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Military Medicine

Throughout its history, the United States has participated in numerous armed conflicts that have contributed to the growth of military medicine. From the War of Independence to the U.S. Civil War and more recent struggles in Europe, Vietnam, and Afghanistan, the country has relied on a dedicated group of doctors, nurses, and field medics to keep their troops healthy and combat ready. Learn more about their stories and the history of U.S. military medicine in this digital gallery.

1776-1826
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1776-1826

In the Early Republic, varying levels of medical training and limited professional standards yielded loosely organized practice of medicine. People sought out common therapeutic practices—including bloodletting, purging, surgery, and home remedies—from family members, communities, and physicians. Shaped by wars and limited public sanitation, smallpox, yellow fever, and other infectious diseases were major health concerns. The spread of smallpox inoculation, expanding medical education, and scientific inquiry advanced the medical profession. Explore a selection of NLM items produced between 1776 and 1826. Topics include wartime medicine, smallpox inoculation, Native American health and healing, yellow fever epidemics, botanicals and herbal remedies, and more.

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1827-1876
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1827-1876

American medicine became more organized during the 19th century as medical schools, hospitals, and professional societies expanded, though standards and training varied widely. Physicians practiced surgery, obstetrics, and emerging scientific medicine, while many people also turned to homeopathy and other alternative therapies. Infectious diseases such as cholera, smallpox, and rabies remained major threats, prompting growing interest in quarantine, sanitation, and public health. Significant advances included the use of ether anesthesia, improvements from Civil War medicine, and the development of professional nursing. Presented is an assortment of National Library of Medicine collection items printed between 1827 and 1876, covering topics such as homeopathy, nursing, infectious disease, administering ether, sanitation, women in medicine, Civil War medicine, and more.

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1877-1926
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1877-1926

Between 1877 and 1926, American medicine became increasingly scientific and professionalized as medical education and licensing became required by the states. Physicians relied on laboratory science, surgery, nursing care, and new diagnostic tools, while some Americans used widely advertised patent medicines alongside conventional treatments. Infectious diseases such as tuberculosis, influenza, rabies, and yellow fever remained major concerns, driving advances in public health and disease prevention, including the development of several vaccines. Germ theory, antiseptic surgery, X-rays, bacteriology, and the discovery of insulin transformed medical practice and outcomes. View this selection of items from the NLM collection produced from 1877 to 1926, which include works about pharmacology, surgery, infectious disease, public health, nursing, World War I medicine, and more.

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1927-1976
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1927-1976

By the mid-20th century, American medicine had become highly professionalized as physicians, nurses, hospitals, and public health agencies took on leading roles in healthcare. Medical practice increasingly relied on laboratory science, pharmaceuticals, vaccinations, and advanced technologies. These changes led to many Americans receiving care through hospitals, clinics, and expanding insurance systems. Infectious diseases declined as sulfa drugs, antibiotics, and vaccines transformed treatment and prevention. Chronic diseases, smoking-related illnesses, and environmental health concerns gained attention. Major medical breakthroughs included blood banking, open-heart surgery, organ transplantation, and DNA research. Explore a selection of NLM collection items produced between 1927 and 1976 about the discovery of DNA, substance use, World War II medicine, environmental health, computers in medicine, biotechnology, and more.

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1977-2026
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1977-2026

Since 1977, American medicine has become more technologically advanced and evidence based. Physicians, nurses, and allied professionals deliver specialized and team-based care. Patients access health services through hospitals, outpatient clinics, telemedicine, and digital health platforms, reflecting major changes in communications and access. Many health concerns from years past persist, like cancer and mental health disorders, while new ones have emerged, including the opioid epidemic, infectious diseases such as Ebola and COVID-19, and chronic conditions tied to lifestyle and aging populations. Advances in genomics, imaging, immunotherapy, and artificial intelligence continue to transform diagnosis and treatment, alongside major public health campaigns and public policy responses. Browse these NLM collection items created between 1977 and 2026, on subjects including HIV/AIDS, COVID-19, the opioid epidemic, mental health, telemedicine, public health communications, and more.

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Anatomy and Surgery
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Anatomy and Surgery

In the United States, the histories of anatomy and surgery have long been closely intertwined. Whereas early physicians often relied on limited anatomical knowledge and rudimentary surgical procedures to treat patients, later improvements in fields such as education, anesthesia, antibiotics, and blood transfusion made operations safer and more effective. Learn more about some of these important historical developments in this digital gallery.

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Cultures of Medicine
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Cultures of Medicine

Medicine has always involved cultural forces that impact the discipline as a whole. These forces impact the way in which individual physicians undertake their work and researchers discover various treatments for diseases. From stories about doctors and patients to the organizations that support their efforts, medical professionals are part of a broader system that helps to keep the entire nation healthy. Scroll through this digital gallery to learn more about the cultural history of medicine in the U.S.

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Diseases and Conditions
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Diseases and Conditions

Over the past 250 years, the list of diseases and conditions that affect people in the U.S. has changed dramatically. In the early Republic, cholera, yellow fever, and smallpox were among the leading causes of death. Today, advances in sanitation and public health mean that these illnesses have been eradicated or replaced, leaving chronic conditions such as cancer, diabetes, and heart disease as the most pressing health concerns. Learn about the changing history of diseases and related conditions in this digital gallery.

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Drugs and Treatments
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Drugs and Treatments

Drugs and therapeutic treatments have played an important role in U.S. medicine since the founding of the country in 1776. Whereas early physicians generally relied on traditional methods such as bloodletting and herbal remedies, later advances in vaccines, pharmaceuticals, antibiotics, and chemotherapy have helped to radically to improve patients’ health. Learn more about the development of some of these innovative drugs and treatments in this digital gallery.

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Laboratory Science
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Laboratory Science

Researchers working in laboratories across the United States have made some of the most important medical breakthroughs of the last 250 years. These include the first use of general anesthesia and the discovery of the cause of yellow fever, as well as more recent innovations like recombinant DNA technology, GLP-1 inhibitors, and CAR-T Cell therapy. Learn about a handful of these important laboratory discoveries in this digital gallery.

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Medical Technology
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Medical Technology

Since 1776, the history of medical technology in the United States has often reflected the broader scientific, industrial, and social progress of the nation. From the earliest surgical tools used during the Revolutionary War to more recent developments such as artificial heart valves and magnetic resonance imaging (MRI), U.S. technical innovation has always proceeded hand in hand with improvements in patient health. Learn more about some of these incredible inventions in this digital gallery.

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Military Medicine
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Military Medicine

Throughout its history, the United States has participated in numerous armed conflicts that have contributed to the growth of military medicine. From the War of Independence to the U.S. Civil War and more recent struggles in Europe, Vietnam, and Afghanistan, the country has relied on a dedicated group of doctors, nurses, and field medics to keep their troops healthy and combat ready. Learn more about their stories and the history of U.S. military medicine in this digital gallery.

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Mind and Brain
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Mind and Brain

Between the founding of the U.S. in 1776 and today, medical research into patients’ minds and brains has shifted from the field of philosophy to the natural and social sciences. During this time, researchers have become increasingly interested in the ways in which various physical and chemical structures in the brain contribute to human cognition. This in turn has revolutionized how we see learning, memory, and indeed mental health. Learn more about this historical transition in the digital gallery below.

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Preventive Medicine
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Preventive Medicine

Though we often think of preventive medicine as a recent historical development, the idea of taking proactive steps to ensure personal health is at least as old as the United States itself. For centuries, U.S. doctors and physicians have recommended a wide variety of herbal remedies, workout regimes, and dietary plans—each designed to help their patients live a healthier lifestyle. Learn about some of these innovative and unusual therapies in this digital gallery.

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Public Health
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Public Health

Public health has shaped the medical, political, and social life of the United States since the nation was first born two and a half centuries ago. Beginning with the efforts of local officials to contain an outbreak of Yellow Fever in Philadelphia in 1793, the U.S. government has consistently played an important role in improving living conditions and promoting healthy behaviors in communities all across the country. Learn more about the history of U.S. public health in this digital gallery.

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Audiovisuals
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Audiovisuals

Moving images serve as a vital tool for health education, document significant events and breakthroughs in medicine, and provide a way of sharing scientific scholarship. Explore this selection of audiovisual materials in the NLM collection, produced over the past century, originally in film, videocassette, and webcast.

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Born-Digital
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Born-Digital

Since the mid-20th century, digital media has transformed American health and medicine, changing how medical knowledge is created, shared, and preserved; empowering patients with greater access to information; enabling community action in the pursuit of wellbeing; and accelerating biomedical research and discovery. Learn about born-digital materials in the NLM collection, including websites and software, in this digital gallery.

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Manuscripts
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Manuscripts

Medical manuscripts document the development of American medicine. Physicians, researchers, students, hospitals, and public health officials manually record and collect observations, treatments, research findings, and institutional activities. These records support medical education and facilitate the exchange of knowledge. Today, medical manuscripts remain invaluable sources for understanding the scientific, social, and cultural history of health and medicine in the United States. Explore this selection of working notes and correspondence from clinicians, researchers, and patients.

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Still Images
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Still Images

From anatomical drawings and clinical photographs to public health posters and advertisements, still images help doctors diagnose illness, communicate scientific knowledge, educate the public, and shape perceptions of medicine. They have also served as records of medical practice, scientific discovery, and patient experience, preserving visual evidence of how health and medicine have evolved over time. Explore a selection of these still images from the collection in this digital gallery.

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Texts
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Texts

Over the past 250 years, medical texts have been the primary means of organizing and sharing medical knowledge gained in America. Textbooks, journals, and reference works have standardized medical education and clinical practice while supporting the professionalization of the field. They have enabled scientific communication, recorded shifting understandings of disease, and translated research into practice. Medical texts also provide a lasting scholarly record that continues to inform education, care, and historical research. Explore this assortment of medical texts from the NLM collection.

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29 Images

A browned page covered in printed text with the words General Orders at the top.

General Orders for the Army Under the Command of Brigadier General McDougall, General Alexander McDougall, Fishkill, NY: Samuel Loudon, 1777

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A browned page covered in printed text with the words General Orders at the top.
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  • NLM Medicine in the Americas Website
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A hand written letter on brown paper from George Washington

Letter Written by George Washington, 1780

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A hand written letter on brown paper from George Washington
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  • Exhibition - Every Necessary Care and Attention: George Washington and Medicine
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An abstract geometric illustration of a military unit in the process of executing a marching maneuver through a narrow gorge.

Regulations for the Order and Discipline of the Troops of the United States, Baron von Steuben, Exeter, NH: Henry Ranlet, 1794

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An abstract geometric illustration of a military unit in the process of executing a marching maneuver through a narrow gorge.
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  • NLM Medicine in the Americas
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A series of 8 diagrams depicting canons used in friction experiments, some of which appear embedded inside a large wooden box

Illustration Showing Cannon Used in Friction Experiments from Essays Political, Economical, and Philosophical, Benjamin Rumford, London, England: T. Cadell and W. Davies, 1798

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A series of 8 diagrams depicting canons used in friction experiments, some of which appear embedded inside a large wooden box
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  • NLM Images from the History of Medicine Website
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The title page of Military Laws, and Rules and Regulations for the Army of the United States.

Military Laws, and Rules and Regulations for the Army of the United States, U.S. Adjutant-General's Office, Washington, DC: E. de Krafft, 1816

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The title page of Military Laws, and Rules and Regulations for the Army of the United States.
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  • NLM Medicine in the Americas Website
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An illustration depicting men with stretchers removing wounded men from the battlefield.

"Carrying in the Wounded at the Battle of Bull Run" from Harper's Weekly, New York, NY, 1861

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An illustration depicting men with stretchers removing wounded men from the battlefield.
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  • NLM Blog: Circulating Now
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A color print depicting various interior and exterior views of a working hospital during the American Civil War.

Citizens Volunteer Hospital Philadelphia (Lithograph), J. Queen, Philadelphia, PA, 1862

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A color print depicting various interior and exterior views of a working hospital during the American Civil War.
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  • NLM Images from the History of Medicine Website
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A bar graph diagram depicting monthly mortality rates for the first year of the American Civil War.

Sickness and Mortality of the Army During the First Year of the War, United States Surgeon-General's Office, Washington, DC, 1863

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A bar graph diagram depicting monthly mortality rates for the first year of the American Civil War.
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  • NLM Medicine in the Americas Website
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A section heading reading National Poems. Liberty and Union, now and forever, one and inseparable. illustrated with an American flag and a prostrate eagle holding a flag in its beak.

Leaves from the Battle-field of Gettysburg: A Series of Letters From a Field Hospital, and National Poems , Mrs. Edmund A. Souder, Philadelphia, PA: C. Sherman, Son & Co., 1864

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A section heading reading National Poems. Liberty and Union, now and forever, one and inseparable. illustrated with an American flag and a prostrate eagle holding a flag in its beak.
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  • NLM Medicine in the Americas Website
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A photograph of an open wagon with padded benches, wooden wheels and a canvas roof that rolls down the sides. Writing on the side reads Built at U.S. Repair Shopts Lincoln Depot Washington D.C. Scale 5 in. to 1 ft.

"A Model of a Rucker Horse Drawn Ambulance" (Photoprint), 1866

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A photograph of an open wagon with padded benches, wooden wheels and a canvas roof that rolls down the sides. Writing on the side reads Built at U.S. Repair Shopts Lincoln Depot Washington D.C. Scale 5 in. to 1 ft.
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  • NLM Images from the History of Medicine Website
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A color illustration of the cross-section of the descending colon with small ulcers.

The Medical and Surgical History of the War of the rebellion (1861–65), U.S. Surgeon General's Office, Washington, DC: Government Publishing Office (GPO), 1870

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A color illustration of the cross-section of the descending colon with small ulcers.
  • NLM Digital Collections
  • Exhibition - Life and Limb: The Toll of the American Civil War
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An aged, black and white photograph of a man leading a horse carrying an injured man on its back.

Transportation of Wounded and Sick: Bringing in Wounded after an Engagement with the Modoc Indians (Photoprint), 1875

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An aged, black and white photograph of a man leading a horse carrying an injured man on its back.
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  • NLM Native Voices Website
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An illustration of two concentric circles; in the larger circle is the panoramic view of a battlefield with sites numbered and in the smaller circle are the cardinal directions and the names of the numbered sites

Battle of Gettysburg Cyclorama Booklet, Paul Philippoteaux, Brooklyn, NY: Eagle Book Printing Dept., 1891

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An illustration of two concentric circles; in the larger circle is the panoramic view of a battlefield with sites numbered and in the smaller circle are the cardinal directions and the names of the numbered sites
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  • NLM Blog: Circulating Now
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A black and white, photographic portrait of Walt Whitman, a middle aged white man.

The Wound Dresser: A Series of Letters Written from the Hospitals in Washington during the War of the Rebellion, Walt Whitman, Boston, MA: Small, Maynard & Company, 1898

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A black and white, photographic portrait of Walt Whitman, a middle aged white man.
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  • NLM Medicine in the Americas Website
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The first page of Medical Reminiscences of War.

Medical Reminiscences of War, John Shaw Billings, Philadelphia, PA: College of Physicians of Philadelphia, 1905

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The first page of Medical Reminiscences of War.
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  • NLM Medicine in the Americas Website
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A black and white photograph of 20 white women in long white dresses belted at the waist and white hats atop updone hair.

First Twenty Navy Nurses Appointed in 1908 (Postcard), 1908

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A black and white photograph of 20 white women in long white dresses belted at the waist and white hats atop updone hair.
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  • Exhibition - Pictures of Nursing: The Zwerdling Post Card Collection
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The cover of a pamphlet with an illustration of a American World War I soldier with a helmet and rifle moving forward in the foreground and his fellow soldiers advancing in the background.

Smash the Line!, War Department Commission on Training Camp Activities, New York, NY: American Social Hygiene Association, 1917

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The cover of a pamphlet with an illustration of a American World War I soldier with a helmet and rifle moving forward in the foreground and his fellow soldiers advancing in the background.
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  • NLM Blog: Circulating Now
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A title page of a book with an illustration of a torch in the center.

Defects Found in Drafted Men, Albert C. Love and Charles B. Davenport, Washington, DC: Government Printing Office (GPO), 1919

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A title page of a book with an illustration of a torch in the center.
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  • NLM Digital Collections - World War I Collection
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From a book, a black and white photograph of one standing woman and one sitting woman consulting with a woman sitting at the information desk in an American Red Cross Health Center.

The American Red Cross Health Center, American Red Cross, Washington, DC: American Red Cross, 1920

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From a book, a black and white photograph of one standing woman and one sitting woman consulting with a woman sitting at the information desk in an American Red Cross Health Center.
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  • NLM Blog: Circulating Now
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An organizational chart of he Division of Head Surgery in the Surgeon Generals Office.

The Medical Department of the United States Army in the World War, Charles Lynch, Washington, DC: Government Publishing Office (GPO), 1921

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An organizational chart of he Division of Head Surgery in the Surgeon Generals Office.
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  • NLM Digital Collections - World War I Collection
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A diagram showing the cuts of lamb.

The Army Cook, U.S. War Department, Washington, DC, 1942

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A diagram showing the cuts of lamb.
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  • NLM Digital Collections - World War II Collection
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A color-coded map of the United States west of the Mississippi River shows where Japanese-Americans were relocated during World War II.

Final Report, Japanese Evacuation from the West Coast, 1942, John DeWitt, Washington, DC: Government Printing Office (GPO), 1943

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A color-coded map of the United States west of the Mississippi River shows where Japanese-Americans were relocated during World War II.
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  • NLM Blog: Circulating Now
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Handbook explaining first aid treatments to military troops in battle.

Combat First Aid: How to Save Life in Battle, U.S. Surgeon General's Office, Washington, DC: Infantry Journal, 1944

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Handbook explaining first aid treatments to military troops in battle.
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Film showing a uniformed Navy seaman suffering from different stages of combat fatigue.

Combat Fatigue Irritability, U.S. Navy, Washington, DC: Navy Department, Bureau of Aeronautics, 1945

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Film showing a uniformed Navy seaman suffering from different stages of combat fatigue.
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  • Medicine on Screen: Films and Essays from NLM
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Typescript report confirming Adolf Hitlers dead body.

Hitler as Seen by His Doctors, U.S. Army, Frankfurt, West Germany: Military Intelligence Center, 1946

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Typescript report confirming Adolf Hitlers dead body.
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Printed typescript and statisctical report on the atomic bombs effects on Japanese civilians and Japans infrastructure.

The Effects of Atomic Bombs on Health and Medical Services in Hiroshima and Nagasaki, U.S. Strategic Bombing Survey, Washington, DC: Medical Division, 1947

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Printed typescript and statisctical report on the atomic bombs effects on Japanese civilians and Japans infrastructure.
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  • NLM Blog: Circulating Now
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Manual in black and white text with hues of blue photographs describing how to survive in the polar regions.

Polar Guide, U.S. Air Force, Shreveport, LA: Air Training Command, 1948

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Manual in black and white text with hues of blue photographs describing how to survive in the polar regions.
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  • NLM Digital Collections - World War II Collection
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A journal with red cover and white text and photographs.

Medicine Under Canvas: A War Journal of the 77th Evacuation Hospital, Max Allen, Kansas City, MO: Sosland Press, 1949

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A journal with red cover and white text and photographs.
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  • NLM Digital Collections - World War II Collection
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Black and white still image of wounded man strapped in a special helicopter stretcher.

Final Preparations Made for Evacuation of a Wounded Man to the 1st Mobile Army Surgical Hospital, Chechon, Korea (Photoprint), Army Signal Corps Photographs, Chechon, Korea: U.S. Army, 1951

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Black and white still image of wounded man strapped in a special helicopter stretcher.
  • NLM Digital Collections
  • Profiles in Science - The Michael E. DeBakey Papers
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