Ancient Greek Health Theories: Understanding the Melancholic Mean in Aristotelian Problema XXX.1 :: Philosophy Medicine

Ancient Greek Health Theories: Understanding the Melancholic Mean in Aristotelian Problema XXX.1 ABSTRACT: In ancient Greek theories of health, it was the equal balance or mixing of the humors or elements (i.e., the isonomic mean) that comprised the ideal healthy state. In the Aristotelian Problema XXX.1, however, there is a description of a form of melancholic constitution that is both 1) itself characterized as a mean, and 2) thought to lead to intellectual outstandingness. This is theoretically problematic since the melancholic constitution was by definition a constitution in which there was a natural preponderance of black bile. Thus, there appear to be two incompatible means that are descriptive of the ideal in ancient Greek medicine: the isonomic mean that underlies the ideal healthy state, and the melancholic mean that describes the melancholic who is capable of greatness. This paper attempts to understand the melancholic mean as described in Problema XXX.1 by considering the two different but related models of this mean that are suggested in the text. A reconciliation of the two somatic ideals is argued for on the basis of what else is said in the Problema, as well as ideas found in the Hippocratic work Airs, Waters, Places and other Aristotelian Problemata. Why is it that all those who have become eminent in philosophy or politics or poetry or the arts are clearly of an atrabilious temperament, and some of them to such an extent as to be affected by diseases caused by black bile, as is said to have happened to Heracles among the heroes? (Problemata XXX.1 953a10-14) (1) So begins the Aristotelian Problema XXX.1. Why indeed! The atrabilious temperament or melancholia is, according to Aristotle, a natural disposition in which there is a preponderance of black bile over the other humours. The healthy somatic ideal, however, was conceived by Greek medical theorists as the equality of the humours, either with respect to their quantity or their relative strengths (quality); disease was by definition an excess of one of the humours or elements. If the ideal state with respect to the humours was equality or isonomic proportion, but "all those who have become eminent in philosophy or politics or poetry or the arts..." be melancholics, then which state is the ideal — health or melancholia? The explicit association of melancholia with genius is found for the first time in this Problema. The author was working within a long tradition that linked the ideal state with a mean.