
Incense has been used for thousands of years across the world, with evidence of its use in ancient Egypt, Greece, Israel, China, Japan, and Mayan civilisations. In medieval Europe, incense was used in both religious and medical contexts. Eighth- and ninth-century theologians describe the use of incense in early medieval Christian rituals, with Frankish bishop Amalarius commenting on its liturgical importance in the Liber officialis. Medical manuscripts from the same period also refer to the use of incense, with one recipe for 'Thimiama' listing ingredients including aloeswood, ambergris, musk, and camphor.
| Characteristics | Values |
|---|---|
| Period | Early medieval Europe |
| Usage | Medical, religious, and spiritual |
| Medical Usage | Part of medical recipes, used for aromatherapy and meditation |
| Religious Usage | Used in Christian rituals, eucharistic ceremonial, and liturgy |
| Spiritual Usage | Used for spiritual offerings and to facilitate communication with spirits |
| Trade | Imported aromatics, exotic resins, perfumes, and attars |
| Ingredients | Resins, fragrant woods, spices, and other aromatic substances |
| Examples of Ingredients | Frankincense, myrrh, storax, mastic, camphor, agarwood, cloves, and cassia/cinnamon |
| Medical Manuscripts | Codex Sangallensis (csg.) 761, Stiftsbibliothek St Gallen, Bibliothèque nationale de France, and Biblioteca Apostolica Vaticana |
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What You'll Learn

Incense in medicine
Incense was used in medicine in medieval Europe, as evidenced by early medieval manuscripts. The production, use, and meaning of incense are relatively unexplored areas of study in early medieval history. However, recent research has shed light on the medical use of incense in the Carolingian world during the early medieval period.
A sample of eighth- and ninth-century manuscripts provides insight into the use of incense as an ingredient in medical remedies. These manuscripts suggest that incense was understood as a multipurpose substance, offering a glimpse into early medieval medical knowledge and practices. The Codex Sangallensis (csg.) 761, written in insular script around 800, contains a collection of nearly fifty recipes and remedies, including the final entry titled "Thimiama," which lists various ingredients without providing preparation or usage instructions.
The medical use of incense in medieval Europe is also supported by classical and late antique pharmaceutical texts, such as Dioscorides' "De materia medica." In this text, a type of incense known as "cyphi" is described as pleasing to the gods and used by Egyptian priests. It was also mixed with antidotes and administered to asthmatics in drinks. The Alphabet of Galen offers a similar recipe for cyphi, which includes ingredients such as galingale, juniper berries, grapes, myrrh, and honey.
The use of incense in medicine was part of a long tradition, as individual ingredients found in incense were commonly used in medical recipes. Camphor, for example, was often recorded as an ingredient in early medieval incense recipes. The appearance of incense in medieval recipes may have been influenced by factors such as the symbolic nature of the ingredient, the herbal products used in its production, and the monastic settings in which medical and incense recipes were recorded.
While incense is no longer used in Western medical practices, its presence in early medieval medical manuscripts and classical texts suggests that it played a role in the medical traditions of the time.
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Incense in Christian ritual
Incense has been used in Christian rituals since the 4th century AD, when it was incorporated into eucharistic ceremonies. The smoke from the incense is believed to symbolise the prayer of the faithful rising to heaven. This symbolism is based on Psalm 141 (140), verse 2: "Let my prayer be directed as incense in thy sight: the lifting up of my hands, as the evening sacrifice".
Incense is also used as part of a purification ritual. In the Revelation of John, the "golden bowl full of incense" symbolises the prayers of the saints in heaven, which "infuse upwards towards the altar of God".
The use of incense in Christian rituals was further developed by Amalarius of Metz, a 9th-century Frankish bishop. In his work on the liturgy, the Liber Officialis, he describes the role of incense in detail. For instance, he writes that "the incense in its censer leads the way; this signifies Christ’s body suffused with a pleasing odour".
Incense is also used in the Roman Catholic tradition, the Eastern Orthodox Church, and some Lutheran churches. In the Church of England, its use was sporadic after the Reformation but was later widely restored in the 19th century under the influence of the Oxford Movement.
The chief substances used as incense in Christian rituals are resins such as frankincense and myrrh, along with aromatic wood and bark, seeds, roots, and flowers.
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Trade routes for aromatics
During the medieval period, trade routes were established to regions that exported aromatics, resins, perfumes, and attars. The trade of aromatics was a lucrative business, with perfumers in the Middle East exporting exotic scents in large quantities.
International trade in medieval Europe was facilitated by improvements in transportation and banking, as well as the economic development of northern Europe, causing a boom from the 9th century CE. Trade routes connected major cities in Europe, Asia, and Africa. For example, English wool was sent in large quantities to manufacturers in Flanders, while the Venetians traded with the Byzantine Empire and the Levant.
The wine trade was centred on Bordeaux and followed a triangular route: cogs carried wine to London, where they collected wool for Flanders and exchanged it for finished textiles bound for Italy. Arab and Indian merchants brought aromatics such as myrrh and frankincense to Egypt via the Red Sea.
The Hanseatic League, also known as Hansa, was a significant trading network from 1356 to 1862 CE. The Italian city-states were major players in the trade of aromatics, trading with distant partners such as the Mongols by the mid-14th century.
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Ingredients and recipes
Incense was used in medieval Europe for religious and spiritual purposes, as well as for medicine and personal hygiene. The chief substances used as incense were resins, fragrant woods, aromatic substances, and spices.
Incense recipes in medieval Europe often combined resins, fragrant woods, and spices. Common ingredients included frankincense, myrrh, storax, mastic, camphor, agarwood, cloves, and cassia/cinnamon. These ingredients were likely chosen for their aromatic properties when burned, as well as their accessibility through trade routes.
A simple recipe for incense from Exodus XXX.34 reads:
> "Take unto thee spices, stacte, and onycha, galbanum of sweet savour, and the clearest frankincense, all shall be of equal weight."
Another recipe, titled "Thimiama," is found in the Codex Sangallensis (csg.) 761, written in an insular script around 800 CE. The recipe lists the following ingredients with their corresponding quantities:
- Cozumber – 3
- Aloeswood
- Ambergris – 3 denarii
- Confita
- Camphor – 1 denarius
- Musk – 1 denarius
In addition to these recipes, natural ingredients native to Britain, such as Galium verum (our ladies bedstraw), G. odoratum (sweet woodruff), and Melilotus officinalis (sweet clover), were also used in incense-making. Honey was commonly used as a binder in incense blends.
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Incense burners
The use of incense in early medieval Christian ritual is described by eighth- and ninth-century theologians. Incense was considered essential to the proper performance of the liturgy, and its presence was believed to signify the ascent of prayers and the merits of the saints. Amalarius of Metz, a Frankish bishop, wrote about the significance of incense in his work, "Liber officialis". He described how "the incense in its censer leads the way, signifying Christ's body suffused with a pleasing odour".
In addition to its religious significance, incense was also valued for its medicinal properties during the early medieval period in Europe. Medical manuscripts from the eighth and ninth centuries, such as the Codex Sangallensis (c.800), contain recipes and remedies that include incense as an ingredient. These manuscripts offer insights into early medieval medical knowledge and practices, reflecting the multipurpose nature of incense.
The production and use of incense burners in medieval Europe were influenced by trade routes with regions that exported aromatics, exotic resins, and perfumes. This exchange contributed to a diverse range of incense ingredients and blends. For example, in medieval Britain, incense ingredients included native plants such as Galium verum (our ladies' bedstraw), G. odoratum (sweet woodruff), and Melilotus officinalis (sweet clover).
Medieval incense burners could be made from various materials, including metalwork. For instance, zoomorphic incense burners from medieval Khurasan (c.441-597/1050-1200) displayed a hybrid of feline and equine characteristics and were associated with symbols of power and sovereignty. These incense burners exemplified the changing aesthetic in artwork influenced by increased wealth and cultural exchanges during that period.
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Frequently asked questions
Yes, incense was used in medicine in early medieval Europe. It was considered a multipurpose substance, and references to it appear in several medical manuscripts from the eighth and ninth centuries.
Incense was made from resins and fragrant woods, often combined with spices and other aromatic substances. Common ingredients included frankincense, myrrh, storax, mastic, camphor, agarwood, cloves, and cassia/cinnamon.
In medieval Europe, incense was used in Christian rituals and ceremonies. It symbolised the ascent of the prayers of the faithful and the merits of the saints. It was also used to counteract disagreeable odours and drive away demons.
The use of incense in medieval Europe dates back to the early Christian church in the 4th century AD. It was introduced to Europe through trade routes with regions that exported aromatics, resins, and perfumes.











































