Western history, from ancient times to the present, is filled with references to the four humors. Sometimes maligned, sometimes revered, and—in the modern world, at least—often misunderstood, humoral theory is one of history’s most enduring medical practices.
The Basics
Humoral medicine dates back to the ancient Greeks, and is based upon the interplay between temperature and moisture. It originated with Hippocrates in the fourth century B.C., and was later elaborated on by Galen and others.According to this perspective, the human body contains a mix of the four humors—blood, yellow bile, black bile, and phlegm—and each individual has a particular humoral makeup, or constitution. Good health includes a proper balance of the humors for that person.
The four humors are also connected to far more than physical health, and are mirrored in the environment around us, including the seasons and the elements.
Food and the Humors
Each humor embodies a different quality (hot, cold, moist, or dry), and similarly, different foods are connected to those qualities and thus to certain humors (foods that are hot and dry promote yellow bile, for example).The entire system and its application are, of course, much more complex than that one guideline. For instance, a food’s humoral properties also go beyond taste or texture to include the source animal’s habitat or plant’s growing environment. As Albala notes, “Cattle fed cold and dry oats become cold and dry; sheep fed grass become cold and moist. Simply, the organism becomes what it eats.”
Balance
Part of maintaining health, then, was to eat a balanced diet, ensuring that one wouldn’t get too much of one thing and thus be thrown into a state of imbalance. Such a diet should include elements of each humor, in different proportions based upon individual constitution.Unlike modern American dietary guidelines, which offer standard intake recommendations for large classes of food, humoral medicine is highly customized. Each person is born with a dominant humor, along with a mixture of the others, and as such each person needed a blend of different foods to balance their temperament.
All systems should be balanced, but what that balance looks like and how it is achieved varies considerably between person to person.
On the Modern Plate
While humoral theory is no longer the guiding principle it once was, its influence lingers here and there. We see humoral theory at work in some herbal and folk medicine in places such as the Appalachian mountains, and we still see echoes in modern medicine, where health is often evaluated by analyzing fluids like urine and blood.And, of course, we see it at work on our plates and our perceptions of what we eat.
The Curious Case of Lemon and Fish
The combination of lemon and fish or vinegar and fish is so ubiquitous that we see it in many variations over the last handful of centuries, especially in American cookery books in the mid-19th to early 20th centuries. During this period, many cookery books also show a lemon-butter sauce (often with cream) that is served over the top of fish, or the use of lemon as a garnish.The pairing also appears in “healthy” or low-calorie diet cookbooks, after studies in the 1970s reported a connection between fish and a healthy lifestyle; in budget-conscious cookbooks, such as in a 1910 recipe for leftover fish croquettes; and in World War I-era cookbooks, using rations.
Hardly any of these cookbooks use the word “balance” (of flavors, nutrients, or whatever else) when describing the dish and its health benefits. But even if not named, the concept is still there, in the idea of bringing multiple, often dissonant flavor profiles into a dish. For example, “buttery” fish is paired with “bright” citrus, with the suggestion that by layering these profiles, we come to the desired result.
These recipes might be seen as an unwitting complement to humoral theory, that helped popularize this flavor combination in the western world. Ultimately, these two approaches to pairing ingredients—by layering for flavor, or for a desired nutritional result—are both informed by creating balance, whether or not the concepts of humoral theory are at the core of our modern perception of them.
Balancing what you eat not only creates flavors that layer and complement well, but also keeps our bodies healthy by bringing in a variety of nutrients and keeping us from overdoing any one thing.
And this emphasis has shown up, in some form or fashion, in western cuisine for the last several millennia, shaping our palates and urging us to consider a well-balanced diet to be critical to health.