Understandings of the body in the centuries around 1500 were very different
from those of the modern western body, though they had changed little in over
a thousand years. For scientists, physicians, and other learned individuals, the
Greek philosopher Aristotle (384–322 bce ), and the Greek physicians Hippocrates
(c . 460–375 bce ) and Galen (129–199 ce ) had explained human anatomy and physiology
in a satisfactory way, and there was little reason to reject this. In fact, Galenic and
Hippocratic precepts actually became more widely known in the sixteenth century
than they had been earlier, when translations from Greek medical works were published
in astounding numbers: nearly 600 editions of Galen’s writings were printed
between 1500 and 1600.
The Galenic body contained four of what were termed “humors,” fl uids that infl uenced
bodily health – blood, phlegm, black bile and yellow bile. Each individual was
thought to have a characteristic temperament or “complexion,” determined by the balance
of the four humors, in the same way that we might describe a person today as having
a “positive outlook” or a “Type A” personality. The organs were viewed primarily as
channels for the humors, rather than as having only one specifi c function. Blood, for
example, originated in the liver from the assimilation of food, then ebbed and fl owed
as a thick fl uid in the veins, nourishing the body. Some of it seeped through the walls of
the heart, where it mixed with air coming from the lungs, and then ebbed and fl owed
as a thin, almost spirit-like fl uid in the arteries, energizing the body with its “life force.”
In Galenic theory there were thus two kinds of blood, one moving in the liver and the
veins, and the other in the heart, lungs, and arteries; blood of both types was the dominant
humor, carrying the other humors through the body.
Illness was caused by an imbalance in these humors, which was why the most
common form of medical treatment was drawing blood, the only one of the humors
for which the amount could be adjusted easily. (Black bile and yellow bile were never
clearly identifi ed, and the amount of phlegm the body produces is limited.) Diet,
exercise, sleep, sexual activity, and relations with family and friends could also affect
the balance of the humors, promoting good health or encouraging disease. Too
much drink or worry, smoky rooms, bad companions, or too many arguments could
make one “unbalanced” mentally as well as physically, with individuals dominated
by black bile, also called melancholy , especially likely to become depressed or even
insane.
METHODS AND ANALYSIS 1 The linguistic turn
The body might seem to be a part of the
natural world, not a cultural creation. We
all experience our own bodies from the
inside, feeling pain and pleasure, health and
disease. Though evolutionary change has
shaped the human body, it operates very
slowly; there have certainly been no major
changes in the physical structure of the body
in the past fi ve hundred years. All of these
statements seem common sense, and yet they
are disputed by historians of the body, who
point out that understandings of the body
are culturally specifi c and change over time.
Some would even argue that because people
in the past perceived and described their
bodies differently, those bodies really were
different, or at least they are unrecoverable
as historical subjects in themselves, because all
we can know about them are the words and
visual images – the discourse – referring to
them. This emphasis on the unrecoverability
of actual experiences and the centrality
of discourse is often loosely referred to as
“deconstruction,” “poststructuralism,” or the
“linguistic turn” in history. It became very
popular in the 1980s and 1990s when many
historians were infl uenced by literary and
linguistic theory, but was also hotly debated.
Proponents of this point of view argued that
historians should not be preoccupied with
searching for “reality,” because to do so
demonstrates a naïve “positivism,” a school
of thought whose proponents regarded the
chief aim of knowledge as the description
of phenomena. Opponents argued that this
went against the basic purpose of history,
and that an emphasis on unchangeable
linguistic structures denied people’s ability
to shape their own world – what is usually
termed historical “agency.” All historians
recognize that their sources have limitations,
they asserted, but historians also understand
that sources refer to something beyond the
sources themselves – a person who lived and
died, an event that occurred or was blocked.
The linguistic turn affected many areas of
historical study, not simply that focusing on
the body, but study of the body throws the
dispute – which is still going on, though with
less vitriol on both sides – into high relief.
On the one hand, bodies seem clearly to be
tangible, physical objects, but on the other,
various cultures have described their structure
and functioning so differently that it is hard
to imagine they are all talking about the
same thing.
Though the humors were distinct, under certain conditions they could also transform
themselves into a different humor, or into any other fl uid that the body produced,
such as milk or semen. Thus during pregnancy women’s menstrual blood nourished
the fetus, and during lactation it turned into milk and continued to nourish the baby.
During intercourse, blood turned into semen in men, and perhaps also in women,
though learned individuals disagreed about whether women produced “seed” or were
simply the vessels in which generation (what we would term “reproduction”) occurred.
The transformation of blood into semen led many physicians to recommend that men
limit the number of their ejaculations, and poets sometimes described sexual relations
as little deaths – “oh, I die, I die” was a standard poetic conceit for orgasm.
Heat was the primary agent in most of these transformations, and heat was also
related to gender. Men were hotter and drier than women, which is why they went bald
(their internal heat burned up their hair) and had bigger brains and broader shoulders
(the heat expanded these). Heat also pushed the male sexual organs outside of the
body, whereas women’s lack of heat led to theirs remaining inside. Women’s lack of heat
was the reason they menstruated, for men burned up unneeded blood internally. The
incorrect amount of heat created gender confusions: “virile” women who had more
bodily heat than normal were seen as capable of producing semen, and effeminate men
who lacked normal masculine heat were thought to lactate. Even menstruation was not
completely gender-specifi c, for it was not clearly separated from other types of bleeding
in people’s minds, and was often compared to male nosebleeds or hemorrhoids or
other examples of spontaneous bleeding.
The centrality of bodily fl uids in medical theory led physicians to regard looking
at a person’s urine or taking their pulse as the best diagnostic tools for all kinds of
illness; physicians were trained through a long university education and had a high
social status, so that they regarded close physical examinations of patients as both socially
beneath them and medically unnecessary. Medical training in the sixteenth century
began to include more dissections, and anatomists such as the Flemish physician
Andreas Vesalius (1514–64) critiqued Galen’s claims about the structure of the body
and the way it operated. Based on dissections he performed himself while lecturing
at the University of Padua, Vesalius wrote his major work, De humani corporis fabrica
(1543; On the Structure of the Human Body ), which included detailed drawings. This
and other medical discoveries caused some physicians to begin to doubt the humoral
theory, but not until the late eighteenth century would the idea of the psychological
effects of the humors die out among learned Europeans, and not until the nineteenth
did blood letting completely lose favor as a medical procedure.
Most people probably did not understand all the intricacies of the humoral theory,
but they experienced bloodletting on a regular basis, performed by barber-surgeons,
who also carried out other medical procedures on injured or ailing bodies, such as setting
bones or lancing boils. People also used purgatives to rid their bodies of superfl uous
humors or of “poisons,” and sought out other treatments to maintain health or treat
illness that were not based strictly on the humoral theory. Practical experimentation
over many centuries had provided a range of medicines made from herbs, salts, minerals,
and other ingredients that were thought to be effective against specifi c illnesses or
as general tonics to promote health. These could be purchased at apothecaries’ shops
if one lived in a city, or from men or women with a reputation as healers, or the ingredients
could be gathered and mixed oneself, for early printed books included medical
guides for making home remedies and cookbooks included medicines along with
other recipes. Some of these ingredients were understood to work – and, indeed, did
work, for they continue to be used in medical treatment today – through physical or
chemical processes. Others were thought to be effective through their “sympathetic”
qualities, that is, they resembled the affl iction and could thus drive it away; spotted
plants of various sorts, for example, were prescribed for diseases such as measles. Such
sympathetic action shaded into the magical, for healers often recommended reciting
certain sayings while taking the medicine, or prescribed rituals alone. Sometimes these
rituals were regarded as outside of or in opposition to Christianity and their practitioners
were suspect, though priests also engaged in healing rituals with saints’ relics or
holy water. Most people confronting illness probably tried a range of options sequentially
or simultaneously: bloodletting, therapeutic mixtures, rituals, prayer.
Food was more important than medicine in keeping the body healthy and functioning.
Bread was the center of the European diet, though its quality was highly variable
depending on social status. Wealthy urban people ate fresh bread made from wheat
fl our that had been sifted until it was white, while poorer urban and rural people
ate darker bread made from a mix of grains and baked or bought only sporadically,
or mush made from grains or beans. To this were added vegetables in season, which
in southern Europe meant leafy or root vegetables most of the year and in northern
Europe meant primarily root vegetables in summer and fall and nothing in winter and
spring. This scarcity of vegetables could cause scurvy, a disease caused by the lack of
vitamin C; sauerkraut – cabbage pickled in salt and vinegar – was a useful antidote,
developed in central Europe, and by the sixteenth century made and sold by female
vendors in many cities.
Poor people in cities actually got much of their food already prepared from vendors.
Bread or vegetables or even porridge require cooking facilities, to which the very poor, living
in a basement or attic room, had no access. Meat was a luxury, eaten in the fall by rural
families as they slaughtered the animals that would not make it through the winter, eaten
more regularly by the wealthy, sometimes so much that they suffered from gout, a very
painful infl ammation of the tissues around the joints caused by too much uric acid and
made worse by eating too much protein. Meat was judged more important for men than
for women; according to German ordinances, male agricultural workers were to be fed
meat and other foods twice a day, and women only vegetables, soup, and bread. In these
statutes only men were to be provided with wine, though it is clear from other sources that
women drank wine and beer nearly as readily as men did.
The differences in dietary components – and the problems they caused – between
poor and wealthy, men and women, were primarily a matter of economics, but they
were also related to ideas about natural and social hierarchies. Birds were seen as more
noble than pigs, as the former lived in the sky (and thus close to God) and the latter
rooted around in the earth; thus birds were the proper food for high nobles, and pork
was a food for peasants. Such foods not only symbolized the class of their eaters, but
also transmitted qualities to them. Just as a child could absorb moral and spiritual
qualities along with nutrition from the milk of a wet-nurse, so nobles could gain sensitivity
and intelligence from eating delicate birds. Religious teachings also led to differences
in dietary practices. Jews and Muslims did not eat pork, Catholic and Orthodox
Christians did not eat meat on certain days, Muslims did not eat during the daylight
hours at certain times of the year, Jews did not eat shellfi sh. Thus a test for how fully
individuals who claimed to have converted from one religion to another had done so
was requiring them to eat what their old religion judged taboo.
Covering the body had meaning as well, for clothing marked an individual’s gender, class
status, and religious allegiance. Sometimes this was offi cially regulated, as city councils and
other governmental bodies passed sumptuary laws requiring groups of people to dress in
specifi c ways. Jews were obliged to wear symbols on their clothes or hats of a specifi c color
(often yellow), so that they would be easily recognizable. Prostitutes might also be ordered
to sew stripes of yellow or red on their clothing, wear a specifi c type or color of cloak, or
keep their hair uncovered. Anyone who was not a member of the nobility was prohibited
from wearing gold, fur, certain fabrics, or specifi c colors, and anyone not a member of the
urban elite was prohibited from wearing garments worth more than a specifi ed amount.
These laws also regulated spending on celebrations such as weddings or baptisms according
to social class, and were justifi ed as a way to limit frivolous spending on luxuries, promote
local production (many laws restricted the purchase of imported clothing or foodstuffs),
and assure social order. It is clear from court records and from sermons and pamphlets
decrying those who ignored them that sumptuary laws were not always followed, but
governments – and in the case of Jews and prostitutes, church offi cials – continued to issue
them well into the eighteenth century.
What one put in or on the body was clearly a moral as well as a material issue,
and the body itself had moral and religious meaning. The bodies of Muslim and
Jewish men were marked by circumcision, a procedure celebrated by prayer and
festivities for most boys and by elaborate multi-day festivals with parades and banquets
for the sons of the Ottoman sultan. Christianity taught that the resurrection
of the body was one of the rewards for adherents, and that on this earth the actions
of the body were significant – in Catholicism and Orthodoxy they helped to merit
salvation, and in most varieties of Protestantism good works were marks of saving
faith. As chapter 5 will discuss in more detail, though Protestants and Catholics in
western Europe differed in certain points of theology, they were united in their efforts
to impose order and discipline on both the individual physical bodies and the
corporate social bodies of their adherents.
SOURCE 4 Elizabethan sumptuary laws
Sumptuary laws were passed during the reigns
of Henry VIII and Mary, but were routinely
ignored and were almost impossible to enforce.
Several times during her reign Elizabeth issued
admonitions to obey the existing laws, and also
set out their stipulations in greater detail. This
is an extract from a statute issued in 1574,
which provides both a justifi cation for the law
and intricate details about prohibited
clothing.
The excess of apparel and the superfl uity of
unnecessary foreign wares thereto belonging
now of late years is grown by sufferance to
such an extremity that the manifest decay of
the whole realm generally is like to follow
(by bringing into the realm such superfl uities
of silks, cloths of gold, silver, and other most
vain devices of so great cost for the quantity
thereof as of necessity the moneys and treasure
of the realm is and must be yearly conveyed
out of the same to answer the said excess) but
also particularly the wasting and undoing of a
great number of young gentlemen, otherwise
serviceable, and others seeking by show of
apparel to be esteemed as gentlemen, who,
allured by the vain show of those things, do not
only consume themselves, their goods, and lands
which their parents left unto them, but also run
into such debts and shifts as they cannot live out
of danger of laws without attempting unlawful
acts, whereby they are not any ways serviceable
to their country as otherwise they might be …
Wherefore her majesty willeth and straightly
commandeth all manner of persons in all
places within 12 days after the publication
of this present proclamation to reform their
apparel …
None shall wear in his apparel:
Any silk of the color of purple, cloth of gold
tissued, nor fur of sables, but only the King,
Queen, King’s mother, children, brethren, and
sisters, uncles and aunts; and except dukes,
marquises, and earls, who may wear the same
in doublets, jerkins, linings of cloaks, gowns,
and hose; and those of the Garter, purple in
mantles only …
Velvet in gowns, coats, or other uttermost
garments; fur of leopards; embroidery
with any silk: except men of the degrees
above mentioned, barons’ sons, knights and
gentlemen in ordinary offi ce attendant upon
her majesty’s person, and such as have been
employed in embassages to foreign princes …
Hat, bonnet, girdle, scabbards of swords,
daggers, etc.; shoes and slippers of velvet:
except the degrees and persons above
named and the son and heir apparent of a
knight …
Note that her majesty’s meaning is not,
by this order, to forbid in any person the
wearing of silk buttons, the facing of coats,
cloaks, hats and caps, for comeliness only,
with taffeta, velvet, or other silk, as is
commonly used.
(From Enforcing Statutes of Apparel, Greenwich,
June 15, 1574, 16 Elizabeth I.)