Tag Archives: leechbook

Hunting for herbs: chasing migraine remedies across the centuries

Katherine Foxhall

I was delighted to see Mrs Corlyon’s recipe book (Wellcome MS.213) as the subject of Jennifer Sherman Roberts’ recent post on this blog. Here, I am going to explore another of Mrs Corlyon’s recipes:

A Gargas or Medecine for the Megreeme in the heade.

Take Sage Rosemary and of Pellitory of Spaine, the rootes of eche of these a like quantity, and boil them in a pinte of Vineger, uppon a chafing dish of coales, untill halfe be consumed, then putt therein two good spoonefulles of Mustard beyng made with good vineger, and so lett it boile a while, And then take a litle of it, as hott as you can suffer and holde it in your mouthe, as you shall feele occasion and then spitt it out, and take more and doe this five or six times every morninge so long as you shall fynde occasion or feele your selfe greeved.

My current book project is a history of migraine from the sixteenth to the nineteenth century (funded by the Wellcome Trust). Having found nearly a hundred different recipes for migraine treatments in published and manuscript remedy collections from the late sixteenth to the mid seventeenth century, I have become fascinated by examples of knowledge transfer from print to manuscript and vice versa.

It seems likely that recipes would often have made this leap. Cheap medical books were common in the seventeenth century, and recipe collections were among the most affordable, costing only a couple of pence. For example, in his Breviary of Helthe (1547) – one of the earliest medical texts to have been published in English, and which went through at least six editions by 1598 – Andrew Boorde recommended that sufferers of ‘megryme’ should avoid eating garlic, ramsons and onions. Similar advice appeared in Philip Barrough’s Method of Phisicke (1583). Sure enough, a few years later we find Mrs Corlyon recommending that sufferers of migraine should ‘forbeare much butter or anything wherin Garlicke, onions, or any leeke be used’.

It is also interesting to note the recipes that did not end up in manuscript collections, suggesting knowledge that remained purely theoretical. Bleeding for migraine was common in print, but did not seem to translate into personal collections. Neither did recipes for migraine reflect a fashion for New World tobacco, nor feature ingredients such as bole armoniac or terra sigillata deriving from classical medical traditions. Many published books contained details of simples (single ingredients, often herbs) but compilers of manuscript recipe collections rarely stuck with one, when several would do.

B0009211 Tanacetum cinerariifolium Credit: Dr Henry Oakeley. Wellcome Images images@wellcome.ac.uk http://wellcomeimages.org Tanacetum cinerariifolium Sch.Blp. Asteraceae Dalmation chrysanthemum, Pyrethrum, Pellitory, Tansy. Distribution: Balkans. Source of the insecticides called pyrethrins. The Physicians of Myddfai in the 13th century used it for toothache. Gerard called it Pyrethrum officinare, Pellitorie of Spain but mentions no insecticidal use, mostly for 'palsies', agues, epilepsy, headaches, to induce salivation, and applied to the skin, to induce sweating. He advised surgeons to use it to make a cream against the Morbum Neopolitanum [syphilis]. However he also describes Tanacetum or Tansy quite separately.. Quincy (1718) gave the same uses Woodville (1792) only recommends it for intestinal worms, Bentley (1861) used it as a tonic and for intestinal worms, Flucker & Hanbury (1879) used it to induce salivation. Martindale (1936) had all the insecticidal uses from scabies to mosquito repellent and as a treatment for intestinal worms. Whatever the confusion regarding names, it is hard to see that it was used as an insecticide until a hundred years ago. Photographed in the Medicinal Garden of the Royal College of Physicians, London. Photograph May 2009 Published:  -  Copyrighted work available under Creative Commons by-nc-nd 4.0, see http://wellcomeimages.org/indexplus/page/Prices.html
Tanacetum cinerariifolium (Pellitory of Spain) Credit: Wellcome Library, London.
To return to Corlyon’s recipe: sage, rosemary and pellitory of Spain were considered hot and dry herbs, and therefore  good for migraines, as they were supposed to draw out excess phlegmatic and waterish humours from the head (see Anne Stobart’s post on herbal qualities). Sage and rosemary also have a strong aromatic smell, and combined with the pungent vinegar and mustard would have enhanced a sensation of the remedy infusing through the head.

So the rationale behind the recipe seems clear, but can we trace its provenance more precisely? Searching for pellitory of spain in recipe collections from Early English Books Online yields some interesting leads. In 1526, the anonymous A New Book of Medecynes contained a recipe ‘for the mygrayme in the heed’ requiring ‘rote of Pyllatory of Spayne / a half peny weyght of Spygnarde’, to be ground together, boiled in vinegar, mixed with honey and mustard and held in the mouth a spoonful at a time. This recipe was not new even then: it also appears in a fifteenth-century leechbook, with the additional instruction to hold the preparation in the mouth ‘as long as though mayest say two Agnus Dei’. We find a similar recipe in Thomas Vicary’s English Man’s Treasure (1586), this time requiring ‘Pelitorie of Spaine’, ‘Stavisacre’, ginger and cinnamon in a linen bag soaked in vinegar and held in the mouth. I was excited to be able to trace this back further still to a fourteenth-century collection containing a remedy for ‘Þe mygrenen’ requiring ‘peletir of spane and stafsacre in a litil poke’.

V0044644 Seven different types of sage (Salvia species): flowering st Credit: Wellcome Library, London. Wellcome Images images@wellcome.ac.uk http://wellcomeimages.org Seven different types of sage (Salvia species): flowering stems and leaves. Coloured lithograph. Published:  -  Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0 http://creativecommons.org/licenses/by/4.0/
Seven different types of sage (Salvia species): Credit: Wellcome Library, London.

Mrs Corlyon’s recipe simply replaces Stavesacre, a poisonous plant of the delphinium family, grown in southern Europe, and Spikenard, an aromatic plant from the Himalayas, with similarly hot and dry herbs (sage and rosemary) that she could more easily obtain or grow herself. It is always difficult to know how ordinary people read books, and the extent to which knowledge on paper was adapted in practice, but tracing recipes such as this shows how practical knowledge could remain ‘current’ even across the space of several centuries.