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gan religions seldom offered help to the sick but the early christians were willing to nurse the sick and take food to them 6 14 notably during the smallpox epidemic of 165 180 ad and the measles outbreak of around 250 ad in nursing the sick and dying regardless of religion the christians won friends and sympathisers wrote historian geoffrey blainey 6 hospitality was considered an obligation of christian charity and bishops houses and the valetudinaria of wealthier christians were used to tend the sick 8 deacons were assigned the task of distributing alms and in rome by 250 ad the church had developed an extensive charitable outreach with wealthy converts supporting the poor 13 it is believed that the first church hospitals were constructed in the east and only later in the latin west an early hospital may have been built at constantinople during the age of constantine by st zoticus st basil built a famous hospital at cæsarea in cappadocia later called basileias which had the dimensions of a city in the west saint fabiola founded a hospital at rome around 400 8 saint jerome wrote that fabiola founded a hospital and assembled all the sick from the streets and highways and personally tended the unhappy and impoverished victims of hunger and disease washed the pus from sores that others could not even behold 14 panorama of siena s santa maria della scala hospital one of europe s oldest hospitals several early christian healers are honoured as saints in the catholic tradition cosmas and damian brothers from cilicia in asia minor supplanted the pagan asclepius as the patron saints of medicine and were celebrated for their healing powers 15 said to have lived in the late third century ad and to have performed a miraculous first leg transplant on a patient and later martyred under the emperor diocletian cosmas and damian appear in the heraldry of barber surgeon companies 15 notable contributors to the medical sciences of those early centuries include tertullian born 160 ad clement of alexandria lactantius and the learned st isidore of seville d 636 st benedict of nursia 480 emphasised medicine as an aid to the provision of hospitality 16 the martyr saint pantaleon was said to be physician to the emperor galerius who sentenced him to death for his christianity since the middle ages pantaleon has been considered a patron saint of physicians and midwives 17 saint benedict of nursia the administration of the eastern and western roman empires split and the demise of the western empire by the sixth century was accompanied by a series of violent invasions and precipitated the collapse of cities and civic institutions of learning along with their links to the learning of classical greece and rome for the next thousand years medical knowledge would change very little 18 a scholarly medical tradition maintained itself in the more stable east but in the west scholarship virtually disappeared outside of the church where monks were aware of a dwindling range of medical texts 19 the legacy of this early period was in the words of porter that christianity planted the hospital the well endowed establishments of the levant and the scattered houses of the west shared a common religious ethos of charity 14 middle ages edit geoffrey blainey likened the catholic church in its activities during the middle ages to an early version of a welfare state it conducted hospitals for the old and orphanages for the young hospices for the sick of all ages places for the lepers and hostels or inns where pilgrims could buy a cheap bed and meal it supplied food to the population during famine and distributed food to the poor this welfare system the church funded through collecting taxes on a large scale and possessing large farmlands and estates 20 it was common for monks and clerics to practice medicine and medical students in northern european universities often took minor holy orders mediaeval hospitals had a strongly christian ethos and were in the words of historian of medicine roy porter religious foundations through and through ecclesiastical regulations were passed to govern medicine partly to prevent clergymen profiting from medicine 21 john xxi was a medieval pope and physician who wrote popular medical texts after a period of decline the holy roman emperor charlemagne had decreed that a hospital should be attached to each cathedral and monastery following his death the hospitals again declined but by the tenth century monasteries were the leading providers of hospital work among them the benedictine abbey of cluny 8 charlemagne s decree required each monastery and cathedral chapter to establish a school and in these schools medicine was commonly taught gerbert of aurillac c 946 12 may 1003 known to history as pope sylvester ii taught medicine at one such school 16 petrus of spain 1210 1277 was a physician who wrote the popular treasury of the poor medical text and became pope john xxi in 1276 21 st hildegard of bingen dictating to a scribe hildegarde is recognised as a doctor of the church and was among the most distinguished of medieval catholic women scientists other famous physicians and medical researchers of the middle ages include the abbot of monte cassino bertharius the abbot of reichenau walafrid strabo the abbess st hildegard of bingen and the bishop of rennes marbodus of angers 6 monasteries of this era were diligent in the study of medicine and often too were convents hildegard of bingen a doctor of the church is among the most distinguished of medieval catholic women scientists other than theological works hildegard also wrote physica a text on the natural sciences as well as causae et curae hildegard was well known for her healing powers involving practical application of tinctures herbs and precious stones 22 in keeping with the benedictine rule that the care of the sick be placed above all other duties monasteries were the key medical care providers prior to 1300 most monasteries offered shelter for pilgrims and an infirmary for sick monks while separate hospitals were founded for the public 9 the benedictine order was noted for setting up hospitals and infirmaries in their monasteries growing medical herbs and becoming the chief medical care givers of their districts 6 the capuchin monks sought a revival of the ideals of francis of assisi offering care after plague struck at camerino in 1523 6 healing shrines were established and different saints came to be invoked for every body part in the hope of miraculous cures 15 some of the shrines remain to the present day and were in the middle ages great centres for pilgrims complete with relics and souvenirs 9 st luke or st michael were invoked for various ailments and a host of saints for individuals conditions including st roch as a protector against plague 15 st roch is venerated as one who provided care to plague suffers only to fall sick himself and be healed by an angel 15 23 through the devastating bubonic plague the franciscans were notable for tending the sick the apparent impotence of medical knowledge against the disease prompted critical examination medical scientists came to divide among anti galenists anti arabists and positive hippocratics 16 crusader orders established several new traditions of catholic medical care 24 the famous knights hospitaller arose as a group of individuals associated with an amalfitan hospital in jerusalem which was built to provide care for poor sick or injured pilgrims to the holy land following the capture of the city by crusaders the order became a military as well as infirmarian order 25 the knights of st john of jerusalem were later known as the knights of malta the knights templar and teutonic knights established hospitals around the mediterranean and through germanic lands 26 saint albert magnus was a pioneer of biological field research non military orders of brothers also took up the service of the infirm by the 15th century the brothers of the order of the holy spirit were providing care across europe and by the sixteenth century the spanish founded order of st john of god had set up about 200 hospitals in the americas 26 in catholic spain amidst the early reconquista archbishop raimund founded an institution for translations which employed a number of jewish translators to communicate the works of arabian medicine influenced by the rediscovery of aristotelian thought churchmen like the dominican albert magnus and the franciscan roger bacon made significant advances in the observation of nature small hospitals for pilgrims sprung up in the west during the early middle ages but by the latter part of the period had grown more substantial with hospitals founded for lepers pilgrims the sick aged and poor milan siena paris and florence had numerous and large hospitals within hospitals walls wrote porter the christian ethos was all pervasive from just 12 beds in 1288 the sta maria nuova in florence gradually expanded by 1500 to a medical staff of ten doctors a pharmacist and several assistants including female surgeons and was boasted of as the first hospital among christians 24 clergy were active at the school of salerno the oldest medical school in western europe among the important churchmen to teach there were alpuhans later 1058 1085 archbishop of salerno and the influential constantine of carthage a monk who produced superior translations of hippocrates and investigated arab literature 16 cathedral schools began in the early middle ages as centers of advanced education some of them ultimately evolving into medieval universities the medieval universities of western christendom were well integrated across all of western europe encouraged freedom of enquiry and produced a great variety of fine scholars and natural philosophers including robert grosseteste of the university of oxford an early expositor of a systematic method of scientific experimentation 27 and saint albert the great a pioneer of biological field research 28 porter wrote that the great age of hospital building from around 1200 coincided with the flourishing of universities in italy spain france and england sustained by the new wealth of the high middle ages the universities extended the work of salerno in medical education 26 renaissance edit the subject of saint sebastian tended by saint irene here by jan van bijlert c 1620s became popular in art in the early 17th century connected with fears of plague and the encouragement of nursing from the 14th century the european renaissance saw a revival of interest in classical learning in western europe coupled with and fuelled by the spread of new inventions like the printing press the fall of constantinople brought refugee scholars from the greek east to the west the catholic scholar desiderius erasmus 1466 1536 was interested in medicine and influential in reviving greek as a language of learning and the study of the pre christian works of galen roy porter wrote that after centuries where the church had taught mankind to renounce worldly goods for the sake of eternity renaissance man showed an insatiable curiosity for the materiality of the here and now 29 in renaissance italy the popes were often patrons of the study of anatomy and catholic artists such as michelangelo advanced knowledge of the field through such studies as sketching cadavers to improve his portraits of the crucifixion 16 it is often wrongly asserted that the papacy banned dissection during the period though in fact the directive of pope sixtus iv of 1482 to the university of tübingen said that the church had no objection to anatomy studies provided the bodies belonged to an executed criminal and was given a religious burial once examinations were completed 9 gregor mendel augustinian friar and scientist who developed theories on genetics for the first time development of modern medicine edit in modern times the catholic church is the largest non government provider of health care in the world catholic religious have been responsible for founding and running networks of hospitals across the world where medical research continues to be advanced 30 in 2013 robert calderisi wrote that the catholic church has around 18 000 clinics 16 000 homes for the elderly and those with special needs and 5 500 hospitals with 65 per cent of them located in developing countries 2 europe edit the french saint jeanne jugan 1792 1879 founded the little sisters of the poor who specialise in care for the aged catholic scientists in europe many of them clergymen made a number of important discoveries which aided the development of modern science and medicine catholic women were also among the first female professors of medicine as with trotula of salerno the 11th century physician and dorotea bucca who held a chair of medicine and philosophy at the university of bologna 31 the jesuit order created during the reformation contributed a number of distinguished medical scientists in the field of bacteriology it was the jesuit athanasius kircher 1671 who first proposed that living beings enter and exist in the blood a precursor of germ theory in the development of ophthalmology christoph scheiner made important advances in relation to refraction of light and the retinal image 16 gregor mendel an austrian scientist and augustinian friar began experimenting with peas around 1856 32 mendel had joined the brno augustinian monastery in 1843 but also trained as a scientist at the olmutz philosophical institute and the university of vienna the brno monastery was a centre of scholarship with an extensive library and tradition of scientific research 33 observing the processes of pollination at his monastery in modern czechoslovakia mendel studied and developed theories pertaining to the field of science now called genetics mendel published his results in 1866 in the journal of the brno natural history society and is considered the father of modern genetics 32 where charles darwin s theories suggested a mechanism for improvement of species over generations mendel s observations provided explanation for how a new species itself could emerge though darwin and mendel never collaborated they were aware of each other s work darwin read a paper by wilhelm olbers focke which extensively referenced mendel bill bryson wrote that without realizing it darwin and mendel laid the groundwork for all of life sciences in the twentieth century darwin saw that all living things are connected that ultimately they trace their ancestry to a single common source mendel s work provided the mechanism to explain how that could happen 34 catholic religious institutes notably those for women developed many hospitals throughout europe and its empires ancient orders like the dominicans and carmelites have long lived in religious communities that work in ministries such as education and care of the sick 35 the portuguese saint john of god d 1550 founded the brothers hospitallers of st john of god to care for the sick and a...
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