Medicine in the Middle ages

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  • Created by: lucyaa
  • Created on: 24-02-17 18:51
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  • Medieval
    • Background
      • Wars destroyed the Roman public health systems and medical libraries.
      • Trade was disrupted by war.
        • Travel became more dangerous so there was less communication between doctors.
      • Training of doctors was abandoned & Galen's books were lost or hidden away for safety.
      • the central government collapsed
        • Rulers of small kingdoms built up armies instead of improving medical skills/PH. Each kingdom came up with its own ideas.
    • Church
      • during the wars the church sent missionaries around Europe converting pagans to christianity.
      • it controlled education, only nuns and monks could read. Only Monasteries had libraries, so they banned books they didn't agree with.
      • Priests & bishops checked every new medical idea to see if it challenged the bible.
      • The y opened medical schools where Galen's ideas were taught and monasteries tried providing clean water & water.
    • How did things change later?
      • church set up unis where doctors could be trained.
      • Armies took trained doctors to war with them where they gained experience as surgeons.
      • rulers took measures to clean up towns.
      • Merchants & Scholars were once again travelling around Europe sharing ideas.
      • in 1482, the Pope allowed  human dissection if body was an executed criminal, however Christians didn't like messing with bodies.
    • Medieval Hospitals
      • For the poor, hospitals were set up by the church run by nuns and monks. They provided 'hospitality'.
        • Rich people were treated by the kings doctors e.g. at the Hotel Dieu, Paris.
      • Illness was caused by sins, so religious treatments were used. Herbal treatments were also used.
      • There were rules that meant nuns turned people away. E.g if you had  black death or it would spread.
        • Not allowed if had a mental disorder as they're influenced by the devil.
        • Pregnant women weren't allowed- no treatments&would take up beds.
    • Arab medicine
      • it was more advanced than European medicine.
        • Large hospitals were built as it was the word of Muhammad to care for the sick.
        • Noble men like Usamah could read well, so could translate medical books by Galen to be read by medical students,
          • They wrote books combining ideas of Hippocrates&Galen- ideas got back to western Europe.
        • attitudes to the Qur'an meant they didn't criticise Galen's work.
      • Believed in 4 humours, Galen's treatments + clinical observation.
    • Natural beliefs & treatments
      • new techniques- Diagnosis by urine samples (used today)
      • Galen ideas were accepted because of his theory of design linked with religion as he referred to "the creator in his work".
        • Doctors believed all his ideas were correct & believed in the 4 humours.
          • Bloodletting would clear mind&strengthen memory. Leaching, vomiting, purging was used.
        • medical schools in western Europe (first in Salerno, Italy) using his books.
      • Herbal treatments & posies carried to get rid of bad smells (caused illness)
    • Supernatural beliefs & treatments
      • Illness was a punishment for sins so they prayed.
      • some believed Pilgrimages to holy shrines would cure illness.
      • Astrology- doctors studied star charts as they believed the movement of planets affected health.
    • Public Health
      • Towns lacked public health schemes built by romans due to war.
      • Sewage was dumped in cess pits which were close to water wells (no running water). only 1/2 gutters in a street.
        • People found it healthier to drink beer than water.
      • Butchers dragged waste and put it in the river.
    • Surgery
      • due to war surgeons were needed- people became surgeons by watching others/untrained barber-surgeons
      • wine was used as an aesthetic
      • external: surgeries like cataracts. Internal: remove bladder stones, trephening
      • high risk of infection after- death

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