Asclepius (Antiquity)

1. Mythology

Asclepius was not among the twelve gods of Mount Olympus. According to Homer, he was just the king of Trikki of Thessaly1 and father of the heroes Machaon and Podaleirius, the leaders of the Thessalian expeditionary corps in the Trojan War. The cult of Asclepius, associated with healing, appeared around the 6th century BC and started to be increasingly important in the 5th century BC. According to some researchers, this happened because medical science had progressed and, thus, had to be independent and have its own god.

There are at least two versions of Asclepius’ birth,2which claim that his father was Apollo. According to the most prevalent version,3 his mother was Coronis, the daughter of the Thessalian king Phlegyas, while, according to the second version, his mother was Arsinoe, the daughter of King Leucippus from the Peloponnese. The first version claims that Coronis was pregnant by the god and gave birth to her son in Epidaurus during a trip there with her father. Opinions are once again divided: according to some myths, Coronis abandoned the baby in the forest, where the shepherd Arethanas found it and brought it up by feeding it on goat’s milk. However, according to other myths explaining his ability to heal, Coronis gave the baby to the Centaur Chiron in Mount Pelion. Asclepius sat under the Centaur and learnt all herbs and poisons that could cure the people of various diseases.4

Asclepius married goddess Hygeia5 and had two sons, Machaon and Podaleirius,6 and three daughters, Akeso, Iaso and Panakeia. In his representations he is very often surrounded by his family. The god’s symbol was the snake coiled around a staff. However, representations of Asclepius in art and, particularly, on coins show him accompanied by a tiny creature, Telesphorus, the deity that helps the cure of the sick, while his symbol is the ‘omphalos’ (navel), bequeathed by Apollo’s cult.

2. Cult

Asclepius was originally worshipped as a hero. In Trikki, the place where he reigned, he was worshipped in a sacred place, according to the Epidaurian Hymn of Isyllus. From the 5th century on the cult of Asclepius spread and he was then considered a demigod or god. His cult spread from Epidaurus to Sikyon, Corinth,7 Aegina8 and Athens.9 In some cases, such as in Corinth, he was worshipped together with Apollo. In the 4th century BC the cult of Asclepius spread to Erythrae, Kos,10Pergamon, Delos, and Prousa of Bithynia.11 Towards the late 4th century BC there were about 400 Asclepieia in the wider Mediterranean. In 293 BC the cult spread to Rome as well, following a famine that decimated the city.12

During the religious syncretism of the Hellenistic period the cult of Asclepius blended with cults from other eastern deities, such as Imhotep of Egypt13 and Eshmun in Sidon on the Palestinian coast. That was the heyday of the cult of Asclepius probably due to its ‘personal’ and soteriological character, which applied to the social and spiritual conditions prevailing in the Hellenistic kingdoms of the time. However, in several Asia Minor cities Asclepius is represented like Zeus and in some cases there is the unusual combination of Zeus-Asclepius in important places of worship, such as Epidaurus, Lebena in Crete and Pergamon.

In the Roman period the cult of Asclepius won great fame. At least 300 Asclepieia are reported in the entire empire in the early 1st century AD. In the 2nd century Asclepius – often together with Hygeia – finds his place on the back of coins minted by the imperial mints.14 The most famous place of worship in Asia Minor at the time was in Aegae of Cilicia. This sanctuary is reported on the latest written evidence about the god’s cult – an inscription from Epidaurus dating from 355.15

Asclepius became a dangerous enemy of Christianity, since the new religion, apart from life after death, taught relief from physical pain and diseases. That is why Christianity was opposed to classical medicine and, mainly, medicine practiced in the numerous Asclepieia. Furthermore, they called him an ‘avaricious physician’.16 Even when the Roman Empire was Christianised several Asclepieia were transformed into Christian churches; however, their patron-saints were able to heal, such as the St. Anargyroi. A typical example is the church of St. Demetrios in Thessaloniki.

3. Asclepieia

Like all infirmaries, the Asclepieia were usually within some distance from cities so that the patients could be calm and additional buildings for their needs could be constructed. Moreover, the sanctuaries should be surrounded by a thicket, usually a pinewood, which was associated with treatment,17 as meditation and autosuggestion of the patients while they were trying to communicate with the god must have played a crucial role in their treatment.18 The main characteristic of most temples-infirmaries of Asclepius was the spring, for the contact with water was considered therapeutic. As regards architecture, most Asclepieia followed the architectural patterns of Epidaurus and Kos. Apart from the sanctuary, which comprised the main temple,19 in front of which there were usually several altars, the Asclepieion also included one or more buildings (often with two floors), where the patients and the members of their families that accompanied them were accommodated. The patients were offered there medical care so that the treatment could be easier and they could relax from the tiring journey they had made. The Asclepieion should also have a dormitory. This was like a stoa and the patients-believers slept there often wrapped in a hide of an animal they had sacrificed; in this way, the god would reveal in their dreams the way they would regain their health. Furthermore, the Asclepieia were completed with baths. An inscription found in Pergamon describes in detail the stages of the process the patients should follow: at first, before they went to the sanctuary, they had to sacrifice to the god in the morning and make a contribution to the treasury of the temple. Before they slept in the dormitory they had to offer confectionary to Mnemosyne so that she would help them remember in the morning the dream they had seen, as well as to Themis so that the dream could come true. Finally, the patients were generally advised to practice continence, that is, to eat a little and refrain from sexual pleasure.

Earthen or metal effigies or the engraved parts of the body (i.e. limbs) suggesting the ailment of the patient who had offered them to Asclepius are typical findings from almost all Asclepieia.20 In addition, inscriptions dedicated to the god by all who had been healed were found in several Asclepieia. In particular, the so-called ‘hiamata’ were found in Epidaurus; they were long inscriptions put up possibly by the priests. Some typical cases of patients whose cure was followed by visions as well as the miraculous intervention of the god are described on them.

4. The Asclepieia of Asia Minor

4.1. Pergamon

The Asclepieion of Pergamon was founded in the first half of the 4th century BC by Archias, the first prytanis of the city and son of Aristaechmus, who recovered from the wound he had received in Epidaurus. In thanks for the god’s help he built a sanctuary on a cliff, within about 1 km to the SW of the city, near a spring with medicinal waters.21 In 191/190 BC22 and in 156 BC23 the sanctuary was damaged and the most important loss was the removal of the devotional statue of the god made by Phyromachus. Towards the late 1st century AD the Asclepieion of Pergamon was extended.24In 123, on the occasion of the imperial visit of Hadrian, the sanctuary was completely restored. The older buildings, apart from the main temple, were pulled down and a building complex measuring a total of 102 x 140 m was built; it included altars and dormitories and was surrounded by Ionic colonnades on its three sides. Access to the sanctuary was through a monumental Corinthian propylon, where the ‘sacred road’ ended. The road connected the sanctuary with the city and in the Roman years it was paved and surrounded by a roofed colonnade (via tecta), on either side of which there were shops. In 140 the consul L. Cuspius PactumeiusRufinus built a circular temple (tholos), dedicated to Asclepius, to the south of propylon, following the architectural design of the Pantheon of Rome. Shortly after Hadrian died, a notable woman from Pergamon, Flavia Melitene, built to the north of the propylon a library dedicated to the memory of the emperor, where a colossal statue of the emperor was found. Finally, there is the theatre dating from the late 2nd century and seating 3,500 spectators. The theatre and the library proved that the patients during their stay were entertained and educated. Hence the famous orator Aelius Aristides managed to remain there for a long time leaving behind an extensive work that assessed positively the infirmary and the methods of treatment, which included baths, herbal therapy, dormitories, drinking of sacred water and autosuggestion.25 In 214 AD Emperor Caracalla visited Pergamon because he suffered from some ailment. On the occasion of the imperial visit the Asclepieion was once again restored. The motif of Asclepius with his sacred egg-shaped stone omphalos and Telesphorus, appearing on the coins of Pergamon, was now ornamenting the imperial coins. Asclepius took the place of the dominant god of Pergamon and was worshipped as Deus Pergameus ever since.26

4.2. Aegae, (or Aegeae) of Cilicia

The Asclepieion of Aegae in Cilicia, where Asclepius Aegeus was worshipped, was the only Asclepieion in Asia Minor whose fame spread beyond the local area perhaps because the region was closely connected, already from the pro-Hellenistic period, with supernatural phenomena. Unfortunately, little is known about its operation and architectural structure. In 215, one year after he visited Pergamon, Emperor Caracalla visited Aegae as well.27

According to Eusebius, the Asclepieion of Aegae was destroyed in 331 by order of Constantine the Great perhaps because Aegae had supported his opponent Licinius.28 However, the income from such a tourist centre of pilgrimage could not be given away. As a result, the cult of Asclepius was replaced by the worship of the physicians Saints Agioi Anargyroi, namely Cosmas and Damianus,29 and the thaumaturgist St. Thallelaios. In the 5th century a church dedicated to the thaumaturgist St. Thekla was built in Seleuceia ad Calycandus.30

5. The pseudo-Oracle of Alexander of Abonuteichos

Apart from qualified doctors, quacks are very common even nowadays. They were commoner in Antiquity, since there was loose or even no control at all. Alexander, who was born in Abonuteichos of Paphlagonia circa 105 and became very popular in his time, is a typical example.31 After he travelled a lot and was connected with Apollonius of Tyana, he returned to his birthplace and started to put out a story that he was the son of Podaleirius and grandson of Asclepius and had the ability to heal and foresee the future. What is more, he founded an oracle after he had cunningly announced that Asclepius would visit the place.32 He then found a tamed snake, which he called Glykon, and prophesied with its help. The oracle became very famous in Paphlagonia, Bithynia, the Black Sea and Galatia, even in Rome, as evidenced by representations of Glykon on coins. However, in several cases the prophecies were not fulfilled, particularly during the plague epidemic that struck the city in 165.

6. Representations of Asclepius in Art

Because the cult of Asclepius was spread relatively late – definitely after the Greeks stopped to make up their mythological tales –, there are few myths about his life and action and, as a result, the modern world is short of narrative representations of Asclepius. The god is usually represented standing or treating patients. On relief representations from the 4th century BC he is represented calm, with a fine beard, either sitting or standing. This model was based on the devotional statue of the god from Epidaurus,33 made by Thrasymedes from Paros. His facial features in the Hellenistic period are strongly reminiscent of the respective representations of Zeus, Poseidon or Sarapis. Perhaps that is why (so as not to be confused with them) he is always represented together with typical living creatures or things. However, his main feature is the staff, around which a snake is wrapped. This symbol has been the emblem of the medical profession ever since. In Epidaurian representations he is accompanied by a dog, which reminds of the local myth about his desertion and his upbringing by a shepherd. Quite often he appears with the omphalos, the symbol of Apollo’s cult, which reminds of Asclepius’ origins and his chthonic powers. In some other cases the god is holding an egg. After all, the typological differentiation between his representations is barely noticeable. Most representations are copies or variations of the god’s devotional statues from local Asclepieia. Even on the boundaries of the Greek world or in regions where the god mingled with local deities, his features were hardly affected. It is worth noting that there were few representations of the god in painting and they were mainly used as dedicative items, while in pottery there is only one example from some Attic workshop founded at the same time as the Asclepieion in Athens,34 and some much later examples from the Roman Imperial period with relief representations of the god. There are often relief representations of the god on offerings or items connected with his cult, such as oil lamps or oblations. They were massively reproduced items of low quality with standard representations. Apart from the established motif of Asclepius, there were also some attempts to represent the god in less conventional versions, such as the god as a baby,35 the god in his youth, the god beardless and often as a young man laying back with a wreath on his head36 – a motif particularly popular in the Roman period – on imperial medals.37 An extremely rare representation exists on a mosaic from Palmyra, dating from the early 3rd century, where the god appears beardless, sitting and facing forward; he is sacrificing before a small altar.38 Literary sources refer to representations of Asclepius by famous sculptors of Antiquity. According to Strabo (8.3-4), Colotes, the student of Phidias had made a statue of the god from wood and ivory slabs, which was in Cyllene of Elis. Pausanias, on the other hand, reports that he once saw in Mantineia a statue of Asclepius made by Alcamenes, the partner and successor of Phidias.39 However, none of these splendid devotional statues has been identified.




1. The modern Trikala of Thessaly.

2. The mythological traditions related to Asclepius were summarised in the Late Hellenistic period by Diodorus of Sicily, 4.71.1-3.   

3. The version is handed down by both the 'Homeric' hymn (dated in the 6th c. BC) and the 3rd Pythionikos by Pindar. 

4. For more details about mythical tradition see Κακριδής, Ι.Θ., (edit.), Ελληνική Μυθολογία 2: Οι Θεοί (Athens1986), pp. 213-217· Grimal, P., Λεξικό της Ελληνικής Μυθολογίας ( Atsalos V., edit.) (Thessaloniki 1991), pp. 114-115

5. According to another version, Hygeia was the daughter Asclepius had with his wife Epione and held an autonomous position in his cult. See Krug, A., Heilkunst und Heilkult: Medizin in der Antike2 (Dachau 1993), p. 123. 

6. The sons of Asclepius had also medical abilities, although their methodology was derived from different fields. Machaon also excelled in classical medicine and particularly in healing wounds, while Podaleirios activated in the field of esoteric medicine, probably with magical references.       

7. In Corinth the celebrations in honour of Asclepius were held along with Isthmia every five years.

8. The Asclepieum of Aegina was earlier than that of Athens and the Athenians visited it to honour the god. 

9. The cult of Asclepius was introduced in Athens in 421/420 BC (see IG IV2 41) and his first sanctuary was created at Zea. However, one year later it was transferred to Athens. Sophocles must have been the first to accommodate the god's statue in his house, as evidenced by a paean composed by the poet in honour of the god, which is partly saved on the inscription IG2 4509. The introduction of Athena's cult may have had its origins in the bad memory the Athenians had of the famine that had struck the city during the Peloponnesian War. There must have been economic motives, as the existence of the Asclepieion and the festival honouring the god provided the city and the temple with considerable income. The festival honouring Asclepius was initially called Epidauria and was held exactly before the Eleusinian mysteries. The Asclepieia, incorporated into the the City Dionysia (Dionysia ta en Astei), was celebrated  six months later.

10. Kos had a medical tradition. The first Asclepieion must have been founded in 411 BC but was destroyed by an earthquake that devastated the city. The next sanctuary was completed in 366 BC and was much more magnificent than the original.

11. The Asclepieion in Prusa was connected with sulphur baths.

12. The sacred snake of Asclepius was carried by boat and was set free to locate the site where the temple should be built. The snake swam and landed on the small island in the middle of Tiber (Isola Tiberina) and the Romans built the sanctuary there. They carved the island in the shape of a ship to remind them of the voyage that had brought the cult to the city. 

13. Traces of Asclepieia have been found in Alexandria, Philadelpheia, Oxyrynchos, Chon and Mensiye, while Asclepiea annexed to the sanctuaries of Imhotep have been traced in the Sahara, Deir el Bahri, Deir el Medinet and Files.

14. See Franke, Ρ., Kleinasien zur Römerzeit: Griechisches Leben im Spiegel der Münzen (München 1969), p. 66 on.

15. It is the inscription IG IV2 136, dedicated by Mnaseas from Ermioni, a priest at the Asclepieion of Aegae of Cilicia. However, according to literary evidence, such as texts of Proclus, the penultimate successor of the Neo-Platonic Academy in Athens, the late pagan circles continued to worship Asclepius.

16. See Steger, F., Asklepiosmedizin: Medizinischer Alltag in der römischen Kaiserzeit (Stuttgart 2004), p. 100 and footnote 168. The term 'ιατρός φιλάργυρος' from 'Protrepticus' (2.30) of Clement of Alexandria.

17. This was not always the case. In Athens, for example, the distance from the city was indicatd by the fact that the Asclepieum was built above the theatre of Dionysus, on the upper zone between the city and the Acropolis. On the other hand, although in Pergamon there were no parks, its presence was made felt by a sacred plane. In any case, the grove was the place where the patient went to pray and contact the god. This devotional element had its origins in Apollo's cult, which lent lots of elements to the ritual of the new god.

18. At this point the ancient medicine was pioneering, as it recognised the significance of the psychological factor of the patient - something recently incorporated in the terminology and the practice of the modern medicine.

19. In certain cases, such as Pergamon, there was more than one temple.

20. These effigies are quite similar to modern oblations found in churches,while some of them bear inscriptions.

21. Few traces from the early stage of the sanctuary have survived, although they are enough for defining that it consisted of two temples with free altars on their eastern side.

22. It was the period when Pergamon was under siege by Seleucus IV.

23. During the war between Prusias II of Bithynia and Atalus II.

24. See Steger, F., Asklepiosmedizin: Medizinischer Alltag in der römischen Kaiserzeit (Stuttgart 2004), with relevant bibliography.

25. Aelius Aristides, Orations 38, 39, 42, 47-56. See Behr, C.A. (edit.), Aelius Aristides: the complete works (Leiden 1981).

26. See Kranz, P., Pergameus Deus, Archäologische und numismatische Studien zu den Darstellung des Asklepios in Pergamon während Hellenismus und Kaiserzeit (Möhnesee 2004).

27. His visit had a profoundly connotative character as regards the domineering profile of the emperor, who wanted to appear as the new Alexander the Great. Aegae had been founded by the Macedonian general and the sacrifices of Caracalla at the Asclepieum of the city imitated the sacrifices of Alexander at Soloi. 

28. This information is probably incorrect because it does not befit the general policy of Constantine, who did not intend to destroy the temples. In case it is correct, it must be due to political reasons. See Steger, F., Asklepiosmedizin: Medizinischer Alltag in der römischen Kaiserzeit (Stuttgart 2004), p. 100 and footnote 168.

29. Cosmas and Damianus were martyred at Aegae in the years of Diocletian. See Steger, F., Asklepiosmedizin: Medizinischer Alltag in der römischen Kaiserzeit ( Stuttgart 2004), p. 100 and footnote 168.

30. See Kamara, A., 'Urban' and ' rural' religion in Late Antique Cilicia: from pagan diversity to Christian heresy', in Shankland, D., Archaeology, Anthropology and Heritage in Balkans and Anatolia: the Life and Times of F.W. Hasluck, 1978-1920 II (Istanbul 2004), pp. 77-92. Moreover, Maraval, P., Lieux saints et pélerinages d’Orient: histoire et géographie des origines à la conquête arabe (Paris 1985), p. 354 and Sozomenos, Hist. eccl., II 4-5 about the cult of Cosmas and Damianus, and Brocker, Η., Der heilige Thalelaius, Texte und Untersuchungen (Münster 1976) about the cult of St. Thalelaios.

31. His activity is mainly known from the scathing libel of Lucian of Samosata 'Alexander the False Prophet' and, thus, there is one-sided information. Lucian openly accuses him by calling him a charlatan.

32. In order to be more persuasive about his clairvoyance he contrived a device: he put a newly-born little snake in a goose egg and buried it in the mud. He then went out in the streets crying that the god had come. When he pretended that he found the egg by chance in the soil there were lots of people who believed instantly.

33. LIMC II.2 (Zürich, München 1984), Asklepios 44, painting no. 636 (Kobenhavn, Ny Carlsberg Glyptotek, catal. no. 1425).

34. The vessel is dated about 420 BC:  LIMC II.1 (Zürich, München 1984), pp. 868-869, see entry 'Asklepios' (B. Holtzmann) and LIMC II.2, Asklepios 1, painting no. 631 (Anvers, private collection G. 36).

35. LIMC II.2 (Zürich, München 1984), Asklepios 6, painting no. 631 (Athens, National Archaeological Museum, catal. no. 1424).

36. See, for example, the relief from Pentelic marble, LIMC II.2 (Zürich, München 1984), Asklepios 42, painting no. 635 (Venice, Arch. Museum, cat. no. 165) or the representation on the interesting Boeotian crater, where the god is raising his cup during a symposium and the sacred snake is bending to drink from it: LIMC II.2 (Zürich, München, 1984), Asklepios 41, painting no. 635 (Athens, National Archaeological Museum, cat. no. 1393). 

37. See LIMC II.2 (Zürich, München 1984), Asklepios 9, painting no. 632 (Moulage Winterthur, Stadtbibliothek), medal of Marcus Aurelius, c. 147 AD and Asklepios 15, painting no. 632 (Rabat, Archaeological Museum, cat. no. V178).

38. LIMC II.2 (Zürich, München 1984), Asklepios 37, painting no. 634 (Museum of Palmyra). Stern, H., Les mosaiques des maisons d’Achille et de Cassiope à Palmyre (Paris 1977), p. 22, pic. 16.

39. Pausanias 8.9.1.