Natural Causes of Disease in Medieval England (AQA GCSE History)

Revision Note

Zoe Wade

Written by: Zoe Wade

Reviewed by: Natasha Smith

Why was nature so important to the understanding of disease in Medieval times? -Summary

In Medieval times, people believed that there were natural causes and cures for diseases. One major idea was the Theory of the Four Humours. This theory connected health directly to the natural balance inside a person’s body. A way that a physician could naturally attempt to diagnose and treat this was through a patient's urine.

Another way nature was thought to cause disease was through miasma, which was the idea that bad air could make people sick. People believed that this bad air carried disease and tried to avoid it by pleasant smells such as burning herbs or carrying sweet-smelling flowers. This belief in miasma showed how much importance Medieval people placed on the environment and nature when trying to understand illnesses. Since there was no knowledge of germs, people looked to nature for explanations and cures. This shaped the way they approached medicine for centuries.

Miasma

  • Miasma is bad air

  • People believed that miasma was found near swamps, corpses and rotting objects

  • If you breathed in miasma, people believed that you would become ill

  • To counteract miasma, people used:

    • Herbs such as lavender

    • Flowers such as posies

  • A pomander (a locket worn around the waist) was worn with similar sweet smells for protection

  • Local authorities disposed of rotten bodies by removing them from the streets

Examiner Tips and Tricks

A question in AQA Health and the People could ask you to explain the significance of miasma in the Medieval period.

This is an 8-mark question that requires you to:

  • include specific and relevant knowledge about miasma

  • explain how miasma affected Medieval England

    • You could use the Black Death as an example of the impact of miasma

Our exam skills pages provide more help and guidance on the significance question

Examining urine

  • Physicians believed in examining the urine of their patients 

  • They believed the urine indicated which humour was unbalanced

  • Physicians would check the colour, consistency and smell of the urine and compare it to a urine chart

A medieval manuscript page featuring a circular diagram with coloured sections. Each section represents the type of urine a patient had and its connection to the time of year, the moon's seasons, other astrological factors and the Four Humours
Part of a manuscript created between 1488 and 1498, showing a urine chart that was used by physicians to treat disease

The importance of diet & hygiene

Diet

  • The Theory of the Four Humours linked to good health to digestion

  • Physicians discouraged overeating

  • Many people decided purging was a good way to prevent illness from happening

Hygiene

  • People believed it was important to look after your body

  • A book called Regimen Sanitatis was published

    • Regimen Sanitatis was a loose set of instructions provided by a physician to help patients maintain a healthy life

    • Many health professionals prescribe some of the advice today including:

      • exercise

      • do not overeat

      • sleep

      • avoid stress

  • However, the Regimen Sanitatis also advised to:

    • breathe eastern or northern air

    • avoid barking dogs

    • stay on good terms with neighbours

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Zoe Wade

Author: Zoe Wade

Expertise: History

Zoe has worked in education for 10 years as a teaching assistant and a teacher. This has given her an in-depth perspective on how to support all learners to achieve to the best of their ability. She has been the Lead of Key Stage 4 History, showing her expertise in the Edexcel GCSE syllabus and how best to revise. Ever since she was a child, Zoe has been passionate about history. She believes now, more than ever, the study of history is vital to explaining the ever-changing world around us. Zoe’s focus is to create accessible content that breaks down key historical concepts and themes to achieve GCSE success.

Natasha Smith

Author: Natasha Smith

Expertise: History Content Creator

After graduating with a degree in history, Natasha gained her PGCE at Keele University. With more than 10 years of teaching experience, Natasha taught history at both GCSE and A Level. Natasha's specialism is modern world history. As an educator, Natasha channels this passion into her work, aiming to instil in students the same love for history that has fuelled her own curiosity.