Reprint of the original, first published in 1839.

The practice of medicine in the days before the development of anaesthetics could often be a brutal and painful experience. Many procedures, especially those involving surgery, must have proved almost as distressing to the doctor as to the patient. Yet in order to cure, the medical practitioner was often required to inflict pain and the patient to endure it. Some level of detachment has always been required of the doctor and especially, of the surgeon. It is the construction of this detachment, or dispassion, in early modern England, with which this work is concerned. The book explores the idea of medical dispassion and shows how practitioners developed the intellectual, verbal and manual skill of being able to replace passion with equanimity and distance. As the skill of 'dispassion' became more widespread it was both enthusiastically promoted and vehemently attacked by scientific and literary writers throughout the early modern period. To explain why the practice was so controversial and aroused such furor, this study takes into account not only patterns of medical education and clinical practice but wider debates concerning social, philosophical and religious ideas.

This is a major synthesis of the knowledge and practice of early modern English medicine in its social and cultural contexts. The book vividly maps out some central areas: remedies (and how they were made credible), notions of disease, advice on preventive medicine and on healthy living, and how surgeons worked upon the body and their understanding of what they were doing. The structures of practice and knowledge examined in the first part of the book came to be challenged in the later seventeenth century, when the 'new science' began to overturn the foundation of established knowledge. However, as the second part of the book shows, traditional medical practice was so well entrenched in English culture that much of it continued into the eighteenth century. Various changes did however occur, which set the agenda for later medical treatment and which are discussed in the final chapter.