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The Renaissance:

During the Renaissance, the works of Celsus and Galen were questioned.

Antonio Benivieni (c 1443-1502) systematically performed autopsies on his patients to investigate the causes of their symptoms. His autopsy records were published posthumously. The following is an example from his records:

No 36: A relative by marriage vomited everything, being unable to retain food or medicine, gradually wasting away to skin and bone and finally dying. The body was opened in the interest of the public good. Benivieni found an induration of the stomach reaching to the pylorus and preventing the passage of food. The patient was probably suffering from gastric carcinoma (a malignant tumour).

Vesalius (1514-1564), Colombo (c 1516-1559), Fallopius (1523-1562) and Eustachius (1524-1574) were prominent Renaissance anatomists who also made advances in pathology, largely through the dissection of executed criminals.

The expanding knowledge of pathology was first codified by Jean Fernel of Amiens (c 1497-1558) who published textbooks on physiology, pathology and therapeutics which became the standard throughout Europe.

The first pathology textbook was Fernel’s Pathologiae Libri (1554) in which he grouped disorders according to the organs and systems involved.

Although many of his theories of the causes of disease were fanciful, his systematic approach to pathology and his emphasis on precise anatomical observations were highly influential.

 

Jean Fernel