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One thing to note is that while riding a horse was a common enough skill, directly riding wasn’t the only way of moving around. Just as an example, take Temujin’s mother, Ö’elun. Temujin’s father (Yisugei) marries her by abduction, and had found her when she was on her way back to her original husband’s (Ciledu) home. In the scene from Secret History, Ciledu was escorting her back, him riding a horse, and her in a wagon pulled by a 'beast' (perhaps an ox).
As reported by European travelers in the 13th century (such as Friar Giovanni DiPlano Carpini), the yurts/gers (the tent-like structures they lived in) the Mongols used back then were different than today, in that they were fixed structures. So when moving around, rather than disassembling and re-assembling them, they would be put the gers onto a wagon, and teams of oxen would pull them around as they moved. Lane also cites Marco Polo as observing that the wagons had purposes of 'carry[ing] provisions, the yurts themselves, and women and children, but they were utilized by the women to conduct trade, and the buying and selling would be carried on from atop the wagons themselves' (Lane, 55).
Now on the elderly in particular. In Atwood’s The Rise of the Mongols: Five Chinese Sources (his translation and commentary on just that), one of the sources he documents is a combined account from two Song envoys to the Mongols from the 1230s and 1240s, Peng Daya and Xu Ting ("{93} A Sketch of the Black Tatars"). Here, we find an observation from Xu Ting:
When I was on the steppe, I saw the commoner households under their chiefs, wagons loaded with supplies, their aged ones, youngsters, and livestock, traveling with their entire possessions for several days without cease. Also, there were many thirteen- and fourteen-year-olds among them.
So it appears the wagons would also carry the elderly, though I’m not sure if, with regards to livestock, the meaning here is some livestock was carried on wagons (as it literally sounds like), or traveled with the wagons. Certainly at least some oxen would be needed to pull wagons.
An interesting case is Tamerlane, the 'lane' deriving from him being lame - that is, unable to walk without difficulty. His right leg (and right arm) had been injured in battle. In From Genghis Khan to Tamerlane, Peter Jackson writes:
Those who certainly did meet the conqueror [Tamerlane] refer to his lameness, his need for assistance in mounting a horse and his use of a litter.
So though not entirely handicapped, he needed help mounting his horse, and might otherwise be carried around. As Tamerlane, we can expect he would have privileges others might not enjoy (such as a litter), but this does give a sense of how different handicaps might have been managed.
This bad leg doesn’t seem to have been a major hindrance on Tamerlane’s many and extensive campaigns however; at least Jackson doesn’t make any remarks, but for one (that I noticed at least):
‘The lofty purpose of His Majesty during this expedition’, writes Sharaf al- Dīn of Timur’s decision to punish the infidels of Kator for their attacks on Muslims, ‘was ever directed in particular towards the triumph of the faith, the strengthening of Islam, the holy war against the unbeliever and the demolition of idols.’ After the capture of Mīrat (Meerut) in 801/1399, when Timur’s leg had grown inflamed and painful, he was allegedly so enthusiastic at the prospect of combat with an approaching Hindu force that his pain abated and he mounted to play his part. Yazdī justifies the slaughter of Hindus in the Siwālik region during the return march on the grounds that they had once paid the jizya but had latterly withheld it, and their lives and property were the lawful object of holy war.
That is, his leg hurt a lot, but the excitement of battle ameliorated the pain ahead of battle.
However, I have not read much on Tamerlane otherwise, and there may be relevant details documented elsewhere about how his leg affected his conquests. Still, I thought to include some comment on him here at least, given the subject matter.
Atwood [Translation and Commentary] (2021) The Rise of the Mongols: Five Chinese Sources
Jackson (2023) From Genghis Khan to Tamerlane: The Reawakening of Mongol Asia
Lane (2006) Daily Life in the Mongol Empire
Atwood [Translation and Commentary] (2023) The Secret History of the Mongols
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