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            <title type="main">The Four Humours and Literature</title>
            <title type="alpha">Humours and Literature, The Four</title>
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               <name ref="pers:CART9">Mackenzie Carter</name>
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     <div xml:id="emee_HumoursAndShakespeare_PrimaryQualitiesAndSimpleBodies">
        <head>Primary Qualities and Simple Bodies</head>
        <p xml:id="emee_HumoursAndShakespeare_p1">Dating back to ancient Greece, philosophers have investigated the nature of matter and how to categorize it. In the fifth century BCE, Empedocles of Acragas pioneered the influential theory that four stable elements (fire, air, water and earth) were the foundation to all matter. His theory held that these elements created everything in the visible world. These four distinct divisions provided the foundation for further understanding and categorization of nature’s elements.</p>
        <p xml:id="emee_HumoursAndShakespeare_p2">The ancient Greek physician Galen (129–216 CE) speculated that the four primary elements expressed themselves as combinations of more basic qualities which he called simple bodies. The simple bodies were categorized into hot, cold, dry, and moist. He suggested that the combination of any two of these basic qualities produces one of the four primary elements. His work shows a preliminary attempt at understanding and explaining chemical changes.
        <table>
           <row role="data">
              <cell>Fire</cell>
              <cell>Hot + Dry</cell>
           </row>
           <row role="data">
              <cell>Air</cell>
              <cell>Hot + Moist</cell>
           </row>
           <row role="data">
              <cell>Water</cell>
              <cell>Cold + Moist</cell>
           </row>
           <row role="data">
              <cell>Earth</cell>
              <cell>Cold + Dry</cell>
           </row>
        </table>
        </p>
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      <div xml:id="emee_HumoursAndShakespeare_FourHumours">
         <head>The Four Humours</head>
         <p xml:id="emee_HumoursAndShakespeare_p3">The most famous physicians of ancient Greece, Hippocrates (460–370 BCE) and later Galen, hypothesized the human body was exclusively composed of a mixture of the four humours. Hippocrates suggested that the four humours were by-products of simple bodies, like all matter found in nature.
         <table>
            <row role="data">
               <cell>Phlegm</cell>
               <cell>Cold + Moist</cell>
            </row>
            <row role="data">
               <cell>Black Bile</cell>
               <cell>Cold + Dry</cell>
            </row>
            <row role="data">
               <cell>Blood</cell>
               <cell>Hot + Moist</cell>
            </row>
            <row role="data">
               <cell>Yellow Bile</cell>
               <cell>Hot + Dry</cell>
            </row>
         </table>
While Hippocrates linked the fluid humors to the combination of natural elements, Galen suggested that an individual’s personality and temperament is the result of an imbalance, either excess or deficiency, of one or two of the humors.</p>
            <p xml:id="emee_HumoursAndShakespeare_p4">The early modern period incorporated Hippocrates and Galen’s concepts into medical practices. Physicians believed that health was dependent on a humoral equilibrium in the body, so disease was the result of a humour that was out of balance. Often, treatment was rooted in rebalancing humours in the body by means of diet. For example, if an individual had an excess of phlegm, which is a combination of cold and moist, it would be treated by eating foods with the opposite combination of simple bodies (hot and dry).</p>
      </div>
      <div xml:id="emee_HumoursAndShakespeare_HumoursAndTemperment">
         <head>The Four Humours and Temperament</head>
         <p xml:id="emee_HumoursAndShakespeare_p5">Early modern English medicine believed that all individuals possessed a complexion or temperament that reflected their unique blend of qualities and humours. A slightly higher level of one of the humours resulted in a positive presentation of the humour. However, a great overabundance of one humour resulted in a more intense and negative characteristic.
         <table>
            <row role="label">
               <cell>Humoural Temperment</cell>
               <cell>Cause</cell>
               <cell>Associated Organ</cell>
               <cell>Characteristics</cell>
               <cell>Shakespeare Characters</cell>
            </row>
            <row role="data">
               <cell>Melancholic</cell>
               <cell>Excess black bile</cell>
               <cell>Spleen</cell>
               <cell>Pessimism, gloom, depression, introspection, moodiness, hypochondria</cell>
               <cell>Hamlet, Benedick, Romeo</cell>
            </row>
            <row role="data">
               <cell>Choleric</cell>
               <cell>Excess yellow bile</cell>
               <cell>Gall bladder</cell>
               <cell>Anger, violence, volatility, resentment, rage, spite, ambition, vengefulness</cell>
               <cell>Lady Macbeth, Petruchio, Katerina Minola</cell>
            </row>
            <row role="data">
               <cell>Phlegmatic</cell>
               <cell>Excess phlegm</cell>
               <cell>Brain</cell>
               <cell>Laziness, apathy, impassivity, calmness, sleepiness, cowardice</cell>
               <cell>Sir John Falstaff, Sir Toby Belch</cell>
            </row>
            <row role="data">
               <cell>Sanguine</cell>
               <cell>Excess blood</cell>
               <cell>Heart</cell>
               <cell>Optimism, passion, boldness, kindness, courage, youth, overindulgence</cell>
               <cell>Prince Hal (Henry V), Rosalind</cell>
            </row>
         </table>
         </p>
         <p xml:id="emee_HumoursAndShakespeare_p6">This summary based on Cummings and Ekstrom</p>
      </div>
      <div xml:id="emee_HumoursAndShakespeare_ShakespeareanCosmology">
         <head>Humours and Shakespearean Cosmology</head>
         <p xml:id="emee_HumoursAndShakespeare_p7">In her article <title level="a">Altogether Governed by Humors: The Four Ancient Temperaments in Shakespeare</title>, Caitlyn Fahey asserts that Shakespeare used the theory of the four humours to develop many of his characters throughout his work. She says that many figures display several humoral traits while other characters distinctly depict an overabundance of one humour in particular.</p>
         <p xml:id="emee_HumoursAndShakespeare_p8">The melancholy temperament appears prominently in Elizabethan literature and can be easily recognized in Shakespeare’s works. <title level="m">Hamlet</title> tells the tragic story of a man grieving the loss of his father, the recent remarriage of his mother to his uncle, and a turbulent love affair. Hamlet is a melancholic character. After the death of his father, his mother does his best to cheer him up when she says, <quote>Good Hamlet, cast thy nighted color off</quote> (1.2.71). She tells him to release the darkness (melancholy) that is consuming his disposition, as well as asking him to change his clothes from the mourning garb he has been wearing (Fahey 10).</p>
         <p xml:id="emee_HumoursAndShakespeare_p9">A strong example of a phlegmatic character in Shakespeare’s work is Sir John Falstaff in <title level="m">Henry IV, Part 1</title>. A quote from Prince Hal illuminates the temperament of Falstaff’s character:
            <cit><quote>Thou art so fat-witted with drinking of old sac, and unbuttoning thee after supper, and sleeping upon benches after noon, that thou hast forgotten to demand that truly which thou wouldst truly know. What a devil hast thou to do with the time of the day? Unless hours were cups of sack, and minutes capons, and clocks the tongues of bawds, and dials the signs of leaping houses, and the blessed sun himself a fair hot wench in flame-coloured taffeta, I see no reason why thou shouldst be so superfluous to demand the time of day.</quote><bibl>(1.2.2–11)</bibl></cit>
         </p>
         <p xml:id="emee_HumoursAndShakespeare_p10">Prince Hal describes Falstaff as lazy, sleepy, apathetic, drunk, fat, and old, which are all key characteristics of a phlegmatic temperament (18).</p>
         <p xml:id="emee_HumoursAndShakespeare_p11">For a choleric temperament, one can look to Lady Macbeth. In the play <title level="m">Macbeth</title>, she convinces her husband to murder the king so that they can have a chance at the crown. Her actions are ambitious, vengeful, and violent. Her choleric character type is on full display when Lady Macbeth orders the spirits to <quote>Take my milk for gall, you murdering ministers</quote> (1.5.48). The gall bladder is associated with a choleric temperament and the production of yellow bile. In essence, Lady Macbeth instructs the spirits to take the milk from her breasts to make room for yellow bile that will fill her with ruthlessness and rage (Fahey 28).</p>
         <p xml:id="emee_HumoursAndShakespeare_p12">Characters with sanguine temperamentare are much more difficult to distinguish. Perhaps the clearest example is Viola from <title level="m">Twelfth Night</title>. Viola is a passionate, devoted, and optimistic character. She is determined to win the heart of Orsino, who is in love with the countess Olivia. Several lines in the play make references to the liver, an organ associated with blood and thereby a sanguine complexion. In disguise as a young man called Caersario, Olivia suggests to the duke that another woman could love him as strongly as Olivia, to which he responds, <quote>Their love may be called appetite, no motion of the liver, but the palate</quote> (2.4.56–7). Humoral theory holds that passion is a by-product an excess of blood in the liver. By saying this, Orsino explains that another could love him but that it could not match the passion he feels for Olivia. Despite being rejected, Viola stays true to her optimistic and bold temperament and, in the end, does win the duke’s heart (36).</p>
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         <head>Key Print Sources</head>
         <listBibl>
            <bibl><author>Hoeniger, F. David</author>. <title level="m">Medicine and Shakespeare in the English Renaissance</title>. <publisher>University of Delaware Press</publisher>, 1992.</bibl>
            
            <bibl><author>Nutton, Vivian</author>. <title level="m">Ancient Medicine</title>.  <publisher>Routledge</publisher>, 2004.</bibl>
            
            <bibl><author>Shakespeare, William</author>. <title level="m">The First Part of King Henry the Fourth</title>. Ed. <editor>David Bevington</editor>. <title level="m">The Necessary Shakespeare, Second Edition</title>.  <publisher>Pearson Education, Inc.</publisher>, 2005. pp. 373–411.</bibl>
            
            <bibl><author>Shakespeare, William</author>. <title level="m">Hamlet</title>. Ed. <editor>David Bevington</editor>. <title level="m">The Necessary Shakespeare, Second Edition</title>.  <publisher>Pearson Education, Inc.</publisher>, 2005. pp. 552–604.</bibl>
            
            <bibl><author>Shakespeare, William</author>. <title level="m">Macbeth</title>. Ed. <editor>David Bevington</editor>. <title level="m">The Necessary Shakespeare, Second Edition</title>.  <publisher>Pearson Education, Inc.</publisher>, 2005. pp. 715–747.</bibl>
            
            <bibl><author>Shakespeare, William</author>. <title level="m">Twelfth Night</title>. Ed. <editor>David Bevington</editor>. <title level="m">The Necessary Shakespeare, Second Edition</title>.  <publisher>Pearson Education, Inc.</publisher>, 2005. pp. 194–226.</bibl>
         </listBibl>
      </div>
      <div xml:id="emee_HumoursAndShakespeare_biblioOnline">
         <head>Key Online Sources</head>
         <listBibl>
            <bibl><author>Brander, Elizabeth</author>. <title level="m">Humouralism and the Seasons</title>. <title level="m">Becker Medical Library</title>. <publisher>Washngton University School of Medicine</publisher>, 30 Oct. 2020. <ref target="https://becker.wustl.edu/news/humoralism-and-the-seasons/">https://becker.wustl.edu/news/humoralism-and-the-seasons/</ref>.</bibl>
            
            <bibl><author>Ekstrom, Nelly</author>. <title level="a">Shakespeare and the Four Humours</title>. <title level="m">The Wellcome Collection</title>. 11 Dec. 2016. <ref target="https://wellcomecollection.org/stories/W-MM-xUAAAinxgs3">https://wellcomecollection.org/stories/W-MM-xUAAAinxgs3</ref>.</bibl>
            
            <bibl><author>Fahey, Caitlyn</author>. <title level="a">Altogether Governed by Humors: The Four Ancient Temperaments in Shakespeare</title>. <title level="m">University of South Florida Graduate Thesis and Dissertations</title>. <ref target="https://digitalcommons.usf.edu/cgi/viewcontent.cgi?article=1229&amp;context=etd">https://digitalcommons.usf.edu/cgi/viewcontent.cgi?article=1229&amp;context=etd</ref>.</bibl>
            
            <bibl><author>Kingsley, K.</author>, and <author>R. Parry</author>. <title level="a">Empedocles</title>. Ed. <editor>Edward N. Zalta</editor>. <title level="j">The Stanford Encyclopedia of Philosophy</title>. Summer 2020. <title level="m">Stanford Encyclopedia of Philosophy Advice</title>. <ref target="https://plato.stanford.edu/archives/sum2020/entries/empedocles/">https://plato.stanford.edu/archives/sum2020/entries/empedocles/</ref>.</bibl>
            
            <bibl><author>Hankinson, J. Robert</author>. <title level="a">Substance, Element, Quality, Mixture: Galen’s Physics and His Hippocratic Inheritance</title>. 2017. <title level="m">Open Edition Journals</title>. <idno type="DOI">10.4000/aitia.1863</idno>.</bibl>
            
            <bibl><author>Lyon, Karen</author>. <title level="a">The Four Humours: Eating in the Renaissance</title>. <title level="m">Shakespeare and Beyond</title>. 4 Dec. 2015. <ref target="https://www.folger.edu/blogs/shakespeare-and-beyond/the-four-humors-eating-in-the-renaissance/">https://www.folger.edu/blogs/shakespeare-and-beyond/the-four-humors-eating-in-the-renaissance/</ref>.</bibl>
            
            <bibl><author>Singer, P. N.</author> <title level="a">Galen</title>. <title level="m">The Stanford Encyclopedia of Philosophy</title>. Winter 2021. Ed. <editor>Edward N. Zalta</editor>. <title level="m">Stanford Encyclopedia of Philosophy Advice</title>. <ref target="https://plato.stanford.edu/entries/galen/#ElemPrinMatt">https://plato.stanford.edu/entries/galen/#ElemPrinMatt</ref>.</bibl>
         </listBibl>
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