History: Medicine: Renaissance Period (1500-1700) – Flashcards

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Definition of the 'Medical Renaissance'
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A period of new ideas influencing medicine due to a decline in the power of the church and increasing scientific discoveries.
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Renaissance continuity vs change?
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Continuity= Four Humours and treatment of opposites. Galen's writings studied Change= Emergence of science, less mystic. Used observation and experiments. New books found stressing importance of anatomy and dissections, began to question Galen's ideas Catholic influence reduced as Protestant Reformation began to spread 1517, no longer had as much control over medical teaching but still important
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Two supernatural explanations for the cause of disease which remained popular during epidemics
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God's punishment for sin Astrology
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One rational explanation for the cause of disease which remained popular despite being rejected by physicians by 1700
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Four Humours Theory
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Theory about the cause of disease put forward by Thomas Sydenham (an English doctor)
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Disease is caused by factors external to (outside of) the body Disease is separate to the patient, rather than being caused by something the patient has done. Diseases can be organised into different groups (eg. measles and scarlet fever were identified as separate diseases by Sydenham) Made detailed observations and kept records of symptoms Emphasised diagnosis, not prognosis (predictions)
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How did the war affect medicine?
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Saw new weapons like cannons and guns, so had to quickly find new treatments
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What happened in the 1530s?
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Dissolution of the monastries, so led to the closure of many hospitals, so bad for people's health.
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What replaced the old hospitals?
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Gradually replaced by free hospitals by charitable donations, new hospitals had trained physicians who were more focused on getting better from illness.
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Name of Sydenham's book
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Observationes medicae (1676) Helped doctors use as textbook for 200 years after, descriptions of gout helped them to diagnose patients more easily.
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Which Dutch scientist first observed 'animalcules' (bacteria) using a more powerful microscope
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Antony van Leeuwenhoek
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Four advantages of the printing press, when invented
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1440 Information could be spread more accurately and quickly, debated more, also translated and spread across countries Book copying was taken out of the hands of the Church, so ideas could now be published which the Church may have disapproved of. Question existing ideas, such as Galen's, 600 copies printed until 1600, so many different versions so unclear and less reliable Students could have own textbooks
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When was the Royal Society set up
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1660
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Two aims of the Royal Society
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To promote and carry out scientific experiments To share scientific knowledge
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Which King supported the Royal Society
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Charles II, gave very high status
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Name of the scientific journal published by the Royal Society
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Philosophical transactions, more could read about inventions and discoveries
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Which member of the Royal Society confirmed Leeuwenhoek's observations of 'animalcules'
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Robert Hooke, showing first drawings of a flea under a microscope
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Why was there still little change in the Renaissance despite the printing press and Royal Society?
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Most people couldn't read or write, so only impact small part of society.
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Two rational treatments for restoring the balance of the humours continued from the Middle Ages
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Blood-letting Purging Focused more on reading books than treating patients
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What care was still popular?
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Wise women, herbal remedies within community Use medical or recipe books passed down in families
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Two ways in which the use of herbal remedies changed during the Medical Renaissance
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Remedies were chosen for their colour or shape eg. yellow herbs like saffron to treat jaundice (an illness which turns the skin yellow) Remedies appeared from other countries like the New World eg. Sydenham used cinchona bark from Peru to treat malaria
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Two new rational treatments for disease
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Transference-the belief that an illness could be transferred to something else eg. rubbing warts with an onion Iatrochemistry - looking for chemical cures for disease eg. use of mercury to treat syphilis
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Which professionals continued to give medical care during the Medical Renaissance
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Physicians, apothecaries and surgeons (physicians still very expensive so used less)
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What superstitious theories continued?
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King's touch could cure scrofula (skin disease), thousands visited King Charles 1 with hope of cure.
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Two changes to surgeons and apothecaries during the Medical Renaissance
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They were better educated They had to have a licence to carry out their work
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Two reasons why it was still difficult for physicians to get practical experience during their training
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Dissection was legalised, but it was difficult to get fresh corpses Few universities had an anatomy theatre for dissecting bodies
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Why were physicians able to access a greater variety of books on topics like anatomy and iatrochemistry
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More books available due to the use of the printing press
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Name of the most famous anatomist during the Medical Renaissance
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Andreas Vesalius
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What did Vesalius do?
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Performed dissections on criminals who had been executed to study human anatomy. Wrote books using detailed diagrams about his findings.
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Name of the most famous book about anatomy by Vesalius
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'On the fabric of the human body' (1543)
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How many mistakes did Vesalius find in the work of Galen on anatomy
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Over 300
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What was the long-term impact of Vesalius
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Proved Galen could be wrong (e.g. holes in the septum that blood can pass through is wrong) Encouraged doctors to carry out human dissections rather than just relying upon old texts, used more in medical training
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Why did Vesalius not have an immediate impact?
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Not immediate on diagnosis and treatment, yet by producing description of anatomy was essential first step.
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Why were hospitals still basic?
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-For sick or 'deserving poor' may have to work in them, not just treated -Those with incurable or infectious diseases often not let in -Still focused on moral and spiritual education, yet health and sickness becoming more of a priority
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Two features of 16th century hospitals
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Visits from physicians to diagnose and prescribe treatments Medication provided as many had pharmacies
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Which event led to the closure of many hospitals in the 16th century
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Dissolution (closure) of the monasteries ( as many monasteries (the church) had run hospitals) 1536-41
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Name of new hospitals set up for patients with infectious diseases like plague or pox
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Pest houses
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Who still cared for most sick people
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Women in the home
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Two rational methods for preventing disease which continued from the Middle Ages
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Following the Regimen Sanitatis Cleanliness of the home and body
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Four new rational methods for preventing disease from the Medical Renaissance
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Avoid bathing in public bathhouses as they were linked to the spread of syphilis Practice moderation in all things eg. avoiding laziness/avoiding too much alcohol Avoid certain weather conditions linked to the spread of disease Remove sewage and pick up rubbish from the streets to avoid miasma
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How did Harvey do his work?
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Studied animals and humans, he could observe living animal hearts and apply to humans.
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Four medical discoveries made by William Harvey
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He proved that the heart worked like a pump He proved that blood circulates around the body He proved that Galen was wrong about blood being made in the liver and burnt up in the body He proved that Galen was wrong about blood flowing from one side of the heart to the other via invisible pores in the septum
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Four factors which enabled Harvey to make medical progress
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Individuals - Vesalius had already proved that Galen could be wrong Technology - the invention of fire pumps inspired Harvey to look again at how the heart worked The Church - the declining power and influence of the Church allowed Harvey to dissect human bodies Attitudes in society - an interest in enquiry and searching for rational explanations
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Impact of Harvey upon medicine
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Encouraged other doctors and scientists to experiment and challenge old ideas, showed importance of dissection His discoveries gave new map of how the body worked, eventually lead to blood transfusions and complex surgery Knowledge of blood circulation had little impact on treatments because it seemed to have little practical value at the time. Eg. blood-letting continued as a treatment. When blood transfusions tried, rarely successful, blood loss, shock, wrong types. Despite Harvey, medical treatments and techniques still basic
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Date of the Great Plague
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1665
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How many died during the Great Plague?
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Around 20% of population
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Two supernatural explanations for the cause of the Great Plague
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God's punishment for sins Unusual alignment of the planets
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Two rational explanations for the cause of the Great Plague
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Miasma Spread from one infected person to another
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Three rational methods for treating the plague
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Wrap up in a woollen cloth and lay near a fire to sweat out the disease Transference - eg. strap a live chicken to a buboe (a swelling on the body ) to transfer the plague from the buboe to the chicken Herbal remedies
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Ways to treat the Plague
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-Wearing lucky charms or amulets -Prayers and fasting -Remedies with ingredients like dried toad -Bloodletting -Posies of herbs or flowers -Transference (new one)
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Two examples of advice given by physicians to prevent catching the plague
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Carry a pomander (a ball containing perfumed substances) to drive away miasma Special diets eg. either fasting or eating food heavy with garlic
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Two examples of advice given by local healers to prevent catching the plague
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Smoke tobacco Recipes for 'plague water' from apothecaries
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Features of the costume worn by plague doctors during the Great Plague of 1665
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Hooked, birdlike mask (believed birds attracted the disease away from the victim) Sweet smelling substances in the mask Wax coated cloak to prevent pus and blood soaking in
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Action taken by the government to prevent the spread of the plague
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Streets were swept and cleaned Fires burnt on street corners Public meetings, fairs and theatres were closed Cats and dogs were killed Buried corpses in mass graves Searchers were appointed to check houses for plague victims. If a household was infected, the people were taken to the pest house or quarantined inside their house for 28 days. The house was painted with a red cross together with the words 'Lord have mercy on us'. Local Councils, no national government response
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