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He also held that there were primary and secondary features of these elements that related to temperature and humidity—air being wet first and hot second; fire being hot and dry; earth being dry and cold; and water being cold and wet. According to Galen, imbalances or improper mixing between these features led to ill health. Galen also grafted onto the humors and elements a series of behavioral types or personality traits that had been earlier postulated by Aristotle. Galen suggested that an excess of a certain humor in the body produced a particular temperament or disposition in that person.
The practitioner might begin by studying the skin, taking the pulse (which indicated heart “spasms,” since blood circulation had not been discovered), and noting the breathing patterns. Perhaps he or she would make a few incisions in a vein to assess the quality of the blood—runny or sticky, bright or dark—and then sniff, prod, decant, and generally scrutinize the liquid and solid excrement. Tasting blood, urine, and even feces might be necessary, as well as swirling them around with various 49 50 BELIEFS AND TRADITIONS TO 900 chemical reagents.
Much of the description is given in graphic, practical detail. For instance, Soranus spends time detailing the characteristics he expects of the ideal midwife—including discretion, literacy, mental ability, good memory, respectability, soundness of limb, robustness… and long, slim fingers with short nails. For all its other achievements, however, the medicine of Ancient Rome will always be dominated by Galen. 117). With the ban on human cadaver dissection then circumventable, Liuzzi reintroduced the process into his medical courses.