Learned medicine in the context of "Melancholia"

⭐ In the context of melancholia, learned medicine prior to the 18th century primarily attributed the condition to an imbalance of what bodily substance?

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⭐ Core Definition: Learned medicine

Learned medicine is the European medical tradition in the Early Modern period, when it experienced the tension between the texts derived from ancient Greek medicine, particularly by followers of the teachings attributed to Hippocrates and those of Galen vs. the newer theories of natural philosophy spurred on by Renaissance humanistic studies, the religious Reformation and the establishment of scientific societies. The Renaissance principle of "ad fontes" as applied to Galen sought to establish better texts of his writings, free from later accretions from Arabic-derived texts and texts of medieval Latin. This search for better texts was influential in the early 16th century. Historians use the term medical humanism to define this textual activity, pursued for its own sake.

Learned medicine centred on the practica, a genre of Latin texts based on description of diseases and their treatment (nosology). Its interests were less in the abstract reasoning of medieval medicine and in the tradition of Avicenna, on which it was built, and instead it was based more on the diagnosis and treatment of particular diseases. Practica, covering diagnosis and therapies, was contrasted with theorica, which dealt with physiology and abstract thought on health and illness. The tradition from Galen valued practica less than theorica concepts, but from the 15th century the status of practica in learned medicine rose.

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👉 Learned medicine in the context of Melancholia

Melancholia or melancholy (Ancient Greek: μελαγχολία, romanizedmelancholía; from μέλαινα χολή, mélaina cholḗ, 'black bile') is a concept found throughout ancient, medieval, and premodern medicine in Europe that describes a condition characterized by markedly depressed mood, bodily complaints, and sometimes hallucinations and delusions. Besides a pathological condition, melancholy could also refer to a mood or temperament and at times it was even used as a description of the human condition in general.

Melancholy (or more precisely the 'black bile', from which melancholy derives its name) was regarded as one of the four temperaments matching the four humours. Until the 18th century, doctors and other scholars classified melancholic conditions as such by their perceived common cause – an excess of a notional fluid known as "black bile", which was commonly linked to the spleen. Hippocrates and other ancient physicians described melancholia as a distinct disease with mental and physical symptoms, including persistent fears and despondencies, poor appetite, abulia, sleeplessness, irritability, and agitation. Later, fixed delusions were added by Galen and other physicians to the list of symptoms. In the Middle Ages, the understanding of melancholia shifted to a religious perspective, with sadness seen as a vice and demonic possession, rather than somatic causes, as a potential cause of the disease.

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Learned medicine in the context of Paracelsianism

Paracelsianism (also Paracelsism; German: Paracelsismus) was an early modern medical movement based on the theories and therapies of Paracelsus. It developed in the second half of the 16th century, during the decades following Paracelsus's death in 1541, and it flourished during the first half of the 17th century, representing one of the most comprehensive alternatives to learned medicine, the traditional system of therapeutics derived from Galenic physiology.

Based on the by then antiquated principle of maintaining harmony between the microcosm and macrocosm, Paracelsianism fell rapidly into decline in the later 17th century with the rise of the scientific movement, but left its mark on medical practices. It was responsible for the widespread introduction of mineral therapies and several other iatrochemical techniques.

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