[173] Several of the authors quoted above, divide the _species_
Lepra into four modifications or varieties: the Lepra Leonina,
Lepra Elephantia, Lepra Alopecia, and Lepra Tyria. This
division, which some of them freely allow to be founded more in
theory than in nature, seems to have been first proposed by
Constantinus Africanus. (_De Morborum Cognitione_, chap. 17.)
Like the fanciful fourfold subdivision of other diseases, it
was made in correspondence with the Hippocratic and Galenic
doctrine of the four humours. Theodoric, Arnald, Gilbert, and
the other authors who, in accordance with the pathological
creeds of the time, were led to adopt it, attribute each
particular variety to the operation and predominance of a
particular humour. John of Gaddesden has attempted, in his
_Rosa Anglica_, to dress up different medical doctrines in rude
Latin hexameters, and amongst others, he announces the doctrine
in question in the five following lines:—
Sub specie tetrâ deturpat corpora LEPRA;
TIRIA prima datur, de _flegmate_ quae generatur;
Turpe pilos pascens ALOPICUS, _sanguine_ nascens;
Fitque LEONINA, _colera_, fervente canina;
De _Mel_ _(Melancholia)_ fit tristis ELEFANTIA, tristior istis.
[174] The _History of Physick_, 5th edit. 1758, vol. ii. p. 263.
[175] Freind, p. 262.
[176] Sprengel, vol. ii. p. 448.
[177] _Bernhardi Gordonii Opera Medica_, Lugd. 1542, pp. 48 and
49.
[178] _Ib._ p. 54.
[179] See Freind, Sprengel, Eloy, etc.
[180] In the _Biographie Universelle, ancienne et moderne_,
Paris, 1813, tom. viii. p. 293, a third Pope, Innocent VI., is
added to this list.
[181] _Chirurgiae Libri Septem_, Lugd. 1572, p. 307, _sqq._
[182] _Gilberti Anglici Compendium Medicinae, tam morborum
universalium quam particularium, non solum medicis sed et
chyrurgicis utilissimum._ Vienna, 1510.
[183] Eloy’s _Dictionnaire Historique de Medecine, Ancienne et
Moderne_, 1778, tome ii. p. 349. Aitkin’s _Biographical Memoirs
of Medicine in Great Britain_, 1780, p. ix.
[184] Freind’s _History of Medicine_, 5th edition, vol. ii. p.
268.
[185] _Compendium Medicinæ_ (ut supra), p. 340.
[186] _Nosologia Methodica_, tome v. p. 229. Before citing
Gilbert’s description, Sauvages observes, “Plures hujus morbi
(Elephantiasis) varietates sunt quarum nomina et signa ex
Gilberto Anglo mutuabimur, loco Leprae Elephantiasin
nominando.”
[187] _Memoires de Medecine et de Physique Medicale tirés des
Registres de la Societé Royale de Medecine_, Années 1782-83, p.
200. Speaking of the Greek elephantiasis, or elephantiasis
legitima of Sauvages, they observe “on ne trouvoit nulle part,
pas même dans Arétée de Cappadoce, une exposition plus claire
que celle qui a été donnée par Gilbert, Medecin Anglois du
seizieme (?) siecle.”
[188] Sprengel’s _Histoire de la Medecine_ (Jourdain’s
translation). Tome ii. p. 404.
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