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ON. Semashko (1928) wrote that the view of illness as a social phenomenon is important not only as a correct theoretical setting, but also as a fruitful working doctrine. The theory and practice of prevention have their scientific roots from this view. This teaching makes a doctor not an artisan from a hammer and a tube, but a social worker: since a disease is a social phenomenon, then it is necessary to fight it not only with therapeutic, but also social and preventive measures. The social nature of the disease obliges the doctor to be a social activist.
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The cited references to the opinions of many scientists are pertinent, because the patient-doctor relationship can sometimes create the illusion that healing is, as it were, a completely private matter; such an involuntary delusion could occur in our country before the Great October Socialist Revolution and now exists in bourgeois states, while the knowledge and skill of a doctor is entirely of social origin, and a person's illness is usually caused by the way of life and the influence of various factors of a particular social environment; the physical environment is also largely socially conditioned.
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Before the activities of Hippocrates and his school, doctors distinguished at least 50 manifestations of internal pathology. A rather long enumeration of various painful conditions and, accordingly, different designations is given in order to more specifically represent the great successes of observations, albeit primitive, of doctors of ancient civilizations - more than 2500 years ago.
It is useful to realize this and thereby be attentive to the hard work of our predecessors.The position of medicine in society. People's concern for the treatment of wounds and diseases has always existed and achieved some success in varying degrees in connection with the development of society and culture. In the most ancient civilizations - for 2-3 thousand years BC. - there were already some legislation regulating medical practice, for example, the Hammurabi code, etc.
Quite detailed information about ancient medicine was found in the papyri of Ancient Egypt. The papyri of Eberts and Edwin Smith provided a summary of medical knowledge. A narrow specialization was characteristic of the medicine of Ancient Egypt, there were separate healers for the treatment of lesions of the eyes, teeth, head, stomach, as well as the treatment of invisible diseases (!) (Perhaps they refer to internal pathology?). This extreme specialization is considered one of the reasons that delayed the progress of medicine in Egypt.
In ancient India, along with many empirical advances in medicine, surgery reached a particularly high level (removal of cataracts, removal of stones from the bladder, plastic surgery of the face, etc.); the position of healers seems to have always been honorable. In Ancient Babylon (according to the Hammurabi code) there was a high specialization, and there were also public schools of healers.
Ancient China had extensive experience in healing; the Chinese were the first pharmacologists in the world, they paid great attention to disease prevention, believing that a real doctor is not the one who treats the sick person, but the one who prevents the disease; their healers distinguished about 200 types of pulse, 26 of them to determine the prognosis.
Mike H.
In parallel with temple medicine, there were medical schools of fairly high qualifications (Kos, Knids schools), whose help was especially evident in the treatment of injured or wounded people.
Glen L.
The position of medicine and curative care, in particular during the era of Roman rule, was very low. Rome was inundated with many self-appointed healers, often swindlers, and prominent scholars of the time, such as Pliny the Elder, called doctors the poisoners of the Roman people. We must pay tribute to the state organization of Rome in attempts to improve hygienic conditions (the famous water pipes of Rome, Maximus cesspool, etc.).
Brett B.
The acquisition of medical knowledge, like any education, corresponded to the generally accepted scholastic method. Medical students were required to study logic for the first 3 years, then books by canonized authors; medical practice was not in the curriculum. Such a situation, for example, was even officially established in the 13th century and later.
Chris B.
At the beginning of the Renaissance, there were few changes in studies compared with the Middle Ages, classes were almost exclusively book; scholasticism, endless abstract verbal intricacies overwhelmed the heads of students.
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Little is known about the state organization of education and health care in this era, the transition from the dark Middle Ages to the new medicine was slow.The state of medical care in the 17th and 18th centuries was rather miserable, the poverty of knowledge was masked by abstruse reasoning, wigs and solemn robes. This position of healing is portrayed quite truthfully in Moliere's comedies. The existing hospitals provided meager assistance to the sick.
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Only during the Great French Revolution of 1789 did state regulation of medical education and assistance begin; for example, since 1795, by decree, compulsory education of students at the bedside was introduced.
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The position of a healer in primitive communities, among the tribe, was honorable.
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The Great October Socialist Revolution created new, most humane rules for medical practice. All the relationship between doctor and patient, distorted by bourgeois ideology and practice, has changed dramatically. The creation of a public health care system that provides free medical care has established a new relationship between doctor and patient.
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Taking care of the health of the population in our country is one of the most important tasks of the state, and the doctor has become the executor of this serious task. In the USSR, doctors are not people of the so-called free profession, but public figures working in a particular social field. The relationship between doctor and patient has changed accordingly.
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Almost everything that Hippocrates said is worthy of attention, careful thought, although this speech, apparently, is more addressed to fellow citizens than to doctors.
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Nevertheless, the future physician must weigh his possibilities - the natural movement of helping the suffering, the inevitable atmosphere of difficult spectacles and experiences.
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