[The characters "" and "" in Annotated Treatise on Febrile Diseases].

Annotated Treatise on Febrile Diseases by Cheng Wuji is believed to be the earliest and fully annotated Treatise on Febrile Diseases remaining in China. It has had a profound influence because it was once a popular version of Treatise on Febrile Diseases. It was found that in this book "once constipation lasted for six or seven days, there might be dry excrement. In this case, Xiao Chengqi decoction should be taken (was used here in Chinese) for this condition". However, "" seems not to be used appropriately in this context. Therefore, archival research was used to analyse the meaning of "" and "" and Chinese Textual Bibliography was used to review the use of "" and "" in main versions of Annotated Treatise on Febrile Diseases. It was found that "" occurred as a misunderstanding of "" after the middle of the Ming Dynasty. Therefore, "" in this book should be "".

[Examining the author of She Sheng Yao Yi].

She Sheng Yao Yi, a medical book on how to keep fit and healthy in the Ming Dynasty, contained a variety of theoretical ideas for doing so from diverse traditional Chinese medicine physicians and had great influence. However, its author has not been identified because the author of this book in Bibliography of Ancient Books of Traditional Chinese Medicine and Bibliography of Ancient Chinese Books is claimed to be different. The authors dates of birth and death also vary in other relevant reference books. This paper examines and identifies the author of this book based on biographies, historical records, dictionaries and other relevant documents, with a view to contributing to the research of medical history literature.

Important Drugs and Its Patterns during the Late Goryeo Dynasty -Obtain and distribution of Bupleuri Radix and Ginger.

This article deals with drugs obtain and distribution during the Goryeo Dynasty. In particular, I analyzed the case of 'Bupleuri Radix', which corresponds to 'dot-ui minali' as Idu, an archaic Korean notation, and Ginger, which was intentionally introduced and cultivated in Goryeo. Drugs of the Goryeo Dynasty can be classified into 5 types. Drugs that use the Chinese character name as the name of Goryeo were type A, drugs that correspond 1:1 with the archaic Korean notation to the Chinese character name were type B, and drugs that have the Chinese character name translated directly into the Korean name were type C. And although it were originally the foreign drugs, the drugs cultivated in Goryeo were Type D, and the drugs imported from foreign countries were Type E. Among these, types B and D are particularly interesting. Bupleuri Radix and Ginger discussed in this article were representative examples of type B and D respectively. Looking overall, type B had the highest proportion, followed by type A. Type E was the next most common. On the other hand, type C and D were relatively small. However, regardless of the high or low proportion, these types coexisted and constituted the therapeutic drugs of the Goryeo Dynasty. In conclusion, during the Goryeo Dynasty, interest and use of local drugs, namely Hyangjae, greatly expanded.

Unveiling the female experience through adult mortality and survivorship in Milan over the last 2000 years.

This study challenges historical paradigms using a large-scale integrated bioarchaeological approach, focusing on the female experience over the last 2,000 years in Milan, Italy. Specifically, 492 skeletons from the osteological collection of Milan were used to elucidate female survivorship and mortality by integrating bioarchaeological and paleopathological data, paleoepidemiological analyses, and historical contextualization. Findings revealed changes in female longevity, with a notable increase from Roman to contemporary eras, albeit plateauing in the Middle Ages/modern period. Significant sex-specific differences in mortality risk and survivorship were observed: females had higher mortality risk and lower survivorship in the Roman (first-fifth century AD) and Modern (16th-18th century AD) eras, but this trend reversed in the contemporary period (19th-20th century AD). Cultural and social factors negatively impacted female mortality in Roman and modern Milan, while others buffered it during the Middle Ages (sixth-15th century AD). This study underscored the importance of bioarchaeological inquiries in reconstructing the past, providing answers that may challenge historical assumptions and shedding light on how the interplay of cultural, social, and biological factors shaped the female experience across millennia.

Landscape-scale spatial variations of pre-Columbian anthropogenic disturbances at three ring ditch sites in French Guiana.

In the past two decades, repeated discoveries of numerous geometric earthworks in interfluvial regions of Amazonia have shed new light onto the territorial extent and the long-term impact of pre-Columbian populations on contemporary landscapes. In particular, the recent development of LiDAR imagery has accelerated the discovery of earthworks in densely forested hinterlands throughout the Amazon basin and the Guiana Shield. This study aimed to evaluate the extent and landscape-scale spatial variations of pre-Columbian disturbances at three ring ditch sites in the French Guiana hinterland. We carried out extensive soil surveys along approximately 1 km-long transects spanning from ring ditches through the surrounding landscapes, and drawn upon multiple indicators, including archaeological artifacts, macro- and micro-charcoals, soil colorimetry, and physicochemical properties to retrace the pre-Columbian history of these sites in terms of occupation periods, anthropogenic soil alteration, and ancient land use. Our results revealed a perennial occupation of these sites over long periods ranging from the 5th and 15th centuries CE, with local enrichments in chemical indicators (Corg, N, Mg, K, Ca) both within the enclosures of ring ditches and in the surrounding landscapes. Physicochemical properties variations were accompanied by variations in soil colorimetry, with darker soils within the enclosure of ring ditches in terra-firme areas. Interestingly however, soil properties did not meet all the characteristics of the so-called Amazonian Dark Earths, thus advocating a paradigm shift towards a better integration of Amazonian Brown Earths into the definition of anthropogenic soils in Amazonia. Soil disturbances were also associated to local enrichments in macro- and micro-charcoals that support in situ fire management that could be attributed to forest clearance and/or slash-and-burn cultivation. Taken together, our results support the idea that pre-Columbian societies made extensive use of their landscapes in the interfluvial regions of the French Guiana hinterlands.

Ancient Rapanui genomes reveal resilience and pre-European contact with the Americas.

Rapa Nui (also known as Easter Island) is one of the most isolated inhabited places in the world. It has captured the imagination of many owing to its archaeological record, which includes iconic megalithic statues called moai1. Two prominent contentions have arisen from the extensive study of Rapa Nui. First, the history of the Rapanui has been presented as a warning tale of resource overexploitation that would have culminated in a major population collapse-the 'ecocide' theory2-4. Second, the possibility of trans-Pacific voyages to the Americas pre-dating European contact is still debated5-7. Here, to address these questions, we reconstructed the genomic history of the Rapanui on the basis of 15 ancient Rapanui individuals that we radiocarbon dated (1670-1950 CE) and whole-genome sequenced (0.4-25.6×). We find that these individuals are Polynesian in origin and most closely related to present-day Rapanui, a finding that will contribute to repatriation efforts. Through effective population size reconstructions and extensive population genetics simulations, we reject a scenario involving a severe population bottleneck during the 1600s, as proposed by the ecocide theory. Furthermore, the ancient and present-day Rapanui carry similar proportions of Native American admixture (about 10%). Using a Bayesian approach integrating genetic and radiocarbon dates, we estimate that this admixture event occurred about 1250-1430 CE.

Vinegar - a beneficial food additive: production, safety, possibilities, and applications from ancient to modern times.

Vinegar is a natural product derived from fruits or grains after being subjected to food fermentation processes. Vinegar is a beneficial food additive, preservative, and condiment. It is appreciated across the Islamic world following the Prophetic teaching where Prophet Muhammad (peace be upon him) recommended its utility, saying: "The best of condiments is vinegar". Modern medicine recognizes the health benefits, especially upon metabolism and circulation, mediated by the bioactive constituents of vinegar, including acetic acid, caffeic acid, ferulic acid, chlorogenic acid, gallic acid, p-coumaric acid, catechin, and epicatechin. Using a variety of search engines, including Google Scholar, Sci-Finder, Wiley publications, Springer Link, Scopus, MDPI, Web of Science, and PubMed, a thorough survey of the literature was carried out. To compile a comprehensive data on the various varieties of vinegar, this review highlights and updates the existing information of different vinegar-related topics including production methods, quality assessment using different quantitative analysis tools, preclinical and clinical studies, structure-activity relationship, consumption, and applications from antiquity to the present.

Medicine, Life, and Transformations of Matter.

This Ambix special issue explores premodern alchemical ideas and practices in their entanglements with medicine. It employs diverse methods, from traditional close reading to the new distant-reading framework of computational humanities, to investigate alchemical thought over a timespan of several centuries. In medieval times, everyday practices could offer heuristic models of material transformation - such as the fermentation of bread as a model for metallic transmutation (Schmechel). Paracelsus relied on "fire" to link his natural philosophy with his medical alchemy; new computational methods show how his ideas evolved over time (Hedesan). Early modern medical pluralism favoured the thriving of chemical medicine in Italy; diplomatic efforts introduced chemical remedies into acknowledged pharmacopoeias (Clericuzio). An English physician offers William Cavendish both practical distillation recipes and the hope of learning more about the principles of chemistry (Begley). In eighteenth-century France, Diderot draws on chemical ideas to blur the conceptual boundary between living and non-living matter (Wolfe). The papers largely adhere to integrated history and philosophy of science (iHPS) and to a pragmatist "operational ideal of knowledge" (Chang). They showcase the interdisciplinarity of premodern scientific thought and examine how medicine and alchemy, but also theory and (everyday) practice informed each other fruitfully across the ages.

Leaven of Dough, Ferment of Gold: The Breadmaking Analogy in Medieval Metallic Transmutation.

This paper traces the analogy between the making of bread with ferment (leaven or yeast) and theories of metallic transmutation throughout the Middle Ages. For this purpose it surveys several medieval alchemical writings, including Hortulanus's influential Commentary on the Emerald Tablet. In this work, the ferment, an essential ingredient of the philosophers' stone, is portrayed less as an active agent and more as the passive, nutritive earth (terra nutrix) which combines with the soul (anima) in order to yield the stone (lapis). I argue that the background of these theories has both a practical and a medical-theoretical dimension. The practical aspect derives from historical everyday practices of making bread from sourdough, and using old yeast "starter" as a kind of inoculum to speed up the fermentation of a new batch of fresh dough. The medical-theoretical framework for the understanding of ferment action was likely provided by the widely influential Galenic idea of whole substance action (Gr. καθ᾽ὅλην τá½´ν οὐσίαν, Lat. tota substantia), initially developed by Galen in pharmacology and later imported into alchemy via Arabic medicine. Together, these aspects converge into a successful model of "inoculation-emergence," which underlies many medieval and early modern theories of fermentation, both medical and alchemical.

Jet stream controls on European climate and agriculture since 1300 CE.

The jet stream is an important dynamic driver of climate variability in the Northern Hemisphere mid-latitudes1-3. Modern variability in the position of summer jet stream latitude in the North Atlantic-European sector (EU JSL) promotes dipole patterns in air pressure, temperature, precipitation and drought between northwestern and southeastern Europe. EU JSL variability and its impacts on regional climatic extremes and societal events are poorly understood, particularly before anthropogenic warming. Based on three temperature-sensitive European tree-ring records, we develop a reconstruction of interannual summer EU JSL variability over the period 1300-2004 CE (R2 = 38.5%) and compare it to independent historical documented climatic and societal records, such as grape harvest, grain prices, plagues and human mortality. Here we show contrasting summer climate extremes associated with EU JSL variability back to 1300 CE as well as biophysical, economic and human demographic impacts, including wildfires and epidemics. In light of projections for altered jet stream behaviour and intensified climate extremes, our findings underscore the importance of considering EU JSL variability when evaluating amplified future climate risk.

Analysis and comparison of tooth wear in late antiquity and early middle age in populations that lived in continental and coastal Croatia using digitized VistaMetrix method.

BACKGROUND: Tooth wear is a non-pathological loss of hard tissues on the incisal and occlusal tooth surface. In archaeology, the loss of dental tissue through attrition is associated with living opportunities and habits, availability, characteristics and methods of food preparation. In forensics, tooth wear is used to estimate the dental age on cadavers. MATERIAL AND METHODS: For this study, we used an archaeological sample from two sample collections. In this study, tooth wear was compared in archaeological samples of well-preserved maxilla and mandible specimens (n=392) from Croatian coastal and continental populations from Late Antiquity (LA) and the Early Middle Ages (EMA). The computer system VistaMetrix 1.38 was used to analyse the abrasion and attrition of hard dental tissues. The Shapiro-Wilk and chi-square tests were performed for categorical data to test the difference between two historical periods and two geographical locations, while the Kruskal-Wallis test was performed for continuous data. RESULTS: There was a statistically significant difference in the proportion of tooth wear in total teeth area (P < 0.001) when comparing continental and coastal Croatia in LA and coastal Croatia between LA and EMA (P = 0.006 and P < 0.001, respectively). Samples from coastal Croatia from the LA period had the lowest percentage of tooth wear with a median of 8.35%, while samples from coastal Croatia from the EMA had the highest percentage of tooth wear with a median of 18.26%. Our results generally show greater tooth wear in the EMA period in male subjects. CONCLUSION: The results of the tooth wear research obtained with the Vista Metrix software can contribute to the study of life circumstances and changes that the analysed population has experienced in its historical development.

The role of emerging elites in the formation and development of communities after the fall of the Roman Empire.

Elites played a pivotal role in the formation of post-Roman Europe on both macro- and microlevels during the Early Medieval period. History and archaeology have long focused on their description and identification based on written sources or through their archaeological record. We provide a different perspective on this topic by integrating paleogenomic, archaeological, and isotopic data to gain insights into the role of one such elite group in a Langobard period community near Collegno, Italy dated to the 6-8th centuries CE. Our analysis of 28 newly sequenced genomes together with 24 previously published ones combined with isotope (Sr, C, N) measurements revealed that this community was established by and organized around a network of biologically and socially related individuals likely composed of multiple elite families that over time developed into a single extended pedigree. The community also included individuals with diverse genetic ancestries, maintaining its diversity by integrating newcomers and groups in later stages of its existence. This study highlights how shifts in political power and migration impacted the formation and development of a small rural community within a key region of the former Western Roman Empire after its dissolution and the emergence of a new kingdom. Furthermore, it suggests that Early Medieval elites had the capacity to incorporate individuals from varied backgrounds and that these elites were the result of (political) agency rather than belonging to biologically homogeneous groups.

A glimpse into the past of Hansen's disease - Re-evaluation and comparative analysis of cases with leprosy from the Avar period of the Trans-Tisza region, Hungary.

Our knowledge of how society viewed leprosy and treated its victims in the past is still scarce, especially in geographical regions and archaeological periods from where no written sources are available. To fill in some research gaps, we provide the comparative analysis of five previously described, probable cases with leprosy from the Avar-period Trans-Tisza region (Hungary). The five skeletons were subject to a detailed macromorphological (re-)evaluation. Where possible, the biological and social consequences of having leprosy were reconstructed based on the observed bony changes and mortuary treatment, respectively. The retrospective, macromorphology-based diagnosis of leprosy could be established in three cases only. Based on the detected skeletal lesions, all of them suffered from near-lepromatous or lepromatous leprosy. The disease resulted in aesthetic repercussions and functional implications, which would have been disadvantageous for these individuals, and limited or changed their possibilities to participate in social situations. They could have even required heavy time investment from their respective communities. The analysis of the mortuary treatment of the confirmed leprosy cases revealed no evidence of a social stigma. These findings indicate that the afflicted have not been systematically expulsed or segregated, at least in death, in the Early Middle Ages of the Carpathian Basin.

Five centuries of consanguinity, isolation, health, and conflict in Las Gobas: A Northern Medieval Iberian necropolis.

Between the 8th and 11th centuries CE, the Iberian Peninsula underwent profound upheaval due to the Umayyad invasion against the Visigoths, resulting in population shifts and lasting demographic impacts. Our understanding of this period is hindered by limited written sources and few archaeogenetic studies. We analyzed 33 individuals from Las Gobas, a necropolis in northern Spain, spanning the 7th to 11th centuries. By combining archaeological and osteological data with kinship, metagenomics, and ancestry analyses, we investigate conflicts, health, and demography of these individuals. We reveal intricate family relationships and genetic continuity within a consanguineous population while also identifying several zoonoses indicative of close interactions with animals. Notably, one individual was infected with a variola virus phylogenetically clustering with the northern European variola complex between ~885 and 1000 CE. Last, we did not detect a significant increase of North African or Middle East ancestries over time since the Islamic conquest of Iberia, possibly because this community remained relatively isolated.

Early archaeological evidence of wheat and cotton from medieval Ile-Ife, Nigeria.

This study reports the earliest directly dated occurrence of archaeological wheat and cotton in the humid forests of West Africa. These are the first archaeobotanical results from the medieval urban center of Ile-Ife, southwestern Nigeria, best known for its famous artworks. Both wheat and cotton likely spread through trans-Saharan trade networks that laid the foundation for later European trade systems. Forty-eight (48) grains of free-threshing wheat (Triticum aestivum/durum) represent the largest assemblage of wheat recovered in sub-Saharan West Africa, which is surprising given that wheat cannot be cultivated locally. Larger quantities of cotton (Gossypium sp.) recovered from late 12th- to early 13th-century CE contexts suggest earlier and more widespread use than wheat. Cotton may have been cultivated and manufactured into cloth locally. The quick adoption of these exotic crops illustrates the active negotiation of prestige through culinary and adornment practices, as well as a high degree of agricultural experimentation.

Historical evolution of olive oil production processes focusing on the role of water, the contribution of energy sources, and the by-product management: The case-study of Crete, Greece.

There are numerous studies dealing with olive oil management from ancient civilizations to the mid last century, but they are limited on the historical value of information. At the same time, much knowledge is widely available and accessible on the contemporaneous production of olive oil, the necessary inputs (water and energy) and outputs (by-products) of the production process. The present study aims to shed light on olive oil extraction management from antiquity to present and to bridge the gap between archaeological and modern agricultural, engineering, and environmental disciplines. For the purposes of this study, Crete, Greece, a well-known and traditional olive oil producing region is investigated. This study is dedicated to unveil practices concerning: (a) the processing of the olives, (b) the various energy aspects per era, (c) the role of water and energy at each stage of the extraction process, and (d) management of by-products per era. The main findings support that: (a) the evolution of the extraction processes was relatively slow and remained almost the same from Minoan times until the middle of the 20th century, (b) the importance of water has been demonstrated from the beginning in the efficient extraction of the maximum amount of olive oil, (c) wastewater was first reported during the Hellenistic-Roman period due to the increased quantities produced, (d) by-product management was only considered in the previous century for environmental purposes, (e) olive oil production has been a human-based process for centuries and was greatly increased by the introduction of animals, and (f) olive oil production was further increased with the utilization of mechanical and electrical energy. It can be therefore clearly concluded that past practices have both similarities and differences with the present ones, which in turn have been optimized in terms of energy sources, water uses, olive mill equipment, and environmental considerations, to result in maximum olive oil production with minimum environmental impacts. Based on this work, important lessons can be drawn that show the historical evolution of extraction and management practices.

Health inequality in medieval Cambridge, 1200-1500 CE.

Health inequality is not only a major problem today; it left its mark upon past societies too. For much of the past, health inequality has been poorly studied, mostly because bioarchaeologists have concentrated upon single sites rather than a broader social landscape. This article compares 476 adults in multiple locations of medieval Cambridge (UK). Samples include ordinary townspeople (All Saints), people living in a charitable institution (the Hospital of St. John), and members of a religious order (the Augustinian Friary). These groups shared many conditions of life, such as a similar range of diseases, risk of injury, and vertebral disk degeneration. However, people living on charity had more indicators of poor childhood health and diet, lower adult stature, and a younger age at death, reflecting the health effects of poverty. In contrast, the Augustinian friars were members of a prosperous, well-endowed religious house. Compared with other groups, they were taller (perhaps a result of a richer diet during their adolescent growth period); their adult carbon and nitrogen isotope values are higher, suggesting a diet higher in terrestrial and/or marine animal protein; and they had the highest prevalence of foot problems related to fashionable late medieval footwear. As this illustrates, health inequality will take particular forms depending upon the specificities of a social landscape; except in unusual circumstances where a site and its skeletal samples represent a real cross-section of society, inequality is best investigated by comparison across sites.

Bone Toothbrush Handles in Chinese Tang Dynasty Ash Pits.

China has been recognized as an important birthplace of dentistry in the world. The bone toothbrush from ash pits in the museum of the Chengdu University of Traditional Chinese Medicine confirms that the Chinese had the awareness of cleaning their teeth and the tools to do for over 1000 years. These findings help to promotes the study of the historical development of dentistry in China.

Human genetic structure in Northwest France provides new insights into West European historical demography.

The demographical history of France remains largely understudied despite its central role toward understanding modern population structure across Western Europe. Here, by exploring publicly available Europe-wide genotype datasets together with the genomes of 3234 present-day and six newly sequenced medieval individuals from Northern France, we found extensive fine-scale population structure across Brittany and the downstream Loire basin and increased population differentiation between the northern and southern sides of the river Loire, associated with higher proportions of steppe vs. Neolithic-related ancestry. We also found increased allele sharing between individuals from Western Brittany and those associated with the Bell Beaker complex. Our results emphasise the need for investigating local populations to better understand the distribution of rare (putatively deleterious) variants across space and the importance of common genetic legacy in understanding the sharing of disease-related alleles between Brittany and people from western Britain and Ireland.

Searching for alternative high DNA-yielding bone types for DNA analysis of aged skeletal remains.

The petrous bone contains significantly higher amounts of DNA than any other human bone. Because of highly destructive sampling and because it is not always part of the recovered remains, the need for alternative sources of DNA is important. To identify additional optimal bone types, petrous bones were compared to femurs, tali, and calcanei sampled from 66 adult skeletons from two distinct modern-era Christian cemeteries. An extraction method employing full demineralization was used to obtain DNA, real-time PCR quantification to ascertain DNA quantity and degradation, and a commercial forensic short tandem repeats (STR) PCR amplification kit to determine genetic profiles. Statistical analysis was performed to explore the differences in DNA yield, DNA degradation, and success of STR amplification. A systematic studies exploring intra-skeletal variability in DNA preservation including various excavation sites differing by time period and geographical position are rare, and the second part of the investigation was based on a comparison of both archaeological sites, which allowed us to compare the effect of different post-mortem intervals and environmental conditions on DNA preservation. The older burial site in Crnomelj was active between the 13th and 18th century, whereas the more recent Polje burial was in use from the 16th to 19th century, creating different temporal and geographical environments. Results for the Crnomelj burial site revealed that the petrous bone outperformed all other bone types studied, except the calcaneus. At the Polje archeological site calcanei, tali, and femurs yielded the same STR typing success as petrous bones. The results obtained highlight the importance of careful bone sample selection for DNA analysis of aged skeletal remains. In addition to petrous bones, calcanei were found to be an alternative source of DNA when older burial sites are investigated. When more recent burial sites are processed, calcanei, tali, and femurs should be sampled besides petrous bones, not only because they exhibited good performance, but also because of easier sampling and easier grinding in the case of trabecular bones. This study contributes valuable insights into the potential use of various skeletal types as a source of DNA for investigation of aged skeletal remains, and it offers practical implications for forensic and archaeological investigations.