History of Medicine Blog
During my tenure as the Research Services Graduate Intern at the Rubenstein Library, I had the great fortune of exploring the fascinating history of the four humors, a topic that is far afield from my doctoral research on the culinary history of New Orleans. Setting aside my copy La Cuisine Creole, I picked up a first edition of Henry Peacham’s Minerva Britanna (1612) and paged through whimsical woodcuts that featured long swordsmen, lions, and laurelled lutenists. Although New Orleans’ history is bedazzled by myth, that of the four humors seems surreal, emerging out of a world occupied by dragons and vengeful gods. What resulted from my foray into this cosmos is a new exhibit in the Josiah Charles Trent History of Medicine Room, entitled, “A Delicate Balance: Understanding the Four Humors.”A Delicate Balance: Understanding the Four Humors, Josiah Charles Trent History of Medicine Room, David M. Rubenstein Rare Book & Manuscript Library, Duke University. Photo credit: Ashley Rose Young.
The four humors were a means of analyzing a person’s disposition as well as her physical, mental, and emotional health. Within this belief system, every person had a unique humoral composition that shaped her behavior, appearance, and interactions with the broader world. Visualized as bodily fluids whose levels were constantly in flux, Hippocrates named the four humors black bile, phlegm, yellow bile, and blood. Each humor was paired with one of the four elements of earth, water, fire, and air and was assigned qualities of cold, moist, dry, and hot. Their influence on the body changed with external factors like the time of day, the season of the year, and the age of a person.
The origins of this medical philosophy and practice are attributed to the Indian Ayurveda system of medicine as well as ancient Greek, Roman, and Islamic physicians. This holistic approach to human health was pervasive in the Medieval and Early Modern periods and remained a common means of assessing and treating the human body until major advancements transformed medical practices in the mid-nineteenth century.
Prior to these innovations, medical practitioners sought to help ailing patients by restoring the delicate balance of the humors and did so through techniques such as bloodletting and herbal remedies. The new exhibit features a bloodletting fleam that a physician would have used to lance open a vein to remove excess blood from the body so as to bring equilibrium to a patient’s internal fluids. In the United States, doctors employed bloodletting through the Civil War to treat soldiers suffering from infection and fever.Three-blade folding fleam with brass shield, 18th or 19th century, Dr. Callaway Collection Artifacts, David M. Rubenstein Rare Book & Manuscript Library, Duke University.
Consumption also played a major role in balancing the four humors. Throughout Early Modern Europe, for example, physicians kept gardens with plants that were assigned to a particular humor. They believed that patients could restore their bodies to full health by consuming carefully crafted herbal remedies comprised of stems, leaves, fruits, and nuts. Practitioners organized gardens to represent the potency of medicinal plants. Some of these historic gardens still exist today. The circular Minerva Garden in Salerno Italy, for example, is divided into four quadrants representing the four humors with the most potent plant life at the center of the garden. This garden is a physical embodiment of the healing powers ascribed to plants within the humoralist system.Minerva Garden, Salerno Italy. Photo credit: Ashley Rose Young.
In the next few weeks, I encourage you to visit the Josiah Charles Trent History of Medicine Room on the first floor of the Rubenstein Rare Book & Manuscript Library so as to glimpse into the rich history of the four humors and their impact on medical practices in the Early Modern period through today.Ashley Rose Young, curator of “A Delicate Balance” exhibit, giving an exhibit talk in the Josiah Charles Trent History of Medicine Room, David M. Rubenstein Rare Book & Manuscript Library, Duke University. Photo credit: Jennifer Scott.
Post contributed by Ashley Rose Young, a Ph.D. candidate in History at Duke University and the Business History Graduate Intern at the Hartman Center.
The post A Delicate Balance: Understanding the Four Humors. appeared first on The Devil's Tale.
“The babies are entered like any other exhibit at an agricultural fair. . . . They are examined by judges, just as live stock [sic], grain or apples are examined. . . . The result is bound to be – not prettier babies, – but better babies at each year’s fair, – a stronger, healthier race of people on the farms, in small towns and in the state.”
This excerpt from a Better Babies Bureau circular, from the papers of Victor Bassett, contains several templates for Better Baby Contest advertisements. Popular at local fairs in the early 20th century, Better Baby Contests presented a lighthearted way to challenge infant mortality and promote fitter populations. However, they also reveal governmental eugenic efforts to objectively quantify and thus improve American health.Announcement for Better Babies Contest.
Examiners judged children under five years old on their measurements and proportions, mental and developmental states, vision and hearing, and physical development. These tests set government-determined averages as the standard by encouraging families to “produce” children who met or exceeded these ideals. Additionally, they served to cement the public health as existing in the realm of scientific medicine and the government, rather than in the home. These kinds of contests illustrate the complex relationship between eugenics, popular movements, and public health.
Thanks to a generous History of Medicine travel grant, my visit to the Rubenstein Rare Book & Manuscript Library allowed me to conduct research to support my dissertation, “Measuring Health: The United States Sanitary Commission, Statistics, and American Public Health in the Nineteenth Century.” I examine the statistical work of the United States Sanitary Commission (USSC).
During the American Civil War, the USSC attempted to improve the health of the Union Army. The leaders of this organization understood their work as forwarding ideas about preventative medicine and improving sanitation. Yet with the entirety of the Union army at their disposal, the USSC also inspected and measured over one million soldiers and sailors. These records include tabulations not simply of height and weight, but also the distance between a man’s eyes, the size of his head, and angles of his face. The statisticians presented their findings in groups divided by race and education level, and, while they provided limited interpretation of these numbers, they were made available to the broader scientific and anthropologic communities. It was in their hands that these numbers defined medical standards for Americans and shaped the nature of American public health.
My project explores why these statistics were collected and how they were used, and, more broadly, the Commission’s public health legacy. By using these statistics as a starting point, I explore the ties between the USSC and changes in public health, and how research from a 19th century organization continues to impact later public health issues. These Better Baby Contests represent the Commission’s legacy of measuring the quality and usefulness of a human being and of using governmental authority to establish scientific authority.
Post contributed by Sara Kern, a Ph.D. candidate in History & Women’s, Gender, and Sexuality Studies at Penn State University.
Over the next two weeks, we’ll be celebrating the beginning of a new fiscal year by reviewing some notable items and collections that arrived here at the Rubenstein Library in the past year.
Building upon the success of our 2011 exhibit Animated Anatomies, our anatomical flap book collection in the History of Medicine continues to grow with the acquisition of an eighteenth century work by Christoph von Hellwig.Nosce te ipsum, vel, Anatomicum vivum, oder, Kurtz gefastes doch richtig gestelltes anatomisches Werck by Christoph von Hellwig 
This work is the second revised edition by the German professor Christoph von Hellwig (1663-1721) of Johann Remmelin’s Catoptrum microcosmicum first printed in 1619 and includes over 90 very small and fragile moving parts of the human body. Hellwig’s four plates illustrate the skin, nerves, vessels, muscles, and bones; the female reproductive system; the male viscera and cranium; and the female viscera and cranium. The images depict intricate details through lifting the flaps. This particular item has a later addition of modesty flaps over the genitalia in facsimile. A student of philosophy and later medicine, Hellwig authored and edited over forty medical and pharmaceutical works, including household medical guides and reports of unusual cases.
Post Contributed by Rachel Ingold, Curator of the History of Medicine Collections