Buildings known as hospitals did exist, but they were essentially large chapels in which invalids were lodged; prayer was as good a remedy as medicine. No medical attendants were employed in the hospitals, only monks and chaplains. If illness was a punishment sent by God, then it might be impious to seek to cure it. The soul’s health was in any case more important than that of the body. Yet the hospitals played their part. An interval of rest and care was probably more efficacious than many of the available remedies.
The medical treatment of the period, where available, was based on folklore or the instructions of Galen from the second century ad which were based on the doctrine of the four ‘humours’. Just as the universe was made of four elements – earth, water, air and fire – so the human body was comprised of phlegmatic, choleric, sanguine and melancholy humours in various proportions. The house of melancholy, for example, lay in the spleen. Good health was the result of the balance between them. The doctor would taste the blood of his patient, after one of the frequent bloodlettings considered to be necessary. Healthy blood was slightly sweet.
The inspection of urine, in special glass vessels or urinals, was also an important part of the doctor’s regimen; it bears a resemblance to the modern blood test. Urine is in fact still inspected as part of a general health precaution. Twenty types of urine could be found, with certain broad divisions based upon the humours. If the urine was white and thin, for example, it signified melancholy; melancholy was considered to be cold and dry. The doctor would observe, smell and taste the urine to discover the governing condition of the patient and the part of the body most in danger. A good doctor also had to be an astrologer. When the moon was in Aries, a fiery and moderately dry sign, it was proper to operate upon the head and the neck. The leaves of henbane, good for the gout, could only be picked on Midsummer Eve.
The possibility of saintly intervention was also at hand. St Blaise was the patron saint of throat disease, St Hubert of hydrophobia and St Martin of the itch. The top joint of the second finger of the right hand was dedicated to St Simon Cleophas, while the second joint of the third finger of the left hand was under the protection of St Bartholomew. By various means, sacred and secular, the good doctor was thus able to prepare a diet and a routine of life to suit the particular temperament of each patient; if the body was in tune with the stars and the elements, then it would not suffer.
Bathing was a luxury of the upper classes and those who liked to imitate them; bathhouses were established in the larger towns, and the magnates possessed their own wooden bathtubs which were shaped like vats and bound with hoops. Soap was readily available, as well as instruments for cleaning the teeth and ears. Bathwater was supposed to be tepid, the same temperature as that which ran from the side of Christ at the time of his crucifixion. The prayer ‘Anima Christi’ has the invocation, ‘Water from the side of Christ, cleanse me.’
Only four English kings of the medieval period lived beyond the age of sixty, which can be considered as the gateway to old age. It was once widely supposed that men and women over the age of forty were considered to be old, but that is not the case; only after sixty was that attribute used. In the century and a half after 1350, 30 per cent of the members of the House of Lords were over sixty, and 10 per cent over seventy. It would still be considered a respectable proportion of that parliamentary chamber. Life expectancy was of course a different matter; throughout our period it has been variously estimated at forty or fifty years. In some regions it might have been as low as thirty.
When death arrived, the body was wrapped in a shroud tied at head and neck. Coffins were not used for the ordinary dead. The favoured part of the churchyard was the south, the north part being considered damp and mossy. The corpse was met at the principal gate of the churchyard by the priest, who led the mourners in procession to the site of the grave where the burial service was held. Only the rich dead deserved a stone memorial, which was to be found within the church. So the cemetery itself was free of gravestones, except for a few wooden markers and small carved stones. The churchyard itself was considered to be part of the common space of the parish, used for sports and markets; it could also be used as a pigsty and as pasture for cattle. As the dead multiplied, so did the surface of the churchyard rise.
23
The sense of a nation
The new king, Edward III, was compared to the Israelites taken out of the house of bondage; he was free at last from the schemes and wiles of his mother who had sometimes been known as ‘the she-wolf of France’. After the capture of Mortimer in Nottingham Castle a public proclamation was issued, to be read by the sheriffs in churchyards, courts and marketplaces. It stated in part that ‘the king’s affairs and the affairs of his realm have been directed to the damage and dishonour of him and his realm, and to the impoverishment of his people’; it went on to promise that the new king ‘will henceforth govern his people according to right and reason, as befits his royal dignity’.
He could not have made a stronger contrast with his unfortunate father. He is generally reported to have been convivial and engaging. One of the mottoes woven into his jacket stated simply ‘It is as it is.’ Another, worn by the courtiers as well as the king, read ‘Hey, hey, the white swan, by God’s soul I am thy man.’ He also spoke English much better than his predecessor.
He had personal courage, too, and identified himself with all the chivalric virtues. As a result he inspired loyalty among the magnates. He restored lands that had been rendered forfeit by his father, and actively helped to enlarge the membership of the nobility; four of the senior members of his household, for example, were granted earldoms. He had to rely at first upon the councillors and courtiers he had inherited, but over a few years he gathered together a group of knights and nobles who would remain with him for the rest of his reign.
Yet the token of a righteous sovereign was still success in war. The new king realized that his father’s military incapacity was the single most important reason for his failure, and he strove very hard to reverse the image of weakness. That is why his first enterprise was against Scotland. The tears he had shed, at his earlier humiliation by the Scots, had not been forgotten. An opportunity soon arose for action. The death of Robert Bruce in 1329 put his infant son upon the throne of Scotland, but Edward III espoused the cause of a rival claimant, Edward Balliol; he was eager to undo the damage of the previous campaign, and in 1333 he won a notable victory at Halidon Hill two miles outside Berwick. Balliol then became the client king; Berwick and the surrounding area were returned to English rule. This was only the beginning of further raids and campaigns in the area of the border, but Halidon Hill was in fact the only battle Edward himself fought on English soil. The field of his other military endeavours lay across the Channel.
The kings of France and of England were, at the time, the two most powerful sovereigns in Europe; much of the continent was divided into dukedoms and principalities that fought only against each other. So it was perhaps inevitable that France and England should vie for mastery. That is the law of life.
The particular source of conflict was, once again, the duchy of Gascony that represented the last piece of the Plantagenet Empire still in English hands. In the Treaty of Paris, signed more than eighty-three years before, Henry III had given up his old French empire in exchange for its possession. Yet Gascony was still considered to be part of France, and therefore the new king of England on his succession was obliged to do fealty (or ‘liege homage’ as it was known) as a vassal of the French king. But how could an English sovereign owe loyalty to a foreign sovereign? He would be obliged to supply the French king with arms and soldiers. He was not allowed to enter an alliance with the enemies of France. If he did so, Gascony might be confiscated.