Carolingian Medical Knowledge and Practice explores the practicality and applicability of the medical recipes recorded in early medieval manuscripts. It takes an original, dual approach to these overlooked and understudied texts by not only analysing their practical usability, but by also re-evaluating these writings in the light of osteological evidence. Could those individuals with access to the manuscripts have used them in the context of therapy? And would they have wanted to do so? In asking these questions, this book unpacks longstanding assumptions about the intended purposes of medical texts, offering a new perspective on the relationship between medical knowledge and practice.
Claire Burridge is a Senior Researcher at the University of Oslo, having previously held postdoctoral fellowships at the British School at Rome and a Leverhulme Trust Early Career Fellowship at the University of Sheffield.
Acknowledgements
List of Figures and Tables
Abbreviations
Note on Transcription and Translation
Note on Weights, Measures, and Their Symbols
Map
Introduction 1âPracticality and Applicability A Dual Approach to Carolingian Medical Knowledge and Practice
â1âIntroduction: the Case of Terenti(an)us
â2âDefinitions
â3âFoundations
â4âA Philological Underpinning
â5âHistories of Early Medieval Medicine: from Negative Stereotypes to Revisionist Approaches
â6âNew Directions in Early Medieval Medical Research
â7âSummary
â8âThe Carolingian Context
â9âStructuring the Dual Approach
Part 1 Practicality 2âSetting the Scene The Texts, Their Contexts, and the Need for a Re-examination of Practicality
â1âIntroduction: a Mixed Picture of (Im)practicality
â2âContextualising Medicineâs Place in Early Medieval Europe and the Question of Practicality
â3âSummary
â4âOutlining the Recipe Literature
â5âRecipes and Recipe Collections
â6âThe Manuscript Sample
3âImpossible Imports or Available Exotics? A Study of Non-local Materia Medica
â1âIntroduction: the Exotic Ingredients of an Antidote
â2âEvidence for the Movement of Non-local Materia Medica
â3âExotic Materia Medica
â4âWhatâs in a Name? The Challenge of Identifying Ingredients and Their Origins
â5âFrom Ambergris to Zedoary
â6âThe Confectio Timiame: Camphor, Ambergris, and Other Non-local Materia Medica
â7âThe Recurrent Cluster: Parallels among Incense Recipes
â8âMoving beyond Incense: the Spread of Knowledge
â9âThe Practicality of Non-local Materia Medica: Putting the Case Study in Perspective
â10âConclusion
4âMedicine and the Mead Hall? Using Alcoholic Beverages to Explore Potentially Local Materia Medica
â1âIntroduction: a Snapshot from cod. sang. 752
â2âWine, Beer, and Mead in the Classical Mediterranea
â3âChanging Tastes in Late Antiquity?
â4âThe Rise of Beer and Medus in the Early Middle Ages
â5âBeer
â6âMead and Medus
â7âSummary
â8âContextualising Beer and Mead in Early Medieval Europe
â9âBeer, Mead, and the Question of Practicality
â10âConclusion
5âEvidence for Practicality beyond Materia Medica
â1âIntroduction: the Importance of Investigating Additional Elements within Recipes
â2âStaupus: a Vernacular âIntrusionâ
â2.1âPast Studies on Staupus
â3âThe Appearance of Staupus in the Recipe Sample
â4âThe Absence of Staupus in Texts on Weights and Measures
â5âThe Practicality of the Unit Staupus
â6âWild versus Cultivated Rue: the Inclusion of an Ingredient Substitution
â7âInstructions for Ingredient Substitutions in the Recipe Sample
â8âIngredient Substitution in Earlier Sources
â9âThe Practicality of Substitution Instructions in Recipes
â10âConclusion
Part 2 Applicability 6âReading Recipes in the Light of Skeletal Remains An Introduction to the Integration of Osteological Evidence
â1âIntroduction: Moving from Practicality to Practice, an Investigation into Applicability
â2âEstablishing the Framework of Part ii
â2.1âWhy Question the Relevance of Recipes?
â3âWorking with the Available Evidence
â4âThe Challenges of Using Osteological Evidence to Inform Textual Analysis
â4.1âIntrinsic Issues with Archaeological Evidence
â5âTheoretical Challenges Related to the Integration of Skeletal Evidence
â5.1âRetrospective Diagnosis
â5.2âThe Osteological Paradox
â5.3âSelection of Conditions
â5.4âAbsence of Evidence as Evidence of Absence?
â6âOutlining the Analytical Approach to Chapters 7â9
â6.1âOverview of Sites
â6.2âThe Spectrum of Specificity
7âDental Disease From Caries to Cosmetics
â1âIntroduction: a Monk from Lorsch
â2âOral Health in the Skeletal Evidence
â3âDental Disease in the Archaeological Record: an Overview
â4âSkeletal Evidence for Oral Pathologies in Early Medieval Europe
â5âRecipes to Treat Dental Disease
â6âCategory 1: Toothache
â7âCategories 2â6: the Other Half of the Recipes Concerning Oral Health
â7.1âCategory 2: Ulcers, Sores, Wounds, and Burns
â7.2âCategory 3: Cavities and Tooth Loss
â7.3âCategory 4: Putridity and Cosmetics
â7.4âCategory 5: General, Unspecified Mouth Complaints
â7.5âCategory 6: Gum Problems
â8âSummary
â9âThe Applicability of the Recipe Sample to Early Medieval People
â10âSpecific Types of Teeth
â11âSpecific Types of People
â12âCosmetics
â13âPossible Sources for Dental Recipes
â14âConclusion
8âJoint Disease Problematising Podagra
â1âIntroduction: the Pains of Goutâand the Problems of Translation
â2âThe Appearance of Podagra in Medical Recipes
â3âThe Absence of Gout in Archaeological Contexts
â4âMoving beyond Gout: Evidence for Other Arthropathies in the Osteological Record
â5âThe Spine
â6âLarge Joints and limbs: Shoulders, Elbows, Hips, and Knees
â7âSmall Joints: Hands and Feet
â8âSummary
â9âTextual Evidence for Joint Pain beyond Podagra
â10âGeneral Afflictions of the Joints
â11âNamed Joints and Joint Areas: the Back, Neck, Shoulders, Hips, Knees and Hands
â12âIntegrating the Evidence: a Return to the Gout-Podagra Paradox and the Question of Applicability
â13âGout versus Podagra: Conflicting Evidence or a Modern Misnomer?
â14âThe Question of Applicability
â15âConclusion
9âTrauma and Surgery Evidence of Undocumented Medical Practices?
â1âIntroduction: Interventions âWithout Ronâ
â2âTextual Evidence for Invasive Surgery and Trauma
â2.1âSurgery
â2.2âTrauma
â3âOsteological Evidence for Trauma and Surgery
â3.1âIdentifying and Understanding Trauma in the Osteological Record
â3.2âEvidence for Trauma in Early Medieval Skeletal Remains
â4âReading Recipes in the Light of Osteological Evidence for Trauma and Surgery
â4.1âType of Injury: Conflicting Evidence?
â4.2âThe Question of Surgery
â4.3âEvidence for Trauma beyond Medical Texts
â5âConclusion
Conclusion 10âPutting Knowledge into Practice
â1âIntroduction: Revisiting the Case of Terenti(an)us
â2âBringing Together the Case Studies
â3âMoving Forward: Final Remarks and Future Directions
Appendices
Appendix 1âThe Manuscript Sample
Appendix 2âRecipe Transcriptions
Bibliography
Index of Materia Medica Named in Recipes
General Index
This book is intended for specialists and students in the histories of medicine, pharmacy, knowledge/learning, and the early Middle Ages as well as related fields (archaeology, especially osteoarchaeology).