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Chapter 5 - Exhortation to the Study of Medicine

from Part II - Case Studies

Published online by Cambridge University Press:  14 December 2023

Sophia Xenophontos
Affiliation:
Aristotle University, Thessaloniki

Summary

Chapter 5 turns the spotlight on the rather overlooked treatise Exhortation to the Study of Medicine. It argues that in this work Galen constructs or conjures up images of young readers, intending it to act as an educational manual in moral intensification for prospective medical students. It hence demonstrates how Galen’s concern for his reader’s acculturation might explain the appropriation of advice and the selection of relevant material from a long-established protreptic tradition. In discussing Galen’s moralising methods and the pedagogical elements of the essay, this Chapter also draws links between Galenic and Plutarchan moralism, dealt with in detail for the first time, and thereby arguing that Galen’s moral writings need to be construed in the light of Imperial-period practical ethics. That proposition receives further support from the special features of Galen’s protreptic discourse discussed in this Chapter, especially practicability and effectiveness resulting from the author’s philosophical leanings (e.g. his Platonic-Aristotelian background) and medical expertise (the mechanics of the body and his emulation of Hippocrates in the second part of the essay).

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Publisher: Cambridge University Press
Print publication year: 2024
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In his history of ancient Rome, Cassius Dio records the story of Gellius Maximus, a legionary commander in Syria, who in 219 AD raised a revolt against the Roman emperor in order to assume supreme power. Cassius considers this incident a most fitting revelation of the degeneracy of the Imperial world, in that the son of a physician had aspired to become emperor (Roman History 80.7.1-2). Whatever the historical accuracy as to the social status of the person involved,Footnote 1 the story reflects long-standing prejudices against medicine, which had not always been a well-respected profession.Footnote 2 One of Galen’s most structured attempts to respond to such biases in a single work is perhaps his Exhortation to the Study of Medicine (henceforth in its abbreviated form Exhortation), which aimed to elevate the status of the art he was so passionately serving.

The Exhortation, classified among Galen’s works related to the empiricist medical school,Footnote 3 is an unusual treatise both in the topics it tackles and in its style and form of argumentation more generally. In the first part (chapters 1–14), the author discusses the importance of engaging with the liberal arts, preparing the ground for a more specialised exaltation of the greatest of them, medicine. That was explored in the second part, which does not survive.

The dual subject of the work might partly explain its controversial title, which continues to perplex scholars to this day. Should it be called Exhortation to the Study of Medicine, as Galen himself appears to have called it in My Own Books?Footnote 4 It is given this same title by St Jerome in the fourth centuryFootnote 5 and by Ḥunayn ibn ʾIsḥāq (d. 873) in his Arabic translation of the title.Footnote 6 Or should it be called Exhortation to the Study of the Arts in accordance with the quite reliable Aldine version (dated to 1525), our earliest surviving testimony of the work in the absence of any Greek manuscript?Footnote 7 Whatever the answer to that might be, the existence of two alternative titles found in the various stages of the transmission of the text shows with some degree of certainty that, when the treatise was rediscovered in later times, its two sections must have been received as distinct thematic units,Footnote 8 presumably serving the purposes of different readerships. There is no evidence, however, to suggest that the work circulated in two different parts in Galen’s own time. Therefore it would be fair to say that it was originally published as a single entity and intended for a specific audience, as will be discussed below.Footnote 9 Furthermore, although we are not in a position to reconstruct the lost part on medicine, scholars have been right to suggest that it must have contained traditional material about the importance of the medical art, which Galen would have employed in other instances within his corpus, for instance in The Best Doctor is Also a Philosopher.Footnote 10 Conversely, Galen’s encouragement of participation in the arts, which reflects his interest in philosophical education per se, points to a less familiar aspect of his thinking and one that can help us penetrate below the surface appearance of an allegedly technical treatise.Footnote 11

In this Chapter, I wish to focus on the moralising techniques that permeate Galen’s Exhortation and explore how these inform the construction of his moral authority. I want to look, in addition, at the ways in which he tailors his ethical advice to respond to the needs of his intended audience, comprising, I would suggest, adolescents who are about to start their intermediate education and are being urged to engage with professional studies, beginning with philosophy and progressing on to medicine. I aim to throw some interpretative light on this relatively neglected work by also discussing its rhetorical force vis-à-vis its literary peers (both earlier and later)Footnote 12 and especially by arguing that Galen is influenced by Plutarch, as a key moralist of the early Roman Imperial period, in his writing.

The surviving essay can be divided into two sections; chapters 1–8 juxtapose the permanent benefits of acquiring skills in the arts with unpredictable changes of fate, while chapters 9–14 describe at some length the risks associated with intense physical exercise.

Arts vs Fate

We have seen in the previous Chapter that Galen employs the philosophical subgenre of therapy to instruct his anonymous friend as well as a wider audience on how to manage the destructive emotion of distress. In the Exhortation Galen engages with another ethical subgenre, that of the protreptic, which conventionally aims to encourage (προτρέπειν) the study of philosophy and the attainment of virtue.Footnote 13 That is the approach employed, for instance, in Plato’s Phaedo and Euthydemus,Footnote 14 in Aristotle’s fragmentary Protreptic,Footnote 15 Isocrates’s AntidosisFootnote 16 or the much later Protreptic by Iamblichus (ca. 245–ca. 325 AD),Footnote 17 although the origins of the genre may go back as far as the writings of the fifth-century sophists.Footnote 18 Also associated with the exhortative performances of professional orators in law courts (e.g. those of Gorgias or Lysias), the protreptic continued to be used to persuade an audience not so much through rational arguments as through emotional appeals. As such it became a philosophical genre with rhetorical force, or more broadly a combination of rhetoric and popular philosophy.Footnote 19 In many instances, I will explicitly show the function of what I call Galen’s ‘moralising rhetoric’, which makes use of epideictic elements to bring about his readers’ self-reform.Footnote 20

The Exhortation starts with Galen expressing some scepticism as to whether the so-called irrational animals are indeed entirely devoid of reason.Footnote 21 Such agnostic statements often have a rhetorical purpose rather than being intended as a philosophical stimulus for further reflection, because they are often immediately countered by a remark reflecting Galen’s certain knowledge so as to win the reader over.Footnote 22 Thus, in this instance, he goes on to assert that, although some animals possess at least some degree of reason, they certainly do not have the capacity to learn whichever art they choose in the way man does (Protr. 1, 84.8-13 B. = I.2-3 K.).Footnote 23

The sharp distinction between rational humans and irrational animals was posited in orthodox Stoicism by Chrysippus,Footnote 24 who surmised that animals could not be endowed with any reason. But Galen seems to take a more flexible stance here by accepting the existence of at least some sort of animal intelligence. This aligns him with the Stoic Posidonius of Apamea (ca. 135–ca. 51 BC), who, as Galen himself tells us in the Doctrines of Hippocrates and Plato, attributed emotions to animals such as pleasure (ἡδονή) and anger (θυμός).Footnote 25 Moreover, Galen’s eagerness to acknowledge the limited existence of animal rationality rather than dismiss it altogether shows how close he is to Plutarch’s influential thesis that all animals, to a greater or lesser extent, are endowed with reason. Plutarch was central to the debate over the mental capacities of animals in that he devoted three separate treatises to exploring the issue systematically, viz. On the Cleverness of Animals, Whether Beasts are Rational (also known as Gryllus) and On the Eating of Flesh, as well as independent discussions in other essays in his Moralia, for example in On the Love of Offspring and Table Talk, all of which, as Stephen Newmyer has persuasively contended, attest to his substantial contribution to this philosophical question.Footnote 26 Above all Galen’s reference to the intellectual abilities of land animalsFootnote 27 (rather than of marine creatures) and, in the same context, the employment of illustrative examples that entail specifically spiders and bees,Footnote 28 are elements found in Plutarch’s animal-related accounts,Footnote 29 which make a strong case for Galen’s dependence on him.Footnote 30 This is part of a broader proposal I will be making throughout, which is primarily supported by the fact that Galen was well aware of the work of Plutarch, quoting from it several times throughout his writings either explicitly or in less direct ways.Footnote 31 In the Exhortation Galen’s emphasis on man’s ability to learn and perform any art, a skill that as a rule all other animals lack, seems an intentional reversal of Plutarch’s On the Cleverness of Animals 966E-F, which refers to spiders’ webs being admired and imitated by man in weaving. Galen focuses more on man’s limitless ability to imitate and learn, which transcends animals’ inborn and very limited set of skills.Footnote 32 This twist serves as the springboard for the ensuing narrative, in which Galen establishes the uniqueness of man by explaining his potential for practising the arts as the result of deliberative choice (prohairesis)Footnote 33 rather than of inherited nature (physis).Footnote 34

The reference to prohairesis (‘volition’ or ‘reasoned/moral choice’) is important on account of its association with the Platonic and Aristotelian educational model, where it constitutes a decisive aspect of virtue and character.Footnote 35 In fact, the distinction made between humans and animals in this prefatory context is predicated on the assumption that education (paideia), as a product of exercise and habituation, is an exclusively human asset. That explains why Galen goes on to stress the significance of training for human educationFootnote 36 and to praise the continuous effort that helps man acquire the most outstanding of divine gifts, philosophy.Footnote 37 Galen therefore provides justification for the necessity of studying the arts, assuring his readers that his literary text is appropriate to their intellectual status.

The elements of irrationality, nature and hard work bring to mind Seneca’s Letter 90, which is also taken to be an exhortation.Footnote 38 This describes in nostalgic terms the golden age of mankind, in order to stress that the business of philosophy has always been the pursuit of moral virtue by living in harmony with nature, rather than achieving technological progress and material sufficiency. It thus seeks to refute Posidonius’s claim that humans had discovered the arts through philosophical training.Footnote 39 The emphasis that Galen puts on the notion of training therefore further attests to his affiliation to Posidonius, which in turn makes it highly probable that he might have been influenced by the latter’s lost Protreptic.Footnote 40 On the other hand, by defining the notion of physis as inherited traits rather than a mode of living in harmony with nature (as the orthodox Stoics did), and by associating it with the idea of philosophical practice, Galen situates himself in the Platonic-Aristotelian tradition and shows how experimental he is in his philosophical allegiances. Thus far our author appears as an intellectually diverse thinker, who favours doctrinal interpenetration rather than sectarian devotion, as was also noted in the previous Chapter.

Although some of the notions that Galen expresses up to this point are commonplace in the genre of the protreptic, especially the animal imagery and the role of physis, it is remarkable that he transposes them from theoretical or technical frameworks into a setting of practical ethics, giving them an intimate role in his reader’s moral progress. In Galen’s text the protreptic elements open up direct channels of communication between the experienced advisor (i.e. the author/narrator) and the less experienced recipient, whom Galen expects to learn to become alert and discriminating. For example, he frequently employs the distancing and assimilation strategies we have observed in the previous Chapter, i.e. clever techniques which depict groups of people whom the reader is advised either to despise or emulate so as to acquire virtue. In this way Galen prompts his audience to make the proper moral choices that are characteristic of their philosophical background and which differentiate them from animals, as we shall soon see in more detail. Thus the employment of animal imagery in the context of the Exhortation clearly serves a hortatory purpose,Footnote 41 in contrast to its function in three ethical/psychological texts by Galen, Character Traits,Footnote 42 Affections and Errors of the SoulFootnote 43 and Doctrines of Hippocrates and Plato,Footnote 44 in which animals are treated as representations of the uncontrollable impulses of the irrational faculty of the soul that need to be managed by the rational part and exhorted to obedience and habitual discipline. As such, they bear witness to their Platonic counterparts in the Republic 588c-d or Phaedrus 253c-254a and are inserted into Galen’s argumentation in order to gloss the doctrine of the division and function of the soul, rather than to instruct ethically in an intimate, hands-on and reader-friendly manner. These three texts are surely targeted at readers who were more advanced in terms of philosophical study than the readers of the Exhortation, and who were more in need of help to make sense of philosophical terms and theories on the soul than of helpful advice on how to embark upon a good life.

We have already started encountering cases in which the same elements (in this instance the animal imagery) recur in both technical passages relating to moral psychology and in popular philosophical texts, but which at the same time seem to serve rather different purposes depending on the context and intended meaning of each passage, as well as the intellectual and/or moral level of its recipient. Such retexturing of similar material appears not just throughout Galen’s own ethical and psychological essays, but also in relation to his technical works on how to maintain good health (as we shall see later on), and, interestingly, in relation to other ancient protreptics. For instance, Iamblichus’s Protreptic also suggests that reason renders humans divine and distinguishes them from all other creatures,Footnote 45 but the author does this in order to preach through systematic exposition the value of philosophy in general, and not as a rhetorical device to challenge the reader to immediate moral reflection, as happens in Galen’s Exhortation.

Galen’s text goes on, in chapter 2, to further stress the divide between irrationality and rationality, an issue which is introduced by a set of powerful rhetorical questions expressed in the sociative ‘we’:

Is it not vile, then, to neglect the one part of us which we share with the gods, while busying ourselvesFootnote 46 with some other matter? To disregard the acquisition of Art, and entrust ourselves to Fate?Footnote 47

Protr. 2, 85.16-19 B. = I.3.5-8 K.

The above passage, apart from suggesting that humans are capable of union with the divine, thus building on the assimilation strategy, also conveys the two categories of ethical evaluation, praise and blame, in terms of the moral decisions we make as rational agents. The accumulation of terms denoting condemnation and public contempt awakens the reader’s sense of social honour, and Galen’s persuasion technique becomes more forceful once he inserts a word picture of Tychē and of Hermes together with their devotees. The literary ekphrasis of Tychē situates Galen within a long philosophical tradition, which dealt with the mutability of fate in an effort to prove the necessity of emotional resilience achieved through philosophical training. Similar descriptions occur in the Tabula of Cebes,Footnote 48 in Plutarch’s On the Fortune of the Romans (317C-318D) which presents a similar opposition between Fortune and Virtue,Footnote 49 in Dio of Prusa’s Orations 63-65 (three self-contained discussions on fate) and in Favorinus’s treatise On Fortune, with which Galen enters into dialogue, presumably as a result of the ad hominem attack he had made on Favorinus.Footnote 50

Unlike his predecessors, however, Galen dwells on the issue of fate by developing singular twists in his narrative. A striking example of this is the way he incorporates in his Avoiding Distress the destructive fate that incinerated a significant part of his library and medical instruments in the conflagration of 192 AD. We have seen how in that context evoking the vagaries of human affairs was expected to have a direct impact on the psychological state of the reader in that it retrospectively revived the feeling of distress as a way of eventually healing it (Chapter 4). In the Exhortation, however, the dangers of fate do not seem to have any psychotherapeutic function. They are meant rather to guide readers by means of delightful imagery, which in turn might hint at Galen’s concern to make his narrative attractive to people who had yet to become acquainted with the ups and downs of life, without unduly upsetting them.

The assumption of a young readership is reinforced by the similes we find in the description of Tychē in particular, which are intended to help readers visualise its form and associated qualities. The ancients, Galen tells us, depicted Tychē as a woman with a rudder in her hands, a spherical support for her feet and with no eyes.Footnote 51 Not only, according to Galen, is her gender a sufficient index of inanity, but trusting her is like committing the same sort of mistake as handing the rudder of a ship in danger of capsizing to a blind helmsman.Footnote 52 The image of the helmsman, which Galen adduces twice more in this text,Footnote 53 is of Platonic origin with important Presocratic antecedents, and was often employed in ethical tracts of popular philosophy, especially those of Plutarch.Footnote 54

The two groups of followers, those who trust to luck and those who rely on rationality, are illustrated by historical and mythical examples as well as more general allegorical figures each time, making the text even more accessible. So the adherents of Fate are idle and ignorant and comprise a whole band of demagogues, courtesans, betrayers of friends, desecrators of graves and even murderers.Footnote 55 Conversely, Hermes’s followers consist of noble and knowledgeable men of mild conduct, including geometers, mathematicians, philosophers, doctors and scholars alongside architects, grammarians and ultimately such great men as Socrates, Homer, Hippocrates and Plato.Footnote 56 Once he has set up this duality, Galen exploits his protreptic moralism and makes brief encouraging or discouraging remarks to direct the reader more explicitly. In both cases he uses the second-person-singular form of addressFootnote 57 and claims that careful examination of the band of Fortune will lead to loathing (μισήσεις ὅλως τὸν χορόν, Protr. 4, 88.13-14 B. = I.6.10 K.), whereas moralising contemplation of Hermes’s chorus will excite both emulation and adoration (Τοῦτον … τὸν χορὸν … οὐ μόνον ζηλώσεις, ἀλλὰ καὶ προσκυνήσεις, Protr. 5, 89.16-18 B. = I.8.1-3 K.).

The reader is subtly prompted to identify with the followers of Hermes by the author’s explanation that this god does not judge people on the basis of political reputation, nobility or wealth, but on whether they lead a good life (τοὺς καλῶς μὲν βιοῦντας, Protr. 5, 89.12-13 B. = I.7.15-16 K.).Footnote 58 Good living (εὖ ζῆν) is the very essence of ethical philosophy and interestingly the association of Hermes with a whole branch of philosophy is entirely consistent with the way Galen uses Hermes in his Character Traits as a figure who leads human beings to assimilation with the divine after teaching them how above all else to despise worldly pleasures.Footnote 59 The affinities between the two works are symptomatic of a network of cross-references suitably adjusted to the twists and turns in the argument of each text. In addition to Hermes, the insertion of the anecdote about Aristippus, a proverbial model of self-sufficiency in ethical literature (especially in moral diatribes), lends legitimacy to Galen’s ethical production. Aristippus is deployed both in Avoiding Distress, as we have seen, and in Plutarch’s Tranquillity of the Soul, although in the Exhortation Galen provides us with three interrelated stories about him and seems to be drawing on Posidonius’s Protrepticus.Footnote 60

Despite the fact that the paradigm of Aristippus was intended to show that material wealth was something trivial and unimportant to human life,Footnote 61 Galen emphasises that many people who found themselves destitute committed suicide (Protr. 6, 91.1-5 B. = I.9.6-10 K.). Presenting opposing attitudes to the loss of possessions points up the extent to which Galen differed from Philides the grammarian, whom he cites in Avoiding Distress as having died of depression caused by the loss of his property, whereas Galen cheerfully continued his normal activities regardless of his own losses in that same disaster.Footnote 62 Galen disapproves of people who neglect their spiritual condition and who are more preoccupied with worldly blessings. He considers them equal to the most worthless slave,Footnote 63 once again challenging his reader’s sense of honour.Footnote 64

In addition to this, Galen’s moralism starts to take on the acerbic features of Cynic philosophy not only in that it appropriates the opinions of Antisthenes and Diogenes, but above all in that Galen himself is walking in their footsteps when he bitterly attacks rich and uneducated people for falling victim to the self-interest of flatterers:

So perhaps the comparison of such men (i.e. flatterers) to wells is not unreasonable. When a well, which once provided them with water, dries up, people lift up their clothes and urinate in it.Footnote 65

Protr. 6, 92.14-17 B. = I.11.3-7 K.

In similar vein, Galen castigates people who boast of their noble descent, unaware of the fact that their nobility is like the coinage of a state, which has currency with the local inhabitants but is worthless to everyone else.Footnote 66 By making a link to Antisthenes, who is credited with being the originator of the philosophical protreptic,Footnote 67 Galen might be staking a claim to being his emulator and perhaps a reformer of the genre he introduced.

Indeed, besides traits of the Stoic-Cynic diatribe combined with those of the protreptic, Galen’s account features characteristics of mainstream educational works and echoes in particular Plutarch’s On Listening to Poetry.Footnote 68 It is striking, for instance, that Galen quotes both from Euripides’s Phoenician Women (404-405) and Homer’s Iliad (4.405), the most important school texts in that period,Footnote 69 which are also present in Plutarch’s essay, and that he amends poetical lines to make them suit the moral message of his exposition. This is a key pedagogical technique, which Plutarch applies in instructing young readers how they should interpret poetry in a morally upright way and benefit from it as a preliminary stage to philosophy. The recurring use of imperative forms of akouein, a didactic directive that is interpreted to mean not simply ‘hearing’ but also ‘critically considering what is being heard’, is a typical trope in didactic communications, also present in Plutarch’s essay (more on this below).Footnote 70 In discussing the importance of eugenics, Galen argues that noble ancestors instigate a desire to emulate their example,Footnote 71 intersecting both verbally and conceptually, for example, with the near-contemporary On the Education of Children, an essay now considered pseudo-Plutarchan, though thought to be authentic in antiquity.Footnote 72 Furthermore, Galen’s emphasis on the emulation of noble exemplars and the severe criticism that he applies to any moral misconduct contribute to his self-depiction as a supervisor of morals, whose role in overseeing and correcting the ethical failings of less experienced agents is crucial, especially in his Affections and Errors of the Soul.Footnote 73 Finally, Galen’s protreptic on engagement with the arts resembles the introduction to Quintilian’s Institutes of Oratory (1.9-10), a basic educational manual of the Roman Imperial period, which also begins with a protreptic concerning the study of the liberal arts. In the light of the above, we can see that Galen’s Exhortation has a pedagogical character and was intended to have an appeal as an educational text in the transitional stage between secondary education and advanced studies.

In encouraging sensible people to practise the arts, Galen refers specifically to Themistocles as an example of a man who became a significant figure despite his lowly birth on his mother’s side.Footnote 74 The dictum usually attributed to Themistocles survives in Plutarch’s Sayings of Kings and Commanders (187B) and in Stobaeus’s Anthology (4.29.15) where it is attributed to Iphicrates instead. This misattribution may suggest Plutarch’s influence on Galen (see Life of Themistocles, 1.1-4), given that Galen seems to have consulted two other moral works by the same author in this context, as noted above, and presumably also the Life of Solon 22.1 for his Exhortation ch. 8.Footnote 75 Stobaeus (4.29.21-22) informs us that there was a work by Plutarch entitled Against Nobility (Κατὰ εὐγενείας) in which the dictum of Themistocles may have been mentioned, although this remains pure speculation and it is safer to assume that Galen might have drawn on the Life of Themistocles instead.

Be that as it may, the dictum of Themistocles, in addition to discounting the role of noble birth as a factor in ethical propriety, also reinforces the antithesis pride vs. shame that is omnipresent in Galen’s text from the beginning. Galen goes on to link this concept with a key topic in the cultural discourse of the period, namely ethnic identity.Footnote 76 By referring to the case of the Scythian Anacharsis, who was admired for his wisdom despite his barbarian birth, Galen teaches that moral behaviour, an acquired state, raises men above nobility and ethnicity, inherited qualities that are totally beyond their control. That seems to be a persistent issue in his Exhortation, also present in the anecdotes of Aristippus previously discussed.Footnote 77 The Stoics believed that anything that is not ‘up to us’ should not impinge on our happiness (this is their doctrine of the moral ‘indifferents’, as noted above),Footnote 78 but Galen here revises the idea, claiming that what is not up to us should not play a role in any moral evaluation of us:

Once mocked as a barbarian and Scythian, Anacharsis said: ‘my fatherland disgraces me, but you disgrace your fatherland’, a very fine response to a worthless person who gave himself airs solely on the strength of his homeland.Footnote 79

Protr. 7, 95.1-5 B. = I.14.1-5 K.

Galen’s position aligns with the story of the slaves of Perennis used in Character Traits to show that moral integrity is unrelated to social class or education.Footnote 80 Before ending the first part of the essay, Galen raises the issue of beauty and how this can hinder young people from caring for their psychic condition. He employs moral exempla from Solon, Euripides and Sappho, who all agreed that physical beauty did not guarantee happiness but rather threatened it. Additionally, Galen stresses that youth offers only temporary pleasures, and therefore he urges his young readers to develop special regard for the end of their life and appreciate old age.Footnote 81 Once more Galen assesses the impact of pre-philosophical/worldly externals, depending on whether they contribute to one’s inner well-being or social adulation: e.g. acquiring money (χρηματισμός) through bodily charm is disgusting (αἰσχρός) and universally despised (διὰ παντὸς ἐπονείδιστος), but the money that comes from art is free (ἐλευθέριος), respectable (ἔνδοξος) and reliable (βέβαιος) (Protr. 8, 98.2-5 B. = I.17.14-17 K.). That helps Galen exhort young men to look in the mirror and try to make their inner morality as beautiful as their outward appearance.Footnote 82 Here Galen is assuming the Socratic persona, as the same counsel is pronounced by Socrates himself notably in 141D of Plutarch’s Precepts of Marriage.Footnote 83 By neglecting their souls, human agents are only worthy of being spat upon, as the exemplum of the Cynic Diogenes suggests.Footnote 84 Galen filters this through his own protreptic voice:

So, young man, do not allow yourself to become worthy of being spat at, even if you think that everything else about you is splendid.Footnote 85

Protr. 8, 99.16-18 B. = I.19.13-15 K.

It is important to discuss Galen’s authority in the context of his exhortation. His address to young men is informed by a provocatively extravagant, almost paternal, tone: ‘Come then, my children, you who having heard my words have launched yourselves on an education in the arts’ (Ἄγετε οὖν, ὦ παῖδες, ὁπόσοι τῶν ἐμῶν ἀκηκοότες λόγων ἐπὶ τέχνης μάθησιν ὥρμησθε, Protr. 9, 100.1-2 B. = I.20.4-5 K.), which eventually becomes so insistent as to allow little freedom of choice to the young men. This address provides the audience with a sense of security that Galen’s advice will not only protect them against charlatans but to a large extent direct them towards the practice of those arts that are beneficial to life.Footnote 86 Both the appellations Galen uses above (μειράκια and παῖδες)Footnote 87 and the insistent urging to progress to the liberal arts point to the fact that this work is addressed to adolescents around 14 years old, who are about to finish or have just finished their primary education and will now move into general, secondary education (enkyklios paideia)Footnote 88 – a preliminary to any activity in life – with a view to taking up higher studies that will help them secure a noble profession in life, such as medicine.Footnote 89

Finally, Galen also works on the intellectual state of his young readers by subtly putting across the idea to them that the various forms of athletic activity differ from the arts. This he achieves by assuring them that he himself believes in their capacity for discernmentFootnote 90 and also by warning them that they need some additional instruction on the crucial issue of athletics.Footnote 91 The first section is rounded off in the form of a ring composition with a recapitulatory passage on man’s relationship to gods and animals respectively. However repetitive this might seem to modern tastes, it illustrates the authoritative voice of the author, who communicates his ethical teachings assertively and in plain language, with blunt analogies and conditional clauses, meant to ensure universal applicability to his collective readership of young men:

The human race, my children, has something in common with the gods and the irrational beasts; with the former to the extent that it is possessed by reason, with the latter to the extent that it is mortal. It is better then to realise our kinship with the greater of these and to take care of education, by which we may attain the greatest of goods, if we apply it successfully, and, if unsuccessfully, at least we will not suffer the shame of being inferior to the most idle beasts.Footnote 92

Protr. 9, 101.2-9 B. = I.21.4-10 K.

The exhortatory register in Galen differs from the mild didactic spirit of Plutarch, especially by comparison with the latter’s two main educational essays, On Listening to Poetry and On Listening to Lectures. Although on the whole all three works address the same concerns about the character development of young people about to embark on their philosophical studies, Plutarch is more philosophical than rhetorical and does not fail to theorise inter alia about the philosophical significance of silence, the role of envy or the power of self-exploration.Footnote 93 Galen’s rhetorical exuberance, by contrast, directs the reader in a more robust manner, presumably in order to signal more compellingly the need for philosophical engagement. The difference in tone may also tell us something about the authors’ public profiles as perceived by their respective contemporaries or even about the way they wished to be seen by them. Unlike Plutarch, who was well known for having taught philosophy all his life both in Greece and in Rome, Galen was primarily respected as a physician or at best – according to him – as a physician-cum-philosopher. Could Galen’s exuberant rhetoric (partly) hint at his ambitions to become a philosophical luminary in the area of practical ethics?

The dangers of athletics

I now turn to the second part of the essay (chapters 9–14) to show that here Galen inserts even more manipulative material than the merely protreptic sort we have seen in the previous section, and consequently that his tone becomes polemical rather than demonstrative. The author appears to follow the typical division of the protreptic into one section that demonstrates the value of philosophy, education and the arts (ἐνδεικτικόν) and another that refutes inimical arguments against them (ἀπελεγκτικόν).Footnote 94 Nevertheless, in this second part of the Exhortation, instead of testing the validity of the accusations against the arts, Galen demolishes the claims of alternative ideas of success and distinction. More specifically, he levels an attack against hypermasculinity and athletics and rebukes the reader for succumbing to any such wrong choices.Footnote 95 These new topics of discussion have important repercussions for his overarching argument on the practicability and value of ethical philosophy, especially in that they help clarify his view on the attention that should be paid to the care of the soul as opposed to giving excessive attention to the body.

On another level, Galen’s discussion of extreme physical exercise reflects and indeed critically responds to the important part athletics played as a cultural and philosophical field by the second century AD.Footnote 96 Some Imperial-period philosophers tended to advocate the inclusion of gymnastics in the liberal curriculum,Footnote 97 emphasising its benefits for the soul, but in the Exhortation Galen favours medicine at the expense of gymnastics, considering the former an ideal guarantor of physical and mental health, a view that fitted his conceptualisation of medicine as a philosophising area of study and practice. Galen’s attack on athletics has been rightly interpreted as an effective way for him to valorise medicine as an educational discipline in the contemporary health marketplace and consolidate its place in the intellectual setting of the High Roman Empire, thus demarcating his profession from that of athletic trainers, who were men of low educational and social status.Footnote 98 That may well be right, but, as I hope to show, his promotion of medicine must surely be linked to its potential as a social, moralising vocation too.

Abandoning the sociative ‘we’ and assuming the second person indicative or imperative form of address, Galen commences a rejection of athletics in so far as it interferes not so much with the care of the body as with care of the soul. He holds that the most excellent men attract divine praise not for their physical competence but their artistic accomplishments (Protr. 9, 101.12-17 B. = I.21.13-22.3 K.), providing the examples of Socrates, Lycurgus and Archilochus who were all praised by Apollo. In corroboration of this statement Galen interjects a direct aside which is designed to eliminate any hesitation on the reader’s part: ‘If you do not wish to listen to me, at least have some respect for the Pythian Apollo’ (εἰ δ᾽οὐκ ἐθέλεις ἐμοὶ πείθεσθαι, τὸν γε θεὸν αἰδέσθητι τὸν Πύθιον, Protr. 9, 101.21-22 B. = I.22.6-7 K.). Galen’s imposing voice taps into his reader’s religious sensibilities, and a bit further on he accuses the reader of succumbing to popular opinion and going along with the praise of the crowd (Protr. 10, 102.14-17 B. = I.23.3-5 K.), an accusation that seems to be a topos in protreptics.Footnote 99

In continuing his criticism, Galen asks how the reader can arrogantly set himself up as an arbiter of important matters, going against the judgment of men wiser than himself,Footnote 100 all of whom have condemned physical training. He elects to quote their opinions, accompanying them with various grammatical forms of the verb akouein.Footnote 101 This serves Galen’s philosophical aims, because, as we have seen, it can be used in the sense of rationally processing what is being heard after dismissing superficial impressions. It is used in this way in educational contexts, where it can be translated as ‘to consider’, as in this case.

Plutarch’s On Listening to Poetry is again a good comparandum not just in respect of stressing the importance of akouein in the training of young men, but also in that it tackles issues relating to literary criticism, specifically referring to the correlation between poetry and philosophy. In contrast to Plato’s celebrated rejection of poetry on the grounds that it inculcated immorality in young readers, Plutarch adopted its study in his educational agenda, regarding it as a preparatory stage leading into the realm of philosophy.Footnote 102 Galen not only seems aware of the tension between poetry and philosophy but also somehow revises this tradition, comparing the two fields on the basis of their opposition to athletics (though of course still prioritising philosophy over poetry). In fact, Galen’s treatment is all the more anchored, given that he is conveying the opinion of medicine too, which also condemns athletics, as the quotations from Hippocrates attest.Footnote 103

Galen’s use of accumulated testimonies from various authorities (especially poetic ones) to argue against athletics, although permissible in morally didactic settings in antiquity, is cast in the text as being at variance with Galen’s authorial principles, since he is anxious to state that he was compelled to resort to such ‘mean activities’ (φαῦλον … ἐπιτήδευμα) so as to benefit those yielding to the vacuities of popular reputation.Footnote 104 We have already remarked that Galen employs the argument of ‘compulsion’ when he wants to excuse his denunciation of the moral debasement of others, which often provokes him to respond in self-contradictory ways (Chapter 3). So here too, Galen justifies his use of authorities that distract him from his philosophical role, rendering him a rhetor,Footnote 105 by stressing his commitment to the moral incitement of his audience.Footnote 106 Such self-apologetics also probably reveal a concern that he may appear more rhetorical than necessary, a common preoccupation of many moral philosophers and a fear Galen also expresses in other works.

In claiming that athletes are totally ignorant of the existence of their souls, busying themselves with flesh and blood matters, Galen depicts them as extinguishing their capacity for contemplation and descending to the level of irrational animals.Footnote 107 Identifying athletes with pigs in particularFootnote 108 is a technique which helps Galen to relate what he had previously described as the non-rational nature of athletes’ souls to animal behaviour.Footnote 109 This brings to mind the similar passage in Character Traits (Chapter 1),Footnote 110 which equates physical preoccupations with the life of a pig and spiritual concerns with a divine existence. Interestingly, abstaining from immoderate vices, such as over-eating or over-drinking and overindulgence in sexual intercourse, also becomes a crucial part of the profile of the philosophically minded physician in The Best Doctor is Also a Philosopher (e.g. Opt. Med. 290.2-7 Boudon-Millot = I.59.11-15 K.). Galen’s moral narratives clearly compartmentalise virtuous lifestyles, separating them from immoral ones.

Another important aspect in Galen’s exposition in respect of his construction of authority is the relationship he builds between himself and Hippocrates. The abundant Hippocratic quotations in the second section of the essay are not just back-up from an ancient thinker, reinforcing Galen’s medical arguments. Rather they lend persuasiveness to his personal views. That is reflected in the fact that Galen is careful not just to cite but above all to comment on and challenge some of the Hippocratic aphorisms, which ultimately makes a very strong impression.Footnote 111 This is apparent in his use of pertinent vocabulary describing the physical symptoms of an athletic regimeFootnote 112 and in the exposition of the mechanics of the body. That said, this part of the treatise does not get bogged down with any medical trifles, not even deploying any technical terms from physiology, which might confound the inexperienced reader. In chapter 11 for example, Galen provides the reader with a straightforward clarification to explicate a Hippocratic aphorism that involves the distinction between the state and the condition of the body.Footnote 113 This indicates that the audience do not yet have any medical background or familiarity with the Hippocratic corpus; otherwise such explanations would have been redundant. That also ties in with Galen’s working method in the Exhortation and elsewhere of carefully adjusting his material to the level of his readers. As he makes clear in a passage in My Own Books, introductory texts cannot be thorough or comprehensive in character, given that beginners fail to comprehend the niceties of the disquisition before first acquainting themselves with the basics (Lib. Prop. Prol. 10-11, 136.9-16 Boudon-Millot = XIX.10.18-11.6 K.).Footnote 114 This rationale is applied in the Exhortation too, where Galen’s protreptic discourse purposefully omits any hard-core stuff on moral analysis and stays with the simpler hortatory material, as has been observed in the course of this Chapter.

By referring to the athletes’ physical deformities, Galen subverts the notion of their beauty, arguing that their bodily strength is of no significant value other than helping them to perform agricultural activities.Footnote 115 The sarcastic tone progresses into a compelling assertion that the athletes’ resistance to extreme weather makes them like newborn babies,Footnote 116 and he mocks them for lying all day long in dust and washing in muck.Footnote 117 Such polemical comments are meant to undermine the self-esteem of athletes and, in order to conclude that athletics are of no use in any practical context in human life, Galen deploys a didactic myth in verse which preaches that athletic distinction is, in fact, not an accomplishment for humans but for animals.Footnote 118 This polemical framework reinforces Galen’s concluding thesis that athletics should not even be a way of earning a livingFootnote 119 and so he classifies it in the category of the less-respected banausic arts, unlike medicine which is one of the higher arts, i.e. the ones that can mitigate the bestiality of the soul.Footnote 120 This final remark in the surviving part of the essay shows the ethical dimensions that Galen credits to medicine so as to demonstrate its right to be considered an elevated art. Thus, by urging the reader to adopt a well-defined cluster of habits in relation to the care of body and soul, he corroborates his role as physician but also as a moral mentor for his contemporaries.

Ethics in the Exhortation and in texts focusing on the mechanics of the body

The best constitution of the human body and its hygiene and physical exercise are vital issues in Galen’s naturalistic thought, which he discusses in a group of technical works.Footnote 121 In this section, I would like to explore briefly some cases of material common both to these works and the Exhortation in an attempt to illuminate Galen’s moralising twists in the latter and further stress how his ethical pronouncements require subtle transformations in order to resonate with his young audience and the requirements of his philosophical exposition.

The first example comes from the short essay Good Condition. Here Galen examines the definition of ‘good condition’ in cases where reference is made to an individual’s nature, suggesting that one should always add the name of the person, for instance ‘Dion’s good condition’ or ‘Milo’s good condition’.Footnote 122 Milo of Croton was a well-known wrestler of the sixth century BC (considered a follower of Pythagoras), whom Galen compares in this context to Hercules and Achilles, both representing positive cases of good condition in the unqualified sense. However, subsequently he twice adduces the authority of Hippocrates to warn against extreme bodily states: ‘Among people who take gymnastic exercise, the extremes of good condition are dangerous’ and ‘The athletic state is not natural; better the healthy condition’.Footnote 123 Both of these Hippocratic statements each occur twice in the Exhortation,Footnote 124 and Hercules too is used here as a positive model of physical resilience (Protr. 13, 112.3-7 B. = I.33.9-13 K.). In the Exhortation, however, the figure of Milo is treated in the most negative fashion, as Galen devotes a remarkable amount of space to showing that Milo’s physical achievements were a manifestation of incredible stupidity (ὦ τῆς ὑπερβαλλούσης ἀνοίας, Protr. 13, 112.17-18 B. = I.34.5 K.), linked to the hero’s servile sacrifice of his soul (Protr. 13, 112.15-114.4 B. = I.34.3-35.11 K.), which Galen calls ‘worthless’ (οὐδενὸς ἦν ἀξία, at Protr. 13, 113.4 B. = I.34.9-10 K.). Moreover, Galen depicts Milo as devoid of rationality, making his approach to life appear useless by comparison with Themistocles’s wisdom.Footnote 125 Those reconfigurings evince Galen’s moralising input in his Exhortation, a text concerned with distancing its young readers from an excessive preoccupation with the body.

Galen’s interest in depicting physical exercise through an ethical lens is also seen in The Exercise with the Small Ball, where again the degree of moralising is restrained by comparison with the Exhortation. This essay is addressed to Epigenes, a man of superlative physical condition, to whom our author proposes the most superior kind of physical activity, i.e. exercise with the small ball. The precise nature of this sport is unclear,Footnote 126 but it is telling that Galen embraces it because it does not just exercise the body, but above all delights the soul.Footnote 127 Elsewhere, he stresses that this form of exercise assists both body and soul to achieve their respective best state,Footnote 128 a recurrent motif in the essay, which eventually confirms the soul’s superiority over the body.Footnote 129 By contrast, Galen condemns wrestling on the grounds that it renders the intellect idle and sleepy, promoting body-building rather than the cultivation of virtue.Footnote 130 In this connection, Galen claims that if one engages with wrestling, one’s chances of a brilliant generalship or political power are minimal and that it would be better to assign such public duties to pigs than to wrestlers.Footnote 131 The material here echoes a certain passage from the second part of the Exhortation where, as we have seen, Galen remonstrates with athletes for their body-building on the grounds that it extinguishes their rational capacities and renders them pigs.Footnote 132

Thus Galen reworks very similar material in the moral context of the Exhortation but in a manner that makes his argumentation more powerful, especially through the use of more direct condemnation devices. The retexturing patterns also show that Galen’s value of philosophical moderation in relation to the care of the body is a principal feature of his moralising medicine, which controls all other types of bodily knowledge. That is quite clear, for instance, in his Matters of Health, a work dedicated to hygiene but not free from moral overtones (Chapter 3). In a series of recommendations on physical health for adolescents, Galen again strikes a balance between lack of exercise and extreme gymnastics and emphasises how this balance impacts on a young man’s character formation, ensuring both orderly behaviour (εὐκοσμία) and ready obedience (εὐπείθεια).Footnote 133

Comparable retexturing patterns occur in another work concerned with the care of the body, namely Thrasybulus: Is Healthiness a Part of Medicine or of Gymnastics? As the work’s title suggests, the topic under examination is very close to that addressed in the second part of the Exhortation, yet Thrasybulus is more of a technical work undermining the value of gymnastics via logical demonstration.Footnote 134 Galen’s main thesis is that gymnastics is a perverted art, which has nothing to do with healthiness, concluding that it has justly attracted the contempt not only of Plato and Hippocrates but all other doctors and philosophers. Through vigorous interrogation, Galen eventually triumphs over his addressee, Thrasybulus, despite the latter’s philosophical propensities and inquisitive spirit. The assertive imposition of authorial intent also provides the framework for the Exhortation, although to a completely different end, as we are dealing with Galen’s moral didacticism towards a lay young audience here, not his promotion of logical practice for a group of intellectually advanced and demanding addressees.

The work’s contextual framework: Commodus attacked?

Before concluding, I would also like to discuss the contextual setting that may have inspired the composition of the Exhortation and provide a possible explanation for the polemic Galen launches against athletics in the second half of the tract. From the early years of his professional career, right back when he was appointed physician to the gladiators in Pergamum in ca. 157 AD, Galen appears to have been an ardent supporter of physical well-being and recovery.Footnote 135 Autobiographical descriptions show how upon moving to Rome he continued his own bodily care and devoted himself to wrestling until a severe injury in 164 AD obliged him to turn to less extreme forms of exercise.Footnote 136 The event in his career that may have made him reconsider the role of athletics might have been his personal supervision of the training of the young Commodus,Footnote 137 who, overwhelmed by Imperial wealth, his own beauty and bodily strength, resorted to the savagery of the Roman gladiatorial combats and despised the philosophical legacy of his high-minded father, Marcus Aurelius. The three factors that Galen castigates in his Exhortation as promoting the debased spirit of athletics, namely wealth, origin and beauty, are interestingly those that led to Commodus’s eccentric participation in the arena, according to the contemporary historian Cassius Dio (Roman History 72.7.4).

Cassius’s narration offers a lucid prosopography of Commodus that has striking similarities with Galen’s portrait of the athletic man. As Cassius repeatedly states (Hist. Rom. 72.7.1, Hist. Rom. 72.18.3-4), his report was the result of what he had seen for himself, which makes us wonder whether Galen was an eyewitness to the same events, especially in light of the affinities we notice between the two accounts. The Roman historian explains that Commodus became a slave to lustful and cruel habits due to his ignorance, which prevented him from living the good life (Hist. Rom. 72.1.1). Galen similarly condemns athletes for surrendering to bodily pleasures and ignoring the existence of their souls and the importance of moral virtues (Protr. 11, 106.1-7 B. = I.26.17-27.6 K., cf. Protr. 6, 91.16-22 B. = I.10.2-8 K.).Footnote 138 In describing Commodus’s public combats with wild beasts and gladiators (Hist. Rom. 72.102-3), Cassius mentions that the emperor wished to be called a Roman Hercules, and statues were erected representing him as such (Hist. Rom. 72.15).Footnote 139 Drawing on the Commodus–Hercules propaganda that was pervasive in the late second century AD, in the Exhortation Galen refers derogatorily to the ‘emulators of Hercules’ (Protr. 13, 112.4 B. = I.33.9-10 K.), mocking specifically their physical feebleness (Protr. 13, 112.5-7 B. = I.33.1-13 K.). Driven by his eccentricity, Commodus used to enter the amphitheatre in the garb of Hermes, carrying the god’s staff (Hist. Rom. 72.17.3-4, Hist. Rom. 72.19.4), and demanded that his reign be called the ‘Golden Age’ (Hist. Rom. 72.16.1). These details align with Hermes’s role in the proem to the Exhortation and, if I am right in my suggestion that Galen is alluding to Commodus, then he is hinting at the emperor’s deluded state of mind, given that his crimes set him apart from Hermes, who is the personification of virtue in Galen’s account (Protr. 3, 87.7-9 B. = I.5.2-4 K.). Commodus’s vice and depravity also dissociate him from the Golden Age, conventionally seen as a period of primitive wisdom and ethical righteousness.

Galen’s criticism of athletes might therefore be seen as an allusive commentary on the misbehaviour of the young emperor, probably reflecting similar public responses,Footnote 140 and more generally on the elevated position that athletes enjoyed at his Imperial court. Galen’s tacit approach is probably because he feared for his life amidst the ongoing turmoil and instability, since the Exhortation must have been written during the three-month reign of Pertinax (1 January 193 – 28 March 193 AD) that followed the assassination of Commodus, as Joseph Walsh suggests.Footnote 141

On another level, Galen’s acquaintance with Imperial athletics must have made him oppose the unnatural ways in which athletic coaches attempted to create strong bodies. It was often the case that trainers entered the territory of medicine without having the necessary medical skills or background. This might explain why Galen so strongly adduces the authority of Hippocrates in his polemic against athletics: it reflects his attempt to demarcate his genuine medical status from that of charlatans. It is also important how Galen’s stance reflects contemporary cultural trends that associated the intense practice of athletics with a lowering of ethical standards. In the third century AD, Philostratus composed a manual for athletic coaches, which highlighted the pressing need for them to be knowledgeable about medicine, especially anatomy and eugenics, and at the same time to despise corruption, in line with the old system of gymnastics that produced praiseworthy men such as Milo and Hercules. Galen’s Exhortation makes, as I have shown, a markedly moralising appeal to readers both in terms of direct admonition and of social critique. The latter is employed most prominently in Recognising the Best Physician and Prognosis, which I shall discuss in forthcoming Chapters.

Conclusions

In one of his Discourses (‘On rhetorical display’, 3.23.33-38) Epictetus holds that the philosophical protreptic differs from epideictic oratory in that it does not set out to give the audience pleasure but to expose their moral weaknesses, often in crude ways. The protreptic, he goes on, is the most suitable form of exhortation the philosopher can use to induce self-realisation. In this Chapter, I hope to have shown that Galen’s Exhortation is not a conventional epideictic piece as Epictetus understood it,Footnote 142 but one in which rhetoric to a large extent facilitates philosophical instruction. As I have tried to show, the work abounds in educational elements, which are consistent with its more developed moralising by comparison with what we get in other works treating the mechanics of the body. We have also seen how Galen’s authority imposes itself on what he expects to be an inexperienced, young audience in an attempt to initiate them into some of the tenets of philosophical training with a view to leading them to study medicine. This accounts for Galen’s avoidance of theoretical and technical material, which is replaced by practical counsel instead. Here readers are not active agents as they are in Avoiding Distress, they are not informed of the personal testimonies of the Galenic narrator, nor do they enjoy any interpersonal relationship with their instructor as yet. The function of Galen’s protreptic is less to develop independent thought than to arouse desire for imitation, eliminate erroneous impressions and provide safe choices to young people moving from literary and rhetorical studies to a philosophical education, ideally with a view to becoming physicians later.Footnote 143

The Socratic protreptic entails elenctic admonition, Aristotle’s (fragmentary) protreptic elaborates arguments and has a concluding peroration, Seneca’s protreptic is an epistolary refutation of Posidonius, while that of Iamblichus is an anthology of protreptics in the form of exegesis. Galen’s protreptic is of a different sort, not only in that it is an authoritative monologue verging on a traditional diatribe, but mostly because of its peculiar moralising rhetoric, which seems to cast a wide net, thus making it a public rather than an intimate piece. Its scope is also significant because of its close interplay with a large number of philosophical sources, not just the later Stoic tradition, represented by Posidonius and Seneca, but also with the Platonic and Aristotelian legacy, and most notably Plutarch. It is this richness and the diversity of Galen’s treatment of moral issues that makes him stand out in ancient philosophical culture. The Lamprias catalogue, an ancient list of Plutarch’s works, informs us that Plutarch himself produced two protreptics, An Exhortation to Philosophy, Addressed to a Rich Young Man (no. 207) and An Exhortation to Philosophy, Addressed to Asclepiades of Pergamum (no. 214), both of them lost. Attempting to prove that Galen’s Exhortation drew on these two works must surely remain a matter of speculation, but, on the basis of the other close parallels shared between the two authors, I hope at least to have made attractive the possibility of Galen trying to enter the moral tradition that Plutarch inherited and enriched, and to enjoy (some of) the latter’s popularity as a star moralist of the Graeco-Roman period. Even if Galen’s closeness to Plutarch is not conscious or direct (which I think it is), it does have something to tell us about the former’s sustained work in the area of moral philosophy and its envisaged impact on the contemporary philosophical and intellectual landscape.

Footnotes

2 Nutton (Reference Nutton and Porter1985: 39–44).

3 On empiricism in general, see Edelstein (Reference Edelstein, Temkin and Lilian Temkin1967: 195–203), Frede (Reference Frede and Frede1987: 243–260), Frede (Reference Frede and Hankinson1988: 79–97), Frede (Reference Frede and Everson1990: 225–250) and Hankinson (Reference Hankinson and Bates1995: 60–83). Cf. Hankinson (Reference Hankinson1988: 227–267).

4 Εἰς τὸ Μηνοδότου Σεβήρῳ προτρεπτικὸς ἐπὶ ἰατρικήν, Lib. Prop. 12, 163.15 Boudon-Millot = XIX.38.9-10 K. Galen mentions Menodotus of Nicomedia (empiricist physician and sceptic philosopher of the 2nd c. AD) several other times, for instance in PHP 9.5, 564.24-28 DL = V.751.9-15 K. as well as within his Outline of Empiricism. In the former passage, Galen attacks Menodotus for his erroneous opinion that the objective of the medical profession was fame and honour, unlike Diocles, Hippocrates and Empedocles, who rightly considered love for their fellow-men (philanthrōpia) the physicians’ driving force. That might give us an idea as to why Galen engaged in dialogue with Menodotus’s views in the Exhortation. On Menodotus, see Favier (Reference Favier1906), Deichgräber (Reference Deichgräber1965: 212–214, 264–265), Hankinson (Reference Hankinson and Bates1995: 76–78) and Hankinson (Reference Hankinson2001: 317–318).

5 Jerome, Adv. Jov. 2.11, XXIII.300.41–42 Migne: Exhortatione medicinae.

6 Ḥunayn ibn ʾIsḥāq, Epistle 119, ed. and tr. Lamoreaux (Reference Lamoreaux2016: 112): ‘Exhortation to the Learning of Medicine’. See also Lamoreaux (Reference Lamoreaux2016: 112, n. on §119), who mentions that one manuscript reads: ‘Exhortation to the Teaching of Medicine’. Bergsträsser (Reference Bergsträsser1925: 37–38) no. 110 gives the German translation of Ḥunayn’s Arabic title as ‘Über die Aufforderung zum Studium der Medizin’.

7 Galen, Protr., ed. Aldina (1525) 1r: Γαληνοῦ παραφράστου τοῦ Μηνοδότου προτρεπτικὸς λόγος ἐπὶ τὰς τέχνας. On the textual tradition of the work with specific remarks on the Aldine readings, see Wenkebach (Reference Wenkebach1933). Specifically on the essay’s title, see Barigazzi (Reference Barigazzi1979: 157–163); cf. Schöne (Reference Schöne1920: 148–156).

8 It is notable in this respect that there is a twelfth-century Arabic manuscript that preserves a summary of the first section of the essay alone.

9 Some scholars have assumed that Galen’s essay The Capacities of the Soul Depend on the Mixtures of the Body was the second section of the Exhortation, but Bazou (Reference Bazou2011: 33–36) is right to suggest that, despite having a related theme, the two works were otherwise independent essays. Singer (Reference Singer1997: 407) proposed that the final sentence of the Exhortation might point to Thrasybulus, however I believe that the missing part did not contain a different treatise but a second section of the Exhortation. This interpretation mainly relies on an expression that Galen uses to conclude the first section, which indicates a change of topic to be dealt with in a separate part that follows directly afterwards: τοῦτο δ᾽αὐτὸ δεικτέον ἐφεξῆς, Protr. 14, 117.18 B. = I.39.10 K. There is a very close parallel in Galen’s The Capacities of Foodstuffs Book 3, 163.13-14 Wilkins = VI.644.2 K., which ends with ῥητέον ἐφεξῆς as a way of alerting the reader to a new section coming up. This is a common practice in other medical authors as well, for instance Oribasius, Medical Collections 7.1.7, I.195.10 Raeder, or Aëtius of Amida, Tetrabiblos 16.60, 83.1-2 Zervos.

11 Rosen (Reference Rosen and Asper2013: 180) calls it ‘paramedical’, since it deals with the risks involved in athletics.

12 Partial exceptions in discussing the rhetorical value of the work are Szarmach (Reference Szarmach1990–1992), Curtis (Reference Curtis, Adamson, Hansberger and Wilberding2014: 41–50) and Petit (Reference Petit2018: 204–206).

13 On the genre of the protreptic in antiquity, see e.g. Hartlich (Reference Hartlich1889), Burgess (Reference Burgess1902: 228–234), Slings (Reference Slings, Abbenes, Slings and Sluiter1995) and Slings (Reference Slings1999: 59–164). Cf. Schneeweiss (Reference Schneeweiss2005: 14–15, 18–19) and Schenkeveld (Reference Schenkeveld and Porter1997: 204–213). On Galen’s protreptic in particular, see Hartlich (Reference Hartlich1889: 316–326). On the caveats regarding the generic classification of philosophical protreptic, see the study by Jordan (Reference Jordan1986). On the peculiar features of the protreptic in the post-classical centuries, see Polemis (Reference Polemis2002: 16–41).

14 For instance, Hösle (Reference Hösle2004); also Konrad (Reference Konrad1959), Festugière (Reference Festugière1973).

15 Cf. Barigazzi (Reference Barigazzi1978: 212–213). On the place of Aristotle’s Protreptic in the development of his ethical theory, see Gadamer (Reference Gadamer1928). The pseudo-Isocratean Ad Demonicum was probably written in response to Aristotle’s Protrepticus.

16 See, for instance, von der Mühll (Reference von der Mühll1939).

17 For Iamblichus’s Protreptic, see for instance Flashar (Reference Flashar1965).

18 The protreptic is very close to the genre of paraenesis and, apart from isolated cases (for instance Clement of Alexandria, Paedagogus 1.1), classical philosophers did not on the whole distinguish between the two genres, indeed they very often merged them. See Malherbe (Reference Malherbe1986: 121–127). Regarding the modern differentiation between the two genres, Stowers (Reference Stowers1986: 92) uses ‘protreptic in reference to hortatory literature that calls the audience to a new and different way of life, and paraenesis for advice and exhortation to continue in a certain way of life. The terms, however, were used this way only sometimes and not consistently in antiquity.’

19 Burgess (Reference Burgess1902: 228–229).

20 On Galen and his contemporary readers in general, see Johnson (Reference Johnson2010: 74–97).

21 Galen, Protr. 1, 84.1-2 B. = I.1.5-6 K. This was a traditional Stoic topos that was particularly prominent in Xenophon’s Oeconomicus 13.6-9 and Memorabilia 1.4.9-14. On Galen’s scepticism, see De Lacy (Reference Barigazzi1991: 283–306).

22 The same technique can be found in Ind. 16, 84.5-86.1 PX.

23 Similar ideas on man’s superiority to animals are found in UP 1.2-4, 2.11-6.17 Helmreich = III.3.3-9.3 K. and Mot. Dub. 4.12-13, 138.2-9 Nutton.

24 See for instance, Plutarch, On the Eating of Flesh 2.6.

25 PHP 4.7, 288.14-18 DL = V.424.7-12 K.; PHP 5.6, 332.29-334.15 DL = V.476.6-477.9 K.

26 Newmyer (Reference Newmyer2005). The issue goes back to the early Peripatos, e.g. Aristotle’s Nicomachean Ethics 1102a26–1103a3. Cf. Aristotle, On the Soul, II.3, 414b28 ff. See also Books 8 and 9 of the Aristotelian History of Animals. Fortenbaugh (Reference Fortenbaugh, Desclos and Fortenbaugh2011) discusses the Peripatetics’ place in the ancient discussion on animal intelligence with special reference to Theophrastus and Strato of Lampsacus.

27 Protr. 1, 85.4 B. = I.2.11 K.

28 Protr. 1, 85.3 B. = I.2.9-10 K.

29 E.g. Plutarch, On the Cleverness of Animals 970Β-C, where terrestrial and earth-born animals are deemed likely to be cleverer than sea creatures. On the other hand, references to bees may be found in 967B, 976D, 980Β, 981B and 982F, and references to spiders in 966E and 974A-B.

30 Examples involving bees, ants, spiders and swallows can be found in other authors as well, for example Cicero, Philo, Pliny the Elder and Aelian. Dickerman (Reference Dickerman1911) suggested that they all draw on a common source (presumably Alcmaeon of Croton, 5th c. BC). Even if that is true, one cannot exclude the possibility of Galen having read and directly quoted Plutarch rather than an earlier source, which might not only have been less easily available but also less well preserved. In Xenophontos (Reference Xenophontos2016b) I argue in favour of Galen’s dependence on Plutarch in more detail.

31 E.g. Opt. Doct. 92.12 Barigazzi = I.41.4 K.; PHP 3.2, 182.24-25 DL = V.300.16-17 K. See also Nutton (Reference Nutton, Gill, Whitmarsh and Wilkins2009a: 24, 32–33) on Galen’s reading of Plutarch and how he was influenced by him.

32 Cf. also Plutarch’s Whether Beasts are Rational 991D-F, where animals are said to be naturally attuned to learning. Galen is keen to use animal imagery to enable readers to make sense of difficult concepts or processes through comparison. He may be influenced by the earlier tradition for some of these images, but he often transforms them in distinctive ways. See Nutton (Reference Nutton2020: 57). I am grateful to Katarzyna Ja?d?ewska for discussion on this point.

33 Galen, Protr. 1, 84.14 B. = I.2.7 K.: προαιρέσει.

34 Galen, Protr. 1, 84.14 B. = I.2.6 K.: φύσει.

35 See, for instance, Chamberlain (Reference Chamberlain1984).

36 ὁ δ᾽ ἄνθρωπος οὔτε τινὸς τῶν παρ᾽ ἐκείνοις μελέτητος (‘but it is not just that man is practised in all their arts’), Protr. 1, 85.1-2 B. = I.2.8 K.; oὐκ ἀνάσκητός ἐστι (‘demonstrating considerable skill’), Protr. 1, 85.4 B. = I.2.10 K. Translations of the Exhortation come from Singer (Reference Singer1997) with modifications, as his translation is based both on the edition by Marquardt (Reference Marquardt, Marquardt, Mueller and Helmreich1884) and the one by Barigazzi (Reference Barigazzi1991).

37 Protr. 1, 85.11-12 B. = I.3.1-2 K.

38 Cf. Nikolaidis (Reference Nikolaidis2002: 22–23), who warns that Seneca’s Letter 90 should not be taken as a protreptic in the strict sense, despite the features it shares with traditional protreptics.

39 Seneca, Letter 90.7; cf. 90.11-12, 90.17-18. See one of the latest studies by van Nuffelen and van Hoof (Reference van Nuffelen and Van Hoof2013). According to Proclus, together with persuasion, dissuasion, ‘midwifery’, praise and blame, refutation is one of the ways of bringing man to self-knowledge (First Alcibiades 8.13-14).

40 Cf. Rainfurt (Reference Rainfurt1904: 56) and Boudon (Reference Boudon-Millot and Goulet2000: 15–16).

41 In this connection, von Staden (Reference von Staden and Palmieri2003: 18–19, with Footnote n. 19) refers to Galen’s use of alogos as a term of ridicule and abuse.

42 De Mor. 28 Kr.; cf. De Mor. 42 Kr.; English translation by Mattock (Reference Mattock, Stern, Hourani and Brown1972) and Davies in Singer (Reference Singer2013).

43 Aff. Pecc. Dig. 6, 19.8-20 DB = V.27.6-28.3 K.

44 PHP 6.2, 368.12-370.23 DL = V.515.1-518.2 K.

45 Iambl. Protr. 8, 48.9-21 Pistelli: ‘Nothing therefore either divine or blessed subsists in man except the element of intellect and insight, which alone is worthy of any attention or study: for this alone of us is immortal and divine. And, moreover, the fact that we are able to participate in this intellectual power, though our life is naturally miserable and grievous, and yet is tempered with so much that is sensuously agreeable, demonstrates that in relation to other things on the earth man seems to be a god. For our intellect is a god, and our mortal life is a participant of a certain deity, as either Hermotimus or Anaxagoras said. Wherefore we must either philosophize – or, bidding farewell to physical life, go from this place, because all other things are full of trifles and rubbish.’ (transl. Johnson in Neuville and Johnson Reference Neuville and Johnson1988).

46 ἐσπουδακέναι with Barigazzi (Reference Barigazzi1991) following Kaibel (Reference Kaibel1894); Boudon (Reference Boudon-Millot and Goulet2000) prints ἐσπευκέναι in line with the Aldine edition.

47 πῶς οὖν οὐκ αἰσχρόν, ᾧ μόνῳ τῶν ἐν ἡμῖν κοινωνοῦμεν θεοῖς, τούτου μὲν ἀμελεῖν, ἐσπουδακέναι δὲ περί τι τῶν ἄλλων, τέχνης μὲν ἀναλήψεως καταφρονοῦντα, Τύχῃ δ’ ἑαυτὸν ἐπιτρέποντα;

48 E.g. Cebes, Tabula 7.1-3, 9.4, 18.1-3. The standard edition is that of Prächter (Reference Prächter1893); more recent editions in Pesce (Reference Pesce1982) and Fitzgerald and White (Reference Fitzgerald and White1983). The Tabula should be read alongside the discussion in Trapp (Reference Trapp and Sorabji1997), where additional references can be found.

49 Interestingly, the part of the treatise in which Fortune and Virtue are directly contrasted is the beginning, 316C ff.

50 Succinctly in Boudon-Millot (Reference Boudon-Millot2007: 12–14). Favorinus was a contemporary of Galen, whom Galen lambasted in his ethical work Against Favorinus’s Attack on Socrates as well as in his The Best Method of Teaching.

51 Protr. 2, 85.20-86.5 B. = I.3.9-13 K. See Nutton (Reference Nutton, Bynum and Nutton1991b: 13). On Galen’s attitude to the figurative arts, especially sculpture and painting, see Boudon (Reference Boudon2001).

52 Protr. 2, 86.5-8 B. = I.3.14-17 K.

53 Protr. 8, 97.6-8 B. = I.16.14-16 K.; Protr. 10, 102.20 B. = I.23.8-9 K.

54 See, for instance, Plutarch’s On Moral Virtue 452B, On the Tranquillity of the Soul 475E-F, Table Talk 663D, Old Men in Public Affairs 787D, Political Precepts 801C-D. See also Chapter 7.

55 Protr. 4, 87.19-88.11 B. = I.5.13-6.8 K.

56 Protr. 5, 88.19-89.21 B. = I.6.15-8.6 K. The assimilation strategy seems to be a common practice employed by Galen. In his Recognising the Best Physician, he claims that it befits heroes and rich men to learn medicine, Opt. Med. Cogn. 9, 111.1-2 I.

57 What Damiani (Reference Damiani, Alieva, Kotzé and van der Meeren2018: 308) has seen as a kind of Appellstruktur, ‘the frequent insertion of formulations directly appealing to the addressee – a feature typical of didactic literature. Its function is to underscore the importance of what is being said and to establish a form of interaction between the author and the recipient.’

58 Cf. Protr. 3, 87.7-9 B. = I.5.2-4 K.

59 De Mor. 40-41 Kr.

60 Boudon-Millot (Reference Boudon-Millot2007: 15–16).

61 Cf. Opt. Med. 288.14-17 Boudon-Millot = I.58.2-4 K.

62 Ind. 1, 54.10-11 PX; Ind. 1, 56.24-28 PX;.

63 Protr. 6, 91.22 B. = I.10.8 K.

64 See αἰσχρόν (‘despicable’), ἠτιμάκασιν (‘they disgraced’), ἀποβλήτοις τῶν οἰκετῶν ἐοίκασιν (‘they are equivalent to the reject servants’), all in Protr. 6, 9 B. = I.9-11 K., and also in the passage cited above. Similarly in his introduction to Opt. Med. Cogn.1, 42.5-9 I., 9, 111.5-12 I., and his San. Tu. 5.1, 137.26-138.5 Ko. = VI.311.9-312.9 K.

65 ὅθεν οὐδ’ ὁ ταῖς κρήναις τοὺς τοιούτους εἰκάσας ἄμουσός τις ἦν. Καὶ γάρ τοι καὶ οἱ ἀπὸ τῶν κρηνῶν ὑδρευμένοι πρόσθεν, ἐπειδὰν μηκέτ’ ἔχωσιν ὕδωρ, ἀνασυράμενοι προσουροῦσι.

66 Protr. 7, 93.1-7 B. = I.11.7-11 K.

67 Burgess (Reference Burgess1902: 234), Hartlich (Reference Hartlich1889: 225–226), Gorgemanns (Reference Gorgemanns, Cancik and Schneider2001: 469–470).

68 On Galen’s attitude to Greek poetic tradition in his Doctrines of Hippocrates and Plato, see De Lacy (Reference De Lacy1966). Cf. Rosen (Reference Rosen and Asper2013).

69 Cribiore (Reference Cribiore1996), Morgan (Reference Morgan1998: 50–89).

70 Protr. 10, 103.6 B. = I.23.14 K.: ἄκουσον; Protr. 10, 103.18 B. = I.24.9 K.: ἄκουε πάλιν; Protr. 10, 104.4 B. = I.24.13 K.: ἀκούειν ἐθέλεις; Protr. 10, 104.5 B. = I.24.10 K.: ἄκουε πάλιν; Protr. 10, 104.15 B. = I.25.6 K.: ἀκούσῃ. Cf. Schenkeveld (Reference Schenkeveld1992). See also Galen’s On Habits 4, II.28.1-4 Müller.

71 Protr. 7, 93.15-16 B. = I.12-10 K.: πρὸς οἰκεῖον παράδειγμα τὸν ζῆλον ἡμῖν γίγνεσθαι.

72 In Xenophontos (Reference Xenophontos2016b) I discuss the similarities between the two works, suggesting a terminus ante quem for the On the Education of Children in the light of Galen’s Exhortation. It is true that the same thought appears in other moral(ising) texts too, e.g. in Cicero, For Lucius Murena 66: ‘you said that you had a domestic example to imitate’ (domesticum te habere dixisti exemplum ad imitandum), but it is only reasonable to assume that Galen was more familiar with near-contemporary Greek sources rather than earlier, Latin ones. The issue of Galen’s knowledge of Latin has still not been sufficiently explored; see, for example, Herbst (Reference Herbst1911: 137–138); cf. Nutton (Reference Nutton2012: 540).

73 ‘Those, however, who are in the grip of moderate affections, and are thus able to recognize a little of the truth of the above statements, if, as I have previously said, they appoint a monitor or tutor, who, by constant reminders, by criticism, by exhortation and encouragement to hold back from the stronger affections, and by providing himself as an example of all those statements and exhortations, will be able, by the use of words, to make their souls free and noble’ (ἐὰν δέ τις ἔτι μετρίοις δουλεύῃ πάθεσι γνῶναί τ’ [ἂν] οὕτως δύνηταί τι τῶν πρότερον εἰρημένων, ἐπιστήσας ἑαυτῷ, καθάπερ ἔμπροσθεν εἶπον, ἐπόπτην τινὰ καὶ παιδαγωγόν, ὅστις ἑκάστοτε τὰ μὲν ἀναμιμνήσκων αὐτόν, τὰ δ’ ἐπιπλήττων, τὰ δὲ προτρέπων τε καὶ παρορμῶν ἔχεσθαι τῶν κρειττόνων, ἑαυτόν τε παράδειγμα παρέχων ἐν ἅπασιν, ὧν λέγει τε καὶ προτρέπει, δυνήσεται κατασκευάσαι λόγοις ἐλευθέραν τε καὶ καλὴν τὴν ψυχήν), Aff. Pecc. Dig. 10, 35.9-16 DB = V.52-18-53.9 K.

74 Protr. 7, 94.20-22 B. = I.14-15 K.

75 Protr. 8, 96.3-14 B. = I.15.9-16.2 K.

76 See also Chapter 7.

77 Especially Protr. 5, 90.4-8 B. = I.8.9-13 K.

78 Epictetus, Discourses 3.24.67-69.

79 οὗτός ποτε πρός τινος ὀνειδιζόμενος, ὅτι βάρβαρος εἴη καὶ Σκύθης· «ἐμοὶ μὲν ἡ πατρὶς ὄνειδος, σὺ δὲ τῇ πατρίδι», πάνυ καλῶς ἐπιπλήξας τῷ μηδενὸς ἀξίῳ λόγου, μόνον δ’ ἐπὶ τῇ πατρίδι σεμνυνομένῳ. Cf. Galen’s Protr. 6, 92.19-21 B. = I.11.9-11 K.

80 This is a fragment of Character Traits surviving in Ibn Abī Uṣaybiʿah, Deeds of the Physicians (ʿUyūn al-anbāʾ fī ṭabaqāt al-aṭibbāʾ) Kraus 14; translated in Singer (Reference Singer2013: 180).

81 Protr. 8, 96.3-97.22 B. = I.15.9-17.12 K.

82 Cf. De Mor. 43 Kr., where physical illness and ugliness correspond to illness and ugliness of the soul.

83 Ὁ Σωκράτης ἐκέλευε τῶν ἐσοπτριζομένων νεανίσκων τοὺς μὲν αἰσχροὺς ἐπανορθοῦσθαι τῇ ἀρετῇ, τοὺς δὲ καλοὺς μὴ καταισχύνειν τῇ κακίᾳ τὸ εἶδος. Cf. Diogenes Laertius, Lives of the Philosophers 7.19: μειρακίου δὲ περιεργότερον παρὰ τὴν ἡλικίαν ἐρωτῶντος ζήτημά τι, προσήγαγε πρὸς κάτοπτρον καὶ ἐκέλευσεν ἐμβλέψαι· ἔπειτ’ ἠρώτησεν εἰ δοκεῖ αὐτῷ ἁρμόττοντα εἶναι ὄψει τοιαύτῃ τοιαῦτα ζητήματα, and Stobaeus 2.31.98: Σωκράτης παρῄνει τοῖς νέοις πολλάκις ἐσοπτρίζεσθαι καὶ τοὺς μὲν εὐπρεπεῖς ὅμοιον ποιεῖν τῷ εἴδει καὶ <τὸν> τρόπον, τοὺς δὲ ἀμόρφους περιστέλλειν τὸ δυσειδὲς τῇ εὐτροπίᾳ. The recipients of the advice are in both cases young men. On how Galen is influenced by Socratism in the Exhortation, see Rosen (Reference Rosen, Brockmann, Brunschön and Overwien2009: 157–159).

84 Protr. 8, 99.1-16 B. = I.18.15-19.13 K. with multiple occurrences of ἔπτυσεν, προσέπτυσε, ἀποπτύειν.

85 μὴ τοίνυν ἐάσῃς, ὦ μειράκιον, ἄξιον τοῦ προσπτύεσθαι γενέσθαι σεαυτόν, μηδ’ ἂν ἅπαντά σοι τἄλλα κάλλιστα διακεῖσθαι δοκῇ.

86 Protr. 9, 100.2-6 B. = I.20.5-9 K.

87 On age groups in Galen, see Boudon-Millot (Reference Boudon-Millot, Rousseau and Boehm2014).

88 Enkyklios paideia refers to a programme of intermediate/secondary education (following on from the primary stage of education that included reading and writing), which provided preparatory studies for the various branches of higher culture. After the second half of the 1st c. BC, this programme became more systematised and included the seven liberal arts, normally grammar, rhetoric and dialectic (later known as the trivium), and arithmetic, geometry, astronomy and harmonics (the quadrivium), although with some degree of flexibility depending on the special interests of each author. Higher/professional learning traditionally included philosophy, rhetoric, medicine, architecture and other fields. See Clarke (Reference Clarke1971: 1–2, 109–118) and Morgan (Reference Morgan1998: 33–39).

89 Cf. Curtis (Reference Curtis, Adamson, Hansberger and Wilberding2014: 43–44), who makes the point that these appellations directed at young men stress Galen’s pedagogical role more than the actual age group of his intended audience.

90 ‘I am sure that you are well aware that none of these is an art’, Protr. 9, 100.6-8 B. = I.20.9-10 K.

91 ‘The only thing that worries me is athletics.’ Protr. 9, 100.11-12 B. = I.20.13-14 K.; ‘There is a danger that it may deceive some young men into supposing it an art. We had best investigate it then; deception is always easy in anything of which one has made no previous investigation’, Protr. 9, 100.16-101.2 B. = I.21.1-4 K.

92 τὸ δὴ τῶν ἀνθρώπων γένος, ὦ παῖδες, ἐπικοι<νω>νεῖ θεοῖς τε καὶ τοῖς ἀλόγοις ζῴοις, τοῖς μέν, καθ’ ὅσον λογικόν ἐστι, τοῖς δέ, καθ’ ὅσον θνητόν. βέλτιον οὖν ἐστι τῆς πρὸς τὰ κρείττονα κοινωνίας αἰσθανόμενον ἐπιμελήσασθαι παιδείας, ἧς τυχόντες μὲν τὸ μέγιστον τῶν ἀγαθῶν ἕξομεν, ἀποτυχόντες δ’ οὐκ αἰσχυνούμεθα τῶν ἀργοτάτων ζῴων ἐλαττούμενοι.

93 Plutarch’s educational essays and Galen’s Exhortation have many ideas in common: the contrast between useful and pleasurable (On Listening to Poetry 14D-F), the mixture of philosophical material with mythical narrations so as to make them more attractive to young people (On Listening to Poetry 15F), amending (epanorthōsis) poetical lines (On Listening to Poetry 20E-21D), praise and blame (On Listening to Poetry 27E-F), the role of eugenics (On Listening to Poetry 28D), differences between various groups of people and nations (On Listening to Poetry 28F-30E), the notion that the gods do not honour wealthy and powerful men but rather the just ones (On Listening to Poetry 30F), the imagery of horse and rider (On Listening to Poetry 31D) and the helmsman (On Listening to Poetry 33F), condemning nobility, riches, beauty and fame (On Listening to Poetry 32F, 33C-D, 34A, 34D-36A), what depends on luck (On Listening to Poetry 35C) and the contrast between humans and wild animals (On Listening to Lectures 38D).

94 Hartlich (Reference Hartlich1889: 302); cf. Calderini and Ginevra (Reference Calderini and Ginevra1986: 75–80).

95 König (Reference König2005: 292–300) explains the disjunction between the work’s two parts.

96 König (Reference König2005: 254–300) analyses Galen’s texts on physical training, including the Exhortation, to show how choosing athletics acts as a defining mirror image for medicine. On Galen’s foregrounding of the self and his various levels of sophistication, see Barton (Reference Barton1994: 144–147). On athletics and the Second Sophistic, see van Nijf (Reference van Nijf and Borg2008: 203–224); cf. Singer (Reference Singer2014b: 983–984 and 987–993) specifically on Galen’s attack against athletic trainers.

97 E.g. Maximus of Tyre, Oration 37.3 in Trapp’s edition. Cf. Philostratus’s On Gymnastics 45, where athletic trainers are accused of corrupting the morals of athletes.

98 Curtis (Reference Curtis, Adamson, Hansberger and Wilberding2014: 46–50). His 2014 study is a shorter version of pages 80–105 of his unpublished PhD thesis entitled ‘Rhetorical strategies and generic conventions in the Galenic corpus’ (2009). On athletics specifically in relation to elite self-fashioning, see van Nijf (Reference van Nijf and Goldhill2001).

99 Cf. Iamblichus Protr. 6, 40 Pistelli: ‘Indeed it is a servile or brutal manner of living, but not of living well, for one to eagerly desire and follow the opinions of the multitude of mankind, but to be altogether unwilling to imitate the industry and toil of the same multitude by seeking real wealth, the things which are truly beautiful.’ (transl. Johnson in Neuville and Johnson Reference Neuville and Johnson1988).

100 Protr. 10, 103.2-5 B. = I.23.11-13 K.

101 ἄκουσον οὖν ὅπως Εὐριπίδης φρονεῖ περὶ τῶν ἀθλητῶν (‘Consider Euripides’s opinion of athletes’), Protr. 10, 103.6-7 B. = I.23.14-15 K.; ὅτι δὲ καὶ τῶν ἐπιτηδευομένων αὐτοῖς ἕκαστον ἄχρηστόν ἐστιν, ἄκουε πάλιν … (‘He has something to say, too, about the usefulness of their individual practices. Listen to this: …’), Protr. 10, 103.17-18 B. = Ι.24.8-9 Κ.; εἰ δὲ καὶ τοὐτων ἔτι λεπτομερέστερον ἀκούειν ἐθέλεις, ἄκουε πάλιν … (‘Or consider, if you will, this even subtler pronouncement …’), Protr. 10, 104.4-5 B. = I.24.13-14 K.

102 Xenophontos (Reference Xenophontos2010). Love of truth is a staple in Galen’s self-characterisation in many other works including the Affections and Errors of the Soul, Prognosis and Therapeutic Method, as we will see in subsequent Chapters.

103 Protr. 10, 104.10-19 B. = I.25.2-10 K.

104 Protr. 10, 104.18-105.4. B. = I.25.9-16 K.

105 Cf. PHP 3.3, 192.3-6 DL = V.310.8-12 K.

106 Protr. 10, 104.20 B. = I.25.11 K.

107 Protr. 11, 106.1-11 B. = I.26.17-27.9 K.

108 Protr. 11, 107.15-108.4 B. = I.28.14-29.2 K.

109 For the analogy’s satirical and comic connotations, see Rosen (Reference Rosen and Horstmanshoff2010: 334–337).

110 De Mor. 37 Kr.

111 Protr. 11, 108.5-14 B. = I.29.2-12 K.: ‘The old master, Hippocrates, apart from the lines already quoted, also says this: “Great and sudden changes are dangerous: filling or emptying, heating or cooling, or moving the body in any other way”. For – he adds – “all large quantities are inimical to Nature (Aphorisms ii.51) …” I would say, in fact, that athletics is the cultivation, not of health, but of disease. …’. On Galen as a commentator on Hippocrates, see e.g. Manetti and Roselli (Reference Manetti and Roselli1994), Flemming (Reference Flemming and Hankinson2008).

112 Protr. 11, 109.15-21 B. = I.31.2-7 K.

113 ‘By this he (i.e. Hippocrates) does not just mean that athletic practice destroys what is natural; he even uses the word ‘state’, refusing it the name ‘condition’, which is always applied by the ancients to the truly healthy. A condition is a stable state which is not readily changed; that of athletes is a peak, and is dangerous and liable to change’, Protr. 11, 108.16-23 B. = I.29.13-30.2 K.

114 Galen readjusts his emphases to the level of his audience very frequently, e.g. ‘The substance which governs plants, when I converse with the Platonist philosophers, I call ‘soul’, just as he [i.e. Plato] did, but when I converse with the Stoics, [I call it] ‘nature’, just I do when I address average people’, Prop. Plac. 3, 100.35-102.37 PX.

115 Protr. 13, 111.8-14 B. = I.32.13-16 K.

116 Protr. 13, 112.3-7 B. = I.33.9-13 K.

117 Protr. 13, 112.11-15 B. = I.33.16-34.2 K.

118 Crusius (Reference Crusius1884) suggested that these hexameters come from a lost work of Plutarch, ‘The catalogue of Lamprias’ no. 127 with title Περὶ ζῴων ἀλόγων ποιητικός; compare Gercke (Reference Gercke1886: 470–472), who advances certain objections to Crusius’s arguments; see also Bergk (Reference Bergk1846: 117–118), who attributes the song to Xenophanes instead.

119 Protr. 14, 116.20-117.1 B. = I.38.9-12 K.

120 Cf. De Mor. 44 Kr. on the sciences reforming the soul. On the classification of the arts in Galen, see Rodríguez-Moreno (Reference Rodríguez-Moreno2020: 208–222). The contradiction between the end and function of the so-called stochastic arts, including medicine, gave rise to heated debates in Galen’s time; on how Galen and his contemporary and rival Alexander of Aphrodisias (2nd c. AD) explain this contradiction, see Ierodiakonou (Reference Ierodiakonou, van der Eijk, Horstmanshoff and Schrijvers1995). Pollux’s Onomasticon (2nd c. AD) is full of references to the contemporary debate on the distinction between banaustic and liberal arts. Cf. Mazzini (Reference Mazzini and Maire2014: 79–80). See also Maximus of Tyre’s Oration 37.41-55.

121 On Galen’s attitude towards physical exercise, see Barraud (Reference Barraud1938). Also Schlange-Schöningen (Reference Schlange-Schöningen2003: 127–133). See also Chapter 2.

122 Galen, Bon. Hab. 17.15-16 Helmreich = 106.21-22 Bertini Malgarini = IV.751.13-15 K.

123 Galen, Bon. Hab. 17.22-18.10 Helmreich = 106-108 Bertini Malgarini = IV.752.4-14 K. Translations from Singer (Reference Singer1997).

124 From [Hipp.] Aphor. I, 3, 18, IV.99 Jones = IV.458.13 L. at Galen, Protr. 11, 106.15-16 B. = I.27.13-14 K. and Protr. 11, 108.22-23 B. = I.30.1-2 K. From [Hipp.] De alim. 34, 82.21-22 Heiberg =145.2-3 Joly = IX.110.11-13 L. at Galen, Protr. 10, 104.15-16 B. = I.25.7-8 K. and Protr. 11, 108.15-16 B. = I.29.12-13 K.

125 The chreia about Milo seems to be a famous one, occurring, inter alios, also in Cicero’s On Old Age 10.33, Quintilian’s Institutes of Oratory 1.10, Aelian’s Various History 12.22 and 14.47b, and Lucian’s Charon 8.

126 Mendner (Reference Mendner1959), Nickel (Reference Nickel1976); for a description of the sport, see Wenkebach (Reference Wenkebach1938: 275–279). See also Robinson (Reference Robinson1955: 182–190) for other references to exercises with a ball such as Pollyx or Athenaeus; cf. Boudon-Millot (Reference Boudon-Millot2015a), Pietrobelli (Reference Pietrobelli, Dasen and Vespa2020: 156–168). On the popularity of ball games in the Imperial period, see Harris (Reference Harris1972: 75–111).

127 Galen, Parv. Pil. 1, I.93.10-12 Marquardt = V.899.10-900.1 K. For a rhetorical analysis of the work, see Gibson (Reference Gibson2014).

128 ‘I praise especially the form or exercise which has the capacity to provide health of the body, harmony of the parts, and virtue in the soul … It is able to benefit the soul in every way’ (Μάλιστα οὖν ἐπαινῶ γυμνάσιον, ὃ καὶ σώματος ὑγείαν ἐκπορίζει, καὶ μερῶν εὐαρμοστίαν, καὶ ψυχῆς ἀρετὴν παρὰ τούτοις … καὶ γὰρ εἰς πάντα ψυχὴν δυνατὸν ὠφελεῖν), Parv. Pil. 3, I.97.7-11 Marquardt = V.906.14-907.1 K.

129 Galen, Parv. Pil. 1, I.94.5-8 Marquardt = V.900.10-12 K.

130 Galen, Parv. Pil. 3, I.98.8-12 Marquardt = V.905.10-13 K.

131 Galen, Parv. Pil. 3, I.98.13-16 Marquardt = V.905.14-17 K.

132 Protr. 11, 106.1-11 B. = I.26.17-27.9 K.; Protr. 11, 107.15-108.4 B. = I.28.14-29.2 K.

133 San. Tu. 1.12, 28.22-31 Ko. = VI.60.8-18 K.

134 On Galen’s attitude to gymnastics in Thrasybulus, see Englert (Reference Englert1929: 53–66).

135 Comp. Med. Gen. 3.6, XIII.599.3-601.18 K., in contrast to the inhumanity and immorality of the gladiatorial games in Seneca’s Letter 7 and Letter 90.

136 Mattern (Reference Mattern2013: 180–182).

137 Praen. 9, 118.27-33 N. = XIV.650.9-15 K.

138 Cf. Herodian, Roman History 1.13.7-8, who also attributes Commodus’s pleasure-seeking to his neglect of moral studies.

139 Rothschild (Reference Rothschild, Rothschild and Thompson2014: 183–185) discusses the political overtones of Galen’s use of Hercules in Avoiding Distress by analysing Commodus’s links to Hercules in the light of Cassius Dio and other sources (e.g. imagery on coins).

140 Cassius Dio, Roman History 73.2.2-3: ‘For no one called him Commodus or emperor; instead they referred to him as an accursed wretch and a tyrant, adding in jest such terms as “the gladiator”, “the charioteer”, “the left-handed”, the “ruptured”’. The edition of Cassius Dio is that by Boissevain (1895–1901; repr. Reference Boissevain1955).

141 Walsh (Reference Walsh1930: 521).

142 Such as, for example, pseudo-Dionysius of Halicarnassus’s Exhortation to Athletes (283.20-292 Usener-Rademacher).

143 Galen started his philosophical studies at the age of fourteen, Nutton (Reference Nutton2013: 223). [Soranus], Introduction, II.244-245 Rose, recommends beginning medical education at the age of 15; see Drabkin (Reference Drabkin1944: 337), Carrier (Reference Carrier2016: 34–36, 60–62). On medical education in antiquity, see Bannert (Reference Bannert and Bloomer2015), Carrier (Reference Carrier2016: 105–119); cf. Kudlien (Reference Kudlien and O’Malley1970a).

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