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extend access to Bulletin of the History of Medicine
DONALD W. PETERSON
* This paper is a slightly revised version of the first chapter of the author's doctoral dissertation, "Galen's
Therapeutics to Glaucon and its Early Commentaries" (1974). Work on the dissertation was supported by the
Josiah Macy, Jr. Foundation and by National Library of Medicine Public Health Service Training Grants.
1 Johannes Ilberg, "Geber die Schriftstellerei des Klaudios Galenos," Rheinisches Muséum für
Philologie, n.s. 1889, 44:207-239; 1892,47: 489-514; 1896,5/: 165-196; 1897, 52: 591-623.
2 Kurt Bardong, "Beiträge zur Hippokrates- und Galenforschung," Nachrichten von der Akademie der
Wissenschaften in Göttingen, Philologisch-historische Klasse, 1942, no. 7, pp. 577-640. See also Bardong' s
introduction to his edition of Galen's De causis procatarcticis, Corpus medicorum graecorum, Supplement 2
(Leipzig: B.G. Teubner, 1937).
3 See asterisked note above.
484
Bulletin Of The history Of medicine 51 484-495 (1 977)
Copyright ® 1977 by The Johns Hopkins University Press
All rights of reproduction in any form reserved.
Crises was much earlier than De libris propriis ,7 his date for the fo
otherwise unacceptable.
Galen recalls in a well-known passage in Prognosis to Epigenes
wrote many works, both philosophical and medical, when Marcus A
was away from Rome during the war with the Germans - that is, b
169 A.D. and November 176. When the Emperor returned, Galen gav
books to his friends; he would not have done so, had he known that
would then be given out to the unworthy.8 The books contained "th
theory of prognosis by the pulses and by the other prognostic signs
reader (i.e. Epigenes) wished to learn from them a certain point, he c
so by reading Crises .9
It is clear from these remarks that Crises was written before Marcus
Aurelius returned to Rome in November 176 and that Prognosis to Epigenes
was undertaken after he came back. According to Bardong, however, Galen
elsewhere tells Epigenes that Crises was one of three texts he had completed
only recently ( ëvayxoç ). Therefore, Bardong argues, Crises must have been
written just before November 176 and Prognosis to Epigenes just after.10
Bardong was aware, for the most part, of certain difficulties arising from
his conclusion. For example, he noted in the passage summarized above that
between November 176 and the writing of Prognosis to Epigenes the "many
books" Galen completed during the Emperor's absence were finally
released; first they were presented to Galen's friends, and then somehow
they were given out (perhaps "published" - èxòoOfjoaoOai) to the
unworthy.11 His problem, therefore, in setting a date for Prognosis to
Epigenes was that an event earlier than November 176 must still have been
"recent" when the text was written, and yet the text must have followed the
dissemination of Galen's work, which did not start until after November 176.
Bardong concluded that Galen wrote Prognosis to Epigenes at the beginning
of 177 ("Anfang 177"). 12 But whether Galen's numerous books could have
found their way to the unworthy in so brief an interval as November
176 - Anfang 177 is of course open to question.
A second problem has to do with other chronological data that Galen
provided. He told Epigenes that "fifteen years" had passed since he wrote
7 For the relatively late date of De libris propriis see Kurt Bardong, "Beiträge," especially p. 640. The date
of De crisibus is discussed below.
16 Bardong (ibid. p. 610, n.l) implies that "Anfang 177" lies somewhere in the fifteenth year after the
summer of 163, when in fact it is in the fourteenth.
17 De praenotione ad Posthumum 12 (Kühn 14: 661.15-663.10). Galen described Annia Faustina as
crvyyEvrjç ovoa rat avroxgaroQi eyyiora, which suggests Annia Fundiana Faustina, Marcus Aurelius' s
cousin. See Anthony Birley, Marcus Aurelius (Boston-Toronto: Little, Brown and Co., 1966), Appendix 2.
18 De praenotione ad Posthumum 12 (Kühn 14: 663.10-664.10).
19 Without changing the editor's punctuation or attempting to correct the obvious errors, the pass
"She was saying the above while going over to her carriage. As she was about to get on it, I
parting, "You have caused me to be hated by the physicians much more than before." Havin
myself (sic) told Peitholaos all about (sic). And furthermore, that on account of such physicians
wrote a work on the differences of fevers, another on critical days, and a third on crises, showin
theory by which one would have foreknowledge of what will happen to patients was written
Hippocrates. But they are so dull as to be incapable of learning such things, even with my own ex
For you, yourself, dear Epigenes, know what I have written, etc."
20 For two examples of Galen's use of xai pévroi xai in the same text see chapter 3 (Kühn 14: 6
chapter 12 (Kühn 14: 663.8). Numerous others can be found by consulting the appropriate indic
Corpus medic orum graecorum.
21 Which is: . . . ac digressus Pitholao ipse narravi. Quinetiam propter hujusmodi medicos opera
unum de febrium differentiis, etc.
22 One might postulate avxovç ("them"), referring to the Methodist physicians mentioned before, and just
after, the phrase in question.
23 Galen : Omnia quae extant opera ex secunda Juntarum editione ... ,4: 219-220.
24 The date of Commodus's departure is from Birley, Marcus Aurelius, p. 258. Commodus did not return to
Rome before his father did in November 176.
25 See note 19 above.
26 öxav ye äxgißwg fj Oegprļ xaì Ķrjga [sc. rj xov jieQié%ovxog àégog xçãoiç] xadómeg xfjxeç èv xã> /uexaÇv
xvvòç àvaxokfjg xai âgxxovQov. Ad Glauconem de medendi methodo 1.15 (Kühn 11: 44.5).
27 Elias J. Bickerman, Chronology of the Ancient World (London: Thames & Hudson, 1968), p. 185.
îijç ovvOéoeotç iv rolę jicqí (pao^íáxwv fiefiáOtpeaç (ibid., 2.2, Kühn 11: 81.7-10) and ôXXà crv ye tovtüiv ijòtì
xœv (pagpàxœv, œv èpvrjpóvevoa xará zò ßißXiov zovzo, zàç ovppezgíaç xe xal oxevaoíaç fyeiç nag ' rfplv
Xaßwv(ibid 2.9, Kühn 11: 124.10). See finally ibid. 2.7 (Kühn 11:110.16-18) and ibid. 2. 10 (Kühn 11: 133.6). In
at least one other work Galen has referred to his books on simple and compound drugs collectively as t] tieqì
xœv (pagpàxœv jiq ay gazeia (see De methodo medendi 14.4, Kühn 10: 955.2).
There are also references to (pagpaxizioi ßißXioig {Ad Glauconem 2.3, Kühn 11: 87.2, and ibid. 2.7, Kühn
11: 108 .paen.) whereby books by other physicians are probably intended. Cf. De compositione
medicamentorum secundum locos 7.1 (Kühn 13: 3.6) where we find özi òè TioXXr¡ zig èoziv f¡ òiacpogà xœv
yeygappévœv èv zaïç (pagpaxixioi ßißXioig vtzò xœv iazgœv.
44 Ilberg, "Schriftstellerei" (1889) pp. 226-227, assumes that the early version of tieqì ovvdéoeœç
(pagpàxœv was two books long and that both were destroyed. Galen, however, does not say precisely that. At
the very beginning of De compositione medicamentorum per genera (Kühn 13:362) he notes: v Hòrj poi xai
tcqóoOev èyéyQarrzo Jigaypazeía, ôvoîv pèv ēĶ avxrjç xœv Jigœzœv ßißXiwv èxôodévzœv, èyxazaXeizpQévzœv ôè
èv zfj xazà xrjv iegàv óôòv ànodijxrj pexà xœv àXXœv, rjví xa zò zfjç EÍQijvr}ç zépevoç ôXov èxavQrj xzX. That is,
Galen once wrote a work on compound drugs, of which two books were published, deposited near the Temple
of Peace, and then destroyed.
45 Ilberg, "Schriftstellerei" (1896) p. 180, argues that if De methodo medendi were not already in progress,
but merely anticipated, we should expect to find in the passage just translated above: ëozai ôè xaì àXXtj . . .
TZQaypaxeía instead of ëozt ôè xaì àXXrj . . . npaypazeia. But e oil is consistent with either possibility. Galen
merely says that his friends have asked him to write another book and implies that Glaucon will eventually
have it.
46 See Bardong, "Beiträge," p. 605, and Ilberg, "Schriftstellerei" (1892) p. 502, n.3.
47 (DOTiEQ ye xai xœv naga ņvoiv éutâvzœv õoai xaz ' eïôij ze xaì yévrj ôiatpoQai zvyxávonoiv o voai, Ttáoaç
èv zw tzeqì Ttadœv ôioQiÇópeda Xóyw. Ad Glauconem 1.1 (Kühn 11: 5.13). In at least one other passage De
symptomatum dijferentiis 1, Kühn 7:42) Galen calls all of these works a single Xóyoç.
48 ijv [sc. çvotv] èv zolę tieqì xQioípmv sc. r¡peQwv ôioQiÇópeda. Ad Glauconem 1 . 16 (Kühn 11: 66.7). Galen
also says Xéyezai ô ' etcì tzXeov pèv ézégwdi návza, where návxa means how to recognize a owpa
xoQaxxópevov vjzò (pvoewç TzaQaoxevaÇojuévrjç èní ze zàç àXXaç èxxQÍoeiç xai ov% rjxioza zàç ôi ' èpézwv ze
xai alpoģģayiag, œv àywQLOzóv èozi or] pelo v i] xetpaXaXyía (ibid. 1.16, Kühn 11: 64.16). Broadly speaking,
that is a pervasive theme of De diebus decretoriis, especially Books 1 and 2. It is dealt with more specifically
in De crisibus, especially Book 3.
Since all of the works mentioned were written near the end of 169 or
thereafter,49 that date is a terminus post quem for Therapeutics to Glaucon
as well. But it seems that between 169 and the time he began Therapeutics to
Glaucon Galen wrote enough to fill some four thousand or more pages in the
Kühn edition.50 Consequently, the text could not have been completed
before the early 170s.
There are a few difficulties that remain to be noted in regard to the new
dates proposed above. Since Galen evidently had nothing of De methodo
medendi he was able (or willing) to give Glaucon before the latter' s
departure, it is quite remarkable that at the same time he should have
referred to a De diebus decretoriis either completed or anticipated.51
According to Bardong, there were some nine works or portions thereof
written between De diebus decretoriis and De methodo medendi 1-6 (see
table 1).
Here again, however, Bardong proves to be substantially in error. For
example, the most recent of the nine works he believes to separate De diebus
decretoriis and De methodo medendi is Galen's In Hippocratis aphorismos.
Bardong placed the latter before Crises (and hence before De diebus
decretoriis) on the basis of a clearly suspicious passage in the Kühn edition
of Crises that Bardong reproduced as follows: ènei roívvv ànoòéòeixrai pèv
èv rã> JiQ(ín(ü Xóyo) rã) v ' lnjioxo&iovg âcpoQiopãv rjptov è^qyovpévcov.
(literally, "Since it has been shown in the first discourse of the Aphorisms of
Hippocrates we having commented.")52 Does the statement indeed refer to
Galen's formal commentary on the Aphorisms of Hippocrates? Or is it a
reference to the Aphorisms themselves, or to something entirely different?
One of several questions that arise is whether the full stop is in the right
place. The beginning of the "next sentence," cbg xâg avxijg rov vocnjuaxoç
xrjç <pvoea)ç xxX. ("That from the nature of the disease itself etc."), is not
reassuring. Fortunately, there is in this case no need to speculate further
because a critical edition of Crises is now available. Alexanderson' s version
of the passage in question reads: ènei roívvv ànoóéóeixxai uè v èv rã» Ttgórw
Xóyą> xòv ' IjiTzoxQÓTOvg àxpoQiopòv r¡pa)V kĶrļyovpev(ov <bç xaĶ avrfjç rov
voorjparoç rrjç (pvoeeaç o v opixgàv JiQÓyvwoiv ëveori X aß e lv eiç rà
52 "Beiträge," pp. 635-637. The passage is from De crisibus 3.8 (Kühn 9: 671.11).
TABLE 1
De plenitudine
De sanitate tuenda 4-5
In Hippocratis librum de fracturis
In Hippocratis de articulis librum
In Hippocratis de ulceribus librum
In Hippocratis de capitis vulneribus librum
In Hippocratis aphorismos
De die bus decretoriis
Crises
De febrium differentiis
"Nov. 176"**
De morborum temporibus
In Hippocratis epidemiarum libros 1
"Anfang 177"** Prognosis to Epigenes
avxcöv īovtoj póvov ojiXõjç vnooxQÉcpei, xwQÍÇ òXédQov, riva ôè xaì ôvvatòv rjpīv èaxiv èt-iãodaí xe xaì
xœXvoai naXivÒQopfjoai. neçi pèv òr} x ovxíov èv êxéQoiç vnopvrjpaoiv èÇrjyovpeda xř}v yvópijv avxov • jteqì
ôè rœv äpa xoîç Xvxtjqíoiç or] pao io iç navoapévcov, a òr} xaì xexQÍoOai Xéyexai, vvv fjyovfiai XQfjvai òieXdeív.
Here Bardong assumes (1) that è^rjyovpeQa is a present, and (2) that the subsequent èv èxéQoiç vnopvrjpaoiv
refers to Galen's commentaries on Hippocrates's Aphorismi, Prognosticon, and De morbis popularibus.
However, since Bardong also believes that the only one of these three commentaries written before De
crisibus was In Hippocratis aphorismos, he is obliged to interpret the above passage in two different ways: It
"zitiert" In Hippocratis aphorismos, he says, but merely "ankündigt" the commentaries to Prognosticon
and De morbis popularibus ("Beiträge," pp. 617, 637).
One of several other objections to this whole line of argument is that èv êxéQoiç vnopvrļpaoiv need not refer
here to any of Galen's formal "Hippocratic" commentaries. The plural vnopvrjpaxa can of course indicate
nothing more than a single multi-book work like De crisibus (see for example De crisibus 1.20, Alexanderson
124.4 = Kühn 9: 637 .paen.). More important, Galen does not refer to his remarks on all of what Hippocrates
discussed in the above works, but merely to a single broad topic (riva ô ' avrõjv . . . vnooxQêyei xxX.) that
Hippocrates happens to have taken up in various places. The importance of this distinction is further
emphasized by recalling that when Galen finally did undertake to write formal commentaries on the works of
Hippocrates, he considered the task "superfluous" (!) because in everything he had written he had "always
expounded the opinion of Hippocrates and juxtaposed the most important of his sayings." In his own words:
yiyvóoxmv ò ' èpavxòv èv ânaoiv olç éyeypácpeiv èÇrjyrjoápevov àeì xrļv "Innoxçáxovç yvóprjv, âpa xã> xaì
xàç èmxaiQoxáxaç avxov ģrjoecov jxaçaxedeíodai, jzeqlxxòv rjyovprjv eivai ygácpeiv èÇrjyijoeiç èv vjiopvrjpaai
xad ' êxáoxrjv XeĶiv an ' aQxfjç ècoç xéXovç ánávxov avxov xã>v ßißXiwv. ènei òe xai xavxaç exeiv 'eôerjdrjoav
evioi xã)v èxaÍQiov, ânò xwv yvrjoiœxàxcDv xai xQ^o^wá-xtov ' Innoxpáxovç ßißXiiov ^Q^áprjv xxX. (In
Hippocratis epidermiarum librum 3 comm.2 preface, CMG vol. 5.10.2.1: 60.11). Consequently, there is no
good reason to assume that Galen refers to formal "Hippocratic" commentaries in De diebus decretoriis. And
in any case, the work, or works, in question were not necessarily completed.
56 See Bardong, "Beitrage," pp. 617-622. The dependence of the position of the preceding four
"Hippocratic" commentaries on that of In Hippocratis aphorismos is decisive. When the latter is displaced,
so must the others follow.
57 Ibid.
58 The correct date of De praenotione ad Posthumum is 178 or early 179. The terminus ante quern for De
crisibus (as well as De febrium differentiis and De diebus decretoriis) is 19 May 175. See above.
59 The position Bardong has assigned to the first edition of De diffìcultate respirationis would be somewhat
stronger if it were not necessary to remove the five "Hippocratic" commentaries which Bardong has placed
shortly after it. Once this alteration is made, a number of difficulties already disturbing become still more so:
(1) De diffìcultate respirationis was anticipated as early as the time of De respirationis usu, and it was cited
in at least four works which Bardong has put before De methodo medendi ("Beiträge," pp. 634-635). To
make good his claim that De diffìcultate respirationis was first written after De methodo medendi, Bardong
assumed that the four early works citing it were all re-edited. Bardong' s resolution of this and similar
problems is based on the quite arbitrary belief that later additions to a text cannot have been substantial (see,
in the present instance, "Beiträge," pp. 606-607). Obviously, the possibility remains that one edition of De
diffìcultate respirationis appeared before De methodo medendi.
(2) Bardong claims repeatedly that, when dealing with a revised book, it is possible, merely by looking at a
citation therein, to tell whether it was also present in the (now lost) first edition, or only added in the (existing)
second edition. If Bardong is not allowed this somewhat doubtful claim, the question of an edition of De
diffìcultate respirationis between De methodo medendi and De diebus decretoriis does not arise. If he is
allowed it, it proves in this case to have a double edge. When the five "Hippocratic" commentaries are
removed, the only citations remaining to suggest an edition of De diffìcultate respirationis during this interval
are those in De marcore 5 (Kühn 7: 685. 10), and De diebus decretoriis 2. 12 (Kühn 9: 890.3), and each of these
meets precisely Bardong' s criteria for the recognition of "Zusätze," or later additions.
60 There is no reference to the first six books of De methodo medendi in De diebus decretoriis.
61 There is also positive evidence of sorts that Ad Glaucone m was never revised. The books Galen wrote
between 169 and November 176 are, as a rule, very difficult to arrange in chronological order. Perhaps that is
due to the fact that Galen held on to them until the end of that period (see above) and thus had the opportunity
to revise. Ad Glaucone m is an exception. It was written for a man who was going abroad and whose departure
was so close at hand that Galen was apparently obliged to omit material he would otherwise have included
(see chapter two of the present author's doctoral dissertation, "Galen's Therapeutics to Glaucon and its Early
Commentaries"). The potential usefulness of Ad Glauconem for the purpose of dating the other texts
mentioned therein has not been fully utilized above.