Aretaeus of Cappadocia

Aretaeus, is one of the most celebrated of the ancient Greek physicians, of whose life, however, few particulars are known. There is some uncertainty regarding both his age and country, but it seems probable that he practised in the first century after Christ, in the reign of Nero or Vespasian. He is generally styled "the Cappadocian".

He wrote in Ionic Greek a general treatise on diseases, which is still extant, and is certainly one of the most valuable relics of antiquity, displaying great accuracy in the detail of symptoms, and in seising the diagnostic character of diseases. In his practice he followed for the most part the method of Hippocrates, but he paid less attention to what have been styled "the natural actions" of the system; and, contrary to the practice of the Father of Medicine, he did not hesitate to attempt to counteract them, when they appeared to him to be injurious. One disease he described was later known as Celiac Disease and is common in the world today.

The account which he gives of his treatment of various diseases indicates a simple and sagacious system, and one of more energy than that of the professed Methodici. Thus he freely administered active purgatives; he did not object to narcotics; he was much less averse to bleeding; and upon the whole his Materia Medica was both ample and efficient. It may be asserted generally that there are few of the ancient physicians, since the time of Hippocrates, who appear to have been less biased by attachment to any peculiar set of opinions, and whose account of the phenomena and treatment of disease has better stood the test of subsequent experience. Aretaeus is placed by some writers among the Pneumatici because he maintained the doctrines which are peculiar to this sect; other systematic writers, however, think that he is better entitled to be placed with the Eclectics.

His work consists of eight books, two De causis et signis acutorum morborum, two De causis et signis diuturnorum morborum, two De curatione acutorum morborum, and two De curatione diuturnorum morborum. They are in a tolerably complete state of preservation, though a few chapters are lost.

The work was first published in a Latin translation by JP Crassus, Venet. 1552, 4to., together with Rufus Ephesius. The first Greek edition is that by J Goupylus, Paris, 1554, 4to., which is more complete than the Latin version of Crassus. In 1723 a magnificent edition in folio was published at the Clarendon press at Oxford, edited by J Wigan, containing an improved text, a new Latin version, learned dissertations and notes, and a copious index by Maittaire. In 1731, the celebrated Boerhaave brought out a new edition, of which the text and Latin version had been printed before the appearance of Wigan's and are of less value than his; this edition, how­ever, contains a copious and useful collection of annotations by P Petit and DW Triller. The useful edition by CG Kühn, Lips. 1828, 8vo., included Wigan's text, Latin version, dissertations, etc., together with Petit's Commentary, Triller's Emendations, and Mait­taire's Index. An edition by FZ Ermerins was published in Utrecht in 1847.

A more recent standard edition is by Karl Hude (1860-1936) in the Corpus medicorum graecorum (2nd ed., Berlin, Akademie-Verlag, 1958). The four books De causis et signis have now been issued in an annotated bilingual edition in Greek and French (Arétée de Cappadoce, Des causes et des signes des maladies aiguës et chroniques, trans. R.T.H. Laennec, ed. and comm. Mirko D. Grmek, pref. by Danielle Gourevitch, Geneva, 2000).