Medieval Medicine

James Walsh

James J. Walsh

Medieval Medicine

PREFACE

“Medieval Medicine” is the story of the medical sciences in the Middle Ages. The Middle Ages are usually assumed to begin with the deposition of Romulus Augustulus, 476, and end with the fall of Constantinople, 1453. In this little volume, then, we have to outline the history of human efforts to prevent and treat the ills of mankind for nearly one thousand years. Until recently, it has been the custom to believe that there was so little of genuine interest in anything like the scientific care of ailing human beings during these centuries, that even a volume of this kind might seem large for the tale of it. Now we know how much these men of the Middle Ages, for so long called the “Dark Ages,” were interested in every phase of human progress. They created a great art and literature, and above all a magnificent architecture. We have been cultivating the knowledge of these for several generations, and it would indeed be a surprise to find that the men who made such surpassing achievements in all the other lines of human effort should have failed only in medicine.

As a matter of fact, we have found that the history of medicine and surgery, and of the medical education of the Middle Ages, are quite as interesting as all the other phases of their accomplishments. Hence the compression that has been necessary to bring a purview of all that we know with regard to medieval medicine within the compass of a brief book of this kind. The treatment has been necessarily fragmentary, and yet it is hoped that the details which are given here may prove suggestive for those who have sufficient interest in the subject to wish to follow it, and may provide an incentive for others to learn more of this magnificent chapter of the work of the medieval physicians.

MEDIEVAL MEDICINE

CHAPTER I

INTRODUCTORY

To understand the story of Medieval Medicine, the reader must recall briefly the course of Roman history. Rome, founded some eight centuries before Christ, was at first the home of a group of adventurers who, in the absence of women enough to supply wives for their warriors, went out and captured the maidens of a neighbouring Sabine town. The feud which broke out as a result was brought to an end by the women now become the wives of the Romans, and an alliance was made. Gradually Rome conquered the neighbouring cities, but was ever so much more interested in war and conquest than in the higher life. The Etruscan cities, which came under her domination, now reveal in their ruins art objects of exquisite beauty and the remains of a people of high artistic culture. When Rome conquered Carthage, Carthage was probably the most magnificent city in the world, and Rome was a very commonplace collection of houses. Culture did not come to Rome until after her conquest of Greece, when “captive Greece led her captor captive.”

Sir Henry Maine’s expression that whatever lives and moves in the intellectual life is Greek in origin may not be unexceptionably true, but it represents a generalization of very wide application.

Rome was stimulated in art and architecture and literature by touch with the Greeks, and her own achievements, important though they were, were little better than copies of Greek originals. The Romans themselves acknowledged this very frankly. When in the course of time the barbarian nations from the North and West of Europe came down in large numbers into Italy, and finally gained control of the Roman Empire, they had but very little interest in the Greek sources, and decadence of the intellectual life was inevitable. This was particularly true as regards scientific subjects, and above all for medicine; for the Romans had always depended on Greek physicians, and Galen in the second century, like Alexander of Tralles in the seventh, represent terms in the series of physicians who reached distinction at Rome.

The key to the history of medicine in the Middle Ages, then, is always the presence of Greek influence. This persisted in the Near East, and