⏱️ 7 min read
Throughout human history, medical practitioners have employed a fascinating array of treatments that, by modern standards, seem bizarre, dangerous, or downright horrifying. Before the advent of scientific medicine and an understanding of human anatomy, physicians relied on theories ranging from the four humors to divine intervention. These historical medical practices offer a window into how our ancestors understood health, disease, and the human body. While many of these treatments seem shocking today, they were performed with the genuine intention of healing patients and represented the cutting edge of medical knowledge in their respective eras.
Ancient and Medieval Medical Treatments
1. Trepanation: Drilling Holes in the Skull
One of the oldest surgical procedures known to humanity, trepanation involved drilling or scraping holes into the human skull while the patient was still alive. Archaeological evidence suggests this practice dates back to at least 7,000 years ago, with skulls showing signs of healing, indicating patients often survived the procedure. Ancient physicians believed trepanation could treat headaches, epilepsy, and mental disorders by releasing evil spirits or relieving pressure on the brain. Remarkably, this procedure was practiced across numerous cultures worldwide, from ancient Greece and Rome to pre-Columbian Peru and medieval Europe.
2. Bloodletting for Balance and Health
For over two thousand years, bloodletting was considered one of the most important medical treatments in Western medicine. Based on the theory of the four humors—blood, phlegm, black bile, and yellow bile—physicians believed that illness resulted from an imbalance of these bodily fluids. Bloodletting aimed to restore balance by removing excess blood, which was thought to be the dominant humor. Doctors used various methods including leeches, lancets, and specialized instruments called scarificators. This practice was so common that barbers originally performed it, which is why the traditional barber pole features red and white stripes representing blood and bandages.
3. Mercury Treatments for Syphilis
From the 16th through the early 20th century, mercury was the primary treatment for syphilis, despite being highly toxic. Physicians applied mercury ointments to patients' skin, administered mercury vapor baths, or had patients ingest mercury compounds. The treatment often caused severe side effects including tooth loss, kidney damage, and neurological problems. The saying "a night with Venus, a lifetime with Mercury" reflected the dangerous cure that often proved as devastating as the disease itself. This practice continued until the discovery of penicillin in the 1940s finally provided an effective and safe treatment.
Peculiar Remedies and Substances
4. Mummy Powder as Universal Medicine
During the Renaissance and into the 18th century, ground-up Egyptian mummies were considered a valuable medicinal substance throughout Europe. Known as "mumia," this powder was believed to cure everything from headaches and stomach ailments to more serious conditions like plague and poisoning. The demand became so high that a thriving trade in mummies developed, and when supplies ran short, some merchants created fake mummies from recently deceased bodies. This macabre practice only declined when physicians began questioning its efficacy and the ethics of consuming human remains.
5. Tobacco Smoke Enemas for Resuscitation
In the 18th and early 19th centuries, blowing tobacco smoke into a patient's rectum was a common method for treating various ailments, particularly for resuscitating drowning victims. Medical practitioners believed the warmth and stimulating properties of tobacco smoke could revive unconscious patients and treat conditions ranging from headaches to cholera. Special kits containing bellows and rectal tubes were stationed along major waterways, particularly the River Thames in London. The practice was eventually abandoned when nicotine was recognized as toxic and the treatment was proven ineffective.
6. Arsenic Complexion Wafers
Victorian-era beauty standards drove people to consume arsenic complexion wafers, which were marketed as cosmetic aids to achieve fashionably pale skin and remove freckles. These wafers contained small amounts of arsenic and were advertised as safe beauty enhancers. While low doses might temporarily create a pale complexion, regular use led to arsenic poisoning, causing hair loss, digestive problems, and even death. Despite known dangers, these products remained popular because they did produce the desired cosmetic effects, at least temporarily.
Surgical and Physical Interventions
7. Lobotomies for Mental Illness
In the mid-20th century, lobotomy became a common treatment for mental illness, with its developer, António Egas Moniz, receiving the Nobel Prize in 1949. The procedure involved severing connections in the brain's prefrontal cortex, supposedly to calm agitated patients. Thousands of lobotomies were performed, often with an ice pick-like instrument inserted through the eye socket. While some patients showed reduced symptoms, many were left with severe cognitive impairments, personality changes, or became completely incapacitated. The procedure fell out of favor in the 1950s with the development of antipsychotic medications.
8. Urine Therapy and Consumption
For centuries across various cultures, urine was considered a valuable medical substance. Ancient Romans used urine as a teeth whitener and antiseptic, while traditional Chinese and Indian medicine prescribed drinking one's own urine to treat numerous ailments. Medieval physicians used urine in diagnostic charts called "uroscopy wheels" to diagnose disease based on color, smell, and taste. While modern medicine has found that urine is generally sterile when it leaves the body, there is no scientific evidence supporting its consumption as beneficial, and it can actually be harmful in certain situations.
Extreme and Dangerous Practices
9. Malaria Fever Treatment for Syphilis
In the 1920s, Austrian physician Julius Wagner-Jauregg developed a controversial treatment for advanced syphilis: deliberately infecting patients with malaria. The theory was that the high fevers produced by malaria would kill the syphilis bacteria. Patients were infected with malaria-carrying mosquitoes or blood transfusions, allowed to experience several fever cycles, then treated with quinine to cure the malaria. Wagner-Jauregg received the Nobel Prize for this work in 1927, though the treatment was dangerous and had significant mortality rates. The practice was abandoned after penicillin became available.
10. Radium Water as a Health Tonic
During the 1920s and 1930s, radioactive substances were marketed as miracle health products before their dangers were fully understood. Radium water, sold under names like "Radithor," was advertised as an energy booster and cure-all that could treat everything from impotence to arthritis. Wealthy industrialist Eben Byers famously consumed large quantities of radium water and died in 1932 from radiation poisoning, his death publicized as "The Radium Water Worked Fine Until His Jaw Came Off." This tragedy helped spur regulation of radioactive consumer products.
11. Heroin as Cough Medicine
The Bayer pharmaceutical company introduced heroin in 1898 as a non-addictive morphine substitute and cough suppressant. It was marketed as safe for children and widely prescribed for conditions including coughs, colds, and tuberculosis. Heroin was even promoted as a treatment for morphine addiction. For over a decade, heroin was sold over the counter in many countries before medical professionals recognized its highly addictive properties and severe health risks. The drug was eventually banned for medical use in most countries by the 1920s and 1930s.
12. Tapeworm Diet Pills
In the Victorian era and early 20th century, desperate dieters turned to pills containing tapeworm eggs or larvae, believing the parasites would consume food in their digestive system and cause weight loss. Advertisements claimed users could "eat as much as you want and still lose weight." While tapeworms might cause some weight loss, they also caused malnutrition, digestive problems, and could migrate to other organs including the brain and eyes, causing serious complications or death. Despite being banned in many places, these pills occasionally resurface in underground markets, demonstrating the dangerous lengths people will go to for weight loss.
Lessons from Medical History
These twelve strange medical practices remind us how far medicine has advanced in relatively recent history. What seemed logical and cutting-edge to physicians of the past now appears dangerous and misguided. Each practice was rooted in the medical theories and understanding of its time, applied by practitioners who genuinely believed they were helping their patients. The transition from these historical treatments to modern, evidence-based medicine was gradual and often met with resistance. Today's medical practices are grounded in scientific research, clinical trials, and an ever-expanding understanding of human biology. However, examining historical medical practices with humility reminds us that future generations may view some of our current medical practices with similar bewilderment, emphasizing the importance of continued research, skepticism, and the evolution of medical knowledge.



