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Medieval Period
1250-1500
Medical Renaissance
1500-1700
Medieval Ideas about causes
Punishment from God. Miasma. Imbalance of the four humours
Medieval ideas about treatment
Prayer. Herbal Remedies
Medieval ideas about prevention
Keeping streets/water supplies clean
Renaissance ideas about causes
Punishment from god. Miasma. Imbalanced humours
Renaissance ideas about Treatment
Prayer. Herbal remedies. Bleeding/purging. External operations
Renaissance ideas about prevention
Cleaning streets/water supplies. Quarantining the sick. Dissecting dead bodies to learn
18th-19th century ideas about causes
Germ theory. Miasma
18th-19th century ideas about treatment
Herbal remedies
18th-19th century ideas about prevention
Smallpox vacccination. Antiseptic. Sewers. Clean water
Modern ideas about causes
DNA. Germs
Modern ideas about treatment
Antibiotic. Chemical drugs. Blood transfusions
Modern ideas about prevention
NHS. Knowledge. Research
Black Death
1348
Vesalius publishes The Fabric of the Human Body
1543
William Harvey publishes his book on blood circulation
1628
Great Plague of London
1665
Thomas Sydenham publishes Observations Medicae
1676
Edward Jenner develops first vaccine
1796
James Simpson discovers chloroform
1847
Joseph lister uses carbolic acid in surgery
1865
Louis Pasteur Germ Theory
1861
John Snow discovers the significance of the broad street pump causing cholera
1854
Karl Landsteiner discovers blood groups
1901
Second Public Health Act
1875. It is made compulsory to improve sewers/drainage/clean water
The Church in Medieval England
Priests wrote all the books dictating medical knowledge so everybody had to be religious.
Fleming discovers penicillin
1928
First Magic bullet
1909- the Salvarsan 606
NHS introduced
1948
Human Genome Project began
1990
Education in medieval England
The church controlled education
Housing in medieval England
Whole families (with animals) would live in one room.
Communication in medieval England
Most people were illiterate
Supernatural explanations of illness (medieval)
Religion and astrology
Rational explanations of illness (medieval)
Miasma and The four humours
The theory of the four humours
Four liquids within the body (blood, yellow bile, black bile, phlegm) if they became unbalanced you became ill. To get better the humours have to be rebalanced
Galen emphasized the importance of
studying body structure
Galen's theory of opposites
Based on the four humours but instead of ridding yourself of the excess humour, you needed more of the other humours
Alternative medieval treatments if religion failed
Amulets. Bathing. Purging. Bleeding. Herbal remedies
Alternative medieval preventions if religion failed
Amulets. Bathing. Diet. Cleaning. Purifying air
Alternative medieval people if religion failed
Physician. Barber surgeon. Apothecary. Wise woman
How did Individuals hold back change in medieval medicine?
Evidence seemed to support Galen's theories and he made his work logical and difficult to challenge
How did education hold back change in medieval medicine?
The church controlled education, physicians were taught that Galen and Hippocrates were always right and shouldn't be questioned
How did attitudes hold back change in medieval medicine?
Respect for tradition stopped people from challenging ideas. New ideas were hard to spread as books could only be written by hand
How did government hold back change in medieval medicine?
The king spent little/no money on medicine
How did the church hold back change in medieval medicine?
They had huge influence and said that God controlled life meaning there was no need to look for other causes of illness. Challenging the bible was blasphemy so nobody ever argued with the church.
Plague Doctor
Wore a uniform covering every part of their body. Wore a mask with a beak that could store sweet smelling herbs
Thomas Sydenham's ideas about medicine
Practical approach. Diet. Pulse taking. Observation. Medical records.
Galen's ideas about circulation
New blood manufactured in the liver. Veins contained blood and air. Blood passed through the heart through invisible holes in the septum
Vesalius' ideas about circulation
Veins contained valves. No tiny holes in the septum
Harvey's ideas about circulation
Same blood being pumped around the body. Arteries and veins are a one system, blood is pumped cyclically. No holes in the septum
How did Harvey prove circulation was a one way system?
Tying a tight cord around a man's arm which led to blood flow being cut off in the artery leading to he arm. Loosening the cord allowed a little blood to flow into the arm but prevented it from flowing out and the veins swelled with blood.
How did individuals help change Renaissance medicine?
Harvey's confidence/ability enabled him to challenge traditional ideas, continuing the work Vesalius began
How did technology help change Renaissance medicine?
The invention of the microscope helped prove some theories
How did attitudes help change Renaissance medicine?
Attitudes towards dissection, experimentation and questioning old ideas all improved. Physicians were against these changes as it disproved all their training
How did the church help change renaissance medicine?
The church lost a lot of power, enabling people to disagree with Galen's theories without being accused of arguing against the church
How did communication help change renaissance medicine?
The invention of the printing press meant ideas could be spread quicker
Causes of the Great Plague
Miasma. Imbalance of the humours. Punishment from god
Treatments of the Great Plague
Rhubarb, bleeding, surgery, herbal remedies, "plague water"
Prevention of the Great Plague
Theatres/taverns were closed. Carry a bunch of herbs. Plague Water. Sick people and their families were quarantined. Sweeping the streets. Fires lit. Dogs and cats rounded up
First Public Health Act
1848- optional
Pros of Chloroform
Effective anaesthetic. Useful for childbirth. Inhaler developed to regulate dosage
Cons of Chloroform
Too much could kill. "Pain free operations were unnatural". Doctors attempted more complex operations increasing risk of blood loss and infection
Surgery's black period
1850-1870
Edwin Chadwick's Report
A report on the sanitary conditions of the labouring population- 1842
Cholera outbreak
1854
Individuals' impact on medical breakthrough's in the 18th-19th century
Individuals had a massive impact: Jenner's vaccinations, Snow's removal of the broad street pump. Nightingale's mission to make hospital's clean, Pasteur's germ theory
Communication's impact on medical breakthroughs in the 18th-19th century
Pasteur's germ theory was badly received. People falsely advertised medicines
Chance's impact on medical breakthroughs in the 18th-19th century
Great Stink. Simpson "messing about" with chloroform. Jenner happened to live in an area where cowpox existed
Government's impact on medical breakthrough's in the 18th-19th century
Issued a weak public health act in 1848 but then published a stronger one in 1875
Technological advances in the 18th-19th century
Sterilisation of instruments. Microscope. Syringes. Flushing toilet. Sewage system. Breathing apparatus
Electron microscope invented
1931
Watson and Crick discover DNA structure
1953
Wilkins and Franklin take first photos of DNA
1953
National Insurance Act
1911- required the employer to provide sick pay for workers who were ill
The Beveridge report
1942- came up with the idea of NHS
Koch identified specific microbes that caused...
TB- 1882 Cholera-1883
How was the government tried to prevent lung cancer?
Advertising for cigarettes/cigars/tobacco is banned. Tax on tobacco is regularly raised. Shops cannot publicly display tobacco products. All packaging displays the dangers of smoking
How did the church help medieval medicine?
Maintenance/development of herbal remedies. Set up hospitals. Developed centres of learning
How did the church hinder medieval medicine?
Focus was on religion. Disapproved of dissection. People could not question their methods
Medieval methods of diagnosis
Many Medieval doctors carried with them a vademecum (meaning 'Go-with-me') book of diagnoses and a urine chart. Usually, they examined the colour, smell and taste of the patient's urine, and made an on-the-spot guess as to what they might be suffering from. Pictures from the time make it clear that doctors also did clinical observation, and took their patient's pulse.
Hitler joins german workers party
1919, september
Spartacists rebellion
1919
Social democrats make Weimer Republic
1919
Treaty of Versailles
1919
SA formed
1920
Kapp Putsch
1920
Beer hall/Munich putsch
1923
Invasion of Ruhr
1923
Hyperinflation
1923
Dawes Plan
1924
Hitler leaves prison
1924
SS formed
1925
Locarno Parties
1925
Nazis hold nuremberg rallies
1927
Young plan
1929
Wall street crash (depression)
1929
Unemployment reaches 4 million
1930
Von Papen made chancellor
1932