Galen's
Humours
Galen's
view of human anatomy became the framework for all
further consideration of the body and its brain for the
next 1500 years. Investigative inquiry into the anatomy
didn't begin until Nicholas
Copernicus challenged the
prevailing Church backed view of the world as the centre
of the universe by showing that the earth and the planets
moved around the sun; and William
Harvey demonstrated that the
blood was pumped in circulation
around the body. But the concept of "pneuma"
still held sway in any discussion of the brain. Rene Descartes
wrote, in the mid 17th century, in reference to the
ventricles:
"The cavities of the brain are
central reservoirs...animal spirits enter these
cavities. They pass into the pores of its substance
and from these pores into the nerves. The nerves may
be compared to the tubes of a waterworks; breathing
or other actions depend on the flow of animal spirits
into the nerves. The rational soul (the pineal) takes
place of the engineer, living in that part of the
reservoir that connects all of the various tubes.
These spirits are like the wind. When they flow into
a muscle they cause it to become stiff and harden,
just as air in a balloon makes it hard."
[Bergland, p61]
Robert Burton
in The Anatomy of Melancholy
(first published in London in 1652) represents the
"humours" view based on Galen. His book is
possibly the first major treatise on a psychological
problem, namely depression, ever published. In it Burton
summarises the state of physiology with discussion of the
humours.
 Title
page from Robert Burton's
The Anatomy of Melancholy,
1651. |
The four humors were:
"blood
[sanguine] a hot, sweet,
temperate humour whose office is to nourish the
whole body, to give it strength and colour.
pituita [phlegm]
a cold and moist humour, his office is to nourish
and moisten the members of the body.
choler [yellow
bile] hot, dry, bitter,
helps the natural heat and senses, and serves to
the expelling of excrements.
melancholy [black
bile] cold, dry, thick,
black, and sour."
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He then goes on to describe the brain as a
device for distilling the animal spirits:
"...the brain...is a soft, marrowish,
and white substance, engendered of the purest part of
seeds and spirits, included by many skins, and seated
within the skull or brain pan; and it is the most
noble organ under heaven, the dwelling-house and seat
of the soul, the habitation of wisdom, memory,
judgement, reason and in which man is most like unto
God; and therefore nature hath covered it with a
skull of hard bone, and two skins or membranes,
whereof the one is called dura
mater, or meninx, the other pia
mater. The dura mater is next
to the skull, above the other, which includes and
protects the brain. When this is taken away, the pia
mater is to be seen, a thin membrane, the next and
immediate cover of the brain, and not covering only,
but entering into it.
The brain itself is divided into two
parts, the fore and hinder part; the fore part is
much bigger than the other, which is called the
little brain in respect of it. This fore part hath
many concavities distinguished by certain ventricles,
which are the receptacles of the spirits, brought
hither by the arteries of the heart, and are there
refined to a more heavenly nature, to perform the
actions of the soul. Of these ventricles there are
three - right, left, and middle. The right and left
answer to their site and beget animal spirits; if
they be in any way hurt, sense and motion ceaseth.
These ventricles, moreover, are held to be the seat
of the common sense. The middle ventricle is a common
concourse and cavity of them both, and hath two
passages - the one to receive pituita, and the other
extends itself to the fourth creek; in this they
place imagination and cogitation, and so the three
ventricles of the fore part of the brain are used.
The fourth creek behind the head is common to the
cerebral or little brain, and marrow of the back
bone, the last and most solid of all the rest, which
receives the animal spirits from the other
ventricles, and conveys them to the marrow in the
back, and is the place where they say the memory is
seated." [Burton, p97]
And so in referring to the cause of disease
and paricularly mental dis-ease he says:
"...as the body works upon the mind
by his bad humours, troubling the spirits, sending
gross fumes into the brain, and so per consequens the
faculties of it, with fear, sorrow, &c., which
are ordinary symptoms of this disease [melancholy]:
so on the other side, the mind most effectualy works
upon the body, producing by his passions and
perturbations miraculous alterations, as melancholy,
despair, cruel diseases, and sometimes death
itself." [Burton, p164]
To revue Burton: The rational soul was seated
in the brain, and received sensations and controlled
movement via the action of the fluid 'animal spirit'.
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