Renaissance Medicine Flashcards

1
Q

Why the Renaissance happened- The Reformation

A

The Reformation- In the 1530s, the Church split in two.

-The ‘new’ Protestant Church meant that people were now free to challenge the ideas that the ‘old’ Catholic Church had protected for so long.

-This severely weakened the Catholic Church’s power as it no longer had the same money, influence or respect it used to have.

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2
Q

Why the Renaissance happened- The Rise in Secular Education

A

Rise in secular education- During the Medieval period, education had been controlled by the Church.

-They chose which books were to be distributed and taught in Latin which made formal education expensive and exclusive.

-By the end of the Medieval period, more people began studying for themselves as books became more available and there was more access to university education.

-The Church began to lose its full control over education.

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3
Q

The Impact of The Printing Press During the Renaissance

A

-Invented by Johannes Gutenberg in 1440, it allowed for writings to be mass produced quickly and more cheaply than ever.

-It helped to spread the learning of the Renaissance to a wider audience and speed up communication between important thinkers.

-This meant that ideas could be shared, debated and changed faster.

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4
Q

Invention of the Microscope

A

-In 1683, a new microscope was invented which improved upon Robert Hooke’s.

-This showed images of tiny creatures called ‘animalcules’.

-However this was found close to the end of the 17th century so had little impact during the Renaissance period.

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5
Q

New ideas/ discoveries in the Renaissance.

A

-An Italian physician wrote ‘On Contagion’ in 1546. His theory was that disease was caused by bad seeds spread in the air.

-A physician called van Helmont helped to develop a better understanding of the digestive system. In turn, people gradually moved away from the idea disease was caused by a bad diet.

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6
Q

Changes in ideas about causes during the Renaissance period.

A

-As more people began challenging the Church, there was less trust in the ideas of Hippocrates and Galen.

-The Theory of the Four Humours could no longer be used to easily explain away certain diseases, such as epidemics of smallpox and syphilis.

-Supernatural ideas such as astrology were much less popular however during times of epidemics, they grew in popularity again.

-Physicians now understood that urine was not directly related to a person’s health.

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7
Q

The Rise in the Study of Anatomy

A

-Many scientists wanted to better understand the world around them.

-In turn, more observations of patients were being made and there was a better understanding of anatomy made through dissections.

-However, there was little point studying correct diagrams of the body as it was impossible to treat or diagnose internal problems on a living patient.

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8
Q

Continuity in ideas about causes during the Renaissance period.

A

-Still relied on remedies and cures from earlier times.

-A lack of quality medical instruments prevented a rapid change in people’s beliefs about causes of disease. Without proof, the new ideas were just theories. This also meant new ideas were not applied to practises.

-Miasma continued to be a very popular theory. Miasma could be a product of rotten vegetables, decaying bodies, excrement or any swampy, smelly, dirty places.

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9
Q

Why did The Theory of the Four Humours Continue to be Used During the Renaissance?

A

-Few physicians still believed The Theory of the Four Humours.

-However, it was easy to understand so the general population of Britain continued to use it.

-In turn, physicians still used the theory to diagnose illnesses and stay employed.

-Practices around balancing the humours such as phlebotomy and sweating also remained popular.

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10
Q

Ideas promoted by Thomas Sydenham.

A

-Promoted closely observing symptoms and treating the disease causing them.

-This was a change from the Medieval method of treating each of the symptoms separately and instead looked at them all as side effects of one cause.

-He theorised that diseases were like plants and animals, in that they could be organised into different groups.

-He encouraged his students to observe their patients, note down their symptoms and then look for remedies to tackle the disease.

-Built on the process from Hippocrates (observation, diagnosis, prognosis, treatment).

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11
Q

Ideas rejected by Thomas Sydenham.

A

-Sydenham refused to rely on studying medical books when diagnosing a patient’s illness.

-He argued that the nature of the patient had little to do with the disease.

He disagreed with The Theory of the Four Humours which taught that a patient’s disease was personal to them, meaning treatments varied from person to person.

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12
Q

Important written work from Thomas Sydenham.

A

-Wrote ‘Observations Medicae’ in 1676. This book contained Sydenham’s theories and descriptions about different diseases and epidemics and their symptoms.

-In it, he wrote that different diseases had different symptoms and belonged to different groups just like animals and plants.

-Once the right disease had been diagnosed, a physician could look for remedies to treat the diseases.

-Had theories about diseases and their symptoms being able to be grouped and categorised. Each patient should be diagnosed and then treated in the same way.

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13
Q

Important practical work from Thomas Sydenham.

A

-Identified that measles and scarlet fever were separate diseases.

-Identified new treatments for diseases such as Cinchona for Malaria which is still used today

-For smallpox, he prescribed airy rooms, light blankets and cold drinks instead of the popular ‘sweating’ method (make a patient sweat out the disease).

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14
Q

Thomas Sydenham’s impact on medicine.

A

-Important in the long term because he started the process of changing how other physicians understand and treat diseases.

-His work laid the foundation for a more scientific approach towards medicine.

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15
Q

Limitations to Thomas Sydenham’s work.

A

-He was not able to identify or see the different microorganisms that caused the diseases he studied.

-His theories were not popular during his lifetime- his colleagues at university rejected his work.

-He never taught medicine to other students.

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16
Q

How was Thomas Sydenham Influenced by the Church?

A

-He was a puritan so believed it was wrong to dissect humans to study anatomy.

-This meant the accuracy of his work couldn’t be verified.

-He didn’t completely reject Church teachings.

-He thought there were mysteries about the way the world works that God had not given us permission to know.

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17
Q

Ideas promoted by The Royal Society.

A

-Believed in the importance of sharing scientific ideas and theories so that everyone could build upon the work of others.

-Believed debate, discussion and argument were key to finding out the truth about scientific ideas and theories.

-Believed in making scientific learning open to more people by encouraging scientists to publish their work in English (not Latin).

-Also encouraged scientists to by keep their copies in their library where other scientists could study.

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18
Q

Ideas rejected by The Royal Society.

A

-They rejected the belief that ancient ideas should be respected and followed just because it was traditional to treat them that way.

-For something to be believed it had to be proved correct.

-They rejected the idea that the Church should be in charge of scientific knowledge.

-They rejected the idea that religious belief was the only way to understand the world- instead they believed humans could discover truth on their own.

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19
Q

Important work from The Royal Society.

A

-Translations of European scientist’s work was important because it meant that there would be no barriers to sharing knowledge and understanding.

-The more scientific knowledge shared, the quicker it could be proved or disproved and improved.

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20
Q

Philosophical Transactions

A

-The Royal Society had a scientific journal called ‘Philosophical Transactions’ which was first published in 1665.

-It was the world’s first scientific journal and there has been a regular publication ever since.

-It contained essays, letters and descriptions of experiments and observations from all over Europe and translates into English.

-This allowed scientists to share their work with a large community, and allowed others to study and build on their work.

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21
Q

The Royal Society’s impact on medicine.

A

-The Royal Society has had a great impact on generations of scientists and has promoted scientific experimentation and understanding for the last 350 years.

-The Society has had a large indirect effect on medical understanding, which has been used to improve the way doctors are trained and the way patients are treated.

-The ideas they promoted laid the foundations of the discoveries of the 18th and 19th centuries.

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22
Q

Limitations to The Royal Society’s work.

A

-The Society was only open to members, and only to those who could read and were able to access the scientific work that they collected and promoted.

-The Society didn’t have much contact with patients- so they weren’t able to use the ideas they discussed to directly improve the health of many people.

-The Society’s work was about all branches of science- not just focussed on medicine. Medicine was only one part of their interests.

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23
Q

Changes in ideas about prevention during The Renaissance period.

A

Avoiding baths- after Syphilis arrived in Britain around 1490, people noticed that many people who visited public bathhouses soon became infected.

-In turn, King Henry VIII shut them down and bathing became less popular.

-In the years after the Syphilis outbreak, more people began to keep clean by changing their clothes regularly or rubbing themselves down with linen.

24
Q

Slight changes in ideas about prevention during The Renaissance period.

A

-Changing your surroundings to avoid certain areas of diseases.

-Avoiding certain weather conditions. Some people were making links between extreme weather and outbreaks of disease.

-It was believed that both the home and body should be kept clean and free from bad smells.

-Helping your children to grow up strong because being born small was often used to explain illness in adulthood.

-This was linked to the humours and astrological ideas about when a person was born and their characteristics.

25
Q

Continuity in ideas about prevention during The Renaissance period.

A

Practising moderation- not having too much or too little of things such as too much or to little drink or heat etc.

Practising the Regimen Sanitatis- a set of instructions for keeping healthy that first appeared in the work of Hippocrates and later, Galen.

Praying for forgiveness and avoiding sin.

Removing miasma by cleaning up waste from streets and public areas and fining those who didn’t or punishing criminals by making them pick litter and remove sewage.

26
Q

Changes in ideas about treatment during The Renaissance period.

A

New remedies appeared from ‘The New World’ such as Cinchona.

-Physicians also tested new arrivals like tea, coffee, nutmeg, cinnamon and tobacco to see if they had any impact on diseases.

A new theory was the idea of transference. The idea was that a disease could be transferred to something else.

-This could be done by rubbing an object on the skin and hopefully, the disease would pass from you to the object.

-Some patients would sleep with a sheep in their room hoping that their fever would pass to the animal.

27
Q

The rise in popularity of chemical cures for Renaissance treatment

A

-Medical chemists experimented with metals as cures for common ailments.

-The College of Physicians published The Pharmacopoeia Londinenis in 1648 which was a manual of remedies including salts, metals and minerals.

-The growth of alchemy had an impact on treatments as people looked for new chemical cures to diseases instead of relying on herbs and blood letting.

-This new chemistry was called iatrochemistry and was very popular.

28
Q

Slight changes in ideas about treatment during the Renaissance period.

A

Herbal remedies continued to be used however there were some new ingredients from ‘The New World’.

The use of herbal remedies also slightly changed. Remedies began to be chosen due to their colour or shape.

For example, smallpox (which had a red rash as a symptom), was treated with the ‘red cure’- drinking red wine, eating red foods and wearing red clothes.

29
Q

The Continuity in Ideas about Treatment During the Renaissance Period

A

-Most sick people continued to be cared for at home. Local communities were very close knit so there were plenty of people to give advice and mix remedies.

-Since belief in humoural imbalance continued, so did old treatments such as bleeding and purging, and sweating.

30
Q

The role of wise women during the Renaisssance period

A

-Women continued to play an important role in caring for the sick. This included rich and well born ladies as well as poor women supporting their families.

-For example, Lady Grace Milday kept detailed notes of the healing and treatment she carried out.

-They usually mixed and sold simple herbal remedies to purge the body or cure a particular ailment.

-Many were prosecuted for practising medicine without a licence but they remained popular as they were cheaper than a licenced physician or apothecary.

31
Q

The role of physicians during the Renaissance period

A

-Physicians continued to be taught from books rather than experience at universities.

-However, new subjects such as anatomy and iatrochemistry were introduced.

-Dissections were gradually allowed in England from late 1500s which led to improvements.

32
Q

The role of Apothecaries during the Renaissance period

A

-Apothecaries continued to offer the same treatments and mix herbal remedies.

-However, with the introduction of iatrochemistry, new ingredients were introduced to apothecaries.

-They now needed licenses to operate and the availability of education for them increased too.

33
Q

The role of barber surgeons during the Renaissance period

A

-Surgeons remained filthy and untrained.

-They continued to perform simple operations but were now more skilled as the education available for them increased.

-They continued to provide services for those who could not afford a physician.

-However, they now needed a license to operate.

34
Q

State which of Galen’s mistakes did Andreus Vesalius Corrected

A

-Vesalius found over 300 mistakes in Galen’s work- work which had been relied on for over one thousand years.

-Galen’s findings were wrong as they were based off of the anatomies of animals, not humans.

-The human liver does not have separate lobes.

-The human lower jaw is in one part, not two.

-The vena cava does not lead to the liver.

-Men do not have one less pair of ribs than women.

-The human breastbone is in three parts whereas an ape’s is in seven.

35
Q

Important works from Andreus Vesalius

A

-Through dissections and his book (On the Fabric of the Human Body), he shared his knowledge with the world.

-In his book, he claimed that it was vital for anatomy professors to carry out dissections themselves.

-He claimed this was very important if advancements in medical knowledge were to be made.

-His work was heavily copied or plagiarised. Much of his work appeared in medical texts or as fugitive sheets.

36
Q

Andreus Vesalius’ contributions to medical progress.

A

-He inspired other anatomist. Some of them even corrected his work.

-Although his work didn’t lead to medical cures, it laid the basis for future treatment.

-He made the study of anatomy acceptable and fashionable. Others began to study the anatomy of the human body in more detail.

37
Q

Limitations to Andreus Vesalius’ work.

A

-He was very controversial as many physicians didn’t like that he criticised the work of Galen.

-They said the differences Vesalius found were because there had been changes to the human body since Galen.

-Vesalius didn’t outright reject the work of Galen. The title page of his book shows him dissecting a woman while Hippocrates and Galen look on.

-Vesalius hoped by correcting Galen’s work that more people would use classical texts.

38
Q

Ideas promoted by William Harvey.

A

-He discovered that the heart, arteries and veins were part of one connected system that continuously pumped blood in one direction around the body.

-Discovered that veins have valves- blood could only pass in one direction through them, back to the heart (contradicting Galen).

-Blood must flow from arteries to veins through tiny passages invisible to the naked eye.

39
Q

Ideas rejected by William Harvey.

A

-Harvey rejected many idea that Galen had made about the human anatomy and the movement of blood.

-Blood was constantly produced in the liver and the heart and ‘burnt up’ by the body. Harvey proved that if this was true, the liver would make 1800 litres of blood a day.

-Veins carried blood and air from all over the body and arteries pumped blood by themselves.

-Blood travelled from one side of the heart to the other through tiny holes in the septum.

-Harvey also rejected the idea that students should rely on classical texts.

40
Q

William Harvey’s important work.

A

-Taught anatomy at the Royal College of Physicians.

-One of the Royal doctors for James I.

-Influential doctor in London.

-He carried out many public dissections on humans and vivisections on animals.

-In 1628. he published ‘An Anatomical Account of the Motion of the Heart and Blood’ which describes how blood circulates around the body.

41
Q

William Harvey’s impact on medicine.

A

-His work proved that Galen had made many mistakes and shouldn’t be respected so much anymore.

-His work demonstrated the importance of dissections and experiments.

-His book laid the foundations for the study of modern physiology- the study of how the body works.

-Many aspects of modern medicine depend on the understanding of the blood system that he gave us.

-His ideas were eventually used to train medics at university.

42
Q

How William Harvey inspired others

A

-His work encouraged other scientists of that time to experiment on real bodies.

-His work led directly to important research questions, such as where did the body make blood and how did the body feed itself

His emphasis on observation helped to inspire Thomas Sydenham.

43
Q

Limitations of William Harvey’s work.

A

-Understanding the blood system did not have much practical impact on the treatment of patients- no one recovered from illness because of his discoveries in the short term.

-Harvey disproved Galen’s work but was a fan of another classical thinker, Aristotle. He believed that the body was made by a higher power, and the soul gave the body life.

-Many other doctors and professors ignored or attacked his theories during his lifetime.

-English medical textbooks continued to promote Galen’s work until 1651 and his ideas weren’t used to train doctors until 1673.

44
Q

Continuity in hospitals rejecting the mentally ill or infectious during the Renaissance

A

Medieval:
Mentally ill and pregnant patients were often rejected from hospitals.

-These people would be cared for at home by women instead who would provide herbal remedies containing plants such as marigolds and clovers.

Renaissance:
Most people still continued to be cared for at home. Women continued to have an important role in caring for the sick.

-They usually mixed and sold simple herbal remedies to purge the body or cure them. They were very popular as they were cheaper than going to a physician or an apothecary.

45
Q

Continuity in specialist hospitals during the Renaissance

A

Medieval:
Infectious or terminally ill patients were rejected from hospitals. However, there were at least 6 hospitals specifically for those with leprosy (Lazar houses).

Renaissance:
New hospitals which specialised in treating a particular disease began to appear. New hospitals appeared to cater for people suffering from plague or pox.

46
Q

Changes in who hospitals cared for during The Renaissance period.

A

Medieval:
Only offered hospitality to pilgrims and travellers and did not actually treat the sick. Offered shelter, food and prayer to those staying at hospitals.

Renaissance:
Patient records show that people who went into hospitals with wounds and curable diseases (fevers/ skin conditions) didn’t spend long there suggesting their treatment was successful.

47
Q

Changes in the number of hospitals during the Renaissance

A

Medieval:
There were 1,100 hospitals, 30% of which were owned by the Church. They ran hospitals funded by endowments too and employed nuns and monks.

After:
The dissolution of the monasteries greatly decreased the availability of hospitals.

-Very few were able to stay open as they had connections with the Church. Small hospitals run by charities stayed open but it was still a big change.

48
Q

Changes in the care hospitals provided during the Reanissance

A

Medieval:
Hospitals were good places to rest and recover. They were kept clean. Linens and clothes were often changed. Nuns cleaned and monks saw to spiritual wellbeing

Renaissance:
Hospitals provided a good diet. They also had visits from physicians (sometimes twice a day to observe symptoms and provide treatments).

-Medication was also provided (many hospitals had their own apothecary).

49
Q

Ideas about the causes of the Great Plague- continuity.

A

-People didn’t use The Theory of the Four Humours to explain the disease.

-There had been an unusual alignment between Saturn and Jupiter in October 1664 and between Mars and Saturn on 12 November. These were seen as unlucky combination suggesting trouble was ahead.

-People believed miasma had been created by the rubbish and dunghills commonly present in towns

-People still correctly observed that the plague could pass from person to person. However there was no proof for this so it wasn’t the most popular theory.

50
Q

Ideas about the causes of the Great Plague- change.

A

-In contrast to the Black Death, the most popular theory about the spread of the Great Plague was miasma.

-People also thought that miasma was now present in soil, where it would stay as long as the weather stayed cold. The vapour would pour out of the Earth when the weather turned warmer.

This fitted the pattern of infection (outbreaks usually occurred when the weather was warmer).

51
Q

Ideas about the treatment of the Great Plague- continuity.

A

-Recipes for herbal remedies continued to be extremely popular. these took on the forms of medicines, poultices or rubs.

52
Q

Ideas about the treatment of the Great Plague- change.

A

-Physicians advised that patients be wrapped in thick woollen cloths and laid by a fire so they could sweat the disease out.

-Transference was a popular idea. Methods such as strapping a live chicken to a bubo, or lancing it with a feather plucked from a live chicken to draw out the poison and help a patient recover.

-Quack doctors took advantage of the panic and mixed remedies and advertised them as fabulous cures, hoping to make some easy money.

53
Q

Ideas about the prevention of the Great Plague- continuity.

A

-Some people decided to run away and escape the plague completely.

-Prayer and repentance

-Quarantine anyone who had the plague. They would either be taken to a pest house or locked inside their home for 40 days.

-Carry a pomander (ball containing perfumed substances) as a way to drive away miasma.

-Herbal remedies continued to be used, some relying on native herbs (mint and rosemary).

54
Q

The role of plague doctors in the prevention of the Great Plague

A

-Plague doctors wore special costumes to avoid catching plague.

-Hooked, birdlike masks with sweet smelling herbs to ward off miasma.

-Birds supposedly attracted the disease so people thought that it would help the disease leave the patient.

-The physician’s cloak would be treated with wax to make sure no blood or pus from the patient soaked into it.

55
Q

Ideas about the prevention of the Great Plague- change.

A

-People ate various diets from almost nothing (fasting) to eating a heavy diet with garlic and sage fried in butter.

-Recipes for ‘plague water’, a treatment for the plague, were popular among apothecaries. Some relied on native herbs (mint and rosemary) while others contained new, exotic ingredients (nutmeg and sugar).

-Smoking tobacco was encouraged to ward off miasma.

-Buboes were a symptom of syphilis and plague so people thought that catching syphilis would prevent a person from catching plague.

-In turn, people went out of their way to become infected with syphilis (didn’t work).

56
Q

Government action during the Great Plague.

A

-Public meetings, fairs and large funerals were banned. Theatres were also closed. Streets and alleyways were swept and cleaned.

Fires were set to burn on street corners, often in barrels of tar or strewn with sweet smelling herbs, to drive away miasma.

-Cats, dogs and pigeons were killed if they were seen on the street (40,000 dogs and 200,000 cats) because people thought they helped to spread the disease.

57
Q

The use of quarantine during the Great Plague

A

-The mayor appointed searchers and wardens to monitor the spread of the disease.

-Searchers would go from house to house checking to see if there were any plague victims. Carts would travel through the streets to collect the bodies of the dead.

-If a household was infected, the inhabitants were either taken to pest houses or quarantined in their house for 40 days.

-The house was painted with a red cross and the words ‘Lord have mercy on us’. Parish officials were in charge of bringing them food.