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This book presents a uniquely broad and pioneering history of premodern toxicology by exploring how late medieval and early modern (c. 1200–1600) physicians discussed the relationship between poison, medicine, and disease. Drawing from a wide range of medical and natural philosophical texts—with an emphasis on treatises that focused on poison, pharmacotherapeutics, plague, and the nature of disease—this study brings to light premodern physicians' debates about the potential existence, nature, and properties of a category of substance theoretically harmful to the human body in even the smallest amount. Focusing on the category of poison (venenum) rather than on specific drugs reframes and remixes the standard histories of toxicology, pharmacology, and etiology, as well as shows how these aspects of medicine (although not yet formalized as independent disciplines) interacted with and shaped one another. Physicians argued, for instance, about what properties might distinguish poison from other substances, how poison injured the human body, the nature of poisonous bodies, and the role of poison in spreading, and to some extent defining, disease. The way physicians debated these questions shows that poison was far from an obvious and uncontested category of substance, and their effort to understand it sheds new light on the relationship between natural philosophy and medicine in the late medieval and early modern periods.
The Black Death of the late Middle Ages is often described as the greatest natural disaster in the history of humankind. More than fifty million people, half of Europe’s population, died during the first outbreak alone from 1347 to 1353. Plague then returned fifteen more times through to the end of the medieval period in 1500, posing the greatest challenge to physicians ever recorded in the history of the medical profession. This engrossing book provides the only comprehensive history of the medical response to the Black Death over time. Leading historian John Aberth has translated many unknown plague treatises from nine different languages that vividly illustrate the human dimensions of the horrific scourge. He includes doctors’ remarkable personal anecdotes, showing how their battles to combat the disease (which often afflicted them personally) and the scale and scope of the plague led many to question ancient authorities. Dispelling many myths and misconceptions about medicine during the Middle Ages, Aberth shows that plague doctors formulated a unique and far-reaching response as they began to treat plague as a poison, a conception that had far-reaching implications, both in terms of medical treatment and social and cultural responses to the disease in society as a whole.
This book presents a uniquely broad and pioneering history of premodern toxicology by exploring how late medieval and early modern (c. 1200-1600) physicians discussed the relationship between poison, medicine, and disease. Drawing from a wide range of medical and natural philosophical texts--with an emphasis on treatises that focused on poison, pharmacotherapeutics, plague, and the nature of disease--this study brings to light premodern physicians' debates about the potential existence, nature, and properties of a category of substance theoretically harmful to the human body in even the smallest amount. Focusing on the category of poison (venenum) rather than on specific drugs reframes and remixes the standard histories of toxicology, pharmacology, and etiology, as well as shows how these aspects of medicine (although not yet formalized as independent disciplines) interacted with and shaped one another. Physicians argued, for instance, about what properties might distinguish poison from other substances, how poison injured the human body, the nature of poisonous bodies, and the role of poison in spreading, and to some extent defining, disease. The way physicians debated these questions shows that poison was far from an obvious and uncontested category of substance, and their effort to understand it sheds new light on the relationship between natural philosophy and medicine in the late medieval and early modern periods.
From the Pulitzer Prize–winning New York Times reporter who first exposed the roots of the opioid epidemic and the secretive world of the Sackler family behind Purdue Pharma, Pain Killer is the celebrated landmark story of corporate greed and government negligence that inspired an upcoming Netflix series. “This is the book that started it all. Barry Meier is a heroic reporter and Pain Killer is a muckraking classic.”—Patrick Radden Keefe, author of Empire of Pain Between 1999 and 2017, an estimated 250,000 Americans died from overdoses involving prescription painkillers, a plague ignited by Purdue Pharma’s aggressive marketing of OxyContin. Families, working class and wealthy, have been torn apart, businesses destroyed, and public officials pushed to the brink. Meanwhile, the drugmaker’s owners, Raymond and Mortimer Sackler, whose names adorn museums worldwide, made enormous fortunes from the commercial success of OxyContin. In Pain Killer, Barry Meier tells the story of how Purdue turned OxyContin into a billion-dollar blockbuster. Powerful narcotic painkillers, or opioids, were once used as drugs of last resort for pain sufferers. But Purdue launched an unprecedented marketing campaign claiming that the drug’s long-acting formulation made it safer to use than traditional painkillers for many types of pain. That illusion was quickly shattered as drug abusers learned that crushing an Oxy could release its narcotic payload all at once. Even in its prescribed form, Oxy proved fiercely addictive. As OxyContin’s use and abuse grew, Purdue concealed what it knew from regulators, doctors, and patients. Here are the people who profited from the crisis and those who paid the price, those who plotted in boardrooms and those who tried to sound alarm bells. A country doctor in rural Virginia, Art Van Zee, took on Purdue and warned officials about OxyContin abuse. An ebullient high school cheerleader, Lindsey Myers, was reduced to stealing from her parents to feed her escalating Oxy habit. A hard-charging DEA official, Laura Nagel, tried to hold Purdue executives to account. In Pain Killer, Barry Meier breaks new ground in his decades-long investigation into the opioid epidemic. He takes readers inside Purdue to show how long the company withheld information about the abuse of OxyContin and gives a shocking account of the Justice Department’s failure to alter the trajectory of the opioid epidemic and protect thousands of lives. Equal parts crime thriller, medical detective story, and business exposé, Pain Killer is a hard-hitting look at how a supposed wonder drug became the gateway drug to a national tragedy.
This is the first systematic scholarly study of the Ottoman experience of plague during the Black Death pandemic and the centuries that followed. Using a wealth of archival and narrative sources, including medical treatises, hagiographies, and travelers' accounts, as well as recent scientific research, Nükhet Varlik demonstrates how plague interacted with the environmental, social, and political structures of the Ottoman Empire from the late medieval through the early modern era. The book argues that the empire's growth transformed the epidemiological patterns of plague by bringing diverse ecological zones into interaction and by intensifying the mobilities of exchange among both human and non-human agents. Varlik maintains that persistent plagues elicited new forms of cultural imagination and expression, as well as a new body of knowledge about the disease. In turn, this new consciousness sharpened the Ottoman administrative response to the plague, while contributing to the makings of an early modern state.
Women have engaged in healing from the beginning of history, often within the context of the home. This book studies the role, contributions and challenges faced by women healers in France, Spain, Italy and England, including medical practice among women in the Jewish and Muslim communities, from the later Middle Ages to approximately 1800.
Plagues in World History provides a concise, comparative world history of catastrophic infectious diseases, including plague, smallpox, tuberculosis, cholera, influenza, and AIDS. Geographically, these diseases have spread across the entire globe; temporally, they stretch from the sixth century to the present. John Aberth considers not only the varied impact that disease has had upon human history but also the many ways in which people have been able to influence diseases simply through their cultural attitudes toward them. The author argues that the ability of humans to alter disease, even without the modern wonders of antibiotic drugs and other medical treatments, is an even more crucial lesson to learn now that AIDS, swine flu, multidrug-resistant tuberculosis, and other seemingly incurable illnesses have raged worldwide. Aberth's comparative analysis of how different societies have responded in the past to disease illuminates what cultural approaches have been and may continue to be most effective in combating the plagues of today.
A four-year investigation into the world of synthetic drugs—from black market factories to users & dealers to harm reduction activists—and what it revealed. A deeply human story, Fentanyl, Inc. is the first deep-dive investigation of a hazardous and illicit industry that has created a worldwide epidemic, ravaging communities and overwhelming and confounding government agencies that are challenged to combat it. “A whole new crop of chemicals is radically changing the recreational drug landscape,” writes Ben Westhoff. “These are known as Novel Psychoactive Substances (NPS) and they include replacements for known drugs like heroin, cocaine, ecstasy, and marijuana. They are synthetic, made in a laboratory, and are much more potent than traditional drugs” —and all-too-often tragically lethal. Drugs like fentanyl, K2, and Spice—and those with arcane acronyms like 25i-NBOMe—were all originally conceived in legitimate laboratories for proper scientific and medicinal purposes. Their formulas were then hijacked and manufactured by rogue chemists, largely in China, who change their molecular structures to stay ahead of the law, making the drugs’ effects impossible to predict. Westhoff has infiltrated this shadowy world. He tracks down the little-known scientists who invented these drugs and inadvertently killed thousands, as well as a mysterious drug baron who turned the law upside down in his home country of New Zealand. Westhoff visits the shady factories in China from which these drugs emanate, providing startling and original reporting on how China’s vast chemical industry operates, and how the Chinese government subsidizes it. Poignantly, he chronicles the lives of addicted users and dealers, families of victims, law enforcement officers, and underground drug awareness organizers in the United States and Europe. Together they represent the shocking and riveting full anatomy of a calamity we are just beginning to understand. From its depths, as Westhoff relates, are emerging new strategies that may provide essential long-term solutions to the drug crisis that has affected so many. “Timely and agonizing. . . . An impressive work of investigative journalism.” —USA Today “Westhoff explores the many-tentacled world of illicit opioids, from the streets of East St. Louis to Chinese pharmaceutical companies, from music festivals deep in the Michigan woods to sanctioned ‘shooting up rooms’ in Barcelona, in this frank, insightful, and occasionally searing exposé. . . . Westhoff’s well-reported and researched work will likely open eyes, slow knee-jerk responses, and start much needed conversations.” —Publishers Weekly “Our 25 Favorite Books of 2019” —St. Louis Post-Dispatch “Best Books of 2019” —Buzzfeed “Best Nonfiction of 2019” —Kirkus Reviews “50 Best Books of 2019” —Daily Telegraph “Best Nonfiction Books of 2019” —Tyler Cowen “Best Books of 2019” —Yahoo Finance
Open access edition: DOI 10.6069/9780295749013 At first glance, medicine and poison might seem to be opposites. But in China’s formative era of pharmacy (200–800 CE), poisons were strategically employed as healing agents to cure everything from abdominal pain to epidemic disease. Healing with Poisons explores the ways physicians, religious figures, court officials, and laypersons used toxic substances to both relieve acute illnesses and enhance life. It illustrates how the Chinese concept of du—a word carrying a core meaning of “potency”—led practitioners to devise a variety of methods to transform dangerous poisons into effective medicines. Recounting scandals and controversies involving poisons from the Era of Division to the Tang, historian Yan Liu considers how the concept of du was central to how the people of medieval China perceived both their bodies and the body politic. He also examines the wide range of toxic minerals, plants, and animal products used in classical Chinese pharmacy, including everything from the herb aconite to the popular recreational drug Five-Stone Powder. By recovering alternative modes of understanding wellness and the body’s interaction with foreign substances, this study cautions against arbitrary classifications and exemplifies the importance of paying attention to the technical, political, and cultural conditions in which substances become truly meaningful. Healing with Poisons is freely available in an open access edition thanks to TOME (Toward an Open Monograph Ecosystem) and the generous support of the University of Buffalo.
This is the first volume to take a broad historical sweep of the close relation between medicines and poisons in the Western tradition, and their interconnectedness. They are like two ends of a spectrum, for the same natural material can be medicine or poison, depending on the dose, and poisons can be transformed into medicines, while medicines can turn out to be poisons. The book looks at important moments in the history of the relationship between poisons and medicines in European history, from Roman times, with the Greek physician Galen, through the Renaissance and the maverick physician Paracelsus, to the present, when poisons are actively being turned into beneficial medicines.