Little or nothing has hitherto been written by archÆologists regarding the medical staff of the Roman army. Indeed, in none of our common works on Roman antiquities, as in those of Rosini, Kennet, Adam, Smith, Ramsay, etc., is there any allusion whatever made to the question, whether or not the Roman troops were furnished with medical officers. In one anonymous work on Roman antiquities, translated from the French, and published in London in 1750, the subject is referred to, the author stating that during the commonwealth there were no physicians in the Roman armies; and he adds that, even under the Emperors, “it does not appear there were any physicians in the armies, as there are surgeons in ours.” The reference to the medical superintendence of the army by Aurelian occurs in Vopiscus’ Life of that Emperor (chap. vi.) In issuing some peremptory orders regarding the discipline of the army, after enumerating various rigid rules which the soldiers were to observe, Aurelian concludes with the following admonition and announcement:—“Let each soldier aid and serve his fellow; let them be cured gratuitously by the physicians (a medicis gratis curentur); let them give nothing to soothsayers; let them conduct themselves quietly in their hospitia; and he who would raise strife, let him be lashed.” When treating of those who, by absence from Rome, etc., were exempted from some burthens and taxes, the jurist Modestinus, who wrote in the earlier half of the third century, mentions, among others, the military physicians (Medici Militum), “because,” he adds, “the office which they fill is beneficial to the public, and ought not to be productive of any injury to themselves (quoniam officium, quod gerunt, et publice prodest, et fraudem eis adferre non debet)”. In Justinian’s Corpus Juris Civilis, lib. x. tit. 52, drawn up in the sixth century, there is a series of laws, “De Professoribus et Medicis.” The first of these laws exempts the physician of a legion (Medicum Legionis) from civil duties when he is absent in the public service. In his work De Re Militari, Vegetius, who wrote towards the end of the fourth century, devotes a chapter (lib. iii. 2) to the regulation of the health of an army; and incidentally rather than directly alludes to the cure of sick soldiers by the skill of the physicians (arte medicorum). The passage I have alluded to as in the works of Galen is of an earlier date than any of the preceding, and is to be found in liber iii. cap. 2, of his work, De Compositione Medicamentorum per Genera. In discoursing regarding the treatment of wounds, he talks of the necessity of a knowledge of human anatomy for their proper management. In order to know the anatomy of man, he recommends here, as elsewhere, the anatomy of the monkey to be studied, maintaining that without such knowledge you cannot This paragraph, though indistinct as regards the status and office of these ?at???, is still sufficiently explicit as to the fact that there were physicians in the Roman army during the German wars that Galen alludes to; and these wars were no doubt those that occurred from the year A.D. 167 to 175, immediately previous to the time when Galen wrote the work from which we have quoted. The history of other more ancient governments than that of Rome is not without allusion to the office of army physicians. Homer, One instance is referred to in history, in which an Egyptian king, when thrown from his horse in battle, wounded and speechless from injury of the head, had his skull trepanned by his surgeons. I allude to Ptolemy Philometor, who defeated Alexander Balas, the pretender to the throne of Syria, in the year B.C. 146. According to Livy, the victor himself died after the battle during the attempts of his surgeons to relieve him. “Ptolemaeus, in caput graviter vulneratus, inter curationem, dum ossa medici terebrare contendunt, exspiravit.”—(Epit. lib. lii.) Nor is the old classical literature of Greece without reference to surgical services tendered to the soldier in war. Homer describes the double character of army surgeons and warriors as combined in the persons of Podalirius and Machaon. ??t??? ?a? a??? p????? ??ta???? ?????, ???? t' ??ta?e??, ep? t' ?p?a fa?a?a passe??. In the course of the Iliad, the surgical treatment followed in individual cases among the disabled Greek warriors is sometimes minutely entered upon; and thus the different modes of operation by which the transfixing arrow, dart, and lance, were, in those early days of surgical science, removed from the bodies of the wounded, may be sometimes gathered from Homer’s lucid and minute descriptions. He mentions three different methods, at least, by which war-weapons were extracted—viz., first, by evulsion, or traction of the weapon backwards, as in the case of Menelaus (Iliad, lib. iv. 214); secondly, by protrusion, or pushing of the instrument forward, as in the case of Diomede (v. 112); and, thirdly, by enlarging the wound, and cutting out the weapon, as was the practice of Patroclus in the case of Eurypylus (xi. 843). I am not aware that Homer ever individualises any internal medical treatment except once (xi. 638), when he mentions a mixture of Pramnian wine, cheese, and flour, as having been administered by the nursing hand of Hecamede to the wounded Machaon, Xenophon alludes in various parts of his works to physicians or surgeons connected with the Greek armies. In describing the laws of the Lacedemonians, as instituted in the earliest ages of Greek history by Lycurgus, he incidentally mentions that physicians were attached to the Spartan army. For in the arrangements previously laid down for the troops before a battle, it was ordered that there should be placed behind the station occupied by the King several officials, and among others, the soothsayers or priests, the physicians, the minstrels, the leaders of the army, and any persons who were voluntarily present in the expedition (?a? ??te??, ?a? ?at???, ?a? a???ta?, ?? t?? st?at?? ?????te?, ?a? ??e???s??? ?? t??e? pat??s??). Again, in his celebrated account of the retreat of the ten thousand Greeks, Xenophon states that at the conclusion of the fifth day of their march, and after considerable skirmishing with the troops of Tissaphernes, “they appointed eight physicians, for there were many persons wounded.” Lastly, in his semi-historical or political romance—the CyropÆdia (lib. i. 6, § 15), Xenophon makes his young royal hero, Cyrus, the founder of the Persian monarchy, speak, among other matters, of the importance of medical officers being attached to armies. “With respect to health” (says Cyrus), “having heard and observed that cities that wish health choose physicians, and that commanders, for the sake of their soldiers, take physicians; so, when I was placed in this command, I immediately attended to this point; and I believe that I have men with me that are very skilful in the art of physic.” In the same work Xenophon subsequently describes Cyrus as commending to the professional services and care of his medical officers the Chaldeans who had been wounded and captured in fight with him.—(Instit. Cyri, lib. iii. c. 2, § 12.) Few individual instances are recorded in Greek history of sur In the earlier periods of Roman history and Roman warfare, the treatment of the military sick and wounded was, in all probability, trusted to the casual care of some fellow-soldiers whose tastes and inclinations had led them to pay more than usual care to the rude surgery which existed at the time. Occasionally the weapons used in ancient war seem to have been forged for the special purpose of rendering their extraction by the surgeon a matter of difficulty and danger. At least we find Paulus Ægineta complaining that some of them have “their barbs diverging in opposite directions, like the forked lightning, in order that, whether pulled or pushed, they may fasten in the parts.” Still, let me repeat, neither in Celsus nor in Paulus Ægineta, nor, indeed, in any other ancient medical work, have we, as far as I know, any allusion to the circumstance of surgeons or physicians Modern military experience has, in many instances, proved the high importance of the services and superintendence of a medical military staff; and not so much in reference to the care of individual cases, and the cure of the wounded, as in reference to the general health and consequent general strength and success of whole armies. In fact, in war the devastations produced by sickness and disease have often been found greatly more formidable and fatal than any devastations produced by the sword; fevers, dysenteries, and other distempers of the camp, have carried off far more soldiers than the ball or bayonet; malarious and morbific agency has sometimes terminated a campaign as effectually as the highest military strategy; and armies have occasionally, in later times, been as completely destroyed by the indirect ravages of disease as by the direct effects of battle. Nor was the experience of the Roman armies in this respect different from our own. When the Emperor Septimius Severus determined to subdue the whole of Scotland, he about the year 208 led, according to Herodian and Dion Cassius, We know, from the oft-repeated anecdote regarding Arcagathus, as told by Pliny, that in the early days of republican Rome the practice of medicine was not encouraged among the inhabitants of the Eternal City. But, in the later periods of the empire, Rome abounded with native and foreign physicians; and, when we find the Roman people exalted in so many branches of art and know Some modern discoveries in Great Britain and elsewhere show that such a conjecture is not at variance with truth, and that the Roman armies were provided, at all events in the time of the Empire, with a medical staff. Housesteads, in Northumberland (the ancient Borcovicus), formed one of the principal stations on the great defensive wall which the Emperor Hadrian reared, in the second century, from the Tyne to the Solway. Many Roman remains have been found at Housesteads.
And I append Mr. Brace’s translation of it:—“Sacred to the gods of the shades below. To ANICIUS INGENUUS, Physician in Ordinary of Cohort the first of the Tungrians. He lived twenty-five years.” The first Tungrian Cohort, which erected this monument over the grave of their young physician, distinguished itself under Agricola at the battle of the Mons Grampius. The youth of this military physician is remarkable. He died at twenty-five. The elaborate nature of the carving of this monumental tablet affords the strongest evidence of the esteem and respect in which this young physician was held by his Cohort. In fact, it is more ornamented than many of the altars raised by this and other Cohorts to the worship of their gods. It has been suggested by Mr. O’Callaghan Several monumental and votive tablets have been discovered in other parts of the old Roman world, affording further evidence of the Roman troops being provided with a medical staff. In Gruter’s great work on Roman inscriptions there are copies of at least three inscriptions, in which physicians of Cohorts (medici cohortum) are mentioned. Another altar, discovered also at Rome, and inscribed in the same terms to Æsculapius, is given by Gruter (p. 68, 2). In this instance, the dedicator is SEXTUS TITIUS, medical officer to the sixth PrÆtorian Cohort; and he erects it for the health of the fellow-soldiers of his Cohort, in conformity with a vow which he had undertaken. The whole inscription is as follows:—
Long ago Reines published in his Syntagma Inscriptionum,
Muratori, in his Thesaurus, The tablets to which I have hitherto alluded all refer, with the doubtful exception of the first and last, to one rank of medical military men, namely the surgeons of cohorts (Medici Cohortum). It is generally believed that each cohort consisted of about 500 or 600 men; though this appears to have varied at different times. From the preceding tablets, each cohort seems to have been provided with at least one medical officer, if not more. For the distinctive terms “Ordinarius” and “Clinicus,” which occur in the first and last of the preceding inscriptions, when added to the usual term “Medicus Cohortis,” apparently tend to indicate a different grade or rank of medical officer from the latter. Whether, however, or not there were different grades among the Roman Medici Cohortum, we have sufficient evidence for proving that there existed in the Roman army a higher rank of medical officer than these,—namely, Medici Legionum. The Roman legion consisted of ten cohorts.
In the Collectio Inscriptionum (vol. i. No. 448) of Hugenbach and Orelli, there is published another Roman tablet found in Switzerland (at Gebistorf, near Windisch), bearing the name of a Legionary physician. The inscription states that Atticus Patronus erected this tablet to TITUS CLAUDIUS HYMNUS, physician to the twenty-first Legion, and to Claudia Quieta, his wife.
Orelli gives in the same work (vol. ii. No. 4996), another tablet found at Salon, in which a third physician to a legion is named; the tablet being erected by M. BESIUS TERTULLUS, physician of the eleventh Legion, to the memory of his “hospes,” Papiria Pyrallis. I have already alluded to a passage in Vegetius, showing in relation to the government of the Roman medical staff, that the medical officers as well as their patients were both placed under the control of the PrÆfect of the Camp, to whose multifarious duties, these, among other matters, pertained. “Praeterea aegri contubernales, et medici a quibus curantur, expensae etiam ad ejus industriam pertinebant.” The remarks which I have hitherto made refer only to the medical staff and organisation of the Roman army. If, however, as the preceding facts tend to show, the Roman troops were furnished with a medical staff, there is, a priori, every probability that the Roman fleet was similarly provided. The contingencies, however, of a naval, as compared with a military life, render the preservation of such monumental proofs as we have already adduced in relation to the existence of army medical officers much less likely in relation to the existence of medical officers in the fleet. Indeed I am only aware of the discovery of one ancient tablet referring to the naval medical service. In his late splendid work on the Latin inscriptions found in the kingdom of Naples, Mommsen has given a careful copy of the tablet in question. SATRIUS LONGINUS, physician to the three-banked ship or trirem, the CUPID,
In the preceding inscription LONGINUS is designated Medicus Duplicarius; the term duplicarius in this as other inscriptions signifying that, by the length or superiority of his service, he was entitled to double pay and rewards. The “duplex stupendium” and “duplex frumentum” is repeatedly alluded to by Varro, Livy, Virgil, and other classical authors, as a military reward accorded to the more deserving soldiers and officers of the army; and the corresponding adjective “duplicarius” not unfrequently occurs in old Roman inscriptions. In a previous page it has been stated that nowhere in the Roman Various fragmentary notices exist regarding the physicians who attended upon those Roman Emperors who visited Britain. A medical author (whom Galen often quotes), Scribonius Largus, has left a valued therapeutical work, De Compositione Medicamentorum. This work was written, as we are informed in the preface to it, when the author was absent from Rome, and deprived of the greater part of his library. In his History of Medicine, Sprengel states, but I know not on what precise authority, that the work in question was composed by Largus when he was absent with the Emperor Claudius during his short campaign into England. We have already had occasion to allude to the disasters which attended the Scottish campaign of Severus, and to the imperfect health of the emperor himself during his invasion of Scotland. The In the retrospect, it affords a strange subject of meditation for us in the nineteenth century, to consider that, some fifteen hundred years ago, it thus happened in England, that a number of physicians were themselves doomed to death for refusing to pervert their professional trust so far as to become the murderers of the royal invalid who had confided his health to their care. And the modern physician may look back with some degree of pride upon the fact, that in an age and at a court where cruelty and corruption held unrestrained sway, some members of the medical profession at least remained so uncorruptible as to endanger and sacrifice their own lives rather than tamper with the life of their patient. ROMAN MEDICINE STAMPS. |