Category Archives: Environment

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

[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

Needhams: Global Connections in a Regional Cookbook

By Rachel Snell

According to an undated history of the Mount Desert Chapter of O.E.S., “a committee consisting of Sisters Helen Fernald, Ada Leland and Lillian Somes” was created in 1930 to “solicit recipes and to compile and publish a cookbook.” Their efforts produced the edition of Favorite Recipes analyzed in this article. This was the chapter’s second attempt at a cookbook. An earlier collection of recipes, also titled Favorite Recipes, appeared in 1903. Both editions and a 1980s reprint of the 1903 cookbook are available in the collections of the Mount Desert Island Historical Society.

In the late 1920s, members of the Mount Desert Chapter No. 20 of the Order of the Eastern Star compiled a cookbook of favorite recipes. During the peak of associational life (late-nineteenth to mid-twentieth century), the Order of the Eastern Star was one of a number of social organizations that shaped civic life and sociability on Mount Desert Island.[i]

The recipes collected preserve the transition to an industrialized food system with ingredients representing local resources, nationally available commercial brands, and global networks comingling within the pages, sometimes even the same recipe. In the eyes of the outside world, Maine food culture revolves around local produce such as lobster, blueberries, or maple syrup. But this collection reveals the importance of global connections in the diets of early-twentieth-century Mainers.

A sense of local foodways emerges from the pages of this collection of recipes. Homey recipes like Brown Bread, Yankee Bean Soup, Halibut Loaf, and Mustard Pickles, provided the foundation for simple family suppers. Recipes for puddings, doughnuts, cookies, cakes, and pies that homemakers baked on Saturdays satisfied sweet tooths and served company throughout the coming week.

Among the staples of nineteenth-century foodways that appear in Favorite Recipes, a new type of cooking is also apparent. The influence of national, commercial brands is unmistakable in the ingredient lists. Approximately forty percent of the recipes contained within the book reference a commercialized name-brand product, such as Dunham’s Coconut, Karo Syrup, Dot Chocolate, or Quaker Oats, or ingredients that were made available by technological advances and national transportation networks. This included various canned products, tropical fruits, marshmallows, puffed rice, and peanut butter.

Among the sweets in the cookbook are Needhams, a chocolate-covered coconut candy. These are an oft-cited example of Maine ingenuity—the recipe calls for three small potatoes—and yet, ironically, their inclusion in the recipe book is perhaps an indication of a growing reliance on mass-produced food and global influences. It is half a package of shredded coconut that provides their iconic taste.

Recipe for Needhams, Favorite Recipes (c. 1930). Mount Desert Island Historical Society.

Despite their association with Maine, few outside the Pine Tree State are familiar with the confection. Yet, Needhams are symbolic of globalized food systems. The sugar, coconut, and chocolate that dominate the taste of a Needham (the potato is a tasteless filler ingredient) are all, of course, imported. Each of these essential baking ingredients became more accessible over the course of the nineteenth-century, even in Downeast Maine, due to advancements in cultivation, processing, transportation–and the exploitation of enslaved laborers. The candy’s namesake, Rev. George C. Needham, further represented the interconnected world of the nineteenth century.

Rev. George C. Needham. New England Historical Society.

Born in Ireland in 1840, at the age of ten Needham joined an English ship bound for South America. In his recounting, he was abused and abandoned by his shipmates he narrowly escaped becoming dinner for a band of cannibal Indians. After his escape, Needham journeyed back to England. As a young man, he was an itinerant evangelical preacher in England and Ireland. Immigrating to the United States in the late 1860s, Needham spent the rest of his life traveling the eastern United States, inclusing Maine, predicting the imminent second coming of Jesus Christ. After his sudden death in 1902, his obituary appeared in numerous eastern newspapers evidencing his influence and the extent of his travels.

Needhams, a chocolate-covered coconut candy. New England Historical Society.

The recipe for Needhams is just one example of the global connections in Favorite Recipes. Indeed, the cookbook paints a portrait of a community and its connections to the world by preserving a record of the food items available within a rural municipality along the Maine coast. Favorite Recipes offers a window into the eating habits of the early twentieth-century inhabitants of Mount Desert, Maine at a critical juncture when local and homemade eating habits slowly gave way to nationalized, globalized, and commercialized food choices.

For more information on Favorite Recipes or other materials related to the history of the Mount Desert Island region, visit the Mount Desert Island Historical Society.

[i] William J. Skocpol, “Fraternal Organization on Mount Desert Island,” Chebacco 9 (2008), 36-59.

Recipes and the Senses: An Introduction

By Hannah Newton

Lubin Baugin, Still-life with Chessboard (The Five Senses) (1630). Wikimedia.


Our enjoyment of food depends not just on how it tastes and smells, but also on what it looks, feels, and sounds like. Crispness, for instance, is perceived when we hear a ‘snap’ as the food breaks between our teeth. This relatively new understanding of gastronomic experience explains the recent explosion of recipe books designed to entice all five senses. In fact, a ‘sensorial revolution’ is taking place across most fields of history. This month’s thematic series, edited by Hannah Newton and Elaine Leong, gives a flavour of what might be gained by applying such an approach to the history of recipes; there are 7 contributions, spanning several disciplines, chronologies, and regions, from ancient Rome to eighteenth-century England. To put the posts in context, this introduction provides some background on sensory history.


There are many ways to do sensory history. Perhaps the most influential has been the ‘grand narrative’ approach: scholars such as Marshall McLuhan and Walter Ong claimed that a ‘major sensory transition’ took place between medieval and modern times in the way the senses were ranked. In medieval Europe, societies privileged the ‘lower senses’ of touch and taste, but with the march of modernity the ‘nobler’ senses of sight and hearing came to the fore. Although this scholarship has been heavily criticised – not least for its disparaging attitude towards medieval people – the question of change over time rightly remains fundamental to sensory history. Yan Liu’s post in this series is a good example: he shows how the use of the spice saffron in China has been transformed since medieval times, from an antidote against evil powers to a flavour enhancer in cooking.

Another approach to sensory history involves focusing on a particular sensory organ, or a context directly linked to that sense. Examples include Stuart Clark’s Vanities of the Eye (2007), which explores anatomical and philosophical understandings of vision, and Holly Duggan’s Ephemeral History of Perfume, which uses scent as a window into cultural attitudes to smell.  One downside to the single-sense approach is that in daily life we perceive the world through all our senses, not just one, and the senses themselves influence one another. Several of the contributions to this series demonstrate these interactions nicely: Barbara Di Gennaro Splendore  reveals that the 17th-century apothecary ‘knew substances through “his whole person”’, and William Tullett makes similar observations about 18th-century perfumers.

A third way to study the senses is the ‘sensescape’ approach. This is where scholars take a particular environment or activity, and analyse the multiple sensations that were perceived within it. Bloomsbury’s six-volume series, Cultural History of the Senses, showcases some of the most popular sensescapes, which include the marketplace, street, and church. Donna Bilak’s post is an example of this approach: she uncovers the intriguing sensations reported in the iatrochemical laboratory of the 17th century New England puritan Gershom Bulkeley, which included ‘urinous’ flavours. What Bilak, and many of our other contributors reveal, is that people from the past consciously mobilised their senses when going about their everyday work, whether as a medical practitioner, perfumer, or chef.


One of the biggest obstacles to doing sensory history relates to evidence: most sensory stimuli are ephemeral, leaving no direct historical trace, which means we have to rely on written descriptions or images to access past sensory experience. Unfortunately, this is far from straightforward, due to the difficulties people encountered when putting sensory experiences into words. Peter Charles Hoffer labels this the lemon problem: ‘I can taste a lemon and savour the immediate experience, but can I find words to convey to another person exactly what that sensation was?’

To meet these challenges, exciting new techniques have been devised by historians to recreate past sensations, which involve the use of ‘immersive technology’, such as artificial smells and tastes. By activating our own senses, the intention is to ‘replicate sensation in a world we have (almost) lost’. Historians of science and food deploy similar techniques, re-enacting past experiments (e.g. or making foodstuffs (e.g. here and here), to reach a closer understanding of contemporary worldviews. Tillmann Taape and Erica Rowan, two of our contributors, are both engaged in this sort of innovative work. Admittedly such approaches do attract sceptics. For instance, Mark Smith warns that while it is possible to reproduce a particular sensation from history, the way we ‘consume’ that sensation may be different from the way it was experienced at the time. Indeed, an experience of a sensation may even change over a person’s own lifetime, as Hannah Newton’s post reveals: for early modern patients, what they would normally perceive as pleasant tastes – such as sweet cordials – were found during illness to be disgusting, owing to the effects of noxious humours on the taste-buds.

Despite the challenges involved, our contributors are optimistic about applying a sensory approach to the study of recipes. So long as we accept that sensory perceptions are culturally contingent, there is no reason why it is not possible to glimpse how past societies understood and experienced sensations.


Water to Drink: Fit Only for Invalids and Chickens?

By David Gentilcore 

Jean-Baptiste Labat, Voyages du P. Labat de l’ordre des FF. Precheurs, en Espagne et en Italie (Paris: Jean-Baptiste Delespine, 1730) © Bibliothèque nationale de France

When the French Dominican Jean-Baptiste Labat was captured by the Spanish in the 1690s, and offered water to drink aboard ship, he informed the chaplain that ‘only invalids and chickens drink water in my country’ (Labat 1722). Perhaps this comes as no surprise. If people in past times drank plenty of wine and beer, historians generally assume, this was because the water was risky and potentially unhealthy, perhaps even fatal. But that is to project our own modern conception of water – for example, as a disease-carrying agent – into the pre-modern past. Labat’s aversion to water as a beverage, as expressed in this anecdote (and as the teller of the stories he always gets the best lines!), was due not so much to concerns about its poor quality as to biases inherited from classical culture. As a drink of the lower classes (and animals), water was often described in unflattering terms, especially when compared to what was considered the beverage par excellence – wine (Squatriti 1998). And indeed, in his account, wine is exactly what Labat goes on to request.

However, if we look at actual practices, water returns to the fore. Not only does Labat then proceed, very laboriously, to temper his wine with water, as was the usual way of drinking wine in much of pre-modern Europe; his very successful published mixtures of travelogue, memoir and natural history positively abound with references to water. Every place he visits, Labat describes the nature of the fresh-water supply, and the varied techniques used to harvest, store and access it. In Labat’s eyes a town without its own reliable supply, like Cadiz, is one that would not be able to survive a siege. He is impressed by the technology of water, in particular aqueducts, but even more by water as display. This is evident in his detailed and enthusiastic descriptions of the ornamental fountains present in many Italian towns and cities. And he gets so carried away by his instructions on how to construct a rainwater cistern, the fruit of his own experience overseeing the establishment of a Dominican monastery in the French Antilles, that he repeats them in at least two separate works (Labat 1728; Labat 1730).


The Tivoli waterfall, as Père Labat might have seen it (not to be confused with Niagara Falls).

Even limiting ourselves to his account of Spain and Italy (Labat 1730: in eight four-hundred-page volumes!), Labat’s knowledge and curiosity regarding water and its uses is amply evident. How the clean, clear and pure water of Tivoli’s waterfall, which he compares to Niagara Falls no less, becomes full of silt and mud when it rains, making it unhealthy, or how the bouillantes (boiling) waters of a spring on the outskirts of Viterbo remind him of the spring of that name in Guadeloupe (French Antilles). Siena’s ‘magnificent’ fountain in the main square (the Fonte Gaia) provides a ‘prodigious quantity of very good water’, whilst the numerous fountains of Rome are both delightful and necessary, since the water from the River Tiber ‘is good for nothing’. He notes the high number of itinerant water-sellers in Naples, despite the public fountains on every street, and how in Spain they are registered and taxed, like all other shopkeepers and pedlars. He praises the ‘light’ waters of Bologna and the ‘admirable’ waters of Naples, in tune with the eighteenth-century Hippocratic revival of the importance of ‘airs, waters and places’ in the pursuit of health. He describes various healing springs and the different diseases they are good for, whilst noting that local doctors were rarely much in favour, since ‘nothing disconcerts doctors more than natural remedies’. He remarks on the priest so afraid of water that he wouldn’t even wash his hands, or the doctor who quickly realised that the best remedy for disease was fresh water to drink, rest, a change of air and, most of all, plenty of patience.

We know from a wide range of other sources that communities went to great lengths to procure clean water, from elaborate public works, like aqueducts, conduits and fountains, to the construction of public and domestic rainwater cisterns, to the everyday presence of water-sellers in larger towns. If I gave drinking water rather short shrift in my recent study of food, diet and health (Gentilcore 2016), it at least means that I can now devote a research project entirely to the ‘water cultures’ of early modern Europe and the Mediterranean. It is already evident from work in progress that doctors went from being circumspect in their advice regarding drinking water, during the Renaissance, to great enthusiasts for table water as a ‘universal cure’, effective both in preventing and treating disease, during the eighteenth century.

Whatever his own personal drinking preferences might have been, the widely travelled Père Labat turns out to be a connoisseur of waters. Although his enthusiasm occasionally gets the better of him – the water-sellers of Naples were actually a necessity in a city perennially short of fresh water – Labat provides a generally reliable and entertaining introduction to the importance of water and its provision throughout the early modern world.

David Gentilcore is Professor of Early Modern History at the University of Leicester. His research interests lie in the medical, dietary, social and cultural history of early- and late-modern Italy. He is the author of seven books and his most recent monograph is Food and Health in Early Modern Europe. Diet, Medicine and Society, 1450-1800 (Bloomsbury, 2015). Our blog readers interested in the history of food might also be interested in David’s books on the potato and the tomato in Italy.


Jean-Baptiste Labat, Nouveau voyage aux Isles de l’Amérique (Paris: Pierre-François Giffart, 1722), 6 vols. A heavily abridged translation by John Eaden was published as The memoirs of Père Labat, 1693-1705 (London: Frank Cass, 1970 [first ed. 1931])

Jean-Baptiste Labat, Nouvelle relation de l’Afrique occidentale (Paris: Guillaume Cavelier: 1728), 5 vols.

Jean-Baptiste Labat, Voyages du P. Labat de l’ordre des FF. Precheurs, en Espagne et en Italie (Paris: Jean-Baptiste Delespine, 1730), 8 vols.

Paolo Squatriti, Water and society in early medieval Italy (Cambridge: Cambridge University Press, 1998)

David Gentilcore, Food and health in early modern Europe (London: Bloomsbury, 2016)