Man alone, saith [2926]Cardan, eats and drinks without appetite, and

useth all his pleasure without necessity, animae vitio, and thence come

many inconveniences unto him. For there is no meat whatsoever, though

otherwise wholesome and good, but if unseasonably taken, or

immoderately used, more than the stomach can well bear, it will

engender crudity, and do much harm. Therefore [2927]Crato adviseth his

patient to eat but twice a day, and that at his set meals, by no means

to eat without an appetite, or upon a full stomach, and to put seven

hours' difference between dinner and supper. Which rule if we did

observe in our colleges, it would be much better for our healths: but

custom, that tyrant, so prevails, that contrary to all good order and

rules of physic, we scarce admit of five. If after seven hours'

tarrying he shall have no stomach, let him defer his meal, or eat very

little at his ordinary time of repast. This very counsel was given by

Prosper Calenus to Cardinal Caesius, labouring of this disease; and

[2928] Platerus prescribes it to a patient of his, to be most severely

kept. Guianerius admits of three meals a day, but Montanus, consil. 23.

pro. Ab. Italo, ties him precisely to two. And as he must not eat

overmuch, so he may not absolutely fast; for as Celsus contends, lib.

1. Jacchinus 15. in 9. Rhasis, [2929]repletion and inanition may both

do harm in two contrary extremes. Moreover, that which he doth eat,

must be well [2930]chewed, and not hastily gobbled, for that causeth

crudity and wind; and by all means to eat no more than he can well

digest. Some think (saith [2931] Trincavelius, lib. 11. cap. 29. de

curand. part. hum.) the more they eat the more they nourish themselves:

eat and live, as the proverb is, not knowing that only repairs man,

which is well concocted, not that which is devoured. Melancholy men

most part have good [2932]appetites, but ill digestion, and for that

cause they must be sure to rise with an appetite; and that which

Socrates and Disarius the physicians in [2933]Macrobius so much

require, St. Hierom enjoins Rusticus to eat and drink no more than,

will [2934]satisfy hunger and thirst. [2935]Lessius, the Jesuit, holds

twelve, thirteen, or fourteen ounces, or in our northern countries,

sixteen at most, (for all students, weaklings, and such as lead an idle

sedentary life) of meat, bread, &c., a fit proportion for a whole day,

and as much or little more of drink. Nothing pesters the body and mind

sooner than to be still fed, to eat and ingurgitate beyond all measure,

as many do. [2936] By overmuch eating and continual feasts they stifle

nature, and choke up themselves; which, had they lived coarsely, or

like galley slaves been tied to an oar, might have happily prolonged

many fair years.

A great inconvenience comes by variety of dishes, which causeth the

precedent distemperature, [2937]than which (saith Avicenna) nothing is

worse; to feed on diversity of meats, or overmuch, Sertorius-like, in

lucem caenare, and as commonly they do in Muscovy and Iceland, to

prolong their meals all day long, or all night. Our northern countries

offend especially in this, and we in this island (ampliter viventes in

prandiis et caenis, as [2938]Polydore notes) are most liberal feeders,

but to our own hurt. [2939]Persicos odi puer apparatus: Excess of meat

breedeth sickness, and gluttony causeth choleric diseases: by

surfeiting many perish, but he that dieteth himself prolongeth his

life, Ecclus. xxxvii. 29, 30. We account it a great glory for a man to

have his table daily furnished with variety of meats: but hear the

physician, he pulls thee by the ear as thou sittest, and telleth thee,

[2940]that nothing can be more noxious to thy health than such variety

and plenty. Temperance is a bridle of gold, and he that can use it

aright, [2941]ego non summis viris comparo, sed simillimum Deo judico,

is liker a God than a man: for as it will transform a beast to a man

again, so will it make a man a God. To preserve thine honour, health,

and to avoid therefore all those inflations, torments, obstructions,

crudities, and diseases that come by a full diet, the best way is to

[2942]feed sparingly of one or two dishes at most, to have ventrem bene

moratum, as Seneca calls it, [2943]to choose one of many, and to feed

on that alone, as Crato adviseth his patient. The same counsel

[2944]Prosper Calenus gives to Cardinal Caesius, to use a moderate and

simple diet: and though his table be jovially furnished by reason of

his state and guests, yet for his own part to single out some one

savoury dish and feed on it. The same is inculcated by [2945]Crato,

consil. 9. l. 2. to a noble personage affected with this grievance, he

would have his highness to dine or sup alone, without all his

honourable attendance and courtly company, with a private friend or so,

[2946]a dish or two, a cup of Rhenish wine, &c. Montanus, consil. 24.

for a noble matron enjoins her one dish, and by no means to drink

between meals. The like, consil. 229. or not to eat till he be an

hungry, which rule Berengarius did most strictly observe, as Hilbertus,

Cenomecensis Episc. writes in his life,

———cui non fuit unquam

Ante sitim potus, nec cibus ante famem,

and which all temperate men do constantly keep. It is a frequent

solemnity still used with us, when friends meet, to go to the alehouse

or tavern, they are not sociable otherwise: and if they visit one

another's houses, they must both eat and drink. I reprehend it not

moderately used; but to some men nothing can be more offensive; they

had better, I speak it with Saint [2947]Ambrose, pour so much water in

their shoes.

It much avails likewise to keep good order in our diet, [2948]to eat

liquid things first, broths, fish, and such meats as are sooner

corrupted in the stomach; harder meats of digestion must come last.

Crato would have the supper less than the dinner, which Cardan,

Contradict. lib. 1. tract. 5. contradict. 18. disallows, and that by

the authority of Galen. 7. art. curat. cap. 6. and for four reasons he

will have the supper biggest: I have read many treatises to this

purpose, I know not how it may concern some few sick men, but for my

part generally for all, I should subscribe to that custom of the

Romans, to make a sparing dinner, and a liberal supper; all their

preparation and invitation was still at supper, no mention of dinner.

Many reasons I could give, but when all is said pro and con,

[2949]Cardan's rule is best, to keep that we are accustomed unto,

though it be naught, and to follow our disposition and appetite in some

things is not amiss; to eat sometimes of a dish which is hurtful, if we

have an extraordinary liking to it. Alexander Severus loved hares and

apples above all other meats, as [2950]Lampridius relates in his life:

one pope pork, another peacock, &c.; what harm came of it? I conclude

our own experience is the best physician; that diet which is most

propitious to one, is often pernicious to another, such is the variety

of palates, humours, and temperatures, let every man observe, and be a

law unto himself. Tiberius, in [2951]Tacitus, did laugh at all such,

that thirty years of age would ask counsel of others concerning matters

of diet; I say the same.

These few rules of diet he that keeps, shall surely find great ease and

speedy remedy by it. It is a wonder to relate that prodigious

temperance of some hermits, anchorites, and fathers of the church: he

that shall but read their lives, written by Hierom, Athanasius, &c.,

how abstemious heathens have been in this kind, those Curii and

Fabritii, those old philosophers, as Pliny records, lib. 11. Xenophon,

lib. 1. de vit. Socrat. Emperors and kings, as Nicephorus relates,

Eccles. hist. lib. 18. cap. 8. of Mauritius, Ludovicus Pius, &c., and

that admirable [2952]example of Ludovicus Cornarus, a patrician of

Venice, cannot but admire them. This have they done voluntarily and in

health; what shall these private men do that are visited with sickness,

and necessarily [2953]enjoined to recover, and continue their health?

It is a hard thing to observe a strict diet, et qui medice vivit,

misere vivit, [2954]as the saying is, quale hoc ipsum erit vivere, his

si privatus fueris? as good be buried, as so much debarred of his

appetite; excessit medicina malum, the physic is more troublesome than

the disease, so he complained in the poet, so thou thinkest: yet he

that loves himself will easily endure this little misery, to avoid a

greater inconvenience; e malis minimum better do this than do worse.

And as [2955]Tully holds, better be a temperate old man than a

lascivious youth. 'Tis the only sweet thing (which he adviseth) so to

moderate ourselves, that we may have senectutem in juventute, et in

juventute senectutem, be youthful in our old age, staid in our youth,

discreet and temperate in both.

MEMB. II.

_Retention and Evacuation rectified_.

I have declared in the causes what harm costiveness hath done in

procuring this disease; if it be so noxious, the opposite must needs be

good, or mean at least, as indeed it is, and to this cure necessarily

required; maxime conducit, saith Montaltus, cap. 27. it very much

avails. [2956] Altomarus, cap. 7, commends walking in a morning, into

some fair green pleasant fields, but by all means first, by art or

nature, he will have these ordinary excrements evacuated. Piso calls

it, Beneficium ventris, the benefit, help or pleasure of the belly, for

it doth much ease it. Laurentius, cap. 8, Crato, consil. 21. l. 2.

prescribes it once a day at least: where nature is defective, art must

supply, by those lenitive electuaries, suppositories, condite prunes,

turpentine, clysters, as shall be shown. Prosper Calenus, lib. de atra

bile, commends clysters in hypochondriacal melancholy, still to be used

as occasion serves; [2957] Peter Cnemander in a consultation of his pro

hypocondriaco, will have his patient continually loose, and to that end

sets down there many forms of potions and clysters. Mercurialis,

consil. 88. if this benefit come not of its own accord, prescribes

[2958]clysters in the first place: so doth Montanus, consil. 24.

consil. 31 et 229. he commends turpentine to that purpose: the same he

ingeminates, consil. 230. for an Italian abbot. 'Tis very good to wash

his hands and face often, to shift his clothes, to have fair linen

about him, to be decently and comely attired, for sordes vitiant,

nastiness defiles and dejects any man that is so voluntarily, or

compelled by want, it dulleth the spirits.

Baths are either artificial or natural, both have their special uses in

this malady, and as [2959]Alexander supposeth, lib. 1. cap. 16. yield

as speedy a remedy as any other physic whatsoever. Aetius would have

them daily used, assidua balnea, Tetra. 2. sect. 2. c. 9. Galen cracks

how many several cures he hath performed in this kind by use of baths

alone, and Rufus pills, moistening them which are otherwise dry. Rhasis

makes it a principal cure, Tota cura sit in humectando, to bathe and

afterwards anoint with oil. Jason Pratensis, Laurentius, cap. 8. and

Montanus set down their peculiar forms of artificial baths. Crato,

consil. 17. lib. 2. commends mallows, camomile, violets, borage to be

boiled in it, and sometimes fair water alone, and in his following

counsel, Balneum aquae dulcis solum saepissime profuisse compertum

habemus. So doth Fuchsius, lib. 1. cap. 33. Frisimelica, 2. consil. 42.

in Trincavelius. Some beside herbs prescribe a ram's head and other

things to be boiled. [2960] Fernelius, consil. 44. will have them used

ten or twelve days together; to which he must enter fasting, and so

continue in a temperate heat, and after that frictions all over the

body. Lelius Aegubinus, consil. 142. and Christoph. Aererus, in a

consultation of his, hold once or twice a week sufficient to bathe, the

[2961]water to be warm, not hot, for fear of sweating. Felix Plater,

observ. lib. 1. for a melancholy lawyer, [2962] will have lotions of

the head still joined to these baths, with a ley wherein capital herbs

have been boiled. [2963]Laurentius speaks of baths of milk, which I

find approved by many others. And still after bath, the body to be

anointed with oil of bitter almonds, of violets, new or fresh butter,

[2964]capon's grease, especially the backbone, and then lotions of the

head, embrocations, &c. These kinds of baths have been in former times

much frequented, and diversely varied, and are still in general use in

those eastern countries. The Romans had their public baths very

sumptuous and stupend, as those of Antoninus and Diocletian. Plin. 36.

saith there were an infinite number of them in Rome, and mightily

frequented; some bathed seven times a day, as Commodus the emperor is

reported to have done; usually twice a day, and they were after

anointed with most costly ointments: rich women bathed themselves in

milk, some in the milk of five hundred she-asses at once: we have many

ruins of such, baths found in this island, amongst those parietines and

rubbish of old Roman towns. Lipsius, de mag. Urb. Rom. l. 3, c. 8,

Rosinus, Scot of Antwerp, and other antiquaries, tell strange stories

of their baths. Gillius, l. 4. cap. ult. Topogr. Constant. reckons up

155 public [2965]baths in Constantinople, of fair building; they are

still [2966]frequented in that city by the Turks of all sorts, men and

women, and all over Greece, and those hot countries; to absterge belike

that fulsomeness of sweat, to which they are there subject.

[2967]Busbequius, in his epistles, is very copious in describing the

manner of them, how their women go covered, a maid following with a box

of ointment to rub them. The richer sort have private baths in their

houses; the poorer go to the common, and are generally so curious in

this behalf, that they will not eat nor drink until they have bathed,

before and after meals some, [2968]and will not make water (but they

will wash their hands) or go to stool. Leo Afer. l. 3. makes mention of

one hundred several baths at Fez in Africa, most sumptuous, and such as

have great revenues belonging to them. Buxtorf. cap. 14, Synagog. Jud.

speaks of many ceremonies amongst the Jews in this kind; they are very

superstitious in their baths, especially women.

Natural baths are praised by some, discommended by others; but it is in

a divers respect. [2969]Marcus, de Oddis in Hip. affect. consulted

about baths, condemns them for the heat of the liver, because they dry

too fast; and yet by and by, [2970]in another counsel for the same

disease, he approves them because they cleanse by reason of the

sulphur, and would have their water to be drunk. Areteus, c. 7.

commends alum baths above the rest; and [2971]Mercurialis, consil. 88.

those of Lucca in that hypochondriacal passion. He would have his

patient tarry there fifteen days together, and drink the water of them,

and to be bucketed, or have the water poured on his head. John

Baptista, Sylvaticus cont. 64. commends all the baths in Italy, and

drinking of their water, whether they be iron, alum, sulphur; so doth

[2972]Hercules de Saxonia. But in that they cause sweat and dry so

much, he confines himself to hypochondriacal melancholy alone,

excepting that of the head and the other. Trincavelius, consil. 14.

lib. 1. refers those [2973]Porrectan baths before the rest, because of

the mixture of brass, iron, alum, and consil. 35. l. 3. for a

melancholy lawyer, and consil. 36. in that hypochondriacal passion, the

[2974]baths of Aquaria, and 36. consil. the drinking of them.

Frisimelica, consulted amongst the rest in Trincavelius, consil. 42.

lib. 2. prefers the waters of [2975]Apona before all artificial baths

whatsoever in this disease, and would have one nine years affected with

hypochondriacal passions fly to them as to a [2976]holy anchor. Of the

same mind is Trincavelius himself there, and yet both put a hot liver

in the same party for a cause, and send him to the waters of St. Helen,

which are much hotter. Montanus, consil. 230. magnifies the

[2977]Chalderinian baths, and consil 237. et 239. he exhorteth to the

same, but with this caution, [2978]that the liver be outwardly anointed

with some coolers that it be not overheated. But these baths must be

warily frequented by melancholy persons, or if used, to such as are

very cold of themselves, for as Gabelius concludes of all Dutch baths,

and especially of those of Baden, they are good for all cold diseases,

[2979]naught for choleric, hot and dry, and all infirmities proceeding

of choler, inflammations of the spleen and liver. Our English baths, as

they are hot, must needs incur the same censure: but D. Turner of old,

and D. Jones have written at large of them. Of cold baths I find little

or no mention in any physician, some speak against them: [2980]Cardan

alone out of Agathinus commends bathing in fresh rivers, and cold

waters, and adviseth all such as mean to live long to use it, for it

agrees with all ages and complexions, and is most profitable for hot

temperatures. As for sweating, urine, bloodletting by haemrods, or

otherwise, I shall elsewhere more opportunely speak of them.

Immoderate Venus in excess, as it is a cause, or in defect; so

moderately used to some parties an only help, a present remedy. Peter

Forestus calls it aptissimum remedium, a most apposite remedy,

[2981]remitting anger, and reason, that was otherwise bound. Avicenna

Fen. 3. 20. Oribasius med. collect. lib. 6. cap. 37. contend out of

Ruffus and others, [2982] that many madmen, melancholy, and labouring

of the falling sickness, have been cured by this alone. Montaltus cap.

27. de melan. will have it drive away sorrow, and all illusions of the

brain, to purge the heart and brain from ill smokes and vapours that

offend them: [2983]and if it be omitted, as Valescus supposeth, it

makes the mind sad, the body dull and heavy. Many other inconveniences

are reckoned up by Mercatus, and by Rodericus a Castro, in their tracts

de melancholia virginum et monialium; ob seminis retentionem saviunt

saepe moniales et virgines, but as Platerus adds, si nubant sanantur,

they rave single, and pine away, much discontent, but marriage mends

all. Marcellus Donatus lib. 2. med. hist. cap. 1. tells a story to

confirm this out of Alexander Benedictus, of a maid that was mad, ob

menses inhibitos, cum in officinam meritoriam incidisset, a quindecem

viris eadem nocte compressa, mensium largo profluvio, quod pluribus

annis ante constiterat, non sine magno pudore mane menti restituta

discessit. But this must be warily understood, for as Arnoldus objects,

lib. 1. breviar. 18. cap. Quid coitus ad melancholicum succum? What

affinity have these two? [2984]except it be manifest that

superabundance of seed, or fullness of blood be a cause, or that love,

or an extraordinary desire of Venus, have gone before, or that as Lod.

Mercatus excepts, they be very flatuous, and have been otherwise

accustomed unto it. Montaltus cap. 27. will not allow of moderate Venus

to such as have the gout, palsy, epilepsy, melancholy, except they be

very lusty, and full of blood. [2985]Lodovicus Antonius lib. med.

miscet. in his chapter of Venus, forbids it utterly to all wrestlers,

ditchers, labouring men, &c. [2986]Ficinus and [2987]Marsilius Cognatus

puts Venus one of the five mortal enemies of a student: it consumes the

spirits, and weakeneth the brain. Halyabbas the Arabian, 5. Theor. cap.

36. and Jason Pratensis make it the fountain of most diseases,

[2988]but most pernicious to them who are cold and dry: a melancholy

man must not meddle with it, but in some cases. Plutarch in his book de

san. tuend. accounts of it as one of the three principal signs and

preservers of health, temperance in this kind: [2989]to rise with an

appetite, to be ready to work, and abstain from venery, tria

saluberrima, are three most healthful things. We see their opposites

how pernicious they are to mankind, as to all other creatures they

bring death, and many feral diseases: Immodicis brevis est aetas et

rara senectus. Aristotle gives instance in sparrows, which are parum

vivaces ob salacitatem, [2990]short lived because of their salacity,

which is very frequent, as Scoppius in Priapus will better inform you.

The extremes being both bad, [2991]the medium is to be kept, which

cannot easily be determined. Some are better able to sustain, such as

are hot and moist, phlegmatic, as Hippocrates insinuateth, some strong

and lusty, well fed like [2992]Hercules, [2993] Proculus the emperor,

lusty Laurence, [2994]prostibulum faeminae Messalina the empress, that

by philters, and such kind of lascivious meats, use all means to

[2995]enable themselves: and brag of it in the end, confodi multas

enim, occidi vero paucas per ventrem vidisti, as that Spanish

[2996]Celestina merrily said: others impotent, of a cold and dry

constitution, cannot sustain those gymnics without great hurt done to

their own bodies, of which number (though they be very prone to it) are

melancholy men for the most part.

MEMB. III.

_Air rectified. With a digression of the Air_.

The Anatomy of Melancholy · 第 47 / 136 段