Chapters in the History of the Insane in the British IslesTuke, Daniel Hack
History
Chapters in the History of the Insane in the British Isles
Tuke, Daniel Hack
Mental health laws -- Great Britain; Mental illness -- Great Britain; Mentally ill -- Care; Psychiatric hospitals -- Great Britain
Returning to Burton, it should be said that among the causes of the
disease he distinctly recognizes the same uncanny influence that his
contemporaries Coke and Hale regarded as a legal fact--I mean
witchcraft. After saying that "many deny witches altogether, or, if
there be any, assert that they can do no harm," of which opinion, he
adds, "is our countryman (Reginald) Scot (of Kent),[44] but of the
contrary opinion are most lawyers, physicians, and philosophers," he
proceeds, "They can cause tempests, etc., which is familiarly practised
by witches in Norway, as I have proved, and, last of all, cure and cause
most diseases to such as they hate, _as this of Melancholy among the
rest_."[45]
It may be asked, What was the medical knowledge or practice at the time
of Coke and Hale, to which they would turn for direction when insanity
came before them in the courts of law? and I think a correct reply would
be best obtained by taking this wonderful book of Burton's, the works of
Sir Thomas Browne, who gave evidence before Hale, and what may be called
the case-book of the celebrated Court physician, Sir Theodore de
Mayerne. A Genevese, he settled in England in 1606, and was regarded as
the highest authority in mental and nervous affections. A medical work
of his was translated into Latin by Bonet. Mayerne's treatment was
certainly of a somewhat cumbrous character, and his patients must have
had an unusual and commendable amount of perseverance if they pursued it
thoroughly. The drugs probably cured in part, at least, from the duty
entailed upon the patients of collecting the numerous herbs which were
ordered for the composition of the mixture, and Sir Theodore truly and
naïvely remarks to one of his patients, "It will take some time before
you have mixed your medicine." It is clear that he was under the
influence of the old belief in the connection between the liver and
insanity, and the paramount importance of getting rid of the black bile.
Of one case he asserts that the root of all the griefs wherewith the
patient has been afflicted is a melancholy humour, generated in the
liver and wrought upon in the spleen. This humour is stated to be mixed
in the veins, and so extended to the brain, which this offensive enemy
of nature doth assault as an organical part. Hence, he says, it happens
that the principal functions of the soul do act erroneously. His
treatment consisted of emetics, purges, opening the veins under the
tongue, blisters, issues, and shaving the head, followed by a cataplasm
upon it, the backbone anointed with a very choice balsam of earthworms
or bats. One prescription for melancholia contains no less than
twenty-seven ingredients, to be made into a decoction, to which is to be
added that _sine quâ non_, the ever precious hellebore. Other remedies
were prescribed; in some cases the "bezoartick pastills," composed of an
immense number of ingredients, including the skull of a stag and of a
healthy man who had been executed.
Public-domain text, read in full here on John Shaqi.
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