The Epidemics of the Middle Ages by J. F. C. Hecker and John Caius
CHAPTER IV.
20259 words | Chapter 39
THE FOURTH VISITATION OF THE DISEASE.—1528, 1529.
“Und wenn die Welt voll Teufel wär’,
Und wollten uns verschlingen;
So fürchten wir uns nicht so sehr,
Es soll uns doch gelingen!”—LUTHER.
SECT. 1.—DESTRUCTION OF THE FRENCH ARMY BEFORE NAPLES, 1528.
The events to which we are now about to allude, demonstrate, by their
surprising course, that the fate of nations is at times far more
dependent on the laws of physical life than on the will of potentates
or the collective efforts of human action, and that these prove utterly
impotent when opposed to the unfettered powers of nature. These powers,
inscrutable in their dominion, destructive in their effects, stay the
course of events, baffle the grandest plans, paralyse the boldest
flights of the mind, and when victory seemed within their grasp, have
often annihilated embattled hosts with the flaming sword of the angel
of death.
To obliterate the disgrace of Pavia[492], Francis I. in league with
England, Switzerland, Rome, Genoa and Venice against the too powerful
Emperor of Germany, sent a fine army into Italy. The emperor’s troops
gave way wherever the French plumes appeared, and victory seemed
faithful only to the banners of France and to the military experience
of a tried leader[493]. Every thing promised a glorious issue; Naples
alone, weakly defended by German lansquenets and Spaniards[494],
remained still to be vanquished. The siege was opened on the 1st of
May, 1528, and the general confidently pledged his honour for the
conquest of this strong city, which had once been so destructive to the
French[495]. It was easy with an army of 30,000 veteran warriors[496]
to overpower the imperialists; and a small body of English[497] seemed
to have come merely to partake in the festivals after the expected
victory. The city too suffered from a scarcity, for it was blockaded
by Doria, with his Genoese galleys; and water, fit to drink, failed
after Lautrec had turned off the aqueducts of Poggio reale; so that the
plague, which had never entirely ceased among the Germans since the
sacking of Rome[498], began to spread.
But amidst this confidence in the success of the French arms, the means
for ensuring it were gradually neglected. The valour of the intrepid
and prudent commander was doubtless equal to the minor vicissitudes
of war, but whilst the length of the delay paralysed his activity,
nature herself suddenly proved fatal to this hitherto victorious army:
pestilences began to rage among the troops, and human courage could
no longer withstand the “far-shooting arrows of the god of day.” The
consequence was, that within the space of seven weeks, out of the whole
host which up to that period had been eager for combat, a mere handful
remained, consisting of a few thousands of cadaverous figures, who were
almost incapable of bearing arms or of following the commands of their
sick leaders. On the 29th of August the siege was raised, fifteen
days after the heroic Lautrec, bowed down by chagrin and disease, had
resigned his breath; the wreck of the army retreated amid thunder and
heavy rain[499], and were soon captured by the imperialists, so that
but few of them ever saw their native land again.
This siege brought still greater misery upon France than even the fatal
battle of Pavia, for about 5000 of the French nobility, some from the
most distinguished families, had perished under the walls of Naples;
its remoter consequences too were humiliating to the king, and the
people; since owing to its failure all those hitherto feasible schemes
were blighted, which had for their object the establishment of French
dominion beyond the Alps. It behoves us, therefore, to pay so much the
more attention to those essential causes of this event, which fall
within the province of medical research.
The mortality which occurred in the camp, began probably as early as
June, after the usual calamities which surround an army in an enemy’s
country. The French and Swiss were insatiable in their indulgence in
fruit, which the gardens and fields furnished them in abundance, whilst
there was a scarcity of bread and of other proper food[500]. Hence
fevers soon broke out, which increased in malignity the longer they
existed, accompanied no doubt by debilitating diarrhœas, which never
fail to make their appearance under circumstances of this kind, and are
in themselves among the most pernicious of camp diseases, since they
not only destroy in the individual case by the exhaustion which they
occasion, but likewise by infecting the air, prepare the way for the
worst pestilences.
These diseases were, however, little noticed, and there was
consequently no attempt made to diminish their causes. It became daily
more and more apparent, that the cutting off of the sources near Poggio
reale, which Lautrec had commanded, in order to compel the besieged
to a more speedy surrender, was in the highest degree injurious to
the besiegers themselves; for the water, having now no outlet, spread
over the plain where the camp was situated, which it converted into a
swamp, whence it rose, morning and evening, in the form of thick fogs.
From this cause, and while a southerly wind continued to prevail, the
sickness soon became general. Those soldiers, who were not already
confined to bed in their tents, were seen with pallid visages, swelled
legs, and bloated bellies, scarcely able to crawl; so that, weary
of nightly watching, they were often plundered by the marauding
Neapolitans. The great mortality did not commence until about the 15th
of July, but so dreadful was its ravages, that about three weeks were
sufficient to complete the almost entire destruction of the army[501].
Around and within the tents vacated by the death of their inmates,
noxious weeds sprang up. Thousands perished without help, either in
a state of stupor, or in the raving delirium of fever[502]. In the
entrenchments, in the tents, and wherever death had overtaken his
victims, there unburied corpses lay, and the dead that were interred,
swollen with putridity, burst their shallow graves, and spread a
poisonous stench far and wide over the camp. There was no longer any
thought of order or military discipline, and many of the commanders and
captains were either sick themselves, or had fled to the neighbouring
towns, in order to avoid the contagion[503].
The glory of the French arms was departed, and her proud banners
cowered beneath an unhallowed spectre. Meanwhile the pestilence broke
out among the Venetian galleys under Pietro Lando. Doria had already
gone over to the Emperor[504], and thus was this expedition, begun
under the most favourable auspices, frustrated on every side by the
malignant influence of the season.
No medical contemporary has described the nature of this violent
disease, and historians have on this point preserved only general
outlines, which do not afford sufficient materials to ground an
investigation. Certain it is, that in the year 1528, a very malignant
_petechial fever_ extended throughout Italy, and in the proper
sense of the word prevailed so decidedly, that it even followed the
Italians abroad in the same way as the Sweating Sickness did the
English, as is proved by the case of the learned Venetian Naugerio,
who, being dispatched on an embassy to Francis the 1st, died at
Blois on the Loire, of this very disease, with which the French
had yet no acquaintance[505]. Contemporaries assure us, that this
epidemic committed great ravages in the country, already distracted
by wars and feuds, and it is therefore hardly to be doubted, that,
occurring as it did in those same years, it was the disease of
which we have been treating, the malignity of which was increased
on extraordinary occasions. A pestilence which, just before the
siege of Naples, destroyed one-third of the inhabitants of Cremona,
was in all probability the petechial fever[506]. Yet, here and
there, the old bubo plague made its appearance. This it was which
in the year 1524 carried off 50,000 people in Milan[507], and this
appears likewise to have been the disease which, after the sacking
of Rome, broke out among the German lansquenets, and in a short time
annihilated two-thirds of these troops. Contemporaries saw therein
God’s just punishment of their desecration of the Holy See, for in the
succeeding years, all the remaining participators in the storming of
the eternal city, also met with an end worthy of their crimes[508].
They did not take into account, however, the beastly intemperance
and excesses of the soldiery, whose eagerness after plunder led them
to encounter the plague poison in the most secret holes and corners;
nor did they reflect, that the plague penetrated the Castle of St.
Angelo itself, and destroyed some of the courtiers almost under the
eyes of the Pope[509]. Of these lansquenets, many went to Naples in
the following year under the Prince of Orange, and it may with good
ground be supposed, that they took with them to that city fresh germs
of plague; to which may be added, the by no means incredible story,
that the besieged sent infected and sick soldiers to the French, in
order to cause poisonous pestilences to break out among them[510].
This very circumstance tells in favour of bubo plague, for the decided
certainty of its contagious nature was known, and seemed beyond all
comparison greater than the more conditional communicability of the
new disease[511]. Moreover, the same attempt at impestation had been
already often made in earlier times.
It is, however, also to be considered, on the other side, that the
French army was more exposed to the epidemic influence of the air, the
water, and the general powers of nature, than any other assemblage
of men, and, that this influence was probably more powerful in the
year 1529, than at any other time during the sixteenth century. The
formation of fog in the heat of summer is at all times an extraordinary
phenomenon[512], which decidedly indicates a disproportion in the
mutual action of the components and powers of the lower strata of the
atmosphere. This was not dependent merely on the local peculiarities
of Naples, for during the summer of 1528, grey fogs were observed
throughout Italy, which rendered the unwholesome quality of the air
visible to the eye[513]. This was increased by the prevalence of
southerly winds, which are always, in Italy, prejudicial to health,
as also by the thousand privations of a camp, so that a disease which
was already prevalent all over Italy,—we allude to the _petechial
fever_,—might well break out on the damp soil of Poggio reale. In the
history of national diseases, we find a moral proof of the predominance
of epidemic influence which plainly and intelligibly manifests itself
under the greatest variety of circumstances. This is a belief, that the
water, and even the air is poisoned[514]. Nor is this proof wanting
in the deplorable history of the French army before Naples, for it
was generally believed, that some Spaniards of Moorish descent, to
whom was attributed an especial degree of skill in the management of
poison, and some Jews from Germany, who, for the sake of gain, had
followed the lansquenets to truckle for their booty, had stolen out
of the city under cover of the night, in order to poison the water
in the neighbourhood of the camp[515]. It was also surmised, that
an Italian apothecary had administered to the French knights poison
in their medicine[516]. We will not anticipate on this occasion the
researches of naturalists, whose experiments on air and water, during
important epidemics, have not yet led to any results; it is, however,
not improbable that pond and spring water, under such circumstances as
are here described to have occurred, might become impregnated with a
noxious quality not inherent in it, which would very naturally give
rise to the belief that a poison had been thrown into it. On the whole,
this accusation may certainly be judged according to the same views
which have been stated in our treatise on the Black Death.
From all these circumstances, the notion is highly probable that it
was the petechial fever which raged in the French camp; and if we may
attach any importance to the incidental accounts of historians, it may
perhaps be to the purpose to state that Prudencio de Sandoval, who has
written from authentic materials, calls the disease “las bubas.”[517]
This name, it is true, presupposes a rather strange confusion of
petechial fever with lues; and, indeed, the diseases among the French
troops from 1495 to 1528, have been oddly jumbled together by Sandoval.
It shews, however, that there still existed a recollection of the
prevalent eruptions which occurred in the pestilence of 1528; and,
therefore, this whole account might perhaps be the more justly applied
to petechial fever, as this same historian states, that the French
called the disease after the village of Poggio reale “les Poches,”[518]
by which name the well known bubo plague would hardly have been
designated. If, however, we choose to suppose that at one and the same
time _different diseases_ prevailed in the French army, this notion is
not only supported by the express testimony of a contemporary[519], but
also by many observations ancient and modern[520], that have been made
in cases where the circumstances have been similar to those which then
prevailed. It is ever to be regretted that there was no intelligent
Machaon to be found in the camp before Naples; such a one would
undoubtedly have left us some pithy observations on the combination and
affinity of petechial fever and bubo plague.
SECT. 2.—TROUSSE-GALANT IN FRANCE.—1528, AND THE FOLLOWING YEARS.
Deeply as the irreparable loss of such an army was felt by the French,
yet were they destined to suffer still greater misfortunes at home.
The dark power which threatened all Europe regarded neither distance
nor limits. It seized on the French nation in their own country whilst
their military youth were destroyed before Naples. The cold spring
and wet summer of 1528 destroyed the growing corn[521], and a famine
was thus produced throughout France, even more grievous, on account
of its duration, than the period of scarcity in the time of Louis the
XIth[522], for the failure of the harvest continued for five years
in succession, during which all order of the seasons seemed to have
ceased. A damp summer heat prevailed in autumn and winter, a frost of
a single day only occasionally intervening. The summer, on the other
hand, was cloudy, damp, and ungenial. The length of the days alone
distinguished one month from another. It appears plainly from detached
accounts how much the usual course of vegetation was disturbed.
Scarcely had the fruit trees shed their leaves in the autumn when they
began to bud again, and to bear fruitless blossoms. No returns rewarded
the toil of the husbandman, and the longed-for harvest again and again
deceived the hopes of the people. Thus, even during the first of these
calamitous years, the distress became general, and the increasing
indigence was no longer to be checked by human aid. Bands of beggars
wandered over the country in lamentable procession. The bonds of civil
order became more and more relaxed, and people soon had to fear not
only robbery and plunder on the part of these unfortunate beings, but
the contagion of a pestilence, the offspring of their distress, which
followed in their train.
This disease was a new production of the French soil, and when it
spread generally throughout the country, was the more sensibly felt,
as it especially carried off young and robust men; on which account it
was designated by the very significant name of Trousse-Galant[523].
It consisted of a highly inflammatory fever, which destroyed its
victims in a very short time, even within the space of a few hours;
or, if they escaped with their lives, deprived them of their hair
and nails, and from a long-continued disinclination for all animal
food, left behind it, as sequelæ, a protracted debility and diseases
which endangered the recovery of the sick, whose constitutions were
already so much shaken. Hence it appears that this fever was combined
with a great decomposition of the fluids, and a very morbid condition
of the functions of the bowels, not to mention the effects produced
by continued hunger, which contemporaries paint in the most dreadful
colours.
The stock of provisions was already so far consumed in the first year
that people made bread of acorns, and sought with avidity all kinds of
harmless roots, merely to appease hunger. These miserable sufferers
wandered about, houseless and more like corpses than living beings, and
finally, failing even to excite commiseration, perished on dunghills
or in out-houses. The larger towns shut their gates against them, and
the various charitable institutions proved, of necessity, insufficient
to afford relief in this frightful extremity! It was the lot of very
few to obtain the tender care and attendance of the Sisters of Charity.
In most of those affected their livid swollen countenances, and the
dropsical swelling of their limbs, betrayed the sickly condition in
which they dragged on their languishing existence. Every one fled from
these pestiferous spectres, for they were saturated with the poison of
this deadly disease, and the remark was no doubt made a thousand times
over, that this poison might be conveyed to persons in health without
affecting the carrier, since want and ill health occasionally afford a
miserable protection against disease of this kind[524].
The necessary data for furnishing a complete account of the
Trousse-galant of 1528 do not exist, for physicians passed over this
epidemic with the same coolness and indifference which unfortunately
they may be justly accused of having shewn with respect to other
important phenomena. But it returned once again in 1545–46, appearing
in Savoy and over a great part of France; and we possess from
Paré[525], and from Sander, a Flemish physician[526], though still a
defective, yet a more satisfactory description of its symptoms on this
occasion. Its course was, as before, very rapid, so that it destroyed
the patient in two or three days; again it attacked the strong rather
than the weak, as if in justification of its old name, and those who
recovered remained for a long time distinguishable by the loss of their
hair and their wretched appearance. Patients felt at the commencement
an insufferable weight in the body, with extremely violent headache,
which soon deprived them of all consciousness and passed into a
profound stupor, even the sphincter muscles losing their power. In
other cases a continued state of sleeplessness was followed by feverish
delirium, so violent that it was necessary to have recourse to means
of restraint. Such opposite states are usual in all typhous fevers.
_Sander_ expressly mentions that in most of those affected, eruptions
made their appearance. He does not, however, state their nature or
describe the course and crisis of the disease otherwise than that it
terminated about the fourth or the eleventh day. Even the eruptions
that did appear, which were probably petechiæ, and perhaps also (rother
friesel) red miliary vesicles, came at an indefinite period; either
at the commencement, when they afforded an unfavourable prognosis,
or later, when they betokened a favourable crisis. Thread-worms, in
great numbers, were evacuated alive under great torment, and generally
increased the sufferings of the patient. The disease was scarcely less
contagious than plague, and with respect to its treatment, bleeding,
copious and even ad deliquium, was decidedly successful, which coupled
with the attacks on the head just described[527], leads to the
conclusion that there existed a fulness of blood and an inflammatory
state of circulation, together, perhaps, with inflammation of the
brain. We must not omit to observe that, during the pestilence of 1546,
the bubo plague made its appearance here and there, especially in the
Netherlands[528]; and in the following year, broke out and spread to a
greater extent in France[529], whence it seems to follow, with respect
to the malady of which we are now treating, that its nature resembled
the petechial fever, since that disease usually precedes the occurrence
of pestilences[530].
The assertion of historians, that in 1528, and the following years,
France lost a fourth part of her inhabitants by famine and pestilence,
seems, according to our representation, not to be by any means
exaggerated. The consequences, as regarded the future destinies of that
country, were likewise very important. For Francis the 1st saw that no
new sacrifices could be borne by his people, who were already so sorely
afflicted; and therefore abandoned his schemes of greatness and foreign
power, consenting, on the 5th of August, 1529, to the disadvantageous
treaty of Cambray.
SECT. 3.—SWEATING SICKNESS IN ENGLAND, 1528.
Whoever, following the above facts, will represent to himself the
state of Europe in 1528, will readily believe, that a poisonous
atmosphere enveloped this quarter of the globe, and continually brought
destruction and death over its nations. Ruin broke in upon them in a
thousand forms, destroying their bodies and benighting their minds, and
if to this we add the discord and the deadly party hatred which at that
time prevailed in the world, it seems as if every circumstance that
could affect mankind was implicated in this gigantic conflict, which
threatened in its fatal result to annihilate all traces of the times
that were past.
A heavier affliction than has yet been described was in store for
England: for in the latter end of May, the Sweating Fever broke out
there in the midst of the most populous part of the capital, spreading
rapidly over the whole kingdom; and fourteen months later, brought
a scene of horror upon all the nations of northern Europe, scarcely
equalled during any other epidemic. It appeared at once with the same
intensity as it had shewn eleven years before, was ushered in by no
previous indications, and between health and death there lay but a
brief term of five or six hours. Public business was postponed: the
courts were closed, and four weeks after the pestilence broke out,
the festival of St. John[531] was stopped, to the great sorrow of the
people, who certainly would not have dispensed with its celebration
had they recovered from the consternation arising from the great
mortality. The king’s court was again deserted, and to the various
passions and mental emotions which had been clashing there since
the year 1517, as, for instance, those arising from the theological
zeal which had been excited by Henry VIIIth’s defence of the faith,
was added once more the old alarm and distress, which seemed to be
justified by the death of some favoured courtiers; particularly of two
chamberlains[532], and of Sir Francis Poynes, who had just returned
from an embassy to Spain. The king left London immediately, and
endeavoured to avoid the epidemic by continually travelling, until at
last he grew tired of so unsettled a life, and determined to await his
destiny at Tytynhangar. Here, with his first wife and a few confidents,
he resided quietly, apart from the world, surrounded by fires for
the purification of the air, and guarded by the precautions of his
physician, who had the satisfaction to find that the pestilence kept
aloof from this lonely residence[533].
How many lives were lost in this, which some historians have called
_the great mortality_, can be estimated only by the facts which
have been stated, and which betoken an uncommonly violent degree of
agitation in men’s minds. Accurate data are altogether wanting, yet
it is quite evident that the whole English nation, from the monarch
to the meanest peasant, was impressed with a feeling of alarm at the
uncertainty of life, to which neither the rude state of society, nor a
constant familiarity with the effects of laws written in blood[534],
had blunted their sensibility. Such a state does not exist without
very numerous cases of mortality which bring the danger home to
every individual, so that it is to be presumed that the churchyards
were everywhere abundantly filled. Nor did this destructive epidemic
come alone. Provisions were scarce and dear, and whilst hundreds of
thousands lay stretched upon the bed of death, many perished with
hunger[535], and the same scenes would have been experienced as in
France, had not the corn trade afforded some relief[536].
As soon as the occurrences of this unfortunate year could be more
closely surveyed, a conviction was at once felt, that _it was one and
the same general cause of disease which called forth the poisonous
pestilence in the French camp before Naples, the putrid fever among
the youth in France, and the sweating sickness in England, and that
the varying nature of these diseases depended only on the conditions
of the soil and the qualities of the atmosphere in the countries which
were visited_[537]. If, in opposition to these notions, a narrow view
of human life in the aggregate should raise a doubt, this would be
strikingly refuted by the wonderful coincidence, in point of time,
of all these phenomena, occurring in such various parts of Europe;
for while the French army, after an exposure of four weeks to the
miseries and poisonous vapours of its camp before Naples, perceived
the first forebodings of its destruction, the great famine with the
Trousse-galant in its train was in full advance on the other side the
Alps, and almost on the same day the Sweating Sickness broke out upon
the Thames.
SECT. 4.—NATURAL OCCURRENCES.—PROGNOSTICS.
The chronicles of all the nations of Europe are full of remarkable
notices respecting the commotions of nature in these particular years,
which were so utterly hostile to the animal and vegetable kingdoms. In
England the period of distress was already approaching; towards the end
of the year 1527. Throughout the whole winter, (November and December,
1527, and January, 1528,) heavy rains deluged the country, the rivers
overflowed their banks, and the winter seed was thus rotted. The
weather then remained dry until April; but scarcely was the summer seed
sown, when the rain again set in, and continued day and night for full
eight weeks, so that the last hope of a harvest was now destroyed[538],
and the soaked earth, in the thick mists that arose from its surface,
hatched the well known demon of the Sweating Disease. It was now of no
avail that the torrents of rain ceased, for the softened soil gave the
pestilence constant nourishment, and the damp warmth which, alternating
with unseasonable cold, remained prevalent during the following years
all over Europe, rendered men’s bodies more and more susceptible to
severe diseases.
The historians of that time were too much occupied with the intricate
affairs of the court and of the church to devote any attention
to nature, and on this account they have left us no satisfactory
information of the state of the weather and the course of the seasons
of those years in England, yet there is no reason to suppose that they
were essentially different from those of the rest of Europe. This may
be proved by the following collection of important natural occurrences,
when taken in conjunction with the circumstances already stated
respecting France and Italy.
In Upper Italy such considerable floods occurred in all the river
districts, in the year 1527, that the astrologers announced a new
Deluge. There was a repetition of them to an equal extent, and
with equal damage, in the following year, so that it may have been
concluded, not without some ground, that there was an accumulation
of snow on the highest mountain ranges of Europe. On the 3rd of
July, 1529, there followed a violent earthquake in Upper Italy, and
immediately afterwards a blood-rain, as it was called, in Cremona[539].
In October, 1530, the Tiber rose so much above its banks that in Rome
and its neighbourhood about 12,000 people were drowned. A month later,
in the Netherlands, the sea broke through the dykes, and Holland,
Zealand, and Brabant suffered very considerably from the overflow of
the waters, which again took place two years afterwards[540].
In 1528 there appeared in the March of Brandenburg, during the
prevalence of a south-east wind and a great drought[541], (the rains
did not commence in Germany before 1529,) _swarms of locusts_[542],
as if this prognostic too of great epidemics was not to be wanting.
Of fiery meteors, which also frequently appeared in the following
years, and in the aggregate plainly indicated an unusual condition
of the atmosphere, much notice, after the manner of the times, is
occasionally taken[543]. Particular attention was excited by a long
fiery train which was seen on the 7th of January, 1529, at seven
o’clock in the morning, throughout Mecklenburg and Pomerania[544].
Another fiery sign (chasma) was seen in the March on the 9th
of January, at ten o’clock at night[545], as likewise similar
atmospherical phenomena in other localities.
Comets appeared in the course of this year in unusual number[546].
The first on the 11th of August, 1527, before daybreak; it was seen
throughout Europe, and it has often been confounded by more recent
writers with an atmospherical phenomenon resembling a comet which
appeared on the 11th of October[547]. The second was seen in July and
August, 1529, in Germany, France, and Italy. Four other comets are also
said to have made their appearance this year at the same time; but it
is probable that these were only fiery meteors of an unknown kind[548].
The third was in 1531, and was visible in Europe from the 1st of
August till the 3rd of September. This was the great comet of Halley,
which returned in the year 1835[549]. The fourth was in 1532, visible
from the 2nd of October to the 8th of November; it appeared again in
1661[550]. Lastly, the fifth, in 1533, seen from the middle of June
till August[551].
Contemporaries agree remarkably in their accounts of the insufferable
state of the weather in the eventful year 1529. The winter was
particularly mild, and the vegetation was far too early, so that all
the world was rejoicing at the mildness and beauty of the spring. The
people wore violets, at Erfurt, on St. Matthew’s day, (the 24th of
February,) little expecting that this friendly omen was to precede
so severe a calamity[552]. Throughout the spring and summer wet
weather continued to prevail. Constant torrents of rain overflowed the
fields, the rivers passed their banks; all hopes of the cultivation
were entirely frustrated[553], and misery and famine spread in all
directions. A heavy rain of four days’ continuance, which took place
in the south of Germany in the middle of June, and was called the St.
Vitus’s Torrent, is still remembered in modern times as an unheard-of
event. Whole districts of country were completely laid under water,
and many persons perished who had not time to save their lives[554].
A similar, very widely extended, and perhaps universal, storm again
occurred on the 10th of August, and occasioned great floods, especially
in Thuringia and Saxony[555]. Upon the whole, the sun rarely broke
through the heavy dark clouds. The latter part of the summer and the
whole of the autumn, with the exception of a series of hot days which
commenced the 24th of August[556], remained gloomy, cold, and wet.
People fancied they were breathing the foggy air of Britain[557].
We ought not to omit here to notice that in the north of Germany, and
especially in the March of Brandenburg, eating fish, which were caught
in great abundance, was generally esteemed detrimental. Malignant and
contagious diseases were said to have been traced to this cause, and it
was a matter of surprise that the only food which nature bounteously
bestowed was so decidedly injurious[558]. It might be difficult now
to discover the cause of this phenomenon, of which we possess only
isolated notices, yet, passing over all other conjectures, it is quite
credible either that an actual fish poison was developed[559], or,
if this notion be rejected, that a disordered condition of life,
such as must be supposed to have existed in a great famine, rendered
fish prejudicial to health, in the same way as sometimes occurs after
protracted intermittent fevers, when the functions of the bowels are
disturbed in a manner peculiar to this disease.
But it was not the inhabitants of the water alone which were affected
by hidden causes of excitement in collective organic life; the fowls
of the air likewise sickened, who, in their delicate and irritable
organs of respiration, feel the injurious influence of the atmosphere
much earlier and more sensitively than any of the unfeathered tribes,
and have often been the harbingers of great danger, ere man was aware
of its approach. In the neighbourhood of Freyburg in the Breisgau,
dead birds were found scattered under the trees, with boils as large
as peas under their wings, which indicated among them a disease, that
in all probability extended far beyond the southern districts of the
Rhine[560].
The famine in Germany, during this year, is described by respectable
authorities in a tone of deep sympathy. Swabia, Lorraine, Alsace, and
the other southern countries bordering on the Rhine, were especially
visited, so that misery there reached the same frightful height as
in France. The poor emigrated and roved over the country, solely
to prolong their wretched existence. Above a thousand of these
half-starved mendicants came to Strasburg out of Swabia. They obtained
shelter in a monastery, and attempts were made to revive them, yet many
were unable to bear the food that was placed before them. Attention and
nourishment did but hasten their death. Another body of more than eight
hundred came in the autumn from Lorraine. These unfortunate people
were kept in the city, and fed during the whole winter[561], yet it is
easy to conceive that this benevolence, which was no doubt likewise
exercised in other cities[562]—for when was humanity ever found wanting
in Germany?—could only occasionally alleviate this deeply rooted
calamity. In the Venetian territories, many hundreds are said to have
perished with hunger, and a like distress probably prevailed all over
Upper Italy.
In the north of Germany, including the extensive sandy plains, on
which wet weather is not so injurious in its effect as on a heavy
clayey soil, the state of the country was upon the whole more
tolerable[563]; yet, independently of the innumerable evils to which
a scarcity gives rise, _suicide was more frequent_[564], which was
certainly a rarity in the sixteenth century, and only explicable by
supposing, that the powers of the mind became exhausted by the many and
various passions, which in every individual locality, excited a spirit
of hatred and party feeling. The consequence of such a state of turmoil
is a cold disgust of life, which finds, in the first adverse event that
may occur, a pretext for self-destruction, that want alone would seldom
if ever occasion: for man, if his spirit be unbroken, runs the chance
of starvation in times of famine, and trusts to the faintest gleam of
hope, rather than, of his own accord, abandon the enjoyment of life.
It is no less in point here to notice a kind of faint lassitude,
which, to the great astonishment of the people, was felt, especially
in Pomerania, in June and July[565], up to the very period when the
Sweating Sickness broke out. In the midst of their work, and without
any conceivable cause, people became palsied in their hands and
feet, so that even if their lives had depended upon it, they were
incapable of the slightest exertion[566]. The treatment which was found
successful, was to cover the patients warmly, and to supply them with
nourishing food, of which they ate plentifully, and thus recovered
again, in three or four days. Phenomena of this kind, which in the
present instance evidently depended on atmospherical influence, are but
the extreme gradations of a generally morbid dullness of vital feeling,
which might easily pass into an actual disgust of life, such as would
lead to suicide.
The following years were by no means all marked by a complete failure
in produce. The year 1530 was, on the contrary, plentiful, there being
only some partial failures, as, for example, that which arose from a
great flood in the district of the Saal, which occurred in the midst
of the harvest time[567]. A very cold spring and a wet cold summer
followed in 1531, with only occasional fine days; yet the ground
was not altogether unproductive, and the great distress which would
otherwise have been felt in Thuringia and Saxony, was checked by the
establishment of granaries, so that the people were not obliged, as
they often were in Swabia, to mow the green corn that they might dry
the ears in ovens, and support life upon the yet unripe grain.
The years 1532 and 1533, were again very sterile, as also 1534, in
consequence of the great heat and dryness of the summer. Finally,
in the year 1535, the regular change of the seasons, and with it
a prosperous state of cultivation, seemed to be restored, and the
scarcity ceased[568]. The reports from different localities in Germany
vary much, but the scarcity prevailed for full seven years[569], (from
1528 to 1534,) and since its causes were not discoverable, because it
was only seen by each observer in his own narrow circle, the old German
adage was often called to mind: “If there is to be a scarcity, it is of
no avail even should all the mountains be made of flour.”[570]
SECT. 5.—SWEATING SICKNESS IN GERMANY, 1529.
These facts are sufficient for a preliminary sketch of the background
on which moved the spectre of England, to which we now return. How
long the sweating sickness may have raged there after Henry the
VIIIth quitted his secluded place of refuge in order to return to his
capital, no one has left any written account to show. That it spread
very rapidly over the whole kingdom is decidedly to be presumed, and
might probably still be easily ascertainable from the written records
of different places. The notion that it did not rage violently in any
town more than a few weeks, is justified by corresponding phenomena
of more recent occurrence, yet no doubt it continued to exist among
the people, though in a mitigated degree, till the mild winter season.
But there are not even the slightest data by which it can be made
out that it was still in England during the summer of 1529. As an
epidemic it certainly existed no longer, yet on a consideration of the
state of the air in that year, it is not to be denied that isolated
cases of Sweating Fever may have appeared; for in pestilences of this
kind, provided their original causes continue, there always occur some
straggling cases[571]. The Sweating Sickness did not advance westward
to Ireland, nor did it pass the Scottish border; the historians, who
would certainly have recorded so calamitous an event, are entirely
silent respecting such an occurrence. The tragedy was, however,
destined to be enacted elsewhere; other nations were to play their part
in it.
Hamburgh was the first place on the continent in which the Sweating
Sickness broke out. Men’s minds were still in great excitement
there in consequence of the events of the few preceding months. The
Protestants had, after long and stormy contests, at length vanquished
the Papists. Under the wise direction of _Bugenhagen_ the great work
of Reformation was just completed. The monasteries were abolished, the
monks dismissed, schools were established, and peace again returned
with the enjoyment of ecclesiastical freedom. Just at this moment[572]
the dreaded pestilence, of which wonderful accounts had been so long
and so often heard, unexpectedly made its appearance. It immediately
excited, as it had ever done in England, general dismay, and before any
instructions as to its treatment could be obtained, either from the
English or from Germans who had been in England, it destroyed daily
from forty to sixty, and altogether, within the space of twenty-two
days[573], about 1100 inhabitants, for such was the number of coffins
which were at this time manufactured by the undertakers. The duration
of _the great mortality_, for thus we would designate the more violent
raging of this pestilence, was, however, much shorter, and may be
roughly estimated at about nine days, for from the fragment of a
letter received from Hamburgh, which was dispatched to Wittenberg on
the 8th of August, by a person who was at that time burgomaster, it
appears that, for some days past, no one had died of the Sweating
Fever, excepting one or two drunkards, and that the citizens were
then beginning to take breath again. We may thus judge, from the
unauthenticated account here mentioned, that the disease lasted about a
fortnight longer, and that the loss of lives amounted to 2000. At all
events, however, the pestilence manifested itself on the continent with
the same malignity which was peculiar to it from the first, and if the
assertion made at a distance respecting the mortality in Hamburgh, were
overcharged[574], yet there certainly existed sufficient foundation for
exaggerations of this sort, which are never wanting in times of such
great danger. The historians of this, even at that time, powerful and
civilized commercial town, have on the whole said but little regarding
this important event—a circumstance easily explicable from the constant
occupation of men’s minds in religious affairs, and from the well known
short visitation of the epidemic, which, like a transient meteor,
needed quick and cautious observation if any valuable information
respecting the occurrence was to be transmitted to posterity. Some
particulars of its first origin have, however, been preserved amid a
mass of general assertions which convey no information. Thus it appears
that the Sweating Sickness did not show itself in the town until a
Captain Hermann Evers, just about the time mentioned, (the 25th of
July,) returned from England, bringing on board with him a number of
young people, (probably travellers as well as sailors,) of whom at
least twelve died of this disease within two days[575]. According to
another account, those who died were not taken ill in England, but on
the voyage, and the pestilence broke out after the rest of the crew had
disembarked. On this point we have further a most respectable testimony
to the fact, that in the night after the landing of Hermann Evers, four
men died in Hamburgh of the Sweating Sickness[576].
If we examine a little more closely these very valuable accounts, the
credibility of which there is no reason to doubt, it must especially
be taken into account, that at this time the Sweating Sickness had
ceased to exist as an epidemic in England for at least half a year,
that its appearance in single cases, although not contradictory to
general views, is nevertheless by no means borne out by proof from
historical evidence, and that thus it is a gratuitous and unsupported
assumption that the return of Hermann Evers’ crew was connected with
any Sweating Sickness at all in England. If we consider, on the other
hand, that the North Sea, even in ordinary years, is very foggy, so
that, owing to the prevalence of north-west winds, it precipitates very
heavy rain clouds over Germany; and if we bear in mind, that in the
year 1529 it produced far heavier fogs than usual, we shall perceive in
its waters the principal cause why the English Sweating Sickness was
then developed in its greatest violence, and we may thence assume, with
a greater degree of probability, that this pestilence broke out among
the crew of Hermann Evers spontaneously, and without any connexion with
England, in the same way, perhaps, as it did formerly on board Henry
the VIIth’s fleet. This supposition is strengthened by the circumstance
that the ships of those times were excessively filthy, and the kind of
life spent on board them was, independently of the wretched provision,
uncomfortable in the highest degree, nay, almost insupportable, so that
even in short voyages, the scurvy, which was the dread of sailors in
those days, was of very common occurrence. Finally, we still possess
the most distinct accounts, that unusual occurrences took place in the
North Seas. Thus during Lent it was observed with astonishment at
Stettin, that porpoises came in numbers up the frische Haff as far as
the bridge, and that the Baltic cast on its shores many dead animals of
this kind[577], so that we are fully justified in concluding that there
existed at that time a more intense development than usual of morbific
influences in the marine atmosphere.
With respect, however, to the influence which the companions of
Hermann Evers, impregnated as they were with the odour of the Sweating
Sickness, had on the inhabitants of Hamburgh, it cannot be denied,
that their intercourse with those inhabitants, in the filthy and
narrow lanes of that commercial city, may have given an impulse to the
eruption of the pestilence, so far as to make the already existing fuel
more inflammable, or to furnish the first sparks for its ignition:
yet it is equally undeniable that, under the existing circumstances,
the epidemic Sweating Sickness would have broken out in Germany even
without the presence of Captain Evers, although it might, perhaps,
have been some weeks later, and not have made its first appearance in
Hamburgh, whose inhabitants, owing to the constant prevalence of the
North Sea fog, were, to all appearance, already prepared for the first
reception of this fatal disease.
To determine to a day when epidemics which have been long in
preparation have broken out, is, even for an observer who is present,
exceedingly difficult, nay, sometimes, under the most favourable
circumstances, impossible; for there occur in these visitations,
certain transitions into the epidemic form, of diseases which are
allied to it, as well as a gradual conversion into it of morbid
phenomena, which have usually begun some time before. Unless we are
greatly mistaken, such was the case in the pestilence of which we are
now treating; although it must be confessed, that we can obtain no
precise information on this point from the physicians of those times.
The following statements, for the absolute precision of which we cannot
pledge ourselves after a lapse of 300 years, must therefore be judged
according to this general experience; and though singly they may prove
little, yet taken altogether, they are capable of demonstrating the
peculiar and almost wonderful manner in which the Sweating Fever spread
over Germany.
In Lübeck, the next city in the Baltic, the Sweating Sickness appeared
about the same time; for so early as the Friday before St. Peter _in
vinculis_ (30th of July), it was known, that on the preceding night
a woman had died of it[578]. On the following days cases of death
fearfully increased, and the disorder soon raged so violently, that
people were again reminded of the Black Death of 1349. The inhabitants
died without number, as well in the city as in the environs, and the
consternation was equal to that felt in Hamburgh[579]. In general, as
was everywhere the case, robust young people of the better classes were
affected, while, on the other hand, children and poor people living in
cellars and garrets almost all of them escaped[580].
Now one might, either on the supposition of a progressive alteration
in the atmosphere, such as occurs in the influenza, or on that of a
communication of the disease from man to man, which, however, cannot
be considered as a principal cause of this epidemic, have expected a
gradual extension of the Sweating Sickness from Hamburgh and Lübeck
to the surrounding country. This did not, however, in fact, take
place; for the disease next broke out at Twickau, at the foot of the
Erzgebirge, distant from Hamburgh fifty German miles, and without
having previously visited the rich commercial city of Leipzig. By
the 14th of August, nineteen persons who had died of it, were buried
at Twickau; and on one of the following nights above a hundred[581]
sickened, whence it is to be deduced that the pestilence was severe at
that place.
Possibly the great storm on the 10th of August may have given
an impulse to the development of this very remarkable epidemic;
for an highly electrical state of the atmosphere increases the
susceptibility for diseases. It is likewise not to be overlooked,
that on the 24th of August, while the sky was overcast, there came
on an insufferable heat[582], which must have debilitated the body
after such long-continued cold wet weather. At all events, in the
beginning of September, we find that the Sweating Fever broke out at
the same time at _Stettin_, _Dantzig_, and other Prussian cities; at
_Augsburg_, far to the south on the other side of the Danube, at
_Cologne_ on the Rhine, at _Strasbourg_, at _Frankfort_ on the Maine,
at _Marburg_[583], at _Göttingen_, and at _Hanover_[584]. The position
of these cities gives an impressive notion of the extent of country
of which the English Sweating Sickness took possession, as it were by
a magic stroke. It was like a violent conflagration, which spread in
all directions; the flames, however, did not issue from one focus, but
rose up everywhere, as if self-ignited; and whilst all this occurred in
Germany and Prussia, the inhabitants of the other northern countries,
Denmark, Norway and Sweden, perhaps also Lithuania, Poland and Russia,
were likewise visited by this violent disease.
The malady appeared in Stettin on the 31st of August, among the
servants of the Duke[585]. On the 1st of September, the Duchess herself
sickened, in common with many people about the court, and burgesses in
the city. A few days afterwards several thousands were affected by the
disease, so that there was not a street from which some corpses were
not daily carried out. This dreadful period of terror, however, did
not last much longer than a week, for about the 8th of September the
pestilence abated in its violence, so as no longer to be regarded with
terror; and after this time only a few isolated cases occurred[586].
On the same day, namely, the 1st of September, the disease appeared
in Dantzig, fifty German miles further to the eastward, and was
here also so destructive, that it carried off in a short time 3000
inhabitants[587], some say even 6000—but this seems certainly too high
an estimate for Dantzig, and probably includes the greater part of
Prussia. If we were to give credence to an anonymous reporter[588],
this plague abated _in five days_, and relieved the inhabitants from
the mortal anxiety which, until they recovered their senses, led them
everywhere to commit acts of injustice and injury to avert the danger.
In Augsburg we find the Sweating Sickness on the 6th of September.
It lasted there also only _six days_, affected about 1500 of the
inhabitants, and destroyed more than half that number, or, as it is
said, about 800[589].
At Cologne it appeared precisely at the same time, as we learn from
the expressions of the Count von Newenar, a prelate of that place, who
finished his account of this disorder on the 7th of September[590]. At
Strasburg it broke out some ten or twelve days earlier, namely, on the
24th of August. In this place about 3000 people sickened in one week,
but very few of them died[591]. At Frankfort on the Maine they were
holding the autumn fair (which began on the 7th of September) just at
the time when the Sweating Sickness prevailed[592], whence arose the
opinion, which has been broached again in more modern times[593], that
the traders on their return carried the disease thence throughout the
whole of Germany, and that in the intercourse by means of this fair,
the main cause of the spread of the epidemic was to be found. After
the facts which have been brought forward, such a narrow view needs no
refutation. The Sweating Sickness was fleeter than the conveyances of
goods and people, which at that time made their way along the pathless
and unbeaten roads; for “no sooner did a rumour of the approach of the
disease reach anyplace than the disease itself accompanied it.”[594]
Between the boundaries which have been indicated, only a few isolated
towns and villages escaped, and there are probably few of the
chronicles of that age, so prolific of great events, in which the
dreadful scourge of the year 1529 is not expressly mentioned; yet the
sweating fever, like other great epidemics, spread, doubtless, very
unequally, and it is ascertained that the further south it extended,
the milder it was upon the whole; and also that all those places where
it broke out late suffered beyond comparison less than those which were
visited early in September and in the latter part of August; for not
to lay much stress on the sultry heat from the 24th of August, which
probably did not last long, the chief cause of its great malignity at
first was the violent method resorted to in the treatment of the sick,
the inapplicability of which was fortunately soon perceived. Only one
citizen was affected with the Sweating Sickness in Marburg, and even
he recovered[595], whilst at Leipzig, the pestilence either never
broke out at all, or very much later, perhaps in October or November;
for the physicians of that place gave it clearly to be understood in
their pamphlets, that they knew nothing of the disease from their own
observations[596], and no sooner did the report get abroad that the
dreaded enemy had not penetrated within the walls of this commercial
city, than crowds of fugitives came thither from far and near in order
to seek protection and security, although the place in itself was by
no means fitted for a place of refuge, for the swampy atmosphere which
rose from the city ditches begot, even in those days, in the narrow and
dark streets, many lingering diseases[597].
SECT. 6.—IN THE NETHERLANDS.
It is remarkable that the Netherlands were visited by the Sweating
Fever[598] full four weeks later, although the commercial intercourse
with England, if we were to attach any especial importance to this
circumstance, was far more considerable than that of the German cities
in the North Sea. It appeared for the first time in Amsterdam on the
27th of September in the forenoon, whilst the city was enveloped in a
thick fog[599], and just at the same time, perhaps a day earlier, in
Antwerp, where, on the 29th of September, they made a solemn procession
in order by prayer to avert greater harm from the city; for in the
last days of September 400 to 500 people died of the English Sweating
Sickness at that place[600]. It might have been supposed that the damp
soil of Holland, and its impenetrable fogs, would invite the pestilence
much earlier than the high and serene country between the Alps and the
Danube, or the far distant land of Prussia, but the development of
epidemics follows no human calculation or medical views! In the towns
around Amsterdam the Sweating Fever appears not to have broken out
until the mortality had ceased in that city, that is to say, five days
after the 27th of September, so that we cannot be far wrong in assuming
that in the latter end of that month, and the commencement of October,
it had spread over the whole territory of the Netherlands including
Belgium[601]. Alkmaar and Waterland remained free[602], as doubtless
had been the case with particular places both in England and Germany.
_The exceedingly short time that the Sweating Sickness lasted_ in the
different places that it visited, was as astonishing as its original
appearance. For since it raged in Amsterdam for only five days, and not
much longer, as we have shewn, in Antwerp and many German towns, it
could hardly have continued more than fifteen days in any other places;
thus displaying the same peculiarity on this occasion by which it had
already been marked in its former visitations. This short period,
however, must not be understood to include the sporadic occurrence of
the disease, otherwise, as a contemporary of credit assures us, that
the sweating fever attacked some persons twice and others three or even
four times[603], we might thence conclude, that, although perhaps in
some places the pestilence did, after raging for a certain number of
days, suddenly cease, so that no isolated cases afterwards occurred,
yet that the general duration of its prevalence was longer than has
been stated.
SECT. 7.—DENMARK, SWEDEN, AND NORWAY.
The eruption of the Sweating Fever in Denmark[604], took place at _the
latter end of September_, for on the 29th of that month, four hundred
of the inhabitants died of it at Copenhagen[605]. Elsinore was likewise
severely visited[606], and probably, about the same time, most of the
towns and villages in that kingdom. But the accounts on this subject
in the Danish Chronicles are extremely defective[607], as owing to
the extraordinary rapidity of this mortal malady, contemporary writers
neglected to record, for the information of posterity, the details of
a phenomenon, which there, as in other countries, must certainly have
been striking from its general prevalence. Even from the imperfect
notices that were given respecting it, thus much, however, is clearly
perceptible, that it was the same well-known disease as elsewhere,
which was now observed to pass through Denmark. In proof of this, it
was principally young and strong people, as had been originally the
case in England, who sickened, the old and infirm being less affected,
and in the course of four and twenty hours, or at most, within two days
(?) the life or death of the patient was decided.
At the same period as in Denmark, the Sweating Sickness spread over
the _Scandinavian Peninsula_, and was productive of the same violent
symptoms in the sick, the same terror, and the same mortal anguish in
those who were affected by it, not only in the capital of Sweden, where
_Magnus Erikson_, brother of king _Gustavus Wasa_, died of it, but also
over the whole kingdom, and in Norway. The northern historians gave
graphic accounts of it, which, on a careful examination of manuscript
documents, might perhaps gain still more in colouring and spirit[608].
That the Sweating Sickness likewise penetrated into Lithuania, Poland,
and Livonia, if not into a part of Russia, we know only in a general
way[609], but doubtless there are written documents still in existence
in these countries, which only need some careful enquirer to bring
them to light. In the mean time, however, it is to be presumed, from
the early appearance of the disorder in Prussia, that it prevailed
in those countries at the same time as in Germany, Denmark, and the
Scandinavian Peninsula. No certain trace is anywhere to be discovered
that the Sweating Sickness appeared so late as December, 1529, or in
January of the following year, so that, after having lasted upon the
whole a quarter of a year, it disappeared everywhere without leaving
behind it any sign of its existence, or giving rise to the development
of any other diseases. Among these, it pursued its course as a comet
among planets, without interfering either with the French Hunger Fever,
or the Italian Petechial Fever, proving a striking example to all
succeeding ages of those general shocks to which the lives of the human
race are subject, and a fearful scourge to the generation which it
visited.
SECT. 8.—TERROR.
The alarm which prevailed in Germany surpasses all description, and
bordered upon maniacal despair. As soon as the pestilence appeared on
the continent, horrifying accounts of the unheard-of sufferings of
those affected, and the certainty of their death, passed like wild-fire
from mouth to mouth. Men’s minds were paralysed with terror, and the
imagination exaggerated the calamity, which seemed to have come upon
them like a last judgment. The English Sweating Sickness was the theme
of discourse everywhere, and if any one happened to be taken ill of
fever, no matter of what kind, it was immediately converted into this
demon, whose spectre form continually haunted the oppressed spirit. At
the same time, the unfortunate delusion existed, that whoever wished to
escape death when seized with the English pestilence, _must perspire
for twenty-four hours without intermission_[610]. So they put the
patients, whether they had the Sweating Sickness or not, (for who had
calmness enough to distinguish it?) instantly to bed, covered them
with feather-beds and furs, and whilst the stove was heated to the
utmost, closed the doors and windows with the greatest care to prevent
all access of cool air. In order, moreover, to prevent the sufferer,
should he be somewhat impatient, from throwing off his hot load, some
persons in health likewise lay upon him, and thus oppressed him to such
a degree, that he could neither stir hand nor foot, and finally, in
this rehearsal of hell, being bathed in an agonizing sweat, gave up the
ghost, when, perhaps, if his too officious relatives had manifested a
little discretion, he might have been saved without difficulty[611].
There dwelt a physician in Zwickau—we no longer know the name of this
estimable man—who, full of zeal for the good of mankind, opposed this
destructive folly. He went from house to house, and wherever he found
a patient buried in a hot bed, dragged him out with his own hands,
everywhere forbad that the sick should thus be tortured with heat, and
saved by his decisive conduct, many, who but for him, must have been
smothered like the rest[612]. It often happened, at this time, that
amidst a circle of friends, if the Sweating Sickness was only brought
to mind by a single word, first one, and then another was seized
with a tormenting anguish, their blood curdled, and certain of their
destruction, they quietly slunk away home, and there actually became a
prey to death[613]. This mortal fear is a heavy addition to the scourge
of rapidly fatal epidemics, and is, properly speaking, an inflammatory
disease of the mind, which, in its proximate effects upon the spirits,
bears some resemblance to the nightmare. It confuses the understanding,
so as to render it incapable of estimating external circumstances
according to their true relations to each other; it magnifies a gnat
into a monster, a distant improbable danger into a horrible spectre
which takes a firm hold of the imagination; all actions are perverted,
and if during this state of distraction, any other disease break out,
the patient conceives that he is the devoted victim of the much
dreaded epidemic, like those unfortunate persons, who, having been
bitten by a harmless animal, nevertheless become the subjects of an
imaginary hydrophobia. Thus, during the calamitous autumn of 1529,
many may have been seized with only an imaginary Sweating Sickness,
and under the towering heap of clothing on their loaded beds have met
with their graves[614]. Others among these brain-sick people who had
the good fortune to remain exempt from bodily ailments, many of them
even boasting of their firmness, fell, through the violent commotions
in their nerves, into a state of chronic hypochondriasis, which, under
circumstances of this sort, is marked by shuddering, and a feeling
of uneasiness and dread at the bare mention of the original cause of
terror, even when there is no longer any trace of its existence[615].
A person thus disordered in his mind, was recently seen to destroy
himself[616] on receiving false intelligence of the return of the
late epidemic; thus betraying conduct even more dastardly than those
cowardly soldiers, who, when the cannon begin to roar, inflict on
themselves slight wounds that they may avoid sharing the dangers of the
battle.
To have a full notion how men’s minds were previously prepared for this
state, we have but to think on the monstrous events which took place
in Germany. Twelve years earlier the gigantic work of the reformation
had been begun by the greatest German of that age, and, with the
Divine power of the gospel, triumphantly carried through up to that
period. The excitement was beyond all bounds. The new doctrine took
root in towns and villages, but nevertheless the most mortal party
hatred raged on all sides, and as usually happens in times of such
empassioned commotion, selfishness was the animating spirit which ruled
on both sides, and seized the torch of faith, in order, for her unholy
purposes, to envelop the world in fire and flames.
So early as the year 1521, during Luther’s concealment within the
walls of Wartburg, false prophets[617] arose, and desired, without the
aid of their great Master, who was the soul of that age, to complete
a work with the spirit of which they were not imbued. They brought
the wildest passions into action, but, destitute of innate firmness,
and incapable of curbing themselves, they became incendiaries and
iconoclasts. Immediately upon this the unhappy peasant-war broke out—a
consequence of the arbitrary conduct and oppression practised from
times of old, for which the abettors of Dr. Eck’s sentiments would
charge Luther himself as answerable; not perceiving that it was the
excitement of the times and of the false prophets which had given
occasion to the rebellion. Events occurred, from the recollection of
which human feeling still recoils. Never was the fair soil of Germany
the scene of more atrocious cruelties; and after vengeance had played
her insane part without opposition, the melancholy result was, that
hundreds of thousands of once peaceful, and for the most part misled
peasants, fell by the sword of the Lansquenets and of the executioner,
while their numerous survivors became a prey to the dearth which
visited the country in the following years. The battle of Frankenhausen
on the 15th of May, 1525, and Münzer’s subsequent execution, closed
this bloody scene. The consequences of such intestine commotions
continued however to be felt long after, and considered apart from
their highly prejudicial influence on the prosperity of the people,
conduced not a little to break the spirit of mankind, signs of which
the wise men of those times have plainly pointed out[618].
SECT. 9.—MORAL CONSEQUENCES.
The dejection was increased by the universally active spirit of
persecution with which it was still hoped to eradicate the new
doctrine. Even whilst the English pestilence was raging, two
Protestants were burnt at Cologne[619]. In the same year faggots
blazed at Mecklin, Verden, and Paris, by the flames of which the
ancient faith was to be protected against the pestilence of freedom
of thought. Sentences of death were also quite commonly pronounced
against the Anabaptists in Protestant countries. The University of
Leipzig pronounced a condemnation of this sort in the year 1529, and
in Freistadt eleven women were drowned after a nominal trial and
sentence, because they acknowledged that they were of this sect[620].
Amidst these dissensions, and when the empire was in this helpless
condition, came the fear of the barbarians of the south, who had
already conquered Hungary under their Sultan Soliman, and, whilst the
English Sweat was raging in the countries of the Danube, threatened to
overwhelm Germany. It was a time of distress and lamentations, in which
even the most undaunted could scarcely sustain their courage[621];
but to the everlasting honour of the Germans it must be acknowledged
that they withstood this purifying fire with unsullied honour, and in
a manner worthy of themselves. For their noble spirits were aroused
to unheard-of exertions of energy, and whilst the pusillanimous gave
themselves up to despair, they impressed on the gigantic work of their
age the stamp of imperishable truth.
The siege of Vienna began on the 22d of September, after the English
pestilence had broken out in this capital of Austria, yet nobody
regarded this internal danger. The repeated attempts made by the
Turks to storm the town were repulsed with great courage, and, on
the 15th of October, Soliman raised the siege, after the Sweating
Sickness had raged with as much violence among his troops as among the
besieged[622]. There is no accurate intelligence extant upon this
subject, because the pestilence was less regarded here than elsewhere,
in consequence of the great distress of the country from other causes,
yet the mortality in Austria under such unfavourable circumstances, was
doubtless more considerable than in the neighbouring states[623].
In the north of Germany another struggle was to be decided. The
evangelical party wished to declare their faith before the empire and
its ruler, to reveal the object of their efforts, and to defend the
purity of their creed against danger and assault. For this purpose
they prepared themselves with wise discretion, and in the measures
taken by the reformers for the fortification of the great work, not
the slightest trace was to be observed of the anxiety which at that
time agitated the people. In the midst of a country whose inhabitants
trembled at the new disease, and were perhaps already severely
afflicted with it, did Luther, whilst at Marburg[624], sketch the first
outlines of a profession of faith, which, as filled up by Melancthon,
has become the foundation-stone of the evangelical church; and in the
following spring, during his stay at Cobourg, he composed his sublime
hymn, “Eine feste burg ist unser Gott,” a strong fortress is our God.
It could not but happen that, in the religious struggles which took
place in these years, especial importance would be attributed to
the English pestilence. Epidemics readily appear to man, in the
narrow circle of his view, as scourges of God; and, indeed, this
representation of them has ever been the prevailing one in all
religions. For it is easier to estimate the ever-existing sins of
humanity than the grand commotions comprehending both mind and body,
of a terrestrial organism, which can only be perceived by a superior
insight into things; and the mean selfishness of mankind and their
delusions respecting their own qualities induce them to adopt the more
easily the partial view, that the Supreme Being allows pestilences to
exist only to destroy their enemies of another faith. On this account,
not only do most contemporary writers speak of the just wrath of God,
and of the chastisement thus prepared for the sins of the world[625],
but the papal party took every possible pains to represent the English
pestilence as a punishment for heresy and an evident warning against
the triumphant doctrines of Luther. The cases in Hamburgh, where the
eruption of the Sweating Sickness almost immediately followed the
abolition of the monasteries, may certainly have obtained credit for
such representations among the wavering and short-sighted, and, in a
hundred other towns also, the Papists may have taken advantage of a
similar occurrence of circumstances, for 1529 was a year when great
and important questions were decided. At Lübeck, the monks in general
preached that the English sweating fever was but a punishment which
heaven inflicted on the Martineans, for so they called the followers
of Luther, and the people were not undeceived until they saw with
astonishment that Catholics also fell sick and died[626]. They went,
however, much further, and did not hesitate to employ even falsehood
and cruel revenge to gain their ends. Thus it was asserted that the
meeting of the reformers at Marburg, on the 2d of October, had led to
no union among them, because a panic at the new disease had seized the
heretics[627]. Never did a dastardly fear of death enter the heart
of Luther, who, when the plague broke out at Wittenburg in 1527,
cheerfully and courageously remained at his post whilst all around him
fled, and the high school was removed to Jena. Moreover, as we have
seen, the Sweating Sickness never once came near Marburg, and the union
of the two evangelical churches failed on totally different grounds.
In Cologne the zealots were of opinion that they ought to endeavour to
appease the visible wrath of God by the punishment of the heretics,
and it was this sanguinary delusion, worthy of savage barbarians,
which hastened the burning of Flistedt and Clarenbach[628]. To the
completion of this picture of the times, many other minor touches might
be added, of which the following may be taken as an example. In the
March of Brandenburg the evangelical faith, notwithstanding great
obstacles, spread every day more and more, and the Catholic priests
soon found themselves deserted. Just as the Sweating Sickness broke out
at Friedeberg, in the Newmark, a curate there delivered a sermon full
of enthusiasm and passion, and endeavoured to convince his apostate
congregation that God had invented a new plague in order to chastise
the new heresy. A solemn procession, according to ancient usage and
orthodox prescription, was to be held on the following day, and thus
the congregation was to be led back into the bosom of the only true
church. But behold, in the course of the night, the zealous curate died
of some sudden disease; and as mankind are ever ready to interpret even
the thunders of the Eternal according to their own wishes and narrow
notions, the Protestants, it seems, did not fail in their turn to
represent this event as a miracle[629].
SECT. 10.—THE PHYSICIANS.
Under these circumstances, the faculty had a very difficult problem
before them, for the very imperfect solution of which they cannot
justly be reproached. A learned and active physician is certainly one
of the noblest of the diversified forms of humanity; for he unites in
himself the power arising from an insight into the works of nature,
with the exercise of a pure philanthropy inseparable from his office.
Few men, however, of this ideal perfection lived in those times, and
their mitigating influence over the violence of the epidemic, which
was generally past before they could closely examine their new enemy
and give any deliberate advice, was doubtless but very inconsiderable.
By so much the more busy were the ignorant and covetous, who, from
time immemorial, the more numerous body in the profession, have always
injured it in its moral dignity. They attacked the disease with bold
assertions, alarmed the people with inconsiderate representations,
lauded the infallibility of their remedies, and were the promulgators
of injurious prejudices. In the Netherlands, as we are assured
by _Tyengius_, a physician whom we reckon among the learned and
benevolent, a vast number of patients died of the effects produced by
the distribution of pernicious pamphlets, with which the Sweating
Sickness was to be combated by those ignorant interlopers, who many
of them gave it out that they had been in England, boasting to the
inhabitants of their experience and skill, and with their pills and
their “hellish electuaries,” flitting about from place to place[630],
especially where rich merchants were to be found, from whom, should
they be restored, they obtained the promise of mines of gold[631]. The
like occurred in Germany, where, at the commencement, the sound sense
of the people was overcome by this officiousness, and violent remedies
were recommended as certain means of cure, in a deluge of pamphlets,
some of which were written by persons not in the profession.
From this impure source was derived the prescription of the
compulsory[632] perspiration for twenty-four hours, which, in the
districts of the Rhine, was called the Netherlands regimen[633]; and
it is unpardonable, that the physicians, either with blind pride
disregarded, or were totally unacquainted with the prior experience of
the English, which advocated discretion and the most appropriate line
of treatment. This neglect, which was not compensated until thousands
had already fallen, may possibly have arisen from the blameable silence
of the English physicians, of whom, as if England had not yet been
enlightened by the dawn of science, not an individual had written on
the Sweating Sickness, or proposed a reasonable line of treatment,
since the year 1485. Between England and Germany there existed,
nevertheless, a constant intercourse; and it is incredible that that
mode of procedure, which did not originate from a formal medical
school, but from the sound sense of the people, should not have become
earlier known on this side of the North Sea.
We must not here overlook the habits and domestic manners of the
Germans, for these favoured not a little the baneful prejudice with
regard to heat, for which we would not altogether make the physicians
responsible. Housewives, even at that time, set far too much store
by high beds, which annually received the feathers of the geese
consumed at the table. The comforts of a warm feather bed were highly
appreciated, and least of all were they disposed to deny them to the
sick. Thus all inflammatory disorders were stimulated to much greater
malignity, because such a bed either caused a dry heat, even to the
extent of burning fever, or a useless debilitating perspiration. To
this effect the very extensive misuse of hot baths conduced; and no
less so the custom of clothing much too warmly. Upon the whole the
notion was prevalent, as well with the people as with medical men,
that diseases were to be combated by warmth and sudorifics. To new
epidemics, however, the prevailing notions and customs are always
applied; for the great mass of mankind, among whom may be included
medical men, are entirely ruled by them; so that in this instance, the
Sweating Sickness fell upon a country in which its utmost malignity
would be called forth.
Yet after the first few days, in which many unfortunate cases occurred,
people became aware of the error they had committed. An advocate of the
twenty-four hours’ sudation, who, though not a medical man, had lauded
this practice in a pamphlet on the subject[634], died in Zwickau on the
5th of September, the victim of his own imprudence. A few days after
him died an apothecary, likewise treated with the heated bed. Upon
this the physicians immediately abandoned the practice, directed that
their patients should be sweated only for five or six hours, and in a
more moderate degree: and the estimable anonymous writer to whom we
have already alluded, thus seemed to meet with converts to his belief.
In Hamburgh also, men became convinced of the pernicious effects of
feather beds, and gave the preference to coverings of blankets[635];
for the English plan of treatment was presently known, and intelligent
philanthropists, who saw its curative powers, made it public[636] in
all quarters, through the medium of their correspondence. In Lübeck
there lived at the time of the Sweating Fever a learned Protestant
Englishman, Dr. Anthony Barns, who, with great kindness, made known
everywhere the English treatment of the disease. He was, however, after
the cessation of the pestilence, banished from the city, because he
had petitioned the bigoted Catholic senate to tolerate his Protestant
brethren. Many were saved by him; for it was the practice in this city
also, _to stew to death_[637] those affected with the disease. In
Stettin the English treatment was promulgated in good time, and two
travelling artisans who had come thither from Hamburgh, were of the
greatest assistance to the inhabitants of this city, by advising them
to take the feathers out of their upper beds; they made known likewise
how the sickness had been treated with success. They had seen cases
themselves, and could therefore distinguish by their odour those who
were suffering from the true sweating epidemic, from those who were
seized with fever arising from panic. They were constantly besieged by
persons asking questions and seeking assistance; and when the disease
was at its greatest height, the streets were quite illuminated at
night by the lights of the relatives of the patients[638], who were
running in all directions in a state of distraction. The abhorrence
of feather beds, and the hot plan, now followed so quickly the blind
recommendation of the twenty-four hours’ sweat, that by the middle
of September, and in many places still earlier, more correct views
were generally adopted, and some intelligent men, after the sad
experience which had been gained, seized the opportunity of doing more
good to the public than their noisy predecessors, who had by this
time so abundantly supplied the churchyards with bodies. Among these
literally and truly _beneficent_ physicians may be reckoned Peter
Wild, at Worms[639], who warned his countrymen against the Netherlands
practice[640]; as also an anonymous person, (the names of the best
often remain unknown in times of confusion,) who, in popular language,
strenuously dissuaded the people against the use of feather beds[641].
It also soon became a common saying, ”the Sweating Sickness will bear
no medicine.”[642]
There is no ground for supposing that the influence of the faculty
was much greater in the country where the Sweating Sickness originated
than it was in Germany, for the number of learned physicians there was
still fewer, and the knowledge of medicine not nearly so extended as it
was in Italy, Germany, and France. The learned Linacre had already died
in the year 1524. John Chambre[643], Edward Wotton[644], and George
Owen[645], were the King’s body physicians about the time of the fourth
epidemic visitation of the Sweating Sickness. William Butts[646] of
whom Shakespeare[647] has made honourable mention, in all probability
likewise held a similar office. These were certainly distinguished and
worthy men[648], but posterity has gained nothing from them on the
subject of the English Sweating Sickness. All these physicians were
well informed, zealous, and doubtless also cautious followers of the
ancient Greek school of medicine, but their merits were of no advantage
to the people, who, when they departed from the dictates of their own
understanding, and did not content themselves with domestic remedies,
to which they had been accustomed, fell into the hands of a set of
surgeons so rude and ignorant that they could only exist in the state
of society which then prevailed[649].
SECT. 11.—PAMPHLETS.
Inexplicable as the silence of the learned physicians of England, on
the Sweating Sickness, appears at first view, (for where is the use
of learning if it fail to throw any light on the stormy phenomena
of life?) we may yet find, perhaps, its cause in a perfectly simple
external circumstance. The reformation had not yet begun in England,
the Catholic Church still stood on its ancient foundations, and an
intellectual intercourse between the learned and the people was not
by any means among the acknowledged desiderata. The faculty would
hence have been able to treat of the new disorder only in ponderous
Latin works, for they wrote unwillingly in their own language, and the
subject could not seem to them an appropriate one for this purpose,
because they found it unnoticed and uninvestigated by their highly
revered masters the Greeks. They were ignorant that a sweating fever
had ever appeared among the ancients, which, otherwise, might have
incited them to make researches of their own on the subject; for
Aurelian, who describes it to the life, was either unknown to them, or,
what at that time was a valid ground, was despised by them, on account
of his bad (unclassical) language.
In Germany, on the contrary, the intellectual wants of the people
and of the educated classes had already manifested themselves very
differently. Twelve years before, the age of pamphlets had there
commenced. The thoughts of Luther and of his disciples, as also of
his opposers were winged by the rapid press, and the people took an
impassioned part in the endeavours of the learned to affect their
conviction, and by this altogether novel and authoritative mode of
religious instruction, became gradually educated and guided. Hence
it is not to be wondered at that people began to investigate, in
pamphlets, other important subjects likewise, and thus we see this
weighty branch of intellectual commerce, with all its advantages and
defects, also turned towards the discussion of popular diseases, and
for the first time unfolding its numerous leaves on the subject of the
English epidemic. In the maritime cities nothing of this kind happened,
because the eruption of the pestilence took them by surprise, and as it
was over again in the course of a few weeks, it seemed no longer worth
while to instruct the people respecting it.
This surprise was very plainly shewn in the answer of the doctors and
licentiates who were assembled together at the bedside of the Duchess,
at Stettin: “the disease was new and unknown to them: they were at a
loss what to advise, excepting strengthening medicines.”[650] In the
central parts of Germany, on the contrary, where, as early as the
month of August, the report of the new plague had excited the utmost
alarm, and where an eruption of the pestilence in Zwickau had caused
a general flight, publications on the Sweating Sickness were even
within that month, and still more numerously in September, disseminated
in all directions. As scientific productions, they are almost all
of them worthless. Many of them, indeed, did harm, and but very few
promulgated correct views. Most of them are now lost, as, for example,
that which was published by the printer Frantz, at Zwickau, on the 3rd
of September: but in what vast numbers they were published appears
from the circumstance that Dr. Bayer, at Leipzig, who brought out his
own on the 4th of September, states that he has read many of them, and
expresses his indignation against these “new unfounded little books,”
by which the people were misled to their own sorrow and suffering[651].
This same Dr. Bayer writes in the style of an intelligent practical
physician, inveighs boldly against the prejudices of mankind, and
the ignorance of medical _journeymen_, and against their senseless
bleedings whenever they see the barber’s basin and his pole. Some of
his advice too is not bad, especially where he is speaking of the
Arabian use of harmless syrups. He, however, religiously preserves
all the rubbish of his age, and has a great opinion of preventive
bleedings, purgatives, and powerful medicines, of which he prescribes
so many that his reader is necessarily confused by their multiplicity.
His precepts respecting the sweat are very appropriate, for he gives
a caution against forcing perspiration, prescribes according to the
circumstances, and even commences the treatment with an emetic, if the
state of the stomach seems to indicate its employment. In order to
guard against contagion, he recommends, at the approaching autumnal
fair, that foreigners from “_dying lands_” _should be accommodated in
distinct inns_, that fumigation should be carefully employed, and that
before each booth at the fair a fire should be kept up.
Another pamphlet by Caspar Kegeler, of Leipzig, is a melancholy
monument of the credulity which, from Herophilus to the present day,
has pervaded the whole medical art. It is a regular pharmacopœia for
the Sweating Sickness, thrown together at a venture, without any
insight into the nature of the disease. A mine of wonderful pills
and electuaries composed of numberless ingredients wherewith this
“mysterious worthy” undertakes to raise a commotion in the bodies of
his patients. If he had but seen even a single case of the disease he
would at least have known how impossible it would be to administer,
within the space of four-and-twenty hours, the hundredth part of his
pills and draughts. With what approbation this little pharmacopœia
was received by physicians of equal penetration and understanding as
himself, is shewn by the eight editions which it passed through[652],
and the melancholy reflection is therefore forced upon us, that
possibly thousands of sick persons were maltreated and sacrificed from
the employment of Kegeler’s medicines.
A third physician at Leipzig, Dr. John Hellwetter, states in his
pamphlet, that he has become acquainted with the Sweating Fever in
foreign countries, and on the subject of perspiration gives some very
good advice, evidently the result of his own experience, which reminds
us of the original English mode of treatment. His notion that fish
is injurious seems to have originated in the fact that the continued
employment of fish as an article of diet gives rise to offensive
perspirations, and his admonition to his medical brethren not to flee
from the sick, but to visit them sedulously and give them consolation,
furnishes ground for supposing that some of them had been pusillanimous
and dishonourable enough to withdraw themselves or to refuse their
assistance to the poor.
Almost all the medical men of those times were in possession of arcana
which they employed either in all or at least in most diseases, in
a very unprofessional manner, and the efficacy of which the sweet
delusions of self-interest did not permit them to call in question. The
severe metallic remedies of the Spagyric school, which was then in its
infancy, were not yet introduced, but there were not wanting strong
heating medicines from the ancient stores of the empyrics, which almost
universally obtained the preference over the mild potions and syrups of
the Arabians. Hellwetter sold a powder of unknown composition, and a
number of distilled waters, which Dr. Magnus Hundt, of Leipzig, notices
with much approbation. The pamphlet of this physician is in every
respect of the most ordinary kind; it affords no proof that the author
had any sound comprehension of the disease, and belongs to that class
of low medical compositions which, in times of danger, is so easily
derided by the public, and so much diminishes the estimation of the
profession, to the material injury of the general welfare.
It must not, however, be supposed that the people, who in such times
of commotion often confound together the good and the bad, listened
everywhere so readily to these pamphleteers. The composition of one
Dr. Klump, at Ueberlingen, who, on the breaking out of the disease,
attacked his patients with theriac and all kinds of heating plague
powders, excited great derision[653], and it cannot be denied that the
people had on their side, at least occasionally, the advantage of sound
sense, as opposed to the endless prescriptions of the physicians, and
it is gratifying to observe how this sound sense, which doubtless was
guided by respectable medical men, operated in a great many towns to
the advantage of those affected.
This is proved by a pamphlet, written in popular language, by a
physician in Wittenberg[654], which contains such correct medical
views, that our highest approbation is, even now, justly due to its
unknown author, as shewing, throughout, great judgment and a very
competent knowledge of the Sweating Fever. His whole treatment is
mild and cautious; he forbids the use of feather beds, but strongly
inculcates the necessity of avoiding every kind of chill, and therefore
recommends a practice in use at that time, called, “_the sewing of
the sick_,” that is to say, fastening the edge of the bed clothes to
the bed with a needle and thread. He orders his patients a moderate
quantity of warm but not heating beverage[655], refreshes them with
syrup of roses, and impresses upon his readers that the majority of
those affected will recover without medicine. In order to guard against
the stupor which was so exceedingly fatal, in addition to continual
conversation, refreshing odours of rose water and aromatic vinegar were
held before the patient’s nose, in a moderately damp cloth, or their
temples were cautiously bathed with them. Convalescents were watched
with great care, and it is not the least excellence of this very
sterling pamphlet that it likewise combated the timidity of the sick
with the inculcation of mild, but manly, religious principles, such as
corresponded with the spirit of that age. The rules here laid down are,
in essentials, the original English precepts which had already broken
the force of the epidemic Sweating Sickness in the year 1485, and the
author does not conceal his having in this matter received information
from Hamburgh, so far back as the 7th of August. That by this mode of
treatment not only individual patients[656] were saved, but also that
whole cities were protected against any very great mortality, we are
willing with the author to believe, and on this account we cannot but
lament the more, that the medical science of the rigid schools of those
days so completely mistook its office as the guardian of life, and
that it caused greater sacrifices by its hazardous remedies than the
pestilence would otherwise have occasioned.
How soon the English treatment met with the recognition which it
deserved may be gathered from a Latin composition nearly of the same
tenour as the above, and which appears to be an extract from some
German pamphlets[657]. Besides aromatic odoriferous waters, the
very harmless and only remedies therein recommended are pearls and
corals given internally by tablespoonfuls in warm rose water. As a
prophylactic, treacle, which was in very common use, was recommended to
be taken in the juice of roasted onions, but only in very small doses.
Similar just views with respect to the excitement of perspiration were
also subscribed to by other physicians[658], and finally the great
council at Berne, on the 18th of December, published an exhortation to
patience and unshaken courage, in which the use of feather beds, and
of all medicines, except cinnamon water, was earnestly deprecated[659]
during the disease. The court of Holland also recommended a method
of cure[660] apparently English, these two documents being the only
traces, on the part of any governments, of a paternal solicitude for
their subjects.
The learned and accomplished _Euricius Cordus_[661], of Marburg, had,
when he wrote[662], no information respecting the successful English
mode of treatment, and, with all his celebrity, only followed in the
ranks of ordinary advisers. He could not free himself from the medical
precepts which he brought from Italy and gave to the only patient
at Marburg, who was the subject of the Sweating Sickness, the very
disagreeable, though much employed potion of “Benedetto.”[663] His
prophylactic ordinances were very burthensome, though with respect
to the frequent employment of purgatives, which at that time almost
all physicians recommended, it must be taken into account, that the
intemperance so prevalent in those days, rendered them in general more
necessary, perhaps, than they are at the present time. Bishop Ditmar of
Merseburg, has betrayed to posterity, that this celebrated man had a
great dread of the new disorder, and did not conceal his anxiety[664].
There is still extant a very complicated prescription of _Achilles
Gasser_[665], the learned physician of Augsburg, which he employed
with childish confidence[666] during the prevalence of the sweating
pestilence. We might class this with a thousand others of a similar
character, were it not evident how little medical art, at that time in
its ancient Greek garb, was suited to the exigency of the age, being
dull, inefficient, and long since robbed of its original spirit; for
thus alone was it taught in the universities.
In the copious epistle of Simon Riquinus to the Count of Newenar at
Cologne[667], traces of better principles are indeed observable,
which were soon disseminated from Hamburgh all over Germany, yet the
prophylactic measures recommended are not much better than those in use
in the time of the Emperor Antoninus, when the Theriaca of Andromachus
was among the necessaries at the Roman court. Riquinus incidentally
tells a story of a peasant in the neighbourhood of Cleve, who, having
become affected by the English Sweating Sickness, crept as quickly
as he could into a baker’s oven that was still hot, and after some
time, again made his appearance in an exhausted state[668]. This very
circumstance proves that the man laboured under only an imaginary and
not a real sweating fever, but the belief that the bread which was
afterwards baked in this oven was infected with the poison, can only be
attributed to the credulity of the learned physician.
The Count of Newenar[669] expresses himself on the subject of the
sweating fever, like a person well informed, and not unacquainted
with medical subjects, and endeavours to prove the critical nature of
the sweat by the frequent practice of the empyrics, to throw persons
afflicted with the plague, at the very beginning of the attack, into
a profuse perspiration[670]. He takes the opportunity to relate of
an unprincipled physician, that he freed himself in this manner from
the plague, in a public bath, while those who came after him became
every one of them affected with the disease and died. According to his
account, the English Sweating Sickness was by no means fatal in and
about Cologne[671], yet we find it with all its original malignity on
the banks of the Scheldt, and in the maritime towns of the Netherlands.
This plainly appears from the pamphlet of a physician in great practice
at Ghent, Tertius Damianus, from Vissenaecken, near Tirlemont[672],
whose own wife fell sick of the sweating fever, and fortunately was
again restored[673]. The cases whereof Damianus gives an account,
are among the most marked of which any mention is made, and it also
seems, that the disease, contrary to the opinion of many, arose from
fear alone, and manifested in the Netherlands a much greater power
of contagion than in Germany, to which the hot treatment may have
contributed[674]. The manner in which Damianus restrained his patients
from indulging in their propensity to sleep, is worthy of notice. When
the usual means failed, he directed that their hair should be torn
out, that their limbs should be tied together in painful positions,
and that vinegar should be dropped into their eyes[675]: the danger
justified these means, but violence does not easily attain its end. For
the rest, the views of this physician do not differ from those commonly
entertained, and if he complains[676] of the great extortions of the
apothecaries, this was a natural effect of the customary prescriptions,
whereof he himself recommends many that are very objectionable.
Whatever the science of medicine of the sixteenth century could oppose
to so fearful an enemy, is set forth in the very excellent treatise of
_Joachim Schiller_[677] of Freiburg, which, however, did not appear
until two years later, and unfortunately does not give the wished-for
information on the development of the pestilence in the Briesgau.
Schiller is moderate in his views, and shews throughout, that he is a
very well informed physician, and well versed in Greek literature: and
although he cannot steer clear of the rubbish of clumsy remedies, yet
the fault should not be charged on him, but on the age in which he
lived. This, like every other, had its evils, and enveloped in clouds
and darkness the genius of medicine, which, free, great, and elevated
above human short-sightedness, is respected only by the intellectual
servants of nature.
SECT. 12.—FORM OF THE DISEASE.
The notions of contemporary writers respecting the phenomena and
the course of the sweating epidemic are, it is true, individually
unsatisfactory and defective[678]; yet collectively, we may gather from
them a lively and complete picture of its effect on the human frame;
especially from the German observers, who reported truly and honestly
their own, as well as the general experience of their age; for the
English had up to that period described little more than the external
appearances of this epidemic, which had already attacked them for the
fourth time.
It is ascertained that the _Sweating Fever was in general very
inflammatory_; and, leaving out of the account its sequel, _came to
a crisis at most in four and twenty hours_; yet, within this narrow
limit as to time, very various symptoms occurred[679], so that by a
more exact observation than could be expected from the physicians of
those days, several gradations of its development and violence might
have been distinguished from each other. Thus one form of this disease
appeared that was wanting in precisely that symptom which was the most
essential, namely, the colliquative sweating[680], (as in the most
dangerous form of cholera, neither vomiting nor purging takes place,)
and which, by its overpowering attack, either destroyed life within a
few hours, or perhaps took some other turn of a nature unknown to us.
Premonitory symptoms were wanting altogether, unless we may reckon as
such, first, an anguish, combined with palpitation of the heart, which
may not have been of corporeal origin, but may have proceeded from
the general alarm; or secondly, an irresistible sinking of the powers
resembling a swoon, which, perhaps, preceded the disorder, in the
same manner as it had preceded the general eruption of the plague in
northern Germany[681]: or thirdly, rheumatic pains of various kinds,
which were frequently felt in the summer of 1529[682]; or finally,
a disagreeable taste in the mouth and foul breath, which were very
commonly the subject of complaint at that time[683].
In most instances the disease set in like the generality of fevers,
with a _short shivering fit_[684] and trembling, which in very
malignant cases even passed into convulsions of the extremities[685];
in many it began with a moderate and constantly increasing heat[686]
either without any evident occasion, even in the midst of sleep, so
that the patients on waking lay in a state of perspiration, or from a
state of intoxication, and during hard work[687], especially in the
morning at sunrise[688]. Many patients experienced at the commencement
a disagreeable _creeping sensation_ or _formication on their hands
and feet_[689], which passed into pricking pains, and an exceedingly
_painful sensation under the nails_. At times likewise it was combined
with rheumatic cramps, and with such a weariness in the upper part of
the body, that the sufferers were totally incapable of raising their
arms[690]. Some were seen during these attacks, especially women and
those who were weak, with their hands and feet swollen[691].
Serious affections of the brain quickly followed; many fell into a
state of violent feverish delirium[692], and these generally died[693].
All complained of obscure _pain in the head_[694]; and it was not
long before an alarming _lethargy_ supervened[695], which, if it
was not firmly resisted, led to inevitable death by apoplexy. Thus
the unconscious sufferers were, at least, relieved from the pain
of separation from their friends, which would have been much more
distressing to them in this than in any other complaint, since they
lay, as it were, in a stinking swamp, tortured with suffering.
This mortal anguish accompanied them so long as they were in possession
of their senses, throughout the whole disease[696]. _In many the
countenance was bloated and livid_, or at least the lips and cavities
of the eyes were of a leaden tint; whence it evidently appears, that
the passage of the blood through the lungs was obstructed in the
same way as in violent asthma[697]; _hence they breathed with great
difficulty_, as if their lungs were seized with a violent spasm
or incipient paralysis; at the same time, _the heart trembled and
palpitated_ constantly under the oppressive feeling of inward burning,
which, in the most malignant cases, flew to the head, and excited fatal
delirium[698]. In the course of a short time, and in many cases at
the very commencement, the _stinking sweat_ broke out in streams over
the whole body, either proving salutary when life was able to obtain
the mastery over the disease, or prejudicial when it was subdued by
it—as is the case in every ineffectual effort of nature to produce a
cure. And in this respect, as in diseases of less importance, great
differences appeared according to the constitution of the patient;
for some perspired very easily, others, on the contrary, with great
difficulty, especially the phlegmatic, who, in consequence, were
threatened with the greatest danger[699].
In this severe struggle the _spinal marrow_ was sometimes, at a later
stage, so much affected, that even _convulsions_ came on; and it
happened not unfrequently, that, in consequence of the constriction
of the chest, the stomach indicated its excited condition by _nausea_
and _vomiting_[700]. These symptoms, however, manifested themselves
principally in those who were attacked with the disease upon a full
stomach.
Such is the testimony of the contemporary writers of 1529, to whose
accounts but little is added by Kaye, an English eye-witness of the
epidemic Sweating Sickness of 1551. The observations of this perfectly
trustworthy physician, so far as they relate to the form of the
disorder, may be here annexed, since no essential differences between
the diseases on these two occasions can be discovered. At the first
onset the disease in some attacked the neck or shoulders, and in others
one leg or one arm, with dragging pains[701]; others felt at the
same time a warm glow that spread itself over the limbs, immediately
after which, without any visible cause, the perspiration broke out,
accompanied by constant and increasing heat of the inward parts,
gradually extending towards the surface. The patients suffered from
a very _quick and irritable pulse_[702] and great thirst, and threw
themselves about in the utmost restlessness. Under the violent headache
which they suffered, they frequently fell into a talkative state of
wandering, yet this did not generally happen before the ninth hour,
and in very various gradations of mental aberration[703], after which
the drowsiness commenced. In others the sweating was longer delayed,
while, in the mean time, a slight rigor of the limbs existed: it then
broke out profusely, but did not always trickle down the skin in equal
abundance, but alternately, sometimes more, sometimes less. It was
thick and of various colours, but in all cases of a very disagreeable
odour[704], which, when it broke out again, after any interruption to
its flow, was still more penetrating[705].
Kaye adds to what we already know of the oppression of the chest, the
very important statement that those affected were observed to have
a _whining, sighing voice_, whence we have every reason to conclude
that there was a serious affection of the eighth pair of nerves. He,
moreover, describes a very mild form of the disease, such as was
prevalent in the south of Germany in 1529. It passed off under proper
care, without any danger, in the very short period of _fifteen hours_,
and was brought to a termination by moderate heat through the medium of
a very gentle perspiration[706].
It is remarkable that during this violent disorder neither the
_activity of the kidneys nor the evacuation by stool was entirely
interrupted_, for there passed continually turbid and dark urine,
although, as may be conceived, in small quantity and with great
uncertainty as to the prognosis; whereupon those physicians who judged
by the urine were not a little perplexed[707]. It was observed, too,
sometimes in the more easily curable cases, _that patients at the
moment when the perspiration broke out upon them passed urine in
great quantity_[708], on which account a French physician proposed to
draw off the water in those who suffered from this disease[709]; yet
this practice has no higher therapeutical worth than the excitement
of perspiration in diabetes or in cholera, and is, moreover, much
less practicable. That occasionally diarrhœa supervened, and even to
a degree which was not to be restrained, may be gathered from the
frequent medical directions as to how it ought to be arrested, which
Kaye also repeats[710]. In some patients, likewise, nature appears to
have effected a simultaneous crisis by the skin, the kidneys, and the
bowels.
Much more important, however, is the observation of a respectable Dutch
physician, that _after the perspiration was over_ there appeared on the
limbs _small vesicles_[711], which were not confluent, but rendered
the skin uneven, and these were not noticed by any other medical
observer, but are spoken of by the author of an old Hamburgh chronicle,
and, with this addition, that they had been seen on the dead[712]. By
these it is very likely that a _miliary eruption_, and perhaps spots
also, are to be understood; yet every thing militates against the
supposition that this phenomenon was constant, or that the Sweating
Fever was an eruptive disorder[713]. For in that case, some mention
would have been made of it in the numerous accounts of historians, many
of whom, doubtless, had themselves seen the disease, and the eruptions
would have been more evidently and decidedly formed in the numerous
relapses of those who recovered. They certainly indicate a relationship
with the miliary fever, but only in so far as that both diseases are
of rheumatic origin, and this slight participation in the nature of
an eruptive disease would seem to have been observed in the English
Sweating Sickness only in perfectly isolated cases. What would have
taken place under such an indication had the Sweating Sickness run a
longer course, whether, in fact, it might not possibly have passed
into a regular miliary fever, is a question unsolved by the past,
since even later transitions of this kind have never been observed.
The two diseases are, both in their course and their nature, perfectly
distinct from each other, and the miliary fever was not developed as an
independent epidemic until the following century, under circumstances
altogether different, and its more decided precursors are not to be
discovered until a period posterior to the five eruptions of the
Sweating Sickness.
The powers of the constitution were much shaken by the Sweating
Sickness, so that a rapid recovery was observed to take place only in
the mildest form of this disease. Those, however, whom it attacked more
severely, remained very feeble and powerless for at least a week, and
their restoration was but gradual, and effected only by great care and
strengthening diet. After the perspiration had passed off, the patient
was taken carefully from his bed, cautiously dried in a warm chamber,
placed by the fireside, and, as a first restorative, usually fed with
egg soup, yet the generality could not entirely get over the effects of
the fever for a long time. Those who had recovered could seldom go out
so early as the second or third day[714].
Those patients were placed in still greater danger _in whom the
perspiration was in any way suppressed_: most of them were consigned
to inevitable death, (the popular voice ever since the year 1485
confirms this.) Over those, however, in whom the powers of life were
roused to a renewed effort, there broke out, after a short period, a
new perspiration far more offensive than the first; so that the body
dripped as it were with a foul fluid, and it seemed as if the inward
parts wanted to disburthen themselves at once of their putridity by
an immoderate effort[715]. It is clear that this repetition of the
attack must have been destructive to many who, had it not been for
an obstruction of the crisis, would have been saved; for nothing is
more dangerous in inflammatory diseases than when those secretions are
interrupted which Nature has ordained as the only means of relief.
Relapses were frequent, because convalescents, after the disease was
subdued, remained for a long time very excitable. These were seen for
the _third and fourth time seized with the Sweating Sickness_[716],
nay, later writers notice _a repetition of the disease even to the
twelfth time_[717], whereby at least the health was completely
shattered, for dropsy or some other destructive sequelæ supervened,
until death put a period to incurable sufferings, and it is important
to observe that even the bowels participated in the great excitability
of the system, for _too early an exposure to the air easily brought on
diarrhœa_[718].
How great the decomposition of the organic matter was is convincingly
proved from all the testimony hitherto adduced, but it might have
been inferred from the very rapid putrefaction of the body, which
rendered it necessary everywhere to use the greatest despatch in the
performance of burials[719]; and fortunately did away with all fear of
being buried alive. Of post mortem examinations we have no information,
and even if they could have been instituted, they would, from the
manner of conducting researches in those times, scarcely have thrown
any important light on the disease. Hardly any physicians but those
who had studied in Italy knew the inward structure of the body from
their own observation, superficial as it was; the rest learned it
only from Galenic manuals; how could they with such slender knowledge
have distinguished between healthy and diseased parts? Moreover, the
Sweating Sickness could not in so short a period cause such a palpable
and substantial destruction of the viscera as they would alone have
sought for. Details respecting the condition of the blood in the dead
body, which after such an enormous loss of watery fluid, such severe
oppression at the chest, and so great an impediment to the function
of respiration, would in all probability be thickened and darkened in
colour, as well as respecting the condition of the lungs and of the
heart, it would be highly desirable to obtain; but these likewise are
wanting altogether, and after the lapse of so long a period there only
remains room for conjectures.
The observation was repeated in Germany which had been so frequently
made since the year 1485, that the middle period of life was especially
exposed to the Sweating Fever. Children, on the contrary, remained
almost entirely exempt from this disease, and when the aged were
affected by it, it was as individual exceptions to a general rule[720],
and this as it would appear, only during the height of the epidemic; as
for example at Zwickau, where a woman of 112 years of age was carried
off by it[721]. We have already in part discovered the cause of this
perfectly constant phenomenon in the luxurious mode of living of robust
young men, and if we look back to the moral condition of the Germans
in the 16th century, we find among them the same immoderate luxury
as among the English, the same drunkenness, the same intemperance at
their frequent banquets, where the wine-cups and beer-jugs were emptied
with but too eager draughts; finally, also, the same relaxation of
skin consequent upon the use of warm baths and warm clothing. All
contemporary writers mention these circumstances[722], and our bold
forefathers, with respect to these matters, were not in the best repute
with their southern neighbours.
But we have, moreover, to survey the disease in another point of
view, namely, in relation to its peculiar character. In the outset we
designated _the Sweating Sickness as a rheumatic fever_, and if we take
the notion of a rheumatic affection, as in propriety we ought, in its
widest acceptation, weighty and convincing grounds have been adduced
in the course of our whole inquiry in confirmation of this view. When
we observe that those very nations were visited by the Sweating Fever,
which are characterized by a fair skin, blue eyes, and light hair—the
marks of the German race, it may with justice be assumed, that even
this peculiarity in the structure of the body rendered it susceptible
of this extraordinary disease. It is this which causes the proneness
to fluxes of all kinds, and which makes these diseases endemic in the
north of Europe, whilst the dark-haired southern nations and the blacks
in the tropical climates remain, under similar circumstances[723], more
free from them. If it be remembered further how overcharged with water
were the lower strata of the atmosphere in which the pestilent Sweating
Fevers existed, what thick and even offensive mists prepared the way
for the disease and indicated its approach, what rapid alternations of
freezing cold and excessive heat took place in the summer of 1529; and,
moreover, how frequent all kinds of fluxes were in this very year, the
complete form of the rheumatic constitution will be recognised in every
individual feature.
Did we possess in the showy systems of modern times a maturer knowledge
of the electricity of living bodies, much light would of necessity
hence be thrown on the great object of our research. We should not
then be compelled to rest satisfied with the fact that a cloudy
atmosphere abstracts electricity from the body, robs the skin and
lungs of their electrical atmosphere, disturbs their mutual electrical
relation with the external world, and by this disturbance prepares the
body for rheumatic indisposition, with all that peculiar decomposition
of the fluids, irritable tension of the nerves, fever, and painful
affection of particular parts, with which it is accompanied. If this
disturbance be represented according to certain new and inviting
hypotheses, supported by some important facts[724], as being perhaps
an accumulation of electricity in the interior of the body, owing to a
morbid, isolating activity of the skin, we may expect a more perfect
knowledge of the nature of rheumatism through the medium of future
diligent researches; and until these be made, some evident signs
of connexion between rheumatic affections and the English Sweating
Sickness will perhaps be sufficient to demonstrate the rheumatic nature
of this latter disease.
In the first place, the very great _susceptibility of those affected
with the Sweating Fever to every change of temperature_—the decidedly
great danger of chill. In no known disease does this irritability of
the skin shew itself in so prominent a degree as in rheumatic fevers
and in those non-febrile fluxes in which there even exists a very
evident sensitiveness to _metallic_ action.
Secondly, _The tendency of the rheumatic diathesis to come to a crisis
through the medium of a profuse, sour and offensive perspiration_
without any assistance from art[725]. The English Sweating Sickness
manifests this commotion of the organism in the most exquisite form
hitherto known; for it admits of no kind of doubt that the sweat in
this disease was of itself, and in itself, critical, in the fullest
acceptation of the term.
Thirdly, _The peculiar alteration in the fundamental composition of
organic matter_ in rheumatic diseases, in consequence of which volatile
acids of a strange odour are prevalent in the sweat, and urine, and
animal excretions. The English Sweating Sickness exhibits also this
result of morbid activity in a greater and more striking manner than
any other disease. Nor can we regard the tendency to putridity, which
has been observed, as any thing but an increased degree of this
condition.
Fourthly, _The shooting pains in the limbs_, the most decided sign of
rheumatism, were not wanting in the English Sweating Sickness; nay,
they became developed even to the extent of an incipient paralysis,
and even the convulsions of those affected with this disease may not
unjustly be attributed to the same source.
Fifthly, _The tendency of rheumatism when it takes an unfavourable
course to pass into regular dropsy_, which is a consequence of the
peculiar decomposition, manifested itself in the Sweating Fever in so
marked a manner that the dropsy itself gradually destroyed the patient.
Should the sceptical still need another link in the comparison, we may
adduce the miliary fever, a disease of decidedly rheumatic character.
We must not, however, take as our standard the degenerate forms of
miliary fever existing in modern times, but those grand and fully
developed forms of the disease which occurred in the 17th and 18th
centuries, and in which we find a similar odour in the perspiration,
the same oppression, and the same inexpressible anguish, with
palpitation and restlessness. The arms became enfeebled as if seized
with paralysis, violent pains of the limbs set in, and unpleasant
pricking sensations in the fingers and toes, resembling in all these
particulars the Sweating Sickness, only pursuing a more lengthened and
irregular course, and becoming developed altogether in a different
manner.
_According to this representation, the English Sweating Sickness
appears as a rheumatic fever in the most exquisite form_ that has ever
yet been seen in the world, violently affecting the vitality of the
brain and spinal marrow with their nerves, without, however, at all
molesting the plexuses of the abdomen. _The immoderate excretion of
watery fluid_, which in the mild cases alone took place, through a
spontaneous curative power, while in the malignant forms it betokened
paralysis of the vessels and an actual colliquation, directs our
attention further to the _consequent state of inanition_, which very
probably passed into a _stagnation of the circulation_, in the same
manner as takes place after every other sudden loss of the fluids,
whether from sanguineous effusion or evacuations by vomit and stool.
Hence the uncommonly rapid course of the disease, and partly, too, the
fatal stupor[726]; hence, likewise, the very pardonable misconception
with respect to the nature of the Sweating Fever existing even in more
modern times. The sequela was more important and more fatal than the
original rheumatic affection itself, which in its minor forms was mild
and easily managed.
And thus is explained the wonderfully fortunate result of the old
English treatment, which prevented this sequela, and avoided increasing
the already too powerful efforts of nature to effect a cure. We
have, therefore, nothing further to add to this judicious and truly
scientific practice but our unqualified approbation; _for it is the
part of the physician, in diseases which have a spontaneous power of
curing themselves, to leave this power free scope to act, and merely
by fostering care to remove all obstacles to its exercise_. Should it
be the destiny of mankind to be again visited by the disease of the
sixteenth century, (and it is by no means impossible that at some time
or other similar events may recur,) we would recommend our posterity to
bear in mind this eternal truth, and to treasure up the golden words of
the Wittenberg pamphlet, namely, to guard the healing art from strange
and unnatural farragos, _for it is only when it is subordinate to
nature that it bears the stamp of reason—the mistress of all earthly
things_.
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