Category Archives: Series: Fertility

Movember: Men’s Health in Eighteenth-Century Recipe Collections

By: Katherine Allen

November (or ‘Movember’) is men’s health  awareness month, and it focuses on prostate cancer and depression, with the added bonus of moustaches. Movember didn’t exist in the eighteenth century, but I’m curious about men’s health awareness from a recipe book perspective. What can recipe books tell us about the family’s role in providing care, and recording remedies for men?

movember-moustache
Movember: Men’s Health Awareness Month

The manuscripts I consult contain mostly non-gender specific illnesses (e.g. coughs and stomach complaints), and many include recipes for women and children; this is because these manuscripts were written by women and were family collections. There are, however, occasional references to men’s illness experiences.

Remedies for the prostate gland/ cancer don’t exist in recipe books (at least not in modern terminology). The prostate was not anatomically-defined until the late eighteenth century, and the medical interventions that developed were surgical, with John Hunter’s use of catheters being an example of treatment for an enlarged prostate.

If we look broadly at urinogenital recipes, we find men’s illnesses (on male infertility see Jennifer Evans). Urinogenital remedies were standard in domestic recipe books. These include recipes for bloody urine, stones, and difficulty urinating. In Esther Hanmer’s mid-century recipe book[1], a recipe titled ‘Given my Father. For one yt cannot make water either child or Old body’ said to take bees and stamp them, then add them to white wine and posset ale. Although it is unclear if it was used by the father, his donation of this remedy indicates a man’s awareness of urinogenital issues and potential treatment, and his sharing of medical advice with his family.

esther-hanmer-ms-p-17
For one yt cannot make water. MS. 2767. Image Credit: Wellcome Library

Similarly, Sir Thomas Mannering sent the compiler’s grandfather a remedy for sharpness of urine where a piece of antimony was infused in ale. This sharpness could be any infection, but the term frequently appeared in medical literature as a symptom of gonorrhea. Esther Hanmer’s family recipe collection thus documents men acquiring medical advice from their networks and subsequently sharing it as a component of the family’s health record and for potential future use.

esther-hanmer-ms-p-29
Against Sharpness of Urine. MS. 2767. Image Credit: Wellcome Library

Though the grandfather’s recipe does not specifically mention gonorrhea, venereal diseases were a pervasive complaint for eighteenth-century men. The absence of explicit venereal disease remedies in domestic collections is partly due to the immorality and stigma associated with the disorders. Lisa Smith has noted that recipes for ‘weak backs’ and ‘running of the reins’ (genital discharge) were linked to venereal diseases and genital ‘leakage’, suggesting that treatment for sexually transmitted infections was present in recipe books, but catalogued under more ambiguous names.[2] For instance, a late seventeenth-century collection cites a water-based remedy for a canker ‘in the yard of a man’, indicating that recipes books had remedies for suspected venereal disorders, though they were not labelled as such.[3]

Manuscript recipe books were important for documenting the whole family’s health, and the family played a central role in communicating, preserving, and utilising medical knowledge when caring for male members. Baron James Everard Arundell’s and his wife’s recipe collections are two of the few family manuscripts I have looked at that were compiled by a male family member. Many of the recipes are recorded as being specifically for Arundell, including a recommendation for Dicherion’s white Drops for Palsy, which was given to him by Lady Arundell, and which he purchased from Mr Collins – a bookseller at Salisbury.[4]

arundell-ms
Drops for James Arundell’s Palsy. MS 2667/12/40. Image Credit: Wiltshire and Swindon History Centre

Royal gardener Henry Wise corresponded regularly with Dr. Cheyne (see Spa post) and one of his recurring health conditions was  sickness when travelling. One recipe was to ‘Stop Purging when upon the Road from Bath’ from Dr. Cheyne[5], while the family’s other manuscript has a record of Mr Southill’s directions for him for ‘occasion of motion extraordinary’.[6]

Eighteenth-century elite men were invested in maintaining their health and seeking treatment– this is no surprise given the wealth of sources documenting men consuming medicine and their seeking advice from the medical professions. What is significant is that recipe books served as important records for men’s medical interactions and medical knowledge for treating men as part of the domestic medicine tradition. Some men recorded their experiences directly; in other cases it was female relations who documented their experiences and wanted (or were expected) to be knowledgeable in maintaining their men’s health as part of family care.

[1] Wellcome Library, MS.2767. Esther Hanmer and others, ‘Receipt Book’ (c. 1750–1825), pp. 17, 29.

[2] Lisa Wynne Smith, ‘The Body Embarrassed? Rethinking the Leaky Male Body in Eighteenth-Century England and France’, Gender & History, 23 (2011), pp. 26–46.

[3] British Library, Add MS 38089. Collection of Medical Recipes, p. 108v.

[4] Wiltshire and Swindon History Centre, 2667/12/40. Mrs J.E. Arundell, ‘Book of medicinal recipes’ (1786), Arundell of Wardour, p. 111.

[5] Warwickshire Record Office, CR0341/300. Wise family, ‘Volume containing assorted Wise family records and recipes’ (1716–8), Wise family of Woodcote, p. 119.

[6] CR0341/301. Mary Wise, ‘Recipe book of Mary Wise’ (18th C.), Wise family of Woodcote, p. 86.

 

Women’s Health in the South Slavic Orthodox Tradition

By Adelina-Angusheva-Tihanov and Margaret Dimitrova

Visit to the witch from the Main Church of Rila Monastery, 1844. Photograph by Adelina Angusheva-Tihanov
Visit to the witch from the Main Church of Rila Monastery, 1844.
Photograph by Stavri Tserovski

This intriguing fresco was painted on the walls of the Rila Monastery, Bulgaria, in 1844. If you look closely at the bottom left-hand corner of this fresco, you might spot a demon urinating in a woman’s potion as she hands it to a sick man. Here, viewers of this fresco are encouraged to connect the activities of female healers with demons and evil spirits. This negative depiction of female healers was a common sight on the walls of nineteenth-century Bulgarian religious institutions, and continued a centuries-long struggle between the Church and local healers. The Church demonised female healers, but regularly concerned itself with the health issues of one group that was more likely to rely upon the powers of these practitioners –women. Indeed, religious texts of various periods deal with health and sickness. Religious healing has been discussed on The Recipes Project before.  Medieval South Slavic religious manuscripts commonly contain a range of texts relating to health: curative prayers; medical recipes; healing practices; short medical treatises; prognostications for an illness; and prophylactic instructions (such as dietary texts). In this post, we would like to share some common recipes, incantations and prayers addressing women’s health issues.

Detail from Fresco Photograph by Adelina Angusheva-Tihanov
Detail from Fresco
Photograph by Adelina Angusheva-Tihanov

The Hodoş Miscellany (Hodoshki Sbornik), so called because of its association with the Hodoş monastery now in Romania, is one of the richest sources for fifteenth century South Slavic remedies. This collection contains a range of recipes, including several concerning women. One such recipe is for conception. For this, it recommends administering morning baths from a dried rabbit’s womb or placenta (lozhe) filled with water during the woman’s menstruation. Interestingly, this recipe bears close resemblance to another remedy for conception presented by Dioscorides. According to Dioscorides, rabbit’s rennet mixed with butter should be used for purging baths during menstruation to cause pregnancy. In the remedy from Hodoş the replacement of the ‘rennet’ (stored in the stomach) with a ‘womb’, perhaps stems from a belief in the sympathetic magical influence of the rabbit’s fecundity. Interestingly, versions of this remedy continued to circulate in South Slavic folk tradition well into the twentieth century. For instance, in the 1980s, Margaret Dimitrova interviewed an old woman from the village of Brestnitsa in the Lovech region who continued to use pessaries made with rabbit fat as a fertility remedy.

South-eastern_Europe_1340(1)
Map of the Balkans, c. 1340 from Wiki Commons

Aside from providing fertility aids, the Hodoş miscellany also offers readers medicines to ease the pains of childbirth. We would like to bring three of these to your attention. The first remedy advises users to place a wreath of Euforbia officinarum on the head of the woman in labour. The other two offer brief magical rituals accompanied by powerful Biblical formulae. One instructs the user to write the short biblical quote “Open you, Gate of heaven” on a piece of paper and place it on the woman’s back. The second advises the reader to have a well-watered sponge in his or her left hand, and with their right hand inscribe on the top of the door: ‘Tear it down to its foundations!’ [Psalms 136:7]. The use of the door here as a locus in performing the conjuration might be a symbolic gesture associated with transition. The biblical quotation here took on multiple functions. ‘Tear it down to its foundations!’ is also used in prayers against swelling and water retention in men and horses. The meaning of the Biblical text was quite literally understood. The implication was of liberation, rather than destruction. In all cases it was applied because of the similarity in the expected results, regardless of the nature of the pains. Evidence suggests the use of this kind of remedies was widespread in the Balkans.

A Medieval Bulgarian Bible from Wiki Commons
A Medieval Bulgarian Bible
from Wiki Commons

The sources presented here from South Slavic literate culture inevitably show the role of medieval monasteries and parish churches in the transmission of healing practices. Indeed, the role of the – male-dominated – Church might help explain the spread of some of these recipes across South Eastern Europe: religious institutions formed a network of literate centres, exchanging texts and ideas. Those institutions preserved and employed ancient medical knowledge, healing practices and biblical texts to support women in the moment of pain and need. Unlike them, however, the female practitioners (as the one in the fresco), who helped medieval women throughout the lifecycle—be they midwives, local witches, or wise and older members of the family—have left behind no sources of their own.


Adelina Angusheva-Tihanov is a Research Fellow at the University of Manchester, working on magic, medicine, and religion in Medieval South Slavic Manuscripts. To find out more about women’s health in the Medieval South Slavic context, see Angusheva-Tihanov, A. “Ancient Medical Knowledge of the Woman’s Body in the Medieval Slavic Context: The Case of the Prague Manuscript IXF10.” Wiener Slavistisches Jahrbuch Vol. 51,(2005) : 139-152.

Margaret Dimitrova is a Professor at Sofia University “St. Kliment Ohridski”, working on Medieval and Early Modern South Slavonic manuscripts. Margaret has published on medieval Slavonic translations of biblical texts and prayers.

Lizards and lettuces: Greek and Roman recipes for Valentine’s Day

As you prepare to tuck into your oysters, followed by a garlicky main course, and a chocolaty desert on Valentine’s night, spare a thought for the Greeks and Romans, whose aphrodisiacs I now present to you. Ancient medical treatises contain numerous recipes for aphrodisiacs. This abundance may give the impression that the Greeks and Romans were a liberated bunch, with a healthy interest in a fulfilled sexual life.

Sexual scene on one of the walls of the lupanar at Pompeii. Photo: Laurence Totelin, October 2014
Sexual scene on one of the walls of the lupanar at Pompeii. Photo: Laurence Totelin, October 2014

Certainly, archaeologists have discovered a wealth of sexually-themed Greek and Roman objects over the years. Many, like those found at Herculaneum and Pompeii, were hidden away for decades in ‘Secret Rooms’ in museums, only to come to full light quite recently. One has to be careful, however, not to look at such objects with too modern a gaze. Many had ritual purposes: they were meant to ward off various dangers. And among the perils the ancient feared most was infertility, human, animal, and vegetal. Barrenness of the earth would bring hunger; human barrenness would mean the end of the family line. I believe it is in this context that ancient aphrodisiac recipes are best read.

One of the most impressive collection of aphrodisiacs is to be found in the pseudo-Galenic Euporista. Euporista’ is the title of several ancient medical recipe collections. It simply means ‘Remedies easily procured’, that is, remedies whose ingredients are relatively easy to find, and whose preparation is relatively simple. This particular collection of Euporista is attributed to Galen in the manuscripts, although it is quite clear that Galen himself did not write it. The chapter on aphrodisiacs starts as follows:

Aphrodisiacs for the penis: these stretch the penis and lead to sexual union: pine-cones, pepper, parsley, fillings deer’s penis, turpentine, of each the same amount; mix with honey, and give to drink in wine. [Pseudo-Galen, Euporista 2.2]

This recipe is quite clearly meant to be used by men! It explicitly states that it will stretch out the penis. It features one of the most common ancient aphrodisiac ingredients – deer’s penis – with herbal ingredients. The deer’s penis is very large and was therefore considered useful as a sexual stimulant. Two of the herbal ingredients (pine-cones and pepper) present themselves as seeds, which again had links with fertility. Pseudo-Galen then gives several other similar recipes, most of which seem passably palatable, with the exception of the following:

Another [aphrodisiac]: when the bull defecates after sexual intercourse, mix clay with the pat from the bull, and coat the penis with this poultice. [Pseudo-Galen, Euporista 2.2]

Perhaps one had to have reached a certain level of desperation to make use of that particular remedy. A man under less pressure might have prefered to consume cow’s milk, which features quite often in ancient aphrodisiacs.

Aphrodisiacs could be more complex than those preserved in the pseudo-Galenic Euporista. For instance, the seventh-century author Paul of Aegina transmits the following recipe:

Man orchis (saturion), the penis of deer, of each 2 drams, seed of rocket, pellitory, barley (?), wax, of each 2 drams, turpentine, 1 dr., 3 eggs of sparrows, 3 geckos, pine or iris oil, a sufficient amount. Steep the live geckos in vinegar until 40 days have passed, smearing the vessel [containing the gecko] with dung. [Paul, Medical Collection 7.17.84]

Satyr on a red-figure cup, sixth-century BCE. Source: Wikipedia
Satyr on a red-figure cup, sixth-century BCE. Source: Wikipedia

The Greek name of the man orchis, saturion, does more than hint at its alleged aphrodisiac properties: this is the plant of the Satyrs, the companions of the god Dionysus, usually represented with huge erections. This plant, like other orchids, has a bulb that can be perceived as resembling a testicle (the Greek word for testicle is – you may have guessed – orchis). Beside this most powerful plant, the recipe also boasts herbal ingredients, deer’s penis, gecko, sparrow’s eggs, and dung.  The gecko deserves special attention. It is a type of lizard whose kidneys in particular were reputed for their aphrodisiac powers. This is what the pharmacologist Dioscorides (first century CE) had to say on the topic:

They say that the part around the kidneys of the gecko, in the amount of one dram drunk with wine, has such a sexually-stimulating power, that the intensity of desire must be checked by drinking a broth of lentil with honey, or the seed of lettuce with water. [Dioscorides, Materia Medica 2.66]

Now the lettuce has always been reputed for its soporific properties – recall Beatrix Potters’ story of the Flopsy Bunnies. Of course, sleep is the worst enemy of sexual intercourse, and if you fall prey to sleepiness, pseudo-Galen gives us a recipe to prevent sleep immediately after his chapter on aphrodisiacs:

Against sleep: Write upon the surface of a bay leaf and secretly place it on the head [of the patient], uttering ‘konkofon brachereon’. [Pseudo-Galen, Euporista 2.3].

Happy Valentine’s Day!

 

 

I smell a rat! Fumigation in Mesopotamian and Hippocratic recipes for women’s ailments – Part 1

By Ulrike Steinert

In my first post on the blog, I described some of the difficulties in studying Mesopotamian medical texts from 2nd and 1st millennium BCE Babylonia and Assyria. In the following two contributions, I would like to discuss similarities between Babylonian and Hippocratic recipes applying “fumigation from below” as a therapy for gynaecological disorders. In this part I will present the recipes themselves with some comments on fumigation in general. In the next post I will compare Mesopotamian and Hippocratic concepts of women’s ailments and their treatment gleaned from the fumigation recipes.

The specific treatment form of fumigation from below is so far attested only a few times within the Mesopotamian gynaecological corpus, but fumigation of the (whole body of the) patient or of specific body parts (e.g. the ears) is more commonly found as a treatment type in other areas of Mesopotamian therapy. Surprisingly, the situation is reversed in the Hippocratic texts: most attestations within the Hippocratic corpus are found in the gynaecological treatises, while fumigation is otherwise rare (Goltz 1974, 232). Here, I would like to point out some similarities and differences between the Babylonian and Hippocratic sources with regard to the therapeutic procedure itself, and with regard to the female ailments treated by fumigation from below in each tradition.

Before comparing the recipes, the term “fumigation” should be clarified. In fumigation, hot and dry vapours or smoke are led to a body part, while in the cognate procedure of “fomentation”, hot water vapours are used to lead medicinal substances to a body part (Totelin 2009, 52; Goltz 1974). The differentiation between both techniques was not very strict in Greek medicine, except in the gynaecological treatises (Goltz 1974, 235). The main difference between both procedures is the apparatus: in fomentation, a vessel containing the drugs and some water is heated over a fire and the vapours are led to a body opening through a reed, while in fumigation substances are directly thrown into the fire or onto glowing charcoals or ashes. In Mesopotamian medical texts, fumigation consists of burning aromatic substances on a fire or on charcoals (usually a brazier is used), exposing the patient (or specific body parts) to the fumes (Goltz 1974).

It may come as a surprise that in both Mesopotamian and Hippocratic gynaecology fumigation from below was applied for some identical purposes and ailments. In Hippocratic gynaecology, fumigation was used to treat infertility, with the incentive to open or soften the uterus for conception.[i] Interestingly, fumigation was regarded as a patent method both to stop fluxes and to expel retained fluids from the womb.[ii] More often however, fumigation was applied to return the womb to its correct position, if it had moved elsewhere in the body.[iii]

By contrast, the theory that the womb could move within the body and cause illness is unknown to Mesopotamian medicine. But one prescription applies fumigation from below to stop bleeding during pregnancy (naḫšātu), comparable to the Hippocratic use of fumigation for fluxes. Further, both in Hippocratic and Mesopotamian gynaecology fumigation from below was prescribed when fluids were retained or blocked in the womb. While the Hippocratic texts speak of blocked menstrual or postpartum blood (lochia), the Babylonian texts describe a similar condition called “(b)locked fluids” (lit. “water”). Because this condition is sometimes mentioned in the context of postpartum complications, it is possible that the word “fluids” here refers to the lochia, but this is far from certain, since the word “fluids” can stand for several things in different contexts, e.g. for the amniotic fluid or for vaginal discharge other than blood. Yet, Mesopotamian texts describe very similar symptoms in connection with the condition “(b)locked fluids” as the Hippocratic texts do in connection with disease conditions caused by retained menses (see Steinert 2013 for discussion). Should the Akkadian expression “(b)locked fluids” be a euphemistic term for the retained menses?

BAM 237 (VAT 8577+), a collection of gynaecological recipes from Assur. Source: Cuneiform Digital Library Initiative (http://cdli.ucla.edu/dl/ photo/P285323.jpg)
BAM 237 (VAT 8577+), a collection of gynaecological recipes from Assur. Source: Cuneiform Digital Library Initiative (http://cdli.ucla.edu/dl/photo/P285323.jpg)

One of the prescriptions for fumigation from below is contained in a Neo-Assyrian text from Assur (ca. 7th cent. BCE), devoted to treating bleeding during pregnancy:

BAM 237 i 26’-27’:
“You scatter “human bone” over charcoal, you let the woman sit down above it. If (the haemorrhage) does not stop, you repeat (it), and let her sit down (again), ditto (i.e. and it will stop).”

From a second, contemporary recipe on a Babylonian tablet found in the palace library of the Assyrian king Ashurbanipal at Nineveh, we learn a few more details about the procedure:

K. 8678+ rev. 9’-12’:
“If ditto (i.e. a woman is (b)locked regarding the fluids): you dig a hole, you make it two fingers [deep], […],
[…] you cover (it). You throw flour? into it, one tenth of a litre of ka[mūnu-spice?],
[…] solid pieces? of resin, one thirtieth of a litre of ṭūru-aromatic […],
[…] you spread on coals; you make the woman sit down above it.”

Although the text is fragmentary and presents difficulties, the procedure is quite clear and bears similarities to a few Hippocratic recipes for fumigation of the womb (presented in Part 2 of this post). The apparatus is simply a hole in the ground, which functions as a receptacle for burning charcoal and the fumigants. The woman’s pubic region is exposed to the fumes.

 


[i] E.g. Diseases of Women 1.75, L 8.164; cf. Diseases of Women 2.154, L 8.330; Sterile Women 230, L 8.438ff. describes a fomentation with a gourd for the same purpose.

[ii]DW 2.114, L 8.246; DW 2.195, L 8.376; DW 1.78, L 8.186.

[iii] For discussion see King 1998; e.g. Diseases of Women 2.123, L 8.266 movement to the head; DW 2.126, L 8.272 womb attaches itself to the hypochondria; DW 2.127, L 8.272 movement to the liver; DW 2.133, L 8.284-6 fomentations when the womb moves to the hip joint; DW 2.203, L 8.390 womb fixes itself to the loins. Sometimes, the patient is described to suffer from more than one symptom at the same time, e.g. in Diseases of Women 2.154, L 8.330 the womb is “irritated”, the menses are blocked and the woman does not conceive.

References:

Goltz, Dietlinde (1974) Studien zur altorientalischen und griechischen Heilkunde. Therapie-Arzneibereitung-Rezeptstruktur, Wiesbaden.

King, Helen (1998) Hippocrates’ Woman. Reading the Female Body in Ancient Greece, London/New York.

L = Littré, Émile (1962) Œuvres completes d’Hippocrate. Tome Huitième, Amsterdam.

Steinert, Ulrike (2013) “Fluids, rivers, and vessels: metaphors and body concepts in Mesopotamian gynaecological texts”, in: Journal des Médecines Cuneiformes 22, 1-23. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3791376/

Totelin, Laurence (2009) Hippocratic Recipes. Oral and Written Transmission of Pharmacological Knowledge in Fifth- and Fourth-Century Greece. Leiden, Boston.