medieval(middle ages) PH,S+a TOD(muslim vs christians)

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  • medieval
    • high middle ages(1066-1453)
      • treatment of disease
        • black death
          • saw this as a punishment from god and many would whip themselves to beg for forgiveness
            • infected people houses boarded up
        • new ideas were judged not on scientific proof but on the debating skill of the person arguing
        • many medieval doctors continued to use the four humours,they also said disease was caused by bad smells,demons , sin , jews, stars
        • no idea that dirt carried disease and infection
        • muslim doctors writings became available
        • urine chart and four humours to treat and diagnose people
        • doctors accepted ancient ideas without question
      • surgery and anatomy
        • church forbid dissection of bodies so no new discoveries could be made
          • anatomy lectures were readings of galens work whilst someone pointed at a human body
          • this created ignorance and lead to lots of errors in medieveal doctors practice
        • baber surgeons had no training. treated regular people and people on battlefeilds
          • in high demand due to constant fighting
            • surgery progressed whilst medicine did not
              • used wine as an antisepptic
                • opium madrake and root as anaesthetics
              • could do some internal and external surgery
                • trephining was still around to cure epilepsy by letting demons out
          • developed new ways of doing things
      • public health
        • there was a lack of resources to build public health systems
        • no sewers or water pipes
          • human waste and rubbish  thrown into the streets
        • rats lice and fleas flourished
        • had their own version of greek health program and were advised to wash their face clean their teeth and excersise
          • noticed importance of a good diet
          • people bathed 2-4 times a year
          • kings passed lwas to keep the streets cleaned
            • people didn't always obey
              • butchers carried waste through the streets and it was put into the river
          • public toilets and town bath houses
      • factors
        • church controlled knowledge and encouraged prayer and superstition
          • insisted on galens work
        • social disorder and war dissruped medical progress
    • dark ages (476-1066)
      • after the collapse of the roman empire a lot of knowledge was lost
        • Europe(Christians)
          • Europe was divided into a huge number of small 'fiefdoms' each governed by a lord
            • these tiny states couldn't afford universities or public health systems
          • galens books read by physicians
            • church controlled universities
            • ancient writing and galens work shouldn't be questioned
          • prayed for forgiveness
          • church preserved galens work
          • people prosecuted for saying doctors should do their own research
        • middle east
          • many ideas of the greeks and romans only survived int he muslim cities
          • translated galens books into Arabic to learn from
          • islam taught people to look after the sick
            • first arab hospital in Baghdad (805)
            • provided medical care and prayers for the sick in hospitals
          • al-kazi studied galen and Hippocrates and taught from them
          • ibh sina 'galen of islam' used work of greeks
            • challenged errors and encouraged new ideas
          • open to new ideas and theories
      • communications were difficult and dangerous so ideas travelled slowly.the monasteries managed to hang on to some knowledge and the ablilty to read and write
        • in 1258 Baghdad was destroyed and much ancient knowledge that was retained was taken back to the east
  • after 1066 civilisation began to recover .universities were established , kings became more powerful and established courts as a centre of wealth and culture.trade and communication, especially by sea,grew.towns became larger which created many health problems
  • many wars happened at this time(between muslims and Christians)

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