All posts by Elaine Leong

How Best to Treat the Heat in 1793 Beijing

By Marta Hanson

Translating traditional Chinese medical terms into modern English forces one to consider dramatic changes in medicine over the past two centuries. Take, for example, the modern Chinese phrase fa re for “fever,” which literally means “to produce (fa) heat (re).” Although today it refers to elevated body temperature, traditionally it referred to the preternatural heat that patients experienced dispersed throughout their bodies and only sometimes referred to elevated skin temperature.[1] In fact, before the late 19th-century, the English term “fever” also contained multivalent meanings and multifarious patterns of excessive heat.[2] Fever in the sense of having a temperature above the 97.3 to 99.5 °F human range was not even defined in western medicine, nor a convenient clinical thermometer invented to measure it, until the late 1860s.[3] Although many of the febrile-related symptoms that fall under the Chinese disease concept “Hot diseases” (rebing) could fit under the biomedical umbrella of acute-infectious diseases, in classical Chinese medicine they were originally conceptualized as caused by climatic configurations of qi (i.e., vital energy/matter).[4]

The Yellow Emperor’s Inner Canon: Basic Questions (ca. 1st c. BCE) originally distinguished two types of Hot diseases related to different types of climatic qi. The first included an acute-onset febrile disorders caused by external pathogenic qi related to changing seasons or local weather. The second was a type of “Cold Damage” (shanghan) acquired in the winter but which went dormant until the heat of the spring or summer manifested it as excessive heat and internally impairing dryness. The first Inner-Canon definition that Hot diseases could be due to other types of pathogenic climatic qi also facilitated conceptualizing epidemics as due to pathogenic environmental qi unrelated to the winter cold or local climate.[5] Nonetheless, no matter the original cause when excessive heat was the result, it had to be expelled.

An interesting case of disagreement on how best to “treat the heat” occurred in Beijing during a febrile epidemic (wenyi) in the spring and summer of 1793. The Qing official, Ji Yun (1724–1805) unusually responded to this epidemic by comparing the success rate of three therapeutic drug strategies. The first, associated with Zhang Jiebin (1563-1640), resulted in 80–90% mortality. The second, promoted by Wu Youxing (1582?-1652), was no more effective. But a third formula created by the living doctor, Yu Lin (ca. late 18th cent.), had successfully cured the concubine of the Chief Minister of the Court of State Ceremonies, Feng Yingliu (1741–1801) with a strong gypsum-based formula.[6] Ji noted that those who witnessed this were shocked but those who followed his method ended up saving countless lives.[7]

The three competing cures in Ji’s short anecdote illustrate well how Cold and Heat were the main metaphors used to understand the cause of epidemics and legitimate drug choices for treating them. Zhang’s “warming and tonifying” (wenbu) tonics were based on what the Cold Damage Treatise (Shanghan lun, ca. 220 CE) recommended for treating Hot diseases (believed to have their origin in winter Cold manifested in the summer). These included warming herbs such as Cassia twig (guizhi) and Ephedra (mahuang) to release cold via the exterior and Aconite (fuzi) to warm the exterior and expel cold.  [See rebing entry to far left in Figure 1]

Medication chart from the Gold-Dusted Cold Damage [Treatise] (Shanghan diandian jin, completed 1341, date of this printing unknown). Image credit: Wellcome Collection.
 Wu’s “purgative” (gongxia) formulas contained Rhubarb root and rhizome (dahuang) to purge downward, and even Betel Nut (binglang) to expel pathogenic qi.  Wu termed this anomalous qi (yiqi), deviant qi (liqi), or pestilential qi (liqi) in his Treatise on Febrile Epidemics (Wenyi lun, 1642). [See figure 2] As He Bian has written on this blog, Chinese rhubarb had its heyday in the eighteenth century, yet not all physicians were in accord with its suitability during epidemics.

 

Rhubarb from Li Shizhen’s Systematic Materia Medica (Bencao Gangmu) printed in 1596.

The third author named in this story, Yu Lin, later became famous for his recipe titled: “Epidemic-Clearing and Toxin-Dispersing Beverage” (Qing wen bai du yin). [8]  The fourteen-ingredient recipe was based on a combination of the White Tiger Decoction (baihu tang) that cleared out heat on the exterior with two other formulas.[9]  Yu’s recipe, however, featured crude gypsum (i.e., the “White Tiger”) in quantities at least three times the other main ingredients (raw foxglove root, rhinoceros horn, and coptis root). This made it an extremely Cold formula, and potentially life-threatening for those who thought Cold was the underlying cause and so used Zhang’s formulas. For Yu, however, Gypsum’s cold-cooling quality cleared excessive heat accumulated in the stomach system. [Figure 3 depicts this heat-clearing function of gypsum at the center of the man’s chest).

Depiction for White Tiger Decoction in Illustrations and Explanation of the Major Formulas of the Cold Damage Treatise (Shanghan lun dafang tu jie, 1833). Image credit: Wellcome Collection.

Expelling pathogenic Cold qi and warming the interior with aconite and cassia twigs, purging pestilential qi through the bowls with rhubarb, and clearing out the pathogenic Heat from the stomach with gypsum were thus all therapeutic strategies at play during the 1793 epidemic in the capital. The first framed the cause of the epidemic in latent winter cold that had to be dispersed. The second saw it as externally contracted pestilential qi that needed to be purged. Finally, the third considered it excessive heat that had to be cleared. Despite these major differences all three approaches nonetheless treated the febrile symptoms subsumed under fa re or, in the modern term, “fevers” as something that drugs could manage by adjusting the internal balance of Hot and Cold.

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Translations for Figures 1 and 3

Figure 1: From right to left are listed three disease concepts – Cold Damage, Wind Damage, and Hot Diseases. Their commonly used formulas are written below. The six formulas listed under rebing are from right going down and then to left going down: With sweat cassia twig decoction (han guizhi tang), Cassia twig and gypsum decoction (guizhi jia shigao), Cassia twig decoction together with gypsum, anemarrhena, cohosh, and ephedra (guizhi jia shigao zhimu sheng[ma] ma[huang], Without sweat ephedra decoction (wuhan mahuang tang), Evening produced (i.e., heat) gardenia, cohosh, and ephedra decoction (wan fa zhizi sheng[ma] ma[huang]), and Cassia twig decoction with ephedra and gypsum (guizhitang jia mahuang shigao).

Figure 3: From the right to left across the top is written. 1) “The assistant [drug] Amemarrhena (zhima) disperses dryness [and] produces jin [fluids].” 2) the space below the chin reads “protects the lungs.” 3) and to the left is written “licorice (gancao) harmonizes the stomach and rice (gengmi) assists the stomach qi.” 4) The 5-character phrases on either side of the oblong circle together state the therapeutic strategy “[When] the pathogenic [qi] has already changed into Fire, then clear, cool, and make it disperse.5)  In the long oval at the center of the body, the phrase instructs: “When it [i.e., the Fire} enters the stomach, use gypsum.”

[1] Nathan Sivin, Traditional Medicine in Contemporary China, Science, Medicine, & Technology in East Asia 2 (Ann Arbor: The University of Michigan Center for Chinese Studies, 1987), xxiv-xxv, 86, 108.

[2] Christopher Hamlin, More Than Hot: A Short History of Fever, Johns Hopkins Biographies of Disease (Baltimore: John Hopkins University Press, 2014).

[3] J.M.S. Pearce, “A brief history of the clinical thermometer,” QJM: An International Journal of Medicine 95.4 (1 April 2002): 251-52. Thomas Clifford Allbutt (1836-1925) invented the 6-inch thermometer that was first able to record a temperature in 5 minutes in 1866 and in 1868 Carl Wunderlich, using a foot-long thermometer put in the axilla (i.e., armpit), established the normal range from 36.3 to 37.5 °C or 97.3 to 99.5 °F.

[4] Shigehisa Kuriyama, “Epidemics, Weather, and Contagion in Traditional Chinese Medicine,” in Lawrence I. Conrad and Dominik Wujastyk, eds., Contagion: Perspectives from Pre-Modern Societies, (Aldershot, Hampshire: Ashgate Publishing Limited, 2000), 3-22.

[5] Marta Hanson, Speaking of Epidemics in Chinese Medicine: Disease and the geographic imagination in late imperial China (London: Routledge, 2011), 16-17.

[6] Gypsum is monoclinic calcium sulfate. See discussion of this episode in Hanson, Speaking of Epidemics, 2011, 126-27.

[7] Ji Yun 紀昀, Yuewei caotang biji 閱微草堂筆記(Jottings from Yuewei Hall), printed 1800. Repr. Shanghai: Shanghai guji chubanshe, 1980. Passage in juan 18, jotting #24, 458-9. Online access https://ctext.org/library.pl?if=gb&file=36038&page=45&remap=gb

[8] Jian Min Wen and Garry Seifert, translators, Warm Disease Theory, Wēn bing xúe (Brookline, Mass.: Paradigm Publications, 2000), 141.

[9] White Tiger Decoction is used to treat an illness pattern with great heat, thirst, and sweating and a surging and large pulse. For analysis of the logic of the formula see Craig Mitchel, Feng Ye, Nigel Wiseman, Shang Han Lun: On Cold Damage: Translations & Commentaries (Brookline, Mass.: Paradigm Publications, 1999), 316-24

Tales From the Archives: A Recipe for Disaster: How Not to Distill Turpentine

In September 2018, The Recipes Project will be six years old. There’s been a lot of blogging on this platform, and we are so grateful to all our wonderful contributors. But with so much material on the site, it’s easy for earlier pieces to be forgotten. So, the editors have decided that, once a month, we’ll pull something out of the archives to share with our readers anew.

This month, I have chosen a piece written by Tillamann Taape. In this post, first published in July 2013, Tillmann writes vividly about alchemical disasters. Heat, unsurprisingly, comes into play. Enjoy!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

By Tillmann Taape

When sifting through early modern alchemical recipes, I am often struck by their inherent dangers which would make modern-day health and safety officers pull their hair out. Renaissance practitioners were remarkably unfazed by temperatures high enough to melt glass and metal, and they frequently recommended heating volatile and flammable liquid in sealed glass vessels which, by their own admission, had a tendency to crack if not handled with the utmost care. Surely these exploits must have gone wrong a lot of the time, resulting in burnt fingers or a faceful of boiling alcohol?

If we look at the stereotype of the alchemist in contemporary satirical literature, it seems that accidents came with the job. In his Ship of Fools (1494), German humanist and satirist Sebastian Brant echoes themes from medieval poetry in his depiction of the alchemist: a greedy and reckless fool whose dangerous and fruitless exploits leave him scarred, financially ruined and even blind. [1] As a source of historical information, satirical genres should of course be taken with a generous pinch of salt. It is significant to note, though, that early modern people saw alchemy as a potentially dangerous thing to do, even in times long before anything like today’s health and safety standards.

More direct evidence of alchemical disasters is, unfortunately, fairly rare. I would of course be delighted to be persuaded otherwise by readers of this blog, but to me it seems that while adepts of alchemy frequently wrote down instructions which sound like they might well blow up, they were frustratingly silent on whether this actually happened. I was quite thrilled, therefore, when I finally stumbled upon a first-hand account of an alchemical disaster: exploding stills, knocked-out practitioners and all. In his 700-page tome entitled Liber de arte distillandi de compositis or Large book of distillation, first published in 1512, my favourite surgeon-apothecary Hieronymus Brunschwig (introduced here and here) includes the following cautionary tale.

Brunschwig was distilling turpentine to separate the watery fraction from the valuable oil, and when nearly all of the water had come out, he was interrupted.

 I was called away to a patient, so the oil went into the water, and when I came back, a layer of oil was sitting on top of the water. I didn’t have the sense to simply decant off the oil, so I poured the lot into a new flask and thought I’d just extract the water by distillation. But I was called away again, and in the meantime the water evaporated from the oil, and some of it condensed on the side of the flask and dripped back into the oil, which rose inside the flask with a great tumult, and fumes erupted from the flask, blowing off the alembic. [2]

 A lot to handle: picture of a still from Brunschwig’s Large book of distillation. © Wellcome Images

A lot to handle: picture of a still from Brunschwig’s Large book of distillation.
© Wellcome Images

Things got worse when Brunschwig came back late at night and went to investigate the accident, telling his servant to bring along a light:

When the light arrived, the fumes touched it, and fire burst forth all around, and in the blink of an eye went out again, nevertheless burning off mine and my servant’s hair, clothes and eyebrows. We fell to the ground and did not know where we were, but before long we got up again and fetched a closed lantern so the same thing would not happen again, and threw ashes in the furnace to smother the fire. [2]

And this, dear readers of the Large book of distillation, is how you do NOT distill turpentine! Once the initial excitement about this truly adventurous tale had worn off, I realised that, to the historian, there was more to this anecdote than merely the satisfying confirmation that some procedures which look so precarious on paper did indeed go up in fire and smoke. In his description of this extraordinary incident, Brunschwig also reveals a number of interesting details about his everyday life and work. We get a glimpse of what it meant for an early modern practitioner to have multiple vocations. Juggling his alchemical activities with his duties as an apothecary and surgeon, it seems that Brunschwig could be called away to the aid of a patient at a moment’s notice, even at night. We also learn that he had at least one servant, and we can surmise that he did his distillations in an enclosed workshop, since a buildup of explosive fumes would be unlikely in the open air. Perhaps most importantly of all, this anecdote provides strong evidence that Brunschwig was actively performing many of the procedures he describes in his works, rather than just copying and compiling them for publication.

Anecdotes like these, then, are more than just an entertaining read and a well-earned reward for ploughing through hundreds of pages of Brunschwig’s Alsatian dialect with its erratic spelling. Descriptions of extraordinary events also grant us a glimpse into the reality of practicing alchemy, and into practitioners’ everyday life.

[1] On the stereotypes and changing ‘personae’ of early modern alchemists, see Tara Nummedal,  Alchemy and Authority in the Holy Roman Empire. Chicago: University of Chicago Press, 2007, Ch. 2.

[2] Brunschwig, Hieronymus. Liber de arte distillandi de compositis […]. Strasbourg: Grüninger, 1512.

 

Interested in joining the editorial team?

Credit: Wellcome Library, London. Wellcome Images

Dear readers and friends,

Are you interested in recipes of all kinds? The Recipes Project is looking for an editor to join our team! Responsibilities include:

  • Connecting with and inviting potential contributors
  • Organizing and editing a month of posts every six months (in rotation with other co-Editors)
  • Regular liaising with co-Editors about site development, content, and promotion

Candidates from all historical periods and disciplines are invited to apply. This includes but is not limited to historians (especially modernists), literary critics, classicists, linguists, anthropologists, and those in food studies. Applications from PhD candidates are welcome.

To apply, please include a CV and one-page statement describing what you will bring to the team. Please submit applications via email to recipes@mpiwg-berlin.mpg.de by 30 September 2018.

From the Hearth to the Gas Stove: A Study in Apricot Marmalade

By Marissa Nicosia

The early modern hearth and the modern gas stove are rather different technologies for controlling heat. Again and again in my recipe recreation work for Cooking in the Archives, I encounter complex instructions for managing cooking temperatures on a hearth and try to translate those instructions to my own equipment. To what temperature should I set my oven? How high should I turn up the flame under the pot? What volume of water should I add when boiling water is called for and no volume is specified? How long should everything cook?

Early modern recipes trust that cooks know their hearth and ingredients well. Some recipes are very precise about weight and volume and others read like general concepts on which a cook might improvise as best suits their needs, inclinations, or tastes. Cooking these recipes on a hearth with variable fire types and temperatures demanded a skilled cook who could manage heat effectively.

This is the part of updating recipes that most challenges me: I have a PhD in English, but no formal culinary training. This is also the part of updating recipes where I have been most challenged by others. Members of the historical reenactment and historical interpretation communities have in turn urged me to try these recipes again on a hearth to taste the different flavors the fire instills and chastised me for attempting to cook these recipes without a hearth in the first place. As I grow as a cook and expand this project, I’m going to accept these kind invitations to cook alongside skilled recreators [1]. But Cooking in the Archives is a project designed to give all readers a taste of the past: even if those readers possess only the tiniest apartment stove. That’s the kind of stove that I had in my West Philadelphia rental when I launched the site with Alyssa Connell in 2014.

In order to cook these recipes on my stove, I have to determine some basic information: Is this something I should make on the stovetop or in the oven? In a pot, pan, or roasting dish? Is the recipe asking for water and should that water be boiled first or with the ingredients? To answer these questions, I naturally start with the recipes themselves. The phrases recipe writers use for the ferocity or gentleness of the fire are subtle, but informative. Then I look at recipes in modern cookbooks. The “Jumball” cookie mix looked like a shortbread cookie so I started with the oven temperature from a familiar cookie recipe and kept track of the time [2]. These are skills that I learned from baking growing up and cooking for myself while I was in graduate school, but not, exactly, skills that I learned in the academy. Neither humanities course work nor historical recreation holds all the answers for how to, say, make an apricot marmalade from a late-seventeenth-century culinary manuscript in a twenty-first century kitchen.

This recipe “To make Marmalaid of Apricocks” is from Ms. Codex 785 at the Kislak Center for Special Collections, Rare Books, and Manuscripts at the University of Pennsylvania. I’ve prepared quite a few recipes from this specific manuscript, and this recipe, like a few others in the volume, derives from Hannah Woolley’s cookbook The Queen-like Closet or Rich Cabinet (1670) [3]. This marmalade is both fragile and delicious. It needs the careful tending outlined in the original recipe. I have attempted to convey this level of care in my updated recipe at the end of this post.

To make Marmalaid of Apricocks

Take Apricocks, pare them and cut them in
quarters and to every pound of Apricocks
put a pound of fine Sugar, then put your
Apricocks in a Skillet with half the Sugar
and let them boil very tender, and gently, and
bruise them with the back of a Spoon, till they
be like pap, then take the other part of the
Sugar, and boil it to a Candy height, then put
your Apricocks into that Sugar, and keep it stirring
over the ffire, till all the sugar is meted, but
do not let it boil, then take it from the ffire,
and Stir it till it be almost cold, then put it
into Glasses, and let it have the Air of the
ffire to dry it.

Images 1 & 2 – The recipe in Ms. Codex 785, 6-7

The recipe asks you to boil the apricots with sugar until the fruit is so tender that it breaks down into a luscious pulp. Then the recipe instructs you to make a simple syrup of sugar and water and allow the mixture to come to candy height or what we would now call the soft-ball stage. Early modern cooks would have been especially skilled at the subtle art of watching sugar change under the influence of heat. The cook is next told to stir the apricot puree into the hot sugar over the fire and then off the fire until the mixture is almost cold. The final instruction: “and let it have the Air of the ffire to dry it” is the most evocative image for me. The preserved apricots in glass containers glowing in front of the hearth.

This apricot marmalade is delicious on toast, lightly crisped by the heat of a toaster oven or toaster, of course.

 

An Updated Recipe

8 apricots (7 oz, 200 g)

generous 2/3 cup sugar (7 oz, 200 g)

1/3 cup water

Peel the apricots, remove their pits, and cut them into quarters. Cook them to a pulp with half the sugar. The apricots will release their own juices so no water is necessary here. (Approximately 10 minutes.)

Make a simple syrup with the remaining 1/3 cup sugar and 1/3 cup water in a saucepan. Use a candy thermometer to keep track of the temperature and cook until it reaches candy height/pearl stage 240F on the thermometer. When the syrup has reached this temperature, add the cooked apricots to it. Stir to combine over the heat, but do not allow the mix to boil.

Remove from heat and stir as the mixture cools. Transfer into a clean jar. This amount of apricots and sugar nicely filled an 8oz jelly jar.

Keep refrigerated and eat within two weeks. (You can also properly can this for longer storage.)

[1] Johnson’s work in particular suggests what traditional academics can learn by spending time with reenactors and participating in reenactments. Katherine M. Johnson, “Rethinking (re)doing: historical re-enactment and/as historiography,” Rethinking History 19, no. 2 (2015): 193-206.

[2] https://rarecooking.com/2014/09/19/my-lady-chanworths-receipt-for-jumballs/

[3] https://rarecooking.com/tag/ms-codex-785/