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the great plague in london
1665
75 000 died
plague: explanation
God, planets, 4 humours, miasma
plague: treatments
praying + wearing religious charms, cut open buboes,
plague: avoiding
keep air sweet with herbs, stay at home, herbs and wine “plague water”, chew tobacco
plague: preventing the spread
public prayer, fasting
printing press
German invention in 1450s and used throughout Western Europe from 1500s
crucial development for spreading ideas more rapidly
tradition vs change (renaissance = rebirth)
reborn interest in Greek + Roman things
Britons realised that if the Greeks could ask questions and challenge ideas, why couldn’t they? - led to realisations that Galen made some mistakes
physicians + training
gradual development from middle ages (mostly learned from books of ancient writers)
opportunities to dissect bodies
new equipment and microscopes
studied work of Vesalius + Harvey
Thomas Sydenham - pioneering doctor
researched how to diagnose and choose appropriate remedy as he believed every disease was different
stressed that doctors must make bedside observations of patient’s health + symptoms (and history) and record them to correctly diagnose
known as “English Hippocrates” and produced the first description of Scarlet Fever
Royal Society (London)
first meeting in 1645 and named in 1662 when Charles II began to attend
weekly meetings of people interested in new scientific ideas (physics, medicine etc.)
had its own lab and equipment and performed experiments
published books and articles to spread new ideas
William Harvey
discovered how blood circulates around the body
published “An Anatomical Account of the Heart and Blood” in 1628
William Harvey: limitations
only gradually accepted due to respect for tradition so it didn’t make anyone better
couldn’t explain movement of blood through veins, arteries and capillaries (discovered in 1661 through microscopes)
Galen’s theories disproved by Harvey
new blood manufactured in the liver to replace blood burned up in the body
blood passed through the heart through holes in the septum
how Harvey disproved Galen’s theories
dissecting live cold-blooded animals and observing muscle movements in the heart
tried to pump liquid past valves which was unsuccessful
Andreas Vesalius
published “The Fabric of the Human Body” in 1543 - a highly illustrated book describing human anatomy in accurate detail
used to train doctors in England and Cambridge students
Galen’s theories which Vesalius disproved (through dissection)
jaw is made from 1 bone
breastbone has 7 parts
there are holes in the septum
(all are Galen;s incorrect theories)
preferred healers
familiar remedies from surgeons, apothecaries and family (because physicians were expensive)
wife/mother was typically the first person to treat someone ill
hospitals
medieval hospitals closed when Henry VIII closed monasteries
St Bartholomew’s in London was kept open by the city council and charity; by 1660 it had 12 wards, 300 patients, 3 physicians and 3 surgeons
one of the first hospitals to admit the sick
bleeding and purging
still used by physicians as they still believed in the Four Humours
herbal remedies
passed down through generations of women as they wrote them down - tobacco greeted as a cure-all
God and the King
King = God on earth therefore if the king touched you, you were cured
people travelled across the country for this
folk remedies
people still used cures based on magic
from books such as 1862 book “The London Dispensary”
factors for change
attitudes seeking improvement
communications
science + tech
factors for continuity
attitudes respecting tradition
institution, Church