,,superstition ,,in ,,medicine ,,superstition ,,in ,,medicine ,,by ,,prof4 ,,dr4 ,,hugo ,,magnus ,,authorized ,,translation ,,from ,,the ,,german1 ,,edited ,,by ,,dr4 ,,julius ,l4 ,,salinger ,late ,assistant ,professor of ,clinical ,medicine1 ,jefferson ,medical ,college2 ,physician to the ,philadelphia ,general ,hospital1 etc4 ,illustration ,,funk ,,wagnalls ,,company ,,new ,,york ,,and ,,london #aijh ,,copyright1 #aije1 ,,by ,,funk ,,wagnalls ,,company ,printed in the ,united ,states of ,america ,published1 ,april1 #aije ,,preface ,the history of medicine is closely interlinked with the development of theology4 ,the errors of one are for the most part reflected in the mistakes of the other4 ,no matter how obscure and dark the origin of either1 whether derived from ignorance and superstition or not1 the ultimate achievement alone must be taken into consideration4 ,we do not reject chemistry because it originated in alchemy1 we do not disregard astronomy because its roots are entwined with the teachings of astrology1 and so in theology and medicine we look to the final issue4 ,the statements set forth in this book should not be construed as reflecting the development of theology or medicine at the time1 but as the belief of the people existing in these periods4 ,philosophy may have been pure1 but if the mind of man was faulty the responsibility must not be laid at the door of science4 ,it is the function of the historian truthfully to depict the thought and spirit of the time of which he writes4 ,this has been attempted in the present work4 ,it is not a criticism of a system1 but a criticism of man4 ,there can be no doubt that absurd superstitions are still existent for which the twentieth century will be severely criticized in time to come4 ,thus the words of our martyred ,president may well be used as a motto for this book3 8,with malice towards none1 with charity for all40 ,the last chapter of this book has been added by the translator1 as it seemed necessary for the full discussion of the subject4 ,,julius ,l4 ,,salinger4 ,,philadelphia1 ,pa4 ,,contents ,,page ,i4 ,,what ,,is ,,medical ,,superstition8 #a ,,ii4 ,,theism ,,in ,,its ,,relation ,,to ,,medicine ,,and ,,in ,,its ,,struggle ,,with ,,the ,,physico-,,mechanical ,,theory ,,of ,,life #g ,,iii4 ,,religion ,,the ,,support ,,of ,,medical ,,superstition #bc ,,iv4 ,,the ,,influence ,,of ,,philosophy ,,upon ,,the ,,form ,,and ,,origin ,,of ,,medical ,,superstition #hi ,v4 ,,the ,,relations ,,of ,,natural ,,science ,,to ,,medical ,,superstition #abh ,,vi4 ,,influence ,,exerted ,,upon ,,the ,,development ,,of ,,superstition ,,by ,,medicine ,,itself #ahe ,,vii4 ,,medical ,,superstition ,,and ,,insanity #aia ,,bibliography #bja ,,illustrations ,,page ,,circle ,,of ,,petosiris #ada ,,circle ,,of ,,petosiris #adc ,,the ,,table ,,of ,,democritus #ade ,,the ,,relation ,,of ,,the ,,parts ,,of ,,the ,,human ,,body ,,to ,,the ,,signs ,,of ,,the ,,zodiac #aei ,,venesection ,,in ,,its ,,astronomical ,,connection #age ,i ,,what ,,is ,,medical ,,superstition8 ,faith and superstition are twin brothers4 ,altho the former leads humanity to its sublimest ideals and the latter only presents us with a caricature of human knowledge1 both are children of the same family4 ,both originate in a sense of the inadequacy of human science in regard to natural phenomena4 ,the fact that the most important processes of organic life can not be traced to their ultimate origin1 but that their investigation will soon lead to a point of irresistible opposition to further analysis1 has always called forth a feeling of impotency and dependence in the human mind4 ,this consciousness of being dependent upon factors which are entirely beyond human understanding has thus given rise to the metaphysical need of reflecting upon these mysterious factors1 and bringing them within reach of human comprehension4 ,humanity1 in attempting to satisfy such a metaphysical requirement from an ethical standpoint1 created faith1 which subsequently found expression in the various forms of religion4 ,it is not within the scope of this essay to consider how far ,divine revelations have been vouchsafed on this subject4 ,superstition undoubtedly entered the scene when1 simultaneously with these1 endeavors were made to consider and to explain physical processes from the standpoint of such metaphysical requirements4 ,it is true that this did not1 at first1 lead to a marked contrast between faith and superstition2 for a period existed in which faith and superstition--i4e41 the metaphysical consideration of ethical values and the metaphysical consideration of the entire phenomena of life--were not only equivalent1 but even merged into one conception4 ,this occurred in an age in which mankind considered all terrestrial processes1 whether they were of a psychical or of a material nature1 as immediately caused by the steady interference of supernatural powers--a period during which the deity was held responsible for all terrestrial phenomena4 ,during this period faith became superstition1 and superstition1 faith4 ,a separation did not take place until some especially enlightened minds began to evolve the idea that it would be more reasonable to explain natural phenomena--temporal becoming1 being1 and passing away--by natural rather than by supernatural causes4 ,the reaction against this better interpretation1 the tenacious adherence to the original association of terrestrial manifestations with metaphysical factors1 created the superstition of the natural sciences4 ,the birth of superstition in the ,greek world must be placed about the seventh century1 ,b4,c41 the period during which ,thales of ,miletus came forward with his endeavor to explain natural processes in a natural manner4 ,this attempt of the ,milesian is the initiation of a rational scientific conception of natural manifestations1 and the ancient theistic consideration of nature became superstition only in opposition to such a view4 ,it follows1 then1 that what holds good with regard to the interpretation of natural manifestations in general holds good in medicine especially4 ,here1 also1 superstition came into question only when1 besides the original theistic conception of the functions of the body and besides the metaphysical treatment of the sick1 a valuation of the normal as well as of the morbid phenomena of the human organism came into vogue which took into account terrestrial causes4 ,not until this stage was reached did theism and theurgy lose their title and become superstition2 until then they could claim fullest acceptance in medicine as thoroughly logical consequences of the prevailing theory of life4 ,this took place1 so far as ,greek medicine was concerned1 at about the end of the sixth century1 ,b4,c4 ,the ,corpus ,hippocraticum already shows us ,greek medicine as being purified from all theistic sophistications and only reckoning with natural causes4 ,when this separation must have taken place for pre-,greek1 ,indian1 ,assyrian1 and ,egyptian culture can not be at present determined with certainty4 ,for the ,egyptian and ,babylonico-,assyrian manuscripts1 so far known1 show an intimate admixture of true observation of nature with theistic speculations--i4e41 a treatment of medicine which1 altho it took account of physico-natural manifestations1 was still deeply tinctured with superstition4 ,according to what we have stated1 medical superstition might be defined as follows3 8,belief that the normal as well as the pathological manifestations of organic life may be explained and eventually treated1 without consideration of their physical nature1 by means of supernatural agencies40 ,medical superstition varies according to the kind and the origin of these supernatural causes1 and therefore appears in the greatest variety of forms4 ,if these causes were looked for in celestial regions1 medical superstition became vested with the religious garb1 and its source was in the religious cult2 but if the belief prevailed that ,god shared the domination of the world with other mysterious elements1 such as were embodied in different forms in accordance with the various philosophical systems1 medical superstition bore a philosophical and mystical stamp whose origin is revealed in the history of philosophy4 ,but if certain mysterious powers hidden in the womb of nature or active above the earth were considered to influence human life1 medical superstition assumed a physical character4 ,however1 it frequently followed that the above three factors acted simultaneously or in varying combinations1 or certain other elements which were inherent in human nature cooperated4 ,for this reason it is sometimes not quite easy to decide as to the source from which this or that form of medical superstition principally derived its persistent currency4 ,but1 nevertheless1 it is our intention to divide our subject in accordance with the sources from which the several forms of medical superstition spring1 as it is absolutely impossible to obtain a satisfactory view of the extensive material without first attempting a systematic arrangement of the data at hand4 ,but before attempting to inquire why the purest and most valuable fountains of all human knowledge--religion1 philosophy1 and natural science--have at the same time become sources of medical superstition1 it will be advisable to explain the character which medical science had assumed under the exclusive domination of theism1 and how conditions shaped themselves when physico-mechanical philosophy appeared and began to do battle with the theistic conception of life4 ,these conditions played such a special part in the development of medico-physical superstition that it becomes necessary first to examine their power and tendency before attempting to contemplate medical superstition proper4 ,,ii ,,theism ,,in ,,its ,,relation ,,to ,,medicine ,,and ,,in ,,its ,,struggle ,,with ,,the ,,physico-,,mechanical ,,theory ,,of ,,life ,as we explained in ,chapter ,i41 the development of all peoples has passed through a period during which medico-physical knowledge found expression exclusively in the teachings of religion4 ,by theism we mean the system which endeavors to explain natural phenomena by supernatural causes4 ,however1 this view of nature1 with its tinge of religion1 did not as yet show any trace of superstition4 ,it was rather the only justifiable conception of nature and thoroughly in keeping with the power of comprehension of man1 until it began to dawn upon the mind that natural phenomena might be due to natural causes4 ,this was the period of which we stated1 in the beginning of this investigation1 that faith became superstition and superstition became faith4 ,it was during this time that the powers above were held accountable for all bodily ailments of mankind4 ,it was their task most carefully to observe the functional processes of the human body in all its phases1 and to protect their undisturbed continuance4 ,but as the inhabitants of heaven1 like the inhabitants of the earth1 were subject to whims1 it happened very often1 unfortunately1 that they attended to their task of protecting the undisturbed development of the vegetative as well as the animal functions of the body in a very unsatisfactory manner1 sometimes1 in fact1 even purposely neglecting it4 ,thus disturbances occurred in the regular course of organic life1 and this brought diseases into the world4 ,if1 therefore1 the gods were directly responsible for the appearance of disease1 it was palpably their duty to effect its elimination4 ,thus it came about that pathology and therapy were exclusively attended to by the gods4 ,but in what light they regarded these medical duties of theirs1 and how they performed them1 were matters subject to very varying considerations1 as expounded by the different religions of antiquity4 ,the ,babylonian considered the great god ,marduk the expeller of all maladies1 whereas ,urugal1 ,namtor1 and ,nergal were recognized gods of pestilence4 ,similar ideas prevailed among the ,egyptians4 ,the cat-headed goddess ,bubastis was believed to deal out to mothers the blessings of fertility4 ,ibis showed an especial interest in those human beings who were troubled with disturbances of digestion1 and this interest found benevolent expression in the invention of the clyster4 ,with the ,greeks also the gods rendered services to diseased humanity4 ,thus ,apollo invented the art of healing1 and if his time permitted he occasionally lent a hand when difficulties beset the entrance into this world of a young mortal4 ,but1 as a rule1 it was the duty of ,aphrodite to attend to such cases1 just as1 in fact1 she was responsible for everything that referred to love1 no matter whether it was a question of the esthetic or the pathological part of that passion4 ,athene was the specialist in ophthalmology1 and it seems that she did not fare badly with this occupation4 ,a temple was dedicated to her by ,lycurgus1 whom1 as it appears1 she healed of a sympathetic affection of the eyes2 and1 besides1 she won by her ophthalmological activity various ornamental epithets1 such1 for instance1 as 1 etc4 ,it was quite natural1 in view of the exclusively theistic conception which in those times preoccupied the human mind1 that the priests were the sole possessors of physico-medical knowledge2 and naturally so4 ,for when we consider the theory of life that prevailed at that period1 who could have been better qualified to give information to men regarding their own body as well as regarding nature in general1 than the priest1 the mortal representative of immortal gods8 ,and who better qualified than the priest to invoke the aid of the heavenly powers in all bodily ailments8 ,thus it was the unavoidable consequence of the theistic theory of life that the priest was the physician as well as the representative of physical knowledge and also the helper and adviser in all mundane exigencies4 ,whether bodily or psychic troubles afflicted individuals1 whether an entire population groaned under heavy chastisements like pestilence1 aid and deliverance were always sought in the sanctuary of the gods1 from the infallible priest4 ,and the priests were always equal to the occasion2 they have always1 in a masterly manner1 known the art of satisfying the medico-physical needs of their suppliants4 ,for the religions of all civilized peoples--and ,christianity by no means occupies an exceptional position in this respect--have always endeavored most strenuously to keep physical as well as medical thought in strictest dependence upon their doctrines and dogmas4 ,to attain this end various ceremonies1 customs1 and dogmas were relied upon to keep the priests in a position to secure the assistance of the gods for humanity harassed by pain and affliction4 ,these sacred observances were strange1 and varied with the various religious systems4 ,according to the primeval cult of ,zoroaster1 all evils1 consequently also all diseases1 were derived from the principle of darkness which was embodied in the person of ,ahriman1 and only the sacerdotal caste of the magicians who sprung from a special ,median tribe was able to heal them4 ,but it was by no means easy to become a member of this caste and to acquire the magic powers pertaining to it alone4 ,it was necessary before gaining mastery over the powers of nature to become initiated into the mysteries of ,mitra4 ,however1 after priestly consecration had once been bestowed1 the individual thus honored bore the proud title 8,conqueror of ,evil10 and was able to practise medicine4 ,as the most essential constituent of every medical treatment1 the divine word was applied in the form of mysterious exorcisms1 sacred hymns1 and certain words which were considered specially curative in effect1 particularly the word 8,ormuzd10 the name of the highest god1 in whose all-embracing power of healing great confidence was placed4 ,the ,sumerians1 the precursors of ,babylonico-,assyrian culture1 ascribed a considerable and important rle to dreams4 ,they were considered to bring direct medical advice from the gods1 and it became the office of the sacerdotal physician to interpret the dream in such a way as to alleviate the sufferings of the dreamer4 ,the ancient ,greek culture also conceded a conspicuous medical significance to dreams1 and even arranged a system of its own1 that of the temple sleep1 in order always to obtain prophesying dreams from the gods4 ,the patient1 after the obligatory offering1 was required to remain a night in the temple1 and his dream during this night was the medical advice of the divinity in its most direct form4 ,but only the priest was able to interpret a dream obtained in such a manner1 and to extract medical efficacy from it4 ,but as it occasionally happened that a too prosaic and phlegmatic patient did not dream at all1 the priest was benevolent enough to intercede4 ,he was always promptly favored by the gods with a suggestive dream4 ,the medical function of the priests had reached a peculiar development during the first centuries of ,rome4 ,this was manifest especially in the time of public calamities1 such as pestilence1 war1 etc4 ,when such events reached dimensions which threatened the existence of the republic1 attempts were made to gain the favor of the gods by most curious ceremonies4 ,the celestials were simply invited to take part in an opulent banquet4 ,the first divine feast of such a character was celebrated in ,rome in the sixth century1 ,b4,c41 on account of a great epidemic4 ,apollo1 ,latona1 ,diana1 ,hercules1 ,mercury1 and ,neptune were most ceremoniously invited to take part in a religious banquet which lasted for eight days4 ,the images of the gods were placed upon magnificently cushioned couches1 and the tables were loaded with dainties4 ,not only the gods1 but the entire population1 were invited2 every one kept open house1 and whoever wished to do so could feast at the richly prepared boards of the wealthy4 ,even the pronounced enemies of the house were allowed to enter and to enjoy the dainties without fear of hostile remarks2 indeed1 it was deemed advisable in the interests of public hygiene to unchain the prisoners and to liberate them4 ,but if the gods1 in spite of the most opulent entertainments1 did not have any consideration1 and if pestilence1 military disaster1 failure of crops1 or whatever was the immediate cause of popular anxiety1 continued to persist with unabated fury1 endeavors were made by theatrical performances to provide as much as possible for the amusement of the gods4 ,such plays1 at first1 consisted only in graceful dances1 with flute accompaniments1 and from these simple beginnings1 according to ,livy1 ,book #g1 ,chapter ,,ii41 the drama is said to have developed all those variations which characterized the scenic art of antiquity4 ,there can be no doubt that even the stage of modern times is of religio-sanitary origin--a peculiar fact which modern patrons of the theater scarcely ever dream of4 ,an attempt was eventually made to increase the delight of the gods in such amusements by a number of novel devices4 ,for instance1 it was stipulated that the performances instituted to ward off the invasion of ,hannibal were to cost #ccc1ccc copper asses4 ,but if1 nevertheless1 the gods were not sufficiently propitiated by banquets1 dances1 and playing of the flute1 and if they could not be prevailed upon by such pastimes to remove the pestilence or other calamity1 a dictator was named who1 if possible1 on ,september #acth1 drove a nail into the temple of ,jupiter to appease divine indignation4 ,it appears that this was a primeval custom of the ,etruscans2 at least1 it is reported by the ,roman author1 ,cincius1 that such nails could be seen in the temple of the ,etruscan goddess ,nortia4 ,this nail therapy was resorted to by the ,romans1 for instance1 during the terrible plague which raged in the fifth century1 ,b4,c41 and of which the celebrated ,furius ,camillus died4 ,wonderful as all the described procedures seem to us1 and closely as they may conform to the modern conception of superstition1 at the time they originated they were considered as quite removed from that superstition with which we so closely identify them to-day4 ,for the period which saw the above events was an era of exclusive theism1 and for that reason divine sleep1 divine feasts1 the sacred performances1 and all the other peculiar means which were employed to secure medical aid of the gods1 were well-established features of religious worship4 ,the stigma of superstition was not set upon them as yet4 ,and this state of things naturally persisted so long as the theistic theory of life stood unchallenged4 ,this absolute reign of theistic theory dominating human life through the above-described therapeutic ideas was followed by an epoch in which theism was forced to divide its authority with a powerful rival--namely1 the physico-mechanical theory of life4 ,the struggle between both these systems was ushered in1 for the ,hellenic as well as for the ,occidental world of civilization1 by the appearance of ,ionian philosophy4 ,even in our own day this struggle is still going on in many minds4 ,this much1 at least1 is certain3 that superstition has always been especially active in medicine in areas of civilization where the theistic idea has gained the ascendency4 ,the deadly struggle between theistic and physico-mechanical theories of life in the realm of medicine has found no place in the experience of ,hellenic and ,roman antiquity4 ,the change in opinion was rather wrought by a gradual recession from the idea that the gods interfered with the proper course of man's bodily functions4 ,this conviction resulted from a progressive growth of his physico-mechanical knowledge1 and became established at least as far as the thoughts and the opinions of the physicians were concerned4 ,that the other classes1 in particular the representatives of religion1 did not so peaceably acquiesce in this mechanical conception of life we shall soon explain in ,chapter ,,iii4 ,it was different1 however1 with the art of healing itself4 ,even the ,corpus ,hippocraticum reveals to us a medicine which had been purified from all theistic admixtures1 and from the publication of this work 7i4e41 from about the fifth century1 ,b4,c41 up to the overthrow of the ancient period--i4e41 until about the fifth or sixth century1 ,a4,d47 no further attempt to refer the cause of disease and the treatment of disease to the gods of the ancient heavens is noticed in medical works4 ,on the contrary1 that great efforts were made to look for the nature of disease in the mechanical conditions of the body is proven by a number of the most various medical doctrines4 ,the extensive work of ,galen1 that antique canon of medicine1 which dates back to the second century1 ,a4,d41 disavows all theism and all theurgy1 and relies solely upon physico-mechanical methods3 observation1 experiment1 dissection4 ,antique religion and antique medicine had effected a reconciliation--a reconciliation1 however1 in which neither party was to acknowledge a complete defeat2 but the result was an amicable settlement1 in which their just dues were given both to the theistic and to the physico-mechanical theories of life4 ,the point of agreement upon which this settlement1 or1 to express it better1 compromise1 was made was teleology4 ,by teleology we understand the conception that all earthly existence is created by a supreme power in accordance with a preconceived plan1 and that1 accordingly1 all organic life1 in form and action1 is most perfectly adapted to the task prescribed for it by this power4 ,this conception was absolutely indispensable to antique medicine2 for it allowed the adherents of the theistic theory without hesitation to consider man as a product of the creator1 which was distinguished in all directions and which bore witness of the wisdom of ,god1 a position which precluded the assumption1 which was impossible according to the antecedent medical observations1 that disease came from ,god4 ,for it seemed quite plausible1 according to the physico-mechanical theory of life1 that disease might be a product of a number of adverse1 purely earthly conditions1 an assumption not involving the slightest doubt of the wisdom and creative power of the gods4 ,this teleological doctrine1 which runs like a red thread through all ancient philosophy1 becomes conspicuously prominent in ,galen4 ,every section of the powerful work of ,galen--anatomy1 as well as physiology1 pathology1 and therapy--bear witness to the most confident teleological conception1 a conception which in the end culminates in the verdict 78,use of the ,parts10 ,book #aa1 ,chapter ,,xiv473 8,the creator of nature has disclosed his benevolence by wise care for all his creatures1 in that he has bestowed upon each one what is truly of service to it40 ,this teleological idea of all earthly becoming1 being1 and passing away was henceforth destined to be a permanent factor in human speculation4 ,christianity received it as a possession from antique civilization1 and only the philosophy and natural science of modern times have been able to threaten its permanence4 ,biology1 as of modern creation1 teaches us that all natural phenomena owe their existence to natural causes1 that the natural world is subject to natural laws4 ,and1 accordingly1 teleology1 as we encounter it in the works of the heathen ,galen and in the writings of the ,christian ,church ,fathers1 has turned out to be superstition1 which1 however1 must by no means be classed with the vagaries of mere medico-physical superstition4 ,in coming to this decision1 however1 we must beware of rash generalization4 ,in this connection we refer only to that kind of teleology which dominated the world previous to the teachings of ,descartes and ,spinoza1 and previous to the advent of modern natural science1 with its biological methods4 ,whether1 after all1 a theory of life might be possible which1 while avoiding the reproach of superstition1 might be traced to teleological prepossessions1 is a question we can not here discuss4 ,it is admittedly true that the deeper we penetrate into the secrets of nature the more energetically the existence of a marvelous1 intelligent will manifests itself as permeating all domains of nature4 ,however1 if this fact is not denied on principle1 as modern materialism denies it1 and proper allowance is made for it1 a rehabilitation of teleology as a necessary factor of our theory of life would be the logical consequence4 ,of course1 this teleology would bear a stamp entirely different from that of antiquity and of the middle ages1 which is recognized to be superstition4 ,it should not pretend to include the consideration of the entire organic world1 but confine its conclusions to the last links in the chain of experience and argument which science has forged from natural phenomena4 ,now this could be accomplished1 in our opinion1 even without apprehension of interfering with the indispensable requirements of modern naturalists3 8,the terrestrial world in its forms and processes is governed solely by terrestrial laws40 ,what the appearance of such a teleology should be is expressed by ,william ,hartpole ,lecky in the following3 8,this conception1 which exhibits the universe rather as an organism than a mechanism1 and regards the complexities and adaptations it displays rather as the results of gradual development from within than of an interference from without1 is so novel1 and at first sight so startling1 that many are now shrinking from it in alarm1 under the impression that it destroys the argument from design1 and almost amounts to the negation of a ,supreme ,intelligence4 ,but there can1 ,i think1 be little doubt that such fears are1 for the most part1 unfounded4 ,that matter is governed by mind1 that the contrivances and elaborations of the universe are the products of intelligence1 are propositions which are quite unshaken1 whether we regard these contrivances as the result of a single momentary exercise of will1 or of a slow1 consistent1 and regulated evolution4 ,the proofs of a pervading and developing intelligence1 and the proofs of a coordinating and combining intelligence1 are both untouched1 nor can any conceivable progress of science in this direction destroy them4 ,if the famous suggestion1 that all animal and vegetable life results from a single vital germ1 and that all the different animals and plants now existent were developed by a natural process of evolution from that germ1 were a demonstrated truth1 we should still be able to point to the evidence of intelligence displayed in the measured and progressive development1 in those exquisite forms so different from what blind chance could produce1 and in the manifest adaptation of surrounding circumstances to the living creature1 and of the living creature to surrounding circumstances4 ,the argument from design would indeed be changed2 it would require to be stated in a new form1 but it would be fully as cogent as before4 ,indeed1 it is1 perhaps1 not too much to say that the more fully this conception of universal evolution is grasped1 the more firmly a scientific doctrine of ,providence will be established1 and the stronger will be the presumption of a future progress40#a #a 8,history of the ,rise and ,influence of the ,spirit of ,rationalism in ,europe10 ,vol4 ,i41 ,chapter ,,iii41 pages #bid-bie4 ,compare also ,magnus1 8,medicine and ,religion10 page #bd1 sqq4 ,in such a manner1 despite the fact that in teleology the point of agreement between theistic and physico-mechanical medical thought has been now found1 theism1 in the course of the history of our science1 continually attempted new attacks upon the physical tendency in medicine2 and with each assault superstition in medicine1 as well as in the natural sciences1 was most palpably exposed4 ,after having satisfied ourselves in this second chapter regarding theism and its attitude with reference to the physico-mechanical theory of life1 we shall now enter upon the consideration of the various forms of medical superstition1 and it is our intention1 as stated in the first chapter1 so to arrange the enormous material at hand as to discuss medical superstition according to the sources from which it has sprung4 ,we shall begin by pointing out the intimate relations which have prevailed between the teachings of religion and superstition4 ,,iii ,,religion ,,the ,,support ,,of ,,medical ,,superstition ,religion undoubtedly plays the most conspicuous part in the history of medical superstition4 ,religious teaching1 of whatever character1 has fostered medical superstition more than any other factor of civilization4 ,not only has religion called forth and nourished medical superstition1 but it has also defended it with all the influence at its disposal4 ,indeed1 it has not infrequently happened that those who were reluctant to believe in the blessings of a medical theory ridiculously perverted by religion were exposed to persecution by fire and sword4 ,and this not only from one or other religious denomination1 for all religious believers1 without exception1 had proved to be the most assiduous promotors of medical superstition2 so that we are probably not wrong in designating priesthoods in general1 whatever their creed1 as the most prominent embodiment of medical superstition during certain periods of the world's history4 ,but the details will be learned from the following paragraphs3 #a4 ,priesthood the ,support of ,medical ,superstition4--,the principal reason for a not quite reputable activity in the chosen representative of a deity is probably the fact that1 with the appearance of a physico-mechanical contemplation of the world1 the theistic theory of life1 which until then had exclusive sway1 was forced into a pitched battle with a newly formulated definition of nature4 ,this struggle was carried on principally by the priesthood1 who1 as a matter of fact1 had most to lose from the ascendency of a new theory of life which only reckoned with natural factors4 ,they indeed had been the means1 until then1 of procuring for the people the assistance of the gods in all bodily ailments1 as they had been the exclusive depositories of physical knowledge4 ,and it could scarcely be expected that the priesthood would at once willingly relinquish the extensive supremacy hitherto exercised by it as the oracle of divine guidance in all medico-physical questions2 for humanity has always considered the possession of authority much more delightful than submission1 and the ruler has always objected most energetically to any attempt which disputes his rule4 ,this was precisely what was done by priests of all creeds when the mechanico-physical theory of life began to supersede the obsolete dreams of theistic medicine4 ,fair-minded persons will surely allow that such action was natural4 ,but they can not approve of the methods resorted to1 unless they belong to those who feel bound always to discern nothing but what is sacred in every action of a servant of heaven4 ,in order to wage war most effectively against the physico-mechanical theory of life1 the priesthood at once claimed for themselves the power of completely controlling nature4 ,they made the people believe that the celestials had bestowed upon them the faculty of dominating nature in the interests of the sick1 and that all powers of the universe1 the obvious ones as well as those mysteriously hidden in the depths of nature1 were obedient to sacerdotal suggestions4 ,the servant of heaven professed that he could regulate the eternal processes of matter1 with its becoming1 being1 and passing away1 quite as irresistibly as his eye was able to survey the course of time in the past1 present1 and future4 ,equipped with these extensive powers1 a priest necessarily appeared to the people not only as physician1 but also as a miraculous being crowned with the halo of the supernatural4 ,and this was the rle he actually played in many ancient religions4 ,with the peoples of ,italy the priest appeared--at a period1 indeed1 which was previous to the beginning of ,rome--as physician1 prophet1 interpreter of dreams1 raiser of tempests1 etc4 ,he held exactly the same offices among the ,celtic tribes in ,gaul and ,britain4 ,his position was the same in the ,oriental world1 and by the ,medians and the ,persians especially were priests considered to be persons endowed with supernatural powers4 ,we may notice that members of a certain ,median tribe formed the sacerdotal caste1 and bore the name of 8,magi40 ,however1 this name1 which originally was confined to the priestly order1 obtained1 in the course of time1 a distinctly secular meaning4 ,very soon many cunning fellows arrived at the conclusion that the trade of a sacerdotal physician and conjurer might bring a profitable livelihood to its professor1 even if this professor were not a priest but a layman4 ,thus there arose a special profession of sorcerers1 miracle workers1 and medicine-men1 who protested with solemn emphasis that they were able to cure all physical as well as psychical ailments of their fellow men as thoroughly as the priests had done4 ,but in order to bestow the required consecration upon this art1 these gentlemen usurped the venerable name of the above-mentioned ,median sacerdotal caste and called themselves 8,magi40 ,thus it happened that the name 8,magus0 7magician71 which originally served to designate a distinct sacerdotal caste1 deteriorated into a designation of charlatans and swindlers4 ,this could never have occurred unless the priests had prostituted their sublime profession and degraded it to various kinds of discreditable medico-physical deceptions4 ,this alone is why priesthood is responsible for the rise of the magicians1 of these worthless fakirs4 ,but if ,pliny 7,book #cj1 ,chapter ,i41 #b7 attempts to rank magic as an offshoot of medicine1 he is justified in doing so only in so far as the priest1 during the theistic period1 was also the physician1 as is well known4 ,only from this point of view is it possible to trace a genetic relation between medicine and magic4 ,but medicine in itself has not taken the slightest part in the promotion of magic and the success of its unsavory reputation4 ,indeed1 our science has suffered too much through the practise of magic to burden itself with the paternity of this disreputable child of civilization4 ,it appears that the name of the ,celtic priests 78druids07 had become subject to the same abuse as the name of the ,median priests of sacerdotal caste4 ,thus we learn of female fortune-tellers of the third century1 ,a4,d41 who call themselves 8druidesses40 ,but it seems that this application of the word 8druid0 has remained a local one and strictly limited1 whereas the expression 8magician10 quite generally employed1 became1 in the course of time1 the designation of charlatans and medical impostors4 ,for these swindlers1 who carried on medico-physical hocuspocus1 and who claimed to exercise supernatural powers1 were called 8magicians0 during the entire period of classic antiquity1 and we find the same use of the word in the middle ages1 and sometimes also in more modern times4 ,but this profession of magician1 which sprang from priesthood1 has largely promoted superstition in medicine1 and was particularly instrumental in bringing it into extraordinary repute4 ,it is our intention to concern ourselves a little more minutely with magicians and magic4 #b4 ,the ,spread of the ,word 8,magic40--,how and when magic was transplanted from its ,oriental home to the ,occident can not be determined with certainty2 for the ,greeks1 as well as all antique peoples1 probably all nations1 had a belief in ghosts and demons1 in fortune-telling1 and in sorcery4 ,but it appears1 nevertheless1 that the ancient civilized peoples of the ,orient1 and particularly the ,persians1 cultivated the magic arts with especial devotion1 and it is more than probable that it was from the ,east that the prevailing cult of magic had been imported into the ,west4 ,pliny1 for one1 tells us 7,book #cj1 ,chapter ,i41 #h7 that magic was brought to ,europe by a certain ,osthanes1 who accompanied ,king ,xerxes on his military expedition against ,greece4 ,this man ,osthanes1 as ,pliny reports further1 is said to have disseminated the seeds of this supernatural art 7velut semina artis portentos insparsit7 wherever he went1 and with such success that the ,hellenic peoples were actually mad after it1 and prominent men traveled through parts of the ,orient1 there to acquire personally and thoroughly these magic arts1 thus1 as was the case with ,pythagoras1 ,empedocles1 ,democritus1 and ,plato4 ,in fact1 it is said of ,democritus that he opened the tomb of a celebrated magician--,dardanus of ,phnicia--that he might restore to publicity the mysterious writings of the latter4 ,it appears1 moreover1 that ,alexander the ,great entertained an implicit belief in magic--at least1 ,pliny reports that during his wars he was always accompanied by a celebrated magician4 ,magic arts were likewise in favor among the ,romans4 ,even ,nero attempted to master the secrets of magic1 altho unsuccessfully 7,pliny1 ,book #cj1 ,chapter ,,ii41 #e74 ,a particular impetus was given to magic toward the end of the last century before ,christ and during the first century of the ,christian era1 when the rise of many fantastic philosophical systems greatly promoted and supported the belief in the supernatural powers of magic4 ,subsequently1 in the middle ages1 magic experienced an accepted and systematic development4 ,these conditions1 however1 will be more explicitly referred to later on4 ,the treatment of the sick through supernatural agencies assumed quite astonishing dimensions under the ,roman emperors4 ,the belief in magicians was so generally disseminated that even the emperors themselves and the imperial authorities were almost completely devoted to it4 ,thus1 for instance1 the emperor ,hadrian 7#aag-ach1 ,a4,d47 caused himself to be treated by physicians who claimed miraculous powers1 and he is said to have written a book on theurgy4 ,in fact1 ,suidas 7#fb ,julianus7 reports that ,hadrian1 on account of a severe outbreak of pestilence in ,rome1 sent for the son of the ,chaldean1 ,julian1 who1 simply by the power of his miracles1 arrested the progress of the disease4 ,under ,antoninus ,pius official proclamations were made in the forum1 directing the attention of the people to the importance of magicians 7,philostratus1 #dc71 and the emperor ,marcus ,aurelius even relates that1 when in ,caieta1 the gods in a dream prescribed a remedy for the hemorrhagic cough and vertigo from which he was suffering 78,marcus ,aurelius10 ,chapter ,i41 #ag1 page #aa74 ,but it appears that the magicians finally went too far with their tricks1 and endangered human life by their treatment2 so that several emperors decided upon adopting more rigorous measures against their knaveries4 ,the emperor ,septimius ,severus 7#aic-baa71 altho himself originally devoted to magic1 prohibited1 when on a visit in ,egypt1 all books which taught curious arts 7,aelius ,spartianus1 8,hadrianus10 ,chapter ,,xv41 #e1 page #adf74 ,later the emperor ,diocletian took energetic steps toward abating the mischief done by magical treatment of the sick1 and the magicians were permitted to carry on such arts only so far as would not be detrimental to the health of the people4 ,however1 this order did not check the magicians any more than it benefited those who were still tortured and brought to the point of death by magic quackery4 ,neither did medical science derive any advantage whatever from this well-meant but completely abortive effort of the emperor1 for the magic physicians persisted in carrying on their hocuspocus1 and unconcernedly debased the pharmacopia by the introduction of nonsensical and loathsome substances4 ,let us examine more in detail this department of medical practise among the magicians4 #c4 ,the ,medical ,practise of the ,magicians4--,the magicians adopted various modes of procedure in the treatment of the sick3 they either attempted1 as do our modern quacks1 to create the impression1 by administering medicine1 that they were actually able to direct the treatment of the ailing in a rational manner1 or they restricted themselves to various kinds of magical observances4 ,the drug therapy of the magicians actually utilized everything under the sun as a remedy4 ,the more out of the way and the less suitable for a remedy a substance seemed to be1 the more likely it was to be chosen by the magician intent upon healing4 ,for it was always the main object of these practising quacks to make their treatment as sensational as possible4 ,in this they succeeded best by employing the most extraordinary substances as remedies4 ,thus they made use of gold1 silver1 precious stones and pearls1 just because these1 owing to their value1 were held in great esteem1 and their medical application1 therefore1 was bound to create a sensation4 ,but the most loathsome substances were quite as readily employed1 for here1 too1 the most general attention was bound to be attracted by their application4 ,human feces1 urine1 and menstrual blood were introduced into the materia medica in such a manner4 ,the awe with which parts of corpses usually inspired the non-medical part of the public was relied upon by the magicians to advertise their cures4 ,thus these quacks administered powders of human bones to the ailing4 ,but inasmuch as what is conspicuous and unusual has always enjoyed an especial esteem with humanity1 the incredible remedies of the magicians naturally found everywhere an abundance of believers2 and as particularly the most nonsensical theory is most tenacious of life1 provided it has been presented in apparent combination with the miraculous1 the medical armamentarium rapidly took on a very peculiar aspect4 ,until the present more modern times medicine was condemned to the encumbrance of this rubbish1 this list of odd and loathsome remedies1 whose admission to the pharmacopia was only due to the whim of a human mind that constantly hankers after the extraordinary and the miraculous4 ,finally the magic observances to which the magicians resorted in the treatment of the sick1 have shown a remarkable vitality1 for they are in vogue even in modern times1 and many sections of our people even to-day swear unconditionally by the curative efficacy of various agencies which demonstratively have been derived from the medicine of the magicians4 ,but now such agencies are no longer ascribed to magic or sorcery1 but they are called 8cures by means of sympathy40 ,and as many modern people believe that various incomprehensible mystic performances cause certain mysterious powers1 otherwise absolutely unknown1 to exert a curative influence upon certain diseases1 so did the ancients believe exactly the same4 ,this was the origin of exorcism as a remedy for disease4 ,exorcism played a conspicuous part in the middle ages as a means of stopping hemorrhages1 and even in these modern times1 as is well-known1 this method of cure finds many adherents4 ,this magic treatment was believed to be especially efficacious if the exorcisms had been written or engraved upon paper1 gold1 precious stones1 etc41 in which case they were suspended around the neck of the patient4 ,countless talismans 7from the ,arabic tilsam1 magic image7 and amulets 7from the ,arabic hamalet1 trinket7 were thus manufactured1 and even to our own time there are survivals of this medical superstition4 ,altho these mystic observances are performed in various ways1 and their modifications are practically innumerable1 yet certain radical resemblances are continually appearing among the magic rites of the most diverse races1 and some of these practises have even persisted up to the present time4 ,thus the rope of the hung criminal plays a conspicuous part in antique magic as well as in modern sympathy treatment2 the same importance is attributed to shooting-stars1 to the moon1 to crossroads1 to certain numerals1 such as #c1 #g1 #i1 etc4 ,it is a highly interesting fact that such conceptions1 as remarkable for their therapeutical associations as for their crass superstition1 are possessed of a vitality which persists for centuries4 ,peoples1 religions1 philosophical systems1 political revolutions have risen and vanished1 but the belief in the curative action of the rope of a hung criminal or the therapeutic significance of the crossroad has survived4 ,the mystic influence which is exerted by the numerals #c1 #g1 #i1 and still more so by the dreadful #ac1 upon the life and health of man1 haunts the minds of the multitude in this century of physical enlightenment exactly as it did in remote antiquity4 ,but we can not here enter into the reason for these interesting facts1 and we must refer those who desire more detailed information on this subject to the voluminous literature of superstition4 ,furthermore1 the belief in magic cures was not more prevalent among the ancient professors of medicine than among the laity1 and even the most prominent practitioners were not able to emancipate themselves from this belief4 ,galen1 for instance1 who1 as is well-known1 mastered the entire literature of antique medicine as none before or after him has ever done1 openly avows his belief in the efficacy of magic cures1 and1 what is more remarkable1 ,galen in this respect has changed from a ,saul to a ,paul4 ,he ruefully recalled1 later1 the condemnatory decree which he had originally promulgated regarding the magic treatment of the sick4 ,let us call to mind how he expresses himself in his essay on medical treatment in ,homer3 8,many1 as ,i have done for a long time1 believe that conjurations resemble the fairy tales of old women4 ,but gradually1 and from the observation of obvious facts1 ,i have come to the conclusion that power is exercised by them2 for ,i have learned to know their advantages in stings of scorpions1 and also in bones which became lodged in the throat1 and which were at once coughed up as a result of conjuration4 ,many remedies are excellent in every respect1 and magic formul answer their purpose0 78,alexander of ,tralles10 ,book #aa1 ,chapter ,i41 ,vol4 ,,ii41 page #dgg74 ,one of the most prominent post-,galenian physicians also1 ,alexander of ,tralles1 openly avows1 with reference to this utterance of ,galen1 that he himself is a believer in magic cures1 and he says3 8,if the great ,galen1 as well as many other physicians of ancient times1 bear witness to this fact 7the efficacy of magic treatment of the sick71 why shall we not impart to you what we have learned from our own experience and what we have heard from trustworthy friends80 78,alexander of ,tralles10 ibid474 ,accordingly1 his was filled with enumerations of the most various magical cures4 ,but1 now1 if the classics of antique medicine have proven themselves to be so friendly to the medical science of magicians1 what was the condition of the mind1 then1 of the average physician of ancient times8 ,is it astonishing if young and old1 high and low1 without distinction1 were blind adherents of magical medicine8 ,thus medical literature of the last century1 ,b4,c41 and especially that of the centuries from the ,christian era until late in the middle ages1 was an actual treasury of conjuration and other mummeries4 ,this description applies specifically to the 8,materia ,medica0 of ,quintus ,serenus ,samonicus1 written in hexameters4 ,it is true1 the magical sequel to this book entailed painful consequences on the writer1 for the emperor ,caracalla had the poor author executed 7,ael4 ,spartian41 8,caracalla10 ,chapter ,,iv41 #d7 merely1 as it is reported1 because he dared to advise in his works as a remedy against intermittent fever the wearing of amulets1 a medical expedient which had been prohibited by the emperor himself4 ,the work of ,sextus ,placitus ,papyriensis1 who lived in the fourth century1 which treats of remedies derived from the animal kingdom1 teems with magic nonsense4 ,but an actually inexhaustible stock of medical conjurations was contained in the work of a layman1 ,marcellus ,empiricus4 ,this gentleman1 who had been foreign minister under the emperors ,theodosius the first and the second1 had written a thick folio volume on medicaments4 ,this literary performance1 which1 according to our ideas1 appears to be very odd for a minister of state1 was by no means remarkable in the fifth century1 for the study of medical subjects was1 so to say1 fashionable among the laity of that period2 in fact1 even prelates and bishops did not think it beneath their dignity to busy themselves with various medical questions and to write medico-physical books4 ,thus the laurels of medical renown haunted our good ,marcellus and would not let him sleep1 so that he abridged his hours of official duty to such an extent that he was able to compile a ,materia ,medica of thirty-six apparently never-ending chapters4 ,but if the statesmanship of ,marcellus was on a par with his medical book-making1 the two ,theodosii could not have missed the time their cabinet minister stole from them1 for his medical scribbling is an utterly worthless compilation4 ,not only did ,marcellus copy from medical authors of the most discordant opinion1 but he particularly busied himself in collecting indiscriminately all the magical nonsense of the ancient times2 in fact1 it seems that he was very eager to obtain all this magical rigmarole direct from the mouth of the people1 for he says that he collected his remedies 8ab agrestibus et plebeiis40 ,accordingly his book is as worthless and insipid to the physician as it is valuable to the historian1 especially the historian of civilization4 ,here are a few examples of this medicine of the magicians3 ,remedy against warts and corns 7,pliny1 ,book #bh1 ,chapter ,,iv41 #ab1 page #bfh73 8,lie on your back along a boundary line on the twentieth day of the moon1 and extend the hands over the head4 ,with whatever thing you grasp when so doing1 rub the warts1 and they will disappear immediately40 8,whoever1 when he sees a shooting-star1 soon afterward pours a little vinegar upon the hinge of a door1 is sure to be rid of his corns40 ,remedy against headache 7,pliny1 ibid473 8,tie the rope of a hung criminal around the forehead40 ,remedy against bellyache 7,priscian1 physician of the fourth century1 ,book #a1 ,chapter ,,xiv41 and ,sprengel1 ,vol4 ,,ii41 page #bdh73 8,if any one suffer from colicky pains he may sit down on a chair and say to himself3 #8,per te diacholon1 diacholon1 diacholon4'0 8,a person who has an attack of colic may take the feces of a wolf1 which1 if possible1 should contain small particles of bone1 enclose them in a small tube1 and wear this amulet on the right arm1 thigh1 or hip40--,alexander of ,tralles1 ,book #h1 ,chapter ,,ii41 page #cgd4 8,take the heart from the living lark and wear it as an amulet at the left thigh40--,alexander of ,tralles1 ibid4 ,remedy against epilepsy 7advised by the physician1 ,moschion ,diorthotes4 8,alexander of ,tralles10 ,book #a1 ,chapter ,,xv41 page #egj73 8,the forehead of an ass is tied to the skin of the patient and worn40 8,gather iris1 peonies1 and nightshade when the moon is on the wane1 pack them into linen and wear as an amulet40 ,advised by the magician ,osthanes4--,alexander of ,tralles1 ,book #a1 ,chapter ,,xv41 page #eff4 8,take a nail from a cross and suspend it from an arm of the patient40 ,given by a physician of the second century1 ,a4,d41 by the name of ,archigenes4--,alexander of ,tralles1 ,book #a1 ,chapter ,,xv41 page #eff4 8,wear on the finger a jasper of bluish-gray luster40--,advised by ,dioscorides1 ,book #e1 #aei4 ,remedy against podagra gout 78,alexander of ,tralles10 ,book #ab1 page #ehb73 8,take a gold leaf and write upon it when the moon is on the wane3 mei1 threu1 mor1 for1 teux1 za1 zon1 the1 lu1 chri1 ge1 ze1 on4 ,as the sun becomes firm in this name and daily renews itself1 so does this formation also make firm as conditions were previously4 ,quickly1 quickly1 rapidly1 rapidly4 ,for behold6 ,i call the great name in which becomes firm again what was destined to die3 ,jas1 azyf1 zyon1 threux1 dain1 chook4 ,make this formation firm as it has been1 quickly1 quickly1 rapidly1 rapidly4 ,this document must be covered with the tendon of a crane1 enclosed in a capsule1 and worn by the patient at his heel40 ,remedy against diseases of the eye 7advised by ,sextus ,placitus ,papyriensis4 ,magnus1 8,ophthalmology of the ,ancients10 page #eig73 8,if the right eye becomes afflicted with glaucoma1 rub it with the right eye of the wolf1 and1 similarly1 the left eye with the left eye of the wolf40 ,in photophobia 7fear of light7 8,wear as an amulet an eye which was taken from a live crab40--,quintus ,serenus ,samonicus4 ,magnus1 8,ophthalmology of the ,ancients10 page #eie4 ,with pains of the eye the patient must1 with a copper needle1 put out the eyes of a green lizard caught on a ,jupiter day1 during a moon that is on the wane1 in the month of ,september4 ,the eyes must be worn in a golden capsule1 as an amulet around the neck 7,marcellus ,empiricus4 ,magnus1 8,ophthalmology of the ,ancients10 page #fjb47 ,the above illustrations are surely sufficient to give the reader an idea of the medicine of the magicians4 ,at the same time they show the great similarity which exists between these ancient magic cures and the sympathetic cures of our people at the present day4 #d4 ,ancient ,medicine and ,magic4--,but how is it possible that the ancient physicians1 and even the most enlightened minds among them1 should not only have tolerated such a crass medical superstition as the above examples have shown us1 but should even have incorporated them in their works8 ,incomprehensible1 however1 as this fact may appear to the modern practitioner1 it becomes conceivable if the condition of antique medicine and of the medical profession of ancient times is considered4 ,in the first place1 ancient medical science adopted an entirely different mode of diagnostico-theoretical method than that employed by professors of medicine in modern times4 ,ancient natural science 7compare also ,chapter ,v4 of this work71 as well as ancient medicine1 obtained their scientific views exclusively by deduction--i4e41 they deduced individual results from general presumptions1 or1 rather1 they construed1 by reason of some general presumption1 the physico-medical consequences which were to follow from such a general supposition4 ,if this attempt to obtain an insight into physical processes is extremely hazardous1 it becomes still more precarious when the manner and means in which these general presumptions were arrived at were primarily of an entirely hypothetical nature4 ,it is true1 no fundamental objection can be raised to this method1 as even modern natural science and medicine1 despite the fact that their methods of investigation in a diagnostico-theoretical respect scarcely admit of material objections1 can not do without hypothesis4 ,but hypothesis is not always mere hypothesis4 ,it is well known that there are hypotheses which1 even in the minds of the most conscientious investigators1 are not inferior to that knowledge which is obtained by experiment and observation1 whereas other hypotheses again present the distinct stamp of insufficiency and makeshift4 ,the trustworthiness and the heuristic value of an hypothesis depend upon the quality of the diagnostico-theoretical process by means of which it was obtained4 ,if this process has been such as physical investigation is bound to insist upon1 the hypothesis thus arrived at is fully justified to supply the still absent data with regard to the phenomena in question4 ,this1 however1 can be accomplished by hypothesis only when the latter is not set forth until it plainly appears that1 in spite of a conscientious and orderly arrangement of observation after observation1 of experiment upon experiment1 without the admission of logical loopholes1 full data in regard to the nature of the phenomena is not forthcoming4 ,in such a case we may consider as actually proven by hypothesis what observation and systematic experiment1 continuous and logical1 were intended to prove1 and failed4 ,however1 this inductive hypothesis is alone entitled to be considered in medicine4 ,naturally1 such an inductive hypothesis was not thought of by the ancients1 as the inductive method of investigation was generally quite unknown to them4 ,the process by which ancient medicine usually attempted to find its hypothesis was by an argument from analogy4 ,each and every point of resemblance1 however superficial1 between two phenomena was considered sufficient by the ancient naturalists to warrant the assumption that analogous phenomena in the most various domains were most certainly proven to possess similar points of resemblance4 ,and upon the basis of such an insecure method of deduction--which1 moreover1 was selected entirely at the option of the observer--the ancient investigator erected the boldest hypotheses4 ,thus1 for instance1 the atomic theory of ,leucippus and ,democritus is an hypothesis which rests upon the basis of a conclusion from analogy4 ,the motes which appear in the rays of the sun led these two ancient investigators to the conception that1 like the particles of dust sporting in the air1 the primary component parts of everything that exists in the entire universe consisted of similar particles4#b #b ,lucretius1 ,book #b1 ,verse #aac1 sqq4 ,it appears that ,epicurus arrived at his theory of light 7according to which1 as is well known1 images of things were brought to the senses by delicate but absolutely objective small pictures which were detached from the surface of things in a continuous current7 by the fact that many animals--for instance1 snakes--shed their skins4 ,the theory of humoral pathology1 one of the most important advances in medical science1 was based on a conclusion from analogy and arrived at by the deductive method4 ,the diagnostico-theoretical lines in which antique medicine moved were bound--and this is the point of importance in this case--to exert a determining influence upon medical criticism4 ,for medico-physical criticism can only appear in closest connection with the prevailing condition of the respective sciences1 being really nothing else but a precipitate from them4 ,thus the ancient physicians were compelled to take an entirely different position toward magical medicine than we moderns1 educated in the school of inductive methods1 have always taken4 ,the probable and similar1 the supposable and possible1 in which deductive medicine found its data1 working on the lines of argument from analogy1 were necessarily bound to find expression also in the character of medical critique1 and it was impossible1 therefore1 for the ancient physician to detect anything absurd or contrary to experience in hypotheses which the practitioner of to-day at once brands as nonsensical and superstitious4 ,we are not in the least justified1 therefore1 in speaking disparagingly of ,galen and ,alexander of ,tralles because they believed in magical medicine and applied it in their practise4 ,as no human being can jump out of his skin1 so is he unable to get beyond the intellectual advancement of his time4 ,as the ancient physicians were also unable to do this1 accordingly they were believers in the magical medicine4 ,but there is still a second point which explains the remarkable position taken by ancient physicians in relation to magical medicine--namely1 the fact that the conception of miracle and magic were essentially different in the ancient world from what they are at present4 ,the belief in the interference of spirits and supernatural beings in terrestrial matters1 and the manifestations of their influence exerted in manifold ways--sometimes for good1 sometimes for evil--had been widely disseminated from the earliest times1 and we encounter them in all periods of classic antiquity4 ,this belief in demons had become incorporated in the systems of many leading philosophers of antiquity4 ,now if the world were filled with demons the natural consequence was that their activity would manifest itself in various ways4 ,it was necessary1 therefore1 that man should always be prepared to experience manifestations which more or less violated the customary order of terrestrial happenings1 and for this reason nothing that could be styled a miracle really existed for him4 ,a miracle could not be conceived in its full modern sense until it was realized that the course of all natural phenomena was nothing but the expression of eternal and changeless laws4 ,however1 it was not until comparatively late that this conception became generally disseminated2 thus1 for instance1 it was considered as self-evident1 even in the latest periods of the middle ages and during the first beginnings of modern times1 that divine influence could always1 and actually did always1 cause an alteration in the course of the functions of the body4 ,in fact1 there is an amazingly large number of people even in our time who believe this1 and for whom1 therefore1 the conception of miracles1 especially of miraculous healing1 is to-day on about the same level as that on which it stood in the time of ,galen and ,alexander of ,tralles4 ,thus we must admit that the ancient physicians were by no means below the standard of civilization and culture attained during their period if they believed in the possibility of extraordinary cures effected by means extraneous and unscientific in their treatment of the sick1 and1 accordingly1 they supported such methods4 ,however1 this belief in miraculous medicines on the part of the ancient physician was always restricted to certain limits4 ,it is true1 the conception was always adhered to that this or that magical agency1 or this or that magical action1 might exert an influence upon the disease2 but such a belief never led them to omit any strictly medical measures of a surgical or gynecological nature4 ,on the contrary1 the intelligent physicians of antiquity firmly insisted that the actions of the surgeon and of the gynecologist were not to be hampered by any metaphysical considerations2 thus1 for instance1 ,soranus demanded most energetically that the midwife should be 80 7without fear of any demon7--i4e41 she was not to be superstitious1 but free from any imputation which would render her curative interposition objectionable4 ,the profession of the magicians1 due to the persecutions to which they became subject under the ,christian emperors ,valens1 ,valentinian1 and ,theodosius1 became considerably less prominent during the predominance of ,christianity1 but the ideas upon which it had been erected in ancient times still survived2 in fact1 these ideas were even to a certain extent systematically elaborated during the middle ages1 and at this time a distinction was made between higher and lower1 or white and black1 magic4 ,the white magic busied itself with good spirits1 the black magic with the bad ones4 ,magicians1 therefore1 who operated by the aid of the devil1 and even in medicine called in the assistance of the devil1 were called 8necromancers40 ,for the first time magic became amalgamated with certain philosophical speculations and also with ,christian-dogmatic constituents4 ,the methods adopted by magic medicine under these conditions are so peculiar and are so close to the boundary lines between philosophy and religion that we are really not quite certain whether to relegate it to the domain of one or of the other4 ,but as the fundamental parts of these methods were actually supplied by philosophy1 we propose to defer this discussion for the present1 and to take up here another form of medical superstition which was derived exclusively from religion--namely1 8sleep in the temple40 #e4 ,sleep in the ,temple4--,one of the generally practised methods of medical science during the period of ,hellenic civilization which was still fully under the influence of theism--i4e41 for at least two or three centuries before the ,hippocratic era--was what was known as 8temple sleep40 ,in fact1 this method must be considered a sign of a faith distinctly deep and sincere1 a faith naive and childlike indeed2 but as a sign of such a faith this method is actually pathetic4 ,no taint of superstition could be found in it at the early period referred to4 ,it was still the pure and unadulterated expression of the generally prevailing conception that human art is to no purpose in any case of disease1 and aid must be found with the gods--with those gods who regulate and personally execute all terrestrial phenomena down to the minutest details4 ,temple sleep was not degraded into superstition until medicine had come to the conclusion that the phenomena of disease were not evidence of an interference by supernatural power in the functions of the body1 but disturbances of the function of the body caused exclusively by natural causes4 ,in accordance with this view1 which first found its fullest and clearest exposition in the corpus hippocraticum1 it would seem absolutely necessary for temple sleep to lose all recognition from the art of healing4 ,however1 this not being the case1 it was bound to deteriorate into an act of superstitious mummery1 and the principal blame for this sad decadence is to be laid primarily upon the priests4 ,it was their duty especially to lead into the path of truth the patients who persisted in crowding into the temples in the spirit of naive and childlike piety4 ,they sealed their own condemnation as fosterers of superstition when they failed to do this duty1 and endeavored rather1 by every means in their power1 to confirm the multitude in their ancient belief that the gods were practising medicine4 ,non-,christian as well as ,christian priests played this rle for many centuries with equal ability and equal perseverance1 as will be seen from the following brief history of temple sleep4 ,the belief in the efficacy of temple sleep had already been thoroughly shaken during the time of the great ,hippocrates2 therefore1 in the sixth century1 ,b4,c41 the laughing philosopher of ,hellenism1 ,aristophanes1 the satirical contemporary of ,hippocrates1 in ,act ,,ii41 verses #fed to #gej1 of his comedy 1 severely criticizes the manner and method in which temple sleep was employed4 ,let us listen to the words in which the poet describes what happened in the temple during the observance of this rite4 ,the god sculapius1 accompanied by his daughter ,panakeia1 appears in the temple to examine in person the patients gathered there4 ,the first one he meets is a poor wretch1 ,neokleides1 who1 being blear-eyed1 expects cure from the god4 ,the medically skilled sculapius smears upon the inverted lids of this patient a salve which causes such pain that the poor fellow will probably never seek his help again4 ,the second patient met by the god is the blind god1 7i4e41 ,wealth ,personified74 ,here the conduct of sculapius is entirely different from that which he adopted when treating poor ,neokleides4 ,now he carefully strokes the head of the patient1 then produces a linen cloth and carefully touches the lids with it4 ,he then calls his daughter ,panakeia1 who winds a red cloth round the head of blind ,wealth4 ,now sculapius whistles1 and two mighty serpents appear1 glide under the purple cloth1 and lick the eyes of the patient4 ,shortly afterward the god regains his sight4 ,this passage is a cutting satire on practises which undoubtedly prevailed in the ,greek temples as early as the sixth century1 ,b4,c4 ,but1 nevertheless1 it took a long time before the patients lost their belief in the miraculous efficacy of temple sleep1 and the priesthood continually strove to revive1 by the mysterious stories of various kinds they recounted to doubters1 the belief in temple sleep4 ,the sixth of the marble votive tablets which were found in the temple of sculapius at ,epidaurus shows the kind of miraculous reports invented by the priests4 ,the latter were in the habit of inscribing upon these tablets reports of cures that had occurred in their sanctuary1 for the benefit of the visitors of the temple and for the still greater benefit of the medical historians2 but it is quite probable that the priesthood1 intent upon curing1 were encouraged in their medico-literary attempts only by the silent hope of creating an abundant supply of patients by such miraculous reports4 ,the above tablet1 ,no4 #f--which probably dates from the third century1 ,b4,c4--tells us that a blind man by the name of ,hermon1 a native of ,thasos1 had recovered his sight by sleeping in the ,epidaurean temple of sculapius4 ,however1 it appears that this man ,hermon had been a miserable wretch1 for he disappeared without having expressed his thanks in hard cash4 ,naturally such ingratitude provoked the god1 and summarily he blinded the thankless individual again4 ,it required a second temple sleep before the god condescended to become helpful once more4 ,but our tablet does not mention anything about the amount of the remuneration paid by our friend ,hermon who had been twice cured of blindness2 neither is this at all necessary4 ,the miraculous tablet1 even without stating the price1 doubtless made sufficient impression upon the minds even of the most parsimonious of future patients4 ,altho1 therefore1 the more enlightened among the ,greeks recognized1 as early as in the sixth century1 ,b4,c41 the futility of temple sleep as a means of healing1 the ancient world never relinquished it entirely4 ,we encounter it again in the later periods of antiquity4 ,thus1 for instance1 ,suetonius and other ancient authors tell us that two patients1 one blind1 the other lame1 one day approached the emperor ,vespasian1 who happened to be in ,alexandria1 asking him to spit into the eyes of the one and to stroke the paralyzed limbs of the other2 for they had been notified in temple sleep that they would be restored to health if only the emperor would deign to perform the above-mentioned manipulations4 ,but ,vespasian was an enlightened ruler who1 in spite of his imperial dignity1 did not have much confidence in the medical qualities of his saliva and of his hands1 and accordingly unceremoniously dismissed both supplicants4 ,this caused great terror among the priests of ,serapis and among the courtiers1 for obviously they had interpreted this affair solely as intended in majorem ,vespasiani gloriam4 ,the emperor was importuned1 therefore1 kindly to aid the unfortunate1 but he persisted in his refusal4 ,probably he was right in fearing the loss of his prestige should the imperial medical powers prove unequal to the task of curing disease4 ,not until the priests solemnly vouched for the truthfulness of the dream-sending god ,serapis1 and declared a failure of the imperial cure to be impossible1 did ,vespasian's stubbornness relent4 ,now he spat1 and rubbed the paralyzed limbs1 and the blind saw1 and the paralytic arose and walked4 #f4 ,church ,sleep4--,when1 subsequently1 the ancient religions died out1 and had left the world as an heritage to ,christianity1 temple sleep had by no means died out also4 ,on the contrary1 after the lapse of three centuries1 it again came into favor with the ,christian priests4 ,and the use of it now was scarcely less in favor than it had been a thousand years previous in the world of the ancient ,greeks4 ,let us mention a few examples4 ,the first four stories are taken from the works of ,gregory of ,tours4 ,mummolus1 who came to the court of ,justinian 7#ebg to #efe7 as the ambassador of ,king ,theudebert1 suffered greatly from calculi of the urinary bladder1 and during this journey he became subject to an attack of renal colic4 ,things went badly with poor ,mummolus1 and he was in a great hurry to make his will4 ,whereupon he was advised to pass one night sleeping in ,st4 ,andrew's ,church1 at ,pateras1 for ,st4 ,andrew had performed many miraculous cures in this place4 ,no sooner said than done4 ,mummolus1 greatly tormented by pain and fever1 and despairing of life1 had himself placed upon the stone flags of the sanctuary1 and waited there for the things that were to happen4 ,suddenly1 toward midnight1 the patient awoke with a violent desire to urinate1 and discharged in a natural manner a calculus which1 as ,st4 ,gregory assures us1 was so enormous that it fell with a loud clatter into the vessel4 ,from that hour ,mummolus was hale and hearty1 and joyfully started on his journey homeward4 ,in ,brioude1 the capital of the present department ,haute-,loire1 there was a woman named ,fedamia1 who had been paralyzed for years4 ,in addition to this1 she was penniless1 and her relatives1 therefore1 brought her to the ,church of ,st4 ,julian1 who enjoyed a great reputation in ,brioude1 in order that1 even if she did not become cured1 she might at least make some money by begging at the church door4 ,for eighteen years she had lived thus when1 one ,sunday night1 while she slept in the colonnade adjoining the church1 a man appeared who took her by the hand and led her toward the grave of ,st4 ,julian4 ,on arriving there she uttered a fervent prayer1 and in a moment felt as if a load of actual chains fell from her limbs4 ,all this1 it is true1 happened in a dream1 but when the patient awoke she was hale and hearty1 and was able1 to the amazement of the assembled multitude1 to walk1 with loud prayers1 to the grave of the saint4 ,a certain man1 deaf1 dumb1 and blind1 known by the name of ,amagildus1 also tried the sleep in the ,church of ,st4 ,julian1 at ,brioude4 ,but it appears that this saint was not always quite accessible to the wishes of the sick4 ,it is true1 ,amagildus was not obliged1 like ,fedamia of the previous narrative1 to pass eighteen years in the basilica1 but1 nevertheless1 he had to sleep for a full year in the colonnade of the church before the curative power of the holy martyr delivered him from his ailment4 ,veranus1 the slave of one of the clergy under ,gregory1 was so violently attacked by gout that he was absolutely unable to move for an entire year4 ,thereupon his master pledged himself to advance the afflicted slave to the priesthood if ,st4 ,martin would be willing to cure him4 ,to accomplish this cure the slave was carried to the church1 and there placed at the feet of the saint4 ,the poor wretch had to remain there for five long days1 and it seemed as tho ,st4 ,martin had forgotten all about him4 ,finally1 on the sixth day1 the patient was visited by a man who seized his foot and drew it out straight4 ,the slave rose to his feet in terror1 and perceived that he was cured4 ,for many years he served ,st4 ,martin as a priest4 ,but the most wonderful cure was that of the ,german emperor ,henry ,,ii41 called 8,the ,saint0 7#ajjb to #ajbd74 ,this emperor1 who was of ,bavarian stock1 suffered greatly from the stone1 and had retired to the ,italian cloister ,monte ,cassino1 inasmuch as this cloister during that period justly enjoyed an extraordinary medical reputation4 ,but whether the monks of ,monte ,cassino1 altho well versed in medical art1 did not have sufficient confidence in their ability to treat an emperor1 or whether they were induced by some other reason1 is not known2 however1 instead of submitting the imperial patient to the operations of terrestrial medicine1 they surrendered him to the providence of heaven1 and more particularly to the sympathy of ,st4 ,benedict4 ,this saint fully justified the confidence that was placed in him1 for1 during an acute period in the patient's sufferings1 he appeared in his own holy person1 and with his own holy hands he performed the necessary operation1 and1 after having pressed the stone that he had removed from the bladder into the hand of the sleeping emperor1 he retired heavenward4 ,but he took care from his heavenly residence to attend to the prompt healing of the operation wound1 and this was surely very good of ,st4 ,benedict4 ,in fact1 his entire behavior during this case was extremely proper and laudable2 for is it not much more fitting that the imperial bladder should be delivered from its disagreeable visitor1 the stone1 at the hands of a saint than by those of mortal beings1 even if those mortal beings were the pious and medically skilled monks of ,monte ,cassino8#c ,the form in which we encounter the ,christian temple sleep in the above stories is as like as two peas to that practised in the ,hellenic temples4 ,they are distinguished merely by the fact that the ,greek gods generally hastened to the assistance of the patients after the latter had spent one night in the temple1 whereas the ,christian saints often allowed years to pass before the patient1 who was crying for aid1 secured relief4 #c ,compare ,leibnitz1 ,script4 ,brunsvic1 ,vol4 ,i41 page #ebe4 ,sprengel1 ,vol4 ,,ii41 page #ia4 ,christianity has1 however1 created one variation of the temple sleep1 and this is the sleep which is taken1 altho outside of the church1 at any place whatever1 but with invocation of the saints4 ,this sleep was said to be exactly as efficacious as that taken in the church itself1 provided the patient had fervently prayed before falling asleep1 and had particularly remembered the saint whose assistance he required4 ,the two following narratives1 which are also taken from the works of ,gregory of ,tours1 may serve as significant examples of this variety of temple sleep4 ,alpinus1 ,count of ,tours1 was so tormented for years by a pain in his foot that life had no further joys for him1 so that1 sleepless and without appetite1 he took to his bed4 ,again and again had he1 in secret prayer1 appealed to ,st4 ,martin for relief4 ,so one day the ,count suddenly falls into a deep sleep1 during which ,st4 ,martin appears to him1 making the sign of the cross over the diseased foot4 ,thereupon the pain suddenly left him1 and ,alpinus was able to leave his couch1 fully cured4 ,in this case the saint showed himself extremely considerate toward the sick count1 in that he was attired in a smart uniform when paying his visit4 ,it was his intention1 obviously1 in choosing this costume to gratify the martial tastes of the nobleman2 for ,st4 ,martin1 when visiting patients1 by no means always affected this warlike array1 as will be seen from the following story4 ,a certain woman was so severely afflicted with campsis of the fingers that she completely lost the use of her hands4 ,even a visit to the church which was consecrated to ,st4 ,martin in ,tours had brought her no relief4 ,the patient was obliged to leave the sanctuary with her fingers still diseased4 ,but it seems that this patient was actually of a very contented disposition2 for when1 upon her return1 away from ,tours1 she lay down to her first night's rest1 she thanked ,god that at least her life was spared1 and that she had been permitted to see the grave of ,st4 ,martin4 ,affected by so much modesty1 ,st4 ,martin appeared to her in her sleep1 and1 like to ,st4 ,benedict in the case of the emperor ,henry1 with his own holy hands he performed somewhat of an operation upon the patient1 in that he stretched her bent fingers in such a manner that the tense tendons were evidently torn2 for ,gregory tells us that1 under the treatment described1 blood flowed from the straightened fingers of the woman4 ,but ,st4 ,martin had entirely discarded his martial attire upon this visit4 ,evidently such a garb did not seem to him appropriate when visiting a female patient2 he therefore appeared before the patient in a purple cloak with a cross in his hand4 ,however1 the medical activity of the saints was by no means restricted to cases of church slumber1 but was manifested in the most various forms4 #g4 ,medical ,saints4--,some saints had a decided predilection for medical specialties1 and for that reason paid a particular attention to certain varieties of disease4 ,thus1 ,st4 ,anna espoused ophthalmology2 ,st4 ,jude cured coughs2 ,st4 ,valentine1 epilepsy2 ,st4 ,catherine of ,siena1 the plague4 ,not even our domestic animals were forgotten by the saints4 ,thus1 ,st4 ,roch of ,montpellier distinguished himself especially by his skill as a veterinarian4 ,various were the ways of obtaining the medical aid of this or that saint4 ,the most simple was probably that the patient attended mass in the church of his town1 and1 at the same time1 made an offering to the saints4 ,more difficult was it to undertake a pilgrimage to one or the other of the saints who enjoyed a medical reputation2 this was generally done on the birthday of the celestial physician4 ,it seems that the saint was especially inclined on this day to practise medicine2 at least1 the chroniclers report that great numbers of the most difficult cases were successfully treated on such days4 ,a very efficacious method of securing medical treatment from saints was considered to be the placing of the patient in the church during the day in the space between the altar and the grave of the saint4 ,the bed of the mortally sick1 fever-racked patient was placed there1 and for days was compelled to remain here wrestling with death4 ,this was done1 for instance1 with the dying ,countess ,eborin4 ,in case severe epidemics were prevalent1 it is likely that the churches very often resembled actual hospitals4 ,then dozens of beds with their patients were set up in the churches1 and many a one who was in good health when he entered the church to say his prayers probably returned home with the germ of a pestilence acquired in the sanctuary4 ,but the saints1 as we have seen1 were by no means always so anxious or in such a hurry to manifest their medical skill4 ,they often made the patient wait for years for their aid4 ,the church1 therefore1 made practical arrangements to meet every requirement4 ,larger buildings were erected close to the church intended for the reception of patients4 ,here those who were hoping to find help could obtain shelter and food1 and were1 therefore1 able to rest quietly1 and to await the moment when heavenly aid might appear4 ,this arrangement proved to be extremely practical1 especially because a good many individuals felt themselves cured only so long as they remained in the proximity of the saint1 but became reafflicted as before when they returned to their homes4 ,but as the slumber and the protracted sojourn in the ecclesiastical hostelries was1 nevertheless1 rather uncomfortable1 especially in consideration of the difficulties and dangers which were involved in traveling during the middle ages1 it was absolutely necessary to invent a means of administering the medical aid of the saints in such a way as was always accessible to the patient4 ,this was managed by the use of relics4 #h4 ,cult of ,relics4--,it was believed that ,god had endowed the bodies of martyrs who died for the ,christian faith1 or of saints distinguished by extraordinary piety1 with a miraculous power of extraordinary efficacy1 and not only the mortal relics of the martyrs and saints were wonder-working1 but actually all objects which had come in contact with the persons of saints during their life as well as after their death4 ,all such objects were possessed of curative power4 ,let us listen to what ,gregory of ,tours says under this head3 8,the miracles which our ,lord ,god deigned to bring about through ,st4 ,martin1 his servant1 once a pilgrim in the flesh1 he causes to be repeated daily1 to strengthen the confidence of the faithful2 for now he endows his tomb with precisely the same wonder-working power as was exhibited by the saint himself while still among us4 ,who will now persist in doubting the former miracles when he observes their continuation in the present day1 when he sees the lame walk1 the blind receive their sight1 devils cast out1 and every variety of disease cured by the help of the saint80 78,bernoulli10 page #bhg74 ,the statement of such a luminary of the ,church as ,gregory of ,tours has undoubtedly gained ecclestiastical credence for the medical efficacy not only of the tomb of ,st4 ,martin1 but of all the relics relating to that saint4 ,it remained only to distribute the superior medical power which was contained in the holy tombs and relics in such a form as would enable all patients1 wherever they happened to be1 to make use of them4 ,this task1 apparently most difficult1 was settled very easily4 ,it was discovered that everything which came in contact with a relic actually absorbed a sacred and miraculous power contained in the same1 and what had been absorbed was by no means imponderable4 ,quite the contrary4 ,something of material substance1 and1 therefore1 physically demonstrable1 passed from the relic into the objects surrounding it4 ,it was indeed a celestial fluid1 but1 nevertheless1 of so terrestrial a nature that the priests were able to demonstrate its transference by means of a common pair of scales4 ,thus it was customary that the silk shreds which were deposited by the pilgrims upon the tomb of the apostle ,peter were weighed before they were placed there and weighed again after their removal4 ,this weighing always and without exception indicated a considerable increase in their weight4 ,the pilgrim then could travel homeward and be thoroughly consoled1 as the scale had demonstrated to him the amount of miraculous power contained in his silk rag4 ,it was really astonishing1 under some circumstances1 what an enormous amount of curative fluid could flow from such a holy tomb into a single terrestrial object4 ,this was what happened to a king of the ,suavians4 ,he had a sick son1 for whose cure every remedy had proved unavailing4 ,he at last sent an embassy to ,tours to obtain a relic of ,st4 ,martin1 but this relic was destined to be manufactured with the assistance of the embassy4 ,the priests were quite willing to comply with the desire of their royal petitioner1 and thus a piece of silk1 duly weighed beforehand1 was placed upon the tomb of ,st4 ,martin4 ,after this silk had remained for one night upon the holy sepulchre1 and the embassy had knelt beside praying fervently1 the silk absorbed so much curative power that the register of the scale was raised to its highest possible notch4 ,knowing1 then1 that any desired object could be saturated with the miraculous power contained in a relic1 they used to apply this celestial power through medicaments1 and to accomplish this a number of methods were in use4 ,the most popular was to scrape the tombstones on the graves of the saints as thoroughly as possible4 ,the powder thus obtained was then put into water or wine1 and thus a medicine was acquired which possessed an astonishing curative power4 ,it was efficacious even in the severest ailments of the body4 ,let us listen to what ,gregory of ,tours has reported concerning the medicinal virtues of such tombstone potions4 ,he says3 8,oh1 indescribable mixture1 incomparable elixir1 antidote beyond all praise6 ,celestial purgative 7if ,i may be permitted to use the expression71 which throws into the shade every medical prescription1 which surpasses in fragrance every earthly aroma1 and is more powerful than all essences2 which purges the body like the juice of scammony1 clears the lungs like hyssop1 and the head like sneezewort2 which not only cures the ailing limbs1 but also1 and this is much more valuable1 washes off the stains from the conscience60 ,according to this extensive power of the tombstone powder1 it is by no means astonishing that ,gregory of ,tours1 when traveling1 always carried a box of this miraculous powder with him1 so that he was able at once to heal the patients that surrounded him4 ,i was not able to obtain from the literary sources at my disposal any data as to whether the direct licking off of the tombstones might not have been still more efficacious than the all-healing extract4 ,gregory does1 however1 report that he was cured of a tumor of the tongue and lips by merely licking the railing of the tomb of ,st4 ,martin and kissing the curtain of the temple4 ,another very efficacious remedy was the charred wick of the wax candles which had burned in the church4 ,this wick was pulverized1 and in this manner a very powerful curative powder was obtained which1 when taken1 acted in a manner similar to that of the watery or vinous tombstone infusion4 ,the wax which dripped from candles that were placed near the holy sepulchre was also credited with many medicinal virtues1 but it seems that it was employed more as an external than an internal remedy4 ,the water which had been used before ,easter to clean the altar of the saints was also considered to be a famous remedy4 ,if such water was employed in washing a patient he recovered at once1 and this was the happy experience of ,countess ,eborin4 ,this exhalted patient was suffering so severely that she believed her hour had come4 ,she was then quickly removed to the church of ,st4 ,martin1 and thoroughly washed with the water that had been used in washing the altar4 ,and1 behold6 the disease disappeared1 and let us hope that the overjoyed countess afterward enjoyed many years of life4 ,oil from lamps hung in holy places was also a favorite remedy1 but it appears that it was principally used for anointing4 ,however1 when mixed with holy water1 it furnished a remedy which could be administered to diseased cattle with a prospect of positive cure4 ,water which was obtained by boiling the covers in which the relics were wrapped also yielded a very efficacious medicine4 ,thus1 for instance1 ,gregory of ,tours caused a silk cover1 in which a piece of the cross of ,christ had been wrapped1 to be thoroughly boiled1 and he then administered this decoction to patients2 the curtains which were used as ornaments over holy graves also displayed an extremely beneficent effect upon the sick4 ,if an individual suffering from headache touched1 for instance1 the carpet which was placed over the resting-place of ,st4 ,julian1 the pain ceased4 ,but if a patient was afflicted with abdominal pains1 all that was necessary to relieve him at once was to pull a thread from this1 the above-named carpet1 and to apply it to his rebellious digestive apparatus4 ,however1 it was not necessary for the priests1 under some circumstances1 personally to take the trouble of manufacturing miraculous medicines from relics4 ,there existed some holy graves which were so accommodating that they furnished1 of their own accord1 the holy material that was required for the treatment of the sick4 ,thus the chronicler records that the grave of the evangelist ,john exuded a sort of white manna1 which1 owing to its wonder-working curative power1 was distributed all over the world4 ,a similar product was yielded by the grave of the ,apostle ,andrew on the festival day of that saint4 ,a precious oil scented like nectar also sprang from the resting-place of this man of ,god4 ,we see1 therefore1 that the sacred pharmacopia teemed with remedies1 and that they were quite extensively employed is shown sufficiently by the history of the saints and1 above all1 by the works of ,gregory of ,tours4 ,the latter1 in particular1 offer an actually inexhaustible mine of information concerning the medical activity of ,christian saints4 ,it does not1 however1 appear that this medical activity enjoyed the confidence of priests or of laymen to such an extent that the services of a professional physician were entirely discarded4 ,it is true1 ,gregory of ,tours expresses himself in reference to the terrestrial physicians in a manner which is by no means complimentary1 for he says3 8,what are they 7the physicians7 able to accomplish with their instruments8 ,their office is rather to cause pain than to alleviate it2 if they open the eye and cut into it with pointed lancets1 they surely cause the agony of death to come in sight before assisting in the recovery of vision1 and if all precautionary measures are not thoroughly carried out the power of sight is lost forever4 ,our beloved saint1 however1 has only one instrument of steel1 and that is his will1 and only one salve1 and that is his curative power40 ,but in spite of this want of confidence in physicians1 ,gregory of ,tours did not hesitate eventually to interfere quite extensively with the practise of the saints by the employment of ordinary medicine4 ,at least1 he frequently did so when he felt sick himself4 ,thus1 one day1 when he was afflicted with severe bellyache1 he employed warm poultices and baths1 and only when the refractory abdomen gave him no rest1 after a continuance of this treatment for six days1 did ,gregory apply to ,st4 ,martin4 ,when1 at another time1 ,gregory was affected with so severe an attack that his death was believed to be imminent1 he caused himself at first to be treated according to all the rules of medical science1 and not until improvement failed to appear1 did he think of the aid of the saints4 ,then he spoke to his physician as follows3 8,well1 you have exhausted all remedies of your art1 you have used up all your powers and juices1 but the remedies of this world do not help him who is destined to die4 ,only one thing remains for me to do4 ,i shall tell you the great remedy3 take some stone powder from the grave of ,st4 ,martin and prepare it for me40 ,the healing of the sick by the power of the saints and through relics was in favor throughout the middle ages1 and even in the sixteenth century it was so generally in vogue that a physician by the name of ,wyer 7#aeae to #aehh7 considered it expedient to demonstrate the incredibility of such heavenly interference4 ,it is by no means my intention to hold solely dogmatic ,christendom of the middle ages and the ,christian priest responsible for the monstrous superstition into which1 according to the above description1 ,christian religion had degenerated in the domain of medicine4 ,this superstition resulted from the cooperation of quite incongruous factors2 but we can by no means exempt the ,christian priest entirely from blame1 in that he assisted very materially in furthering it4 ,for we must bear in mind that the ,christian cloister of the middle ages was not only the last refuge of humanistic culture1 but the science of medicine found an asylum of preeminent importance within its precincts4 ,medicine had taken refuge in the cloister from the storms and tribulations which followed the political collapse of antiquity and from the excitement of national migrations1 and had here attained a high degree of perfection4 ,in fact1 we may contend1 without exaggeration1 that at certain periods of the middle ages the ,christian monastery had the importance as a medical school which was later on claimed by the university2 for the ,christian monks not only nursed the sick and practised medicine1 but also took an interest in its scientific development4 ,they were well acquainted with the medical classics of ancient times1 such as ,hippocrates1 ,herophilus1 ,dioscorides1 ,galen1 ,paul of gina1 and others1 as well as with the ancient medical celebrities of second and third rank4 ,briefly1 medical knowledge in its entirety was contained in the cloisters of the middle ages2 the cloisters1 indeed1 furnished a considerably larger quota of the medical profession than the laity4 ,in such a state of affairs it might have been expected that the monks and priests should have applied their extensive medical knowledge to combat the terrible abuses which had invaded medicine in connection with the names and the bones of the saints4 ,but this they never did1 neither during the middle ages or later on4 ,priesthood has never seriously attempted to promote medical enlightenment4 ,on the contrary1 plenty of writings exist in which the crassest superstition in medico-physical affairs was defended by the clergy1 who quite frequently exhibit the same spirit while practising medicine4 ,medical relief obtained by entirely terrestrial remedies they speedily placed to the credit of the saints1 as was done1 for instance1 by the monks of ,monte ,cassino1 when 7as we have seen above7 they persuaded the emperor ,henry ,,ii4 that not the temporal hands of the friar physicians had performed an operation for stone upon him1 but that ,st4 ,benedict in person had1 with his own holy hands1 extracted the stone from the imperial bladder4 ,by leading the laity1 in numerous cases and against their better knowledge and conscience1 to believe that the aid of the saints1 and of the relics originating from them1 was far superior to medical services1 the ,christian priests of the middle ages have on their part contributed quite a considerable share to the horrors of medical superstition4 ,it is true1 we must not overlook the fact that monks and priests of the middle ages were the product of their time1 in the same manner as we of modern times are the product of our period4 ,and as the middle ages formed an era of miracles1 of demons1 devils1 and witches1 numerous members of the clergy1 as children of their time1 surely had an essentially different opinion of the belief in miracles and demons from that which we have4 ,the conception of miracles was entirely different during the middle ages from what it is in modern times2 for the sincere and firm belief in the omnipotence of the one ,god1 which with ,christianity had taken possession of the world1 had firmly fixed in the ,christian mind of that period the idea that ,god was able at any moment to manifest his omnipotence by changing the course of terrestrial phenomena1 and actually did manifest it4 ,thus to a ,christian of the middle ages it did not appear miraculous that an alteration in the course of natural law should occur4 ,it was considered quite conceivable that the same natural phenomena should spring from one cause to-day and from a different one to-morrow1 according to the pleasure of ,god2 it would have been just as inconceivable to the early ,christians1 and to their later coreligionists of the middle ages1 that all natural processes are carried into effect according to eternally unalterable laws1 beyond the interference of divinity1 as it is incomprehensible to us to conceive that ,god would at any time change a law of nature in favor of one or the other mortal being4 ,the conception of miracle during the first sixteen centuries of the ,christian era was entirely different from that of the subsequent era4 ,we must not1 therefore1 gauge the ideas of priests and laymen of those centuries who believed in medical miracles by the same standard as that by which we judge those who to-day still persist in admitting the existence of medico-physical wonder or miracle4 ,it is highly probable that1 under conditions as described above1 many ,christian monks and priests vacillated between the requirements of faith and the results of their own medical knowledge4 ,the medieval scholar's feeling drew him to one side1 his intelligence to the other1 and thus he became destitute of a firm hold--the intellectual sport of his period and of his environment4 ,that prominent lights of the ,church could become subject to such vacillations we learn from ,gregory of ,tours1 who attempted to cure bodily ailments at one time with the medicaments of professional medicine1 at other times with the saving means of the celestial drug-store2 who at one time deprecated the art of temporal physicians in favor of medically skilled saints1 at other times fled to human medicine for refuge4 ,finally the position of the medically learned monk and priest with reference to the general public1 during the middle ages1 was by no means an easy or an agreeable one4 ,the people clung with invincible tenacity to the belief in demons and miracles4 ,ancient as well as ,christian philosophy was firmly pledged to a belief in demons1 whose existence was supported by the sacred testimony of the ,gospel4 ,it is not astonishing1 therefore1 that the people should cling to their belief in various forms of supernatural interference with the functions of organic beings1 and thus it may frequently have happened that a medically enlightened priest1 fearing the opposition of a people eager after celestial medicine1 sacrificed his scientific convictions to the caprices of a mistaken faith4 ,unfortunately1 only a few had in them the making of a scientific martyr1 and the history of ,christianity teaches us that it is much easier to be a martyr of faith than a martyr of science4 ,but what has been stated thus far will by no means acquit the ,christian priest of blame which he incurred by favoring medical superstition2 such acquittal would be radically futile4 ,but we mean to show that the conduct of the servants of our faith1 altho not pardonable1 is quite explicable4 ,the historian1 in order to present to his readers the relation which had gradually formed between ,christianity and medical superstition1 must show himself prosecutor and defendant at the same time4 ,equally with dogma and priesthood1 theistic belief also has been a powerful instrument in the furthering of medical superstition1 and this point we shall next consider4 #i4 ,theistic ,thought as the ,fosterer of ,medical ,superstition4--,altho the theist1 by accepting a physico-mechanical interpretation of natural phenomena1 abandoned his main position1 yet the theistic belief by no means became obsolete--i4e41 the belief that ,god1 unrestricted by natural laws1 personally directed terrestrial manifestations still held its ground4 ,this belief remained dominant in many minds1 in spite of all that philosophers and naturalists said in regard to the forms and life of organic structures4 ,the vitality which this belief has shown during the development of our race is actually astonishing4 ,in spite of the wide acceptance of the physico-mechanical theory of life1 the belief that ,god1 without regard to natural laws1 unceasingly interfered with the course of natural events1 and1 consequently1 also with the conditions of the human body1 has not only remained active1 but has even succeeded in recovering an extensive part of its lost ground4 ,we shall soon see that this is a repetition of what has occurred during all periods of human development4 ,even to-day1 when the mechanical theory of life has won its greatest triumphs1 and more than twenty centuries have passed since the great ,hippocrates preached a theory of medicine1 purified from all theistic and theurgic accretions1 individuals are still met with who presuppose the therapeutic activity of ,god in all cases of disease as a self-evident fact4 ,such a condition of opinion1 history teaches us1 always prevails at periods1 during which a craving for religious excitement becomes excessively acute4 ,it is either a new form of religion which so preoccupies the public mind and the intelligence that all phenomena are conceived of as in closest relationship with ,god1 or else some individual appears who1 carried away by religious enthusiasm1 teaches that the existence of nature independent of ,god is not admissible1 and succeeds in enlisting numerous followers under his banner4 ,under similar conditions theistic belief had occasionally succeeded in regaining its supremacy in the domain of medicine4 ,in taking up the consideration of some such instances we can only treat them briefly1 as an exhaustive handling of this most interesting material would carry us too far away from our present subject4 ,the belief that ,god was the best physician1 not only of the soul but of the body also1 was deepened by the dissemination of ,christianity4 ,the sincerity of faith among the ,christians of the first century was so intense that a great number of them believed that their bodily welfare could not be watched over more carefully than when it was commended exclusively to the care of ,god in all cases of sickness4 ,accordingly1 they entirely neglected medical aid and treated all diseases only by prayers1 by anointing1 and by laying on of hands4 ,this mode of treatment corresponds to what is contained in the epistle of ,james v 3 #ad-af-- 8,is any sick among you8 let him call for the elders of the church2 and let them pray over him1 anointing him with oil in the name of the ,lord3 8,and the prayer of faith shall save the sick1 and the ,lord shall raise him up2 and if he have committed sins1 they shall be forgiven him4 8,confess your faults one to another1 and pray one for another1 that ye may be healed4 ,the effectual fervent prayer of a righteous man availeth much40 ,the extent of this treatment by prayer is shown by the fact that even prominent fathers of the ,church--for instance1 ,st4 ,benedict 7died #edc7--were addicted to it4 ,moreover1 an attempt was made to increase the therapeutic value of prayer by various accessories and aids4 ,thus the ,gospel was placed upon the affected part of the body1 or clothing of a particularly pious man was spread over the patient4 ,it appears that the sudarium and the coat of the apostle ,paul were held to possess such healing power1 and were1 therefore1 frequently employed as instruments of healing4 ,thus we read in the ,act of the ,apostles xix 3 #ab--8,so that from his body were brought unto the sick handkerchiefs or aprons1 and the diseases departed from them1 and the evil spirits went out of them40 ,in fact1 medical superstition went so far that it divined a potent curative virtue even in the shadow of the apostle ,peter4 ,thus1 ,acts v 3 #ae--8;,insomuch that they brought forth the sick into the streets1 and laid them on beds and couches1 that at least the shadow of ,peter passing by might overshadow some of them40 ,probably we shall not be wrong in regarding this procedure as the origin of that relic cult which was destined to attain such astonishing dimensions in medical practise4 ,the mode of treatment by means of prayer was1 perhaps1 intimately connected with the idea that bodily ailments were divinely ordained to make the wrath of ,god distinctly perceptible by man4 ,this conception of pathological processes was a very ancient one4 ,we meet with it among the ,egyptians1 and we read in the book of ,exodus that ,god visited upon ,pharaoh and his people various bodily afflictions1 such as pestilence1 black smallpox1 death1 as in the case of the first-born4 ,afterward ,christianity adopted this view of sickness as providential1 and the belief assumed very peculiar forms and dimensions in the middle ages4 ,in those times any disease occurring epidemically was actually considered to be an act of retribution on the part of the divine being1 a scourge with which ,god punished sinful ,christians4 ,thus1 for instance1 syphilis1 which originated in ,naples in #adie1 during the struggle between the reigning house of ,aragon and the ,french1 was instantly declared to be the chastisement of ,god4 ,the emperor ,maximilian declares1 in an edict issued ,august #g1 #adie1 at ,worms3 8,quod novus ille et gravissimus hominum morbus nostris diebus exortus1 quem vulgo malum ,francicum vocant1 post hominum memoriam inauditus spe grassetur1 qu nos justissim ,dei ir merita debent admonere0 7,gregorovius ,,vii41 #chf1 foot-note #a74 ,but it is very astonishing to observe the causes which aroused the wrath of ,god so mightily that countless numbers of men were swept away4 ,thus1 for instance1 the pious ,bishop of ,zeeland1 ,peter ,paladius1 assures us that miliary fever1 that terrible disease which devastated ,europe five times from #adhf to #aeea1 was sent by ,god1 who was angry at the excessive passion for finery which prevailed at that time4 ,medical science1 as founded on theism1 assumed menacing forms1 where1 in the middle ages1 it associated itself with magic1 but as we shall more exhaustively enlarge upon this point in ,chapter ,,iv4 we need merely refer here to that part of our work4 ,it is indeed surprising that the above-mentioned manifestations all occurred in periods in which medicine had already acknowledged the physico-mechanical interpretation of all organic processes2 but the strangeness of this fact is enhanced by the consideration that1 even in recent times1 and even at the present moment1 there have been1 and are1 individuals who not only preach the doctrine that medicine is bound to be subordinate to ,christian faith1 but also find adherents to their dogmas1 and find them in surprising numbers4 ,recently we have learned from two exceedingly instructive examples to what extremes the sentiment of fanatical religion may lead men so soon as they shake off the steadying influence of physico-mechanical ideas in their theory of life4 ,then ,theocracy strives for an exclusive ascendancy in the domain of medicine1 as is distinctly shown by the position taken by ,mrs4 ,eddy1 with her 8,christian ,science10 and ,rev4 ,john ,alexander ,dowie1 with his 8,christian ,catholic ,church of ,zion40 ,if we first of all examine the system of ,mrs4 ,eddy1 we find it an absurd farrago of undigested philosophical odds and ends1 illogical medical aphorisms1 and shallow investigation1 which reaches its pitch of folly in the belief that disease has no real foundation in the material tissues of the body1 but should be explained as arising exclusively from certain conditions of the mind4 ,in accordance with this conception1 which has been borrowed from a natural philosophy long since relegated to oblivion1 the services both of physician and physic are to be rejected1 and the treatment of the sick is to be carried on in such a manner that the patient1 under supervision of an individual expert in such affairs1 is merely to fix his mind on the spiritual1 or divine1 principle inherent in himself4 ,we are by no means astonished that a person to whom the laws of thought are entirely unfamiliar1 and who is not very much burdened with knowledge of any other kind1 should advance such confused and preposterous theories as those of ,mrs4 ,eddy4 ,history teaches us that human beings have arisen at all periods1 in all ranks of life1 and in cold blood have given currency to the wildest of theories4 ,but the most interesting point is that at this day when1 as we might believe1 the advances in physical science have enlightened to some extent even the most unintellectual1 ,mrs4 ,eddy is able to find adherents1 especially among the best classes of society1 and to find them in such numbers that the authorities have been compelled to interfere in repressing the practises of this medical superstition4 ,i purposely say interesting1 and not 8astonishing0 or 8wonderful10 because the historian1 whatever domain he undertakes to investigate1 will always discover that stupidity has at all times been a power superior to all the influences of culture and learning4 ,mrs4 ,eddy1 with her ,christian ,science1 proves to us that even in this era of scientific enlightenment1 this truth remains incontrovertible4 ,rev4 ,john ,alexander ,dowie1 with his ,christian ,catholic ,church of ,zion1 must be judged from an entirely different view-point than ,mrs4 ,eddy4 ,it is true1 this latter-day saint arrives at exactly the same end as ,mrs4 ,eddy--namely1 at the absolute rejection of professional treatment1 medical as well as surgical4 ,but he arrives at this theory1 which so closely concerns both his own health and that of his adherents1 by an entirely different way from that taken by the ,eddy woman4 ,an unquestioning belief1 which in its navet is almost touching1 leads him to hold that all utterances of the ,old as well as of the ,new ,testament are direct revelations of ,god4 ,the further consequence of this constancy of faith is the desire to believe and to follow everything that is contained in the ,bible1 to the widest extent and with the closest adherence to the wording of the book4 ,and as the book of ,exodus1 xv 3 #bf1 states1 8,i am the ,lord that healeth thee10 and in the ,epistle to ,james1 v 3 #ad-af1 prayer is recommended as the best remedy in diseases1 ,dowie concludes that prayer must be resorted to as the sole means of treating and curing all forms of disease4 ,prayer is declared by him to be much more efficacious1 in surgical cases1 than the skill of the most experienced operator4 ,dowie1 therefore1 occupies exactly the same standpoint as the ,christians of the first centuries after ,christ1 who also believed that prayer would render the best assistance in all ailments of the body4 ,twenty centuries1 therefore1 with all their immense advance in the training of thought and in the recognition of nature1 have not been able to rid humanity of the conception that the omnipotence of ,god1 among many other manifestations1 is to busy itself in the daily regulation of the human body with all its numerous functions4 ,wherever this conception obtains a firm foothold superstition1 with its acts of miraculous healing1 never fails to follow4 ,accordingly1 all historic periods of our cultural development1 in which the theocratic belief has been on the ascendant1 are characterized by an excessive development of medical superstition4 ,,iv ,,the ,,influence ,,of ,,philosophy ,,upon ,,the ,,form ,,and ,,origin ,,of ,,medical ,,superstition ,the idea that philosophy has exerted any material influence upon superstition in medicine may appear strange to many4 ,for how can it be possible that the science which teaches the laws of thought1 which regulates our entire mental activity and guides it in the right direction1 which points out to us the intricate path of medical theory and diagnosis--how is it possible that just this science should either take or have taken part in misleading or obscuring our medical perception8 ,we do not by any means intend to impute any such effect to philosophy4 ,quite the contrary6 ,we are thoroughly aware of the great influence which philosophy is entitled to claim in all sciences without exception1 and for this reason we believe that modern representatives of medical science would be much better off if they were a little less at variance with philosophy than they actually are4 ,in the wide realm of philosophy there are only certain points where we can detect a tendency to promote the development of medical superstition4 ,this tendency appears in all endeavors which are made to explain natural phenomena solely in a speculative manner1 or to build a theory of life upon a base of pure assumptions4 ,whenever such attempts were made manifest1 and impressed philosophy into their service under the name of natural philosophy1 it resulted in the wide predominance of medical superstition4 ,it is well known that all prae-,socratic philosophy aimed at the discovery of a single principle as underlying and explaining all the phenomena of nature4 ,but in spite of this very apparent tendency1 it can scarcely be accused of promoting medical superstition2 for prae-,socratic philosophy busied itself in speculations concerning terrestrial phenomena4 ,earth and air1 fire and water1 cold and heat1 coming into being and passing away1 are the things in which it endeavored to find the elemental basis of nature with its multiform phenomena4 ,but upon the study of medicine these endeavors exercised1 for the time being1 a liberalizing influence4 ,they emancipated it from the repressive grasp of theism1 and opened up the way for an exclusively natural explanation of all processes of the body1 in health as well as in sickness4 ,unfortunately the apparatus1 or organon1 which philosophy furnished to science in its terrestrial phenomena was a very questionable one1 investigation of the conclusion from analogy and the deductive method being of extremely little value1 either in medical diagnosis or the pursuit of natural science4 ,for this reason medicine was bound to be encumbered with countless badly founded hypotheses4 ,but other monstrous guesses at truth could not fail to become current4 ,let us consider1 for instance1 the absurd theory which ,heraclitus of ,ephesus 7#ejj ,b4,c47 has propounded as to the relations between wine and the human soul4 ,as the soul1 according to this philosopher1 naturally was a fiery vapor1 and the drier and the more fiery it remained the better1 the excessive use of alcohol would not be advisable1 in that the abundant infusion of fluids causes the soul to become wet1 which would be harmful to its fiery nature1 as fire and moisture are always incompatible4 ,who will venture to deny that it was from his opinion regarding the use of wine that ,heraclitus acquired his sobriquet of 8,whining ,philosopher08 ,but curious as were all the hypotheses with which ,hellenic natural philosophy foisted upon medicine1 they should by no means be confounded with superstition1 for even a baseless hypothesis is far removed from superstition4 ,otherwise1 medicine and superstition would be almost identical conceptions1 for baseless hypotheses have at no time been wanting in our science4 ,superstition1 so far as its sources are found in philosophy1 did not enter medical science until philosophy sought for an explanation of the various processes of life not only in material but also in immaterial forces4 ,and as ,indian as well as ,persian philosophy1 in the earliest period of its existence known to us1 had already found in demons the immaterial elements which to a great extent control the processes of life in man1 it will be seen that the relations between philosophy and medical superstition are quite old4 ,the ,hellenic poets and philosophers1 ,homer1 ,hesiod1 ,empedocles1 ,democritus1 and ,plato1 elaborated this immemorial doctrine of demons and introduced it into ,greece4 ,but the recognition of immaterial1 supernatural curative factors did not attain any considerable and determining influence in ancient medicine until the year #aej ,b4,c41 when1 under the eager advocacy of ,alexandrian ,jews1 ,oriental and ,occidental doctrines became amalgamated to a coherent system of theosophic and medical mysticism4 ,medicine suffered greatly for centuries from this mysticism1 which prevailed late in the middle ages and even up to more recent times4 ,the center of all the various forms under which speculations in the philosophical and theosophical domain made their appearance was ,alexandria1 the great central point of culture in which the civilization of the ,orient and the ,occident were united in the evolution of a new theory of life4 ,but that the birthplace of developments so momentous for the future of medicine should be ,alexandria almost suggests the thought that the writers of history were indulging in a satire upon medical science2 for it is well known that ,alexandria was the very place where medical enlightenment and the progress of ancient medicine won their greatest triumphs under the renowned anatomists1 ,herophilus and ,erasistratus4 ,such speculations in theosophical and medical domains at first were most eagerly entered upon by the ,jewish sects of the ,essenians1 or ,essenes1 and ,therapeut4 ,according to the description which ,josephus 7,book #b1 ,chapter ,,ii41 page #ac7 has left us of these two sects1 they were theosophical communists4 ,we1 as physicians1 however1 are principally interested in the position they took with regard to our profession1 and that was one of indifference4 ,they believed that they should not obtain their knowledge of the body1 either in health or in disease1 by observation1 on which physicians relied4 ,they believed they could actually learn the art of healing from a study of their old ,sacred ,scriptures4 ,for that reason they especially applied themselves to make a diligent examination of these ,holy ,scriptures4 ,they believed that they were able1 by various allegorical interpretations of different letters and words1 as well as by subtle explanations of this or that sentence1 to acquire the knowledge necessary for the treatment of their patients4 ,those1 however1 who had become imbued with this wisdom of dotage in an especial degree1 claimed the possession of numerous miraculous powers--for instance1 that of prediction4 ,but as they also believed in the existence of beings who1 while they were lower than ,god1 at the same time were higher than man1 they had1 ready at hand1 the rarest resources to draw upon for the practise of their juggling feats of miraculous medicine4 ,the belief in these mystical doctrines took the most extravagant forms4 ,thus1 for instance1 it was believed that a man by the evacuation of feces offered an insult to divinity 7 1 says ,josephus1 lib4 #b1 ,chapter ,,viii41 ,no4 #i1 #ae74 ,for that reason nobody might dare1 on the ,sabbath1 to comply with such demands of nature4 ,but whether the call of nature always yielded to these rather far-reaching requirements of the law1 or how the believer helped himself when the extremely disagreeable dissension between nature and faith caused too much uneasiness1 is not reported either by ,josephus or by ,porphyrius4 ,besides1 the ,essenians had their troubles even on week-days in attending to final phases of the digestive process1 in that it was incumbent upon them to conceal the termination of the act of digestion from the view of the ,supreme ,being by covering themselves with a cloak4 ,subsequently1 during the first century of the ,christian era1 appeared ,neo-,pythagorism1 an attempt to combine monotheism with the ancient fantastic cult of subordinate gods and demons4 ,then followed a period of momentous importance for medicine2 for the attempt to displace the physico-mechanical conception of corporeal phenomena by various ideas of theosophic caprice1 and to bring therapeutics once more under the domination of the metaphysic methods1 prevalent in the days when the theistic theory of life held undisputed sway in medicine and natural sciences1 became more and more apparent4 ,the ,neo-,pythagoreans acted upon the principle that the practise of medicine was absolutely indispensable to the true philosopher1 and that every one1 therefore1 provided he had attained the required fitness by his intercourse with demons1 was able to act as a physician4 ,it is quite obvious that such ideas were bound to pave the way for the most abominable abuse and superstitions1 and1 naturally1 what the ,neo-,pythagoreans offered as the art of healing to the patients was nothing but a mixture of mysterious customs1 conjurations1 and witchcraft4 ,on the other hand1 the followers of this school of philosophy did much to promote the bodily welfare of their fellow men1 in that they urged them to lead a pure and temperate life1 while they themselves appear to have adhered strictly to this rgime4 ,the chief representative of ,neo-,pythagorism was ,apollonius1 of ,tyana1 in ,cappodocia1 probably one of the most fantastic personages of all ,greek and ,roman antiquity4 ,venerated as a god by some of his contemporaries1 such as ,damis and ,philostratus1 his biographers1 on account of his wisdom and of his extraordinary works1 he is considered by others1 on the other hand1 as a magician engaged1 like a common charlatan1 in conjuring tricks4 ,the opinions which posterity1 down to modern times1 has passed on ,apollonius are of a similar nature4 ,there are some who consider the ,tyanian to be a crafty magician1 whereas others declare that he is an important personality in the history of religion4 ,among these latter is ,baur1 who attempts to explain the life and the deeds of the wonder-working ,neo-,pythagorean by citing as a parallel the impression created by ,christianity upon some enlightened minds4 ,personally1 ,i consider this high estimate of a trickster to be perfectly absurd4 ,apollonius1 as we meet him in the celebrated description of ,philostratus1 is a purely poetical idealization1 prompted by a desire to delay the downfall of ancient religion1 pointing to the reform which has been instituted in its moral tendencies 7,gregorovius1 page #dac74 ,apollonius flourished in the first ,christian century1 during the reigns of ,nero and of the succeeding emperors up to ,nerva1 who appears to have been in very close relations with him4 ,the accounts of ,philostratus regarding the adventures of our hero1 based as they are upon the early authorities accessible to him1 absolutely create the impression that heathen antiquity meant in ,apollonius to set a counterpart of ,christ4 ,according to ancient reports1 a supernatural apparition visited his mother1 apprizing her that she would bear a god1 and after his death ,apollonius appeared to his disciples to announce to them the immortality of the soul4 ,the time between the birth and death of the ,tyanian was spent by him in restless wanderings over the then known world4 ,wherever he went he conversed on the deepest subjects with priests and cultured laymen1 and upon request he also performed miracles of various kinds4 ,naturally1 we are only interested in the medical performances of the wandering philosopher1 and of these he is credited with a considerable number4 ,he cured the lame simply by stroking the affected limbs2 with equal facility he gave sight to the blind--in fact1 he even attended to obstetrical cases without fear and trepidation4 ,for instance1 when the husband of a woman who had borne seven children1 but always with the greatest difficulty1 came to ,apollonius1 sadly telling him that his wife was again in labor and nobody was able to help her1 the man of miracles told him to be of good cheer4 ,without even examining the woman for a possible narrow pelvis1 or for some other obstacle to birth1 he simply advised the husband to procure1 as soon as possible1 a living hare1 and1 with this hare in his arms1 to walk round and round the woman in labor1 and then allow the hare to run away4 ,this one sample of his medical activity is sufficient to characterize ,apollonius as a charlatan of the most contemptible class4 ,when we learn1 further1 that he raised the dead without any difficulty1 nobody will probably accuse us of an unjust opinion if we pronounce this philosopher1 who was revered as a god by the heathen1 a magician of the worst kind4 ,in order duly to enhance his authority ,apollonius arrogated to himself certain mysterious powers4 ,thus1 he pretended that he was able to speak all languages without having ever learned them2 in fact1 this philological talent even extended to the languages of the animals1 which he undertook to master4 ,we are scarcely surprised to learn1 when we consider the powers bestowed upon him1 that he knew the future1 and was thoroughly aware of what happened at the same time at the most distant parts of the world4 ,he also endeavored to bear witness to his vocation as a man of ,god by his manner of living and of dressing4 ,thus he was always attired in white linen garments1 and walked about with long1 flowing hair1 followed by his disciples4 ,he never ate meat1 never partook of wine1 and disdained love4 ,it would seem1 however1 that in the last particular he was not quite consistent--at least1 various erotic adventures are related of him4 ,the manner in which ,apollonius cast out a demon in ,india is extremely amusing4 ,a woman came1 lamenting and crying1 to the medical miracle worker1 and asked him to deliver her sixteen-year-old son from an evil spirit4 ,apollonius at once gave her a letter directed to the evil spirit which contained1 as ,philostratus emphasizes particularly1 the most terrible threats against the good-for-nothing tormentor4 ,but the biographer does not tell us whether the reading of this letter caused the demon to desist from his improper behavior4 ,but as even in a man of miracles the hour-glass of life finally is emptied1 so also a time came when ,apollonius realized that he must pay his last debt to nature4 ,but the ,tyanian knew how to surround even the act of dying with a halo of the extraordinary4 ,as a matter or fact1 he did not die2 but one day--if it is permissible to employ a trivial expression in speaking of a demi-god--he evaporated without anybody knowing what had become of him4 ,this evaporation occurred in the following manner4 ,there was in ,crete a temple of ,dictynna so securely guarded by vicious dogs that no one dared to approach4 ,this temple was entered by ,apollonius1 whom the furious dogs left unmolested2 but1 after the doors of the sanctuary had closed behind the ,pythagorean1 suddenly there resounded female voices singing from the depth of the temple3 8,leave the earth6 ,go heavenward60 ,with these sounds and words ,apollonius disappeared forever4 ,thus his last medical act was a sleight-of-hand performance1 in that he even snapped his fingers at death4 ,the grateful heathen world of antiquity rendered divine honors to ,apollonius4 ,in his birth-place1 ,tyana1 a temple was erected in his honor at imperial expense1 and the priests everywhere erected statues to a philosopher who had left this world without dying2 in fact1 even the ,emperor ,alexander ,severus set up an image of ,apollonius in his lararium1 or domestic chapel4 ,and thus to medical superstition was accorded a triumph which no legitimate practitioner of any age has ever enjoyed4 ,these theosophic vagaries reached their climax in ,neo-,platonism1 which was founded toward the end of the second century of the ,christian era by the ,alexandrian porter1 ,ammonius 7#age to #bdb71 and was further elaborated by ,plotinus 7#bjd to #bfi74 ,this religious1 philosophical system is of very particular interest in the history of medicine in that1 in the first place1 it stands in direct opposition to the physico-mechanical conception of disease1 and1 explaining sickness from a theistic standpoint as a logical consequence1 rejects the treatment of disease by professional physicians4 ,now this theistic conception of disease was based primarily upon the assumption that the universe is filled with countless demons1 spirits which1 altho essentially superior to man1 are inferior to ,god4 ,such a demon was supposed to be the 8spiritus rector0 of all terrestrial occurrences1 especially all evil events were attributed to him4 1 1 1 1 7,porphyrius de ,abst41 lib4 #b1 #dj74 ,as the demons played havoc with the condition of the human body1 protection against them could not be expected from a professional physician1 but only from some one well versed in all their tricks and devices1 and1 therefore1 alone able to punish them thoroughly for their mischievous behavior4 ,this taming of the demon could be accomplished in various ways4 ,porphyrius enumerates three methods of gaining an influence over the host of demons4 ,the first and principal method 7theosophy7 attempted to attain the most intimate union with ,god4 ,prayer1 abstraction of all thought from things earthly1 and absorption in ,god were supposed to be the means of participation in certain divine powers4 ,an individual thus favored was enabled in a trice to restore health to incurable patients1 such as the blind1 the deaf1 and the lame1 and even the power of raising the dead was conferred upon him4 ,however1 the acquisition of such extraordinary powers demanded certain qualifications of a rather exacting and terrestrial character4 ,it was incumbent upon such an applicant for these special gifts to abstain from the use of meat1 and1 above all1 from the society of women4 ,how many were deterred by these fastidious requirements from choosing the career of a famous man of miracles we do not know4 ,nothing is reported on this subject by the pillars of ,neo-,platonism 7as1 ,plotinus1 ,porphyrius1 ,damascius1 ,jamblichus71 nor do they state whether they themselves absolutely abstained from meat and from the society of women4 ,theurgy was the second method of counteracting the evil influence of demons4 ,in this way good demons were urged by prayer and offerings to ward off disease or other misfortune4 ,by the third method 7goety7 attempts were made to dispel the evil demons by conjurations and various kinds of mystical mummery4 ,these mysterious accessories consisted mostly in muttering any number of words as meaningless as possible4 ,the more meaningless and the more unintelligible were these words the more efficacious--according to the assurance of ,jamblichus--they would prove1 especially when they were taken from ,oriental languages4 ,for1 as ,jamblichus says1 the ,oriental languages are the most ancient--therefore1 the most agreeable to the gods4 ,in such a manner words utterly nonsensical were drawled out at the bedside1 and1 for greater security1 written on tablets to be hung round the neck of the patient4 ,the magic word 8abracadabra0 enjoyed especial respect4 ,to render its power certain it was written as many times as it has letters1 omitting the last letter each time until only one remained1 and placing the words in such a succession as to form an equilateral triangle4 ,a tablet thus inscribed was worn around the neck of the sufferer as an amulet4 ,it may be that this wonder-working word has arisen from the word 8abraxas10 with which the gnostic ,basilides meant to designate the aggregate of the three hundred and sixty-five forms of revelation of divinity which he assumed to exist4 ,numerous other explanations are in vogue1 however1 with regard to this medical1 magic term 7compare ,hser1 ,vol4 ,i41 page #dcc74 ,very ancient magic words which had originated in the earliest periods of ,hellenism were revived4 ,thus1 to banish disease1 certain words were employed which were said to be derived from the temple of ,artemis in ,ephesus1 and which read3 1 1 1 1 1 4 ,the meaning of these words1 according to the explanation of the ,pythagorean1 ,androcydes1 was3 darkness1 light1 earth1 air1 sun1 truth4 ,besides1 the attempt was made to obtain directly from the demons such magic words as were endowed with curative power4 ,for such purposes small children were employed1 in whom it was supposed that the demons preferred to be present1 and expressed themselves through their mouths4 ,such children1 therefore1 played a similar part as does a medium with modern spiritualists4 ,the senseless stuff babbled by such a child was considered the immediate manifestation of a demon1 and was accordingly utilized to banish the demons which brought on disease4 ,moreover1 the nonsensical practise which was carried on by the ,neo-,platonists by letter and word was to a certain extent accepted by professional physicians4 ,it had become a very common custom with physicians to apply various kinds of bombastic names to all their various plasters and ointments1 powders1 and pills4 ,it is necessary only to cast a glance upon the ancient pharmacopia to find the most curious names4 ,galen mentions disapprovingly the fact that ,egyptian and ,babylonian expressions were preferred in the nomenclature of medicine 7,de ,simpl4 ,medicamentorum ,facult4 ,lib4 ,sic4 ,preface74 ,such were the methods with which the ,neo-,platonists did not hesitate to treat the sick2 and not only minor practitioners1 but even the leaders of the entire movement1 preferred banishing disease by means of various kinds of magic formul to all other specially medical methods of treatment4 ,thus1 for instance1 ,eunapius of ,sardis 7about #djj7 recounts how ,plotinus1 one of the most gifted of the ,neo-,platonic school1 repeatedly proved himself to be a medical miracle-worker1 most conspicuously during the sickness of ,porphyrius4 ,when the latter1 a favorite disciple of ,plotinus1 was traveling through ,sicily he became dangerously ill--in fact1 according to the description of ,eunapius1 he was actually breathing his last4 ,then ,plotinus appeared1 and by magic words cured the dying man instantly4 ,it appears1 moreover1 that ,plotinus did not only operate with wonder-working words1 but he employed still other agencies--as1 for instance1 mysterious figures 74 ,villoison1 ,anecd4 grca1 ,vol4 ,,ii41 page #bca74 ,plotinus was even said to possess his own demon1 who was at his disposal alone1 and by the aid of whom he performed other wonders--as1 for instance1 that of prophesying4 ,porphyrius1 probably the most notable disciple of the ,neo-,platonic school after ,plotinus1 claimed even that the demons personally taught him to expel1 with certainty and despatch1 those pathogenic demons4 ,it was claimed by him that ,chaldean and ,hebrew words and songs were the promptest means of turning out all these evil spirits2 in fact1 the philosopher1 ,alexander of ,abonoteichos1 in ,paphlagonia1 was of the opinion that a pestilence1 which was devastating ,italy1 could not be checked by any better means than that of affixing to the doors of the infected towns and villages the sentence3 8,phbus1 the hair unshorn1 dispels the clouds of disease40 ,thus the last great system into which the ancient philosophy developed was attended by the unfortunate result of a very material increase of superstition in the healing art4 ,this recrudescence of medical superstition was by no means a transitory one1 but proved exceedingly persistent2 in fact1 we may unhesitatingly maintain that from that time superstition never again disappeared from our science4 ,this is principally the fault of the position which ,christianity took with regard to demonology and the other fantastic ideas of ,neo-,platonism4 ,early ,christianity1 from the outset1 was subjected to the influence of ancient false ideas on the subject of demons4 ,without making any modifications whatever1 it had appropriated this false doctrine1 and had deduced from it the same medical notions as paganism had done4 ,the ,new ,testament exhibits numerous examples of a prevailing belief that supernatural beings--i4e41 demons--were frequently the cause of bodily ailments2 and as ,christ and ,his disciples had often cured such patients1 it follows that the belief in demons and their relations to pathology must have been widely disseminated among the ,christians of that period4 ,the ,church ,fathers also bear witness to this fact1 as they1 in their writings1 acknowledge1 in plain terms1 the belief in demons as causes of disease4 ,justin ,martyr1 ,tatian1 ,tertullian1 ,origen1 ,augustin1 all mention demons and their power over the human body 7compare ,harnack1 ,chapter ,v41 page #fh1 etc41 where these conditions are most lucidly depicted74 ,thus1 for instance1 ,st4 ,augustine says3 8,accipiunt 7scilicet dmones7 enim spe potestatem et morbos immittere et ipsum aerem vitiando morbidum reddere40 ,and1 indeed1 early ,christianity not only accepted pagan demonology unchanged1 it even increased the therapeutic aspect of this delusion in a most regrettable manner4 ,this belief in demons1 under the influence of ,christian doctrines1 developed into an epidemic of insanity which prevailed unrestrictedly for two or three centuries1 and which was again awakened in the late middle ages1 to grow at last into one of the most terrible aberrations of the human mind--into the belief in witches4 ,this epidemic derangement of the mind1 to which the belief in demons tended1 under the influence of ,christian doctrines1 culminated in the patient's manifest idea that he was possessed of a demon4 ,the mental disturbance set in with wild1 spasmodic attacks of excitement1 and1 as it occurred not only in individual cases1 but was also contagious1 we must not hesitate to designate this belief of the first three centuries in demoniac possession an epidemic disease4 ,it was an affection1 the mental substratum of which consisted in a mixture of overheated religious sentiment and unrestrained medical superstition4 ,the extent to which this belief in demoniac possession was disseminated during the first centuries of the ,christian era is shown by the fact that a number of persons busied themselves with the cure of this affection4 ,in the first place1 most ,christian communities owned an exorcist1 or official caster-out of demons4 ,it seems that this profession of exorcists formed a clerical order of its own2 for1 as all pagans1 according to the ,christian conception1 were in the power of evil spirits1 these demons were to be thoroughly driven out before each baptism1 and thus the institution of a special church officer1 whose duty it was to drive out demons1 became absolutely necessary1 especially after exorcism had also been introduced1 during the fourth century1 in the baptism of children4 ,it may be stated1 incidentally1 that ,catholic clergy of the third minor order are even to-day called 8exorcists40 ,the ,christian exorcists1 in conjuring1 only made use of prayer and of the name of ,christ2 these two factors were considered sufficient to cure the patient of his delusions1 and they actually did so4 ,why they accomplished a cure has been explained very strikingly by ,harnack4 ,he says3 8,it is not the prayer that cures1 but the praying person2 not the formula1 but the spirit2 not exorcism1 but the exorcist4 ,only in those cases in which the disease1 as in numerous cases of the second century1 had become epidemic and almost common1 did ordinary and conventional means avail4 ,the exorcist became a mesmerizer1 possibly a deceived deceiver4 ,but when strong individuality is deceived concerning its own personality by the demon of terror1 and the soul is actually shaken by the power of darkness which possesses it1 and from which it purposes to escape1 a powerful and holy will alone can interfere from the outside world to deliver the shackled will4 ,in some cases we find traces of a phenomenon which in modern times1 for want of some better name1 has been called #8suggestion'2 but the prophet suggests in a different manner than does the professional exorcist40 ,besides these official ,christian exorcists1 a great multitude of other persons carried on the trade of conjurer of demons4 ,the sorcerers and magicians who plied their nefarious trade for the cure of the possessed and for those suffering from other diseases1 worked with various kinds of mystic signs and ceremonies1 and they certainly did an excellent business1 for he who humors the superstition and the stupidity of man always prospers4 ,modern quackery illustrates this most strikingly4 ,but1 besides these healers1 there existed numerous other conjurers of demons and medical wonder-workers who plied their trade not for the sake of contemptible mammon1 but solely for ethical reasons4 ,these were the members of the various theosophico-philosophical sects1 who were active during the first ,christian centuries and have been exhaustively described on the previous pages4 ,altho ,christians were eager to exalt their exorcists1 who worked only with prayer and the invocation of ,christ1 above all practises of sorcery1 they were not able1 in the long run1 to prevent ,christian dogmas from being confounded with and corrupted by those of philosophy4 ,under the influence of ,saturninus1 ,basilides1 and ,carpocrates1 the various philosophical vagaries concerning accessory1 intermediary1 and inferior gods1 and their influences upon the fate of man1 corrupted the pure and simple teachings of ,christ4 ,that error against which ,paul had so impressively cautioned the early ,christian communities in his ,epistle to the ,colossians1 ,chapter ,,ii41 verse #h 78,beware lest any man spoil you through philosophy and vain deceit1 after the tradition of men1 after the rudiments of the world1 and not after ,christ071 had1 nevertheless1 made its appearance at last1 and the adulteration of pure ,gospel by philosophical speculations and fantastic views began to grow more complete from the third century on4 ,this was the foundation of the religio-mystic system which1 during the middle ages1 and even beyond the period of the ,renaissance1 oppressed humanity like a suffocating nightmare1 and not only checked progress1 but also filled each branch of human knowledge with the most frightful superstition and the crassest mysticism4 ,this was the case also in medicine2 in fact1 this branch of science has probably suffered most from the alliance of ,christianity with the fantastic doctrines of philosophical schools4 ,the ancient doctrine of demons passed under the influence of ,christian mysticism through certain changes and transitions1 especially in its relation to the bodily condition of individuals4 ,the variations in this doctrine were naturally most plainly evidenced in the medical views of the day4 ,it was believed that every human being from birth was allotted a good and an evil demon4 ,the good spirit held his hand protectingly over his human charge1 whereas the evil demon only waited his chance to inflict injury upon man1 forming especially the determining principle in the etiology of disease4 ,it is true1 the evil spirits apparently were no longer allowed to have such full sway over the health of humanity as they formerly had4 ,god now utilized them principally as executors of punishments which he intended for mankind as a retribution for various forms of delinquency4 ,thus the ,church ,father1 ,anastasius 7,sprengel1 ,vol4 ,,ii41 page #baj71 tells us that the reason why so many lepers and cripples were found among ,christians was that ,god1 enraged at the luxury of the members of the community1 had sent the evil demon of disease among them4 ,the wrath of ,god from that time until late in modern times has been considered a fully efficacious principle of pathology2 in fact1 there are numbers of people even to-day who believe that not natural1 but supernatural and unearthly1 factors are active in the bodily ailments of mankind4 ,the idea of good and evil demons1 however1 now assumed a specifically ,christian character which1 it is true1 greatly resembled the ancient ,babylonian notion1 excepting that the good demons were replaced by angels and saints1 whereas the evil spirits were embodied in the devil4 ,both1 saints as well as devils1 were thenceforth destined to play a part in the domain of medicine4 ,it is true1 the general recognition which they enjoyed during the middle ages and a considerable period of modern times has probably now passed away1 but there still exist numerous classes of our people in whom the medical rle of saints as well as devils is most willingly acknowledged4 ,we have referred elsewhere to the therapeutic accomplishments of the saints during the middle ages4 ,we will here only dwell upon the influence which the devil1 the ,christian successor of the ancient evil spirit1 has exerted upon the medical views of all classes of the people4 ,this influence was very great4 ,the devil and his subordinate infernal spirits were considered the 8disturbers of peace0 in the health of humanity4 ,disease in its various forms was their work2 they resolved to inflict it either from inherent villainy or as incited by various magical arts of evil men4 ,it was especially the latter form of diabolical activity that1 during the entire middle ages and during a considerable part of modern times1 was accepted as uncontestedly authentic1 and the imagination of mankind at that period was inexhaustible in inventing the greatest variety of infamous actions which the devil was able to perform either of his own accord or as summoned by incantations4 ,any one desiring to acquaint himself thoroughly with these delusive ideas should read the work of the ,friar ,csarius1 who lived about #abbe1 in the ,rhenish-,cistercian monastery of ,heisterbach4 ,naturally1 we are only interested in the medical acts which the devil was always ready to perform4 ,according to the history of medical superstition1 the devil1 who was invoked by various spells or appeared of his own volition1 was able to influence each individual bodily organ in a manner most disagreeable to the possessor of the same4 ,neither were the ,prince of ,hell and his hosts always satisfied to tease and to plague an individual being1 but very frequently they carried on this business wholesale4 ,they threw themselves upon the entire population of a country1 and caused sickness in all who crossed their path4 ,the great epidemic of ,st4 ,vitus's dance of the fourteenth century1 for instance1 was considered to be the work of the devil1 and the clergy busied themselves in driving out this devil's pest by means of sprinkling holy water and by the utterance of conjuring formulas4 ,the sexual life of men as well as of women offered an especially fruitful field for the activity of the devil and of his infernal companions4 ,thus1 it was a favorite trick of the ruler of hell and of his subordinate demons to assume the shape of the husband or lover of this or that female1 and1 under this mask1 to assume rights which should be permitted only to the husband4 ,the infernal spirit that played this rle was called ,incubus4 ,thus1 for instance1 ,hinkmer tells us of a nun who was mischievously claimed by such an infernal paramour1 and who could be relieved of him only by priestly aid4 ,but hell also contained female constituents who played the same rle for the male as did ,incubus for women4 ,such a wanton woman of hell was called ,striga or ,lamia 7compare ,hansen1 pages #ad and #gb74 ,these amorous female friends of hell did not even stop when they met eminent saints4 ,in the convent of ,st4 ,benedetto1 near the ,italian town of ,subiaco1 a rose-bush is shown even to-day into which the naked ,st4 ,benedict threw himself in order to resist the unholy temptation4 ,and every one is sufficiently acquainted with the troubles which ,st4 ,anthony of ,padua had with these infernal women4 ,however1 we physicians know well enough the cause of these temptations4 ,they may surely and actually have approached the nun of whom ,hinkmer reports1 also ,st4 ,benedict and ,st4 ,anthony2 however1 they were not the devil's prostitutes1 but the expressions of suppressed and disregarded impulses of nature which1 in the form of voluptuous imaginations1 appeared before the eyes of persons removed from terrestrial gratifications2 for nature does not even exempt a saint1 and the ancient saying1 8,naturam expellas furc1 tamen usque recurret10 applies to them as well as to any other mortal4 ,finally these liberties which the devil and his infernal host were said to take as regards matters pertaining to love1 assumed general and quite serious forms2 in fact1 they gave rise to delicately contrived legal questions4 ,namely1 the idea had suggested itself that the devil was able not only to call forth promiscuous love between men and women1 but that sometimes he derived a particular enjoyment if he could manage to prevent a marriage that had already been consummated by rendering the husband impotent4 ,maleficium was the technical term for such an event1 equally saddening to husband as to wife1 and the theologians1 philosophers1 and jurists of the middle ages have written the most learned commentaries regarding the legal consequences of this impotentia ex maleficio4 ,it was disputed whether or not this form of impotence would constitute a legal cause for dissolution of marriage which1 after all1 was a divine institution2 the reasons also why ,god permitted the devil to play such a reprehensible game were investigated in a most serious and profound manner4 ,any one interested in this question of impotentia ex maleficio may read the most excellent description of this subject by ,hansen 7,chapter ,,iii474 ,this impotentia ex maleficio--i4e41 one of the most extravagant outgrowths of medical superstition--occasionally also gave rise to scandalous lawsuits4 ,this was the case in the disgraceful divorce suit which took place about the year #hfj between ,king ,lothaire ,,ii4 and his spouse ,teutberga4 ,lothaire was said to have lost his procreative power completely1 owing to infernal artifices of his concubine1 ,waldrada4 ,the reason why a concubine should undertake such a step1 which1 after all1 was bound to discredit her title and office in the eyes of her lover1 is not quite evident4 ,however1 at that period it was not difficult to find an explanation for this remarkable fact4 ,it was stated1 e4g41 that ,waldrada was instigated to this act solely by jealousy and selfishness1 in order to divorce the king from his consort4 ,this first step once taken1 the courtesan1 by removing the spells cast by her1 would take good care that the king should soon be delivered from the odious condition of impotence4 ,however1 ,waldrada had reckoned without her host--i4e41 in this case1 without ,hinkmar1 ,archbishop of ,rheims2 for this latter gentleman1 exceedingly well versed in all matters ecclesiastic1 politic1 and diabolic1 a genuine clerical fighting-cock1 very soon closely investigated the impotence of his royal master4 ,in an extensive memorial he considered the royal impotence according to its legal1 theologic1 philosophic1 moral1 and various other aspects4 ,medical superstition1 accordingly1 had acquired such power that the sovereign of the holy ,roman and ,german empires had to submit his potestas in venere to the test of public discussion4 ,but conditions were to become much worse4 ,when1 about the thirteenth century1 scholasticism had usurped full control of human reason1 and all sciences were permitted to be pursued only in a scholastic sense1 medicine was entirely divorced from the actual conditions of life4 ,it was completely detached from nature1 its great teacher1 and irretrievably entangled in the subtleties of an uncertain philosophy4 ,its activity now depended exclusively upon the study of the ancients--by no means1 however1 upon that study in which an attempt was made to master the intellectual spirit of ancient medicine1 but which consisted in a slavish adherence to the letter4 ,every decision of the ancients1 without any regard to nature1 was made a dogma1 and he was the best physician who was most familiar with these dogmas1 who understood best how to interpret them most keenly4 ,mankind had entirely lost the conception that the ancients had attained worth and importance only in that they measured things by the standard of unbiased experience1 and tested their conclusions according to the phenomena of nature as described from accurate observation of the sick4 ,it is quite obvious that superstition met with a well-prepared soil in a system of medicine that was overburdened with dogmas and degraded into utter subserviency to a vainglorious philosophy4 ,the natural result was that the medical art of a period of the middle ages1 steeped in scholasticism1 was nothing but a chaos of the most despicable superstition and folly4 ,the most shocking result of these conditions was the belief in witches1 and1 with this1 medical superstition entered upon a new stage4 ,whereas until then it had possessed a restricted1 mere local vitality1 and entailed danger only upon those who1 from thoughtlessness1 lent a willing ear to it1 now it degenerated into a mental epidemic which threatened equally all classes of the people4 ,the unspeakable misery which this variety of medical superstition has brought to the ,western world is well known1 so that we may refrain from entering into details1 referring our readers to the excellent work of ,hansen on this subject4 ,physico-medical thought was so thoroughly destroyed by the above-described conditions that1 even when humanity commenced to shake off the scholastic yoke1 during the period of ,renaissance1 medicine was only able1 in part1 to follow this lead4 ,altho1 under the inspiration of the ancients1 it returned to nature1 it was not able to rid itself of the superstitious idea of the continuous interference of supernatural powers with the performance of the most common functions of the body4 ,the ,church still persisted in the implicit belief in such views1 and still dominated men's minds so thoroughly that even many physicians1 who in other respects were entirely unbiased1 remained on this point dutiful children of the ,church2 in fact1 even those who were fully aware of the shortcomings of the ,christian ,church unhesitatingly adhered to the belief in demons as developed from antique conceptions by the ,church ,fathers4 ,thus1 for instance1 ,dr4 ,martin ,luther was a strict believer in the doctrine which taught men to hold the devil responsible for the origin of all diseases4 ,he thus expressed himself1 for instance3 8,no disease comes from ,god1 who is good and does good to everybody2 but it is brought on by the devil1 who causes and performs all mischief1 who interferes with all play and all arts1 who brings into existence pestilence1 ,frenchmen1 fever1 etc40 ,he accordingly believed that he himself was compelled to scuffle with the devil when his physical condition was out of order4 ,thus1 when suffering from violent headache1 he wrote to the ,elector1 ,john of ,saxony3 8,my head is still slightly subject to him who is the enemy of health and of all that is good2 he sometimes rides through my brain1 so that ,i am not able to read or to write10 and upon another occasion he said1 in regard to his health3 8,i believe that my diseases are by no means due to natural causes1 but that #8,younker ,satan' plays his pranks with me by sorcery40 ,the devil was also held responsible for the appearance of monsters2 it was believed that the ruler of hell helped young girls against their will to enjoy the delights of motherhood4 ,however1 these delights were said to be of a peculiar kind1 in that intercourse with the devil was always bound to be followed by the birth of the most frightful monsters4 ,the devil then unloaded these most remarkable monsters into respectable people's houses4 ,even ,luther was not able to free himself from this most astonishing delusion4 ,on the contrary1 he was devoted to it with such conviction that1 when once in ,dessau1 he heard of a monster 7according to medical opinion1 it was a question of a rhachitic child7 that had grown to be twelve years of age1 he advised1 in all seriousness1 that this sinful product of devilish intercourse be thrown into the river ,mulde 7compare ,mhsen1 ,vol4 ,,ii41 page #ejf1 etc41 on 8,the ,relations of ,luther to the ,devil074 ,if it was very improper of the devil to visit even clerical gentlemen1 he crowned his wickedness1 in that he very unceremoniously honored even ministers in the pulpit with his visit4 ,such an occurrence took place in ,friedeberg1 ,neumark1 in #aeic1 in which otherwise harmless town the devil commenced suddenly to create an unheard-of commotion4 ,he harassed about one hundred and fifty people1 and even in church he gave so little rest to those he possessed1 that they raised various kinds of mischief in this holy place4 ,when1 thereupon1 the preacher1 ,heinrich ,lemrich1 thundered against these deviltries from the pulpit1 the devil became so incensed that immediately he promenaded into the ,reverend ,lemrich himself1 so that the good minister raged in the pulpit exactly as did the members of his congregation down below in the nave4 ,however1 this variety of medical superstition finally spread to such an extent that1 as medical aid was powerless against the devil1 the aid of ,god1 by order of the consistory1 was invoked from all pulpits of the ,margravate against the above-described misdeeds of hell's ruler4 ,but the clergy adopted still another plan to checkmate the devil4 ,in various publications they enumerated the villainies which ,satan might visit on mankind1 so that each and every one would be enabled to protect himself against the aggressions of the devil1 in whatever form he might make his appearance4 ,the first publication of this character was issued in #aeee by the ,general ,superintendent of the ,electorate of ,brandenburg1 ,professor of the ,university of ,frankfort1 ,herr ,musculus2 it bore the very appropriate title1 ,the ,pantaloon ,devil4 ,in fact1 as early as #aege a compilation was published in ,frankfort-on-the-,main1 in which twenty-four different forms1 which the devil might assume in visiting humanity1 were discussed most conscientiously and with becoming diffuseness of style 7compare ,mhsen1 ,vol4 ,,ii41 page #dbf1 etc474 ,from that time it was impossible for mankind to shake off the belief in devil and demons4 ,the thought of being possessed played a conspicuous part even in the first half of the nineteenth century1 thanks to the activity of ,justinus ,kerner1 and even medicine felt called upon to busy itself more thoroughly with this newly resurrected belief4 ,this was done1 for instance1 by ,dr4 ,klencke1 who1 in #ahdj1 published a little book exclusively for the purpose of disproving the existence of spirits4 ,we have so far shown the potent influence exerted upon medical superstition by antique as well as by medieval philosophy4 ,but the newer philosophy greatly influenced the destiny of medicine1 even at the end of the eighteenth and at the beginning of the nineteenth centuries4 ,the natural philosophy based upon the doctrines of ,schelling once more submerged the art of healing in mysticism1 and thus necessarily abetted superstition4 ,the physician no longer conceived disease as the effect of disturbances in the life of the bodily organs1 but held various forms of inconceivable powers responsible for the incidence of a malady4 ,the soul wrapped in sin had power to lead the life of the body from the normal into the pathological condition1 and1 accordingly1 prayer and the belief in ,christian dogmas again became active as curative factors4 ,it was especially the ,munich clinician1 ,nepomuk von ,ringseis1 who placed such theories before his pupils1 and who1 in his 8,system of ,medicine10 published in #ahdj1 made them generally known4 ,ringseis states in this book3 8,as disease is originally the consequence of sin1 it is1 altho not always indispensable1 yet according to experience1 incomparably more safe that physician as well as patient should obtain absolution before any attempt at healing be made40 ,another passage reads3 8,christ is the all-restorer1 and as such ,he cooperates in every corporeal cure40 ,in this sense ,ringseis calls the sacraments 8the talismans coming from the ,physician of all physicians1 and1 therefore1 the most excellent of all physical1 stimulating1 and alterative remedies40 ,thus1 after almost three thousand years1 medicine had returned to the stage at which it originated--namely1 to the view that incorporeal1 supernatural factors were to play a determining part in pathology and therapy4 ,however1 that there are plenty of individuals even in our time who are at any moment ready again to sacrifice wantonly all enlightenment and all progress to this varied superstition1 is demonstrated by the cases of ,mrs4 ,eddy and the ,reverend ,dowie1 those modern representatives of medical superstition4 ,there is only one protection against these relapses1 against these atavistic tendencies1 and that is education in natural science4 ,the more it becomes disseminated among the people the less danger there will be that the heresies of a false philosophy1 or of an overheated religious sentiment1 may again conjure up medical superstition to the detriment of humanity4 ,v ,,the ,,relations ,,of ,,natural ,,science ,,to ,,medical ,,superstition ,the point of view from which man has regarded nature for thousands of years up to modern times has been such as to promote most effectually the development of superstition2 for the idea that a satisfactory insight into the character of natural phenomena can be obtained only by means of adequate experiments1 and of observation perfected by the employment of the inductive reasoning and ingenious instruments1 is comparatively recent4 ,natural science applying such means is scarcely two hundred years old4 ,fit instruments for the observation of nature existed only to a limited extent up to the eighteenth century1 and1 besides1 their complete efficiency left much to be desired4 ,the attempts to wrest from ,nature her secrets by means of experiment were but feeble and unsuccessful4 ,altho the ancients1 as is shown by the writings of ,hippocrates1 ,galen1 and others1 had some knowledge of vivisection1 they had practised it to a most limited extent4 ,during the middle ages and the period of the ,renaissance comparatively few physical experiments were made4 ,whatever researches in natural science were then undertaken were intended much less for the investigation of nature than for fantastic and superstitious purposes--as1 for instance1 the investigations of alchemy and astrology4 ,it is quite obvious that1 under such circumstances1 a number of superficial1 imperfect1 and distorted observations crept into the theoretic system of natural science4 ,however1 this was not all2 the diagnostico-theoretical method1 by means of which antiquity1 the middle ages1 and even the greatest part of more modern times1 had seen the natural sciences treated1 was radically wrong4 ,man did not feel his way carefully from experiment to experiment1 from observation to observation1 until the general principle was found which inductively comprised a number of phenomena under one uniform principle of law1 but the principle which was at the bottom of phenomena was fixed upon a speculative basis1 and in accordance with this principle the phenomena were interpreted--as was done1 for instance1 in medicine in the case of humoral pathology4 ,and as this speculatively constructed principle was obtained exclusively by a method dangerous to the cognition of natural sciences1 by conclusion from analogy1 naturally the most fantastic and adventurous conceptions soon became accepted in the realm of natural philosophy4 ,but natural philosophy once lost in such a labyrinth1 an aberration of the perceptive powers can not fail to follow--at least1 in certain domains of nature4 ,as a matter of fact1 this fallacious perception promptly made its appearance1 and has proved the stumbling-block of science from its earliest days up to the present times4 ,occultism1 mysticism1 or whatever the names may be of the various forms of superstition1 have sprung from these erroneous conceptions of natural science4 ,it may even be contended that no variety of superstition exists which is not somehow connected with a distorted observation or explanation of nature4 ,however interesting these considerations may be1 we can not here pursue them any further4 ,such investigations belong to the history of superstition in general1 and any one who desires more detailed information is referred to the enormous literature of the subject4 ,we can here consider only those relations which prevail1 or have prevailed1 between superstition and natural science1 and principally the influence which was thus exerted upon the art of healing by astronomy4 ,astronomy and medicine became most intimately connected during the earliest periods of human civilization4 ,the literature of cuneiform inscriptions shows us that the attempt to bring the stars into connection with human destinies is primeval1 and reaches back to the ancient ,babylonian age1 even to the ,sumero-,accadic period 7,sudhoff1 ,med4 ,woche4 #aija1 ,no4 #da74 ,how primeval peoples came to connect their destinies with the heavenly bodies and their orbits is explained so lucidly by ,troels-,lund 7page #bh1 etc47 that we shall cite his descriptions1 even if they are rather long for quotation4 ,he says3 8,the ,chaldean history of creation is inscribed upon seven clay tablets4 ,on the fifth tablet we read3 #8,the seventh day ,he instituted as a holy day1 and ordained that man should rest from all labor4' ,why just seven8 ,because the holy number seven of the planets imperceptibly shone through the work of creation1 and was imperceptibly impressed upon the entire order of thought4 ,we are here at the decisive epoch at which the planets for the first time gave an impetus to human conception1 the effects of which were to persist for thousands of years4 ,this was repeated a second time when ,copernicus1 in dealing especially with the orbit of the planets1 founded the still-prevailing conception of the universe4 8,for the theory of creation could be reconciled with the phenomenon of sun and moon moving in their regular courses4 ,they were in this case no longer1 as had been assumed until then1 individual living beings and divinities1 but lights kindled by a mighty ,god1 and intended to move day and night1 in an established order1 under the dome of heaven4 ,but the other five planets6 ,it was unnecessary to be a ,chaldean on the ,babylonian ,tower in order to feel amazement at these4 ,every one who had ever followed with his eye their courses for a few nights during a caravan journey1 every one who1 lying awake1 had occasionally attempted to read the time from the only clock of the night--the star-covered canopy of heaven--was bound to have noticed their peculiarities as to light and course4 ,they did not shine uniformly1 but sometimes intensely1 at other times faintly1 and entirely different was their radiance from that of other stars--reddish1 greenish1 bluish4 ,and their course was at one time rapid1 at other times slow2 then backward or oblique2 sometimes they disappeared entirely4 ,necessarily they appeared inexplicable not only to the inexperienced observer1 but to a still higher grade of intellect--that of the most experienced ,chaldean2 for1 altho their periods could possibly be calculated1 their courses beggared all geometrical figures4 ,these confused paths could be explained only in one manner--namely1 as the expression of an arbitrary will1 the manifestations of an independent life4 ,the courses of the planets furnished the astronomic proof that the heavenly bodies were animated4 ,the universe was more than created1 it was godhead itself in living activity4 8,how this point of view broadened and cleared everything6 ,the world assumed the shape of an enormous hall upon which divine power1 divine will1 continuously acted from above4 ,farthest down was the world of the elements4 ,in boundless distances above it moved the moon and the six other planets1 each one in its transparent heaven4 ,in the highest height1 finally1 revolved the canopy of impervious heaven1 into which constellations were ranged in shapes that resembled animals 7,tablet ,v41 verse #b74 ,apparently these rotations did not have anything in common with each other2 a power which passed through them from above moved these elemental worlds4 ,did not daily experience of their rising determine winter1 storm1 drought1 etc48 ,thus the processes on earth only reflected and repeated the course of these divine and heavenly bodies2 yea1 divine will itself4 ,but their order of movement varied4 ,sun and moon with their regular courses spin1 as it were1 the firm warps and woofs2 the other five are instrumental in producing what is changeable and apparently accidental4 ,unitedly in their course through heaven the seven weave the threads of fate4 ,silently they weave the design of terrestrial life4 ,upon them depend not only summer and winter1 rain and drought1 but also the life and death of every living being2 as determined by the constellation of their birth1 such is each man1 so will he live4 ,never do the heavenly bodies repeat precisely the same relative positions1 and1 therefore1 never are two years1 two days1 two human beings1 two leaves1 completely identical40 ,so far ,troels-,lund4 ,much as we agree with what ,troels-,lund says1 yet we believe that the decisive motive which led humanity to bring their bodily welfare into closest connection with the starry canopy of heaven was suggested by the powerful influence which the sun exerts upon the bodily welfare of all life4 ,as this life-giving power of the sun had a conspicuous share in the origin of primeval sabianism1 so also it exerted a similar influence upon the development of astrology2 for it must have been obvious to even the most stupid observer that his well-being depended to a great extent upon the action of the sun4 ,from this perception to the idea that other heavenly bodies were also intended to exert a decisive influence upon things terrestrial was only a short step for the ancient civilized peoples2 for here the conclusion from analogy was actually so closely and so enticingly under every one's nose that all he had to do was but to pitch upon the powers which rule all earthly life and neatly box them up in a well-constructed system4 ,but as the conclusion from analogy was always considered in the ancient world as the most certain1 never-failing path to knowledge1 it was readily followed in this connection also4 ,and thus astrology1 like the greater part of medico-physical knowledge1 was based1 we think1 upon the treacherous ground of a conclusion per analogiam4 ,besides1 our opinion that the warming and vitalizing power of the sun formed one of the most important factors in the origin of astrology is confirmed by the utterances of astrologists themselves4 ,thus1 for instance1 ,ptolemy points to the sun and moon as the sources of life to mankind1 and ,hermes and ,almansor repeat the dictum4 ,this is furthermore proved by the unparalleled popularity which astrology has enjoyed in all phases of civilization4 ,there is no civilized people1 either of ancient or of modern times1 which has not adhered to astrologic doctrines with the fullest confidence and most unswerving faith4 ,babylonians1 ,egyptians1 ,greeks1 ,romans1 ,germans1 ,romanians--in short1 all nations--have professed their belief in astrology4 ,such a conformity of opinion would1 however1 be inexplicable amid such a dissimilarity of religious and cultural ideas as characterized the different peoples1 unless a common principle had decisively influenced all nations in the same manner4 ,this principle was acknowledged in the influence of the sun4 ,every human being was bound to observe the animating power of the sun on his own bodily sense and from his own observation1 and would be at once led to the conclusion that a similar power resided also in the other celestial bodies4 ,this conception1 which to a great extent was brought about by conclusions from analogy1 provided a method of inference concerning various other phenomena4 ,man meditated1 speculated1 concluded1 until the required sidereal relation of each organ and each function of the human body was determined4 ,thus astrology may serve as one of the most telling examples of scientific delusions to which the ancient diagnostico-theoretical methods were bound to lead1 with their conclusions from analogy and their deductive modes of procedure4 ,the above survey indicates1 altho only in very general outlines1 the origin of astrology4 ,we shall now consider more in detail the acquisition for which the art of medicine is especially indebted to astrology4 ,babylonico-,assyrian civilization possessed in its earliest ages a well-developed system of astrologic medicine1 as is evident from writings bequeathed to us from antiquity4 ,campbell-,thompson has recently published1 from the great stock of cuneiform tablets in the collection of the ,british ,museum1 #bgf inscriptions of an astrological nature belonging to the so-called ,kouyunjik collection4 ,sudhoff has compiled them1 so far as they refer to medicine1 and has subjected them to critical analysis4 ,we take the liberty of repeating certain extracts from these cuneiform tablets1 which appear to be the reports which ,assyrian and ,babylonian court astrologists made to the king4 ,tablet #fi;a says3 8,if the wind comes from the west upon appearance of the moon1 disease will prevail during this month40 ,tablet #bjg3 8,if ,venus approaches the constellation of ,cancer1 obedience and prosperity will be in the land 444 the sick of the land will recover4 ,pregnant women will carry their confinements to a favorable termination40 ,tablet #afc3 8,if ,mercury rises on the fifteenth day of the month1 there will be many deaths4 ,if the constellation of ,cancer becomes obscured1 a fatal demon will possess the land and many deaths will occur40 ,tablet #bcb3 8,if ,mercury comes in conjunction with ,mars1 there will follow fatalities among horses40 ,tablet #age3 8,if a planet becomes pale in opposition to the moon1 or if it enters into conjunction with it1 many lions will die40 ,tablet #aie3 8,if ,mars and ,jupiter come in conjunction1 many cattle will die40 ,tablet #aag3 8,if the greater halo surrounds the moon1 ruin will be visited upon mankind40 ,tablet #bfi3 8,if an eclipse of the sun occurs on the twenty-ninth day of the month of ,jypar1 there will be many deaths on the first day40 ,tablet #bga3 8,an eclipse at the morning watch causes disease4444 ,if an eclipse takes place during the morning watch1 and lasts throughout the watch1 while the wind blows from the north1 the sick in ,akkad will recover40 ,tablet #gi3 8,if a halo surrounds the moon and if ,regulus stands within1 women will bear male children40 ,tablet #id3 8,if sun and moon 444 on the fifteenth day #8answer my prayer' shall he say 444 ,let him nestle close to his wife1 she shall conceive a son40 ,these few extracts show us the close relations into which ,assyrico-,babylonian culture brought the becoming and passing away of all animal life with the stellar movement2 in fact1 as we note from ,tablet #id1 the astrologists of this period did not hesitate to intrude into the most intimate occurrences of married life4 ,it is quite obvious that1 under such circumstances1 the ,babylonian physician was compelled to consider very carefully the utterances of the astrologists in carrying on his practise4 ,it may be possible that we shall obtain still further information regarding the quality of sidereal therapy from the numerously discovered cuneiform tablets4 ,we know positively that a physician was forbidden to perform any surgical operations on certain days of each month4 ,thus1 for instance1 the #gth1 #adth1 #aith1 #bast1 and #bhth of the month ,schall-,elul were unfavorable days for such operations 7,oefele74 ,these directions were especially stringent in regard to venesection1 to which act we shall again refer in greater detail4 ,when civilization1 later on1 continued to thrive upon the shores of the ,nile1 astrology still found a fertile soil there1 and it appears that here also the name has originated1 which1 subsequently1 was a favorite designation of adherents to the sidereal art of healing4 ,the astrological prognoses made by the professional astrologist1 ,petosiris1 for the king ,nechepso of ,sais are well known4 ,however1 it appears1 according to the latest investigations 7compare the excellent work of ,sudhoff1 page #d1 etc471 that these prognoses have nothing at all to do with that king ,nechepso who reigned in the seventh century1 ,b4,c4 ,it seems more probable that some cunning ,alexandrian astrologist of the second century1 ,b4,c41 fraudulently used the name of the king as a cover for his work4 ,but however this may be1 these prognoses of ,petosiris have considerable value1 in that they give us an insight into the manufacture of such medical prophesies4 ,the object of these prognoses was primarily to discover the termination of a disease1 whether the patient would die or recover1 either soon or only after the lapse of a certain time--for instance1 after seven days4 ,this was all that ,petosiris undertook to predict4 ,all details regarding treatment1 complications1 and diagnosis of a case are still entirely wanting4 ,petosiris1 in making such a prognosis1 by no means relied solely upon the conjunction of certain celestial bodies1 but he employed a rather intricate method1 in which mystic numbers1 onomancy1 and astrology were important elements4 ,to prognosticate medically according to this system a circle of numerals was required in the first place4 ,there existed two different kinds of such circles--one simple1 the other more complicated4 ,berthelot has furnished us with examples of both as used by ,petosiris4 ,illustration3 ,,fig4 #a--;,,circle ,,of ,,petosiris 7,after ,bouch-,leclercq1 p4 #eci7 ,the more simple formula 7,fig4 #a7 consisted of two concentric circles1 the smaller of which was divided into four quadrants4 ,between both concentric circles and within the horizontal diameters were inscribed the words3 2 to the right of this3 2 to the left of the vertical line3 4 ,under the vertical line was inscribed3 2 to the right of this3 2 and to the left of the vertical line3 4 ,only words which point to the longer or shorter duration of life1 or to the death-struggle1 were therefore employed4 ,the four quadrants of the enclosed circle1 as well as the vertical diameter1 contained the numerals from #a to #bi in a mystical order1 representing the duration of the moon's phases4 ,the above 7,fig4 #a7 shows us this astrological circle of ,petosiris4 ,the second--essentially more complicated--formula consists of three concentric circles4 ,various words are inscribed between the first and second circles1 as in ,fig4 #a4 ,between the second and third circles1 and in the verticals1 the numerals from #a to #cj are disposed in a mystical arrangement4 ,furthermore1 these circles are not1 as in ,fig4 #a1 divided into four quadrants1 but into eight equal sections4 ,at these points in which the radii forming the sectors intersect the periphery of the outermost of the three concentric circles1 arched enclosures are raised which also contain various words4 ,illustration3 ,,fig4 #b--;,,circle ,,of ,,petosiris 7,after ,bouch-,leclercq1 p4 #edj7 ,when it was sought1 by means of the above-described figures1 to determine the medical future or the life and death of an individual1 this could be accomplished with the aid of the diagram represented in ,fig4 #a in such a manner that the duration of the disease in days1 the numerical value of the name of the patient1 and the phases of the moon were added1 and the sum divided by #bi4 ,the result thus obtained was interpreted by referring to the diagram4 ,if this figure happened to be1 for instance1 in the right upper quadrant1 the patient1 altho he would recover from his illness1 would live only for a very short period2 if this number was found in the vertical line1 below the horizontal diameter1 the patient was destined to die after a short struggle4 ,much more intricate was the use of the astrological apparatus illustrated in ,fig #b4 ,here the number of the moon's day1 and the numerical values of the name of the patient were not added1 but each of these figures was separately looked for in the diagram4 ,if the moon figure was found in the lower1 the figure for the name in the upper1 ends of the verticals--i4e41 where 1 setting1 and 1 rising1 stand--the individual concerned1 altho in danger1 finally recovered4 ,if1 on the other hand1 the moon figure was discovered in the upper1 and the figure for the name in the lower1 ends of the verticals1 nothing but evil was in store for the questioner1 but the misfortune appeared under the guise of fortune4 ,if both numbers1 however1 were at the upper ends of the verticals1 the prospects were favorable1 but bad if both figures occurred below the horizontal line4 ,a method which is similar to the simple apparatus of ,petosiris is revealed to us in the so-called 4 ,it is contained in the ,papyrus ,magica ,musei ,lugdunensis ,batavia1 published by ,dietrich4 ,fig4 #c shows the illustration belonging to this method1 and also the ,greek directions for use1 as given in the papyrus4 ,it will be noticed that in the method of ,democritus recourse is made to a table of numerals divided by a cross-line into the upper and larger1 and a lower and smaller1 section4 ,the upper part contains in three vertical columns #ah1 in the lower1 #ab figures4 ,to use the table1 the day when the disease began1 the numerical value of the name1 and the days of the moon were added1 and the sum thus obtained divided by #cj4 ,this quotient was then looked for in the table of numbers4 ,if it was found above the cross-line1 the patient recovered2 if below1 he succumbed4 ,illustration3 ,,fig4 #c--,,the ,,table ,,of ,,democritus ,there existed a great many other methods besides those described above2 for instance1 the system of the #ab places1 the circle of ,manilius1 the method of the mysterious ,hermes ,trismegistus1 the circle of ,ptolemy1 etc4 ,however1 we can not here enter into a more detailed description of these forms1 and refer those that wish more exhaustive information to ,berthelot1 and1 above all1 to ,bouch-,leclercq4 ,astrology1 and1 with it1 sidereal medicine1 subsequently traveled from its ,oriental home into all civilized countries of the then known world4 ,as regards ,greek and ,roman antiquity1 astrology in all its forms won a high reputation both in ,greece and ,italy4 ,even the most eminent ancient physicians1 altho they did not unreservedly adopt sidereal medicine1 refrained from disavowing it4 ,thus we find in the ,corpus ,hippocraticum1 the chief work of early ,greek medicine1 passages which betray more than a friendly feeling toward the astral art of healing4 ,it is true1 expressions are not wanting which sound like a direct disowning of astrology4 ,let us consider for a few moments the attitude of ,hippocratic medicine toward astrology4 ,as to the rejection of astrologic medicine by the followers of ,hippocrates1 we read 78,ancient ,medicine10 ,chapter ,i42 in the translation of ,fuchs1 ,vol4 ,i41 page #ai73 8,for this reason ,i believe that it medical art requires no basis of vain presumption1 such as the existence of invisible and doubtful factors1 the discussion of which1 if it should be attempted1 necessitates a hypothetic science of supernatural or of subterrestrial nature2 for1 if any one should contend that he knew anything about such a matter1 neither he1 the lecturer1 nor his hearers would clearly understand whether his statements were true or not1 because nothing exists to which reference could be had for purposes of verification40 ,this surely is a refutation as definite as can be desired of a medicine which depends upon witchcraft or astrologic vagaries4 ,however1 various other passages of the ,corpus ,hippocraticum take an exactly contrary position4 ,for example1 we find the following statement 7on 8,air1 ,water1 and ,locality10 ,chapter ,,xvii41 in the translation of ,fuchs1 ,vol4 ,i41 page #cij73 8,attention must be paid to the rise of the stars1 especially to that of ,sirius1#d as well as to the rise of ,arcturus1 and1 further1 to the setting of the ,pleiades1 for most diseases reach a crisis during such periods1 some of them abating in these days1 others ceasing entirely1 or developing into other symptoms and different conditions40 ,these words indicate a distinct intention of bringing prognosis and course of diseases into the closest relations with the motions of the celestial bodies4 ,in the second chapter of the same book similar expressions occur3 8,he who knows how the change of seasons and the rising and setting of stars take place will also be able to foresee how the year is going to be4 ,therefore1 any one who investigates these subjects and predicts coming events will be thoroughly informed as to each detail of the future2 he will enjoy the best of health1 and take as much as possible the right road in art4 ,however1 if any one should be of the opinion that these questions belong solely in the realm of astronomy1 he will soon change his opinion as he learns that astronomy is not of slight1 but of a very essential1 importance in medical art40 ,stars and diseases are also brought into mutual relations in the letter to ,king ,ptolemy 7,emerins1 page #bic74 #d ,this star1 in particular1 played a rle in the astrologic prognosis of the ,egyptians2 in fact1 in various systems it was made the starting-point of medical predictions2 for instance1 in the method of ,hermes ,trismegistus4 ,the above quotations refer exclusively to the course of diseases in relation to the stars1 but we find in other passages also distinct references are made to therapeutic methods2 for instance1 in 8,aphorisms10 #d1 paragraph #e1 we read3 8,purging is very difficult during or before the dog-days40 ,it would1 indeed1 be most remarkable if no astrologic remarks of any kind were found in the ,corpus ,hippocraticum1 as the idea of close relation between the celestial bodies and matters terrestrial had common currency during the ,hippocratic period4 ,the songs of ,stesichorus and of ,pindar show1 for instance 7as is also stated by ,pliny1 ,book #c1 ,chapter ,,xii41 ,vol4 ,i41 page #aah71 that eclipses of certain stars were considered to be pregnant with mischief4 ,this superstitious conception has1 in some cases1 actually caused severe general calamities4 ,thus1 for instance1 the ,sicilian campaign ended unfortunately for the ,athenians only because their general1 ,nicias1 under a superstitious apprehension concerning an eclipse1 failed to put to sea4 ,and as this campaign was the cause to ,athens of a partial loss of ,greek hegemony1 we may safely say that astrology had a decisive share in the fall of ,athens 7,pliny1 ,book #b1 ,chapter ,,xxiii474 ,the appearance of comets1 like eclipses of the sun and the moon1 were also reputed to be ominous among the ancients4 ,comets were considered heavenly mischief-makers of the worst kind1 and almost every sort of calamity was ascribed to them4 ,a calamity was supposed to assume various aspects1 according to the position and form of the comet4 ,under some circumstances1 however1 they were said to prognosticate many events advantageous to mankind 7,pliny1 ,book #b1 ,chapter ,,xxiv474 ,thus ,augustus considered a comet1 which was seen for an entire week at the northern quarter of the heavens at the onset of his rule1 during performances which were given in honor of ,venus genetrix1 to be his lucky star4 ,however1 not only such extraordinary appearances in the sky as comets1 eclipses of the sun and the moon1 played a conspicuous part in medical superstitions of the ancients4 ,even those celestial phenomena which occur with a regularity fixed by natural law1 such as the revolution of the sun and the moon1 were considered highly important events in therapeutic art4 ,thus1 affections of the eye in man and beast were said to increase and to decrease with the moon 7,pliny1 ,book #b1 ,chapter ,,xli474 ,all acute diseases were believed to be controlled by the moon1 whereas chronic affections were thought to be under the influence of the sun4 ,in fact1 everything that happened to man was brought in immediate relationship with appearances in the canopy of heaven4 ,thus1 for instance1 it is stated by ,marcus ,manilius1 the well-known author of an astronomical didactic poem dedicated to the ,emperor ,augustus3 8,omnis cum coelo fortun pendeat ordo40 ,in the thirteenth chapter of the second book the poet maintains that each part of the human body is subordinate to a distinct sign of the zodiac4 ,thus1 for instance1 the head to ,aries1 etc4 ,altho the further development of ,occidental as well as ,oriental astrology drew its resources from the primeval ,assyrian1 ,babylonian1 and ,egyptian doctrines1 yet from the second century1 ,a4,d41 the astronomic work of ,ptolemy and the exhaustive description of antique medicine by ,galen derive their inspiration from ,medicina ,astrologica4 ,whatever these two great masters were able to report of the dependence of the functions of the body upon celestial bodies was from then on1 without further inspection and examination1 acknowledged to be true by the great majority of physicians4 ,only occasionally this or that practitioner is bold enough to oppose the intrusion of astrologic vagaries into the art of healing2 among these radicals was the philosophically trained physician1 ,sextus ,empiricus1 who lived about the year #aic1 ,a4,d4 ,however1 this protest of brave ,sextus1 as well as all subsequent ones1 scarcely had any influence upon the astrological development of medicine4 ,astrology could not be arrested on its road to the domination of the world1 and until the seventeenth century it controlled the thought of physicians with the same invincible sway that it exercised over the mental life of all other professions and classes4 ,medico-astrological superstition had become legalized1 and this in spite of the fact that ,galen himself at last expressed his distrust of the ,medicina ,astrologica1 and at least endeavored to extenuate his part in its dissemination4 ,let us now scrutinize more minutely the condition of ,medicina ,astrologica in the second century1 ,a4,d4 ,the works of ,ptolemy1 the 8,iatromathematica0 of the mysterious ,hermes ,trismegistus1 and the third book of ,galen's writing on the 8critical days0 furnish sufficient material for outlining the medico-astrological system of that period4 ,in the first place1 the method by which the authors of that period instilled their astrologic dotage into the minds of their contemporaries varied considerably4 ,either astrological remarks were here and there interspersed in a work on medical or on astronomical subjects1 as was the case1 for instance1 in the 8,opus ,quadripartitum0 of ,ptolemy and also in ,galen's book on the 8critical days10 or astrology was treated as a special science in the form of a connected system1 as is done1 for instance1 in the 8,iatromathematica0 of ,hermes ,trismegistus4 ,such textbooks of astrology obtained publicity in large numbers from about the fourteenth century on4 ,whoever may be inclined to cast a glance into the learned work of ,sudhoff will be astonished to observe the extent to which iathromathematics flourished in the second half of the middle ages and at the turning-point of the ,renaissance4 ,still another form was to impart to the public their astrological doctrines in the form of short sentences4 ,we find nothing in such works regarding the intricate calculations and methods by which endeavors were made to fathom the language of the stars1 but astrological results were communicated in concise1 aphoristic sentences4 ,this was done in the 8,centiloquium0 of ,ptolemy1 a work which in a hundred brief sayings brings an epitome of astrological wisdom to market4 ,the work enjoyed the highest esteem in the middle ages4 ,such a book1 therefore1 would correspond to that form of modern literary production1 which1 under the title 8,method of acquiring this or that accomplishment within a short period10 is advertised to us modern people in the daily press4 ,moreover1 the 8,centiloquium0 of ,ptolemy had many imitators4 ,such a work is found1 for instance1 in ,arabic literature1 and contains astrologic wisdom condensed into #aej brief sentences by the astrologer ,almansor1 who furnished the handbook upon request of his ruler2 the ,arabian1 ,bethem1 has produced a similar work4 ,we find analogous works appearing later in the middle ages4 ,eventually1 the doctrines of astrology were put into neat rhymes2 thus1 for instance1 ,heinrich von ,rantzau1 who departed this life #aeih as governor of ,schleswig-,holstein1 celebrates in #ajj well-turned verses the significance of the planets in relation to the physical and mental welfare of humanity4 ,we shall again refer to this subject when considering astrology of the middle ages4 ,the iatromathematic passages in the above-mentioned writings of ,ptolemy1 ,hermes1 and ,galen furnished the foundation for all later astrologico-medical theories4 ,for what the middle ages believed regarding the medical importance of the sidereal world1 especially of the planets and the zodiac1 was nothing but the immediate continuation1 or elaboration1 of the astrologic teachings of ,ptolemy and other authors of the first ,christian centuries4 ,in the first place1 every portion of the human frame was placed under the influence of a certain celestial body4 ,the five planets already known to the ancients1 as well as sun and moon1 governed1 according to ,hermes1 the following parts of the body3 ,the sun1 the right eye4 ,the moon1 the left eye4 ,saturn1 hearing4 ,jupiter1 the brain4 ,mars1 the blood4 ,venus1 taste and smell4 ,mercury1 tongue and gullet4 ,however1 the influence which sun1 moon1 and the planets exercised upon the human body gradually became more intricate4 ,it was no longer satisfactory to enumerate relations between the bodies of heaven and the human organs of such a general nature as given by the above table of ,hermes4 ,all parts and functions of the body were to be brought into the closest relations with the planets4 ,thus1 for instance1 the celebrated humanist1 ,marsilius ,ficinus1 the friend of the ,medici 7#adcc to #adii71 depicts most minutely in a book 8,on ,life10 which was much read in its time1 the relations between the body and the planets4 ,this was also done by ,heinrich von ,rantzau1 in his 8,tractus ,astrologicus10 which in its time was very celebrated4 ,there we read regarding these conditions as follows3 ,,saturn governs the spleen1 the bladder1 the bones1 the teeth1 and1 in part1 the circulating juices of the body2 causes the color of the skin of man to be dark yellowish2 impedes or promotes growth2 causes the eyes to be small1 and prevents the growth of the beard4 ,,jupiter governs the lungs1 the ribs1 cartilages1 the liver1 arteries1 the pulse1 and the development of human semen2 causes the white color of the skin1 and gives a good figure4 ,,mars governs the bile1 kidneys1 veins1 and sexual organs1 and of these especially the testicles2 makes hair red and the temper irascible1 and inclined to outrages of various kinds4 ,,venus governs the uterus1 the breasts1 the sexual organs1 the spermatic tubes1 the loins1 and the buttocks2 endows man with physical beauty1 furnishes him with long hair1 round eyes1 and a well-formed face2 but it is inexcusable on the part of this star that it presented mankind with gonorrhea4 ,,mercury governs all mental processes--memory1 imagination1 the brain with its nerves1 the hands1 feet1 and legs1 the bones and the bile2 causes man to be light-fingered4 ,,the ,,sun governs the brain1 nerves1 urine1 the right eye of the male and the left one of the female1 the optic nerves1 and the entire right half of the body2 gives a good complexion to man4 ,,the ,,moon governs the brain1 mouth1 belly1 intestines1 bladder1 taste1 the organs of reproduction1 the left eye of the male1 the right eye of the female1 and the feminine liver1 and the entire left half of the body4 ,the signs of the zodiac1 like the planets1 exert full control over the various parts of the body4 ,honest ,bartisch1 of ,knigsbrck 7#aece to #afjf71 has given us in his 8,eye-,service0 an illustration of these relations4 ,fig4 #d is a reproduction of this plate of ,bartisch4 ,the sun1 moon1 planets1 and zodiac regulated not only the life of the various limbs of living man placed under their special care1 but their activity commenced at that moment when the foundation was just about to be laid for the future bodily existence of a mortal--i4e41 at the moment of conception4 ,if1 during this critical process1 the respective bodies of the heavens were in an unfortunate conjunction1 the members of the future being1 the most primitive forms of which had just been founded1 were bound to suffer4 ,naturally1 however1 only those parts of the body were affected by this destiny which were in the care of stars that happened to be in unpropitious conjunction at the time4 ,if the act of conception had passed without evil influence on those that were actively and passively participating in it1 the product of that hour could by no means be sure that this or that planet would not maliciously thwart the ease and tranquillity of its embryonic and fetal life4 ,for sun1 moon1 and the seven planets each governed one month of intra-uterine life1 as is explained by ,jacobus ,forliviensis4 ,saturn reigns during the first month of pregnancy1 ,jupiter in the second1 ,mars in the third1 the sun in the fourth1 ,venus in the fifth1 ,mercury in the sixth1 the moon in the seventh2 the eighth month is ruled again by ,saturn1 and this latter planet now shows itself to be so malicious that it immediately destroys all life born in the eighth month4 ,jupiter again takes control during the ninth month1 and1 as this star is fond of warmth and humidity1 and1 therefore1 a friend of life in any form1 no danger is to be feared for a fetus entering the world during this month4 ,however1 after the nine months of pregnancy have passed without evil interference by the planets1 ,mars once more is in command1 and his influence helps in accomplishing a normal birth4 ,after the fetus had successfully passed all dangers which the planets could cause during the nine months of intra-uterine life1 and after it had successfully matured1 the hour of birth might1 after all1 be accompanied with other quite severe sidereal complications4 ,for if any planet was in an unfavorable sign1 or if the relations between the signs of the zodiac and the sun or the moon were not quite in their regular order1 those members which were presided over by the respective stars were made to suffer4 ,the correct casting of the medical horoscope1 therefore1 required the most accurate knowledge of the minute of birth1 with simultaneous occurrences in the canopy of heaven4 ,provident fathers1 accordingly1 were mindful of having an astrologer1 during the hour of birth1 in the room in which the confinement was to take place1 so that he might be able to ascertain as accurately as possible the celestial occurrences which would determine the bodily welfare of the new-born1 and to arrange them for the horoscope4 ,illustration3 ,,fig4 #d--,,the ,,relation ,,of ,,the ,,parts ,,of ,,the ,,human ,,body ,,to ,,the ,,signs ,,of ,,the ,,zodiac ,after the young mortal had safely arrived1 and if a fortunate destiny had placed in his cradle a favorable medical horoscope1 both for the hour during which the first material foundation had been laid for his life and also for the hour of his birth1 he had overcome only a small part of the troubles which the starry world might be able to inflict on his bodily welfare4 ,if the various signs of heaven appeared in unfavorable conjunction1 or if the moon entered into any fatal relations with the signs of the zodiac1 members of the body which were under the influence of the respective celestial bodies were still imperiled4 ,these dangers might threaten not only one individual1 but they were capable1 eventually1 even of calling down epidemics and pestilence upon all humanity4 ,after any form of disease had taken hold of a person its course1 treatment1 and termination could be clearly read in the stars of heaven4 ,it was necessary1 above all1 to ascertain the day1 hour1 and minute when the disease appeared4 ,unfortunately1 this must have been quite difficult at times2 for many diseases begin so insidiously that the moment of the attack is completely beyond precise definition4 ,in such a case one did the best that could be done1 and probably took as the moment of attack the first complaints of the patient regarding his disorder4 ,after the appearance of the disease was dated in such a manner1 the heavenly body1 in the ascendant at this period1 was then ascertained2 thus1 the position and the course and the phases of the moon1 the relations of sun and moon to the twelve signs of the zodiac1 and the planets would be noted4 ,it was necessary to observe whether the moon was in opposition1 quadrature1 or conjunction to the planets while she stood in the sign of this or that figure of the zodiac4 ,from these observations clear conclusions were first drawn regarding the general condition1 the character1 the duration1 and the prognosis of the affection4 ,these conclusions1 however1 were by no means satisfactory as yet4 ,an attempt was therefore made to obtain a much more detailed insight into the causes1 complications1 and therapy of the case in question by means of astrology1 and such information was abundantly provided in the ,medicina ,astrologica4 ,in the first place1 the fact that sun1 moon1 planets1 and the signs of the zodiac shared the rule over the various organs of the body1 and furnished positive intimations regarding the cause of the disease in question1 made it unnecessary for the physician to trouble himself at all with an examination of the patient in order to ascertain cause and localization of the affection4 ,one glance at the conjunctions of the stars was sufficient to show which organ of the patient happened to be endangered by the celestial constellation4 ,if an individual complained1 for instance1 of disturbed digestion1 and if the heavenly body that presided over the liver presented any remarkable phenomena1 naturally only the liver was responsible for the case in question1 and the diagnosis was made4 ,complications were to be expected if the stars which controlled the circulation of blood and mucus showed unfavorable signs4 ,it was even possible for the physician well versed in astrology to determine in advance the period of time at which the occurrence of such humoral complications might be expected1 as he had learned that the various hours of the day and of the night were to exert a powerful influence upon the juices of the body4 ,for instance1 ,almanzor explains that the first three hours of day and of night are in closest relation to the blood1 whereas the second quarters of day and of night hold sway over the yellow1 the third over the black 7bile71 and the last quarters1 finally1 over the mucus4 ,however1 not only were the various hours of great importance to the course of the disease1 but certain days of the disease--so-called critical days--were of still greater significance4 ,it is true1 the doctrine of these critical days was by no means the property of ,medicina ,astrologica1 but the ,corpus ,hippocraticum already contained a book 4 ,but the followers of ,hippocrates had developed this theory only from humoro-pathological premises1 and ,galen1 in his work 1 had only included astrology in order to explain and to prove the entire doctrine of crises 7compare also ,sudhoff74 ,he calculated in accordance with moon weeks and months1 and in such a manner that a week counted six days and seventeen and one-half hours1 and the month of the moon only twenty-six days and twenty-two hours4 ,the seventh1 fourteenth1 twentieth1 and twenty-seventh days were to be considered critical days of the first order4 8,contemplate10 says ,galen1 8the critical days in the course of the moon in the angles of a geometrical figure of sixteen sides2 if you find these angles in a favorable constellation1 the patient will fare well2 badly1 however1 if evil signs prevail40 ,but not only were certain hours and certain days of the week said to exert an important astrological influence upon the human body1 such an influence was ascribed also to certain years4 ,such years were called 8,anni ,scansiles0--that is1 8climacteric40 ,the expression 8,anni ,climacterici0 was also used1 but this designation has nothing in common with the modern conception of the climacteric4 ,it was believed that the condition of the body underwent a thorough revolution during these climacteric years1 and that a new stage1 as it were1 of organic life was reached4 ,heinrich von ,rantzau1 the astronomic aristocrat and statesman1 accordingly defines the climacteric years as 8anni1 in quibus ad sequentis temporis constitutionem sese vertat tas et inflectat40 ,therefore1 such years should in themselves harbor dangers for corporeal existence1 and offer no favorable prospect for the course of diseases4 ,two kinds of such climacteric years were distinguished4 ,one kind was brought about by multiplication with the figure #g1 and they were called anni hebdomatici1 or climacterici 7stricte sic dicta74 ,accordingly1 these were the years #g1 #ad1 #ba1 #bh1 #ce1 #db1 #di1 #ef1 #fc4 ,these nine years formed the climactericus parvus1 whereas the years #gg1 #hd1 #ia1 #ih1 #aje1 #aab1 #aai1 #abf were called the climactericus magnus4 ,a multiplication which extended further1 to #aga1 reached the climactericus maximus4 ,the other kind of climacteric years was obtained by multiplication with #i1 and such years were called anni enneatici1 or decretorii4 ,these were the years #i1 #ah1 #bg1 #cf1 #de1 #ed1 #fc1 #gb1 #ha1 #ij1 #ii1 #ajh1 etc4 ,however1 these climacteric years did not all present the same dangers1 but the peril inherent in them varied considerably4 ,it was determined by the multiplicator1 and here especially the #c and the #g played a very fatal rle4 ,the #bast year of life 7#c #g71 and the #bgth 7#c #i71 were one grade higher in the scale of dangers than those obtained by other multiplicators4 ,still more dangerous were those years arrived at by ascending in spaces of three hebdomads2 therefore1 the #bast year of life--i4e41 the period of three hebdomads--namely1 #c #g2 the #db;d year1 as a period of #b #c hebdomads--i4e41 #b #ba2 the #fc;d year of life1 as a period of #c hebdomads--i4e41 #c #ba2 #hd to #d #ba2 #aje #e #ba1 etc4 ,the #dith year of life and the #efth year of life were said to be still more dangerous than these years obtained from the period of three hebdomads4 ,it is true1 the cause of the danger is quite obvious in the case of the #dith year2 it was the ominous #g #g which here gave rise to forebodings4 ,and it was not quite comprehensible what caused the bad reputation of innocent #ef2 ,rantzau fails to give us a sufficient explanation4 ,but the most dangerous climacteric year was the #fc;d1 for this was made up of #g #i4 ,it was1 therefore1 an annus hebdomaticus and1 at the same time1 also an annus enneaticus1 for it belonged both to the class of those climacteric years which were formed by the multiplier #g1 as also to that which were obtained by the multiplier #i4 ,it was most natural1 therefore1 that a period of life which from two sides was fraught with danger1 like the unfortunate #fc;d year of life1 was bound to appear equally suspicious to the healthy and to the sick4 ,it is probable that this year was1 therefore1 called androdas1 because1 as ,rantzau believes1 it debilitates and breaks vitality4 ,it would appear1 moreover1 that the climacteric years enjoyed general consideration in ancient times as well as in the middle ages1 for ,rantzau names a number of celebrated men who were said to have expressed themselves regarding the significance of these years1 such as ,plato1 ,censorinus1 ,gellius1 ,philo ,judus1 ,macrobius1 ,cicero1 ,botius1 ,st4 ,ambrose1 ,st4 ,augustine1 ,bede1 ,georgius ,valla1 and others4 ,not satisfied with this statement1 ,rantzau also mentions in his catalog a multitude of prominent men who all departed this life in their #fc;d year1 and thus1 as he believes1 had established the dangerousness of this year by their death4 ,it is probable1 therefore1 that the #fc;d birthday was celebrated with great apprehension during the entire middle ages1 and the respective individual did not draw an easy breath until after the ominous year had been successfully passed4 ,however1 the stars knew not only how to tell particulars regarding the probable course and possible complications of diseases1 but they also gave information regarding very special forms of affections4 ,it was possible1 thus1 to learn from them at what time diseases of the eye were to be feared1 when mental diseases were threatening1 when hemorrhages were to be expected1 etc4 ,the astrologically trained physician was able to obtain prompt information from the stars regarding contingent surgical accidents2 for there existed various conjunctions of the celestial bodies1 according to ,ptolemy1 which surely pointed to wounds1 fractures of bones1 burns1 concussions1 and other lesions4 ,in fact1 it was possible to see in advance1 from the celestial phenomena1 what limbs would be exposed to forcible injury2 thus1 certain conjunctions of the planets were said to prognosticate with certainty wounds of the head2 others1 of the face2 others1 again1 of the hands and feet1 of the fingers and toes1 of the arms and legs1 of the trunk and neck4 ,astrology1 moreover1 was not satisfied with the prognostic and diagnostic activity which we have just mentioned1 but it also interfered in therapy1 internal as well as external4 ,regarding1 in the first place1 internal medicinal treatment1 the astrologer knew how to give positive information about the same2 for all terrestrial beings1 of an organic as well as of an inorganic nature1 were under the influence of the sun1 the moon1 of the planets1 and of the signs of the zodiac4 ,the stars imparted certain powers to the planets1 to animals1 and to all structures of the inorganic world4 ,if1 therefore1 it were known what stars happened to appear in the vault of heaven at the beginning of the disease or of its treatment1 it was only necessary seriously to consider the organic and inorganic structures under their supervision1 and the remedies required for a successful control of the disease were presently at hand4 ,but if the healer wished to be absolutely certain what medicaments to choose1 the phases of the moon and the condition of the sun were also to be taken into consideration4 ,some remedies could be administered only when the moon was in a particular relation to certain planets or stars of the zodiac4 ,these remedies were principally emetics and purges4 ,similarly to the internal clinician1 so also in surgery1 the healer was entirely dependent upon the conjunction of the stars4 ,the primeval ,babylonian directed that the body must not be touched with iron during certain conjunctions of the stars1 and this was also prescribed in all cases of ,astrologica ,medica4 ,it appears1 however1 that this direction obtained less general surgical recognition1 but referred principally to blood-letting4 ,even to this limited extent it implied a high-handed interference with the art of the ancient as well as of the medieval physician2 for venesection occupied an entirely different position among therapeutic measures during that period than it does to-day4 ,whereas modern medicine does not consider blood-letting necessary1 except in the rarest cases1 ancient as well as medieval professors of medicine believed that they could under no circumstances dispense with it2 in fact1 it is probable that until the seventeenth century there was scarcely any form of disease the treatment of which would have been possible without withdrawal of blood4 ,an actual system of blood-letting had been elaborated under the influence of humoro-pathological opinions4 ,every vein that could be reached with the lancet was acted upon1 and the school of medicine of the period was punctiliously careful in teaching which vessel presented the most suitable point of attack for the hand of the physician in this or that form of disease4 ,the therapeutic subtleties which were thus brought to light are beyond description4 ,thus1 a withdrawal of blood from veins on the right side of the body was said to yield an essentially different effect from left-sided venesection1 and each individual vein of the body promised a special advantage which was peculiar to this one vein4 ,the physician of that period surely had enough to do to bear in mind all the numerous therapeutic effects which he was to achieve by the opening of the various veins4 ,to facilitate this difficult art to a certain degree special figures were designed--so-called venesection manikins1 in which the numerous points for bleeding were most carefully annotated4 ,fig4 #e 7page #age7 shows such a picture4 ,it indicates no less than #ec different localities for venesection1 and as each and every one of them again implied four or five1 or possibly even more1 methods of blood-letting1 we may consider that there were many hundreds of different possibilities for phlebotomy4 ,if it was easy to become lost in the labyrinth of this blood-thirsty therapy1 the difficulty of a methodical application of venesection was very materially increased by astrology2 for astrology differentiated between1 first1 favorable1 then doubtful1 and1 finally1 unfavorable days for venesection1 basing this opinion upon certain positions between sun1 moon1 and planets4 ,then the various ages of life had also different days for venesection2 days1 for instance1 which promised to be exceptionally successful for venesection in the young1 offered very unfavorable prospects to the aged4 ,thus1 for instance1 the period from the first quadrature of the moon to the opposition was said to be excellent for bleeding in adolescence1 whereas this period was by no means inviting for phlebotomy in those who had reached the senile period4 ,the chances for venesection became rather intricate in their different aspects4 ,thus1 for instance1 ,stffler taught3 the sun prohibits venesection two days before and one day after4 ,conjunction of the moon with prohibits venesection one ,saturn day before and one day ,mars after4 ,quadrature of ,sun prohibits venesection the moon with ,saturn twelve hours before and ,mars twelve hours after4 ,opposition of ,sun prohibits venesection one the moon with ,saturn day before and one day ,mars after4 ,we see1 therefore1 that the physician of that time was compelled to be well-versed in astronomy unless he meant to commit grave mistakes against the doctrines of ,medicina ,astrologica4 ,such sins could eventually become rather dangerous to the physician1 for the code of ,hammurabi 7about #bbjj1 ,b4,c41 ruler of ,babylon7 threatens the operator1 for not quite unobjectionable surgical procedures1 with the loss of his hands 7,winckler1 page #cc1 #bah74 ,in order to satisfy the astrological requirement of the physician most thoroughly1 there arose in the middle ages a very peculiar literature4 ,under the name of an almanac or calendarium1 thick folio volumes appeared1 which enumerated1 in long tables1 the various positions of the planets and of the signs of the zodiac1 so that the astrologer was enabled to note the fate of mankind rapidly and easily4 ,the contents of such calendaria are beyond description4 ,apart from remarks which referred to all occurrences of civil life1 was stated the exact period when to have the hair cut1 when venesection was to be performed1 when to draw teeth1 when to take a bath1 etc4 ,even the proper time for prayer was indicated by such a calendarium4 ,according to the experience of ,peter of ,abano1 the conjunction of the moon with ,jupiter in the ,dragon was sure to effect an answer to prayer4 ,hieronymus ,cardanus had discovered1 with the aid of astrology1 that a request was sure to be complied with if a prayer was offered to the ,virgin ,mary on the first day of ,april1 at #h ,a4,m4 7,mhsen1 ,vol4 ,,ii41 page #dbc74 ,physicians excelled in the compilation of such calendaria1 especially during the fifteenth and sixteenth centuries4 ,professors1 forensic physicians1 surgeons--in fact1 all representatives of medical art--were equally intent upon instructing the public by calendaria in regard to the most various branches of ,medicina ,astrologica2 thus1 for instance1 ,david ,herliz1 physician at ,prenzlau1 supplied ,pomerania1 ,mecklenburg1 and the ,margravate of ,brandenburg with calendars for fifty years1 from the year #aehd4 ,the ,marburg professor of medicine1 ,victorinus ,schnfelder1 played a similar rle during the same period for western ,germany4 ,the physician1 as almanac-maker1 is probably one of the most wonderful results of medical superstition1 and this aberration of medicine clung so firmly to the people that1 even in the eighteenth and nineteenth centuries1 certain days of the year were considered as especially favorable for venesection1 and the calendars took particular pains to call the attention of the public most emphatically to good days for blood-letting4 ,illustration3 ,,fig4 #e--,,venesection ,,in ,,its ,,astronomical ,,connection ,explanation of ,fig4 #e ,a4 ,the astronomic signs which are noted on the different parts of the body indicate the signs of the zodiac1 under the special influence of which the respective members of the body are said to be4 ,b4 ,the numerals which are found at the most varied parts of the body refer to indications for venesection1 as stated below4 ,in these localities1 which are characterized by figures1 blood was drawn for the most various affections1 namely in3 #a4 ,pains of the eyes and head2 affections of the face1 including eruptions4 #b4 ,affections of the head2 mental disturbances4 #c4 ,affections of the eye of various kinds4 #d and #e4 ,pains in the ears2 lachrymation4 #f and #g4 ,tinnitus aurium2 tremor of the head4 #h4 ,disturbances of hearing4 #i4 ,heaviness of the head2 flow from the eyes4 ,venesection here also renders memory more acute1 as well as the activity of the brain in general4 #aj4 ,heaviness of the head4 #aa4 ,ulcers of the lips and of the gums4 #ab4 ,the veins of the palate are to be opened in eruptions in the face1 in toothache1 in affections of the palate and of the mouth1 heaviness of the head4 #ac4 ,neuralgia and toothache4 #ad4 ,headaches1 mental disturbances4 #ae4 ,to render the memory more acute4 #af4 ,in all affections of the mouth or of the chest4 #ag4 ,fetid breath4 #ah4 ,pains in the jaws2 ftor e naso2 eruptions of the face4 #ai4 ,neuralgia of the head2 eruptions4 #bj4 ,disturbances in the chest of various kinds4 #ba4 ,flow from the eyes2 headache2 epilepsy4 #bb4 ,diseases of the chest of various kinds1 including dyspnea2 headache2 stitches in the side4 #bc4 ,diseases of the liver1 injuries to the right side of the body2 nosebleed4 #bd4 ,affections of the head and the eyes2 pains in the shoulder-blades2 coryza4 #be4 ,pains in the heart1 in the sides1 and in the mouth4 #bf4 ,spasms in the fingers2 pains in the spleen and in the limbs2 epistaxis2 stitches in the liver4 #bg4 ,pains of the central parts of the body4 #bh4 ,affections of the lower portions of the body4 #bi4 ,heart-disease4 #cj4 ,to render vision more acute1 and to strengthen the dexterity of the body4 #ca4 ,headache1 fever1 various kinds of cataract1 glaucoma1 etc42 cloudiness of the sclera2 inflammations of the tongue and of the pharynx4 #cb4 ,pains of the head1 lungs1 spleen4 #cc4 ,diseases of the blood2 chlorosis2 jaundice2 affections of the head2 stitches in the right side4 ,blood-letting in this locality purifies liver1 spleen1 breast4 #cd4 ,same as #cb4 #cf4 ,affections of the spleen1 meningeal inflammation2 hemorrhoids2 stitches in the left side2 renal affections2 dysmenorrhea4 #cg4 ,affections of the spleen and of the bladder4 #ch4 ,dropsy2 disturbances of digestion2 ulcers of long standing4 #ci4 ,melancholia2 venesection in this locality strengthens the kidneys4 #dj4 ,hemorrhoids2 strangury2 disturbances of digestion2 affections of the bladder and of the sexual organs4 #da4 ,venesection here acts upon the proper condition of the body in general4 #db4 ,diseases of the kidney1 bladder1 stone1 testicles4 #dc4 ,venesection here strengthens the gait4 #dd4 ,all kinds of pains of the lower extremities1 such as arthritis1 gout2 also in dysmenorrhea4 #de4 ,affections of the sexual organs2 diseases of the kidney and bladder4 #df4 ,diseases of the testicles4 #dg4 ,disturbances of menstruation2 sterility of women2 affections of the bladder and spleen4 #dh4 ,various kinds of diseases of the feet4 #di4 ,dysmenorrhea2 eruptions in the face and on the legs4 #ej4 ,apoplexy2 paralysis4 #ea4 ,ophthalmia2 skin diseases2 cough2 oppression of the chest4 #eb4 ,dysmenorrhea2 affections of the testicles2 costal pains4 #ec4 ,ophthalmia2 dysmenorrhea2 amenorrhea2 skin eruptions4 ,such therapy1 detached entirely from the actual requirements of the case and based only upon observation of the sky1 was bound to be attended with the most unfortunate results4 ,the suffering public was frequently but little cheered by the assistance of its physicians1 and often felt the desire to find out what another physician could do4 ,it appears that such a condition occurred quite frequently1 for ,ptolemy1 in number #eg of his 8,centiloquium10 gives special directions under what astral conditions such a change of physician could take place4 ,he says3 8,cum septimum locum atque ejus dominum in gritudine afflictum videris1 medicum mutato40 ,it appears certain1 accordingly1 that a general change of physicians was inaugurated by the public so soon as the above conjunction was noted in the sky4 ,those who desired to be very careful in the choice of their physician did not change only when the conjunction of the stars recommended it as advisable1 but they also attempted to ascertain the horoscope of the newly chosen medical adviser1 for medical wisdom was found in greatest abundance in a man whose aspects showed a certain form4 8,perfectus medicus erit1 cui ,mars et ,venus fuerint in sexta10 says ,almansor4 ,this condition of ,astrologia ,medica was such as to weigh like an oppressive nightmare upon mankind1 not only for centuries but for thousands of years1 and in this way medical superstition has slaughtered more human beings than the most bloody wars ever did4 ,however1 astrology has not always ruled our kind with equal strength4 ,there were periods during which belief in the fate-determining power of the stars was more dominant1 and others in which it was feebler4 ,the ancient world1 which was blindly devoted to all kinds of superstition1 had also cherished and fostered astrology4 ,but when the ancient theory of life was demolished later on1 and the ,christian ,god of love had taken possession of the world1 the belief in the fate-determining power of the stars was shaken1 and centuries1 followed during which ,medicina ,astrologica1 altho it did not by any means disappear entirely1 was forced more or less to the rear4 ,astrology did not become resurrected until scholasticism and dogmatism had held back the activity of the mind from independent investigation1 thus bringing about the intellectual darkness which for centuries prevailed4 ,this use of astrology truly forms one of the most wonderful pages in the history of the development of our race1 for an actual furor astrologicus seized upon the world in the course of the thirteenth century4 ,the movement originated at the court of ,emperor ,frederick ,,ii4 ,the great ,ghibelline was so positive and so enthusiastic an adherent of all astrologic doctrines that he did not decide upon any undertaking until he had first learned the opinion of the stars regarding his enterprise4 ,it was his firm belief that the stars prophesied for him a political rle which was to shake the entire world1 and of his astrological prediction he apprised his adversary1 the pope1 in the following words3 ,fata volunt1 stellaeque docent1 animumque volatus1 ,quod ,fridericus ego malleus orbis ero4 ,but if a ruler of high mental gifts is always destined to exert a powerful influence upon his epoch1 how much more telling is this influence when the contemporaries of such a monarch lead a mental life1 fettered by so many religious1 philosophical1 and physical prejudices as undeniably dominated mankind during the reign of the great ,hohenstaufen4 ,if these conditions were of the greatest advantage to astrology in general1 circumstances shaped themselves most favorably for ,medicina ,astrologica in particular4 ,very soon after the death of the star-learned ,hohenstaufen emperor1 two highly talented physicians bound themselves body and soul to astrology--namely1 ,arnald ,bachuone1 called also1 after his birthplace1 ,villanueva1 ,arnaldus ,villanovanus or ,arnald of ,villanova 7#abce-acab71 and ,petrus1 called also1 after his birthplace1 ,abano near ,padua1 ,petrus de ,apono or ,petrus ,aponensis 7#abej-acae74 ,from that time until the seventeenth century the most eminent representatives of all the sciences and professions devoted themselves to the doctrines of astrology4 ,in the excellent work of ,sudhoff is cited a notable number of physicians--by no means the most unskilful of their day--who confessed themselves to be iatromathematicians 7i4e41 medici astrologici74 ,astrology1 and with it ,medicina ,astrologica1 reigned supreme at most of the princely courts from the thirteenth to the seventeenth centuries4 ,the ,hohenstaufen1 ,frederick ,,ii41 was1 as we have seen1 an implicit adherent to astrologic doctrines2 likewise the ,visconti in ,milan4 ,the royal court of ,aragon in ,palermo offered a sheltering asylum to astronomy and to astrology4 ,alfonso ,x4 of ,castile was so enthusiastic a friend of scientific astronomy that he ordered the planet-tables of ,ptolemy to be restored1 with an outlay of enormous costs1 by fifty astronomers called by him to ,toledo4 ,german princes1 such as ,elector ,joachim of ,brandenburg1 ,albrecht1 ,elector of ,mayence1 ,landgrave ,william of ,hesse1 ,duke ,albrecht of ,prussia1 not only adhered to the predictions of the stars1 but they also subscribed to the statements of astrological medicine4 ,thus1 for instance1 ,thomas ,erastus 7died #aehc7 the well-known opponent of ,paracelsus1 tells us that1 as body-physician to the reigning count of ,henneberg1 he was not permitted to begin a course of treatment until he had consulted the stars4 ,the ,german emperor1 ,charles ,v41 was quite as constant a friend of the astrologists2 he was instructed in astrology by his teacher1 the subsequent pope1 ,hadrian ,,vi4 ,the court of ,denmark was the center of astrological teachings under ,frederick ,,ii41 as no less a personage than ,tycho de ,brahe was active there4 ,but not only rulers favored astrology1 it met with implicit belief from highly enlightened scholars1 statesmen1 and naturalists4 ,thus1 ,melanchthon was so convinced an adherent of all astrological doctrines that he was incessantly active in their favor by mouth and by pen4 ,and when fatal disease had finally seized upon him1 he was soon satisfied as to the issue1 in that ,mars and ,saturn happened to be in conjunction 7,mhsen1 ,vol4 ,,ii41 page #daf74 ,however1 men were not wanting who courageously took up the battle against astrological delusions4 ,thus1 for instance1 the friend of ,lorenzo of ,medici1 the learned ,count ,pico of ,mirandola 7#adfc-adid72 also ,girolamo ,fracastori 7#adhc-aeec71 who is known by his didactic poem on syphilis1 opposed astrology4 ,if we now ask how it was possible that a superstition like astrology could for centuries dominate ,occidental medicine1 and was even able to influence the best minds in its favor1 an answer to this question will not be as difficult as might appear at first glance4 ,the very best and the most enlightened minds are always particularly affected by what is enigmatical and mysterious in the phenomena of life4 ,they perceive the narrow limits set to our cognition of nature much more acutely and deeply than the average mind4 ,this consciousness of the insufficiency of our own knowledge1 joined with an ardent desire after a broadening of our understanding1 tends to turn the mind in strange directions4 ,the result of clearer self-knowledge in this modern epoch of ours is an adverseness to any form of romantic fancy1 and is likely to end in a sad resignation that may result in pessimism4 ,but the middle ages1 with their exuberant confidence and faith1 their belief in wonders1 and their romantic ideas1 did not suffer to any great extent from scientific apathy4 ,a sharply defined1 mystic tendency helped to overcome what was inadequate in the cognition of nature4 ,and for this reason do we find this mystic tendency prominent1 especially in those representatives of that period who1 owing to their mental capacity1 were bound to perceive their defective insight into the manifestations of life much more intensely than this was felt by the average persons of narrower intellect4 ,the conditions thus described1 as well as the diagnostico-theoretical principles on which medicine and natural sciences were based in antiquity and in the middle ages1 until late in the eighteenth century led many mentally gifted men to consider astrology rather a refuge from the current defective conception of natural phenomena than a false doctrine4 ,,vi ,,influence ,,exerted ,,upon ,,the ,,development ,,of ,,superstition ,,by ,,medicine ,,itself ,as ancient1 medieval1 and some more modern theories of medicine have traveled over the same diagnostico-theoretical roads as did the natural science of those periods1 they were naturally subject to the same errors and aberrations4 ,but the consequences of their errors differed materially4 ,whereas natural science1 in the early and middle ages1 with its faulty diagnostico-theoretical method1 too frequently had recourse to supernatural factors to explain terrestrial phenomena1 and thus created superstition instead of elucidation1 the pathology of ancient as well as of medieval medicine avoided as much as possible any recourse to miraculous agencies in explaining the pathological phenomena of the body4 ,this it was forced to do for the sake of self-preservation4 ,for what would have become of the physicians with their art1 which was of a purely material kind1 working as it did with drug and knife1 if they themselves had traced disease to supernatural causes8 ,no one1 under such conditions1 would have had any dealings with mundane medical science4 ,it is true1 there have been times when such a state of things actually existed4 ,the physician1 with his earthly appliances1 was always led astray as soon as metaphysical ideas had victoriously entered pathology4 ,history affords numerous examples of this4 ,the cult of relics1 the belief in astrology during half of the middle ages1 show plainly to what a degrading position the physician was reduced as soon as a pathology reckoning with earthly factors was replaced by a metaphysical theory of disease4 ,then the physician was either completely thrust aside--' 1 as says ,plutarch 78,superstition10 ,vol4 ,i41 page #dab7--or he was forced to submit to a disgraceful interference4 ,all schools of medicine1 therefore1 from the humoral pathology of the followers of ,hippocrates to the so-called parasitism of the nineteenth century1 have avoided as much as possible the acknowledgment that supernatural influences were active as pathological factors4 ,various as the principles of the countless medical schools may have been1 they were all united in assuming as the starting-point of their speculations some material process of the body itself1 in accordance with which they applied their therapeutic agencies4 ,sometimes1 it is true1 it would seem as tho medicine1 under some circumstances1 had recourse to supernatural factors in explaining various phenomena of physiological as well as pathological conditions2 as1 for instance1 in the primeval pneuma-doctrine1 or in those conceptions which attribute to a mental or psychical principle a far-reaching influence upon the performance of all bodily functions4 ,upon closer investigation1 however1 we shall find that the pneuma1 or spirit1 the soul1 or whatever else the mysterious mainspring of all phenomena of life may be called1 was by no means conceived of by medicine as immaterial or supernatural4 ,on the contrary6 ,medicine1 as often as it required a spiritual something to explain the manifestations of the body1 has always regarded this unknown quantity as thoroughly substantial4 ,it has not1 indeed1 been possible to determine more precisely the material nature of this great unknown1 altho such attempts are by no means wanting in ,democritus1 ,galen1 and others2 still it was always considered a corporeal thing4 ,supernatural qualities were ascribed to it only after death1 but so long as the soul animated the body1 united with the latter1 it was a terrestrial being1 and as such obeyed the laws of terrestrial substance4 ,it was possible for medical science1 therefore1 to reckon with it in the explanation of pathological processes without necessarily expecting a reproach that supernatural agencies were called in for assistance4 ,medicine1 therefore1 altho it has traveled the same diagnostico-theoretical road as natural science1 has not1 like the latter1 directly produced superstition4 ,it is true1 it has called forth innumerable erroneous hypotheses4 ,but a wrong hypothesis1 altho it may be nonsensical to the utmost and give rise to the most serious practical consequences1 is by no means superstition2 for both error and superstition--so far as it is a question of medical matters--are two radically different conceptions1 because the former concerns itself only with natural1 the latter with supernatural factors4 ,yet it is quite conceivable that the dissemination of an intellectual principle can be furthered and promoted without overt advocacy of the principle itself1 and this was the relation that existed for thousands of years between medicine and superstition2 for we learn from this investigation that the representatives of medicine were too often ready to admit all kinds of superstitious views into medicine4 ,whenever religion1 philosophy1 and natural science have seriously attempted to influence medicine in a manner promoting superstition1 medical science yielded to these attempts1 and this is the only reproach which can be justly laid at the door of our science4 ,however1 this reproach is mitigated if we consider that medicine did not accord a home to superstition of its own free will1 or even from a predilection for the heresies of other disciples1 but it did so under compulsion2 for the religious1 the philosophical1 the physical views which forced the entrance of superstition into medical science were almost always the views of a formidable party4 ,it is a fact sufficiently demonstrated by history that powerful and far-reaching predilections of the popular mind resistlessly hurry along whatever is in their path4 ,such mental currents are the products of their period2 they are the immediate result of the general sentiment and feeling of their time1 and for this very reason they successfully overcome resistance4 ,the opinion of a single individual may raise a protest against the spirit of the age1 but this resistance is always bound to be in vain4 ,the opinion of a single individual1 even if it actually represents the truth1 is absolutely powerless to resist the spirit of the age which1 with elemental force1 compels obedience4 ,therefore1 the courageous1 truth-seeking resistance which was offered to the heresies of ,medicina ,astrologica by ,pico of ,mirandola and ,girolamo ,fracastori was bound to be futile1 because astrology was a genuine child of its time1 and therefore held irresistible sway over thought and sentiment4 ,if religion and philosophy so often interfered with the development of medicine1 this was only possible because the general tendency of the contemporary mind was thoroughly absorbed in this or that religious or philosophical idea4 ,for each domain of human activity must needs be a mere reflection of the tendency which guides the mind of its period4 ,this is a law which1 with iron force1 dominates the development of culture4 ,superstition in medicine1 therefore1 was bound to flourish and thrive whenever it harmonized with the spirit of the age4 ,this law1 tho it may have checked the development of our science1 nevertheless holds out the certain promise of a period1 the intellectual power of which will thoroughly clear away all relics of superstition1 which1 still persisting in the minds of the many1 drives them to the faith-curist and to the quack4 ,,vii ,,medical ,,superstition ,,and ,,insanity ,the history of medicine is conjoined with the evolution of theology to an extent which makes them almost inseparable1 and this may best be seen from a study of the management of the insane1 which is a continuous record of cruelty based upon medico-theological superstition4 ,perhaps the most heartrending chapter of unphilosophical theology teems with the narration of thousands of unfortunate beings murdered1 tortured1 and mishandled by the finesse in the interpretation of ,biblical texts4 ,the greatest triumph of modern medicine has consisted in unfettering the views of effete centuries1 born of superstition and misconception1 and in placing the treatment of the insane upon a humane1 often even a curative1 plane4 ,as other afflictions of humanity were attributed to the agency of evil spirits1 this was particularly the case with insanity2 for if the evil one found it an easy task to control the corporeal acts of humanity1 his power over the mental functions of the person afflicted was even greater4 ,hence1 it was not the person who acted1 but the evil spirit in him4 ,thus1 the devil and his minions were the specific pathogenic agents4 ,this conception was not universal1 for history shows us that clear thinkers1 far in advance of their times1 had an almost correct view of the nature of insanity--namely1 that it was due to an affection of the mind4 ,among such men were ,hippocrates1 ,aretus1 ,soranus1 ,galen1 ,aurelianus1 etc41 and some of the ,mohammedan physicians4 ,these apostles of science taught that insanity was a disease of the brain1 and the most efficient remedy1 mild1 palliative treatment4 ,the belief which had flourished in most of the ,oriental religions from remote antiquity1 that the power of evil demons was the active cause of disease1 particularly that lunacy was due to diabolic possession1 became rooted in the early ,christian ,church and flourished for eighteen centuries1 each leaf of this malignant plant representing countless unfortunates sacrificed to superstition4 ,later it was thought that the moon had a direct influence upon perturbation of the mind2 hence1 the term 8lunacy0 developed4 ,these doctrines gained special credence in the first centuries after ,christ by the dissemination under the ,church ,fathers of the story of the miracles which they claimed had been performed by ,jesus of ,nazareth4 ,did not the ,savior cast out devils8 ,did ,he not cure madness8 ,the very word 8epilepsy0 shows by its derivation1 7to seize upon71 that possession was the presumable nature of the malady4 ,the noble work accomplished by the 8pagan0 pioneer alienists was discredited or forgotten1 and the ,church originated a process by which the possessed were to be treated4 ,this method of treatment was derived purely from theologic sources1 tempered with sufficient dogma4 ,at first the treatment was gentle1 in accordance with the spirit of the great physicians of antiquity1 and if the afflicted one was not violent he was permitted to attend public worship4 ,sacred salves and holy water1 the breath or the spittle of the officiating priest1 the touching of relics1 or a visit to holy places1 were the principal therapeutic agents employed4 ,these methods1 even if they did no good 7sometimes merely the consolation of a kind word from the priest had a beneficial effect71 certainly did no harm1 even tho such practises were factors in the spread of superstition4 ,this mild form of treatment did not1 however1 long continue4 ,soon measures were directed toward driving out the evil spirit from the possessed4 ,this was attempted in various ways2 first1 by exorcism1 in the period of ,justin ,martyr1 and continued up to almost recent times 7see ,lecky1 8,history of ,european ,morals074 8,from the time of ,justin ,martyr for about two centuries1 there is1 ,i believe1 not a single ,christian writer who does not solemnly and explicitly assert the reality and frequent employment of this power40 ,one of the chief attributes of the devil was pride1 therefore attempts were made by exorcism to pierce this vulnerable point in the armor of the evil one1 and the foulest1 vilest epithets were used to attain this end4 ,it is impossible to-day to print these expressions1 even in a work of scientific character1 and it is better1 perhaps1 to refer such as are especially interested in them to the ,manuale ,benedictionum1 by the ,bishop of ,passau1 published in #ahdi1 and similar works4 ,adjuvants to this form of treatment consisted in 8frightening0 the devil by long words1 difficult to pronounce1 commonly derived from ,oriental languages1 by the administration of malodorous and filthy 8drugs10 and similar practises4 ,it was claimed that many devils were thus driven out1 and the annals of the ,church contain numerous records of persons cured in this manner4 8,the ,jesuit ,fathers at ,vienna1 in #aehc1 glorified in the fact that in such a contest they had cast out twelve thousand1 six hundred and fifty-two living devils0 7,white74 ,the prevalence of these ideas to such a degree in the minds of the people may be noted from the fact that1 in the churches themselves1 such scenes are carved in stone and depicted on canvas4 ,medieval drama teemed with similar conceptions1 and this condition of affairs prevailed for over one thousand years1 unfortunately not in this harmless manner1 but supplemented by great cruelty1 which forms1 perhaps1 the most terrible chapter in the history of medical superstition4 ,the subtleties of theologic interpretation soon evolved a more comprehensive method of dealing with the 8possessor0 and the possessed4 ,as an appeal to pride was ineffectual and noxious drugs unavailing1 it was found necessary to whip the devil out1 or the unfortunate individuals were imprisoned1 and as a refinement of this treatment they were even tortured4 ,thus the jailer for a long time played the part of a specialist in lunacy1 with the clergy in consultation4 ,places in which the insane were confined were known as 8fool towers0 and 8witch towers40 ,this state of things was not altered with the dawn of the ,reformation4 ,the writings of ,luther conclusively show his ideas in regard to possession and witchcraft1 and these views under ,calvin reached enormous development4 ,even ,cotton ,mather1 in many respects far in advance of his times1 and who himself had known persecution1 was not emancipated from these delusions1 and ,salem has many a story to tell of possession and witch-baiting4 ,it is true we may quite properly consider these views as the thought of the times1 but1 in many other respects1 ,luther1 ,calvin1 and ,mather were in advance of their period1 and1 therefore1 a justification for their actions is not quite apparent4 ,marcus ,aurelius also was much superior to his age1 yet was grateful to his teachers that they taught him to disregard superstition in all its various forms4 ,it is not unlikely that conditions of this kind frequently led to epidemics--if not of actual insanity1 at least to hysteria--which not rarely developed in cities1 nunneries1 and monasteries2 thus the epidemics in ,erfurt in #abcg1 in the ,rhine countries in #acgd1 and many others 7see ,hirsch74 ,it is rather remarkable that while such views and practises prevailed in the ,christian ,church1 the followers of ,mohammed not only held different views1 but adopted a mode of treatment of the insane which laid the foundation of modern therapeutics in diseases of the mind4 ,in the twelfth century1 in ,bagdad1 a palace called the 8,home of ,mercy0 was built1 in which the insane were confined1 examined every month1 and released as soon as they had recovered4 ,an asylum in ,cairo was founded in #acjd1 while the first ,christian asylum expressly for the mad is noted in #adji 7,lecky74 ,but science fought its way through the barriers of ignorance1 misdirected zeal1 and superstition4 ,altho there were physicians and 8magicians10 who conformed to the views of the ,church1 the seed sown by the earlier schools of medicine slowly but surely began to put forth shoots1 and the result was a tree of knowledge1 the fruit of which may be observed in every modern insane asylum of the world1 where the unfortunate sufferer is treated with kindness and skill1 which1 fortunately1 often results in cure4 ,scientific reason frequently rebelled against the 8insane superstition10 at first mildly1 but constantly increasing in strength1 until an effectual protest was finally raised by ,john ,weir1 of ,cleves1 who was soon followed by ,michel de ,montaigne4 ,and now a battle royal was waged between the adherents of theology and the disciples of the 8resurrected0 truth1 and once more in the history of the world was demonstrated the correctness of the saying1 that 8truth crushed to earth shall rise again40 ,all over the world the warfare was carried1 and at the end of the eighteenth century new champions arose--,jean ,baptiste ,pinel in ,france1 and ,william ,tuke in ,england4 ,their followers are legion1 and in the book of life1 in letters of gold1 many a name has been written of those who trod in the footsteps of these pioneers4 ,theology no longer interferes in the treatment of the insane2 in fact1 it would be manifestly unjust not to mention that many ,christian theologians subsequently joined in the noble work of lunacy reform1 and aided progress greatly4 ,how great this progress in the treatment of the insane can best be appreciated by some of the older physicians in practise to-day4 ,who does not remember the chains1 the strait-jacket1 the dark locked cells of the insane asylum8 ,these conditions existed not very many years ago1 and altho the novels of ,charles ,reade are no doubt greatly exaggerated in regard to the conditions he portrayed in insane asylums1 yet more than a grain of truth is probably contained in them4 ,the books did much to bring about reforms in ,england and elsewhere4 ,modern alienists have wrought wonders2 their successful operations are not published in the daily press1 but any visitor who knows what an insane asylum was fifty years ago1 and who spends a few hours in a modern hospital for the treatment of lunatics1 will observe what appears but little short of the miraculous4 ,imagine two thousand or more insane persons dining in a large hall1 upon the table a tablecloth1 and the insane using knife and fork in a decorous manner1 and when the visitor is told that the 8violent ward0 is also present1 and is asked to single these out from among the many1 and fails 7as he invariably does71 the results attained by science1 above all other measures1 are strikingly apparent4 ,,bibliography lius ,spartianus4 ,de ,vita ,hadriani4 ,caracalla4 ,in ,peter3 ,scriptores ,histori ,august4 ,lipsi1 #ahhd4 ,alexander von ,tralles4 ,original ,text und ,uebersetzung von ,puschmann4 ,wien1 #ahgh-gi4 ,almansoris4 ,astrologi propositiones ad ,saracenorum regem4 ,basile1 #aeea4 ,aristophanis ,comoedi4 ,ed4 ,bergh4 ,lipsi1 #ahgh-gh4 ,aureli ,augustini4 ,de divinatione daemomum4 ,corpus scriptorum ecclesiasticorum latinorum4 ,ed4 ,zycha4 ,vindobon1 #aijj4 ,bartisch1 4 ,das ist ,augendienst4 ,dresden1 #aehc4 ,baur4 ,apollonius von ,tyana und ,christus4 ,tbingen1 #ahcb4 ,bernoulli4 ,die ,heiligen der ,merowinger4 ,tbingen1 #aijj4 ,berthelot4 ,la chemie des anciens et du moyen ge4 ,paris1 #ahhi4 ,bethem4 ,centiloquium4 ,basile1 #aeea4 ,bouch-,leclercq4 ,l'astrologie grecque4 ,paris1 #ahii4 ,csarius ,heisterbacensis4 ,dialogus miraculorum4 ,ed4 ,strange4 ,cln1 #ahea4 ,campbell1 ,thompson4 ,the ,reports of the ,magicians and ,astrologers of ,nineveh and ,babylon in the ,british ,museum4 ,london1 #aijj4 ,delitzsch4 ,babel und ,bibel4 ,leipzig1 #aijc4 ,batavi4 ,jahrbcher fr klassische ,philologie4 #af4 ,supplementband4 ,leipzig1 #ahhh4 ,erastus1 ,thomas4 ,de ,astrologia divinatrice epistol4 ,basile1 #aehj4 ,ermerius4 ,anecdota medica graeca4 ,lugd4 ,batovorum1 #ahdj4 ,eunapius ,sardianus4 ,de vitis philosophorum et sophistorum4 ,ed4 ,hieronymus ,cammelin4 ,coloni ,allobrogum1 #afaf4 ,fhner4 ,lithotherapie4 ,berlin1 #aijb4 ,galeni ,opera omnia4 ,ed4 ,gottlieb ,khn4 ,leipzig1 #ahba-cc4 ,gregorii ,turonici histori ,francorum libri decem4 ,paris1 #aefa4 ,gregorovius4 ,geschichte der ,stadt ,rom im ,mittelalter4 ,stuttgart1 #ahhf-if4 ,gregorovius4 ,der ,kaiser ,hadrian4 #c4 ,aufl4 ,stuttgart1 #ahhd4 ,hser4 ,lehrbuch der ,geschichte der ,medicin und der epidemischen ,krankheiten4 #c4 ,bearbeitung4 ,jena1 #ahge-hb4 ,hansen4 ,zauberwahn1 ,inquisition und ,hexenprocess im ,mittelalter4 ,historische ,bibliothek4 ,band ,,xii4 ,mnchen und ,leipzig1 #aijj4 ,harnack4 ,medicinisches aus der ltesten ,kirchengeschichte4 ,leipzig1 #ahib4 ,hermetis ,centum aphorismorum liber4 ,basile1 #aeea4 ,hippocrates4 ,smmtliche ,werke4 ,in's ,deutsche bersetzt von ,fuchs4 ,mnchen1 #ahie1 #aijj4 ,hoffmann4 ,de ,potentia diaboli in corpore4 ,hal1 #agjc4 ,hoffmann4 ,medicus politicus4 ,hal1 #agdf4 ,deutsch von ,ansbach4 ,leipzig1 #agec4 ,jacobi ,forliviensis egregia et subtilis expositio cum qustionibus supra aureum capitulum de generatione embrionis4 ,venedig1 #aejb4 ,josephi ,flavii opera4 ,ed4 ,destinon et ,niese4 ,band ,,vi4 ,berlin1 #ahid4 ,klenke4 ,wie mssen ,dmonenglauben1 ,besessensein und ,kerner-,eschenmayer'sche ,gespenstererscheinungen nach dem heutigen ,standpunkt der ,physiologie und ,psychologie erklrt werden8 ,leipzig1 #ahdj4 ,krusch4 ,passiones vitque sanctorum vi ,merovingici et antiquorum aliquot4 ,in ,monumenta ,germani historica ,tomus ,,iii4 u4 ,,iv4 ,hannover1 #ahif1 #aijb4 ,lecky4 ,geschichte des ,ursprungs und ,einflusses der ,aufklrung in ,europa4 bersetzt von ,dr4 ,jolowicz4 ,leipzig und ,heidelberg1 #ahfh4 ,lehman4 ,aberglaube und ,zauberei von den ltesten ,zeiten an bis in die ,gegenwart4 ,deutsche autorisierte ,ausgabe von ,dr4 ,petersen4 ,stuttgart1 #ahih4 ,livius4 ,ab urbe condita4 ,ed4 ,weissenborn-,mller4 ,leipzig1 #ahia ff4 ,lucrez4 ,de rerum natura4 ,ed4 ,brieger4 ,lipsi1 #ahii4 ,magnus4 ,medicin und ,religion4 ,abhandlungen zur ,geschichte der ,medicin4 ,herausg4 von ,magnus1 ,neuburger1 ,sudhoff4 ,heft ,i4 ,breslau1 #aijb4 ,magnus4 ,die ,augenheilkunde der ,alten4 ,breslau1 #aija4 ,magnus4 ,metaphysische ,krankenbehandlung4 ,medicin-geschichtliche ,studien ber ,gesundbeten und verwandte ,bestrebungen4 ,breslau1 #aijb4 ,dietrich4 ,papyrus magica musei ,lugdunensis ,marci ,manilii4 ,astronomicon4 ,basile1 #aeea4 ,moehsen4 ,beschreibung einer ,berliner ,medaillen-,sammlung4 ,gedchtnissmnzen berhmter ,aerzte4 ,berlin und ,leipzig1 #agha1 ,i4 u4 ,,ii4 v4 ,oefele4 ,verbotene ,aderlasstage in der ,keilschriftcultur4 ,wiener ,medicinische ,bltter1 #aijb1 ,no4 #aj4 ,petersen4 ,hauptmomente in der geschichtlichen ,entwickelung der medicinischen ,therapie4 ,kopenhagen1 #ahgg4 ,philostratus4 ,opera4 ,ed4 ,kayser4 ,leipzig1 #ahgj-ga4 ,c4 ,plini secundi ,naturalis histori libri ,,xxxvii4 ,recensuit ,sillig4 ,hamburgi et ,goth1 #ahea-eh4 ,plutarchi ,chaeronensis ,moralia4 ,rec4 ,bernardakis4 ,lipsi1 #ahhh4 ,porphyrii de abstinentia4 ,ed4 de ,roer4 ,trajecti ad ,rhenum1 #agfg4 ,priscianus ,theodorus4 ,euporiston4 ,ed4 ,rose4 ,leipzig1 #ahid4 ,ptolemus4 ,quadripartitum4 ,basile1 #aeea4 ,ptolemus4 ,centiloquicum4 ,basile1 #aeea4 ,puschmann4 ,handbuch der ,geschichte der ,medicin4 ,jena1 #aijb-jc4 ,rantzovius4 ,catalogus ,imperatorum1 regum ac principum qui artem astrologicam amarunt et exercuerunt4 ,lipsi1 #aeha4 ,rantzovius4 ,tractatus astrologicus4 ,francofurti1 #aecc4 v4 ,ringseis4 ,system der ,medicin4 ,regensburg1 #ahda4 ,sextus ,empiricus4 4 ,ed4 ,becker4 ,berlin1 #ahdb4 ,soranus ,ephesius4 ,frauenkrankheiten und ,geburtshlfe4 ,uebersetzt von ,lneburg und mit med4 ,noten versehen von ,chr4 ,huber4 ,mnchen1 #ahid4 ,sprengel4 ,versuch einer pragmatischen ,geschichte der ,arzneykunde4 ,halle1 #ahba-ahbh4 ,stich4 4 ,lipsi1 #ahhb4 ,stffler4 ,calendarium romanum magnum4 ,oppenheim1 #aeah4 ,sudhoff4 ,zur ,geschichte der ,lehre von den kritischen ,tagen im ,krankheitsverlaufe4 ,wiener med4 ,wochenschrift1 #aijb1 ,no4 #e ff4 ,sudhoff4 ,medicinisches aus babylonisch-assyrischen ,astrologen-,berichten4 ,die medicinische ,woche1 #aija1 ,no4 #da4 ,sudhoff4 ,jatromathematiker1 vornemlich im #ae4 und #af4 ,jahrhundert4 ,abhandl4 zur ,geschichte der ,medicin4 ,herausgegeben von ,magnus1 ,neuburger1 ,sudhoff4 ,heft ,,ii4 ,breslau1 #aijb4 ,suidas1 ,lexicon4 ,ed4 ,bekker4 ,berlin1 #ahed4 ,villoison4 ,anecdota grca4 ,venetiis1 #agha4 ,wierus4 ,de dmonum prstigiis et incantationibus libri ,,vi4 ,basile1 #aeff und #aegg4 ,amstelodami1 #affd4 ,winckler4 ,die ,gesetze ,hammurabis1 ,knigs von ,babylon4 ,in3 ,der alte ,orient4 ,jahrgang #d1 ,heft #d4 ,leipzig1 #aijb4 ,windelband4 ,geschichte der alten ,philosophie4 ,handbuch der klassischen ,alterthums-,wissenschaft4 ,herausg4 von ,j4 von ,mller4 ,band ,v41 ,abth4 #a4 ,mnchen1 #ahid4 ,transcriber's note ,words in italics were surrounded with underscores and words in small capitals with all capitals4 ,the following corrections were made1 on page #ah 8conspiculously0 changed to 8conspicuously0 7becomes conspicuously prominent7 #cj 8explicity0 changed to 8explicitly0 7will be more explicitly referred to7 #eg 8,julien0 changed to 8,julian0 7led her toward the grave of ,st4 ,julian7 #gg 8guage0 changed to 8gauge0 7gauge the ideas of priests7 #ia 8,ephesus7#ejj0 changed to 8,ephesus 7#ejj0 7the absurd theory which ,heraclitus of ,ephesus 7#ejj ,b4,c47 has propounded7 #aaf 8invidual0 changed to 8individual0 7to plague an individual being7 #aib 8person the0 changed to 8the person0 7it was not the person who acted7 #aif 8manasteries0 changed to 8monasteries0 7nunneries1 and monasteries7 #bjc 8autorisirte0 changed to 8autorisierte0 7,deutsche autorisierte ,ausgabe74 ,otherwise the original was preserved1 including inconsistent hyphenation and possible errors in languages other than ,english1 for example the capitalisation in ,greek sentences4