The Hippocratic Oath

I swear by Apollo Physician, by Asclepius, by Hygiaea, by Panacea, and by all the gods and goddesses, making them my witnesses, that I will carry out, according to my ability and judgment, this oath and this indenture. To hold my teacher in this art equal to my own parents; to make him partner in my livelihood; when he is in need of money to share mine with him; to consider his family as my own brothers, and to teach them this art, if they want to learn it, without fee or indenture; to impart precept, oral instruction, and all other instruction to my own sons, to the sons of my teacher, and to indentured pupils who have taken the physician’s oath, but to nobody else. I will use treatment to help the sick according to my ability and judgment, but never with a view to injury and wrongdoing. Neither will I administer a poison to anybody when asked to do so, nor will I suggest such a course. Similarly I will not give to a woman a pessary to cause abortion. But I will keep pure and holy both my life and my art. I will not use the knife, not even, verily, on sufferers from stone, but I will give place to such as are craftsmen therein. Into whatsoever houses I enter I will enter to help the sick, and I will abstain from all intentional wrongdoing and harm, especially from abusing the bodies of man or woman, bond or free. And whatsoever I shall see or hear in the course of my profession, as well as outside my profession in my intercourse with men, if it be what should not be published abroad, I will never divulge, holding such things to be holy secrets. Now if I carry out this oath, and break it not, may I gain forever reputation among all men for my life and for my art; but if I transgress it and forswear myself, may the opposite befall me.⁷⁶

The physician, Hippocrates adds, should maintain a becoming exterior, keeping his person clean and his clothing neat. He must always remain calm, and must make his behavior inspire the patient with confidence.⁷⁷ He must

keep a careful watch over himself, and . . . say only what is absolutely necessary. . . . When you enter a sick man’s room, bear in mind your manner of sitting, reserve, arrangement of dress, decisive utterance, brevity of speech, composure, bedside manners . . . selfcontrol, rebuke of disturbance, readiness to do what has to be done. . . . I urge you not to be too unkind, but to consider carefully your patient’s superabundance or means. Sometimes give your services for nothing; and if there be an opportunity of serving a stranger who is in financial straits, give him full assistance. For where there is love of man, there is also love of the art.⁷⁸

If, in addition to all this, the physician studies and practices philosophy, he becomes the ideal of his profession; for “a physician who is a lover of wisdom is the equal of a god.”⁷⁹

Greek medicine shows no essential advance upon the medical and surgical knowledge of Egypt a thousand years before the various Fathers of Medicine; in the matter of specialization the Greek development seems to have fallen short of the Egyptian. From another point of view we must hold the Greeks in high esteem, for not until the nineteenth century of our era was any substantial improvement made upon their medical practice or theory. In general, Greek science went as far as could be expected without instruments of observation and precision, and without experimental methods. It would have done better had it not been harassed by religion and discouraged by philosophy. At a time when many young men in Athens were taking up with enthusiasm the study of astronomy and comparative anatomy, the progress of science was halted by obscurantist legislation, and the persecutions of Anaxagoras, Aspasia, and Socrates; while the famous “turning around” of Socrates and the Sophists from the external to the internal world, from physics to ethics, drew Greek thought from the problems of nature and evolution to those of metaphysics and morals. Science stood still for a century while Greece succumbed to the charms of philosophy.