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Quiz about Nineteenth Century Medical Theories
Quiz about Nineteenth Century Medical Theories

Nineteenth Century Medical Theories Quiz


Ebenezer Entwhistle suffered many symptoms, and received much contradictory advice, during his life in the early nineteenth century USA. Can you identify which of the competing medical theories his friends and doctors believed in, based on their advice?

A multiple-choice quiz by littlepup. Estimated time: 9 mins.
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Author
littlepup
Time
9 mins
Type
Multiple Choice
Quiz #
370,378
Updated
Dec 03 21
# Qns
10
Difficulty
Tough
Avg Score
6 / 10
Plays
294
-
Question 1 of 10
1. After a supper of some questionable beef and a night of throwing up, poor Ebenezer stopped in the apothecary shop and asked what was best to treat vomiting. The clerk answered, "Ipecacuanha." (we'd call it ipecac.)

"Wait. Doesn't that actually cause vomiting?" Ebenezer said.

"Exactly," the clerk answered. "But taken at the sixth dilution, it will cure what it would cause at full strength. Like cures like, and the more times the medicine is diluted, the stronger a cure it will be."

What medical philosophy did the clerk believe in?
Hint


Question 2 of 10
2. One winter, Ebenezer's coughing, chills and fever attracted the attention of his cousin Hiram. "You're not wasting money on a doctor, I hope," Hiram said. "I have a book that tells you how to take care of your family's health yourself. Those chills and fever show that your body is losing its vital heat. Here are the six steps you need to follow. First, take lobelia until it causes puking. After a few more of the steps, I'll make a steam bath for you out of a tub of water, a chair and a blanket..."

Ebenezer interrupted. "Isn't that the same thing you recommended when your sister had constipation last summer?"

"Yes. It cures almost anything," Hiram said.

Whose book had Hiram bought, to learn this system of medicine?
Hint


Question 3 of 10
3. Ebenezer finally called in a regular doctor for his coughing, sore throat, and fever. Uncle Zeph, a firm believer in homeopathy, came by later to visit, and noticed the leech marks on Ebenezer's throat and the blister on his chest from the doctor's treatment. As Ebenezer took a dose of calomel that the doctor had prescribed, Uncle Zeph shook his head sadly. "You shouldn't let that doctor near you. He does more harm than good, like every ..."

Though Uncle Zeph was probably thinking of colorful descriptions like "quack" or "fraud," what more specific word did he use to describe the doctor?
Hint


Question 4 of 10
4. A doctor passing through town advertised that he could examine people to help them understand more about themselves and to suggest how they could improve. Ebenezer arrived and sat in the chair as directed, while the doctor pressed gently on Ebenezer's head. Afterwards, the doctor's conclusions sounded so wrong that he might as well have been examining someone else. Ebenezer demanded his money back, or else he would tell everyone in town about the doctor's incompetence.

"I expected that," the doctor answered, returning his money. "Your organ of combativeness is remarkably large."

What kind of doctor did Ebenezer visit?
Hint


Question 5 of 10
5. Ebenezer attributed his upset stomach and fatigue to the hurried meals and strain of a long stagecoach journey, but when he got home, his Aunt Harriet had a different idea. "It's all that white bread and rich food you eat," she said. "Give up pies and puddings. Eat brown bread, more vegetables and fresh fruits. And if you don't mind me saying, you should either get married or stop thinking so much about finding the perfect young lady."

Whose writings and lectures had convinced her of that?
Hint


Question 6 of 10
6. Ebenezer spoke with a new doctor about his ongoing problem with sore and swollen joints after any sort of physical labor. The new doctor identified himself as an eclectic. Ebenezer described various treatments that had done no good, and other treatments that had helped him. Which of the following would an eclectic be LEAST apt to agree with, even if the patient claimed it helped? Hint


Question 7 of 10
7. Ebenezer wondered if an advertisement in the newspaper was the answer to all his ills. A new doctor was coming to a nearby city, and he claimed he could manipulate the magnetic fluid in a person's body and thereby restore anyone to health. Ebenezer knew better than to share his excitement with his own doctor, who would surely scoff, but he mentioned it to his preacher, who didn't share his enthusiasm. "It's a foolish parlor trick, or else it uses some unknown magic force. Either way, I would avoid it," the preacher advised.

This new doctor, with his belief in animal magnetism, would be a follower of whom?

Hint


Question 8 of 10
8. Ebenezer's rich uncle, Frederick Felix Vincent Entwhistle, or F.F.V. as his friends called him, heard Ebenezer complaining about heart palpitations and nervousness one day.

F.F.V. offered to take him to the watering place that F.F.V. visited each summer. "You can bathe in the mineral springs, drink the healing water, and you'll feel as good as new after the doctor there treats you," he said. "They also have horse races, balls and orchestras playing every night. Everyone from the best families will be there. You might even meet a rich young widow." He grinned and elbowed Ebenezer conspiratorially.

Ebenezer didn't think that sounded like a trip focused mainly on curing him, but F.F.V. did mention there would be a doctor. What medical philosophy would that doctor likely subscribe to?
Hint


Question 9 of 10
9. Before committing to a trip to a watering place where the wealthy gathered, Ebenezer decided to ask a local schoolteacher more about the "water cure".

"Those places are an embarrassment," the schoolteacher said. "You'll feel worse than ever, after rich food and late nights. To maintain your health, you must bathe often and drink pure water, yes, but you must also eat healthful food, exercise in the fresh air, and avoid the poisonous medicines that regular doctors prescribe. Let me loan you a book by Russell Thacher Trall that explains it."

Some people who had once supported such watering places were splitting off to advocate their own ideas. The new faction needed its own name, so they created one based on a Greek goddess of health, though the word they coined has come to be associated primarily with bathing today. What was the new label favored by these health reformers, who followed Dr. Trall?
Hint


Question 10 of 10
10. After a long life and consultations with many doctors, Ebenezer noticed a change that had been occurring gradually between the very early 1800s and the 1860s. When he used to visit a regular doctor, he was often bled with a lancet, blistered, and given medicines that made him puke or purge his bowels.

Nowadays, regular doctors gave him gentler medicines, rarely bled him, and generally seemed more interested in watching and waiting while prescribing the minimum, rather than attacking the disease with all their arsenal. Ebenezer liked the new way better. Maybe all the competing philosophies had taught regular doctors that patients could thrive as well on more conservative treatment.

What was the old, over-enthusiastic philosophy of treatment called?
Hint



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Quiz Answer Key and Fun Facts
1. After a supper of some questionable beef and a night of throwing up, poor Ebenezer stopped in the apothecary shop and asked what was best to treat vomiting. The clerk answered, "Ipecacuanha." (we'd call it ipecac.) "Wait. Doesn't that actually cause vomiting?" Ebenezer said. "Exactly," the clerk answered. "But taken at the sixth dilution, it will cure what it would cause at full strength. Like cures like, and the more times the medicine is diluted, the stronger a cure it will be." What medical philosophy did the clerk believe in?

Answer: Homeopathy

A German doctor, Samuel Hahnemann, developed the theory behind homeopathy in the late 1700s, and by the early 1800s, it was spreading across America. The highly diluted potions were essentially harmless compared to the harsh drugs and bloodletting favored by most doctors, so patients treated homeopathically often felt better simply because they avoided worse side effects. Though many homeopathic medicines started as herbs, others, such as tartar emetic, were diluted minerals.
2. One winter, Ebenezer's coughing, chills and fever attracted the attention of his cousin Hiram. "You're not wasting money on a doctor, I hope," Hiram said. "I have a book that tells you how to take care of your family's health yourself. Those chills and fever show that your body is losing its vital heat. Here are the six steps you need to follow. First, take lobelia until it causes puking. After a few more of the steps, I'll make a steam bath for you out of a tub of water, a chair and a blanket..." Ebenezer interrupted. "Isn't that the same thing you recommended when your sister had constipation last summer?" "Yes. It cures almost anything," Hiram said. Whose book had Hiram bought, to learn this system of medicine?

Answer: Samuel Thomson

Samuel Thomson of New Hampshire developed his own version of the herbal medicine used by country folk, particularly emphasizing steam baths. His "New Guide to Health", first published in 1822, became a bible for thousands of ordinary people who distrusted formally educated doctors. Others condemned Thomsonianism as mere quackery that pandered to the Jacksonian era's worship of the common man over the intellectual elite.

Rush, Priessnitz and Gall promoted heroic medicine, hydropathy and phrenology, respectively.
3. Ebenezer finally called in a regular doctor for his coughing, sore throat, and fever. Uncle Zeph, a firm believer in homeopathy, came by later to visit, and noticed the leech marks on Ebenezer's throat and the blister on his chest from the doctor's treatment. As Ebenezer took a dose of calomel that the doctor had prescribed, Uncle Zeph shook his head sadly. "You shouldn't let that doctor near you. He does more harm than good, like every ..." Though Uncle Zeph was probably thinking of colorful descriptions like "quack" or "fraud," what more specific word did he use to describe the doctor?

Answer: Allopath

Besides all the new and unusual medical theories, there was still mainstream medicine, taught in medical schools and learned during apprenticeships to other doctors. Homeopaths, who believed that diluted medicines cured the same symptoms that they caused when taken undiluted, referred to regular medicine as "allopathy" and its practitioners as "allopaths." The word came from "allos," which meant "other" in Greek, while "homeo" meant "similar." "Pathy," added to either prefix, meant "suffering" or "disease."
4. A doctor passing through town advertised that he could examine people to help them understand more about themselves and to suggest how they could improve. Ebenezer arrived and sat in the chair as directed, while the doctor pressed gently on Ebenezer's head. Afterwards, the doctor's conclusions sounded so wrong that he might as well have been examining someone else. Ebenezer demanded his money back, or else he would tell everyone in town about the doctor's incompetence. "I expected that," the doctor answered, returning his money. "Your organ of combativeness is remarkably large." What kind of doctor did Ebenezer visit?

Answer: Phrenologist

The pseudoscience of phrenology required feeling a person's head to identify bumps on the skull caused by "organs" in the brain that controlled various personality traits. Unfortunately, even the leading phrenologists disagreed on the exact number and location of the organs.

After a couple of decades of widespread popularity in the early nineteenth century, phrenology fell into disfavor in the 1840s, though it was revived briefly a few times afterwards.
5. Ebenezer attributed his upset stomach and fatigue to the hurried meals and strain of a long stagecoach journey, but when he got home, his Aunt Harriet had a different idea. "It's all that white bread and rich food you eat," she said. "Give up pies and puddings. Eat brown bread, more vegetables and fresh fruits. And if you don't mind me saying, you should either get married or stop thinking so much about finding the perfect young lady." Whose writings and lectures had convinced her of that?

Answer: Sylvester Graham

The Graham cracker is the only legacy of Sylvester Graham that most people know of, and he didn't even invent the modern snack cracker. He campaigned heavily for health reform in the early nineteenth century, encouraging people to give up white bread and instead to eat more nutritious brown bread (not necessarily crackers), to consume plainer and less sweet food and drinks, and to avoid thoughts and activities that he felt were impure and debilitating.

Combe, Gross and Cartwright wrote or lectured on phrenology, anatomy/surgery, and African-American pseudo-diseases, respectively.
6. Ebenezer spoke with a new doctor about his ongoing problem with sore and swollen joints after any sort of physical labor. The new doctor identified himself as an eclectic. Ebenezer described various treatments that had done no good, and other treatments that had helped him. Which of the following would an eclectic be LEAST apt to agree with, even if the patient claimed it helped?

Answer: Leeches on the joints and a dose of calomel (mercury)

Though eclectic physicians leaned toward herbal treatments and away from harsh mineral medicines and bloodletting, they were most interested in whatever worked. They didn't mind borrowing from other medical philosophies, and eagerly studied Native American and folk cures that used indigenous plants.
7. Ebenezer wondered if an advertisement in the newspaper was the answer to all his ills. A new doctor was coming to a nearby city, and he claimed he could manipulate the magnetic fluid in a person's body and thereby restore anyone to health. Ebenezer knew better than to share his excitement with his own doctor, who would surely scoff, but he mentioned it to his preacher, who didn't share his enthusiasm. "It's a foolish parlor trick, or else it uses some unknown magic force. Either way, I would avoid it," the preacher advised. This new doctor, with his belief in animal magnetism, would be a follower of whom?

Answer: Franz Anton Mesmer

Franz Mesmer gave us the word "mesmerism," generally a synonym for hypnotism today, but his followers in the early nineteenth century claimed their hypnotism-like treatments could somehow affect magnetic properties in the human body and restore health. The controversial sessions were met with skepticism and fear, as well as praise, because the patient's strange trance-like state, followed by a claim to be cured, seemed as if it might be the result of divine--or satanic--powers.

Gall, Shew, and Brandreth were promoters of phrenology, hydropathy, and patent medicine, respectively.
8. Ebenezer's rich uncle, Frederick Felix Vincent Entwhistle, or F.F.V. as his friends called him, heard Ebenezer complaining about heart palpitations and nervousness one day. F.F.V. offered to take him to the watering place that F.F.V. visited each summer. "You can bathe in the mineral springs, drink the healing water, and you'll feel as good as new after the doctor there treats you," he said. "They also have horse races, balls and orchestras playing every night. Everyone from the best families will be there. You might even meet a rich young widow." He grinned and elbowed Ebenezer conspiratorially. Ebenezer didn't think that sounded like a trip focused mainly on curing him, but F.F.V. did mention there would be a doctor. What medical philosophy would that doctor likely subscribe to?

Answer: Hydropathy

Hydropathy or the "water cure" was a medical philosophy that focused on the healing power of water--bathing in it, drinking it, using it to dampen sheets and wrap around the patient. Though bathing for health went back centuries, Vincenz Priessnitz of Austria is generally credited with its specific nineteenth century revival.

When its popularity soared in the US in the 1840s and 1850s, resorts already known for their "healing waters" or "hot springs" took full advantage, but they also still maintained their reputations as luxurious vacation destinations for the rich.
9. Before committing to a trip to a watering place where the wealthy gathered, Ebenezer decided to ask a local schoolteacher more about the "water cure". "Those places are an embarrassment," the schoolteacher said. "You'll feel worse than ever, after rich food and late nights. To maintain your health, you must bathe often and drink pure water, yes, but you must also eat healthful food, exercise in the fresh air, and avoid the poisonous medicines that regular doctors prescribe. Let me loan you a book by Russell Thacher Trall that explains it." Some people who had once supported such watering places were splitting off to advocate their own ideas. The new faction needed its own name, so they created one based on a Greek goddess of health, though the word they coined has come to be associated primarily with bathing today. What was the new label favored by these health reformers, who followed Dr. Trall?

Answer: The Hygienic System or Natural Hygiene

Health reformer Dr. Russell Trall was one of several doctors who split away from other hydropaths to advocate a more radical theory. He is generally credited with adapting the name of the Greek goddess of health and cleanliness, Hygeia, into our modern word "hygiene", in the 1850s.

The Hygienic System was similar to what Sylvester Graham had advocated earlier, emphasizing fruits and vegetables, little or no meat, fresh air, gentle exercise and cleanliness. Trall annoyed other doctors, though, by suggesting that their medicines did more harm than good and those who wanted to be restored to health were better off taking nothing.
10. After a long life and consultations with many doctors, Ebenezer noticed a change that had been occurring gradually between the very early 1800s and the 1860s. When he used to visit a regular doctor, he was often bled with a lancet, blistered, and given medicines that made him puke or purge his bowels. Nowadays, regular doctors gave him gentler medicines, rarely bled him, and generally seemed more interested in watching and waiting while prescribing the minimum, rather than attacking the disease with all their arsenal. Ebenezer liked the new way better. Maybe all the competing philosophies had taught regular doctors that patients could thrive as well on more conservative treatment. What was the old, over-enthusiastic philosophy of treatment called?

Answer: Heroic medicine

At the start of the nineteenth century, regular doctors relied on the old humoral theory of medicine and used copious bleeding, blistering, puking and purging to get the four supposed humors back in balance. Such "heroic" treatments were so uncomfortable, not to mention harmful, that many patients preferred any alternative.

By the 1860s, doctors had abandoned the humoral theory and heroic medicine, but were still groping for a theory to replace it. That decade brought the germ theory, and along with it, the dawn of modern medicine.
Source: Author littlepup

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