Ulvik R J
Laboratorium for klinisk biokjemi Haukeland Sykehus, Bergen.
Tidsskr Nor Laegeforen. 1999 Jun 30;119(17):2487-9.
Bloodletting has been part of the history of medicine for more than 2500 years. Up to the end of the Middle Ages, the rationale for bloodletting originated from the ancient greek humoral theory. The great scientific progress from the 16th century and onward, apparently did not weaken its position. Prominent physicians such as Andreas Vesalius (1514-64), William Harvey (1578-1657) and Thomas Sydenham (1624-89) defended bloodletting. In the beginning of the 19th century the use of leeches became the major technique of bloodletting in Europe. In Norway bloodletting was mentioned in royal decrees from the 13th century, and the method became popular in folk medicine. At the end of the 19th century bloodletting came at last to be regarded as ineffective for most of its traditional purposes, and its use declined rapidly. Today, however, bloodletting is being restored in modern medicine as the most effective method of treating the increasing frequent disorders caused by iron overload.
放血疗法在医学史上已存在了2500多年。直到中世纪末期,放血疗法的理论依据都源自古希腊的体液学说。16世纪及以后的重大科学进步,显然并未削弱其地位。像安德烈亚斯·维萨里(1514 - 1564)、威廉·哈维(1578 - 1657)和托马斯·西德纳姆(1624 - 1689)等杰出医生都为放血疗法辩护。19世纪初,水蛭吸血成为欧洲放血疗法的主要技术。在挪威,13世纪的皇家法令中就提到了放血疗法,该方法在民间医学中很流行。19世纪末,放血疗法终于因其大多数传统用途被认为无效而迅速衰落。然而如今,放血疗法在现代医学中正在复兴,成为治疗因铁过载导致的日益常见疾病的最有效方法。