At the turn of the twentieth century, medicine's imperative to cure disease increasingly took priority over the demand to relieve pain and suffering at the end of life. Filled with heartbreaking stories, The Inevitable Hour demonstrates that professional attention and resources gradually were diverted from dying patients. Emily K. Abel challenges three myths about health care and dying in America. First, that medicine has always sought authority over death and dying; second, that medicine superseded the role of families and spirituality at the end of life; and finally, that only with the advent of the high-tech hospital did an institutional death become dehumanized. Abel shows that hospitals resisted accepting dying patients and often worked hard to move them elsewhere. Poor, terminally ill patients, for example, were shipped from Bellevue Hospital in open boats across the East River to Blackwell's Island, where they died in hovels, mostly without medical care. Some terminal patients were not forced to leave, yet long before the advent of feeding tubes and respirators, dying in a hospital was a profoundly dehumanizing experience. With technological advances, passage of the Social Security Act, and enactment of Medicare and Medicaid, almshouses slowly disappeared and conditions for dying patients improved-though, as Abel argues, the prejudices and approaches of the past are still with us. The problems that plagued nineteenth-century almshouses can be found in many nursing homes today, where residents often receive substandard treatment. A frank portrayal of the medical care of dying people past and present, The Inevitable Hour helps to explain why a movement to restore dignity to the dying arose in the early 1970s and why its goals have been so difficult to achieve.

The subject of medicalisation of childbirth in colonial India has so far been identified with three major themes: the attempt to reform or 'sanitise' the site of birthing practices, establishing lying-in hospitals and replacing traditional birth attendants with trained midwives and qualified female doctors. This book, part of the series The Social History of Health and Medicine in South Asia, looks at the interactions between childbirth and midwifery practices and colonial modernities. Taking eastern India as a case study and related research from other areas, with hard empirical data from local government bodies, municipal corporations and district boards, it goes beyond the conventional narrative to show how the late nineteenth-century initiatives to reform birthing practices were essentially a modernist response of the western-educated colonised middle class to the colonial critique of Indian sociocultural codes. It provides a perceptive historical analysis of how institutionalisation of midwifery was shaped by the debates on the women's question, nationalism and colonial public health policies, all intersecting in the interwar years. The study traces the beginning of medicalisation of childbirth, the professionalisation of obstetrics, the agency of male doctors, inclusion of midwifery as an academic subject in medical colleges and consequences of maternal care and infant welfare. This book will greatly interest scholars and researchers in history, social medicine, public policy, gender studies and South Asian studies.

The British apprenticeship model of nurse training, developed under Florence Nightingale's influence from 1860 at St Thomas's Hospital, gained national and world-wide recognition. Its end was heralded with the publication of the last national syllabus from the General Nursing Council for England and Wales in 1977. This apprenticeship model, a crucial part of the history of British health care for over a century, is the subject of this book. Primary evidence, much of it original, is gained from Parliamentary debates and reports, syllabuses, long neglected nursing textbooks, major governmental and professional reports, and the voices of nurses themselves expressed through their professional journals. Primary sources are systematically re-examined and contextually interpreted in the light of new evidence. The study in particular interprets the contemporary attitudes and moral values underpinning the apprenticeship system, especially the place of vocation. The reasons for the ending of this system, arising in part from the cultural shifts of the 1960s, are explained in relation to this historical moral context. The reader sees how the self-understanding of the profession shifts, with much tension and disagreement, as mores change. The book fills a major gap in the history of nurse training, by giving a sustained account of the apprenticeship model of nursing in context, and charting changing values away from the historic vocational tradition. Its copious use of primary sources will make this a key text for nurses, historians and policy makers.

Science, technology, and medicine all contributed to the emerging modern Japanese empire and conditioned key elements of post-war development. As the only emerging non-Western country that was a colonial power in its own right, Japan utilized these fields not only to define itself as racially different from other Asian countries and thus justify its imperialist activities, but also to position itself within the civilized and enlightened world with the advantages of modern science, technologies, and medicine. This book explores the ways in which scientists, engineers and physicians worked directly and indirectly to support the creation of a new Japanese empire, focussing on the eve of World War I and linking their efforts to later post-war developments. By claiming status as a modern, internationally-engaged country, the Japanese government was faced with having to control pathogens that might otherwise not have threatened the nation. Through the use of traditional and innovative techniques, this volume shows how the government was able to fulfil the state's responsibility to protect society to varying degrees. The contributors push the field of the history of science, technology and medicine in Japan in new directions, raising questions about the definitions of diseases, the false starts in advancing knowledge, and highlighting the very human nature of fields which, on the surface, seem to non-specialists to be highly rational. Challenging older interpretative tendencies, this book highlights the vigour of the field and the potential for future development. Therefore, it will be of huge interest to students and scholars of Japanese history, Asian history, the history of science and technology and the history of medicine.

Under the rule of the descendants of Chinggis Khan (1167-1227), China saw the development of a new culture in which medical practice came to be considered a highly respected occupation for elite men. During this period, further major steps were also taken towards the codification of medical knowledge and promotion of physicians' social status. This book traces the history of the politics, institutions, and culture of medicine of China under Mongol rule, through the eyes of a successful South Chinese official Yuan Jue (1266-1327). As the first comprehensive monograph on history of medicine in China under the Mongols, it argues that this period was a separate moment in Chinese history, when a configuration of power different from that of previous and succeeding periods created its own medical culture. The Politics of Chinese Medicine under Mongol Rule emphasizes the impact of the political and institutional changes caused by the Mongols and their collaborators on the social and cultural history of medicine, which culminated in the medical theory of Zhu Zhenheng (1282-1358), still influential in East Asian medicine. Using a variety of Chinese-language sources including gazetteers, legal texts, biographies, poems, and medical texts, it analyses the roles of the Mongols and West and Central Asians as cultural brokers and also as unifiers of China. Further, it views North and South Chinese elites as agents of historical change rather than as victims of Mongol oppression. Underlining the complexity of the history of China under the Mongols and the significance of time and geography for the study of this history, this book will be of great interest to students and scholars of Chinese medical history, Chinese social and cultural history, and medieval global history.

The Plague Epic in Early Modern England: Heroic Measures, 1603-1721 presents together, for the first time, modernized versions of ten of the most poignant of plague poems in the English language - each composed in heroic verse and responding to the urgent need to justify the ways of God in times of social, religious, and political upheaval. Showcasing unusual combinations of passion and restraint, heart-rending lamentation and nation-building fervor, these poems function as literary memorials to the plague-time fallen. In an extended introduction, Rebecca Totaro makes the case that these poems belong to a distinct literary genre that she calls the 'plague epic.' Because the poems are formally and thematically related to Milton's great epics Paradise Lost and Paradise Regained, this volume represents a rare discovery of previously unidentified sources of great value for Milton studies and scholarly research into the epic, didactic verse, cultural studies of the seventeenth century, illness as metaphor, and interdisciplinary approaches to illness, natural disaster, trauma, and memory.

In her study of eighteenth-century literature and medical treatises, Mary McAlpin takes up the widespread belief among cultural philosophers of the French Enlightenment that society was gravely endangered by the effects of hyper-civilization. McAlpin's study explores a strong thread in this rhetoric of decline: the belief that premature puberty in young urban girls, supposedly brought on by their exposure to lascivious images, titillating novels, and lewd conversations, was the source of an increasing moral and physical degeneration. In how-to hygiene books intended for parents, the medical community declared that the only cure for this obviously involuntary departure from the "natural" path of sexual development was the increased surveillance of young girls. As these treatises by vitalist and vitalist-inspired physiologists became increasingly common in the 1760s, McAlpin shows, so, too, did the presence of young, vulnerable, and virginal heroines in the era's novels. Analyzing novels by, among others, Jean-Jacques Rousseau, Denis Diderot, and Choderlos de Laclos, she offers physiologically based readings of many of the period's most famous heroines within the context of an eighteenth-century discourse on women and heterosexual desire that broke with earlier periods in recasting female and male desire as qualitatively distinct. Her study persuasively argues that the Western view of women's sexuality as a mysterious, nebulous force-Freud's "dark continent"-has its secular origins in the mid-eighteenth century.

What does drug addiction mean to us? What did it mean to others in the past? And how are these meanings connected? In modern society the idea of drug addiction is a given and commonly understood concept, yet this was not always the case in the past. This book uncovers the original influences that shaped the creation and the various interpretations of addiction as a disease, and of addiction to opiates in particular. It delves into the treatments, regimes, and prejudices that surrounded the condition, a newly emerging pathological entity and a form of 'moral insanity' during the nineteenth century. The source material for this book is rich and surprising. Letters and diaries provide the most moving material, detailing personal struggles with addiction and the trials of those who cared and despaired. Confessions of shame, deceit, misery and terror sit alongside those of deep sensual pleasure, visionary manifestations and blissful freedom from care. The reader can follow the lifelong opium careers of literary figures, artists and politicians, glimpse a raw underworld of hidden drug use, or see the bleakness of urban and rural poverty alleviated by daily doses of opium. Delving into diaries, letters and confessions this book exposes the medical case histories and the physician's mad, lazy, commercial, contemptuous, desperate, altruistic and frustrated attempts to deal with drug addiction. It demonstrates that many of the stigmatising prejudices arose from false 'facts' and semi-mythical beliefs and thus has significant implications, not only for the history of addiction, but also for how we view the condition today.

Hysteria was a frequently diagnosed illness in the West through the nineteenth and much of the twentieth century. Today the medical profession has virtually abandoned the diagnosis altogether. However, this does not mean that hysteria has ceased to exist. In The Nature of Hysteria, Niel Micklem argues that the disease has merely shifted into other personal and collective forms. He traces the history of hysteria from ancient Egyptian times to the present and examines its mythic background. He also describes the involvement of sexuality in the clinical manifestations of hysteria to witchcraft, and various collective manifestations of hysteria in the form of sexual permissiveness and unisexual behaviour. Arguing that hysteria is much more than an illness, Niel Micklem suggests that the denial of hysteria in individual patients has coincided with the creation of an increasingly hysterical society.

Herbs and Healers from the Ancient Mediterranean through the Medieval West brings together eleven papers by leading scholars in ancient and medieval medicine and pharmacy. Fittingly, the volume honors Professor John M. Riddle, one of today's most respected medieval historians, whose career has been devoted to decoding the complexities of early medicine and pharmacy. "Herbs" in the title generally connotes drugs in ancient and medieval times; the essays here discuss interesting aspects of the challenges scholars face as they translate and interpret texts in several older languages. Some of the healers in the volume are named, such as Philotas of Amphissa, Gariopontus, and Constantine the African; many are anonymous and known only from their treatises on drugs and/or medicine. The volume's scope demonstrates the breadth of current research being undertaken in the field, examining both practical medical arts and medical theory from the ancient world into early modern times. It also includes a paper about a cutting-edge Internet-based system for ongoing academic collaboration. The essays in this volume reveal insightful research approaches and highlight new discoveries that will be of interest to the international academic community of classicists, medievalists, and early-modernists because of the scarcity of publications objectively evaluating long-lived traditions that have their origin in the world of the ancient Mediterranean.

JA(3)zef Boruwlaski was the most famous dwarf of the Enlightenment age. Polish-born, he travelled extensively throughout Europe, appearing and performing at royal courts and salons, before settling in Durham in his later life until his death at the age of 97. He was described in Diderot's Encyclopedie and the press of his day - both on the continent and in the UK - sustained an interest in him and kept tabs on his life and experiences. His memoirs, published in a bilingual (French and English) version in 1788, show him to have been an intelligent and sharp observer of the world he inhabited. The life story of this miniature gentleman is not only highly interesting in its own right, but also offers a new perspective on the culture of the Enlightenment. Through a meticulous survey of source materials in Poland, France, and the United Kingdom, the author has managed to unearth and reconstruct many heretofore unknown details about Boruwlaski's life and adventures, about his travels first on the continent and then in the United Kingdom. It is not typical biography, but rather an attempt at identifying certain social roles that were imposed upon Boruwlaski: a plaything of the salons, a source of entertainment for the masses, an adventurist against his own wishes. At the same time, his story is that of a man who spent his whole life trying to escape from such roles imposed upon him. Boruwlaski's memoirs are included in full, containing many of the letters he sent to his wife, with critical annotation. The author also investigates for the first time the sizeable differences between the many different versions of the memoirs published during his own lifetime. This monograph offers not only an opportunity to rediscover the fascinating life story of an intriguing man, but also gives a unique point of view on Europe's uppermost elite in the Enlightenment age - as people who remained deeply fascinated with deformities and oddities despite their own self-professed 'refined' tastes.

Using an innovative approach to evidence for the medieval hospital and medical practice, this collection of essays presents new research by leading international scholars in creating a holistic look at the hospital as an environment within a social and intellectual context. The research presented creates insights into practice, medicines, administration, foundation, regulation, patronage, theory, and spirituality. Looking at differing models of hospital administration between 13th century France and Spain, social context is explored. Seen from the perspective of the history of Knights of the Order of Saint Lazarus, and Order of the Temple, hospital and practice have a different emphasis. Extant medieval hospitals at Tonnerre and Winchester become the basis for exploring form and function in relation to health theory (spiritual and non-spiritual) as well as the influence of patronage and social context. In the case of the Ospedale Maggiore in Milan, this line of argument is taken further to demonstrate aspects of the building based on a concept of epidemiology. Evidence for the practice of medicine presented in these essays comes from a variety of sources and approaches such as remedy books, medical texts, recorded practice, and by making parallels with folk medicine. Archaeological evidence indicates both religious and non religious medical intervention while skeletal remains reveal both pathology and evidence of treatment.

Biographies of scientists carry an increasingly prominent role in today's publishing climate. Traditional historical and sociological accounts of science are complemented by narratives that emphasize the importance of the scientific subject in the production of science. Not least is the realization that the role of science in culture is much more accessible when presented through the lives of its practitioners. Taken as a genre, such biographies play an important role in the public understanding of science. In recent years there has been an increasing number of monographs and collections about biography in general and literary biography in particular. However, biographies of scientists, engineers and medical doctors have rarely been the topic of scholarly inquiry. As such this volume of essays will be welcomed by those interested in the genre of science biography, and who wish to re-examine its history, foundational problems and theoretical implications. Borrowing approaches and methods from cultural studies and the history, philosophy and sociology of science, the contributions cover a broad range of subjects, periods and locations. By presenting such a rich diversity of essays, the volume is able to chart the reoccurring conceptual problems and devices that have influenced scientific biographies from classical antiquity to the present day. In so doing it provides a compelling overview of the history of the genre, suggesting that the different valuations given scientific biography over time have been largely fuelled by vested professional interests.

The global pharmaceutical industry is currently estimated to be worth $1 trillion. Contributors chart the rise of scientific marketing within the industry from 1920-1980. This is the first comprehensive study into pharmaceutical marketing, demonstrating that many new techniques were actually developed in Europe before being exported to America.

This investigation contributes to the existing scholarship on women and medicine in early modern Britain by examining the diagnosis and treatment of female patients by male professional medical practitioners from 1590 to 1740. In order to obtain a clearer understanding of female illness and medicine during this period, this study examines ailments that were specific and unique to female patients as well as illnesses and conditions that afflicted both female and male patients. Through a qualitative and quantitative analysis of practitioners' records and patients' writings - such as casebooks, diaries and letters - an emphasis is placed on medical practice. Despite the prevalence of females amongst many physicians' casebooks and the existence of sex-based differences in the consultations, diagnoses and treatments of patients, there is no evidence to indicate that either the health or the medical care of females was distinctly disadvantaged by the actions of male practitioners. Instead, the diagnoses and treatments of women were premised on a much deeper and more nuanced understanding of the female body than has previously been implied within the historiography. In turn, their awareness and appreciation of the unique features of female anatomy and physiology meant that male practitioners were sympathetic and accommodating to the needs of individual female patients during this pivotal period in British medicine.

From Physick to Pharmacology addresses the important, albeit neglected history of the distribution and sale of medicinal drugs in England from the sixteenth to the twenty-first century. The social history of early medicine and the evolution of British retailing are two areas that have attracted considerable attention from academics in recent years. That said, little work has been done either by medical or business historians on the actual retailing of drugs. This book merges the two themes by examining the growth in the retailing of medicinal drugs since late-medieval times. The six academics contributing essays include both medical and business historians who provide an informed and stimulating perspective on the subject. After an introduction setting out the context of drug retailing and surveying the current literature, the volume is arranged in a broadly chronological order, beginning with Patrick Wallis's study of apothecaries and other medical retailers in early modern London. The next chapter, by Louise Hill Curth, looks at the way the distribution network expanded to encompass a range of other retail outlets to sell new, branded, pre-packaged proprietary drugs. Steven King then examines various other ways in which medicines were sold in the eighteenth century, with a focus on itinerant traders. This is followed by pieces from Hilary Marland on the rise of chemists and druggists in the nineteenth century, and Stuart Anderson on twentieth-century community pharmacists. The final essay, by Judy Slinn, examines the marketing and consumption of prescription drugs from the middle of that century until the present day. Taken together, these essays provide a fascinating insight into the changes and continuities of five centuries of drug retailing in England.

Christopher Lawrence's critical overview of medicine's place in the development of modern Britain examines the significance of the clinical encounter in contemporary society. * first short synoptic study of its kind * breaks new ground by bringing together specialised scholarship into a broad argument * shows how the medical profession created a very specific role for itself * relates medicine to general social policy

Public health policies had a profound impact on urban life in the late nineteenth and early twentieth centuries, yet relatively few people took an active interest in the formulation of these policies. In this book Marjaana Niemi examines the impact of different political aims and pressures on 'scientific' health policies through the analysis of public health programmes in two case studies, one in Birmingham and the other in Gothenburg. By examining early twentieth-century campaigns concerned with infant welfare and the prevention of tuberculosis, the book provides illuminating insights into the relationship between public health and the regulation of urban life. Not only does the book analyse the processes whereby different political aims became embedded in these 'apolitical' health campaigns, but it also highlights the important part that the campaigns played in urban politics and governance. The political aims which public health campaigns advanced are explored by comparing health policies in Britain and Sweden, where officials were part of one public health community, enjoying close links, attending the same conferences and contributing to the same journals. The problems they dealt with were often similar and in both countries health authorities claimed scientific grounds for their programmes. Yet the policies they pursued were often strikingly different. Through examination of two different national approaches, the book does justice to the full complexity of the policy-making process and illuminates the wide range of factors that affected municipal policies.

Ailing seventeenth- and eighteenth-century French men and women, members of their families, or their local physician or surgeon, could write to high profile physicians and surgeons seeking expert medical advice. This study, the first full-length examination of the practice of consulting by letter, provides a cohesive portrayal of some of the widespread ailments of French society in the latter part of the early modern period. It explores how and why changes occurred in the relationships between those who sought and those who provided medical advice. Previous studies of epistolary medical consulting have limited attention to the output of one or two practitioners, but this study uses the consultations of around 100 individual practitioners from the mid-seventeenth century to the time of the Revolution to give a broad picture of patients and physicians perceptions of illnesses and how they should be treated on a day-to-day basis. It makes a unique contribution to the history of medicine, as no other study has been undertaken in the consulting by letter of surgeons, as opposed to physicians. It is shown that the well-known disputation between physicians and surgeons tells only a part of the history; whereas in fact, necessity required that these two 'professions' had to work together for the patients' good.

The pregnant, birthing, and nurturing body is a recurring topos in early modern French literature. Such bodies, often metaphors for issues and anxieties obtaining to the gendered control of social and political institutions, acquired much of their descriptive power from contemporaneous medical and scientific discourse. In this study, Kirk Read brings together literary and medical texts that represent a range of views, from lyric poets, satirists and polemicists, to midwives and surgeons, all of whom explore the popular sixteenth- and early seventeenth-century narratives of birth in France. Although the rhetoric of birthing was widely used, strategies and negotiations depended upon sex and gender; this study considers the male, female, and hermaphroditic experience, offering both an analysis of women's experiences to be sure, but also opening onto the perspectives of non-female birthers and their place in the social and political climate of early modern France. The writers explored include Rabelais, Madeleine and Catherine Des Roches, Louise Boursier, Pierre de Ronsard, Pierre Boaistuau and Jacques Duval. Read also explores the implications of the metaphorical use of reproduction, such as the presentation of literary work as offspring and the poet/mentor relationship as that of a suckling child. Foregrounded in the study are the questions of what it means for women to embrace biological and literary reproduction and how male appropriation of the birthing body influences the mission of creating new literary traditions. Furthermore, by exploring the cases of indeterminate birthing entities and the social anxiety that informs them, Read complicates the binarisms at work in the vexed terrain of sexuality, sex, and gender in this period. Ultimately, Read considers how the narrative of birth produces historical conceptions of identity, authority, and gender.

The name of Hippocrates has been invoked as an inspiration of medicine since antiquity, and medical practitioners have turned to Hippocrates for ethical and social standards. While most modern commentators accept that medicine has sometimes fallen short of Hippocratic ideals, these ideals are usually portrayed as having a timeless appeal, departure from which is viewed as an aberration that only a return to Hippocratic values will correct. Recent historical work has begun to question such an image of Hippocrates and his medicine. Instead of examining Hippocratic ideals and values as an unchanging legacy passed to us from antiquity, historians have increasingly come to explore the many different ways in which Hippocrates and his medicine have been constructed and reconstructed over time. Thus scholars have tended to abandon attempts to extract a real Hippocrates from the mass of conflicting opinions about him. Rather, they tend to ask why he was portrayed in particular ways, by particular groups, at particular times. This volume explores the multiple uses, constructions, and meanings of Hippocrates and Hippocratic medicine since the Renaissance, and elucidates the cultural and social circumstances that shaped their development. Recent research has suggested that whilst the process of constructing and reconstructing Hippocrates began during antiquity, it was during the sixteenth century that the modern picture emerged. Many scholastic endeavours today, it is claimed, are attempts to answer Hippocratic questions first posed in the sixteenth century. This book provides an opportunity to begin to evaluate such claims, and to explore their relevance in areas beyond those of classical scholarship.

In 1746, Dr John Buchanan, recently retired as a medical officer in the British Army, produced a manuscript entitled, 'Regimental Practice, or a Short History of Diseases common to His Majesties own Royal Regiment of Horse Guards when abroad (Commonly called the Blews).' Revised in several stages almost until the time of Buchanan's death in 1767, this work was for the most part based on the author's observations while surgeon to a cavalry regiment serving in Flanders 1742-45, during the War of the Austrian Succession. It is a work of immense value to the understanding of eighteenth-century interpretation and treatment of diseases, but as yet has never been published. Presented here is an annotated modern edition of the text, with an introductory section setting the work in the context of Buchanan's life and career, and within the broader framework of eighteenth-century medical practice. Buchanan's practice of medicine generally represented the mainstream of professional practice as regarded both his understanding of disease and his treatment of it. Across the decades of the eighteenth century there were discoveries and fashions that impacted both the theory and the practice of medicine. Various writers of that age, as well as a number of historians since, have conveyed the sense that practice was chaotic. On the contrary, what this book argues is that methods used to treat diseases were fairly standard. Therefore, by reading Buchanan's manuscript one sees not only how he treated more than three dozen diseases, as well as various wounds and injuries, but also how these conditions were often treated in this period.

Susan Sontag in Illness as Metaphor and AIDS and Its Metaphors points to the vital connection between metaphors and bodily illnesses, though her analyses deal mainly with modern literary works. This collection of essays examines the vast extent to which rhetorical figures related to sickness and health-metaphor, simile, pun, analogy, symbol, personification, allegory, oxymoron, and metonymy-inform medieval and early modern literature, religion, science, and medicine in England and its surrounding European context. In keeping with the critical trend over the past decade to foreground the matter of the body and the emotions, these essays track the development of sustained, nuanced rhetorics of bodily disease and health " physical, emotional, and spiritual. The contributors to this collection approach their intriguing subjects from a wide range of timely, theoretical, and interdisciplinary perspectives, including the philosophy of language, semiotics, and linguistics; ecology; women's and gender studies; religion; and the history of medicine. The essays focus on works by Dante, Chaucer, Spenser, Shakespeare, Donne, and Milton among others; the genres of epic, lyric, satire, drama, and the sermon; and cultural history artifacts such as medieval anatomies, the arithmetic of plague bills of mortality, meteorology, and medical guides for healthy regimens.

The practice of medicine in the days before the development of anaesthetics could often be a brutal and painful experience. Many procedures, especially those involving surgery, must have proved almost as distressing to the doctor as to the patient. Yet in order to cure, the medical practitioner was often required to inflict pain and the patient to endure it. Some level of detachment has always been required of the doctor and especially, of the surgeon. It is the construction of this detachment, or dispassion, in early modern England, with which this work is concerned. The book explores the idea of medical dispassion and shows how practitioners developed the intellectual, verbal and manual skill of being able to replace passion with equanimity and distance. As the skill of 'dispassion' became more widespread it was both enthusiastically promoted and vehemently attacked by scientific and literary writers throughout the early modern period. To explain why the practice was so controversial and aroused such furor, this study takes into account not only patterns of medical education and clinical practice but wider debates concerning social, philosophical and religious ideas.