The type of the Black Death in England is sufficiently indicated by Le Baker, who was probably living at Osney, near Oxford, when the infection began, and indubitably by friar Clyn of Kilkenny. Le Baker mentions the _apostemata_ or swellings in diverse parts, their sudden eruption, and their extreme hardness and dryness, so that hardly any fluid escaped when they were lanced according to the usual method of treating them[225]. He speaks also of a peculiarly fatal form, from which few or none recovered; it was characterised by “small black pustules” on the skin, probably the livid spots or “tokens” which came to be considered the peculiar mark of the plague, and were certainly the index of a malignant type of it, just as the corresponding haemorrhages are in pestilential fever (or typhus) and in yellow fever. The disease, he adds, was swift in doing its work: one day people were in high health and the next day dead and buried. Knighton also says, with special reference to Bristol, that the attack was fatal sometimes within twelve hours, and usually within three days at the most. The treatment, which would have been, according to all subsequent experience, the privilege only of those who could pay for it, would appear to have consisted in lancing the risings or botches in the armpits, neck, or groins; these were the lymph-glands enlarged to the size of a walnut or of a hen’s egg, and of a livid colour,--the most striking and certain of all the plague-signs. Clyn’s account of the disease, as he saw it at Kilkenny in 1349, is important for including one remarkable symptom on which great importance has been laid as distinctive of the Black Death among the epidemics of bubo-plague, namely haemorrhage from the lungs: “For many died from carbuncles, and boils, and botches which grew on the legs and under the arms; others from passion of the head, as if thrown into a frenzy; others by vomiting blood[226].” It was so contagious, he says, that those who touched the dead, or even the sick, were incontinently infected that they died, and both penitent and confessor were borne together to the same grave. Such was the fear and horror of it that men scarce dared exercise the offices of pity, namely, to visit the sick and bury the dead. Clyn’s list of symptoms includes all the most prominent features of the plague as we shall find them described for the great epidemics of the Stuart period--the botches in the armpits or groins, the carbuncles, the boils (or blains), and the frenzy or delirium, as well as the special symptom of the great mortality--vomiting of blood.