4 Temperaments

The Tradition, From Hippocrates to Now

Twenty five centuries in one line: how the four temperaments were born, argued over, given up as medicine, and quietly kept as a way to read character.

  1. 5th century BC

    The four humors are born

    On the Greek island of Kos, the school of Hippocrates ties health to a balance of four fluids: blood, phlegm, yellow bile and black bile.

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  2. c. 400 BC

    Climate shapes character

    The Hippocratic Airs, Waters, Places argues that the winds, water and seasons of a place mould the temperament of the people who live there.

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  3. 2nd century AD

    Galen sets it in order

    In Rome, Galen turns the humors into a scheme of nine mixtures around one balanced centre. The famous four are only its corners.

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  4. 1025

    Avicenna's Canon

    In Bukhara, Avicenna gathers the whole theory into the Canon of Medicine, the book Europe would study for six hundred years.

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  5. 11th century

    The School of Salerno

    On the Italian coast, the first great medical school of the Latin West brings the humoral tradition home and teaches it as a practical craft.

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  6. 12th century

    Hildegard of Bingen

    A German abbess writes her own account of the humors, folding body, soul and the green force of life into a single view of health.

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  7. 13th century

    The rules of regimen

    Physicians settle the six non-naturals, the everyday things you can control, from air and food to sleep and mood, that keep the humors in balance.

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  8. 1489

    Melancholy and genius

    In Florence, Marsilio Ficino ties black bile to Saturn and to genius, so the sick humor becomes also the mark of the deep and gifted mind.

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  9. 1527

    Paracelsus revolts

    At Basel, Paracelsus burns Galen in public and offers a chemical medicine in place of the humors. He loses, but the question outlives him.

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  10. 1543

    The body is opened

    Vesalius shows the anatomy does not match Galen, and Harvey later proves the blood circulates. The plumbing the theory needed is gone.

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  11. 1598

    The comedy of humours

    Ben Jonson builds a genre on the four types, and the word humour completes its move from a bodily fluid to a mood or a passing quirk.

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  12. 1621

    The Anatomy of Melancholy

    Robert Burton spends a thousand pages on his own black bile, the largest book of the humoral world and, by accident, an early book on depression.

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  13. 1798

    From fluids to mind

    Kant keeps the four temperaments but cuts them loose from the blood, treating them as forms of feeling and activity. The shape survives; the fluids do not.

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  14. 1964

    Two axes return

    Hans Eysenck reaches two dimensions from questionnaire data and prints the four classical names around them. The old map returns from new arithmetic.

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  15. today

    What remains

    The humors are gone as biology, but a two axis map of warmth and reactivity still describes people well. That is what the test measures now.

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