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The Anatomy of Melancholy
by Democritus Junior
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Which I have been the more curious to express and report; not to upbraid any miserable man, or by way of derision, (I rather pity them,) but the better to discern, to apply remedies unto them; and to show that the best and soundest of us all is in great danger; how much we ought to fear our own fickle estates, remember our miseries and vanities, examine and humiliate ourselves, seek to God, and call to Him for mercy, that needs not look for any rods to scourge ourselves, since we carry them in our bowels, and that our souls are in a miserable captivity, if the light of grace and heavenly truth doth not shine continually upon us: and by our discretion to moderate ourselves, to be more circumspect and wary in the midst of these dangers.

MEMB. II.

SUBSECT. I.—Symptoms of Head-Melancholy.

"If [2622]no symptoms appear about the stomach, nor the blood be misaffected, and fear and sorrow continue, it is to be thought the brain itself is troubled, by reason of a melancholy juice bred in it, or otherwise conveyed into it, and that evil juice is from the distemperature of the part, or left after some inflammation," thus far Piso. But this is not always true, for blood and hypochondries both are often affected even in head-melancholy. [2623]Hercules de Saxonia differs here from the common current of writers, putting peculiar signs of head-melancholy, from the sole distemperature of spirits in the brain, as they are hot, cold, dry, moist, "all without matter from the motion alone, and tenebrosity of spirits;" of melancholy which proceeds from humours by adustion, he treats apart, with their several symptoms and cures. The common signs, if it be by essence in the head, "are ruddiness of face, high sanguine complexion, most part rubore saturato," [2624]one calls it, a bluish, and sometimes full of pimples, with red eyes. Avicenna l. 3, Fen. 2, Tract. 4, c. 18. Duretus and others out of Galen, de affect. l. 3, c. 6. [2625]Hercules de Saxonia to this of redness of face, adds "heaviness of the head, fixed and hollow eyes." [2626]"If it proceed from dryness of the brain, then their heads will be light, vertiginous, and they most apt to wake, and to continue whole months together without sleep. Few excrements in their eyes and nostrils, and often bald by reason of excess of dryness," Montaltus adds, c. 17. If it proceed from moisture: dullness, drowsiness, headache follows; and as Salust. Salvianus, c. 1, l. 2, out of his own experience found, epileptical, with a multitude of humours in the head. They are very bashful, if ruddy, apt to blush, and to be red upon all occasions, praesertim si metus accesserit. But the chiefest symptom to discern this species, as I have said, is this, that there be no notable signs in the stomach, hypochondries, or elsewhere, digna, as [2627] Montaltus terms them, or of greater note, because oftentimes the passions of the stomach concur with them. Wind is common to all three species, and is not excluded, only that of the hypochondries is [2628]more windy than the rest, saith Hollerius. Aetius tetrab. l. 2, sc. 2, c. 9 and 10, maintains the same, [2629]if there be more signs, and more evident in the head than elsewhere, the brain is primarily affected, and prescribes head-melancholy to be cured by meats amongst the rest, void of wind, and good juice, not excluding wind, or corrupt blood, even in head-melancholy itself: but these species are often confounded, and so are their symptoms, as I have already proved. The symptoms of the mind are superfluous and continual cogitations; [2630]"for when the head is heated, it scorcheth the blood, and from thence proceed melancholy fumes, which trouble the mind," Avicenna. They are very choleric, and soon hot, solitary, sad, often silent, watchful, discontent, Montaltus, cap. 24. If anything trouble them, they cannot sleep, but fret themselves still, till another object mitigate, or time wear it out. They have grievous passions, and immoderate perturbations of the mind, fear, sorrow, &c., yet not so continuate, but that they are sometimes merry, apt to profuse laughter, which is more to be wondered at, and that by the authority of [2631]Galen himself, by reason of mixture of blood, praerubri jocosis delectantur, et irrisores plerumque sunt, if they be ruddy, they are delighted in jests, and oftentimes scoffers themselves, conceited: and as Rodericus a Vega comments on that place of Galen, merry, witty, of a pleasant disposition, and yet grievously melancholy anon after: omnia discunt sine doctore, saith Aretus, they learn without a teacher: and as [2632]Laurentius supposeth, those feral passions and symptoms of such as think themselves glass, pitchers, feathers, &c., speak strange languages, a colore cerebri (if it be in excess) from the brain's distempered heat.

SUBSECT. II.—Symptoms of windy Hypochondriacal Melancholy.

"In this hypochondriacal or flatuous melancholy, the symptoms are so ambiguous," saith [2633]Crato in a counsel of his for a noblewoman, "that the most exquisite physicians cannot determine of the part affected." Matthew Flaccius, consulted about a noble matron, confessed as much, that in this malady he with Hollerius, Fracastorius, Falopius, and others, being to give their sentence of a party labouring of hypochondriacal melancholy, could not find out by the symptoms which part was most especially affected; some said the womb, some heart, some stomach, &c., and therefore Crato, consil. 24. lib. 1. boldly avers, that in this diversity of symptoms, which commonly accompany this disease, [2634]"no physician can truly say what part is affected." Galen lib. 3. de loc. affect., reckons up these ordinary symptoms, which all the Neoterics repeat of Diocles; only this fault he finds with him, that he puts not fear and sorrow amongst the other signs. Trincavelius excuseth Diocles, lib. 3. consil. 35. because that oftentimes in a strong head and constitution, a generous spirit, and a valiant, these symptoms appear not, by reason of his valour and courage. [2635]Hercules de Saxonia (to whom I subscribe) is of the same mind (which I have before touched) that fear and sorrow are not general symptoms; some fear and are not sad; some be sad and fear not; some neither fear nor grieve. The rest are these, beside fear and sorrow, [2636]"sharp belchings, fulsome crudities, heat in the bowels, wind and rumbling in the guts, vehement gripings, pain in the belly and stomach sometimes, after meat that is hard of concoction, much watering of the stomach, and moist spittle, cold sweat, importunus sudor, unseasonable sweat all over the body," as Octavius Horatianus lib. 2. cap. 5. calls it; "cold joints, indigestion, [2637]they cannot endure their own fulsome belchings, continual wind about their hypochondries, heat and griping in their bowels, praecordia sursum convelluntur, midriff and bowels are pulled up, the veins about their eyes look red, and swell from vapours and wind." Their ears sing now and then, vertigo and giddiness come by fits, turbulent dreams, dryness, leanness, apt they are to sweat upon all occasions, of all colours and complexions. Many of them are high-coloured especially after meals, which symptom Cardinal Caecius was much troubled with, and of which he complained to Prosper Calenus his physician, he could not eat, or drink a cup of wine, but he was as red in the face as if he had been at a mayor's feast. That symptom alone vexeth many. [2638]Some again are black, pale, ruddy, sometimes their shoulders and shoulder blades ache, there is a leaping all over their bodies, sudden trembling, a palpitation of the heart, and that cardiaca passio, grief in the mouth of the stomach, which maketh the patient think his heart itself acheth, and sometimes suffocation, difficultas anhelitus, short breath, hard wind, strong pulse, swooning. Montanus consil. 55. Trincavelius lib. 3. consil. 36. et 37. Fernelius cons. 43. Frambesarius consult. lib. 1. consil. 17. Hildesheim, Claudinus, &c., give instance of every particular. The peculiar symptoms which properly belong to each part be these. If it proceed from the stomach, saith [2639]Savanarola, 'tis full of pain wind. Guianerius adds, vertigo, nausea, much spitting, &c. If from the mirach, a swelling and wind in the hypochondries, a loathing, and appetite to vomit, pulling upward. If from the heart, aching and trembling of it, much heaviness. If from the liver, there is usually a pain in the right hypochondry. If from the spleen, hardness and grief in the left hypochondry, a rumbling, much appetite and small digestion, Avicenna. If from the mesaraic veins and liver on the other side, little or no appetite, Herc. de Saxonia. If from the hypochondries, a rumbling inflation, concoction is hindered, often belching, &c. And from these crudities, windy vapours ascend up to the brain which trouble the imagination, and cause fear, sorrow, dullness, heaviness, many terrible conceits and chimeras, as Lemnius well observes, l. 1. c. 16. "as [2640]a black and thick cloud covers the sun, and intercepts his beams and light, so doth this melancholy vapour obnubilate the mind, enforce it to many absurd thoughts and imaginations," and compel good, wise, honest, discreet men (arising to the brain from the [2641] lower parts, "as smoke out of a chimney") to dote, speak, and do that which becomes them not, their persons, callings, wisdoms. One by reason of those ascending vapours and gripings, rumbling beneath, will not be persuaded but that he hath a serpent in his guts, a viper, another frogs. Trallianus relates a story of a woman, that imagined she had swallowed an eel, or a serpent, and Felix Platerus, observat. lib. 1. hath a most memorable example of a countryman of his, that by chance, falling into a pit where frogs and frogs' spawn was, and a little of that water swallowed, began to suspect that he had likewise swallowed frogs' spawn, and with that conceit and fear, his phantasy wrought so far, that he verily thought he had young live frogs in his belly, qui vivebant ex alimento suo, that lived by his nourishment, and was so certainly persuaded of it, that for many years afterwards he could not be rectified in his conceit: He studied physic seven years together to cure himself, travelled into Italy, France and Germany to confer with the best physicians about it, and A.D. 1609, asked his counsel amongst the rest; he told him it was wind, his conceit, &c., but mordicus contradicere, et ore, et scriptis probare nitebatur: no saying would serve, it was no wind, but real frogs: "and do you not hear them croak?" Platerus would have deceived him, by putting live frog's into his excrements; but he, being a physician himself, would not be deceived, vir prudens alias, et doctus a wise and learned man otherwise, a doctor of physic, and after seven years' dotage in this kind, a phantasia liberatus est, he was cured. Laurentius and Goulart have many such examples, if you be desirous to read them. One commodity above the rest which are melancholy, these windy flatuous have, lucidia intervalla, their symptoms and pains are not usually so continuate as the rest, but come by fits, fear and sorrow, and the rest: yet in another they exceed all others; and that is, [2642]they are luxurious, incontinent, and prone to venery, by reason of wind, et facile amant, et quamlibet fere amant. (Jason Pratensis) [2643]Rhasis is of opinion, that Venus doth many of them much good; the other symptoms of the mind be common with the rest.

SUBSECT. III.—Symptoms of Melancholy abounding in the whole body.

Their bodies that are affected with this universal melancholy are most part black, [2644]"the melancholy juice is redundant all over," hirsute they are, and lean, they have broad veins, their blood is gross and thick [2645] "Their spleen is weak," and a liver apt to engender the humour; they have kept bad diet, or have had some evacuation stopped, as haemorrhoids, or months in women, which [2646]Trallianus, in the cure, would have carefully to be inquired, and withal to observe of what complexion the party is of, black or red. For as Forrestus and Hollerius contend, if [2647]they be black, it proceeds from abundance of natural melancholy; if it proceed from cares, agony, discontents, diet, exercise, &c., they may be as well of any other colour: red, yellow, pale, as black, and yet their whole blood corrupt: praerubri colore saepe sunt tales, saepe flavi, (saith [2648] Montaltus cap. 22.) The best way to discern this species, is to let them bleed, if the blood be corrupt, thick and black, and they withal free from those hypochondriacal symptoms, and not so grievously troubled with them, or those of the head, it argues they are melancholy, a toto corpore. The fumes which arise from this corrupt blood, disturb the mind, and make them fearful and sorrowful, heavy hearted, as the rest, dejected, discontented, solitary, silent, weary of their lives, dull and heavy, or merry, &c., and if far gone, that which Apuleius wished to his enemy, by way of imprecation, is true in them; [2649]"Dead men's bones, hobgoblins, ghosts are ever in their minds, and meet them still in every turn: all the bugbears of the night, and terrors, fairy-babes of tombs, and graves are before their eyes, and in their thoughts, as to women and children, if they be in the dark alone." If they hear, or read, or see any tragical object, it sticks by them, they are afraid of death, and yet weary of their lives, in their discontented humours they quarrel with all the world, bitterly inveigh, tax satirically, and because they cannot otherwise vent their passions or redress what is amiss, as they mean, they will by violent death at last be revenged on themselves.

SUBSECT. IV.—Symptoms of Maids, Nuns, and Widows' Melancholy.

Because Lodovicus Mercatus in his second book de mulier. affect. cap. 4. and Rodericus a Castro de morb. mulier. cap. 3. lib. 2. two famous physicians in Spain, Daniel Sennertus of Wittenberg lib. 1. part 2. cap. 13. with others, have vouchsafed in their works not long since published, to write two just treatises de Melancholia virginum, Monialium et Viduarum, as a particular species of melancholy (which I have already specified) distinct from the rest; [2650](for it much differs from that which commonly befalls men and other women, as having one only cause proper to women alone) I may not omit in this general survey of melancholy symptoms, to set down the particular signs of such parties so misaffected.

The causes are assigned out of Hippocrates, Cleopatra, Moschion, and those old Gynaeciorum Scriptores, of this feral malady, in more ancient maids, widows, and barren women, ob septum transversum violatum, saith Mercatus, by reason of the midriff or Diaphragma, heart and brain offended with those vicious vapours which come from menstruous blood, inflammationem arteriae circa dorsum, Rodericus adds, an inflammation of the back, which with the rest is offended by [2651]that fuliginous exhalation of corrupt seed, troubling the brain, heart and mind; the brain, I say, not in essence, but by consent, Universa enim hujus affectus causa ab utero pendet, et a sanguinis menstrui malitia, for in a word, the whole malady proceeds from that inflammation, putridity, black smoky vapours, &c., from thence comes care, sorrow, and anxiety, obfuscation of spirits, agony, desperation, and the like, which are intended or remitted; si amatorius accesserit ardor, or any other violent object or perturbation of mind. This melancholy may happen to widows, with much care and sorrow, as frequently it doth, by reason of a sudden alteration of their accustomed course of life, &c. To such as lie in childbed ob suppressam purgationem; but to nuns and more ancient maids, and some barren women for the causes abovesaid, 'tis more familiar, crebrius his quam reliquis accidit, inquit Rodericus, the rest are not altogether excluded.

Out of these causes Rodericus defines it with Areteus, to be angorem animi, a vexation of the mind, a sudden sorrow from a small, light, or no occasion, [2652]with a kind of still dotage and grief of some part or other, head, heart, breasts, sides, back, belly, &c., with much solitariness, weeping, distraction, &c., from which they are sometimes suddenly delivered, because it comes and goes by fits, and is not so permanent as other melancholy.

But to leave this brief description, the most ordinary symptoms be these, pulsatio juxta dorsum, a beating about the back, which is almost perpetual, the skin is many times rough, squalid, especially, as Areteus observes, about the arms, knees, and knuckles. The midriff and heart-strings do burn and beat very fearfully, and when this vapour or fume is stirred, flieth upward, the heart itself beats, is sore grieved, and faints, fauces siccitate praecluduntur, ut difficulter possit ab uteri strangulatione decerni, like fits of the mother, Alvus plerisque nil reddit, aliis exiguum, acre, biliosum, lotium flavum. They complain many times, saith Mercatus, of a great pain in their heads, about their hearts, and hypochondries, and so likewise in their breasts, which are often sore, sometimes ready to swoon, their faces are inflamed, and red, they are dry, thirsty, suddenly hot, much troubled with wind, cannot sleep, &c. And from hence proceed ferina deliramenta, a brutish kind of dotage, troublesome sleep, terrible dreams in the night, subrusticus pudor et verecundia ignava, a foolish kind of bashfulness to some, perverse conceits and opinions, [2653]dejection of mind, much discontent, preposterous judgment. They are apt to loath, dislike, disdain, to be weary of every object, &c., each thing almost is tedious to them, they pine away, void of counsel, apt to weep, and tremble, timorous, fearful, sad, and out of all hope of better fortunes. They take delight in nothing for the time, but love to be alone and solitary, though that do them more harm: and thus they are affected so long as this vapour lasteth; but by-and-by, as pleasant and merry as ever they were in their lives, they sing, discourse, and laugh in any good company, upon all occasions, and so by fits it takes them now and then, except the malady be inveterate, and then 'tis more frequent, vehement, and continuate. Many of them cannot tell how to express themselves in words, or how it holds them, what ails them, you cannot understand them, or well tell what to make of their sayings; so far gone sometimes, so stupefied and distracted, they think themselves bewitched, they are in despair, aptae ad fletum, desperationem, dolores mammis et hypocondriis. Mercatus therefore adds, now their breasts, now their hypochondries, belly and sides, then their heart and head aches, now heat, then wind, now this, now that offends, they are weary of all; [2654]and yet will not, cannot again tell how, where or what offends them, though they be in great pain, agony, and frequently complain, grieving, sighing, weeping, and discontented still, sine causa manifesta, most part, yet I say they will complain, grudge, lament, and not be persuaded, but that they are troubled with an evil spirit, which is frequent in Germany, saith Rodericus, amongst the common sort: and to such as are most grievously affected, (for he makes three degrees of this disease in women,) they are in despair, surely forespoken or bewitched, and in extremity of their dotage, (weary of their lives,) some of them will attempt to make away themselves. Some think they see visions, confer with spirits and devils, they shall surely be damned, are afraid of some treachery, imminent danger, and the like, they will not speak, make answer to any question, but are almost distracted, mad, or stupid for the time, and by fits: and thus it holds them, as they are more or less affected, and as the inner humour is intended or remitted, or by outward objects and perturbations aggravated, solitariness, idleness, &c.

Many other maladies there are incident to young women, out of that one and only cause above specified, many feral diseases. I will not so much as mention their names, melancholy alone is the subject of my present discourse, from which I will not swerve. The several cures of this infirmity, concerning diet, which must be very sparing, phlebotomy, physic, internal, external remedies, are at large in great variety in [2655] Rodericus a Castro, Sennertus, and Mercatus, which whoso will, as occasion serves, may make use of. But the best and surest remedy of all, is to see them well placed, and married to good husbands in due time, hinc illae, lachrymae, that is the primary cause, and this the ready cure, to give them content to their desires. I write not this to patronise any wanton, idle flirt, lascivious or light housewives, which are too forward many times, unruly, and apt to cast away themselves on him that comes next, without all care, counsel, circumspection, and judgment. If religion, good discipline, honest education, wholesome exhortation, fair promises, fame and loss of good name cannot inhibit and deter such, (which to chaste and sober maids cannot choose but avail much,) labour and exercise, strict diet, rigour and threats may more opportunely be used, and are able of themselves to qualify and divert an ill-disposed temperament. For seldom should you see an hired servant, a poor handmaid, though ancient, that is kept hard to her work, and bodily labour, a coarse country wench troubled in this kind, but noble virgins, nice gentlewomen, such as are solitary and idle, live at ease, lead a life out of action and employment, that fare well, in great houses and jovial companies, ill-disposed peradventure of themselves, and not willing to make any resistance, discontented otherwise, of weak judgment, able bodies, and subject to passions, (grandiores virgines, saith Mercatus, steriles et viduae plerumque melancholicae,) such for the most part are misaffected, and prone to this disease. I do not so much pity them that may otherwise be eased, but those alone that out of a strong temperament, innate constitution, are violently carried away with this torrent of inward humours, and though very modest of themselves, sober, religious, virtuous, and well given, (as many so distressed maids are,) yet cannot make resistance, these grievances will appear, this malady will take place, and now manifestly show itself, and may not otherwise be helped. But where am I? Into what subject have I rushed? What have I to do with nuns, maids, virgins, widows? I am a bachelor myself, and lead a monastic life in a college, nae ego sane ineptus qui haec dixerim,) I confess 'tis an indecorum, and as Pallas a virgin blushed, when Jupiter by chance spake of love matters in her presence, and turned away her face; me reprimam though my subject necessarily require it, I will say no more.

And yet I must and will say something more, add a word or two in gratiam virginum et viduarum, in favour of all such distressed parties, in commiseration of their present estate. And as I cannot choose but condole their mishap that labour of this infirmity, and are destitute of help in this case, so must I needs inveigh against them that are in fault, more than manifest causes, and as bitterly tax those tyrannising pseudopoliticians, superstitious orders, rash vows, hard-hearted parents, guardians, unnatural friends, allies, (call them how you will,) those careless and stupid overseers, that out of worldly respects, covetousness, supine negligence, their own private ends (cum sibi sit interim bene) can so severely reject, stubbornly neglect, and impiously contemn, without all remorse and pity, the tears, sighs, groans, and grievous miseries of such poor souls committed to their charge. How odious and abominable are those superstitious and rash vows of Popish monasteries, so to bind and enforce men and women to vow virginity, to lead a single life, against the laws of nature, opposite to religion, policy, and humanity, so to starve, to offer violence, to suppress the vigour of youth, by rigorous statutes, severe laws, vain persuasions, to debar them of that to which by their innate temperature they are so furiously inclined, urgently carried, and sometimes precipitated, even irresistibly led, to the prejudice of their soul's health, and good estate of body and mind: and all for base and private respects, to maintain their gross superstition, to enrich themselves and their territories as they falsely suppose, by hindering some marriages, that the world be not full of beggars, and their parishes pestered with orphans; stupid politicians; haeccine fieri flagilia? ought these things so to be carried? better marry than burn, saith the Apostle, but they are otherwise persuaded. They will by all means quench their neighbour's house if it be on fire, but that fire of lust which breaks out into such lamentable flames, they will not take notice of, their own bowels oftentimes, flesh and blood shall so rage and burn, and they will not see it: miserum est, saith Austin, seipsum non miserescere, and they are miserable in the meantime that cannot pity themselves, the common good of all, and per consequens their own estates. For let them but consider what fearful maladies, feral diseases, gross inconveniences, come to both sexes by this enforced temperance, it troubles me to think of, much more to relate those frequent abortions and murdering of infants in their nunneries (read [2656]Kemnisius and others), and notorious fornications, those Spintrias, Tribadas, Ambubeias, &c., those rapes, incests, adulteries, mastuprations, sodomies, buggeries of monks and friars. See Bale's visitation of abbeys, [2657]Mercurialis, Rodericus a Castro, Peter Forestus, and divers physicians; I know their ordinary apologies and excuses for these things, sed viderint Politici, Medici, Theologi, I shall more opportunely meet with them [2658]elsewhere.

[2659] "Illius viduae, aut patronum Virginis hujus, Ne me forte putes, verbum non amplius addam."

MEMB. III. Immediate cause of these precedent Symptoms.

To give some satisfaction to melancholy men that are troubled with these symptoms, a better means in my judgment cannot be taken, than to show them the causes whence they proceed; not from devils as they suppose, or that they are bewitched or forsaken of God, hear or see, &c. as many of them think, but from natural and inward causes, that so knowing them, they may better avoid the effects, or at least endure them with more patience. The most grievous and common symptoms are fear and sorrow, and that without a cause to the wisest and discreetest men, in this malady not to be avoided. The reason why they are so, Aetius discusseth at large, Tetrabib. 2. 2. in his first problem out of Galen, lib. 2. de causis sympt. 1. For Galen imputeth all to the cold that is black, and thinks that the spirits being darkened, and the substance of the brain cloudy and dark, all the objects thereof appear terrible, and the [2660]mind itself, by those dark, obscure, gross fumes, ascending from black humours, is in continual darkness, fear, and sorrow; divers terrible monstrous fictions in a thousand shapes and apparitions occur, with violent passions, by which the brain and fantasy are troubled and eclipsed. [2661]Fracastorius, lib. 2. de intellect, "will have cold to be the cause of fear and sorrow; for such as are cold are ill-disposed to mirth, dull, and heavy, by nature solitary, silent; and not for any inward darkness (as physicians think) for many melancholy men dare boldly be, continue, and walk in the dark, and delight in it:" solum frigidi timidi: if they be hot, they are merry; and the more hot, the more furious, and void of fear, as we see in madmen; but this reason holds not, for then no melancholy, proceeding from choler adust, should fear. [2662]Averroes scoffs at Galen for his reasons, and brings five arguments to repel them: so doth Herc. de Saxonia, Tract. de Melanch. cap. 3. assigning other causes, which are copiously censured and confuted by Aelianus Montaltus, cap. 5 and 6. Lod. Mercatus de Inter. morb. cur. lib. 1. cap. 17. Altomarus, cap. 7. de mel. Guianerius, tract. 15. c. 1. Bright cap. 37. Laurentius, cap. 5. Valesius, med. cont. lib. 5, con. 1. [2663]"Distemperature," they conclude, "makes black juice, blackness obscures the spirits, the spirits obscured, cause fear and sorrow." Laurentius, cap. 13. supposeth these black fumes offend specially the diaphragma or midriff, and so per consequens the mind, which is obscured as [2664]the sun by a cloud. To this opinion of Galen, almost all the Greeks and Arabians subscribe, the Latins new and old, internae, tenebrae offuscant animum, ut externae nocent pueris, as children are affrighted in the dark, so are melancholy men at all times, [2665]as having the inward cause with them, and still carrying it about. Which black vapours, whether they proceed from the black blood about the heart, as T. W. Jes. thinks in his treatise of the passions of the mind, or stomach, spleen, midriff, or all the misaffected parts together, it boots not, they keep the mind in a perpetual dungeon, and oppress it with continual fears, anxieties, sorrows, &c. It is an ordinary thing for such as are sound to laugh at this dejected pusillanimity, and those other symptoms of melancholy, to make themselves merry with them, and to wonder at such, as toys and trifles, which may be resisted and withstood, if they will themselves: but let him that so wonders, consider with himself, that if a man should tell him on a sudden, some of his especial friends were dead, could he choose but grieve? Or set him upon a steep rock, where he should be in danger to be precipitated, could he be secure? His heart would tremble for fear, and his head be giddy. P. Byaras, Tract. de pest. gives instance (as I have said) [2666]"and put case" (saith he) "in one that walks upon a plank, if it lie on the ground, he can safely do it: but if the same plank be laid over some deep water, instead of a bridge, he is vehemently moved, and 'tis nothing but his imagination, forma cadendi impressa, to which his other members and faculties obey." Yea, but you infer, that such men have a just cause to fear, a true object of fear; so have melancholy men an inward cause, a perpetual fume and darkness, causing fear, grief, suspicion, which they carry with them, an object which cannot be removed; but sticks as close, and is as inseparable as a shadow to a body, and who can expel or overrun his shadow? Remove heat of the liver, a cold stomach, weak spleen: remove those adust humours and vapours arising from them, black blood from the heart, all outward perturbations, take away the cause, and then bid them not grieve nor fear, or be heavy, dull, lumpish, otherwise counsel can do little good; you may as well bid him that is sick of an ague not to be a dry; or him that is wounded not to feel pain.

Suspicion follows fear and sorrow at heels, arising out of the same fountain, so thinks [2667]Fracastorius, "that fear is the cause of suspicion, and still they suspect some treachery, or some secret machination to be framed against them, still they distrust." Restlessness proceeds from the same spring, variety of fumes make them like and dislike. Solitariness, avoiding of light, that they are weary of their lives, hate the world, arise from the same causes, for their spirits and humours are opposite to light, fear makes them avoid company, and absent themselves, lest they should be misused, hissed at, or overshoot themselves, which still they suspect. They are prone to venery by reason of wind. Angry, waspish, and fretting still, out of abundance of choler, which causeth fearful dreams and violent perturbations to them, both sleeping and waking: That they suppose they have no heads, fly, sink, they are pots, glasses, &c. is wind in their heads. [2668]Herc. de Saxonia doth ascribe this to the several motions in the animal spirits, "their dilation, contraction, confusion, alteration, tenebrosity, hot or cold distemperature," excluding all material humours. [2669]Fracastorius "accounts it a thing worthy of inquisition, why they should entertain such false conceits, as that they have horns, great noses, that they are birds, beasts," &c., why they should think themselves kings, lords, cardinals. For the first, [2670] Fracastorius gives two reasons: "One is the disposition of the body; the other, the occasion of the fantasy," as if their eyes be purblind, their ears sing, by reason of some cold and rheum, &c. To the second, Laurentius answers, the imagination inwardly or outwardly moved, represents to the understanding, not enticements only, to favour the passion or dislike, but a very intensive pleasure follows the passion or displeasure, and the will and reason are captivated by delighting in it.

Why students and lovers are so often melancholy and mad, the philosopher of [2671]Conimbra assigns this reason, "because by a vehement and continual meditation of that wherewith they are affected, they fetch up the spirits into the brain, and with the heat brought with them, they incend it beyond measure: and the cells of the inner senses dissolve their temperature, which being dissolved, they cannot perform their offices as they ought."

Why melancholy men are witty, which Aristotle hath long since maintained in his problems; and that [2672]all learned men, famous philosophers, and lawgivers, ad unum fere omnes melancholici, have still been melancholy, is a problem much controverted. Jason Pratensis will have it understood of natural melancholy, which opinion Melancthon inclines to, in his book de Anima, and Marcilius Ficinus de san. tuend. lib. 1. cap. 5. but not simple, for that makes men stupid, heavy, dull, being cold and dry, fearful, fools, and solitary, but mixed with the other humours, phlegm only excepted; and they not adust, [2673]but so mixed as that blood he half, with little or no adustion, that they be neither too hot nor too cold. Aponensis, cited by Melancthon, thinks it proceeds from melancholy adust, excluding all natural melancholy as too cold. Laurentius condemns his tenet, because adustion of humours makes men mad, as lime burns when water is cast on it. It must be mixed with blood, and somewhat adust, and so that old aphorism of Aristotle may be verified, Nullum magnum ingenium sine mixtura dementiae, no excellent wit without a mixture of madness. Fracastorius shall decide the controversy, [2674]"phlegmatic are dull: sanguine lively, pleasant, acceptable, and merry, but not witty; choleric are too swift in motion, and furious, impatient of contemplation, deceitful wits: melancholy men have the most excellent wits, but not all; this humour may be hot or cold, thick, or thin; if too hot, they are furious and mad: if too cold, dull, stupid, timorous, and sad: if temperate, excellent, rather inclining to that extreme of heat, than cold." This sentence of his will agree with that of Heraclitus, a dry light makes a wise mind, temperate heat and dryness are the chief causes of a good wit; therefore, saith Aelian, an elephant is the wisest of all brute beasts, because his brain is driest, et ob atrae, bilis capiam: this reason Cardan approves, subtil. l. 12. Jo. Baptista Silvaticus, a physician of Milan, in his first controversy, hath copiously handled this question: Rulandus in his problems, Caelius Rhodiginus, lib. 17. Valleriola 6to. narrat. med. Herc. de Saxonia, Tract. posth. de mel. cap. 3. Lodovicus Mercatus, de inter. morb. cur. lib. cap. 17. Baptista Porta, Physiog. lib. 1. c. 13. and many others.

Weeping, sighing, laughing, itching, trembling, sweating, blushing, hearing and seeing strange noises, visions, wind, crudity, are motions of the body, depending upon these precedent motions of the mind: neither are tears, affections, but actions (as Scaliger holds) [2675]"the voice of such as are afraid, trembles, because the heart is shaken" (Conimb. prob. 6. sec. 3. de som.) why they stutter or falter in their speech, Mercurialis and Montaltus, cap. 17. give like reasons out of Hippocrates, [2676]"dryness, which makes the nerves of the tongue torpid." Fast speaking (which is a symptom of some few) Aetius will have caused [2677] "from abundance of wind, and swiftness of imagination:" [2678]"baldness comes from excess of dryness," hirsuteness from a dry temperature. The cause of much waking in a dry brain, continual meditation, discontent, fears and cares, that suffer not the mind to be at rest, incontinency is from wind, and a hot liver, Montanus, cons. 26. Rumbling in the guts is caused from wind, and wind from ill concoction, weakness of natural heat, or a distempered heat and cold; [2679]Palpitation of the heart from vapours, heaviness and aching from the same cause. That the belly is hard, wind is a cause, and of that leaping in many parts. Redness of the face, and itching, as if they were flea-bitten, or stung with pismires, from a sharp subtle wind. [2680]Cold sweat from vapours arising from the hypochondries, which pitch upon the skin; leanness for want of good nourishment. Why their appetite is so great, [2681]Aetius answers: Os ventris frigescit, cold in those inner parts, cold belly, and hot liver, causeth crudity, and intention proceeds from perturbations, [2682]our souls for want of spirits cannot attend exactly to so many intentive operations, being exhaust, and overswayed by passion, she cannot consider the reasons which may dissuade her from such affections.

[2683]Bashfulness and blushing, is a passion proper to men alone, and is not only caused for [2684]some shame and ignominy, or that they are guilty unto themselves of some foul fact committed, but as [2685]Fracastorius well determines, ob defectum proprium, et timorem, "from fear, and a conceit of our defects; the face labours and is troubled at his presence that sees our defects, and nature willing to help, sends thither heat, heat draws the subtlest blood, and so we blush. They that are bold, arrogant, and careless, seldom or never blush, but such as are fearful." Anthonius Lodovicus, in his book de pudore, will have this subtle blood to arise in the face, not so much for the reverence of our betters in presence, [2686]"but for joy and pleasure, or if anything at unawares shall pass from us, a sudden accident, occurse, or meeting:" (which Disarius in [2687] Macrobius confirms) any object heard or seen, for blind men never blush, as Dandinus observes, the night and darkness make men impudent. Or that we be staid before our betters, or in company we like not, or if anything molest and offend us, erubescentia turns to rubor, blushing to a continuate redness. [2688]Sometimes the extremity of the ears tingle, and are red, sometimes the whole face, Etsi nihil vitiosum commiseris, as Lodovicus holds: though Aristotle is of opinion, omnis pudor ex vitio commisso, all shame for some offence. But we find otherwise, it may as well proceed [2689]from fear, from force and inexperience, (so [2690]Dandinus holds) as vice; a hot liver, saith Duretus (notis in Hollerium:) "from a hot brain, from wind, the lungs heated, or after drinking of wine, strong drink, perturbations," &c.

Laughter what it is, saith [2691]Tully, "how caused, where, and so suddenly breaks out, that desirous to stay it, we cannot, how it comes to possess and stir our face, veins, eyes, countenance, mouth, sides, let Democritus determine." The cause that it often affects melancholy men so much, is given by Gomesius, lib. 3. de sale genial. cap. 18. abundance of pleasant vapours, which, in sanguine melancholy especially, break from the heart, [2692]"and tickle the midriff, because it is transverse and full of nerves: by which titillation the sense being moved, and arteries distended, or pulled, the spirits from thence move and possess the sides, veins, countenance, eyes." See more in Jossius de risu et fletu, Vives 3 de Anima. Tears, as Scaliger defines, proceed from grief and pity, [2693]"or from the heating of a moist brain, for a dry cannot weep."

That they see and hear so many phantasms, chimeras, noises, visions, &c. as Fienus hath discoursed at large in his book of imagination, and [2694] Lavater de spectris, part. 1. cap. 2. 3. 4. their corrupt phantasy makes them see and hear that which indeed is neither heard nor seen, Qui multum jejunant, aut noctes ducunt insomnes, they that much fast, or want sleep, as melancholy or sick men commonly do, see visions, or such as are weak-sighted, very timorous by nature, mad, distracted, or earnestly seek. Sabini quod volunt somniant, as the saying is, they dream of that they desire. Like Sarmiento the Spaniard, who when he was sent to discover the straits of Magellan, and confine places, by the Prorex of Peru, standing on the top of a hill, Amaenissimam planitiem despicere sibi visus fuit, aedificia magnifica, quamplurimos Pagos, alias Turres, splendida Templa, and brave cities, built like ours in Europe, not, saith mine [2695]author, that there was any such thing, but that he was vanissimus et nimis credulus, and would fain have had it so. Or as [2696]Lod. Mercatus proves, by reason of inward vapours, and humours from blood, choler, &c. diversely mixed, they apprehend and see outwardly, as they suppose, divers images, which indeed are not. As they that drink wine think all runs round, when it is in their own brain; so is it with these men, the fault and cause is inward, as Galen affirms, [2697]mad men and such as are near death, quas extra se videre putant Imagines, intra oculos habent, 'tis in their brain, which seems to be before them; the brain as a concave glass reflects solid bodies. Senes etiam decrepiti cerebrum habent concavum et aridum, ut imaginentur se videre (saith [2698]Boissardus) quae non sunt, old men are too frequently mistaken and dote in like case: or as he that looketh through a piece of red glass, judgeth everything he sees to be red; corrupt vapours mounting from the body to the head, and distilling again from thence to the eyes, when they have mingled themselves with the watery crystal which receiveth the shadows of things to be seen, make all things appear of the same colour, which remains in the humour that overspreads our sight, as to melancholy men all is black, to phlegmatic all white, &c. Or else as before the organs corrupt by a corrupt phantasy, as Lemnius, lib. 1. cap. 16. well quotes, [2699]"cause a great agitation of spirits, and humours, which wander to and fro in all the creeks of the brain, and cause such apparitions before their eyes." One thinks he reads something written in the moon, as Pythagoras is said to have done of old, another smells brimstone, hears Cerberus bark: Orestes now mad supposed he saw the furies tormenting him, and his mother still ready to run upon him,

[2700] "O mater obsecro noli me persequi His furiis, aspectu anguineis, horribilibus, Ecce ecce me invadunt, in me jam ruunt;"

but Electra told him thus raving in his mad fit, he saw no such sights at all, it was but his crazed imagination.

[2701] "Quiesce, quiesce miser in linteis tuis, Non cernis etenim quae videre te putas."

So Pentheus (in Bacchis Euripidis) saw two suns, two Thebes, his brain alone was troubled. Sickness is an ordinary cause of such sights. Cardan, subtil. 8. Mens aegra laboribus et jejuniis fracta, facit eos videre, audire, &c. And, Osiander beheld strange visions, and Alexander ab Alexandro both, in their sickness, which he relates de rerum varietat. lib. 8. cap. 44. Albategnius that noble Arabian, on his death-bed, saw a ship ascending and descending, which Fracastorius records of his friend Baptista Tirrianus. Weak sight and a vain persuasion withal, may effect as much, and second causes concurring, as an oar in water makes a refraction, and seems bigger, bended double, &c. The thickness of the air may cause such effects, or any object not well-discerned in the dark, fear and phantasy will suspect to be a ghost, a devil, &c. [2702]Quod nimis miseri timent, hoc facile credunt, we are apt to believe, and mistake in such cases. Marcellus Donatus, lib. 2. cap. 1. brings in a story out of Aristotle, of one Antepharon which likely saw, wheresoever he was, his own image in the air, as in a glass. Vitellio, lib. 10. perspect. hath such another instance of a familiar acquaintance of his, that after the want of three or four nights sleep, as he was riding by a river side, saw another riding with him, and using all such gestures as he did, but when more light appeared, it vanished. Eremites and anchorites have frequently such absurd visions, revelations by reason of much fasting, and bad diet, many are deceived by legerdemain, as Scot hath well showed in his book of the discovery of witchcraft, and Cardan, subtil. 18. suffites, perfumes, suffumigations, mixed candles, perspective glasses, and such natural causes, make men look as if they were dead, or with horse-heads, bull's-horns, and such like brutish shapes, the room full of snakes, adders, dark, light, green, red, of all colours, as you may perceive in Baptista Porta, Alexis, Albertus, and others, glow-worms, fire-drakes, meteors, Ignis fatuus, which Plinius, lib. 2. cap. 37. calls Castor and Pollux, with many such that appear in moorish grounds, about churchyards, moist valleys, or where battles have been fought, the causes of which read in Goclenius, Velouris, Fickius, &c. such fears are often done, to frighten children with squibs, rotten wood, &c. to make folks look as if they were dead, [2703]solito majores, bigger, lesser, fairer, fouler, ut astantes sine capitibus videantur; aut toti igniti, aut forma daemonum, accipe pilos canis nigri, &c. saith Albertus; and so 'tis ordinary to see strange uncouth sights by catoptrics: who knows not that if in a dark room, the light be admitted at one only little hole, and a paper or glass put upon it, the sun shining, will represent on the opposite wall all such objects as are illuminated by his rays? with concave and cylinder glasses, we may reflect any shape of men, devils, antics, (as magicians most part do, to gull a silly spectator in a dark room), we will ourselves, and that hanging in the air, when 'tis nothing but such an horrible image as [2704]Agrippa demonstrates, placed in another room. Roger Bacon of old is said to have represented his own image walking in the air by this art, though no such thing appear in his perspectives. But most part it is in the brain that deceives them, although I may not deny, but that oftentimes the devil deludes them, takes his opportunity to suggest, and represent vain objects to melancholy men, and such as are ill affected. To these you may add the knavish impostures of jugglers, exorcists, mass-priests, and mountebanks, of whom Roger Bacon speaks, &c. de miraculis naturae et artis. cap. 1. [2705]they can counterfeit the voices of all birds and brute beasts almost, all tones and tunes of men, and speak within their throats, as if they spoke afar off, that they make their auditors believe they hear spirits, and are thence much astonished and affrighted with it. Besides, those artificial devices to overhear their confessions, like that whispering place of Gloucester [2706]with us, or like the duke's place at Mantua in Italy, where the sound is reverberated by a concave wall; a reason of which Blancanus in his Echometria gives, and mathematically demonstrates.

So that the hearing is as frequently deluded as the sight, from the same causes almost, as he that hears bells, will make them sound what he list. "As the fool thinketh, so the bell clinketh." Theophilus in Galen thought he heard music, from vapours which made his ears sound, &c. Some are deceived by echoes, some by roaring of waters, or concaves and reverberation of air in the ground, hollow places and walls. [2707]At Cadurcum, in Aquitaine, words and sentences are repeated by a strange echo to the full, or whatsoever you shall play upon a musical instrument, more distinctly and louder, than they are spoken at first. Some echoes repeat a thing spoken seven times, as at Olympus, in Macedonia, as Pliny relates, lib. 36. cap. 15. Some twelve times, as at Charenton, a village near Paris, in France. At Delphos, in Greece, heretofore was a miraculous echo, and so in many other places. Cardan, subtil. l. 18, hath wonderful stories of such as have been deluded by these echoes. Blancanus the Jesuit, in his Echometria, hath variety of examples, and gives his reader full satisfaction of all such sounds by way of demonstration. [2708]At Barrey, an isle in the Severn mouth, they seem to hear a smith's forge; so at Lipari, and those sulphureous isles, and many such like, which Olaus speaks of in the continent of Scandia, and those northern countries. Cardan de rerum var. l. 15, c. 84, mentioneth a woman, that still supposed she heard the devil call her, and speaking to her, she was a painter's wife in Milan: and many such illusions and voices, which proceed most part from a corrupt imagination.

Whence it comes to pass, that they prophesy, speak several languages, talk of astronomy, and other unknown sciences to them (of which they have been ever ignorant): [2709]I have in brief touched, only this I will here add, that Arculanus, Bodin. lib. 3, cap. 6, daemon. and some others, [2710] hold as a manifest token that such persons are possessed with the devil; so doth [2711]Hercules de Saxonia, and Apponensis, and fit only to be cured by a priest. But [2712]Guianerius, [2713]Montaltus, Pomporiatius of Padua, and Lemnius lib. 2. cap. 2, refer it wholly to the ill-disposition of the [2714]humour, and that out of the authority of Aristotle prob. 30. 1, because such symptoms are cured by purging; and as by the striking of a flint fire is enforced, so by the vehement motion of spirits, they do elicere voces inauditas, compel strange speeches to be spoken: another argument he hath from Plato's reminiscentia, which all out as likely as that which [2715]Marsilius Ficinus speaks of his friend Pierleonus; by a divine kind of infusion he understood the secrets of nature, and tenets of Grecian and barbarian philosophers, before ever he heard of, saw, or read their works: but in this I should rather hold with Avicenna and his associates, that such symptoms proceed from evil spirits, which take all opportunities of humours decayed, or otherwise to pervert the soul of man: and besides, the humour itself is balneum diaboli, the devil's bath; and as Agrippa proves, doth entice him to seize upon them.

SECT. IV. MEMB. I. Prognostics of Melancholy.

Prognostics, or signs of things to come, are either good or bad. If this malady be not hereditary, and taken at the beginning, there is good hope of cure, recens curationem non habet difficilem, saith Avicenna, l. 3, Fen. 1, Tract. 4, c. 18. That which is with laughter, of all others is most secure, gentle, and remiss, Hercules de Saxonia. [2716]"If that evacuation of haemorrhoids, or varices, which they call the water between the skin, shall happen to a melancholy man, his misery is ended," Hippocrates Aphor. 6, 11. Galen l. 6, de morbis vulgar. com. 8, confirms the same; and to this aphorism of Hippocrates, all the Arabians, new and old Latins subscribe; Montaltus c. 25, Hercules de Saxonia, Mercurialis, Vittorius Faventinus, &c. Skenkius, l. 1, observat. med. c. de Mania, illustrates this aphorism, with an example of one Daniel Federer a coppersmith that was long melancholy, and in the end mad about the 27th year of his age, these varices or water began to arise in his thighs, and he was freed from his madness. Marius the Roman was so cured, some, say, though with great pain. Skenkius hath some other instances of women that have been helped by flowing of their mouths, which before were stopped. That the opening of the haemorrhoids will do as much for men, all physicians jointly signify, so they be voluntary, some say, and not by compulsion. All melancholy are better after a quartan; [2717]Jobertus saith, scarce any man hath that ague twice; but whether it free him from this malady, 'tis a question; for many physicians ascribe all long agues for especial causes, and a quartan ague amongst the rest. [2718]Rhasis cont. lib. 1, tract. 9. "When melancholy gets out at the superficies of the skin, or settles breaking out in scabs, leprosy, morphew, or is purged by stools, or by the urine, or that the spleen is enlarged, and those varices appear, the disease is dissolved." Guianerius, cap. 5, tract. 15, adds dropsy, jaundice, dysentery, leprosy, as good signs, to these scabs, morphews, and breaking out, and proves it out of the 6th of Hippocrates' Aphorisms.

Evil prognostics on the other part. Inveterata melancholia incurabilis, if it be inveterate, it is [2719]incurable, a common axiom, aut difficulter curabilis as they say that make the best, hardly cured. This Galen witnesseth, l. 3, de loc. affect. cap. 6, [2720]"be it in whom it will, or from what cause soever, it is ever long, wayward, tedious, and hard to be cured, if once it be habituated." As Lucian said of the gout, she was [2721]"the queen of diseases, and inexorable," may we say of melancholy. Yet Paracelsus will have all diseases whatsoever curable, and laughs at them which think otherwise, as T. Erastus par. 3, objects to him; although in another place, hereditary diseases he accounts incurable, and by no art to be removed. [2722]Hildesheim spicel. 2, de mel. holds it less dangerous if only [2723]"imagination be hurt, and not reason," [2724]"the gentlest is from blood. Worse from choler adust, but the worst of all from melancholy putrefied." [2725]Bruel esteems hypochondriacal least dangerous, and the other two species (opposite to Galen) hardest to be cured. [2726]The cure is hard in man, but much more difficult in women. And both men and women must take notice of that saying of Montanus consil. 230, pro Abate Italo, [2727]"This malady doth commonly accompany them to their grave; physicians may ease, and it may lie hid for a time, but they cannot quite cure it, but it will return again more violent and sharp than at first, and that upon every small occasion or error:" as in Mercury's weather-beaten statue, that was once all over gilt, the open parts were clean, yet there was in fimbriis aurum, in the chinks a remnant of gold: there will be some relics of melancholy left in the purest bodies (if once tainted) not so easily to be rooted out. [2728] Oftentimes it degenerates into epilepsy, apoplexy, convulsions, and blindness: by the authority of Hippocrates and Galen, [2729]all aver, if once it possess the ventricles of the brain, Frambesarius, and Salust. Salvianus adds, if it get into the optic nerves, blindness. Mercurialis, consil. 20, had a woman to his patient, that from melancholy became epileptic and blind. [2730]If it come from a cold cause, or so continue cold, or increase, epilepsy; convulsions follow, and blindness, or else in the end they are moped, sottish, and in all their actions, speeches, and gestures, ridiculous. [2731]If it come from a hot cause, they are more furious, and boisterous, and in conclusion mad. Calescentem melancholiam saepius sequitur mania. [2732]If it heat and increase, that is the common event, [2733]per circuitus, aut semper insanit, he is mad by fits, or altogether. For as [2734]Sennertus contends out of Crato, there is seminarius ignis in this humour, the very seeds of fire. If it come from melancholy natural adust, and in excess, they are often demoniacal, Montanus.

[2735]Seldom this malady procures death, except (which is the greatest, most grievous calamity, and the misery of all miseries,) they make away themselves, which is a frequent thing, and familiar amongst them. 'Tis [2736]Hippocrates' observation, Galen's sentence, Etsi mortem timent, tamen plerumque sibi ipsis mortem consciscunt, l. 3. de locis affec. cap. 7. The doom of all physicians. 'Tis [2737]Rabbi Moses' Aphorism, the prognosticon of Avicenna, Rhasis, Aetius, Gordonius, Valescus, Altomarus, Salust. Salvianus, Capivaccius, Mercatus, Hercules de Saxonia, Piso, Bruel, Fuchsius, all, &c.

[2738] "Et saepe usque adeo mortis formidine vitae Percipit infelix odium lucisque videndae, Ut sibi consciscat maerenti pectore lethum."

"And so far forth death's terror doth affright, He makes away himself, and hates the light To make an end of fear and grief of heart, He voluntary dies to ease his smart."

In such sort doth the torture and extremity of his misery torment him, that he can take no pleasure in his life, but is in a manner enforced to offer violence unto himself, to be freed from his present insufferable pains. So some (saith [2739]Fracastorius) "in fury, but most in despair, sorrow, fear, and out of the anguish and vexation of their souls, offer violence to themselves: for their life is unhappy and miserable. They can take no rest in the night, nor sleep, or if they do slumber, fearful dreams astonish them." In the daytime they are affrighted still by some terrible object, and torn in pieces with suspicion, fear, sorrow, discontents, cares, shame, anguish, &c. as so many wild horses, that they cannot be quiet an hour, a minute of time, but even against their wills they are intent, and still thinking of it, they cannot forget it, it grinds their souls day and night, they are perpetually tormented, a burden to themselves, as Job was, they can neither eat, drink or sleep. Psal. cvii. 18. "Their soul abhorreth all meat, and they are brought to death's door, [2740]being bound in misery and iron:" they [2741]curse their stars with Job, [2742]"and day of their birth, and wish for death:" for as Pineda and most interpreters hold, Job was even melancholy to despair, and almost [2743]madness itself; they murmur many times against the world, friends, allies, all mankind, even against God himself in the bitterness of their passion, [2744]vivere nolunt, mori nesciunt, live they will not, die they cannot. And in the midst of these squalid, ugly, and such irksome days, they seek at last, finding no comfort, [2745]no remedy in this wretched life, to be eased of all by death. Omnia appetunt bonum, all creatures seek the best, and for their good as they hope, sub specie, in show at least, vel quia mori pulchrum putant (saith [2746]Hippocrates) vel quia putant inde se majoribus malis liberari, to be freed as they wish. Though many times, as Aesop's fishes, they leap from the frying-pan into the fire itself, yet they hope to be eased by this means: and therefore (saith Felix [2747]Platerus) "after many tedious days at last, either by drowning, hanging, or some such fearful end," they precipitate or make away themselves: "many lamentable examples are daily seen amongst us:" alius ante, fores se laqueo suspendit (as Seneca notes), alius se praecipitavit a tecto, ne dominum stomachantem audiret, alius ne reduceretur a fuga ferrum redegit in viscera, "one hangs himself before his own door,—another throws himself from the house-top, to avoid his master's anger,—a third, to escape expulsion, plunges a dagger into his heart,"—so many causes there are—His amor exitio est, furor his—love, grief, anger, madness, and shame, &c. 'Tis a common calamity, [2748]a fatal end to this disease, they are condemned to a violent death, by a jury of physicians, furiously disposed, carried headlong by their tyrannising wills, enforced by miseries, and there remains no more to such persons, if that heavenly Physician, by his assisting grace and mercy alone do not prevent, (for no human persuasion or art can help) but to be their own butchers, and execute themselves. Socrates his cicuta, Lucretia's dagger, Timon's halter, are yet to be had; Cato's knife, and Nero's sword are left behind them, as so many fatal engines, bequeathed to posterity, and will be used to the world's end, by such distressed souls: so intolerable, insufferable, grievous, and violent is their pain, [2749]so unspeakable and continuate. One day of grief is an hundred years, as Cardan observes: 'Tis carnificina hominum, angor animi, as well saith Areteus, a plague of the soul, the cramp and convulsion of the soul, an epitome of hell; and if there be a hell upon earth, it is to be found in a melancholy man's heart.

"For that deep torture may be call'd an hell, When more is felt, than one hath power to tell."

Yea, that which scoffing Lucian said of the gout in jest, I may truly affirm of melancholy in earnest.

[2750] "O triste nomen! o diis odibile Melancholia lacrymosa, Cocyti filia, Tu Tartari specubus opacis edita Erinnys, utero quam Megara suo tulit, Et ab uberibus aluit, cuique parvidae Amarulentum in os lac Alecto dedit, Omnes abominabilem te daemones Produxere in lucem, exitio mortalium. Et paulo post Non Jupiter ferit tale telum fulminis, Non ulla sic procella saevit aequoris, Non impetuosi tanta vis est turbinis. An asperos sustineo morsus Cerberi? Num virus Echidnae membra mea depascitur? Aut tunica sanie tincta Nessi sanguinis? Illacrymabile et immedicabile malum hoc."

"O sad and odious name! a name so fell, Is this of melancholy, brat of hell. There born in hellish darkness doth it dwell, The Furies brought it up, Megara's teat, Alecto gave it bitter milk to eat. And all conspir'd a bane to mortal men, To bring this devil out of that black den. Jupiter's thunderbolt, not storm at sea, Nor whirlwind doth our hearts so much dismay. What? am I bit by that fierce Cerberus? Or stung by [2751]serpent so pestiferous? Or put on shirt that's dipt in Nessus' blood? My pain's past cure; physic can do no good."

No torture of body like unto it, Siculi non invenere tyranni majus tormentum, no strappadoes, hot irons, Phalaris' bulls,

[2752] "Nec ira deum tantum, nec tela, nec hostis, Quantum sola noces animis illapsa."

"Jove's wrath, nor devils can Do so much harm to th' soul of man."

All fears, griefs, suspicions, discontents, imbonites, insuavities are swallowed up, and drowned in this Euripus, this Irish sea, this ocean of misery, as so many small brooks; 'tis coagulum omnium aerumnarum: which [2753]Ammianus applied to his distressed Palladins. I say of our melancholy man, he is the cream of human adversity, the [2754] quintessence, and upshot; all other diseases whatsoever, are but flea-bitings to melancholy in extent: 'Tis the pith of them all, [2755] Hospitium est calamitatis; quid verbis opus est?

"Quamcunque malam rem quaeris, illic reperies:"

"What need more words? 'tis calamities inn, Where seek for any mischief, 'tis within;"

and a melancholy man is that true Prometheus, which is bound to Caucasus; the true Titius, whose bowels are still by a vulture devoured (as poets feign) for so doth [2756]Lilius Geraldus interpret it, of anxieties, and those griping cares, and so ought it to be understood. In all other maladies, we seek for help, if a leg or an arm ache, through any distemperature or wound, or that we have an ordinary disease, above all things whatsoever, we desire help and health, a present recovery, if by any means possible it may be procured; we will freely part with all our other fortunes, substance, endure any misery, drink bitter potions, swallow those distasteful pills, suffer our joints to be seared, to be cut off, anything for future health: so sweet, so dear, so precious above all other things in this world is life: 'tis that we chiefly desire, long life and happy days, [2757]multos da Jupiter annos, increase of years all men wish; but to a melancholy man, nothing so tedious, nothing so odious; that which they so carefully seek to preserve [2758]he abhors, he alone; so intolerable are his pains; some make a question, graviores morbi corporis an animi, whether the diseases of the body or mind be more grievous, but there is no comparison, no doubt to be made of it, multo enim saevior longeque est atrocior animi, quam corporis cruciatus (Lem. l. 1. c. 12.) the diseases of the mind are far more grievous.—Totum hic pro vulnere corpus, body and soul is misaffected here, but the soul especially. So Cardan testifies de rerum var. lib. 8. 40. [2759]Maximus Tyrius a Platonist, and Plutarch, have made just volumes to prove it. [2760]Dies adimit aegritudinem hominibus, in other diseases there is some hope likely, but these unhappy men are born to misery, past all hope of recovery, incurably sick, the longer they live the worse they are, and death alone must ease them.

Another doubt is made by some philosophers, whether it be lawful for a man in such extremity of pain and grief, to make away himself: and how these men that so do are to be censured. The Platonists approve of it, that it is lawful in such cases, and upon a necessity; Plotinus l. de beatitud. c. 7. and Socrates himself defends it, in Plato's Phaedon, "if any man labour of an incurable disease, he may despatch himself, if it be to his good." Epicurus and his followers, the cynics and stoics in general affirm it, Epictetus and [2761]Seneca amongst the rest, quamcunque veram esse viam ad libertatem, any way is allowable that leads to liberty, [2762]"let us give God thanks, that no man is compelled to live against his will;" [2763] quid ad hominem claustra, career, custodia? liberum ostium habet, death is always ready and at hand. Vides illum praecipitem locum, illud flumen, dost thou see that steep place, that river, that pit, that tree, there's liberty at hand, effugia servitutis et doloris sunt, as that Laconian lad cast himself headlong (non serviam aiebat puer) to be freed of his misery: every vein in thy body, if these be nimis operosi exitus, will set thee free, quid tua refert finem facias an accipias? there's no necessity for a man to live in misery. Malum est necessitati vivere; sed in necessitate vivere, necessitas nulla est. Ignavus qui sine causa moritur, et stultus qui cum dolore vivit. Idem epi. 58. Wherefore hath our mother the earth brought out poisons, saith [2764]Pliny, in so great a quantity, but that men in distress might make away themselves? which kings of old had ever in a readiness, ad incerta fortunae venenum sub custode promptum, Livy writes, and executioners always at hand. Speusippes being sick was met by Diogenes, and carried on his slaves' shoulders, he made his moan to the philosopher; but I pity thee not, quoth Diogenes, qui cum talis vivere sustines, thou mayst be freed when thou wilt, meaning by death. [2765]Seneca therefore commends Cato, Dido, and Lucretia, for their generous courage in so doing, and others that voluntarily die, to avoid a greater mischief, to free themselves from misery, to save their honour, or vindicate their good name, as Cleopatra did, as Sophonisba, Syphax's wife did, Hannibal did, as Junius Brutus, as Vibius Virus, and those Campanian senators in Livy (Dec. 3. lib. 6.) to escape the Roman tyranny, that poisoned themselves. Themistocles drank bull's blood, rather than he would fight against his country, and Demosthenes chose rather to drink poison, Publius Crassi filius, Censorius and Plancus, those heroical Romans to make away themselves, than to fall into their enemies' hands. How many myriads besides in all ages might I remember, qui sibi lethum Insontes pepperere manu, &c. [2766]Rhasis in the Maccabees is magnified for it, Samson's death approved. So did Saul and Jonas sin, and many worthy men and women, quorum memoria celebratur in Ecclesia, saith [2767]Leminchus, for killing themselves to save their chastity and honour, when Rome was taken, as Austin instances, l. 1. de Civit. Dei, cap. 16. Jerome vindicateth the same in Ionam and Ambrose, l. 3. de virginitate commendeth Pelagia for so doing. Eusebius, lib. 8. cap. 15. admires a Roman matron for the same fact to save herself from the lust of Maxentius the Tyrant. Adelhelmus, abbot of Malmesbury, calls them Beatas virgines quae sic, &c. Titus Pomponius Atticus, that wise, discreet, renowned Roman senator, Tully's dear friend, when he had been long sick, as he supposed, of an incurable disease, vitamque produceret ad augendos dolores, sine spe salutis, was resolved voluntarily by famine to despatch himself to be rid of his pain; and when as Agrippa, and the rest of his weeping friends earnestly besought him, osculantes obsecrarent ne id quod natura cogeret, ipse acceleraret, not to offer violence to himself, "with a settled resolution he desired again they would approve of his good intent, and not seek to dehort him from it:" and so constantly died, precesque eorum taciturna sua obstinatione depressit. Even so did Corellius Rufus, another grave senator, by the relation of Plinius Secundus, epist. lib. 1. epist. 12. famish himself to death; pedibus correptus cum incredibiles cruciatus et indignissima tormenta pateretur, a cibis omnino abstinuit; [2768]neither he nor Hispilla his wife could divert him, but destinatus mori obstinate magis, &c. die he would, and die he did. So did Lycurgus, Aristotle, Zeno, Chrysippus, Empedocles, with myriads, &c. In wars for a man to run rashly upon imminent danger, and present death, is accounted valour and magnanimity, [2769]to be the cause of his own, and many a thousand's ruin besides, to commit wilful murder in a manner, of himself and others, is a glorious thing, and he shall be crowned for it. The [2770] Massegatae in former times, [2771]Barbiccians, and I know not what nations besides, did stifle their old men, after seventy years, to free them from those grievances incident to that age. So did the inhabitants of the island of Choa, because their air was pure and good, and the people generally long lived, antevertebant fatum suum, priusquam manci forent, aut imbecillitas accederet, papavere vel cicuta, with poppy or hemlock they prevented death. Sir Thomas More in his Utopia commends voluntary death, if he be sibi aut aliis molestus, troublesome to himself or others, ([2772] "especially if to live be a torment to him,) let him free himself with his own hands from this tedious life, as from a prison, or suffer himself to be freed by others." [2773]And 'tis the same tenet which Laertius relates of Zeno, of old, Juste sapiens sibi mortem consciscit, si in acerbis doloribus versetur, membrorum mutilatione aut morbis aegre curandis, and which Plato 9. de legibus approves, if old age, poverty, ignominy, &c. oppress, and which Fabius expresseth in effect. (Praefat. 7. Institut.) Nemo nisi sua culpa diu dolet. It is an ordinary thing in China, (saith Mat. Riccius the Jesuit,) [2774]"if they be in despair of better fortunes, or tired and tortured with misery, to bereave themselves of life, and many times, to spite their enemies the more, to hang at their door." Tacitus the historian, Plutarch the philosopher, much approve a voluntary departure, and Aust. de civ. Dei, l. 1. c. 29. defends a violent death, so that it be undertaken in a good cause, nemo sic mortuus, qui non fuerat aliquando moriturus; quid autem interest, quo mortis genere vita ista finiatur, quando ille cui finitur, iterum mori non cogitur? &c. [2775]no man so voluntarily dies, but volens nolens, he must die at last, and our life is subject to innumerable casualties, who knows when they may happen, utrum satius est unam perpeti moriendo, an omnes timere vivendo, [2776] rather suffer one, than fear all. "Death is better than a bitter life," Eccl. xxx. 17. [2777]and a harder choice to live in fear, than by once dying, to be freed from all. Theombrotus Ambraciotes persuaded I know not how many hundreds of his auditors, by a luculent oration he made of the miseries of this, and happiness of that other life, to precipitate themselves. And having read Plato's divine tract de anima, for example's sake led the way first. That neat epigram of Callimachus will tell you as much,

[2778] "Jamque vale Soli cum diceret Ambrociotes, In Stygios fertur desiluisse lacus, Morte nihil dignum passus: sed forte Platonis Divini eximum de nece legit opus."

[2779]Calenus and his Indians hated of old to die a natural death: the Circumcellians and Donatists, loathing life, compelled others to make them away, with many such: [2780]but these are false and pagan positions, profane stoical paradoxes, wicked examples, it boots not what heathen philosophers determine in this kind, they are impious, abominable, and upon a wrong ground. "No evil is to be done that good may come of it;" reclamat Christus, reclamat Scriptura, God, and all good men are [2781]against it: He that stabs another, can kill his body; but he that stabs himself, kills his own soul. [2782]Male meretur, qui dat mendico, quod edat; nam et illud quod dat, perit; et illi producit vitam ad miseriam: he that gives a beggar an alms (as that comical poet said) doth ill, because he doth but prolong his miseries. But Lactantius l. 6. c. 7. de vero cultu, calls it a detestable opinion, and fully confutes it, lib. 3. de sap. cap. 18. and S. Austin, epist. 52. ad Macedonium, cap. 61. ad Dulcitium Tribunum: so doth Hierom to Marcella of Blesilla's death, Non recipio tales animas, &c., he calls such men martyres stultae Philosophiae: so doth Cyprian de duplici martyrio; Si qui sic moriantur, aut infirmitas, aut ambitio, aut dementia cogit eos; 'tis mere madness so to do, [2783]furore est ne moriare mori. To this effect writes Arist. 3. Ethic. Lipsius Manuduc. ad Stoicam Philosophiaem lib. 3. dissertat. 23. but it needs no confutation. This only let me add, that in some cases, those [2784]hard censures of such as offer violence to their own persons, or in some desperate fit to others, which sometimes they do, by stabbing, slashing, &c. are to be mitigated, as in such as are mad, beside themselves for the time, or found to have been long melancholy, and that in extremity, they know not what they do, deprived of reason, judgment, all, [2785]as a ship that is void of a pilot, must needs impinge upon the next rock or sands, and suffer shipwreck. [2786]P. Forestus hath a story of two melancholy brethren, that made away themselves, and for so foul a fact, were accordingly censured to be infamously buried, as in such cases they use: to terrify others, as it did the Milesian virgins of old; but upon farther examination of their misery and madness, the censure was [2787]revoked, and they were solemnly interred, as Saul was by David, 2 Sam. ii. 4. and Seneca well adviseth, Irascere interfectori, sed miserere interfecti; be justly offended with him as he was a murderer, but pity him now as a dead man. Thus of their goods and bodies we can dispose; but what shall become of their souls, God alone can tell; his mercy may come inter pontem et fontem, inter gladium et jugulum, betwixt the bridge and the brook, the knife and the throat. Quod cuiquam contigit, quivis potest: Who knows how he may be tempted? It is his case, it may be thine: [2788]Quae sua sors hodie est, eras fore vestra potest. We ought not to be so rash and rigorous in our censures, as some are; charity will judge and hope the best: God be merciful unto us all.



THE SYNOPSIS OF THE SECOND PARTITION.

Cure of melancholy is either

Sect 1. General to all, which contains

Unlawful means forbidden,

Memb. 1. From the devil, magicians, witches, &c., by charms, spells, incantations, &c.

Quest. 1. Whether they can cure this, or other such like diseases? Quest. 2. Whether, if they can so cure, it be lawful to seek to them for help?

or Lawful means, which are

Memb. 2. Immediately from God, a Jove principium by prayer &c. Memb. 3. Quest. 1. Whether saints and their relics can help this infirmity? Quest. 2. Whether it be lawful to sue to them for aid.

or Memb. 4. Mediately by Nature which concerns and works by Subsect. 1. Physician, in whom is required science, confidence, honesty, &c. Subsect. 2. Patient, in whom is required obedience, constancy, willingness, patience, confidence, bounty, &c., not to practise on himself. Subsect. 3. Physic, which consists of Dietetical [Symbol: Aries] Pharmaceutical [Symbol: Taurus] Chirurgical [Symbol: Gemini]

or Particular to the three distinct species, [Symbol: Cancer] [Symbol: Leo] [Symbol: Virgo]

[Symbol: Aries] Sect. 2. Dietetical, which consists in reforming those six non-natural things, as in

Diet rectified 1. Memb.

Matter and quality 1 Subs. Such meats as are easy of digestion, well-dressed, hot, sod, &c., young, moist, of good nourishment, &c. Bread of pure wheat, well-baked. Water clear from the fountain. Wine and drink not too strong, &c. Flesh Mountain birds, partridge, pheasant, quails, &c. Hen, capon, mutton, veal, kid, rabbit, &c. Fish That live in gravelly waters, as pike, perch, trout, sea-fish, solid, white, &c. Herbs Borage, bugloss, balm, succory, endive, violets, in broth, not raw, &c. Fruits and roots. Raisins of the sun, apples corrected for wind, oranges, &c., parsnips, potatoes, &c.

or Subs. 2. Quantity. At seasonable and unusual times of repast, in good order, not before the first be concocted, sparing, not overmuch of one dish.

Memb. 2. Rectification of retention and evacuation, as costiveness, venery, bleeding at nose, months stopped, baths, &c.

Memb. 3. Air rectified, with a digression of the air Naturally in the choice and site of our country, dwelling-place, to be hot and moist, light, wholesome, pleasant &c. Artificially, by often change of air, avoiding winds, fogs, tempests, opening windows, perfumes, &c.

Memb. 4. Exercise Of body and mind, but moderate, as hawking, hunting, riding, shooting, bowling, fishing, fowling, walking in fair fields, galleries, tennis, bar. Of mind, as chess, cards, tables &c., to see plays, masks, &c., serious studies, business, all honest recreations.

Memb. 5. Rectification of waking and terrible dreams, &c.

Memb. 6. Rectification of passions and perturbations of the mind. [Symbol: Libra]

Memb. 6. Passions and perturbations of the mind rectified.

From himself Subsect. 1. By using all good means of help, confessing to a friend, &c. Avoiding all occasions of his infirmity. Not giving way to passions, but resisting to his utmost.

or from his friends. Subsect. 2. By fair and foul means, counsel, comfort, good persuasion, witty devices, fictions, and, if it be possible, to satisfy his mind. Subsect. 3. Music of all sorts aptly applied. Subsect. 4. Mirth and merry company. Sect. 3. A consolatory digression, containing remedies to all discontents and passions of the mind. Memb. 1. General discontents and grievances satisfied. Memb. 2. Particular discontents, as deformity of body, sickness, baseness of birth, &c. Memb. 3. Poverty and want, such calamites and adversities. Memb. 4. Against servitude, loss of liberty, imprisonment, banishment, &c. Memb. 5. Against vain fears, sorrows for death of friends, or otherwise. Memb. 6. Against envy, livor, hatred, malice, emulation, ambition, and self-love, &c. Memb. 7. Against repulses, abuses, injuries, contempts, disgraces, contumelies, slanders, and scoffs, &c. Memb. 8. Against all other grievous and ordinary symptoms of this disease of melancholy.

[Symbol: Taurus] Sect. 4. Pharmaceutics, or Physic which cureth with medicines, with a digression of this kind of physic, is either Memb. 1. Subsect. 1.

General to all

Alterative

Simples altering melancholy, with a digression of exotic simples 2. Subs. Herbs. 3. Subs. To the heart; borage, bugloss, scorzonera, &c. To the head; balm, hops, nenuphar, &c. Liver; eupatory, artemisia, &c. Stomach; wormwood, centaury, pennyroyal. Spleen; ceterache, ash, tamarisk. To Purify the blood; endive, succory, &c. Against wind; origan, fennel, aniseed, &c.

4. Subs Precious stones; as smaragdes, chelidonies, &c. Minerals;

or compounds altering melancholy, with a digression of compounds. 5. Subs.

Inwardly taken

Liquid fluid Wines; as of hellebore, bugloss, tamarisk, &c. Syrups of borage, bugloss, hops, epithyme, endive, succory, &c. or consisting. Conserves of violets, maidenhair, borage, bugloss, roses, &c. Confections; treacle, mithridate, eclegms or linctures.

or solid, as those aromatical confections. hot Diambra, dianthos. Diamargaritum calidum. Diamoscum dulce. Electuarium de gemmis. Laetificans Galeni et Rhasis. or cold Diamargaritum frigidum. Diarrhodon abbatis. Diacorolli, diacodium with their tables. Condites of all sorts, &c.

or Outwardly used, as Oils of camomile, violets, roses, &c. Ointments, alablastritum, populeum, &c. Liniments, plasters, cerotes, cataplasms, frontals, fomentations, epithymes, sacks, bags, odoraments, posies, &c.

or Purging [Symbol: Moon-3/4]

or Particular to three distinct species, [Symbol: Cancer] [Symbol: Leo] [Symbol: Virgo].

Medicines purging melancholy are either Memb. 2.

Simples purging melancholy

1. Subs. Upward, as vomits Asrabecca, laurel, white hellebore, scilla, or sea-onion, antimony, tobacco or Downward. 2. Subs. More gentle; as senna, epithyme, polypody, mirobalanes, fumitory, &c. Stronger; aloes, lapis Armenus, lapis lazuli, black hellebore.

or 3. Subs. Compounds purging melancholy

Superior parts Mouth swallowed Liquid, as potions, juleps, syrups, wine of hellebore, bugloss, &c. Solid, as lapis Armenus, and lazuli, pills of Indie, pills of fumitory, &c. Electuaries, diasena, confection of hamech, hierologladium, &c. or Not swallowed, as gargarisms, masticatories, &c. or Nostrils, sneezing powders, odoraments, perfumes, &c.

or Inferior parts, as clysters strong and weak, and suppositories of Castilian soap, honey boiled, &c.

[Symbol: Gemini] Chirurgical physic, which consists of Memb. 3.

Phlebotomy, to all parts almost, and all the distinct species. With knife, horseleeches. Cupping-glasses. Cauteries, and searing with hot irons, boring. Dropax and sinapismus. Issues to several parts, and upon several occasions.

[Symbol: Cancer] Sect. 5. Cure of head-melancholy. Memb. 1.

1. Subsect. Moderate diet, meat of good juice, moistening, easy of digestion. Good air. Sleep more than ordinary. Excrements daily to be voided by art or nature. Exercise of body and mind not too violent, or too remiss, passions of the mind, and perturbations to be avoided. Subsect. 2. Bloodletting, if there be need, or that the blood be corrupt, in the arm, forehead, &c., or with cupping-glasses. Subsect. 3. Preparatives and purgers. Preparatives; as syrup of borage, bugloss, epithyme, hops, with their distilled waters, &c. Purgers; as Montanus, and Matthiolus helleborismus, Quercetanus, syrup of hellebore, extract of hellebore, pulvis Hali, antimony prepared, Rulandi aqua mirabilis; which are used, if gentler medicines will not take place, with Arnoldus, vinum buglossatum, senna, cassia, mirobalanes, aurum potabile, or before Hamech, Pil. Indae, Hiera, Pil. de lap. Armeno, lazuli.

Subsect. 4. Averters. Cardan's nettles, frictions, clysters, suppositories, sneezings, masticatories, nasals, cupping-glasses. To open the haemorrhoids with horseleeches, to apply horseleeches to the forehead without scarification, to the shoulders, thighs. Issues, boring, cauteries, hot irons in the suture of the crown.

Subsect. 5. Cordials, resolvers, hinderers. A cup of wine or strong drink. Bezars stone, amber, spice. Conserves of borage, bugloss, roses, fumitory. Confection of Alchermes. Electuarium laetificans Galeni et Rhasis, &c. Diamargaritum frig. diaboraginatum, &c.

Subsect. 6. Correctors of accidents, as, Odoraments of roses, violets. Irrigations of the head, with the decoctions of nymphea, lettuce, mallows, &c. Epithymes, ointments, bags to the heart. Fomentations of oil for the belly. Baths of sweet water, in which were sod mallows, violets, roses, water-lilies, borage flowers, ramsheads, &c.

To procure sleep, and are

Inwardly taken, Simples Poppy, nymphea, lettuce, roses, purslane, henbane, mandrake, nightshade, opium, &c. or Compounds. Liquid, as syrups of poppy, verbasco, violets, roses. Solid, as requies Nicholai, Philonium, Romanum, Laudanum Paracelsi. or Outwardly used, as Oil of nymphea, poppy, violets, roses, mandrake, nutmegs. Odoraments of vinegar, rosewater, opium. Frontals of rose-cake, rose-vinegar, nutmeg. Ointments, alablastritum, unguentum populeum, simple or mixed with opium. Irrigations of the head, feet, sponges, music, murmur and noise of waters. Frictions of the head and outward parts, sacculi of henbane, wormwood at his pillow, &c.

Against terrible dreams; not to sup late, or eat peas, cabbage, venison, meats heavy of digestion, use balm, hart's-tongue, &c.

Against ruddiness and blushing, inward and outward remedies.

[Symbol: Leo] 2. Memb. Cure of melancholy over the body.

Diet, preparatives, purges, averters, cordials, correctors, as before.

Phlebotomy in this kind more necessary, and more frequent.

To correct and cleanse the blood with fumitory, senna, succory, dandelion, endive, &c.

[Symbol: Virgo] Cure of hypochondriacal or windy melancholy. 3. Memb.

Subsect. 1 Phlebotomy, if need require. Diet, preparatives, averters, cordials, purgers, as before, saving that they must not be so vehement. Use of pennyroyal, wormwood, centaury sod, which alone hath cured many. To provoke urine with aniseed, daucus, asarum, &c., and stools, if need be, by clysters and suppositories. To respect the spleen, stomach, liver, hypochondries. To use treacle now and then in winter. To vomit after meals sometimes, if it be inveterate. Subsect. 2. To expel wind.

Inwardly Taken, Simples, Roots, Galanga, gentian, enula, angelica, calamus aromaticus, zedoary, china, condite ginger, &c. Herbs, Pennyroyal, rue, calamint, bay leaves, and berries, scordium, bethany, lavender, camomile, centaury, wormwood, cumin, broom, orange pills. Spices, Saffron, cinnamon, mace, nutmeg, pepper, musk, zedoary with wine, &c. Seeds, Aniseed, fennel-seed, ammi, cary, cumin, nettle, bays, parsley, grana paradisi. or Compounds, as Dianisum, diagalanga, diaciminum, diacalaminthes, electuarium de baccis lauri, benedicta laxativa, &c. pulvia carminativus, and pulvis descrip. Antidotario Florentine, aromaticum, rosatum, Mithridate.

or Outwardly used, as cupping-glasses to the hypochonries without scarification, oil of camomile, rue, aniseed, their decoctions, &c.



THE SECOND PARTITION. THE CURE OF MELANCHOLY.

THE FIRST SECTION, MEMBER, SUBSECTION. Unlawful Cures rejected.

Inveterate Melancholy, howsoever it may seem to be a continuate, inexorable disease, hard to be cured, accompanying them to their graves, most part, as [2789]Montanus observes, yet many times it may be helped, even that which is most violent, or at least, according to the same [2790]author, "it may be mitigated and much eased." Nil desperandum. It may be hard to cure, but not impossible for him that is most grievously affected, if he but willing to be helped.

Upon this good hope I will proceed, using the same method in the cure, which I have formerly used in the rehearsing of the causes; first general, then particular; and those according to their several species. Of these cures some be lawful, some again unlawful, which though frequent, familiar, and often used, yet justly censured, and to be controverted. As first, whether by these diabolical means, which are commonly practised by the devil and his ministers, sorcerers, witches, magicians, &c., by spells, cabilistical words, charms, characters, images, amulets, ligatures, philters, incantations, &c., this disease and the like may be cured? and if they may, whether it be lawful to make use of them, those magnetical cures, or for our good to seek after such means in any case? The first, whether they can do any such cures, is questioned amongst many writers, some affirming, some denying. Valesius, cont. med. lib. 5. cap. 6. Malleus Maleficar, Heurnius, lib. 3. pract. med. cap. 28. Caelius lib. 16. c. 16. Delrio Tom. 3. Wierus lib. 2. de praestig. daem. Libanius Lavater de spect. part. 2. cap. 7. Holbrenner the Lutheran in Pistorium, Polydore Virg. l. 1. de prodig. Tandlerus, Lemnius, (Hippocrates and Avicenna amongst the rest) deny that spirits or devils have any power over us, and refer all with Pomponatius of Padua to natural causes and humours. Of the other opinion are Bodinus Daemonamantiae, lib. 3, cap. 2. Arnoldus, Marcellus Empyricus, I. Pistorius, Paracelsus Apodix. Magic. Agrippa lib. 2. de occult. Philos. cap. 36. 69. 71. 72. et l. 3, c. 23, et 10. Marcilius Ficinus de vit. coelit. compar. cap. 13. 15. 18. 21. &c. Galeottus de promiscua doct. cap. 24. Jovianus Pontanus Tom. 2. Plin. lib. 28, c. 2. Strabo, lib. 15. Geog. Leo Suavius: Goclenius de ung. armar. Oswoldus Crollius, Ernestus Burgravius, Dr. Flud, &c. Cardan de subt. brings many proofs out of Ars Notoria, and Solomon's decayed works, old Hermes, Artefius, Costaben Luca, Picatrix, &c. that such cures may be done. They can make fire it shall not burn, fetch back thieves or stolen goods, show their absent faces in a glass, make serpents lie still, stanch blood, salve gouts, epilepsies, biting of mad dogs, toothache, melancholy, et omnia mundi mala, make men immortal, young again as the [2791]Spanish marquis is said to have done by one of his slaves, and some, which jugglers in [2792]China maintain still (as Tragaltius writes) that they can do by their extraordinary skill in physic, and some of our modern chemists by their strange limbecks, by their spells, philosopher's stones and charms. [2793]"Many doubt," saith Nicholas Taurellus, "whether the devil can cure such diseases he hath not made, and some flatly deny it, howsoever common experience confirms to our astonishment, that magicians can work such feats, and that the devil without impediment can penetrate through all the parts of our bodies, and cure such maladies by means to us unknown." Daneus in his tract de Sortiariis subscribes to this of Taurellus; Erastus de lamiis, maintaineth as much, and so do most divines, out of their excellent knowledge and long experience they can commit [2794]agentes cum patientibus, colligere semina rerum, eaque materiae applicare, as Austin infers de Civ. Dei et de Trinit. lib. 3. cap. 7. et 8. they can work stupendous and admirable conclusions; we see the effects only, but not the causes of them. Nothing so familiar as to hear of such cures. Sorcerers are too common; cunning men, wizards, and white-witches, as they call them, in every village, which if they be sought unto, will help almost all infirmities of body and mind, Servatores in Latin, and they have commonly St. Catherine's wheel printed in the roof of their mouth, or in some other part about them, resistunt incantatorum praestigiis ([2795]Boissardus writes) morbos a sagis motos propulsant &c., that to doubt of it any longer, [2796]"or not to believe, were to run into that other sceptical extreme of incredulity," saith Taurellus. Leo Suavius in his comment upon Paracelsus seems to make it an art, which ought to be approved; Pistorius and others stiffly maintain the use of charms, words, characters, &c. Ars vera est, sed pauci artifices reperiuntur; the art is true, but there be but a few that have skill in it. Marcellius Donatus lib. 2. de hist, mir. cap. 1. proves out of Josephus' eight books of antiquities, that [2797]"Solomon so cured all the diseases of the mind by spells, charms, and drove away devils, and that Eleazer did as much before Vespasian." Langius in his med. epist. holds Jupiter Menecrates, that did so many stupendous cures in his time, to have used this art, and that he was no other than a magician. Many famous cures are daily done in this kind, the devil is an expert physician, as Godelman calls him, lib. 1. cap. 18. and God permits oftentimes these witches and magicians to produce such effects, as Lavater cap. 3. lib. 8. part. 3. cap. 1. Polid. Virg. lib. 1. de prodigiis, Delrio and others admit. Such cures may be done, and as Paracels. Tom. 4. de morb. ament. stiffly maintains, [2798]"they cannot otherwise be cured but by spells, seals, and spiritual physic." [2799]Arnoldus, lib. de sigillis, sets down the making of them, so doth Rulandus and many others.

Hoc posito, they can effect such cures, the main question is, whether it be lawful in a desperate case to crave their help, or ask a wizard's advice. 'Tis a common practice of some men to go first to a witch, and then to a physician, if one cannot the other shall, Flectere si nequeant superos Acheronta movebunt. [2800]"It matters not," saith Paracelsus, "whether it be God or the devil, angels, or unclean spirits cure him, so that he be eased." If a man fall into a ditch, as he prosecutes it, what matter is it whether a friend or an enemy help him out? and if I be troubled with such a malady, what care I whether the devil himself, or any of his ministers by God's permission, redeem me? He calls a [2801] magician, God's minister and his vicar, applying that of vos estis dii profanely to them, for which he is lashed by T. Erastus part. 1. fol. 45. And elsewhere he encourageth his patients to have a good faith, [2802] "a strong imagination, and they shall find the effects: let divines say to the contrary what they will." He proves and contends that many diseases cannot otherwise be cured. Incantatione orti incantatione curari debent; if they be caused by incantation, [2803]they must be cured by incantation. Constantinus lib. 4. approves of such remedies: Bartolus the lawyer, Peter Aerodius rerum Judic. lib. 3. tit. 7. Salicetus Godefridus, with others of that sect, allow of them; modo sint ad sanitatem quae a magis fiunt, secus non, so they be for the parties good, or not at all. But these men are confuted by Remigius, Bodinus, daem. lib. 3. cap 2. Godelmanus lib. 1. cap. 8, Wierus, Delrio lib. 6. quaest. 2. tom. 3. mag. inquis. Erastus de Lamiis; all our [2804]divines, schoolmen, and such as write cases of conscience are against it, the scripture itself absolutely forbids it as a mortal sin, Levit. cap. xviii. xix. xx. Deut. xviii. &c. Rom. viii. 19. "Evil is not to be done, that good may come of it." Much better it were for such patients that are so troubled, to endure a little misery in this life, than to hazard their souls' health for ever, and as Delrio counselleth, [2805]"much better die, than be so cured." Some take upon them to expel devils by natural remedies, and magical exorcisms, which they seem to approve out of the practice of the primitive church, as that above cited of Josephus, Eleazer, Irenaeus, Tertullian, Austin. Eusebius makes mention of such, and magic itself hath been publicly professed in some universities, as of old in Salamanca in Spain, and Krakow in Poland: but condemned anno 1318, by the chancellor and university of [2806]Paris. Our pontifical writers retain many of these adjurations and forms of exorcisms still in the church; besides those in baptism used, they exorcise meats, and such as are possessed, as they hold, in Christ's name. Read Hieron. Mengus cap. 3. Pet. Tyreus, part. 3. cap. 8. What exorcisms they prescribe, besides those ordinary means of [2807]"fire suffumigations, lights, cutting the air with swords," cap. 57. herbs, odours: of which Tostatus treats, 2. Reg. cap. 16. quaest. 43, you shall find many vain and frivolous superstitious forms of exorcisms among them, not to be tolerated, or endured.

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