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During the 1970 and 1980 decades, studies on pathophysiology of heart failure arrived to the conclusion that some information from physical examination had great prognostic value within the evaluation of these patients. Relating to the limbs’ level of blood perfusion and its congestion or edema, these data became parameters for management of these patients in emergency rooms. The gradual compound of these elements made it possible to set four “profiles” of people with acute heart failure, known as “warm and dry”, “warm and wet”, “cold and dry” and “cold and wet”, which correspond, respectively, to the states of high perfusion-without edema, high perfusion-with edema, low perfusion-without edema and low perfusion-with edema. However, the use of the terms “warm”, “cold”, “dry” and “wet” to assess pathological states was part of the scientific discourse of Antiquity and of the Aristotle work indeed. It is our interest to debate the application of Aristotelian and also Hippocratic discourse in the understanding of these clinical subsets. Through a historic and sociologic analysis of the period in which each discourse was developed, we achieve to make hypothesis for the comings and goings processes of these terms. RESUMO Nas decadas de 1970 e 1980, com a publicacao de diversos trabalhos na area da fisiopatologia da insuficiencia cardiaca, descobriu-se que determinados dados de exame fisico tinham grande valor prognostico na avaliacao de pacientes com insuficiencia cardiaca aguda. Relacionados ao grau de perfusao sanguinea dos membros e ao seu inchaco ou edema, tais dados tornaram-se parâmetros para a conduta frente a esses doentes em pronto atendimento. A gradual composicao desses elementos fez com que fosse possivel estabelecer quatro “perfis” de doentes com insuficiencia cardiaca aguda, co-nhecidos como “quente e seco”, “quente e umido”, “frio e seco” e “frio e umido”, que correspondem, respectivamente, aos estados de boa perfusao-sem edema, boa perfusao-com edema, baixa perfusao-sem edema e baixa perfusao-com edema. O uso dos termos “quente”, “frio”, “seco” e “umido” para se referir a estados patologicos, entretanto, ja fazia parte do discurso cientifico da Antiguidade e da obra de Aristoteles. Interessa-nos debater o uso do discurso aristotelico e tambem hipocratico no entendimento desses quadros clinicos. Atraves de uma analise historica e sociologica dos periodos em que cada discurso foi elaborado, pretendemos elaborar hipoteses acerca do processo de idas e vindas desses termos.

Discurso aristotélico físico e doença cardíaca na atualidade