Medieval Medicine Flashcards

1
Q

Hippocrates and The Theory of the Four Humours.

A

-The theory was created by Hippocrates in the 5th century BC.

-States the universe is made up of four basic elements so the body must be made up of these too. All the humours must be balanced, if not a person gets ill.

-Continued to be popular in the Medieval period as it was very detailed and could be used to explain almost any illness. This was important as there was little scientific understanding at the time.

-Physicians often twisted what they saw to fit with the theory.

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2
Q

Hippocrates’ Other Ideas

A

-Also created the Hippocratic Oath- a promise not to harm patients. This remained popular in the Medieval period and is still used today.

-Believed in observing and recording symptoms to learn from mistakes and identify illness in the future.

-Believed disease could be understood and treated- his ideas were rational, not supernatural.

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3
Q

Galen and The Theory of Opposites.

A

-The theory was created by Galen in the 2nd century AD. the theory built on the ideas of Hippocrates.

-Developed The Theory of the Four Humours to include the idea of balancing the humours using The Theory of Opposites.

-Suggested to balance the humours, patients needed to take a treatment with opposite characteristics to the humour believed to be causing the illness.

-For example, choler which had hot and dry characteristics, would be treated with something cold and wet like cucumber.

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4
Q

Galen’s Other Ideas

A

-Galen also spoke about the soul and humans being designed for a purpose which fitted with the Church’s teachings.

-In turn the Church promoted Galen’s work and by extension, Hippocrates’.

The Church had a lot of power so Galen’s ideas remained popular throughout the Medieval period.

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5
Q

Lack of alternative theories during the Medieval period.

A

-There was a lack of scientific evidence to support other theories about the cause of disease during the Medieval period.

-Moreover, Hippocrates’ and Galen’s theories could be twisted to explain almost any illness.

Physicians also tried to make new discoveries fit into old theories rather than experimenting to create new ones.

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6
Q

Describe Attitudes Towards Dissections During the Medieval Period

A

-The Church also banned dissections as it went against their teaching that the body should be buried whole.

-This meant new discoveries about anatomy couldn’t be made.

-However, a dissection could sometimes be performed on criminals.

-This meant Galen’s ideas were preserved as anything that didn’t agree with his work could be explained away as the body was a criminal’s so imperfect.

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7
Q

Explain why was the Church powerful in Medieval England

A

-The Church built churches, monasteries and convents throughout the country. These were important to communities because they provided basic needs.

-The Church’s buildings were paid for by a church tithe which made the Church richer and powerful.

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8
Q

The Church’s Power Over Education

A

-Books were also produced in monasteries and libraries were maintained by the Church.

-In turn, they only promoted works that fitted with their teachings.

-Very few people would challenge the Church because many people did not receive any formal education, rather they learnt from pictures and stories in churches.

-The Church controlled medical learning in universities too.

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9
Q

Importance of book learning.

A

-Being widely read was a sign of intelligence because not many people could read at the time.

-Despite Hippocrates and Galen living many years before the Medieval period, their works were very popular at that time.

-This is because their works were only translated and available in Latin by the Middle Ages.

-These classical texts were used to teach medical students rather than practical experience.

-The authority of these classical texts were so strong that people believed them even when there was physical evidence suggesting they were wrong.

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10
Q

Religious causes of disease in the Medieval period.

A

-A lack of scientific knowledge at the time meant that the causes of disease and illness were a mystery. The Church used religion to answer questions about illness.

-The Church taught that disease was sent by God. If you became ill, God could be sending the illness to cleanse your soul of sin, as punishment or to test your faith.

-This was very believable to people because they believed God controlled every aspect of the world.

-For example, the Church often explained famine by saying that God had sent it as a punishment for sin.

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11
Q

Importance of Bodily Health

A

-The Church taught people that their bodily health was dependant on their spiritual health so religion was directly linked to medical practise too.

-When people recovered, the Church would declare a miracle had happened due to the patient’s prayers.

-Blaming illness on God acted as ‘proof of the divine’.

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12
Q

Supernatural ideas about the causes of disease in the Medieval period.

A

-Alongside the role of God, the alignment of the planets and stars was also seen as important for diagnosing illness.

-This is because of the influence of Hippocrates who was a leading physician in Ancient Greece.

-A physician would consult star charts to look at when a patient was born and when they fell ill to identify what was wrong.

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13
Q

The Church’s View on Astrology

A

Astrology was frowned upon by the Church because it was seen as one step away from predicting the future or fortune telling.

-However, after the Black Death, astrology became more popular as The Theory of the Four Humours could not be used to explain it.

-As a result, the Church became more acceptant of astrology.

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14
Q

Ideas about miasma during the Medieval period.

A

-Miasma was bad air that was believed to be filled with harmful fumes.

-Both Hippocrates and Galen wrote about miasma.

-Miasma was believed to be caused by swamps, corpses and other rotting matter that could transmit disease.

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15
Q

The Link Between Religion and Miasma

A

-Miasma was also associated with God. A clean and sweet smelling home was a sign of spiritual cleanliness and incense was burned to purify the air.

-Homes that smelled badly suggested sinfulness and corruption.

-If a person was unwashed, people would avoid them in case they breathed in the miasma and contracted a disease.

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16
Q

Impact of the Church on the Continuity in ideas about Medieval Causes of Disease

A

-The Church controlled medical learning and chose which books were copied and distributed.

-It also liked The Theory of the Four Humours as it fitted with their teachings so promoted it.

-Galen’s work in particular fitted with the Church’s so was heavily promoted.

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17
Q

The Impact of Science and Attitudes in Society on the Continuity in Ideas about Medieval Causes of Disease

A

Attitudes in society- Medieval England was heavily religious so few people wanted to criticise the Church.

-Physicians who didn’t follow classical ideas found it hard to find work.

Science- Physicians would try to make new discoveries fit with old ideas rather than experimenting to explain these discoveries.

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18
Q

The Impact of Technology on the Continuity in Ideas about Medieval Causes of Disease

A

-The printing press was invented in 1440 by Johannes Gutenberg.

-Although it did not directly lead to advances in medicine, it allowed for the much easier and faster sharing of texts.

-However, it did not have a large impact until after the Medieval period.

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19
Q

Ideas about prevention during the medieval period.

A

-Most people believed that the most important and best way of preventing disease was to live a life free from sin.

-Regular prayers, confessions and offering tithes to the Church worked together to ensure that any minor sins were forgotten which prevented illness.

20
Q

Importance of Digestion in Medieval Prevention

A

-Since the humours were thought to be caused by digestion, what and when you ate was considered very important in preventing an imbalance.

-Eating too much was strongly discouraged.

-Fear of digestive problems led to people purging themselves or using laxatives to prevent disease.

-Hippocrates recommended using an emetic every two weeks in the winter and to use enemas in the summer.

21
Q

Regimen Sanitatis - Medieval Prevention

A

-The Regimen Sanitatis was a loose set of instructions provided by physicians.

-It first appeared in the work of Hippocrates and later picked up by Galen. The advice was widespread and common.

-Ideally, physicians would create a Regimen Sanitatis especially for their patient, considering their predominant humours and lifestyle.

-This service was only used by the rich as it took a long time to do this for a patient.

22
Q

Ideas about the prevention of miasma in the Medieval period.

A

-Purifying the air to keep it free of miasma. They did this by spreading sweet herbs (lavender).

-This was sometimes carried as a bunch of flowers (posy) or placed inside jewellery called a pomander.

-People tried to make sure their homes smelled sweet and fresh.

-Floors were swept and sometimes sweet smelling herbs like lavender were spread out to keep the air free from miasma.

-Local authorities tried to make sure there was no rotting animals left lying around and pulled down or cleaned smelly public toilets.

23
Q

Importance of Bathing in Medieval Prevention and Treatment

A

-Bathing was an important preventative measure.

-Bad smells indicated miasma and cleanliness was believed to be next to godliness so it was important to stay clean.

-Only the wealthy could afford a private bath but public baths were available for free.

-Poorer people also swam in rivers to keep fresh. Everyone washed their hands before every meal.

-Prescribed to help the body draw in heat to help dissolve blockages in the humours and steam out impurities. Herbal remedies could also be added.

24
Q

Religious treatments during the Medieval period.

A

Prayers and Masses- As the Church taught that disease was sent by God, people would pray to be forgiven and healed. They also prayed for a special mass to be said.

Fasting- This was a religious idea of going without food to show dedication to God. It was also believed to help balance the four humours.

Pilgrimage- A journey to an important holy place to reach a closer connection with God.

-This showed dedication to God which people believed would lead to forgiveness and a cure.

25
Q

Supernatural treatments during the Medieval period.

A

Spells and Incantations- Chanting incantations and using charms or amulets to ward off disease were fairly common throughout the Medieval period.

-However, the Church did not approve of this method.

Astrology/ Horoscopes- Physicians consulted star charts when diagnosing illness and prescribing treatment.

-Treatment varied according to the horoscope of the patient. The alignment of the planets was then checked at every stage of the treatment prescribed.

26
Q

Humoural treatments during the Medieval period - Phlebotomy

A

-Each symptom was broken down and treated separately as it was believed each symptom represented an imbalance in the humours so conflicting remedies could be prescribed.

Blood letting- The most common treatment for an imbalance in the humours.

-It was believed bad humours could be removed by removing some blood. It was carried out through: cupping, leeches and cutting a vein.

27
Q

Humoural treatments during the Medieval period - Purging

A

Purging- Believed imbalance in the humours was caused by the food eaten so purging was common to remove leftover food.

-This was done through: emetics (vomiting), laxatives, or enemas.

-Emetics often contained bitter herbs such as aniseed and parsley or contained poisons such as black hellebore.

-Laxatives were very common and often contained mallow leaves stewed in ale or linseeds fried in hot fat. Linseeds are still used today.

28
Q

Humoural treatments during the medieval period- herbal remedies.

A

Herbal remedies- These encouraged the balancing of the humours. Aloe vera was often prescribed to help digestion which is still used today.

-A common remedy was theriaca which was spice based mixture which contained up to 70 ingredients, including things such as ginger, pepper and saffron.

-Galen wrote about these and over time, they became increasingly popular and widely used for many illnesses.

29
Q

The role of barber surgeons as a Medieval medic.

A

Training- they were the least qualified medic at the time.

-There work was usually based on experience rather than knowledge from books.

Work- they were good with sharp knives and small equipment so often performed small surgeries such as pulling teeth or phlebotomy.

-A skilled surgeon could remove an arrow or successfully set a broken limb.

Availability- they were affordable for many so quite popular.

30
Q

The role of wise women as a Medieval medic.

A

Work- their main work was to make the patient comfortable and prepare them restorative foods.

-They were responsible for the garden and expected to grow certain plants (known for their healing properties)

-These would be used in herbal remedies such as marigolds and clovers.

Wise women may have also performed phlebotomy but sources are sketchy.

-This may be because it was taken for granted that women would treat the sick at home so nobody bothered to record it when it happened.

31
Q

The Training and Availability of Wise Women During the Medieval Period

A

Training- they were less trained than some other medics but had a basic knowledge of plants.

Availability- most people would be cared for at home by wise women.

-It was expected that women care for their relatives and dependents when needed.

32
Q

The Background of Medieval Hospitals

A

-By 1500, there were 1,100 hospitals. Around 30% were owned and run by the Church.

-The rest were run by the Church but funded by an endowment, when a a wealthy person had left money in their will for the setting up of a hospital.

-As charity was a foundation of religion, the Church taught that donations could help to heal disease.

33
Q

The role of hospitals as a Medieval medic.

A

-Nuns would help to keep hospitals clean and changed bed linens and and clothes regularly.

-This meant for people not suffering from terminal diseases, hospitals were quite successful.

-Monks would also see to the spiritual welfare of patients and encourage prayer.

-During the medieval period, there were a large number of hospitals. There were also at least 6 hospitals specifically for lepers.

34
Q

Limitations of Medieval Hospitals

A

-They only provided care and hospitality for travellers and pilgrims.

-Hospitals would turn away infectious or terminal patients. Pregnant women and the mentally ill were also turned away.

-English hospitals did not have physicians unlike those in Europe.

35
Q

The role of apothecaries as a Medieval medic.

A

Training- They had a lot of knowledge on the healing power of herbs and plants.

-Their knowledge was from their own experience and Materia Medica or passed down from family.

Work- They mixed herbs and plants provided by physicians to make remedies and sell to people.

-They would also make poisons and sometimes dabbled in alchemy and the supernatural.

Availability- Apothecaries were cheaper than physicians and doctors so people often went there instead.

36
Q

Limitations of Medieval Apothecaries

A

-They were not as skilled or as knowledgeable as physicians as they did not attend university to acquire their knowledge.

-They also made poisons which went against the Hippocratic Oath- an idea fundamental to physicians.

-This meant they could not always be trusted to do the best for their patient as they were not bound by rules.

37
Q

The Training Provided for Medieval Physicians

A

-Spent around seven to ten years completing a medical degree at university.

-They were widely read and studied books, especially the works of Hippocrates and Galen, which was a sign of a ‘good’ physician. It showed they were worth the money.

-In turn, they were well respected and seen as intelligent.

38
Q

The role of physicians as a Medieval medic.

A

-Their main role was to diagnose illness and recommend a course of treatment.

-They rarely got involved in treating the patient themselves.

-For example, most physicians were clergymen so were not allowed to perform dissections.

-Instead, other medics such as barber surgeons provides treatment.

39
Q

Limitations of Medieval Physicians

A

-They were very expensive and seen as a luxury so only helped the rich who could afford it

-Used by a limited number of people.

-Relied on books which were incorrect and only diagnosed illness rather than perform treatment.

40
Q

The use of urine charts.

A

-To diagnose illness, physicians would first look at a sample of the patient’s faeces, blood and urine which would have been sent to him.

-Then, they would consult star charts from when the patient was born and got sick.

-Finally, based on the patient’s humoural tendencies, the physician would create a course of treatment.

41
Q

Importance of Urine Charts

A

-Physicians carefully checked urine samples in order to make a diagnosis.

-This is because it was believed to be the best way to check on the balance of the humours inside the body.

-The physician would compare the samples to a urine chart.

-The physician would check the taste, colour, thickness and smell of the urine before making a diagnosis.

-It was seen as so important, Norwich cathedral priory employed a full time physician to examine urine.

42
Q

Ideas about the causes of the Black Death.

A

-An imbalance in the four humours- most physicians still believed in Galen’s theory.

-Evidence that God had deserted the Earth- the Black Death was a punishment for all the sin in the world.

-Miasma from decaying rubbish or poisonous fumes released from earthquake/ volcano caused corruption to the body’s humours.

-In 1345, there was an unusual alignment of the planets: Mars, Jupiter and Saturn which astrologers believed meant something horrible (or wonderful) was about to happen.

-The activities of outsiders such as strangers or witches.

43
Q

Ideas about the prevention of the Black Death.

A

-Carrying lucky charms.

-Doing joyful things: listening to cheerful music and eating and drinking to enjoy the last of life.

-Walking to churches whilst whipping themselves to show God how sorry they were and ask for mercy.

44
Q

The Work of Local Authorities in the Prevention of The Black Death

A

-Not letting people enter the town or village from other places or leaving the area themselves.

-Local authorities tried to introduce forty days of quarantine but rich people still moved around quite freely.

-Local authorities only considered banning preaching, religious processions and large crowds gathering but they did not have the power to carry this out.

45
Q

Ideas about the prevention of miasma during the Black Death.

A

-Lighting a fire in a room and boiling vinegar was believed to ward off bad air.

-Carrying herbs and spices or a posy of flowers to smell or putting them in a mask over your face.

-Stopped tidying the rubbish from the streets as it was believed the bad air from the rubbish would drive out the miasma causing the Black Death.

46
Q

Ideas about the treatment of the Black Death.

A

-Prayer and repentance (asking God for forgiveness for sins).

-Holding a piece of bread against the buboes and then burying it in the ground.

-Eating cool things and taking cold baths.

-Cutting open the buboes and draining the pus. Very occasionally people survived this.

-Bloodletting and/or purging however this seemed to make people die more quickly.

47
Q

The Use of Herbal Remedies in the Treatment of The Black Death

A

-Physicians recommended strong smelling herbs such as aloe and myrrh which were believed to have cleansing properties.

-People also created homemade, natural remedies and theriaca.