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| Humour | Season | Element | Organ | Qualities | Temperament | Characteristics |
| Blood | spring | air | liver | warm & moist | sanguine | courageous, hopeful, amorous |
| Phlegm | winter | water | brain/ lungs | cold & moist | phlegmatic | calm, unemotional |
| Yellow bile | summer | fire | gall bladder | warm & dry | choleric | easily angered, bad tempered |
| Black bile | autumn | earthEarth is one of the four classical elements in ancient Greek philosophy and science. Earth is considered to be both cold and dry, and according to Plato is associated with the cube. Earth is, not surprisingly, the element seen as denoting material possess | spleenThe spleen is a ductless, vertebrate gland that is not necessary for life but is closely associated with the circulatory system, where it functions in the destruction of old red blood cells and removal of other debris from the bloodstream, and also in hol | cold & dry | melancholicMelancholia ( Greek μελαγχολια) was described as a distinct disease as early as the fifth and fourth centuries B. in the Hippocratic writings. It was characterized by "aversion to food, desponden | despondent, sleepless, irritable |
It is believed that HippocratesHippocrates of Cos (c. 460 BC 380 BC) was an Ancient Greek physician, commonly regarded as one of the most outstanding figures in medicine of all time; he has been called the father of medicine. He was a physician from the so called medical school of Kos. was the one who applied this idea to medicine. "Humoralism" or the doctrine of the Four Temperaments as a medical theory retained its popularity for centuries largely through the influence of the writings of GalenClaudius Galenus of Pergamum ( 131- 201 AD), better known as Galen was an ancient Greek physician. His views dominated European medicine for over a thousand years. Life Galen was born in Pergamum (modern-day Bergama, Turkey) to an architect's family. ( 131Events Emperor Hadrian builds the city Aelia Capitolina on the location of Jerusalem Births Galen, anatomist Deaths 131.– 201Events November: flood in Edessa Earliest trace of the Kyrgyz Births Roman emperor Trajan Decius Deaths Possible death of Claudius Galen of Pergamum (see 210) 201. CE) and was decisively displaced only in 1858 by Rudolf Virchow's newly-published theories of cellular pathology. While Galen thought that humours were formed in the body, rather than ingested, he believed that different foods had varying potential to be acted upon by the body to produce different humours. Warm foods, for example, tended to produce yellow bile, while cold foods tended to produce phlegm. Seasons of the year, periods of life, geographic regions and occupations also influenced the nature of the humours formed.
The imbalance of humours, or " dyscrasia", was thought to be the direct cause of all diseases. Health was associated with a balance of humours, or eucrasia . The qualities of the humours, in turn, influenced the nature of the diseases they caused. Yellow bile caused warm diseases and phlegm caused cold diseases.
In On the Temperaments Galen further emphasized the importance of the qualities. An ideal temperament involved a balanced mixture of the four qualities. Galen identified four temperaments in which one of the qualities, warm, cold, moist and dry, predominated and four more in which a combination of two, warm and moist, warm and dry, cold and dry and cold and moist, dominated. These last four, named for the humours with which they were associated—that is, sanguine, choleric, melancholic and phlegmatic, eventually became better known than the others. While the term "temperament" came to refer just to psychological dispositions, Galen used it to refer to bodily dispositions, which determined a person's susceptibility to particular diseases as well as behavioral and emotional inclinations.
Methods of treatment like blood letting, emetics and purges were aimed at expelling a harmful surplus of a humour. They were still in the mainstream of American medicine after the Civil War.
Although completely refuted by modern science, the theory formed basis of thinking about causes of health problems for more than a thousand years. It was first seriously challenged only just before the 18th century. (this needs expanding)
There are still remnants of the theory of the four humours in the current medical language. For example, we refer to humoral immunity or humoral regulation to mean substances like hormones and antibodies that are circulated throughout the body, or use the term blood dyscrasia to refer to any blood disease or abnormality.
The theory was a modest advance over the previous views on human health that tried to explain in terms of the divine. Since then practitioners have started to look for natural causes of disease and to provide natural treatments.
The Unani school of Indian medicine, still apparently practiced in India, is very similar to Galenic medicine in its emphasis on the four humors, and in treatments based on controlling intake, general environment, and the use of purging as a way of relieving humoral imbalances.