There is not, and may possibly never be, an adequate biography of

this prodigious man. It is a truism to say that he has cast a doubt

on all past glory; let us hope that he has rendered future glory

impossible, for to judge by the late war it seems impossible that

any rival to the glory of Napoleon can ever arise. In the matter of

slaying his fellow-creatures he appears to have reached the summit of

human achievement; possibly also in all matters of organization and

administration. Material things hardly seemed to affect him; bestriding

the world like a colossus he has given us a sublime instance of

Intellect that for many years ruthlessly overmastered Circumstance.

That Intellect was finally itself mastered by disease, leaving behind

it a record which is of supreme interest to mankind; a record which,

alas, is so disfigured by prejudice and falsehood that it is difficult

to distinguish between what is true and what is untrue. Napoleon

himself possessed so extraordinary a personality that nearly every

one whom he met became a fervent adorer. With regard to him we can

find no half-tones, no detached reporters; therefore it is enormously

difficult to find even the basis for a biography. Fortunately, that is

not now our province. It is merely necessary that we shall attempt to

make a consistent story of the reports of illness which perplex us in

regard to his life and death; it adds interest to the quest when we

are told that sometimes disease lent its aid to Fate in swaying the

destinies of battles. And yet, even after Napoleon has lived, there are

some historians who deny the influence of a “great man” upon history,

and would attribute to “tendencies” and “ideas” events which ordinary

people would attribute to individual genius. Some persons think that

Napoleon was merely an episode--that he had no real influence upon

history; it is the custom to point to his career as an exemplification

of the thesis that war has played very little real part in the moulding

of the course of the world. Into all this we need not now enter, beyond

saying that he was the “child of the French Revolution” who killed

his own spiritual father; the reaction from Napoleon was Metternich,

Castlereagh, and the Holy Alliance; the reaction from these forces of

repression was the late war. So it is difficult to agree that Napoleon

was only an “episode.” We have merely to remark that he was the most

interesting of all men, and, so far as we can tell, will probably

remain so. As Fielding long ago pointed out in _Jonathan Wild_, a

man’s “greatness” appears to depend on his homicidal capacity. To make

yourself a hero all you have to do is to slaughter as many of your

fellow-creatures as God will permit. How poor the figures of Woodrow

Wilson or Judge Hughes seem beside the grey-coated “little corporal”!

Though it is quite probable that either of these most estimable

American peacemakers have done more good for the human race than was

achieved by any warrior! So sinful is man that we throw our hats in the

air and whoop for Napoleon the slaughterer, rather than for Woodrow

Wilson, who was “too proud to fight.”

When Napoleon was sent to St. Helena he was followed by a very few

faithful friends, who seem to have spent their time in hating one

another rather than in comforting their fallen idol. It is difficult

to get at the truth of these last few years because, though most of

the eye-witnesses have published their memoirs, each man seems to have

been more concerned to assure the world of the greatness of his own

sacrifice than to record the exact facts. Therefore, though Napoleon

urged them to keep diaries, and thereby make great sums of money

through their imprisonment, yet these diaries generally seem to have

aimed rather at attacking the other faithful ones than at telling us

exactly what happened.

The post-mortem examination of Napoleon’s body was performed by

Francesco Antommarchi, a young Corsican physician, anatomist, and

pathologist, who was sent to St. Helena about eighteen months before

Napoleon’s death in the hope that he, being a Corsican, would be able

to win the Emperor’s confidence and cure the illness of which he was

already complaining. Unfortunately, Antommarchi was a very young man,

and Napoleon suspected both his medical skill and the reason of his

presence. Napoleon used to suffer from severe pains in his stomach;

he would clasp himself, and groan, “O, mon pylore!” By that time he

was suffering from cancer of the stomach, and Antommarchi did not

suspect it. When Napoleon groaned and writhed in agony it is said

that Antommarchi merely laughed, and prescribed him tartar emetic in

lemonade. Napoleon was violently sick, and thought himself poisoned; he

swore he would never again taste any of Antommarchi’s medicine. Once

again Antommarchi attempted to give him tartar emetic in lemonade;

it was not in vain that Napoleon had won a reputation for being a

great strategist, for, when Antommarchi’s back was turned he handed

the draught to the unsuspecting Montholon. In ten minutes that hero

reacted in the usual manner, and extremely violently. Napoleon was

horrified and outraged in his feelings; quite naturally he accused

Antommarchi of trying to poison him, called him “assassin,” and refused

to see him again. Another fault that Napoleon found with the unhappy

young man was that whenever he wanted medical attendance Antommarchi

was not to be found, but had to be ferreted out from Jamestown, three

and a half miles away; so altogether Antommarchi’s attendance could not

be called a success. Napoleon in his wrath was “terrible as an army

with banners.” Even at St. Helena, where the resources of the whole

world had been expended in the effort to cage him helpless, it must

have been no joke to stand up before those awful eyes, that scorching

tongue; and it is no wonder that Antommarchi preferred to spend the

last few weeks idling about Jamestown rather than forcing unwelcome

attention upon his terrible patient.

Worst of all, Antommarchi at first persuaded himself that Napoleon’s

last illness was not serious. When Napoleon cried in his agony, “O,

mon pylore!” and complained of a pain that shot through him like a

knife, Antommarchi merely laughed and turned to his antimony with

catastrophic results. It shakes our faith in Antommarchi’s professional

skill to read that until the very last moment he would not believe

that there was much the matter. The veriest blockhead--one would

imagine--must have seen that the Emperor was seriously ill. Many a case

of cancer of the stomach has been mistaken for simple dyspepsia in

its early stages, but there comes a time when the true nature of the

disease forces itself upon even the most casual observer. The rapid

wasting, the cachexia, the vomiting, the pain, all impress themselves

upon both patient and friends, and it is difficult to avoid the

conclusion that Antommarchi must have been both careless and negligent.

When the inevitable happened, and Napoleon died, it was Antommarchi who

performed the autopsy, and found a condition which it is charitable to

suppose may have masked the last symptoms and may have explained, if it

did not excuse, the young anatomist’s mistaken confidence.

We conclude our brief sketch of the unhappy Antommarchi by saying that

when he returned to Europe he published the least accurate and most

disingenuous of all accounts of Napoleon’s last days. His object seems

to have been rather to conceal his own shortcomings than to tell the

truth. This book sets the seal on his character, and casts doubt on

all else that comes from his pen. He may have been, as the _Lancet_

says, a “trained and competent pathologist”; he was certainly a most

unfortunate young man.

The post-mortem was performed in the presence of several British

military surgeons, who appear to have been true sons of John Bull,

with all the prejudice, ignorance, and cocksureness that in the eyes

of other nations distinguish us so splendidly. Though truthfulness

was not a strong point with Antommarchi, he seems to have known his

pathology, and has left us an exceedingly good and well-written report

of what he found. Strange to relate, the body was found to be still

covered thickly with a superficial layer of fat, and the heart and

omenta were also adipose. This would seem impossible in the body of a

man who had just died from cancer of the stomach, but is corroborated

by a report from a Dr. Henry, who was also present, and is not unknown.

I remember the case of an old woman who, though hardly at all wasted,

was found at the autopsy to have an extensive cancerous growth of the

pylorus; the explanation was that the disease had been so acute that

it slew her before there had been time to produce much wasting. At one

point Napoleon’s cancerous ulcer had perforated the stomach, and the

orifice had been sealed by adhesions. Dr. Henry proudly states that he

himself was able to thrust his finger through it. The liver was large

but not diseased; the spleen was large and “full of blood”--probably

Antommarchi meant engorged. The intestine was covered by small

bright-red patches, evidently showing inflammation of lymphatic tissue

such as frequently occurs in general infections of the body. The

bladder contained gravel and several definite calculi. There was hardly

any secondary cancerous development, except for a few enlarged glands.

Antommarchi and the French generally had diagnosed before death that

he was suffering from some sort of hepatitis endemic to St. Helena,

and the cancer was a great surprise to them--not that it would have

mattered much from the point of view of treatment.

Napoleon’s hands and feet were extremely small; his skin was white and

delicate; his body had feminine characteristics, such as wide hips and

narrow shoulders; his reproductive organs were small and apparently

atrophied. He is said to have been impotent for some time before he

died. There was little hair on the body, and the hair of the head was

fine, silky, and sparse. Twenty years later his body was exhumed and

taken to France, and Dr. Guillard, who was permitted to make a brief

examination, stated that the beard and nails appeared to have grown

since death; there was very little sign of decomposition; men who had

known him in life recognized his face immediately it was uncovered.

Leonard Guthrie points out that some of these signs seem to indicate

a condition of hypo-pituitarism--the opposite to the condition of

hyper-pituitarism which causes “giantism.” Far-fetched as this theory

may appear, yet it is possible that there may be something in it.

The autopsy showed beyond cavil that the cause of death was cancer of

the stomach, and it is difficult to see what more Antommarchi could

have done in the way of treatment than he did, although certainly an

irritant poison like tartar emetic would not have been good for a man

with cancer of the stomach, even if it did not actually shorten his

life. But Napoleon was not a good patient. He had seen too much of

army surgery to have a great respect for our profession; indeed, it is

probable that he had no respect for anybody but the Emperor Napoleon.

He, at least, knew his business. He could manœuvre a great army in the

field and win battles--and lose them too. But even a lost Napoleonic

battle--there were not many--was better managed than a victory of any

other man; whereas when you were dealing with these doctor fellows you

could never tell whether their results were caused by their treatment

or by the intervention of whatever gods there be. Decidedly Antommarchi

was the last man in the world to be sent to treat the fallen, but still

imperious, warrior.

The symptoms of impending death seem to have been masked by a continued

fever, and probably Antommarchi was not really much to blame. This idea

is to some extent borne out by a couple of specimens in the Museum

of the Royal College of Surgeons, which are said to have belonged to

the body of Napoleon. The story is that they were surreptitiously

removed by Antommarchi, and handed by him to Barry O’Meara, who in his

turn gave them to Sir Astley Cooper. That baronet handed them to the

museum, where they are now preserved as of doubtful origin. But their

genuineness depends upon whether we can believe that Antommarchi would

or could have removed them, and whether O’Meara was telling the truth

to Sir Astley Cooper. It is doubtful which of the two first-mentioned

men is the less credible, and Cooper could not have known how

untruthful O’Meara was to show himself, or he would probably not have

thought for one moment that the specimens were genuine. O’Meara was

a contentious Irishman who, like most other people, had fallen under

the sway of Napoleon’s personal charm. He published a book in which

he libelled Sir Hudson Lowe, whose hard fate it was to be Napoleon’s

jailer at St. Helena--that isle of unrest. For some reason Lowe never

took action against his traducer until it was too late, so that his own

character, like most things connected with Napoleon, still remains a

bone of contention. But O’Meara had definitely put himself on the side

of the French against the English, and it was the object of the French

to show that their demigod had died of some illness endemic to that

devil’s island, aggravated by the barbarous ill-treatment of the brutal

British. We on our side contended that St. Helena was a sort of earthly

paradise, where one should live for ever. The fragments are from

_somebody’s_ ileum, and show little raised patches of inflamed lymphoid

tissue; Sir William Leishman considers the post-mortem findings,

apart from the cancer, those of some long-continued fever, such as

Mediterranean fever.

Mediterranean or Malta fever is a curious specific fever due to the

_Micrococcus melitensis_, which shows itself by recurrent bouts of

pyrexia, accompanied by constipation, chronic anæmia, and wasting.

Between the bouts the patient may appear perfectly well. There are

three types--the “undulatory” here described; the “intermittent,” in

which the attacks come on almost daily; and the “malignant,” in which

the patient only lives for a week or ten days. It is now known to be

contracted by drinking the infected milk of goats, and it is almost

confined to the shores of the Mediterranean and certain parts of India.

It may last for years, and it is quite possible that Napoleon caught

it at Elba, of which Mediterranean island he was the unwilling emperor

in 1814. Thence he returned to France, as it was said, because he had

not elba-room on his little kingdom. It is certain that for years he

had been subject to feverish attacks, which army surgeons would now

possibly classify as “P.U.O.,” and it is quite possible that these may

in reality have been manifestations of Malta fever.

It has been surmised by some enthusiasts that the frequency of

micturition, followed by dysuria, to which he was liable, may have

really been due to hyper-pituitarism. Whenever we do not understand a

thing let us blame a ductless gland; the pituitary body is well hidden

beneath the brain, and its action is still not thoroughly understood.

But surely we need no further explanation of this miserable symptom

than the stones in the bladder. Napoleon for many years might almost

be said to have lived on horseback, and riding is the very thing to

cause untold misery to a man afflicted with vesical calculus. Dysuria,

attendant upon frequency of micturition, is a most suggestive symptom;

nowadays we are always taught to consider the possibility of stone, and

it is rather surprising that nobody seems to have suspected it during

his lifetime. This could be very well accounted for by remembering the

general ignorance and incompetence of army surgeons at the time, the

mighty position of the patient, and his intolerance of the medical

profession. Few men would have dared to suggest that it would be well

for him to submit to the passage of a sound, even if the trouble ever

became sufficiently urgent to compel him to confide so private a matter

to one so lowly as a mere army doctor. Yet he had known and admired

Baron Larrey, the great military surgeon of the Napoleonic Wars; one

can only surmise that his calculi did not give him much trouble, or

that they grew more rapidly in the sedentary life which he had led at

St. Helena.

During the last year or so he took great interest in gardening, and

spent hours in planting trees, digging the soil, and generally behaving

somewhat after the manner of a suburban householder. He was intensely

bored by his forced inaction, and used to take refuge in chess. His

staff at first welcomed this, but unhappily they could find nobody bad

enough for the mighty strategist to beat; yet nobody dared to give him

checkmate, and it was necessary to lose the game foolishly rather than

to defeat Napoleon. It is clear that the qualities requisite in a good

chess-player are by no means the same as those necessary to outmanœuvre

an army.

Throughout his life his pulse-rate seldom exceeded fifty per minute; as

he grew older he was subject to increasing lassitude; his extremities

felt constantly chilly, and he used to lie for hours daily in hot-water

baths. Possibly these may have been symptoms of hypo-pituitarism; Lord

Rosebery follows popular opinion in attributing his laziness to the

weakening effects of hot baths. Occasionally Napoleon suffered from

attacks of vomiting, followed by fits of extreme lethargy. It is quite

possible that these vomiting attacks may have been due to the gastric

ulcer, which must have been growing for years until, about September,

1820, it became acutely malignant.

The legend that Napoleon suffered from epilepsy appears, according

to Dr. Ireland, to rest upon a statement in Talleyrand’s memoirs.

In September, 1805, in Talleyrand’s presence, Napoleon was seized

after dinner with a sort of fit, and fell to the ground struggling

convulsively. Talleyrand loosened his cravat, obeying the popular

rule in such circumstances to “give him air.” Remusat, the chief

chamberlain, gave him water, which he drank. Talleyrand returned to the

charge, and “inundated” him with eau-de-Cologne. The Emperor awakened,

and said something--one would like to know what he said when he felt

the inundation streaming down his clothes--probably something truly

of the camp. Half an hour later he was on the road that was to lead

him--to Austerlitz, of all places! Clearly this fit, whatever it may

have been, was not epilepsy in the ordinary sense of the term. There

was no “cry,” no biting of the tongue, no foaming at the mouth, and

apparently no unconsciousness. Moreover, epilepsy is accompanied by

degeneration of the intellect, and nobody dares to say that Austerlitz,

Jena, and Wagram--to say nothing of Aspern and Eckmuhl--were won by

a degenerate. Eylau and Friedland were also to come after 1805, and

these seven names still ring like a trumpet for sheer glory, daring,

and supreme genius. I suppose there is not one of them--except perhaps

Aspern--which would not have made an imperishable name for any lesser

general. It is impossible to believe that they were fought by an

epileptic. If Napoleon really had epilepsy it was assuredly not the

“_grand mal_” which helps to fill our asylums. It is just possible that

“_petit mal_” may have been in the picture. This is a curious condition

which manifests itself by momentary loss of consciousness; the patient

may become suddenly dreamy and purposeless, and may perform curious

involuntary actions--even crimes--while _apparently_ conscious. When he

recovers he knows nothing about what he has been doing, and may even

resume the interrupted action which had occupied him at the moment of

the seizure. Some such explanation may account for Napoleon’s fits of

furious passion, that seem to have been followed by periods of lethargy

and vomiting. It is a sort of pleasing paradox--and mankind dearly

loves paradox--to say that supremely great men suffer from epilepsy.

It was said of Julius Cæsar, of St. Paul, and of Mohammed. These men

are said to have suffered from “falling sickness,” whatever that may

have been; there are plenty of conditions which may make men fall to

the ground, without being epileptic: Ménière’s disease, for instance.

It is ridiculous to suppose that Julius Cæsar and Napoleon--by common

consent the two greatest of the sons of men--should have been subject

to a disease which deteriorates the intellect.

It is possible that some such trouble as “_petit mal_” may have been

at the bottom of the curious stories of a certain listless torpor

that appears to have overcome Napoleon at critical moments in his

later battles. Something of the kind happened at Borodino in 1812, the

bloodiest and most frightful battle in history till that time. Napoleon

indeed won, in the sense that the exhausted Russians retreated to

Moscow, whither he pursued them to his ill-fortune; but the battle was

not fought with anything like the supreme genius which he displayed in

his other campaigns. Similarly, he is said to have been thus stricken

helpless after Ligny, when he defeated Blucher in 1815. He wasted

precious hours in lethargy, which should have been spent in his usual

furious pursuit of his beaten foe. To this day the French hold that,

but for Napoleon’s inexplicable idleness after Ligny, there would

have been no St. Helena; and, with all the respect due to Wellington

and his thin red line, it is by no means certain that the French are

wrong. But nations will continue to squabble about Waterloo till there

shall be no more war; and 1814 had been the most brilliant of his

campaigns--probably of any man’s campaigns.

“Of woman came the beginning of sin, and through her therefore we

all die,” said the ungallant author of Ecclesiasticus; and it is

certain that Napoleon was extremely susceptible to feminine charms.

Like a Roman emperor, he had but to cast a glance at a woman and she

was at his feet. Yet probably his life was not very much less moral

than was customary among the great at that time. When we remember

his extraordinary personal charm, it is rather a matter for wonder

that women seem to have had so little serious effect upon his life,

and he seems to have taken comparatively little advantage of his

opportunities. His first wife, Josephine Beauharnais, was a flighty

Creole who pleased herself entirely; in the vulgar phrase, she “took

her pleasure where she found it.” To this Napoleon appears to have

been complaisant, but as she could not produce an heir to the dynasty

which he wished to found, he divorced her, and married the Austrian

princess Marie Louise, whose father he had defeated and humiliated as

few sovereigns have ever been humiliated. She deserted him without

a qualm when he was sent to Elba; when he was finally imprisoned at

St. Helena there was no question of her following him, even if the

British Government had had sufficient imagination to permit such a

thing. Napoleon, who was fond of her, wanted her to go with him; but

one could not expect a Government containing Castlereagh, Liverpool,

and Bathurst, to show any sympathy to the fallen foe who had been a

nightmare to Europe for twenty years. She would never consent to see

Josephine. It is said that Napoleon’s _libido sexualis_ was violent,

but rapidly quelled. In conversation at St. Helena he admitted having

possessed seven mistresses; of them he said simply, “C’est beaucoup.”

When he was sent to St. Helena his mother wrote and asked to be allowed

to follow him; however great a man’s fall, his mother never deserts

him, and asylum doctors find that long after the wife or sisters forget

some demented and bestial creature, his mother loyally continues her

visits till the grave closes over one or the other. But more remarkable

is the fact that Pauline Bonaparte, who was always looked upon as a

shameless hussy, would have followed him to St. Helena, only that

she was ill in bed at the time. She was the beautiful sister who sat

to Canova for the statue of Venus in the Villa Borghese. It was then

thought most shocking for a lady of high degree to be sculptured as a

nude Venus--perhaps it is now; I say, _perhaps_. There are few ladies

of high degree so beautiful as Princess Pauline, as Canova shows her.

A friend said to her about the statue, “Were you not uncomfortable,

princess, sitting there without any clothes on?” “Uncomfortable,” said

Princess Pauline, “why should I be uncomfortable? There was a stove

in the room!” There are many other still less creditable stories told

about her. It was poor beautiful Pauline who lost her husband of yellow

fever, herself recovering of an attack at the same time. She cut off

her hair and buried it in his coffin. This was thought a wonderful

instance of wifely devotion, until the cynical Emperor remarked: “Quite

so; quite so; of course, she knows it will grow again better than ever

for cutting it off, and that it would have fallen off anyhow after the

fever.” Yet when he was sent to Elba, this frivolous sister followed

him, and she sold every jewel she possessed to make life comfortable

for him at St. Helena. She was a very human and beautiful woman, this

Pauline; she detested Marie Louise, and once in 1810 at a grand fête

she saucily poked out her tongue at the young Empress in full view

of all the nobles. Unhappily Napoleon saw her, and cast upon her a

dreadful look; Pauline picked up her skirts and ran headlong from the

room. When she heard of his death she wept bitterly; she died four

years afterwards of cancer. Her last action was to call for a mirror,

looking into which she died, saying, “I am still beautiful; I am not

afraid to die.”

In attempting to judge Marie Louise it must be remembered that there

is a horrid story told of Napoleon’s first meeting with her in France

after the civil marriage had been performed by proxy in Vienna. It is

said that the fury of his lust did her physical injury, and that that

is the true reason why she never forgave him and deserted him at the

first opportunity. She bore him a son, of whom he was passionately

fond, but after his downfall the son--the poor little King of Rome

immortalized by Rostand in “_l’Aiglon_”--fell into the hands of

Metternich, the Austrian, who is said to have deliberately contrived

to have him taught improper practices, lest he should grow up to

be as terrible a menace to the world as his father. But all these

are rumours, and show how difficult it is to ascertain the truth of

anything connected with Napoleon.

Post mortem: Essays, historical and medical · 第 10 / 12 段