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The Medical Culture of Friars 153
powers or faculties in the body, for instance, digestion. e last two canons of the Nicholas of Lynn calendar explaining the application of astronomical information to such medical procedures as bloodletting and prescribing laxatives seem to have attracted especial attention. ere are four copies of the Kalendarium in which only these canons were copied.96 e friars’ new calendars also tended to attract additional texts on bloodletting or uroscopy and even paper instruments like volvelles, which enabled simple astrological calculation. In six manuscripts, the text of the Nicholas of Lynn calendar has been translated into Middle English.
What may be a preliminary working copy of the Nicholas of Lynn calendar, written soon after initial compilation in c. 1386, survives in a manuscript (MS 522) at Chapel Hill, North Carolina. In the early fteenth century, it was in the ownership of the Dominican house at etford. e colophon which appears at the conclusion of the prose prologue and canons is unique and refers to the calendar as novum calendarium compositum a fratre Nicholao de Lennia (‘the new calendar compiled by brother Nicholas of Lynn’). Manuscripts of the Kalendarium can be divided into two groups, depending on whether they use approximate or more exact calculations for shadow lengths for low solar altitudes; the Chapel Hill manuscript uniquely has approximate gures for January to July but exact for August to December, suggesting that both sets of gures may have originated with Nicholas himself. is division of the calculations into two halves of the year hints at a copy of a work still in transition from its ‘old’ to its ‘new’ state. e canon governing the prescription of laxatives is given a title picked out in red, unlike any of the others, suggesting it was considered of particular importance. e remainder of Chapel Hill MS 522 consists of mathematical, astronomical and calendar texts, including William Rede’s canons for tables calculated for the meridian of Oxford. Most striking is the presence of various astronomical notes and calculations associated with the name of Brother John Gnatsale, who was probably one of the etford Dominicans.97 Some of the notes are tacketed (sewn) into the manuscript and so attached to existing leaves. Many of the astrological texts are corrected or glossed. is manuscript and its notes
96
Kalendarium, ed. Eisner, pp. 28–9.
97
Chapel Hill, MS 522, 143r in pencil foliation: Tabula equacionis.8. spere quam
composuit frater Johannes Gnatesale scribitur alibi in magno folio (Table of the
equation of the 8th sphere which brother John Gnatesale compiled, and it is written
elsewhere on a large leaf). On fol. 161r is a note in the same hand recording Arch-
bishop Arundel’s visitation of the diocese of Norwich in 1411, and on fol. 161v
references to calculations by Bacon and Grosseteste.
154 The Medicine of the Friars in Medieval England
are the clearest evidence that its owners the Dominicans shared an interest in these subjects with the Franciscans and Carmelites.
98
Many of these medical calendars are known to have been owned by other mendicant houses, including the Austin friars of York and the Franciscans of Coventry.99 John Somer’s calendar was adapted for York use by the Augustinian friar Richard de orpe, c. 1385, accompanied in one manuscript by illustrations of a zodiac man, a bloodletting man and a diagram of the concentric astronomical spheres.
100
At the same York convent, the chaplain and scribe John de Foxton compiled in 1408 his Liber cosmographiae, also making use of Somer’s calendar as adapted by orpe.
101
Somer’s calendar was of great interest to later students of astrology. Laure Miolo has analysed the notebook of the late fteenth century astrologer and Doctor of Medicine Lewis of Caerleon, and it seems from several notes made in this book that Lewis had access to an autograph copy of a calendar with astronomical tables by John Somer.
102
One remarkable feature of these late medieval English medical calendars was the production of a number in folded rather than codex form. ese were made by stitching together at one end leaves of parchment which were folded. Each leaf could be unfolded to reveal one part of the calendar. e leaf was folded once vertically and twice horizontally. Typically, there might be eight or ten such leaves in one gathered and stitched folded calendar. ey would have been suitable for carrying in a pouch at the belt. e John Somer and Nicholas of Lynn calendars provided the textual and illustrated content for such folded calendars. A vein man exhibiting bloodletting points, and a wheel of urine glasses, accentuated the medical character of the calendars. More than forty of them have survived, almost all produced in England. Portability and an impressive display of gilded lettering and diagrams seem
98
As discovered by M. P. Kuczynski, ‘A New Manuscript of Nicholas of Lynn’s ‘Kal-
endarium’: MS Chapel Hill 522, fols. 159r–202r’, Traditio 43 (1987), 299–319.
For contents of the manuscript, see the description at https://catalog.lib.unc.edu/
catalog/UNCb9547333, accessed 17 April 2023.
99
C. O’Boyle, ‘Astrology and Medicine in Later Medieval England: e Calendars of
John Somer and Nicholas of Lynn’, Sudhos Archiv 89 (2005), 1–22 (pp. 14–15).
100
J. B. Friedman, ‘Richard de orpe’s Astronomical Kalendar and the Luxury Book
Trade of York’, Studies in the Age of Chaucer 7 (1985), 137–60.
101
Now TCC, MS R.15.21. See Friedman, ‘orpe’, p. 153.
102
‘de copia manus proprie Ffratris Sommer’ (CUL, MS Ee.3.61, fol. 152r). See L.
Miolo, ‘An Astronomer’s Personal Notebook: Lewis of Caerleon & CUL MS
Ee.3.61 (Part 1)’, https://specialcollections-blog.lib.cam.ac.uk/?p=21223/, accessed
17 April 2023, with a bibliography of Lewis of Caerleon.
The Medical Culture of Friars 155
Fig. . Zodiac man from a folding calendar, based on the Kalendarium by John Somer
OFM, th cent. British Library, MS Harley , section F. On either side of the zodiacal
gure are medical warnings about cutting various parts of the body in each sign.
to have been the purpose of such calendars.
103
Nothing is known about the commissioners or owners of such objects. Charles Talbot, the rst modern historian to write about these calendars, described his exemplar in the Wellcome Library as a ‘medieval physician’s vade mecum’, and this has been repeated by others since, but there is no compelling reason to suppose that university-trained physicians were the intended or usual owners. Admittedly
103
On folded calendars, see L. R. Mooney, ‘English Almanacks from Script to
Print’, in Texts and Contexts: Papers from the Early Book Society, ed. J. Scattergood and J. Boey (Dublin, 1997), pp. 11–25 (p. 17); H. M. Carey, ‘What is the Folded Almanac: e Form and Function of a Key Manuscript Source for Astro-medical Practice in Later Medieval England’, Social History of Medicine 16 (2003), 481– 501; H. M. Carey, ‘Astrological Medicine and the Medieval English Folded Almanac’, Social History of Medicine 17 (2004), 345–63; P. R. Robinson, ‘A ‘very curious Almanack’: the Gift of Sir Robert Moray FRS, 1668’, Notes & Records of
the Royal Society 62 (2008), 301–14 (p. 309); J. P. Gumbert, Bat Books: A Catalogue of Folded Manuscripts Containing Almanacs or Other Texts (Turnhout, 2016).
156 The Medicine of the Friars in Medieval England
the text of the folded calendars was in Latin but university physicians did not have a monopoly on Latin.
104
e simplied nature of these calendars, with no emphasis on learning or originality, and sometimes mistakes in the text or tables, rather argue in the opposite direction. e owners were quite likely to have been itinerant, given the portable character of the calendar, and might therefore have been friars.
105
Besides the new calendar, with its bias towards medical prognosis and
astrology, there is other evidence for the practice of astrology on the part of
106
friars.
Bronach Kane has suggested that Michael Dawnay (OFM), who had begun his study of astrology in the Hartlepool convent in 1400, was casting horoscopes by 1411, particularly nativities for the health and wellbeing of his nephews and nieces. We only know by chance of his interest in astrology, as he was a deponent in a complicated legal case in 1425 at York, when he believed himself to be forty-nine years old, about the supposed abduction of a nun from a convent at Wallingwells in Nottinghamshire. Dawnay recalled the birth of Katherine Northefolke, his great-niece, in 1411 with reference to his interest in astronomy and his precise record of her time of birth. He testied that while at Hartlepool convent he ‘began to learn arithmetic, domication [study of the houses of the planets] and other [subjects] which are studied for the science of astronomy’. is enabled him to ‘calculate from [their] births both the lives and fates of the children of his brothers and his sisters presently to be born’. He entered these nativity horoscopes in a quire (quaternus), and, accordingly, it was in this same manuscript that he
104
See for example the Latin writings of the craft-trained surgeon, John Arderne
(1307–c. 1380); Sharpe, Handlist, pp. 202–4.
105
C. H. Talbot, ‘A Mediaeval Physician’s Vade Mecum’, Journal of the History of
Medicine and Allied Sciences 16 (1961), 213–33; for friars as owners of astrological manuscripts see B. Kane, ‘Return of the Native: Franciscan Education and As­trological Practice in the Medieval North of England’, in Franciscan Organisation
in the Mendicant Context: Formal and Informal Structures of the Friars’ Lives and Ministry in the Middle Ages, ed. M. J. P. Robson and J. Röhrkasten (Berlin, 2010),
pp. 281–306 (pp. 296–7).
106
orndike, History, III, p. 213, says ‘Hardly any class or group of men in the later
middle ages were more given to astrology …than the friars’. orndike’s chapter on ‘Petrarch and Some Friars’ draws attention to Robert Holcot (OP, d.1349) as an astrological author (see Sharpe, Handlist, pp. 556–7, Quaestio de stellis). In 1380 Peter of Beccles OC had a scribe copy De judiciis stellarum (On judgements from stars) for him in Oxford, now part of Oxford, Corpus Christi College, MS 151: see M. B. Parkes, ‘e Provision of Books’, in HUO, II, ed. Catto and Evans, pp. 406–83 (p. 415).
The Medical Culture of Friars 157
entered the record of Katherine Northefolke’s birth.
107
It was probably the sort of manuscript vade mecum he could carry in his pouch or scrip, rather like the folding calendars. Dawnay left the Hartlepool Franciscan convent to study at Cambridge in 1412, where he says he became a regent lector and professor of theology. After his time at Cambridge, he moved back north to the convents of Richmond and Doncaster. ere is evidence that at the Doncaster convent, at least, there was one manuscript with astronomical tables copied in this era.
108
At the time of the 1425 case in York, he still
carried his astrological quire with him.
Ralph Hoby of Hereford (OFM) wrote a treatise on astrological medicine (dated 1 June 1437) devoted to questions which arise in the context of the encounter between medical practitioner and patient. is is the Tractatus
phisice astronomice ad magnam securitatem exercitii artis medicine per solitudinem
[for solicitudinem] fratris Radulphi Hoby (treatise on astronomical physic for making the practice of medicine safe, written through the care of brother Ralph Hoby).
109
Astrology gives the medical practitioner a way to make his practice more secure, because of the extra certainty supplied by this form of prognosis. Hoby’s treatise is known to us through two surviving manuscripts, both incomplete, and what survives was discovered and analysed in detail by Linda E. Voigts.
110
e treatise begins with a brief prologue on the importance of the celestial bodies to the human body, and a contents list of sixteen questions to be resolved by astrological reckoning. Each chapter cites authorities on the value of astrology to the question posed, and then gives examples of astrological calculations to obtain the answer. e rst two questions are: ‘what may be the cause of the illness and the nature of the disease?’; the second, ‘whether or not the patient may be curable?’. e remaining questions all address either problems of medical prognosis or how the signs and planets aect the human body.
111
e treatise does not refer to Hoby’s own experience in doing medical prognosis following this method (any more than Henry Daniel’s Liber uricrisiarum reports on Daniel’s personal
107
Kane, ‘Return’, pp. 291, 294–5.
108
Kane, ‘Return’, p. 297. is is now Oxford, Bodleian Library, MS Savile 18.
109
Two manuscripts of this work have been identied by L. E. Voigts, BL, MS Harley
3542 and Wolfenbüttel, MS HAB Cod. Guelf. 51. 9. Aug. 4º.
110
L. E. Voigts, ‘Wolfenbüttel HAB Cod. Guelf. 51. 9. Aug. 4º and BL, MS Harley
3542: Complementary Witnesses to Ralph Hoby’s 1437 Treatise on Astronomical Medicine’ Electronic British Library Journal (2008), article 10, at https://www.bl.uk/ eblj/2008articles/article10.html/, accessed 17 April 2023; Voigts, ‘Medical Astrol­ogy’, pp. 152–68.
111
Voigts, ‘Medical Astrology’, pp. 159–62.
158 The Medicine of the Friars in Medieval England
use of uroscopy). It is worth noting, however, that Ralph Hoby cited William the Englishman, who had claimed the superiority for prognostic purposes of astrological reading of unseen urine samples over simple examination of urine by the physician in his De urina non visa (On unseen urine).
112
Hoby also cites Roger Bacon and Robert Grosseteste as authorities, as might be expected of a Franciscan writer on astrology.
e English antiquarian and medical advisor to Sir John Fastolf, William Botoner (better known as William Worcester), identied the Franciscans John Somer and Ralph Hoby as his authorities on astrological matters. Bodl., MS Laud Misc. 674, written in Worcester’s own hand, contains several writings attributed to John Somer by Worcester, including Regule ad sciendum nati vitam (Rules for nding out the lifespan of a newborn).
113
Worcester also
includes a colophon to Somer’s catalogue of xed stars, which ends
pro anno gratie 1440 secundum tabulas Alfonsi et erudicionem Radulphi
Hoby professoris theologie et discipulum librorum fratris Johannis Somour
ordinis minorum Videlicet utrique eorum (for the year 1440 according to
the Alfonsine tables and the learning of Ralph Hoby professor of theology
and student of the books of John Somer OFM).
114
Here Hoby is positioned as a successor to Somer. But there is no other guide to prognosis by medical astrology written in England comparable to the Tractatus physice astronomice of Ralph Hoby, as William Worcester would have known.
112
is thirteenth-century work had a distinct English text tradition, but was also
cited by well-known European mendicant authors: see French, ‘Foretelling’, pp.
475–9; L. Moulinier-Brogi, Guillaume l’Anglais, le frondeur de l’uroscopie médiévale
(XIIIe siècle) (Geneva, 2011), p. 78.
113
Mooney, Somer, p. 219. In the margin of MS Laud Misc 674, fol. 24v, Worcester
has written ‘hoc receptum inveni scriptum de propria manu Johannis Somour de
ordine Minorum’ (I found this recipe written by Johannes Somer OFM in his
own hand). ere is also a horoscope gure attributed to Somer in Cambridge,
Corpus Christi College, MS 420, fol. 57 (transcribed at Mooney, Somer, pp. 223–
4). ere is a considerable literature on William Worcester. For orientation, see
K. B. McFarlane, ‘William Worcester: a Preliminary Survey’, in Studies Presented
to Sir Hilary Jenkinson, ed. J. C. Davies (London, 1957), pp. 196–221, and N.
Orme, ‘Worcester [Botoner], William (1415–1480x85), topographer and author’,
ODNB, 23 September 2004, accessed 14 April 2023, https://doi.org/10.1093/
ref:odnb/29967.
114
Voigts, ‘Medical Astrology’, p. 165 reads disciplinam, following the Bodleian Quar-
to catalogue. But Mooney, Somer, pp. 211–13, reads discipulum, which ts the con-
text better.
The Medical Culture of Friars 159
Women’s medicine and procreation
ere are two related areas of medicine of particular interest to friars, which might seem at rst sight to be at odds with their profession as religious. e rst of these is women’s medicine. Vows of chastity were usually understood in western monasticism (including the friars) to involve the deliberate shunning of all contact with women other than that required for confession. is would seem to preclude any involvement with women’s bodies for medical purposes. But there is evidence that English friars were interested in women’s medicine, especially insofar as it related to human generation, from conception to the care of the newborn. is is particularly clear in the Tabula medicine text, where the active mission of friars to women is attested. At the beginning of one manuscript of the work, an owner has scribbled ‘for woman look at these headings’ (pro muliere quere hec capita).
116
e headings in alphabetical order as they occur in the text are Aborsus, Conceptio, Coitus, Fetus, Impregnare, Matrix (Womb), Menstrua, Mulier (Woman), Partus (Birth), Pregnans, Puer (Child), Secundina (Afterbirth), Sterilitas and Vulva. In fact, this user leaves out two other headings that would have tted in here too, Lac (Milk) and Mamille (Breasts). Clearly this user of the manuscript found the gynaecological material in Tabula medicine to be very helpful. When we look at these entries in detail, we nd two friars are singled out for their expertise in women’s medicine. William Holme OFM is the clear leader – see Chapter 2 above. For example, under the heading Matrix we nd
115
secundum fratrem W. Holm sedeat mulier in sella perforata & supponatur olla terrea in qua sint carbones vivi & aspergatur stercus bovium vel ovium in parva frustra divisum … (according to brother William Holme the woman should sit on a perforated stool and live coals scattered with the dung of cows or sheep should be employed as a fumigant).
117
Holme was also the compiler of a text on medicinal simples, De simplicibus medicinis, which has a massive entry for Matrix dealing with complaints of the womb, and there he lists 212 dierent simples to be employed in treating them.
118
e other friar mentioned as having peculiar expertise in
women’s medicine is Georey Launde, the Dominican, who is the source
115
Angela Montford drew attention to Dominican chapter legislation: ‘Dangers and
disorders may frequently occur when brothers involve themselves with medical matters’, in Montford, ‘Dangers’, p. 169.
116
University College, MS Lat. 11, fol. 2v.
117
Ibid, fol. 181v.
118
Jones, ‘William Holme’, p. 225.
160 The Medicine of the Friars in Medieval England
for a remedy for menstrual problems. He is also cited for his experience in treating ‘dominus John Trussell’ under the heading of Coitus. Sir John Trussell, his patient, who suered, we are told, from an overow of blood after too much coitus, was a prominent landowner in Northamptonshire and MP for the county from 1404.
119
e second related area of interest is human procreation, and this too is very
prominent in the Tabula medicine. Headings for Conceptio, Coitus, Impregnare,
Libido, Pregnans, Puer and Sterilitas speak for themselves. e heading for Mulier is devoted largely to testing for virginity, so important to ensuring
patrilineal succession. Delivering the woman successfully of her child is central to Partus, Puer and Secundina. Prognostic tests for determining the sex of ospring are included in several entries. ese concerns are characteristic of the kind of ‘masculine gynaecology’ which Monica Green has taught us to see as ourishing in the later Middle Ages across Europe.
120
e other major medical work by a friar is Henry Daniel’s Liber uricrisiarum, written c. 1375–82, and this too devotes ample space to detecting pregnancy through the examination of urine, and experimental pregnancy tests.
121
Two such experimenta are used by Daniel in relation to conception. He introduces them by saying: ‘Now for to knowen & weten [nd out] when woman hath conceyuede & when noght, auctoures techen meny expermentez…’.
122
Before discussing the two experiments, Daniel sets out the signs of pregnancy as generally agreed among medical authors (he cites Gilbertus Anglicus), and visible after physical examination. e rst of his experimenta is taken from Hippocrates and involves giving the woman mellicratum to drink and seeing if she feels pain.
123
e second experimentum is to establish whose fault it is in a couple that the woman cannot conceive and is taken from the Liber de sinthomatis mulierum (Book on the symptoms of women) in the Trotula. e man and the woman piss in dierent pots of bran; the pots are left for a week or two, and the party at fault will be known by the presence of worms and a foul stink.
124
While Daniel is happy to encourage the use of these experimenta for questions of fertility, he is cautious elsewhere in the Liber uricrisiarum about the use of urine to identify
119
For Launde and Trussell, see Chap. 1, pp. 53–4.
120
Green, Making.
121
See Harvey, ‘Textual Layers’, pp. 101–5.
122
Daniel, Liber Uricrisiarum, 3.16.238–9.
123
Daniel, Liber Uricrisiarum, 3.16.286–98.
124
Misattributed by Daniel to ‘Maistre Bartholome’: Daniel, Liber Uricrisiarum,
3.16.362–7; 2.3.653–8. Cf Green, Trotula, p. 95. omas Fayreford has similar ex­periments in BL, MS Harley 2558, fol. 168v.
The Medical Culture of Friars 161
the father of a child, or to predict the sex or colour of a calf. He hits out at those swindlers who pretend to be able to tell more from urine than is authorised by true learning, the ‘vnwise leches – þat in þise dayes ar callede dogg-leches os þise entremetoures [meddlers] & þise bolde braggers þat stonde in chateryng & in clatering & noght in connyng, and þat onely for mony wynnyng.’
125
is suspicion of quacks also emerges in the Latin verse epilogue to the entire Liber uricrisiarum. After some lines devoted to the usual topoi of apology for what is missing or wrong in the text and the hope that more learned readers will correct mistakes, he launches suddenly into an attack on those who claim to be able to tell whether a foetus is the ospring of a priest or a soldier, or whether a calf will be black, red or spotted.
126
Even more than in the case of the Tabula medicine, Daniel’s interest in the health of women’s bodies is inected by concern for generation.
Conclusion: Baconian bias in friars’ medicine
e medical culture of English friars can best be understood by looking at the manuscript texts and books they compiled, or that circulated in the hands of individual friars and ended up in the libraries of their houses. is evidence does not indicate a radical split between friars and university physicians in medical culture, but a common acceptance of the same basic framework of humours, complexion and cure by contraries inherited from Greek, Roman and Islamicate authorities. However, this does not mean that there were not strands of medical thinking which, though sometimes shared with secular physicians, were given particular emphasis by the friars. As in the case of the forms of medical writing studied in the last chapter, these areas of emphasis owed much to the inspiration of Roger Bacon. His belief that certain special sciences, if properly studied, would do much to restore human life and health to its original and natural state (since corrupted and weakened) directed English friars in their attitude to medicine. ree of these sciences, alchemy, astrology and scientia experimentalis, gained traction with the friars. Bacon himself might have been wary of some of the uses to which these sciences were put, and to which his name was attached. His successors were less inhibited than he when it came to promoting the eectiveness of the alchemical quintessence; or in practising forms of judicial astrology; or experimenting with natural magic, incantations and divination, all of which were promoted for health reasons and had their adherents among the English friars. is is not to claim that the medical culture of the friars was
125
Daniel, Liber Uricrisiarum, 2.12.59–62.
126
English translation in Daniel, Liber Uricrisiarum, App. 3, 299.
162 The Medicine of the Friars in Medieval England
inherently transgressive. Medicines made by distillations, prognostic tests and a more accurate understanding of the interplay of heavenly and human bodies, for example, were readily accepted by Church authorities, imitated by secular healers and welcomed by their patients. One other feature of friars’ medicine (not inherited from Roger Bacon), its interest in women’s medicine and human procreation, seems also to have been widely accepted despite its apparent conict with vows of chastity. is was probably a matter of the access to homes, and thus to women and their ailments, aorded to friars more readily than to others.
127
127
For more on friars’ access to homes, see the case of Eryk de Vedica in Chapter 1
above, and Chapter 6 below.