The four humors of Hippocratic medicine were black bile (gr. melan chole), yellow bile (gr. chole), phlegm (gr. phlegma), and blood (lat. sanguisEssentially, this theory held that the human body was filled with four basic substances, called four humors, which are in balance when a person is healthy. All diseases and disabilities resulted from an excess or deficit of one of these four humors. These deficits could be caused by vapors that were inhaled or absorbed by the body. When a patient was suffering from a surplus or imbalance of one fluid, then his or her personality and physical health would be affected. This theory was closely related to the theory of the four elements: earth, fire, water and air; earth predominantly present in the black bile, fire in the yellow bile, water in the phlegm, and all four elements present in the blood.
The four humors, their corresponding elements, seasons, sites of formation, and resulting temperaments alongside their modern equivalents are
Humour | Season | Element | Organ | Qualities | Ancient name | Modern | Ancient characteristics |
Blood | spring | air | liver | warm & moist | sanguine | artisan | courageous, hopeful, amorous |
Yellow bile | summer | fire | gall bladder | warm & dry | choleric | idealist | easily angered, bad tempered |
Black bile | autumn | earth | spleen | cold & dry | melancholic | guardian | Despondent. sleepless, irritable |
Phlegm | winter | water | brain/lungs | cold & moist | phlegmatic | rational | calm, unemotional |
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