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9 Dec 2025

2,096

20 pages

The Evolution of Medicine: A GCSE Revision Guide

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shanai @shanai_lock

Ever wondered how people tried to cure diseases before modern medicine existed? From medieval beliefs about "bad air"... Show more

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Medieval Medicine (1250-1500) Ancient Ideas That Stuck Around

Your medieval ancestors had some pretty wild ideas about what made people sick! The Theory of Four Humours dominated everything - blood (hot and wet), phlegm (cold and wet), black bile (cold and dry), and yellow bile (hot and dry). When these got out of balance, you were supposedly ill.

Hippocrates created this theory, but Galen made it even more detailed with his Theory of Opposites. Got too much heat? Cool yourself down with cold treatments. This system was brilliant because it could "explain" literally any illness, even though it was completely wrong.

The Church loved Galen's ideas and controlled all education, so nobody dared question them. People also believed in miasma - the idea that "bad air" caused disease. Without any real scientific understanding, these theories ruled medicine for over a thousand years.

Quick Fact Medieval doctors thought your liver distributed blood around your body - they had no idea your heart was actually pumping it!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Medieval Treatments Prayer, Bloodletting and Bizarre Remedies

Medieval treatments were a mix of religious rituals and physical remedies that often did more harm than good. Since the Church taught that illness was God's punishment for sin, people tried healing through prayers, fasting, pilgrimages and offerings.

Physicians were expensive university-trained doctors who consulted star charts before treating anyone. They practiced bloodletting (removing "bad" blood) and purging (making patients vomit to balance the humours). Most people couldn't afford physicians, so they visited apothecaries for herbal remedies or barber surgeons for basic procedures like tooth pulling and amputations.

Hospitals weren't places for treatment - they were just somewhere to rest and pray. Most sick people were cared for at home by women using traditional family remedies. Prevention focused on living a sinless life and following Regimen Sanitatis - loose health guidelines about diet, exercise and avoiding bad air.

Reality Check Medieval "hospitals" were more like hostels - you went there to die comfortably, not to get better!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

The Black Death (1348-49) When Medieval Medicine Failed Catastrophically

The Black Death was medieval Europe's worst nightmare - a plague outbreak that killed one-third of England's population in just two years. This bacterial infection, spread by fleas on rats from ships, killed victims within 3-5 days and returned every 10-20 years.

Medieval explanations were completely off the mark. People blamed God's punishment for sin, unusual planetary alignments, or breathing in miasma. Since they had no clue about bacteria, their treatments were useless - bloodletting, purging, and strong-smelling herbs like theriaca.

Prevention attempts were equally hopeless. Religious people tried self-flagellation (public whipping to show God they were sorry), pilgrimages, and constant prayer. Others carried posies of flowers or pomanders to ward off "bad air." The government did try quarantine laws and stopped cleaning streets (thinking the stench would drive away miasma), but nothing worked.

Shocking Stat London buried 200 people per day at the height of the Black Death - that's one person every 7 minutes!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Renaissance Medicine (1500-1700) Old Ideas Start Cracking

The Renaissance (meaning "rebirth") finally started challenging medieval medicine, though change was painfully slow. While the Theory of Four Humours was officially discredited by the 16th century, ordinary people kept believing it for decades longer.

Thomas Sydenham, nicknamed the "English Hippocrates," revolutionised diagnosis by actually observing patients instead of just reading old medical books. He realised that diseases were separate entities that could be categorised like plants and animals - a massive breakthrough in thinking.

The printing press (invented 1440) spread new medical ideas faster than ever before. The Royal Society (established 1660) promoted scientific experiments and encouraged debate. Their journal Philosophical Transactions let scientists share discoveries across Europe, creating a proper scientific community for the first time.

Humanism encouraged people to think for themselves rather than blindly following ancient authorities. However, without quality microscopes and scientific instruments, theories couldn't be properly tested, so change remained frustratingly slow.

Game Changer The printing press meant medical knowledge could spread in months rather than decades!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Renaissance Breakthroughs Vesalius and Harvey Expose Galen's Mistakes

Two Renaissance superstars completely transformed our understanding of human anatomy. Andreas Vesalius dissected executed criminals and found over 300 mistakes in Galen's work! His 1543 book On the Fabric of the Human Body used detailed illustrations to show what bodies actually looked like inside.

William Harvey proved Galen spectacularly wrong about blood circulation. Through careful experiments, Harvey demonstrated that the heart acts as a pump, pushing blood around the body in a circuit. This wasn't just correcting a mistake - it was proving that ancient authorities could be completely wrong about basic facts.

Treatments remained largely unchanged - herbal remedies, transference (rubbing onions on warts), and iatrochemistry (chemical cures) were popular. Prevention focused on cleanliness, moderation in everything, and still avoiding miasma.

Hospitals improved dramatically. Patient records show people were being discharged quickly with proper diets and physician visits. The dissolution of monasteries closed many church-run hospitals, but they reopened under secular management.

Mind-Blowing Fact Harvey's blood circulation discovery didn't improve treatments for over 100 years - understanding anatomy and treating disease were still separate skills!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

The Great Plague (1665) Same Disease, Same Failed Remedies

You'd think 300 years of medical progress would help with another plague outbreak - you'd be wrong! The Great Plague of 1665 killed thousands in London, and people's explanations were barely different from medieval times.

Causes blamed included unusual alignment of Saturn and Jupiter, God's punishment for sin, and miasma from rubbish and dung hills. At least people now understood it spread person-to-person, leading to proper quarantine measures.

Treatments were still useless sweating the disease out, transference (strapping live chickens to infected buboes), and herbal remedies. Quack doctors with no qualifications took advantage of panic to sell fake cures, while plague doctors wore creepy beaked masks filled with sweet-smelling herbs.

Government action was more organised this time. King Charles II banned public meetings and funerals, lit fires on street corners to "drive away miasma," and killed 40,000 dogs plus 200,000 cats (thinking they spread disease). Wardens monitored households and enforced 40-day quarantines.

Bizarre Belief Some people deliberately caught syphilis, thinking it would prevent plague because both diseases caused similar symptoms!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Scientific Revolution (1700-1900) The Germ Theory Changes Everything

The Enlightenment finally freed medicine from church control, encouraging people to think for themselves. This led to the most important medical discovery ever - germ theory.

Louis Pasteur revolutionised medicine in 1861 by proving that microbes in the air cause decay, not "spontaneous generation" from rotting matter. His experiments with wine and vinegar showed that microbes could be killed by heating, laying the foundation for germ theory of infection (1878).

Robert Koch took this further by identifying specific germs that caused specific diseases. In 1882 he discovered the tuberculosis microbe, and in 1883 he identified cholera bacteria and proved it spread through water. His method of growing bacteria in agar jelly in petri dishes made studying microbes much easier.

This was a massive breakthrough! For the first time, doctors could match symptoms to diseases by identifying specific microbes. However, it took decades for people to accept germ theory because it contradicted centuries of medical beliefs.

Revolutionary Moment When Koch first showed people disease-causing bacteria under a microscope, it was like revealing an invisible enemy that had been killing humans for millennia!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Medical Revolution Anaesthetics, Antiseptics and Professional Nursing

Once people accepted germ theory, medicine transformed rapidly. Florence Nightingale revolutionised nursing during the Crimean War (1854), demanding proper cleaning supplies and organisation. She treated 2,000 soldiers and reduced the mortality rate from 40% to 2%, becoming a national hero.

Surgery became bearable thanks to anaesthetics. James Simpson introduced chloroform in 1847 - much more effective than laughing gas or ether, with fewer side effects. Finally, patients could undergo major operations without excruciating pain.

Joseph Lister made surgery safe with antiseptics. In 1865, when 50% of surgery patients died from infection, Lister began using carbolic acid to sterilise wounds, equipment and even spray the air. By 1867, his ward had been infection-free for 9 months.

Hospitals transformed from places where you went to die into proper medical institutions. By 1900 they had specialised wards and operating theatres where cleanliness was paramount. Prevention became focused on cleanliness rather than prayer, and herbal remedies remained popular alongside new scientific treatments.

Life-Saver The combination of anaesthetics and antiseptics meant surgery finally became both pain-free and survivable!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Jenner's Vaccination The First Victory Over Disease

Edward Jenner achieved something medieval doctors could only dream of - actually preventing a deadly disease. Smallpox was the biggest child killer in 18th-century Britain, and existing inoculation methods (deliberately catching a mild form) were risky and unreliable.

Jenner noticed that milkmaids who caught cowpox never got smallpox. In 1796, he tested his theory by infecting 8-year-old James Phipps with cowpox, then trying to infect him with smallpox six weeks later. James didn't catch it!

After more successful tests, Jenner published his findings in 1798 when the Royal Society refused his work. By 1800, 100,000 people had been vaccinated. The government made vaccination compulsory in 1853, and by 1979, smallpox was completely wiped out worldwide.

Opposition was fierce though. People thought giving humans an animal disease was wrong and interfered with God's plan. Some doctors lost money when vaccination became free in 1840, and poor vaccination techniques sometimes made the treatment ineffective.

Amazing Achievement Jenner's vaccination was so successful that smallpox became the first disease in human history to be completely eliminated!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Cholera and John Snow Detective Work Saves Lives

Cholera terrorised 19th-century Britain with four major epidemics. This "blue death" (dehydration turned skin blue) caused severe diarrhoea and vomiting, killing most victims. The worst outbreak (1848-49) killed over 53,000 people, mainly in poor slum areas.

Government and medical authorities blamed miasma and spontaneous generation, focusing on cleaning streets and providing clean water (though the 1848 Public Health Act wasn't compulsory, so few cities bothered).

John Snow, a respected London doctor, had different ideas. During the 1854 outbreak in Soho, he mapped every death and noticed they clustered around the Broad Street water pump. When Snow removed the pump handle, deaths dropped dramatically.

Snow discovered a leaking cesspit was contaminating the well, proving cholera spread through contaminated water, not bad air. He presented his findings to the government in 1855, but they largely ignored him because it contradicted accepted medical theory.

Detective Skills Snow's disease mapping technique became a cornerstone of modern epidemiology - the science of tracking disease outbreaks!

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This app is really great. There are so many study notes and help [...]. My problem subject is French, for example, and the app has so many options for help. Thanks to this app, I have improved my French. I would recommend it to anyone.

Samantha Klich

Android user

Wow, I am really amazed. I just tried the app because I've seen it advertised many times and was absolutely stunned. This app is THE HELP you want for school and above all, it offers so many things, such as workouts and fact sheets, which have been VERY helpful to me personally.

Anna

iOS user

Best app on earth! no words because it’s too good

Thomas R

iOS user

Just amazing. Let's me revise 10x better, this app is a quick 10/10. I highly recommend it to anyone. I can watch and search for notes. I can save them in the subject folder. I can revise it any time when I come back. If you haven't tried this app, you're really missing out.

Basil

Android user

This app has made me feel so much more confident in my exam prep, not only through boosting my own self confidence through the features that allow you to connect with others and feel less alone, but also through the way the app itself is centred around making you feel better. It is easy to navigate, fun to use, and helpful to anyone struggling in absolutely any way.

David K

iOS user

The app's just great! All I have to do is enter the topic in the search bar and I get the response real fast. I don't have to watch 10 YouTube videos to understand something, so I'm saving my time. Highly recommended!

Sudenaz Ocak

Android user

In school I was really bad at maths but thanks to the app, I am doing better now. I am so grateful that you made the app.

Greenlight Bonnie

Android user

very reliable app to help and grow your ideas of Maths, English and other related topics in your works. please use this app if your struggling in areas, this app is key for that. wish I'd of done a review before. and it's also free so don't worry about that.

Rohan U

Android user

I know a lot of apps use fake accounts to boost their reviews but this app deserves it all. Originally I was getting 4 in my English exams and this time I got a grade 7. I didn’t even know about this app three days until the exam and it has helped A LOT. Please actually trust me and use it as I’m sure you too will see developments.

Xander S

iOS user

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Elisha

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History

2,096

9 Dec 2025

20 pages

The Evolution of Medicine: A GCSE Revision Guide

user profile picture

shanai

@shanai_lock

Ever wondered how people tried to cure diseases before modern medicine existed? From medieval beliefs about "bad air" to the groundbreaking discovery of germs, medical history shows us how our understanding of illness has completely transformed over centuries.

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

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Medieval Medicine (1250-1500): Ancient Ideas That Stuck Around

Your medieval ancestors had some pretty wild ideas about what made people sick! The Theory of Four Humours dominated everything - blood (hot and wet), phlegm (cold and wet), black bile (cold and dry), and yellow bile (hot and dry). When these got out of balance, you were supposedly ill.

Hippocrates created this theory, but Galen made it even more detailed with his Theory of Opposites. Got too much heat? Cool yourself down with cold treatments. This system was brilliant because it could "explain" literally any illness, even though it was completely wrong.

The Church loved Galen's ideas and controlled all education, so nobody dared question them. People also believed in miasma - the idea that "bad air" caused disease. Without any real scientific understanding, these theories ruled medicine for over a thousand years.

Quick Fact: Medieval doctors thought your liver distributed blood around your body - they had no idea your heart was actually pumping it!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Sign up to see the contentIt's free!

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By signing up you accept Terms of Service and Privacy Policy

Medieval Treatments: Prayer, Bloodletting and Bizarre Remedies

Medieval treatments were a mix of religious rituals and physical remedies that often did more harm than good. Since the Church taught that illness was God's punishment for sin, people tried healing through prayers, fasting, pilgrimages and offerings.

Physicians were expensive university-trained doctors who consulted star charts before treating anyone. They practiced bloodletting (removing "bad" blood) and purging (making patients vomit to balance the humours). Most people couldn't afford physicians, so they visited apothecaries for herbal remedies or barber surgeons for basic procedures like tooth pulling and amputations.

Hospitals weren't places for treatment - they were just somewhere to rest and pray. Most sick people were cared for at home by women using traditional family remedies. Prevention focused on living a sinless life and following Regimen Sanitatis - loose health guidelines about diet, exercise and avoiding bad air.

Reality Check: Medieval "hospitals" were more like hostels - you went there to die comfortably, not to get better!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Sign up to see the contentIt's free!

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By signing up you accept Terms of Service and Privacy Policy

The Black Death (1348-49): When Medieval Medicine Failed Catastrophically

The Black Death was medieval Europe's worst nightmare - a plague outbreak that killed one-third of England's population in just two years. This bacterial infection, spread by fleas on rats from ships, killed victims within 3-5 days and returned every 10-20 years.

Medieval explanations were completely off the mark. People blamed God's punishment for sin, unusual planetary alignments, or breathing in miasma. Since they had no clue about bacteria, their treatments were useless - bloodletting, purging, and strong-smelling herbs like theriaca.

Prevention attempts were equally hopeless. Religious people tried self-flagellation (public whipping to show God they were sorry), pilgrimages, and constant prayer. Others carried posies of flowers or pomanders to ward off "bad air." The government did try quarantine laws and stopped cleaning streets (thinking the stench would drive away miasma), but nothing worked.

Shocking Stat: London buried 200 people per day at the height of the Black Death - that's one person every 7 minutes!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

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Improve your grades

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Renaissance Medicine (1500-1700): Old Ideas Start Cracking

The Renaissance (meaning "rebirth") finally started challenging medieval medicine, though change was painfully slow. While the Theory of Four Humours was officially discredited by the 16th century, ordinary people kept believing it for decades longer.

Thomas Sydenham, nicknamed the "English Hippocrates," revolutionised diagnosis by actually observing patients instead of just reading old medical books. He realised that diseases were separate entities that could be categorised like plants and animals - a massive breakthrough in thinking.

The printing press (invented 1440) spread new medical ideas faster than ever before. The Royal Society (established 1660) promoted scientific experiments and encouraged debate. Their journal Philosophical Transactions let scientists share discoveries across Europe, creating a proper scientific community for the first time.

Humanism encouraged people to think for themselves rather than blindly following ancient authorities. However, without quality microscopes and scientific instruments, theories couldn't be properly tested, so change remained frustratingly slow.

Game Changer: The printing press meant medical knowledge could spread in months rather than decades!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Sign up to see the contentIt's free!

Access to all documents

Improve your grades

Join milions of students

By signing up you accept Terms of Service and Privacy Policy

Renaissance Breakthroughs: Vesalius and Harvey Expose Galen's Mistakes

Two Renaissance superstars completely transformed our understanding of human anatomy. Andreas Vesalius dissected executed criminals and found over 300 mistakes in Galen's work! His 1543 book On the Fabric of the Human Body used detailed illustrations to show what bodies actually looked like inside.

William Harvey proved Galen spectacularly wrong about blood circulation. Through careful experiments, Harvey demonstrated that the heart acts as a pump, pushing blood around the body in a circuit. This wasn't just correcting a mistake - it was proving that ancient authorities could be completely wrong about basic facts.

Treatments remained largely unchanged - herbal remedies, transference (rubbing onions on warts), and iatrochemistry (chemical cures) were popular. Prevention focused on cleanliness, moderation in everything, and still avoiding miasma.

Hospitals improved dramatically. Patient records show people were being discharged quickly with proper diets and physician visits. The dissolution of monasteries closed many church-run hospitals, but they reopened under secular management.

Mind-Blowing Fact: Harvey's blood circulation discovery didn't improve treatments for over 100 years - understanding anatomy and treating disease were still separate skills!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Sign up to see the contentIt's free!

Access to all documents

Improve your grades

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By signing up you accept Terms of Service and Privacy Policy

The Great Plague (1665): Same Disease, Same Failed Remedies

You'd think 300 years of medical progress would help with another plague outbreak - you'd be wrong! The Great Plague of 1665 killed thousands in London, and people's explanations were barely different from medieval times.

Causes blamed included unusual alignment of Saturn and Jupiter, God's punishment for sin, and miasma from rubbish and dung hills. At least people now understood it spread person-to-person, leading to proper quarantine measures.

Treatments were still useless: sweating the disease out, transference (strapping live chickens to infected buboes), and herbal remedies. Quack doctors with no qualifications took advantage of panic to sell fake cures, while plague doctors wore creepy beaked masks filled with sweet-smelling herbs.

Government action was more organised this time. King Charles II banned public meetings and funerals, lit fires on street corners to "drive away miasma," and killed 40,000 dogs plus 200,000 cats (thinking they spread disease). Wardens monitored households and enforced 40-day quarantines.

Bizarre Belief: Some people deliberately caught syphilis, thinking it would prevent plague because both diseases caused similar symptoms!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Sign up to see the contentIt's free!

Access to all documents

Improve your grades

Join milions of students

By signing up you accept Terms of Service and Privacy Policy

Scientific Revolution (1700-1900): The Germ Theory Changes Everything

The Enlightenment finally freed medicine from church control, encouraging people to think for themselves. This led to the most important medical discovery ever - germ theory.

Louis Pasteur revolutionised medicine in 1861 by proving that microbes in the air cause decay, not "spontaneous generation" from rotting matter. His experiments with wine and vinegar showed that microbes could be killed by heating, laying the foundation for germ theory of infection (1878).

Robert Koch took this further by identifying specific germs that caused specific diseases. In 1882 he discovered the tuberculosis microbe, and in 1883 he identified cholera bacteria and proved it spread through water. His method of growing bacteria in agar jelly in petri dishes made studying microbes much easier.

This was a massive breakthrough! For the first time, doctors could match symptoms to diseases by identifying specific microbes. However, it took decades for people to accept germ theory because it contradicted centuries of medical beliefs.

Revolutionary Moment: When Koch first showed people disease-causing bacteria under a microscope, it was like revealing an invisible enemy that had been killing humans for millennia!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Sign up to see the contentIt's free!

Access to all documents

Improve your grades

Join milions of students

By signing up you accept Terms of Service and Privacy Policy

Medical Revolution: Anaesthetics, Antiseptics and Professional Nursing

Once people accepted germ theory, medicine transformed rapidly. Florence Nightingale revolutionised nursing during the Crimean War (1854), demanding proper cleaning supplies and organisation. She treated 2,000 soldiers and reduced the mortality rate from 40% to 2%, becoming a national hero.

Surgery became bearable thanks to anaesthetics. James Simpson introduced chloroform in 1847 - much more effective than laughing gas or ether, with fewer side effects. Finally, patients could undergo major operations without excruciating pain.

Joseph Lister made surgery safe with antiseptics. In 1865, when 50% of surgery patients died from infection, Lister began using carbolic acid to sterilise wounds, equipment and even spray the air. By 1867, his ward had been infection-free for 9 months.

Hospitals transformed from places where you went to die into proper medical institutions. By 1900 they had specialised wards and operating theatres where cleanliness was paramount. Prevention became focused on cleanliness rather than prayer, and herbal remedies remained popular alongside new scientific treatments.

Life-Saver: The combination of anaesthetics and antiseptics meant surgery finally became both pain-free and survivable!

caninuity
0
# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

Sign up to see the contentIt's free!

Access to all documents

Improve your grades

Join milions of students

By signing up you accept Terms of Service and Privacy Policy

Jenner's Vaccination: The First Victory Over Disease

Edward Jenner achieved something medieval doctors could only dream of - actually preventing a deadly disease. Smallpox was the biggest child killer in 18th-century Britain, and existing inoculation methods (deliberately catching a mild form) were risky and unreliable.

Jenner noticed that milkmaids who caught cowpox never got smallpox. In 1796, he tested his theory by infecting 8-year-old James Phipps with cowpox, then trying to infect him with smallpox six weeks later. James didn't catch it!

After more successful tests, Jenner published his findings in 1798 when the Royal Society refused his work. By 1800, 100,000 people had been vaccinated. The government made vaccination compulsory in 1853, and by 1979, smallpox was completely wiped out worldwide.

Opposition was fierce though. People thought giving humans an animal disease was wrong and interfered with God's plan. Some doctors lost money when vaccination became free in 1840, and poor vaccination techniques sometimes made the treatment ineffective.

Amazing Achievement: Jenner's vaccination was so successful that smallpox became the first disease in human history to be completely eliminated!

caninuity
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# MEDIEVAL MEDICINE C1250-1500

## Theory Of The Four Humours

- blood : noi wet
- Phlegm coid wel
- black bile cold dry
- chole

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Cholera and John Snow: Detective Work Saves Lives

Cholera terrorised 19th-century Britain with four major epidemics. This "blue death" (dehydration turned skin blue) caused severe diarrhoea and vomiting, killing most victims. The worst outbreak (1848-49) killed over 53,000 people, mainly in poor slum areas.

Government and medical authorities blamed miasma and spontaneous generation, focusing on cleaning streets and providing clean water (though the 1848 Public Health Act wasn't compulsory, so few cities bothered).

John Snow, a respected London doctor, had different ideas. During the 1854 outbreak in Soho, he mapped every death and noticed they clustered around the Broad Street water pump. When Snow removed the pump handle, deaths dropped dramatically.

Snow discovered a leaking cesspit was contaminating the well, proving cholera spread through contaminated water, not bad air. He presented his findings to the government in 1855, but they largely ignored him because it contradicted accepted medical theory.

Detective Skills: Snow's disease mapping technique became a cornerstone of modern epidemiology - the science of tracking disease outbreaks!

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