Medieval Flashcards

1
Q

What could a medieval doctor do?

A

They followed the Ancient Greek method of ‘clinical observation.’
Took the pulse and used a urine chart to diagnose illnesses.
Prescribed natural medicines if plants, animal products, spices, oils, wines and rocks.
Balanced the four humours using methods such as bloodletting.
Remedies combined natural with supernatural approaches such as prayers and astrology.

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2
Q

What was the 4 humours?

A

An Ancient Greek theory started by Hippocrates and developed by the Roman doctor, Galen.
It stated that the 4 humours within the body had to be balanced in order to keep healthy
It was a doctors job to restore the balance.

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3
Q

How was a university trained doctor trained?

A

They had to take at least seven years of study at Oxford or Cambridge.
They learnt mainly by listening to lectures and debating what they had read in books.
Some doctors left university without having seen an actual patient.
Doctors followed treatment of Hippocrates, Galen, muslim, Indian and Chinese knowledge.
The universities were controlled by the church

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4
Q

Who did ordinary people turn to?

A

University train doctors were too expensive.
Poor people went to barber surgeons and wisewomen.
They would use a mixture of natural herbal remedies and supernatural cures.
In markets there would be people offering herbal potions, pulling teeth, mend dislocated limbs and set fractures.
They turned to the local monastery or parish priest for medical help.
People at the time believe that God could send illnesses as a punishment.
Prayers were often made to Saints who were said to cure specific ailments.

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5
Q

What was the Church’s belief for the cause of illness?

A

They believed in following the example of Jesus, who healed the sick.
So they founded many hospitals.
There was a strong belief that illness came from God.
Curing illness would be a challenge to God who sent it as a punishment or a test of faith.
So it was important to care for the patient not cure them.

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6
Q

How did the Church treat illness?

A

Prayers to God with the most important treatment.
The church encouraged the belief of miraculous healing.
There were many shrines filled with relics of a holy person.
These shrines were places that people made pilgrimage to, to help with their illnesses.
e.g The shrine of Saint Thomas Becket at Canterbury.
They also followed traditional medical knowledge of the ancient world (Hippocrates and Galen)
Monks preserved and studied these ideas and copied their books by hand.

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7
Q

What were the different types of hospitals set up by the church?

A

Asylums for the mentally ill.
Monasteries had infirmaries that could provide free treatment for the sick and poor.
There were a few large hospitals, such as Saint Leonard’s in York.
Lazar houses dealt with people who had leprosy, they were set up outside towns as leprosy was contagious.

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8
Q

What were Islamic ideas about disease?

A

They set up the first hospitals for people with mental illnesses.
Victims of illnesses were treated with compassion instead of being seen as punished from God.

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9
Q

How did the Islamic empire treat the ill?

A

Caliph Al-Mamun created “the house of wisdom” which was the worlds largest library at the time.
The Islamic religion encouraged medical learning.
Hospitals called bimaristans were built to provide medical care of everyone.
Doctors were present and medical students trained along side them.

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10
Q

How did Islamic ideas spread to Europe?

A

Islamic books were translated into Latin by people such as Gerard of Cremona and Constantine the African.
Their medical ideas reached England through trade, as merchants brought new equipment, drugs and books.

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11
Q

What did Al-Razi do?

A

He stressed the need for careful observation of the patient.
He wrote over 150 books.
He followed Galen but he thought that all students improve the work of their teacher.

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12
Q

What did Ibn Sina do?

A

He wrote a encyclopaedia of medicine known as ‘canon of medicine.’
It covered the whole of ancient Greek and Islamic medical knowledge at the time.
It’s became the standard European medical textbook used to teach doctors in the west until the 17th century.

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13
Q

Who practiced surgery in medieval times?

A

Most were barbers who combined haircutting with small surgical operations such as bloodletting and tooth pulling.
Surgeons learned the skill by being apprenticed to another surgeon.
Some learnt on the battlefield since wars were frequent in the mediaeval period.

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14
Q

What could a medieval surgeon do?

A

Bloodletting, to balance the four humours.
Amputation or cutting off of a painful damaged part of the body.
Trepanning, drilling a hole in the patient’s head to let bad spirits out.
Cauterisation, usually done with a heated iron to stop the flow of blood.

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15
Q

Where was surgery practiced?

A

Mostly on battlefields.
In every day life, surgery was performed as a last resort.
Surgeons used natural substances such as mandrake root, opium and hemlock as anaesthetics.

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16
Q

What tools would surgeons have?

A

Saws for amputation
arrow pullers
cautery irons
bloodletting knives

17
Q

What were medieval towns like?

A

They were built near rivers or other bodies of water, because they needed easy access to water.
Rivers provided means of transport.
There were various systems of water supply in medieval towns.
e.g. local Springs, Wells, rivers or systems built by the Romans
As towns grew the existing systems could not cope with the increased demand for water.

18
Q

What was public health like in medieval towns?

A

People removed sewage into the same rivers they drank from.
Towns had privies with cesspits that leaked into the water supply.
Streets became muddy when it rained.

19
Q

Why were towns so unsanitary?

A

Between 1250 and 1530 the number of towns in England grew as the population rose.
Counsellors knew that improvements would be expensive and they did not want to become unpopular by raising taxes.
The lack of sanitation was partly because people have no knowledge of germs and the link to disease.
People lived very close together which made the spread of disease easy.
Businessmen such as bakers, butchers, and leather tanners created waste products that they dumped into the rivers.

20
Q

What did local town councils do to keep towns clean?

A

Introduced muckrakers
Built Wells and bathhouses
Passed various local laws encouraging people to keep the streets in front of the houses clean.
In Worcestershire, the law of 1466 said that the entrails of butchered animals had to be carried away that same night.

21
Q

What was the Black Death?

A

It arrived in England in 1347
It was a combination of both the bubonic and pneumonic plague.
It was spread by fleas.
Buboes were found on a person’s groin, neck and armpits.
It infected the lungs, causing fever and coughing.
It was spread by contact with victims breath or blood.

22
Q

What did people think caused the Black Death?

A

Doctors blamed it on the position of the stars and planets, bad air, or even the poisoning of wells by Jews.
Many people believed that God was punishing them for their sins.

23
Q

What actually caused the Black Death?

A

It was an outbreak of the bubonic plague.
This bacteria thrived in the stomach of fleas that lived on the blood of rats.
When rats died of the plague the fleas had to find a new host and moved on to humans.

24
Q

Why did the Black Death spread?

A

It could spread very quickly to weaker victims, such as those with malnutrition.
The towns were very crowded, people lived close together and knew nothing about contagious diseases.
If the plague reached the lungs of the victim they could spread the pneumonic form of the plague to others through the air by coughing.
The disposal of bodies was crude and helped to spread the disease further.

25
Q

How did people deal with the Black Death?

A

Authorities had simple laws about keeping streets clean, but there was little enforcement of the laws.
People drank Mercury or shaved a chicken and strapped it to the buboes.
Some fled to other towns and villages but this spread the disease further.
Local councils try to quarantine infected places and people.

26
Q

How did the Black Death impact society?

A

It killed at least a third of the population in 1348-1350.
Fields went unploughed as the peasants who did the farming became victims of the disease.
Food was not harvested and it rotted in the fields.
Those who survived the plague often faced starvation