Category Archives: Remedies

Fevers and the Dog Star in Antiquity

By Laurence Totelin

Summer this year in the UK has been particularly hot; we have experienced a heat wave for the first time in almost a decade. The hot days between roughly the tenth of July and the fifteenth of August are known as the Dog Days, so called because they are under the astronomical influence of the Dog Star (canicula in Latin, hence the French “canicule”, sometimes also used in English), also known as Sirius. Greek and Latin poets, starting with Homer and Hesiod, sang of the effects of the parching heat on the environment and people:

When the golden thistle blooms and the chirping cicada
Sits in a tree and pours down its shrill song
Continuously from under its wings, it is the season of exhausting heat,
Then goats are fattest, wine is at its best,
Women are most lustful, but men are weakest,
Because Sirius dries up the head and the knees,
And the skin is parched by the burning heat.
[Hesiod, Works and Days 582-588]

The constellation Sirius in the ninth-century manuscript Harley MS 647 . Source: wikipedia

To the Greeks, women were wet and men dry. The heat of the Dog Days caused both men and women to become drier; this brought positive effects to women, who became more like the ideal male, but weakened men. That weakness, however, was not a morbid state; it was not an illness.

Medical texts composed in later antiquity described a disease called seiriasis, which was an inflammation of the meninges accompanied by a burning fever. Its name evoked the Dog Star Sirius, although the physician Soranus of Ephesus suggested that the origin of the word seiriasis might be slightly more complex:

Some people state that the disease is called ‘seiriasis’ after the star [Sirius], because of the fever; but others state that it is thus called after the sunken forehead, because among farmers ‘seiros’ is the name of a hollow object in which they put and keep seeds. [Soranus, Gynaecology 2.55]

Soranus, and other medical writers, recommended the application of various ingredients to the forehead as treatment for the illness: egg yolk mixed with rose oil, the leaf of the heliotrope, grated colocynth, the skin of melon, or the juice of nightshade with rose oil. Most of these products, available in mid-summer, were thought to be cooling, and therefore effective in the treatment of fevers: opposite is a cure for opposite. The heliotrope, however, was not known as a cooling drug. The therapeutic principle at play here seems to be that of homeopathy (similar is a cure for similar): the heliotrope, the plant that follows the heat of the sun, is a remedy for a burning fever.

An altogether more colourful remedy for seiriasis is recorded in Pliny the Elder’s Natural History:

The inflammation of infants which is called seirasis is improved by the bones that are found in dog excrement, worn as amulets. [Pliny the Elder, Natural History 30.135]

Girl playing with a dog on a Greek funerary stele, second century BCE. Credit: British Museum

Bone shards are sometimes found in dog poop, and these might be what Pliny was referring to here. This ingredient was most certainly chosen because of the perceived link between seiriasis and the Dog Star Sirius. One can only imagine the despair that would lead the sleep deprived parents of a sick child to put their trust in such an amulet.

Heat and Women’s Fertility in Medieval Recipes

It seems rather ironic to be writing about ‘heat’ in the middle of a heatwave. I’m not sure anyone in Britain at the moment is keen to increase their level of heat any further! However, according to humoral theory, which underpinned many medical recipes throughout the medieval and early modern periods, heat could be a very good thing when men and women wanted to reproduce.  Heat, in the humoral sense, was believed to aid both sexual performance and fertility, and ‘hot’ foods and medicines were recommended as aphrodisiacs and fertility aids in many ancient, medieval and early modern medical texts.  Jennifer Evans has set this out very nicely for the early modern period – see her book and her post on the Recipes blog from 2013.  But heat wasn’t always a good thing: in some circumstances too much heat could also be a problem for fertility, and in that situation ‘cold’ foods and medicines might be suggested.

In my own work on the medical recipe books of the fourteenth and fifteenth centuries, then, I would expect to find a range of recipes to aid conception which include ingredients designed to raise or reduce a person’s heat. Although recipes were written in less complex language than Latin medical texts, and focused on treatment rather than theory, the recipes in these collections were often drawn from longer Latin medical works and so were often based on humoral theory even when this was not made explicit.  Nevertheless, my initial survey of recipe manuscripts in the Wellcome Library, British Library and Cambridge University Library suggests that the picture was more diverse than this.  I haven’t made a comprehensive search – and, given the number of unpublished medieval recipe manuscripts, I probably won’t be able to – but the recipes to aid conception that I’ve found so far work on a variety of principles.

Some do seek to adjust a person’s heat in order to correct a perceived humoral imbalance. For example, a series of recipes in Latin in Wellcome Library MS 541, a fifteenth-century medical miscellany of unknown provenance, is explicit about this.

A page from Wellcome Library MS 541. Credit: Wellcome Library.

In a chapter on ‘Impediment of Conception’ it includes recipes for:

If the sterility is because of cold humours… (Si sterilitas fuerit propter humores frigidos…)

If conception is impeded because of too much moisture… (Quod si propter nimiam humiditatem conceptio impediatur…)

If there is a distemper of heat or dryness in the woman which impedes conception… (Quod si caliditate aut siccitate fuerit distemperancia in muliere impediens conceptionem…)

In each case the first stage is to purge the excess humours, and then a selection of baths, plant remedies and suppositories is recommended. (Wellcome Library MS 541, ff. 137r-v)

The whole manuscript is digitized on the Wellcome Library website here.

Similarly British Library MS Harley 2378, quoted by Henslow in an edition of fourteenth-century medical recipes, also mentioned lack of heat as a cause of women’s infertility and suggested a cure to raise her heat:

‘For a womman þat may not bere no chyld for colde blode: Take and let hire blode, and take trisandali and diapendion, and take and ley þem to-gedere with hony, and ete iche day þer-of, and haue blode bothe hote and gode.’ (G. Henslow, Medical Works of the Fourteenth Century (London, 1899). p. 104.)

However, in many other cases the recipes found in fourteenth- and fifteenth-century manuscripts are not obviously heat-related. Instead many of them require the man, woman or both to ingest animal parts, particularly genitalia.  These recipes work on another theoretical framework with a long history going back to the ancient world: the idea that certain substances were able to stimulate the reproductive organs because of a certain sympathy with them.  For example several fourteenth- and fifteenth-century manuscripts of the Liber de Diversis Medicinis, a collection of recipes in English, include a series of recipes involving animal genitalia. To help a woman conceive a male child, ingredients such as the womb and vagina of a hare; the testicles of a hare; and the liver and eyes of a pig (see Catherine Rider, ‘Men’s Responses to Infertility in Late Medieval England’, in The Palgrave Handbook of Infertility in History, ed. Gayle Davis and Tracey Loughran (Basingstoke, 2017), p. 281).

All of these recipes derive – directly or indirectly – from the Trotula, the twelfth-century Latin compendium of women’s medicine edited by Monica Green, although there were some changes in the process of transmission: the Trotula recommends the liver and testicles of the pig, rather than liver and eyes (see p. 77 in Green).  These recipes from the Trotula appear frequently in recipe collections from medieval England: the pig’s testicles appear again in Wellcome Library MS 407 (f. 61r), ‘Against sterility’.

As Green has shown, numerous manuscripts of the Trotula circulated in England, and the treatise had several Middle English translations, so perhaps it is not surprising that its remedies turn up frequently in recipe collections. Recipes based on animal parts have also featured on the recipes blog before: to take just one example, Laurence Totelin mentioned the use of a deer’s penis as an aphrodisiac in ancient Greece back in 2015.  The Trotula did also discuss the ways in which too much or too little heat might make men or women infertile (see Green’s translation, pp. 85-7). Nevertheless, its influence and the popularity of its genitalia-related remedies means that treatments based on heat and humoral theory were not the only fertility aids available to readers of medieval English recipe collections.  In the future I’m hoping to look in more detail at which aids to conception were particularly popular in English medical texts, and what that might tell us about the transmission of information from earlier Latin medical works.  But at the moment the picture – as regards heat – is looking rather diverse.

Recipes for honey-drinks in the first published English beekeeping manual

By Matthew Phillpott

The Roman emperor Augustus is said to have asked the Roman orator, poet, and politician, Publius Vedius Pollio, how to live a long life. Pollio answered that ‘applying the Muse water within, and anointing oil without the body’ would help to keep him free of sickness. Whether Augustus took up Pollio’s advice is not mentioned. Indeed, Thomas Hill was little interested in exploring the story further when he took it from Pliny the Elder’s The Natural History in the 1560s as part of his small treatise on beekeeping, A Pleasant Instruction of the Perfect ordering of Bees (London, 1568).

Drawing of Thomas Hill from his The Art of Gardening (1568).

The story’s purpose, as an opening passage of his twenty-ninth chapter, was meant only to introduce Muses water (otherwise called Melicrate by the Greeks or more commonly, Hydromel), and to suggest that it is a drink containing various health benefits. Hill went on to explain that the Muses water can ‘ease the passage of wind or breath, soften the belly’ and cure poisoning by Henbane. He then gave a recipe;

Let eight times so much water be mixed unto your honey prepared which boil or seethe so long, until no more foam arises to be skimmed off, then taking it from the fire, preserve to your use.

Hill provides no more detail than that, but he does go on in the next chapter to give a recipe for Oenomel – ‘a sweet wine made with honey’ – that he says is ‘not only for the preservation of health but also to expel the torment of sickness’. Hill advises his readers that the best Oenomel is made of ‘old and tart wine’ with ‘the best purified honey’. His recipe;

Take one gallon and a quart of wine and mix it with half a gallon and a pint of the best honey.

There are more recipes in Hill’s treatise on beekeeping. There are several that describes a distillation of the honey, and another that describes the making of a Honey Quintessence.

Hill’s manual was the first handbook published in English about beekeeping, and it was attached to the very first handbook on gardening (The Profitable Art of Gardening), also produced by Hill. The purpose was a simple one: to bring the knowledge of ancient authorities such as Aristotle, Pliny the Elder, and Virgil, to a modern audience as a means of providing ‘their knowledge and experience’ for the profit of ‘poor husbandmen’ and the better wealth of England more generally.

It seems likely that the recipes for Hydromel and Oenomel were common knowledge and all Hill did here was to cite an authority for something that was already known (he cited Paul Aegina – a 7th-century Greek physician – and Pedanius Dioscorides – a 1st-century Greek physician and botanist). The recipes for distillation and Quintessence were more advanced and might well have been one of the earliest published recipes for these drinks in the English language (although again, the general principles were likely well known).*

By including recipes in his book, Hill emphasises the benefits of beekeeping for his readers but also makes the manual useful beyond those strictly interested in managing a swarm of bees. Landowners or their land managers, who purchased the book to improve the gardens, might equally pass the knowledge of honey recipes to others in gentry households. It would be fascinating to discover if any manuscript recipe books from this period contained references to Hill’s honeyed-drinks or whether any copy of Hill’s books contains annotations or bookmarks related to the recipes.

At the very least, by initialising the genre of beekeeping manuals in England, Hill provided precedence in terms of the structure of content, if not in detail. Many of the beekeeping manuals published in the seventeenth-century also contained recipes for honeyed-drinks and many followed a similar structure to the one that Hill provided, even where they disagreed with many of his claims. How many people followed the recipes, however, is another question entirely.

* Quintessence was described by Andreas Vesalius in 1551 in a book called A compendious declaration of the excellent virtues of a certain lately invented oil, called for the worthiness thereof oil imperial.  He described the Quintessence as ‘nothing else but aqua vitae’ (i.e. distilled wine), and does not mention honey. In 1559, Konrad Gesner’s The Treasure of Euonymus included a much more detailed description of types of Quintessence as drawn out of wine made from a variety of wood, fruits, flowers, oats, leaves, seeds, stones, metals, flesh, and spices. There is a brief mention of honey quintessence, but not a specific recipe for it. I have yet to find any other English printed work before 1568 that describes Honey Quintessence in any kind of detail.


Matthew Phillpott lives in the United Kingdom and undertook studies in early modern history at Hull and Sheffield. He now works at the School of Advanced Study, University of London, and in addition investigates early modern printed materials for ideas about knowledge, history, culture, health, and food. He has recently started a new website to talk more about his research into bee culture in the early modern period called Early Modern Bees.

 

 

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