Orthopedic Department Henri Mondor Hospital, University Paris East, Paris, France.
Department of Orthopaedic and Traumatology Surgery, EpiCURA Hospital, Baudour/Hornu, Saint-Ghislain, Belgium.
Int Orthop. 2021 Jun;45(6):1633-1644. doi: 10.1007/s00264-020-04914-1. Epub 2021 Jan 4.
During the Middle Ages, the Christian church established itself as the dominant force over all aspects of medieval life, including the practice of medicine. As the Church's influence expanded across Europe, the role of lay practitioners in medicine declined, and clerics gradually assumed the role of healers in surgical practice as the cure of the soul was felt to take precedence over cure of bodily ills.
A retrospective analysis of hospital foundation, old-school surgical techniques still used today was performed during the first part of the Middle Age.
The Hospital Hotel Dieu in Paris was founded and remains the oldest worldwide still-operating hospital. The monastery became a resting place for travelers, as well as a place of refuge for the sick. As this role expanded, monks often developed considerable surgical expertise. This led to fierce competition for saintly relics and pilgrims. Among the myriad of saints to whom powers of healing were ascribed, the names of Damian and Cosmas figure prominently in medical history. Old-school medieval surgery was also performed with some bizarre techniques such as lip service by wound suckers, cautery, blood-letting, leech therapy, and maggot therapy.
This account of surgery before it became scientific is based on a chronology that runs from the Clovis baptism to the reign of Charlemagne; much of the medicine in this period was based on ancient doctrines; indeed, much of the development of medicine in the period called as "Dark Age" was due to the slow and difficult business of recovering and trying to understand ancient medicine.
在中世纪,基督教教会确立了自己作为中世纪生活各个方面的主导力量,包括医学实践。随着教会的影响力在欧洲的扩大,非专业人士在医学实践中的作用下降,神职人员逐渐在外科实践中扮演起治疗者的角色,因为人们认为治疗灵魂比治疗身体疾病更为重要。
在中世纪早期,对医院的建立和至今仍在使用的传统外科技术进行了回顾性分析。
巴黎的圣婴医院(Hôpital Notre-Dame de Paris)成立,至今仍是全球历史最悠久的仍在运营的医院。修道院成为旅行者的落脚点,也是病人的避难所。随着这一角色的扩大,僧侣们通常会发展出相当多的外科专业知识。这导致了对圣徒遗物和朝圣者的激烈竞争。在被赋予治疗能力的众多圣徒中,达米安(Damian)和科斯马斯(Cosmas)的名字在医学史上占有重要地位。传统的中世纪外科手术也采用了一些奇特的技术,例如用吸伤口的人来进行口对口呼吸、烧灼、放血、水蛭疗法和蛆虫疗法。
这篇关于外科手术的历史记载是基于从克洛维斯洗礼到查理曼大帝统治时期的年表;这一时期的大部分医学都是基于古代教义;事实上,在所谓的“黑暗时代”,医学的发展很大程度上是由于缓慢而艰难地恢复和试图理解古代医学的过程。