Blood: from symbol and metaphysics to the infrastructure of life in light of Ruben Verwaal's Blood Sweat and Tears

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Blood: from symbol and metaphysics to the infrastructure of life in light of Ruben Verwaal's Blood Sweat and Tears

Introduction

For centuries, blood has transcended the boundaries of biology to become a powerful symbol of life, identity, and power. This article analyzes the evolution of its perception—from mystical theories to modern medical infrastructure.

The reader will discover how blood was used to construct social hierarchies and how contemporary transfusion science transformed a personal symbol into a public resource. The text exposes the mechanisms through which science has occasionally served as a tool for legitimizing prejudice.

Blood as a Dynamic Construct Between Biology and Culture

Blood differs from other bodily fluids in that its loss is directly linked to death. This has rendered it a metaphor for existence itself, influencing law, religion, and politics.

In ancient medicine, the model of humors predominated, where blood was one of four fluids that shaped temperament. Within this system, procedures such as phlebotomy were intended to restore the body's qualitative balance.

A radical example of this approach is the death of George Washington, from whom a massive amount of blood was removed. This illustrates the transition from intuitive treatments based on proportions to modern medicine grounded in measurable parameters.

Blood as a Mixture Rather Than a Symbolic Substance

A breakthrough occurred when blood ceased to be treated as a uniform substance and was instead analyzed by its components. The research of Hieronymus Gaubius allowed for the separation of blood into plasma and clot, shifting research questions from qualitative to chemical.

A pivotal moment was the publication of William Harvey's Exercitatio Anatomica de Motu Cordis et Sanguinis in Animalibus, which proved the existence of a closed circulatory system. Blood ceased to be a consumable fuel and became an element of a transport system.

This new understanding enabled the development of transfusions. Initially, it was believed that the donor's character could be transferred along with the blood, making the procedure a metaphysical experiment prior to the discovery of immunology.

From the Metaphysics of Character to Blood Group Immunology

The discovery of blood groups by Karl Landsteiner debunked myths regarding lineage blood. Biology demonstrated that antigenic differences do not align with social hierarchies, races, or noble ancestry.

The establishment of blood banks transformed blood into public infrastructure. Consequently, genealogical ties were replaced by an anonymous solidarity based on biological compatibility and trust in institutions.

At the same time, this system became a site of conflict. The example of Charles Richard Drew shows how racial prejudices permeated laboratories, leading to the baseless segregation of blood in medical refrigerators.

Conclusion

The history of blood proves that the most enduring prejudices are those capable of transforming from cultural norms into alleged biological facts. This is particularly evident in the stigmatization of menstrual blood and the pseudoscience of meno-toxins.

Modern science is not entirely free from pitfalls, though it employs a more sterile language. The true challenge remains the courage to untangle categories that have, for centuries, entwined physiology with shame and power.

📚 Based on

Blood Sweat and Tears

👤 About the book's author

Ruben Verwaal

Erasmus University Medical Centre

Ruben E. Verwaal (born 1986) is a Dutch historian of medicine and curator specializing in the history of science, medicine, and medical humanities. He completed his PhD in 2018 at the University of Groningen, investigating eighteenth-century medical perspectives on bodily fluids. Verwaal has served as an NWO Rubicon Research Fellow at the Institute for Medical Humanities at Durham University and as a curator of medical heritage collections at the Erasmus University Medical Centre in Rotterdam. His research focuses on the cultural, sensory, and material history of medicine, bodily fluids, early modern chemistry, and the history of deafness. He is widely recognized for analyzing how Herman Boerhaave and his school integrated chemistry into medical understanding, demonstrating how eighteenth-century investigations of fluids shifted medical thought away from classical humoral theory toward experimental scientific frameworks.

Mind map: Blood: From Symbol to Infrastructure of Life

📖 Glossary

Medycyna humoralna
Dawny system medyczny zakładający, że zdrowie zależy od równowagi czterech płynów (humorów): krwi, flegmy, żółci żółtej i czarnej.
Flebotomia
Procedura nacinania żyły w celu upuszczenia krwi; dawniej stosowana powszechnie jako metoda lecznicza, dziś ograniczona do konkretnych wskazań medycznych.
Hemostaza
Zbiór procesów fizjologicznych zapobiegających utracie krwi z uszkodzonych naczyń krwionośnych, w tym krzepnięcie krwi.
Aglutynacja
Proces zlepiania się komórek (np. erytrocytów) pod wpływem przeciwciał, co pozwoliło na odkrycie grup krwi przez Karla Landsteinera.
Period poverty
Ubóstwo menstruacyjne; brak dostępu do środków higienicznych, wody i edukacji, ograniczający równoprawne uczestnictwo kobiet w życiu społecznym.
Biopolityka
Sposób sprawowania władzy poprzez regulację biologiczną populacji, np. poprzez systemy segregacji krwi lub polityki zdrowia publicznego.

Frequently Asked Questions

Why is blood treated differently from other body fluids, and how has the medical approach to it evolved?
Blood is treated exceptionally because, due to the connection between its loss and death, it has become a metaphor for life itself and intertwined with value systems. In medicine, the approach to it has evolved from the humoral model, in which bloodletting was performed to restore the body's qualitative balance, to modern physiology, which treats it as a specialized tissue and communication infrastructure.
How has science changed the understanding of blood from a uniform substance into a complex biological mechanism?
The understanding of blood changed thanks to laboratory experiments which showed that it is not a homogeneous substance, but a mixture of components with different functions. A breakthrough was also the discovery by William Harvey, who proved that blood circulates in the body through pumping by the heart, instead of being constantly produced and consumed.
How has the understanding of blood transfusion evolved, and what was believed to be transferable along with it before the discovery of blood groups?
Initially, transfusions were treated not only as a way to replenish blood volume, but also as a means to change the patient's character and temperament. It was believed that by transfusing blood from animals with a gentle disposition, one could "calm down" humans.
How did the discovery of blood groups and the establishment of blood banks change the social understanding of bonds between people?
The discovery of blood groups undermined traditional myths about lineage and racial hierarchies, demonstrating that biological compatibility does not align with social divisions. The creation of blood banks turned blood into a public resource, replacing genealogical ties with anonymous solidarity based on procedures and institutional trust.
In what way is the concept of blood used to justify social inequalities and create biological myths?
The concept of blood serves to naturalize social hierarchies by transforming history and privilege into biological traits, making them harder to challenge. This metaphor allows national or ethnic belonging to be presented as something given by nature rather than established by humans.
How do blood bank systems balance between ensuring patient safety and avoiding donor discrimination?
Blood banks balance between patient safety and non-discrimination of donors by basing qualification criteria on evidence and actual biological risk instead of the identity of individuals. Modern ethics strive to avoid both the biologization of social categories and the denial of real epidemiological differences.
How has modern medicine changed the perception of blood, and why is menstrual blood treated differently than donated blood?
Modern medicine has changed the perception of blood by treating it as a bio-institutional resource and breaking it down into functional components with precise clinical applications. Due to medical procedures, donated blood is recognized as a valuable resource and an act of solidarity, whereas menstrual blood has been culturally burdened by taboo and shame. Additionally, modern science points to biological differences: menstrual fluid is not ordinary venous blood, but a mixture of erythrocytes with endometrial tissues, mucus, and other secretions.
What is menstruation actually, and how does medical knowledge about it differ from former cultural beliefs?
Modern medical knowledge defines menstruation as a complex, hormonally controlled process of remodeling and shedding the functional layer of the endometrium. Former beliefs attributed a cosmological contamination character to this phenomenon (e.g., the ability to destroy plants) or treated it as a biological safety valve used to drain excess matter from the body.
How does the religious and cultural approach to menstruation affect the social status of women, and how is this taboo being fought today?
Religious and cultural beliefs about menstrual impurity lead to stigmatization and the exclusion of women from education, work, rituals, and social life. Today, this taboo is fought through activism and campaigns, such as #HappyToBleed, which transform shame into a public language of resistance.
Has the development of modern science and medicine completely eliminated superstitions regarding the toxicity of menstrual blood?
No, the development of science did not eliminate these superstitions immediately; old imaginings returned in the 20th century in the form of the laboratory hypothesis of menotoxin. Although modern science does not recognize the existence of such a substance, research on it was an example of transferring cultural beliefs about menstrual toxicity into the experimental sphere.
What is the difference between necessary medical care for the menstrual cycle and the cultural process of medicalization and hiding blood?
Necessary medicine focuses on diagnosing and treating real pathologies, such as endometriosis or anemia, to prevent the deterioration of quality of life. Medicalization, on the other hand, treats menstruation itself as a state of deficiency that should be hidden, which is manifested, among other things, in the marketing of hygiene products replacing blood with blue liquid.
Why is the lack of access to menstrual products a political and social issue, rather than just a financial one?
The lack of access to menstrual products, infrastructure, and knowledge limits equal participation in education, work, and social life, while being linked to stigma and anxiety. It is a political and social problem because it concerns dignity and the ability to function in public spaces, making the provision of these products an element of equality policy.
How do history and contemporary research on menstrual blood illustrate the relationship between biology and cultural prejudices?
This relationship manifests in the way cultural prejudices can take the form of alleged biological facts, giving shame the appearance of a natural necessity. History shows that science has been used to prove, among other things, female toxicity, while contemporary research transforms menstrual blood from a shameful material into a non-invasive diagnostic source.

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