"Since bodily infirmity sometimes proceeds from sin, the Lord

himself saying to the ailing man whom he had cured 'Go now and sin

no more lest something worse should happen to you,' we declare by

the present decree and distinctly impose upon physicians of the body

that whenever it shall happen that they are called to ailing

persons, they must before all warn and persuade the ailing that they

should call in physicians of the soul so that after the spiritual

safety of the sick has been provided for he may proceed more

healthfully to the remedy of corporeal medicine, since the cause

ceasing the effect shall also cease.

"This among other things gave cause for this edict that certain

people lying on a bed of sickness when persuaded by physicians that

they should dispose things for the safety of their souls fall into a

condition of despair whence the more easily they incur the danger of

death.

{430}

"If any one of the physicians after this constitution of ours shall

have been published should transgress it he should be kept from

entrance to the Church until he shall have satisfied competently for

the transgression.

"Besides, since the soul is by far more precious than the body, we

prohibit under dire anathema that any physician should ever advise a

patient to do anything for his corporal welfare that would bring him

into danger of losing his soul."

_The Synodal Statutes of the Church of Mans (the chief town of

the Province of Main), A.D. 1247._

On Communion for the Sick.

"It was decreed in the general session and distinctly enjoined on

physicians of the body that when they happen to be called to the

ailing they must before everything else warn and persuade their

patients to call physicians of the soul, in order that after the

spiritual safety of the sick one may be provided for they may

proceed with more assurance to the remedy of corporal ills. If any

physician should transgress this constitution let him be kept from

entrance to the Church until he shall have made competent

satisfaction.

"Besides since the soul is much more important than the body it is

prohibited under anathema that any physician should advise a patient

anything for his bodily health which might bring his soul into

peril."

{431}

APPENDIX V.

PAPAL PHYSICIANS.

To make many sources of information with regard to this vexed question

of the relation of the Popes to Science more readily available, a

series of authoritative references to Papal Physicians so far as we

know them and their work during the past seven centuries has seemed to

me especially needed. Physicians at all times have been interested in

phases of science besides medicine and have not infrequently made

important discoveries in the non-medical sciences. Their constant

occupation with scientific subjects in their professional capacity has

always given them an open mind for scientific advances. As the Papal

Physicians were at all times men chosen because they had reached

distinction in medicine, they were usually scholars who thought for

themselves and were ready to recognize the new in science in any

department from which it might be presented. Many of the Papal

Physicians made important contributions to other sciences and not a

few of them laid important foundations, especially in the biological

sciences. The fact that the Popes constantly had near them, in the

confidential capacity so inevitable between a man and his physician,

scientists of prestige in their chosen profession, so often the

teachers of their generation in medicine and almost as a rule

interested in the sciences related to medicine and not infrequently in

physical science generally, is the best possible evidence not only

that there could not be opposition, but on the contrary that there

must have been, so far as human assumption may go, a constant

favorable attitude of mind of the Popes toward science.

In my chapter on Papal Physicians in the first edition of this volume

I gathered such references as would enable me to bring out the

valuable services of many of the medical attendants of the Popes to

medical and physical science. I was not aware then that a more or less

complete list of Papal Physicians for some five centuries at least had

been published, giving an excellent idea of what they had done and

written in scientific matters. There was no copy of the work in this

country so far as I could learn and it was only after considerable

difficulty that I was able to secure the volumes through the kind

offices of Rev. Father Hagan, S.J., who is the Papal Astronomer in

Rome at the present time. From that {432} work the History of the

Papal Physicians, originally written by Mandosio at the end of the

seventeenth century and extended and annotated by Marini at the end of

the eighteenth, [Footnote 50] it has seemed worth while to present

such abstracts as will supply ample material for the consultation of

those interested in Papal relations to science yet who have not the

longer work available for reference. This will show that many of the

Papal Physicians were, as I have said, leaders in the science of their

time, not only in medicine and also the biological sciences generally,

but in all departments of physical science.

[Footnote 50: _Degli Archiatri Pontifici_, Roma, Pagliarini, 1784.]

Nicholas I the Great (858-67).--Almost needless to say the available

list of the Papal Physicians does not go back much beyond the

thirteenth century, though we have the name of one Ursus who is

mentioned in a very old manuscript, No. 5696 (Fol. 184) of the Vatican

Library. The author of this manuscript work is Anastasius the Abbot

and he dedicates it to Ursus, Physician, Domestic Prelate of Pope

Nicholas I. Beyond a mention of Ursus by Fioravante Martinello in his

work, _Roma ex Ethnica Sacra_, (p. 414), nothing else is known of this

old-time physician. Even this mention, however, seems to make it clear

that there was a physician formally attached to the Papal See thus

early in the Middle Ages.

Sylvester II (999-1003), Victor III (1086-87).--In the tenth century

Gerbert, who became Pope under the name of Sylvester II, was famous

for his knowledge of medicine as well as other sciences and the close

personal friend of men who did much for medical education in France,

as we have noted in the body of the book. Before the end of the

eleventh century the Abbot Desiderius, as we have said, became Pope

after having been for years the intimate friend of Constantine

Africanus, to whom we owe the earliest serious development of the

medical school of Salerno and the first important medical writings in

modern Europe. We owe much of Constantine's writing to Desiderius'

inspiration.

Innocent III (1198-1216), Gregory IX (1227-41), Martin IV

(1281-85).--With the beginning of the thirteenth century the documents

for the history of culture in Europe are better preserved and the list

of Papal Physicians begins to be more complete. Guy of Montpellier was

summoned to Rome to establish the Hospital of Santo Spirito by

Innocent III just at the opening of the thirteenth century. Richard

the Englishman was the physician to the famous Pope Gregory IX, one of

Innocent's successors in the first half {433} of this century. Another

Englishman, Hugo Atratus or Atractus, said to have been from Evesham,

became the physician of Pope Martin II, 1281. Oldoino in his _Athenaeo

Romano_ mentions a series of books written by this Hugh of Evesham, as

he is called in English. They bear the titles _Medicinales Canones_,

Medical Canons, and _De Genealogiis Humanis_ and there is besides an

_opusculum_ by him on the work of Isaac the well-known Jewish

physician of the Middle Ages "On Fevers." The physicians of Pope

Honorius IV, Taddeo the Florentine, and of Nicholas IV, Simon a Corde,

or as he is better known, Simon Januensis, are mentioned in the body

of the book.

Boniface VIII (1294-1303), Benedict XI (1303-04), Clement V

(1305-14).--In the preface of his great text-book of surgery, written

in the first half of the fourteenth century, Henry of Mondeville,

whose work represents an important landmark in the history of surgery

that has been reissued in our own generation in at least two editions,

one in Germany, the other in France, declares that "I began to write

this work ... on the proposal and request of Master William of

Brescia, distinguished professor in the science of medicine and

formerly physician to Pope Boniface VIII, and Benedict XI, and Clement

V, the present Pope." This is almost all that we know of William, and

he is not mentioned in Mandosio's list of Papal Physicians nor in

Marini's additions to Mandosio. This is not so hard to understand

because no printed edition of Mondeville, who died untimely from

tuberculosis and whose work was left unfinished, was issued until our

time. If William had done nothing else, however, than stimulate his

younger colleague Mondeville to write his great book, which Pagel

thought it worth while to edit in our generation and to which Gurlt,

in his History of Surgery, devotes some forty pages, he would have a

right to a distinctive place in the history of surgery. As it is we

have Mondeville's praise of him and as the French professor of surgery

was himself one of the most scholarly men of that important period,

his opinion is of great value.

Another of the physicians of Pope Boniface VIII, Angelus Camerinensis,

is called by Oldoino "a most learned doctor of medicine (medicus

absolutissimus) who made a fortune out of his profession and for many

years not only pleased but benefited the students who crowded to hear

him." The two books from him that we know are on "The Regimen for

Preservation from the Pest" and on "Protection against Poisons."

One of the most distinguished of the Papal Physicians was Arnold {434}

of Villanova, who, after having been protected by Pope Benedict XI

from enemies who insisted that his scientific writings were heretical,

afterwards became the friend and physician of Pope Clement V at

Avignon. He is the author of a great many writings which have gone

through a number of editions. His works have proved a treasure house

of quotations from a number of his colleagues in medicine and surgery

who lived before his time, from whom nothing has been preserved except

these quotations in Villanova. The edition of his works published at

Lyons in 1504 contains some fifty-five different treatises.

One of the physicians of Pope Clement V, at least he seems to have

been summoned in consultation when the Pope was suffering from a

severe illness, the cure of which was attributed to him, was Petrus

Aichspadius. He appears to have been a very Admirable Crichton of

various learning, for Mandosius says of him that "he was distinguished

for his knowledge of the best literature, and as a theologian as well

as for his virtues, an excellent physician whose reputation had made

medicine respected in his time." With all this he was the Bishop of

Basel and after Pope Clement's recovery he was transferred to the See

of Moguntum by the Pope, who declared that as he was such a happy

curer of bodies it seemed only appropriate that he should be given a

larger cure of souls.

Pope John (XXI) XXII (1314-16).--Gentilis Gentilis, said to have been

the son of another Papal Physician of the name of Gentilis, was the

medical attendant of John (XXI) XXII. His death was due to his

faithful devotion to the citizens of Perugia during a time of

pestilence. He is the author of a volume of Commentaries on Avicenna,

of "The Best Councils for every Form of Disease of the Whole Body," of

a volume "On Fevers," of a treatise "On Leprosy," a monograph "On

Baths," and of a book that went through many editions after printing

was introduced on "The Proportions of Medicine and the Method of

Investigating their Composition and of Knowing the Appropriate Dose of

Each Medicine." This was printed at Padua more than a century after

his death and later at Lyons, and there seems to have been another

edition in the Low Countries. He wrote a series of smaller medical

treatises on "The Activity of Medicines," on "Phthisis" and on

"Medical Dosage." He also wrote "On the Pulse and on Urine" in a

volume of which editions were issued at Venice and at Lyons.

Another of the physicians of Pope John XXII was Dino del Garbo, a

Florentine, the son of Bruno del Garbo, a skilful surgeon and the

disciple of Taddeo of Florence. He is sometimes known as {435} Dino

the Expounder because of his successful devotion to the exposition of

Galen and Avicenna. Like many of the physicians of his time he had

degrees in both medicine and philosophy and was celebrated for his

scholarliness. According to Van der Linden, he wrote _De Caena et

Prandio Epistola_, which was published by Jerome of Cartularius in

1545; Commentaries on Hippocrates' Nature of the Foetus, Venice, 1502;

a treatise on surgery which was published at Ferrara in 1485 and a

subsequent edition at Venice in 1536. His Commentaries on Avicenna and

the General Practice of Medicine were published at Venice in 1495 and

his book on The Virtues of Simple Medicines, a commentary on the

Second Canon of Avicenna, was published at Venice the same year. Dino

is usually looked upon as one of the most distinguished contributors

to medicine in the fourteenth century. His son Thomas is said also to

have been in the service of the Popes and has written books on The

Reduction of Medicines, a Commentary on Avicenna and a commentary on

Galen's work "On Fevers."

John XXII (1316-34), Clement VI (1342-52), Innocent VI (1352-62), St.

Urban V (1362-70).--Of Guy de Chauliac, physician to the Popes at

Avignon, enough has been said in the text of this book to make clear

how important was his place in the surgery of his time and, indeed, of

all the modern time. I have written on him more at length in my Old

Time Makers of Medicine (Fordham University Press), and during the ten

years that have elapsed since the writing of the original edition of

this volume on The Popes and Science, Guy de Chauliac's fame and

merits have come to be recognized everywhere.

Gregory XI (1370-78).--One of the well-known physicians of the Popes

at Avignon was Jean de Tornemire, known by his Latin name of

Tornamira, the physician of Pope Gregory XI, who on the death of that

Pope went to Montpellier, where he became Dean and Chancellor of the

Medical Faculty. Gurlt, in his History of Surgery, says that he must

be "counted among the most learned and expert physicians of his time."

He wrote a commentary on Rhazes and some notes of his on stone in the

kidney and bladder show how careful an observer he was. His Rhazes was

published at Lyons, 1490. His collected works were published in many

editions in the sixteenth century.

Urban VI (1378-89), Innocent VII (1404-06), Martin V

(1417-31).--Francis Casinus, the son of a noble family of Siena, one

of the best-known of the physicians of North Italy in the fourteenth

century, was chosen physician to Urban VI in 1378. His son {436}

Francis was physician to Pope Martin V, 1417. A brother of Francis

Casinus, John by name, was Papal Physician to Pope Innocent VII.

Isadoras Ugurgerius in his work _"Le Pompe Sanesi"_ says, "The Casini

among the philosophers and physicians of their time held easily the

first place. John lectured on the theory of medicine at Siena about

the year 1370 and afterwards was summoned to Rome by Pope Innocent

VII, by whom he was admitted among his most intimate friends and

declared the guardian and conserver of his health." One of John

Casinus' sons became Cardinal Antonius Casinus, and another,

Bartholomeus, was the Abbot of Valombrosa, while the son of Francis

Casinus, his brother, became Bishop of Massa and is famous for a

collection of manuscripts made during the first half of the fifteenth

century.

Another of the physicians of Pope Martin V was Andrew Gamuccius, who

had also been physician to Pope John XXIII. He was a descendant of a

noble family of San Gemignano, well known for scholarship and for the

number of distinguished men who came from it.

Eugene IV (1431-47) chose as his physician John Baptist Verallus,

doctor of medicine and philosophy, to whom he gave besides the title

of archiater to the Pope that of chief physician of the city. Verallus

is famous for his work in improving the health of Rome itself and

represents one of the pioneers in public hygiene. At various times

most of our modern hygienic regulations were anticipated at Rome. The

ancient Romans had brought in water from a distance, because they had

experienced the seriousness of contamination and during the early

Renaissance the aqueducts which had fallen out of repair were

gradually restored. The contagiousness of tuberculosis began to be

suspected at this time and the idea of intimate contact with patients

suffering from disease as a definite cause took shape. In a chapter of

"The Century of Columbus," Catholic Summer School Press, N. Y., 1914,

I reviewed some of these anticipations in Italy of our modern hygiene

due to thinking physicians, of whom Verallus was one of the pioneers.

Another of the physicians of Pope Eugene IV was Ludovicus Scarampus.

His fame was for surgery rather than medicine, so that it is

interesting to learn in spite of the supposed ecclesiastical

opposition to surgery that Pope Eugene learned to think so much of him

that he made him a Bishop and then Archbishop of Florence, and

afterwards Patriarch of Aquilea with the rank of Cardinal. More than

one distinguished medieval surgeon in Italy had been a colleague in

the episcopal dignity. Practically all the historical {437} writers of

Scarampus' time give him a prominent place in their histories.

Nicholas V (1448-55).--One of the physicians of Pope Nicholas V, the

Renaissance patron of learning, was Bernard Garzonius, distinguished

for his knowledge of philosophy and medicine, who had been professor

in the medical school at Bologna before being summoned to Rome.

Alidosio in his volume _I Dottori Bolognesi di Teologia, Filosofia,

Medicina, ed Arti Liberali_ (page 29) gives an interesting account of

the hours and subjects of his teaching at Bologna. At nine in the

morning Garzonius lectured on the Theory of Medicine, and in the

afternoon on the Practice of Medicine. Besides there were special

lectures on Moral Philosophy probably setting forth the moral

principles of medical practice on the festival days. Garzonius died in

Rome of the pest in 1454, having devoted himself to the care of those

suffering from the disease, though the mortality was so high that most

of those who could, including even not a few of his colleagues in

medicine, had left the city.

Another of the physicians of Pope Nicholas V was Laurentius Roverella

of Ferrara, of whom his contemporaries speak in the highest praise for

his erudition, his ability to teach and the piety and charity of his

life. He was for a time professor at the University of Ferrara, but

afterwards was called to Padua, where his lectures attracted a great

deal of attention. He was recalled to Ferrara by the D'Estes in order

to secure his prestige for his native city and it was from here that

he was summoned to Rome to become the chamberlain and physician of

Pope Nicholas V. After the death of Nicholas V he went to Paris,

lectured there for a time and was crowned with the doctorate. After

this he returned to Ferrara and was frequently sent as ambassador to

diverse European princes by the Duke of Ferrara. He was also sent as

ambassador for the Popes into France and Hungary. He died at the

Monastery of Monte Oliveto in the arms of his brother, who was the

Prior of the monastery, but his body was brought for burial to the

Church of St. George in Ferrara. Roverella finds a significant place

in all the histories of the time.

Calixtus III (1455-58).--The physician of Pope Calixtus III and Pius

II was Joannes Serninus. He was a native of Siena, practised for a

time in his native city, was offered the position with a good salary

of public physician to Citta di Castella, then went to Ancona in a

similar position with such success, according to tradition, that his

cures were considered almost miracles. From here he was summoned by

Pope Calixtus III, and after his death {438} was retained as his

physician by Pope Pius II, himself one of the Piccolomini family of

Siena. After his death his body was transferred to Siena because the

city considered that the remains of so great a son should rest in her

soil. It is significant that this physician of wide experience in

public health matters, whose successful career in helping various

Italian towns to make conditions more healthy for their citizens gave

him a wide reputation, should be the chosen physician of Pope Calixtus

III, to whom is attributed a famous Bull, that has never been found

however, against Halley's comet on its appearance in 1456. The

selection of such a man as Serninus as Papal Physician makes it

extremely improbable that the Pope should have issued any such

document as is attributed to him. Its issue has been accepted only

with the thought that in the middle of the fifteenth century the Pope

and his court were buried in ignorance of science and above all of

medicine and the cause of disease. [Footnote 51]

[Footnote 51: The whole subject of the supposed Papal Bull against the

comet is discussed in my sketch of Regiomontanus the father of modern

astronomy, as he is sometimes called, in "Catholic Churchmen in

Science," second series, Phila., Dolphin Press, 1909.]

Another of the physicians of Pope Nicholas V and Calixtus III was

Simon Tebaldi, who came of a distinguished family, one of whom was a

Cardinal. He is called by the historians of the time an illustrious

philosopher and physician of the period.

Paul II (1464-71).--Christopher of Verona is mentioned by Platina in

his life of Paul II as the physician of that Pope, but nothing more is

known of him. Jacobus Gottifredus, another of Paul's physicians, is

better known. He taught medicine for a time at Rome, which was his

native city, and devoted himself particularly to the practice of his

profession. According to tradition he became the most sought after

physician of the city and made a large fortune. He had many

archaeological interests, collected curiosities of all kinds and

generally used the fortune which he made in medicine for cultural

purposes.

Another of the physicians of Pope Paul II was Joannes Burgius, who was

also a bishop. He is highly praised by his contemporaries, and

Mandosius describes a huge manuscript volume by him preserved in one

of the libraries in Rome, bearing the title _Secreta Verissima ad

Varios Curandos Morbos_--The Truest Secrets for Curing Various

Diseases.

The fourth of the physicians of Paul II of whom there is record was

Sanctes Floccus, whose activities as writer and physician are summed

up in the inscription on his tombstone.

{439}

_"Flocca Domus, nomen mihi Sanctes, Patria Firmum,

Scriptor eram, et medicus Paule Secunde tuus."_

The fifth of the physicians of Paul II was Sebastianus Veteranus, who

was also the archiater or chief physician of the city of Rome

according to the list given in the appendix of the statutes of the

Roman College, called _Nomenclatura Medicorum._ He is mentioned by his

contemporaries as "well versed in the serious disciplines of

philosophy and medicine and as constantly a diligent, fruitful

cultivator of them, devoting his life to his studies."

Sixtus IV (1471-84).--One of the physicians of Pope Sixtus IV was

Onofrio de Onofriis. Oldoinus declares him "a celebrated physician

greatly esteemed for the success which he had in the treatment of

patients and the very large practice which he consequently enjoyed."

He had been a professor of philosophy and of medicine--the two nearly

always went together in these days, unfortunately they do not so often

any more--at the University of Perugia, where he achieved great

success. It was from here that he was summoned to be the physician of

Pope Sixtus. He wrote a series of books on medicine and some of his

lectures were published, though these are not now extant.

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