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Plate 1 A snake coiled around the stem of a bowl, its head over the rim

Bowl of Hygieia

A snake coiled around a bowl or its stem, its head over the rim. It is the emblem of Hygieia, the Greek goddess of health and daughter of Asclepius, and the most widely recognized symbol of pharmacy.

Symbols of medicine. Also called bowl of hygeia, bowl of hygieia, hygieia, pharmacy symbol.

Meaning

Hygieia was health itself in Greek religion, the daughter of the healing god Asclepius. Pausanias saw a statue on the Athenian Acropolis of “Health, whom legend calls daughter of Asclepius”, and her name is the root of the word hygiene. Greek sculptors showed her holding a snake or feeding it from a bowl. Taken away from the goddess, the snake and bowl became the sign of pharmacy: a coin minted for the Parisian Society of Pharmacy carried it in 1796, and the American Pharmaceutical Association (APhA, now the American Pharmacists Association) adopted it as the symbol of the profession in 1964. The Bowl of Hygeia Award, given each year by pharmacy associations in every American state, is named after it. The name is often spelled Hygeia, as it is on the award.

Origin and history

The picture is older than Hygieia. Gina Salapata, a classical archaeologist at Massey University, traces a snake drinking from a vessel back to the Bronze Age, in the second millennium BCE, in religious and funerary settings in Minoan and Mycenaean Greece, Cyprus and the Levant. By the eighth and seventh centuries BCE Greeks put it only on funerary jugs and cups. In the fifth century BCE Spartan artists were the first to set the drinking snake among human figures, on reliefs of seated heroes offering a snake a drink from a wine cup. In the fourth century BCE, southern Italian vase painters showed the Hesperides feeding their dragon Ladon from a bowl, and the witch Medea offering a bowl of drugs to the dragon that guarded the Golden Fleece.

The Greek word pharmakon meant a substance that could heal or harm, and Salapata thinks that double meaning is probably why the motif passed to the healing gods, and above all to Hygieia. She points to a relief of the late fifth century BCE, now in the Istanbul Archaeological Museum, in which Hygieia sits beside her father nourishing a snake. A votive relief in the Acropolis Museum shows her standing beside Asklepios with her hand on his shoulder while he leans on his snake-entwined staff. The Science Museum Group gives her two sisters, Panacea (“Cure-All”) and Iaso (“Remedy”), and Pausanias found all three sharing a portion of an altar at Oropus with Athena Healer. Her main temples, the Science Museum Group says, were at Epidaurus, Corinth, Cos and Pergamon; the Romans called her Salus.

How it became the sign of pharmacy

Pharmacists have used many signs: the mortar and pestle, the Rx sign, the show globe, the green cross and the letter A for Apotheke among them, according to a history of the award published in Drug Topics. Older origins are claimed for the bowl, and that history says none has been proved. One legend makes it an emblem of St John, from a story that the apostle was offered a cup of poison; another has the apothecaries of Italy using it in 1222, from its use at the celebration of the University of Padua’s 700th anniversary. What can be shown is the coin minted in 1796 for the Parisian Society of Pharmacy. APhA adopted the bowl as the symbol of the profession in 1964.

What the snake and the bowl mean

Pharmacy’s own bodies read the bowl as medicine and the snake as healing. Drug Topics puts it that the bowl stands for a medicinal potion and the snake for healing, and Virginia Commonwealth University’s School of Pharmacy gives the same reading. The National Alliance of State Pharmacy Associations calls the snake “the serpent of wisdom (or guardianship)” partaking of the potion. For Salapata the snake drinking from Hygieia’s cup is the act of medicine itself, though it might instead be releasing its poison into the cup as a medicine.

An award named after it

E. Claiborne Robins, a pharmacist and president of the A. H. Robins Company of Richmond, Virginia, began the award in 1958 for pharmacists with outstanding records of community service. It was first presented on 18 February 1958 at the Iowa Pharmaceutical Association’s convention, to Richard M. Hofmann of Ottumwa. It is now sponsored by the American Pharmacists Association Foundation and the National Alliance of State Pharmacy Associations; in 2025 it went to 46 pharmacists.

Hygieia and Hermes

One late myth, Tyson noted in 1932, made Hermes a half-brother of Asclepius and married him to Hygieia. Tyson thought this was about the extent of Hermes’s connection with healing, and he objected to Hermes’s Caduceus as a medical emblem. Asclepius’s own snake, he wrote, is sometimes shown being fed by his daughter.

Where you’ll see it today

whatdoesthissymbolmean.comRx (prescription)The Rx sign is another of pharmacy's symbols.

See also

Rod of Asclepius, Caduceus.

Sources

  1. Pausanias, Description of Greece, 1.23, Translated by W. H. S. Jones and H. A. Ormerod (Loeb Classical Library, 1918), Perseus Digital Library, Tufts University, 1.23.4
  2. Pausanias, Description of Greece, 1.34, Translated by W. H. S. Jones and H. A. Ormerod (Loeb Classical Library, 1918), Perseus Digital Library, Tufts University, 1.34.3
  3. Hygeia (Science Museum Group Collection), People and organisations entry, Science Museum Group, Biography
  4. Relief in the form of a small temple and portico (Acropolis Museum), Acropolis Museum, collection entry, Acropolis Museum, Description
  5. The Bowl of Hygeia: Snakes & medicine in Greek mythology, Gina Salapata (Massey University), January 2026, on her 2026 Trendall Lecture, Australian Academy of the Humanities, Article
  6. History of the Bowl of Hygeia award, Jared Savage, Bowl of Hygeia Summer Intern for Wyeth and the American Pharmaceutical Association, Drug Topics, Article
  7. Pharmacy facts: The history of Hygeia, School of Pharmacy News Archive, August 2008, Virginia Commonwealth University School of Pharmacy, News archive
  8. Bowl of Hygeia (NASPA), Bowl of Hygeia Award, National Alliance of State Pharmacy Associations, Award page
  9. The Caduceus, by Stuart L. Tyson, The Scientific Monthly, vol. 34, no. 6 (June 1932), pp. 492–498, The Scientific Monthly (scan on the Internet Archive), pp. 494, 496

Last reviewed September 30, 2026 by Rory Hansen. How we research

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