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Despite what you might think, medicine in the middle ages wasn't
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all silly superstition, pointless potions and fantastical folklore.
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It's true that medieval medics didn't have things like vaccines
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or antibiotics, and it wasn't clear to them what caused many kinds of
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disease. But even so, they drew on ancient wisdom, hands-on experience
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and good old common sense to try to keep people healthy and alive.
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Most leading medical minds of the time relied on the teachings of
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three long-dead ancient Greeks - Aristotle, Hippocrates and Galen.
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Between them, these guys had some cracking ideas, as well as some
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that were a little more …crack pot.
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In terms of medieval medicine, their most influential theory was all about the importance of the four humours.
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These humours were bodily fluids - blood, phlegm, yellow bile and black bile. Yum!
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Most people agreed that keeping your humours in balance was the key to
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good health. And the key to knowing your humours was to study your pee.
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And they really studied it – they'd look at its colour and consistency,
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and give it a good long sniff to work out what was what.
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Even today, we still use urine to diagnose people,
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but we don't usually recommend blood letting, which was the most
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common treatment of the middle ages. To rebalance your humours,
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medieval doctors would pop leeches onto your skin and let them suck your blood.
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But they also recognised the benefits of general healthy living,
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and books of the time were full of advice about sleep,
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exercise and diet that is just as relevant to us today.
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Medics were into their herbs as well as their humours.
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Many ordinary people had a good knowledge of natural remedies, and specialist
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apothecaries had their own shops in towns and cities. Monasteries had
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gardens where they grew plants like sage, mandrake, catnip and chamomile.
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And some of the healing mixtures they used are still around today, like
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liquorice for coughs, ginger for bad stomachs and even snail slime for burns.
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Medieval people were also deeply religious, and many believed that if
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you prayed to the right saints, they'd intervene on your behalf with God.
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One practice was to visit a saint's shrine and leave behind a bent silver
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penny, or to burn a candle of the same length as your affected
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body part. Even weirder were 'birth girdles' – parchments with images of
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saints on them, which were wrapped around women as they gave birth.
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So, you had the four humours, plenty of herbs and a good dose of religion.
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But major injuries clearly needed something a bit more substantial, and that's
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where surgeons came in – often in the form of the 'barber-surgeon'.
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That's right – barber. Back then, the same chap who'd cut your hair could
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also take out your teeth, stitch up your skull or lop off your leg.
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They weren't licensed doctors, but they could be pretty well trained.
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Skilled barber-surgeons might even try something called trepanning to treat
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seizures and mental illnesses. They'd cut a hole in your head,
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expose the outer bits of your brain and, well, hope for the best. And remember,
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this was all without anaesthetic or sterilized equipment!
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Medieval medicine had plenty of other issues. Governments barely intervened
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in public health, life expectancy was low, and doctors were helpless
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when faced with major epidemics and plagues like the Black Death.
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But for all its strangeness, medieval medicine wasn't as mad as it's often made out to be.
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It was based on some sophisticated principles, it could often be highly creative,
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and sometimes it could even make a good deal of difference to people's lives.