Health and the People Flashcards

1
Q

Barber Surgeons

A

Barbers
Used tools like saws to do minor surgery and amputations
Bloodletting

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2
Q

Wise men and women

A

Gave first aid, herbal remedies, supernatural cures with charms and spells
Based on word-of-mouth and trial and error

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3
Q

Travelling healers

A

Extracted teeth, sold potions, mended dislocations and fractures

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4
Q

Monastery Herbalists

A

Used herbal treatments
Bloodletting
Prayer and rest in infirmary

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5
Q

Trained Doctors

A

Used Hippocratic and Halenic methods from British textbooks and Islamic texts like the Canon of Medicine

Few doctors in medieval England
Charged fees
Studied for at least 7 years at universities controlled by the Christian Church

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6
Q

Caliph Harun al-Rashid

A

Baghdad became the centre for translation of Greek manuscripts into Arabic

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7
Q

Al-Rashid

A

Set up a major new hospital in Baghdad with a medical school and library

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8
Q

Caliph al-Mamum

A

Developed al-Rashid’s library into the House of Wisdom
Preserved hundreds of ancient Greek medical books by Hippocrates and Galen

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9
Q

Prophet Muhammad

A

“For every disease, Allah has given a cure”
Doctors were inspired to find cures
Muslim scientists were inspired to discover new cures and drugs
Mental illnesses were treated with compassion
Hospitals were meant for treating patients, not just caring

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10
Q

Rhazes

A

c865-c925
Distinguished measles from smallpox
Wrote over 150 books
Critical of Galen: wrote Doubts About Galen

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11
Q

Avicenna

A

980-1037
Wrote the Canon of Medicine
Listed properties of 760 drugs and discussed anorexia and Obesity
Became the standard European medical textbook

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12
Q

Ibn al-Nafis

A

Concluded Galen was wrong and claimed blood circulated via the lungs
His books were not read in the West

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13
Q

Medieval Surgical Procedures

A

Bloodletting
Amputation
Trepanning - drilling a hole into the skull to “let the demons out”. For epilepsy
Cauterisation

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14
Q

Abulcasis

A

Wrote a 30 volume medical book
Invented 26 new surgical instruments and many new procedures
Made cauterisation popular

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15
Q

Hugh of Lucca

A

Criticised the common view that pus was needed for a wound to heal
Used wine on wounds to reduce chance of infection
Ideas clashed with Hippocratic advice and did not become popular

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16
Q

Mondino de Luzzi

A

Led the new interest in anatomy in the fourteenth century
Wrote the book Anathomia which became the standard dissection manual for over 200 years
Supervised a public dissection in Bologna but when the body did not match Galen’s description, the body was thought to be wrong

17
Q

Guy De Chauliac

A

Famous French surgeon
Wrote ‘Great Surgery’
Referenced many Greek and Islamic writers
Opposed Luccas’s ideas of preventing infection

18
Q

John of Arderne

A

Famous surgeon
Set up Guild of Surgeons
His surgical manual Practica was based in Greek and Arab knowledge and his experience in the Hundred Years War
Specialised in operations for anal abscess

20
Q

Four Humours

A

Blood
Phlegm
Black Bile
Yellow Bile

21
Q

Christianity + Medieval Medicine

A

Believed it was good to look after sick, but not treat
God sent illness as punishment or a yest of faith so curing it would challenge God’s will
Monks preserved and copied ancient medical texts by hand
Prayers were the most important treatment
Over 700 hospitals were set up in England to care for the sick between 1000 and 1500
Encouraged to visit shrines with relics of a holy person and pray to cure their illness
Hospitals were funded by thr church or wealthy people
Many hospitals had priests rather than doctors
Church approved medical ideas of ancient Greeks and Romans

22
Q

Medieval Towns: Unhygienic

A

Often systems could not cope with increase in demand for water so sewage was dumped into rivers
Cesspits could overflow onto roads and into rivers
Streets stank and were often littered with toilet waste and rubbish
Tradesmen dumped dangerous chemicals and waste blood and guts

24
Q

Medieval Towns: Hygienic

A

Water was taken from local springs, wells or rivers
Some towns used Roman water systems while others like Exeter usef new technology of pipes
Most towns had privies with cesspits to collect sewage
Town councils passed laws encouraging people to keep the streets intront of their houses clean
Town councils and craft guilds tried to encourage tradesmen to keep to certain areas, and keep them clean

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Monasteries
Lavatorium - pipes delivered local well water to wash basins. Filters removed dirt Privies - Toilets were emptied into pits so the waste could be taken for use as manure Dormitory - Monks washed their clothes regularly as well as their faces and feet River Skell - Waste water from toilets put into river Infirmary Hall - Small hospital
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Reasons for better conditions in Medieval Health
More money spent on cleaner facilities Monks made lots of money from producing wool Isolation helped protect monks from epidemics Monasteries were near to rivers Monks could read and understand books in their libraries They learned the basic idea of separating clean water from waste water They understood the Roman idea of moderation in diet, sleep and exercise Monks kept clean
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The Black Death
Arrived in England in 1348 Combination of the bubonic plague and pneumonic plague Death usually followed a few days after symptoms displayed
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Believed causes of plague
Position of stars and planets Miasma Wells poisoned by Jews Punishment from God
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Causes of fast spread of disease
Poor street cleaning Dirty streets encouraged rats to breed Unhygienic habits Animals dug up victims' bodies Laws about cleanliness were difficult to enforce Quarantine was not effective Ignorance of germs
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Remedies for plague
Prayer Drinking mercury Rubbing shaved chicken on buboes Moving away Avoiding contact
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The Great Plague
1665 Another outbreak of plague
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Renaissance
Cultural movement beginning in late 1400s in Italy Printing Art New inventions - gunpowder New learning - More scientific approach to learning involving observation, hypothesis, experiment and questioning New lands - Explorers and Merchants used more accurate maps, discovered the Americas and brought back new foods and medicines
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Vesalius
Progessor of Surgery at the University of Padua in Italy Wrote 'The Fabric of the Human Body' - accurate textbook including illustrations of the human body. Corrected Galen's mistakes and provided proof Did dissections himself and said medical students should learn from dissections Criticised for saying Galen was wrong Had to leave his job but later became a doctor for Emperor Charles V
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Ambroise Paré
Usef a cream of Rose Oil, Egg Whites and Turpentine rather than hot oil on gunshot wounds Used ligatures to tie off blood vessels rather than cauterisation Designed false limbs for wounded soldiers Translated the work of Vesalius
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William Harvey
Challenged Galen by suggesting blood circulated around the body rather than being burned by muscles
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Medical Treatment in 17th and 18th centuries
Barber-surgeons Apothecaries - little to no medical training but sold medicines and potions Wise women - Treatments often relied on superstition, but often had extensive knowledge of plants and herbs Quacks - Showy, travelling salesmen who sold all sorts of medicines Trained doctors
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Remedies for Great Plague
Bleeding with leeches Smoking to keep away poisoned air Sniffing a sponge soaked in vinegar Using animals like frogs, pigeons, snakes and scorpions to 'draw out the poison' Moving to the countryside
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Differences between approach to Black Death and Great Plague
People recognised the link between dirt and disease Mayors and councillors had a more organised approach to attempt to halt the spread of the disease 'Women searchers' identified plague victims More effective quarantine guarded by watchmen Bodies were removed at night and burned in mass plague pits Fires were lit to remove the poisons that were thought to be in the air Orders were issued for streets to be swept Animals were not allowed in the streets Gatherings of crowds were banned Trade between plague towns stopped and the Scottish border was closed
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