Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle AgesWalsh, James J. (James Joseph)
History
Old-Time Makers of Medicine: The Story of The Students And Teachers of the Sciences Related to Medicine During the Middle Ages
Walsh, James J. (James Joseph)
Medicine, Medieval; Physicians
It has always seemed to me that the story of Medieval Dentistry
presented an even better illustration of a great anticipatory
development of surgery. This department represents only a small surgical
specialty, but one which even at that period was given over to
specialists, who were called dentatores. Guy de Chauliac's review of the
dentistry of his time and the state of the specialty, as pictured by
John of Arcoli, is likely to be particularly interesting, because if
there is any department of medical practice that we are sure is
comparatively recent in origin, it is dentistry. Here, however, we find
that practically all our dental manipulations, the filling of teeth,
artificial dentures, even orthodontia, were anticipated by the dentists
of the Middle Ages. We have only the compressed account of it which is
to be found in text-books of general surgery, and while in this they
give mainly a heritage from the past, yet even this suffices to give us
a picture very surprising in its detailed anticipation of much that we
have been inclined to think of as quite modern in invention and
discovery.
Medicine developed much more slowly than surgery, or, rather, lagged
behind it, as it seems nearly always prone to do. Surgical problems are
simple, and their solution belongs to a great extent to a handicraft.
That is, after all, what chirurgy, the old form of our word surgery,
means. Medical problems are more complex and involve both art and
science, so that solutions of them are often merely temporary and lack
finality. During the Middle Ages, however, and especially towards the
end of them, the most important branches of medicine, diagnosis and
therapeutics, took definite shape on the foundations that lie at the
basis of our modern medical science. We hear of percussion for abdominal
conditions, and of the most careful study of the pulse and the
respiration. There are charts for the varying color of the urine, and of
the tints of the skin. With Nicholas of Cusa there came the definite
suggestion of the need of exact methods of diagnosis. A mathematician
himself, he wished to introduce mathematical methods into medical
diagnosis, and suggested that the pulse should be counted in connection
with the water clock, the water that passed being weighed, in order to
get very definite comparative values for the pulse rate under varying
conditions, and also that the specific gravity of fluids from the body
should be ascertained in order to get another definite datum in the
knowledge of disease. It was long before these suggestions were to bear
much fruit, but it is interesting to find them so clearly expressed.
Public-domain text, read in full here on John Shaqi.
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