Mere mortals : $b Medico-historical essaysMacLaurin, C. (Charles)
History
Mere mortals : $b Medico-historical essays
MacLaurin, C. (Charles)
Biography; Pathology
The epidemic endured at Avignon for eight months, and Guy tells us that
for the first three it took the form, in our terminology, of pneumonic
plague and was intensely infectious, but for the other five it seems to
have been the ordinary bubonic that was so fatal in London in 1665. Guy
remained in Avignon for the Black Death, and faced its return twelve
years later. In the first visitation the poor suffered, but in the
second the rich; but, rich or poor, Guy remained at his post with his
ample store of aloes to win the love of the dying whom he could not save.
We know now some results of crude aloes which are not very pleasant, and
I wonder whether Master Guy de Chauliac ever noticed them, or whether
his patients ever came running to him to cure them of the effects of his
aloes.
To sum up, it is probable that the series of epidemics that we call
the Black Death were all different varieties of the plague; bubonic,
pneumonic, septicæmic, hæmorrhagic, etc. The sentimental and journalistic
Nordic nations, such as the English and Germans, muttered the horrified
name “Black Death,” afraid to give the thing a name, just as to-day
they talk about the “Red Plague” or “a certain loathsome disease” when
they mean to say syphilis; but the more clear-sighted and logical
Mediterranean peoples knew that the thing certainly killed them, though
they did not know what it was, so they simply called it La Grande
Mortelaga—the Great Mortality, which it assuredly was. We prosaic
moderns simply call it the plague, whose dread name even to-day makes us
shudder. We do not fear it, because we know exactly how it is spread,
and that, to use Osler’s epigrammatic words, all that one needs to
defeat an epidemic of plague is a stout heart and a long purse. During
the fourteenth century men’s hearts, being very ignorant, were not very
stout, and their purses were atrociously short. It would hardly be too
much to say that during the Middle Ages, and up till about 1700, the
greatest cause of death in cities was the plague. After 1700 people
slowly began to become rich, and to build better houses which would keep
the rat at a distance, so that man conquered the plague without knowing
how he had done it. But the conditions in the Middle Ages must have
been frightful. Listen to the words of Dr. Abram in _English Life and
Manners in the Later Middle Ages_ about the overcrowding, which would put
even Glasgow to shame. He is referring to the Miller of Trumpington in
Chaucer’s _Reve’s Tale_; and the miller cannot have been a very poor man;
he was prosperous and on edge for his dignity. But in his house there
was only one bedroom, where slept he himself, his wife, his baby, his
grown-up daughter, and two undergraduates from Cambridge all at once.
Public-domain text, read in full here on John Shaqi.
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