The Epidemics of the Middle Ages by J. F. C. Hecker and John Caius
CHAPTER I.
3986 words | Chapter 35
THE FIRST VISITATION OF THE DISEASE—1485.
“Sound drums and trumpets, boldly and cheerfully,
God and Saint George! Richmond and victory!”—SHAKESPEARE.
SECT. 1.—ERUPTION.
After the fate of England had been decided by the battle of Bosworth,
on the 22d of August, 1485[349], the joy of the nation was clouded
by a mortal disease which thinned the ranks of the warriors, and
following in the rear of Henry’s victorious army, spread in a few weeks
from the distant mountains of Wales to the metropolis of the empire.
It was a violent inflammatory fever, which, after a short rigor,
prostrated the powers as with a blow; and amidst painful oppression
at the stomach, headache and lethargic stupor, suffused the whole
body with a fetid perspiration. All this took place in the course of
a few hours, and the crisis was always over within the space of a
day and night[350]. The internal heat which the patient suffered was
intolerable, yet every refrigerant was certain death. The people were
seized with consternation when they saw that scarcely one in a hundred
escaped[351], and their first impression was that a reign commencing
with such horrors would doubtless prove most inauspicious[352].
At first the new foe was scarcely heeded; citizens and peasants went
in joyful processions to meet the victorious army. Henry’s march from
Bosworth towards London resembled a triumph, which was everywhere
celebrated by festivals; for the nation, after its many years of civil
war, looked forward to happier days than they had enjoyed under the
blood-thirsty Richard.
Very shortly, however, after the king’s entry into the capital on
the 28th of August[353], the Sweating Sickness[354], as the disease
was called, began to spread its ravages among the densely peopled
streets of the city. Two lord mayors and six aldermen died within one
week[355], having scarcely laid aside their festive robes; many who
had been in perfect health at night, were on the following morning
numbered among the dead. The disease for the most part marked for its
victims robust and vigorous men; and as many noble families lost their
chiefs, extensive commercial houses their principals, and wards their
guardians, the festivities were soon converted into grief and mourning.
The coronation of the king, which was expected to overcome the scruples
that many entertained of his right to the throne, was of necessity
postponed in this general distress[356], and the disease, in the mean
time, spread without interruption and over the whole kingdom from east
to west[357].
It is agreed that the pestilence did not commence till the very
beginning of August, 1485, and was in obvious connexion with the
circumstances of the times. To return to their native country had
long been the ardent desire of the Earl of Richmond and his faithful
followers. At the age of 15, (1471,) having escaped the vengeance of
the House of York, and the assassins of Edward, he was overtaken by
a storm, and fell into the hands of Francis II., Duke of Bretagne,
who long detained him prisoner, but on the death of Edward, in 1483,
supplied him with means to enforce his claims to the English throne, as
the last descendant of the House of Lancaster. This first undertaking
miscarried. A storm drove back the bold adventurer to Dieppe, and
compelled him once more to throw himself, with his five hundred English
followers, on the hospitality of Duke Francis. Richard’s influence
with the Duke, however, rendered his stay there somewhat dangerous.
Richmond withdrew privately, and endeavoured to gain over to his cause
Charles VIII., who was yet a minor. A small subsidy of French troops,
some pieces of artillery, and an adequate supply of money, were finally
granted to his repeated solicitations. This little band was quickly
augmented to 2000 men, who were all embarked, and on the 25th of July,
1485, they weighed anchor at Havre, and seven days after, the standard
of Richmond was raised in Milford Haven[358].
They landed at the village of Dale, on the west side of the harbour,
and on the evening of their arrival, or very early on the following
morning, Richmond hastened to Haverfordwest, where no messenger had
yet announced the renewal of the civil war. It appears that he reached
Cardigan, on the northern shore, on the 3d of August, and for the
first time granted to his small but increasing army the repose of an
encampment.
After a short halt, he set forward with confidence, crossed the Severn
at Shrewsbury[359], turned from thence to Newport and Stafford,
and pitched his camp at Litchfield, probably before the 18th of
August[360]. The distance to this place from Milford Haven is 170
miles, and the road leads over wooded mountains and cultivated fields,
without touching upon any swampy lands. Litchfield, however, lies low,
and it was here that the army encamped in a damp situation, till it
broke up for the neighbouring field of Bosworth. Thither Richmond, with
scarcely 5000 men, and having his right wing covered by a morass, went
to meet his deadly foe, whose army doubled his own. The combat was at
first furious, but in two hours Lord Stanley crowned the conqueror with
Richard’s diadem[361].
All these events so rapidly succeeded each other in the course of
three weeks, that the knights and soldiers of Richmond, more and
more excited every day by fear and hope, were scarcely equal to such
exertions. Yet the very rapidity of the movements of the army was the
cause why the disease could not spread so quickly, nor obstruct the
final decision of Bosworth, although the report of it had already,
before this event, spread universal terror; so that Lord Stanley, when
authoritatively summoned by Richard to repair to his standard, sought
to gain time, and, by way of excuse, alleged the prevalence of the new
disease[362].
After the victory of Bosworth, King Henry remained two days in
Leicester, and then without further delay hastened to London, which he
reached in less than four days, unaccompanied by military parade, and
attended only by a select body of followers. The remainder of his army,
which stood greatly in need of repose after its severe toils, were not
in a condition for marching, they therefore halted in the neighbouring
towns, and were probably disbanded, according to the custom of the
age[363].
The Sweating Sickness is said not to have made its appearance in London
till the 21st of September[364], but historians have most likely
intended by that day to mark the commencement of its virulence, which
continued to the end of the following month, and lasted, therefore, in
all, about five weeks.
During this short period a large portion of the population[365] fell
victims to the new epidemic, and the lamentation was without bounds
so long as the people were ignorant that this fearful disease, unable
to establish its dominion, would only pass through the country like a
flash of lightning, and then again give place to the active intercourse
of society and the cheering hope of life.
There was no security against a second attack; for many who had
recovered were seized by it, with equal violence, a second, and
sometimes a third time, so that they had not even the slender
consolation enjoyed by sufferers in the plague[366] and small-pox, of
entire immunity after having once surmounted the danger[367].
Thus by the end of the year the disease had spread over the whole
of England, and visited every place with the same severity as the
metropolis. Many persons of rank, of the ecclesiastical and the civil
classes, became its victims; and great was the consternation when, in
the month of August, it broke out in Oxford. Professors and students
fled in all directions: but death overtook many of them, and this
celebrated university was deserted for six weeks[368]. Three months
later it appeared at Croyland, and on the 14th of November, carried off
Lambert Fossedyke, abbot of the monastery[369]. No authentic accounts
from other quarters have been handed down to our times, but we may
infer, from the general grief and anxiety which prevailed, that the
loss of human life was very considerable.
SECT. 2.—THE PHYSICIANS.
The physicians could do little or nothing for the people in this
extremity[370]. They are nowhere alluded to throughout this epidemic,
and even those who might have come forward to succour their fellow
citizens, had fallen into the errors of Galen, and their dialectic
minds sank under this appalling phenomenon. This holds good even of
the famous Thomas Linacre, subsequently physician in ordinary to two
monarchs[371], and founder of the College of Physicians, in 1518.
In the prime of his youth he had been an eye-witness of the events
at Oxford, and survived even the second and third eruption of the
Sweating Sickness; but in none of his writings do we find a single word
respecting this disease, which is of such permanent importance. In
fact, the restorers of the medical science of ancient Greece, who were
followed by all the most enlightened men in Europe, with the single
exception of Linacre, occupied themselves rather with the ancient terms
of art than with actual observation, and in their critical researches
overlooked the important events that were passing before their
eyes[372]. This reminds us of the later Greek physicians, who for four
hundred years paid no attention to the small-pox, because they could
find no description of it in the immortal works of Galen[373].
No resource was therefore left to the terrified people of England but
their own good sense, and this led them to the adoption of a plan of
treatment, than which no physician in the world could have given them
a better; namely, not to resort to any violent medicines, but to apply
moderate heat, to abstain from food, taking only a small quantity of
mild drink, and quietly to wait for four-and-twenty hours the crisis
of this formidable malady. Those who were attacked during the day, in
order to avoid any chill, immediately went to bed in their clothes,
and those who sickened by night did not rise from their beds in the
morning; while all carefully avoided exposing to the air even a hand or
foot. Thus they anxiously guarded against heat or cold, so as not to
excite perspiration by the former, nor to check it by the latter—for
they well knew that either was certain death[374].
The report of the infallibility of this method soon spread over
the whole kingdom, and thus towards the commencement of 1486, many
were rescued from death. On New Year’s Day, a violent tempest arose
in the south-east, and by purifying the atmosphere relieved the
oppression under which the people laboured, and thus, to the joy of
the whole nation, the epidemic was swept away without leaving a trace
behind[375].
SECT. 3.—CAUSES.
It was thought remarkable, even at that time, that the Sweating
Sickness did not extend beyond the limits of England, and that,
remaining the unenviable property of that nation, it did not even
spread to Scotland, Ireland, or Calais which belonged to Britain. Much,
doubtless, was owing to the peculiarity of the climate, more still to
atmospherical changes, and something also to the habits of the people
and the circumstances of the times. It plainly appeared in the sequel
that the English Sweating Sickness was a spirit of the mist, which
hovered amid the dark clouds. Even in ordinary years, the atmosphere
of England is loaded with these clouds during considerable periods,
and in damp seasons they would prove the more injurious to health,
as the English of those times were not accustomed to cleanliness,
moderation in their diet, or even comfortable refinements. Gluttony
was common among the nobility as well as among the lower classes; all
were immoderately addicted to drinking[376], and the manners of the age
sanctioned this excess at their banquets and their festivities. If we
consider that the disease mostly attacked strong and robust men—that
portion of the people who abandoned themselves without restraint to
all the pleasures of the table—while women, old men, and children,
almost entirely escaped, it is obvious that a gross indulgence of the
appetite must have had a considerable share in the production of this
unparalleled plague.
To this may be added, the humidity of the year 1485, which is
represented by most chronicles as very remarkable[377]. Throughout
the whole of Europe the rain fell in torrents, and inundations were
frequent. Damp weather is not prejudicial to health if it be merely
temporary, but if the rain be excessive for a series of years, so that
the ground is completely saturated, and the mists attract baneful
exhalations out of the earth, man must necessarily suffer from the
noxious state of the soil and atmosphere. Under these circumstances
epidemics must inevitably follow. The five preceding years had been
unusually wet[378], 1485 proved equally so; the last hot and droughty
summer was that of 1479[379]. Extensive inundations of the Tiber,
the Po, the Danube, the Rhine, and most of the other great rivers,
took place in 1480, and were attended with the usual consequences,
the deterioration of the air, misery and disease[380]. The greatest
inundation ever remembered in England was that of the Severn, in
October, 1483. It was long afterwards called the Duke of Buckingham’s
Great Water[381], because it frustrated the rebellion of this powerful
subject against Richard III., whom he had been instrumental in placing
upon the throne; and consequently defeated also the first enterprise
of Henry VII. It lasted full ten days, and the tremendous ravages
occasioned by the overwhelming torrent dwelt long in the memory of the
people.
SECT. 4.—OTHER EPIDEMICS.
During the whole of this period the nations of Europe were visited
with various and destructive plagues. In 1477, the Bubo-plague
broke out in Italy, and raged without interruption till 1485[382].
It was accompanied by striking natural phenomena, among which we
may reckon an enormous flight of locusts in 1478[383] and 1482, and
remarkable inter-current diseases, such as inflammatory pain in the
side, throughout the whole of Italy in 1482[384]. In Switzerland and
Southern Germany malignant epidemics[385] appeared in the train of
drought and famine in 1480 and 1481, while putrid fever accompanied by
phrenites[386], prevailed in Westphalia, Hesse and Friesland. There had
never been in the memory of the inhabitants of these districts so many
ignes fatui as during this period. There too the people suffered from
the failure of the harvest, so that it was necessary to obtain supplies
from Thuringen[387]. France, where, under the fearful reign of Louis
XI., oppression and misery seemed to mock the gifts of heaven, became
in 1482, after a two years’ scarcity, the scene of a devastating
plague. It was an inflammatory fever with delirium, accompanied by such
intense pain in the head, that many dashed out their brains against
the wall, or rushed into the water; while others, after incessantly
running to and fro, died in a state of the greatest agony. According
to the notion of the age, this disease was attributed to astral
influences, for it could not have been brought on only by famine,
which left to the poor peasantry, south of the Loire, nothing but the
roots of wild herbs to support their miserable existence[388], since
the higher classes were also frequently attacked[389]. This fever was
without doubt accompanied by inflammation of the meninges, or even of
the brain itself, and was, perhaps, identical with that which at the
same period desolated the north-west of Germany as far as the shores
of the North Sea, only that it was heightened by the greater natural
vivacity and miserable situation of the French people, who were kept
in a state of perpetual dread by the cruel executions of Louis[390].
This pestilence occasioned the king to follow the advice of his morose
physician[391] in ordinary, and to keep himself closely confined within
the town of Plessis des Tours. It was prohibited under a heavy penalty
to speak in his presence of death which was carrying off its victims in
all directions, and forty crossbowmen kept guard in the fosse of the
castle to put to death every living thing which might approach[392].
Two years after, in 1484, virulent diseases[393] again visited Germany
and Switzerland; and thus it seemed as if the nations were everywhere
threatened with death and destruction.
SECT. 5.—RICHMOND’S ARMY.
From these data, which might easily be extended[394], it is evident
that the Sweating Sickness of 1485 did not make its appearance without
great and general premisory events, which for a series of years
imparted to the people of England a susceptibility to dangerous and
unusual diseases. If, besides this, we take into account the gloomy
temperament of the English, and the general depression of their
spirits, in consequence of the sanguinary wars of the red and white
roses, a series of events which seems to have shaken their faith
in an overruling Providence, we may readily conceive that it would
require but a very slight impulse to excite a powerful commotion
in the mysterious mechanism of the human body. This impulse was
evidently given by the landing of Richmond’s army in the very year
when great and portentous evils were anticipated; for on the 16th of
March, the same day when Queen Ann, the unfortunate wife of Richard
III., expired, a total eclipse of the sun enveloped all Europe in
darkness, and gave rise to gloomy prognostications[395]. Even under
ordinary circumstances, wars beget pestilential disorders—how much
more inevitably must these have arisen in the then existing state
of affairs! Richmond’s army consisted not of brave men animated by
zeal to avenge their dishonoured country or to serve a good cause.
It was composed of wandering freebooters, “vile landskneckte,” as
they were called in Germany, who assembled under his banner at
Havre,—sharpshooters formed under Louis XI., who recklessly pillaged
Normandy, and whom Charles VIII. gladly made over to Henry, in order to
free his own peaceful territories from so great a scourge[396]. This
army may not have been worse than others of the same period[397]; but
cooped up as they were for a whole week in dirty ships, they doubtless
carried about with them all the material for germinating the seeds of a
pestilential disorder, which broke out soon after on the banks of the
Severn and in the camp at Litchfield.
SECT. 6.—NATURE OF THE SWEATING SICKNESS.
PRELIMINARY INVESTIGATION.
Before we proceed further, some account is here required of the
nature of this disease. It was an inflammatory rheumatic fever, with
great disorder of the nervous system. This assumption is supported
by the manner of its origin and its especial characteristic of being
accompanied by a profuse and injurious perspiration. From the judgment
that we are now capable of forming of the pernicious influences which
prevailed in the year 1485, it may, without hesitation, be admitted
that the humidity of that and of the preceding years affected the
functions of the lungs and of the skin, and disturbed the relation
of this very important tissue to the internal organs of life. This
is the usual commencement of rheumatic fevers, which bear the same
relation to the Sweating Sickness as slight symptoms bear to severe
ones of the same kind. The predominance of affections of the brain
and of the nerves, however, gave to the English epidemic a peculiar
character. The functions of the eighth pair of nerves were violently
disordered in this disease, as was shewn by oppressed respiration and
extreme anxiety with nausea and vomiting, symptoms to which the moderns
attach much importance[398]. The stupor and profound lethargy shew
that there was injury of the brain, to which, in all probability, was
added a stagnation of black blood in the torpid veins. We must also
take into the account a previous corruption and decomposition of the
blood, which, even if we should be disinclined to infer their existence
from the offensive perspiration of the disease itself, were proved
by striking phenomena of a similar nature that occurred in Central
Europe about the same time; for the scurvy prevailed as an epidemic,
more especially in Germany, in the year 1486, and with such severe
and unusual symptoms, that people were inclined to regard it as a
totally new malady[399]. Now such is the vital connexion of different
functions that every impediment to respiration, whether in consequence
of pressure from without, or through spasm and irritation of the nerves
from within, or even from a morbid condition of the circulating fluid,
infallibly calls forth the compensating activity of the skin, and the
body becomes suffused with an alleviating perspiration.
Thus it plainly appears that the profuse perspiration in the disease
of which we are treating, notwithstanding its apparently injurious
tendency, was the result of a commotion excited on the part of the
lungs, which was critical with respect to the disease itself; and
this is in accordance with all the causes of which we still have any
knowledge. Noxious and even stinking fogs penetrated into the organs
of respiration, and as the blood was thus so much affected in its
composition and in its vitality that its corrupt state was only to
be obviated by profuse perspiration, the inevitable consequence was
an interference with the extensive functions of the eighth pair of
nerves, which interference, as later writers relate, extended in many
cases to the spinal marrow, and brought on violent convulsions[400].
We have here only one essential cause, out of many, for this gigantic
disease, and one too which accounts for its advance and spread. It
is highly probable, for the reasons stated, and as according with
all human experience, that it first broke out in the army of Henry
the VIIth, and beyond all doubt that it spread from west to east,
and afterwards in a retrograde course from east to west. With the
perfectly equable operation of the predisposing causes, from which
the disease ought indubitably to have broken out all over England
at the same time, had the condition of the atmosphere been its sole
occasion, we must additionally presume a special cause for its progress
through towns and villages. This, according to all appearance, was to
be found in the air, impregnated with foul odours, which surrounded
the sick, and abounded in the tents and dwellings in which Henry the
VIIth’s soldiers, after various privations and hard service, amid
storms and rain, were closely crowded together. Of both causes modern
observation furnishes analogous examples. Intermittent fevers spread
more easily in air which is contaminated by sick people, and bands
of soldiers, themselves in perfect health, have not unfrequently
conveyed camp fever to remote places. It signifies very little by
what expressions of the schools these occurrences are designated; it
is best perhaps to abstain from them altogether, for they are all
inadequate, and occasion misconceptions. Contemporaries, however,
were certainly justified in not admitting the notion of contagion in
the same sense as when the term is applied to the plague, with which
they were well acquainted[401]. For very frequently cases which were
not to be explained on the principle of contagion communicated by
persons diseased, occurred among people of rank, and manifestly arose
independently of the usual causes. In these cases the fear of death,
which everywhere was the harbinger of the disease, and threw the nerves
of the chest into spasmodic commotion, gave an impulse to the malady
for which the quality of the atmosphere and luxury had long made
preparation. Had this view of contemporaries been even less impartial
than it really was, it would have found the most striking confirmation
in the sudden cessation of the pestilence throughout the whole country.
For the destructive spirits of air, which would not have been discerned
even by the proud naturalists of the nineteenth century, dispersed and
vanished for half an age in the fury of the tempest which raged on the
1st of January, 1486.
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