c1250-c1500: Approaches to treatment and prevention Flashcards
Treating disease - Religious and supernatural treatments
healing prayers and incantations
paying for a special mass to be said
fasting
pilgrimages
Treating disease - Humoural treatments - Theory of Opposites
Galen proposed the Theory of Opposites, where a treatment which can balance the humours is given e.g. too much blood = hot, red skin (symptom of fever), so treatment = cucumber (cold and wet); too much phlegm = runny nose (symptom of cold), so treatment = chillies (hot and dry).
Treating disease - Humoural treatments - Blood-letting
Believed that bleeding a patient would get rid of extra humours and rebalance them again.
It was carried out by barber surgeons and inexperienced people since it was a common treatment - many people died due to losing too much blood.
Treating disease - Humoral treatments - Purging
Since humours were made up of food eaten, vomiting the food was a treatment to rebalance humours. Laxatives and enemas were common, including a mix of strong herbs and weak poisons.
Treating disease - Herbal remedies
Sweet-smelling herbs were mixed to make concoctions or used in bath water since sweet smells were associated with purity (opposite of bad-smelling miasma).
Preventing disease - Church
Leading a life free of sin was believed to be the best way of preventing disease. Prayers and confessions were encouraged.
Preventing disease - Hygiene
The Regimen Sanitatis was a set of instructions provided by physicians to prevent disease. They encouraged regular bathing too, since cleanliness was next to godliness. Sweet-smelling herbs were scattered around around the house to keep them fresh.
Preventing disease - Diet
Since the food eaten affected the balance of humours, a healthy diet was adviced. Overeating was also thought to lead to disease.
Preventing disease - Purifying the air
Keeping the air pure by spreading sweet-smelling herbs was important since it kept the air free from miasma. Rotting corpses and smelly public toilets were cleaned often.
Medical care - Physicians
Main role was to diagnose illness and recommend a course of treatment. Diagnosed by consulting star charts and urine charts, but did not carry out treatment themselves - were not allowed to bleed since they were clergymen.
Medical care - Apothecaries
Mixed herbal remedies. Preferred over physicians since they were much cheaper. But, they also prescribed poison and gave charms to ward off evil spirits, making them unreliable.
Medical care - Surgeons
Least qualified medical professionals. Performed small surgeries as well because of their experience and skill.
Caring for the sick - Hospitals
Owned and run by Church - mainly monks and nuns. Funded by rich families. Focused more on care (clean bedding, healthy diets) rather than treatment, since holy men could not cut someone.
Caring for the sick - Home
Most sick people were cared for at home by women. They made the patient comfortable and prepared restorative foods.