Medicine in the Middle Ages: Extracts from "Le Moyen Age Medical" by Dr. Edmond Dupouy; translated by T. C. MinorDupouy, Edmond
History
Medicine in the Middle Ages: Extracts from "Le Moyen Age Medical" by Dr. Edmond Dupouy; translated by T. C. Minor
Dupouy, Edmond
Medicine, Medieval
The symptoms noted by physicians, such as Kaye and Bacon, may
be classed into three distinct periods: 1. The period of chill,
characterized by pains and formication in the limbs an extraordinary
prostration of the physical forces—a tremulous, shaky period. 2. The
period of sweat, preceded by a burning heat all over the body and an
unquenchable feverish thirst. The patient was agitated, disquieted by
terror and despair. Many complained of spasms in the stomach, followed
sometimes by nausea and vomiting, suffocation and lumbar pains—a
constant symptom ever—headache, with palpitation of the heart and
præcordial anxiety. 3. This period was announced by a high delirium,
sometimes muttering, sometimes loquacious; a fetid sweaty odor,
irregular pulse, coma, and, in the last-named condition, death always
occurred.
The duration of the disease was most frequently but a few hours, rarely
exceeding a day, whether the termination was favorable or fatal.
Convalescence was always long, often being complicated by diarrhœa
or dropsy. It has been remarked in this connection that the malady
might be confounded with the miliary sweat observed in Picardy and
central France, but in the first named disease no cutaneous eruption
was observed. Fernel clearly affirms this statement, as he says: “In
this affection there is no carbuncle, bubo, exanthema nor eczema, but
simply a hypersecretion of sweat.”
Such was the sweating sickness of the sixteenth century, which made so
few victims in France, but which destroyed so many people in England
and Germany. The origin of this disease has been often discussed, and
also its nature; but all theories emitted by various authors partake of
the doctrines of other days and are too antiquated to be revamped. We
will content ourselves with saying that the classification of periods
made by us is logical, and we consider the sweating sickness of the
fifteenth century as a pernicious fever, in which the sweating stage
predominated and consequently became the characteristic symptom of the
affection.
THE SCURVY.
It has been supposed by many that Hippocrates described scurvy under
the name of _enlarged spleen_, an affection attributed to the use of
stagnant water and characterized by tumefaction of the gums, foul
breath, pale face, and ulceration of the lower limbs. But the study of
this Hippocratic passage leads us to think that these symptoms were
more of the character of scrofula than of scurvy. The recital by Pliny
of the diseases of the Roman soldiers while on an expedition to Germany
seems to indicate scurvy, which Coelius Aurelianus, and after him the
Arabian physicians, claims presented only a slight analogy to that
affection.
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