c.1000 - c.1500: Medicine in Medieval Britian Flashcards

1
Q

What was thought to be the three supernatural causes of disease?

A
  1. Punishment from God
  2. Evil supernatural beings
  3. Evil spirits living inside someone
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2
Q

What where the churches 4 main influences on medieval medicine?

A
  1. Dominated how people studied and thought about medicine.
  2. Disease was a punishment from God.
  3. Scholars learnt from Galen.
  4. Outlawed dissection.
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3
Q

How was astrology linked to medicine in medieval britain?

A

Astrology was used to diagnose disease.

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4
Q

What astrological belief was thought to affect different parts of the body?

A

Star signs.

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5
Q

What was the Four Humours Theory?

A

Created by the Ancient Greek doctor Hippocrates. He believed the body was made up of four fluids - blood, phlegm, yellow bile and black bile. They needed to be balanced for good health.

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6
Q

What did Galen work on?

A
  • He developed the Theory of the Four Humours further.
  • He believed that diseases could be treated using opposites.
  • Different foods, drinks, herbs and spices had a humour, which could balance the excessive humour that was causing the disease.
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7
Q

What was the Miasma theory?

A

The idea that bad air causes disease when someone breathes it in. This bad air came from the human waste or dead bodies - anything that creates a bad smell.

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8
Q

Who backed the Miasma theory?

A

Galen - incorporated into the Theory of the Four Humours.

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9
Q

What medicine was way ahead of European medicine?

A

Islamic medicine.

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10
Q

Who’s ideas came to Europe alongside other Islamic ideas?

A

Galen’s and Hippocrates.

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11
Q

How did Medieval Britain think that God was linked to disease?

A

Many people believed that disease was a punishment from God for people’s sins. They thought that disease existed to show them the error of their ways and to make them become better people. Therefore, they thought that the way to cure disease was through prayer and repentance.

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12
Q

How did Medieval Britain think that evil supernatural beings was linked to disease?

A

It caused it, like demons or witches. Witches were believed to be behind outbreaks of disease - many people were tried as witches and executed.

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13
Q

How did Medieval Britain think that evil spirits was linked to disease?

A

Evil spirits living inside someone caused disease. Members of the Church performed exorcisms, using chants to remove the spirit from the person’s body.

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14
Q
  1. The Roman Catholic Church was extremely powerful in medieval Europe, it dominated how people studied and thought about medicine.
  2. Disease was a punishment from God - pray and repent.
  3. Scholars learnt from Galen.
  4. Outlawed dissection.
A
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15
Q

How influential was the Roman Catholic Church?

A

It was an extremely powerful organisation in medieval Europe. It dominated the way people studied and thought about a range of topics, including medicine.

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16
Q

What did the Church encourage people to believe and how did this affect development of medicine?

A

The Church encouraged people to believe that disease was a punishment from God, rather than having a natural cause. This prevented people from trying to find cures for disease - they thought they just had to pray and repent.

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17
Q

How did the Church influence education and why?

A

The Church made sure that scholars of medicine learned the works of Galen as his ideas fit the Christian belief that God created human bodies and made them to be perfect. It also stopped anyone from disagreeing with Galen.

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18
Q

How did the Church prevent discovering ideas about the human anatomy?

A

The Church outlawed dissection. They instead had to learn Galen’s incorrect ideas.

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19
Q

What is astrology?

A

The idea that the movements of the planets and stars have an effect on the Earth and on people.

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20
Q

What did astrologers in medieval England believe?

A

That the movements of the planets and stars could cause disease.

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21
Q

How did star signs affect illness?

A

Different stars signs affected different parts of the body.

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22
Q

How did the fall of the Roman Empire affect medicine?

A

Much Ancient Greek and Roman medical knowledge was lost in the West.

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23
Q

Who brought back the Theory of the Four Humours?

A

The Islamic world.

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24
Q

What did many medieval doctors use the Theory of the Four Humours for?

A

Diagnosis and treatment.

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25
Q

Who created the Theory of the Four Humours?

A

The Ancient Greek doctor Hippocrates.

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26
Q

What did Hippocrates believe?

A

That the body was made up of four fluids. Blood, phlegm, yellow bile and black bile.
They where linked to the four seasons and the four elements.
They needed to be in balance for good health.

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27
Q

Who advanced the Theory of the Four Humours?

A

Galen. Another Greek doctor.

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28
Q

What did Galen believe?

A

That disease could be treated using opposites. He thought that different foods, drinks, herbs and spices had a humour, which would balance the excessive humour that was causing the disease.

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29
Q

Where did the Miasma theory originate from?

A

Ancient Greece and Rome.

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30
Q

Who first incorporated the Miasma theory into their work?

A

Galen incorporated it into the Theory of the Four Humours.

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31
Q

How influential was the Miasma theory?

A

So influential that it lasted until the 1860s.

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32
Q

What replaced the Miasma theory in the 1860s?

A

The Germ Theory.

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33
Q

How did the Miasma theory affect the way people lived?

A

It often prompted people to do hygienic things, like cleaning the streets, which did sometimes help to stop the spread of disease.

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34
Q

How influential where Hippocrates and Galen?

A

Extremely influential in medical treatment and diagnosis.

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35
Q

How did the Roman Catholic Church treat Hippocrates and Galen’s texts?

A

They where considered important and like the Bible their ideas were considered the absolute truth.

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36
Q

Why where some of Galen’s ideas about anatomy wrong?

A

Because he only dissected animals - animal and human bodies are very different.

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37
Q

Why did medieval doctors continue to learn Galen’s incorrect ideas about the human anatomy?

A

Because they where not aloud to perform their own dissections.

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38
Q

Whos medicine was miles ahead of Europeans in the medieval period?

A

Islamic medicine.

39
Q

What ideas did Islamic scholars keep alive?

A

Medical ideas like the Four Humours and treatment by opposites.

40
Q

In the 9th century where did Hunain ibn Ishaq travel from and to and what did he collect and translate?

A

From Baghdad to Byzantium to collect Greek medical texts which he translated into Arabic.

41
Q

Who brought Hunain ibn Ishaq’s translated texts to Europe?

A

Ibn Sina. A Persian who lived from AD 980-1037.

42
Q

What text did Avicenna (Ibn Sina) write?

A

‘Canon of Medicine’

43
Q

What was written in ‘Canon of Medicine’?

A

It brought together the ideas of Galen and Hippocrates.

44
Q

Why was the ‘Canon of Medicine’ significant?

A

It was the most important way that classical ideas got back into Western Europe.

45
Q

Who did the sick often pray to and why?

A

Saints. Hoping they’d intervene and stop the illness.

46
Q

What else did Medieval people do other than pray and repent to cure illness?

A

Make pilgrimages to holy shrines.
Or flagellance.

47
Q

Who where flagellants?

A

People who wipped themselves in public in order to show God that they were sorry for their past actions.

48
Q

When where flagellants popular?

A

During epidemics, such as the Black Death.

49
Q

Why did people use bloodletting and purging?

A

They aimed to make the Humours balanced.

50
Q

How did doctors remove blood from patients?

A

Making small cuts or using blood sucking leeches.

51
Q

What is purging?

A

The act of getting rid of other fluids from the body by excreting - doctors gave their patients laxatives to help the purging process.

52
Q

How popular was bloodletting?

A

Bloodletting caused more deaths than it prevented, but it remained a popular treatment.

53
Q

What did the Miasma theory lead people to do?

A

They believed in purifying or cleaning the air to prevent sickness and improve health.

54
Q

What did physicians do to prevent themselves from catching a disease?

A

Carried around posies and oranges when visiting patients.

55
Q

What did people do about Miasma during the Black Death?

A

They burned juniper, myrrh and incense so the smoke or scent would fill the room and stop bad air from bringing disease inside.

56
Q

Where could you get remedies in medieval britain?

A

From an apothecary, local wise woman or made at home.

57
Q

What did remedies contain?

A

Herbs, spices, animal parts and minerals.

58
Q

Where did most people have to go to get treated?

A

To an apothecary, a public hospital or a barber-surgeon (instead of a doctor).

59
Q

Who where physicians?

A

Male doctors who had trained at university for at least 7 years.
They read ancient texts as well as writings from the Islamic world but their training involved little practical experience.

60
Q

What did physicians use to perform inspection of patients?

A

They used handbooks and clinical observation to check patients’ conditions.

61
Q

How many physicians were there in England in 1300?

A

Less than 100 and they were very expensive.

62
Q

What did an apothecary do?

A

Prepare and sold remedies and gave advice on the best way to use them.

63
Q

Who was approached for treatment most often in Britain?

A

Apothecaries as they were the most accessible for those who could not afford physicians.

64
Q

How were apothecaries trained?

A

Through apprenticeships.

65
Q

What was the main purpose of hospitals?

A

To care for the sick and elderly.

66
Q

Who set up and ran most hospitals?

A

The Church.

67
Q

How popular were hospitals?

A

Very popular and highly regarded despite there only being a few of them.

68
Q

What did hospitals provide to patients?

A

Food, water and a warm place to stay.

69
Q

Why were hospitals more hygienic than elsewhere?

A

Because they had developed water and sewerage systems.

70
Q

Wear where most people treated?

A

At home by members of family.

71
Q

Why was medieval surgery so dangerous?

A

There was no way to prevent blood loss, infection or pain.

72
Q

Who carried out most operations?

A

Barber-surgeons because there were very few university-trained, highly paid surgeons, surgery was not a respected profession in medieval times.

73
Q

Who attempted to reduce pain during operations?

A

John of Arderne who created a recipe for an aneasthetic in 1376 which included hemlock, opium and henbane. This was very likely to kill.

74
Q

How where living conditions in towns?

A

Pretty poor. Most towns were small, especially after the Black Death.
Houses were made of wood and were crammed together.
Overcrowding and fires were common problems.

75
Q

What did people do with their waste?

A

They chucked it into rivers to be washed away because a lot of towns didn’t have clean water supplies or sewerage systems.

76
Q

What happened to sewage from lattrines?

A

It leaked into the ground and got into wells.

77
Q

Were did butchers, tanners and dyers throw toxic waste?

A

Into rivers and residential streets.

78
Q

Were did people have to get their drinking water from?

A

Rivers and wells that were contaminated.

79
Q

When did the government order town authorities to keep the streets free of waste?

A

1388.

80
Q

Why did towns introduce public health measures?

A

To tackle waste, sewage and pollution and to create a clean water supply.

81
Q

What place had cleaner water than towns and a good system of getting rid of waste and sewage?

A

Monasteries.

82
Q

Who had books on healing and knew how to grow herbs and make herbal remedies?

A

Monks.

83
Q

How where monasteries cleaner than towns?

A
  1. They separated clean and dirty water. One for cooking and drinking and one for drainage and washing.
  2. Built near rivers or man-made waterways were built to supply clean water.
  3. Sick monks were cared for in infirmaries.
  4. Latrines were put in separate buildings which were often built over streams of running water that carried sewage away.
84
Q

What meant that monasteries could be cleaner than towns?

A

They were wealthier so could afford to build infrastructure like latrine buildings and waterways to keep their water clean.
Their population was small and had one leader who had the power to enforce rules about cleanliness and waste disposal.

85
Q

When did the Black Death first hit Britain?

A

1348.

86
Q

What was the Black Death?

A

A series of plagues that swept through Europe in the 14th century. Mainly:
- Bubonic plague
- Pneumonic plague

87
Q

What was the Bubonic plague?

A

Spread by the bites of fleas from rats carried on ships. It caused headaches and a high temperature, followed by pus-filled swellings on the skin.

88
Q

What was the Pneumonic plague?

A

It was air-born - spread by coughs and sneezes. It attacked the lungs, making it painful to breathe and causing victims to cough up blood.

89
Q

What portion of the British population died during the Black Death?

A

Some historian think at least a third of the British population.

90
Q

How did people try to prevent the spread of the Black Death?

A

Prayer and fasting.
Bloodletting and purging.
Carried strong smelling herbs or lit fires.
Carried charms or used ‘magic’ potions containing arsenic.

91
Q

What did people think caused the Black Death?

A

Judgment from God.
Humour imbalance.
Miasma.

92
Q

What social changes came from the Black Death?

A

Fewer workers around –> demanded higher wages and move around to find better work.
Cost of land decreased –> some peasants were able to buy land.

93
Q

What did the government do in response to some of the social changes after the Black Death?

A

Created laws, such as the 1349 Ordinance of Labourers. To try to stop peasants moving around the country. And because these changes threatened the power of the elites. Some people think the Black Death helped cause the Peasants’ Revolt in 1381, and, eventually, the collapse of the feudal system in Britian.