After a long and tedious discourse of these six non-natural things and

their several rectifications, all which are comprehended in diet, I am

come now at last to Pharmaceutice, or that kind of physic which cureth

by medicines, which apothecaries most part make, mingle, or sell in

their shops. Many cavil at this kind of physic, and hold it

unnecessary, unprofitable to this or any other disease, because those

countries which use it least, live longest, and are best in health, as

[4079]Hector Boethius relates of the isles of Orcades, the people are

still sound of body and mind, without any use of physic, they live

commonly 120 years, and Ortelius in his itinerary of the inhabitants of

the Forest of Arden, [4080] they are very painful, long-lived, sound,

&c. [4081]Martianus Capella, speaking of the Indians of his time,

saith, they were (much like our western Indians now) bigger than

ordinary men, bred coarsely, very long-lived, insomuch, that he that

died at a hundred years of age, went before his time, &c. Damianus

A-Goes, Saxo Grammaticus, Aubanus Bohemus, say the like of them that

live in Norway, Lapland, Finmark, Biarmia, Corelia, all over Scandia,

and those northern countries, they are most healthful, and very

long-lived, in which places there is no use at all of physic, the name

of it is not once heard. Dithmarus Bleskenius in his accurate

description of Iceland, 1607, makes mention, amongst other matters, of

the inhabitants, and their manner of living, [4082]which is dried fish

instead of bread, butter, cheese, and salt meats, most part they drink

water and whey, and yet without physic or physician, they live many of

them 250 years. I find the same relation by Lerius, and some other

writers, of Indians in America. Paulus Jovius in his description of

Britain, and Levinus Lemnius, observe as much of this our island, that

there was of old no use of [4083]physic amongst us, and but little at

this day, except it be for a few nice idle citizens, surfeiting

courtiers, and stall-fed gentlemen lubbers. The country people use

kitchen physic, and common experience tells vis, that they live freest

from all manner of infirmities, that make least use of apothecaries'

physic. Many are overthrown by preposterous use of it, and thereby get

their bane, that might otherwise have escaped: [4084]some think

physicians kill as many as they save, and who can tell, [4085]Quot

Themison aegros autumno occiderit uno? How many murders they make in a

year, quibus impune licet hominem occidere, that may freely kill folks,

and have a reward for it, and according to the Dutch proverb, a new

physician must have a new churchyard; and who daily observes it not?

Many that did ill under physicians' hands, have happily escaped, when

they have been given over by them, left to God and nature, and

themselves; 'twas Pliny's dilemma of old, [4086]every disease is either

curable or incurable, a man recovers of it or is killed by it; both

ways physic is to be rejected. If it be deadly, it cannot be cured; if

it may be helped, it requires no physician, nature will expel it of

itself. Plato made it a great sign of an intemperate and corrupt

commonwealth, where lawyers and physicians did abound; and the Romans

distasted them so much that they were often banished out of their city,

as Pliny and Celsus relate, for 600 years not admitted. It is no art at

all, as some hold, no not worthy the name of a liberal science (nor law

neither), as [4087]Pet. And. Canonherius a patrician of Rome and a

great doctor himself, one of their own tribe, proves by sixteen

arguments, because it is mercenary as now used, base, and as fiddlers

play for a reward. Juridicis, medicis, fisco, fas vivere rapto, 'tis a

corrupt trade, no science, art, no profession; the beginning, practice,

and progress of it, all is naught, full of imposture, uncertainty, and

doth generally more harm than good. The devil himself was the first

inventor of it: Inventum est medicina meum, said Apollo, and what was

Apollo, but the devil? The Greeks first made an art of it, and they

were all deluded by Apollo's sons, priests, oracles. If we may believe

Varro, Pliny, Columella, most of their best medicines were derived from

his oracles. Aesculapius his son had his temples erected to his deity,

and did many famous cures; but, as Lactantius holds, he was a magician,

a mere impostor, and as his successors, Phaon, Podalirius, Melampius,

Menecrates, (another God), by charms, spells, and ministry of bad

spirits, performed most of their cures. The first that ever wrote in

physic to any purpose, was Hippocrates, and his disciple and

commentator Galen, whom Scaliger calls Fimbriam Hippocratis; but as

[4088]Cardan censures them, both immethodical and obscure, as all those

old ones are, their precepts confused, their medicines obsolete, and

now most part rejected. Those cures which they did, Paracelsus holds,

were rather done out of their patients' confidence, [4089]and good

opinion they had of them, than out of any skill of theirs, which was

very small, he saith, they themselves idiots and infants, as are all

their academical followers. The Arabians received it from the Greeks,

and so the Latins, adding new precepts and medicines of their own, but

so imperfect still, that through ignorance of professors, impostors,

mountebanks, empirics, disagreeing of sectaries, (which are as many

almost as there be diseases) envy, covetousness, and the like, they do

much harm amongst us. They are so different in their consultations,

prescriptions, mistaking many times the parties' constitution,

[4090]disease, and causes of it, they give quite contrary physic;

[4091]one saith this, another that, out of singularity or opposition,

as he said of Adrian, multitudo medicorum principem interfecit, a

multitude of physicians hath killed the emperor; plus a medico quam a

morbo periculi, more danger there is from the physician, than from the

disease. Besides, there is much imposture and malice amongst them. All

arts (saith [4092]Cardan) admit of cozening, physic, amongst the rest,

doth appropriate it to herself; and tells a story of one Curtius, a

physician in Venice: because he was a stranger, and practised amongst

them, the rest of the physicians did still cross him in all his

precepts. If he prescribed hot medicines they would prescribe cold,

miscentes pro calidis frigida, pro frigidis humida, pro purgantibus

astringentia, binders for purgatives, omnia perturbabant. If the party

miscarried, Curtium damnabant, Curtius killed him, that disagreed from

them: if he recovered, then [4093]they cured him themselves. Much

emulation, imposture, malice, there is amongst them: if they be honest

and mean well, yet a knave apothecary that administers the physic, and

makes the medicine, may do infinite harm, by his old obsolete doses,

adulterine drugs, bad mixtures, quid pro quo, &c. See Fuchsius lib. 1.

sect. 1. cap. 8. Cordus' Dispensatory, and Brassivola's Examen simpl.,

&c. But it is their ignorance that doth more harm than rashness, their

art is wholly conjectural, if it be an art, uncertain, imperfect, and

got by killing of men, they are a kind of butchers, leeches,

men-slayers; chirurgeons and apothecaries especially, that are indeed

the physicians' hangman, carnifices, and common executioners; though to

say truth, physicians themselves come not far behind; for according to

that facete epigram of Maximilianus Urentius, what's the difference?

[4094]Chirurgicus medico quo differt? scilicet isto,

Enecat hic succis, enecat ille manu:

Carnifice hoc ambo tantum differre videntur,

Tardius hi faciunt, quod facit ille cito.

But I return to their skill; many diseases they cannot cure at all, as

apoplexy, epilepsy, stone, strangury, gout, Tollere nodosam nescit

medicina Podagram; [4095]quartan agues, a common ague sometimes

stumbles them all, they cannot so much as ease, they know not how to

judge of it. If by pulses, that doctrine, some hold, is wholly

superstitious, and I dare boldly say with [4096]Andrew Dudeth, that

variety of pulses described by Galen, is neither observed nor

understood of any. And for urine, that is meretrix medicorum, the most

deceitful thing of all, as Forestus and some other physicians have

proved at large: I say nothing of critic days, errors in indications,

&c. The most rational of them, and skilful, are so often deceived, that

as [4097]Tholosanus infers, I had rather believe and commit myself to a

mere empiric, than to a mere doctor, and I cannot sufficiently commend

that custom of the Babylonians, that have no professed physicians, but

bring all their patients to the market to be cured: which Herodotus

relates of the Egyptians: Strabo, Sardus, and Aubanus Bohemus of many

other nations. And those that prescribed physic, amongst them, did not

so arrogantly take upon them to cure all diseases, as our professors

do, but some one, some another, as their skill and experience did

serve; [4098] One cured the eyes, a second the teeth, a third the head,

another the lower parts, &c., not for gain, but in charity, to do good,

they made neither art, profession, nor trade of it, which in other

places was accustomed: and therefore Cambyses in [4099]Xenophon told

Cyrus, that to his thinking, physicians were like tailors and cobblers,

the one mended our sick bodies, as the other did our clothes. But I

will urge these cavilling and contumelious arguments no farther, lest

some physician should mistake me, and deny me physic when I am sick:

for my part, I am well persuaded of physic: I can distinguish the abuse

from the use, in this and many other arts and sciences: [4100]Alliud

vinum, aliud ebrietas, wine and drunkenness are two distinct things. I

acknowledge it a most noble and divine science, in so much that Apollo,

Aesculapius, and the first founders of it, merito pro diis habiti, were

worthily counted gods by succeeding ages, for the excellency of their

invention. And whereas Apollo at Delos, Venus at Cyprus, Diana at

Ephesus, and those other gods were confined and adored alone in some

peculiar places: Aesculapius and his temple and altars everywhere, in

Corinth, Lacedaemon, Athens, Thebes, Epidaurus, &c. Pausanius records,

for the latitude of his art, deity, worth, and necessity. With all

virtuous and wise men therefore I honour the name and calling, as I am

enjoined to honour the physician for necessity's sake. The knowledge of

the physician lifteth up his head, and in the sight of great men he

shall be admired. The Lord hath created medicines of the earth, and he

that is wise will not abhor them, Eccles. lviii 1. But of this noble

subject, how many panegyrics are worthily written? For my part, as

Sallust said of Carthage, praestat silere, quam pauca dicere; I have

said, yet one thing I will add, that this kind of physic is very

moderately and advisedly to be used, upon good occasion, when the

former of diet will not take place. And 'tis no other which I say, than

that which Arnoldus prescribes in his 8. Aphoris. [4101]A discreet and

goodly physician doth first endeavour to expel a disease by medicinal

diet, than by pure medicine: and in his ninth, [4102]he that may be

cured by diet, must not meddle with physic. So in 11. Aphoris. [4103]A

modest and wise physician will never hasten to use medicines, but upon

urgent necessity, and that sparingly too: because (as he adds in his

13. Aphoris.) [4104]Whosoever takes much physic in his youth, shall

soon bewail it in his old age: purgative physic especially, which doth

much debilitate nature. For which causes some physicians refrain from

the use of purgatives, or else sparingly use them. [4105]Henricus

Ayrerus in a consultation for a melancholy person, would have him take

as few purges as he could, because there be no such medicines, which do

not steal away some of our strength, and rob the parts of our body,

weaken nature, and cause that cacochymia, which [4106]Celsus and others

observe, or ill digestion, and bad juice through all the parts of it.

Galen himself confesseth, [4107]that purgative physic is contrary to

nature, takes away some of our best spirits, and consumes the very

substance of our bodies: But this, without question, is to be

understood of such purges as are unseasonably or immoderately taken:

they have their excellent use in this, as well as most other

infirmities. Of alteratives and cordials no man doubts, be they simples

or compounds. I will amongst that infinite variety of medicines, which

I find in every pharmacopoeia, every physician, herbalist, &c., single

out some of the chiefest.

SUBSECT. II.—_Simples proper to Melancholy, against Exotic Simples_.

Medicines properly applied to melancholy, are either simple or

compound. Simples are alterative or purgative. Alteratives are such as

correct, strengthen nature, alter, any way hinder or resist the

disease; and they be herbs, stones, minerals, &c. all proper to this

humour. For as there be diverse distinct infirmities continually vexing

us,

[4108]Νοῦσοι δ' ἀνθρὼποισι ἐφ ἠμέρη ἠδ' επι νυκτὶ

Αυτόμaτοι φοιτῶσι κακὰ θνητοῖσι φὲρουσαι

Σιγῆ, ἐπει φωνὴν ἠξείλετο μητίετα Ζεὺς.

Diseases steal both day and night on men,

For Jupiter hath taken voice from them.

So there be several remedies, as [4109]he saith, each disease a

medicine, for every humour; and as some hold, every clime, every

country, and more than that, every private place hath his proper

remedies growing in it, peculiar almost to the domineering and most

frequent maladies of it, As [4110]one discourseth, wormwood grows

sparingly in Italy, because most part there they be misaffected with

hot diseases: but henbane, poppy, and such cold herbs: with us in

Germany and Poland, great store of it in every waste. Baracellus Horto

geniali, and Baptista Porta Physiognomicae, lib. 6. cap. 23, give many

instances and examples of it, and bring many other proofs. For that

cause belike that learned Fuchsius of Nuremberg, [4111]when he came

into a village, considered always what herbs did grow most frequently

about it, and those he distilled in a silver alembic, making use of

others amongst them as occasion served. I know that many are of

opinion, our northern simples are weak, imperfect, not so well

concocted, of such force, as those in the southern parts, not so fit to

be used in physic, and will therefore fetch their drugs afar off:

senna, cassia out of Egypt, rhubarb from Barbary, aloes from Socotra;

turbith, agaric, mirabolanes, hermodactils, from the East Indies,

tobacco from the west, and some as far as China, hellebore from the

Anticyrae, or that of Austria which bears the purple flower, which

Mathiolus so much approves, and so of the rest. In the kingdom of

Valencia, in Spain, [4112]Maginus commends two mountains, Mariola and

Renagolosa, famous for simples; [4113] Leander Albertus, [4114]Baldus a

mountain near the Lake Benacus in the territory of Verona, to which all

the herbalists in the country continually flock; Ortelius one in

Apulia, Munster Mons major in Istria; others Montpelier in France;

Prosper Altinus prefers Egyptian simples, Garcias ab Horto Indian

before the rest, another those of Italy, Crete, &c. Many times they are

over-curious in this kind, whom Fuchsius taxeth, Instit. l. 1. sec. 1.

cap. 1. [4115]that think they do nothing, except they rake all over

India, Arabia, Ethiopia for remedies, and fetch their physic from the

three quarters of the world, and from beyond the Garamantes. Many an

old wife or country woman doth often more good with a few known and

common garden herbs, than our bombast physicians, with all their

prodigious, sumptuous, far-fetched, rare, conjectural medicines:

without all question if we have not these rare exotic simples, we hold

that at home, which is in virtue equivalent unto them, ours will serve

as well as theirs, if they be taken in proportionable quantity, fitted

and qualified aright, if not much better, and more proper to our

constitutions. But so 'tis for the most part, as Pliny writes to

Gallus, [4116]We are careless of that which is near us, and follow that

which is afar off, to know which we will travel and sail beyond the

seas, wholly neglecting that which is under our eyes. Opium in Turkey

doth scarce offend, with us in a small quantity it stupefies; cicuta or

hemlock is a strong poison in Greece, but with us it hath no such

violent effects: I conclude with I. Voschius, who as he much inveighs

against those exotic medicines, so he promiseth by our European, a full

cure and absolute of all diseases; a capite ad calcem, nostrae regionis

herbae nostris corporibus magis conducunt, our own simples agree best

with us. It was a thing that Fernelius much laboured in his French

practice, to reduce all his cure to our proper and domestic physic; so

did [4117]Janus Cornarius, and Martin Rulandus in Germany. T. B. with

us, as appeareth by a treatise of his divulged in our tongue 1615, to

prove the sufficiency of English medicines, to the cure of all manner

of diseases. If our simples be not altogether of such force, or so

apposite, it may be, if like industry were used, those far fetched

drugs would prosper as well with us, as in those countries whence now

we have them, as well as cherries, artichokes, tobacco, and many such.

There have been diverse worthy physicians, which have tried excellent

conclusions in this kind, and many diligent, painful apothecaries, as

Gesner, Besler, Gerard, &c., but amongst the rest those famous public

gardens of Padua in Italy, Nuremberg in Germany, Leyden in Holland,

Montpelier in France, (and ours in Oxford now in fieri, at the cost and

charges for the Right Honourable the Lord Danvers Earl of Danby) are

much to be commended, wherein all exotic plants almost are to be seen,

and liberal allowance yearly made for their better maintenance, that

young students may be the sooner informed in the knowledge of them:

which as [4118]Fuchsius holds, is most necessary for that exquisite

manner of curing, and as great a shame for a physician not to observe

them, as for a workman not to know his axe, saw, square, or any other

tool which he must of necessity use.

SUBSECT. III.—_Alteratives, Herbs, other Vegetables, &c._

Amongst these 800 simples, which Galeottus reckons up, lib. 3. de

promise, doctor, cap. 3, and many exquisite herbalists have written of,

these few following alone I find appropriated to this humour: of which

some be alteratives; [4119]which by a secret force, saith Renodeus, and

special quality expel future diseases, perfectly cure those which are,

and many such incurable effects. This is as well observed in other

plants, stones, minerals, and creatures, as in herbs, in other maladies

as in this. How many things are related of a man's skull? What several

virtues of corns in a horse-leg, [4120]of a wolf's liver, &c. Of

[4121]diverse excrements of beasts, all good against several diseases?

What extraordinary virtues are ascribed unto plants? [4122]Satyrium et

eruca penem erigunt, vitex et nymphea semen extinguunt, [4123]some

herbs provoke lust, some again, as agnus castus, water-lily, quite

extinguisheth seed; poppy causeth sleep, cabbage resisteth drunkenness,

&c., and that which is more to be admired, that such and such plants

should have a peculiar virtue to such particular parts, [4124]as to the

head aniseeds, foalfoot, betony, calamint, eye-bright, lavender, bays,

roses, rue, sage, marjoram, peony, &c. For the lungs calamint,

liquorice, ennula campana, hyssop, horehound, water germander, &c. For

the heart, borage, bugloss, saffron, balm, basil, rosemary, violet,

roses, &c. For the stomach, wormwood, mints, betony, balm, centaury,

sorrel, parslan. For the liver, darthspine or camaepitis, germander,

agrimony, fennel, endive, succory, liverwort, barberries. For the

spleen, maidenhair, finger-fern, dodder of thyme, hop, the rind of ash,

betony. For the kidneys, grumel, parsley, saxifrage, plaintain, mallow.

For the womb, mugwort, pennyroyal, fetherfew, savine, &c. For the

joints, camomile, St. John's wort, organ, rue, cowslips, centaury the

less, &c. And so to peculiar diseases. To this of melancholy you shall

find a catalogue of herbs proper, and that in every part. See more in

Wecker, Renodeus, Heurnius lib. 2. cap. 19. &c. I will briefly speak of

them, as first of alteratives, which Galen, in his third book of

diseased parts, prefers before diminutives, and Trallianus brags, that

he hath done more cures on melancholy men [4125]by moistening, than by

purging of them.

_Borage_.] In this catalogue, borage and bugloss may challenge the

chiefest place, whether in substance, juice, roots, seeds, flowers,

leaves, decoctions, distilled waters, extracts, oils, &c., for such

kind of herbs be diversely varied. Bugloss is hot and moist, and

therefore worthily reckoned up amongst those herbs which expel

melancholy, and [4126] exhilarate the heart, Galen, lib. 6. cap. 80. de

simpl. med. Dioscorides, lib. 4. cap. 123. Pliny much magnifies this

plant. It may be diversely used; as in broth, in [4127]wine, in

conserves, syrups, &c. It is an excellent cordial, and against this

malady most frequently prescribed; a herb indeed of such sovereignty,

that as Diodorus, lib. 7. bibl. Plinius, lib. 25. cap. 2. et lib. 21.

cap. 22. Plutarch, sympos. lib. 1. cap. 1. Dioscorides, lib. 5. cap.

40. Caelius, lib. 19. c. 3. suppose it was that famous Nepenthes of

[4128]Homer, which Polydaenna, Thonis's wife (then king of Thebes in

Egypt), sent Helena for a token, of such rare virtue, that if taken

steeped in wine, if wife and children, father and mother, brother and

sister, and all thy dearest friends should die before thy face, thou

couldst not grieve or shed a tear for them.

Qui semel id patera mistum Nepenthes Iaccho

Hauserit, hic lachrymam, non si suavissima proles,

Si germanus ei charus, materque paterque

Oppetat, ante oculos ferro confossus atroci.

The Anatomy of Melancholy · 第 65 / 136 段