Mistletoe: Not just for kissing?

By Jennifer Munroe

As the holiday season draws near, mistletoe might come to mind, since the tradition of kissing under this otherwise culturally-absent plant prevails today. Native to North America, mistletoe grows in the west as well as in areas of the east. The first time I saw mistletoe growing high in the tree canopy as I was driving down the highway here in North Carolina, it seemed somehow out of place, with its wispy tendrils, quite unlike the version I’d seen in stores over the years. In England, mistletoe, or viscum album, grows as a shrub, with its small, yellow flowers and white, sticky berries. It seems that today, the extracts of European mistletoe has been used for seizures, headaches, and even to treat cancer. And to think: I thought it was just for kissing.

Imagine my surprise, then, when I came across the following references to mistletoe from correspondence between Katherine Jones, Lady Ranelagh, and her brother, Robert Boyle. Both letters express Jones’s concern for her sister-in-law, Margaret Boyle, as she suffers from frequent bouts of “scurbitical humour,” or fits related to scurvy.

In the first letter, Jones refers to a quantity of mistletoe that she has found in the recently-deceased Lady Clarendon’s “case”:

“Nature being soe farr weakened as to be unable to worke together wth ye remedys ye Dr had upon consulte agreed to give her. None of all which had so visible an operation as to wakening and rousing her as a large bottle of very quick spirit of Hartshorne that I procured for he held under her nose which ye Dr confesed was as proper as any thing that could be use to her (& which I give you notice of to invite you to put yourselfe into a good stock of it for my Dearest Sisters use which how you may doe, one that I know having lately stilled it in good quantity & selling it for 5s an ounce. Halfe a pinte would be enough for you at once which was about what we now had for this poore Lady … I intend this night if I can get Dr Cox to discourse with him about her, & then send you wt he directs his power he thinks rather better than ye Misselto I found in my Lady Claringdons case that ye Dr [saw her] foaming & puking at ye mouth differing things in these fits he she did ye later at least…” (BL Add 75354, ff. 101-104: Letter from Katherine to Robert 10 Aug, 1667?).

In the second letter, dated a week later, mistletoe is prescribed as a possible remedy for Margaret Boyle’s fits, but an alternative remedy, a “hartshorn spirit” of Jones’s making, figures as again as an arguably superior treatment:

“The misselto may be given about ye changes of ye moone if it could be got in quantities enough to be so employed but because its so great a raretie its seldome given but in a fit or upon discovery of ye approach of one. My Lady Warwicke is not yet come home when she does I shall god wiling make her send you some but my Lord Dretzwel can furnish you for he has one growing. Ye Hartshorne spirit I have spoken for as you [requested] but know not how to send a halfe pint bottle by ye post & therefore shal desire Mr Graham to send it as fast as he can” (BL Add 75354, ff. 107r-110v, dated  17 Aug 1667?).

While there is much that could be said about these letters, what’s curious to me is the way that mistletoe and hartshorn spirits function as competing treatments for scorbitical fits [related to scurvy] (and earlier in the first letter, ironically, the doctor insisted that Margaret Boyle not eat raw fruit when she began to feel unwell). Jones seems not quite to want to contradict the doctor’s prescription of mistletoe, but she certainly suggests her hartshorn might be more effective. In the first letter, that is, she makes it clear that even the doctor “confesed” that her hartshorn spirits, waved under the nose (which she can sell to interested parties for 5s an ounce, by the way…) vivified the ailing Lady Clarendon more effectively than other applications; and it seems the “foaming & puking at ye mouth” that Lady Clarendon experienced may well have stemmed from her use of the mistletoe in her case, as mistletoe ingestion induces vomiting. In both recipes, the references to mistletoe as a treatment are followed almost immediately by those for Jones’s own (and obviously preferred) hartshorn spirits, made from the shavings from a hart’s antlers, which produces ammonium carbonate. And while it seems that such a remedy would likely be an irritant to its user, Jones swears by it. Or at least she swears by her spirit of hartshorn. Maybe it is better, though, to leave the hartshorn on the hart and the mistletoe for kissing and just eat some fruit—or some fruitcake.

Early Modern Breast Surgeries and Recipes

I’ve been a teaching assistant twice for a two-semester survey of the history of western medicine offered at the Johns Hopkins University. The full sequence takes undergraduates from Hippocrates to Obamacare, with the second semester covering the Enlightenment to the present. One of the pleasures of teaching a discussion section during the second semester is that it allows me to explore the history of our own institution with a group of undergraduates, many of whom themselves hope to work in healthcare and perhaps to study medicine at Johns Hopkins.

Halsted
William Halsted. Source: National Library of Medicine, IHM. 101417923.

A key, fascinating figure in the early history of Hopkins–and one who bridges central course themes as we shift from the early modern, to the modern, to the contemporary–is William Halsted. He was one of the “Big Four,” a brilliant surgeon, an accidental cocaine addict. Halsted is well known for his role in the history of mastectomy, and in this as in other areas of his career he can illuminate these themes for students. His life and career, for example, epitomize the promises and perils of developments in nineteenth-century surgery. I also believe that the history of radical mastectomy has particular power for many because the tensions that the measure introduced into the lives of sufferers continue to be recognizable in our own. We all have friends and family who have suffered from and with cancer and cancer therapies, and many have faced decisions over difficult breast surgeries. These tensions also persist at the level of public policy. For instance, just in the last few days, as I was preparing this post, I listened to a contentious panel discussion on the American public radio program “The Diane Rehm Show” about routine mammography.

I don’t want to suggest that our and our loved ones’ medical experiences are in any way the same as Halsted’s patients’, much less those of early modern people who contemplated going under the knife, but I do want to suggest here that making such connections may help us and our students think about and empathize with historical actors who often seem very foreign from us. Recipe books might seem like poor sources for doing this, but if we look closely I think that there is in fact evidence of a great deal of emotion and drama. It is visible, for instance, in recipes that heal breasts, especially breasts threatened by dire maladies and consequently surgeons’ tools.

Amputation
Halftone of Bodleian Library window. Source: National Library of Medicine, IHM. 101409068.

As scholarship such as Lucinda Beier’s on the London surgeon Joseph Binns has shown us, workaday early modern surgeons did not perform much invasive surgical work.1 Opening the body and reaching into it with tools and chemicals was usually a last resort, but it was one some surgeons and sufferers were willing to undertake. Operations like craniotomy, lithotomy, and, of course, limb amputation are the best known pre-modern measures. Surgeons also sometimes cut into afflicted breasts, removing portions of breasts or even amputating them entirely.

A vivid instance of an early modern breast surgery can be found in the writings of Richard Wiseman. Wiseman was sergeant-surgeon to Charles II and an influential surgical author. One of his published cases describes the sufferings of a twenty-six-year-old “Country maid.”The woman was afflicted with an ulcerated cancer of the right breast “arising from some accidental Bruise.” It had progressed to a grim stage. Wiseman decided the breast could not be cured, and urged that it should be cut off before “a Fungus” which he thought lay deep in the breast “should be fixed to the Ribs.”

Wiseman
Richard Wiseman. Source: National Library of Medicine, IHM. 101432120.

Wiseman won some sort of consent, though how ready it was is perhaps indicated by his explanation that she and her companions “were not unwilling that it should be cut off” and that their decision took a month. Wiseman himself seems to have been much more eager, having just received “the Royal Stiptick liquor” at the king’s command. He saw the surgery as “seasonable” for experimenting with it, in the presence of “some Friends who desired to see the efficacy.”

I should warn you that his description of the operation is difficult to read. Like many early modern surgeons’ description of operations, it also largely occludes the patient and her experience. I will quote it at length here, however, because I think that it gives a powerful glimpse of what an invasive procedure was like at this time. But please skip the next two paragraphs if that is not a glimpse you’d like to take. Wiseman’s associate, the physician Walter Needham,

pulled up the Breast while I made a Ligature upon the basis of it, and cut it off. The two Arteries bled forcibly out, till Doctor Needham applied a wet Button [lint soaked in the water] on the one, and… [an assistant] applied the other… [One] stopt the Bleeding at that very instant… but the bloud dribbled from under the other: which we supposed happened by reason of the bloud streaming upon it in the putting it on. But by the application of a fresh Button the Bleeding there also stopped. During this the Lips of the wound were brought nearer to each other by a cross stich. We then applied our Digestive with convenient Bandage over it, and laid the Patient in her Bed. [They left, and] In our absence she fainted, and upon the drinking a draught of cold water vomitted, and her Breast bled through the Dressings. Upon sight thereof I took off the Dressings, and seeing one of the Arteries seepe, I applied a fresh Dostil [dossil], and stopt it: but it being night, and dreading mischief might happen if it should bleed again, I sent for a small Button cautery, and that way secured it. (“I secured that Artery by the touch of a hot Iron,” he explained in another account of the operation.)

The woman had some difficulties after the operation, but she returned to the country a month and a half later. Once there, however, the cicatrix “fretted off” and the ulcer grew. She returned to Wiseman, who treated her successfully. “Since which time,” he concluded, “I have seen her often in Town in very good health, and her Breast firmly cicatrized, without pain or hardness.”3

It’s surgical measures like this that give us a sense of what what authors and compilers had in mind when they collected remedies that saved breasts destined for the knife or powerful chemicals. The Johanna St. John collection, featured in a number of earlier posts here, has a striking example. It is “For a Cancer in the Breast”:

A piece of a sheep skin taken off the Flank of the sheep lay the skin side to the breast changing it once in 12 hours & in hot weather once in 6 hours this was used to a woman whose breast was to be cut off but was not broke & it kept her very many years without any pain or trouble & at last died of another disease La Child knew the woman to whom it was taught by a French man.4

This tale, as well as the information about the provenance of the remedy and the presence of similar examples, indicates the involvement of collectors in a world of remedies for serious medical problems that offered them the chance to control the measures they used and offered them the hope of avoiding the most unpleasant. Quacks offered something similar when they peddled non-mercurial pox treatments.5

I am very interested to know whether you’ve found similar sorts of material in recipe books that might give evidence of therapeutic preferences. I’m also interested in how recipes (these sorts and others) have been or could be used in teaching the history of pre-modern medicine, especially to students in survey courses. In my favorite activity from the first half of our survey, we give groups of students a selection of seventeenth-century medical advertisements and ask them to think about what the advertisers were offering, how they offered it, and why it may have been appealing to consumers. Would it be possible to design similar sorts of lessons using selections from recipe collections? How else can we use collections and recipes in the classroom, especially when teaching students that are new to early modern history and working with primary sources?

 

 

1 “Seventeenth-Century English Surgery: The Casebook of Joseph Binns,” in Christopher Lawrence (ed.), Medical Theory, Surgical Practice: Studies in the History of Surgery (London: Routledge, 1992): 48-84, and Sufferers and Healers: The Experience of Illness in Seventeenth Century England (London: Routledge & Kegan Paul, 1987), chp. 3.

2 Michael McVaugh, “Richard Wiseman and the Medical Practitioners of Restoration London,” Journal of the History of Medicine 62 (2007): 125-40. He briefly discusses this case on 133-34.

3 Eight Chirurgical Treatises, 3rd ed. (London: for B.T. and L.M., 1697), Wing W3106A, pg. 108-109, “Observat. of a Cancerous Breast cut off.” Phil. Trans. 8 (1673): 6039. Italics removed.

4 Wellcome MS 4338, fol 18v. I’ve modernized the spelling here.

5 For instance: Andrew Wear, Knowledge and Practice in English Medicine, 1550-1680 (Cambridge: Cambridge University Press, 2000), 271.

Some “Fishy” Remedies for Madness and Melancholy

By Pamela Deagle

Johanna St. John’s recipe book contains many interesting and unusual recipes on the treatment of madness, melancholy, and fits of the mother early modern. These recipes offer clues to the domestic understanding of mental illness and its causes. There were very few similarities between the recipes in St. John’s book, suggesting that although there were only a few early modern categories of psychological disturbances, there was wide variation within each category. This has led me to discover some “fishy” recipes for the treatment of madness and melancholy that are certainly questionable as to their success. The domestic treatment of mental illnesses is an interesting point of study for seventeenth-century England, because the care of the mentally ill was left to their family and friends. Asylums before 1700 were relatively small, rare, and expensive (MacDonald, 262, 266).

So what did people think caused mental illness? The herb borage, used for fevers and to comfort the spirits, was the only repeated ingredient used in two recipes for melancholy. As well, the recipe “For vapors euen to Madnes” calls for powder of holly leaves, used for the treatment of fevers. Fevers and psychological afflictions were thought to be linked. In a recipe “For Melancholly and madnes”, the main ingredient is ivy or ale-hoof, used for spleen ailments and melancholy. This suggests melancholy and spleen problems were connected. According to early modern medicine, physical ailments in one area of the body might affect an entirely different area (Wear, 134-135).

A Tench. Engraving by R. Carpenter after C. Hardy. Credit: Wellcome Library. 

One particularly strange remedy is literally fishy. “A medecine For Madnesse”, if taken in time, requires a fish (specifically the tench) to be cut open, rubbed with mithridate and tied around the neck, “guts and all”. Although more of a mystery as to what exactly the benefits of such a treatment would be, there is some suggestion of a belief that inanimate objects would allow the transfer of the illness away from the person and into the object. As well, the tench, also known as the “physician fish” supposedly had magical properties in its slime (OED).

This wide variety in the domestic treatments for madness and melancholy provides insight into how early modern people understood and treated mental illnesses. As well, these recipes indicate that individuals suffering from mental maladies were regularly treated at home. Today we would most certainly not treat depression by tying a fish, guts and all, around the neck, but our own understanding of mental illnesses is far from complete. Perhaps hundreds of years from now our methods may seem just as “fishy” as those used in the early modern period.

Works Cited
“Culpeper’s Complete Herbal Alphabetical Index.” Complete Herbal. http://www.complete-herbal.com/culpepper/completeherbalindex.htm#b, 2010.

Lindemann, Mary. Medicine and Society in Early Modern Europe. Cambridge: University Press, 1999.

MacDonald, Michael. “Women and Madness in Tudor and Stuart England.” Social Research 53, 2 (1986): 261-281.

“Tench, n1.” The Oxford English Dictionary. 3rd ed. 2002.

Wear, Andrew. Knowledge & Practice in English Medicine, 1550-1680. Cambridge: University Press, 2000.

The Early Modern Matter of Fecal Medicines

Whilst perusing some seventeenth century recipes for medicines I stumbled across a few curious ingredients. Granted, many of the ingredients found in Johanna St. John’s recipe book – aside from now common herbs and spices like cinnamon or saffron – might look odd to the modern eye. Some of the ingredients that struck me were spermaceti (sperm whale fat); the sole of an old but clean shoe, burnt to ashes; a crab’s eyes, and the black tips of its claws.

As I read I couldn’t help but assume that the addition of spices, or the use of wine, sugar, and brandy might have best served to make some of the recipes more palatable. But then something caught my eye that all the cinnamon, saffron, and distillation could not possibly conceal. To put it lightly, it was, well, poo. Precisely, for smallpox, “a sheep’s dung, cleane picked”. Clearly you would want to make sure you were getting pure, uncontaminated crap. The recipe goes on to instruct the user to mix a handful of the stuff into a pint of white wine, “mash it well” and after leaving it to stand a full night, to serve a spoonful or two at a time. But wait, there’s more! A note tucked into the margin recommends this smelly recipe for gout and jaundice. Fecal wine, if you will: good for what ails you.

Manure. Credit: Petr Kratochvil

In the mid-seventeenth century Nicholas Culpeper’s Pharmacopoeia Londinensis (1652) heavily criticized the Royal College of Physician’s required inventory for Culpeper and his fellow apothecaries. In his work, which translated the tome on medicine to English from Latin for the first time during the English Interregnum, Culpeper wrote this of a section featuring “living creatures” and “their excrements”: “alack! alack! the king is dead, and the College of Physicians want power to impose the turds upon men” (Culpeper, 52). Culpeper was right, it seemed many were holding onto ideas about fecal medicine. However, while most insisted that ordure altered by the art that was physick was medicinal, some practitioners had more radical ideas about the uses of feces and medicine.

Culpeper’s Pharmarcopoeia, Credit: Wellcome Library, London.

Paracelsus was an enthusiastic alchemist, whose writings from the mid sixteenth century blasted Galenic based humoral models that were then commonly taught at European universities. Historian Philip Ball explains that Paracelsus’ particular alchemy “was concerned not with gold making, but with medicines” (Ball, 164). The Swiss magus claimed that regular doctors forced “worthless, bookish remedies” on the sick  “by following ancient methods” strictly for gain (Ball, 165). Paracelsus claimed to have found an alternative to the medicines of the ancients by experimentation, which left him with the conclusion that alchemical processes could render the virtues of nature by separation: “a parting of the detritus and waste of mundane reality from the vital healing forces of nature” (Ball, 165).

Line engraving of Paracelsus, Wellcome Library no.7594i. Credit: Wellcome Library, London.

And he just loved manure, as you may have guessed by now. Paracelsus was convinced by his alchemical experimentation that “‘decay is the beginning of all birth’ – and of all health, for ‘that which prevents putrefaction also will prevent health'” (Ball, 205). This is how Sir Robert Boyle, eminent scientist of the Royal Society would come to recommend human excrement, dried into powder, and blown into the eyes as a treatment for cataracts (Sugg, 152).*

During the period of the English Civil War, the writings of Paracelsus polarized the medical community, and Ball argues that as civil war approached, Paracelsians formed line with Parliamentarians while Galenic minded scholars went with the Royals (Ball, 358). Historian Richard Sugg explains,  “Paracelsianism flourished during the Civil War and Interregnum, congenial to many of those who – like Culpeper – practised iconoclasm at various levels” (Sugg, 39). Despite congeniality in iconoclasm, Culpeper wasn’t having the dung. Unfortunately for him, however, the divergent views of medicine both found their respective reasons to prescribe crappy remedies, with Paracelsians and Galenics promoting poop for years to come (Sugg, 163-168).

*Boyle’s manuscript reads: “Take Paracelsus’s Zebethum Occidentale (viz. Human Dung)”. Boyle explains that his recipes are classed by letter: “whereof A, is the Mark of a Remedy of the highest classes of these”. The recipe for cataracts was marked with an ‘A’.

Works Cited:

Ball, Philip. The Devil’s Doctor: Paracelsus and the World of Renaissance Magic and Science. New York: Farrar, Straus and Giroux, 2006.

Boyle, Robert. Medicinal Experiments 5th edition. 1712. Gale DocNumber: CW10708275

Culpeper, Nicholas. Pharmarcopoeia Londinensis, or The London Dispensatory. 1652.

Sugg, Richard. Mummies, Cannibals, and Vampires: The History of Corpse Medicine from the Renaissance to the Victorians. London: Routledge, 2011.

Food, Magic, Art, Science, and Medicine