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_.

Chapters

1. Chapter 1 2. CHAPTER I. 3. CHAPTER II. 4. CHAPTER III. 5. CHAPTER IV. 6. CHAPTER V. 7. CHAPTER VI. 8. CHAPTER I. 9. CHAPTER II. 10. CHAPTER III. 11. CHAPTER IV. 12. CHAPTER I. 13. CHAPTER II. 14. CHAPTER III. 15. CHAPTER IV. 16. CHAPTER V. 17. CHAPTER VI. 18. CHAPTER I. 19. CHAPTER II. 20. CHAPTER III. 21. 1349. Sweden, indeed, not until November of that year: almost two years 22. CHAPTER IV. 23. CHAPTER V. 24. CHAPTER VI. 25. CHAPTER I. 26. CHAPTER II. 27. CHAPTER III. 28. CHAPTER IV. 29. 1. “At a cotton manufactory at Hodden Bridge, in Lancashire, a girl, on 30. 2. “A young woman of the lowest order, twenty-one years of age, and 31. 3. In a Methodist chapel at Redruth, a man during divine service, cried 32. 4. For the last hundred years a nervous affection of a perfectly 33. 5. The appearance of the _Convulsionnaires_ in France, whose 34. 6. Similar fanatical sects exhibit among all nations[337] of ancient 35. CHAPTER I. 36. CHAPTER II. 37. 1515. Exact descriptions, however, of these disorders are entirely 38. CHAPTER III. 39. CHAPTER IV. 40. CHAPTER V. 41. CHAPTER VI. 42. 1690. Stuttgard. 43. 1713. Saint Valery. (Somme.) 44. 1715. Breslau. 45. 1718. Tübingen. 46. 1724. Turin. 47. 1726. Acqui. 48. 1728. Chambéry, Annecy, St. Jean de Maurienne. (Savoy.) 49. 1732. Nizza. 50. 1733. Fossano. 51. 1734. Strasburg. (Lower Rhine.) 52. 1735. Trino. 53. 1738. Luzarches, Royaumont. (Seine et Oise.) 54. 1740. Caen. (Calvados.) 55. 1741. Rouen. (Lower Seine.) 56. 1742. Caudebec. (Lower Seine.) 57. 1747. Paris. (Seine.) 58. 1750. Schaffhausen. 59. 1756. Cusset. (Allier.) 60. 1759. Paris. (Seine.) 61. 1763. Vire. (Calvados.) 62. 1765. Balleroy, Basoques. (Calvados.) 63. 1767. Thinchebray, Truttemer. (Orne.) 64. 1782. Castelnaudary. (Aude.) 65. 1821. La Chapelle, Saint-Pierre and sixty places around. (Oise; Seine 66. 1485. Richmond obtains support France, and epidemic pleuritis 67. 1485. From the 1st to the 22d Plague in Spain. 68. 1495. Useless war for the _Sweating Sickness._ 69. 1495. Eruption of the syphilitic 70. 1499. Great plague in London. 71. 1501. His eldest son, Arthur, in Germany and France. 72. 1502. Prince Arthur dies. in Germany. 73. 1501. conquers Naples in 1505. First epidemic petechial 74. 1504. expelled thence. He shewed a decided determination 75. 1511. Pope Julius II. (1503–1513) 1505. Moist summer. Lamentable 76. 1504. Isabella of Castile dies. _to England, until the_ 77. 1516. Ferdinand the Catholic in Spain. 78. 1515. the Swiss, in the battle moist summer. 79. 1516. Cardinal Wolsey changes of Europe. 80. 1520. then of Charles V. (diphtheritis) in Holland, 81. 1517. 31st of October, Luther Bâsle. 82. 1519. 12th January, the Emperor in Swabia (and Spain). 83. 1517. May: Insurrections of _London of the third visitation_ 84. 1517. In the autumn and winter, _it spreads with great_ 85. 1518. 11th February, Queen _December. Ammonius, of Lucca,_ 86. 1518. The College of Physicians _learned persons in Oxford_ 87. 1521. Henry VIII. opposes 1517. In December, immediately 88. 1517. Small-pox breaks out in 89. 1524. October, Francis I. 1524. Great plague at Milan, 90. 1526. 14th January. Peace of 1527. 11th August, a comet. 91. 1526. Clement VII. (1523–1534) army in Italy, after the sacking 92. 1527. 6th May. Rome is vanquished and heat. 93. 1528. A French army, under summer fogs in Italy. Second 94. 1528. 1st May, the siege of army before Naples by a 95. 1528. 29th August, the siege of summer in France. 96. 1528. Charles V. challenges in that country. 97. 1529. 5th August, Francis I. off a fourth part of the 98. 1527. Scruples of Henry VIII. 1528. _At the end of May: outbreak_ 99. 1528. Henry VIII. retires to _and terminates in the winter._ 100. 1532. Separation of the king _not return in the following_ 101. 1533. January, Anna Boleyn winds. Great drought. 102. 1535. Thomas More and Fisher Germany. 103. 1536. Anna Boleyn is executed. Italy. Sanguineous rain at 104. 1537. Anne of Cleves becomes 1529. Mild winter in Germany. 105. 1541. Catherine Howard, queen, throughout the summer. General 106. 1547. 13th December, Henry of the river fish in the 107. 1521. Plots of the Iconoclasts among birds. Languor resembling 108. 1529. 22d September-16th St. Vitus) in the south of 109. 1529. 2d October, assemblage 24th of August, and the 110. 1530. 25th June, surrender of _the epidemic Sweating Sickness_ 111. 1531. League of the Protestant _On the 14th August_ 112. 1532. Imperial Diet at Nuremberg. _to spread universally all over_ 113. 1536. The Schmalkaldic league _termination on the 6th_ 114. 1538. The Catholic States establish _August in Strasburg. On_ 115. 1540. Paul III. (1534–1550) _and Francfort on the Maine._ 116. 1530. In October, overflow of 117. 1531. 1st of August to 3d 118. 1532. From 2d October to 8th 119. 1533. From the middle of June 120. 1534. Termination of the years 121. 1542. Maurice Duke of Saxony 1538. Epidemic dysentery in 122. 1542. The imperial army which forests take fire spontaneously. 123. 1546. The 18th of February, in Hungary during the war 124. 1546. Charles V. takes the field 1543. Plague and petechial 125. 1547. 24th April, the battle of Boulogne. 126. 1548. Duke Maurice to the and France. 127. 1551. Magdeburg declared to red water in the north of 128. 1552. Henry II. of France among cattle in Germany. 129. 1552. The treaty of Passau (petechial fever?) in the 130. 1553. Mary persecutes the 1551. In the spring, stinking 131. 1556. Charles V. abdicates, and 1551. _On the 15th of April_ 132. 1113. Paris, ap. H. Stephan. 1513, 4to. 133. 1583. Jar ergangen, kurtz und richtig nach der Ordnung der

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