Renaissance Medicine , c.1450-1850 Flashcards

1
Q

What was the Renaissance?

A

A cultural movement starting in Florence Italy that same a new focus on arts, science, and knowledge.

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2
Q

How did the Renaissance impact attitudes?

A

1) Wealthy businessmen paid scholars and artists to investigate the writings of Romans and Greeks
2) Inspired people but made them critical of old texts; a new focus on accurate, original versions and experimentation with new ideas
3) Made educated people want to find out for themselves and not just accept the teachings of the Church
4) a ‘rebirth’ of learning

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3
Q

What invention caused the spread of the Renaissance?

A

The Printing Press in 1451 - it made books cheap, accurate and quick to produce. Before they were expensive and rare as they were hand copied.

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4
Q

What were the consequences of the Renaissance?

A

1) New lands from exploration led to new medicines and foods being brought to Europe
2) Printing caused new ideas to spread quickly as well as those from the ancient world
3) Art showed then human body in realistc detail e.g. Da Vinci’s illustrations
4) New inventions such as gunpowder caused new types of wounds
5) A more scientific approach to learning involving observation, hypothesis, experiment and questioning evolved.

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5
Q

Who was Vesalius and what was his impact?

A

Before Vesalius dissections were done to prove Galen was right.

Vesalius was a Belgian professor of surgery at Padua in Italy (1514-64)

Wrote The Fabric of the Human Body (1543) which was beautifull illustrated and an accurate textbook based on dissections and observations of the Human Body, where he corrected Galen’s mistakes for example that the breastbone in a human only had 3 parts not the 7 of an ape.

Did dissections himself and said medical students should learn from dissections

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6
Q

What was the reaction to Vesalius?

A

He was criticised for saying Galen was wrong and had to leave his job at Padua but later became Emperor Charles V’s doctor.

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7
Q

Who was Ambroise Pare (1510-90)?

A

The most famous Renaissance surgeon in Europe.

1537 - used a cream of rose oil, egg white and turpentine rather than hot oil to treat gunshot wounds. His patients healed well and he wrote a book.

Pare used ligatures or threat and invented the ‘crows beak clamp’ to halt bleeding rather than cauterising which was less painful, but could introduce infection.

He designed false limbs for wounded solders.

Used Vesalius in his book Works on Surgery (1575) which was read widely by English surgeons.

Wrote that gunshot wounds were not poisonous which had been the prior belief.

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8
Q

Who was William Harvey (1578-1657)?

A

An English doctor who challenged Galen by saying the blood circulated around the body. Galen had said new blood was constantly made in the liver.

Harvey dissected and studied human hearts. He experimented with pumping liquid the wrong way through the heart, proving that blood could only go round one way.

He waited 12 years before publishing De Motu Cordis (1628) about the circulation of bloody because he know there would be criticism about his go against Galen and the idea of bloodletting and humours.

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9
Q

What did Harvey’s critics say?

A

That he was made or they ignored his ideas. Some doctors rejected his theory because he was contradicting Galen, or because they did not believe his calculations.

Despite this his theory was accepted by many doctors. It wasn’t until 1661 that a good enough microscope was made to see the capillaries connecting veins and arteries.

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10
Q

What did Culpeper contribute?

A

Wrote the Complete Herbal in 1653
Used plants and astrology in his treatments
Highly critical of bloodletting and purging

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11
Q

What did Thomas Sydenham do?

A

Stressed the careful observation of symptoms and was critical of quack medicine.
Noted the symptoms of scarlet fever and used iron to treat anaemia
Dismissed the value of dissection and ignored Harvey’s discovery
Still used bleeding methods for treatment
His book Medical Observations (1676) became a standard textbook
(Evidence of merging between old and new ideas)

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12
Q

Treatments in the Renaissance included?

A

Bloodletting
Herbal rememdies such as using the bark of the Cinchona tree which contained quinine for malaria
Opium from Turkey was used as an anaesthetic
Lemons and limes for scurvy (discovered by Woodall in 1617)
Belief in the power of the royal touch to cure the disease of scrofula

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13
Q

Who treated people in the 17th and 18th centuries?

A

Barber surgeons - poorly trained, could give a haircut and do small operations like teeth pulling or bloodletting

Apothecaries - little to no medical training, but sold medicines and potions

Wise Women - treatments relied on superstition, but had large amounts of knowledge of plants and herbs

Quacks - showy, travelling salesmen who sold all sorts of medicines and cure-alls

Trained doctors - mixture of new and traditional knowledge, cost money still.

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14
Q

How many people in London died from the Great Plague in 1665?

A

100,000 (1/4 of the city’s population) and thousands in the rest of the country

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15
Q

What remedies and treatments were there for the Great Plague (1665)?

A
  • Bleeding with leeches
  • Smoking to keep away the poisoned air
  • Sniffing a sponge soaked in vinegar
  • Using animals such as frogs, pigeons, snakes and scorpions to draw out the poison
  • Moving to the countryside to avoid catching the black, Charles II did this
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16
Q

What had peopled learnt since the Black Death for the Great Plague?

A
  • Connection between dirt and disease; most deaths occurred in poor, dirty areas
  • More organised approach - mayors and councillors issued orders to try to halt the spread of disease
  • Women searchers identified plague victims, examined the sick and noted those with plague symptoms
  • More effective quarantine of victims in their houses, guarded by watchmen
  • Bodies were removed and buried in mass plague pits
  • Fires were lit to remove poisons from the air
  • Streets were swept and animals kept from the streets
  • Gatherings of crowds were banned
  • Trade between plague towns stopped and the Scottish broder closed.
17
Q

How did the Plague end?

A

The plague declined because the rats developed a greater resistance to the diease and so their fleas did not need to find human hosts.

After 1666, quarantine laws prevented epidemic diseases coming into the country on ships.

18
Q

What began in modern hospitals in the 17th and 18th centuries?

A

The practice of scientific medicine. These hospitals were paid for by the rich or private subscriptions, where local people clubbed together to pay

19
Q

Hospitals in the 18th century:

A
  • Many new hospitals were build; 1720-50 saw give new general hospitals in London
  • Patient numbers increased; London’s hospitals had over 20,000 patients a year by 1800
  • Hospitals had specialist wards for different types of disease and medical schools to train doctors
  • Hospital treatment was free but based on the four humours approach of purging and bleeding
  • Attitudes to illness changed towards helping the sick rather than just caring for them
  • Fewer people thought illness was a punishment for sin.
  • A new scientific evidence based approach to treatment began
  • Towards the end of 18th century, some hospitals had pharmacies, giving the poor free medicine such as in Edinburgh
  • Specialist hospitals such as the British hospital for mothers and babies (1749)
20
Q

Who was John Hunter (1728-93)?

A

A pioneer of scientific surgery, collector of specimens and surgeon to George III and surgeon-general to the army.

Wrote books based on observations, dissection and experimentation as well as time in the army i.e. ‘The Natural History of Teeth (1771)’ and ‘On Venereal Disease (1786)’.

Recommended not to enlarge gunshot wounds when treating them.

Collected and studies 3000 anatomical specimens such as stuffed animals, dried plants, diseased organs, embryos and even stolen skeletons of those with conditions like gigantism (see Charles Byrne, the Irish Giant).

Taught hundreds of other surgeons including EDWARD JENNER with a scientific approach.

Demanded careful observation in surgery. Experimented on himself in 1767 with Gonorrhoea germs.

Tried radical surgery; in 1785 he saved a man’s leg with a throbbing lump (aneurysm) on his knee joint insead of performing an amputation.

21
Q

What was smallpox?

A

One of the most feared diseases in the 18th century as it was one of the bigggest killer dieases.

Highly infectious virius spread by coughing, touching or sneezing.

Killed 30% of those who caught it.

Symptoms: fever, headache, rash, pus filled blisters over the entire body, you could be left blind or scarred even if you survived.

22
Q

What was inoculation (Smallpox)?

A

Giving a healthy person a mild dose of a disease i.e. dried scabs being stratched into their skin. Allowing them to build up resistance against the deadly version.

Fashionable as late as 1721 but common after 1740.

23
Q

What were the problems with inoculation?

A
  • Religious objections i.e. preventing sickness interfered with God’s will
  • Lack of understand or belief in it working
  • A risk that the smallpox does was not mild and could kill
  • Inoculated people could still pass on smallpox to others
  • Poor people could not afford to be inoculated
24
Q

What did Jenner discover?

A

A vaccination for smallpox. He injected a young boy, James Phipps, with pus from cowpox sores. Phipps developed cowpox and later was given smallpox, he was immune.

He carried out more epxeirments and in 1798 published ‘an Inquiry into the Caues and Effects of the Varioae Vaccinae, or Cow-Pox’.

in 1802 was awarded 10,000 pounds by the Government for his work and a further 20,000 pounds in 1807 .

25
Q

Reasons for opposition to Jenner and the vaccination?

A

Jenner published his findings in 1798 but…
- he could not explain how vaccination worked
- many doctors were profiting from smallpox inoculation
- attempts to repeat his experiment failed
- Jenner was not a fashionable city doctor, so snobbery was against him

26
Q

Why was vaccination accepted?

A
  • Jenner had proved the effectiveness of vaccination by scientific experimentation
  • Vaccination was less dangerous than inoculation
  • Members of the royal family were vaccinated which influenced opinion
  • Parliament acknolwedged Jenner’s research with a 10,000 pound grant in 1802
  • In 1853 the British government made smallpox vaccination compulsory