The disease Tuberculosis (TB) has been known by many different names during the history of TB. The various names have included consumption, phthisis, scrofula, the Kings Touch, The White Plague and the Captain of all these Men of Death.
It is unclear whether all the different names given to TB were actually the disease TB. In the Indian document the Sushruta Samhita there is a description of a disease called Phthisis or Sosha. But one of the causes of Sosha is said to be sexual excess.1An English translation of the Sushruta Samhita,1916 Of course we now know that the cause of TB is nothing to do with sexual behaviour. So although this seems unlikely, some people have wondered whether several diseases were being confused as one, and could one of these diseases have been HIV infection?
The Greek name for Tuberculosis was Phthisis
The ancient Greeks described TB and called it phthisis or consumption. Around 460 BCE Hippocrates identified phthisis, or consumption, as the most widespread disease of his age.2Herzog, H, History of Tuberculosis, 1998, http://www.karger.com
Phthisis is a Greek word used to describe a number of different conditions. It means to waste away, decline, decay, atrophy or literally wasting of the body.
In the Middle Ages the names were Scrofula and the King's Touch
In the Middle Ages there was evidence of Tuberculosis of the cervical lymph nodes of the neck. As a result TB was sometimes referred to as scrofula.3Scrofula Overview of Scrofula, 2019,https://emedicine.medscape.com/article/858234-overview
In the year 496 there was the start of the initiation of the royal touch for scrofula. This was started by Clovis of France. TB was called the "Kings Evil" and it was widely believed that the kings of England and France could cure scrofula simply by touching affected people.4Scrofula Overview of Scrofula, 2019,https://emedicine.medscape.com/article/858234-overview
The Captain of all these Men of Death
This was the name given by John Bunyan to Tuberculosis.5The life and Death of Mr Badman, 1680, https://todayinsci.com/B/Bunyan_John/BunyanJohn-Quotations.htm
The White Plague
Tuberculosis became epidemic in Europe in the 17th, 18th, & 19th centuries. As the disease swept across Europe, it was called the White Plague of Europe. This probably referred to the pallor associated with people with TB.
There was one important question that physicians continued to have about the White Plague or Phthisis as it was more medically known. Were scrofula, tubercles and phthisis separate diseases or different manifestations of the same disease.
Some doctors believed at this time that phthisis corresponded to at least six independent diseases. But a French doctor Rene Laennec announced in 1803 that he had found tubercles in all organs of the body, including in muscle and bone. Laennec became convinced that the various lesions found in the phthisical lung were in reality different phases in the evolution of the same disease.
Consumption in the colonial era
Consumption was the common lay term for TB in the early nineteenth century. It was probably the most common killer of American colonial adults at this time.
1839 The word Tuberculosis is adopted
In 1839 J.L. Schonlein suggested that the word "tuberculosis" be used as a generic term for all the manifestations of phthisis, since the tubercle was the anatomical basis of the disease.
This page was last updated in December 2019.
Author Annabel Kanabus
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