- Greek and roman ideas were lost - monastires alone hung onto learning
- But these ideas still survived in the middle east.
- Dominated by the Catholic church - very superstitious.
- The big roman cities disintegrated into small towns governed by a local lord.
- So they could not afford Universities for learning or public health systems.
- Communications were difficult so ideas traveled slowly.
- Technology was limited and advanced roman technology was lost.
Causes of downfall in the Middle Ages:
- Loss of medical knowledge - bad, unqualified doctors i.e Quakers
- Emphasis of authority rather than observation and investigation
- Lack or resources to build public health systems.
- Social disorder and war, disrupted communication and learning
However, the church crusades in the east brought some Arabic medicine to Europe.
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Arabic Medicine in the Middle East:
- They translated the works of galen and Hippocrates - still used the idea of the four humours and theory of opposites - kept clean, eat healthly, excerised - better the Europe.
- But they didn't make any attempt to progress there own studies of medicine.
- Dissection was forbidden.
- To Understand there theories was more important than practicing them.
- They taught reading and writing and most people could read and write so they works of Galen and Hippocrates could be publicly distributed - these ideas were easy to spread.
- They cared very heavily for the sick and believed it was a 'religious duty'
- The European crusades to the East brought Europeans into contact with Arab medicine and even brought some back to England.
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The Plague - 1345
- There were two types - the bubonic plague and pneumonic plague.
- Both carried in the gut of the oriental flee in boats from italy etc. - dirty cities and no knowledge of germs spread the disease rapidly.
Different theories about the causes:
- The un-balancing of the four humours - Galens Opposite theory.
- Astronomy - movement of the sun and planets, Adjacent etc.
- Believed it was a punishment from God or caused by the devil - Flagellants believed this and punished themselves by whipping themselves to repent for there sins.
- Invisible fumes or potions in the air - miasma.
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