For instance, in the case of leprosy (or various skin conditions with the characteristics of leprosy), a rich person was offered electuaries (a medicinal substance mixed with honey or another sweet substance) made with pearls ( diamarciaton) or ambergris ( diambre), while a poor person received electuaries made with rosemary ( dianthos) or aloes ( dianisum). A rich person was provided with a range of options and expensive medications. Furthermore, these chronic conditions were considered next to impossible to cure and difficult to treat, except with a diverse plan of remedies and ingredients. It is not surprising that differences in treatment are mentioned for chronic conditions, such as epilepsy and leprosy, where the ability to afford long-term treatment becomes problematic for a low-income person. It is interesting that although different treatments are not provided for every illness, those in which differences are noted are often summarised into two categories: chronic conditions, and diseases associated with poverty. The Lylye of Medicynes is a significant 15th century Middle English translation of a Latin medical text, the Lilium Medicinae, written in the early 14th century by Bernard de Gordon (1270–1330), a highly respected medical doctor and lecturer in the medical school of Montpellier.
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