Category Archives: Series: Galen

MOOCing about with Ancient Recipes

A while ago, Professor Helen King (Open University) offered Dr Patty Baker (University of Kent) and me the opportunity to be involved in an exciting project: a MOOC (Massive Online Open Course) on the topic of Health and Wellbeing in the Ancient World. We had previously worked together on a pedagogical project (an article on the difficulty of teaching sensitive topics such as the history of abortion), and were prepared for a new collaborative challenge.

Several months down the line, the MOOC is in the final stages of writing. We chose to organise our material in the ‘head-to-toe’ order, which is the structure so often adopted in Greek and Roman medical texts. We cover a huge variety of themes and topics, in what we hope will be an original and informative introduction to ancient medicine.

I was particularly keen to introduce as many recipes as possible into the MOOC material. We did so both in written sections and in video ones. For the film sections, I chose to recreate two ancient recipes: that of a collyrium (an eye remedy) found in Galen’s pharmacological writings and an oxygarum (a recipe supposed to aid digestion) found in Apicius‘ cookery collection.

Filming in the stacks of the National Roman Legion Museum at Caerleon
Filming in the storerooms of the National Roman Legion Museum at Caerleon

The wonderful National Roman Legion Museum at Caerleon (South Wales) was kind enough to host the filming. They provided us with authentic looking Roman pots to put all the ingredients in, as well as a costume – complete with winged-phallus amulet – for me to wear. I believe being in costume greatly helped me feel slightly less nervous.

For nervous, I certainly was. This was only my second experience of filming: the first had taken place a couple of days before, at the Wellcome Library, where we filmed a piece on manuscript herbals. I had not quite realised that filming a cookery piece usually involves several cameras, as multiple takes are not possible (because ingredients are expensive). I therefore had to pretend to be natural in front of the producer (Lizzy Jones) and three cameramen. Let’s just say that I can’t see an alternative career for me as a TV chef…

We started with the collyrium:

White collyrium, for a persistent flow of tears and other afflictions; it is called ‘delicate’: calamine, 16 drachms; white lead, 8 drachms; starch, 4 drachms; gum, 4 drachms; tragacanth gum, 4 drachms; opium, 2 drachms. Take up with rain water. Use with egg. Galen, Compositions of Medicines according to Places 4.8, 12.757 Kühn

Of course, I could use neither white lead nor opium, which are dangerous substances. I substituted the former with zinc, and the latter with a white powder.

Wondering what comes first: the remedy or the egg
Wondering what comes first: the remedy or the egg

As someone who has experience recreating ancient recipes, I knew exactly what to expect: the ingredients mixed together with water would take on a consistency similar to a very thick shaving foam. But, while photos can illustrate this point, they can’t do so as powerfully as a film.

Like so many ancient eye-remedy recipes, this one omits to state that the preparation has to be left to dry, a process which I discovered takes at least 24 hours… Fortunately, I had tried this at home a few days before the filming! Once the preparation is dried, it can be crumbled, and a small amount is then applied to the eye. But to what part of the eye, and how exactly? I knew that the part of the egg to use is the white (I can now add ‘can separate an egg in a highly stressful situation’ to my CV), but I did not know whether to dip my finger in the crumbled remedy first and the egg second, or vice versa. Helen King and I had a quick chat, and decided that the egg came first!

The second recipe I recreated is named after its main ingredient, garum, the famous Roman sauce made with fermented fish. A purist would have prepared some garum in advance, but I simply went to the supermarket to buy some Nam Pla, also known as Thai fish sauce:

Another oxygarum, for digestion: 1 ounce each of pepper, parsley, caraway, lovage; mix with honey. When done add garum and vinegar. Apicius, De re coquinaria 1.37

Feeling a bit like a rabbit in the headlights
Feeling a bit like a rabbit in the headlights

Preparing that recipe was very simple. Instead of using an ounce (a relatively large amount), I used a spoonful of each ingredient. I confidently announced to the camera that Roman medicine was ‘all about proportions’ merrily throwing spoonfuls of ingredients into a mortar. I failed to notice that I had been rather heavy handed with the pepper.

Of course, the crew insisted that I should try some of my wonderful aid to digestion. I obliged – the things that one does! The preparation tasted surprisingly sweet, until – that is – the pepper kicked in. I am sure my face pulling will be much appreciated by the MOOC learners!

I was left with a fishy, fiery taste in the mouth for several hours. Perhaps the Romans were wired differently from me, but I suffered from heartburn for the entire afternoon.

Health and Wellbeing in the Ancient World, a Future Learn MOOC, will start on February 6th, 2017. You can read Helen’s thoughts on writing a MOOC here.

The coral and the seal: an ancient amulet against all ills

By Laurence Totelin

In a recent post, Sietske Fransen and Saskia Klerk introduced a seventeenth-century recipe whose main ingredient was red coral. That ingredient has made several other apparitions in The Recipes Project posts (see here, here, and here). Perhaps it is time it took centre stage. For coral is not any ingredient. We know it to be an animal (a marine invertebrate), but it is only in the eighteenth century that it was finally classified as such. Beforehand, it was generally considered to be a plant, albeit a very peculiar one, as it transformed into stone when in contact with the air. In Greek, coral was at times called ‘lithodendron’, literally, the stone-plant. As such, it was usually included in Lapidaries, treatises devoted to stones and their healing or magical properties. Thus, the Orphic Lapidary describes it as follows:

Perseus with the head of Medusa on a Roman fresco at Stabiae. Credit: Amadalvarez, Wikimedia
Perseus with the head of Medusa on a Roman fresco at Stabiae. Photo: Amadalvarez, Wikimedia

For it first grows as a green grass, but not on the ground,
Which, as we all know, gives solid food to plants, but in the sea,
The sterile sea, where are born the seaweeds and the light mosses.
Orphic Lapidary 517-519

According to a legend recounted by the poet Ovid (first century CE), coral was born of the blood of Medusa’s severed head, which the hero Perseus had placed on seaweeds. The plants, as they absorbed the monster’s blood, became harder and redder. Sea Nymphs then sowed the seeds of the newly-created coral into the sea (Ovid, Metamorphoses 4.740-753).

Perseus and Andromeda, by Giorgio Vasari (c. 1570). Credit: Wikipedia
Perseus and Andromeda, by Giorgio Vasari (c. 1570. Source: Wikipedia

Since it had been born from blood, coral was believed to have good blood staunching properties; Dioscorides (first century CE) wrote in his Materia Medica that ‘it cicatrizes; it treats quite effectively blood spitting’ (5.121). Galen (second century CE) preserves several recipes against blood loss that include the exotic coral, including one attributed to Philadelphus the Great (in reference to one of the kings of Ptolemaic Egypt):

Another remedy of Philadelphus the Great for those who spit blood: two obols of coral, four obols of Samian clay, two kyathoi of juice of knot-grass; give two draughts in total. (Galen, Composition of Medicines according to Places 7.4, 13.80 Kühn)

Unsurprisingly, the other main ingredient in this recipe, the earth from Samos, was also red. In fact, Discorides believed that it was that colour because the inhabitants of Samos mixed it with the blood of a goat (Materia Medica 5.153) – a fact that Galen knew to be false.

Coral had several other properties beside its blood staunching ones. Thus, it is recommended as an ingredient in the following teeth-whitening preparation:

V0022008ETL A coral. Etching. Credit: Wellcome Library, London. Wellcome Images images@wellcome.ac.uk http://wellcomeimages.org A coral. Etching. 1793 Published: 1 November 1793 Copyrighted work available under Creative Commons Attribution only licence CC BY 4.0 http://creativecommons.org/licenses/by/4.0/
Coral, etching by F.P. Nodder (1793. Credit: Wellcome Images

Very good remedy to whiten the teeth: red coral, pumice stone, stones of dates, bones of cuttle-fish, and burnt salts; crush and use. (pseudo-Galen, Remedies easily Procured 2.8.14, 14.432 Kühn)

This powder may (or may not) have whitened the teeth, but I am not certain it would have been a good breath-freshener – a bit too fishy for my own liking.

My favourite coral recipe, however, comes from the Cyranides, a collection of magical material in Greek. It suggests using coral wrapped in the skin of a seal as an amulet:

The seal is a quadruped sea-animal. Its skin, whenever it is placed in a house or in a ship, or carried by someone, ensures no ill occurs to whoever carries it.  For it turns away thunderbolts, hurricanes, hailstones, dangers, winds, witchery, spirits, pirates, night visitations, wild beasts, creeping animals, and phantoms. You must use it as an amulet on its own or with the coral stone.  (Cyranides 4.67)

The combination of the seal skin and coral is important here: both ingredients are born from the sea, and are difficult to classify. The seal resembles a fish but is a quadruped; the coral looks like a plant but is a stone. In antiquity, liminal objects – those that fall into two categories, or in neither – were often seen as powerfully magical.

How to grow your beard, Roman style

Septimius Severus, one of the bearded Roman emperors (193-211). Source: Wikipedia
Septimius Severus, one of the bearded Roman emperors (193-211). Source: Wikipedia

For those who have missed it: male facial hair is currently in fashion. While almost none of my students sported a beard five years ago, it now looks as if they all do (the real proportion is probably 25%, but this is not the point of this post). Beards go in and out of vogue, and have done so for centuries. Thus, the first Roman Emperors, and those who emulated them, were clean shaven or had short beards, but from the middle of the second-century CE, wearing a beard became all the rage.

Ancient medical texts offer us some useful advice on how to care for precious facial hair. Thus Galen (second century CE) and Aetius (sixth century CE) transmit recipes to ‘blacken’ (that is, dye darker) the beard. These involve metallic ingredients that have been calcinated. But perhaps the most interesting series of recipes for the beard come from a treatise attributed to Galen, but not actually by Galen: The Remedies Easily Procured (De Remediis Parabilibus):

Preparations to grow locks of hair and the beard, if hair is falling out: mix beet with myrtle oil and maidenhair (polytrichion) and anoint the hair. Or crush equal amounts of maidenhair (adianton) and gum-ladanum with grape-seed oil, myrtle oil or mastic oil and anoint. Another: gum-ladanum with Aminaean wine and myrtle oil, crush together until it has the consistency of honey and anoint the head in the bath. It is best to use maidenhair (adianton), which some call ‘polytrichion’ (literally, many-hairs), mix a seventh part with gum-ladanum and anoint. (Pseudo-Galen, Remedies Easily Procured 3, 14.502 and 580 Kühn)

Maidenhair. Source: Wikipedia
Maidenhair. Source: Wikipedia

As the author explains, the plant that works best in promoting beard growth is that called adianton by most people in ancient Greek. Other people, however, called it polytrichion, that is, the ‘many-hair plant’. That plant is a fern known as ‘maidenhair’ in English and Adiantum capillus-veneris L. in botanical Latin. That is, the name in all three languages refers to the alleged effect this plant has on hair growth.

The other interesting ingredient in these pseudo-Galenic recipes is ladanum/ledanum, which is the gum produced by Cistus shrubs. The historian Herodotus (fifth century BCE) is the first to tell us the tale of how this gum was gathered in Arabia, the land of perfumes:

But ledanum, which the Arabians call ‘ladanon’, occurs in manner which is even more amazing [than cinnamon]. For the best smelling thing comes from the most stinky one. For it is found in the beards of he-goats, where it occurs in the same way as gum from a tree. It is used in many perfumes, but the Arabians mostly use it as incense. (Herodotus, Histories 3.112)

Herodotus makes it sound as if ladanum grows in the beards of he-goats. The pharmacological writer Dioscorides, several centuries later, gave a much more plausible account: the gum is so greasy that it sticks to the beards of goats, male or female – Dioscorides is not sexist towards goats! – when they graze on the tree that produces ladanum. Dioscorides also tells us that ladanum prevents hair from falling off, but does not single out beard hair. It is probably the story that ladanum ‘comes from’ the beards of goats that gave rise to the belief that it is somehow good for human beards.

Gents, next time you groom your beard, do give a thought for those Arabian goats growing gum in their goatees!

 

 

 

 

The Torture of Therapeutics in Rome: Galen on Pigeon Dung

By Caroline Petit

Although Galen is more than reluctant to use disgusting ingredients and remedies wherever possible (De simpl. med. ac fac., X, 1), his catalogue of simple remedies, his recipes and case histories show that animal and even human dung and urine are not absent from his therapeutic arsenal. But this is not as contradictory as it sounds, because Galen uses careful qualifications in his approach to excrements. Why, did you think he was going to spread dog’s feces all over your face? Fear not, Galen uses only non-smelling dung.

Galen reports an interesting case. In the dead of night, Galen was once called to the bedside of a Roman lady (Meth. med. V, 13); she had begun spitting blood and became extremely concerned, as she had heard Galen warn people against this dangerous symptom (Rome was justifiably anxious about the Antonine plague). She believed only prompt treatment would get the better of it, and she called for him. When Galen arrived, she begged him to submit her to whatever treatment he would deem suitable to cure her; the treatment designed by Galen would make any modern patient shiver, as it sounds very drastic indeed:

“I ordered the use of a sharp clyster and rubbing, and binding around of the legs and arms as much as possible, along with a heating medication. Then, having shaved her head, I applied the medication made from the excrement of wild pigeons. After an interval of three hours, I led her to the bath and and washed her without touching her head with any oil. Then I covered her head with a well-fitting felt cloth and, according to the prevailing season, I nourished her with thick gruel alone, afterwards giving her bitter fruits. Then, when she was about to go to sleep, I gave her the medication made from vipers that had been prepared four months before, for such a medication still has the juice of the poppy in strong degree whereas, in medications that have been aged, the strength becomes less. (…) Then, at intervals I repeatedly used on her head the customary salve from thapsia. I provided total care and nourishment for the body with passive exercises, rubbings, perambulations, abstinence from baths and a moderate and succulent diet. This woman became well without the need for milk.”

The poor woman, who was certainly elegant, perhaps fashionable and accustomed to elaborate hair styles (at least this is how we usually picture Roman ladies – Galen doesn’t comment on his patient), had to endure the shaving of her head, then the prolonged application of a paste made with pigeon dung – a well-known ingredient, known for its heating and drying properties, at least since Dioscorides (Mat. med. II, 80). The rest of the treatment is strikingly strong, with several powerful heating remedies (for example thapsia, which could cause burns if used at a high dosage) and must have been difficult to endure, especially as it lasted for a number of days. But the excrement of wild pigeon catches the eye, because it belongs to the much-maligned category of ‘disgusting’ (bdelura) remedies: so why does Galen mention it so casually here, in the case of a woman who must have been more delicate than any other, and for a readership who may have been just as sensitive as this poor woman? Well, Galen explains elsewhere in book X of his treatise on simple drugs that the key thing is to have dung that doesn’t smell, in order to remove the nauseating factor. For dung does have remarkable properties. Thus some forms of dung, especially the one coming from wild pigeons, is absolutely devoid of bad smell and is a powerful, reliable remedy praised by all. For some smelly kinds of dung (as in dog’s dung), it is preferable to let it dry first, before grounding it and thus, again, removing the problem of smell. Dung is disgusting only as long as it smells of dung. But once it is transformed into a powder, a paste, or any other pharmaceutical form you can think of, it is perfectly acceptable and pretty useful, as it is easy to find and inexpensive. What’s not to like?