This article examines the process by which the London physician Thomas Sydenham (1624–89) rose to fame as the English Hippocrates in the late seventeenth century. It provides a survey of the evidence for the establishment of Sydenham’s reputation from his own writings, his professional relations, and the writings of his supporters and detractors. These sources reveal that in the first decades of his career Sydenham had few supporters and faced much opposition. However, by the end of the seventeenth century, Sydenham was the object of extraordinary outbursts of adulation and had become renowned for his decrying of hypotheses and speculative theory, his promotion of natural histories of disease, and the purported similarities between his medical method and that of Hippocrates. It is argued that Sydenham’s positive reputation owed little to his achievements in medicine: it was almost entirely the result of his promotion by the philosopher John Locke and a small group of sympathetic physicians. It was they who created the English Hippocrates.

This paper attempts a comprehensive account of ‘fibre medicine’ elaborated by iatromechanists from c. 1700 to c. 1740. Fibre medicine, a medical theory informed by the notion of the fibre, has been neglected by medical historians despite the pivotal role played by the fibre in animal economy. Referring to a wide range of medical fields such as anatomy, physiology, pathology, therapeutics and life sciences, this paper elucidates the ways that the fibre serves as an indispensable concept for iatromechanists to establish their medical theories. This paper also highlights the metaphorical dimension of the fibre as an integral part of fibre medicine. In re-evaluating the concept of the fibre, this paper seeks to redress the neuro-centric view of eighteenth-century medicine, and attempts to locate the fibre body amidst the fundamental shift from humoralism to solidism.

This paper examines how, over the course of the nineteenth and early twentieth centuries, the appreciation of skill in surgery shifted in characteristic ways. Skill is a problematic category in surgery. Its evaluation is embedded into wider cultural expectations and evaluations, which changed over time. The paper examines the discussions about surgical skill in a variety of contexts: the highly competitive environment of celebrity practitioners in the amphitheatres of early nineteenth-century Britain; the science-oriented, technocratic German-language university hospitals later in the century; and the elitist surgeons of late nineteenth and early twentieth-century United States with their concerns about distancing themselves from commercialism and cheap showmanship. For analysing the interaction of surgical practices with their various contexts the paper makes use of the concept of ‘performance’ and examines how the rules of surgical performance varied according to the prevailing technical, social, and moral conditions. Over the course of the century, surgical performance looked more and more recognisably modern, increasingly following the ideals of replicability, universality and standardisation. The changing ideals of surgical skill are a crucial element of the complex history of the emergence of modern surgery, but also an illuminating example of the history of skill in modern medicine.

This paper scrutinises the relations between different models of family planning advice and their evolution in Poland between the mid-1950s and the late 1980s, focusing on their similarities and dissimilarities, conflicts and concordances. From 1956 onwards, the delivery of family planning advice became a priority for both the Polish Catholic Church and the party-state, especially its health authorities, which supported the foundation of the Society of Conscious Motherhood and aspired to mainstream birth control advice through the network of public well-woman clinics. As a consequence, two systems of family planning counselling emerged: the professional, secular family planning movement and Catholic pre-marital and marital counselling. We argue that reciprocal influence and emulation existed between state-sponsored and Catholic family planning in state-socialist Poland, and that both models used transnational organisations and debates relating to contraception for their construction and legitimisation. By evaluating the extent to which the strategies and practices for the delivery of birth control advice utilised by transnational birth control movements were employed in a ‘second world’ context such as Poland, we reveal unexpected supranational links that complicate and problematise historiographical and popular understandings of the Iron Curtain and Cold War Europe.