The Anatomy of Melancholy. Robert Burton

melancholy," Rodericus a Fonseca in a young man so misaffected, Tom. 2. consult. 85. To these you may add, if you please, that conceited tale of a Jew, so visited in like sort, and so cured, out of Poggius Florentinus.

      Intemperate Venus is all but as bad in the other extreme. Galen, l. 6. de mortis popular. sect. 5. text. 26, reckons up melancholy amongst those diseases which are [1488]"exasperated by venery:" so doth Avicenna, 2, 3, c. 11. Oribasius, loc. citat. Ficinus, lib. 2. de sanitate tuenda. Marsilius Cognatus, Montaltus, cap. 27. Guianerius, Tract. 3. cap. 2. Magninus, cap. 5. part. 3. [1489]gives the reason, because [1490]"it infrigidates and dries up the body, consumes the spirits; and would therefore have all such as are cold and dry to take heed of and to avoid it as a mortal enemy." Jacchinus in 9 Rhasis, cap. 15, ascribes the same cause, and instanceth in a patient of his, that married a young wife in a hot summer, [1491]"and so dried himself with chamber-work, that he became in short space from melancholy, mad:" he cured him by moistening remedies. The like example I find in Laelius a Fonte Eugubinus, consult. 129, of a gentleman of Venice, that upon the same occasion was first melancholy, afterwards mad. Read in him the story at large.

      Any other evacuation stopped will cause it, as well as these above named, be it bile, [1492]ulcer, issue, &c. Hercules de Saxonia, lib. 1. c. 16, and Gordonius, verify this out of their experience. They saw one wounded in the head who as long as the sore was open, Lucida habuit mentis intervalla, was well; but when it was stopped, Rediit melancholia, his melancholy fit seized on him again.

      Artificial evacuations are much like in effect, as hot houses, baths, bloodletting, purging, unseasonably and immoderately used. [1493]Baths dry too much, if used in excess, be they natural or artificial, and offend extreme hot, or cold; [1494]one dries, the other refrigerates overmuch. Montanus, consil. 137, saith, they overheat the liver. Joh. Struthius, Stigmat. artis. l. 4. c. 9, contends, [1495]"that if one stay longer than ordinary at the bath, go in too oft, or at unseasonable times, he putrefies the humours in his body." To this purpose writes Magninus, l. 3. c. 5. Guianerius, Tract. 15. c. 21, utterly disallows all hot baths in melancholy adust. [1496]"I saw" (saith he) "a man that laboured of the gout, who to be freed of this malady came to the bath, and was instantly cured of his disease, but got another worse, and that was madness." But this judgment varies as the humour doth, in hot or cold: baths may be good for one melancholy man, bad for another; that which will cure it in this party, may cause it in a second.

      Phlebotomy.] Phlebotomy, many times neglected, may do much harm to the body, when there is a manifest redundance of bad humours, and melancholy blood; and when these humours heat and boil, if this be not used in time, the parties affected, so inflamed, are in great danger to be mad; but if it be unadvisedly, importunely, immoderately used, it doth as much harm by refrigerating the body, dulling the spirits, and consuming them: as Joh. [1497]Curio in his 10th chapter well reprehends, such kind of letting blood doth more hurt than good: [1498]"The humours rage much more than they did before, and is so far from avoiding melancholy, that it increaseth it, and weakeneth the sight." [1499]Prosper Calenus observes as much of all phlebotomy, except they keep a very good diet after it; yea, and as [1500]Leonartis Jacchinus speaks out of his own experience, [1501]"The blood is much blacker to many men after their letting of blood than it was at first." For this cause belike Salust. Salvinianus, l. 2. c. 1, will admit or hear of no bloodletting at all in this disease, except it be manifest it proceed from blood: he was (it appears) by his own words in that place, master of an hospital of mad men, [1502]"and found by long experience, that this kind of evacuation, either in head, arm, or any other part, did more harm than good." To this opinion of his, [1503]Felix Plater is quite opposite, "though some wink at, disallow and quite contradict all phlebotomy in melancholy, yet by long experience I have found innumerable so saved, after they had been twenty, nay, sixty times let blood, and to live happily after it. It was an ordinary thing of old, in Galen's time, to take at once from such men six pounds of blood, which now we dare scarce take in ounces: sed viderint medici;" great books are written of this subject.

      Purging upward and downward, in abundance of bad humours omitted, may be for the worst; so likewise as in the precedent, if overmuch, too frequent or violent, it [1504]weakeneth their strength, saith Fuchsius, l. 2. sect., 2 c. 17, or if they be strong or able to endure physic, yet it brings them to an ill habit, they make their bodies no better than apothecaries' shops, this and such like infirmities must needs follow.

      SUBSECT. V.—Bad Air, a cause of Melancholy.

      Air is a cause of great moment, in producing this, or any other disease, being that it is still taken into our bodies by respiration, and our more inner parts. [1505]"If it be impure and foggy, it dejects the spirits, and causeth diseases by infection of the heart," as Paulus hath it, lib. 1. c. 49. Avicenna, lib. 1. Gal. de san. tuenda. Mercurialis, Montaltus, &c. [1506]Fernelius saith, "A thick air thickeneth the blood and humours." [1507]Lemnius reckons up two main things most profitable, and most pernicious to our bodies; air and diet: and this peculiar disease, nothing sooner causeth [1508](Jobertus holds) "than the air wherein we breathe and live." [1509]Such as is the air, such be our spirits; and as our spirits, such are our humours. It offends commonly if it be too [1510]hot and dry, thick, fuliginous, cloudy, blustering, or a tempestuous air. Bodine in his fifth Book, De repub. cap. 1, 5, of his Method of History, proves that hot countries are most troubled with melancholy, and that there are therefore in Spain, Africa, and Asia Minor, great numbers of mad men, insomuch that they are compelled in all cities of note, to build peculiar hospitals for them. Leo [1511]Afer, lib. 3. de Fessa urbe, Ortelius and Zuinger, confirm as much: they are ordinarily so choleric in their speeches, that scarce two words pass without railing or chiding in common talk, and often quarrelling in their streets. [1512]Gordonius will have every man take notice of it: "Note this" (saith he) "that in hot countries it is far more familiar than in cold." Although this we have now said be not continually so, for as [1513]Acosta truly saith, under the Equator itself, is a most temperate habitation, wholesome air, a paradise of pleasure: the leaves ever green, cooling showers. But it holds in such as are intemperately hot, as [1514]Johannes a Meggen found in Cyprus, others in Malta, Aupulia, and the [1515]Holy Land, where at some seasons of the year is nothing but dust, their rivers dried up, the air scorching hot, and earth inflamed; insomuch that many pilgrims going barefoot for devotion sake, from Joppa to Jerusalem upon the hot sands, often run mad, or else quite overwhelmed with sand, profundis arenis, as in many parts of Africa, Arabia Deserta, Bactriana, now Charassan, when the west wind blows [1516]Involuti arenis transeuntes necantur. [1517]Hercules de Saxonia, a professor in Venice, gives this cause why so many Venetian women are melancholy, Quod diu sub sole degant, they tarry too long in the sun. Montanus, consil. 21, amongst other causes assigns this; Why that Jew his patient was mad, Quod tam multum exposuit se calori et frigori: he exposed himself so much to heat and cold, and for that reason in Venice, there is little stirring in those brick paved streets in summer about noon, they are most part then asleep: as they are likewise in the great Mogol's countries, and all over the East Indies. At Aden in Arabia, as [1518] Lodovicus Vertomannus relates in his travels, they keep their markets in the night, to avoid extremity of heat; and in Ormus, like cattle in a pasture, people of all sorts lie up to the chin in water all day long. At Braga in Portugal; Burgos in Castile; Messina in Sicily, all over Spain and Italy, their streets are most part narrow, to avoid the sunbeams. The Turks wear great turbans ad fugandos solis radios, to refract the sunbeams; and much inconvenience that hot air of Bantam in Java yields to our men, that sojourn there for traffic; where it is so hot, [1519]"that they that are sick of the pox, lie commonly bleaching in the sun, to dry up their sores." Such a complaint I read of those isles of Cape Verde, fourteen degrees from the Equator, they do male audire: [1520]One calls them the unhealthiest clime of the world, for fluxes, fevers, frenzies, calentures, which commonly seize on seafaring men that touch at them, and all by reason of a hot distemperature of the air. The hardiest men are offended with this heat, and stiffest clowns cannot resist it, as Constantine affirms, Agricult. l. 2. c. 45. They that are naturally born in such air, may not [1521]endure it, as Niger records of some part of Mesopotamia, now called Diarbecha: Quibusdam in locis saevienti aestui adeo subjecta est, ut pleraque animalia fervore solis et coeli extinguantur, 'tis so hot there in some places, that men of the country