Gilbertus Anglicus

I've talked before about John of Gaddesden, a late-13th-century doctor who wrote a compendium of medical knowledge. A little before him was another who created an encyclopedic work about what was known at the time of medicine and surgery.

His name was Gilbertus Anglicus (c.1180 - c.1250), called so because he was born in England, although after some initial education in his home country he went to Europe to study, particularly at the Salerno medical school. He actually returned to England for a time to assist a bishop, but that bishop died in 1205 and Gilbertus went back to Europe.

After 1230, he produced a seven-volume work in Latin called Compendium Medicinae. This work was copied and distributed as one of the foundational works of medical education for centuries (along with Gaddesden's). It was translated into Middle English in the early 1400s. It first saw formal print in 1510 with further editions, one as late as 1608. Chaucer includes him in the Canterbury Tales as one of the great physicians.

Among its seven volumes was a section on gynecology that was sometimes circulated separately as The Sickness of Women. Later it was called The Sickness of Women 2 after having a different author's work added. These became even more widely distributed than the Trotula.

One of the aspects that made Gilbertus' Compendium so valued was its inclusion of the knowledge of so many others. Pythagoras, Hippocrates, Plato, Aristotle, Galen are there, of course, but also Avicenna and Averroes, Macrobius, Boethius, several Arabians, Isaac Judaeus, and the Salernian writers.

Isaac Judaeus was mentioned briefly here regarding Charlemagne and an elephant, and I'd like to tell you more about him, starting tomorrow. Isaac, that is, not the elephant.

Medieval Dentistry

What you are looking at here is a "pelican," so-called because it resembles a pelican's beak. It was used to extract teeth and tools like it are believed to have been in use since about 1200.

Although the biggest danger to healthy teeth these days is sugar, and sugar was not found in many diets until about 1400, cavities, toothache, abscesses, and other dental problems could arise. Consequently, the Middle Ages developed ways to deal with them.

Food buildup on teeth was rubbed or brushed away by the use of rough linen cloth or twigs frayed at the end. Other substances applied to teeth to help clean them could include ground sage and salt, or a mix of pepper, salt, and mint (after which you were advised to swallow the stuff). Another recommended tooth cleaner was the charcoal made from burning the woody part of the rosemary plant.

Having sweet breath was desirable, and methods to deal with halitosis included mouthwashes of vinegar or wine, sometimes with herbs steeped in them. Fennel seeds or parsley or cloves could be carried around and chewed in case the need arose to sweeten one's breath on the fly.

Still, daily wear and tear occurred on the teeth. Stoneground bread sometimes had grit that could wear away at the enamel, leading to cavities and tooth loss. When the pain became too much, a trip to the barber-surgeon was necessary. By 1210, in France there was guild of people who specialized in dentistry. They called themselves "barbers," and tried to regulate the practice. France made royal decrees in 1400 to ensure that those performing dentistry had the proper training.

Books of medicine did not neglect teeth. Trotula had a solution for woman with black teeth:

… take walnut shells well cleaned of the interior rind, which is green, and … rub the teeth three times a day, and when they have been well rubbed … wash the mouth with warm wine, and with salt mixed in if desired.

She had a more elaborate recipe:

Take burnt white marble and burnt date pits, and white natron, a red tile, salt, and pumice. From all of these make a powder in which damp wool has been wrapped in a fine linen cloth. Rub the teeth inside and out.

After this rinse with wine again, then wipe the teeth with a new white cloth (have to get ride of the wine stains, after all!).

The advice to swallow the pepper and salt mixture came from Gilbertus Anglicus, who wrote a Compendium of Medicine. Let's talk about him and it tomorrow.