"A physician is not angry at the intemperance of a mad patient, nor does he take it ill to be railed at by a man in fever. Just so should a wise man treat all mankind, as a physician does his patient, and look upon them only as sick and extravagant"
About this Quote
The intent is practical, almost tactical. Seneca isn’t writing a greeting card about compassion; he’s building a mental technology for surviving an empire where status is brittle and danger is real. A courtier under Nero can’t afford to flare up at every slight. Stoicism here becomes emotional self-defense: if the world is a ward full of patients, your job is not to be surprised by delirium.
The subtext is sharper than it looks. Calling people “sick and extravagant” sounds humane, but it also licenses a certain coldness. Physicians can be kind; they can also be clinical, even condescending. Seneca’s “wise man” sits above the fray, insulated by a superior frame: your cruelty doesn’t wound me, because I’ve decided it isn’t fully you talking.
Context matters: Seneca lived amid political paranoia, public spectacle, and the constant theatre of reputation. The metaphor is rhetorical triage, redirecting moral outrage into something safer and more controllable. It’s not an argument for passivity; it’s a strategy for agency. Treat the world as symptomatic, and you keep your freedom where Rome most loved to take it: inside your own mind.
Quote Details
| Topic | Wisdom |
|---|---|
| Source | Help us find the source |
| Cite | Cite this Quote |
Citation Formats
APA Style (7th ed.)
Younger, Seneca the. (2026, January 18). A physician is not angry at the intemperance of a mad patient, nor does he take it ill to be railed at by a man in fever. Just so should a wise man treat all mankind, as a physician does his patient, and look upon them only as sick and extravagant. FixQuotes. https://fixquotes.com/quotes/a-physician-is-not-angry-at-the-intemperance-of-a-546/
Chicago Style
Younger, Seneca the. "A physician is not angry at the intemperance of a mad patient, nor does he take it ill to be railed at by a man in fever. Just so should a wise man treat all mankind, as a physician does his patient, and look upon them only as sick and extravagant." FixQuotes. January 18, 2026. https://fixquotes.com/quotes/a-physician-is-not-angry-at-the-intemperance-of-a-546/.
MLA Style (9th ed.)
"A physician is not angry at the intemperance of a mad patient, nor does he take it ill to be railed at by a man in fever. Just so should a wise man treat all mankind, as a physician does his patient, and look upon them only as sick and extravagant." FixQuotes, 18 Jan. 2026, https://fixquotes.com/quotes/a-physician-is-not-angry-at-the-intemperance-of-a-546/. Accessed 3 Feb. 2026.









