Varjassy Péter
Orvostort Kozl. 2009;55(1-4):59-90.
Author attempted to collect all available medical data of the period of the reign of Mathias Corvinus (1443-1490) who ruled Hungary for 32 years. First part of this article outlines the general medical history of this era. In the 15th century the flourishing Kingdom of Hungary was inhabited by 3-3.2 million people. Under the rule of King Matthias epidemies were frequent visitors, plague e.g. was registered 11 times, while sudor anglicus once (in 1485). The ca. 120 hospitals of the era were founded mostly in towns and market-towns. At the same time 12 leprosories worked throughout the country. Strikingly many dates and details could be collected concerning medical doctors and surgeons working in Hungary. A list of 69 medical doctors and surgeons (60 physicians and 9 surgeons) of this era known by their names is attached to the article. The second and third part of the treatise is a medical history of King Matthias of his relatives and of his court. We can read here a report on the illnesses and death of Janus Pannonius and of Joannes Vitéz who both played an important role in Hungarian culture. Author's further inquiry is focused on diseases and death of the king. Cause of his death was--according to contemporary sources and our present-day knowledge--a cerebral apoplexy. On 6th April 1490 Matthias died suddenly but not unexpected, since his health had already been deteriorated critically during the previous two years, and he had long been crippled by gout. The king's condition had been worsened probably as an effect of factors caused by visceral form of gout. These factors were cardiovascular and renal damages and hypertension, which resulted the fatal cerebral apoplexy causing the king's sudden death.
作者试图收集马蒂亚斯·科维努斯(1443 - 1490年)统治匈牙利32年期间的所有可用医学数据。本文的第一部分概述了这个时代的总体医学史。在15世纪,繁荣的匈牙利王国居住着300 - 320万人。在国王马蒂亚斯的统治下,流行病频繁光顾,例如瘟疫被记录了11次,而英国汗热病记录了一次(1485年)。那个时代约120家医院大多建在城镇和集镇。与此同时,全国有12家麻风病院在运营。令人惊讶的是,可以收集到许多关于在匈牙利工作的医生和外科医生的日期和细节。本文附有一份这个时代已知姓名的69位医生和外科医生(60名内科医生和9名外科医生)的名单。论文的第二和第三部分是关于马蒂亚斯国王及其亲属和宫廷的医学史。我们可以在这里读到关于雅努斯·潘诺尼乌斯和约翰内斯·维泰兹的疾病和死亡的报告,他们两人在匈牙利文化中都发挥了重要作用。作者进一步的调查集中在国王的疾病和死亡上。根据当时的资料和我们目前的知识,他的死因是脑中风。1490年4月6日,马蒂亚斯突然去世,但并非出乎意料,因为在之前的两年里他的健康状况已经严重恶化,而且他长期受痛风折磨。国王的病情可能因痛风内脏型引起的因素而恶化。这些因素是心血管和肾脏损伤以及高血压,最终导致致命的脑中风,致使国王突然死亡。