‘Because My Son Does Not Read Latin’. Rhetoric, Competition And Education In Middle Dutch Surgical Handbooks

K. V. '. Land
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Abstract

Two late medieval handbooks of surgery, written in Middle Dutch, are used here as sources for answering the question: which value did book-learning and formal education offer to non-academic late medieval surgeons? The authors, the Flemish surgeons Jan Yperman (ca. 1330) and Thomaes Scellinck van Thienen (fl. 1343), probably both lacked a university education, and wrote in the vernacular. In their works, they employed the fiercest rhetoric possible against the empirics or lay surgeons. Their knowledge of surgery was much less than that of Yperman or Scellinck, and accordingly, the variety in their remedies was very poor. Therefore, the lay surgeons' results were bad, and it was shameful and a disgrace that they could actually practice the way they did. These and similar accounts of lay surgery, coming from the learned tradition of surgery, have often been believed at face value. However, close-reading of the surgical texts provides a much more nuanced image of lay surgeons as confident practitioners, sharing the medical discourse of their more learned colleagues. Lack of knowledge may even have benefitted surgical practice, as the predictable remedies of empirics presumably appeared far less threatening than the varied and sometimes invasive techniques of learned surgeons. Furthermore, lay surgeons were not hampered by academic scrupules in claiming the most fantastic cures, which may have benefitted their bussiness on the competitive medical market of the late Middle Ages.
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“因为我儿子不懂拉丁文”。中古荷兰外科手册中的修辞、竞争与教育
这里用两本中世纪晚期荷兰语写的外科手册作为回答以下问题的来源:书本学习和正规教育对中世纪晚期非学术的外科医生有什么价值?作者是佛兰德外科医生扬·伊普曼(约1330年)和托马斯·塞林克·范·蒂南(约1343年),他们可能都没有受过大学教育,用白话写作。在他们的作品中,他们用最激烈的言辞反对经验主义者或外行外科医生。他们的外科知识比伊普曼和塞林克少得多,因此,他们的治疗方法种类很少。因此,外行医生的手术结果很糟糕,他们可以这样做是可耻的,是一种耻辱。这些和类似的外行手术的描述,来自外科的学术传统,通常被认为是表面上的价值。然而,仔细阅读外科文本提供了一个更细致入微的外行外科医生作为自信的从业者的形象,分享他们更有学识的同事的医学话语。知识的缺乏甚至可能对外科手术有益,因为经验的可预测的补救措施可能比博学的外科医生的各种各样的、有时是侵入性的技术要小得多。此外,外行外科医生在宣称最神奇的治疗方法时,不会受到学术严谨的阻碍,这可能使他们在中世纪晚期竞争激烈的医疗市场上受益。
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