Category Archives: Germany

The Live Chicken Treatment for Buboes: Trying a Plague Cure in Medieval and Early Modern Europe

By Erik Heinrichs 

Titlepage of Philippus Culmacher’s plague treatise, Leipzig: circa 1495
Credit: Wellcome Library, London.

While researching German plague treatises I became fascinated by one odd treatment for buboes that appeared again and again, despite sounding so far-fetched. One sixteenth-century version calls for plucking the feathers from around the single hole in a chicken’s backside, then placing it on a person’s bubo. The instructions say to hold the chicken on the bubo until it dies, when it must be replaced with a new chicken, similarly plucked. I soon dubbed this the “live chicken treatment for buboes” and after years of casual encounters I began to track the recipe more systematically. As strange as it sounds, versions of this “live chicken treatment” were fairly common in plague writing, beginning with the Black Death and lasting, amazingly, into the eighteenth century. Tracing the long history of this recipe led me to explore questions such as: Where might this come from? Why chickens? Why might healers think that this was a good idea? Did anyone actually try this or is this all theoretical? As a historian, I was also interested in change over time within the recipe. Here I found much to explore, as I followed the recipe’s twists and turns over a seven-hundred year period, roughly 1000 to 1700.

The “live chicken treatment” turns out to have a long history, indeed. Its origins seem to lie in Avicenna’s Canon of Medicine, although it may be older than that. Chickens and chicken broth were a common source of medicine in early times, probably because chickens were such ubiquitous and useful animals since antiquity. Not only did Avicenna praise chicken broth for its general benefits for the body, but he also recommended placing a cut chicken on a poisonous bite or sting in order to fight poisons. In later centuries European physicians turned to Avicenna’s advice when they faced the mysterious and devastating epidemics of the fourteenth century. As Europeans emphasized the poisonous nature of the plagues around them, older treatments for poisons drew new attention. The first mention of using a chicken rump to draw poisons out of a bubo appeared in the very first plague treatise of 1348, coming in response to the so-called Black Death. Here the Catalan author Jacme d’Agramont seems to have introduced a novel and lasting adaptation of Avicenna’s recipe, although the “cut chicken” version persisted in plague treatises for centuries to come.

Most interesting for the history of trying and testing cures are the many variations of the “cut chicken” and “chicken rump” versions of the treatment, as well as physicians’ comments about how effective they are. Especially after 1400, physicians seem to be thinking about this recipe quite often as they seek practical treatments for the plagues of the time. Physicians were preoccupied with altering the recipe in order to reason out the nature of the mysterious poisons underlying the plague. Some add substances to the process, such as salt placed on top of the chicken as it is placed on the bubo. During the fifteenth century, a number of German physicians began to explain the treatment’s workings in a strikingly physical way—that the chicken breathes through its backside and thus pulls the bubo’s poisons into itself. This change led to the suggestion to hold the chicken’s beak shut during the treatment in order to force the chicken to breathe from below. My article (accessible here) show how all aspects of the treatment changed over time as physicians engaged with the recipe, including the quantity of chickens used, the amount of time required, and even the type of animal in question. This work demonstrates the importance of the recipe itself as a platform for thought, experimentation, and communication among physicians.

Perhaps a surprise to modern readers, many physicians praised their version of the “live chicken treatment,” describing it as effective and desirable. Such comments multiply after the introduction of print, which encouraged the production of plague treatises, some fitted with fetching cover illustrations for the marketplace (see image below of Philippus Culmacher’s treatise of circa 1495). In German-speaking lands especially, sixteenth-century physicians used their printed plague treatises to promote their own services and expertise at a local level.[1] This brought about a change in the genre whereby physicians seem more eager to discuss their own experiences with effective recipes in order to appeal to the practical interests of a broad audience. Amidst this change comes evidence that some German physicians witnessed first-hand the successful use of the “live chicken treatment.” Another interesting change during the sixteenth century is the increased attention to the bodily warmth of the chicken as the treatment’s active healing force. These emergent views provide a tantalizing link to modern medicine, since moist heat remains one of the treatments for buboes today. For more information, please read my article.

Erik Heinrichs is an associate professor of history at Winona State University (Minnesota). His interests are the history of medicine and religion in the late medieval and early modern periods. His book Plague, Print, and the Reformation: The German Reform of Healing, 1473-1573 will be published by Routledge this November.

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[1] For a survey of German plague treatises from the first century of print, see: Erik A. Heinrichs, Plague, Print, and the Reformation: The German Reform of Healing, 1473-1573 (London: Routledge, 2017).

‘This one is good’: Recipes, Testing and Lay Practitioners in Early German Print

By Tillmann Taape

Title illustration from Brunschwig’s Small book of distillation. © Wellcome Images

Having recently finished my doctoral thesis on the printed works of Hieronymus Brunschwig, which have previously featured on the Recipes Blog (here and here), I am delighted to contribute to this series of posts on testing and trying (for an overview, see our re-posted summary of the Testing Drugs and Trying Cures conference). What better opportunity to share how it all came together, and reflect on the role of recipes and testing in the narrative.

Hieronymus Brunschwig (c.1450–c.1530), a surgeon and apothecary from Strasbourg, wrote the first printed books on surgery and distillation. In my thesis, Hieronymus Brunschwig and the Making of Vernacular Medical Knowledge in Early German Print, I read these uncommonly practical and technical books alongside records from the Strasbourg archives, about the craft guilds and medical practice. This allows us to make sense of Brunschwig’s practical vernacular medicine in relation to local intellectual trends, different forms of healing, the local milieu of guilds and artisans, and early German print culture.

Brunschwig’s first book was the Cirurgia of 1497, the first surgical manual in print. This, of course, was an opportunity to codify and re-define surgery. Brunschwig revives the medieval tradition of what Michael McVaugh has termed rational surgery (i.e. a learned as well as a practical art), to educate trainee surgeons and to present their discipline as a respectable and useful trade. Emphasising the need for skilled hands as well as a working knowledge of the human body, Brunschwig defends surgery on two fronts: against learned physicians’ rhetoric of superiority, and against other craftsmen’s deep-seated anxieties about occupations which were in contact with sick and dead bodies.

A surgeon treating an abdominal wound. Hieronymus Brunschwig, Dis ist das Buoch der Cirurgia (Strasbourg, 1497). © Wellcome Images.

The later books on distillation, published in 1500 and 1512, open up to a wider readership, including not only medical artisans such as surgeons or apothecaries, but also the ‘common man’ – a middling social layer of literate citizens, householders and other lay practitioners. This new kind of medical reader, as I have discussed in a previous post and elsewhere, is emblematised in the figure of the ‘striped layman’ which appears in numerous woodcut illustrations throughout Brunschwig’s works.

A conspicuously stripy student, from Brunschwig’s Cirurgia (1497). © Wellcome Images

Many of the recipes and instructions in the distillation books are adjusted for this type of reader. They start from scratch and are rich in technical details which are not found elsewhere in print or, to my knowledge, in manuscript. Although Brunschwig engages with complex ideas about the nature of matter and its manipulation, such as John of Rupescissa’s notion of a ‘quintessence’ in all things, he re-works them into manageable, pedestrian remedies. Rather than pursuing Rupescissa’s heavenly panacea, Brunschwig uses distillation to produce a type of middle-class quintessences: although earth-bound and imperfect, they were reliable and effective remedies in the hands of laypeople.

Detailed woodcut images of distillation apparatus and instructions for its use. Brunschwig, Liber de arte distillandi de simplicibus (Strasbourg, 1500). © Wellcome Images.

One overarching theme of my thesis is the artisan’s approach to understanding and manipulating nature. For a craftsman with no Latin, Brunschwig mined a surprising amount of knowledge from texts. But more importantly, I argue, he knew things through direct physical engagement with bodies, materials and technical processes. His books are full of instructions to probe wounds, check temperature by touch, inspect colour changes in the alembic, and smell or taste distilled remedies. His expertise was located as much in the body and its senses as in books.

Nonetheless, writing was a powerful tool for recording and communicating practical insights. From cautionary tales of exploding alembics to heroic accounts of successful cures, Brunschwig emphasises his own experience as a source of knowledge. The German term he uses for this type of knowledge, erfarung, is related to fahren, meaning ‘to travel’. In the early sixteenth century, it denoted a way of experiencing the world through one’s own senses, by moving through it or simply being in it in an active, attentive manner. Erfarung was compared, often unfavourably, to spiritual contemplation and introspection. Over time, however, doctors and students of nature such as Paracelsus came to see personal erfarung as the necessary labour of insight rather than a sinful distraction. The Book of Nature, they insisted, should be read with one’s feet. Brunschwig’s emphasis on his own and others’ erfarung was thus part of a larger vernacular culture of experiential knowledge, as well as learned debates about experientia which have often been the focus of historical accounts of a medical empiricism developing in the early modern period.

Recipes played a major part in Brunschwig’s codification of experiential medical knowledge. Some, as I have shown in a previous post, were presented in Latin pharmaceutical jargon likely unknown to laypeople. These recipes were closed to readers, who were meant to copy them out on a piece of paper and hand them to an apothecary who would manufacture the remedy according to his art and his experience. Although the great majority of recipes are in German, some of these are also presented as tried and tested, by Brunschwig himself or others, and do not call for ‘tweaking’ on the part of readers.

Other recipes, however, give alternative ingredients or leave the exact composition up to the practitioner’s judgment. Many recipes come without the author’s seal of approval, and their sheer number makes it seem unlikely that Brunschwig could have tested each one. Such ‘open’ recipes leave room for improvisation and testing. The ongoing work of erfarung runs on into readers’ own practice, and often spills out into the margins of Brunschwig’s printed books. In many surviving copies, early modern healers from different walks of life marked recipes with a magisterial probatum est, or a simple vernacular note such as ‘this one is good’.

In some of the earliest medical works in print, Brunschwig addresses a readership of lay healers and ‘common men’ which would come to represent a significant portion of the early German print market. Through his use of recipes embedded within a culture of erfarung, he involved his vernacular readers in a continued effort of empirical trying and testing.

Pursuing the themes of recipes and artisanal knowledge, I am delighted to be joining the Making and Knowing Project at Columbia University this summer, and look forward to sharing our work on making, testing, and trying, which has previously featured on this blog.

 

‘Thus it prevails against its time’: distillation and cycles of nature in early modern pharmacy

By Tillmann Taape

In past centuries, devoid of freezers and heated greenhouses, the seasons affected medicines as well as foodstuffs. In addition to pickled vegetables and stored grain, early modern people worried about their provisions of healing plants and animal substances. These, too, had their season: many herbs were considered most powerful when picked in May, and ‘May dew’ collected from fragrant meadows at this time of year was said to have many healing properties. In his Destillierbücher (distillation manuals), published in the early sixteenth century, the Strasbourg surgeon-apothecary Hieronymus Brunschwig addresses the challenges which arise in pharmacy from nature’s cyclical changes. He explains that most preparations of fresh medicinal herbs are ‘unkeepable’. For example, ‘if you pound herbs, roots or other substances and squeeze the juice from it, then it becomes unpleasant, does not last, […] and soon putrid corruption ensues’.[1] Even with dried materia medica and compound drugs, their medicinal virtues faded over time.

Brunschwig knew this all too well from personal experience. As an apothecary running his own shop near the fish market, maintaining a stock of efficacious remedies was his chief responsibility and expertise. The issue of pharmaceutical provisioning was taken very seriously by Strasbourg’s magistrates. Twice a year, they would send round a committee of medical experts to all apothecary shops, to ensure that no perished goods were stocked, and to throw away any that had gone off.

An apothecary pounding medicines. Brunschwig, Liber de arte distillandi de compositis (Strasbourg, 1512), fol. 6v. © Wellcome Library, London

Brunschwig’s understanding of the material world was shaped by his experience as a pharmacist and shopkeeper, but also by the cosmology and medical theory of his day. While the heavenly spheres were characterised by material perfection and changelessness, all matter on earth was made up of the four elements (air, water,fire, earth) and subject to their constant permutations. They were doomed to endless cycles of generation, change, and decay. Material stability was only possible where the elements were in perfect balance, ‘as you can see in May when it is neither too dry nor too humid, neither too warm nor too cold’.[2]

Brunschwig’s seasonal simile is revealing: a perfect balance of elements is just as rare and fleeting as those precious few balmy weeks in May. As well as pointing to the instability of all earthly matter, the language of seasons and their cold, hot, dry or moist qualities was associated with early modern ideas about the stages of human life. Youth, health, reproduction, decline and death were analogous with the annual cycle of flourishing and decay in nature – a relationship which is richly illustrated in a set of anonymous seventeenth-century engravings (see here for an interactive digital reproduction). The idea of changing seasons was emblematic of an early modern view of the material world which was characterised by instability. Human bodies fluctuated with the shifting balance of their humours, and the very substances which could be used to cure the resulting ailments were themselves fleeting and, in Brunschwig’s words, ‘unkeepable’.

Faced with such difficulties, Brunschwig and others turned to a branch of knowledge with a longstanding commitment to imitating and manipulating natural processes underlying the transformations of matter: alchemy. In particular, Brunschwig describes distillation as a powerful artisanal technique to ‘keep the unkeepable’.[3] Distillation was the art of separation, and in the case of medicinal simples, Brunschwig claimed, their ‘soul’ or healing virtue could be separated from their ‘body’, that is to say the material dross made up of the problematic four elements. Thus liberated, the healing ‘spirit’ of a plant in the form of a distilled water could be bottled and neatly stored on Brunschwig’s alphabetically ordered shelf, where they would keep well beyond their harvest season, for up to three years. Later Destillierbücher echo the idea that one can ‘keep these waters over the year’ as a major selling point of distilled remedies.[4]

While distillation in theory had the power to produce pure and incorruptible ‘quintessences’, this was far too laborious for everyday pharmaceutical practice. Brunschwig wrote for an audience of ‘common men’ as well as artisan colleagues, and most of the distilled remedies he discusses are much more pedestrian. They still have some of the elemental qualities of the original herb, and are ultimately perishable. Compared to ‘unkeepable’ plant juice, however, their decay is slower and more predictable. Brunschwig confidently charts the decline and change in a water’s healing powers over the years, and even gives instructions for ‘recharging’ them. A water can be saved by infusing it with fresh herbs and distilling it once more – thus, Brunschwig reassures his readers, a distilled remedy can ‘prevail against its time’ for another year.[5]

In the early modern world of matter, the seasons symbolised cycles of change and decay which spelled trouble for healers and makers of medicines. In some of the earliest vernacular works on pharmacy, Brunschwig describes distillation as a powerful tool for defying the material corruption of seasonal changes.

[1] Brunschwig, Liber de arte distillandi de simplicibus… (Strasbourg, 1500), sig. C1v.

[2] Brunschwig, Liber der arte distulandi simplicia… (Strasbourg, 1509), fol. 36v.

[3] Brunschwig, Liber de arte distillandi de simplicibus… (Strasbourg, 1500), sig. C1v.

[4] Eucharius Röslin, Kreutterbuoch von allem Erdtgewaechs… (Frankfurt, 1533), title page verso.

[5] Brunschwig, Liber der arte distulandi simplicia… (Strasbourg, 1509), fol. 18v.

 

The Fruits of Summer in the Dead of Winter

Molly Taylor-Poleskey

In the seventeenth century, life ebbed and flowed with the seasons. In my research into the court household of Berlin, I noted seasonal shifts in livery, lighting, bedtimes, and, of course, recipes. Even with these seasonal adaptations, however, early modern Europeans sought to overcome seasonal growing constraints. One occupation primarily concerned with defying the seasonality of food was that of the court confectioner. It was his (and his wife’s) job to preserve the delicate summer fruits for wealthy Europeans to enjoy even in the depths of winter.

Nicolas de Bonnefons described the rewards of this play with the seasons in his 1654 Les Delices de la campagne, which was translated into English and German and even republished by a Berlin court physician, Johann Sigismund Elsholtz. Bonnefons raptured:

There is nothing which doth more agreeably concern the senses, than in the depth of Winter to behold the fruits so fair, and so good, yea, better than when you first did gather them; and that then, when the trees seem to be dead, and have lost all their Verdure, and the rigour of the cold to have so dispoil’d your garden of all that imbellished it, that it appears rather a desart [sic] than a paradise of delicacies; then it is, I say, that you will taste your fruit with infinite more Gust and contentment, than in the summer it self, when their great abundance and variety rather cloy you than become agreeable. For this reason therefore it is, that we will essay to teach you the most expedite, and certain means how to conserve them all the winter, even so long, as till the new shall incite you to quite the old.[1]

A view into the confectioner’s kitchen in The French gardiner, 1691,

Considering Bonnefons emphatic endorsement of summer fruits in winter, it is perhaps not surprising that confectioners were highly valued in Europe. The moist and cold properties of fresh fruit generally made it a nutritional no-no, according to Galenic principles of diet. However, candied fruits were considered medicinal and the position of court confectioner often fell under the office of the apothecary, not the kitchen.[2] In the Renaissance, it was common to seal the stomach at the end of a rich meal with either fresh or preserved fruits and fruit at a meal was emblematic of the wealth and refinement of the host.[3] By the eighteenth century, the task of the confectioner to create elaborate sugar sculptures for the table was so ingrained that one encyclopedist claimed they belonged to the artist class and prospects had to apprentice themselves to a city confectioner for six years until they had mastered their art.[4] 

Georg Flegel (1566–1638), Still life with cookies and confections (including dried cherries).

The importance of the confectioner is apparent at the court at Berlin in the seventeenth century. The household archives contain a frantic exchange from 1647 between the Great Elector Friedrich Wilhelm (1620-1688) and his counselors about finding a replacement for the deceased confectioner, Johann Schenke, whose wife did not want to carry on the job. It being early summer (Jun 27), the councilors expressed the pressing need to fill the vacancy because “now is the best time for juices and other garden fruits to be preserved.”[5] Friedrich Wilhelm ordered them to install the Prussian confectioner, Johann Tiegel, in the position. He wrote that although they would eventually draw up a contract for him, Tiegel should get started immediately collecting the fruit from the gardens and bringing them to the elector’s tables with the appropriate confections.[6]

When it was finally written, the court confectioner’s employment contract specified the supplies he would receive to carry out his charge: 700 Reichsthaler (in addition to his 80 Reichstaler salary), 960 eggs, as much flour and fruit as needed (from the gardens and from in-kind taxes), 1000 citrons, 1000 bitter oranges, as well as a supply of wood, coal and candles.[7] Occasionally, the confectioner did not get the necessary supplies, which hindered his ability to preserve fruits and was costly for the court. In 1657, Friedrich Wilhelm ordered that Tiegel surely be supplied with apples, cherries, and Black Corinths (Johannisbeere in German) in order to avoid the great expense of having to buy confections from outside of the palace, which had been necessary the previous year.[8]

Cherries were the first ripe fruits of the summer. The sandy soil of Brandenburg was well-suited to growing cherries and in 1656, there were eight varieties of cherries cataloged in the palace garden of Berlin.[9] Dr. Elsholtz wrote that cherries were ripe in June and July and described their consumption: “one eats cherries either fresh or cooked into a soup, or dried, or preserved with sugar. Some make cherry water or a syrup.”[10] Here is a translation of one such cherry recipe reprinted by Elsholtz from Bonnefons:

One makes the cherry syrup from the good, ripe cherry juice, which you press through a hair or linen cloth. For every quart of this juice, add a pound of sugar, boil that to a thick syrup. To clarify this syrup, let it run through a distillation sack.”[11]

Elsholtz’s descriptions also correspond with the menus and food receipts from the Brandenburg-Prussian household archive, which frequently list the ordering or consumption of dried cherries and cherry sauce (Kirschmus), in particular.

In some popular food literature today, there’s nostalgia for a time when humans adhered more closely to the foods nature provided each season. Even prior to industrialization, however, people clearly prized the rarity of a taste of an off-season food. What the archival record reveals, though, is that early modern Europeans of all orders were still hyper aware of what foods were available when and were careful about timing the work of preservation accordingly.

[1] Nicolas de Bonnefons, John Evelyn, and John Rose, The French Gardiner (London: Printed by F.B. for B. Took, and are to be sold by J. Taylor, 1691), p. 191-2. https://hdl.handle.net/2027/uc1.31822031020266?urlappend=%3Bseq=218.

[2] This was the case in Berlin. See Peter Bahl, Der Hof des Grossen Kurfürsten: Studien zur hoheren Amtsträgerschaft Brandenburg-Preussens (Koln: Bohlau, 2001), p. 365.

[3] Ken Albala, The Banquet: Dining in the Great Courts of Late Renaissance Europe (Urbana: University of Illinois Press, 2007), p. 82-89.

[4] Johann Georg Krünitz, “Conditor,” Oekonomischen Encyklopädie oder allgemeines System der Staats- Stadt- Haus- und Landwirthschaft (Berlin: Pauli, 1773), http://www.kruenitz1.uni-trier.de/.

[5] Geheimes Staatsarchiv Preussischer Kulturbesitz I. Rep. 36 948, p. 57

[6] Ibid, p. 63.

[7] Ibid, p. 55. There is no mention of the quantity of sugar the confectioner would receive, but an earlier missive from the previous elector ordered the Office of the Domains (Amtskammer) to supply the confectioner with enough sugar for the dried fruits coming in as taxes-in-kind from the administrative districts (Ämter). Ibid, p. 16.

[8] Ibid. p. 73.

[9] Marina Heilmeyer, Kirschen für den König, Potsdamer pomologische Geschichten (Potsdam: Vacat, 2001), p. 10. Johann Sigismund Elsholtz’s 1656 plant catalog Horta Berolinensis can be found at the Staatsbibliothek Berlin Ms.boruss.qu. 12.

[10] Elßholtz, Vom Garten-Baw (Berlin, 1684), p. 258.  Ibid, Diaeteticon (Cölln an der Spree: Georg Schulz, 1682), p. 61.

[11] Ibid, p. 436-7. I translated Viertal as quart and “Luttersack” as distillation sack. There’s a picture of a 19th-century Luttersack here (item 30). According to Adelung, the Lutter is what came out of the first pass through the fire when making brandy (which required two firings).