The human body contains blood, phlegm, yellow bile and black bile.
These are the things that
makeup its constitution and cause its pains and health. Health is
primarily that state in which these
constituent substances are in the correct proportion to each other,
both in strength and quantity,
and are well mixed. Pain occurs when one of the substances
presents either a deficiency or an excess,
The four humours were
each assigned to a specific quality :blood-warm,wet; phlegm-cold,wet;
yellow bile-warm dry; black bile-cold dry. There were many inspections
that the medieval healer did to measure the balance of the humours
within the body. Although these diagnoses were thought to be
quite precise during the medieval time, they were usually incomplete. A
visit to the physician usually included inspection of blood, feces, and
urine, and taking the pulse, but only in rare cases all of the above
were included[3]. Blood was checked for viscosity, hotness or coldness,
"greasiness", taste, foaminess, and rapidity of coagulation. Medieval
healers especially believed in the power of monitoring ones pulse for
diagnosis. An anonymous treatise from the thirteenth century describes
the varieties of pulses that can be found and what they describe:
The varieties of pulses are differentiated by the physician in a number
of ways, in particular according to five
considerations: (1) motion of the arteries; (2) condition of the
artery;
(3) duration of diastole and systole;
(4) strengthening or weakening of pulsation; (5) regularity or
irregularity of the beat. Ten varieties of pulse derive
from these considerations.[4]
If an imbalance were found there were many
ways that the healers or physicians tried to cure the imbalance. Some
of the remedies included: diet alteration, blood letting, "purging" or
puking, surgery, and probably the most popular herbal cures. It was
believed that the humours were the end product of food consumed,
therefore a proper diet was absolutely essential to the maintenance of
health[1]. Surgery was usually performed as a last resort if the
physicians had already attempted to cure the imbalance using the less
invasive cures.
The most popular Medieval surgery was
bloodletting. I believe that this was the most common surgery for
patients with very severe symptoms because the physicians were aware
that blood could be found in all parts of the body, and if an
individual had bad blood this could cause extreme pain and suffering
throughout the entire body. The Medieval thought was that letting some
of the blood out of the body would restore the balance between the four
humours and the patient would eventually be cured. To help ease some of
the pain that a patient underwent during the blood letting process
hemlock was sometimes ingested. If used in the proper amount hemlock
could be a very affective pain reliever. But physicians during the
medieval time period were not always highly educated or
experienced with the use of hemlock. This led to some patients being
overdosed with hemlock which was a very painful event by itself and
could lead to death. I would guess that some patients were given
hemlock before the blood letting was to occur but took too much which
caused their symptoms to worsen. This probably led the physician to
start the blood letting process. The pain that a patient went through
during this process is unimaginable. Not only was the patient suffering
from the initial ailment that led to the surgery but now they were
suffering from an overdose of hemlock and their blood being drained
from their body. I imagine that plenty of patients with severe symptoms
during the medieval period met their death in a fashion similar to this.
If the ailments were not severe enough to
necessitate surgery the most popular method of treatment was the use of
herbal or drug therapy. The ability to identify and prepare drugs,
along with knowledge of their therapeutic properties, was therefore an
essential part of the repertory of most medieval healers[1]. The drugs
used by the healers were usually made of up natural herbs, but animal
and mineral substances were also used, depending on the healers'
preference. Examples of common treatments for particular ailments
included putting hemlock on painful thighs and joints. This practice
goes back to the ancient period where hemlock was believed to cure
symptoms similar to arthritis. Hemlock wasn't the only cure that
sometimes did more damage than it helped. Other drug remedies that more
than likely caused the patient more discomfort than he would have felt
without any treatment included the use of pig manure to cure nose bleed.