I would willingly appeal, in support of this last allegation, to the
different chapters on lepra, as compared with those on the other
cutaneous diseases, in the works of the Arabian physicians, and of those
European medical authors of the middle ages whose writings I have
already referred to. Indeed, the accounts and diagnosis of tubercular
lepra, as given by Rhazes, Theodoric, Lanfranc, Arnold de Villeneuve,
Gilbert, etc., might well stand as models of medical description even at
the present day. And if, in France, the strong and earnest injunctions
of Bernhard Gordon were in any degree respected, that no person be
adjudged as requiring separation for leprosy until the second stage
(according to his division of the disease) had supervened, and the
_signa infallibilia_ of the malady had already shown themselves in the
usual marks traceable in the _corruptio figurae et formae_ of the
suspected individual, cases of unjust condemnation to the lazar-houses
would be much less common than might be otherwise imagined. We have
already seen that in England, in the fourteenth century, John of
Gaddesden inculcated the same salutary rules and precautions, and
insisted that no one be separated from the general community as a leper,
unless already “_figura et forma faciei corrumpantur_.”
Certainly, on some occasions, the examination to which the patient was
subjected, in order to ascertain if he were truly a leper or not, seems
to have been of the most searching and scrutinising nature. I have
already alluded to the strict rules of examination that have been
preserved for us in the works of different authors, and quoted the
method recommended by Guy de Chauliac to be followed by physicians
before they remitted suspected patients with medical certificates to the
magistrates (_cum literis medicorum ad rectores_). In the _Examen
Leprosorum_, published by Gesner, and which appears to have been drawn
up as an official formula, if I may so term it, for examining into
suspected cases, the details are most elaborate and searching. There are
between fifty and sixty signs of the disease which the examiner is
requested to look for. Twelve of these signs are taken from the general
state of the body; seven or eight of them from the hands and feet; six
from the blood; five from the face; six from the mouth; eight from the
eyes and eyebrows, etc. etc. The document commences by stating, “that it
is the duty of the physician to be versed in, and attentive to, the
signs of the disease, and to ponder often (_revolvere multoties_) upon
them. He should put his trust (it adds) not in one sign, but in many,
and he should see what signs are proper (_propria_) to the leprosy, and
what are equivocal.” Before making the examination, the document states
that (as is also recommended by Guy de Chauliac[215] and others), the
physician should, in the first instance, give some words of
encouragement and consolation to the patient, and show that this disease
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