{"id":122491,"date":"2013-06-24T19:21:25","date_gmt":"2013-06-24T22:21:25","guid":{"rendered":"http:\/\/revistapesquisa.fapesp.br\/?p=122491"},"modified":"2017-03-08T16:15:30","modified_gmt":"2017-03-08T19:15:30","slug":"a-surgeons-advice","status":"publish","type":"post","link":"https:\/\/revistapesquisa.fapesp.br\/en\/a-surgeons-advice\/","title":{"rendered":"A surgeon\u2019s advice"},"content":{"rendered":"
\"Black

CASTRO MAYA\u2002MUSEUMS<\/span>Black surgeon applying leaches, a watercolor by Debret (1826), depicts the black populace dependent on surgeons even into the 19th century, in Rio de JaneiroCASTRO MAYA\u2002MUSEUMS<\/span><\/p><\/div>\n

Anyone who needed medical care between the time of the discovery of Brazil in 1500 and the arrival of the Portuguese royal family in 1808 was in a fix. Portuguese physicians willing to venture to Brazil were extremely rare. In Portugal, physicians were intellectuals with a university education. They discussed the great thinkers of old such as Aristotle and Galen. They enjoyed a high standing and earned significantly more money than those in occupations regarded as manual or mechanical. This was true for surgeons, for example, who were qualified to apply dressings and to perform surgeries, bloodletting and amputations after two years of practical study at the Hospital de Todos os Santos in Lisbon, without any academic training. It was they who brought some relief and knowledge to a populace greatly lacking in any kind of health care in the overseas territories.
\nWorking far away from the Portuguese Court offered surgeons significant advantages: they could become landowners and could gain wealth and social prominence. Physicians became more plentiful in Brazil only when the royal family established itself there in 1808 and created schools of medicine in Salvador and Rio de Janeiro. In efforts to ease this serious shortage, at least three surgeons wrote medical manuals in the 18th century in Brazil.<\/p>\n

Lu\u00eds Gomes Ferreira published Er\u00e1rio mineral (Mineral treasury) in 1735; Jo\u00e3o Cardoso de Miranda wrote Rela\u00e7\u00e3o cir\u00fargica e m\u00e9dica (Surgical and medical description) in 1747; and in 1770, Jos\u00e9 Antonio Mendes authored Governo de mineiros mui necess\u00e1rio para os que vivem distantes de professores seis, oito, dez e mais l\u00e9guas, padecendo por esta causa os seus dom\u00e9sticos e escravos queixas, que pela dila\u00e7\u00e3o dos rem\u00e9dios se fazem incur\u00e1veis e as mais das vezes mortais (Governance for inhabitants of Minas Gerais greatly needed for those who live six, eight, ten or more leagues away from doctors, causing their servants and slaves suffering from afflictions to become incurable and often die as a result of delayed remedies). This 158-page book with its rambling title was republished last month by the Public Archives of Minas Gerais with a critical study by Carlos Alberto Filgueiras, a chemist and science historian from the Federal University of Minas Gerais.<\/p>\n

The word \u201cgovernance\u201d in the title refers to the treatment of ailments. The author received a \u201csurgery certificate\u201d in Lisbon in 1739 and is thought to have come to Brazil soon afterward. There is no information on his birth, return to Portugal or death. In the book, he says that he wrote the manual after 35 years spent working in the \u201csurgical arts.\u201d He is known to have worked in the capitanias (now states) of Bahia and Minas Gerais.<\/p>\n

\u201cAlthough the manual contains a great deal of superstition, some items are quite interesting, particularly the effects of applying lemon juice to cure scurvy,\u201d Filgueiras says. The juice and salt were rubbed onto the mucous membranes of the mouth until they bled, bringing vitamin C into direct contact with the patient\u2019s blood. \u201cThe method of application was rather barbaric, but in essence it is consistent with modern medicine\u201d (read the original prescription shown in the photo above<\/em>).<\/p>\n

\"Original

PUBLIC ARCHIVES OF MINAS GERAIS<\/span>Original frontispiece of Governo de mineiros and information on curing scurvyPUBLIC ARCHIVES OF MINAS GERAIS<\/span><\/p><\/div>\n

The objective of Mendes and other surgeons was to give masters practical information for administering medical treatment to their slaves, who worked from sunrise to sundown in mining, farm work and hard labor of all kinds.<\/p>\n

\u201cIn Europe, governors focused on the health of poor men who relied on their physical strength to work. In the colonies, which relied on slave labor, they turned their attention on the black population,\u201d explains historian M\u00e1rcia Mois\u00e9s Ribeiro, a researcher with the Institute of Brazilian Studies (IEB) and the School of Philosophy, Language and Literature, and Humanities (FFLCH), both part of the University of S\u00e3o Paulo (USP). Ribeiro also studied the work of Mendes.<\/p>\n

In addition to scurvy, the practical manual on surgery gives instructions on treating wounds in general, erysipelas, tumors, edemas, boils and intestinal maladies, calls attention to asepsis for instruments and gives prescriptions for the art of curing. \u201cSome of the remedies he prescribes look clearly foolhardy today, particularly synthetic inorganics like mercury salts, antimony and arsenic,\u201d comments Filgueiras.<\/p>\n

Mendes did not disdain the idea of local experience and investigated the effectiveness of Brazilian plants for curing diseases, particularly those of a tropical nature. Much of that information came from indigenous and African traditions. \u201cThe physicians trained at the University of Coimbra lacked that knowledge,\u201d Filgueiras concludes.<\/p>\n

Prescription for scurvy
\n<\/strong>\u201cWhen scurvy is in its beginning stage (…) do as follows: if the patient\u2019s tongue is spotted and he has little desire to eat, have him take sour lemon and ground salt and rub them well into the gums until they bleed considerably; have him rub the same mixture on his tongue;<\/em><\/p>\n

(…) give him an emetic, and the following day give him an ounce of juice of the arroz de telhado plant (…) continuing with this regimen for eight or ten days, all the while accompanied by the aforementioned rubbing of the gums (…)\u201d<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"An 18th-century manual on medicine reveals details of the art of curing","protected":false},"author":15,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[152],"tags":[241,247],"coauthors":[104],"class_list":["post-122491","post","type-post","status-publish","format-standard","hentry","category-retrospect","tag-history","tag-medicine"],"acf":[],"_links":{"self":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts\/122491","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/comments?post=122491"}],"version-history":[{"count":0,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/posts\/122491\/revisions"}],"wp:attachment":[{"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/media?parent=122491"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/categories?post=122491"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/tags?post=122491"},{"taxonomy":"author","embeddable":true,"href":"https:\/\/revistapesquisa.fapesp.br\/en\/wp-json\/wp\/v2\/coauthors?post=122491"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}