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‘A Plea for the Lancet’: Bloodletting, Therapeutic Epistemology, and Professional Identity in Late Nineteenth-century American Medicine

2016/05/02 by Eli Osterweil Anders · 1 voice
Arts and Humanities · Medicine · Psychology · #Historical Medical Research and Treatments #Historical Psychiatry and Medical Practices #Medical History and Innovations

paper · doi:10.1093/shm/hkw026

openalex publication_date 2016/05/02 · openalex created_date 2025/10/10 · openalex updated_date 2026/06/24

Abstract

Despite the declining use of bloodletting, American physicians vigorously debated its therapeutic value throughout the final decades of the nineteenth century. This debate was a terrain upon which physicians expressed deeply held ideas about professional identity and clinical epistemology. Many bloodletting proponents saw its continued defence as a way of affirming the superiority of mainstream physicians over irregular practitioners as well as the epistemological priority of clinical experience over laboratory knowledge; others sought to reconcile the practice of bloodletting with the latest physiological and bacteriological discoveries. This paper contributes to historians’ ongoing reassessment of what it meant for medicine to become ‘scientific’ at the turn of the twentieth century. ‘Scientific medicine’ encompassed not only the search for new remedies and research practices, but also the attempt to put older therapies like bloodletting on a sound footing for the future.

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