Medicine and Space Visualising the Middle Ages Edited by Dr. Eva Frojmovic, University of Leeds (UK) Editorial Board Professor Madeline H. Caviness, Tufts University (USA) Professor Catherine Harding, University of Victoria (Canada) Professor Diane Wolfthal, Rice University (USA) VOLUME 4 The titles published in this series are listed at brill.nl/vma Medicine and Space Body, Surroundings and Borders in Antiquity and the Middle Ages Edited by Patricia A. Baker Han Nijdam Karine van ’t Land LEIDEN • BOSTON 2012 Cover illustration: Design Sylvie Boersma 2011. Detail of anatomical man from: Gregor Reisch, Margarita Philosophica (Johann Schott: Freiburg 1503). Background: Sacratissimi ypocratis liber pronosticorum, National Library of Medicine, Manuscript E 2, f. 21r. This book is printed on acid-free paper. Library of Congress Cataloging-in-Publication Data Anglo-Dutch Wellcome Symposium (2007 : Nijmegen, Netherlands) Medicine and space : body, surroundings, and borders in antiquity and the Middle Ages / edited by Patricia A. Baker, Han Nijdam, Karine van ’t Land. p. ; cm. — (Visualising the Middle Ages, ISSN 1874-0448 ; v. 4) Includes bibliographical references and index. ISBN 978-90-04-21609-9 (hardback : alk. paper) I. Baker, Patricia Anne. II. Nijdam, Han. III. Land, Karine van ’t. IV. Title. V. Series: Visualis- ing the Middle Ages ; v. 4. 1874-0448 [DNLM: 1. Philosophy, Medical—history—Congresses. 2. Anatomy—history—Congresses. 3. Architecture as Topic—history—Congresses. 4. History, Ancient—Congresses. 5. History, Medieval—Congresses. 6. Space Perception—Congresses. W 61] 610—dc23 2011037328 ISSN 1874-0448 ISBN 978 90 04 21609 9 This publication has been typeset in the multilingual “Brill” typeface. With over 5,100 characters covering Latin, IPA, Greek, and Cyrillic, this typeface is especially suitable for use in the humanities. For more information, please see www.brill.nl/brill-typeface. Copyright 2012 by Koninklijke Brill NV, Leiden, The Netherlands. Koninklijke Brill NV incorporates the imprints Brill, Global Oriental, Hotei Publishing, IDC Publishers, Martinus Nijhoff Publishers and VSP. All rights reserved. No part of this publication may be reproduced, translated, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without prior written permission from the publisher. Authorization to photocopy items for internal or personal use is granted by Koninklijke Brill NV provided that the appropriate fees are paid directly to The Copyright Clearance Center, 222 Rosewood Drive, Suite 910, Danvers, MA 01923, USA. Fees are subject to change. contents v . . Contents Preface. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vii Acknowledgements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .ix List.of.Illustrations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .xi List.of.Contributors. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xix Figures and Plates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..following xx Introduction:.Conceptualizing.Body,.space.and.Borders. . . . . . . . . . . . 1 Patricia Baker and Han Nijdam PArt.one sPACes.of.AnAtomy . fistulas,.the.Knee,.and.the.‘three-dimensional’.Body Michael McVaugh 23 Inside. and. outside,. Cavities. and. Containers:. the. organs. of. Generation.in.seventeenth-century.english.medicine Helen King 37 PArt.tWo the.Body.And.sPACe the.‘locus.affectus’.in.Ancient.medical.theories.of.disease Glenda Camille McDonald 63 Internal,. yet. extrinsic:. Conceptions. of. Bodily. space. and. their. relation.to.Causality.in.Late.medieval.University.medicine Karine van ’t Land 85 Permeable.Boundaries:.Bodies,.Bathing.and.fluxes:.1135–1333 Fabiola I W M van Dam 117 vi contents PArt.three sUrroUndInGs space.and.the.Body:.Uses.of.Astronomy.in.hippocratic.medicine Maithe A A Hulskamp 149 shaping.the.difference:.the.medical.Inquiry.into.the.nature.of. Places.and.the.early.Birth.of.Anthropology.in.the.hippocratic. treatise.Airs Waters Places Roberto Lo Presti 169 death.and.the.City:..the.human.Corpse.as.an.embodiment.of. Public.Wellbeing.in.Counter-reformation.rome Catrien Santing 197 PArt.foUr hosPItALs.And.ArChIteCtUre spaces.of.sickness.in.Greco-roman.medicine Ralph M Rosen 227 medieval.Islamic.hospitals:.structural.design.and.social.Percep-. tions Patricia Baker 245 Liminality. and. disability:. spatial. and. Conceptual. Aspects. of. Physical.Impairment.in.medieval.europe Irina Metzler 273 Bibliography.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 297 Index.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309 preface vii . . PrefACe the.idea.to.consider.the.relationship.between.spatial.conceptions.and. medicine.developed.through.a.fortunate.meeting.of.two.of.the.editors.at. a.symposium .through.discussions.it.was.deemed.that.the.topic.of.space. and.medicine.should.be.considered.for.the.periods.in.question.at.the. 2007.Anglo-dutch.Wellcome.symposium.(29th–30th.november.2007,. nijmegen),. entitled. Medicine and Space: Bodies, Buildings and Other Borders .since.the.area.of.study.was.unique.to.medical.history.there.were. a.small.number.of.participants.and.with.one.or.two.exceptions,.no.one. specialised.in.space .nonetheless,.all.of.those.who.presented.papers.were. able.to.demonstrate.the.significance.of.space.in.relation.to.their.own. areas.of.research,.and.when.doing.so.created.a.new.approach.and.deeper. insight.into.different.aspects.of.medical.history,.such.as.discerning.spatial. understandings.of.the.body.from.textual.descriptions.and.looking.for. social.rules.regarding.the.ill.in.the.layout.of.buildings . Although.space.is.a.popular.theme.in.the.history.of.medicine,.the.focus. tends.to.be.on.buildings.and.rooms.associated.with.healing.and.experi- mentation.from.the.16th./.17th.century.to.the.present .there.is.a.notice- able.absence.of.this.theme.covered.for.Antiquity.and.the.middle.Ages . yet,.consideration.of.space.in.earlier.periods.does.not.simply.fill.a.gap.in. this.growing.field.of.study,.but.encourages.an.historical.awareness.that. past.conceptions.of.the.body,.medicine.and.places.of.healing.were.quite. different.to.those.of.more.modern.eras .moreover,.practitioners.in.the. early.modern.and.modern.periods,.until.very.recently,.studied.classics. and.history,.and.their.practices.may.have.been.influenced.by.their.stud- ies .thus,.the.volume.provides.scope.for.scholars.of.modern.medical.his- tory.to.explore.the.possible.influence.of.the.classical.and.medieval.past.in. medicine.of.more.modern.times . from.the.ensuing.discussions.which.the.symposium.elicited,.it.was. deemed.necessary.to.produce.a.scholarly.work.that.widens.the.definition. and.theoretical.understandings.of.space.in.relation.to.medicine,.particu- larly.in.regards.to.conceptions.of.the.body,.illness.and.the.surrounding. natural.and.built.environments .It.was.also.noted.that.it.was.important. for.the.periods.in.question.to.receive.more.attention.in.medical.history,. as.the.focus.of.many.medical.history.conferences.tends.to.ignore.periods. prior.to.the.seventeenth/eighteenth.centuries .It.was.also.suggested.that. viii preface in.spite.of.the.conference.papers,.certain.aspects.of.medicine.and.space. had.not.been.covered,.such.as.the.location.of.disease.and.the.physical. placement.of.people.with.specific.bodily.and/or.mental.conditions . hence,.the.volume.consists.of.papers.accepted.by.blind.review.that. were.either.presented.at.the.conference.or.were.commissioned.to.fill.the. areas.mentioned .It.is.ultimately.a.small.field.of.study,.but.the.papers. from.the.periods.in.question.consider.differing.sources.of.evidence.that. form.a.varied.and.informative.collection.that.demonstrate.the.ways.in. which.space.can.be.examined.to.further.our.understandings.of.past.med- ical.concepts .this.introduction.to.new.means.of.approaching.the.subject. will.be.a.useful.guide.for.scholars.to.take.their.examinations.into.new. directions.and.expand.awareness.of.how.significant.ideas.of.space.are.in. relation.to.numerous.aspects.of.medical.treatment .the.volume.also.pro- vides.a.scope.for.scholars.of.modern.medical.history.to.explore.the.pos- sible.influence.of.the.classical.and.medieval.past.in.medicine.of.more. modern.times the.most.significant.contribution.this.volume.makes.is.in.widening. the.theoretical.understanding.and.definition.of.medical.spaces .the.con- cept.in.relation.to.medical.history.tends.to.focus.on.the.construction.of. buildings.and.spaces.within.buildings .however,.the.cultural.conceptions. tend.to.be.overlooked.in.favour.of.functionalist.theories.that.regard.the. needs.of.the.doctor.or.scientist .hence.this.volume.goes.beyond.such. interpretations.by.considering.the.fundamental.questions.of.what.is. space,.how.is.it.conceived.by.different.peoples.in.the.past.and.how.do. these.conceptions.influence.understandings.of.the.body,.healing.and. places.of.medicine list.of.illustrations ix . . ACKnoWLedGements the.editors.would.first.like.to.thank.the.Wellcome.trust,.radboud. University.nijmegen.and.the.KnAW.(royal.netherlands.Academy.of.Arts. and.sciences).for.funding.the.conference,.radboud.University.nijmegen. for.hosting.it,.and.frank.huisman.for.his.assistance.in.organizing.it .Philip. van.der.eijk,.orlanda.Lie.and.manfred.horst.manshoff.gave.valuable. advice.and.comments.during.the.conference.and.shortly.afterwards.con- cerning.the.plan.to.create.a.volume.as.a.follow-up.of.this.fruitful.sympo- sium .second,.we.would.like.to.thank.Julian.deahl.and.marcella.mulder. of.Brill.Publishers.and.also.the.various.anonymous.reviewers,.who.gave. such.useful.feedback.to.our.contributors .We.are.furthermore.indebted.to. the.following.institutions.and.individuals.for.generously.providing.us. with.iconographic.material:.the.Wellcome.trust.Image.Collection;.the. national. Library. of. medicine,. Washington. dC;. Bas. meeuws;. Lloyd. Bosworth,.University.of.Kent,.the.Grainger.Collection;.the.Aga.Khan. Institute.at.mIt;.the.Creswell.Archive.at.the.Ashmolean.museum.and. harvard.University;.the.Vatican.Library;.the.hunter.Collection.at.the. University.of.Glasgow;.the.mcKinney.Collection.at.the.University.of. north. Carolina,. Chapel. hill;. the. Bodleian. Library,. oxford;. and. the. Pergamon.museum,.Berlin