The classification of blood into four distinct groups provided the foundation for modern transfusion safety, though the research originated from a failed attempt to link hematology with mental illness. Jan Janský, a physician trained at Charles University, published his findings in 1907 while working within the Psychiatric Clinic in Prague, fundamentally changing the trajectory of clinical medicine.
Academic Training and Clinical Research
Born in 1873 in Smíchov, Janský pursued a career in neurology and psychiatry. His tenure at the Psychiatric Clinic in Prague began in 1899. Within this clinical environment, he conducted an extensive hematological study of psychotics, attempting to identify a biological bridge between mental disorders and blood composition. While his initial hypothesis regarding a correlation proved unfounded, the resulting methodology yielded the classification of blood into four types, designated I, II, III, and IV.
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Janský performed his research independently of the work completed by Karl Landsteiner, whose prior discovery of A, B, and O blood types would eventually earn a Nobel Prize. Janský’s publication, Hematologická studie u psychotiků, initially received little recognition from the scientific community. Complications arose later when researcher William Lorenzo Moss developed a similar system, though with inverted designations for types I and IV. This discrepancy created significant confusion in clinical blood transfusion practices until the international adoption of standardized A, B, and O terminology.
Military Service and Final Years
The onset of World War I interrupted Janský’s academic career. He served for two years as a doctor at the front before a heart attack forced him to relinquish his position. Following the war, he transitioned to working as a neuropsychiatrist at a military hospital, known as Vojenská nemocnice. Despite his academic elevation to professor in 1914, his health declined due to angina pectoralis. He died from ischaemic heart disease in 1921 at the age of 48 in Černošice, and he is buried at Malvazinky Cemetery.
Professional Legacy
Janský is recognized for his commitment to promoting voluntary blood donation. His contribution to the medical field is commemorated today in Czechia and Slovakia through the Janský medal, awarded to frequent donors. His life and work were also the subject of the 1953 Czechoslovak film, The Secret of Blood.
Fast facts
- Born: 1873, Smíchov
- Died: 1921, Černošice
- Education: Charles University, First Faculty of Medicine
- Professions: Physician, neurologist, psychiatrist
- Key Publication: Hematologická studie u psychotiků (1907)
- Notable Recognition: Janský medal for voluntary blood donors
Questions readers ask
Why is Janský associated with four blood groups?
He developed a classification system for blood types (I, II, III, IV) while researching potential links between hematology and psychiatric conditions.
What was the significance of Janský's work during World War I?
Janský served as a frontline doctor for two years before his military career ended due to a heart attack.
Achievements
- Held posts at Charles University

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