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Medicine in medieval England, c.1250-c.1500 - EdexcelCase study - the Black Death

Medicine in medieval England was based on religious, supernatural and rational ideas. The Church held great power over the practice of medicine. This was clear in the case of the Black Death, which reached Britain in 1348.

Part of HistoryMedicine in Britain, c.1250 to the present day

Case study - the Black Death

In 1348 a new spread throughout the British Isles. Thousands were killed. In England, the impact was huge. The disease became known as the Black Death or the Plague.

The Black Death affected both the rich and the poor. It also affected both those who lived in the towns and those who lived in the countryside. The main of the Black Death were in the armpit or groin, chest pains and a fever. When people caught the Black Death, they could die within days. Hardly anyone who caught it survived.

Medieval explanations for the plague included: earthquakes, imbalance of the four humours, miasma, the alignment of the planets and punishment from God

Approaches to treatment

When the Black Death arrived in England, it spread rapidly. Most people who caught it died within days and so there was not much time for treatment. We therefore do not have much knowledge about what treatments were used. However, it is known that the following methods were used, depending on what people believed about the causes of the Black Death:

Belief about causeTreatments
Sent by God as a punishment for sinConfession of sins or prayer
Breathing in bad airSmelling strong-smelling herbs, sweet-smelling flowers or lighting a fire
Imbalance of the four humoursBloodletting or purging (eg vomiting or use of laxatives)
Belief about causeSent by God as a punishment for sin
TreatmentsConfession of sins or prayer
Belief about causeBreathing in bad air
TreatmentsSmelling strong-smelling herbs, sweet-smelling flowers or lighting a fire
Belief about causeImbalance of the four humours
TreatmentsBloodletting or purging (eg vomiting or use of laxatives)

Attempts to prevent the spread of the Black Death

Attempts by individuals

Because death happened quickly when people caught the Black Death, most people focused on trying to prevent the spread of the disease. Some of the methods used to try to prevent the spread of the disease were the same as the treatments. For example, common actions included confession, prayer, and carrying posies (bunches of flowers) and herbs.

Attempts by authorities

Some local authorities also took action to prevent the spread of the disease. A common belief today is that the Black Death was spread by the fleas on rats. Some disagree and suggest that the was spread from human to human. Whatever is true, it is clear that if the following actions had been more widespread, they might have prevented more deaths in the medieval period:

  • Under laws, people new to an area had to stay away from others for 40 days. Houses were placed in quarantine where there had been an outbreak of the Black Death. Sometimes marks were placed on the doors of those believed to have been affected.
  • Strangers were not allowed to enter a village.
  • Local authorities stopped cleaning the streets because they believed the smells from the waste would drive away any bad air.
  • Events that attracted large crowds, such as religious processions, were banned.
  • Huge burial sites were created where the dead would be buried in mass graves. This was done quickly and without much religious ceremony.

However, all of these actions were difficult to enforce because the Church continued to have a lot of power. Individuals continued to follow the advice given by the Church, which meant they tried to prevent the spread of the Black Death with prayer, fasting and confession of sins.