Category Archives: Body Parts

Cold Wombs and Cold Semen: Explaining Sonlessness in Sixteenth-century China

By Yi-Li Wu

Figure 1. Depictions of boys at play were a popular Chinese decorative motif during the sixteenth century, imbued with auspicious meaning and conveying hopes for male offspring. This porcelain bowl was made in Jindezhen during the Jiajing reign period (1522–66). From the collection of the Metropolitan Museum of Art, New York, NY. Gift of Denise and Andrew Saul, 2001. Accession number 2001.738. On-line at

Throughout imperial China, a family’s well-being and longevity required the birth of sons. [Fig. 1]  Sons performed the ancestral rites, inherited land, and were responsible for supporting aged parents. And only men could take the examinations for government office which conferred elite socio-economic status. But at age 40, Liu Xiaoting was still sonless (wu zi). He appealed to the physician Gong Tingxian (15`38-1635), promising him rich recompense if he could help. As Gong recorded in his influential treatise, Curing the Myriad Diseases (Wanbing huichun, preface dated 1587), Liu’s “male member was weak, and his semen was icy cold.” Furthermore, his pulses were flooding when felt at the first position (cun) at the wrist, but deep and faint at the third position (chi). Gong’s diagnosis: a profound deficiency of primordial qi (yuan qi), the source of all the body’s vitalities and material manifestations. This was caused, he explained, by excessive drinking and sexual indulgence.

Depletion from debauchery was a common diagnosis for upper-class men of the time, those who had the means to own concubines and patronize courtesans. Doctors agreed that such carousing exhausted the body’s vitalities, not least because male semen was produced from “essence” (jing), the vitality that enabled growth, generation, and reproduction. Besides depleting the body, excessive outflows of semen harmed the kidneys, the organs that produced, stored, and transformed essence.  To cure Liu, Gong prescribed a 16-ingredient formula called “Elixir to Solidify the Root and Strengthen Yang” (Guben jianyang dan) (see below).  After taking one recipe’s worth, Liu felt that his nether parts were warm again.  After an additional half-recipe, he felt recovered. To his great joy, he then begat a son. Liu subsequently shared the formula with a Liu Boting and a Liu Min’an (probably kinsmen) who also used it successfully. [Figs. 2 and 3]

Figs. 2 and 3: The recto and verso of a page from a seventeenth-century edition of Gong Tingxian’s Curing the Myriad Diseases, showing his recipe for Elixir to Solidify the Root and Strengthen Yang (Fig. 2, recto) and explaining how he used it to cure Liu Xiaoting (Fig. 3, verso). Note that Chinese books were read from right to left. From Expanded edition of “A Collection on Curing the Myriad Diseases” by Mr. Gong Yunlin, Confucian doctor (Zengbu ruyi Gong Yunlin xianshen Wanbing huichun ji), Renren shushe woodblock edition, 1641. Yulin was Gong Tingxian’s sobriquet (hao). In the collection of the Berlin State Library, Germany. Digitized and on-line at the Staatsbibliothek zu Berlin-PK digitalisierte Sammlungen, permanent URL:

Gong Tingxian placed Liu Xiaoting’s case in his discussion of “seeking descendants” (qiu si), which was part of a larger section on “women’s diseases” (fu ke).  “Descendants” here referred specifically to sons.  Although Chinese medical writings on childbearing focused primarily on the female body, people had also long recognized that male ailments could impede conception. These concerns were especially salient in Gong and Liu’s time, when population pressure, urbanization, and commercialization were creating new forms of socio-economic mobility and instability.  As Charlotte Furth has shown, this inspired a proliferation of writings on male self-cultivation and producing sons. Such material appeared in various textual genres, and it was not uncommon to find the reproductive illnesses of men discussed in chapters on women. These discussions assumed, furthermore, that a deficient man might still be able to father daughters, but that only a properly regulated male body would create sons. The question was how best to achieve that regulation.

In medical discussions of infertility, cold could refer to somatic sensations of chillness, as well as to a sense of deficiency and absence of vitality.  Writings on women were primarily concerned with ensuring the ample and free flow of female blood, which constituted the female seed, nourished the fetus, and later transformed into breast milk.  But doctors also worried about coldness in the womb, whether from an invading wind, or arising from internal depletion. Cold would cause female blood to stagnate and become corrupt.  But concerns about female cold were also expressed in terms of agricultural metaphors which portrayed the womb as a field that needed to be warm and nurturing to receive the male seed.

Women with cold wombs would simply not produce children. But when couples produced only girls, this suggested deficiencies in the man, who played a key role in determining the child’s sex. The various theories of sex selection might differ as to details, but they agreed that a man could produce boys by shooting (she) his seed into the woman on certain days, in a certain manner, at a certain point in the copulatory act.  Particularly important was the belief that both men and women released reproductive seed during orgasm, and that the fetus’ sex was determined by the seed that came last.  A man who wanted sons thus needed to bring his female partner to climax before releasing his own seminal essence. His semen also needed to be sufficiently “dense” (mi), lest it dribble uselessly out of the womb.

Coldness in men was thus associated with impaired copulatory function, manifesting as cold and watery seed and as a weak penis unable to control its emissions. Gong Tingxian’s fertility formula echoed this understanding, relying heavily on substances that were classified as “principal drugs for treating spermatorrhea” and/or as “principal drugs for treating impotence” in Li Shizhen’s authoritative  and encyclopedic Compendium of Materia Medica (Bencao gangmu,preface dated 1590).  At the same time, Gong’s formula implicitly rebuked those who would treat male coldness with heating drugs.  This objection was rooted in a particular understanding of how cosmological yin and yang forces expressed themselves in the male body.

To simplify enormously: yang referred to things that were external, active, and hot, while yin was internal, receptive, and cool. Men were the yang of humankind, and male potency and fertility were understood as expressions of bodily yang. As a result, people routinely tried to treat sonlessness with heating drugs. But some doctors warned that too much heat would damage and consume yin, harming the kidneys (yin) and consuming its essence (yin). Excessive heat would sicken the man, and even if he managed to conceive a son, the heat would remain as a latent poison in the fetal body and the boy would die young. Instead, they argued that the proper way to regulate yang was to address the underlying deficiency of yin.  Gong Tingxian shared this viewpoint, and the key drugs in his prescription acted by nourishing bodily yin and the kidneys.  As Liu Xiaoting swallowed the dozens of pills that Gong prescribed, he may have had initial doubts about their efficacy. But the birth of his son would have convinced him that, at least in this instance, Gong’s approach to male coldness was the correct one.


Elixir to Solidify the Root and Build Yang (Guben jianyang dan)
Dodder seed (tu si zi) cooked in wine, one and a half taels[1]

White poria, root end (bai fu shen), skin and woody bits removed
Dioscorea (shan yao), steamed with wine
Achyranthes root (niu xi), stems removed, washed in wine
Eucommia bark (du zhong), washed in wine, skin removed, roasted until crisp
Angelica root, main body (dang gui shen), washed in wine
Cistanche (rou cong rong), soaked in wine
Schisandra fruit (wu wei zi), washed in wine
Black cardamom (yi zhi ren), stir-fried in salt water
Tender deer antler (nen lu rong), roasted until crisp
One tael each of the above

Prepared rehmannia (shu di), steamed in wine
Dogwood fruit (shan zhu yu), steamed in wine, the pit removed
Three taels each of the above

Sichuanese morinda (chuan ba ji), soaked in wine, the heart removed, two taels

Teasel (xu duan), soaked in wine
Milkwort (yuan zhi), processed
Cnidium seeds (she chuang zi), stir fried, the husks removed
One and a half taels each of the above

Ginseng (ren shen), two taels
Goji berries (go ji zi), two taels

Grind the above into a fine powder, and mix with honey to form pills as large as the seeds of the parasol tree. For each dose, take 50 to 70 pills on an empty stomach, washed down with salt water. With wine is also fine. Before bedtime, take another dose. If the woman’s monthly affair is already concluded, then this is the time for planting sons, and if one takes three doses a day, that is no problem.  If essence is not stable, then add dragon bone (long gu) and oyster shell (mu li), heated in fire and quenched in salted wine three to five times. Use one tael, three mace of each. Moreover, add five taels of tender deer horn.

[1] The weight of the tael (Ch. liang) has varied over time, but during Gong Tingxian’s lifetime would have been equivalent to approximately 37 grams.  A mace (Ch. qian) is one-tenth of a tael.


Yi-Li Wu is a Center Associate of the Lieberthal-Rogel Center for Chinese Studies at the University of Michigan, Ann Arbor (US).  She earned a Ph.D. in history from Yale University and was previously a history professor at Albion College (USA) for 13 years.  Her publications include Reproducing Women: Medicine, Metaphor, and Childbirth in Late Imperial China (University of California Press, 2010) and articles on gender and the body; medical illustration; forensic medicine, and Chinese views of Western anatomical science.  She is currently completing a book manuscript on the history of wound medicine in China.

Heat and Women’s Fertility in Medieval Recipes

It seems rather ironic to be writing about ‘heat’ in the middle of a heatwave. I’m not sure anyone in Britain at the moment is keen to increase their level of heat any further! However, according to humoral theory, which underpinned many medical recipes throughout the medieval and early modern periods, heat could be a very good thing when men and women wanted to reproduce.  Heat, in the humoral sense, was believed to aid both sexual performance and fertility, and ‘hot’ foods and medicines were recommended as aphrodisiacs and fertility aids in many ancient, medieval and early modern medical texts.  Jennifer Evans has set this out very nicely for the early modern period – see her book and her post on the Recipes blog from 2013.  But heat wasn’t always a good thing: in some circumstances too much heat could also be a problem for fertility, and in that situation ‘cold’ foods and medicines might be suggested.

In my own work on the medical recipe books of the fourteenth and fifteenth centuries, then, I would expect to find a range of recipes to aid conception which include ingredients designed to raise or reduce a person’s heat. Although recipes were written in less complex language than Latin medical texts, and focused on treatment rather than theory, the recipes in these collections were often drawn from longer Latin medical works and so were often based on humoral theory even when this was not made explicit.  Nevertheless, my initial survey of recipe manuscripts in the Wellcome Library, British Library and Cambridge University Library suggests that the picture was more diverse than this.  I haven’t made a comprehensive search – and, given the number of unpublished medieval recipe manuscripts, I probably won’t be able to – but the recipes to aid conception that I’ve found so far work on a variety of principles.

Some do seek to adjust a person’s heat in order to correct a perceived humoral imbalance. For example, a series of recipes in Latin in Wellcome Library MS 541, a fifteenth-century medical miscellany of unknown provenance, is explicit about this.

A page from Wellcome Library MS 541. Credit: Wellcome Library.

In a chapter on ‘Impediment of Conception’ it includes recipes for:

If the sterility is because of cold humours… (Si sterilitas fuerit propter humores frigidos…)

If conception is impeded because of too much moisture… (Quod si propter nimiam humiditatem conceptio impediatur…)

If there is a distemper of heat or dryness in the woman which impedes conception… (Quod si caliditate aut siccitate fuerit distemperancia in muliere impediens conceptionem…)

In each case the first stage is to purge the excess humours, and then a selection of baths, plant remedies and suppositories is recommended. (Wellcome Library MS 541, ff. 137r-v)

The whole manuscript is digitized on the Wellcome Library website here.

Similarly British Library MS Harley 2378, quoted by Henslow in an edition of fourteenth-century medical recipes, also mentioned lack of heat as a cause of women’s infertility and suggested a cure to raise her heat:

‘For a womman þat may not bere no chyld for colde blode: Take and let hire blode, and take trisandali and diapendion, and take and ley þem to-gedere with hony, and ete iche day þer-of, and haue blode bothe hote and gode.’ (G. Henslow, Medical Works of the Fourteenth Century (London, 1899). p. 104.)

However, in many other cases the recipes found in fourteenth- and fifteenth-century manuscripts are not obviously heat-related. Instead many of them require the man, woman or both to ingest animal parts, particularly genitalia.  These recipes work on another theoretical framework with a long history going back to the ancient world: the idea that certain substances were able to stimulate the reproductive organs because of a certain sympathy with them.  For example several fourteenth- and fifteenth-century manuscripts of the Liber de Diversis Medicinis, a collection of recipes in English, include a series of recipes involving animal genitalia. To help a woman conceive a male child, ingredients such as the womb and vagina of a hare; the testicles of a hare; and the liver and eyes of a pig (see Catherine Rider, ‘Men’s Responses to Infertility in Late Medieval England’, in The Palgrave Handbook of Infertility in History, ed. Gayle Davis and Tracey Loughran (Basingstoke, 2017), p. 281).

All of these recipes derive – directly or indirectly – from the Trotula, the twelfth-century Latin compendium of women’s medicine edited by Monica Green, although there were some changes in the process of transmission: the Trotula recommends the liver and testicles of the pig, rather than liver and eyes (see p. 77 in Green).  These recipes from the Trotula appear frequently in recipe collections from medieval England: the pig’s testicles appear again in Wellcome Library MS 407 (f. 61r), ‘Against sterility’.

As Green has shown, numerous manuscripts of the Trotula circulated in England, and the treatise had several Middle English translations, so perhaps it is not surprising that its remedies turn up frequently in recipe collections. Recipes based on animal parts have also featured on the recipes blog before: to take just one example, Laurence Totelin mentioned the use of a deer’s penis as an aphrodisiac in ancient Greece back in 2015.  The Trotula did also discuss the ways in which too much or too little heat might make men or women infertile (see Green’s translation, pp. 85-7). Nevertheless, its influence and the popularity of its genitalia-related remedies means that treatments based on heat and humoral theory were not the only fertility aids available to readers of medieval English recipe collections.  In the future I’m hoping to look in more detail at which aids to conception were particularly popular in English medical texts, and what that might tell us about the transmission of information from earlier Latin medical works.  But at the moment the picture – as regards heat – is looking rather diverse.

Returning the wandering womb with “fetid and rank smells”

By Dr. Amy Kenny

When prescribing curatives for a wandering womb, early modern medical practitioners regularly propose pungent materials to return the womb to its rightful place in the abdomen.  Medical manuals from the period are rife with tales of the womb becoming dislodged and wandering throughout the body.  Monthly shedding and regular intercourse were often recommended for women to release gratuitous female seed and prevent humoral clogging.  Without shedding this excess, the womb could travel throughout the body, sometimes as far north as the throat, or as far south as the knees.  If its “ligaments are loose, and it falls down by its own weight,” English physician Nicholas Culpeper warned, or it could wander north, producing a choking sensation and syncope, aptly labeled suffocation of the mother.[1]  Once the womb was out of place, reeking elements were often recommended by medical practitioners to coax the womb back to its proper location in the body.

Renowned French surgeon Ambroise Paré suggests physicians apply “fetid and rank smells” to the nostrils, such as the “snuff of a tallow candle when it is blown out, with the fume of bird’s feathers, especially partridges or woodcocks, of man’ hair, or goat’s hair, of old leather, of horse-hoofs, and such like things burned, whose noisome or offensive savor the womb avoiding, doth return unto its own place or seat again.”[2]  The Compleat Midwives Practice proposes “fomentations are also very necessary, made with the decorations of broom, wild cucumbers, flowers of chamomile, melilla, with origin, cumin, fennel, [and] anise-seed.”[3]  A Rich Closet of Physical Secrets swears by “a bath made of mugwort, flea-bane, juniper, camphire, and wormwood, boiled in water,”[4] and physician James Rüff advises “castoreum, galbanum dissolved in vinegar, of each half an ounce; brimstone one ounce” to apply to the nose and the woman’s genitals.[5]  This is merely a sampling of the recipes prescribed for the wandering womb, but offers a microcosm for popular treatments as most call for aromatic materials amongst the ingredients.

Fig. 1. Treatment of prolapse of uterus, 1559. Credit: Wellcome Collection.

Specifically, herbal remedies were often administered via a pessary, or suppository, at the neck of the vagina to fumigate any menstrual or humoral excess, causing the womb to shift locations.  Paré recommends a pessary full of “sweet and aromatic fumigations” using cinnamon, aloes, labdanum, benzoin, thyme, pepper, cloves, lavender, calamint, mugwort, penny-royal, nutmeg, musk, and amber.[6]  This image from 1559 (fig. 1) shows a practitioner placing a pomegranate shaped pessary on a woman with a prolapsed uterus.  An apple-shaped pessary can also be seen amongst French surgeon Jacques Guillemeau’s medical tools (fig. 2). Pessaries were often shaped like pears, apples, or pomegranates and could be administered by a medical practitioner or the woman herself.  Herbal remedies such as those placed in pessaries were thought to offer a purgative heat to release excess phlegmatic humors, returning the womb to its original place by humoral fumigation.

An Apple-shaped pessary with central canal, from Jacques Guillemeau, Le chirurgie Françoise, 1594. Credit: Wellcome Collection

Why use smelly materials to cajole the womb back to its original location within the body?  Why not entice it by other means?  The womb, early modern medicine tells us, “will in a manner descend or arise unto any sweet smell and from any thing that is noisome.”[7]  Able to detect smells and determine their quality, the womb garnered a sympathy with the nose unlike that of other organs.  It adopted the nose’s olfactory role in discerning scents as curatives or miasmas.  The porous humoral body was susceptible to shifts in the Galenic non-naturals—air, sleep, diet, exercise, the passions, and excretion—and the womb was considered one of the body’s orifices through which it interacted with the larger world.  Odorous plants could purge disproportionate humors in the womb, allowing it to return to its rightful place because of its sympathy with the nose.  According to early modern medicine, the womb could smell the scents administered externally because of its porous nature and olfactory ability.

Amy Kenny is a Visiting Assistant Professor at University California, Riverside. She is currently working on a book on wombs, entitled, Humoral Wombs on the Shakespearean Stage, under contract with Palgrave Literature, Science, and Medicine series.

[1]Culpeper, Nicholas. Culpeper’s Directory for Midwives (London: Peter Cole, 1662), 50.

[2]Paré, Ambroise. The Works of that Famous Chirurgeon Ambrose Parey, trans. T. H. Johnson (London: Mary Clark, 1678), 574.

[3]R. C., I. D., M. S., T. B., The Compleat Midwife’s Practice Enlarged (Angel in Cornhill: Nathaniel Brookes, 1659), 216.

[4]Anonymous, A Rich Closet of Physical Secrets (Gartrude Dawson: London, 1653), 24.

[5]Rüff, Jacob. The Expert Midwife, or An Excellent and Most Necessary Treatise of the Generation and Birth of Man (London: E. Griffin for S. Burton, 1637), 67.

[6]Paré, Ambrose. The Works of that Famous Chirurgeon Ambrose Parey, trans. T. H. Johnson (London: Mary Clark, 1678), 574.

[7]Crook, Helkiah. Mikrokosmographia, A Description of the Body of Man (Barbican: W. Jaggard, 1616), 223

Tales from the archives: Spring: when thoughts of fancy turn to itchy, watery eyes

In 2017, The Recipes Project celebrated its fifth birthday. We now have nearly 650 posts in our archives and over 160 pages for readers to sift through. That’s a lot of material! (And thank you so much to our contributors for sharing such a wealth of knowledge on recipes.) But with so much material on the site, it’s easy for earlier pieces to be forgotten. So, the editors have decided that, every now and then, we’ll pull something out of the archives to share with our readers anew.

Spring  started a few days ago in the northern hemisphere. Here in the UK, the weather is getting warmer – and wetter – after a very cold month. The days are lengthening, and the flowers starting to bloom. All this loveliness, however, is slightly tempered by pesky hay fever, which seems to affect me earlier every year. This seems the perfect opportunity to revisit a post by our own Lisa Smith first published in May 2014 on early-modern remedies for watery eyes. Enjoy!

By Lisa Smith

A number of my Tweet-friends have recently been complaining about the severity of their hay fever this spring. @KateMorant asked:

Is there any #earlymodern advice/ recipes for hay fever? I’ll try anything short of applying leeches to eyes.

Advert for Histantin, a Burroughs Wellcome and Co antihistaminic agent showing a couple eating a picnic in a field while a farmer piles hay onto a cart, 1965. Image Credit: Wellcome Library, London.

But… trying to figure out what people might have used to treat their symptoms in early modern England is no easy matter. The term hay fever, according to the Oxford English Dictionary, was not used until 1829. What we know now as “hay fever” was first described in 1819 by Dr. John Bostock, who presented his own case for study as being “an unusual train of symptoms”: itchy, swollen and watery eyes, sneezing, and difficulty breathing. Over the years, Bostock had tried bleeding, purging, blisters, diet, Peruvian bark, steel, opium, mercury, cold bathing, digitalis… and, of course, many eye remedies. None of these had apparently helped.

Keeping in mind the relatively new description of hay fever as an ailment, I decided that the best way to track down early modern hay fever remedies would be according to symptoms. Of the symptoms typically associated with hay fever, itchy eyes are the easiest to trace—and even this was no mean feat.

I started off with the Wellcome Library’s wonderful online collection of seventeenth and early eighteenth century recipe books. Although there are lots of remedies to treat eye problems, many of these were a bit general, such as “The Lady Iveys Eye Watter” listed in the Johnson Family’s book (1694-1725). These eye drops, which included the white of a new laid egg, spring water and alum, could be used to treat “all distempers in yr Eyes pertickuler for any thing that grows”. So, although allergy-ridden eyes could in theory be treated with this remedy, it was not the most specific choice.

Fortunately, none of the remedies I looked at used this as an ingredient! Thomas Rowlandson, A Village Doctress Distilling Eyewater, 1800. Image Credit: Wellcome Library, London.

The Brumwich family (1625-1700) may have been hay fever sufferers, as there were three somewhat more useful remedies in their collection: “A watter for eyes that are red & watterey aproved”, “A resceipt for wattering eyes” and “A water for sore eyes whose lides are all swelled”. All had an “X” or a “+” beside them, indicating—along with the one “aproved” that the recipes had been tried. The “watter for eyes” was essentially a sugar water that could be sponged or dropped into the eyes, while “A resceipt” included orris [iris] root and white copris [possibly a beetle?] steeped in water. The “water for sore eyes” used red rose water and powdered aloes. Of course, there is no guarantee that these were for allergy symptoms, especially as the third recipe was included alongside remedies for blindness and sore eyes.

None of them give me any confidence.

The English Physician enlarged (1718) by Nicholas Culpeper, however, offered some potential explanations—as well as solutions—for itchy, watery eyes. A juice of celandine, field daisies and ground ivy in clarified water with dissolved sugar was a “soveraign remedy for all pains, redness, watering”, which sounds promising, but it also treated pins and webs and skins and films (p. 10). Barley, which was ruled by Saturn, could be cooling and cleansing, especially for inflammation problems (pp. 29-30). Eye drops distilled from green barley gathered at the end of May was particularly good for sufferers who had “Defluctions of Humours fallen into their Eyes”. Both remedies suggest that symptoms might be seen as defluxions (a discharge of fluid) or inflammations. Makes sense.

But another type of classification in Culpeper put itchy, swollen eyes alongside poisons and the venemous bites. This made sense; the blood in such cases was seen as poisoned and overly hot. White beets and borage and bugloss were all ruled by Jupiter, which made them cleansing and strengthening. The beets could treat internal obstructions, headaches, venemous bites, eye inflammations and—interestingly—“wheals”, something rather like a hive (pp. 36-37). Borage and bugloss roots and leaves were good for putrid and pestilential fevers and poisons, while the leaves and seeds might help cleanse the blood and excess heats. The distilled water could be used as an eye wash for red and inflamed eyes (pp. 50-51). Modern hay fever sufferers, no doubt, will also understand this parallel with poisoning, with  pollen and dust acting as daily sources of misery.

Trying to identify hay fever-like symptoms in early modern England is a difficult business, as these eye remedies reveal. And this, before we even get to the sneezing! A quick digital search through Culpeper’s on Eighteenth Century Collections Online shows that all references to sneezing were in positive terms. For example, under “Clary, or more properly Cleer-Eye”, Culpeper noted that the powder of the dry root “provoketh Sneezing and thereby Purgeth the Head and Brain of much Rheum and Corruption” (p. 90). In other words, while Culpeper offered up lots of remedies for the eye symptoms, nothing could—or should—be done about the sneezing.

Sneezing: nature’s way of purging the body? But at least no leeches were required…