Month: May 2013

According to Christian scripture, Jesus of Nazareth and his disciples were popularly acclaimed healers within a highly competitive medical services market.  A Syriac Christian text, probably from no later than the early fifth century, addressed Jesus as “Jesus, the Good Physician.”  The epithet “the Good Physician” was not just abstract spiritual praise.  In the Roman Empire, bad physicians traded on complex, intellectually prestigious, costly, and dangerous treatments to amass great wealth for themselves.  Jesus the Good Physician healed without cost through a word or a touch.

Bad physicians converted medical knowledge into prestigious professional secrets.  Once upon a time, persons grateful for cures inscribed those cures on the walls of the temple of Asclepius (Asculapius), the god of medicine.  Hippocrates copied the inscribed cures into books.  After the temple of Asclepius burned down, these once-public inscriptions became the Hippocratic school’s professional trade secrets.  The public came to attach great intellectual prestige to Greek learning.  Greek medical treatises and Greek doctors then dominated the Roman medical business.  That is the professional history of medicine according to the Roman statesman and encyclopedist Pliny the Elder, writing about the time of Jesus.[1]

Bad physicians were avaricious.  Pliny explained:

There was no limit to the profit from medical practice, for one of the pupils of Hippocrates, Prodicus, born in Selymbria, founded iatraliptice (“ointment cure”), and so discovered revenue even for the anointers and drudges of the doctors.

{ nec fuit postea quaestus modus, quoniam Prodicus Selymbriae natus, e discipulis eius, instituit quam vocant iatralipticen et unctoribus quoque medicorum ac mediastinis vectigal invenit. }

According to Pliny, no art brings greater monetary profits to practitioners than does medicine.  Pliny explained that some believe nothing is beneficial unless it is costly.  Pliny described physicians receiving huge incomes and amassing enormous wealth from serving emperors.

Bad physicians favored false knowledge.  Pliny deplored bad physicians’ irresponsibility:

their out-of-the-way use of hot water in sickness, their strict fasts for patients, who when in a fainting condition are stuffed with food several times a day, their thousand ways of changing their minds, their orders to the kitchen, and their compound ointments, for none of life’s seductive attractions have they refrained from incorporating. … There is an elaborate mixture called theriac, which is compounded of countless ingredients, although Nature has given as many remedies, anyone of which would be enough by itself.  The Mithridatic antidote is composed of fifty-four ingredients, no two of them having the same weight, and some are prescribed at one sixtieth part of one denarius.  Which of the gods, in the name of Truth, fixed these absurd proportions?  No human brain could have been sharp enough. It is plainly a showy parade of the art, and a colossal boast of science. And not even the physicians know their facts.  I have discovered that instead of Indian cinnabar there is commonly added to medicines, through a confusion of names, red lead, which, as I shall point out when I discuss pigments, is a poison.

{ in morbis aquarum calidarum deverticulis imperiosa inedia et ab isdem deficientibus cibo saepius die ingesto, mille praeterea paenitentiae modis, culinarum etiam praeceptis et unguentorum mixturis, quando nullas omisere vitae inlecebras. … theriace vocatur excogitata compositio. fit ex rebus sexcentis, cum tot remedia dederit natura quae singula sufficerent. Mithridatium antidotum ex rebus LIIII componitur, inter nullas pondere aequali et quarundam rerum sexagesima denarii unius imperata, quo deorum, per Fidem, ista monstrante! hominum enim subtilitas tanta esse non potuit, ostentatio artis et portentosa scientiae venditatio manifesta est. ac ne ipsi quidem illa novere, conperique volgo pro cinnabari Indica in medicamenta minium addi inscitia nominis, quod esse venenum docebimus inter pigmenta. }

Pliny described one physician as successfully gaining a large following by combining medicine with astrology.  A competing physician responded by substituting cold baths for hot baths “even during the winter frosts.”  Such innovations did not serve sick patients:

There is no doubt that all these, in their hunt for popularity by means of some novelty, did not hesitate to buy it with our lives.  Hence those wretched, quarrelsome consultations at the bedside of the patient, no consultant agreeing with another lest he should appear to acknowledge a superior.  Hence too that gloomy inscription on monuments: “It was the crowd of physicians that killed me.” Medicine changes every day, being refurbished again and again, and we are swept along on the puffs of the clever brains of Greece.

{ nec dubium est omnes istos famam novitate aliqua aucupantes anima statim nostra negotiari. hinc illae circa aegros miserae sententiarum concertationes, nullo idem censente, ne videatur accessio alterius. hinc illa infelix monumentis inscriptio, turba se medicorum perisse. mutatur ars cottidie totiens interpolis, et ingeniorum Graeciae flatu inpellimur }

Physicians came not just for the sick, but also for the healthy.  Physicians governed daily life:

Those, I say, have ruined the way of life of the Empire. I mean the practices to which we submit when in health — wrestlers’ ointments, as though they were intended to treat ill health; broiling baths, by which they have persuaded us that food is cooked in our bodies, so that everybody leaves them the weaker for the treatment, and the most submissive are carried out to be buried; the sips taken fasting; vomitings followed by further heavy drinks; effeminate depilations produced by their resins, and even the vaginas of women exposed to public view.

{ illa perdidere imperii mores, illa quae sani patimur, luctatus ceromata ceu valitudinis causa instituta, balineae ardentes quibus persuasere in corporibus cibos coqui ut nemo non minus validus exiret, oboedientissimi vero efferrentur, potus deinde ieiunorum ac vomitiones et rursus perpotationes ac pilorum eviratio instituta resinis eorum, itemque pectines in feminis quidem publicati. }

The problem is not just bad physicians, but also human nature:

The medical profession is the only one in which anybody professing to be a physician is at once trusted, although nowhere else is an untruth more dangerous. We pay however no attention to the danger, so great for each of us is the seductive sweetness of wishful thinking.

{ in hac artium sola evenit ut cuicumque medicum se professo statim credatur, cum sit periculum in nullo mendacio maius. non tamen illud intuemur, adeo blanda est sperandi pro se cuique dulcedo. }

Within common understanding of the physician’s heart is personal care.  The sick and the well yearn for a good physician.

Ancient followers of Jesus understood Jesus to be a good physician in ways that contrast specifically with Pliny’s description of bad physicians.  In the Gospel of Mark, a woman suffering from an issue of blood for twelve years received no benefit from the services of other physicians:

She had endured much under many physicians, and had spent all that she had; and she was not better, but rather grew worse.

{ καὶ πολλὰ παθοῦσα ὑπὸ πολλῶν ἰατρῶν καὶ δαπανήσασα τὰ παρ᾽ αὐτῆς πάντα καὶ μηδὲν ὠφεληθεῖσα ἀλλὰ μᾶλλον εἰς τὸ χεῖρον ἐλθοῦσα }[2]

She was healed just by touching Jesus’ clothes.

Jesus and other outstanding physicians were believed to be capable of raising the dead.  In the ancient medical business, what made Jesus distinctive as a good physician was more than a reputation for raising the dead.  In a Syriac text probably from no later than the early fifth century, Abgar, the King of Edessa, wrote to Jesus:

Abgar Ukkama, to Jesus, the Good Physician, who has appeared in the country of Jerusalem. My Lord: Peace. I have heard of you and of your healing, that it is not by medicines and roots that you heal, but by your word you open the eyes of the blind, you make the lame to walk, you clean the lepers, and you make the deaf hear.  And unclean spirits and lunatics, and those tormented, them you heal by your word.  You also raise the dead. [3]

In this text, raising the dead is a supplementary medical capability.  King Abgar had a physical illness.  His first interest was in the sort of healing usually done with medicines and roots.  Jesus could heal with just words: “only say the word, and my servant will be healed {μόνον εἰπὲ λόγῳ καὶ ἰαθήσεται ὁ παῖς μου}.”[4]  Abgar requested Jesus to come and heal him.  Jesus, focused on his primary mission in Jerusalem, promised to send one of his disciples to Edessa to heal Abgar.  The disciple who went to Abgar was Addai the Apostle.  Addai was one of the seventy-two first apostles of Jesus.  Addai, with a touch of his hand, healed Abgar instantly.  Addai then refused to take any gold and silver for his healing service.  Instead, he proclaimed publicly the new knowledge of Jesus.  Simple, costless healing, without effort to conceal professional knowledge, characterized Jesus and his apostle Addai as good physicians.[5]

Many good physicians today draw upon deep medical knowledge and complex medical procedures.  Nonetheless, what makes a good physician today has important commonalities with what made a good physician in Jesus’s day. The good physician does only what is truly necessary to make the patient well and shares with others knowledge to heal.

*  *  *  *  *

Read more:

• Jesus and his disciples within the ancient medical business
• stories of physicians raising the dead
• ancient physicians with difficult patients

Notes:

[1] Pliny the Elder, Natural History, Latin text and English translation from Rackham, Jones & Eichholz (1949), Bk. 29, sec. 2.  Pliny’s history appears to be similar in form to recent scholarly work on discrimination against men on sinking ships.  Nutton (2013), p. 168, describes Pliny as having provided a “magnificently malicious account of the crimes and follies of the medical profession.”  The dominance of Greek medicine was real.  More than 95% of doctors known to have worked in Italy or the western Latin provinces of the Roman Empire before 100 GC had Greek names.  Id.  All the subsequent references and quotes, unless otherwise noted, are from Pliny, Natural History, Bk. 29, secs. 1-9.  I’ve made minor stylistic changes to some of the quoted translations for ease of reading.

[2] Mark 5:26.  Luke, a physician according to Christian tradition, omits that the woman had endured much {suffering} under physicians’ treatments and had only gotten worse.  Luke 8:43.  Matthew omits all reference to physicians in this story.  Matthew 9:20.

[3] The Doctrine of Addai, trans. from Syriac in Phillips (1876).  I’ve modernized the English of the translation.  The subsequent account above is from the Doctrine of Addai.  Abgar’s letter to Jesus probably isn’t historical.  In any case, it contains an early Christian understanding of Jesus.  Subsequently Addai refers to Jesus as “Jesus Christ, the Physician of troubled souls, and the Saviour of future life, the Son of God.”  The context backgrounds mundane healing practice and highlights Christian doctrine.  For a general review and analysis of the Doctrine of Addai, see Griffith (2003).  On the rise of Christianity in Edessa and Syria, El-Badami (2006).

Jesus was known as a physician from no later than the second century. In that century, both Ignatius, Bishop of Antioch, and Justin Martyr referred to Jesus as a physician.  Rayner (1973) p. 85, Ordine (2017).

A struggle for authority between the ancient Greek physician-god Asclepius (Aesculapius) and Jesus occurred in the second and third centuries. In To the Nations {Ad nationes} 2.14, Tertullian disparaged Asclepius  as “illegitimate, since from an uncertain father {spurius ut incerto patre}” and claimed that Asclepius “puts medical arts for sale in violation of duty {praeuaricatione uenalis medicinae agebat}” and “was trumpeted as condemned for his desire and greed for money {cupiditatem et avaritiam lucri in eo canit iudicatam}.” Similarly, Tertullian, Apology {Apologeticum} 14.5. Cf. Heyne (2011). In contrast, Tertullian in Against Marcion {Adversus Marcionem} 3.17 described Jesus as “healer {mediator}.” Origen’s Against Celsus / Contra Celsum {Κατὰ Κέλσου}, written about 248 GC, disparaged Asclepius and described Jesus as the great physician. Pease (1914) p. 74; Arbesmann (1954) p. 3. On the conflict more generally, Spampinato (2020).

Both Jerome and Augustine lauded Jesus as a physician. Jerome referred to Jesus as “the true physician {verus medicus}”, “the only physician {solus medicus}”, “himself both physician and medicine {ipse et medicus et medicamentum}”, “true head physician {verus archiater}”, and “a kind of Hippocrates for the spirit {quasi spiritualis Hippocrates}.” For textual references, Pease (1914) pp. 74-5. Augustine frequently used the theme “Christ the physician {Christus medicus}.” For textual references, Arbesmann (1954), Marciniak (2019).

An inscription found at the site of the Roman city of Thamugadi (Timgad) in present-day Algeria states:

I beg you to help me, Lord Christ, you alone are the physician of saints and penitents.

{ Rogo te, Domine, subveni, Christe, tu solus medicus sanctis et penitentibus }

Latin text from Monceaux (1924), my English translation. The inscription probably dates from late-fourth-century conflict under the Donatist Bishop Optatus of Thamugadi. See note of M. Albertini, associated with Monceaux (1924). Cf. Rayner (1973) p. 88.

[4] Matthew 8:8.

[5] In a medieval Jewish story, a demon at a heathen (Christian) medical shrine says to a Jew who came there for healing:

If you are Jewish, why have you come here?  Can a Jew traffic in idolatry?  Don’t you know that heathen rites have nothing real in them?  It is for this reason that I am misleading them, so they will cling to error, and they’ll have no portion in the world to come.  But you, why have you run to alien worship instead of standing up to pray before the Holy One, blessed be He, who is the one to cure you?  You should know that by tomorrow your time had come to be healed, but because you have done this, you will never find a cure.  Therefore, do not trust in any mortal being, but rather in the Holy One, blessed be He — for He, this kingly God, is a physician who heals for free!

Trans. Rosenberg (1998) p. 97 (on 2nd commandment).  Despite Jesus healing for free, the sale of blessings and unctions for the sick became deplorably prevalent in the medieval Christian church.

References:

Arbesmann, Rudolph. 1954. “The Concept of Christus Medicus in St. Augustine.” Traditio. 10: 1–28.

El-Badami, Emran.  2006. “Tales of King Abgar: A Basis to Investigate Earliest Syrian Christian Syncretism.” Journal of Assyrian Academic Studies v. 20, n. 2.

Griffith, Sidney H. 2003. “The Doctrina Addai as a Paradigm of Christian Thought in Edessa in the Fifth Century.” Hogoye Journal of Syriac Studies 6.2: 269-292.

Heyne, Thomas. 2011. “Tertullian and Medicine.” Studia Patristica. 50: 131–174.

Marciniak, Bernard Jarosław. 2019. “Medical Metaphors in Augustine’s Letters.” Vox Patrum. 71: 373-388.

Monceaux, Paul. 1924. “Nouveau Fragment de l’Inscription ChréTtenne de Timgad relative au Christus Medicus.” Comptes rendus des séances de l’Académie des Inscriptions et Belles-Lettres. 68 (1): 78–81. Note de M. Albertini directeur du service des antiquités de l’Algérie.

Nutton, Vivian. 2013. Ancient Medicine. 2’nd ed. London: Routledge.

Ordine dei Ministri degli Infermi Religiosi Camilliani. 2017. “Christe the physician in the thought of St.Augustine.” Posted online Sept. 5, 2017.

Pease, Arthur Stanley. 1914. “Medical Allusions in the Works of St. Jerome.” Harvard Studies in Classical Philology. 25: 73–86.

Phillips, George, ed. and trans. 1876. The doctrine of Addai, the Apostle: now first edited in a complete form in the original Syriac, with an English translation and notes. London: Trübner.

Rackham, H., W.H.S. Jones, and D.E. Eichholz. 1949-54. Pliny the Elder. Natural history. Loeb Classical Library. Cambridge, MA: Harvard University Press.

Rayner, S. L. 1973. The Early Church and the Healing of the Sick. M.A. Thesis, Durham University, UK.

Rosenberg, Joel.  1998.  “Midrash on the Ten Commandments.”  Ch. 5 (pp. 91-120) in Stern, David, and Mark Mirsky. 1998. Rabbinic fantasies: imaginative narratives from classical Hebrew literature. New Haven: Yale University Press.

Spampinato, Gaetano. 2020. “The Use of the Figure and the Myth of Asclepius in the Greek anti-pagan Controversy.” Electra (Departmentof Philology, University of Patras, Greece). 5. Online.