Category Archives: Remedies

Returning the wandering womb with “fetid and rank smells”

By Dr. Amy Kenny

When prescribing curatives for a wandering womb, early modern medical practitioners regularly propose pungent materials to return the womb to its rightful place in the abdomen.  Medical manuals from the period are rife with tales of the womb becoming dislodged and wandering throughout the body.  Monthly shedding and regular intercourse were often recommended for women to release gratuitous female seed and prevent humoral clogging.  Without shedding this excess, the womb could travel throughout the body, sometimes as far north as the throat, or as far south as the knees.  If its “ligaments are loose, and it falls down by its own weight,” English physician Nicholas Culpeper warned, or it could wander north, producing a choking sensation and syncope, aptly labeled suffocation of the mother.[1]  Once the womb was out of place, reeking elements were often recommended by medical practitioners to coax the womb back to its proper location in the body.

Renowned French surgeon Ambroise Paré suggests physicians apply “fetid and rank smells” to the nostrils, such as the “snuff of a tallow candle when it is blown out, with the fume of bird’s feathers, especially partridges or woodcocks, of man’ hair, or goat’s hair, of old leather, of horse-hoofs, and such like things burned, whose noisome or offensive savor the womb avoiding, doth return unto its own place or seat again.”[2]  The Compleat Midwives Practice proposes “fomentations are also very necessary, made with the decorations of broom, wild cucumbers, flowers of chamomile, melilla, with origin, cumin, fennel, [and] anise-seed.”[3]  A Rich Closet of Physical Secrets swears by “a bath made of mugwort, flea-bane, juniper, camphire, and wormwood, boiled in water,”[4] and physician James Rüff advises “castoreum, galbanum dissolved in vinegar, of each half an ounce; brimstone one ounce” to apply to the nose and the woman’s genitals.[5]  This is merely a sampling of the recipes prescribed for the wandering womb, but offers a microcosm for popular treatments as most call for aromatic materials amongst the ingredients.

Fig. 1. Treatment of prolapse of uterus, 1559. Credit: Wellcome Collection.

Specifically, herbal remedies were often administered via a pessary, or suppository, at the neck of the vagina to fumigate any menstrual or humoral excess, causing the womb to shift locations.  Paré recommends a pessary full of “sweet and aromatic fumigations” using cinnamon, aloes, labdanum, benzoin, thyme, pepper, cloves, lavender, calamint, mugwort, penny-royal, nutmeg, musk, and amber.[6]  This image from 1559 (fig. 1) shows a practitioner placing a pomegranate shaped pessary on a woman with a prolapsed uterus.  An apple-shaped pessary can also be seen amongst French surgeon Jacques Guillemeau’s medical tools (fig. 2). Pessaries were often shaped like pears, apples, or pomegranates and could be administered by a medical practitioner or the woman herself.  Herbal remedies such as those placed in pessaries were thought to offer a purgative heat to release excess phlegmatic humors, returning the womb to its original place by humoral fumigation.

An Apple-shaped pessary with central canal, from Jacques Guillemeau, Le chirurgie Françoise, 1594. Credit: Wellcome Collection

Why use smelly materials to cajole the womb back to its original location within the body?  Why not entice it by other means?  The womb, early modern medicine tells us, “will in a manner descend or arise unto any sweet smell and from any thing that is noisome.”[7]  Able to detect smells and determine their quality, the womb garnered a sympathy with the nose unlike that of other organs.  It adopted the nose’s olfactory role in discerning scents as curatives or miasmas.  The porous humoral body was susceptible to shifts in the Galenic non-naturals—air, sleep, diet, exercise, the passions, and excretion—and the womb was considered one of the body’s orifices through which it interacted with the larger world.  Odorous plants could purge disproportionate humors in the womb, allowing it to return to its rightful place because of its sympathy with the nose.  According to early modern medicine, the womb could smell the scents administered externally because of its porous nature and olfactory ability.


Amy Kenny is a Visiting Assistant Professor at University California, Riverside. She is currently working on a book on wombs, entitled, Humoral Wombs on the Shakespearean Stage, under contract with Palgrave Literature, Science, and Medicine series.


[1]Culpeper, Nicholas. Culpeper’s Directory for Midwives (London: Peter Cole, 1662), 50.

[2]Paré, Ambroise. The Works of that Famous Chirurgeon Ambrose Parey, trans. T. H. Johnson (London: Mary Clark, 1678), 574.

[3]R. C., I. D., M. S., T. B., The Compleat Midwife’s Practice Enlarged (Angel in Cornhill: Nathaniel Brookes, 1659), 216.

[4]Anonymous, A Rich Closet of Physical Secrets (Gartrude Dawson: London, 1653), 24.

[5]Rüff, Jacob. The Expert Midwife, or An Excellent and Most Necessary Treatise of the Generation and Birth of Man (London: E. Griffin for S. Burton, 1637), 67.

[6]Paré, Ambrose. The Works of that Famous Chirurgeon Ambrose Parey, trans. T. H. Johnson (London: Mary Clark, 1678), 574.

[7]Crook, Helkiah. Mikrokosmographia, A Description of the Body of Man (Barbican: W. Jaggard, 1616), 223

Tales from the Archives: Tobacco Smoke Enemas in Eighteenth-Century Domestic Medicine

In September 2018, The Recipes Project will be six years old. We’ve had a whole lotta blogging over the years. Today, I’m pleased to present our 675th post — a revisit of our most popular posts: Katherine Allen’s reflections on… tobacco smoke enemas. Really, how could we ever resist such a horrible thought?

Katherine started blogging with us while she was a PhD student. She’s long since finished her degree, but still loves recipes. In fact, she has her own blog of (mostly modern) recipes, which provides some tasty inspiration, especially on the cakeage front. She has also been known to review snail skin care products. You can find her blogging over at RaspberryThriller, or on Instagram @raspberrythrillerfor some mighty fine foodie pictures.


By Katherine Allen

Over the holiday I was working on a transcription of an eighteenth-century recipe book and came across an initially humorous recipe for treating ‘the winde & Collick’ (Wellcome, WMS 3500) which goes as follows:

And so is tobacco given in A pipe [when] it is well Lighted the small end to be oyled and put up into ye fundament and some body put the great end into their Mouth and blow the smoake up into the body this never fails to give ease to the winde collick you may put A small Glister pipe into the body and put the small end of the pipe Tobacco in the End of ye Glister pipe this way will Convey the Smoak into ye body very well. (fol. 87r.)

This surprising description of getting a companion’s assistance in administering the remedy has inspired me to write this post on the history of the familiar phrase ‘to blow smoke up one’s arse [ass]’ and the possible use of tobacco glisters in eighteenth-century domestic medicine.

Tobacco Plant. Image Credit: http://www.spamula.net/blog/i41/non3.jpg

Tobacco (Nicotiana tabacum) is a type of herb in the night shade family Solanaceae. It was smoked by indigenous peoples in the Americas as far back as 1000BC, but gained popularity in Europe and in global markets through trade in the sixteenth century. By the eighteenth century, tobacco was a popular luxury good in England and was increasingly consumed more for pleasure than medicinal treatment.

But how was tobacco used as medicine in the early modern era? Discussing the humoral and astrological qualities of tobacco, Nicholas Culpeper stated in an eighteenth-century version of his herbal that it was a hot and dry herb under the dominion of Mars. Tobacco was useful as an infusion for vomits, rheumatic pain, and piles. As a distilled oil, it was used for aching teeth however, ‘the distilled oil is of a poisonous nature; a drop of it taken inwardly will destroy a cat’. Culpeper also praised tobacco as an expectorant, a digestive aid, and a pesticide for vermin and for preventing plague.[1]

Those who are familiar with recipe collections will have surely come across at least one recipe using tobacco, and the most common recipe seems to have been a tobacco ointment. The Tyrrell Family collection has one such recipe which called for bruised tobacco leaved infused in red wine and then boiled in hog grease along with tobacco juice and beeswax.[2] Tobacco has astringent qualities and acts as a coagulant, and would have been an effective ingredient in salves for treating wounds. Another recipe stated that the tobacco salve ‘is an excellent Mundifier [cleanser] and healer of old sores, and Ulcers, if the sores be first washed with a little good brandy, which ought to be done, till the sores look fresh, which it will do in 3 or 4 dayes if this course be taken.’[3]

Wellcome, WMS 7822, fol. 11r. Image Credit: Wellcome Library

But, when and how did tobacco smoke enemas come into use and how did this treatment come to be in a household book of remedies? The phrase ‘to blow smoke up one’s arse’ means to get a rise or reaction out of someone, sometimes by giving them insincere compliments for attention. This phrase originates from the practice of using smoke enemas to resuscitate near-drowned victims via stimulation and it was first practiced by indigenous groups in North America.[4]

During the eighteenth century, tobacco smoke enemas were used by humane societies across Europe, including the Royal Humane Society in London, to resuscitate victims.[5] Culpeper included the tobacco enema under treatment advice for the inflammation of the intestines induced by colic or hernia and suggested that it ‘is of singular efficacy in obstinate stoppages of the bowels, for destroying those small worms called ascarids [roundworms], and for the recovery of persons apparently drowned.’[6] Physician Richard Mead was a proponent of the tobacco glister, using it to treat iatrogenic drowning caused by immersion therapy for hydrophobia and mania, and later Thomas Sydenham wrote a treatise on its use in bowel obstructions.[7] The use of this treatment declined in the early nineteenth century when it was affirmed that the nicotine found in tobacco can stop blood circulation if there is too much in the body, as in the case of an enema.[8] By the mid-nineteenth century the enemas were not used by the medical faculty.

Tobacco Pipe Enema circa 1773. Image Credit: http://en.wikipedia.org/wiki/File:Tobacco_smoke_enema.png

There is no author associated with the tobacco glister recipe found in MS 3500, but it is likely that this information was communicated to the compiler by a physician. This particular collection is dated 1688-1727 and was owned by a Mrs. Meade (and others), but it does not appear that she was related to Dr. Richard Mead. Several of the recipes are however directly attributed to Dr. Richard Lower for treating the young Nathaniel Meade, one of which is a purge dated the 1st of December, 1688.  There is also one recipe attributed to Dr. Needham on the page before the tobacco glister recipe.

Considering that tobacco enemas were only in vogue from the mid-eighteenth century to the early nineteenth century, it is unusual to find this medical advice in a domestic collection, let alone one dated from the early eighteenth century. As it is improbable that an eighteenth-century household would have had its own tobacco pipe for administering a glister for bowel complaints, I suspect that this recipe is an example of a physician’s remedies being copied into a domestic collection. More importantly, this is an example of how recipe books were continually evolving and being updated alongside innovations in the medical faculty. What started as a chuckle over an amusing recipe has led me to explore the history of this peculiar remedy from its use by the medical faculty to its indigenous origins; giving a whole new meaning for me to the phrase ‘blow smoke up one’s ass’.

 


[1] Nicholas Culpeper, Culpeper’s Family Physician; or Medical Herbal Enlarged. Vol. 2 (London, 1782). p. 134.

[2] Wellcome, WMS 7822. Anon [Tyrrell], ‘Collection of Medical and Cookery Receipts, 17thC-18thC’, fol. 11r.

[3] Wellcome, WMS 1796. Anon, ‘Collection of Cookery and Medical Receipts, c. 1685-c.1725’, fol. 64r.

[4] Raymond Hurt et al., The History of Cardiothoracic Surgery from Early Times (London: Parthenon, 1996). p. 120.

[5] Lawrence Ghislaine, ‘Tools of the Trade, Tobacco Smoke Enemas’ The Lancet vol. 359 issue. 9315 (April 2002): 1442.

[6] Culpeper, p. 281.

[7] Thomas Sydenham, ‘Schedula Monitoria, or an Essay on the Rise of a New Fever’ in Benjamin Rush, The works of Thomas Sydenham, M.D., on acute and chronic diseases: with their histories and modes of cure (Philadelphia: B & T Kite, 1809). p. 383.

[8] Ghislaine, 1442.

Fetch Me at Pearl Nest Street: Rhubarb Pills as Panacea in Qing China

He Bian

In the late eighteenth century, American ginseng opened up a new niche market in Qing China. At the same time, Chinese rhubarb (dahuang) roots, harvested from the northwest regions of the empire, were transported by Chinese traders all the way to the southeast coast and sold off to foreign customers in Canton (Figure 1). Part of these transactions took place in the Ryukyu Kingdom (present-day Okinawa Islands), a vassal state of the Qing but also an important node of global trade that crisscrossed the West Pacific. At some point in 1789, the Qing court issued an edict to the Ryukyu king that explicitly forbade him from selling rhubarb to Russians, with whom the Qing was then engaging in an all-out trade war. Rhubarb featured prominently in the Qing strategy because they believed that Europeans imported so much of this drug that they could not live a day without it.[1]

Figure 1. Chinese or Turkish rhubarb (Rheum palmatum): flowering and fruiting stem with leaf. Coloured zincograph after M. A. Burnett, c. 1842. Credit: Wellcome Collection, https://wellcomecollection.org/works/cvty3qqk
Figure 1. Chinese or Turkish rhubarb (Rheum palmatum): flowering and fruiting stem with leaf. Coloured zincograph after M. A. Burnett, c. 1842. Credit: Wellcome Collection, https://wellcomecollection.org/works/cvty3qqk

Yet is it really true that pharmacological visions in early modern China and Europe were so different that they could not possibly reach a consensus over rhubarb’s properties ? Classical Chinese pharmaceutical literature listed rhubarb as a drug with a “very cold” nature, and generations of physicians were taught not to use the cold drug in curing cold-natured diseases. This suggested that Russians (and other Westerners, as seen in this post on rhubarb in early modern England) had different bodies than the Qing Chinese, as they depended on rhubarb as an all-round cure. Pharmacological theories, in other words, engendered a vision of difference that seemed insurmountable.

During my recent reading of Qing medical recipe books, however, I discovered that rhubarb in fact functioned as nothing short of a panacea for Qing Chinese. This is evident in the text Bianyong liangfang (Excellent Recipes for Expedient Use), which appeared in the Jiaqing reign (1796-1820). Compact (only 2-juan in length) and very nicely printed (with carved woodblocks), it arranges pills, powders, tinctures, and decoctions by symptom. The book has about 120 pages, and most recipes are merely a few lines in length. What surprised me was that one very long recipe at the end of the text takes up the entirety of 13 pages. The remedy in question, mi shou Qingning wan (Secretly transmitted pill of purity and tranquility), calls for “several dozen pounds” of good quality rhubarb roots as the principal ingredient. Rubbed clean and steeped in rice water, the rhubarb was sliced, sun-dried, processed with “ash-less good rice liquor” for three days, and then put through a lengthy, elaborate protocol of fifteen rounds of steaming. Each steam involved a different set of herbs. Finally, makers took the resultant rhubarb paste, mixed it with “yellow ox milk” (using cooked honey as substitute if there was no milk), boy’s urine, ginger juice, and rolled it into tiny pills. The recipe listed hundreds of common illnesses that could be treated with this pill, ranging from headache and hemorrhage to gynecological disorders.

Figure 2. Luo Benli ed. Bian yong liang fang. Vol. 2b, p. 50b. c. 1796-1820. Princeton University Library. Downloadable PDF available at http://pudl.princeton.edu/objects/fn107159v
Figure 2. Luo Benli ed. Bian yong liang fang. Vol. 2b, p. 50b. c. 1796-1820. Princeton University Library. Downloadable PDF available at http://pudl.princeton.edu/objects/fn107159v

I have tried to look up this recipe in earlier Chinese medical texts, and my preliminary findings suggest that it probably came into existence no earlier than the seventeenth century. It became wildly popular in the eighteenth century, and recipe books serve as evidence of its widespread consumption. On the last page of Bianyong liangfang (Figure 2), the compiler, Luo Benli, announced that he had a batch of rhubarb pills prepared during his tenure in Guizhou – a southwestern province of China – and that, in case of emergency, readers could “call upon my house on Pearl Nest Street” and look for the “residence of Mr. Luo of the Ministry of Defense (bingbu Luo zhai).” Pearl Nest Street (zhuchaojie), a neighborhood in Qing Beijing not far from the Forbidden City, featured prime real estate. As a military official who had served in the frontier provinces, Luo was less bound by medical norms of the day and possessed the financial and political capital to manufacture elaborate pills like these. Was there, in other words, a sub-culture of health and medication championed by military elites such as Luo, which stood distinct from classical prescriptions?

One last word about this recipe that hints at a hidden connection between different cultural realms in early modern China: Sun Xingyan (1753-1818), a prominent scholar who combed through medieval sources for fragments of ancient texts, published the same recipe for Pill of Purity and Tranquility in his scholarly series. The inclusion of this Qing text alongside ancient monographs so bewildered modern bibliographers that they mistakenly attributed the recipe’s author to a seventh-century figure. In fact, Sun Xingyan made it clear that it was a contemporary remedy and provided an elaborate scholarly argument to defend rhubarb’s all-around efficacy to cure both hot and cold-natured illnesses. He also suggested that “vulgar physicians” despised the pill because if everyone had access to this remedy then their businesses would be lost. Therefore it does appear that, when it comes to rhubarb, Qing Chinese scholars and military commanders were no less enthusiastic than what they imagined about the Russians.

 

[1] I recommend this excellent essay by Chang Che-Chia (translated by Penelope Barrett) for more on this curious episode.

Tales from the Archives: Smelling ‘Violet’ in Renaissance Works

In 2017, The Recipes Project celebrated its fifth birthday. We now have nearly 650 posts in our archives and over 160 pages for readers to sift through. That’s a lot of material! (And thank you so much to our contributors for sharing such a wealth of knowledge on recipes.) But with so much material on the site, it’s easy for earlier pieces to be forgotten. So, the editors have decided that, every now and then, we’ll pull something out of the archives to share with our readers anew.

This month’s we re-feature a post by Colleen Kennedy, first published in August 2013. I think that it fits very well with our conversations this month, don’t you?

Enjoy the spring flowers, everyone!

Elaine

_________________________________________________________________________

By Colleen Kennedy

The violet (Viola odorata) is cited in several herbals and many recipe books as a particularly sweet scented, fragrant flower. Herbals, such as Culpeper’s, describe the violet as a “cold and moist” plant, with many medicinal qualities. It is used as a laxative, and as a treatment of syphilis and uterine complaints; it counterbalances choleric humors, is good for many lung ailments, eases headaches and sleeplessness, and is a general panacea.

Violets are also commonly used in recipes, either as “cakes of violet,” “candied violets,” “conserve of violets,” or “syrup of violets,” as flavoring for metheglins (meads), and to add aromatic qualities to vinegars and other recipes:

To Make Syrup of Flowers:

Take of Violet flowers fresh and pickt, a pound, clear water boiling one quart, shut them up close together in a new glazed pot a whole day, then press them hard out, and in two pound of the Liquor, dissolve four pound and three ounces of white Sugar, take away the scum, and so make it into a Syrup without boiling. (Woolley 6)

Any of Hannah Woolley’s recipe books are a good place to begin to study early modern recipes utilizing violet flowers. Violet’s pleasant odor is also the source of its medicinal powers and cause for its common domestic usage.

Hannah Woolley's The Accomplish'd lady's delight in preserving, physick, beautifying, and cookery (1675)
Hannah Woolley’s The Accomplish’d lady’s delight in preserving, physick, beautifying, and cookery (1675)

So, what does the violet smell like?  English, alas, lacks a smell-vocabulary, and violet is repeatedly only listed as “sweet” or “fragrant.” Avery Gilbert considers the two distinct “voices” available to modern perfume makers: “Ingredient Voice” (the actual list of and proportions of ingredients) and “Imagery Voice” (“atmospherics, the drama of seduction, passion, and mystery”) (15). It is in that latter voice that we move closer to the more detailed early modern accounts of the aroma of violet.

For example, modern perfume blogger Normand Cardella, in his review of Yves Saint Laurent’s Paris, muses on the smell of violet: “So… what does a violet note smell like?  Well… it’s powdery, a little sweet and decidedly sad.  Musically, a violet note in perfume would be a minor chord.”

Likewise, for early modern writers, the violet is also a sad  and musical aroma. Francis Bacon, in his essay “Of Gardens” (1625),  links pleasurable odors and sounds (and much earlier than our modern perfumers): “And because the breath of flowers is far sweeter in the air (where it comes and goes like the warbling of music) than in the hand, therefore nothing is more fit for that delight than to know what be the flowers and plants that do best perfume the air”. Violet is his favorite perfumed flower: “that which above all others yields the sweetest smell in the air is the violet”.

The violet’s “imagery voice” is most fully articulated in Duke Orsino’s opening lines of Twelfth Night:

“Orsino and Viola” by Frederick Richard Pickersgill (c. 1850)

“If music be the food of love, play on.

Give me excess of it that, surfeiting

The appetite may sicken and so die.

That strain again, it had a dying fall.

O, it came so o’er my ear like the sweet sound

That breathes upon a bank of violets,

Stealing and giving odour. Enough, no more.

‘Tis not so sweet as it was before.” (1.1.1-8)

Much of the language here that applies to music or love is equally applicable to the sensation of smelling violets,  especially violet’s unique chemical compound and its effect on the sense of smell. As Diane Ackerman describes: “Violets contain ionine, which short-circuits our sense of smell. The flower continues to exude its fragrance, but we lose the ability to smell it. Wait a minute or two, and its smell will blare again. Then it will fade again, and so on.”

The discovery of its isomer ketones did not occur until the late nineteenth century, yet, its affects were all very real experiences for early modern writers, such as Shakespeare, who attempt to distil and capture the essence of violet in distinctly beautiful terms, with the violet “stealing and giving odours.”

The “dying fall” of Orsino’s sad tune is like the melancholy aspects of the violet, evoking impermanence, transience, and death. Even Orsino’s command to stop the music can also describe the anesthetic properties of ionine.  As Orsino complains though, the scent, the song, the sensations, and so on is “not so sweet as it was before.”

John Gerard's "The herball or Generall historie of plantes" (1633) Chapter 312: Of Violets
John Gerard’s The Herball or Generall Historie of Plantes. (1633) Chapter 312: Of Violets

Orsino’s very mind, in its melancholic state, is affected by sweet airs—whether sad songs or fragrant violets. As the early modern brain was believed to be acutely affected by odors, and the violet emits a particularly sweet and sad aroma, the botanist and herbalist John Gerard’s regard for the violet’s olfactive and affective properties should not be surprising:

[Violets] haue a great prerogative aboue others, not onely because the minde conceiveth a certaine pleasure and recreation by smelling and handling of those most odoriferous flours, but also for that very many by these Violets receive ornament and comely grace …And the recreation of the minde which is taken hereby, cannot be but very good and honest: for they admonish and stir up a man to that which is comely and honest… do bring to a liberall and gentle manly minde, the remembrance of honestie, comelinesse, and all kindes of vertues. (Chapter 312: “Of Violets” 849-850)

Gerard nicely summarizes the memorable, virtuous, affective, symbolic, and olfactive properties of the violet that we have been sniffing out in this brief essay.

Viola odorata

References (in order of appearance)

Nicholas Culpeper, Culpeper’s Complete Herbal (London: Arcturus, 2009).

Hannah Woolley, The Accomplish’d lady’s delight in preserving, physick, beautifying, and cookery containing I. the art of preserving and candying fruits & flowers (London: Printed for B. Harris, and are to be sold at his shop, 1675).

Rebecca Laroche, with Steven Turner, “Robert Boyle, Hannah Woolley, and Syrup of Violets”, Notes and Queries 58 (2011): 390-91.

Avery Gilbert, What the Nose Knows: The Science of Scent in Everyday Life (New York: Crown Publishers, 2008).

The Norton Shakespeare Based on The Oxford Edition, second edition, Stephen Greenblatt, Walter Cohen, Jean Howard, and Katherine Eisaman Maus (New York, 2008).

Diane Ackerman, A Natural History of the Senses (New York: Vintage Books, 1990).

Rebecca Laroche, “Ophelia’s Plants and the Death of Violets”, in L. Bruckner and D. Brayton, eds. Ecocritical Shakespeare (Ashgate, 2011).

Jessica Kerr, Shakespeare’s Flowers (Boulder: Johnson Books, 1969).

Richard Palmer, “In Bad Odour: Smell and its Significance in Medicine from Antiquity to the Seventeenth Century”, Medicine and the Five Senses, eds. W.F. Bynum and Roy Porter (Cambridge: Cambridge University Press, 1993).

John Gerard, The Herball or Generall historie of plantes, 2nd ed. (London, 1633).