Category Archives: Medicine

Imagery of Empire: Merchantry and Folk Medicine on the Mastic Island

By Tedi A. Pascarella

«BUONDELMONTI, Cristoforo, Liber Insularum Archipelagi [1420]» in Τόπος και Εικόνα, χαρακτικά ξένων περιηγητών για την Ελλάδα, από σπάνια βιβλία της Γενναδείου Βιβλιοθήκης, Μουσείου Μπενάκη, Ιδιωτικών Συλλογών [Space and image, engravings by foreign travellers to Greece from rare books of the Gennadius Library, the Benaki Museum and private collections], vol. I, Athens, Olkos, (Aikaterini Laskardis Foundation, 1978). http://eng.travelogues.gr/item.php?view=51701.

The island of Chios, located in the North Aegean region, is Greece’s fifth largest island, and the only place in the world that the mastic evergreen shrub, or Pistacia lentiscus, successfully produces its tears: crystalized resin that results from punctures in the bark. The island’s environmental history paints a rich tapestry that showcases Chios as mastic-centric—its tourism focusing on ecological wonders and local foodstuffs. Chios, for centuries, was a cornerstone of Ottoman, Genoese, and Chian mercantile exchange in the greater Mediterranean. The vestiges of occupation can be seen strongly even today: Christopher Columbus’s home in the medieval village of Pyrgi, minarets decorating the skyline, and images of Islamic floral motifs scattered among passersby of the bustling city center of Chios Town. From antiquity—through the Middle Ages and Renaissance (the peak of Genoese presence on the island)—and beyond, mastic (or mastiha) was a coveted commodity: gems monopolized by the sultans of the Ottoman hegemony, as well as an ingredient in folk dishes and medicines. Its properties and a pine-like taste offer today’s Instagram ‘food as medicine’ algorithm ‘back to nature’ and “antibacterial, anti-inflammatory, antioxidant, anti-ulcer, anti-diabetic, cardioprotective and anti-cancer” benefits.1 From bygone uses (Hypocrites suggesting mastiha for gastrointestinal inflammation) to spotlight features on British Bake Off, it is then no surprise there exist countless articles and blog posts with cheeky titles, like “Something Herbal to Chew on” and “Can This Ancient Greek Medicine Cure Humanity?” Powerful merchant families from Genoa occupied the island beginning in the early fourteenth century, culminating in Ottoman dominion from 1566 to 1912.2 While Chios existed as a lucrative point of interest for its trading ports between East and West, mastiha was valued as highly as gold.

This 1783 romantic painting commemorates a Genoese family and its connection to the island of Chios, as well as the virtues associated by Christianity. The use of the foreign is expressed here as the ‘exotic’ through the presence of trade in the Aegean (see Figure 5, below: the female personification of the island of Chios is dressed in flowing fabrics, complete with a turban-like headdress). Giovanni Domenico Tiepolo, The Glorification of the Giustiniani Family, 1783, oil on canvas, Metropolitan Museum of Art, New York, NY. https://www.metmuseum.org/art/collection/search/437814.

         The famous ruling Giustiniani family, in addition to taxes, paid Sultan Mehmet II a hefty portion of mastiha after the fall of Constantinople in 1453. From a ground-up approach—cultivation of the plant and processing of the resin done by Chians—mastiha was made widely available, making Chios extraordinarily prized. The mastichochoria, or twenty-four buttressed hamlet villages, in southern Chios categorized life by the growth and production of mastiha. George Sidiropoulos writes, the design of the enclosed, fortress-like labyrinth of the Mesta village was a direct impact of the importance of mastiha, in which the “Byzantine Empire exploited this product as a monopoly,” the Genoese Maonacompany exploited farm workers for mastic production, and lastly, the Ottomans, in turn, introduced infrastructural organization, awarding some benefits for those living and working here, like protection from pirates and mercenaries.3

From the Metropolitan Museum of Art’s description: “This oil sketch is a precious record of a ceiling in Genoa’s ducal palace that was destroyed in the 1860s. Tiepolo’s composition can be compared with his father’s ceiling design for Würzburg, which Domenico helped to execute (see the oil sketch for that painting nearby). The younger Tiepolo depicted a Giustiniani family patriarch, Jacopo, at the top of a staircase, kneeling before a personification of the Ligurian Republic. At left is a female personification of the Aegean island of Chios, which the Giustiniani family ruled for two centuries. At right, figures in exotic dress allude to the family’s commercial enterprises in Asia Minor.”

While it is true we know that mastiha was utilized by the ancients as remedy for upset stomachs and fresh breath, day-to-day cultural exchange resulted in traditional recipes and uses via word-of-mouth. Because of this, scholars have turned to not only official imperial records but local folk and village narratives to help adjust and add to the historical record, quite literally a ground-up approach. Folk costumes and modes of dress juxtaposed with architecture and village ethos in the artwork of award-winning photographer George Tatakis epitomizes, through visual art, mastic’s food science as well as the island’s ecological footprint, connecting cultural past, present, and future. Tatakis, capturing the mystic qualities of the island and its mastiha, writes, “legend has it that the mastic was a gift from Saint Isidore, who sought refuge near Mesta in 250 AD after being chased and injured by the Romans. Exhausted and unable to continue, he found solace under a mastic tree where it is said that the tree wept tears of the fragrant resin.”Tatakis captures the costume of Nenita, among other villages, including elaborate embroidery, linens, and headscarf, accompanied by rustic tools of the mastic warehouse, like the pans used to sort and clean the tears. While the horrors, complications, and interactions of a history of occupation is fraught in the island’s past, the opulence of lore abounds, as mastic remains a keystone ingredient of the identity recipe of Chios. 


Tedi A. Pascarella, MA History, is a world historian based in New Jersey. Her academic focuses include the early modern Mediterranean, environmental, textile histories, and their intersections. She has taught as an instructor at Monmouth University. A bibliography of her publications can be found at tediapascarella.com

  1. Vasiliki Pachi, et al. “Traditional Uses, Phtochemistry and Pharmacology of Chios Mastic Gum (Pistacia Lentiscus Var Chia, Anacardiaceae): A Review” in Journal of Ethnopharmacology, 2020. ↩︎
  2. A product of the mastic tree, pitch, distilled from turpentine, also had uses as caulking for the seams in ships and the waterproofing of slate roofing and tiles. And as Kenneth M. Setton stipulates, “Asiatic drugs and spices were transshipped from Chios to the chief ports of western Europe. Loss of the island was not to improve the economy of the home government, and was to destroy the last remnants of Genoese prestige in the East. Kenneth M. Setton, The Papacy and the Levant, 1204-1571 (Philadelphia: American Philosophical Society Press, 1976), 324. ↩︎
  3. George Sidiropoulos, “The Development Status and Prospects of a Medieval Settlement in the Eastern Mediterranean in Journal of the Knowledge Economy (2016): 631-643. ↩︎

“Pain au Levain”: Reproductive Rights, Recipes, and Community Cookbooks

By KC Hysmith, PhD
Packaged in a brown paper and cellophane fold-over bag, not unlike those you’d find at your corner bakery or at the farmers’ market, the Beaux “Bread Bag” contains a hefty stack of paper printed with information about reproductive rights and health care access. Activists gather in-person around a table to share this knowledge, much of it word-of-mouth, and then work together to print, cut, fold, and assemble each bread bag specific to the needs of individual states–including Wisconsin, Kentucky, Georgia, Illinois, and North Carolina–whose governments have severely restricted or completely banned numerous essential reproductive health care procedures.

Activists packing up bread bags. Image Credit: Borealis
Sourdough loaves stenciled with phrases about abortion access. These loaves were photographed and then printed as ephemera in the bread bags. Image Credit: Borealis

Numerous scholars agree that recipes are a type of feminist discourse, and a “particularly feminine way of knowing and sharing knowledge.”[1]  Importantly, these crowd-sourced books also helped to spread information to other women, at times subversively and at others loudly. As Carrie Helms Tippen explains, “Recipes, and by extension cookbooks, are narratives that focus on silenced women and challenge phallocentric methods of writing history.”[2] It stands to reason, this rewriting also serves to create safer spaces for the sharing of other women-centered knowledge, including information related to reproductive health.

For many generations, reproductive health has been both an incredibly personal topic and      socially taboo subject. There are likely countless “recipes” for abortions in addition to instructions for providing post-procedure nourishment and care tucked away in unpublished manuscripts and personal correspondence – two historically important forms of media used by women to share food knowledge. Before the technological advancements of modern gynecology, when reproductive healthcare carried different political implications, women passed information to one another. This information frequently took the form of a recipe and used ingredients women often grew at home or that grew nearby. argues that women often collected and shared recipes based on herbal medicinal traditions of the time period and “were expected to have general medical knowledge in order to fulfill their Christian duties as wives, mothers, and caregivers, both within the home and the community.” [3]

Centuries later, despite advancements in printing technologies and progress for women’s political agency, the knowledge of reproductive care recipes continues to be shared using subversive and community-aligned methods such as zines, ephemeral pamphlets, and booklets. After the increasing threats to abortion access levied by the Trump Administration starting in 2016, and then the 2022 reversal of Roe v. Wade by the U.S. Supreme Court, resulting in no constitutional protection of abortion access, activists across the nation published updated or reprinted reproductive care “cookbooks.”

The recipe format serves as both a commonly-known narrative device and a respected method of knowledge sharing amongst women. Modern reproductive care texts tend to feature one or a combination of “recipes” for at-home abortions using specific emmenagogue herbs or medicines, including mifepristone and misoprostol, in addition to more traditional recipes and meal guides for providing nourishment and care for those who have experienced an abortion. Zines including “Grow Your Abortion: Herbs to Make You Bleed” (published by Holistic Abortions) and “Reclaiming Our Ancient Wisdom: Herbal Abortion Procedure and Practice for Midwives and Herbalists” by Catherine Marie Jeunet include herbal recipes as well as short historical overviews of herbal abortifacient histories. The second issue of Wildseed Feminism focuses on herbal remedies “for Lifelong Reproductive Care” and includes recipes to manage “uncomfortable symptoms relating to PMS, periods, pregnancy, and perimenopause.”

Cover of Reclaiming Our Ancient Wisdom. Image Credit: Microcosm Publishing
Cover of Cooking Up Trouble. Image Credit: Leela Cyd and Anne Parker

Using a combination of community knowledge sharing with fundraising, the Breadbox project, founded by social activist artist Borealis, “averts high tech surveillance through a multi-modal constellation of access points.” And much like other recipe collections, “no two installations, video presentations, bread bags, or conversations associated with this project are exactly the same; the project travels and evolves as social conditions require.” Each bag includes a small pile of ephemera, so similar to the small recipe leaflets that once accompanied early 20th century appliances and popular grocery store ingredients, with state-specific reproductive health care information, all-options phone numbers, colorful zines, and lists of action-items for supporting abortion access. One zine entitled “Medication Abortion” ends with a short section on “support” advising readers to consider “making food in advance (soups, broths, warm & easy to digest, simple snacks)” or asking someone else to cook for them.

The back of the North Carolina bread bag. Image Credit: Borealis

A larger booklet entitled pain au levain: safety, comfort, & expectations during pregnancy release, artfully riso-printed in hot pink and brown, features a section on creating a care plan with the “universal things people need when they are bleeding through menstruation, miscarriage, or abortion: nutrition, rest, warmth, and community.” The booklet’s title is a play on the French phrase for sourdough (pain au levain) and the normal, but painful side effects of the abortion process. An additional layer of meaning to the phrase, refers to the painstaking process women face to access basic reproductive care in modern day America.

Much like any other community cookbook old or new, these reproductive health care texts continue the practice of supporting a network of women with resources, respect, and acknowledgement. The recipes serve a different purpose than a gifted baked good or a weeknight casserole; instead, they exist as an integral political medium of knowledge sharing and community in the precarious reproductive health care landscape of contemporary America. As the bright yellow tag on the Bread Bag reads: “We share our resources for the common good.”

[1] Carrie Helms Tippen, “Writing Recipes, Telling Histories: Cookbooks as Feminist Historiography,” in Food, Feminisms, Rhetorics, edited by Melissa A. Goldthwaite, 18.

[2] Tippen, “Writing Recipes, Telling Histories,” 18.

[3] Ashley Buchanan, “Dittany: Women’s Herbs and Reproductive Control,” Plant Humanities Lab, JSTOR, https://lab.plant-humanities.org/Dittany/.

REFERENCES:

Borealis. pain au levain: safety, comfort, & expectations during pregnancy release. (self-pub.,  2022).

Borealis. Bread Box Project. https://beaux.studio/breadbox.

Buchanan, Ashley. “Dittany: Women’s Herbs and Reproductive Control.” Plant Humanities Lab, JSTOR, https://lab.plant-humanities.org/Dittany/.

Cyd, Leela and Anne Parker. Cooking Up Trouble: Recipes to Nourish Women  (self-pub.,  2016).

Helms Tippen, Carrie. “Writing Recipes, Telling Histories: Cookbooks as Feminist Historiography,” in Food, Feminisms, Rhetorics, edited by Melissa A. Goldthwaite, 15-29. Carbondale, IL: Southern Illinois University Press, 2017.

Holistic Abortions. “Grow Your Abortion: Herbs to Make You Bleed.” Red Hook Collective, 2021.

Jeunet, Catherine Marie. “Reclaiming Our Ancient Wisdom: Herbal Abortion Procedure and Practice for Midwives and Herbalists.” Eberhardt Press, 2009 (reprinted through 2019).

Dr. KC Hysmith is a writer, food scholar, and historical recipe developer. She holds an MLA in Gastronomy from Boston University and PhD in American Studies focusing on food and culture from the University of North Carolina. Her dissertation, “#FOODHERSTORY: Food and American Women’s Political Resistance from Suffrage to the Digital Age,” investigated the legacy and power of women’s food history. She is the editor and co-editor of Edible North Carolina (UNC Press 2022), An American Girl Anthology (University Press of Mississippi, forthcoming), and When Southern Women Cook (America’s Test Kitchen, forthcoming). Find more of her work on TikTok (@foodherstory) and on Instagram (@kchysmith). Find more of her work here: https://www.kchysmith.com/

Publication Highlight

An Interview with Hannah Bower, author of Middle English Medical Recipes and Literary Play (Oxford University Press, 2022)


This month, we have the pleasure of highlighting the work of Hannah Bower, author of Middle English Medical Recipes and Literary Play, 1375-1500, published by Oxford University Press in 2022.  Dr Bower is a Junior Research Fellow in the Faculty of English at Churchill College, University of Cambridge. Find out more about her research and interests here.  Below is an edited conversation between Elizabeth Hunter, Recipes at Play Series Editor, and Hannah Bower.

Available as Open Access through Oxford Academic

Elizabeth Hunter: Hannah, so glad you could chat with us!  Your expertise is in medieval English Literature.  How did you come to study recipe books?  Can you explain that journey? 

Hannah Bower: I first came to study recipe books during my master’s degree. I was looking for some texts that had not been closely examined in their manuscript contexts and our course leader, Daniel Wakelin, suggested that recipes would be a good place to start. As soon as I started looking at a few collections in the Bodleian Library, I was hooked! The collections appealed to me because of their strange mix of the formulaic and the whimsical, the predictable and the eccentric. On the one hand, many of the recipes contained the same structural features (lists of ingredients, imperatives, promises of efficacy) but, on the other hand, the recipes could be combined with one another in different ways, copied into large recipe collections or alone on a spare flyleaf, rubricated or left plain, amended and added to, annotated, or struck out. I was keen to pay them closer attention by analysing in detail the choices that different scribes, writers, and compilers made. To me, then, their textual and material forms invited a kind of close reading that had many parallels with the close reading techniques of literary criticism.   

“Recipes taught readers to prepare healing treatments but they could, this study argues, also act as nexus points for the intersection (and playful redefinition) of different written and spoken styles, spaces, and identities”

Middle English Medical Recipes and Literary Play, 2.

EH: The title of this series is ‘Recipes at Play’, and play is also in the title of your book.  What did the term play imply in this period and how important was it in the recipe form? 

HB:  Play had a wide range of meanings, including merriment, pleasure, entertainment, theatrical performance, spectacle, game, music-making, jest, joke, and trick. Of course, these are not normally things that you would associate with recipes for broken bones and pus-filled boils! But there are some surprising connections. For instance, medical recipes can contain a lot of sound play: alliteration, rhyme, and puns all recur. Sometimes these devices may have made the recipe easier to remember by heart; sometimes they might have convinced readers that the recipe carried an occult power supplementary to its ingredients; at other times, these embellishments may suggest pride or pleasure in the copying of the recipe. Interestingly, this patterning does not normally appear in every recipe in a collection or even in all parts of a recipe: it is one example of the sporadic and whimsical aspect that I was mentioning a moment ago that contrasts and coexists with the genre’s more formulaic aspects. This opens up further parallels with play as formulated by the cultural historian John Huizinga: like recipes, play has boundaries, rules, and repetitive structures but it is also flexible and adaptable. Writers and readers of recipes could experiment (or ‘play’) with the text before them, adapting or adding to its instructions as they enacted it (like a theatrical performance or ‘play’).

“[R]ecipes can be activated or translated into action like instruments are played; they can be connected, ordered, and rearranged by imaginations in play; and they can be mischievous, comic, or playful in content”

Middle English Medical Recipes and Literary Play, 26.

EH: What were you hoping to find when you first began your research?  What surprised you along the way? 

HB: When I began, I wasn’t sure what I was going to find; I just wanted to sit and read texts that often hadn’t been read closely in a long time and weren’t normally considered to contain any literary potential! What surprised me was the care that could be invested by writers, scribes, and readers in the copying, embellishment, and preservation of the recipes. Some scribes copied hundreds of recipes and some—though not all!—invested a lot of time trying to make those recipes navigable and usable. I was also surprised by the way that the language deployed in recipes and related medical texts could tap into commonplace images also used in literary and devotional writings. We might deride such commonplaces as trite and jaded, but they clearly had great explanatory purchase and could—I think—not only be deployed to make bodily afflictions easier to identify but also to make those bodily afflictions less offensive and gruesome to think about. For instance, urinary texts sometimes copied alongside medical recipes sometimes compare sediment in urine to specks of dust in the sunlight…quite a beautiful image! 

EH: In the book you cover a number of genres of imaginative literature, including Chaucer, romances and fabliaux.  How important do you think the imagination is in the reading and writing medieval recipes? 

HB: Very important! Many readers were probably persuaded to translate a recipe into practice because they could imagine themselves—or the person they were treating—becoming healthy through it. To embark upon the task in hand, they must also have been able to imagine themselves acquiring, collecting, and preparing all of the ingredients in the correct order.

What I found particularly interesting, though, was the way that some medieval writers seem to use echoes of the recipe form in their writing to encourage readers to imagine their bodies in different ways. For instance, in the book, I discuss an example from Thomas Malory’s romance Le Morte d’Arthur where recipe discourse is used to situate the bodies of two knights in several different time schemes simultaneously. Readers are encouraged to connect the knights’ bodies at once to life and death, earth and heaven, sickness and health.  It is ironic that recipes—a form we normally associate with linear sequences of action (‘do this…do that…do this…’) instead work in that text to stimulate temporal and imaginative flexibility.

[W]riters of remedies and writers of more consistently literary or imaginative texts influenced one another in more precise ways than have hitherto been acknowledged, and both groups partook in shared cultural modes of creative expression. Tracing possible connections and overlaps will allow us to arrive at a more nuanced, holistic understanding of what ‘practical’, ‘careful’, ‘imaginative’, and ‘playful’ might have meant for late medieval writers and readers.

Middle English Medical Recipes and Literary Play, 3-4.

The Power of Peony

By Ashley Buchanan

The Secret Ingredient

In 1735, a Viennese baroness wrote to the last Medici princess, Anna Maria Luisa de Medici (1669—1743), to thank her for sending a miraculous infant convulsion powder. Anna Maria Luisa’s recipe for infant convulsion powder contained a precipitation of a human skull (of “a man who died violently but was never buried”), a precipitation of “Oriental pearls,” a precipitation of red coral and white coral, as well as yellow amber and peony roots and seeds. While the more outrageous ingredients—the skull and Oriental pearls—stand out, it was actually the use of peony that made Anna Maria Luisa’s powder effective.

In her letter to Anna Maria Luisa, the baroness praised the powder’s effectiveness, stating that the children she treated with it had been so violently taken by convulsions that the attending physicians had “given up on them.” Not only had the “miraculous powder” cured the children, but they remained in perfect health several months later. Well known for her miraculous powder, Anna Maria Luisa strategically distributed it to influential individuals and courts across Europe. As a result, she created valuable socio-political alliances to protect The Grand Duchy of Tuscany as the end of the Medici dynasty neared.

Handwritten recipe in Italian.
Recipe for infant convulsion powder featuring peony. Image Credit: Archivio di Stato di Firenze (ASF), Miscellanea Medicea (MM) 1, ins. 2, fol. 186r. Photo by Ashley Buchanan.

The Popularity of Peonies

Peonies are not typically associated with medicine, since they have long been coveted for their beauty. In fact, peonies were first cultivated for their attractiveness and fragrance in China more than 1,400 years ago and became especially popular under the Tang Dynasty (618–907 CE). In the Tang imperial gardens, tree (or moutan) peonies reigned as the “king of flowers” and symbolized happiness, wealth, and prosperity. We can see the association of peonies with wealth and class in a rare Tang scroll painting that depicts five ladies of the court and one maidservant. The rank and prestige of each lady is shown by their scale relative to one another as well as by the lavish peonies that adorn their hair. As the popularity of peonies grew in China, so too did their varieties, as horticulturalists selected, hybridized, bred, and eventually grafted peonies for their fragrance, petal color, petal number, and size.

The center of imperial peony cultivation was in Luoyang, where there were peony festivals and competitions, gardens devoted solely to peonies, and even a peony research center. This led to a plethora of ornamental peony cultivars as peony breeding became an artform. More than 200 peony cultivars were described during the Song Dynasty (960–1279 CE); today, China has more than 1,000 cultivars.

Botanical painting of peony
Ming herbal (painting): Chinese herbaceous peony. Image Credit: Wellcome Collection

While peonies have a long history of appreciation and cultivation as ornamental garden plants in Chinese as well as Islamic gardens, in western Europe they mainly were valued for their utility. Over the course of the sixteenth century that changed, when Ottoman floriculture introduced numerous ornamental flowers to the gardens of Europe, including hyacinths, narcissi, peonies, and most famously, tulips. It was not until the end of the eighteenth century that Europeans would begin intensively breeding ornamental peonies.

In 1789, famed British naturalist Sir Joseph Banks acquired a “moutan peony tree” (Paeonia lactiflora) from Canton, China, through his connections with the British East India Company. Surviving the arduous journey to Britain, it was planted in the Royal Botanic Garden, Kew. Other peonies from China soon followed, ushering in something of a peony craze in Europe as, thanks to centuries of cultivation, Chinese peonies were larger, fuller, and more fragrant than native European varieties. Peonies became increasingly popular as French, English, and American horticulturists began developing ornamental varieties of their own from these exotic imported peony cultivars.

As a Chinese botanical export, eastern ornamental peonies, as well as the new herbaceous and tree hybrids created from them in Europe, carried connotations of the “exotic Orient” and became a popular subject in nineteenth-century art. The depiction of peonies in nineteenth-century French paintings, however, does more than simply signify the exotic or differentiate Occident and Orient. For example, in Frédéric Bazille’s Young Woman with Peonies (see below), the foreign provenance of ornamental peonies is emphasized by the Black model who arranges the blooms in an “Oriental” vase. Notably, Bazille pairs the peonies with irises, France’s national flower. Once new and exotic, ornamental peony cultivars had become a product of cultural hybridity, simultaneously signaling the plant’s eastern origin as well as the new varieties that were being developed in France.

Painting of young woman holding peonies, surrounding by other flowers
Frédéric Bazille, Young Woman with Peonies, 1870, NGA 61356. Image Credit: Wikimedia Commons

Today, peonies remain one of the most sought-after ornamental flowers in the world. Thanks to their abundant delicate petals, peonies often adorn gardens and homes, and are popular for wedding bouquets and floral arrangements. While peonies have long been, and continue to be, a coveted ornamental plant, what may surprise you is that they also have an equally long history—over two millennia—as a powerful medicinal therapeutic.