What was so controversial? His approach to treating wounds, which he learned from Borgognoni. I'll explain the radical ideas of Theodore Borgognoni next time.
03 December 2023
Medicine Men
02 December 2023
Mondino de Luzzi, Anatomist
His father and grandfather were pharmacists, and his uncle taught medicine. Mondino himself taught medicine and surgery at the University of Bologna from 1306 to 1324. In 1316 he published an illustrated manual of details of the inside of the human body (sample to the left). The Anathomia corporis humani ("Anatomy of the human body") was the first of its kind.
He theorized a hierarchy of body parts based on what he considered most important. The abdomen was the "least noble" part of the body, and so should be dissected first. The thorax came next, and last was the head with its "higher and better organized" structures (the organs of the senses: eyes, ears, mouth). He also discussed different methods of dissection between simple versus complex structures, like muscles and arteries versus eyes. When dissecting muscles, he suggested letting the cadaver desiccate, rather than mess with a decaying cadaver. The Anathomia was a manual to explain Mondino's proper methods for dissection.
That doesn't mean he was right about everything. He claims the liver has five lobes, the stomach is round and its internal lining is where sensation happens and the external layer is where digestion takes place. He apparently never found an appendix in a cavern, even though he examined many intestines. He says the heart has three chambers, not four. Still, the text became a standard in medical knowledge for 300 years.
Mondino wasn't much interested in pathology of disease, which is just as important to medicine as understanding how the physical; body works, if not more so. Fortunately, there were others—contemporaries of Mondino's, in fact—of whom we shall speak...tomorrow.
01 December 2023
Surgery in the Middle Ages
Blood-letting was the simplest surgical procedure, but medieval surgeons were eager to accomplish more. Part of the history of surgery in Western Europe was tied to the needs of warfare. Consider John Bradmore's efforts to remove an arrow from Henry V. Another surgeon connected to royalty was John Arderne, the expert on a very particular and painful physical problem that he treated with surgery.
Monasteries and other religious organizations were more educated than the general population, and their access to books meant knowing more about medicine. There was one branch of medicine they avoided, however, even though the Egyptian and Greeks practiced it: dissection and surgery. The church was squeamish about surgery because it shed blood (and could lead to infection and death). The Fourth Lateran Council of 1215 prohibited clerics from surgery or any practice that shed blood. Dissection of corpses was also frowned on.
Lay people, however, continued to expand knowledge of anatomy. The Italian Cronica of Salimbene di Adam (1221 - c.1290) tells the story of an epidemic that was killing men and chickens. A physician of Cremona discovered through dissection that the chickens had abcesses in their hearts. The corpse of a human victim was dissected; the same abcesses were found. The physician put out a pamphlet warning people against eating chicken or eggs, assuming that they were causing the spread of the disease.
Italy was where great strides in anatomy and surgery took place. The Anatomical Theatre of Padua, begun in 1595, was the first permanent anatomical theater in the world, where students watched their teachers dissect bodies to learn human anatomy. Anatomical dissection in Italy had begun long before that, however. For that story, we have to look at Italian physician Mondino de Luzzi (c.1270 - 1326), and the Anathomia corporis humani of 1316. We'll look into him next time.
30 November 2023
Humorism
Other cultures came up with different paradigms. Indian Ayurveda medicine believed in three humors (tissues, waste, and dosha, "that which can cause problems") and five elements (adding "space" to the four seen here).
These qualities were supposed to explain the functioning of the body as a balanced mixture. An unhealthy state was the result of the balance being thrown off, the excess or absence of one of the humors.
The arrangement familiar to the West likely started with Hippocrates (although there were others around his time who also expressed ideas about the four elements), who systematized the idea of different substances being balanced in humans:
The Human body contains blood, phlegm, yellow bile, and black bile. These are the things that make up its constitution and cause its pains and health. Health is primarily that state in which these constituent substances are in the correct proportion to each other, both in strength and quantity, and are well mixed. Pain occurs when one of the substances presents either a deficiency or an excess, or is separated in the body and not mixed with others. [On the Nature of Man, attributed to either Hippocrates or his son-in-law, Polybus]
Galen furthered this theory, tying it to seasons and stages of life. For instance, a child corresponded to spring. Blood was hot and wet, which corresponded to spring. Yellow bile, hot and dry, corresponded to summer, corresponding with the life stage of a young man, and so on.
The humors could also influence personalities; one Greek text put it thusly:
- The people who have red blood are friendly. They joke and laugh about their bodies, and they are rose tinted, slightly red, and have pretty skin.
- The people who have yellow bile are bitter, short tempered, and daring. They appear greenish and have yellow skin.
- The people who are composed of black bile are lazy, fearful, and sickly. They have black hair and black eyes.
- Those who have phlegm are low spirited, forgetful, and have white hair. [from link]
Humorism, or humoral theory, "explained" so much about physical health and temperament for 2000 years. The 1600s brought more exploration via surgery and the use of microscopes to better understand the function of the organs of the body and the fluids inside it. With the advent of germ theory, proposed in 1546 and expanded in the 18th century, the idea of humors fell by the wayside.
Of course, there was much more to medical treatment in the Middle Ages than just fiddling with the balance of humors. Sometimes you had to get out the knives. Let's talk about medieval surgery tomorrow.
29 November 2023
The Maintenance of Health
The original was organized in synoptic tables: a way to present data in a simple and condensed manner, previously used for astrological tables. Ibn Butlan used them to present not just ways to treat illness and to maintain health, but also ways to prepare food and how and what to grow for health. Later manuscripts were lavishly illustrated, especially after the 14th century. (The illustration is of a facsimile edition made in 1986.)
Ibn Butlan set out the essential elements of health and well-being:
- sufficient food and drink in moderation
- fresh air
- alternations of activity and rest
- alternations of sleep and wakefulness
- secretions and excretions of humors
- the effects of states of mind
If one is not paying attention to these elements, illness occurs.
The Tacuinum includes lists of many vegetables, fruits, nuts, and herbs that are good for treating certain conditions. It also includes the dangers of excess consumption. As the manuscript was copied and distributed, changes were made, and not every copy includes every list. Some added remedies that were not in the original.
The word "humors" was italicized in Ibn Butlan's list because I wanted to draw attention to it. I've ignored discussing the medieval idea of humors for over a decade because I assumed people have already heard of them and I want this blog to focus on all the things that are not generally known. Of course, the details of humors are probably worth talking about. See you tomorrow.
28 November 2023
Sugar!
Sugar is made in Arabia as well, but Indian sugar is better. It is a kind of honey found in cane, white as gum, and it crunches between the teeth. It comes in lumps the size of a hazelnut. Sugar is used only for medical purposes.
Crusaders brought sugar back to Europe from the Middle East, calling it "sweet salt." It was a common sweetener during the reign of Henry II, and Edward I imported a lot. Until the 1300s, it was affordable only by the wealthiest.
Venice saw its value and set up manufacturing in Lebanon, becoming the chief sugar distributor in 15th century Europe. Sugar was introduced to the Canary Islands and Madeira, after which Europe could get it more easily (but not necessarily cheaply). In the same year that Columbus sailed westward on his maiden voyage to the New World, Madeira produced 3,000,000 pounds of sugar.
Part of the allure of sugar was its reputed health properties. The Tacuinum sanitatis ("Maintenance of Health") of the 11th century has this advice about sugar:
Ask the grocer for refined sugar which is hard, white as salt, and brittle. It has a cleansing effect on the body and benefits the chest, kidneys and bladder...It is good for the blood and therefore suitable for every temperament, age, season and place.
If it's that good for ill bodies, imagine what it could do for a body already healthy? There was plenty of inducement to enjoy sugar for its "healthful" effects.
You might guess that the Tacuinum sanitatis—considering its early provenance—was not a European text, and you'd be right. Let me tell you more about it tomorrow.
27 November 2023
Medieval Treats
For desserts, common ingredients were fruits, ginger, honey, spices and wine to sweeten things, but sweet and savory were often mixed. The Forme of Cury has a recipe for pork tartletts that includes currants. Fabulous Feasts, a collection of updated recipes from old manuscripts by Madeleine Palmer Cosman, offers a recipe for quince sauce with almonds, cloves, ginger, sugar, and wine starts with beef broth. A plum and currant tart from the same book starts with the marrow of four large beef bones! Here is one of the more intriguing combinations:
Perys Cofyns ("Pear Coffins")
This has three distinct steps: making the pears into "coffins" or "coffers" to hold the filling, cooking lentils (!) to supplement the berry filling, steaming the berries.
Step 1 — Start with 10 fresh hard pears, the juice of a lemon, and 3/4 teaspoon cinnamon. Cut the pears lengthwise, scoop out the core leaving about 1/2 inch pear wall. Sprinkle with cinnamon. Bake at 3508° for 5-10 minutes; do not let them get too soft. Set aside to cool.
Step 2 — Prepare the lentils. Rinse the dried lentils and place in a pot of water with a stalk of finely chopped celery, 1/2 teaspoon salt, 1/4 cup finely chopped dates, 1/2 teaspoon dried basil. Cover with beef broth. Bring to boil and cook 15-20 minutes until lentils are just tender but doubled in size.
Step 3 — Steam the berries. Rinse 1 cup raw cranberries, remove stems.* In pot with water, bring berries and 2 tablespoons sugar or honey to boil. When 1/3 of berries have popped open, remove from heat.** Cool the berries.
Put 1 tablespoon of lentil mixture into pears and top with the cranberries.
An interesting use of lentils to supplement the berry filling, but of course the lentils also include dates for additional sweetness.
As mentioned above, there were several ways to introduce sweetness into food, honey being very popular. Was sugar difficult to come by? Let's talk about then history of sugar in Medieval England tomorrow.
*The original recipe calls for "bog berries"; not being sure what was meant, Cosman substitutes New World cranberries.
**The medieval manuscript warns that the berries popping can spurt boiling water upwards, so do not lean over the pot too closely.
26 November 2023
Dragges
For Phlegm take –Sugar candy, sugar plate*, sugar withAniseed, fennel seed, nutmeg, cinnamon,Ginger [...] and licorice. Beat themtogether in a mortar and make them in allmanner of food and drinks and dry first and last eat it.
The "For Phlegm" seems clear: this is a recipe for dragges, a sweet mixture intended to be medicinal. At one point in her life, Margery came down with the "flux"; this was probably dysentery. She was so ill that a priest was summoned to give her Last Rites because she feared she was near death. Dragges was intended to be a cure for many ills. A well-meaning scribe may have decided to add this recipe to help people avoid her illness in the future.
There is another credible theory, however, put forth in 2018 by Laura Kalas.
Dr. Kalas' argument is that the reason for the existence of this particular confection becomes clear when you look at the references to "sweetness" in her writing (and the writings of other mystics). Besides her conversations with God, she describes the sensations she experiences during her mystic episodes, which include sensations of sweetness. She asks God how she might make her love of God as swet to þe as me thynkyth þat thy loue is vn-to me ("as sweet to you as I think your love is to me"). She describes her experience with God as "sweet dalliance."
As a recipe for digestive dragges, or dragées, it is rich with sugar and spice, suggesting a wealthy site of monastic holiness and health. It thus offers a lens through which to explore the sweetness of confection and divine love in the Book. The hot spices, used to correct a cold and moist physiological constitution, are at the same time a means of stoking the hot fire of love that is played out in the Book. But the recipe imbues more than metaphorical signification. In the Middle Ages, the moral properties of food were imbricated with its ingestion. In consuming a foodstuff, one would take on some of its associated properties (the Eucharistic wafer as an obvious example). [Link to her article]
So...recipe for flux/phlegm, or reminder of the sweetness connected to spiritual revelation? In a nod to social media memes, "why not both?"
Now I'm thinking of sweet things, and since we are on the leading edge of the holiday season (some would say we are fully embroiled in it), let's look at some sweet medieval recipes for holiday entertaining...next time.
*"sugar plate" was a moldable form of sugar paste. I found an Elizabethan recipe here.
25 November 2023
The Book of Margery Kempe
A copy was made of the manuscript prior to 1450 with "Salthows" signed at the end. It then largely disappeared from public view. Excerpts appeared in 1501 in pamphlets published by Wynkyn de Worde, a prominent London publisher, and again in 1521 by Henry Pepwell, who printed English mystical treatises.
The manuscript turned up in a private library in 1934 and is now in the possession of the British Library. The name at the end was identified as (likely being) Richard Salthouse, a monk at the Norwich cathedral priory. There are notes in different handwriting, and the first page includes Liber Montis Gracie ("Book of Mountegrace"), so it seems that the manuscript passed through the Carthusian priory of Mount Grace in Yorkshire.
The book is interesting as the first medieval autobiography written in English. Some have questioned whether Margery was using this as an attempt at self-aggrandizement, but she refers to herself in the third person, which suggests an attempt at humility rather than celebrity. Unlike other accounts written by mystics, this book is not by a nun or monk or otherwise typical religious member of society. It is a glimpse into a middle-class woman's perceptions of the world and of religious mysticism.
You can read it, digitized, in the original Medieval English, here.
But now for something completely different: appended to the end of the manuscript (not found in the above digitized link) is a recipe. It seems to be a recipe for a sweet medicine. Tomorrow I'll tell you about it, and dragges.
24 November 2023
Margery's Travels
Although she spent three months in Venice along the way as well as time in Jerusalem, she records very little of what she saw; she was more interested in telling about conversations she had with Jesus along the way (well, she did mention falling off her donkey because she was so overcome with emotion at the sight of Jerusalem). She stayed in Assisi on the way home, visiting many churches. When she got home, she decided on a pilgrimage to Santiago de Compostela.
On these trips (and when home in England) she had several negative reactions to her manner. She engaged in loud prayer and wild gesticulating, and her tears flowed constantly. Some found her actions the symptoms of a madwoman, or simply a public nuisance. The mayor of Leicester called her a cheap whore. accused her of Lollardy, and put her in prison for three weeks. She was later accused of heresy in York, but the archbishop of York cleared her.
She visited many religious figures, such as Archbishop of Canterbury Thomas Arundel, and the female mystic Julian of Norwich, where she stayed for several days. Margery claims that Julian supported her and assured Margery that her visions were real and valid and that her tears were a sign of real devotion.
We know all this because in the 1420s she asked a priest to take down her story, producing the Book of Margery Kempe (you can read it on the website of my hometown university here). She continued to have the manuscript amended. A copy was made of it just before 1450 by a monk, after which it disappeared. Margery Kempe died some time after 1438, and was quickly forgotten.
Five centuries later, the manuscript...well, let's wrap this up tomorrow when the 20th century discovered Margery Kempe.
23 November 2023
Margery Kempe
After her eldest was born (a son named John), postpartum depression seems to have set in. She went through eight very difficult months in which she imagined herself being attacked by devils who wanted her to abandon her faith; she was even urged to suicide, which sounds like deep depression.
Along with these demonic visions, she had one of Jesus asking her why she had forsaken him? She began to have conversations with Jesus, Mary, God, and other religious figures. She also had visions of being present at both Jesus' birth and Crucifixion. One modern scholar claims she looked for ways to live a chaste life. The definition of "chaste" would have to be very flexible, since she had 13 additional children.
Having finally escaped whatever disturbed state she was in, she got busy. First she began to brew beer, referring to herself later as one of the greatest brewers in town. That business eventually failed when her employees all left her. She then bought two horses and started a grain-grinding business. The horses, however, refused to cooperate, and that business failed.
That is when she decided to devote herself to a more religious life. This would include sexual chastity, but her husband had some thoughts about that. They finally negotiated a chaste marriage, but he had conditions:
- They share a bed still
- Margery had to pay all his debts
- Margery had to make him a fish supper every Friday
She then engaged in her own form of public worship which involved loud wailing. This was very off-putting for onlookers, but at least it made an impression of someone who was in the grip of a powerful religious experience.
She started to "spread the word" in England and on pilgrimages; I'll talk more about that phase of her life tomorrow.
22 November 2023
Saint Bridget's Visions
She saw a vision of Jesus hanging on the cross. She asked the vision who did this to him, and he replied "They who despise me, and spurn my love for them." She became devoted to studying the suffering and crucifixion of Christ.
She received visions throughout her life, which were recorded by her and translated into Latin in Revelationes coelestes ("Celestial revelations") by her confessor. The sharing of these revelations increased her celebrity and put her in good company with Julian of Norwich and Margery Kempe.
Some of her visions described scenes that influenced art for years to come. One was of the baby Jesus lying on swaddling clothes with light coming from him, with the Virgin Mary kneeling next to him in prayer. Another vision with both Joseph and Mary kneeling to either side of the babe—first described by her—is now a very common Christmas tableau.
Another vision came to her after she deliberately prayed hard and long over time to know the answer to the question "how many blows did Jesus receive during the Passion?" He appeared to her and said "I received 5480 blows upon My Body. If you wish to honor them in some way, recite fifteen Our Fathers and fifteen Hail Marys with the following Prayers, which I Myself shall teach you, for an entire year. When the year is finished, you will have honored each of My Wounds." Because the prayers in Latin would begin with "O Jesu" or "O Domine Jesu Christi," they were referred to as the "Fifteen Os" and became part of medieval prayer books.
She even engaged in prophecy. She predicted the existence of a Vatican State. When Mussolini created the boundaries of Vatican City in 1921 they matched almost exactly the borders she foretold. Interesting how Birgitta's life influenced much of religious art and practice.
Now, however, I have mentioned another woman who saw visions as if everyone knew who she was. Tomorrow we finally look into the life of Margery Kempe: medieval, middle-class, and mystic.
21 November 2023
Bridget of Sweden
In her 30s, she was made the chief lady-in-waiting to Blanche of Namur, the new queen of Sweden, wife of King Magnus IV.
Birgitta was known for her charitable works and her piety. In 1341 she and Ulf went on a pilgrimage to Santiago de Compostela. Ulf died shortly after their return; Birgitta then joined the Third Order of St. Francis, devoting herself to caring for those less fortunate.
She also, as was common for many devout and wealthy women at the time, decided to found a religious order, the order of the Most Holy Saviour. Their monastery at Vadstena was supported by King Magnus and Queen Blanche. This was a double monastery, with accommodation for both men and women (although they lived separately). A requirement for joining was to give to the poor all your surplus income, but you were allowed to keep any and all books you owned.
In 1350 she went to Rome with her daughter Catherine to seek permission from the Pope to make her new order official. Rome, however, was no longer the seat of the papacy, it having been removed to Avignon some years earlier. Birgitta stayed in Rome, waiting for a pope, and continuing to perform good works, making herself so beloved that when Pope Urban V tried to restore the papacy to Rome, his confirmation of her new order was a foregone conclusion. She stayed in Rome until her death in 1373, making the occasional pilgrimage to Jerusalem and Bethlehem.
Her directions sent to Sweden to set up the monastery was for an abbess symbolizing the Virgin Mary to rule over both men and women.
She was canonized in 1391 by Pope Boniface IX, confirmed by the Council of Constance in 1415.
There is more to the story of how Birgitta Birgersdotter became Saint Bridget, including visions and prophecies. We'll look at the mystical side of her life tomorrow.
20 November 2023
Double Monasteries
The practice began as early as the 4th century in Eastern Christianity (Eastern and Southeastern Europe, Western Asia, the Middle East); John Cassian founded one, and Caesarius of Arles created one for his sister and women attached to his own. Columbanus brought the idea of the double (or dual) monastery to Britain, after which it became popular in Gaul and Anglo-Saxon England. Hilda of Whitby was going to attend Chelles, but was trained in. monasticism by Bishop Aidan of Lindisfarne and stayed in England and started Whitby Abbey.
The Second Council of Nicaea forbade double monasteries in Canon 20 "because this becomes a cause of scandal and a stumbling block for ordinary folk." Although they allowed existing dual monasteries to be "grandfathered," no new ones should be created, but
Monks and nuns should not live in one monastic building, because adultery takes advantage of such cohabitation. No monk should have the licence to speak in private with a nun, nor any nun with a monk. A monk should not sleep in a female monastery, nor should he eat alone with a nun. When the necessary nourishment is being carried from the male area for the nuns, the female superior, accompanied by one of the older nuns, should receive it outside the door. And if it should happen that a monk wishes to pay a visit to one of his female relatives, let him speak with her in the presence of the female superior, but briefly and rapidly, and let him leave her quickly.
After the 12th century, dual monasteries became popular briefly, although eventually most monasteries evolved into wholly separate communities. In Sweden, however, the idea of a double monastery experienced a revival in the 14th century, especially due to the Bridgettines. I'll tell you who they were next time.
19 November 2023
Walpurgis Night
“There is a mountain very high and bare…whereon it is given out that witches hold their dance on Walpurgis night.” (Jacob Grimm, 1883)
There is a legend in Germany that witches have an annual meeting on the Brocken, the highest peak of the Harz Mountains. In fear of the witches, the inhabitants of the area would light bonfires and ring church bells. This took place at the end of the year, on the night of April 30th: some culturally significant ways of looking at the annual cycle started the year on May 1st.
Into this likely very old practice we fold the extra ingredient of St. Walburga. Walburga came to Germany in the 8th century and founded a double monastery at Heidenheim. Her work converted many in Germany from heathenism to Christianity. She was considered a powerful deterrent to witchcraft. Her feast day was May 1st, the day that she was canonized (in 870) as well as the day her relics were transferred from Heidenheim to Eichstätt.
So the night of lighting bonfires, ringing church bells, and group gatherings to ward off witchcraft were celebrated on the eve of Walburga's Day, so the night of April 30th. In Germany this is called Walpurgisnacht. This is of course similar to the Gaelic festival of Beltane, celebrated on May 1st. Beltane and Samhain (which we call Halloween) divided the year neatly into two halves.
Walpurgisnacht is observed outside of Germany as well, and has become a time of merry gatherings with food and entertainment as well as bonfires. It is also called Valborgsmässoafton ("Valborg's Mass Eve", Swedish, which is more about the arrival of spring than averting witches), Vappen (Finland Swedish), Vappu (Finnish), Volbriöö (Estonian), Valpurgijos naktis (Lithuanian), Valpurģu nakts or Valpurģi (Latvian), and čarodějnice ("witch burning") or Valpuržina noc (Czech).
Goethe wrote a poem he called die erste Walpurgisnacht ("The First Walpurgis Night"); it is brief, and you can read it here. Felix Mendelssohn wrote a cantata based on it, which can be heard here.
For something quite different, I want to look at Walburga's founding of a "double monastery." What made it double, and was that significant? Let's delve into that next time.














