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Lecture 1: Course Intro &

Medicine c. 1775
Created Jan 07, 2020 2 13 PM
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All tests are essay
Major Course Themes
Concepts of Disease
Scientific Methodology
Spectrum of Disease
Recognition - Dx
Surveillance and Control
Prevention - Individual & Society
Therapy - Medical or Surgical
Minor Couse Themes
Nature of Practitioner
Education
Hospital
Other Institutions

World of 1770's
Smaller World Population
Village Communities, Agriculture, Monarchs

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Higher density cities - extremely worse health than countryside
Nutrition - no more famines
Primitive Sanitations

Nutritional Diseases
Scurvy
Gout
Pellagra
Rickets
Environmental Diseases
Malaria
Dysentary
Typhus
Typhoid Fever
Consumption Tuberculosis)
Pnemonia
Influenza
Plague
Cholera
Epidemic Diseases
Smallpox
Measles
Yellow fever
Diptheria
How did Doctor Observe
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Detailed Patient Narrative
Physical Appearance
Excrament Urine/Feces/Sweat)
No instruments
Doctors Thinking
Disease was ongoing process of changes
Diseases could change into each other
Imbalance of elements, wholistic
Doctor's Role - guide the process to the best route
What does Doctor do 1780s?
Advice - exercise, sleep, nutrition, cut drinking
Give Small Number) of Medicines
1. Opium Derivatives Laudanum)
2. Mercury Kills Syphilis, but almost kills person)
3. Cinchona Ground Tree Bark, treatment and prevention of Malaria,
accidentally used on any type of fever)
Physiological Agents - reinforce the idea that doctor had some power over the
disease (even through natural body actually fought the disease)
1. Purges - Powerful Laxatives
2. Sweating, Vomiting, Diuretic Agents
3. Blood Letting - Leeching, Belief that diseases are from too much blood
Hierarchy of Medicine
1. Physician - can read, university education, learned from books, and know latin
2. Surgeons - "people of the hands", more knowledgable in anatomy, trained by
apprenticeship

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3. Apothecary - Apprenticeship 7 years, "poor man's doctor", paid for product
but still gave advice
4. Healers - Knowledgable village women, know herbs, midwifes

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