This is the summary of the book titled “Rumbles: A Curious History of the Gut” written by Elsa Richardson and published by Pegasus books in 2024. For anyone who has read Susie Flaherty’s “Gut Feelings: Microbiome and health”, the topic of intestinal heath might already be familiar. Elsa’s book takes on a journey of the impact of intestinal health over the centuries with its surprising influence on medicine, culture, and politics. Bodily processes such as the activities of the gut and microbiome defines the way people live, think, and govern and our understanding of this phenomenon has led to medical advancements, changes in cultural norms and sparked political movements. Modern technologies inhibit naturally paced, mindful eating and the drive to be productive has eaten away at our work-life balance. The gut can be a predictor of physical and mental health. Hunger and beliefs about digestion can drive social and political change.
The gut's influence on mental health has been a topic of debate throughout history. Initially, people viewed the gut with suspicion, with the Ancient Greeks using it to predict battle outcomes. In the Middle Ages, the gut was seen as a potential source of demonic possession, leading to mental and spiritual chaos. Medical figures like James Johnson connected patients' mental despondency to toxins in their bowels. However, some individuals, like George Cheyne, believed that diet directly influences emotions and mental states. Societal rules about diet and manners have been used to maintain social order and mental and physical well-being. The aim of regulating the gut was to maintain order, both socially and emotionally. By the late 17th century, etiquette books dictated the proper use of utensils and conversational practices, labeling those who followed these rules as "civilized" and those who did not as "savage."
Scientists have studied digestion for centuries to understand deeper aspects of human existence. The digestive process involves the coordination of various organs, enzymes, acids, and muscles. In the 19th century, French-Canadian voyageur Alexis St. Martin's accident allowed Dr. William Beaumont to observe the digestive process, leading to a new understanding of gastric juice and its role in digestion. Modern technologies have inhibited naturally paced, mindful eating, with the gut-brain connection being a significant factor. Avicenna, the founder of modern medicine, argued that the digestive system was designed to store waste and allow humans to focus on higher intellectual pursuits. However, modern distractions like smartphones have led to overeating and obesity, highlighting the need for mindfulness and avoiding multitasking during meals. The push to be productive has eroded people's ability to establish a healthy work-life balance, with pre-packaged meals like sandwiches highlighting the pressures of modern capitalism. Lunch became the barometer for how modern working life affects human health. British unions started to demand the introduction of workplace canteens to provide healthier, more structured meal breaks. British employers introduced canteens during World War 1 for reasons of boosting productivity albeit not for worker well-being.
The history of sanitation and human excrement management reveals how societies have struggled to control the consequences of digestion. In the mid-19th century, London's waste problem led to the installation of public toilets and the construction of a sewer network. Proper disposal of waste became linked to civilization, and hygiene and cleanliness bolstered social hierarchies. The gut can be a predictor of physical and mental health, with studies showing that gut bacteria can forecast potential health outcomes. Health reformers like William Arbuthnot Lane and John Harvey Kellogg argued that modern city life damaged people's digestion, causing constipation. Today, concerns about gut health remain, with concepts like "leaky gut syndrome" and the popularity of probiotics and fermented foods reflecting both old fears and new discoveries about digestion's impact on overall health. A better understanding of the human microbiome has led to treatments like fecal microbiota transplants, which can treat conditions like Crohn's disease, multiple sclerosis, and depression.
Hunger and beliefs about digestion can drive social and political change, serving as a means of bodily control. In 18th-century France, the Digesting Duck, a mechanical creature, was hailed as proof of France's modernity and commitment to scientific progress. Hunger and hunger can drive national upheaval, as seen in post-revolutionary France. Dieting, a concept popularized by figures like William Banting, reinforces societal norms and weight control. Dieting has also played a role in gender politics, reinforcing stereotypes about women's frailty and men's strength. However, suffragettes in the early 20th century reversed harmful gender notions by using their guts as political tools.
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