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RenaissancePrevention&TreatmentsCHANGE&CONTINUITY
GCSE9-1www.stchistory.com
FourHumours ISITSTILLAROUND?
Beliefinhumouralimbalanceisstillaround!Asaresultsoaresomeoftheoldbalancing
treatments– Bleeding,Purging&nowSweating
Treatments:Change&Continuity
Anythingnew?...
Transference:
Anewideathatanillnessordiseasecouldbetransferredfromapatienttosomethingelseifyourubbedanobjectonanailment(suchasaboil)eg:Rubbinganoniononwartswouldtransferthewarttotheonion
Surelytheycandobetterthan
this?...
HerbalRemedies:Herbalremedies
continuedtobepopularalthoughtheirusechangedslightly!
• Remedieswerechosenbecauseoftheircolourorshapeeg:Yellowherbs,suchasradishorsaffronwereusedtotreatjaundice
• Smallpox,whichhadaredrashwastreatedwiththe‘redcure’– drinkingredwine,eatingredfoodsandwearingredclothes!
• Astheageofexploration,newherbalremediesstartedtoappearfromtheNewWorld,thisopenedupahugenumberofpossibilites.
Treatments:Change&Continuity
TheNewWorld
Britain(&Europe)
MakeanoteoftheherbstheexplorersbroughtbackfromtheNewWorld
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Healers:
Treatments:Change&Continuity
Asyouknow,physiciansweretrainedinuniversitiesandexpensive.Evenstill,peoplepreferredthecheaperremediesfromtheapothecaries,barbersurgeonsandtheirfamilies.Mostpeoplewerestillcaredforathome.
• Women:Stillplayedamajorpartineverydaymedicine.Thefirstpersontotreatnearlyeveryonewasthewifeormotherofthesickperson.Richwomenkeptdetailednotesofthehealing/treatingshedid.Poorwomenwenttocitiestoworktosupporttheirfamilies
• Folkremedies/Supernatural:
• GodandtheKing:Between1660&1682over92,000peoplevisitedtheKing’scourt,hopingtobecuredfromtheKing’sEvil.ThiswasasclosetoGodasyoucouldgetonearth.
ChemicalCures:Thegrowthofalchemyhadamassiveimpactaspeoplebegantolookforchemicalcuresfordiseaseinsteadofrelyingonherbsandbloodletting.ThiswasknownsasIatrochemistry.
Metalswereusedtotreatcommonailments,theCollegeofPhysicianspublishedamanualofremedies.Therewere2140 intotal,ofwhich122 werechemicalpreparationsincludingmercuryandantimony.
• Antimony (insmalldoses)makesyousweat,thereforecoolingyoudown• Largerdosesmadeyousick- fittinginthepurgingideabutanewwayofdoingit• Mercury wascommonandusedfor Syphilis(akaGreatPox)
Treatments:Change&Continuity
Prevention:Change&ContinuityPreventingdiseasewasstillconsideredtobethebestwaytoavoiddyingfromit:SincetreatmentshadgenerallynotmovedonsincetheMiddleAges,therewasstillnocertaintythatapersonwouldrecover.
CommonpreventionintheRenaissanceperiod
• Practising moderationinallthings- Avoidingdraughts,exhaustion,richandfattyfoods,toomuchstrongalcoholandbeingtoolazy
• Conditionatbirth– beingbornsmallorweakmightbeusedtoexplainillness&deathinadulthood
• Cleanlinesswasstillimportant– boththehomeandthebodyneededtobekeptcleanandfreefrombadsmells(bathinghadbecomelesspopularsincethearrivalofsyphilis– HenryVIIIcloseddownthepublicbathhouses*)
• Continuedtopractise regimensanitatis
*Mightbemoretodowiththefactthebathhouseswerebrothelsaswell!
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Prevention:Change &ContinuityPreventingdiseasewasstillconsideredtobethebestwaytoavoiddyingfromit:SincetreatmentshadgenerallynotmovedonsincetheMiddleAges,therewasstillnocertaintythatapersonwouldrecover.
NewpreventionsintheRenaissanceperiod
• Peoplechangedtheirsurroundings(movingawayfromadiseasedarea)morethankeepingtheirareasclean
• Weatherconditions,orthesurroundingatmospherespreadingdiseasewasmorepopular
• Newinstrumentslikebarometersandthermometerswereusedtomeasureweathertoseeiftherewasalink
• Homeownerswerefinedfornotcleaningthestreetoutsidetheirhomes(miasmata)
• Drainingswampsandbogswasimportant• Minorcriminalsweregivenjobstoremovesewageandrubbishfromthestreets
Makealistofallthenewtreatmentswe’vefoundinRenaissanceBritain.
Howmanyofthemarenewerversionsofoldtreatments(NVer)
Howmanyarebrandnew(New)
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Stickthistableinyourbooks
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Whathashappenedtotraining1500-1700?ChangeContinuity
• Apothecaries– Stillmixingremedies
• Surgeons- Carryingoutsimplesurgery
- Apothecaries– organised intoguilds(apprenticeships)thenspendingmanyyearsasa‘Journeyman’underthesupervisionofamasterbeforebecomingamastersurgeonorapothecaryhimself.- Iatrochemistryintroducedtheneedformoretraining.- Neededalicence topracticetheirtrade
- Educationincreasedconsiderably,largelyduetowarsfoughtwithnewtechnology,newwoundsthereforemoresurgery- Neededalicence topracticetheirtrade
BothstillmainlyusedbythoseunabletoaffordPhysicians
Physicians:
Change
Continuity• StilltrainedatUniversity,withlittlechangetocourses,somenewideasbut
slowtotakeeffect• MoststilllearningfrombooksandinLatin• Stilllittlepracticaltraining,despitedissectionbeinglegalised duetodecline
ofthechurch
• Newsubjectslikeiatrochemistryandanatomyintroduced• Physicianswereinspiredtochallengetheoldteachings,observationbecame
muchmorepopular• Muchbetteraccesstomedicaltextbooksduetotheprintingpress• Artistswhodiddecoratechurcheswerenowoutofwork,sotheycouldnow
makedetaileddrawingsforthesetextbooks(Vesalius)
“I’dratherhavetheadviceortakemedicinefromanexperiencedoldwoman,whohadbeenatmanysickpeople’sbedsides,thanfromthelearnedestbutunexperiencedphysician” ThomasHobbesc.late1600s Whatcanyouinferfromthis?
Hospitals:
Change
Continuity• Travellers,pilgrims,theelderlyandafewsickstillattendedhospitalsforfood,
shelterandprayer- CARE
• Patientrecordssuggestthatmanypeoplewenttohospitalwithwoundsandcurablediseasessuchasfeversandskinconditions– TREATMENT
• Theydidn’tspendlonginhospitalsuggestingtheygotbetter• Agooddietwasprovided,especiallygoodforthepoorerpatients• Physicianswouldvisittoobserveandprescribetreatments• Mosthospitalsnowhadpharmaciesandanapothecarysomedicationwas
given• HenryVIII’sdissolutionoftheMonasteriesin1536diddramaticallyaffectthe
availabilityofhospitalcareinEngland
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DissolutionoftheMonasteries
Whatcanyouseehappeninghere?
SincethevastmajorityofhospitalswereconnectedtotheChurch,veryfewwereabletostayopenafterthedissolution.AshospitalswereattachedtotheAbbeys,MonasteriesandConvents,itwastheMonksandNunswhoadministeredthecare.
HenryVIIIre-foundedStBartholomew'shospitalhimselfin1546.By1660,ithad12wards,300patients,3Physicians,3Surgeonsand15nursesaswellasnursinghelpers
Smallerhospitalsopenedup,fundedbycharitiesbutwithlessmedicaltreatmentbeingprovided.
Eventually,thehospitalsreopenedwithouttheirreligioussponsor,butittookalongtimetoreturntopredissolutiondays.GCSE9-1
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PestHouses:WhatdoyouthinkaPestHousewas?
• Hospitalsbeganspecialising inaparticulardisease(LazarhousesappearedinMiddleAgesforleprosy).
• Therewasagrowingunderstandingthatdiseasecouldbespreadfrompersontoperson(eventhoughtheyhadnoideawhy).
• ThesePestHousesappearedforpeoplesufferingfromPlague,Pox,Leprosyetc
• ThiswasimportantasalthoughhospitalswerenowTREATINGmore,theystillwerenotadmittingcontagiouspatients.
PestHousesAKA:PlagueHouses,Poxhouses
St.PaulsCathedralconvertedintoaPestHouse
This19th CenturyEnglishengravingofSt.Paul’sCathedralshowsitbeingusedasapesthouseduringtheGreatPlagueofLondon.
St.Paul’sbecameaPestHouseduringmanyoutbreaksofdiseaseintheCityofLondon
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RenaissanceTreatment,Healing&Prevention
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