Health and Medicine

Middle Ages

Cause of illness

Cause of illness unknown

Doctors and physicians lacked scientific and medical training

Could be caused by evil spirits living in someone

Could be a result of sin

Treated through repent and prayer

influence of the church

Roman Catholic Church was the main influence

It was encouraged that illness and disease was a punishment from god rather than finding cures

Galen supported the ‘design theory’ which meant that God created everybody to be perfect and that nothing could go wrong with them unless they sinned

Dissection outlawed

Disagreeing with Galen meant going against the church

Diagnosis and treatment of illness

Doctors and women healers used herbs to treat illness

Balm was made from honey and herbs to treat breathing problems and eye infections

Some doctors used Almanacs which were a type of calendar including information about the position of stars and planets to diagnose patients

Hippocrates and Galen

Hippocrates created the ‘four humours’ idea which was popularised by Galen

Blood, yellow bile, black bile and phlegm

An imbalance can cause illness

Treatments involved: blood letting, purging, leeches etc

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Liked by the church as their ideas were in favour of god

Galen dissected pigs which made his work unrepresentative of humans

Both wrote books which became the backbone of general knowledge on medicine

Miasma

Galen added the theory of opposites

The theory that bad smells caused disease

Islamic Medicine

More developed than Christian treatment

Muhammad said that for every illness that Allah has created, he has also created a cure

In 805 Caliph Al-Rashid set up a hospital in Baghdad with a medical school, they had the intentions to treat the patients

Ibn Sina was a doctor and astronomer who wrote ‘The Canon of Medicine’ in 1025

It listed the medical properties of 760 different drugs

Had chapters on medical problems such as anorexia and obesity

Al-Razi distinguished measles from smallpox for the first time and wrote over 150 books

He encouraged his students to improve on the work of their teacher

Many Islamic medical documents were translated into different languages and used around the world spreading the idea of curing instead of caring

Making new discoveries

Abulcasis

Wrote Al-Tasrif where he described amputations, removal of bladder stones, dental surgery

Proved Galen wrong

Avenzoar described the parasite that caused scabies going against the idea that illness was caused by god

Another Islamic doctors suggested that the blood flows from one side of the heart to the other via the lungs, Galen said the blood flowed across the septum

Ideas were not recognised until 20th century

Treating Disease

Thought it was punishment, did flagellation where they’d wip themselves

Doctors carried posies and oranges when treating patients in an act to protect themselves from disease

Physicians were male doctors when trained at university for at least seven years, in 1300 there were less than 100 in England and they were expensive

Hospitals and Surgery

Most run by churches

Main purpose was to care for the sick rather than treat them

Hugh of Luca and his son Theodoric began to soak their bandages in wine as it kept out infection after noticing it by chance

Italian surgeons

Noticed puss wasn’t a healthy sign

Conditions in towns

Most towns small after Black Death

Overcrowding issues

In 1388 the government ordered to keep the streets clean of waste

York and London built latrines over rivers so that sewage could be carried away