Life in Tudor England (Part Three)

If you missed the first two parts in “Life in Tudor England” you can find them here:

Life in Tudor England (Part One) 

Life in Tudor England (Part Two)

Find all the episodes of the podcast at: patreon.com/tudorsdynasty/posts

Medicine and Disease

Whether it was a headache, stomach ache or fever there was an herbal remedy for it in Tudor times. A mixture of sage, lavender and marjoram was recommended to treat a headache.

If you had more of a stomach ache then chamomile was the simple cure. Nowadays ginger is a common remedy for nausea and stomach issues – so it would not surprise me if ginger was also used.

Now when it came to making these remedies it wasn’t just men who made them – Tudor women would have also known how to make herbal remedies known as ‘simples’.

Author Seamus O’Caellaigh’s book Pustules, Pain and Pestilence – Tudor Treatments and Ailments of Henry VIII covers some of the theories in diagnosing one’s health issues. He states that physicians from the 16th century use theories as tools to diagnose a patient’s issues.



I must be upfront about this – modern medicine has deemed these all invalid but they were used into the 1800s. This included Humoral theory, doctrine of signatures, uroscopy and astrological theory.

If you ever watched “The Tudors” then you know it was common practice to ‘bleed’ someone to balance one’s humors. Nowadays it seems completely ridiculous, but back then it was common practice.

What did they think they were doing exactly? Well, I’m going to try to explain to the best of my ability.

First, we have to start with the humors – The Four Humors are the metabolic agents of the Four Elements in the human body.  The right balance and purity of these humors is essential for maintaining health. When one’s humors are out of balance the patient becomes ill – or so they believed. As O’Caellaigh states in his book, “When a vial of blood is left to sit overnight it can separate into a black clot at the bottom, a red layer of blood cells, a white layer containing white blood cells, and yellow serum at the top.”

The Four Humors and the elements they serve are as follows:

Now, All four of these humors, or vital fluids, are present in the bloodstream in varying quantities:

Blood: also known as the Sanguine humor, is the red hemoglobin-rich portion.

Phlegm: also known as the Phlegmatic humor, is present as the clear plasma portion.

Yellow Bile: also known as the Choleric humor, is present as a slight residue or bilirubin, imparting a slight yellowish tint.

Black Bile: also known as the Melancholic humor, is present as a brownish grey sediment with platelets and clotting factors.

A doctor would attempt to help their patient bring back balance to their four humors either through herbal treatments, changes to the environment (not sure what that means exactly) and blood-letting.

Now the doctrine of signatures is another interesting concept. This goes back to the belief that God made certain plants to be used help us heal. It was believed that if a plant looked like a body part that it should be used to help aid in treatment of what ails the patient. For example, Eyebright was used for eye issues. Now, I’ll be honest, I just looked up a picture of the Eyebright flower to see if it resembled the human eye and I do not see it at all. So, I can make fun of these methods all I want, but in the time of the Tudors this all seemed legit.

How about uroscopy? I’ve heard of this man times from watching period pieces. This is where the doctor would exam one’s urine…by smell, taste and even site. They believed that if a person’s urine was cloudy and milk-like that it could indicate a UTI, or urinary tract infection. If the urine tasted sweet it indicated diabetes. If the patient’s urine had a brownish tint then the patient would most likely have jaundice. If the urine was red and/or foamy the patient was suffering from kidney disease. If the urine had blood in it the patient was suffering from tumors in the urinary tract.



Lastly, the fourth way to diagnose an ailment was by medical astrology. If you’re like me when I first read it you’re probably saying, “WHAT!?” Nowadays someone might ask you in light conversation what your sign is. I’m a Libra, which is Tudor times was connected to one’s kidney’s and well…rear end. It was required by law in the 1500s for a physician to look at a star chart and calculate the location of stars before moving forward with any procedures like bleeding someone.

In 1514, King Henry VIII is believed to have contracted Smallpox, just as his daughter Elizabeth had in 1563, but it appears Henry was spared from any scaring. Anyway, one of the absurd treatments or cures for the disease was thought to be hanging red curtains around the patients bed. If only it were that easy. Instead the patient was more than likely treated for each of their symptoms. One treatment for fever, one for a sleep aid, one for treating the pustules and one for treating the scabs. If you’re interested in learning more specifically what was used in these instances I’d highly recommend buying Pustules, Pain and Pestilence by Seamus O’Caellaigh.

Let’s step back a minute – Tudor medicine was practiced  by three different types of specialist: physicians, surgeons and apothecaries. Not to mention a variety of healers, midwives and of course outright quacks.

Now the physician was the most respected of the bunch and they rarely “saw” their patients, instead they would diagnose an illness though uroscopy, or testing one’s urine.

The surgeon was below a physician in status. A surgeon had very little formal education and learned best by performing operations at the direction of physicians. The apothecaries also had a lower social class then the physicians but the apothecaries were the ones who essentially filled the physician’s prescription. As usual, women were not allowed to practice medicine, but man women did have some basic training and they could serve as healers and midwives. If you’re a fan of watching Outlander (like I am) you would already know this because Claire was often looked at as a witch for practicing – all because she was a woman. God I love that show – can’t wait for the next season!

Hierarchy – Peerage

Since I just spoke of the hierarchy of those involved with medicine, I thought this was also a perfect time to speak about titles in Tudor England.

Now, before I get started, I’m sure you can tell that I’m American – so learning all these different titles and names has not come as easy for me as it would to someone who grew up with this history. The only titles we have here are ones involved in government – President, Vice President, Senator and the list goes on. Then we are the old, Mr, Mrs, Miss, and Ms. all of which I think (personally are unnecessary). I’m married but I would never use Mrs. Larson – seems like a title the older generations used due woman’s roles. I prefer Ms. IF I have to choose one.

I’ve taken some guidance again from Ruth Goodman’s book, “How to Be a Tudor” as well as “The Encyclopedia of Tudor England.” 

So how did the hierarchy work exactly?

Aristocracy was at the top of the list. Aristocrats owned several large estates and maintained households which had sometimes up to 150 people. Plus, being that they had multiples houses they would, on occasion, move between them.  This would allow the servants to clean the house while they were at another location.¹

There were five titles of nobility: duke, marquis, earl, viscount and baron. Those titles were obtained through inheritance or royal creation. As an example, Thomas Seymour did not inherit the title Baron Seymour of Sudeley but he was created it by his nephew, King Edward VI.²



Forms of Address in Tudor England³

Master was a respectful term used and would be compared to the modern-day “mister” and was commonly used for gentlemen, professional men and substantial citizens. Ex. Master Owen Jones or Master Jones or Master Owen

Your Honor or Your Worship was an all-purpose address for men of higher status than you. Your honor was commonly used for Justices of the Peace, while Your Worship would have been used for a magistrate or a member of the clergy.4

Being addressed as “Sir” was a common address for those holding the title of knight. If someone is called Sir Francis Bryan, one can assume that he at least holds the title of knight.

The form of address used for any noble was “My Lord” or “My Lady”. Not everyone could have this used for them.  Katheryn Howard was the daughter of Edmund Howard – brother to the 3rd Duke of Norfolk. He did not hold any titles himself and so his daughter was not called, Lady Katheryn Howard. Anne Boleyn did not become Lady Anne until her father was raised in status to Viscount Rochford – then she was often referred to as Lady Rochford.5

Your Grace was only appropriate for those with the rank of Duke or higher. As an example, “Your Grace, the Duke of Suffok”.

Your Highness was the correct address for a member of the royal family. King, Queen and probably their children as well.

Your Majesty was reserved for use with the monarch only – Your Majesty, King Henry.

Then we have “My Liege” which, to be honest, appears to have been obsolete during the Tudor era but in centuries before may have been used for the monarch before “Your Majesty” became popularly used. Interesting tidbit:  

Around 1519 King Henry VIII decided Majesty should become the style of the sovereign of England. Majesty, however, was not used exclusively; it arbitrarily alternated with both Highness and Grace, even in official documents.6

Your Excellency was more appropriate for say a Bishop. So, let’s say you were approaching Bishop John Fisher – you would call him “Your Excellency”.7

Now, something else to keep in mind, these English peers did not transfer their noble status to ALL of their children – only the eldest sons were the lucky ones and they were the ones who would inherit their father’s land and titles. Unfortunately for the younger siblings, just as with all members of the gentry, they were non-titled landholders and considered commoners.²

Let’s talk about gentry. The gentry had land holdings but were generally smaller and more concentrated to a geographic area. Now, officially a gentleman was a man who had the right to a coat of arms. They did not engage in productive labor, and they often owned and rented out land for others to work. Those who were called gentlemen generally had homes of six or more rooms and had several servants whose focus was personal domestic service.

Then we have the yeoman. There were many of these guys. So the yeoman would often rent land from those above them in status (like the gentry and aristocracy) – but it is possible that they owned portions as well. They, unlike those above them, would farm the land themselves. The yeoman were, on occasion, richer than gentlemen and the difference was that they were actively involved on the land.¹

After the yeoman come the husbandmen. I’ve always thought this name was odd. A husband is someone you’re married to – a husbandmen is someone who farms their rented land. This would be small-scale land. Their homes unlike their betters were generally only two rooms and most of the labor came from within the family. So…I grew up on a dairy farm. My husband rented the land from his mother and my siblings and I (along with some relatives on occasion) helped him farm the land.

At the bottom of the totem pole were laborers. These men (primarily men I’d say), held no land at all but had to hire themselves out to their social neighbors for a daily wage. Generally lived in a single-room home and unfortunately had a diet rich in bread.

That wraps ups our three-part episode of Life in Tudor England. I hope you enjoyed it and learned a bunch. 🙂

Sources:

¹ Goodman, Ruth; How to be a Tudor
² Encyclopedia of Tudor England
³ Forms of Address in Tudor Englandhttp://walternelson.com/dr/node/253
4https://en.wiktionary.org/wiki/Your_Worship
5 – Regency Researcher – http://www.regencyresearcher.com/pages/titles2.html
6 – Quora – https://www.quora.com/Was-it-Henry-viii-who-first-coined-the-phrase-your-majesty
7http://historicalnovelists.tripod.com/peeraget.htm
O’Caellaigh, Seamus; Pustules, Pain & Pestilence

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Tudor Treatments and Ailments of Henry VIII (Guest Post)



Guest article by Seamus O’Caellaigh

Hear that the king of England has had a fall from his horse, and was thought to be dead for two hours. His lady miscarried in consequence.” This was written on February 12, 1536 by the Bishop of Faenza, according to Letters and Papers, Foreign and Domestic, Henry VIII, Volume 10. Was this the turning point for Henry VIII, the accident that changed him from Renaissance Prince to raging tyrant? We know that it was one of the turning points for Anne Boleyn as she was executed later that year. Could there be more that just this one accident that changed the King? This is one of the things that started me researching the treatments from Henry VIII’s court.  The main information I set out to find was what sort of treatments could fill in the gaps from the lack of records left by his Physicians. I found many interesting things during the research of my book Pustules, Pestilence, and Pain: Tudor Treatments and Ailments of Henry VIII.

The medical staff of Henry VIII of England left gaps in the medical history of Henry. While it could be that the records have just been destroyed or lost somewhere in the centuries, it is very likely that Henry VIII’s physicians did what many royal physicians seem to have done and did not keep records of what they did to treat the royal family. It is possibly for their own protection that they did this. When writing my book, I approached the filling of these holes by first finding references to his illnesses in letters from his court and from first-hand accounts, written by courtiers and staff. Next, I analyzed works written by Henry’s physicians to determine what Tudor physicians would have done to treat the various ailments Henry suffered from. Using the works of Henry’s medical staff, I recreated some of the identified treatments, and I examined the ingredients to look at the history of their uses through early medical texts, and at the harmful effects that could have happened because of our knowledge now of modern medicine and science.



Image: Illustration of a blackberry from Vienna Dioscurides, an early 6th-century Byzantine Greek illuminated manuscript of De Materia Medica.

I am a member of an international historical recreation group that focuses on various aspects of pre-17th century life. We have a robust group of artisans that recreate most parts of the Arts and Sciences of the time. Within this group I am an apprentice apothecary and live in Tudor England. The desire to expand the knowledge of my craft has lead me to reading various herbals, a book that describes herbs and their medicinal properties, from Dioscorides’ De Materia Medica, to John Gerard’s Great Herball, or, Generall Historie of Plantes. These medical texts and many more have been published over the last couple decades. While the herbals like De Materia Medica where referenced for almost 2,000 years, and we know they were an important part of the medical world in Tudor England, the written works of Henry’s Physicians have not been published recently. This desire to look at more unknown sources, along with my love of all things Tudor and apothecary, is why I started my journey to what would ultimately be my book.



Image: Henry’s prescription book contains various recipes for treating ulcers and balancing humours. Housed within the British Library with the Sloane Manuscripts.

My research started with the search for primary sources written by Henry’s medical staff. A few of Henry’s medical staff wrote books, but only one text was written with the help of Henry himself. “Henry’s Little Prescription Book” or “Dr. Buttes Diary” contains around 200 recipes for Tudor treatments and approximately half of the treatments are thought to have had Henry’s own hand in the creation of it. According to the British Library, authors include Walter Cromer, MD; John Chambre, MD, delivering doctor of Princess Elizabeth, and Prince Edward; Sir William Buttes, physician to Anne Boleyn, George Boleyn, Jane Seymour, Duke of Norfolk, and Henry’s son, Henry Fitzroy; and finally, Agostino degli Agostini, physician to Cardinal Wolsey. All four were also on the personal medical staff of Henry himself. This handwritten book is in the British Library, though the variety of names that this book is called made it hard to find, as well as only being handwritten and never published there is only the one in existence. The British Library lists it as Sloane Manuscript 1047, however it is not electronically available yet and is only available if you order copies of the original from the library directly.



Image: Woodcut from The Book of Simples written William Bullein and contained within Bullein’s Bulwarke of Defense.

Another source that I found very interesting was Bullein’s Bulwarke of Defense against All Sicknesses, Soreness, and Wounds That Do Daily Assault Mankind: Which Bulwarke Is Kept with Hilarius the Gardener, & Health the Physician, with the Chirurgian, to Help the Wounded Soldiers, written by William Bullein, Nurse Surgeon of Henry. It was the first English text to discuss the sweating sickness that struck London in 1517. He was never found in the roll of the Royal College of Physicians and that is why he is referred to as a Nurse Surgeon. He wrote a few other medical texts during his life and his works are wonderful examples of Tudor medicine and open a window into the health concerns that Tudor people struggled with daily.

Why the physicians of the Tudor era chose to use particular treatments can be based off of the medical texts of previous or the texts written by their contemporaries, but there were also some other tools at their disposal. Some of the diagnostic and prescribing tools that I found interesting include, the Humors, the zodiac man, Doctrine of Signatures and Uroscopy.

The Humoral theory may have origins as far back as ancient Egypt, but it was not until the 400’s that it was really put into use in a systematic way. The idea was that each of us contain 4 humors: Blood, Phlegm, Black bile and Yellow Bile.  When this balance, which is different for each person, is out of balance then you become ill. Plants, as well as food, activities, types of air, and clothing all can affect this balance and help to rebalance or shove the balance farther out of whack if the patient does not follow directions.

Image: The Zodiac Man, a reference to help a physician to determine what treatment was best for a body part ruled by one of the 12 Zodiacs.

The Zodiac Man is part of the theory that originally started during the Hellenistic era, between the 4th and 1st Century BC, that various parts of your body are ruled by one of the 12 Zodiacs. Aries – Head, Cancer – Chest and Capricorn- knees, for example. This effected the treatment you would use based on the alignment of the stars, what zodiac ruled over the ailed part, what zodiac ruled over the disease and what zodiac or planet ruled over the plant used to treat the ailment. All these affected what a physician would use to treat the patient. A great place to look at plants and what ruled them, though published 50 years after the last Tudor Monarch, is Culpeper’s English Physician. All of the 300 some plants included in his Herbal give the ruling planet and or Zodiac.

Doctrine of Signatures, though the concept was really developed to a higher level in the 1500’s, was used as far back as the 1st century and was part of the medicine taught by Dioscorides and Galen. The idea behind the Doctrine of Signature is that the plants tell the physician what they should be used for. Eyebright, a plant from the family Orobanchaceae or broom-rapes, for example looks like little eyes and thus should be used to treat the eyes. Liverwort is another example, with its liver shaped leaves it was believed that this pointed to its use for liver ailments.

Image: A urine wheel used as a reference for physicians when examining a patient’s urine.



Finally, Uroscopy, one of my favorites, is the study of urine to determine the ailment. What color is the urine? Does it have things floating in it? Does it have a weird smell? How does it taste? In the medical text written by the Physicians of Mid-fi there for example it was written that if a patient has bluish-white urine and the person has a fever then they are in great danger or if the urine is blue then they have an infection of the internal organs. These are not the only tools available to a doctor, but they are some of the main ones.

One of the most interesting thing I found was something that I think gets overlooked, and that is the possible reasons that Henry had some personality changes through out his reign. The well-known jousting accident, mentioned previously, is often stated as the turning point that caused Henry’s personality changes. Other reasons could be, or more accurately factors that added together are, the constant pain he was under with his leg wound, the stress from advisors to secure the succession of the throne, and what is most overlooked, the effects on Henry’s health from the treatments used to try and heal him. Sometimes the treatment to treat an illness is worse than the ailment.

Image: Image by Vocaleyes Photography for Pustules, Pestilence, and Pain: Tudor Treatments and Ailments of Henry VIII.

According to the Mayo Clinic lead poisoning in adults can have the following effects: high blood pressure, joint and muscle pain, difficulties with memory or concentration, headache, abdominal pain, mood disorders, reduced sperm count and abnormal sperm, miscarriage, and stillbirth or premature birth in pregnant women. This seems like if lead was an ingredient in a treatment for your swollen legs, that you would not want to rub it onto your skin. However, one of the treatments in Henry’s Prescription book has three types of lead in it. We have the benefit of looking back at hundreds of years for study and development of science and the medical field into modern medicine. Henry’s Physicians did not have the benefits of our knowledge and many of their treatments could very likely have caused more harm than help.

Writing this book was an experience I would not change for the world. I learned so much and the path I followed while researching the ailments of Henry VIII and Tudor treatments left me with many other ideas and rabbit holes of research to follow. Who doesn’t want to recreate a urine wheel or recreate all the treatments in one of the medical texts written by these Tudor Doctors, but I also got to create a window into the medicine from the court of one of the most notorious Monarchs in British History. Those gaps in the medical history of Henry are filled with probable treatments, and ailments and even treatments that could affected Henry’s mental stability are examined. It is truly not a case of one jousting accident changing the outcome of Henry’s Life.


About the Author

Seamus O’Caellaigh has always been interested in the Tudor dynasty and the many uses of plants. He grew up learning about plants from his grandmother Anne Kelley and mother Diane Prickett. Their love of plants has manifested in Seamus through his love of being out in the wild looking for medicinal plants, through his spending lots of time in the family garden and through spending time in the woods in the Pacific Northwest. He is most often seen with his head down, looking at the plants along the path and not at what lies ahead.

Having joined a pre-1600s recreation group, Seamus found a way to incorporate his love of the Tudors with a study of medicinal plants from that time period, along with the many herbal books written from the 1st century to the turn of the 17th century. Nothing makes Seamus happier than finding an obscure reference, or his son Jerrick bringing him a plant for “Dad’s Plant Projects.”

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