The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913Osler, William, Sir
History
The Evolution of Modern Medicine: A Series of Lectures Delivered at Yale University on the Silliman Foundation in April, 1913
Osler, William, Sir
Medicine -- History
THE Greek doctrine of the four humors colored all the conceptions of
disease; upon their harmony alone it was thought that health depended.
The four temperaments, sanguine, phlegmatic, bilious and melancholic,
corresponded with the prevalence of these humors. The body was composed
of certain so-called "naturals," seven in number--the elements,
the temperaments, the humors, the members or parts, the virtues
or faculties, the operations or functions and the spirits. Certain
"non-naturals," nine in number, preserved the health of the body, viz.
air, food and drink, movement and repose, sleeping and waking, excretion
and retention, and the passions. Disease was due usually to alterations
in the composition of the humors, and the indications for treatment were
in accordance with these doctrines. They were to be evacuated, tenuated,
cooled, heated, purged or strengthened. This humoral doctrine prevailed
throughout the Middle Ages, and reached far into modern times--indeed,
echoes of it are still to be heard in popular conversations on the
nature of disease.
The Arabians were famous for their vigor and resource in matters of
treatment. Bleeding was the first resort in a large majority of all
diseases. In the "Practice" of Ferrari there is scarcely a malady
for which it is not recommended. All remedies were directed to the
regulation of the six non-naturals, and they either preserved health,
cured the disease or did the opposite. The most popular medicines were
derived from the vegetable kingdom, and as they were chiefly those
recommended by Galen, they were, and still are, called by his name.
Many important mineral medicines were introduced by the Arabians,
particularly mercury, antimony, iron, etc. There were in addition scores
of substances, the parts or products of animals, some harmless, others
salutary, others again useless and disgusting. Minor surgery was in the
hands of the barbers, who performed all the minor operations, such as
bleeding; the more important operations, few in number, were performed
by surgeons.
ASTROLOGY AND DIVINATION
AT this period astrology, which included astronomy, was everywhere
taught. In the "Gouernaunce of Prynces, or Pryvete of Pryveties,"
translated by James Yonge, 1422,(26) there occurs the statement:
"As Galian the lull wies leche Saith and Isoder the Gode clerk, hit
witnessith that a man may not perfitely can the sciens and craft of
Medissin but yef he be an astronomoure."
(26) Early English Text Society, Extra Series, No. LXXIV, p. 195,
1898; Secreta Secretorum, Rawl. MS. B., 490.
Public-domain text, read in full here on John Shaqi.
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