Keeman J N
Ned Tijdschr Geneeskd. 2007 Jan 20;151(3):206-11.
Bloodletting, based on the humoural pathology of Hippocrates and Galen, was done in various ways for thousands of years: phlebotomy, cupping and the use of leeches. There were broad indications for applying this form of treatment. In the 19th century, P.C.A. Louis demonstrated that bloodletting was not an optimal form of treatment for pneumonia. His study was designed in accordance with the first principles of epidemiology. Epidemiology, together with the rise of Virchow's cellular pathology, contributed to the disappearance of bloodletting. The use of leeches still has a place in the medicine of the 21st century in the form of enzymes from the saliva of the leech.
基于希波克拉底和盖伦的体液病理学,放血疗法以多种方式施行达数千年之久:静脉切开术、拔火罐和使用水蛭。这种治疗方式有广泛的适用症。19世纪,P.C.A. 路易斯证明放血疗法并非治疗肺炎的最佳方式。他的研究是按照流行病学的首要原则设计的。流行病学,连同魏尔啸细胞病理学的兴起,促使放血疗法消失。水蛭的使用在21世纪的医学中仍以水蛭唾液中的酶的形式占有一席之地。