft h- and fourth-century Greece / by Laurence M. V. Totelin. p. ; cm.—(Studies in ancient medicine, ISSN 0925-1421 ; v. 34) Includes bibliographical references and indexes. ISBN 978-90-04-17154-1 (hardback : alk. paper) 1. Hippocrates—Knowledge— Pharmacology. 2. Pharmacology—Greece—History—To 1500. 3. Drug development—Greece—History—To 1500. I. Title. II. Series. [DNLM: 1. Hippocrates. 2. Pharmaceutical Preparations—history. 3. Drug Compounding—history. 4. Greek World. 5. History, Ancient. 6. Pharmacology— history. 7. Prescriptions, Drug—history. W1 ST918K v.34 2008 / QV 11 GG6 T717h 2008] RM300.T68 2008 615’.190938–dc22 2008035399 ISSN 0925-1421 ISBN 978 90 04 17154 1 Copyright 2009 by Koninklijke Brill NV, Leiden, Th e Netherlands. Koninklijke Brill NV incorporates the imprints Brill, Hotei Publishing, IDC Publishers, Martinus Nijhoff Publishers and VSP. All rights reserved. No part of this publication may be reproduced, translated, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior written permission from the publisher. Authorization to photocopy items for internal or personal use is granted by Koninklijke Brill NV provided that the appropriate fees are paid directly to Th e Copyright Clearance Center, 222 Rosewood Drive, Suite 910, Danvers, MA 01923, USA. Fees are subject to change. printed in the netherlands To my parents CONTENTS Acknowledgements ............................................................................. xi Maps ...................................................................................................... xiii Abbreviations ...................................................................................... xv Introduction Under the spell of the pharmakon ........................ 1 Sources ............................................................................................. 4 Methodology and summary ......................................................... 16 Chapter One Oral transmission of medical knowledge and written recipes ................................................................................. 21 Introduction .................................................................................... 21 Th e compendiast/stemmatic model and its criticism .............. 23 Orality and the Hippocratic catalogues of recipes ................... 39 Linguistic approaches to recipes and catalogues of recipes .... 47 Catalogues of recipes as collections of fragments and as discourse colonies ...................................................................... 61 Appendix Types of medications and application/ administration verbs .................................................................. 64 Chapter Two Th e history of the written catalogues of recipes ............................................................................................... 67 Introduction .................................................................................... 67 Th e composition of the Hippocratic gynaecological collections of recipes ...................................................................... 68 Th e beginnings of the tradition of small collections of recipes .......................................................................................... 91 Th e disappearance of the Pharmakitis? ...................................... 98 Conclusions So much lost . . . ..................................................... 102 Appendix Diseases 2.42–43 and Aff ections 18 ........................ 105 Chapter Th ree Hippocratic recipes between home remedies and Haute Médecine ...................................................................... 111 Introduction .................................................................................... 111 Th e sources of the compilers of gynaecological recipes .......... 114 Th e High and the Low ................................................................... 125 viii contents Are the gynaecological recipes an exception?—Dietetics and pharmacology in the Hippocratic treatises ............................ 132 Conclusions ..................................................................................... 138 Chapter Four Imports, geographical determinism and infl uences: Th e use of exotic and luxury ingredients in the Hippocratic catalogues of recipes ................................................ 141 Introduction .................................................................................... 141 A note on naming materia medica in ancient Greece ............. 144 Exotic ingredients ........................................................................... 145 Greek ingredients accompanied by geographical epithets ...... 164 Final discussion on exotic and luxury ingredients ................... 172 Th e question of infl uences ............................................................ 177 Table One Th e exotic ingredients of the Hippocratic Corpus that are not accompanied by geographical epithets ......................................................................................... 190 Table Two Th e exotic ingredients of the Hippocratic Corpus that are accompanied by geographical epithets ..... 192 Table Th ree Greek products accompanied by geographical epithets in the Hippocratic Corpus ........................................ 194 Chapter Five Fertility and sex: Th e symbolism attached to some ingredients of the Hippocratic gynaecological recipes ............................................................................................... 197 Introduction .................................................................................... 197 Ingredients bearing sexual and fertility connotations in the gynaecological recipes ............................................................... 199 Ingredients used both to promote and to curb fertility .......... 214 Conclusions Refl ections on the notion of effi cacy ................ 219 Chapter Six Reading, studying and using the Hippocratic Catalogues of recipes ..................................................................... 225 Introduction .................................................................................... 225 Th e material presentation of recipe collections in antiquity and the Middle Ages ................................................................. 226 Th e audience of the Hippocratic recipes .................................... 231 Th e involvement of the female patient in her cure: An analysis of the feminine participles in gynaecological treatises . ....................................................................................... 248 Conclusions ..................................................................................... 257 contents ix Chapter Seven Th e aft erlife of Hippocratic recipes ................... 259 Introduction .................................................................................... 259 Hippocrates as an authority in the fi eld of pharmacology ..... 261 Hippocrates as a negative infl uence in the fi eld of pharmacology ............................................................................. 269 Unacknowledged borrowing or coincidental similarity? ......... 274 Latin translations of the Hippocratic gynaecological recipes .......................................................................................... 278 Conclusions ..................................................................................... 295 Conclusions Th e fl uidity of pharmacological knowledge ......... 297 Bibliography ......................................................................................... 303 General Index ...................................................................................... 327 Index of Passages Cited ..................................................................... 343 Index of Ingredients ........................................................................... 353