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Ancient Autopsy Season 01 Episode 03
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00:00I spent my career investigating the mysteries of the past but now I'm
00:03traveling thousands of years back in time to investigate how some of the
00:07greatest figures of the ancient world met their end. From Tutankhamun to
00:13Alexander the Great, Genghis Khan to Cleopatra, I'll be searching for clues in
00:18the archaeology, in artifacts and in ancient texts. This is the first time we
00:24see a story of his death where he is castrated. Helping me to unpick fact
00:31from fiction is world-leading forensic pathologist Dr. Richard Shepherd. Using a
00:36cutting-edge digital autopsy table he will shed light on the impact of disease,
00:41injury and possible foul play on our famous figures. It causes shock, the
00:47blood pressure falls, the heart rate goes up. This was not the clean death that is
00:53so often described in the history books. I'll be meeting experts at my
00:57investigation hub and getting truly hands-on out in the field. That's great!
01:03Look at that! This barricades of Ireland. I'll unearth the latest revelations about
01:09these titans of antiquity. This is a perfect surface to smear some poison.
01:16Genghis Khan is a name that inspires fear in some and devotion in others. But this name, which means
01:39universal ruler and should be pronounced Genghis Khan, was a later acquisition.
01:45He was born Temujin in 1162 to a poor nomadic family on the vast Mongolian steppe near what is
01:52now the Russian border. Yet from this obscure start, he would become one of the most famous
01:57and infamous leaders in history.
02:02Genghis Khan is brought up in a very turbulent environment. There are multiple different clans
02:09all fighting each other in that area of Mongolia.
02:14People were captured. They were held hostage. They were traded. They were massacred.
02:20His father's killed at a relatively young age. His wife is abducted and he himself is taken prisoner.
02:26So he has no sense of security. He's under permanent threat.
02:32Genghis Khan defended himself by going on the attack.
02:37He soon proved to be a gifted military leader, gathering followers, conquering his enemies and
02:43capturing land.
02:45He's fighting military campaigns and he does that year after year, war after war, campaign after campaign.
02:51With an ever-growing horde of nomadic warriors, Genghis Khan raised cities and toppled empires.
03:02But this brutal warlord was also a brilliant diplomat.
03:06If we study the way that he ruled, it was through alliances, brokering different kinds of allegiances,
03:16allowing different religions to flourish within his court.
03:21It was a kind of mobile diplomacy that extended across vast swathes of land.
03:27The result was a 9 million square mile empire that would eventually stretch from China's Pacific
03:37coast in the east to the river Danube in the west.
03:40If you talk to a Mongolian, of course, he's the founder of the Mongolia nation.
03:54So Mongolians worship him.
03:56But then, of course, if you talk to his enemies or enemy nation, then he is a monster.
04:02For all his notoriety, Genghis Khan's final chapter remains unwritten.
04:11Why is the fate of one of the most legendary figures in history still a mystery?
04:18The best place to begin any investigation into the cause of death is with the body.
04:25But in Genghis Khan's case, this crucial piece of evidence is missing.
04:29His burial site was hidden and has never been found, probably because the people closest to him
04:38never wanted anyone to find out how he died.
04:43What is valued in the Mongolian tradition is that soul, rather than the body or bone,
04:48bone means nothing.
04:53In fact, it's kind of blasphemous to talk about his death,
04:56because he's still considered to be in eternal heaven, protecting the Mongol nation today.
05:07With no body, we need to focus on what we do know about Genghis Khan,
05:12to see if his life may hold a clue to his death.
05:18Helping me find out more is historian Dr. Nicholas Morton,
05:21and he's brought a clue to the investigation hub.
05:26Nick, tell me about this. What do we have here?
05:29This is a high saddle of the kind used by Central Asian nomads.
05:34And these saddles are very specifically designed.
05:38It's about being able to ride for long distances, but it's also about providing a great deal of support
05:43in battle, when shooting.
05:45OK, so that's why it's so deep, is to create the greater sense of security.
05:50That's right, just to hold you in, absolutely, yeah. And a little bit of extra height as well.
05:54So, what does this have to tell us about the kind of horse culture of the Mongols?
06:00They're nomadic, so they move from seasonal grazing ground, seasonal grazing ground.
06:05They hunt in the saddle, and they hunt all the time.
06:08And this is absolutely part of the Mongol culture. And in war, they're riding throughout their
06:14military campaigns. So there's very few elements of their culture that don't involve riding in
06:19many ways. We have reports saying that children are put in the saddle from as early as two or
06:25three years old. And then from then on until the day you die, you're in the saddle. And then you're
06:32buried with it to serve you in the afterlife. Oh, wow.
06:34This is a nomadic culture. It's equestrian culture. And life in the saddle is life.
06:42It makes sense that Chinggis Khan's death was connected to his nomadic,
06:46equestrian lifestyle. But how exactly?
06:54To find out, I'm turning to the earliest known account of his death,
06:57the secret history of the Mongols.
06:59The secret history is a chronicle of the life and times of Chinggis Khan. And it was written
07:08after his death, probably by someone who was intimately involved with his court,
07:13so maybe a relative.
07:15It is actually recorded that Chinggis Khan got wounded by falling from a horse.
07:22And then several pages later, we learn about his death. Just out of the blue, it's announced that he dies.
07:35Could something as simple as a fall from his horse have been the cause of the great Khan's death?
07:41With so little evidence and no body to examine, I'm turning to Dr. Richard Shepard.
07:48He's a world-leading forensic pathologist who has carried out over 23,000 post-mortem examinations.
07:56Using a digital anatomy table, he can dissect virtual human bodies,
08:01peeling back layers of tissue, muscle and bone to analyze the consequences of a riding accident.
08:07A fall from the horse could always be fatal, depending on the injuries that are caused.
08:16But traveling at pace, caught unawares, those injuries are much more likely to be fatal.
08:26Injuries from a fall from the horse can, of course, occur anywhere on the body,
08:31depending how the person lands. But the abdomen is particularly interesting,
08:35because there are so many organs compressed into such a small space. On the right-hand side,
08:42there's the massive liver, which is easily lacerated or ripped apart by an impact with the ground.
08:48The same applies to the spleen, which is on the left-hand side of the body, just tucked underneath
08:53the ribs. And that's often associated with those rib fractures. The bowel itself can be damaged by
09:00pressure and twisting, causing it to burst. But perhaps most importantly, are the injuries that are
09:07caused when the spine acts as an anvil and a blow from the front compresses the organs between the
09:15spine at the back and the abdominal wall at the front, causing the injuries which will often rupture
09:21the bowel. And all of these things can lead to death either quickly or slowly.
09:31It's clear that a fall from a horse for a 60-year-old medieval man could have proved fatal.
09:38But would a man who spent his whole life in the saddle take a tumble so easily?
09:43So, given that Genghis Khan is such a horseman, such an equestrian, what do you make of the idea
09:51that he might have died from a fall from a horse?
09:55The source itself does talk about Genghis Khan taking a fall whilst hunting, but he spent his entire
10:02life, possibly as many as six decades, riding. Why did he fall? Maybe the saddle itself let him down.
10:09We don't actually know. I imagine, well, for a start, that perhaps they fell often. I mean,
10:15even if they're expert horsemen, just by sheer probability, the number of hours a day they're
10:20spending in the saddle, I guess it's how quickly you get back up that's the key to your success.
10:25But the other key thing you've said is his age. So, if he has been riding for that long, he's that old,
10:33then a fall is potentially going to do more serious damage than it would when he was 20.
10:38Yes, you'd have thought so. So, it is possible as a cause of death, even if the source is rather
10:45sort of, it glosses over it a bit. He takes a fall whilst hunting, but it's a year or so before he
10:51died. There is a long time between the accident happening and his death. There is a bit of a
10:59conundrum there. So, it's possible but not decisive. Absolutely.
11:04I'm wondering what might explain this conundrum, this year-long gap between Chinggis Khan's injury
11:11and his death. A closer reading of the secret history of the Mongols does offer one potential tiny clue.
11:19It says that on the night after his injury, Chinggis Khan's flesh was hot.
11:26When considering the death of Chinggis Khan, the words that are really important to me are that his
11:33flesh became hot, which hints to me that he must have developed an infection and a fever.
11:40In an age before antibiotics, an infection might linger for months, which could explain the gap between
11:50his injury and his death. But this theory depends on the accuracy of the source.
11:57The secret history of the Mongols is not a history book. It's not history in a proper sort of western or
12:08even in the Chinese sense. It's a collection of legends. It's a compilation of stories and the whole
12:17purpose is to celebrate his life for his descendants. If you understand the Mongolian term for history,
12:25history, it means selection. So Tuch, Tuch means selection. You pick up those important things,
12:35important for whatever story you want to tell, any moral you want to sort of draw,
12:41you tell them for that purpose. That's Tuch, that is history.
12:48It's likely then that the story of the fall from his horse was selected for a purpose.
12:53But what purpose? I think it's worth being aware of the agendas people may well have brought to bear
13:01when explaining Genghis Khan's death. For some, it will have been an attempt to show a reverential
13:09approach to his death, to reflect his reputation and his career as an enormous empire builder. And
13:17they're writing from a position where they want to show him as this enormously influential historical figure.
13:25It seems to me that it's almost acceptable to think of Genghis as dying on his horse, because that's the
13:34most honorable picture that would want to be portrayed of him by those who revered him afterwards.
13:43You know, dying as a great leader reinforces his power.
13:48It seems to me the secret history's account of Genghis Khan's death is more fantasy than fact.
13:57Invented to glorify a man, its writer revered as ordained by the gods.
14:03And that begs the question, if the story is fiction, what truth is it hiding?
14:18Genghis Khan lived and maybe died in the saddle. The earliest written account of his death suggests
14:35he died as a result of a fatal riding injury. And the pathology confirms that a fall from his horse
14:41could have been deadly, especially if followed by sepsis. But I suspect the account is fundamentally
14:48flawed, more propaganda than a fact.
14:55Fortunately, there is another account of Genghis Khan's final moments,
14:59written by the medieval world's most celebrated traveller.
15:03One of the various people who tells the story of Genghis Khan's death is Marco Polo,
15:09the famous Venetian traveller who set out for the Mongol Empire and later on entered Mongol service.
15:16He too showed a curiosity about Genghis Khan and his death.
15:21According to Marco Polo, Genghis Khan was killed on campaign against a rival dynasty known as the
15:28western Shia. We know from Marco Polo's records that Genghis Khan had died in battle on his horse
15:36from an arrow wound to his knee. Other accounts confirm Genghis Khan's last battle took place in 1227
15:46against the western Shia in what is now northwest China. So Marco Polo's version of events seems
15:52historically plausible. But was it technically possible? Would a 60-year-old ruler revered as a god
16:00really have been exposed to enemy fire?
16:05Thankfully, I have never ventured near a battlefield. But from everything I've read,
16:10medieval battlefields could be frenzied, chaotic, bloody affairs. In that maelstrom, if an arrow wound
16:17was, as Marco Polo suggests, part of the great Khan's final days, then it seems to me that the nature
16:24of Mongol warfare could be key to understanding the truth behind his fate.
16:37Mike Lodes has spent decades studying the art of Mongolian archery.
16:42So, how much power is there in one of these shots? Can you draw this back enough so that when
16:53it's loosed, it can penetrate a man's body? Oh, goodness, yes. First of all, you can have a go.
16:59So, there's a bow. That's it. So far, so good.
17:06Just need an arrow now. Yeah, that's the tricky bit. You put it on this side.
17:09OK. And that's called the knock, that little groove. And the power of a bow is simply the
17:15power of the spring, which is the speed at which it returns. So, the more power in drawing back,
17:23the faster the arrow will go. Oh, that's looking good. That's good. There you go.
17:29And remember, you're jiggling about on a horse. You're moving about.
17:33Yeah, this is easy. Oh, goodness me. OK. That's that. That is the tricky bit.
17:42It is the tricky bit. I don't... That is the tricky bit.
17:46Come on, woman. I'm like, don't worry. I'll be there in a second. Just trying to put the arrow on.
17:51OK. You're looking good. Pull it all the way back. Pull it back. Oh, looking great. That's great.
17:56Look at that. And you... Did you hear the punch that went in? Yeah. Yeah.
18:00So, that tells you, compared to the other one, the... You had more power because you pulled it back
18:05further. So, the type of bow that the Mongols were using... Yes.
18:10...is six to seven times this power. Wow. Good looking good.
18:17Nice. That was a really wonderful thwack. I enjoyed that.
18:27OK. So, now I understand how the Mongols' enemies could have been shot with an arrow,
18:32but Marco Polo says that Genghis Khan was shot in the knee. Now, how could that have happened?
18:39Well, I mean, it technically could happen on the battlefield, but I think it's most likely that it
18:45happened in a siege where you're going to be quite close to the archers on the wall.
18:53Mongol warcraft evolves very rapidly over time.
18:58And one particular area is in siege warfare.
19:01Particularly from China, they pick up the use of siege catapults, the use of siege crossbows,
19:10which they can mount in their wagons. When they conquered one city, they would round up
19:15all the able-bodied people from that city and march them to the next one, and then force them to run
19:22against the walls of the city they're attacking. And the defenders will then shoot them down with
19:28arrows and crossbows and catapults. But by the time that all these people have been killed,
19:35they've run out of ammunition. I want to put the Mongols in and their actual siege troops
19:39to take the city as a whole. But even in the chaos and violence of a Mongol siege,
19:46it's hard to imagine their leader could have been caught in the crossfire.
19:53What if Genghis Khan was wearing armour? Surely he would have been protected.
19:58He had the option to be protected. He's unlikely to have bothered to protect his knees.
20:02It would not surprise me that he went to the front lines unarmoured. It would surprise me that
20:08he didn't have chest armour on riding into battle. But I think inspecting the troops, possibly at dusk,
20:15going forward, no, he wouldn't feel vulnerable. Very easily got by an enemy sniper.
20:20Now, the kind of arrowhead they might have used would be something like this, this sort of
20:26lozenge shape. You'll see it has... That one's not too sharp.
20:31It's going to hurt, though. It's going to hurt. It could get through leather because the idea of it
20:37is that it cuts. So you can see how easy these are to sharpen.
20:44Obviously, most of the armour is leather armour, so a cutting edge is ideal for a leather armour.
20:50If you hold that, and let's... Oh, yeah, look at that.
20:56You know, that has punched through. That's effective! Look at that!
20:59Really quite effectively. And shot from a powerful bow, a really powerful bow,
21:06something that's got something like 140, 160 pounds draw weight, that would punch so hard,
21:13you've got a flying razor blade that could go through leather armour.
21:17Well, so you're saying it's a plausible place to be struck by an arrow, but presumably,
21:24therefore not hitting any vital internal organs. So how could it possibly lead to his death?
21:28The Mongols, the Tanguts this year, all used poison arrows. It's widespread in those cultures.
21:37And this is a perfect surface to smear some poison.
21:42Aconite is the most likely type of poison. It's what we call wolfsbane,
21:47or monk's hood. It paralyzes you. It will kill you in the right dose.
21:52This will introduce it into the bloodstream. So I think a poison arrow in the knee, that could do it.
22:04A poison arrow is a compelling possibility.
22:07But there's no mention of poison in Marco Polo's account, or in any other source.
22:15And that leaves me wondering whether there's a less exotic, but equally deadly explanation.
22:21Could an arrow to the knee have caused the hot flesh described in the secret history?
22:27Forensic pathologist Dr Richard Shepard is using 3D technology to peer inside the body and assess the impact of such an injury.
22:38The insanitary conditions of any battlefield with horse manure and blood and mud around you is the possibility of infection.
22:51That wouldn't kill you immediately, but the spread of infection into the joint space,
22:56into the knee, leading to a septic arthritis, would have resulted in the pre-antibiotic era, in a very slow and painful death.
23:06But other than that one brief reference to fever, there's no mention in any account of Chinggis Khan suffering a prolonged illness before his death.
23:21Could there be another way for an injury to the knee to prove fatal?
23:26The anatomy of the knee is really quite complicated.
23:30Around the knee is the ligaments that support it, there's the patella at the front, there's the tibia at the bottom, and the femur at the top.
23:41But crucially, around the back of the knee is this major blood vessel called the popliteal artery.
23:50And the popliteal artery carries a huge amount of blood.
23:54And so damage to that by the arrowhead or the arrow would have caused immediate torrential hemorrhage.
24:03The pathology proves it is possible Chinggis Khan died from an arrow wound, whether from loss of blood at the time or infection sometime later.
24:13And my short and less than brilliant career as an archer tells me an arrow had the power to penetrate Mongol armor and mortally injure their leader.
24:24But the textual evidence is less convincing.
24:28It really depends on whether you actually believe in the Marco Polo story or not.
24:36Some say it is fabrication, some say he probably never actually visited.
24:42But the real question is whether we should really take his words, which is not reliable, which is not authenticated, as something solid, as a piece of evidence.
24:54So, I don't know what we should make of it.
25:00I do know Marco Polo was a storyteller, not a historian.
25:06His rambling account blends fact with fiction, placing real historical characters alongside giants and dog-headed men.
25:15So, it wouldn't surprise me if Marco Polo confused or conflated events.
25:23Chinggis Khan did suffer from an arrow wound in 1212, but that's 15 years before his death.
25:29So, it seems likely that he is in some way reflecting that information, although it seems unlikely that was what killed him.
25:36Chinggis Khan spent so much time on the battlefield that, at first glance, an arrow wound seems like a likely cause of death.
25:46But the only source that records it is Marco Polo, and he is writing a century later.
25:51It's not in the Mongol sources at all.
25:53Then, there's the timing.
25:57The sources all agree Chinggis Khan died in 1227, but the only other record of him being shot by an arrow is more than 10 years earlier.
26:07But there is another theory that might explain his death.
26:11And it's far more sensational and far more intimate.
26:16I think we need to get off the battlefield and into the bedroom.
26:23And it's far more visible because it's a very powerful thing.
26:26The world has never seen it.
26:28It's far more sensible, but it's far more sensible.
26:35Chinggis Khan ruled over the largest land empire the world has ever seen.
26:41In the process, he razed cities, wiped out entire civilizations, and killed as many as 60 million people.
26:49So, there can be no doubt that the Mongol overlord had more than a few enemies.
26:53And it is those enemies that are behind the most dramatic scenario so far
26:58in our investigation into the cause of Chinggis Khan's death.
27:03Murder that happened not on the battlefield, but in the bedroom.
27:09In 1227, Chinggis Khan was fighting against a rival dynasty,
27:14the Western Shia, in what is now northwest China.
27:17He could, as Marco Polo suggests, have been killed in battle.
27:24But there is another account in which he was victorious
27:27only for disaster to then strike.
27:32The precious summary is a book written by a direct descendant of Chinggis Khan.
27:40The book records how Chinggis Khan captured and killed the Western Shia king.
27:45And before his death, the king told Chinggis Khan,
27:51if you take my wife as your concubine, that's fine, but you need to be careful.
27:57She was captured.
27:59They went to bed, and then he said that she harmed Chinggis Khan's body.
28:05And he felt sick, and then thereafter, he died.
28:09Murder in the bedroom at the hands of a vengeful widow
28:14seems like something straight out of a soap opera.
28:17But it's also rather cryptic.
28:20It doesn't tell me how Chinggis Khan was killed.
28:24So with historian Dr Jonathan Dugdale, I'm visiting Cambridge University.
28:30Jonathan, I am very excited about this.
28:33He's offered to show me an original manuscript of the precious summary.
28:40So this is the Erdineen Tauch, the precious summary.
28:45And it's a 17th century Mongol text.
28:48It's like a foundation myth for the Mongolian people,
28:51and it tells the story of them through the lens of Buddhist cosmology
28:56and the life of Chinggis Khan.
28:57And what does it have to say about Chinggis Khan's death?
29:03Well, it has a very interesting story about Chinggis Khan's death.
29:07It's a very euphemistic story.
29:10During the campaign, Chinggis Khan is sieging the city of Lingzhang.
29:16And what eventually happens is he kills the final emperor
29:20and takes his wife as a prize of war.
29:23His wife is called Go Belch.
29:25And in the words of the text,
29:28when they went to bed, she harmed his golden body,
29:32which caused his sickness.
29:33A lot of people have read it as she castrated him.
29:39OK.
29:44Castration would have been horribly painful and traumatic,
29:47but would it have been deadly?
29:49By using 3D anatomy technology,
29:54Dr. Richard Shepard can assess the potential impact of castration.
30:02This is certainly not an injury for the faint-hearted.
30:05And as any man would admit,
30:07it's not high up on the list of the ways they would choose to die.
30:11It's one of the rarer injuries I've ever seen,
30:14and it's seldom fatal on its own.
30:19So removal of the genitalia with a sharp knife
30:21on someone staying still is not difficult.
30:24But if the person is fighting or struggling,
30:27other injuries can be performed,
30:29and they may be far more serious
30:31than the removal of the genitalia themselves,
30:35mainly because next to the genitalia
30:38are major blood vessels,
30:41the femoral artery and the femoral vein,
30:44and damage to either of those blood vessels
30:46causes torrential hemorrhage
30:48that is likely to lead to death very quickly indeed.
30:53Genghis Khan could have been killed
30:57by castration and its side effects.
30:59But was he?
31:02So tell me about this as a source.
31:05How reliable is this?
31:06What are the circumstances in which it was produced?
31:09So the precious summary was written
31:12by a Mongolian scholar called Sagan Seton
31:15in the 17th century.
31:18So it's produced 400 years
31:21after Genghis Khan's death?
31:23Yes.
31:24How trustworthy is it then?
31:26Well, the source is based on an earlier text
31:31called the Golden Summary.
31:32But what's interesting is in the Golden Summary,
31:36the section about Genghis Khan's death
31:39is almost verbatim the same as the precious summary,
31:43except for the fact it doesn't mention
31:46that it was Goebelge who harmed Genghis Khan.
31:52It just says he died.
31:55So the crucial line is missing?
31:57The crucial line is missing from the original source, yeah.
32:02Well, that seems very important.
32:04So what...
32:05Is there any reason why a line like that would have been added?
32:09Does it discredit Genghis Khan in some way?
32:12I mean, it feels a bit degrading.
32:15Certainly from our perspective,
32:17it seems like the idea of castration
32:20and being bested by a woman
32:22would be emasculating for Genghis Khan.
32:24I mean, literally in this case.
32:26Yeah, quite literally.
32:27But if we think about it in the context of the time,
32:31neither of those things would have been viewed in the same way.
32:35So if we start by talking about castration...
32:37Great start to a conversation.
32:39If we start by talking about castration,
32:42in Chinese history,
32:43the court was often largely run by eunuchs.
32:46So it wasn't kind of counter to masculinity, as it were.
32:51So power, military skill, political acumen,
32:55turns out testosterone not necessary.
32:57Exactly, yeah.
32:58It wasn't seen as a necessary part.
33:01And, I mean, in terms of his virility,
33:04that was already well proven.
33:06Genghis Khan had many sons already by this stage.
33:09He doesn't lose anything in terms of his masculinity
33:12in the act of castration.
33:15And what about this idea about being bested by a woman?
33:18You said that's not problematic either.
33:19Not necessarily.
33:21There's a huge number of examples of Mongolian women
33:24who were politicians, warriors.
33:28So, if we have the sense then that it's not at all humiliating
33:32that Genghis Khan had this end,
33:34does it actually contribute something?
33:36I think this may be one of those things where it's a good story.
33:40And in the vacuum of solid evidence of how he died,
33:46it's often the good stories that come to the fore.
33:49So, I don't think I'm reading between the lines too much
33:53to conclude that you don't think it's actually what happened.
33:57When you think of someone who has the history that Genghis Khan has,
34:01him dying of sickness, a heart attack, falling off his horse,
34:06whatever the story is,
34:08it doesn't have perhaps the glamour of the life that he led.
34:12And so, you need to add an ending
34:15that matched the life that has been lived.
34:17Yeah, I think so, yeah.
34:20The murder story simply doesn't stand up to scrutiny.
34:24It's based on just one account,
34:26written 400 years after Genghis Khan's death.
34:30And this makes no mention of castration, just harm.
34:35It seems to me the castration theory is fantasy
34:38rather than historical fact.
34:42So, I'm ruling out an assassin
34:43and turning my attention to a very different suspect.
34:47In my investigation into Genghis Khan's death,
35:14so far I've learnt that a fatal injury on a hunt,
35:17in battle or at the hands of an assassin
35:20was scientifically possible, but historically hard to substantiate.
35:25So, what if there's something that's not in the historical accounts?
35:29Something that only modern science could possibly reveal?
35:32For writers describing the death of Genghis Khan,
35:40it must have been very tempting to present it as an epic showdown
35:44surrounded by the bodies of the fallen,
35:46or perhaps a spiritual event.
35:48But actually, for many rulers in this era,
35:51disease is by far the most likely cause of death.
35:54The Mongol Empire spread enormous distances across the steppe and beyond,
36:01and it came across hugely different kinds of people
36:05that it incorporated into its empire.
36:08And along with that kind of incorporation
36:10came the spread of diseases and illnesses.
36:13We have various sources that describe him
36:17as dying from illness or disease.
36:21Rashid al-Din, in his world history,
36:23describes illnesses being Genghis Khan's cause of death.
36:26Some other Middle Eastern sources also suggest
36:28that that was the reason for his death as well.
36:31In my research, I've discovered there is one disease
36:34that's repeatedly linked to the Mongols.
36:38The plague, or as it was known in the Middle Ages,
36:40is the Black Death.
36:43One of the key phenomena associated with the Mongol Empire
36:46and its enormous geographical scope across so much of Eurasia
36:50is the Mongols' role in spreading the Black Death.
36:55Inadvertently, it has to be said,
36:56but several historians have made a case for saying,
37:00well, perhaps the movement of Mongol merchants and messengers
37:03and armies across the continent,
37:06maybe that played a role in the spread of the Black Death.
37:10To find out more about this possible link
37:14between the Mongols and the plague
37:16and its implications for the death of Genghis Khan,
37:19I've invited medical historian Kevin Goodman
37:22to the Investigation Hub.
37:23When we talk about the plague, what are the symptoms?
37:32What does it feel like to experience it?
37:34You begin to get feverish,
37:36and then you begin to feel the pain.
37:39You begin to feel a really, really painful swelling,
37:43mobbing your neck, mobbing your groin,
37:46and these are agonies.
37:47You're rolling in the bed or in the floor in agony,
37:51and these are getting bigger and bigger.
37:53You cannot touch them.
37:54You're becoming delirious.
37:56There is no way you can get any respite.
38:00And it gets worse and worse.
38:01This is a really undignified, horrible death.
38:05And what's the lethality rate of the plague?
38:09What proportion of people who get it will die?
38:11Well, we do know that in the 14th century,
38:15one third of the population of Europe were killed.
38:18That's huge.
38:20That's massive.
38:20One third of the population.
38:23But what exactly was the plague?
38:26And how might it have infected Genghis Khan?
38:29Bubonic plague is caused by a specific bacterium
38:35called Yersinia pestis.
38:37And Yersinia pestis really likes travelling
38:39through the lymphatic system of the body.
38:42We have arteries and veins carrying the blood
38:45to and from the heart,
38:46but we have this third system, the lymphatic system,
38:49which drains the lymph, the fluid that helps fight infection.
38:53And that goes everywhere in the body.
38:56And as it spreads throughout the body,
38:58it forms these little nodules or sort of stations
39:01where the body can fight infections.
39:04These nodules are everywhere called lymph nodes.
39:07In bubonic plague, though,
39:08these get bigger and bigger and bigger
39:11to form great big lumps in the neck
39:14and in the groin all over the body called buboes,
39:18hence the name of the disease, bubonic plague.
39:22Bubonic plague is a disease that's carried on rats and fleas
39:27and it can be transmitted to humans or animals.
39:31Nowadays, there are still outbreaks of plague around the world
39:34and these are usually treated successfully with antibiotics.
39:39But in Khan's day, of course, there were no antibiotics.
39:42The mortality of the bubonic plague was high
39:45and if he caught it, there was a very, very high chance
39:50that he would have died.
39:54It seems that even the mighty Khan
39:56may not have been able to escape a disease as devastating as plague.
40:00But when and where might he have been infected?
40:07You've got to imagine the context, really,
40:10that someone like Genghis Khan,
40:11his empire in its main centres comprise of huge wagon cities.
40:18We're talking about thousands of wagons.
40:20In the centre of these huge wagon cities,
40:24you've got these massive, great tents.
40:27These tents would be able to accommodate thousands of people
40:30and then beyond that, millions of horses, sheep and other animals
40:35which form part of the Mongols' herds.
40:39So, Kevin, is there any sense
40:41that this great moving city of the Mongols
40:45would have been a place in which plague
40:48and other diseases would have festered?
40:50Where there are large numbers of humans,
40:54you're going to find rodents, rats, mice.
40:58They're drawn to humans.
41:01And if we think of this massive, moving city
41:05carrying their own supplies,
41:08no rodent in its right mind is going to turn that down.
41:12It's going to be a magnet.
41:14So, the situation in which Genghis Khan was living
41:17was one that made him particularly susceptible
41:21to this kind of contagious disease?
41:23Yeah.
41:24He's in his mid-60s.
41:26He may have been injured before, we don't know.
41:28Immune system may have been impaired, we don't know.
41:31If he's living in circumstances
41:33where there may be rodents
41:35that have been carrying jacinia pestis,
41:38they've had fleas feed on them,
41:40and then those fleas go into people,
41:43and then you've got body lice also feed on those people,
41:47and you've got the spread of body lice and fleas,
41:50yeah, he's at risk.
41:52But how real was that risk?
41:56According to my research,
41:57the first official reports of the Black Death
42:00appear in Sicily in 1347.
42:03That's over 4,000 miles from Genghis Khan's last campaign,
42:08and more importantly,
42:09it's over 100 years after his death.
42:14The bubonic plague really becomes obvious
42:16from about 1340 onwards.
42:19That's 110, 15 years after Genghis Khan's death,
42:23but historians are increasingly using
42:26bioarchaeological methods
42:27to establish whether the Black Death
42:29was around a lot earlier
42:31than has been claimed previously.
42:33The analysis of the DNA
42:36that has been found in skeletons
42:39from the 14th century
42:41that revealed the plague,
42:43I found that it's very similar
42:44to the plague DNA in marmots,
42:49which are indigenous rodent species
42:52in Mongolia.
42:54Okay, so this is exciting new research.
42:56It is.
42:57Because suddenly now we've got new technology
42:59that's starting to reveal
43:01the pattern of disease in the past.
43:04Yeah.
43:05This research traces the bubonic plague
43:08from Europe back to Genghis Khan's territory,
43:12which strongly suggests
43:16that this is where the Black Death originated.
43:19But how can we reach the conclusion
43:26that this is what caused him to die?
43:28Recent research has suggested
43:31there may have been an outbreak
43:33of a serious disease, illness,
43:38that caused a lot of deaths in China
43:41in the 1220s, 1230s,
43:44around the same time Genghis dies.
43:47Also, in the Islamic countries
43:50that border the Mongolian area,
43:53there were reports of people
43:55having headaches,
43:57fevers,
43:58pains in their armpits,
44:01which is synonymous with plague.
44:04In other words,
44:05we can perhaps infer
44:06that this is something
44:08that is around
44:09because we've got evidence of it
44:11all around Mongolian empire.
44:14So, in the end,
44:16do you think we can say
44:17with any probability
44:18that Genghis Khan died
44:20of this disease?
44:22As we become more familiar
44:23with the analysing of DNA,
44:26we may find skeletons
44:28that date from that period,
44:30and then we can really
44:32gather more information.
44:34So, it makes it probable
44:36that it's not a smoking gun?
44:38We may find we may be wrong.
44:40That's always a possibility.
44:42But I think what it's revealed
44:44is so exciting.
44:49Future DNA discoveries
44:51may push back the origin of plague
44:53to before Genghis Khan's death
44:55in 1227.
44:56But right now,
45:00the dates don't quite add up.
45:22So, what really killed Genghis Khan?
45:24Was it his battle wounds?
45:26Was it illness?
45:27Was it a fall from his horse?
45:29Or was it a very painful assassination?
45:33I think I've found enough evidence
45:35to rule out murder
45:37and not enough to include plague,
45:39which leaves an injury,
45:42possibly followed by infection,
45:44caused either by a fall from a horse
45:46or an enemy arrow.
45:49If I had to choose,
45:51I'd say a fall from a horse
45:52is the least problematic conclusion.
45:54A simple end
45:56that's somehow fitting
45:57for a man who lived his life
45:59in the saddle.
46:00I'm a female.
46:05I'm a fat guy,
46:05who's a very lucky one.
46:07If I had to be a man who lived my life
46:08in a saddle,
46:08I'll tell you that
46:09I'm a little royally.
46:09I am.
46:10I know.
46:11I know.
46:12I know.
46:12I know.
46:13I'm an pearl guy,
46:13I know.
46:14I know.
46:14I know.
46:15I know.
46:15I know.
46:16I know.
46:16I know.
46:17I know.
46:17I know.
46:18I know.
46:18Transcription by CastingWords
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