Syllabus Edition
First teaching 2024
First exams 2026
Medical Treatments in Renaissance Britain (Edexcel GCSE History)
Revision Note
Written by: Natasha Smith
Reviewed by: Bridgette Barrett
Treatments in the Renaissance - Timeline & Summary
The Renaissance era saw a rise in understanding of the causes of diseases, which led to some advances in treatments. A surge in interest in alchemy established the concept of chemical remedies. This paved the way for the types of medication we use today. Regulation of medical professionals increased through better training and guild systems. The aim of these was to improve levels of care and patient safety. The study of anatomy vastly improved. In the medieval period, the Church did not approve of human dissection. However, some dissection of the bodies of criminals was permitted. The Church explained away findings that contradicted Galen. The Church stated that the anatomy of a criminal must be incorrect because they had broken fundamental Christian values. When the influence of the Catholic Church decreased, the limit on dissection no longer applied. The anatomical discoveries made by Vesalius and Harvey proved, beyond doubt, that Galen was wrong. This motivated other scientists to work on correcting the mistakes of the past. The use of science, observation and anatomy, allowed physicians to improve the types of treatments. Renaissance treatments were not perfect. It was still dangerous to visit barber surgeons. Surgery continued to kill many patients, due to issues with infection and pain relief. Surgical safety only began to improve in the 19th century. Whilst the logic behind Renaissance treatments was generally correct, the cures themselves proved ineffective. This is best seen in the theory of transference. In some cases, chemical cures were poisonous and it was difficult to give the correct dose. The public distrusted the new treatments available and continued using humoural treatments like blood-letting and purging. |
Scientific Treatments in the Renaissance
Transference
By using observation, scientists began to understand that diseases could be passed from person to person
Transference is the idea that touching an object or another animal could move a disease from one thing to another
Using this idea, many physicians prescribed the following treatments:
Rubbing onions on a wart in the belief the wart would transfer to the onion
Strapping live chickens onto buboes in the belief that the plague would transfer into the chicken
Sleeping with a sheep to give the patient’s fever to the sheep
Whilst these treatments were ineffective, it was the beginning of epidemiology (the study of how diseases spread)
latrochemistry
latrochemistry became increasingly popular in the 17th century
It stemmed from experimenting with metals to create chemical cures
The Pharmacopoeia Londinensis (1618) suggested remedies which included metals
It included over 2000 remedies using 122 different chemical combinations
Historical records highlight the benefits of using antimony as a chemical cure:
In small doses, it caused a patient to sweat
In large doses, it causes vomiting
Too much pure antimony was poisonous
A compound known as antimony potassium tartrate became incredibly popular after stories circulated that it cured Louis XIV of France from typhoid fever
Within this period, scientists focused on creating a chemical cure for syphills
They experimented with guaiac wood and mercury
No chemical cures proved to be effective
It remained a dangerous threat to the health of the people
Examiner Tips and Tricks
Transference and iatrochemistry have elements of science that we recognise to be correct today. You could argue in an exam question that they showed the Renaissance developed better theories about the cause of disease. However, they had very little value when applied practically to treatments. Therefore, in a question about changes in the effectiveness of treatments between medieval and Renaissance, you would be advised not to use these as examples of progress.
Apothecaries & Surgeons
The medics from the medieval period continued to care for the sick in the Renaissance
There had been some developments in their ideas and practices
Apothecaries
Apothecaries had guild systems
This improved service to customers
Apothecaries continued to provide herbal remedies
latrochemistry provided more remedies for apothecaries to formulate
Education improved:
It took multiple years of practice as a journeyman to become a master in the profession
Apothecaries required a license to practice their craft
Apothecaries continued to be an affordable choice for treatment but could also prescribe ineffective or dangerous remedies
Surgeons
Surgery needed to advance
Weaponry and warfare became more dangerous
This caused more complex wounds and injuries that needed surgery
Similar to apothecaries, the education of surgeons improved
Surgeons undertook an apprenticeship to learn the necessary skills from a master barber-surgeon
Surgeons required a license to practice their craft
Surgeons continued to operate on those who could not afford a physician
The survival rate for surgery was still poor
Patients still did not have access to pain relief, which meant they could die from shock
Losing too much blood during the procedure resulted in death
Surgeons did not know how to replace blood during surgery
Surgeons continued to use dirty equipment
This meant many people died post-operation from infection
AWAITING IMAGE
A diagram showing the continuity and change of treatments in the Renaissance period
Physicians
Physicians
Physicians were still trained in university but some changes occurred:
New ideas slowly filtered into training courses which challenged physicians' thinking about the causes of disease
The development of the printing press led to a wider selection of textbooks on topics such as anatomy and iatrochemistry being available
If students could not afford a whole book, fugitive sheets were available
Training continued to be mostly theoretical rather than hands-on experience in treating patients
The declining influence of the Church meant dissection was allowed but it was hard to find fresh corpses:
In the 18th century, a craze called ‘body-snatching’ began
Medical students or criminals would illegally dig up bodies to perform dissection
A famous example of this is William Burke and William Hare (known as Burke and Hare) in Edinburgh
They killed 16 victims to sell the bodies to Robert Knox, a Scottish anatomist
Changes and Continuity to Medical Medics in the Renaissance
Medic | Change | Continuity |
---|---|---|
Apothecaries | Organised into guild systems More cures from iatrochemistry Better education Required a license to practice | Provided herbal remedies Cared for poorer patients Remedies could be dangerous |
Surgeons | More complicated wounds meant more complex surgery Better education Required a license to practice | Cared for poorer patients Survival rates for surgery remained low |
Physicians | A wider selection of medical textbooks was available at university Better understanding of anatomy through dissection and fugitive sheets | Required university training Training remained theoretical rather than hands-on |
Andreas Vesalius
Andreas Vesalius was a famous anatomist who trained in Paris in 1533 and lectured in Padua, Italy
He wrote On the Fabric of the Human Body (1543) which noted over 300 mistakes Galen made on the human anatomy including:
The lower jaw is in one part, not two
Veins in the heart did not lead to the liver
Men and women have the same number of ribs
Impact of Vesalius
He encouraged physicians to focus on dissection rather than believing old theories
Some of these physicians later went on to correct Vesalius’ mistakes
He popularised the study of anatomy and encouraged physicians rather than a surgeon to perform dissections
He shared his work with his students at Padua, inspiring future anatomists like William Harvey
He created anger among traditional physicians who believed in Galen’s work
They argued that the human anatomy must have changed from the Roman times
William Harvey
Harvey was an English physician who, by 1618, was doctor to King James I
Harvey showed an interest in anatomy and was taught Vesalius’ theory. He later:
Carried out public dissections as a lecturer of anatomy at the College of Physicians, London
Wrote An Anatomical Account of the Motion of the Heart and Blood in Animals in 1628
In his study, Harvey discovered that the heart worked like a mechanical fire pump
The heart pushes the blood around the body through arteries and veins, linked together in the circulation system
Harvey proved this by tying a rope around a person’s arm - loosening the rope demonstrated how the blood flowed down into the forearm and then back up the arm
He also disproved Galen’s theory that the liver created blood
He calculated that, if Galen was right, a human would need to make 1800 litres of blood a day to survive
Impact of Harvey
Harvey's book on the human heart was a breakthrough in anatomy
His work encouraged other scientists to use bodies to make more progress in understanding the body. For example, how was blood made?
However, a lot of Renaissance physicians ignored his work as it had limited use in medical treatment
Universities only began to use medical textbooks which contained his work from 1673
Examiner Tips and Tricks
It is best to summarise that medical care changed very little from the medieval to Renaissance eras. Whilst Vesalius and Harvey made incredible progress in explaining the human body, it did little to influence the treatments given by medical professionals of the Renaissance. Physicians and the public dismissed their theories as incorrect or irrelevant to treating disease. It was not until the 18th century and 19th centuries that Harvey and Vesalius’ work was accepted as vital to care and surgery.
Hospitals & Pest Houses in Renaissance Britain
The Renaissance led to changes in the organisations that cared for the sick
Hospitals
In the 16th century, many still visited hospitals to gain food, shelter and prayer
Records show that increasing numbers of patients were discharged from hospital
This means that they were becoming more successful at curing patients with wounds and treatable diseases
Physicians had contracts to treat patients
Many hospitals had apothecaries on site to create remedies
The dissolution of the monasteries (1536) led to the closure of many hospitals
Monks and nuns were no longer able to provide the day-to-day care required to keep them open
It took a long time for hospital levels to return to the amount there had been in medieval England
Smaller, charity-run hospitals replaced the previous Church-owned facilities
The priority of a medieval hospital was to care for, not cure patients, through comfort and prayer
During the Renaissance, a greater focus was on attempting to cure patients using medical treatments
Pest Houses
Based on medieval lazar houses, these hospitals admitted patients with infectious diseases that conventional hospitals turned away
This allowed better care for infectious diseases and helped slow down the spread of these diseases
This demonstrated an increasing comprehension of how disease spreads from person to person
Care in the Home
Wise women still played an important role in care
Home was the most common place for people to receive medical treatment
The London College of Physicians punished women for practising medicine without a license
Women were not allowed to attend university to receive the medical training required to become a physician
Many people still relied on herbal remedies made by women as they were cheaper than a trained apothecary or physician
AWAITING IMAGE
A diagram showing the continuity and change of hospitals in the Renaissance period
Examiner Tips and Tricks
We can see the beginnings of modern hospitals in the Renaissance. Key developments from the medieval era to the Renaissance were:
Understanding how to cope with infectious diseases
The importance of curing patients rather than just caring for them
Methods of treatment still created difficulties in combating disease. Women remained one of the main medical caregivers, showing a distrust in other medical professionals.
Worked Example
Explain one way in which the treatment of illness in the years c1250-c1500 was similar to the treatment of illness in the years c1500-c1700
4 marks
Answers:
One way in which the treatment of disease was similar from the Medieval period to the Renaissance was the importance of hospitals for patient care (1). In the Medieval period, hospitals were run by nuns (1), therefore their focus was comforting patients through prayer rather than curing their illness (1). Similarly, in the Renaissance, hospitals still played a key role in caring for patients. Many still visited hospitals for food, shelter and prayer although treatments had improved (1).
Examiner Tips and Tricks
When answering ‘Explain one way…’ questions, it is harder to answer questions asking you to explain why two periods are similar rather than those asking why they are different. Ensure you identify a reason that connects the two periods but ensure your examples for each time period are different.
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