Treating the Plague: Medieval Medicine, Bad Air, and Desperate Remedies
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In this follow-up to our Black Death episode, we step inside the medieval sickroom to answer a haunting question: what did people actually do to treat the plague? Without germ theory or antibiotics, medieval communities relied on the medical framework they had—humor theory, environmental medicine, and the belief that disease traveled through corrupted air (“miasma”).
We explore the remedies that followed logically from that worldview: herb bundles and fumigation, vinegar cloths, bleeding and purging, and attempts to “draw out” plague swellings with poultices and lancing. We also discuss complex apothecary mixtures like theriac, and why many “treatments” were as much about restoring control and meaning as they were about curing illness.
Along the way, we include a brief primary-source moment to hear how medieval witnesses described fear, isolation, and the collapse of ordinary care—and we close with what these treatments reveal about medieval knowledge, culture, and survival under pressure.
In this episode:
- The medieval medical “operating system”: the four humors
- Miasma and the war on “bad air”
- Common responses: herbs, incense, vinegar, and household prevention
- Physician practices: bleeding, purging, and regimen (diet + behavior)
- Buboes and “drawing out” remedies: poultices and lancing
- Theriac and the medieval pharmacy
- What may have helped accidentally: isolation and supportive care
Next up (vote for the follow-up):
- Why quarantine becomes “40 days”
- Plague doctors: myth vs. timeline
- Daily life during outbreaks—work, family, fear, and survival