دورية أكاديمية

Treatment by bloodletting in the past and present

التفاصيل البيبلوغرافية
العنوان: Treatment by bloodletting in the past and present
المؤلفون: Čolović Nataša, Leković Danijela, Gotić Mirjana
المصدر: Srpski Arhiv za Celokupno Lekarstvo, Vol 144, Iss 3-4, Pp 240-248 (2016)
بيانات النشر: Serbian Medical Society, 2016.
سنة النشر: 2016
المجموعة: LCC:Medicine
مصطلحات موضوعية: bloodletting, scarification with cupping, phlebotomy, arteriotomy, leeches, Medicine
الوصف: Introduction. Therapeutic bloodletting has been practiced at least 3000 years as one of the most frequent methods of treatment in general, whose value was not questioned until the 19th century, when it was gradually abandoned in Western medicine, while it is still practiced in Arabic and traditional Chinese medicine. Content. In modern medicine bloodletting is practiced for very few indications. Its concept was modeled on the process of menstrual bleeding, for which it was believed to “purge women of bad humours.” Thus, bloodletting was based more on the belief that it helps in the reestablishment of proper balance of body “humours” than on the opinion that it serves to remove excessive amount of blood as well as to remove toxic “pneumas” that accumulate in human body. It was indicated for almost all known diseases, even in the presence of severe anemia. Bloodletting was carried out by scarification with cupping, by phlebotomies (venesections), rarely by arteriotomies, using specific instruments called lancets, as well as leeches. In different periods of history bloodletting was practiced by priests, doctors, barbers, and even by amateurs. In most cases, between one half of liter and two liters of blood used to be removed. Bloodletting was harmful to vast majority of patients and in some of them it is believed that it was either fatal or that it strongly contributed to such outcome. In the 20th century in the “Western” medicine bloodletting was still practiced in the treatment of hypertension and in severe cardiac insufficiency and pulmonary edema, but these indications were later abandoned. Conclusion. Bloodletting is still indicated for a few indications such as polycythemia, haemochromatosis, and porphyria cutanea tarda, while leeches are still used in plastic surgery, replantation and other reconstructive surgery, and very rarely for other specific indications.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
Serbian
تدمد: 0370-8179
2406-0895
العلاقة: https://doaj.org/toc/0370-8179Test; https://doaj.org/toc/2406-0895Test
DOI: 10.2298/SARH1604240C
الوصول الحر: https://doaj.org/article/76d9274707714ce4ba6157e89716f820Test
رقم الانضمام: edsdoj.76d9274707714ce4ba6157e89716f820
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:03708179
24060895
DOI:10.2298/SARH1604240C