Renaissance Medicine and the Womb
In Renaissance humoral theory the body was made up of four humors (phlegm, blood, yellow bile, and black bile) which reflected the four complexions or human temperaments (phlegmatic, sanguine, choleric, and melancholy).1 These four humors needed to be kept in balance if the body was to remain in good health. Andrew Boorde explains it simply as (paraphrased):
There be four humors otherwise named the four complexions of man which be to say, phlegm, blood, choler, and melancholy. They are not evenly distributed in everyone, for each person has more of one complexion than of the other. . . . When God made man he gave him a perfect balance of humours, but through sensuality [original sin] man altered his humours or complexions, setting them out of order.2
The formal explanation of humoral theory is generally credited to Hippocrates and to Galen but Boorde provides a Christian frame, with its particular relevance to women as bearers of original sin through their reproductive bodies. Women, with their cool, wet bodies, were particularly vulnerable to humoral imbalance and their womb was the organ most at risk. Humoral theory was central to the ways in which women understood their bodies and menstruation was the means to maintaining a healthy balance either through purification (the Hippocratic cathartic model) or through reducing excess blood (the Galenic model of plethora).3 An excess of one or another humor or the inordinate influence of a particular planet affected the whole person, though the imbalance might show itself in an isolated organ or system.4 For astrological physicians who specialized in womenâs health, such as Simon Forman (1552â1611), their experiences with womenâs health led them to see the matrix as âa world unto itself.â5 The womb had the fearsome reputation of being the most powerful organ in the female body and, as a consequence, had earned the status of being the source of all health problems in women. Depicted as an independent and ultra-sensitive body part, it was capable of inflicting great suffering on its owner and required constant attention to maintain stability. It was endowed with powerful sensory faculties such as smell, sensitivity to heat and cold, an appetite (for hot, moist male seed), and a disturbing capacity for movement. This latter was its most feared quality for if the womb shifted even slightly from its natural position, any number of emotional and physical repercussions could ensue, including death.
The wandering womb theory can be traced back to the works of Hippocrates (ca. 460â370 BC) which held the womb responsible for virtually all female ailments. In seventeenth-century England all medical persons and many who were not medically-minded, were familiar with this piece of Hippocratic wisdom. Edward Jordenâs treatise, A Disease called the Suffocation of the Mother (1603), opens with the statement: âThe passive condition of womankind is subject unto more diseases and of other sortes and natures then men are: and especially in regarde of that part from whence this disease which we speake of doth ariseâ and he references Hippocrates in the margin. He explains that this comes from the âcommunity and consent which this part hath with the braine, heart, and liver, the principall seates of the three [animal, vital, and natural] functions of the bodyâ which render the uterus extremely sensitive to motion and the senses.6 Jane Sharp, who compiled a popular midwifery manual nearly seventy years later, also relied on âthe judgment of Hippocrates that womens wombs are the cause of all their diseasesâ and she endorsed the wombâs sensitive nature: âfor let the womb be offended, all the faculties Animal, Vital, and natural; all the parts, the Brain, Heart, Liver, Kidneys, Bladder, Entrails, and bones, especially the share-bone [pubic bone] partake with it.â7 For Sharp this was cause for sympathy towards women: âThe Female sex are subject to more diseases by odds than the male kind are, . . . therefore great care should be had of the care of that sex that is the weaker and most subject to infirmities.â8 Sharp drew much of her material from Nicholas Culpeper, one of the most widely-published physicians in the vernacular in the Civil War era, who agreed âit is not to be expressed what miserable diseases women are subject to; both Virgins and others from the womb, and its consent with other parts.â9 By âconsentâ Culpeper, like Jordenâs use of the term âcommunity,â means the innate influence of the womb on all parts of the body and mind. Virgins were particularly at risk of disease since virginity was contrary to the wombâs reproductive function, and sex and pregnancy were the natural and best medicine for keeping the womb healthy and stable. A womanâs health was so singularly dependent upon the womb that it was even possible for Sharp to joke that to be born without a womb was an advantage: âIf one womb in a woman be the cause of so many strong and violent diseases, she may be thought a happy woman of our sex that was born without a womb.â10 A similar joke appears in a 1633 play, not to express sympathy for women but to poke fun at male fears of the womb. One fearful husband maintains that were it possible to get children âby any other way then by a womanâ he would do so.11 His fear leads him to equate the womb with the devilâs domain: âwomen may be angels above the waist, but below they are naught but hel.â12 This is a common image in drama, notably in the mouths of misogynists accusing women of insatiable lust, and not usually found in medical texts, although the wombâs association with corrupt blood and humors came close at times. The physician Abraham Zacuto (1575â1642) described the uterus as âthe cloaca of the entire body, the bilge and receptacle of excrements. The weakness of innate heat in the female sex adds to this by not repelling the causes of decomposition.â13 The association with original sin lies behind such despoiled womb perceptions: âFor the part wherein the Image of God ought to be conceived by the holy Spirit, became a sink of filths, and testifies the abuse, and fault of an unobliterable sin.â14 While such descriptions in drama may be understood as humor directed against credulous or powerless mal...