Medicine and Treatment 1350 - 1750 (Renaissance Era) Flashcards

1
Q

When did the Black Death arrive in Britain?

A

1348

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2
Q

What were the main ideas about medicine and treatment in 1350?

A
  • Doctors diagnosed patients by looking at urine and using astrology.
  • The most common treatment was bleeding. Doctors were taught the theory of the 4 humours and thought this would balance humours.
  • Herbal remedies were popular and treatment often started at home
  • Most villages had a healer, usually a wise woman, who could mix up a remedy for an everyday illness.
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3
Q

What was the Black Death and how was it spread?

A
  • Bubonic plague, originated in Asia
  • Spread by fleas carried by rats which travelled on trading ships. This meant it spread quickly around Europe and ports were the first to be affected.
  • Began like fever with chills and shivering.
  • Swellings, called buboes, then began to appear in the groins and armpits, followed by blisters all over the body.
  • Victim’s temperature soared, causing a high fever, unconsciousness, death.
  • Often accompanied by pneumonic plague which made victim cough blood and struggle to breath.
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4
Q

Did people in the Middle Ages actually know what caused the plague?

A

No! Hence why they couldn’t cure it. They did, however, have their own explinations and treatments

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5
Q

What were the suggested causes and accompanying treatments for the Black Death?

A
  • Miasma - Burn barrels of tar, candels, or use a worse smell to drive it away. Or overwhelm it with a nice smell.
  • Punishment/test from God - Flagellation, prayer
  • Jews poisoning wells - Burned + massacred Jews (mostly Germany)
  • Imbalance in humours - Bleeding or purging
  • Alignment of planets - No solution/prayer
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6
Q

What were the symptoms of the Black Death?

A
  • Shivering
  • Sickness + fever
  • Spasms
  • Buboes filled with black pus in groin and armpits
  • Bleeding under skin (bruising)
  • Blisters all over body
  • Unconsciousness + death
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7
Q

Who cared for the majority of people who needed medical attention in the Middle Ages, what did they use, and where did it take place?

A

A female member of the family using herbal remedies (possibly mixed by an apothecary or quack) and would’ve taken place in the home.

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8
Q

What were hospitals like in 1350?

A
  • Run by monks/nuns who believed God had sent illness. Therefore, medical care was focussed on praying for souls of patients.
  • No medical proffesionals to look after ill, so hospitals did not admit infectious or incurable patients.
  • Almost exclusively run as care homes for the elderly.
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9
Q

What were hospitals like between 1350 and 1750?

A
  • Dissolution of monasteries by Henry VIII had huge impact on the way hospitals were run as the monasteries had provided hospital care.
  • Instead, local people, charaties, and town councils paid for hospitals.
  • By 1750 there had been major changes.
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10
Q

What were hospitals like in 1750?

A
  • Run by trained physicians and nurses (who didn’t have medical training)
  • Some hopsitals, especially those in cities, admitted infectious patients
  • Herbal remedies and minor surgery was more common, although prayer still featured heavily.
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11
Q

What was the influence of Galen in the 1350s?

A
  • Church liked his ideas because he taught that body fitted together as if it had been made by God. His teachings agreed with Church’s.
  • Church also supported theory of 4 humours. Bleeding was common treatment in monasteries
  • Medical training was controlled by Church, so all trainee physicians learnt about Galen
  • Church controlled libraries. Chose what to translate + copy, so picked Galen
  • Church did not allow human dissection. Medical students had to go on what Galen taught because they could not discover anything for themselves.
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12
Q

What impact did the Renaissance have on Art?

A
  • Artists discovered perspective and began to draw + sculp from life. This led to more accurate depictions of the human body.
  • Leonardo Da Vinci (amongst others) carried out dissections and produced detailed drawings of them. Many other artisits also shared their work with physicians.
  • This allowed physicians to use gain knowledge and improve their own practise, and ultimately fuelled the development of anatomy.

Factor: Science + Technology

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13
Q

What impact did the Renaissance have on exploration?

A
  • Adventurers like Columbus sailed around the word bringing back interesting new plants like potatoes, tomatoes, avocadoes, and tobacco.
  • Better ships meant they could do this.
  • New land discovered also meant potential new cures + remedies discovered.
  • New sea trade routes were established with Asia and Africa, strengthening connection between these continents and Europe.
  • This allowed for greater trade + exchange of ideas.

Factor: Communication (+ Science and Tech. for ships)

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14
Q

What impact did the Renaissance have on printing?

A
  • Printing Press invented!
  • Now possible to mass produce books cheaply and quickly.
  • Knowledge + ideas could be shared + spread easily
  • More people learned to read because there were more books availble.
  • This meant there was a lot more thinking + exchange + questioning of ideas too…

Factor: Science + Tech. and Communication

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15
Q

What impact did the Renaissance have on machinery?

A
  • New machinery invented (such as printing press).
  • Invention of pump helped give people ideas about how body worked. Big inspiration to Harvey when thinking about circulation around the body.
  • New techniques in glass making also developed, which led to the invention of the microscope. Allowed for development of anatomy, however not used to discover germs until 19th century.
  • Invention of gun powder led to new injuries which needed new treatments.

Factor: Science + Technology (and war)

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16
Q

What impact did the Renaissance have on medical training?

A
  • Age of new discoveries and encouraged medical students to experiment. People like Vesalius and Paracelsus set examples to students.
  • Church no longer controlled medical training because it had become less powerful after the Reformation. More scope for challenging old ideas and less emphasis on supernatural.
  • Students were encouraged to carry out practical training in hospitals where they would examine patients and record symptoms (clinical observation)
  • Dissection common. No longer relied on books to tell them everything they needed to know.
17
Q

What impact did the Renaissance have on the power of the Church and monarchs?

A
  • Power was challenged.
  • Henry VIII created Church of England to get divorce. Meant power + influence of Catholic Church decreased. (Reformation)
  • Doctors were able to dissect bodies of criminals.
18
Q

What was the impact of the Royal Society on medicine?

A
  • Renaissance led to Scientific Revolution towards the end of the 16th century. Triggered by ideas of Copernicus that Earth traveled around Sun + Vesalius.
  • Logic, reasoning, and experimentation became focus of scientific reseach.
  • Led to founding of Royal Society in London in 1645. Later recieved charter from Charless II who became its patron.
  • Gave money to experimenting scientists and sponsored translations of foreign books about science + experiments.
  • Helped drive forward medical research in Britain. Young doctors + anatomists went to RS for money to carry out research or to publish.
19
Q

Who was Vesalius?

A

Surgeon + anatomist born in 1514 in Brussels. Later moved to Padua, Italy and became Professor of Surgery at prestigious university there.

20
Q

What role did the printing press play in allowing Vesalius to develop his ideas?

A
  • Was able to carry out dissections at Padua University and get artists to draw diagrams.
  • He worked with the artist Titian to complete his book The Fabric of the Human Body (1543). Helped his students understand anatomy + became the first modern anatomy textbook. Thousands of copies printed all over Europe.
  • Helped to improve the training of doctors.
  • Also encouraged students to carry out detailed observations of their work + his to ensure no mistakes were made.
  • His work inspired next generation to find out for themselves rather than just believing what they were taught.

Factor: Science + Technology - Printing meant new ideas could spread rapidly

21
Q

How did Vesalius disagree with Galen?

A
  • The jawbone is made of 2 pieces - Dissection showed human’s have 1 jawbone
  • Blood moves from one side of the heart to the other via holes in the septum - There are no holes in the septum, but didn’t know how it really moved.
  • Breastbone has 7 parts - Only 3 parts
  • Liver has 5 lobes - No lobes, just one big liver.
22
Q

What length of time seperated Vesalius from William Harvey?

A

Nearly a century!

23
Q

After Vesalius published his book, whose ideas did people believe about blood and what were these ideas?

A

Galen’s - blood was produced by the liver and burnt up in the body. Also that blood passed from one side of the heart to the other through holes in the septum

24
Q

Who was William Harvey?

A

Born in 1578 in Kent, became a lecturer in London on anatomy.

25
Q

When did Harvey publish his book on circulation?

A

1628

26
Q

What were Harvey’s ideas about the circulation of blood?

A
  • Heart acted as a pump, pushing blood around the body
  • Carried out experiments to show arteries carried blood away from heart and veins carry it back
  • Discovered valves in veins which prevent blood moving backwards (one-way system)
  • Calculated amount of blood flowing through arteries was 3x weight of a man, proved blood wasn’t ‘burnt up’ as it travelled around the body as too much used
  • Theorised that tiny blood vessels connected veins and arteries and fed the whole body with blood. Was correct, although lacked technology to see them.
27
Q

What were the long term and short term impacts of Vesalius’ and Harvey’s work?

A

Short Term: Little impact. Doctors didn’t like being proven wrong + Harvey proved bleeding was nonsensical.

However, learnt through experimentation + scientific reasoning. Inspired others + challenged attitudes and beliefs.

Long Term: Huge impact - accurate + learnt through experimentation. Importance of anatomy.

28
Q

Suggest a factor that helped advance medical progress in the Renaissance (and beyond).

A

Role of Individuals:

Renaissance thinkers paves the way for 18th and 19th century scientists.

29
Q

What were the main problems with publich health in 1350?

A
  • Butchers cut + slaughtered animals in the streets
  • Densely populated areas led to waste disposal problems
  • Open sewers - channels down middle of streets
  • Waste ran into rivers also used for drinking + washing
  • Cesspits for waste leaked into water supplies
  • Water came from polluted rivers or wells or was bought from water sellers so most drank ale
  • Lots of farm + pack animals roaming. Increased waste
30
Q

What action was taken by governments in the Middle Ages to try and improve public health?

A
  • Some English Kings tried to make laws to stop waste being emptied into streets and to make sure cesspits were emptied regularly (Law of 1388)
  • Generally, King + gov. lacked interest. Problems left to town councils.
  • Towns had laws to keep streets clean + make citizens dispose of waste but lacked money or power to enforce these. Rakers were emplyed by local authorities to keep streets clean but there weren’t enough of them
  • No organised rubbish collection so people had to empty own cesspits or pay a gongfermer to do it for them
  • During 16th + 17th century, wooden pipes built to supply London with water but were unreliable + easily damaged
31
Q

What action did the government take during the Great Plague in London in 1665?

A
  • Burnt dirty clothes
  • Employed extra rakers to collect rubbish
  • Killed dogs + cats
  • Quarantined victims + appointed searchers to look for signs of sick people + appointed Constables to shut up infected houses
  • Fired guns into sky to break up bad air
32
Q

Why did the government do little for public health between 1350 and 1750?

A
  • Central gov. didn’t think it was their job
  • Local gov. lacked money, understanding, desire, and power
  • In an epidemic they might take action but they didn’t understand the cause so the measures were not effective.
  • Once the epidemic went again, things reverted back to normal. Little was learnt/done to prevent it coming back
  • Governments simply reacted to problems as they occured and didn’t try to prevent them.