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Pharmacy, Testing, and the Language of Truth in Renaissance Italy
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This article examines the role of testing and innovation in sixteenthcentury Italian pharmacy. I argue that apothecaries were less concerned with testing drugs for efficacy or creating novel products than with reactivating an older Mediterranean pharmacological tradition and studying the materials on which it relied. Their practice was not driven by radical experimentation but by a "culture of tweaking"—of minute operational changes to existing recipes and accommodation of their textual variants—which was rooted in the guild economy fostering incremental over radical innovation and in a humanist reevaluation of past autorities. Workshop practice was also increasingly driven by a new ideal of staying true to nature fostered by the period's botanical renaissance. This led to an emphasis on ingredients over processes in the shop, and found clearest expression in the elaboration of a taxonomic "language of truth" that helped apothecaries discern between authentic and inauthentic materia medica and harness their sincerity in lieu of testing effectiveness.

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drug testing, drug adulteration, natural history, Italian pharmacy, materia medica, botanical terminology, taxonomy, authenticity, apothecaries, artisans

Probatum est. It has been tried and proven to work. Adorning countless recipe books and the scattered prose of craftsmen, this pithy sentence has come to encapsulate the view that modern historians hold of artisanal practice in medieval and early modern Europe—one of inquisitiveness and flexible learning, of testing matter and testing hypotheses by working [End Page 233] through matter.1 Drug making is often considered a case in point. The sixteenth and seventeenth centuries witnessed the production and aggressive marketing of multifarious remedies, as health products became a goal in sites as diverse as aristocratic kitchens and monastic infirmaries. Some were novel creations, notably chemical remedies. Others were revised versions of old favorites. Most needed to gain the trust of increasingly discerning consumers.2 Yet, we also know better than to take the probatum est claim at face value. Some practitioners lied about their experiences and results. Others were content to rely on the feats of third parties, whether acquaintances or famous doctors, who vouched for a certain preparation and its effects.3 In this article, I explore this tension around experimentation in workshop practice through the case of Italian institutional pharmacy, a medical context examined so far only fragmentarily. To what extent did drug testing actually take place in the average pharmacy of Renaissance Italy? What purposes did it serve? And how was testing evaluated against other modes of validating opinions and operative choices in the shop?

Speziali da medicina, or apothecaries, constituted a distinctive and populous group in the medical landscape of early modern Italy. Like surgeons (cirugici) and barbers (barbieri), they had been organized into guilds (arti) and regulated through statutes by the civic authorities since the thirteenth century. By the sixteenth, larger centers like Venice, Florence, and Rome counted dozens of masters, apprentices, and journeymen who operated from dedicated shops, stocked at great expense, and maintained close contacts with the merchant network at home and in the Levant's spice emporia. They dispensed to the public, and served their city by supplying hospitals and pesthouses in times of crisis and by lending their expertise on poisons in court trials and, occasionally, in more sinister political schemes. To exercise their art, these practitioners were required to pass an examination at the end of several years of training that included the acquisition of basic Latin literacy. As a group, they were closely associated [End Page 234] with the Hippocratic-Galenic tradition of pharmacology, and had both family ties and a tight working relationship with university-educated physicians and their learned culture.4 These factors ensured that apothecaries, while often depicted as encroached upon by freelancing charlatans and empirics,5 held the monopoly over the preparation and retail of drugs across the peninsula throughout the early modern period.6

The current reappraisal of the artisanal world and its creativity around making things has both engendered a productive dialogue between historians of medicine and science and helped revise traditional narratives about the rise of an experimental culture, reinserting artisans among its rightful protagonists.7 Apothecaries undoubtedly belong to this story. I believe, however, that the definitions of testing and trying that have been central to this historiographical reappraisal do not capture adequately the distinctiveness of the medical trades. In this article, I set out to interrogate such definitions by examining the role of testing in pharmacy and by inquiring how experimentation, inquisitiveness and innovation were actually perceived by the apothecaries themselves.

The focus on institutional pharmacy presents us immediately with two methodological challenges. First, we should carefully draw boundaries (however porous) between trade and craft contexts and contexts where, on the other hand, experimentation featured as an intellectual endeavor with no immediate bearing on the individual's livelihood. Here, I adopt Ursula Klein and Emma Spary's caution about addressing materials and products originating in commercial contexts. While these could and often [End Page 235] did intersect with the spaces and themes of learned inquiry (especially so for drugs in sixteenth-century Italy, where most seekers of natural knowledge had a medical background), they were ultimately "object[s]-in-the-world," everyday items meant to be a source of profit. They were engendered and operated in a setting where, as Klein and Spary point out, notions of philosophical experiments, trialling and replication, though present in some cases and to some degree, were clearly not center stage.8 This duality should be especially highlighted for the goods produced by apothecaries and similar medical artisans practicing formally within the structures of corporations. Their remedies were first of all utilitarian, retail objects manufactured within set institutional guidelines which only under certain circumstances and in some hands became sources of curious inquiry. Second, while pharmacy was a commercial endeavor, it is important to remember its peculiarity. The need to restore health, the fragility of the human body, and the subjectivity of response to treatment ensured that apothecaries worked under different goals and constraints from those of other craftsmen—be they goldsmiths or shoemakers—and followed a different pace of inquiry and technological change. Experimentation, in other words, has a plural history also among the crafts. This article goes toward recovering a facet of this plurality. More broadly, by addressing these concerns, it adopts a somewhat polemical stance on the disciplinary dynamic between the histories of science and medicine, warning against assuming a seamless transfer of concerns from one to the other.9 While medicine should be considered an integral contributor to the long history of experiment, the specificity of its contribution must remain in the foreground.

In this article I argue first that, while there was a dynamic engagement with ingredients and methods in the sixteenth-century pharmacy shop, drug testing was itself limited. Experimentation served more often to work through the small obstacles, material and textual, encountered in everyday practice than as a means to assess the effectiveness and worth of the remedies thus produced. Ultimately, I argue that the epistemological focus in the workshop moved away from techniques to materials, and the [End Page 236] identification of ingredients came to hold more significance and visibility than processes of production. The clearest symptom of this was the elaboration of what I call a "language of truth" to navigate the sea of rare and misidentified simples arriving in the shop. Its taxonomy of sincerity and falsehood captured a particular moment in the intellectual history of European medicine and science. It was a direct response to both the traditional problem of drug adulteration, and the methodological crisis precipitated in the late fifteenth century by the recovery of the ancients' materia medica and the birth of medical botany. It also reflected Italian pharmacy's growing intellectual investment in that ideal of antiquity and faithfulness to textual scholarship that humanism nurtured among all categories of medical practitioners across Italy.10 For those complex compounds such as Theriac that gave Renaissance Italian pharmacy its name, testing was easily supplanted by this "rhetoric of truth" that equated the use of correct, authentic ingredients with the recipe's efficacy.

Testing

A cursory survey of the writings left by sixteenth-century Italian apothecaries, from personal letters to polemical pamphlets, yields several instances of the terms "experience" (esperientia) and "experiment" (esperimento) to denote both the general knowledge acquired from daily toil and exposure to recurrent problems in the bottega, and specific instances where the eyewitnessing of a phenomenon imparted particular usable information.11 This terminology was part of a larger endorsement of practice and the sensorium as sources of knowledge, through which this artisan group vindicated the worth of the firsthand engagement with materials that provided its livelihood and status.12 It also reflected a new positive attitude toward empiricism among the scholars of the period.13

Yet, a close analysis of the apothecaries' trade literature does not bear out a culture of testing in the workshop—at least if we take testing to be a means to establish the efficacy of the drugs on sale and to determine which preparations should be produced and which should not; or, [End Page 237] methodologically, to be a structured and repeated process of setting out a question or hypothesis in advance, estimating results, and seeking evidence in support or refutation in the manner of seventeenth-century learned drug trials.14 Terms that may be associated with such methodology, prova and provare, occur rarely and mostly in relation to occasional trials with poisons and their antidotes. Nor are batches of remedies usually tried out to verify their powers before administration. If queried at all, efficacy is established by other means: by invoking tradition and literary precedent, or by turning to trustworthy peers and their anecdotal evidence. This is not to say that creative experimentation with substances had no place in the Renaissance pharmacy, but it was left to individual curiosity and was usually triggered by an interest in discourses tangential to healing, notably natural history and metallurgical alchemy.15 Where everyday trade was concerned, I contend that the average Italian apothecary neither tested whole drugs nor tried cures.

What one could observe across the shops was a "culture of tweaking": a low-humming, steady level of activity probing materials, honing methods, and applying small revisions to recipes. This work of tweaking, however, was meant neither to reassess canonical products, nor to yield new remedies. It also relied, as often as not, on insights into the uses of materials obtained serendipitously. Rather, it was a modus operandi rooted in the long tradition and strict regulations of the apothecaries' art, which allowed for recipes to be adjusted but rarely substantially altered.16

Tweaking Traditional Recipes

The most vocal sources on workshop practice are found in a new genre of descriptive pharmacopoeias authored by apothecaries and the odd [End Page 238] physician of north and central Italy in the second half of the sixteenth century: Girolamo Calestani of Parma's Delle osservationi nel comporre gli antidoti e medicamenti chepiù si costumano in Italia all'uso della medicina (1562); La fabrica degli spetiali (1566) by the Paduan professor of anatomy Prospero Borgarucci; the Avvertimenti nelle composition per uso della spetiaria (1575) by the German-born and Venice-based Giorgio Melichio; and the Mantuan Filippo Costa's Discorsi sopra le composition degli antidoti & medicamenti che più si costumano di dar per bocca (1576).17 In affordable quarto format and in the vernacular, these texts encountered immediate popularity. The works of Calestani and Melichio especially saw dozens of editions. Calestani's Osservationi was eventually adopted as the official antidotary of the Duchy of Parma and Piacenza in 1667, while Melichio's Avvertimenti was translated into Latin in 1586 and continued to be enlarged by his successors at the Ostrich pharmacy Paolo Romani, Alberto Stecchini, and Antonio De Sgobbis, who gradually incorporated into it chemical medicine.18 This corpus of texts inaugurated a new style of discussion of recipes that continued to be emulated (and plagiarized) by fellow practitioners throughout the seventeenth century and across the length of the peninsula, beginning with the Ricettario (1604) of Giuseppe Santini of Lucca and the Discorsi (1625) of the Sicilian Salvatore Francioni.19

Indeed next to short essays on Theriac and its ingredients, descriptive pharmacopoeias constitute the main genre of trade literature published by early modern Italian apothecaries, and signal the culmination of the professionalization of the trade begun in the fifteenth century.20 [End Page 239] Their success, as we shall see, was tied to their novel approach to the textual transmission of practice. While they continue the rich tradition of pharmacological writing developed around the ancient and medieval Mediterranean basin, in fact, they differ markedly from the two other dominant subgenres available in medieval and early modern Europe: herbals and their A-to-Z descriptions of simples; and civic antidotaries and shop formularies (pandette) that provided prescriptive lists of ingredients and quantities, such as Florence's official pharmacopoeia, the Ricettario Fiorentino (1498, 1550).21 The descriptive pharmacopoeias run instead to hundreds of narrative pages where apothecaries do not simply review recipes, but also advertise their knowledge, vent and describe their struggles with remedy preparation, examine extensively the opinions held in canonical books, tell anecdotes, praise friends and scorn colleagues, and heartily plagiarize each other. The dedications, indices of cited authors, and internal references testify to their authors' links with local academic circles and the new community of naturalists. Personal acquaintances include Pietro Andrea Mattioli, the curator of Padua University's botanic garden Giacom'Antonio Cortuso, and the Neapolitan polymath Vincenzo Pinelli. The manuals, however, are intended primarily for fellow artisans, apprentices, and practicing physicians (customarily attached to one or more shops). Crucially, while certainly conceived as tools of self-promotion, the descriptive pharmacopoeias do not aim to propose the author's proprietary medicines in the manner of books of secrets and marketing pamphlets, but to survey the corpus of remedies habitually prepared in the shops of the peninsula.22 Part of their unique documentary value lies precisely in their serendipitous recording of the work of neighboring practitioners and the therapeutic preferences of certain towns.

What these texts extensively document is the practice of tweaking existing recipes. Such tweaking and tinkering could concern any aspect of preparation: ingredients, processes, and equipment. For instance, instructing on the best way to prepare simples for the famous Theriac, Giorgio Melichio discouraged his readers from following Galen's directions on one [End Page 240] point. Instead of grinding together ingredients of different consistencies like roots and petals, one should tackle the more time-consuming hard items first, then the semi-hard, then the soft in separate mortars: "The experiment found a better way … than the one written by the Ancients and this method apothecaries retain, trusting more in the Art's general rules and experience than in Galen's authority, despite the latter being great."23 Melichio also recommended exposing rose and crocus flowers to the sun rather than exsiccating them before a fire, "as most do," before crushing them.24 Testifying to these pharmacopoeias' intertextuality, and to the apothecaries' alertness to each other's authorial decisions, in his own manual Filippo Costa praised his Neapolitan colleague Ferrante Imperato for adopting this variant of practice.25

Other instances of tweaking concerned the sequence of passages, such as preparing one class of ingredients before another; timing, such as the number of hours to rest the ingredients before their final mixing; operations, such as varying the liquids used as facilitators for mixing; equipment, such as the advantages of a stone mortar over an iron one; and the range of ingredients, such as substituting a secondary ingredient to prolong a product's shelf life. Thus, reviewing Rhasis's recipe for Pills against the Plague, Prospero Borgarucci approved the choice "of some" of replacing wine with syrup of lemon or citron, as "they conserve the mass for longer."26 Melichio, instead, refused to dip Oriental anacardium in vinegar "as some do following Manlio," because his infusion of the same had kept so well without resorting to this step that he was able to use it after two years for a friar from St Stephen's convent in Venice with the blessing of his attending physician.27 Experience was often cited as the source of learning that, by introducing or withholding certain changes, the preparation would be smoother and the compound's quality improve as a result. Once verified, such procedural changes were usually applied across the board to remedies requiring the same preparatory steps.

Here, tweaking does not simply denote the intrinsic suppleness of the recipe as a verbalized format of practice, that flexibility demanded of anyone wishing to put a set of written instructions into practice. It does not describe, in other words, those small adjustments that are not [End Page 241] programmatic but are often applied impromptu, in reaction to an assessment of the specific circumstances encountered during preparation—such as leaving the proverbial chicken in the oven for an additional five minutes.28 There are certainly glimpses of such suppleness in the pharmacopoeias. For example, discussing the general rule (regola) for preparing syrups—adding a pound and a half of juice or infusion for each pound of honey or sugar—Costa notes, "in some cases we have not observed it so minutely, either because of the delicacy or nature of the liquors involved."29

The tweaking I speak of was more substantive. It was a work of adjustment triggered by the need to accommodate separate bodies of knowledge—frequently referred to by the apothecaries with the expression "ancients and moderns" (antichi et moderni)—which the editorial activities of humanism and the increased authorship of medical practitioners had mobilized and unsettled.30 New recipes and information on ingredients had become available thanks to the sixteenth-century editions of Greco-Roman treatises on materia medica (particularly those by Pliny and Dioscorides), and the new writings on practical medicine and surgery by authors like Bartolomeo Montagnana (fl. 1422–60) and Giovanni da Vigo (1450–1525). It was these texts that shop physicians increasingly consulted to write their prescriptions. It was these texts that apothecaries had now to reconcile with the medieval Arabic and Latin auctoritates that still held sway in the workshop (notably Pseudo-Mesue/Ibn Masawayh, Rhasis/al-Razi, and the Salernitan School's Antidotarium Nicolai),31 and with the practical tradition embodied by magisterial remedies (rimedi magistrali). The latter were remedies that had been devised by often nameless masters and that in the sixteenth century circulated with a consolidated recipe primarily via the manuals of apothecaries Giacomo Manlio's Luminare majus (1494) and Paulo Suardo's Thesaurus aromatariorum (1496), precursors of the descriptive pharmacopoeias.

Tweaking helped to solve the plenitude of competing and conflicting advice that these different sources had made available on the same remedy. Wishing to prepare Mesue's Trociscks of Alandahal, Girolamo Calestani reportedly found himself with some texts prescribing ten ounces and [End Page 242] others ten drams of coloquintida, "possibly from an error of the interpreters or the printers." Thus, "in order to know the best and truest [dosage] we prepared it both ways, and always found the first to be better, being less oily and not so weak in coloquintida as the second."32 The challenges of making sense of a translated tradition were constitutive of navigating the debate of ancients and moderns. Commenting on Nicolò Fiorentino's recipe for Syrup of Chicory, Costa described his predecessors' difficulties in establishing the correct ingredients from the available scripts: "back then some put cucúrbita [pumpkin] in place of cicerbita [blue sow thistle], and others lupini [lupins] in place of lupoli [hops]."33 Calestani plainly chastised his contemporaries' lack of historical acumen, as they failed to realize that charcoal existed in Mesue's time and thus misunderstood his instructions on the Electuary of Rosato by cooking scammony on too strong a flame stoked with dry wood.34 Ultimately, discrepancies in the written evidence were assessed with a "workshop judgment" cultivated through long familiarity with the materials of the craft and the challenges posed by their manipulation.35

This recourse to practice to ameliorate and solve awkward points in the execution of recipes resembles what Pamela Smith recently described as "working through resistances of matter," a process of learning through obstacles and failures that for most craftsmen would have been, and still is, intrinsic to finding the correct pathways to making things.36 Yet, an even better analogy would be that between the apothecary and the modern historian engaging in reconstruction from how-to books, like Smith herself. The authors of Renaissance pharmacopoeias present themselves as both creators and reenactors, struggling through the obscurity and idiosyncrasies of an enlarged canon to replicate and render once again viable the recipes of their predecessors.37 This awareness surfaces [End Page 243] through antiquarian metaphors and references to originals waiting to be uncovered that resonate with a wider humanist discourse advocating the intellectual and civic renewal of society by return to an idealized past.38 So, for Costa a recipe needs to be restored (restaurare), almost as one would piece together a ruin; for Prospero Borgarucci it is "brought back to light."39 It is an ambition that finds its ultimate emblem in the frontispiece of Melichio's pharmacopoeia, which asks the reader to walk through the Ostrich pharmacy's imaginary shop front supported by two pillars of ancient pharmacological knowledge, Mithridates VI King of Pontus (first century BC) and Andromachus the Elder (first century AD), the legendary creators of the antidotes Mithridate and Theriac (see Figure 1).

That the challenges were perceived as being not only of materiality, but of textual disambiguation is reflected in turn in the prominence given to glossing in the descriptive pharmacopoeias. Each recipe, whether attributed to a past luminary or to the apothecaries' collective magisterial tradition, is followed by a longer authorial scholion, frequently demarcated on the page by the subheading osservatione or avvertimento, where authors are weighed against each other, passages explained, and personal experiences recounted (Figure 2). Girolamo Calestani explicitly identified these observations as the innovative element of his manual, otherwise concerned with the recipes of his predecessors, because "many things have been left without interpretation or have been interpreted obscurely … and no writing (excluding the divine), however good, requires no correction, improvement or limitation."40 By adopting this commentary mode, apothecaries inserted themselves in an established heuristic tradition of academic medicine, lending gravitas to their authorial voice.41 More importantly, they succeeded in producing manuals that reconciled interrelated but separate traditions and customs of practice, and codified a way forward. The way forward consisted in a curated assemblage of positions that left room for individual reasoning.

This work of streamlining is particularly important when we consider that the artisans' descriptive pharmacopoeias predate most of the official antidotaries written by university-educated physicians that the Colleges of Physicians of cities like Bologna, Bergamo, Rome, and Naples began to commission in the late sixteenth century and early seventeenth precisely [End Page 244] to solve confusion and standardize local practice.42 They also went against their prescriptive spirit. This revealing aside comes from the 1639 manual of the Neapolitan Friar Donato:

Figure 1. Frontispiece of Giorgio Melichio, Avvertimenti nelle compositioni per uso della spetiaria (Venice, 1605), adapted from an existing design shared among Venetian print shops. Courtesy of the Wellcome Library, London.
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Figure 1.

Frontispiece of Giorgio Melichio, Avvertimenti nelle compositioni per uso della spetiaria (Venice, 1605), adapted from an existing design shared among Venetian print shops. Courtesy of the Wellcome Library, London.

[End Page 245]

Figure 2. Scholion for the recipe of the "Indo Maggiore"—a mixture of observations, warnings, and advice as its heading "awertimento" suggests—from Giorgio Melichio, Avvertimenti nelle compositioni per uso della spetiaria (Venice, 1605), sig. 23r. Courtesy of the Wellcome Library, London.
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Figure 2.

Scholion for the recipe of the "Indo Maggiore"—a mixture of observations, warnings, and advice as its heading "awertimento" suggests—from Giorgio Melichio, Avvertimenti nelle compositioni per uso della spetiaria (Venice, 1605), sig. 23r. Courtesy of the Wellcome Library, London.

[End Page 246]

One shouldn't laugh at the apothecary who wants, following his experience, his Art, his reason, and the authority of knowledgeable Physicians, to correct some recipe of the Ancients, written in an obscure manner; as one should laugh (as we do every day) of the many prescriptions ordered by famous doctors, which have no rule, no method and no art and cannot be prepared unless the apothecary corrects them with his judgement.43

Friar Donato was castigating Curzio Marinelli, notorious author of the first civic pharmacopoeia of Venice (1617), which had to be withdrawn from the market almost immediately for the scathing comments against apothecaries it contained.44 Yet, beside the prejudice informing medical hierarchies in the period, it is not difficult to see how tweaking may have been perceived as undermining the prerogative of prescribing traditionally claimed by the physicians.45

As archives of standards and variants, these descriptive pharmacopoeias were probably not meant for step-by-step use in the manner of standard formularies. Indeed they did not always spell out their recipes nor indicate ingredients' quantities, relying instead on other manuals to provide such information (a useful reminder that some categories of artisans worked in and from a very literate environment). Rather, they served for doublechecking the complications associated with certain procedural choices and the validity of others. Their format invited active questioning, further reading, but also further practice. That they were used as working manuals is testified not only by their editorial fortune, but also by their presence on the shelves of Italian pharmacy shops, whose probate inventories record editions of "Callestani and Melliquio" alongside copies of Mesue and Mattioli's Dioscorides.46 The master apothecary achieved self-promotion precisely by taking these instructions for tweaking outside the realm of tacit knowledge, and the opinions and choices put forward continued to be carefully weighed by his seventeenth-century successors.47 [End Page 247]

In turn, tweaking served him as an important proprietary mechanism also outside the written page. As an operative tool, it gave apothecaries room to express their individuality and leave their magisterial mark on standard products in a very competitive market, without stepping away from a written tradition that was held in high regard by both artisans and their closest partners, physicians. Interspersed throughout the pharmacopoeias are references to the "rules" followed in the shops of fellow masters.48 The manuals point to this knowledge of variant practices circulating on paper, but also orally, discussed during guild meetings and visits to colleagues, in technological exchanges that benefited from both the custom of clustering shops along a city's thoroughfares like the Rialto in Venice, and the peripatetic education of young apothecaries who often left home to train in larger market towns.49 Giorgio Melichio intentionally recorded Venetian customs that would otherwise be lost: "It is common in the pharmacies of Venice to employ Diacodion [a cordial] in its solid form, yet because no author describes this manner of preparation, I will now write as much as can be observed in the shops of good and expert apothecaries."50 Similarly, Calestani, who in his Osservationi frequently reports the punctual operational advice heard as an apprentice in Rome from the friars of the Aracoeli monastery in Campidoglio, also related the recipe for a magisterial lenitive electuary, "a truly beautiful composition," shown to him later in life by colleagues in Mantua, "and by them solely observed."51

At this point, it is important to stress that the micro-testing involved in tweaking does not contradict the general methods of preparation of common compounds, nor does it ever result in a significant alteration of the recipe. (What Melichio's colleagues prepared in Venice, albeit with a twist, was still recognized as Diacodion by their peers across Italy.) The changes introduced at the individual's discretion, often within a simple binary choice offered by existing manuals, are always small in scale, and the overall procedure remains fairly stable. The resulting compound would not be, or be considered, substantially different. It would also be administered to patients with little fanfare and certainly without prior trial.

The absence of thorough testing for efficacy of the existing pool of remedies can be partly explained by the degree of flexibility already built into pharmaceutical practice, which prescribed adjusting drugs to individual [End Page 248] needs.52 Primarily, however, it reflects the fact that effectiveness was not at stake in this setting. Tweaking was not designed to recuse a pharmacological tradition. To the contrary, tweaking concerned tiny improvements over a palimpsest that in principle was already believed to work.

One central reason for this palimpsest's resilience was the importance accorded to tradition and custom. Artisans were understandably reluctant to modify established routines of production that had proved efficient and profitable.53 The apothecaries' pharmacopoeias mention frequently the lesson provided by the rules of the art (regole dell'arte):54 those consolidated ways of doing things shared by all the practitioners of a craft, a common knowledge taught through apprenticeship and sanctioned by the examination that marked the apothecary's official entry into the guild. The artisan, moreover, had to negotiate external constraints. The oversight exercised by the guild varied according to town and circumstances, though, generally, a high degree of uniformity was expected, especially for complex "named compounds," which were inspected annually.55 Similarly, the local College of Physicians played its role, as apothecaries were statutorily forbidden from dispensing internal and compound remedies without a doctor's prescription. "Because I am its member"—so Costa justified following the recipe for Syrup of Endive given in the official antidotary of "our College of Mantua."56

Tradition also manifested itself as respect for and reliance on the work of predecessors, both ancient and medieval. We have seen Italian pharmacy's textual nature. It would be a slight, according to Melichio, "to pervert the medicament against the author's intent, without authority or a reason of any importance."57 He thus accused his colleague Calestani of exercising unduly his "invention and imagination" for using the syrup of violet and aniseed instead of the raw ingredients in the famous Diacatholicon of Nicholas of Salerno—in other words, for tweaking.58 This was not just rhetorical posturing. In fact, this "conservatism" traced part of its roots [End Page 249] to an earlier, prestigious tradition of practice that had addressed similar problems of drug accreditation. As Michael McVaugh has pointed out, the reintroduction in thirteenth-century European universities of Greco-Arabic pharmacology, and later the New Galen, not only entailed substantial adjustments to the textual canon, but also raised concerns around classes of remedies that would become staples of early modern pharmacy: laxatives, opiates, and caustics. Their potency, believed to have the potential to quickly turn into harm, ensured that they were scrutinized closely.59 By the sixteenth century, in other words, apothecaries could look back to a consolidated tradition of drug "testing" and skepticism, of stabilization of compounds and therapeutic choices, which exonerated them from the need of more radical endeavors.

These factors do not mean that practice was static and unchanging—far from it. But they require us to frame our questions differently and account more closely for the intellectual horizon in which these artisans placed their practice.

Trying Secrets and Novelty

Central to the issue of limited modification and testing of common drugs are larger questions about the place of novelty in Renaissance pharmacy and the apothecaries' understanding of notions of improvement and perfectibility in their art, which here can be raised only briefly. The problem of innovation has always loomed large for historians of science and technology and has often been tied to forms of experimentation.60 The recent material turn, while widening the focus from the libraries of natural philosophers to the workshops of common craftsmen, has made innovation almost synonymous with the artisanal world, often without problematizing this association.61 For their part, historians of early modern medicine seem to vacillate between an interest in the discontinuities and, more recently, the continuities of the ars longa across the periods.62 [End Page 250]

The emendation and rehabilitation of Greco-Roman materia medica were probably the most important innovations to occur in late fifteenth and sixteenth-century Italian institutional pharmacy.63 The practice of tweaking documented in the descriptive pharmacopoeias provides an insight into how this tradition was absorbed in workshop practice. It also supports the view of a new generation of economic historians like Stephan Epstein who emphasize how, far from being stagnant institutions, guilds nurtured an "environment for technical change," not through radical breaks from established practice but through "small-scale and incremental practical experiment and random variation."64 As it streamlined those choices of practice that had been proven to be more successful than others, tweaking provides a model of how such small-scale variation and innovation, which often remained in the realm of tacit knowledge, occurred and what drove them.

The nature of this innovation, and the artisans' attitude toward it, need, however, to be taken into account. In craft work, changes were made primarily as need arose. The notion of drug experimentation for modern and contemporary scientific and medical cultures may be said to be strongly future-oriented and openly promote an idea of improvement that is only partially borne out by sixteenth-century pharmaceutical literature.65 Though apothecaries may state a concern not to produce a remedy with weak or no effect, and may motivate testing with the need to avoid mix-ups and unwillingly harming patients, we should be careful about viewing their activities as driven by an abstract idea of better care. Nor do they subscribe to the notion of employing radical testing or experimenting to create entirely new products, in this differing from proponents of medical alchemy and iatrochemistry who made of their [End Page 251] ability to transfigure materials a selling point and key feature of their identity as knowers of nature.66

Overall practitioners of institutional pharmacy displayed a different understanding of innovation, one that dissociated novelty from technical progress and placed the latter in a nonlinear conception of time.67 Their sixteenth-century pharmacopoeias praised the classical past and discussed remedies that had accumulated in the previous three centuries. On one hand, advancing knowledge meant reinstating this preexisting yet lost corpus and integrating it with the current one. The manuals indirectly capture a sense of progression with remarks like that of Borgarucci on the newly discovered White Eyedrops of Rhasis—"At the time of Manlio [late fifteenth century] this collyrium was not used," remarks that reveal how the apothecaries saw their practice as dynamic and perfectible.68 On the other hand, the impression is that the practitioners of institutional pharmacy still worked within the framework inherited from scholastic writings on pharmacy, and scholastic medicine's general attitude toward the "progressive growth of knowledge." The system, as Chiara Crisciani has stressed, allowed for dynamism and for the absorption of seemingly extraneous and contradictory knowledge, but itself was ultimately closed.69 Accordingly, tweaking did not produce new experimental goals. It made the existing system work.

Indeed, rather than being a premium, novelty was seen with suspicion. It was one reason for the limited therapeutic use of American plants like guaiacum, china root, and sarsaparilla beyond the treatment of morbus gallicum, itself exceptional in that it was believed to be a "new" disease.70 [End Page 252] As late as 1573 the possibility of replacing the rare Oriental balsam required for Theriac with a liquid from the Indies provoked a controversy among Florentine apothecaries.71 The fact that American imports remained exiguous throughout the sixteenth century only contributed to the resilience of this discourse. Similarly, novelty was also one reason for the lack of credibility of charlatans and their nostrums among institutional practitioners: they had not the backing of tradition and textual authority.72 Unlike traditional remedies which, if prepared correctly, were already believed to work, the products perceived to require verification and additional licensing were those originating in heterodox quarters: chemical remedies, charlatans' secrets, and wonder drugs.73 The civic authorities, backed by the Colleges of Physicians and the Apothecaries' Arts, demanded trials for these preparations, which were carried out in liminal places: prisons, hospitals for the poor, and pesthouses.74 Testing for efficacy, in other words, was for the new and the noncorporative, and for those healers who lacked a supporting network in the city.75

While apothecaries were by no means dissociated from the culture of secrets, and indeed occasionally prepared remedies on behalf of empirics, it is telling that they rarely petitioned for licenses for proprietary remedies before the eighteenth century, and then did so mostly for the new genre of chemical remedies.76 The guild's oversight—from which charlatans and empirics were exempt—and the dynamics of a corporate economy should not be underestimated in relation to technical and pharmacological innovation.77 Exemplary, though not unique, is the case of Paolo Romani, Melichio's son-in-law and shop successor in Venice. In 1591 Romani [End Page 253] obtained a license for a new technique to make syrups in solid form, allegedly more palatable to the sick. His colleagues, however, objected to the privilege, and after two years of litigation, Romani was forced to share the recipe and revenue with the entire Venetian College of Apothecaries.78

This lack of incentives might also explain the scarcity of collections of secrets attributed to speziali. The handful that remain, notably the three volumes compiled by the Florentine Stefano Rosselli between the 1560s and the 1590s,79 support the view that thorough testing of recipes on the part of apothecaries occurred primarily for products tangential (cosmesis, cooking and confectionery, painting and dyeing) or extraneous (metallurgy, goldsmithing, decorative arts, chemiatria) to their trade. Rosselli's manuscripts gather hundreds of recipes for the above craft specialties—from tempering steel to baking sugar in the shape of books to counterfeiting gemstones—from sources of varying credibility. Similarly to how lay households dealt with extraneous knowledge in their recipe collections,80 they regularly employ the addendum probatum est (provato)—next to instructions for "confecting plums in the Genoese manner," for example, or an "ointment to stimulate venus to erection."81 Concerning mostly nontherapeutic products, the prova, the test, was meant to assess whether the recipe worked: namely whether one could manufacture the product from the instructions given.82 Occasionally, as the shop inventories testify, Rosselli followed this step with the decision to offer the product in his pharmacy at Saint Francis, mostly pastries and cakes, sold during weddings, funerals, and other festivities.83 This outcome should not be disjoined from the specific corporative reality of Florence, where, unlike other cities such as Venice, apothecaries still retailed all sorts of products besides medicines.84 [End Page 254]

The Language of Truth: From Sincerity to Authenticity

The advantage of adopting a skeptical stance toward "experimentation" as a driving force of practice in pharmacy shops is that we regain sight of the matters to which apothecaries actually accorded priority and visibility. Though possibly the most common "experimental action" in the workshop, tweaking was not singled out. It was one of the many tools utilized in the artisan's work of recipe exegesis, and had been there well before a discourse of experience and experimentation gained currency in the sixteenth century. Rather than actions, it is products to which Renaissance Italian apothecaries attached their reputation and public persona. These were not the most frequently produced, such as cheap purgatives and syrups,85 but those renowned for their efficacy and symbolic associations: poison antidotes like Theriac and Mithridate and complex compounds like Confection Alchermes prepared with scores of costly and rare imports from the eastern Mediterranean, the Levant, and India. These compounds were the only category of drugs, alongside poisons, to have been continuously regulated by guild and civic authorities since the thirteenth century and subjected to regular quality controls.86 They were the remedies that made the fortune and character of Italian pharmacy, attracting the scorn of self-styled reformers like Leonardo Fioravanti, at the same time as they transformed the pharmacy into a main site for the emerging culture of consumption.87

Going through the recipes for these preparations, we begin to notice an interesting phenomenon: the use of a language of sincerity and falsehood to describe and distinguish the ingredients prescribed for them. These consisted primarily of imports and the occasional indigenous plant that were laborious not only to procure but also identify. We are suddenly confronted with talk of "true apium,"88 "true rhaponticum,"89 "true euphorbium,"90 "true acorus," "legitimate cubeb,"91 "legitimate cardamom,"92 "false botrite,"93 "false balsam,"94 and so forth. In medieval [End Page 255] pharmacy sincerity had been invoked in a specific context, that of drug adulteration. Loudly condemned, this was commonly practiced by apothecaries to increase profits by using cheaper ingredients, diluting preparations, or increasing their weight by mixing them with foodstuffs of little therapeutic use.95 Sincerus, which, in the sense of unblemished and unmixed, had already been in classical usage,96 denoted something that had not been adulterated, and referred usually to a prepared product. In the sixteenth century the term lost currency, while retaining its meaning of something free of willful substitution or hampering.97 Thus, in his aptly named Dialogue of the Deceptions of Certain Wicked Apothecaries (1572), the Bergamasque doctor Giovanni Antonio Lodetto claimed that for every "good and sincere" box of manna sold in Rome, two had been "counterfeited" with sugar and starch.98

Increasingly, however, sincerus was supplanted in the literature by the terms "true" (Latin verus/Italian vero) and "legitimate" (legitimus/legittimo)—often used together in the coordinate "true and legitimate" (verus ac legitimus)—and pitted against "false" (falsus/falso) and "artificial" or man-made (fictus/fattizio). Importantly, this new taxonomy referred no longer to compounds but to simplicia, single ingredients. It concerned the source, not the process. The rather narrow notion of sincerity also shifted to embrace a wider definition that appealed to ontological, philological, and legal elements: "true" stood for authentic (the ingredient is what it proclaims and is proclaimed to be), correct (according to the ancients' original description), and licit (allowed by both texts and civic authorities). The language of sincerity and purity became one of authenticity, heralding a major taxonomic effort that introduced a new way of speaking, identifying, and thinking about materials in the Italian medical and botanical communities.

A Genuine Nature

This quest for the genuine and the original was a conceptual novelty that reflected both internal developments in the field of pharmacy, and changing sensibilities in wider Italian society and culture. Regarding the [End Page 256] former, it was symptomatic of a crucial shift in emphasis and attention, which I see taking place in Renaissance pharmacy, from how remedies were made to what went in them. In the sixteenth century, ingredients regain center stage.

In part, this development was the outcome of a discursive departure from the medieval pharmacology of degrees that had dominated the herbal and pharmacological literature well into the fifteenth century.99 As the new descriptive pharmacopoeias testify, by the mid-sixteenth century specific remedies had become associated with the treatment of specific complaints and diseases,100 and apothecaries no longer worried about painstakingly calculating the kind and degree of the humoral qualities of each ingredient that made up a compound. In other words, both therapeutic canon and preparation processes had been streamlined. An epigone of the first generation of apothecary authors, Giuseppe Santini, explained, "in [my manual] you'll see many compositions not at all dissimilar from those described by others, given that their ingredients' quantity and quality must not be altered."101 Rather than creating ad hominem preparations, apothecaries modified the product's overall dosage, ensuring it would not harm the patient when taken alongside the other remedies that completed the course of treatment, in line with the prevailing practice of polipharmacy. The descriptive pharmacopoeias supplied guidelines for matching remedies with ailments, as illustrated by the innovative set of tables introduced in Calestani's Osservationi (1562) and rapidly adopted by his peers (Figure 3). In these tables, basic tree diagrams link classes of remedies (e.g., syrups, purgatives, electuaries) to basic humors, conditions, and occasionally organ systems to treat (e.g., black bile or hot stomach). Standard named medicaments (e.g., Apostolicon Ointment) are also linked to defined ailments (e.g., festering sores).102 Probably this linear system had always been a necessity in practice, as the medieval tradition of experimenta testifies.103 In the sixteenth century, it found additional support in the new emphasis placed on communal over individual complexion,104 and in the popularity of ready-made secrets that promised to cure specific ailments whomever the sufferer.105 [End Page 257]

Figure 3. Table of medicaments from Girolamo Calestani, Delle osservationi nel comporte gli antidoti e medicamenti che più si costumano in Italia all'uso della medicina (Venice, 1562). Courtesy of the Wellcome Library, London.
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Figure 3.

Table of medicaments from Girolamo Calestani, Delle osservationi nel comporte gli antidoti e medicamenti che più si costumano in Italia all'uso della medicina (Venice, 1562). Courtesy of the Wellcome Library, London.

[End Page 258]

The greatest push in the direction of the primacy of ingredients, however, came from the period's botanical renaissance. From the late fifteenth century, north Italian humanist botanists and their pupils devoted themselves to restoring the identity of the lost and mislabeled materia medica of the ancients through the tools of philology, fieldwork, and collecting. These efforts accompanied calls for renovation of the stock used in pharmacies, where confusion and errors were rife.106 As naturalists engaged in cross-referencing between texts and physical items, so the shop masters and their apprentices relearned to detect the "signs" and "true notes" of the contested simplicia. As the ingredients' identities were restored, the lost recipes of Galen and his venerable peers were returned to their "true form," in Filippo Costa's words.107 In practice, as we saw, this was often accomplished through tweaking. But this botanical revival also engendered in these artisans a new appreciation for nature as an object of study, and for its raw materials as specimens to be examined and preserved. Not only was this sentiment epitomized by the growing numbers of apothecaries collecting naturalia and seeking recognition in the naturalists' community, of whom Francesco Calzolari of Verona and Ferrante Imperato of Naples are the better known;108 an appreciation of nature over art, I argue elsewhere, may have been one reason for many Italian apothecaries' disinterest in chemical remedies and their radical transformation of materials before the 1620s.109 Indeed, it is for chemical substances like alum, vitriol, cinnabar, and sal ammoniac that the pharmacopoeias employ the term fattizio (artificial).110

These trends left their mark in the workshop. The quality of canonical recipes, as their success and failure, became primarily dependent on their ingredients rather than the techniques for their manipulation, consolidated after all by centuries of practice. The descriptive pharmacopoeias abound in remarks of the kind expressed by Borgarucci on Montagnana's Capital Cerate. Though used by most apothecaries, "some employ neither solid varnish, nor liquid styrax, possibly out of worry that the legitimate [ingredient] cannot be had."111 In turn, ensuring the ingredients' identity, especially of eastern materia medica, became a pressing concern, leading apothecaries to adopt a number of strategies of authentication. Additional [End Page 259] tests to verify that the rarer simple had not been mixed or substituted came to complement the routine sensory checks that its taste, smell, color, and weight conformed to its "archetype" and had not been weakened by age.112 For example, opopanax—the dried sap obtained from the root or stem of Dioscorides's Panax and often adulterated with wax—would be known as "sincere" if it "dissolve[d] like milk" when rubbed in water. False saffron would be given away by its color-not so light or able to stain one's tongue when chewed; tampered rhubarb by its taste-not at all astringent and with a slack texture, a clue that it was but some cooked stem.113 These tricks had been developed in the medieval period to combat the counterfeiting of gemstones and costly commodities; now they served to expose "vulgar costus" and other material impostors in the spezierie. Seeking external expertise became also increasingly common. In the 1590s the Mantuan master Antonio Bertioli sent an ampulla of balsam from Judaea for authentication to Prospero Alpino and Cortuso in Padua with a list of anxious questions, including whether true balsam always presented the two qualities of not staining woolen clothing and congealing milk, and whether balsam made artificially could mimic all characteristics of the true one. There is evidence of colleagues sharing particularly problematic ingredients once these had been ratified: it was from Bertioli that the Veronese Giovanni Pona procured verified opobalsam, carpobalsam, and xylobalsam for his Theriac.114'

Collecting, a new development of the period, was similarly enlisted to help with learning and maintaining the distinctions between false and true. Apothecaries and physicians alike began to gather both correct and incorrect samples of theriacal and other medicinal ingredients, and display them side by side. The Venetian apothecary Marco Fenari owned the third variety of true costus.115 Calzolari's cabinet boasted "true balsam, true amomum, [true] costus, [true] folium, the truest aspalathus, [true] terra lemnia, the truest marble, [and] a most rare thing … true cinnamon."116 His Veronese colleague Giovanni Pona possessed twenty types of sealed earth (terra sigillata), some reputed true, some false.117 While "false" could [End Page 260] indicate adulterated, as often it described something very similar to the original but not quite the same. So, False Dictamus differed merely by its thicker leaves and milder aroma from True Dictamus, which, native to Crete, was also known as Dioscorides's First Dictamus (see Figure 4).118 A third variety was Vulgar or White Dictamus, so called because it could easily be found in Italy.119 Rather than an indictment, the label of false fulfilled a taxonomic function, contributing to classify known materials. For medical practitioners, these collections thus did not simply satisfy a taste for the curious and the exotic, but promised a very practical outcome: the creation of a canon of usable materia medica.

Yet, underlying this linguistic arrangement was also an important epistemological shift that permitted to regulate claims to knowledge and authority with new accuracy. Not only did these predicates of in/authenticity help stabilize the fluctuating language of medical botany.120 They also underscored the point that only the skillful could distinguish between true and false in nature. In the museum's pedagogical setting, a professor like Aldrovandi could use the display of trues and falses to teach his students—future practicing physicians—how to calibrate between deceivingly similar specimens that could threaten the integrity of the remedies they would prescribe, as well as alert them to the fraudulent substances circulating in the marketplace for drugs that they would eventually be called on to regulate. As the creator of this juxtaposition of truth and falsehood, the collector demonstrated to his peers his ability to discourse authoritatively about nature's materials.121 For the apothecary, the display (often located within or above the shop) had the additional advantage of showcasing his good will as far as his practice was concerned: his ingredients would be true, his compounds genuine. Such a claim would not have gone unnoticed in a marketplace where accusations of dishonesty were common.122 [End Page 261]

Figure 4. Comparative drawing of True Dictamus and False Dictamus, from Pietro Andrea Mattioli, Discorsi nei sei libri di Pedacio Dioscoride Anazarbeo della materia médicinale (Venice, 1559), 388. Courtesy of the Wellcome Library, London.
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Figure 4.

Comparative drawing of True Dictamus and False Dictamus, from Pietro Andrea Mattioli, Discorsi nei sei libri di Pedacio Dioscoride Anazarbeo della materia médicinale (Venice, 1559), 388. Courtesy of the Wellcome Library, London.

[End Page 262]

A Sincere Practitioner

Sincerity, as a quality denoting interiority, was, according to John Martin, invented in the Renaissance, and was tied to the period's seismic changes in understandings of individuality and the self.123 Sincerity stood in opposition to prudence, the cultivated ability to exercise caution but also dissimulate, in an age that contemporaries themselves described as one of plays on identity in the piazza, the court, and, especially, the church.124 Scholars have uncovered the growing anxiety of medieval and early modern Italian states to identify their subjects and travelers through their lands, and thus avoid the dangers of imposture and espionage. New ways were devised to prove that outward identity matched the person, notably through paperwork and visual stand-ins like printed portraits and passports.125 Intriguing parallels can be drawn with the new practice, among both apothecaries and naturalists, of producing written attestations (fedi) of an ingredient's authenticity—like that for aspalathus signed for Calzolari by the Patriarch of Aquileia and regularly exhibited to his museum visitors.126

But there is a deeper synergy between these developments and the new emphasis on authenticity in the pharmacy shop. Martin was elaborating Lionel Trilling's insight about the sixteenth-century transformation of sincerity into a moral category indicating a "congruence between avowal and actual feeling," a candid mirroring of the heart's intentions by outward speech and manners.127 Moral integrity was a quality consistently demanded of apothecaries in guild regulations, and in print by physicians and colleagues alike. By trading honestly, treating the poor charitably, and fearing God, "he will practice his art with all sincerity (sincerità) … profiting his family and rewarding his soul."128 Set against the backdrop of medical practice and the sale of drugs in the city, the ideal of transparency encoded in the newly found language of truth served the apothecary at [End Page 263] multiple levels. It verbalized a moral pact with the wider public, capitalizing on the economic impact that words possessed in a medical economy based on credit and on the reputations of supplier and customer, which hearsay could make and unmake.129 Its nomenclature also assuaged the concerns about rhetoric's role in medicine held by learned practitioners. While eloquence was thought to possess healing powers since antiquity, fifteenthand sixteenth-century medical authors had been expressing growing anxieties about the ethical role of mendacity and persuasion in cure.130 A new premium was placed on the doctor's directness of speech to his patient, devoid of embellishment and sophistication.131 As a rhetoric of spiritual honesty and commitment to the public good, this language of truth offered the framework for a renewed morality of the artisan and his products.

Yet, articulated through its terminology, I suggest, was not only the traditional professional and civic morality of not trespassing on patients' and peers' trust, but also the morality of staying "true to nature" (both nature sensed and nature read), the new ideal of Renaissance naturalists. Fighting dissimulation and insincerity, thus, was as much a professional imperative as a sign of intellectual probity and authority. If rhetorical "beliefs"—as Nancy Struever argues—generate "habits of action in inquiry,"132 this rhetoric of truth arguably fostered a research program: a return to the materials and a quest for the authentic. Linguistic sincerity and falsehood created a methodological circularity, sending artisans and naturalists alike to look for genuine items whether in storehouses or in fields and confirm the truth of those they already possessed, thus recapturing nature's original image.

Indeed, the elaboration of this language was almost certainly a collaborative effort between these two groups, the result of conversations that linked shops to university halls, and botanical gardens to scholars' libraries. Pinpointing its moment of birth remains difficult. Its terminology is noticeably absent from the philological works that set in motion the botanical renaissance. Theodorus Gaza's Theophrasti De historia et causis plantarum (1483), Ermolao Barbaro's Castigationes Plinianae (1492), and [End Page 264] Niccolò Leoniceno's De Plinii erroribus (1492) spoke of "lectio vera,"133 of returning the words of the ancients to their "verum sensum"134—not of a new class of in/authentic specimens. The more nuanced usage of true, false, and legitimate as adjectives locking the ingredient into a particular identity probably developed informally in the two following interrelated avenues.

In workshop practice, talk of true ingredients began to enter discussions of drug substitutes, notably around complex compounds like Theriac, in the early sixteenth century. Modeled on the Pseudo-Galen's De succedaneis, the established medieval genre of the quid pro quo had offered practical lists of ingredients that could replace materials that were rarer, costlier, or simply not on hand at the moment of need, without, however, explicitly addressing notions of an original simple or pinning a recipe to it. Indeed the substitutions were often bidirectional.135 The new literature of medical botany instead began to pit succedaneum against verum, introducing clearer suggestions of a qualitative hierarchy among ingredients.136 So Mattioli advised against using False Costus in place of the True because "notwithstanding it being beneficial, it is not as efficacious."137

However, it was through the epistolary exchanges of Italian and European botanists that the nomenclature fully solidified in the 1540s and 1550s, following the publication of the herbals and commentaries of Hyeronimus Bock, Leonhart Fuchs, Pietro Andrea Mattioli, and Rembert Dodoens, which provided a shared platform for the discussion on plant identification.138 The greatest input came from those overseeing or directly involved in remedy preparation, namely physicians, apothecaries, and the curators of the first botanical gardens. So we find Calzolari requesting Aldrovandi's opinion in a letter of 1561 "regarding [Dioscorides's] chapter on the squill, whether you believe the squills that we have to be the true ones or not."139 In 1558, Giovanni Fregoso of the Eagle in Padua had sent Aldrovandi "some Bolus armenus from Cyprus, with its false variety from Naples that was sold … at the time of plague at four and [End Page 265] five scudi per ounce."140 The terminology began to surface consistently in print in the 1560s in the interrelated genres of descriptive pharmacopoeias, essays on Theriac and Mithridate, and treatises on res herbaria in Latin and the vernacular.141 Not infrequently, as Mattioli's works testify, it was added from one edition to the next.142 By the 1590s, this nomenclature had become commonplace, and continued to be called upon in the seventeenth century whenever these rare and theriacal simples were discussed.143 Needless to say, by then it had also entrenched the existence of two tiers in the Italian apothecaries' perception of materia medica: the ancients' exotic ingredients and their compounds reigned over simpler remedies containing local plants identified by the terms comune, volgare44

Theriac: Identity Stands for Efficacy

While of great symbolic resonance, the language of truth ultimately expressed the practitioners' anxiety at a material canon that had been enlarged (nominally at least) by the botanical revival and increased Mediterranean travel, yet whose products remained imperfectly known and difficult to acquire. The second edition of the Ricettario Fiorentino (1567), in no way exceptional, still contained asides of this sort: "Amomum is a plant today not known in Italy," and "the seed of this smaller siliqua may be used in place of the Greeks' true cardamom until that time when the true one is rediscovered."145 As Richard Palmer has argued and as the correspondence of Italian apothecaries involved in natural history testifies, such ingredients' reintroduction was slow and piecemeal, often limited to one individual pharmacy benefiting from one specific contact, whether a knowledgeable traveler or an enterprising collector.146 Ingredients like amomum and balsam remained controversial well into the seventeenth [End Page 266] century, prompting the flourishing from the 1590s of an interesting new genre of printed booklets that, between ten and one hundred pages, set out to disambiguate these simples celebrated by the ancients, survey all the existing literature pertaining to them, and explain their uses. Written by artisans and physicians alike, popular examples include the Reasonings on Amomum and Aromatic Calamum (1604) of the Venetian apothecary Cechino Martinelli Jr, On the Balsam of the Ancients (1623) of the Veronese Pona, and De balsamo dialogus (1591) of the Paduan professor and traveler through Egypt Prospero Alpino. Whether begun as a response to a colleague's rebuke, to a specimen observed on one's travels, or, in the case of Pona, to the discovery that Roman apothecaries composed their Theriac with false opobalsam "to the detriment of the truth and public good," these publications reveal the heightened concern for this subject among the healers of the peninsula.147

The relevance of these efforts in reading and disambiguation is nowhere clearer than in relation to the manufacture of Theriac and Mithridate, possibly the most iconic remedies in the Renaissance medical imaginary. The manner of their production best exemplifies how this idiom of truth, while reflecting an artisanal investment in botanical discourse, was also invoked by apothecaries to solve practical problems affecting their ability to commercialize certain products, and offered concrete returns in the marketplace. Its analysis closes the circle around our problematization of testing.

By the early modern period Theriac and Mithridate, born in antiquity as poison antidotes, were prized as the ultimate panaceas.148 For the apothecary their manufacture became an opportunity to display expertise and negotiate status before one's peers. Beside their therapeutic promise, the prestige conferred by their preparation lay not in the days of arduous labor it entailed (usually executed by hired hands), but in that it could be undertaken only after the successful sourcing of sixty to eighty ingredients. Among complex compounds, Theriac commanded the largest number of elusive simplicia originating from the East, including amomum, aspalathus, juice of acacia, aromatic calamus, costus, carpobalsamum, folius, marum, opobalsamum, seeds of thlaspi, terra lemnia, and petroselinum Macedonicum. While physicians insisted that only such original simples be used and decried the "abuse" of false ingredients, most remained on the desiderata list for the average master. Unsurprisingly, Theriac was [End Page 267] produced only once a year, and throughout the sixteenth century the race to create the perfect version of Andromachus and Galen was fought over the number of succedanea employed: from twenty to twelve to seven, until Calzolari allegedly triumphed by using only three.149

These substitutes were local plants and familiar imports with "almost all the notes" or virtues reputed comparable to those of the rarities prescribed.150 Juniper berries, for example, could take the place of carpobalsamum, almond oil that of opobalsam liquor, while the red earth Armenian bole could replace terra lemnia. Many of these substitutions had been worked out and standardized in the medieval period, and while succedanea were clearly assigned the role of maintaining the compound's overall authenticity, their choice was not left to the discretion of individual practitioners. The town medical authorities regularly issued printed lists of accepted substitutes and expected apothecaries to operate within their guidelines.151 The concern with legitimacy surfacing through the language of truth is linked to this regulated urban context, also evident in shop inspections.

The system allowed for some latitude, as it was expected that apothecaries would adapt their recipe in response to the availability of ingredients and succedanea, and to their guild's custom. Different towns produced different theriacs. Accordingly, rather than trying to enforce an unchanging script, the College of Apothecaries of Venice kept a reference collection of recipes for Theriac and Mithridate in use in Bologna, Florence, and elsewhere, and set out to approve the formula used by its local shops yearly.152 What took place in other shops was the object of much speculation among the artisans themselves. Inquiries were regularly made as to whether any succedaneum had been dispensed with, or a new ingredient found to be a more efficient substitute.153 This flexibility of the recipe—based on the number of succedanea employed, theriacs manufactured in the same town could contain different ingredients—seemingly had few consequences on the remedy's overall appreciation. Differences from one variety of the official compound to another were more epistemological [End Page 268] than therapeutic. Although the perfect compound was devoid of substitutes (and as such was never achieved in the sixteenth century), there was limited discussion of the potential inefficacy of theriacs containing a higher number of "replacements." Rather, anxiety concerned the product's age, as freshly made Theriac was considered weaker than the one that had been given years to mature.154

Nor was this effectiveness usually put to the test before selling the product. In De Theriaca ad Pisonem, Galen had provided instructions to determine whether Theriac worked upon maturation, and his advice was repeated by most medieval commentators.155 A lengthy version of the procedure still appeared in the much-consulted late fifteenth-century antidotary of apothecary Giuseppe Manlio, the Luminare majus: one should take a rooster or a pheasant and let it get bitten by a venomous animal, or place some venom in a small wound opened for this purpose between its wing and thigh. Once the rooster begins to weaken, it should be made to drink some Theriac with wine, and some should be poured on the wound. If the rooster lives, the Theriac is effective. Humans were spared this risk, but could be enlisted for an alternative test, which required the administration first of a purgative, then of a dose of Theriac. If the patient did not expel the compound, the latter could be considered effective.156

The learned tradition of poison trials was the main venue in which indirect testing of Theriac occurred.157 The antidote served to assay the potency of poisons in an exercise that involved primarily physicians, that is a group of university-educated practitioners who generally neither manufactured nor retailed the medicament.158 Instead, there is little evidence [End Page 269] that apothecaries tested their annual batches, obtained at such expense. Tellingly, the new descriptive pharmacopoeias generally omit Galen's instructions.159 When in the 1570s Aldrovandi tested his Theriac's efficacy on a rooster, this was probably a direct result of the dispute he was enveloped in. His recipe for the compound had been questioned by the Bolognese medical elite, who pitted it against the variety produced by the town's pharmacies and rejected it.160 There is evidence of experiences conducted, not on the compound itself, but on tangential issues concerning its ingredients, especially the famous vipers. Notably, the Neapolitan Ferrante Imperato staged the close observation of the vipers' parturition process, prompted by Galen's recommendation not to utilize pregnant ones.161 The extent to which these experiences were undertaken outside the group of apothecaries involved in natural history, however, should not be overestimated.

As a procedural step in the making and marketing of Theriac, testing would not have been a regular occurrence. In the sixteenth century, this open trial of Theriac and its ensuing spectacle were left to charlatans, who deftly staged their feigned poisoning and recovery.162 Conversely, apothecaries turned for validation to the product's public preparation (Figure 5).

Every year the antidote's manufacture proceeded according to a formalized routine. This began with a display over the shop's counter of the required simples, which were formally examined by representatives of the town's physicians and apothecaries for identity, freshness, and quality. Following their approval as "true and legitimate," the display was opened to the public, who were invited to scrutinize the master's newly proclaimed sincerity. Finally, after three days, the grinding and crushing began in large mortars placed on the street outside the pharmacy.163 [End Page 270]

Figure 5. The manufacture of Theriac at Bologna. Gouache drawing by A. Terzi after Domenico Ramponi, 1818 (44599i). Courtesy of the Wellcome Library, London.
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Figure 5.

The manufacture of Theriac at Bologna. Gouache drawing by A. Terzi after Domenico Ramponi, 1818 (44599i). Courtesy of the Wellcome Library, London.

In this setting, the question of effectiveness is displaced. The ingredients' successful examination at the outset of the civic ceremony becomes sufficient proof of the worth of the remedy to come. Their truthfulness saves the apothecary from the need to test the overall product's efficacy. Indeed, the ability to source the authentic samples began to be crowned by fedi or attestations issued by the Physicians' Colleges and civic authorities. This proclamation of authenticity bolstered the artisan's reputation. He now had "fede amplissima" in Calzolari's words, "from my College and my city and the chancellors and rectors, and also from Messer Mattioli and many others."164 The fede was effectively a trademark that acknowledged a successful tweaking (here regarding the sourcing of ingredients)—only Calzolari could offer the three-substitute Theriac. While it did not confer monopoly, like patents for instruments the fede helped the artisan "live on" the products he devised.165 [End Page 271]

Emboldened by these successes and in search of further visibility, from the 1550s it became customary for apothecaries to publish booklets recording their manufacture of Theriac and Mithridate in a particular year. Vendramino Menegacci of Vicenza immortalized his production of 1586, for example; Francesco Sartorio the one made in 1613 at the Bolognese Hospital of S. Maria della Morte; Giovanni Cardullo that of 1637 in Messina. The custom carried into the latter seventeenth century.166 These booklets provided a discussion raisonné of the recipe followed and of ingredients and succedanea used. They also strategically republished the attestations and privileges obtained, often ornamented by sonnets of praise and individual declarations by the physicians who had presided over the remedy's preparation. Complementing the genre of essays on rare simplicia, these booklets not only testify to the reflexivity in the practice of these artisans, but also restate where the core of anxieties and hopes of Italian apothecaries lay: in the dialogue with a long Mediterranean-based tradition that began with the Greeks and continued with their Arabic commentators, and in which apothecaries understood themselves to be rightful participants.

Conclusion

If we wish to make sense of how sixteenth-century Italian apothecaries understood their work, we need to appreciate that their mode of validation, of proof and persuasion,167 was based not on notions of efficacy and novelty, but of authenticity. This explains the particular brand of testing examined and the values sustaining it.

Tweaking allowed the apothecary to remain faithful to the inherited tradition of pharmacology, both classical and medieval, while updating and upgrading it to make it viable under local circumstances of production. In doing so, it targeted the recipe's feasibility, not its reputed effects. Though the main experimental activity in the workshop, tweaking was reactive more than proactive. If it facilitated the introduction of changes in established workshop routines, it was not conceived as a source of radical innovation. In fact it reflected a different kind of deep chronology that apothecaries imagined for their art: one in dialogue with the past [End Page 272] rather than the future; one that saw advancement as restoration, rather than novelty production.

Expressing a new attention toward nature and its materials, the language of truth similarly enabled the reintegration of the ancients' materia medica into pharmaceutical practice. Its rhetoric was a currency that in different ways secured for the artisan a position of authority both in the marketplace and in the cabinets of curiosi. Its novel nomenclature restored confidence in the apothecary's trading practices by proclaiming the sincerity of his materials. It also sustained communication between artisan and learned, not only through the literature that flourished around it but also because it revolved around notions of loss, substitution, and recovery of originals that were central to many of the period's intellectual endeavors, from humanistic philology to antiquarianism.

This practical antiquarian disposition, and the corporative reality in which it was embedded, complicate any conventional image of artisanal epistemology that emphasizes tacit knowledge, hands-on learning, and boundless creativity. They offer an alternative model for how institutional pharmacy approached problems of validation and change, and succeeded in renewing its practice, a model that should be taken forward in any new analysis of the early modern medical trades. [End Page 273]

For the supplementary appendix to this article click here.

Valentina Pugliano

Valentina Pugliano is a Wellcome Trust Research Fellow at the Department of History and Philosophy of Science of Cambridge University and a Junior Research Fellow of Christ's College, Cambridge. She is currently completing two monographs: the first based on her doctorate completed at Oxford University on the role of apothecaries and pharmacy in the development of early modern natural history; and a second, supported by a Wellcome Trust grant, on Venetian diplomatic medicine and science in the eastern Mediterranean and the Mamluk and Ottoman Levant, ca. 1400–1730.

Footnotes

This research was completed with the support of Wellcome Trust Grant WT100278MA. I am very grateful to Margaret Carlyle, Margaret Pelling, Jim Secord, Bernardo Zacka, and the editors of this special issue, Elaine Leong and Alisha Rankin, for their help in revising this article. My sincere thanks also go to the participants of the Testing Drugs, Trying Cures Workshop held at the Max Planck Institute for the History of Science, Berlin, in June 2014, and especially to Michael McVaugh, Katy Park, and Cesare Pastorino, for their constructive comments on an earlier draft of this article.

1. Bridging the histories of science, medicine, and art technology, the literature is extensive. See Pamela H. Smith, The Body of the Artisan: Art and Experience in the Scientific Revolution (Chicago: University of Chicago Press, 2004), and references below.

2. David Gentilcore, Medical Charlatanism in Early Modern Italy (Oxford: Oxford University Press, 2006); Alisha Rankin, Panaceia's Daughters: Noblewomen as Healers in Early Modern Germany (Chicago: University of Chicago Press, 2013).

3. Spike Bucklow, "Impossible Recipes," in Sources and Serendipity, ed. Erma Hermens and Joyce H. Townsend (London: Archetype, 2009), 18–22; Pamela H. Smith, "What Is a Secret? Secrets and Craft Knowledge in Early Modern Europe," in Secrets and Knowledge in Medicine and Science, 1500–1800, ed. Elaine Leong and Alisha Rankin (Aldershot: Ashgate, 2011), 47–66.

4. See Katharine Park, Doctors and Medicine in Early Renaissance Florence (Princeton: Princeton University Press, 1985), chaps. 1–2.

5. William Eamon, "Pharmaceutical Self-Fashioning or How to Get Rich and Famous in the Renaissance Medical Marketplace," Pharm. Hist. 45, no. 3 (2003): 122–29; Gentilcore, Medical Charlatanism (n. 2), 209–26.

6. James Shaw and Evelyn Welch, Making and Marketing Medicine in Renaissance Florence (Amsterdam: Rodopi, 2011); Valentina Pugliano, "Botanical Artisans: Apothecaries and the Study of Nature in Venice and London, 1550–1610" (D.Phil. diss., Oxford University, 2012); on pharmacy's corporate nature, see Patrick Wallis, "Medicines for London: The Trade, Regulation and Lifecycle of London Apothecaries, c.1610-c.1670" (D.Phil. diss., Oxford University, 2002), chap. 2; for the wider context, see Jean-Pierre Benezet, Pharmacie et médicament en Méditerranée occidentale (XIIIe-XVIe siècles) (Paris: Honoré Champion, 1999).

7. Ursula Klein and E. C. Spary, Materials and Expertise in Early Modern Europe: Between Market and Laboratory (Chicago: University of Chicago Press, 2010); Alisha Rankin, "Becoming an Expert Practitioner: Court Experimentalism and the Medical Skills of Anna of Saxony (1532–1585)," Isis 98, no. 1 (2007): 23–53; Ursula Klein, "The Laboratory Challenge: Some Revisions of the Standard View of Early Modern Experimentation," Isis 99, no. 4 (2008): 769–82.

8. Ursula Klein and E. C. Spary, "Introduction," in Klein and Spary, Materials and Expertise (n. 7), 1–23, quotation on 10.

9. See Harold J. Cook, "The History of Medicine and the Scientific Revolution," Isis 102, no. 1 (2011): 102–8. The warning to treat medical history on its own terms has been articulated more frequently by scholars of modern medicine, partly because of increasing commonalities in research methodology between clinical medicine and laboratory sciences. John H. Warner, "The History of Science and the Sciences of Medicine," Osiris 10 (1995): 164–93; Ilana Löwy, "Historiography of Biomedicine: 'Bio,' 'Medicine,' and in Between," Isis 102, no. 1 (2011): 116–22.

10. Nancy G. Siraisi, Medieval and Early Renaissance Medicine: An Introduction to Knowledge and Practice (Chicago: University of Chicago Press, 1990).

11. Charles B. Schmitt, "Esperienza ed esperimento: un confronto tra Zabarella e il giovane Galileo," in Filosofia e scienza nel Rinascimento (Milan: La Nuova Italia, 2001), 25–64.

12. Pugliano, "Botanical Artisans" (n. 6), chap. 3.

13. Brian Ogilvie, The Science of Describing (Chicago: University of Chicago Press, 2006).

14. Jutta Schickore, "Trying Again and Again: Multiple Repetitions in Early Modern Reports of Experiments on Snake Bites," Early Sci. Med. 15 (2010): 567–617.

15. For example, experiences on the resistance to fire of asbestos made the rounds of Italian pharmacies, including those of Francesco Calzolari in Verona and Ferrante Imperato in Naples. See Paula Findlen, Possessing Nature: Museums, Collecting, and Scientific Culture in Early Modern Italy (Berkeley: University of California Press, 1994), 194–240; Pugliano, "Botanical Artisans" (n. 6), chap. 4

16. Elaine Leong and I arrived independently at a cognate use of the concept of "tweaking." Leong uses the term to emphasize the open-ended nature of the recipes collected by lay households. For Leong, tweaking denotes the process whereby a recipe can be modified and reinvented each time it moves from one person to another (personal communication). In what follows, I offer a compatible but distinct definition of the practice of tweaking, one less open-ended and in use in a professional setting.

17. Girolamo Calestani, Delle osservationi nel comporre gli antidoti e medicamenti (Venice: Francesco Senese, 1562); Prospero Borgarucci, La fabrica degli spetiali (Venice: Vincenzo Valgrisi, 1566); Giorgio Melichio, Avvertimenti nelle compositioni per uso della spetiaria (Venice: Giovanni and Andrea Zenaro, 1575); Filippo Costa, Discorsi sopra le compositioni degli antidoti & medicamenti (Mantua: Giacomo Rufinelli, 1576). The main surviving forms of trade records—probate shop inventories and account books—shed only limited light on the nature and agenda of workshop practice. Similarly, most of the correspondence by sixteenth-century apothecaries known to date concerns natural history and generally glosses over trade matters (Pugliano, "Botanical Artisans" [n. 6]).

18. Sabrina Minuzzi, "Sul filo dei segreti medicinali: praticanti e professionisti del mercato della cura a Venezia (secoli XVI-XVIII)" (Ph.D. diss., University of Verona, 2012), 163.

19. Giuseppe Santini, Ricettario medicinale (Venice, 1604); Salvatore Francioni, De discorsi ne quali s'insegna l'Arte della spezieria (Palermo, 1625). See the Online Appendix: http://muse.jhu.edu/resolve/19.

20. This correlation between writing and professionalization can be observed for institutional pharmacy across Southern Europe (Benezet, Pharmacie [n. 6], 116–21). On the wider flourishing of technical literature by fifteenthand sixteenth-century craftsmen, see Pamela O. Long, Openness, Secrecy, Authorship: Technical Arts and the Culture of Knowledge from Antiquity to the Renaissance (Baltimore: Johns Hopkins University Press, 2001).

21. Enrico Cingolani and Leonardo Colapinto, Dagli antidotari alle moderne farmacopee (Rome: Di Renzo Editore, 2000); A. Corradi, Le prime farmacopee italiane ed in particolare dei ricettari fiorentini (Milan: Rechiedei, 1887); Jerry Stannard, Herbs and Herbalism in the Middle Ages and Renaissance (Aldershot: Ashgate Variorum, 1999).

22. Conversely, the selection excluded those remedies "appearing in Galen, Avicenna, Mesue and other ancient and modern authors … that have lost not only their usage but almost their very name among Apothecaries and Physicians" (Costa [n. 17], 23r-v).

23. Melichio (n. 17), 35v.

24. Ibid.

25. Costa (n. 17), 34v.

26. Borgarucci (n. 17), 559.

27. Melichio (n. 17), 18r.

28. Richard Sennett, The Craftsman (New Haven, Conn.: Yale University Press, 2008), 179–93.

29. Costa (n. 17), 23v.

30. See Ogilvie, Science of Describing (n. 13); Siraisi, Medieval and Early Renaissance Medicine (n. 10).

31. On pharmacy's medieval authorities, see Paula De Vos, "The 'Prince of Medicine': Yühanna ibn Masawayh and the Foundations of the Western Medical Tradition," Isis 104, no. 4 (2013): 667–712.

32. Calestani (n. 17), 261–62.

33. Costa (n. 17), 9v. The new pharmacopoeias—Borgarucci lamented—were themselves victims of the shoddy work of "little-alert printers, who, sometimes against their authors' very teaching and their proofreaders' excellent expertise, let such … important mistakes pass, which then cannot be remedied" (Borgarucci [n. 17], 441).

34. Calestani (n. 17), 125–26.

35. On workshop judgment, see Smith, "What Is a Secret?" (n. 3), 64–65; Stephan R. Epstein, "Transferring Technical Knowledge and Innovating in Europe, c. 1200–1800" (LSE Working Papers 2005).

36. Pamela H. Smith, "Making Things: Techniques and Books in Early Modern Europe," in Early Modern Things: Objects and Their Histories, 1500–1800, ed. Paula Findlen (London: Routledge, 2013), 173–203, quotation on 192; Sennett, Craftsman (n. 28), 214–38.

37. Also Jennifer M. Rampling, "Transmuting Sericon: Alchemy as Practical Hexegesis in Early Modern England," Osiris 29, no. 1 (2014): 19–34.

38. Paul O. Kristeller, Renaissance Thought II: Papers on Humanism and the Arts (New York: Harper, 1965).

39. Costa (n. 17), 51r; Borgarucci (n. 17), 348.

40. Calestani (n. 17), Preface.

41. Absent in medieval experimenta literature, probably because of its association with high-status classical texts, the scholion resurfaced in sixteenth-century medical writing. Gianna Pomata, "Observation Rising: Birth of an Epistemic Genre, 1500–1650," in Histories of Scientific Observation, ed. Lorraine Daston and Elizabeth Lunbeck (Chicago: University of Chicago Press, 2011), 45–80.

42. The main exception was Florence's civic pharmacopoeia, the RicettarioFiorentino, whose first edition was printed in 1498. See the Online Appendix: http://muse.jhu.edu/resolve/19.

43. Fra Donato d'Eremita, Antidotarlo … intorno … [ajll'elegere, preparare, componere e conservare i medicamenti semplici e composti (Naples, 1639), 132.

44. Minuzzi, "Sul filo" (n. 18), 45–46.

45. See Cristina Bellorini, The World of Plants in Renaissance Tuscany: Medicine and Botany (Aldershot: Ashgate, 2016), 156–57.

46. The inventorial corpus of Italian pharmacies needs further study. Generally, individual book titles are rarely given before the seventeenth century. For some examples: Archivio di Stato, Venice (ASVe), Giudici di Petizion, Inventari, b. 340/5, n. 61 (Fabricio Foresto, 1592); Minuzzi, "Sul filo" (n. 18), 137–39; Federica Dallasta, Eredità di carta. Bibliotecheprivate e circolazione libraria nella Parma farnesiana (1545–1731) (Milan: Franco Angeli, 2010), 244–48, 272.

47. They are consistently consulted, for example, by the Neapolitan apothecary and doctor Girolamo Donzelli, who authored both the official Antidotario Napoletano (1642) and the best-selling Teatro farmaceutico, dogmatico e spagirico (1675), e.g., 48 (Sciroppo di cicoria), 162 (Diagalanga di Mesuè), 276 (Trifera persica).

48. See Costa (n. 17), 23v, 34v, 51r.

49. Stephan R. Epstein, "Craft, Guilds, Apprenticeship, and Technological Change in Preindustrial Europe," J. Econ. Hist. 58, no. 3 (1998): 684–711, 701.

50. Melichio (n. 17), 120v.

51. Calestani (n. 17), 121.

52. Michael R. McVaugh, ed., Arnaldi De Villanova Opera medica omnia, II (Granada and Barcelona: Tobella, 1975), 3–30.

53. Epstein, "Craft, Guilds" (n. 49); Wallis, "Medicines for London" (n. 6).

54. Melichio (n. 17), 35v; Calestani (n. 17), 6, 98, 265.

55. Richard Palmer, "Pharmacy in the Republic of Venice in the Sixteenth Century," in The Medical Renaissance of the Sixteenth Century, ed. Andrew Wear, Roger K. French, and Iain M. Lonie (Cambridge: Cambridge University Press, 1985), 100–117; Wallis, "Medicines for London" (n. 6), chap. 4.

56. Costa (n. 17), 9r.

57. Melichio (n. 17), 21r. Costa also warns against "departing from the intention of the Authors" (Costa [n. 17], 23v).

58. Melichio (n. 17), 19r.

59. Michael R. McVaugh, "The 'Experience-Based Medicine' of the Thirteenth Century," Early Sci. Med. 14 (2009): 105–30; De Vos, "Prince of Medicine" (n. 31), 687–88.

60. For a critique of the "futurology" pervading modern public and academic thought on science and technology, see David Edgerton, The Shock of the Old: Technology and Global History since 1900 (London: Profile, 2006).

61. Klein and Spary, Materials and Expertise (n. 7), 13; Lissa Roberts, Simon Schaffer, and Peter Dear, eds., The Mindful Hand: Inquiry and Invention from the Late Renaissance to Early Industrialization (Amsterdam: Koninklijke Nederlandse Akademie van Wetenschappen, 2007).

62. This tension has affected the relationship between history of science and medicine. See Cook, "History of Medicine" (n. 9).

63. Palmer, "Pharmacy" (n. 55); Corradi, Le prime farmacopee (n. 21).

64. Epstein, "Craft, Guilds" (n. 49), 699–701. Useful in this context is also the revisionist model of "collective invention," which economic historians now accept as driving key technological transformations behind European industrialization in the eighteenth and nineteenth centuries: invention resulted not from a single individual but from competing firms improving upon a shared technological layout by disclosing technical information and incorporating each other's gradual innovations into new designs. See Robert C. Allen, "Collective Invention," J. Econ. Behav. Org., 4 (1983): 1–24; Alessandro Nuvolari, "Collective Invention during the British Industrial Revolution: The Case of the Cornish Pumping Engine," Cambridge J. Econ. 28, no. 3 (2004): 347–63.

65. See Christelle Rabier, "Introduction: The Crafting of Medicine in the Early Industrial Age," Tech. Cult. 54, no. 3 (2013): 437–59; J.-P. Gaudillière, "Introduction: Drug Trajectories," Stud. Hist. Philos. Biol. Biomed. Sci. 36 (2005): 603–11.

66. Indeed, systematic attempts at innovation in institutional pharmacy seem to coincide with the affirmation of chemical remedies in the seventeenth and eighteenth centuries. See Ursula Klein, "Blending Technical Innovation and Learned Natural Knowledge: The Making of Ethers," in Klein and Spary, Materials and Expertise (n. 7), 125–57; Valentina Pugliano, "The Simple Alchemy of Renaissance Apothecaries," in The Physician's Stone: Alchemy and Medicine from Antiquity to the Enlightenment, ed. Jennifer M. Rampling and Peter M. Jones (London: Routledge, forthcoming). For the rhetoric of innovation in alchemy, William R. Newman, Promethean Ambitions: Alchemy and the Quest to Perfect Nature (Chicago: University of Chicago Press, 2004).

67. On contemporary historiography of technology's obfuscating tendency to conflate novelty and progress, see David Edgerton, "Innovation, Technology, or History: What is the Historiography of Technology About?," Tech. & Cult. 51/3 (2010): 680–97.

68. Borgarucci (n. 17), 678.

69. Chiara Crisciani, "History, Novelty and Progress in Scholastic Medicine," Osiris 6 (1990): 118–39, quotation on 118; Michael R. McVaugh, "The Nature and Limits of Medical Certitude at Early Fourteenth-Century Montpellier," Osiris 6 (1990): 62–84.

70. American drugs are sparsely represented in sixteenth-century pharmacopoeias. Bellorini, World of Plants (n. 45), 129–53.

71. Ibid., 145.

72. For the physicians' mixed reactions to novel drugs, see Alisha Rankin, "Empirics, Physicians, and Wonder Drugs in Early Modern Germany: The Case of the Panacea Anwaldina," Early Sci. Med. 14 (2009): 680–710. For a physician's endorsement of employing customary medicaments, see Nancy Siraisi, "Theory, Experience and Customary Practice in the Medical Writings of Francisco Sanches," in Between Text and Patient: The Medical Enterprise in Medieval and Early Modern Europe, ed. F. E. Glaze and B. K. Nance (Florence: Sismel, 2011), 441–63, 462.

73. The exception were secrets for plague remedies, most of which, for example in sixteenth-century Venice, were submitted for approval by collegiate physicians and surgeons. Minuzzi, "Sul filo" (n. 18), chaps. 1, 3.

74. Gentilcore, Medical Charlatanism (n. 2), 118–49; Jane Stevens-Crawshaw, Plague Hospitals: Public Health for the City in Early Modern Venice (Farnham: Ashgate, 2012), 151–82.

75. Gentilcore, Medical Charlatanism (n. 2), 119.

76. Minuzzi, "Sul filo" (n. 18), chaps. 1–3, esp. 30–34.

77. On "intraand inter-guild conflict" driving technological innovation in premodern crafts, see Francesca Trivellato, "Guilds, Technology and Economic Change in Early Modern Venice," in Guilds, Innovation and the European Economy 1400–1800, ed. Stephan R. Epstein (Cambridge: Cambridge University Press, 2008), 199–231, 217.

78. See note 76.

79. Biblioteca Marucelliana, Florence, MS C.145, "Libro di diversi et vari secreti di Stephano di maestro Romulo Rosselli et sua discendenti"; Biblioteca Medicea Laurenziana, Florence, MS Antinori 151, "Zibaldone." The third volume is reprinted in Rodrigo de Zayas, ed., Stefano Rosselli. Mes secrets: A Florence au temps des Médicis, 1593: patisserie, perfumerie, medicine (Paris: J.-M. Place, 1996).

80. Elaine Leong, "Making Medicines in the Early Modern Household," Bull. Hist. Med. 82, no. 1 (2008): 145–68.

81. Zayas, Stefano Rosselli (n. 79), 187 (Ch. xxxi), 193 (Ch. xxxxi).

82. Also see Smith, "Making Things" (n. 36), 175.

83. Archivio di Stato, Florence, Magistrato dei Pupilli del Principato, 2709, 3v-10v, "Inventario di Stefano Rosselli e compagni spetiali" (September 20, 1570).

84. Shaw and Welch, Making and Marketing (n. 6).

85. Ibid., 237–52.

86. Compare the stability between the 1297 and 1565 statutes of the Apothecaries of Venice. Ugo Stefanutti, Documentazioni cronologicheper la storia della medicina, chirurgia e farmacia a Venezia dal 1258 al1332 (Venice: Ongania, 1961), 43–48; Biblioteca Museo Correr, Venice, MS Cl.IV, 209/1, "Mariegola dei Spicieri," Ordini e capitoli, 29r.

87. Evelyn Welch, Shopping in the Renaissance: Consumer Cultures in Italy, 1400—1600 (New Haven, Conn.: Yale University Press, 2005).

88. Calestani (n. 17), 42.

89. The Guild of Physicians and Apothecaries of Florence, Ricettario Fiorentino (Florence, 1574), 59.

90. Costa (n. 17), 39v.

91. Borgarucci (n. 17), 46, 26.

92. Luigi Anguillara, Semplicipareri (Venice, 1561), 21.

93. Ricettario (n. 89), 72.

94. Melichio (n. 17), 16r.

95. See Wallis, "Medicines for London" (n. 6), chap. 7.

96. Lionel Trilling, Sincerity and Authenticity (Cambridge, Mass.: Harvard University Press, 1972), 12–13.

97. It often features in revised editions of medieval manuals, like the second Ricettario (n. 87 [1550]), e.g., 50–51, 52, 74.

98. Giovanni A. Lodetto, Dialogo de gl'inganni d'alcuni malvagi speciali (Padua, 1626 [1572]), 22.

99. McVaugh, Arnaldi (n. 52), 31–136.

100. Present in Galen, this approach had receded in medieval literature (De Vos, "Prince of Medicine" [n. 31], 691–94).

101. Santini (n. 19), a2v.

102. Calestani (n. 17), [viiir-xviiv].

103. Michael R. McVaugh, "The Experimenta of Arnald of Villanova," J. Mediev. Renaiss. Stud. 1, no. 1 (1971): 107–17.

104. Particularly evident in the genre of health regimens. Sandra Cavallo and Tessa Storey, Healthy Living in Late Renaissance Italy (Oxford: Oxford University Press, 2013), 31–32.

105. Gentilcore, Medical Charlatanism (n. 2).

106. Ogilvie, Science of Describing (n. 13), 30–49.

107. Costa (n. 17), 51r.

108. Pugliano, "Botanical Artisans" (n. 6); Florike Egmond, "Apothecaries as Experts and Brokers in the Sixteenth-Century Network of the Naturalist Carolus Clusius," Hist. Universities 23 (2008): 59–91.

109. Pugliano, "Simple Alchemy" (n. 66).

110. Ricettario (n. 89), 14, 73, 129,

111. Borgarucci (n. 17), 872.

112. See McVaugh's contribution to this issue: "Determining a Drug's Properties: Medieval Experimental Protocols," 183–209.

113. Ricettario (n. 89), 53, 59, 74.

114. Antonio Bertioli, Idea theriacae (Mantua, 1602), 53–4; Idem, Breue auuiso del vero balsamo, theriaca, et mithridato (Mantua, 1596), 59–60.

115. Biblioteca Universitaria Bologna (BUB), Adrovandi MS 136/v, 226v-227r, "Apud Dominum Marcum Fenarium Pharmacopolam."

116. Mario Cermenati, ed., Francesco Calzolari da Verona e le sue lettere ad Ulisse Aldrovandi (Rome, 1910), 39 (Calzolari to Aldrovandi, January 18, 1568).

117. Giovanni Pona, Index multarum rerum quae repositorio suo adservantur (Verona, 1601).

118. Giovanni Pona, Monte Baldo descritto (Venice, 1617), 8–9.

119. Pietro Andrea Mattioli, Discorsi nei sei libri di Pedacio Dioscoride Anazarbeo della materia medicinale (Venice, 1559), 390.

120. On the challenges of finding a common language to describe the sensory qualities of naturalia, see Valentina Pugliano, "Ulisse Aldrovandi's Color Sensibility: Natural History, Language and the Lay Color Practices of Renaissance Virtuosi," Early Sci. Med. 20 (2015): 358–96.

121. I explore this further in "Fake Specimens in the Renaissance" in The Matter of Mimesis, ed. M. Bol and E. C. Spary (forthcoming).

122. Tommaso Garzoni, La piazza universale di tutte leprofessioni del mondo (Venice, 1587).

123. John Martin, "Inventing Sincerity, Refashioning Prudence: The Discovery of the Individual in Renaissance Europe," Amer. Hist. Rev. 102, no. 5 (1997): 1309–42.

124. John Martin, Myths of Renaissance Individualism (Basingstoke: Palgrave Macmillan, 2004), 103–22; Perez Zagorin, Ways ofLying: Dissimulation, Persecution, and Conformity in Early Modern Europe (Cambridge, Mass.: Harvard University Press, 1990).

125. Valentin Groebner, Who Are You? Identification, Deception, and Surveillance in Early Modern Europe (New York: Zone Books, 2007).

126. BUB, Aldrovandi MS 136/v, 181r.

127. Trilling, Sincerity (n. 96), 2.

128. Melichio (n. 17), b1r. The connection between the craftsman's spirituality and morality and his craft had its roots in the medieval guild, which presented itself as a confraternity of brethren that, through charity and quasi-religious ceremonials, shared common spiritual ideals and a grander purpose (Steven A. Epstein, Wage Labour and Guilds in Medieval Europe [Chapel Hill: University of North Carolina Press, 1991], 155–59).

129. Craig Muldrew, The Economy of Obligation: The Culture of Credit and Social Relations in Early Modern England (New York: St. Martin's, 1998), chaps. 5–6.

130. Winfried Schleiner, Medical Ethics in the Renaissance (Washington, D.C.: Georgetown University Press, 1995), 5–48.

131. George W. McClure, "Healing Eloquence: Petrarch, Salutati, and the Physicians," J. Mediev. Renaiss. Stud. 15, no. 2 (1985): 317–46.

132. Nancy S. Struever, Rhetoric, Modality, Modernity (Chicago: University of Chicago Press, 2009), 3.

133. Ermolao Barbaro, Castigationes Plinianae (Rome, 1492), Lib. 34, chap. 8.

134. Nicolaus Leonicenus, De Plinii et aliorum medicorum erroribus (Ferrara, 1508), 54.

135. Alain Touwaide, "Quidpro Quo: Revisiting the Practice of Substitution in Ancient Pharmacy," in Herbs and Healers from the Ancient Mediterranean through the Medieval West, ed. Anne van Arsdall and Timothy Graham (Farnham: Ashgate, 2012), 19–61.

136. See Euricius Cordus, Botanologicon (Cologne, 1534), 138 ("Oportet nos tabernas nostras non vacuis, sed si non vera faltem succedania plenis pixidibus instruere").

137. Mattioli, Discorsi (n. 119), 43.

138. Ogilvie, Science of Describing (n. 13), 28–37.

139. Cermenati, Francesco Calzolari (n. 116), 35 (Calzolari to Aldrovandi, February 6, 1561).

140. BUB, Aldrovandi MS 38/ii-iii, 219r (Fregoso to Aldrovandi, August 26, 1558).

141. See Anguillara, Semplicipareri (n. 92), 62 ("vero hebeno"), 111 ("vero rabarbaro"), 122 ("vero petroselino degli antichi").

142. Mattioli's first Latin edition of Dioscorides's materia medica, the Commentarii (Venice, 1554) makes occasional use of legitimus in the sense of "authentic." Its occurrence doubles in the 1559 edition. Legitimo features more sporadically in the illustrated vernacular Discorsi (Venice, 1557), but by the 1573 edition the full range of terms, particularly vero, is in operation.

143. See Antonio Donati, Trattato de'semplici, pietre epesci marini che nascono nel lito di Venetia (Venice, 1631), 38 ("vero aspalato"), 47 ("vero Empetro di Dioscoride"), 62 ("vero Musco").

144. Valentina Pugliano, "Botanici e artigiani a Venezia: i (pochi) amici di Carolus Clusius," Yearbook for European Culture of Science 6 (2011): 69–93.0

145. Ricettario (n. 89), 17, 126.

146. Palmer, "Pharmacy" (n. 55).

147. Giovanni Pona, Del vero balsamo de gli antichi (Venice, 1623), 2. See the Online Appendix: http://muse.jhu.edu/resolve/19.

148. Christiane Nockels-Fabbri, "Treating Medieval Plague: The Wonderful Virtues of Theriac," Early Sci. Med. 12, no. 3 (2007): 247–83.

149. Francesco Calzolari, Lettera intorno ad alcune menzogne & calonnie date alla sua Theriaca da certo Scalcina Perugino (Cremona, 1566). For the physicians' perspective, see Bartolomeo Maranta, Della theriaca et mithridato libri duo (Venice, 1572), 34; Friar Evangelista Quattrami, Tractatus perutilis atque necessarius ad Theriacam. Mithridaticamque antidotum componendam (Ferrara, 1597), 5.

150. Ricettario (n. 89), 18.

151. Ibid., 123–26.

152. ASVe, Giustizia Vecchia, b. 211, "Spezieri," printed sheets of recipes.

153. See Cermenati, Francesco Calzolari (n. 116), 34 (Calzolari to Aldrovandi, November 23, 1559).

154. See Maranta, Della theriaca (n. 149), 142–48; Nockels-Fabbri, "Treating Medieval Plague" (n. 148).

155. Avicenna and Mesue were the main conduit for Galenic thought on Theriac before the publication of Galen's De Theriaca ad Pisonem and De Theriaca ad Pamphilium in the 1530s, which together with Galen's De Antidotis became new reference texts. These circulated also in commentaries like Maranta's De theriaca et mithridato libri duo (Venice, 1572) and Orazio Guarguante's Della Theriaca et sue mirabili virtu operetta (appended to Melichio [n. 17]).

156. G. G. Manlio, Luminare maggiore (Venice, 1559), 80v-81r.

157. Alessandro Pastore, "Il trattato De venenis e la tradizione tossicologica del suo tempo," in Girolamo Mercuriale: Medicina e cultura nell'Europa del Cinquecento, ed. Alessandro Arcangeli and Vivian Nutton (Florence: Leo S. Olschki, 2008), 233–46. See also Rankin's contribution to this issue: "On Anecdote and Antidotes: Poison Trials in Sixteenth-Century Europe," 274–302.

158. The apothecaries' testing of the few poisonous substances they had been allowed to retail since the thirteenth century (e.g., chanterelle mushrooms, opium, sublimate, and arsenic) seems, by the sixteenth century, to have been infrequent. Similarly, although the botanical renaissance raised concerns over fatal mistakes in the identification of new and old ingredients, trials of disambiguation (usually by feeding such ingredients to dogs) were not systematic. Instead, they seem to have involved primarily apothecaries like Calzolari already fully invested in the study of nature, and to have crystallized around a few problematic items debated in the new literature on res herbaria, notably poison nut (nux vomica), doronicum, and aconitum. See Cermenati, Francesco Calzolari (n. 116), 59 (Calzolari to Aldrovandi [1595–96?]); Borgarucci (n. 17), 400.

159. They feature only in Calestani (n. 17), 91ff.

160. Giuseppe Olmi, "Farmacopea antica e medicina moderna. La disputa sulla teriaca nel Cinquecento bolognese," Physis 19 (1977): 198–246.

161. Enrica Stendardo, Ferrante Imperato: Collezionismo e studio della natura a Napoli tra Cinque e Seicento (Naples: Accademia Pontaniana, 2001), 134–36.

162. Gentilcore, Medical Charlatanism (n. 2), 174.

163. Vendramino Menegacci, La Theriaca et il Mithridato composti in Vicenza (Vicenza, 1587), A2v; Giovanni Cardullo, Theriaca d'Andromaco compostapubblicamente in Messina (Messina, 1637), 8–9; Marianne Stössl, "Lo spettacolo della Triaca. Produzione e promozione della 'droga divina' a Venezia dal Cinque al Settecento," Quaderni Centro Tedesco Studi Veneziani 25 (1983): 4–47.

164. Cermenati, Francesco Calzolari (n. 116), 39 (Calzolari to Aldrovandi, January 18, 1568).

165. Mario Biagioli, "From Print to Patents: Living on Instruments in Early Modern Europe," Hist. Sci. 44 (2006): 139–86.

166. Menegacci, La Theriaca (n. 163); Francesco Sartorio, Discorso sopra la compositions della triaca da lui composta in Bologna a 15 agosto 1612 (Bologna, 1613); Cardullo, Theriaca (n. 162). See the Online Appendix: http://muse.jhu.edu/resolve/19.

167. Richard Serjeantson, "Proof and Persuasion," in The Cambridge History of Science, vol. 3, ed. Lorraine Daston and Katharine Park (Cambridge: Cambridge University Press, 2007), 132–76.