Origin
The format was originated by the Florentine doctor of medicine Taddeo Alderotti, under the pressures for down-to-earth advice, based on experiential observations, in treating the Black Death that decimated Italy in 1348 and recurred at generational intervals for the following centuries. A consilium was a doctor's written text in response to a particular case, where the malady had been determined; in the consilium the medical doctor identified the disease and prescribed the appropriate treatment. [1] The accumulation of consilia circulated in manuscript began, for the first time in Europe, to lay down a corpus of medical practice, case-by-case.
Medieval medical writings had tended towards theory rather than praxis, which was denigrated as ars mechanica, mere technician's work unsuited to the higher intellect. Characteristically they took the form of glosses and commentaries on the received texts of Antiquity, of Galen and Dioscurides, with nods towards Aristotle and the shadow of Hippocrates. Medicine was more closely allied in these with philosophy rather than with therapy and prevention; however with the onset of plague, practical experience moved to the forefront of concern. [2]
Alderotti, who practiced and taught in Tuscany and the north of Italy, and served as doctor to Pope Boniface VIII, was a formative figure in the development of the faculty of arts and medicine at the University of Bologna. His more than a hundred consilia based on his clinical observation of actual cases formed the prototypes of a new genre of literature. [3]
The germ theory of disease is the currently accepted scientific theory for many diseases. It states that microorganisms known as pathogens or "germs" can cause disease. These small organisms, too small to be seen without magnification, invade humans, other animals, and other living hosts. Their growth and reproduction within their hosts can cause disease. "Germ" refers to not just a bacterium but to any type of microorganism, such as protists or fungi, or even non-living pathogens that can cause disease, such as viruses, prions, or viroids. Diseases caused by pathogens are called infectious diseases. Even when a pathogen is the principal cause of a disease, environmental and hereditary factors often influence the severity of the disease, and whether a potential host individual becomes infected when exposed to the pathogen. Pathogens are disease-carrying agents that can pass from one individual to another, both in humans and animals. Infectious diseases are caused by biological agents such as pathogenic microorganisms as well as parasites.
Mondino de Luzzi, or de Liuzzi or de Lucci,, also known as Mundinus, was an Italian physician, anatomist and professor of surgery, who lived and worked in Bologna. He is often credited as the restorer of anatomy because he made seminal contributions to the field by reintroducing the practice of public dissection of human cadavers and writing the first modern anatomical text.
Medieval medicine in Western Europe was composed of a mixture of pseudoscientific ideas from antiquity. In the Early Middle Ages, following the fall of the Western Roman Empire, standard medical knowledge was based chiefly upon surviving Greek and Roman texts, preserved in monasteries and elsewhere. Medieval medicine is widely misunderstood, thought of as a uniform attitude composed of placing hopes in the church and God to heal all sicknesses, while sickness itself exists as a product of destiny, sin, and astral influences as physical causes. On the other hand, medieval medicine, especially in the second half of the medieval period, became a formal body of theoretical knowledge and was institutionalized in the universities. Medieval medicine attributed illnesses, and disease, not to sinful behaviour, but to natural causes, and sin was connected to illness only in a more general sense of the view that disease manifested in humanity as a result of its fallen state from God. Medieval medicine also recognized that illnesses spread from person to person, that certain lifestyles may cause ill health, and some people have a greater predisposition towards bad health than others.
A plague doctor was a physician who treated victims of bubonic plague during epidemics mainly in the 16th and 17th centuries. These physicians were hired by cities to treat infected patients regardless of income, especially the poor that could not afford to pay.
The Hippocratic Corpus, or Hippocratic Collection, is a collection of around 60 early Ancient Greek medical works strongly associated with the physician Hippocrates and his teachings. The Hippocratic Corpus covers many diverse aspects of medicine, from Hippocrates' medical theories to what he devised to be ethical means of medical practice, to addressing various illnesses. Even though it is considered a singular corpus that represents Hippocratic medicine, they vary in content, age, style, methods, and views practiced; therefore, authorship is largely unknown. Hippocrates began Western society's development of medicine, through a delicate blending of the art of healing and scientific observations. What Hippocrates was sharing from within his collection of works was not only how to identify symptoms of disease and proper diagnostic practices, but more essentially, he was alluding to his personable form of art, "The art of true living and the art of fine medicine combined." The Hippocratic Corpus became the foundation upon which Western medical practice was built.
Bartolus de Saxoferrato was an Italian law professor and one of the most prominent continental jurists of Medieval Roman Law. He belonged to the school known as the commentators or postglossators. The admiration of later generations of civil lawyers is shown by the adage nemo bonus íurista nisi bartolista — no one is a good jurist unless he is a Bartolist.
In the history of medicine, "Islamic medicine" is the science of medicine developed in the Middle East, and usually written in Arabic, the lingua franca of Islamic civilization.
Guy de Chauliac, also called Guido or Guigo de Cauliaco, was a French physician and surgeon who wrote a lengthy and influential treatise on surgery in Latin, titled Chirurgia Magna. It was translated into many other languages and widely read by physicians in late medieval Europe.
Byzantine medicine encompasses the common medical practices of the Byzantine Empire from c. 400 AD to 1453 AD. Byzantine medicine was notable for building upon the knowledge base developed by its Greco-Roman predecessors. In preserving medical practices from antiquity, Byzantine medicine influenced Islamic medicine and fostered the Western rebirth of medicine during the Renaissance.
A pharmacy is a retail shop which provides pharmaceutical drugs, among other products. At the pharmacy, a pharmacist oversees the fulfillment of medical prescriptions and is available to counsel patients about prescription and over-the-counter drugs or about health problems and wellness issues. A typical pharmacy would be in the commercial area of a community.
Theodoric Borgognoni, also known as Teodorico de' Borgognoni, and Theodoric of Lucca, was an Italian who became one of the most significant surgeons of the medieval period. A Dominican friar and Bishop of Cervia, Borgognoni is considered responsible for introducing and promoting important medical advances including basic antiseptic practice in surgery and the use of anaesthetics.
Gentile Gentili da Foligno was an Italian professor and doctor of medicine, trained at Padua and the University of Bologna, and teaching probably first at Bologna, then at the University of Perugia, Siena (1322–1324), where his annual stipend was 60 gold florins; he was called to Padua (1325–1335) by Ubertino I da Carrara, Lord of Padua, then returned to Perugia for the remainder of his career. He was among the first European physicians to perform a dissection on a human being (1341), a practice that had long been taboo in Roman times. Gentile wrote several widely copied and read texts and commentaries, notably his massive commentary covering all five books of the Canon of Medicine by the 11th-century Persian polymath Avicenna, the comprehensive encyclopedia that, in Latin translation, was fundamental to medieval medicine. Long after his death, Gentile da Foligno was remembered in the Nuremberg Chronicle (1493) as Subtilissimus rimator verborum Avicenne, "that most subtle investigator of Avicenna's teachings"
The Black Death was a bubonic plague pandemic, which reached England in June 1348. It was the first and most severe manifestation of the second pandemic, caused by Yersinia pestis bacteria. The term Black Death was not used until the late 17th century.
In Islam, prophetic medicine is the advice given by the Islamic prophet Muhammad with regards to sickness, treatment and hygiene as found in the hadith. It is usually practiced primarily by non-physician scholars who collect and explicate these traditions. Prophetic medicine is distinct from Islamic medicine, which is a broader category encompassing a variety of medical practices rooted in Greek natural philosophy. In practice, prophetic medical traditions encourage not only following Muhammad's teachings, but to search for cures to various ailments as well. The literature of prophetic medicine thus occupies a symbolic role in the elucidation of Islamic identity as constituted by a particular set of relationships to science, medicine, technology and nature. There has historically been a tension in the understanding of the medical narratives of the hadith. Some are unsure whether to treat them the same as Muhammad's religious pronouncements, or as time-sensitive, culturally situated, and thus not representative of a set of eternal medical truths. This body of knowledge was fully articulated only in the 14th century, at which point it was concerned with reconciling Sunnah (traditions) with the foundations of the Galenic humoral theory that was prevalent at the time in the medical institutions of the Islamicate world. It is nonetheless a tradition with continued modern relevance to this day.
Adab al-Tabib is the common title of a historical Arabic book on medical ethics, written by Al-Ruhawi, a 9th-century physician. The title can be roughly translated "Practical Ethics of the Physician". As the name suggests, it focuses on adab, the Islamic concept of etiquette and personal ethics, as it is defined in a medical context. One of the earliest texts on Islamic medical ethics, it has been called the "crowning achievement" of early works concerning adab in medicine.
The history of hospitals began in antiquity with hospitals in Greece, the Roman Empire and on the Indian subcontinent as well, starting with precursors in the Asclepian temples in ancient Greece and then the military hospitals in ancient Rome. The Greek temples were dedicated to the sick and infirm but did not look anything like modern hospitals. The Romans did not have dedicated, public hospitals. Public hospitals, per se, did not exist until the Christian period. Towards the end of the 4th century, the "second medical revolution" took place with the founding of the first Christian hospital in the eastern Byzantine Empire by Basil of Caesarea, and within a few decades, such hospitals had become ubiquitous in Byzantine society. The hospital would undergo development and progress throughout Byzantine, medieval European and Islamic societies from the 5th to the 15th century. European exploration brought hospitals to colonies in North America, Africa, and Asia. The Hôtel-Dieu, founded in 1443 by Nicolas Rolin and Guigone de Salins, is widely considered the oldest functioning hospital today. Originally a charitable institution for the poor, it now stands as a museum known for its impressive architecture. In contrast, the Mihintale Hospital in Sri Lanka, established in the 9th century A.D. is probably the site with the oldest archaeological evidence available for a hospital in the world. Serving monks and the local community, it represents early advancements in healthcare practices.
Jewish medicine is medical practice of the Jewish people, including writing in the languages of both Hebrew and Arabic. 28% of Nobel Prize winners in medicine have been Jewish, although Jews comprise less than 0.2% of the world's population.
Taddeo Alderotti, born in Florence between 1206 and 1215, died in 1295, was an Italian doctor and professor of medicine at the University of Bologna, who made important contributions to the renaissance of learned medicine in Europe during the High Middle Ages. He was among the first to organize a medical lecture at the university.
Infectious diseases or ID, also known as infectiology, is a medical specialty dealing with the diagnosis and treatment of infections. An infectious diseases specialist's practice consists of managing nosocomial (healthcare-acquired) infections or community-acquired infections. An ID specialist investigates the cause of a disease to determine what kind of Bacteria, viruses, parasites, or fungi the disease is caused by. Once the pathogen is known, an ID specialist can then run various tests to determine the best antimicrobial drug to kill the pathogen and treat the disease. While infectious diseases have always been around, the infectious disease specialty did not exist until the late 1900s after scientists and physicians in the 19th century paved the way with research on the sources of infectious disease and the development of vaccines.
The Lovesick Maiden is a c. 1660 oil-on-canvas genre painting by Jan Steen. It shows a young woman suffering from love-sickness surrounded by her doctor and a maid-servant. It is in the collection of the Metropolitan Museum of Art.
