oh my gosh coming from gallus that’s saying something, I’m flattered
OKAY SO ABOUT THE MEDIEVAL HEAD TRAUMA
This
post contains Thor’s migraines, Arthurian knights spinning in circles,
and the medicinal use of egg whites on your brain. CW for mentions of
medical gore and aggressive head bonks, obvs. Also, this is the result
of undergraduate research, and should not be considered comprehensive.
If you know more, throw it at me. If you have a correction, I will happily take it! And if you can remember the title of that
one book I found once in my university library called something like
“Head Trauma in World Myths and Legends”, TELL ME. I can’t fucking find the thing, but I swear it exists.
Also heck my life, Tumblr ate the first attempt at this post. Always write your long drafts on a more stable platform, guys
So.
Depending on where and when you lived in western medieval Europe, you
might have a very different relationship with the constellation of
injuries falling under the category of head trauma. These injuries were
either mysterious and beyond the realm of healing, a weird side effect
of people not dying so often, or a comprehensible problem that sometimes
could be treated by medical and surgical intervention.
A great
example of head trauma as mysterious scourge comes from Norse mythology.
To cruelly TL;DR a surprisingly hilarious little myth, Thor’s
giant-smacking escapades result in a piece of flint getting stuck in his
skull. Neither he, nor Sif, nor a witch they call up can remove it. The
witch almost manages it, but Thor distracts her at a critical moment,
so her magic fails. The myth ends with a moral to the audience: don’t
throw your flint tools around, or you’ll give Thor a migraine. Yes,
really.
(personal side note- somebody must be throwing hella flint around today, fuck)
In
this story, head trauma is just something you have to live with. Magic
might be able to help you, but it failed even Thor, so don’t expect
better results yourself. And we do have skulls throughout European
history that show evidence of lots of people living for years with
untreated skull fractures, though with a higher risk of premature death.
(One source here, from Denmark, which mixes in some early modern skeletons as well.)
Now,
that myth fits the time and place it originated, which is true of
stories in general. But one thing you can do in comparative literary
analysis is look at the variations between tellings of common stories.
And one great mine for this is Arthurian legend. King Arthur and His
Circle Bros were popular subjects throughout the British Isles and
France for centuries, which one can use to analyze the values, morals
and world views of their storytellers.
And also, what
happened when you got bonked on the head. See, each storyteller might
have their own first-hand experiences with battle, or they’d have
patrons who they wanted to flatter or entertain by incorporating
Based-On-A-Shocking-True-Story details into the stories, or they were
just paying attention to other storytellers at the time and seeing which
action tropes were popular.
So, the early Arthurian treatment of head trauma can be summed up in three words: bonk means death.
But
after the late 12th century (which admittedly is where we get a lot of
our stories from), head trauma starts to become survivable. And
sometimes, it’s weird.
Men’s brains swim like water, and they
might fall off their horses. If they’re not mounted, they might run
around in circles and then fall down. What changed?
The bonk protectors changed! the heaume or great helm
style was developed, which is more likely to stay on and protect the
head from any angle, though it’s vulnerable to transferring the force of
downward blows into the head, neck and shoulders. With more people
surviving blows to the head, that means more concussions and traumatic
brain injury, and that’s reflected in the stories.
But what about medical textbooks? Well, it probably won’t surprise many to know that western European medical manuals sucked SO MUCH ASS for centuries. The reason why is a rant for another time (and I CAN AND I WILL RANT ABOUT IT), but there was light at the end of the tunnel.
While
Western Europe lost almost all Greek medical scholarship and condensed
the Latin texts down to near-gibberish, the Eastern Roman Empire had
preserved those texts, and the Islamic world had expanded greatly upon
that scholarship with their own research and experimentation. During the
Islamic Golden Age, traders from Italy brought some Greek and Arabic
texts back from the Muslim world, and translations were made into Latin.
This gave Italian academics access to a more vibrant and systemic
tradition of medical science.
Enter Rogerius, AKA Rogerius Salernitanus, AKA Roger Frugard, AKA Roger Frugardi, AKA Roggerio Frugardo, AKA Rüdiger Frutgard and AKA Roggerio dei Frugardi
(jfc dude), a surgeon from Salerno (unknown-1195). While surgery would
remain a low status profession for centuries, Rogerius produced a
well-organized and clearly written surgical manual, the Practica Chirurgiae. This book, I want to stress, is not flawless, especially when it comes to pharmaceuticals. Digging into the German Commission E Monographs
(started in the 1970s, which systematized scientifically proven effects
of traditional herbal medicines), Rogerius’ poultices for wounds do fuck-all for healing, but would probably be fantastic for an upset stomach if you ate them.
HOWEVER, the surgical contents
of the manual show that either he was working with fantastic written
texts at the University of Salerno, and probably had some good
first-hand experience with treating head trauma.
The text provides
some practical information on diagnosing the kinds of head injuries a
surgeon could actually treat–while concussion was still something you’d
just have to deal with, a bonk on the head can have lots of other bad
effects. You can develop a build-up of fluid within the skull (cerebral
edema), or skull fracture that can press pieces of bone down onto the
brain. Or you could have tears in the scalp, or worse, the protective
layer of tissue around the brain itself (the dura mater).
Rogerius
lists ways to diagnose edema and closed skull fractures (where the
scalp isn’t broken but the skull is). He describes surgical techniques
that are still the basis of many in use today, for incisions and
suturing of the scalp, removal of bone fragments and foreign objects,
and relieving pressure on the brain from edema. Yes, that last one
involves trepanning, AKA drilling a hole in the skull, and yes, it can
actually be life-saving in this particular case.
And there’s one bit he talks about which I find outrageously
cool. See, wound healing has always been one of the biggest problems in
medicine, and it was an absolute matter of life and death before the
advent of sterile medical technique. Sure, you might be able to clean a
wound with some alcohol-based mixture, but that would be disastrous for
wounds that pierce through the skull. This probably goes without saying,
but pouring alcohol on your brain is very, very bad.
So, what the
fuck do you do when you have a patient with a gnarly head wound that
exposes the dura mater, or the brain itself? Water isn’t clean, alcohol
is potentially deadly. How do you wash the wound clean?
Get an egg.
Fresh
eggs straight from the chicken are sterile capsules that protect the
developing embryo. They’re full of liquid-y stuff you can use as a wash!
BUT. Rogerius specifically lists egg whites for cleaning head injuries,
not yolks. I don’t have any scholarship on why, beyond some interviews
with a doctor in my family, but our best guess was that the cholesterol
in the yolks could be harmful to the brain and dura mater. But the egg
whites by themselves? They’re almost pure protein, including some
anti-microbial factors that help defend the embryo in case germs sneak
in.
Overall, it’s a brilliant solution to a thorny aspect of wound
care, in a time before germ theory, and centuries before Europe would
collectively remember you need to sterilize your medical tools. Fucking!
Fresh egg whites! It’s fantastic.
So that’s the tl;dr on medieval
understanding and treatment of head trauma. A mixture of mystery,
medieval pop culture, and medical science. This is the kind of practical history that I found most engaging to study–not lists of kings, not court politics, not wars, but a small, strange little corner of medical history that tells you more about the life and times of people through the ages.
And that’s what a lot of modern historical research is actually like! Find a tiny little subject that sparks joy catches your interest, and dive in. I ended up jumping over entirely to biological sciences in my post-grad research, but I don’t regret a minute of my undergrad. History in all its crumbly little details is awesome.