Category Archives: Ailments, Disease, Illness, and Injury

“The Smells of London” and their Sources at the Fin de Siècle

By Jess Clark

In September 1889, the London Times printed a complaint from a disturbed Kensington resident. Under the heading “Smells of London,” Arthur Clay challenged “[t]he apathy with which Londoners submit to be bathed in disgusting odours.”[i] The author complained of distressing smells blanketing North Kensington, typically at night and often in the summer. Despite his claims that Londoners didn’t care, the response to his initial letter proved otherwise; Clay’s submission set off some three years of correspondence from displeased and disgusted residents. Despite sanitary initiatives, they described nuisance smells that they ascribed to a number of different sources: polluted waterways, dirty streets, blocked drains, poor ventilation. Contrasting official messages about the efficiency of London’s orderly modern infrastructures, correspondents instead foregrounded olfactory disorder.

In this early etching, George Cruikshank criticizes the expansion of building schemes across London. “Building materials marching out of London of their own accord to build suburban housing over greenfield sites,” 1829. Courtesy of Wellcome Images.

In taking to the London Times, correspondents discovered a forum to express their displeasure over London’s transforming urban smellscapes.[ii] In the wake of rapid growth and residential development, some nineteenth-century Londoners found themselves living next to chemical works and other industrialized sites. The mixing of residential and industrial space proved a recipe for Londoners’ dissatisfaction: in the lack of municipal action, in the lack of private responses, in the horrible stenches that wafted into their homes each and every night.

Indeed, if we look to letters in the Times between 1889 and 1891, many Kensington residents were deeply upset by the smell nuisances. To capture their frustration, they tapped into anxieties around smell’s “subjectiv[ity], variabi[lity], and uncertain[ty],” which had long been the source of its “social and cultural power,” in the words of Will Tullett.[iii] For some, this meant framing smells as night-time invaders of the home—a domestic sanctuary, which was supposed to be a refuge from public, daytime lives. One lady and her young ward, for instance, “both smelt the bad smell” in Eaton Place, Belgravia. She continued, “It awoke me; she was awake. It was very nasty and quite different to any other smell.”[iv] In another example, a letter writer “actually went downstairs in the belief that some part of the house was on fire.” He was not alone. “Other members of my family have had the same experiences, and not long ago searched the whole house from roof to basement for the supposed combustion going on.”[v] In a period of heightened distinction between private and public space, invisible nocturnal smells disturbed the illusion of domestic safety, as an external disorder that penetrated the sanctity of the private abode.

Other authors foregrounded the alleged health effects of these nocturnal smells, suggesting the longstanding influence of miasmatic theories of illness, which had dominated an earlier period. For one author, the smells were “like the breath of Tartarus, death-laden with horrid stenches and health-destroying fumes….” Meanwhile, the vicar of St. Matthews ominously observed “[t]he wonder is that we are alive to tell the tale.”[vi] For these authors, the stench was a disruption but moreover—it was a health hazard. “In my house, which looks across the whole of Hyde Park, the smell leaves us with headaches and sore throats,” explained another author, before demanding “what must be the effects in the narrow streets of small dwellings?”[vii]

Detail from Charles Booth’s “Life and Labour of the People in London” (1898), showing Kensington and the easterly edge of Hammersmith (including its brickfields). Courtesy of LSE Charles Booth’s London, public domain mark.

After three years of correspondence, one question remained; what comprised the horrible smells that so distressed residents of North Kensington in the late 1880s? After considerable debate, the source was allegedly identified: brickfields in neighbouring Hammersmith, which produced a “horrible and nauseous smell” each night “lasting for several hours.” This was not just any stench. Brickmakers burned refuse—garbage—to fire their bricks. What’s more, this “fuel” most likely came from the local government’s efforts to collect vestry rubbish, as part of modernizing efforts in city management. In a compelling twist, attempts to rid London of garbage – a visual nuisance –made for new and horrible smell nuisances for residents. By focusing on the unsightliness of garbage, well-meaning officials neglected a key element of urban life: its smells.

        

[i] Arthur Clay, “The Smells of London” Times (4 September 1889): 10.

[ii] See Jonathan Reinarz, “Smell and Victorian England,” in Smell and History: A Reader, ed. Mark M. Smith (Morgantown: West Virginia University Press, 2018). On the importance of public complaints in the American context, see Melanie A. Kiechle, Smell Detectives: An Olfactory History of Nineteenth-Century Urban America (Seattle: University of Washington Press, 2017).

[iii] William Tullett, “Re-Odorization, Disease, and Emotion in Mid-Nineteenth-Century England,” The Historical Journal 62.3 (2019): 787.

[iv] G. J. Symons et al, “The Smells of London,” The Times (10 September 1889): 6.

[v] J. E. Latton Pickering et al, “Diphtheria in London,” The Times (17 October 1890): 10.

[vi] W. Domett-Stone et al, “Offensive Smells in London,” The Times (20 October 1890): 14.

[vii] E.H. Carbutt, “Diphtheria in London,” The Times (15 October 1890): 7.

When Medicine is a Sin: Sex and Heresy in Colonial Mexico

Farren Yero

Laboring in the Mexican mining district of Real del Monte, José Antonio de la Peña met Manuel Arroyo in the summer of 1775. The two young men struck up a secret relationship, sharing a bed, a blanket, and a provocative cure for syphilis. It was the latter that landed Arroyo in an inquisitorial cell, charged with the crime of heresy.[1]  As the trial records indicate, de la Peña had received over thirty bocados (or mouthfuls), the term Arroyo used to describe acts of fellatio he performed upon his friend in order to treat his venereal disease. Their sex life, however, was not the problem. It was the men’s potentially heretical claim that “it is not a sin to suck human semen for reasons of health” that galvanized ecclesiastical authorities to intervene.

Fig. 1: Inquisition Case of Manuel Arroyo. Courtesy of the Bancroft Library, UC Berkeley.

 

The Holy Office of the Inquisition did police sexual proclivities.[2] However, maintaining religious orthodoxy remained their primary concern. For them, challenges to Catholic doctrine—including what might or might not constitute a sin—posed a far greater risk to the social order than clandestine sexual partners, even ones of the same sex. After all, if health demanded doctrinal exception—as Arroyo implicitly suggested—the Church would be hard pressed to preserve the strictures by which it managed its flock, a problem we continue to see play out over issues around access to contraception and abortion today. That Arroyo professed his oral ministrations to be acts of Christian duty only exacerbated the struggle to parse out the significance of his unusual claim.

 

According to Arroyo’s testimony, his acts were done to remove “bad thoughts” of women, prevent men from sinning with them in the first place, and—even more confounding for the judges—to heal. Arroyo insisted that, when aided by the medicinal effects of camphor and aguardiente (distilled spirits), these same benefactions were treatments for syphilis—an illness interpreted by Arroyo (and many others) as an outward symptom of impurities within. To prove this point, Arroyo recalled, for example, his quick recognition of the telltale pustules dotting his friend’s genitalia, a rash that purportedly required him to perform fellatio, employing a gargle of mixed herbs, in his words, “for his health, for his wellbeing, and for his remedy.” Though certainly damning, Arroyo did not shy away from these convictions. Instead, he worked tirelessly to convince his captors of their legitimacy, providing elaborate and intimate details of his time with de la Peña to defend his own knowledge and position as a healer.

 

When the local priest in Pachuca first learned of this strange ministry, he turned to a neighboring ecclesiastical judge, at a loss for what to do. Did something like this fall under the purview of the Inquisition? Or was this a matter for the civil authorities? Perhaps this was best left for the Protomedicato, the royal medical tribunal? Arroyo’s unorthodox assertions wove together the mind, the body, and the spirit, creating jurisdictional confusion and reflecting the myriad ways in which early modern patients and practitioners understood their relationship to health and disease. Because of this, his Inquisition case can tell us a great deal about how people made sense of their own bodies beyond the world of printed and professional medicine.

 

Read alongside indigenous-language volumes, such as the Chilam Balam, discussed by Ryan Kashanipour, and published tracts by natural philosophers, examined here by Heather Peterson, Inquisition documents can enrich our understanding of “different ways of knowing” the body, as Pablo Gómez puts it in his study of the Spanish Caribbean.[3] This is true for scholars working on both sides of the Atlantic. Early modern physicians throughout the world sought out and studied indigenous pharmacopoeia, such as chupirini or chinanteca, but Arroyo’s case suggests how patients themselves understood the value of such herbs and their relationship to disease. Translated primary source readers, such as Women in Colonial Latin America, can allow students the opportunity to weigh in on such cases, like that of Isabel Hernández, a midwife and healer, who appeared before the Inquisition in 1652.[4]

 

Of course, modern readers—not unlike colonial inquisitors—might question whether a remedy like Arroyo’s “bocado” can really be considered medical in nature. When caught, did the denounced simply turn to health to mask an otherwise compromising affair? We can’t necessarily rule it out. Yet, if Arroyo did make it up, then he also contrived a number of authorial forms to back it up as well. As he explained to the inquisitors, he knew that the remedy worked because a woman had performed it for him. To be sure it took effect, she would extract his semen for her doctor, who was able to then determine if it was, in his words, “damaged.” If this was not proof enough, Arroyo confessed that she had first learned this remedy through none other than her local priest. This kaleidoscope of evidence, regardless to what extent we believe him, suggests the complexities that underlay beliefs about medical efficacy at this time. We see similar kinds of invocations in other Inquisition cases, provided by the thousands of colonial subjects imprisoned at one time or another in the dungeons of the Inquisitorial Palace, a building that ironically enough, became the medical school for the Universidad Nacional Autónoma de México. Today, it houses museums to both institutions: mannequins lay prone, emulating the bodies from which doctors and judges sought secrets hidden within.

Fig. 2. Palace of the Inquisition, now the Mexican Museum of Medicine. Photo by the author. 

 

 

[1] BANC MSS 96/95m, 13:1 (1775). The Mexican Inquisition Collection. The Bancroft Library, University of California, Berkeley.

[2] On the question of sexual deviancy in this case, see: Zeb Tortorici, “Heran Todos Putos”: Sodomitical Subcultures and Disordered Desire in Early Colonial Mexico,” Ethnohistory (2007) 54 (1): 35-67.

[3] Pablo F. Gómez, The Experiential Caribbean: Creating Knowledge and Healing in the Early Modern Atlantic (Chapel Hill, University of North Carolina Press, 2017).

[4] Nora E. Jaffary and Jane E. Mangan, Women in Colonial Latin America, 1526 to 1806: Texts and Contexts, (Indianapolis: Hackett Publishing Company, 2018).

Boiling Milk: Experimenting with Boerhaave’s Little Furnace, Part III

By Ruben Verwaal and Marieke Hendriksen

Fig. 1. Ruben keeps an eye on the temperature.
Fig. 1. Ruben keeps an eye on the temperature.

It has been exactly 350 years since Herman Boerhaave’s birthday. What better way to honour the renowned professor than to redo some of his old experiments? 

On Monday 31st of December, in the year 1668, Herman was born. And already as a kid, he and his brother James probed the curiosities of nature: plants, minerals, liquids and bodily fluids. As Herman recalled some 30 years later, “how many whole days and nights we have spent successively together in the chemical examination of natural bodies” [1]. It must have been around this time that Herman invented his little furnace.

“I’ll put an alarm to take the milk out of the freezer,” Marieke texted Ruben the week before New Years’. Between all the Christmas dinners, the 31st was the only day still free to meet up over the holiday. Weeks before we had bought Irish turf online and collected raw milk from a farm near Delft, as well as from a breastfeeding friend . Having finally found the time, we gathered their materials together and started experimenting.

Why Milk?

As a physician, Boerhaave was fascinated with the human body. How does it work? What is it made of? Boerhaave soon realised that a newborn solely grows on breastmilk. Mothers eat their food and digest it with juices from their intestines; after circulating in their bodies, the fluid concocts into chyle and develops into the maternal sustenance in their breasts. Not only human babies, Boerhaave reasoned, but all mammals are nourished by milk and can grow solely on it. “Milk, therefore, appeared to be the first thing to be examined.” [2]

Making Curd

Fig. 2. 4PM: Raw milk heated with vinegar gives you cheese - well, sort of.
Fig. 2. 4PM: Raw milk heated with vinegar gives you cheese – well, sort of.

We set out to replicate the first experiment, titled “fresh cow’s milk coagulates with acids, even in a boiling heat.” We lit the turf in the fireplace. Once it was hot, glowing, and smelling, Marieke put some in an earthenware bowl and placed it in our wooden furnace to let it heat up. Meanwhile Ruben added vinegar to fresh milk in a glass vessel. As the fluid was gradually heating up in our furnace, parts of the mixture were slowly coagulating into curd.

We were basically imitating the cheese-making proces – a more than common practice in the early modern Dutch Republic. Boerhaave, however, assigned physiological significance to this process. For the cheese could be hardened and burned, smelling like bone – proving that even the hardest parts of a baby’s body could have its origin in milk. “This is a strange change of so fluid a matter as milk, but is, perhaps, the origin of all the solids in the body.” [3]

Red Milk

The second experiment was to show how “recent cow’s milk coagulates, turns yellow, and red, by boiling over the fire with fixed alcali.” We basically repeated the previous steps, but instead of using vinegar we added ammonia. Slowly but surely, the white fluid indeed turned yellow, then a dark orange – and was about to turn red. Here we had to stop, unfortunately, because the turf was cooling down, and it was getting dark outside.

Yet via this relatively simple process, Boerhaave confirmed a common illness: milk fever. The milk from mothers suffering from fever “becomes yellow, saline, thin and sanious.” [4] It also clarified why Dutch cows gave yellow milk during the 1714 outbreak of cow’s fever.

Fig. 3. 6PM: Raw breast milk heated with ammonia: 'bloody' milk?
Fig. 3. 6PM: Raw breast milk heated with ammonia: ‘bloody’ milk?

So What Have we Learned?

First, turf smells! We can only surmise that our early modern colleagues were simply oblivious to the smell due to its omnipresence. Second, our apparatus passed the test. Boerhaave’s little furnace successfully kept the heat inside at an evenly distributed yet high temperature (around 60℃). This is an important feat, especially when working with milk. Anyone who has ever boiled milk knows how easily it becomes a big mess when you don’t pay attention for just two seconds. Yet we were able to have 15-minute glühwein and oliebollen breaks without any problem. 

Third, our experiments have shown us how relatively easily some of Boerhaave’s experiments can be replicated – as opposed to some of his contemporaries who made secret potions or applied intricate and dangerous procedures with metals and minerals. Historical reproduction, reconstruction, and re-enactment are methodologically complex and potentially problematic because of the impossibility of repeating history and reliving the experiences of historical actors. Yet our experiments do enhance our understanding of the past; they make our historical understanding more holistic, less linear and text-based. [5] For example, these experiments help us to understand why Boerhaave was such a popular teacher; with the help of a small oven based on his design, students could learn by doing. 

Fourth, with more time and patience we could have gained better results. This is the case with everything, of course. Yet some of Boerhaave’s experiments with milk – for example the milk turning sour by digestion (i.e. at 37℃) – is described as taking twelve days! Lastly, replicating early modern experiments is fun. We won’t deny that working on your object of study outside the library is refreshing. The photos and videos of the process have a public appeal too. We hope you enjoyed it.

 

 

[1] ‘Dedication’ in Herman Boerhaave, Elements of Chemistry (London, 1735), A3r.

[2] Herman Boerhaave, A New Method of Chemistry (London, 1741), 2, 185.

[3] Ibid., 187–188.

[4] Ibid., 188–189.

[5] Pamela H. Smith and Tonny Beentjes, “Nature and Art: Making and Knowing: Reconstructing Sixteenth-Century Life-Casting Technniques,” Renaissance Quarterly 63 (2010): 128–79. Marieke M.A. Hendriksen, Elegant Anatomy. The Eighteenth-Century Leiden Anatomical Collections (Leiden & Boston: Brill, 2015), Chapter 1. Donna Bilak et al., “The Making and Knowing Project: Reflections, Methods, and New Directions,” West 86th 23, no. 1 (2016): 35–55. Hjalmar Fors, Lawrence M. Principe, and H. Otto Sibum, “From the Library to the Laboratory and Back Again : Experiment as a Tool for the History of Science,” Ambix 63, no. 2 (2016): 85–97.

Fevers and the Dog Star in Antiquity

By Laurence Totelin

Summer this year in the UK has been particularly hot; we have experienced a heat wave for the first time in almost a decade. The hot days between roughly the tenth of July and the fifteenth of August are known as the Dog Days, so called because they are under the astronomical influence of the Dog Star (canicula in Latin, hence the French “canicule”, sometimes also used in English), also known as Sirius. Greek and Latin poets, starting with Homer and Hesiod, sang of the effects of the parching heat on the environment and people:

When the golden thistle blooms and the chirping cicada
Sits in a tree and pours down its shrill song
Continuously from under its wings, it is the season of exhausting heat,
Then goats are fattest, wine is at its best,
Women are most lustful, but men are weakest,
Because Sirius dries up the head and the knees,
And the skin is parched by the burning heat.
[Hesiod, Works and Days 582-588]

The constellation Sirius in the ninth-century manuscript Harley MS 647 . Source: wikipedia

To the Greeks, women were wet and men dry. The heat of the Dog Days caused both men and women to become drier; this brought positive effects to women, who became more like the ideal male, but weakened men. That weakness, however, was not a morbid state; it was not an illness.

Medical texts composed in later antiquity described a disease called seiriasis, which was an inflammation of the meninges accompanied by a burning fever. Its name evoked the Dog Star Sirius, although the physician Soranus of Ephesus suggested that the origin of the word seiriasis might be slightly more complex:

Some people state that the disease is called ‘seiriasis’ after the star [Sirius], because of the fever; but others state that it is thus called after the sunken forehead, because among farmers ‘seiros’ is the name of a hollow object in which they put and keep seeds. [Soranus, Gynaecology 2.55]

Soranus, and other medical writers, recommended the application of various ingredients to the forehead as treatment for the illness: egg yolk mixed with rose oil, the leaf of the heliotrope, grated colocynth, the skin of melon, or the juice of nightshade with rose oil. Most of these products, available in mid-summer, were thought to be cooling, and therefore effective in the treatment of fevers: opposite is a cure for opposite. The heliotrope, however, was not known as a cooling drug. The therapeutic principle at play here seems to be that of homeopathy (similar is a cure for similar): the heliotrope, the plant that follows the heat of the sun, is a remedy for a burning fever.

An altogether more colourful remedy for seiriasis is recorded in Pliny the Elder’s Natural History:

The inflammation of infants which is called seirasis is improved by the bones that are found in dog excrement, worn as amulets. [Pliny the Elder, Natural History 30.135]

Girl playing with a dog on a Greek funerary stele, second century BCE. Credit: British Museum

Bone shards are sometimes found in dog poop, and these might be what Pliny was referring to here. This ingredient was most certainly chosen because of the perceived link between seiriasis and the Dog Star Sirius. One can only imagine the despair that would lead the sleep deprived parents of a sick child to put their trust in such an amulet.