History of England 1-6

The room of birth was supposed to be warm and dark, with a scent of rose petals somewhere in the air, but of course not all births could be performed in ideal conditions. That accounts for a large number of the deaths. Men were not allowed to witness the birth. The husband was permitted to mimic a symbolic act of release at that moment, however, by firing an arrow into the air or opening a box.

The infant survivors came into what was for some a world of pain and suffering. There is widespread evidence of anaemia, sinusitis, leprosy and tuberculosis; osteoarthritis and diabetes were common, but essentially for no larger a proportion of the population than in the twenty-first century. Eye complaints such as sore eyes, red eyes, watering eyes, running eyes and ‘boiling eyes’ were ubiquitous.

Doctors or ‘leeches’ could be summoned for a relatively large fee. Their medical skills were not remarkable. One of the more famous of them in the fourteenth century, John of Arderne, wrote in a treatise that a young doctor should learn ‘good proverbs pertaining to his craft in comforting of patients. Also it speedeth that a leech can talk of good and honest tales that may make the patients to laugh, as well as of the Bible and other tragedies.’

Laughter was perhaps, under the circumstances, the best medicine. The cure for toothache was to burn a piece of mutton fat under the affected tooth, so that the ‘worms’ would fall out. A remedy for the stone was a mash made out of the bodies of beetles and crickets applied to the sick part of the body. The cure for tonsillitis was inspired. ‘Take a fat cat, skin it, draw out the guts and take the grease of a hedgehog and the fat of a bear … All this crumble small and stuff the cat, roast it whole and gather the grease and anoint the patient therewith.’ The lice of hogs was a sovereign curative of consumption. If you combed your hair with an ivory comb, your memory would be improved. For a condition known as ‘web in the eye’ the marrow from the great bone of a goose wing was to be mingled with the juice of the red honeysuckle, but the flower had to be plucked ‘with the saying of nine paternosters, nine aves and a creed’.

It is easy to mock what seem to be absurd provisions, but they belonged to a tradition that viewed the human and natural world as part of the same unity. That is why doctors prescribed the flesh of tame beasts rather than of wild ones; a carp from the pond was better than a shrimp from the seashore. It calmed, rather than excited, the patient. Melancholy men must avoid eating venison; the deer is a beast that lives in fear, and fear only augments the melancholy humour. If a man was sick of the jaundice and saw a yellow thrush, the man would be cured and the bird would die. The power of suggestion was also very great, judging by the extraordinary number of miraculous cures that took place at the shrines of the saints. The majority of people never saw a ‘leech’ in the whole course of their lives; they relied upon the herbs and potions of the local wise woman.

Buildings known as hospitals did exist, but they were essentially large chapels in which invalids were lodged; prayer was as good a remedy as medicine. No medical attendants were employed in the hospitals, only monks and chaplains. If illness was a punishment sent by God, then it might be impious to seek to cure it. The soul’s health was in any case more important than that of the body. Yet the hospitals played their part. An interval of rest and care was probably more efficacious than many of the available remedies.

The medical treatment of the period, where available, was based on folklore or the instructions of Galen from the second century ad which were based on the doctrine of the four ‘humours’. Just as the universe was made of four elements – earth, water, air and fire – so the human body was comprised of phlegmatic, choleric, sanguine and melancholy humours in various proportions. The house of melancholy, for example, lay in the spleen. Good health was the result of the balance between them. The doctor would taste the blood of his patient, after one of the frequent bloodlettings considered to be necessary. Healthy blood was slightly sweet.