Donkey milk knowledge archive · Historical source

Alexander of Tralles (6th c.): ass’s milk after human milk in wasting fever

In the 6th century the Byzantine physician Alexander of Tralles recommended milk as food in wasting, “hectic” fevers. Human milk came first, ass’s milk second; the jenny was to be fed at home with barley and leaves.

Historical account: The information reproduced here reflects the knowledge of its time. It is not scientifically substantiated, is not a recommendation and cannot be applied to today. Donkey milk is a food, not a remedy.
6th c.Byzantine Empire (Alexander finally practised in Rome)Medical textbook (treatise on fevers)
Author
Alexander of Tralles (c. 525 – c. 605), physician from Tralles in Asia Minor
Work
On Fevers (Περὶ πυρετῶν), counted as book XII in the edition; Greek–German edition by Theodor Puschmann, vol. I, Vienna 1878
Passage
Chapter 4 “On hectic fever”, section “Περὶ γάλακτος / Ueber die Milch”, Greek p. 365, German p. 364 (Puschmann’s edition, vol. I)
Time & place
6th century AD (Alexander lived c. 525–605) · Byzantine Empire (Alexander finally practised in Rome)
Type of source
Medical textbook (treatise on fevers)

In the original words

What the original says

τὸ μὲν οὖν γυναικεῖον γάλα προτετίμηται καὶ δεύτερον πάλιν τὸ ὄνειον.

Human milk is preferred, and in second place, again, is ass’s milk.

Greek (Byzantine)Alexander von Tralles, Über die Fieber (Buch XII), Kap. 4 „Über das hektische Fieber“, Abschnitt „Περὶ γάλακτος“, ed. Th. Puschmann, Bd. I, Wien 1878, S. 365

δῆλον δὲ ὅτι καὶ φροντίζειν δεῖ τοῦ ζῳου τρέφοντα αὐτὸ ἐν οἴκῳ διὰ κριθῶν καὶ μυρσίνης καὶ σχίνου καὶ δρυὸς φύλλων.

It is clear that one must also take care of the animal, feeding it at home with barley and with the leaves of myrtle, mastic and oak.

Greek (Byzantine)Alexander von Tralles, Über die Fieber, Kap. 4, ed. Puschmann, Bd. I, Wien 1878, S. 365 (Fußnotenziffer der Ausgabe weggelassen)

Am meisten wird die Frauenmilch geschätzt; aber an zweiter Stelle kommt die Eselsmilch.

Human milk is valued most; but in second place comes ass’s milk (Puschmann’s translation).

German (1878 translation)Th. Puschmann, Alexander von Tralles, Bd. I, Wien 1878, S. 364 (deutsche Übersetzung, gegenüber dem griechischen Text)

English rendering: our own translation by the DON DONKEY’S editorial team, following the sense of the text.

Digitised copy · 6th c.Page 365 of Theodor Puschmann’s edition (Vienna 1878): the Greek section “Περὶ γάλακτος” in the chapter on hectic fever, with the sentence on human and ass’s milk.

A look at the original

What the passage looks like

Page 365 of Theodor Puschmann’s edition (Vienna 1878): the Greek section “Περὶ γάλακτος” in the chapter on hectic fever, with the sentence on human and ass’s milk.

The page comes from a freely accessible digitised copy. Click to open the passage at the library.
University of Michigan, Google-Digitalisat via Internet Archive; gemeinfrei

View in the digitised copy →

Background

Who, when, what kind of text

Alexander came from Tralles in Lydia (today Aydın, Turkey) and was the son of a physician; his brother Anthemius is known as one of the architects of Hagia Sophia. He travelled widely and practised in Rome in old age. His “Therapeutica” in eleven books arrange diseases from head to foot; in addition there is a separate treatise on fevers dedicated to a certain Cosmas.

Theodor Puschmann edited Alexander’s writings in Vienna in 1878–1879 with a facing German translation and counted the treatise on fevers as the twelfth book. In his introduction he discusses whether its different style points to another author, and concludes that both works are by Alexander. The chapter on hectic fever gives detailed dietary rules.

Content

What the source reports about donkey milk

For ancient physicians “hectic fever” was a creeping, wasting fever that dries out the solid parts of the body; Puschmann also renders it as “Zehrfieber” (wasting fever). Alexander therefore prescribes moistening baths and food that is easily absorbed.

He considers milk especially suitable because it is easily distributed in the body. Human milk is preferred, ass’s milk comes second. Since some patients dislike taking human milk, they should be given ass’s milk. But one must take care of the animal and feed it at home with barley and with myrtle, mastic and oak leaves, so that the milk does not become harmful.

If there is a tendency to diarrhoea, he advises boiling the milk twice or dropping red-hot river pebbles into it. Those who do not want to drink it plain may have it cooked with barley gruel, spelt groats or wheat meal.

At a glance

Figures & facts from the source

1878vol. I of Puschmann’s edition (Vienna, Braumüller), vol. II 1879
pp. 364–365German and Greek text of the section on milk
2ndrank of ass’s milk after human milk
4kinds of fodder for the jenny: barley, myrtle, mastic and oak leaves
XIInumbering of the treatise on fevers as a book in Puschmann’s edition

Timeline

Where this source stands in the history of donkey milk

Each dot is a source from our knowledge archive – from Greek antiquity to the present day.

6th c.400 BC050010001500170018001900today

Critical assessment

How reliable is this source?

Source value

Puschmann’s edition offers the Greek text, readings from several manuscripts and a German translation on facing pages; both can be checked in the scan. The attribution of the treatise on fevers to Alexander has been doubted because of its style, but Puschmann considers it genuine.

Care for the animal

The practical advice to keep the jenny at home and feed her deliberately is unusual. Behind it lies the idea, already widespread in Galen, that fodder determines the properties of milk – the milk was to be fresh, of known origin and unspoilt.

Today’s assessment

The dietary rules belong to 6th-century medicine and cannot be applied to fevers today. Persistent fever and wasting belong in medical care; no effect of donkey milk can be derived from the text.

Our assessment

Alexander of Tralles stands at the end of antiquity, yet his ranking – human milk first, ass’s milk as second choice – still echoes centuries later. We particularly like his remark on feeding and keeping the jenny, which shows that milk quality began with the animal even then.

References

Sources to check

More sources and studies in the research archive. Summarised by the DON DONKEY’S editorial team, as of November 2026.