Medicine in Virginia, 1607-1699Hughes, Thomas Proctor
History
Medicine in Virginia, 1607-1699
Hughes, Thomas Proctor
Medicine -- Virginia; Virginia -- History -- Colonial period, ca. 1600-1775
Seventeenth-century Europe relied heavily upon ancient authority in the
realm of medical theory. The European and colonial Virginia physician,
surgeon, and even barber (when functioning as a medical man)
consciously or unconsciously drew upon, or practiced according to,
theories originated or developed by Hippocrates (460-377 B.C.) and
Galen (131-201 A.D.). Hippocrates is remembered not only for his
emphasis upon ethical practices but also for his inquiring and
scientific spirit, and Galen as the founder of experimental physiology
and as the formulator of ingenious medical theories. Most often
Hippocrates was studied in Galen's commentaries.
No longer do scholars or physicians scoff at the ancient authorities
who dominated medical thinking for so many centuries. The
seventeenth-century physician striving to reduce the frightful inroads
that disease made into the colony at Jamestown may have been
handicapped by the erroneous doctrines of the gossamer-fine _a priori_
speculation of Galen, but the physicians to a large extent practiced
according to a science rather than to superstition and magic--because
the voluminous writings of Galen survived the centuries. Nor would the
European physician, or his Virginia counterpart, have demonstrated the
same appreciation for close observation if Hippocrates had not still
been an influence.
In the realm of pathology (the nature, causes, and manifestations of
disease) the humoral theory, with its many variations, was extremely
popular. The humoral doctrines stemming largely from Hippocrates were
made elaborate by Galen but were founded upon ideas even more ancient
than either thinker and practitioner. As understood by the
seventeenth-century man of medicine, the basic ideas of the humoral
theory were the four elements, the four qualities, and the four humors.
The elements were fire, air, earth, and water; the four qualities were
hot, cold, moist, and dry; and the four humors were phlegm, black bile,
yellow bile, and blood. From these ideological building stones a highly
complex system of pathology developed; from it an involved system of
treatment originated. In essence the practitioner of the humoral school
attempted to restore the naturally harmonious balance of elements,
qualities, and humors that had broken down and caused disease or pain.
The seventeenth-century, however, witnessed in medicine the trend,
manifest then in so many fields of thought, away from an uncritical
acceptance of the authority of the past. It also saw a defiant denial
of ancient authority among those more radically inclined, such as the
disciples of the sixteenth-century alchemist and physician, Paracelsus.
Although some of his practices and teachings were based on the
supernatural, Paracelsus stressed observation and the avoidance of a
mere system of book-learning.
Practice lagged behind new scientific theory in medicine but Virginia
must have felt at least the reverberations caused by the clash of the
ancient and the new.
Public-domain text, read in full here on John Shaqi.
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