After giving the above accurate description of the leprosy, Gordon, in a
subsequent page,[178] earnestly states, “No one ought to be adjudged as
a leper unless there manifestly appear a corruption of the figure
(_corruptio figurae_), or that state which is indicated by his _signa
infallibilia_. And I repeat to you this (he adds), as often as I have
occasion to mention the _corruptio figurae_, because, as it appears to
me, lepers are at the present day very injudiciously adjudged. Whoever,
therefore, has ears, let him attend to this, if he will.”
The other medical author whom I particularised for quotation, Guy de
Chauliac, practised first at Lyons, and afterwards at Avignon. He was
one of the most celebrated surgeons in the fourteenth century,[179] and
was successively medical attendant upon Popes Clement VI. and Urban
V.[180] From the notice which he gives of the Black Death Pestilence of
1363, it would seem that he was then stationed at Avignon, and engaged
in the Composition of his “Inventarium sive Collectorium Partis
Chirurgicalis Medicinae.” In the long disquisition on lepra, contained
in the 6th treatise of this work,[181] De Chauliac, after stating the
usual subdivision of the disease into four varieties or species
(Elephantia, Leonina, Tyria, Alopecia), goes on to describe the common
signs of all the varieties of leprosy, (signa communia _Omnium_
specierum Lepræ). The signs or symptoms indicating the actual presence
of the disease are, he says, some unequivocal, others equivocal (_quædam
univoca, quædam equivoca_). Among the former set (_signa univoca_) he
ranges the six following symptoms:—“(1.) rotundity of the ears and
eyes; (2.) thickening and tuberosity of the eyebrows, with falling off
of their hair; (3.) dilatation and disfiguration of the nostrils
externally, with stricture of them within, and fœtidity of the lips;
(4.) voice raucous and nasal; (5.) fœtidity of the breath, and of the
whole person; (6.) fixed and horrible satyr-like aspect.”
I question if any of our modern nosologists, or any recent writers on
cutaneous diseases, have proposed a more correct definition, or accurate
and concise diagnosis of the _Elephantiasis Græcorum_ than is presented
in the above enumeration of its pathognomonic symptoms by the old French
surgeon.
Public-domain text, read in full here on John Shaqi.
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