Medicine: Treatment of Illness and Disease
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Questions and Answers

What was one perceived benefit of smoking tobacco among schoolboys at Eton?

  • Enhancing social status
  • Improving academic performance
  • Aiding in digestion
  • Keeping the plague away (correct)

The scientific approach to medicine during the early modern period only introduced new herbal ingredients but did not change ideas on dealing with disease.

False (B)

Besides relying on doctors, what lifestyle changes did some individuals begin to identify as ways of preventing illness?

fresh air and improved diet

During the early modern period, new studies were conducted on mental illness, often referred to as _______.

<p>melancholy</p> Signup and view all the answers

Why did many surgeons believe that patients should experience pain during surgery?

<p>It helped patients appreciate the efforts being made on their behalf. (D)</p> Signup and view all the answers

Early anaesthetics were easy to administer with consistent and predictable results.

<p>False (B)</p> Signup and view all the answers

What substances were commonly used to subdue patients before surgery?

<p>alcohol or opium</p> Signup and view all the answers

Match the individual with their contribution to the development of anaesthetics:

<p>Humphrey Davy = First to use nitrous oxide (laughing gas) James Simpson = Not mentioned in the text Surgeons (general) = Believed patients should experience pain</p> Signup and view all the answers

Which factor was considered important for the effectiveness of herbal remedies in the medieval era?

<p>The specific time the herbs were collected. (A)</p> Signup and view all the answers

Scientific experimentation was the primary basis for developing cures and treatments during the medieval era.

<p>False (B)</p> Signup and view all the answers

What type of book contained herbal treatments, along with illustrations and instructions for preparation, during the medieval period?

<p>Herbals</p> Signup and view all the answers

In addition to practical instructions, medieval herbal remedies often included ________ to enhance their effectiveness.

<p>prayers</p> Signup and view all the answers

Match the following aspects of medieval herbal medicine with their descriptions:

<p>Herbal medicines = Remedies using plants, sometimes effective. Herbals = Books containing herbal medicine recipes and illustrations. Family secrets = Herbal remedies passed down through generations. Timing of collection = Belief that lunar cycles affected herb potency.</p> Signup and view all the answers

What development has most increased the chance of successful cures of illnesses since the medieval era?

<p>A scientific approach based on observation and experimentation. (D)</p> Signup and view all the answers

All herbal treatments used in the medieval period are now considered completely ineffective by modern medicine.

<p>False (B)</p> Signup and view all the answers

Besides books, how were herbal remedy recipes often preserved and transmitted through generations?

<p>Family secrests</p> Signup and view all the answers

Which of the following remedies focuses primarily on restoring balance within the body, rather than directly targeting a specific symptom?

<p>Bleeding to restore the balance of the four humours. (D)</p> Signup and view all the answers

Medieval medical practices, such as tasting urine, were purely based on superstition and lacked any empirical basis.

<p>False (B)</p> Signup and view all the answers

Based on the provided sources, what were the two methods used for bleeding a patient?

<p>Cupping and using leeches</p> Signup and view all the answers

According to the remedies mentioned, problems in the body could be diagnosed by carefully analyzing a patient's ______.

<p>urine</p> Signup and view all the answers

Match the following ailments with their corresponding medieval treatments:

<p>Toothache = Burning a candle made of sheep's suet near the affected tooth Headache = Applying rosemary and lavender-scented pillows Eye Stye = Applying a mixture of onion/leek, garlic, wine and bull's gall</p> Signup and view all the answers

Which of the following ingredients appears most frequently across multiple medieval remedies, suggesting a potentially widespread belief in its medicinal properties?

<p>Garlic (D)</p> Signup and view all the answers

Medieval remedies always used sterile equipment and techniques, showing an advanced understanding of infection control.

<p>False (B)</p> Signup and view all the answers

What was the stated purpose of purging in medieval medicine?

<p>To rid the body of excess liquid and impurities</p> Signup and view all the answers

What was the primary purpose of a zodiac chart for a medieval physician?

<p>To identify which parts of the body were linked to specific astrological signs, influencing treatment decisions. (B)</p> Signup and view all the answers

What was a common belief regarding leeches in medieval times?

<p>Leeches removed only 'impure' blood from the body. (D)</p> Signup and view all the answers

According to the content, herbs picked at any time of the moon's cycle were considered equally effective for medicinal purposes.

<p>False (B)</p> Signup and view all the answers

Besides formally trained physicians, what other types of practitioners offered medical treatments during the medieval period?

<p>Quacks (unlicensed traders)</p> Signup and view all the answers

Demand for leeches decreased significantly during the 19th century due to advancements in modern medicine.

<p>False (B)</p> Signup and view all the answers

Besides bloodletting, what other services might a barber-surgeon provide?

<p>pulling teeth, mending broken limbs, cutting hair, performing simple surgery, and acting as an apothecary</p> Signup and view all the answers

Medieval surgeons were mostly ______, with limited formal medical training.

<p>barber-surgeons</p> Signup and view all the answers

Lady Johanna St John's cure for a bleeding nose involved wetting paper in ________ and drying it.

<p>vinegar</p> Signup and view all the answers

Why might relying on the Régime du corps by Aldobrandino of Siena as a sole historical source be problematic?

<p>It represents only one perspective and may not fully capture the diversity of medical knowledge and practices. (B)</p> Signup and view all the answers

Match the following descriptions to the corresponding sources:

<p>Source F = Shows a doctor practicing bloodletting on a patient. Source G = A diagram displaying different urine colors linked to zodiac signs. Source H = A complex zodiac chart divided into astrological houses.</p> Signup and view all the answers

Match the following items with their role in medicine during the early modern period:

<p>Rhubarb = A wonder drug introduced from Asia Tobacco = A newly introduced remedy from North America, despite controversy Lady Johanna St John = Compiled recipe books of cures Physicians Writing in English = increased access to medical knowledge for the general public</p> Signup and view all the answers

Which of the following concepts involves the idea that a plant's appearance dictates its medicinal use for a specific body part?

<p>Doctrine of signatures (A)</p> Signup and view all the answers

What can we infer about medieval medicine based on the use of urine charts (Source G)?

<p>The color of urine was believed to correlate with specific diseases or astrological influences. (B)</p> Signup and view all the answers

Barber-surgeons in the medieval period received extensive formal medical training equivalent to that of university-educated physicians.

<p>False (B)</p> Signup and view all the answers

During the early modern period, the use of traditional remedies from the medieval era was completely abandoned in favor of new treatments.

<p>False (B)</p> Signup and view all the answers

Why could barber-surgeons be the only available medical professional for some people?

<p>because many people could not afford a trained physician</p> Signup and view all the answers

What was a significant drawback of using ether as an anaesthetic in early surgeries, as experienced by Robert Liston?

<p>Patients sometimes regained consciousness during the procedure. (A)</p> Signup and view all the answers

James Simpson's use of chloroform was immediately and universally accepted due to its obvious benefits in reducing pain during childbirth.

<p>False (B)</p> Signup and view all the answers

What was the primary method of administering early painkillers like ether and chloroform?

<p>inhalation</p> Signup and view all the answers

The use of cocaine as a local anaesthetic initially involved applying it as ______ in the eye.

<p>drops</p> Signup and view all the answers

Why did some surgeons in the 1870s cease using chloroform despite its painkilling properties?

<p>Mortality rates were higher with its use due to uncontrolled infections. (C)</p> Signup and view all the answers

Match the following concepts with their descriptions:

<p>Sepsis = Hospital gangrene, a major cause of death after surgery. Antiseptic = Substance used to prevent infection by killing microbes. Ignaz Semmelweis = Pioneer who advocated for antiseptic practices.</p> Signup and view all the answers

Before the widespread adoption of antiseptics, what was a common misconception among surgeons regarding the spread of infection?

<p>They denied their own role in spreading infection. (C)</p> Signup and view all the answers

Washing a cut and applying antiseptic cream is an ancient practice with a history stretching back thousands of years.

<p>False (B)</p> Signup and view all the answers

Flashcards

History of Cures

The study of how attempts to treat illness and disease have changed throughout history.

Scientific Approach to Cures

An approach relying on observation, experimentation, and measurement to improve medical treatments.

Herbal Medicines

Medicines and treatments derived from plants, often used in the medieval period.

Medieval 'Herbals'

Books containing recipes, pictures, and instructions for creating herbal remedies. They sometimes included prayers.

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Herbal Medicine Ingredients

Using specific ingredients, in correct quantities, to treat ailments.

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Timing of Herb Collection

Timing affected the effectiveness of herbs in medieval times. Recipes indicated the correct time to collect them.

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Family Remedy Secrets

Remedies were passed down through families, typically from mother to daughter.

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Alternative Cures

Natural cures, rather than regular visits to a doctor.

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Venetian Headache Cure

A Venetian remedy for headaches involving chamomile tea and rest on rosemary and lavender-scented pillows.

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Rosemary Remedy

Rosemary boiled in water, used as a remedy for various bodily ailments.

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Medieval Herb Ointment

An ointment made from various herbs and boiled in butter, applied to the forehead or aching joints.

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Anglo-Saxon Stye Cure

A mixture of onion/leek, garlic, wine, and bull's gall left to stand for nine nights, used to treat a stye.

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Welsh Toothache Cure

Burning a candle made of sheep's suet and eringo seed near the tooth to make worms drop out into water.

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Bleeding (Medical)

The practice of drawing blood to restore balance of the four humors and fight illness.

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Purging

The process of ridding the body of excess liquid and impurities.

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Urine Diagnosis

Examining urine color, smell, and sometimes taste to diagnose illness.

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Ether (1846)

First successful anaesthetic used in surgery; sometimes patients woke up mid-operation.

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Chloroform (1847)

Used to reduce pain in childbirth; needs careful administration due to potential risks.

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General Anaesthetics

Inhaled to cause general anaesthesia; dosage was difficult to get right.

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Cocaine

Used as a local anaesthetic, first as eye drops; later produced chemically.

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Sepsis (Hospital Gangrene)

Infection caught during or after an operation; a major cause of death.

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Antiseptic

Agent used to prevent infection by killing microorganisms on living tissue

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Ignaz Semmelweis

He pioneered the use of antiseptics

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Antisepsis

A method of preventing infection by killing bacteria to ensure that an injury is free from germs.

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Barber Surgeons

Preformed minor surgeries, pulled teeth, mended limbs, carried out bloodletting and cut hair.

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Leech therapy

A natural form of bloodletting using leeches to suck blood.

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Anti-coagulant

Substance in leech saliva that reduces blood clotting.

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'Impure' blood

Medieval belief that leeches removed 'impure' blood, leaving 'good' blood behind.

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Ladies of the manor

Women of high social standing who created recipe books of cures.

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Physician Writing

Early modern period physicians wrote in their local language to broaden access to medical knowledge.

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Doctrine of Signatures

The idea that a plant's appearance indicates which part of the body it can treat.

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Tobacco's Medicinal Use

Originally from North America and used in herbal remedies despite initial controversy.

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Smoking to prevent plague

Belief in early modern period that smoking tobacco could ward off the plague.

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Scientific approach to medicine

Observation, experimentation, and recording results for medical advancements.

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Preventative healthcare

Focus on lifestyle changes like fresh air and diet to prevent illness.

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Pain in surgery

Some surgeons believed pain was good for patients to appreciate efforts.

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Early surgical sedation

Alcohol or opium were used to subdue patients during surgery.

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Nitrous oxide history

Nitrous oxide, used recreationally, was later used as pain relief during operations.

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Early anesthesia dosage

Getting the dosage of early anaesthetics was difficult to control.

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Bloodletting

The practice of drawing blood, believed to balance the body's humors in medieval medicine.

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Quacks

Unlicensed practitioners offering various treatments and cures, often lacking formal medical training.

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Zodiac Chart (Medical)

A chart linking body parts to astrological signs, used to guide treatment and timing of medical interventions.

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Urine Sample Analysis (Medieval)

Examination of urine color to diagnose illness based on the belief that different colors correlated zodiac signs

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Apprenticeship (Medical)

Learning a trade through practical, on-the-job training under a skilled master.

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Leeches

To improve patient's health, by applying leeches to their skin to suck their blood. They believed that this would keep the bodies 'humours' in balance.

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The Four Humours

The traditional belief that the body was composed of four fluids (blood, phlegm, yellow bile and black bile) which needed to be in proper balance for good health.

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Study Notes

  • This chapter discusses the evolution of treatments for illness and disease over time.
  • Historically, various medical practitioners have sought to cure the sick, with varying degrees of success.
  • A shift toward scientific methodologies, emphasizing observation, experimentation, and quantitative analysis, has facilitated breakthroughs in treatments and medications, thereby improving the probability of successful recoveries

Traditional Medieval Treatments

  • Herbal remedies were a popular treatment method in the medieval era.
  • Herbal medicines frequently combined honey with additional plant-based components known for their infection-fighting capabilities.
  • Herbal treatments were sometimes documented in 'herbals,' featuring illustrations and precise instructions but also including prayers to enhance efficacy.
  • The timing of herb collection was crucial, dictated by lunar cycles.
  • Herbal remedies were frequently family secrets, passed down through generations.
  • Bloodletting, either through cupping or leeches, was a common treatment believed to restore humoral balance.
  • Urine analysis involved observing color and sometimes tasting to diagnose ailments.
  • Zodiac charts linked body parts to astrological signs, influencing treatments and timing.
  • Unlicensed healers offered various treatments, with questionable efficacy.

Transition to Early Modern Treatments

  • Traditional medieval treatments continued into the early modern period, alongside new developments.
  • Women of high social standing, such as Lady Johanna St John, kept recipe books with cures.
  • Physicians began writing in English rather than Latin to reach a broader audience.
  • The doctrine of signatures and astronomy influenced herbal medicine.
  • New ingredients, like rhubarb and tobacco, appeared.
  • A scientific perspective was emerging, alongside investigation into mental health and midwifery.
  • Lifestyle changes, like fresh air and diet, were valued for disease prevention.

Anesthesia

  • Surgery was historically associated with significant pain.
  • Alcohol or opium was often used to subdue patients, though dosages were difficult to control.
  • Nitrous oxide (laughing gas) demonstrated initial success but was hard to administer.
  • Ether was used effectively for amputation.
  • Chloroform use was popularized by James Simpson and endorsed by Queen Victoria.
  • Cocaine was introduced as a local anesthetic in the late 1800s.
  • Early anesthetics had dosage challenges and did not address infection risks.

Antiseptics

  • Ignaz Semmelweis pioneered antiseptics by advocating for handwashing.
  • Joseph Lister reduced mortality by sterilizing operating rooms and instruments with carbolic acid, in 1871 he invented a machine that sprayed carbolic acid in operating rooms.
  • Lister's methods significantly reduced mortality rates.

Aseptic Surgery and Beyond

  • Charles Chamberland invented steam sterilization for instruments in 1881.
  • Gustav Neuber established sterile operating theaters.
  • Surgical clothing evolved, beginning with William Halsted's introduction of rubber gloves.

20th Century Developments

  • Marie Curie discovered polonium and radium, pivotal for cancer treatment.
  • Marie Curie developed mobile X-ray units during World War I.

Antibiotics

  • Alexander Fleming's discovery of penicillin revolutionized infection treatment.
  • Howard Florey and Ernst Chain developed penicillin for clinical use.
  • World War II spurred penicillin production, saving many lives.
  • Other antibiotics, like streptomycin and tetracycline, followed.

Modern Surgical Advances

  • Christian Barnard performed the first heart transplant in 1967.
  • Immunosuppressant drugs improved transplant success.
  • Hip replacements, keyhole surgery, and robotic surgery emerged.
  • Radiation therapy, chemotherapy, and surgical techniques advanced cancer treatment.
  • Scanning and micro cameras reduced the need for exploratory surgeries.

Alternative Medicine

  • Distrust in traditional medicine has grown, leading to interest in alternative medicine.
  • Alternative practices encompass hydrotherapy, aromatherapy, hypnotherapy, and acupuncture.
  • Home remedies remained common for those who could not afford professional medical car

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