Excessive daytime sleepiness from a humoralist view. A successful treatment in 1720
Tóm tắt
The establishment of sleep medicine as a clinical discipline in the 1980s went hand in hand with a review of historical sources. Experts in sleep medicine searched the belles-lettres as well as the medical literature for references to the striking daytime symptoms of advanced obstructive sleep apnoea syndrome. This paper presents an historical account that has been overlooked so far: A case of excessive daytime sleepiness successfully treated in 1720 by the eminent German physician and surgeon Lorenz Heister (1683–1758). The physician and his patient never met in the course of the therapy, communicating instead solely by post. Heister blended the patient's letter, in which he set down his symptoms, and his own written advice into a comprehensive case report published in 1753 (in English, 1755), which allows us a glimpse into the medical world of humoralism. By following Heister's course from the identification of symptoms via an aetiological explanation to the therapeutic strategy, the paper illustrates that this early modern physician acted within a logical framework that enabled him to construct a close relation between medical theory and therapeutic practice.
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