Chapter X (20)

Some men have peculiar symptoms, according to their temperament and crisis, which they had from the stars and those celestial influences, variety of wits and dispositions, as Anthony Zara contends, Anat. ingen. sect. 1. memb. 11, 12, 13, 14. plurimum irritant influentiae, caelestes, unde cientur animi aegritudines et morbi corporum. [2538]One saith, diverse diseases of the body and mind proceed from their influences, [2539]as I have already proved out of Ptolemy, Pontanus, Lemnius, Cardan, and others as they are principal significators of manners, diseases, mutually irradiated, or lords of the geniture, &c. Ptolomeus in his centiloquy, Hermes, or whosoever else the author of that tract, attributes all these symptoms, which are in melancholy men, to celestial influences: which opinion Mercurialis de affect, lib. cap. 10. rejects; but, as I say, [2540]Jovianus Pontanus and others stiffly defend. That some are solitary, dull, heavy, churlish; some again blithe, buxom, light, and merry, they ascribe wholly to the stars. As if Saturn be predominant in his nativity, and cause melancholy in his temperature, then [2541]he shall be very austere, sullen, churlish, black of colour, profound in his cogitations, full of cares, miseries, and discontents, sad and fearful, always silent, solitary, still delighting in husbandry, in woods, orchards, gardens, rivers, ponds, pools, dark walks and close: Cogitationes sunt velle aedificare, velle arbores plantare, agros colere, &c. To catch birds, fishes, &c. still contriving and musing of such matters. If Jupiter domineers, they are more ambitious, still meditating of kingdoms, magistracies, offices, honours, or that they are princes, potentates, and how they would carry themselves, &c. If Mars, they are all for wars, brave combats, monomachies, testy, choleric, harebrain, rash, furious, and violent in their actions. They will feign themselves victors, commanders, are passionate and satirical in their speeches, great braggers, ruddy of colour. And though they be poor in show, vile and base, yet like Telephus and Peleus in the [2542]poet, Ampullas jactant et sesquipedalia verba, forget their swelling and gigantic words, their mouths are full of myriads, and tetrarchs at their tongues' end. If the sun, they will be lords, emperors, in conceit at least, and monarchs, give offices, honours, &c. If Venus, they are still courting of their mistresses, and most apt to love, amorously given, they seem to hear music, plays, see fine pictures, dancers, merriments, and the like. Ever in love, and dote on all they see. Mercurialists are solitary, much in contemplation, subtle, poets, philosophers, and musing most part about such matters. If the moon have a hand, they are all for peregrinations, sea voyages, much affected with travels, to discourse, read, meditate of such things; wandering in their thoughts, diverse, much delighting in waters, to fish, fowl, &c. But the most immediate symptoms proceed from the temperature itself, and the organical parts, as head, liver, spleen, mesaraic veins, heart, womb, stomach, &c., and most especially from distemperature of spirits (which, as [2543]Hercules de Saxonia contends, are wholly immaterial), or from the four humours in those seats, whether they be hot or cold, natural, unnatural, innate or adventitious, intended or remitted, simple or mixed, their diverse mixtures, and several adustions, combinations, which may be as diversely varied, as those [2544]four first qualities in [2545] Clavius, and produce as many several symptoms and monstrous fictions as wine doth effect, which as Andreas Bachius observes, lib. 3. de vino, cap. 20. are infinite. Of greater note be these. If it be natural melancholy, as Lod. Mercatus, lib. 1. cap. 17. de melan. T. Bright. c. 16. hath largely described, either of the spleen, or of the veins, faulty by excess of quantity, or thickness of substance, it is a cold and dry humour, as Montanus affirms, consil. 26 the parties are sad, timorous and fearful. Prosper Calenus, in his book de atra bile, will have them to be more stupid than ordinary, cold, heavy, solitary, sluggish. Si multam atram bilem et frigidam habent. Hercules de Saxonia, c. 19. l. 7. [2546]holds these that are naturally melancholy, to be of a leaden colour or black, and so doth Guianerius, c. 3. tract. 15. and such as think themselves dead many times, or that they see, talk with black men, dead men, spirits and goblins frequently, if it be in excess. These symptoms vary according to the mixture of those four humours adust, which is unnatural melancholy. For as Trallianus hath written, cap. 16. l. 7. [2547]There is not one cause of this melancholy, nor one humour which begets, but divers diversely intermixed, from whence proceeds this variety of symptoms: and those varying again as they are hot or cold. [2548]Cold melancholy (saith Benedic. Vittorius Faventinus pract. mag.) is a cause of dotage, and more mild symptoms, if hot or more adust, of more violent passions, and furies. Fracastorius, l. 2. de intellect. will have us to consider well of it, [2549]with what kind of melancholy every one is troubled, for it much avails to know it; one is enraged by fervent heat, another is possessed by sad and cold; one is fearful, shamefaced; the other impudent and bold; as Ajax, Arma rapit superosque furens inpraelia poscit: quite mad or tending to madness. Nunc hos, nunc impetit illos. Bellerophon on the other side, solis errat male sanus in agris, wanders alone in the woods; one despairs, weeps, and is weary of his life, another laughs, &c. All which variety is produced from the several degrees of heat and cold, which [2550]Hercules de Saxonia will have wholly proceed from the distemperature of spirits alone, animal especially, and those immaterial, the next and immediate causes of melancholy, as they are hot, cold, dry, moist, and from their agitation proceeds that diversity of symptoms, which he reckons up, in the [2551]thirteenth chap. of his Tract of Melancholy, and that largely through every part. Others will have them come from the diverse adustion of the four humours, which in this unnatural melancholy, by corruption of blood, adust choler, or melancholy natural, [2552]by excessive distemper of heat turned, in comparison of the natural, into a sharp lye by force of adustion, cause, according to the diversity of their matter, diverse and strange symptoms, which T. Bright reckons up in his following chapter. So doth [2553]Arculanus, according to the four principal humours adust, and many others. For example, if it proceed from phlegm, (which is seldom and not so frequently as the rest) [2554]it stirs up dull symptoms, and a kind of stupidity, or impassionate hurt: they are sleepy, saith [2555]Savanarola, dull, slow, cold, blockish, ass-like, Asininam melancholiam, [2556] Melancthon calls it, they are much given to weeping, and delight in waters, ponds, pools, rivers, fishing, fowling, &c. (Arnoldus breviar. 1. cap. 18.) They are [2557]pale of colour, slothful, apt to sleep, heavy; [2558]much troubled with headache, continual meditation, and muttering to themselves; they dream of waters, [2559]that they are in danger of drowning, and fear such things, Rhasis. They are fatter than others that are melancholy, of a muddy complexion, apter to spit, [2560] sleep, more troubled with rheum than the rest, and have their eyes still fixed on the ground. Such a patient had Hercules de Saxonia, a widow in Venice, that was fat and very sleepy still; Christophorus a Vega another affected in the same sort. If it be inveterate or violent, the symptoms are more evident, they plainly denote and are ridiculous to others, in all their gestures, actions, speeches; imagining impossibilities, as he in Christophorus a Vega, that thought he was a tun of wine, [2561]and that Siennois, that resolved within himself not to piss, for fear he should drown all the town. If it proceed from blood adust, or that there be a mixture of blood in it, [2562]such are commonly ruddy of complexion, and high-coloured, according to Salust. Salvianus, and Hercules de Saxonia. And as Savanarola, Vittorius Faventinus Emper. farther adds, [2563]the veins of their eyes be red, as well as their faces. They are much inclined to laughter, witty and merry, conceited in discourse, pleasant, if they be not far gone, much given to music, dancing, and to be in women's company. They meditate wholly on such things, and think [2564]they see or hear plays, dancing, and suchlike sports (free from all fear and sorrow, as [2565]Hercules de Saxonia supposeth.) If they be more strongly possessed with this kind of melancholy, Arnoldus adds, Breviar. lib. 1. cap. 18. Like him of Argos in the Poet, that sate laughing [2566]all day long, as if he had been at a theatre. Such another is mentioned by [2567]Aristotle, living at Abydos, a town of Asia Minor, that would sit after the same fashion, as if he had been upon a stage, and sometimes act himself; now clap his hands, and laugh, as if he had been well pleased with the sight. Wolfius relates of a country fellow called Brunsellius, subject to this humour, [2568]that being by chance at a sermon, saw a woman fall off from a form half asleep, at which object most of the company laughed, but he for his part was so much moved, that for three whole days after he did nothing but laugh, by which means he was much weakened, and worse a long time following. Such a one was old Sophocles, and Democritus himself had hilare delirium, much in this vein. Laurentius cap. 3. de melan. thinks this kind of melancholy, which is a little adust with some mixture of blood, to be that which Aristotle meant, when he said melancholy men of all others are most witty, which causeth many times a divine ravishment, and a kind of enthusiasmus, which stirreth them up to be excellent philosophers, poets, prophets, &c. Mercurialis, consil. 110. gives instance in a young man his patient, sanguine melancholy, [2569]of a great wit, and excellently learned. If it arise from choler adust, they are bold and impudent, and of a more harebrain disposition, apt to quarrel, and think of such things, battles, combats, and their manhood, furious; impatient in discourse, stiff, irrefragable and prodigious in their tenets; and if they be moved, most violent, outrageous, [2570]ready to disgrace, provoke any, to kill themselves and others; Arnoldus adds, stark mad by fits, [2571]they sleep little, their urine is subtle and fiery. (Guianerius.) In their fits you shall hear them speak all manner of languages, Hebrew, Greek, and Latin, that never were taught or knew them before. Apponensis in com. in Pro. sec. 30. speaks of a mad woman that spake excellent good Latin: and Rhasis knew another, that could prophecy in her fit, and foretell things truly to come. [2572]Guianerius had a patient could make Latin verses when the moon was combust, otherwise illiterate. Avicenna and some of his adherents will have these symptoms, when they happen, to proceed from the devil, and that they are rather demoniaci, possessed, than mad or melancholy, or both together, as Jason Pratensis thinks, Immiscent se mali genii, &c. but most ascribe it to the humour, which opinion Montaltus cap. 21. stiffly maintains, confuting Avicenna and the rest, referring it wholly to the quality and disposition of the humour and subject. Cardan de rerum var. lib. 8. cap. 10. holds these men of all others fit to be assassins, bold, hardy, fierce, and adventurous, to undertake anything by reason of their choler adust. [2573]This humour, saith he, prepares them to endure death itself, and all manner of torments with invincible courage, and 'tis a wonder to see with what alacrity they will undergo such tortures, ut supra naturam res videatur: he ascribes this generosity, fury, or rather stupidity, to this adustion of choler and melancholy: but I take these rather to be mad or desperate, than properly melancholy; for commonly this humour so adust and hot, degenerates into madness. If it come from melancholy itself adust, those men, saith Avicenna, [2574] are usually sad and solitary, and that continually, and in excess, more than ordinarily suspicious more fearful, and have long, sore, and most corrupt imaginations; cold and black, bashful, and so solitary, that as [2575]Arnoldus writes, they will endure no company, they dream of graves still, and dead men, and think themselves bewitched or dead: if it be extreme, they think they hear hideous noises, see and talk [2576]with black men, and converse familiarly with devils, and such strange chimeras and visions, (Gordonius) or that they are possessed by them, that somebody talks to them, or within them. Tales melancholici plerumque daemoniaci, Montaltus consil. 26. ex Avicenna. Valescus de Taranta had such a woman in cure, [2577]that thought she had to do with the devil: and Gentilis Fulgosus quaest. 55. writes that he had a melancholy friend, that [2578] had a black man in the likeness of a soldier still following him wheresoever he was. Laurentius cap. 7. hath many stories of such as have thought themselves bewitched by their enemies; and some that would eat no meat as being dead. [2579]_Anno_ 1550 an advocate of Paris fell into such a melancholy fit, that he believed verily he was dead, he could not be persuaded otherwise, or to eat or drink, till a kinsman of his, a scholar of Bourges, did eat before him dressed like a corse. The story, saith Serres, was acted in a comedy before Charles the Ninth. Some think they are beasts, wolves, hogs, and cry like dogs, foxes, bray like asses, and low like kine, as King Praetus' daughters. [2580]Hildesheim spicel. 2. de mania, hath an example of a Dutch baron so affected, and Trincavelius lib. 1. consil. 11. another of a nobleman in his country, [2581]that thought he was certainly a beast, and would imitate most of their voices, with many such symptoms, which may properly be reduced to this kind. If it proceed from the several combinations of these four humours, or spirits, Herc. de Saxon. adds hot, cold, dry, moist, dark, confused, settled, constringed, as it participates of matter, or is without matter, the symptoms are likewise mixed. One thinks himself a giant, another a dwarf. One is heavy as lead, another is as light as a feather. Marcellus Donatus l. 2. cap. 41. makes mention out of Seneca, of one Seneccio, a rich man, [2582]that thought himself and everything else he had, great: great wife, great horses, could not abide little things, but would have great pots to drink in, great hose, and great shoes bigger than his feet. Like her in [2583]Trallianus, that supposed she could shake all the world with her finger, and was afraid to clinch her hand together, lest she should crush the world like an apple in pieces: or him in Galen, that thought he was [2584]Atlas, and sustained heaven with his shoulders. Another thinks himself so little, that he can creep into a mouse-hole: one fears heaven will fall on his head: a second is a cock; and such a one, [2585]Guianerius saith he saw at Padua, that would clap his hands together and crow. [2586]Another thinks he is a nightingale, and therefore sings all the night long; another he is all glass, a pitcher, and will therefore let nobody come near him, and such a one [2587]Laurentius gives out upon his credit, that he knew in France. Christophorus a Vega cap. 3. lib. 14. Skenkius and Marcellus Donatus l. 2. cap. 1. have many such examples, and one amongst the rest of a baker in Ferrara that thought he was composed of butter, and durst not sit in the sun, or come near the fire for fear of being melted: of another that thought he was a case of leather, stuffed with wind. Some laugh, weep; some are mad, some dejected, moped, in much agony, some by fits, others continuate, &c. Some have a corrupt ear, they think they hear music, or some hideous noise as their phantasy conceives, corrupt eyes, some smelling, some one sense, some another. [2588]Lewis the Eleventh had a conceit everything did stink about him, all the odoriferous perfumes they could get, would not ease him, but still he smelled a filthy stink. A melancholy French poet in [2589]Laurentius, being sick of a fever, and troubled with waking, by his physicians was appointed to use unguentum populeum to anoint his temples; but he so distasted the smell of it, that for many years after, all that came near him he imagined to scent of it, and would let no man talk with him but aloof off, or wear any new clothes, because he thought still they smelled of it; in all other things wise and discreet, he would talk sensibly, save only in this. A gentleman in Limousin, saith Anthony Verdeur, was persuaded he had but one leg, affrighted by a wild boar, that by chance struck him on the leg; he could not be satisfied his leg was sound (in all other things well) until two Franciscans by chance coming that way, fully removed him from the conceit. Sed abunde fabularum audivimus,—enough of story-telling.

SUBSECT. IV.—_Symptoms from Education, Custom, continuance of Time, our Condition, mixed with other Diseases, by Fits, Inclination, &c._

Another great occasion of the variety of these symptoms proceeds from custom, discipline, education, and several inclinations, [2590]this humour will imprint in melancholy men the objects most answerable to their condition of life, and ordinary actions, and dispose men according to their several studies and callings. If an ambitious man become melancholy, he forthwith thinks he is a king, an emperor, a monarch, and walks alone, pleasing himself with a vain hope of some future preferment, or present as he supposeth, and withal acts a lord's part, takes upon him to be some statesman or magnifico, makes conges, gives entertainment, looks big, &c. Francisco Sansovino records of a melancholy man in Cremona, that would not be induced to believe but that he was pope, gave pardons, made cardinals, &c. [2591]Christophorus a Vega makes mention of another of his acquaintance, that thought he was a king, driven from his kingdom, and was very anxious to recover his estate. A covetous person is still conversant about purchasing of lands and tenements, plotting in his mind how to compass such and such manors, as if he were already lord of, and able to go through with it; all he sees is his, re or spe, he hath devoured it in hope, or else in conceit esteems it his own: like him in [2592]Athenaeus, that thought all the ships in the haven to be his own. A lascivious inamorato plots all the day long to please his mistress, acts and struts, and carries himself as if she were in presence, still dreaming of her, as Pamphilus of his Glycerium, or as some do in their morning sleep. [2593] Marcellus Donatus knew such a gentlewoman in Mantua, called Elionora Meliorina, that constantly believed she was married to a king, and [2594] would kneel down and talk with him, as if he had been there present with his associates; and if she had found by chance a piece of glass in a muck-hill or in the street, she would say that it was a jewel sent from her lord and husband. If devout and religious, he is all for fasting, prayer, ceremonies, alms, interpretations, visions, prophecies, revelations, [2595] he is inspired by the Holy Ghost, full of the spirit: one while he is saved, another while damned, or still troubled in mind for his sins, the devil will surely have him, &c. more of these in the third partition of love-melancholy. [2596]A scholar's mind is busied about his studies, he applauds himself for that he hath done, or hopes to do, one while fearing to be out in his next exercise, another while contemning all censures; envies one, emulates another; or else with indefatigable pains and meditation, consumes himself. So of the rest, all which vary according to the more remiss and violent impression of the object, or as the humour itself is intended or remitted. For some are so gently melancholy, that in all their carriage, and to the outward apprehension of others it can hardly be discerned, yet to them an intolerable burden, and not to be endured. [2597]Quaedam occulta quaedam manifesta, some signs are manifest and obvious to all at all times, some to few, or seldom, or hardly perceived; let them keep their own council, none will take notice or suspect them. They do not express in outward show their depraved imaginations, as [2598]Hercules de Saxonia observes, but conceal them wholly to themselves, and are very wise men, as I have often seen; some fear, some do not fear at all, as such as think themselves kings or dead, some have more signs, some fewer, some great, some less, some vex, fret, still fear, grieve, lament, suspect, laugh, sing, weep, chafe, &c. by fits (as I have said) or more during and permanent. Some dote in one thing, are most childish, and ridiculous, and to be wondered at in that, and yet for all other matters most discreet and wise. To some it is in disposition, to another in habit; and as they write of heat and cold, we may say of this humour, one is melancholicus ad octo, a second two degrees less, a third halfway. 'Tis superparticular, sesquialtera, sesquitertia, and superbipartiens tertias, quintas Melancholiae, &c. all those geometrical proportions are too little to express it. [2599]It comes to many by fits, and goes; to others it is continuate: many (saith [2600]Faventinus) in spring and fall only are molested, some once a year, as that Roman [2601] Galen speaks of: [2602]one, at the conjunction of the moon alone, or some unfortunate aspects, at such and such set hours and times, like the sea-tides, to some women when they be with child, as [2603]Plater notes, never otherwise: to others 'tis settled and fixed; to one led about and variable still by that ignis fatuus of phantasy, like an arthritis or running gout, 'tis here and there, and in every joint, always molesting some part or other; or if the body be free, in a myriad of forms exercising the mind. A second once peradventure in his life hath a most grievous fit, once in seven years, once in five years, even to the extremity of madness, death, or dotage, and that upon, some feral accident or perturbation, terrible object, and for a time, never perhaps so before, never after. A third is moved upon all such troublesome objects, cross fortune, disaster, and violent passions, otherwise free, once troubled in three or four years. A fourth, if things be to his mind, or he in action, well pleased, in good company, is most jocund, and of a good complexion: if idle, or alone, a la mort, or carried away wholly with pleasant dreams and phantasies, but if once crossed and displeased, Pectore concipiet nil nisi triste suo;

He will imagine naught save sadness in his heart;

his countenance is altered on a sudden, his heart heavy, irksome thoughts crucify his soul, and in an instant he is moped or weary of his life, he will kill himself. A fifth complains in his youth, a sixth in his middle age, the last in his old age. Generally thus much we may conclude of melancholy; that it is [2604]most pleasant at first, I say, mentis gratissimus error, [2605]a most delightsome humour, to be alone, dwell alone, walk alone, meditate, lie in bed whole days, dreaming awake as it were, and frame a thousand fantastical imaginations unto themselves. They are never better pleased than when they are so doing, they are in paradise for the time, and cannot well endure to be interrupt; with him in the poet, [2606]pol me occidistis amici, non servastis ait? you have undone him, he complains, if you trouble him: tell him what inconvenience will follow, what will be the event, all is one, canis ad vomitum, [2607]'tis so pleasant he cannot refrain. He may thus continue peradventure many years by reason of a strong temperature, or some mixture of business, which may divert his cogitations: but at the last laesa imaginatio, his phantasy is crazed, and now habituated to such toys, cannot but work still like a fate, the scene alters upon a sudden, fear and sorrow supplant those pleasing thoughts, suspicion, discontent, and perpetual anxiety succeed in their places; so by little and little, by that shoeing-horn of idleness, and voluntary solitariness, melancholy this feral fiend is drawn on, [2608]et quantum vertice ad auras Aethereas, tantum radice in Tartara tendit, extending up, by its branches, so far towards Heaven, as, by its roots, it does down towards Tartarus; it was not so delicious at first, as now it is bitter and harsh; a cankered soul macerated with cares and discontents, taedium vitae, impatience, agony, inconstancy, irresolution, precipitate them unto unspeakable miseries. They cannot endure company, light, or life itself, some unfit for action, and the like. [2609]Their bodies are lean and dried up, withered, ugly, their looks harsh, very dull, and their souls tormented, as they are more or less entangled, as the humour hath been intended, or according to the continuance of time they have been troubled. To discern all which symptoms the better, [2610]Rhasis the Arabian makes three degrees of them. The first is, falsa cogitatio, false conceits and idle thoughts: to misconstrue and amplify, aggravating everything they conceive or fear; the second is, falso cogitata loqui, to talk to themselves, or to use inarticulate incondite voices, speeches, obsolete gestures, and plainly to utter their minds and conceits of their hearts, by their words and actions, as to laugh, weep, to be silent, not to sleep, eat their meat, &c.: the third is to put in practice [2611]that which they think or speak. Savanarola, Rub. 11. tract. 8. cap. 1. de aegritudine, confirms as much, [2612]when he begins to express that in words, which he conceives in his heart, or talks idly, or goes from one thing to another, which [2613]Gordonius calls nec caput habentia, nec caudam, (having neither head nor tail,) he is in the middle way: [2614] but when he begins to act it likewise, and to put his fopperies in execution, he is then in the extent of melancholy, or madness itself. This progress of melancholy you shall easily observe in them that have been so affected, they go smiling to themselves at first, at length they laugh out; at first solitary, at last they can endure no company: or if they do, they are now dizzards, past sense and shame, quite moped, they care not what they say or do, all their actions, words, gestures, are furious or ridiculous. At first his mind is troubled, he doth not attend what is said, if you tell him a tale, he cries at last, what said you? but in the end he mutters to himself, as old women do many times, or old men when they sit alone, upon a sudden they laugh, whoop, halloo, or run away, and swear they see or hear players, [2615]devils, hobgoblins, ghosts, strike, or strut, &c., grow humorous in the end; like him in the poet, saepe ducentos, saepe decem servos, (at one time followed by two hundred servants, at another only by ten) he will dress himself, and undress, careless at last, grows insensible, stupid, or mad. [2616]He howls like a wolf, barks like a dog, and raves like Ajax and Orestes, hears music and outcries, which no man else hears. As [2617]he did whom Amatus Lusitanus mentioneth cent. 3, cura. 55, or that woman in [2618]Springer, that spake many languages, and said she was possessed: that farmer in [2619]Prosper Calenius, that disputed and discoursed learnedly in philosophy and astronomy, with Alexander Achilles his master, at Bologna, in Italy. But of these I have already spoken. Who can sufficiently speak of these symptoms, or prescribe rules to comprehend them? as Echo to the painter in Ausonius, vane quid affectas, &c., foolish fellow; what wilt? if you must needs paint me, paint a voice, et similem si vis pingere, pinge sonum; if you will describe melancholy, describe a fantastical conceit, a corrupt imagination, vain thoughts and different, which who can do? The four and twenty letters make no more variety of words in diverse languages, than melancholy conceits produce diversity of symptoms in several persons. They are irregular, obscure, various, so infinite, Proteus himself is not so diverse, you may as well make the moon a new coat, as a true character of a melancholy man; as soon find the motion of a bird in the air, as the heart of man, a melancholy man. They are so confused, I say, diverse, intermixed with other diseases. As the species be confounded (which [2620]I have showed) so are the symptoms; sometimes with headache, cachexia, dropsy, stone; as you may perceive by those several examples and illustrations, collected by [2621] Hildesheim spicel. 2. Mercurialis consil. 118. cap. 6 and 11. with headache, epilepsy, priapismus. Trincavelius consil. 12. lib. 1. consil. 49. with gout: caninus appetitus. Montanus consil. 26, &c. 23, 234, 249, with falling-sickness, headache, vertigo, lycanthropia, &c. J. Caesar Claudinus consult. 4. consult. 89 and 116. with gout, agues, haemorrhoids, stone, &c., who can distinguish these melancholy symptoms so intermixed with others, or apply them to their several kinds, confine them into method? 'Tis hard I confess, yet I have disposed of them as I could, and will descend to particularise them according to their species. For hitherto I have expatiated in more general lists or terms, speaking promiscuously of such ordinary signs, which occur amongst writers. Not that they are all to be found in one man, for that were to paint a monster or chimera, not a man: but some in one, some in another, and that successively or at several times. 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_.