Episode 2
Medieval Medical Treatments

Written by: Mitch Tucker
E-mail me at: mlt57@ou.edu
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Episode1: Hemlock and Death of Socrates
Episode 3: Early Modern Hemlock

Medieval Surgery
Medieval Spine Treatment, Roger of Salerno, 12th Century

       The basis for the majority of medieval medicine revolved around the theory of humours. This theory dates back to the ancient period and ancient medical works and would continue to be a strong influence on medicine until the 19th century. One of the earliest descriptions of the four humours can be found in the Hippocratic treatise, On the Nature of Man. This treatise states that the four humours (blood, phlegm, yellow bile, and black bile) are the basic constituents of the body, and that imbalances among these humours are responsible for disease[1]. On the Nature of Man states:

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,
 or is separated in the body and not mixed with the others.[2]

    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.





Image Information:

Medieval Spine Treatment, Roger of Salerno, 12th Century
Courtesy of the British Museum, Sloane Manuscript Collection
Web Link: http://www.medscape.com/viewarticle/468452_5

Bibliography:
1. Lindberg, David C./ The Beginning of Western Science (Chicago:University of Chicago Pres, 1992)
2.  Hippocrates/ On the Nature of Man
      Translated by W.H.S Jones
3. "Healing and Hospitals," Medieval Medicine, http://www.maggietron.com/med/healing.php
4. Anonymous 13th century treatise

Authors Notes:
    I believe my secondary source "Healing and Hospitals to be reliable because the essay provides many references to primary source 
    and is very consistent with the facts found in David Lindberg's book,"The Beginnings of Western Science," which I know to be a
    very reliable source.
    I used my sources to provide background for my view and to show an actually account from the time period of the views that the
    medical community had.

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