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[Alysse the Likely]

Kelancey, this is absolutely marvelous!  And so perfectly medieval.    I am really impressed with the work you are doing here  You obviously have not only a gift for writing and brilliant creative streak, but a meticulous eye for detail.    

Alysse

[Kelancey the Green]

  Thank you kindly, Judith and Alysse, for your courteous replies!  I've taken your advice, Judith, about adding the positives of each of the personalities.  Just a revision of the Bodily Constituents:

Posit of the Six Bodily Constituents

Choler—Energetic, ambitious, driven.
  Influences:

• Armeros (Fire), God of War
• Queprur (Earth), Goddess of Death

  Choleric Affliction = violent, ill-tempered, wrathful.

Phlegm—Self-content, shy, kind.
  Influences:

• Arvins (Earth), God of the Hunt
• Eyasha (Wind), Goddess of Peace

  Phlegmatic Affliction = torpid, slothful, plodding.

Sanguine—Youthful, cheery, fun-loving.
  Influences:

• Etherus (Fire), God of Excess
• Jeyriall (Water), Goddess of Harvest

  Sanguineous Affliction = feverish, passionate, inflamed, incensed.

Bile—Intuitive, artistic, introspective.
  Influences:

• Urtengor (Earth), God of the Forge
• Seyella (Water), Goddess of Destiny

  Melancholic Affliction = sullen, dark, somber.

Excreta—Vigorous, dynamic, multitalented, revolutionary.
  Influences:

• Baveras (Water), Goddess of the Sea
• Grothar (Wind), God of Weather

  Mercurial Affliction = Fickle, adrift, protean.

Ichor—Cerebral, philosophical, contemplative.
  Influences:

• Foiros (Fire), God of the Sun
• Nehtor (Wind), God of Healing

  Orphic Affliction = Hermetic, inscrutable, abstruse.

[Kelancey the Green]

Very incomplete outline of what was known in medicine in medieval Europe

• Hippocrates (ca. 400 BC) described treatment of bone fractures; gave an early but well-developed diagram of human anatomy.
• Galen (ca. 130 AD) wrote on 500 separate topics, including hygiene, pathology (signs of disease from looking at human tissue), how the spinal cord controls various muscles, descriptions of the heart valves, and the function of the kidneys and bladder.
• Pedanius Dioscorides (ca. 40 AD) catalogued and sketched over 500 species of herbs with medicinal uses.
• Rogerius, a.k.a. Roger Frugardi (ca. 1180 AD) elevated the reputation of surgery in Europe, compiling surgical procedures categorized by pathological (cause of disease) or traumatological (traumatic cause of disease) headings.  He was the first to use the name lupus for the characteristic malar rash.
• Arabic medicine was quite advanced by comparison to the state of the art in Europe.  Dental drilling using fast-spun drill bits and bow strings; washing of  hands before surgery; and correction of erroneous beliefs taught by previous generations of herbalists, surgeons, and medical practitioners were some of their major contributions.
• Midwives have long been skilled birth attendants from the ancient Grecian era through modern day.  Their methods were often more comforting and hygienic than those of their male surgeon counterparts.  In medieval Europe, they were also knowledgeable in methods of contraception and therapeutic abortion.
• Barber-surgeons would attend wounded soldiers in battle, extracting arrows, trepanning bleeding head wounds, cauterizing open flesh wounds, sterilizing (via any of several antiseptic methods) and suturing wounds, and amputating gangrenous limbs, all just behind the front line of the field of battle.

Source:
Wikipedia, medieval medicine. http://en.wikipedia.org/wiki/

[Kelancey the Green]

Medieval diagnosis and treatment

    The diagnosis of a patient was usually incomplete. It consisted of inspection of blood, feces and urine, and taking the pulse, but only in rare cases all of the above were included. Blood was checked for viscosity, hotness or coldness, "greasiness", taste, foaminess, rapidity of coagulation, and the characteristics of the layers into which drawn it separated. Blood, feces, and urine measured the balance of humors within a person's body.
    Diagnosis of diseases was achieved by using the concept of complexional imbalance as a fundamental explanatory mechanism to interpret clinical manifestations. Observation, though, consisted primarily of taking visual note of the patient's external appearance, listening to the patient's own narrative of the illness, and inspecting and smelling his or her excreta. Observation which would include all of the above was rare and more often than not, a physician would prescribe treatment based solely on written inquiries from colleagues or from the patients themselves.
    The leech books were to be consulted in order to figure out what kind of bloodletting was necessary (if any), whether the patient should rest more or exercise more, if change of diet were in order, or what medication or herbal remedies were necessary. It is interesting to point out, that "although arthritis and rheumatism were common disabilities, herbals and leech books prescribed more remedies for conditions affecting the eyes than for any other single complaint" (Kealy 5).
     It is worth noting that urban surgeons did attempt surgical cures, when needed, for bladder stones, cataracts, syphilis (?!?), setting fractured bones, amputations, and bloodletting or leeching.
     Herbal remedies, mixtures, and gem therapy were often used in treatment, especially during the early Middle Ages. Of course, this sort of treatment had its limitations laid by the Catholic church to prevent pagan heresy from spreading.
     Other examples of common treatments for particular ailments could be pounding henbane and hemlock and laying it on painful thighs, herbal potions to cure jaundice, vomiting and bloodletting for paralysis, and for belly disease - chewing laurel leaves, swallowing the juice, and laying the leaves on the navel. These examples are translations from Bald's Leechbook.

Sources:
Medieval Medicine. http://www.intermaggie.com/med/healing.php
Bald's Leechbook. Vol. 5 in Early English Manuscripts in Facsimile. Ed. Wright, C.E. The Johns Hopkins University Press. Baltimore, 1955.
Kealy, Edward J. Medieval Medicus - A Social History of Anglo-Norman Medicine. The Johns Hopkins University Press. Baltimore, 1981.

[Artimidor Federkiel]

You're not by chance a Doc or something similar, Kelancey, as you manage to come up with such well researched information on all things medical? - Looks great at any rate! Let's hope we can Santhariarize certain things here properly at some point and have a profound background for this area! 

[Kelancey the Green]

  Hey, I think I'm ready to consolidate this morass into a cohesive first draft on mundane medical practices in present-day (1667 a.S.) Santharia.  Can I ask if there are any subjects missing in the information I dumped into this forum?

@Drasil: Thanks for your suggestions.  I know I'm missing mystical practices of common healers--rituals, dances, fetishes, gems, and so on.  If you have specific info you could help with, I'd love to co-author this with you!

@Xera: I'm thinking of focusing just on Santharian practices for the time being.  You're absolutely right, the rest of Caelereth deserves attention as well, but that's gonna be a big project (i.e. I'm lazy and don't want to take on that much all at once!).   Might you be interested in authoring that entry?

@Talia, Mina, and Alysse: Thank you for setting me on the right path when I went awry.  I'll limit my first draft to just the present day, and then maybe trace back origins of current practices in a medicine timeline, (hopefully) soon to follow?

[Bard Judith]

How about titling this  "Kelancey's Leechbook"   or "The Leechbook of Kelancy the Green" ?    



A few more little things to make this a truly comprehensive overview:

Have you read through the six or seven diseases that currently exist on the site?  Just type 'diseases' into the little search bar that pops up when you click on the magnifying glass at the top left of the main page (www.santharia.com).   

Check out the healing herbs for mentions of sicknesses and treatments; you might collate them into a pointform list of basic preparations (herbal tisanes, compresses, ointments, etc.) which are frequently used. 

 Also a list of medieval names for ailments should exist somewhere - in this entry, if nowhere else.  We don't have 'colds' and 'diarrhea', we have 'agues' and 'fluxes' - or something similar...

Ague
Tertian Fever
Pox
Fluxes
Ulcers & Boils
Tumours
Masses
Tetters


and so on...


Don't forget 'simples', 'bezoars' (I'll write up the entry if you like!), urine flasks, bloodletting, and other wonderful diagnostic tools....


EDIT:  Funny, I had thought that such a list did exist - I remember doing some research and discussing it with Alysse when she did the Scurvy entry....     Perhaps it never made it to the site.  I've just gone through 15 pages of old posts in the Misc Forum - lots of separate entries for the Diseases, but not one overall list.... (sigh)


EDIT AGAIN:   I found one reference of mine but nothing more.  (sniffles)

 "We contract the ague - possibly with rheum or fever...) - and I'm pretty sure 'joint-ill' or 'bone-cramp' has been written up.  But sure, we could add Santharthritis as a wry nod to occupational illnesses (the medieval version of carpal tunnel syndrome?) - it can simply be edited into the entry if Art likes the idea..."

[Coren FrozenZephyr]

I too remember that list Judith!

[Artimidor Federkiel]

Well, yeah, there are a lot of gems throughout the Forum, which have never been polished properly in form of entries or overviews usable for the site, and then the big Forum monster swallows them... You just rediscovered a few of them as I saw, Judy;) That's why the projects idea came up - to get some focus on something and collect other major ideas into "possible future project threads". I have to admit though that it is quite difficult to stick to such a project with limited time resources and get the essential stuff done (see my lousy presence at the Two Sans project) - many people eager to participate in the project also seem to notice that it might turn out to be work... Well, not easy all that.

[Kelancey the Green]

  Would it be really selfish if I titled a book of diseases after myself?

Kelancey's Discourse on Disease

Ague

• Consisting of general malaise, muscle aches, and low-grade fever
• Myriad causes; often attributed to undercooked meats, excess of the Phlegmatic constituent, or a witch's curse
• Affects all ages, infants through elderly
• Treatment consists of profuse warm liquids to stimulate the phlegmatic constituent

Coughing Spells

• Range in severity from the common cough and runny nose to bloody cough with wasting of the body
• Common cough may be treated with cha prduced from steeped Juk'lan leaves, chewing and ingesting Khmeen seeds, or eating whole raw onions

--Consumption

• Typically ravages those living in squallor or damp, crowded conditions; one proposed treatment is moving to a dry, hot climate
• Consists of cough accompanied by frankly bloody sputum, low-grade fever, loss of energy, and general wasting of the muscles
• Proposed to be an affliction of the Phlegmatic constituent.  Treatment exists, in the form of Aelvásh’már, prepared from dried Anemonel leaves soaked with Anemonel petals, though often the malady is noxious to the point of resisting all treatments offered.

--Strangling Disease, or "Heaves"

• Exclusively affects humans, without regard to social strata.  Commonly begins in childhood, though it may manifest at any point later in life.
• Thought to be passed from parents to children, or from exposure to triggering substances which are inhaled--dust, plants, mildew, or certain materials of clothing.
• Symptoms vary according to severity of disease.
       Mild strangling commonly begins in childhood, is usually exacerbated with physical activity, and generally causes less than 2 heaving attacks per week.
       Moderate strangling may be triggered with less exertion, such as during conversation.  Heaving attacks may occur more than twice per week, and generally causes more distress to the afflicted person.
       Severe strangling, or "Chokes", consists of wheezing and difficulty breathing even at rest, is exacerbated with any level of exertion, and severly restricts daily activity.
• Prevention consists of avoidance of provoking factors: open windows, smoke from an open fire, and stopping physical activity and resting when an attack comes on.  In cases of severe strangling, people may find relief by moving to a cooler climate.  Chokes have proven especially resistant to treatment, and even the most aggressive treatment may not be sufficient to stop attacks.
• Aelvásh’már (liquid) from the Anemonel plant reduces swelling and may alleviate some of the symptoms, though not during an attack.  Hot Juk’lan cha, as well as hot vapors from boiling water with a few drops of rosemint under the nose and mouth, may assuage breathing difficulty during an attack.
• Information provided by Lucirina Telor Vevan.

Cramps, Pains, and Aches
--Stomach ache

• If upset stomach is caused by excess of choler, lack of sleep, or ague, cha of Basiloc is recommended.
• If improperly prepared food or other toxic ingestion is implicated, Aelvásh’már, from prepared Anemonel, is suggested, though roasted Burntrock is used for this purpose as well.
• In the instance of excess of bile, cinnasticks (from the Cinnabark tree) may be brewed into tea which soothes stomach and bowel problems.

--Back ache

• Recommended treatment is ingesting Khmeen seeds.

--Headache
--Women's cramps

• In many of these instances, the Alik'ran root is the ideal remedy.  The root of the Alik'ran bush is washed, dried and peeled, then chewed, acting as a remedy for cramps, headaches or other complaints during women's cycles

--Bone fractures

• Setting the bone in place should be immediate, followed by splinting the affected arm or leg, then vigilance against swelling of the blood within the bone
• If the bone should be sticking out of the skin, care against sepsis should be taken.  Ormelin must be applied to the bone fragment and surrounding skin.  The two ends of the broken bone are then apposed, but the muscle and overlying skin should be left open and packed with odea moss paste. Wash out the wound twice daily with ormelin, then reapply odea paste, repeating each day until the skin closes on its own.

--Intracranial hemorrhage
--Childbirth

• These last two are best handled by specialists in this area.

Dental and oral abscesses

• Symptom relief is attained by chewing and ingesting Khmeen seeds.  Miyuestiac mashed berries may be applied directly to the gums, though accidental ingestion and sleep has occurred many times from this treatment.
• Dental extraction and lancing of abcesses are best left to practitioners of these procedures.

Enfeeblement
--Efer’Avél or Thought Burn

• Affects the elderly, with primarily elves and humans at highest risk of contracting the illness.
• Initially presenting as forgetting recent conversations, then forgetting earlier memories as the disease progresses.  Usually memories from youth and young adulthood are best preserved, hence people thus afflicted will replace new (forgotten) memories with old ones.
• Other symptoms in middle and late stages include behavioral changes and impairment of judgment, loss of language skill—which may eventually progress to mutism, and loss of planning and execution skills, forgetting the “how to do something” skills required for daily living.
• Prevention is diet high in fish intake, as people from fishing villages are rarely afflicted with this disease.
• Symptomatic treatment with diluted venom of the coral sand snake found in the Ráhaz-Dáth protracts the course of the disease and alleviates some of the forgetfulness for up to three years.
• A rare cure has been found, which is drinking from the enchanted well in the village at the foot of the Norong‘Sorno volcano, though people have been put to sleep or even brought to death from this enchanted water.
• Information provided by Zdoth Natterath.

--Mistrash Disease

• Afflicts the Mistrash lineage, though may rarely occur outside this family line.
• The condition begins at birth, progressing in severity throughout life.  Features of afflicted people include pallid complexion and melancholic disposition. Later complications are paroxysms of necrosis of various bodily organs, including the spleen, lungs, and brain, as well as putrification of the long bones.
• It is postulated by some folk healers that Mistrash disease offers some protection against consumption and strangling disease.
• Information provided by Grunok the Exile.

Eye Infirmities
--Cataracts
--Orbital puncture
--Blindness

• Prayer by a priestess/priest of Seyella and travelling to live (temporarily) in close proximity to the healing waters of Jeyriall are both tolerable methods of curing eye afflictions.
• A blind person must never enter the pools of Jeyriall or touch the water with their own hands, lest they corrupt the waters and make the babies born to women who bathe there blind for twenty years after. 

Fevers
--Tertian Fever
--Brain Fever

• Uncertain if this is an infection or a demonic curse, though reports tend to support the former.  Those most at risk are the very young and the elderly.
• Initial presentation is usually fever with or without headache.  Within minutes to hours, this will give way to drowsiness or torpor, very high fever, and neck stiffness.  Convulsions and vomitting may intervene in this time.  Once torpor is established, death usually follows swiftly, within 24 hours.
• Though no single cure is generally accepted as effective, proposed treatments include therapeutic leeches applied over the entire cranium, purgation through ingestion of large amounts of in'ila berries, or strengthening the body with ormelin.  Even with treatment, most cases prove fatal.
• If treatment is successful, many people are left with residual symptoms, including persistent headache, convulsions, memory loss, and dulled hearing or deafness.

--Urgroum's Call

• First mention is during Caeorphynn's ride to free Carmalad in 288 b.S., during the Third Sarvonian War.  After defeating countless orcs on the battlefield, she fell victim to fever and died, purportedly from contagion "in close combat against the hordes of the darkfriends." Little else is known about this mysterious illness, as records have fallen into oblivion.

Fluxes
--Scurfy, "Mouth Rot", "Sailors' Bane", or Lor’ang’urg (lit. “winter weakness")

• Attributed to lack of ingestion of fruits and vegetables, thus sailors and people in colder northern climes are more disposed to this condition.  This condition is yet unheard of in races apart from humans.
• Initially presents with lethargy, joint aches, and incidental bruises (without any wound) over any part of the body.  A reddish rash may appear on the limbs and back; later, oozy sores will appear wherever this rash erupted.  The eyes become sunken and vision becomes weak.  Fainting spells and violent flux are common.  Late effects include scars and old wounds reopening, gums bleeding, teeth loosening and falling out, and difficulty breathing and wheezing.
• Associated with Black Dog, a deep melancholy wherein strong and humble men alike will weep and yearn for their homes.  Victims may react violently to sudden noises or strong aromas.
• Cure is simple and completely effective: Ingestion of lymmon juice (from Aeruillin), waterberries or redberries, or juk'lan brew of the Kuglimz Northlands.
• It is advised to distinguish this from other ailments, including brain fever, strangling disease, groin rot madness, mortification or other variants of tetters, and other fluxes.
• The problem may be exacerbated by ingestion of animal or fish livers, as the excess of bile may aggravate symptoms.  As well, certain vegetables are to be avoided in this setting, one of which is the carroot.
• Information provided by Alysse the Likely.

--Epidemic flux, with vomitting
--Epidemic flux, without vomitting
--Epidemic flux, without vomitting, with fever
--Epidemic flux, without vomitting, with fever and fainting
--Epidemic flux, with vomitting, fever and fainting

• Eating dry foods, such as bread or flat crackers, is advised to plug up the bowels.  As well, aggressive rehydration should be pushed to replenish the body's water.

Joint and Bone Ills
--Ingrown toenail, "Nailer"
--Bunion

• Both of these may be attended by one skilled at shoeing horses.

--Clubbed feet

• Prayer to Foiros at first light and sundrown are advised to aid walking.

--Flat feet

• Tying a smooth river stone beneath each foot during waking hours for six to ten months may correct this problem.

--Blisters

• Lancing blisters with a red-hot sewing needle is both effective and curative.
• The outdated practice of applying leeches to blisters is discouraged, as this may allow bitter tempers to enter through the wounds and dispose one to choleric affliction.

--Joint ill
--Santharthritis

Growths & Masses
--Tumor

• Trepanism and surgery are best practiced by those skilled in this area.

--Warts

• Grinding down with gritty stone may cause warts and other skin growths to abate.

Hair and Scalp Trouble
--Baldness

• Ormelin may be massaged into the scalp daily to encourage flow of the sanguine constituent to this area.

Heart Maladies, esp. Love afflictions

Paralysis
--With torpor
--Without torpor
--Miaelean Disease, or "Undead Disease"

• First victim was M. Ikara, in Nermeran.  Not known how the disease is transmitted or what predisposes someone to getting it.
• First presents with listlessness and poor responsiveness.
       Progresses to delayed thought processing and general dulling of sensation throughout the body; at this stage, people are prone to insensate wounds, damaging their bodies without feeling any noxious stimulus.
       Next, blood vessels throughout the body and whites of the eyes become fragile and rupture, leading to spider-like swellings or mottling of the skin.
       In the final stage, dead skin and necrotic appendages (fingers, toes, feet, and so on) will slough off, accompanied by heightened perception of pain, inflicting the victim with exquisite wracking pain throughout their head and body.
• No cure or prevention is known.  The objective of treatment is to prevent incidental injury during early stages of the disease, and amelioration of pain and prevention of exsanguination in the final stage.
• Information provided by Tzilon Ikara.

Plagues
--The Blood, or Black, Death, or the Great Plague of Nyermersys, 602 b.S.

• Only known epidemic was in 602 b.S. in Thevelin (now Nyermersys).  The cause is uncertain, but may be attributed to infestation of biting insects or rats.
• First symptom is a localized, hard, nontender, nonmobile inflammation in the groin, armpit, or neck.
      Within a day, the inflicted will mount a high fever, lethargy, and chills, and may experience delirium or convulsions.  If left untreated, the disease may take one of two courses.
      Some will develop rupture of blood vessels throughout the body, leading to mottled blackening of the skin and blood in the excrement, eventually giving way to exhaustion and death within a week.
      The faster course of illness is coughing and production of blood in the phlegm, leading to asphyxiation within a day or two.
• The only known cure is the blessing of the Quepruran priestesses, through prayer and whatever other means they have to ask for their Goddess’ favor.  Quarantining those who are ill may slow progression of the epidemic, though the disease may thus spread to people enacting the quarantine.
• Information provided by Viresse.

--The Grass Death, "Sickle's Touch", or "First Plague"

• Two causes are known: Direct contact, as touch by the Demon Lord Lorkuloth himself.  Indirect contact is through exposure to the breath of one afflicted by the disease, contact with plague-rotted flesh, and eating tainted grain.
• Initial presentation is splitting headache, dulling of the senses, and foul putrid stench on one’s breath, lasting up to 3 days.
      Middle stage is development of green scaly patches on the arms and chest, which lead to skin rot within one to four days.
      End stage consists of the green patches sprouting thin green tendrils, loss of reason and crazed fits of undirected combativeness, leading to flesh decay and painful death.
• Only consistent cure is incineration of anyone and anything exposed to the plague.  Other cures have varied throughout history, including people with second stage disease facing the sun every day for at least an hour, or eating a wizardleaf to kill off the plague.
• Information provided by Xarl.

--The Red Plague of Voldar, 1666-5 b.S.
--The Plague of Helcrah and Goltherlon, 731 b.S.
--Plague in Quios, 696 a.S.
--Zeck's Final Cry Plague, 1574 a.S.

Pox
--Mercutio's Pox, 1257 a.S.

Temperamental Ailments
--Aramyrian Disease

• Contagious disease transmitted via bodily constituents, esp. blood and fluid exchanged during intercourse
• Only known to affect dark elves, spawning (or perhaps born from?) the Blood Eye Cult
• Symptoms include anorexia, desaturation of skin and hair color, change of color of irises to yellow or pink, sun sensitivity which may burn exposed skin, eventually giving way to pronounced appetite for blood and sexual depravity.
• Initial presentation is as common malady with ague, lethargy, stomach cramps for up to 10 days.  Next stage consists of vomitting and diarrhea upon eating food apart from meat, and near-torpor with vivid nightmares.  Last stage is as described above, predatory appetite for blood and hypersexuality.
• No known cure.  Only prevention is avoidance of exposure to bodily fluids of one contaminated with the disease.
• Information provided by Rayne Avalotus.

--Lunacy
--Hysteria
--Possession by feral spirits
--Groin rot madness

• Proposed to be a curse for wickedness and perversion.  Common among those who socialize with men or women of ill repute.
• Initially presents as a hard, painless ulcer on the private parts, which usually disappears after a month. 
  Weeks or months later, a reddish, scaly, non-itchy rash may appear over the trunk, back, and limbs; this rash is unusual in that it covers the palms and soles of the feet.  As well, foamy patches may appear on the moist membranes, as in the mouth.  Victims may also experience fever, weight loss, headache, or vision loss.
  Years later, afflicted people may experience late complications, these being the groin rot madness and the Tabes dance.  The madness is a rotting of the character and judgment of a person, with childish or violent reactivity to startling and poor tolerance of stressful situations.  Tabes dance is a loss of sensation in the feet, leading to stumbles and falls.  At this late stage, people may die of weakness of the heart or collapse of the sanguine constituent.
• Though there is no known cure, healthy living and avoidance of drinking with unseemly characters is thought to be protective.

Tetters (eruptions of the skin)
--Eczema
--Leprosy
--Ringworm

Ulcers & Boils
--Carbuncles

Urinary problems
--Bladder stones
--Bladder infection

  --I'll modify these as I have the time to contribute more.

[Drasil Razorfang]

Naming it after yourself seems like a good idea, IMHO.  Also, there is under the misc. section a list of diseases.  Have you checked there?  If not, they might give you some ideas to branch off of and should probably be included in your guide.

[Kelancey the Green]

  Thanks, Drasil.  I'm embarassed to say I didn't!  I searched the site for words I already knew--"fever, plague, etc."--and forgot to check the obvious places first.  Thanks for the "heads up"!

[Grunok the Exile]

Just a little note:  In my Keep Mistrash entry I made the Gravens (rulers of a Fief, an area within a Duchy) who rule from the Keep afflicted with an hereditary disease that is very loosely based on sickle-cell anaemia.  You are welcome to include it, mention it in passing as unidentified and/or troublesome, make it widespread or specific to this family, name it after the Mistrashes (original family name Tribald), or ignore it completely - whatever you like!

[People section]
The Markgravens of Mistrash Keep have tended to be quiet, solemn people. They are usually strong in constitution and heavyset in build, their bulk tending to muscle rather than excess flesh. Occasionally, but more regularly than with other noble families, children of this house will be born sickly and either die at infancy, or, more rarely but still notably commonly, live sickly but only somewhat shorter lives.
[History section]
...the appointment to Graven will keep him busy, using his talents. It will also give him time to spend with his wife whom he loves, but who is sickly.

Great work here Kelancey!  It is certainly not an immediate-gratification up-in-the-next-update special, but it is a significant contribution to the weaving of the Santharian tapestry, and a great demonstration of some real skills which will be very valuable to the Dream.  Thank you for joining us!

[Kelancey the Green]

  Grunok, with your mastery of the written word, I am simultaneously honored and humbled by your compliment.  With your permission, I would certainly like to mention Mistrash disease.  Would you mind terribly if I add in a few features of Terran sickle-cell disease, and maybe one or two features that could distinguish the Santharian disease?

  Suppose people (carriers of sickle-cell trait, in Terran terms) were noted to have a bilious or melancholic disposition, suffered from infarcts of the spleen, and had sudden necroses of the lungs (pulmonary emboli) and brain (strokes)?  And to make it unique to Santharia, suppose this offered some beneficial protection against consumptive and strangling diseases?  Would this still fit with your concept of the disease?

  Thank you kindly for your contribution, Grunok!

[Grunok the Exile]

Haha, thank you for the compliments!  You may certainly fiddle around with it as much as you like.  I really know little (if anything) of sickle-cell anaemia; I just imagined this 'dynasty' to have some members of their line pale and sickly.  So, if I can have pallidness as one of the symptoms I would be pleased; otherwise you may really do what you like.    Also, the bilious disposition would fit very well to my concept. 

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[Artimidor Federkiel]

Last 10 Shouts: Artimidor Federkiel 23 May 2013, 17:14:39 If it works, sure! Altario Shialt-eck-Gorrin 23 May 2013, 16:47:05  Art, is this your little way of forcing me to do an entry? Irid alMenie 23 May 2013, 14:01:26 I see the board has been deactivated. Lets hope for a quick solution! Artimidor Federkiel 16 May 2013, 22:20:50 Files have been replaced again, but the question remains how long this will last. SMF support will have a look at the security problem. Artimidor Federkiel 16 May 2013, 17:26:47 It has been hacked. The third time in 3 days. I need to replace the changed files again (won't happen before evening) - and then see what the SMF support recommends as a strategy. Irid alMenie 16 May 2013, 10:06:36 Arti, could you maybe take a look at the RPG board? I got a message from my anti-virus program and now I can't access the column on the right with the list of current threads and the shoutbox. Thankies Artimidor Federkiel 04 May 2013, 13:50:24 Ta`lia of the Seven Jewels 03 May 2013, 19:31:50 got it! The menu to the left is so convenient, that I nearly forgot the old souce... Ta`lia of the Seven Jewels 03 May 2013, 19:23:01 Artimidooor.. could you please add the Northern Sarvonian Tribe's map to the map menu? As you know, my mouse over does not work I could't find it right now, though I know it does exist somewhere. Ta`lia of the Seven Jewels 30 April 2013, 23:32:56 Huhu, huhu, huhu, ..that was my owl..

[Artimidor Federkiel]

Artimidor Federkiel

[Altario Shialt-eck-Gorrin]

Altario Shialt-eck-Gorrin

[Irid alMenie]

Irid alMenie

[Artimidor Federkiel]

Artimidor Federkiel

[Artimidor Federkiel]

Artimidor Federkiel

[Irid alMenie]

Irid alMenie

[Artimidor Federkiel]

Artimidor Federkiel

[Ta`lia of the Seven Jewels]

Ta`lia of the Seven Jewels

[Ta`lia of the Seven Jewels]

Ta`lia of the Seven Jewels

[Ta`lia of the Seven Jewels]

Ta`lia of the Seven Jewels

[Artimidor]

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