[1092]he laboured of head melancholy, and that which proceeds from the
whole temperature both at once. I could give instance of some that have
had all three kinds semel et simul, and some successively. So that I
conclude of our melancholy species, as [1093]many politicians do of
their pure forms of commonwealths, monarchies, aristocracies,
democracies, are most famous in contemplation, but in practice they are
temperate and usually mixed, (so [1094]Polybius informeth us) as the
Lacedaemonian, the Roman of old, German now, and many others. What
physicians say of distinct species in their books it much matters not,
since that in their patients' bodies they are commonly mixed. In such
obscurity, therefore, variety and confused mixture of symptoms, causes,
how difficult a thing is it to treat of several kinds apart; to make
any certainty or distinction among so many casualties, distractions,
when seldom two men shall be like effected per omnia? 'Tis hard, I
confess, yet nevertheless I will adventure through the midst of these
perplexities, and, led by the clue or thread of the best writers,
extricate myself out of a labyrinth of doubts and errors, and so
proceed to the causes.
SECT. II. MEMB. I.
SUBSECT. I.—_Causes of Melancholy. God a cause._
It is in vain to speak of cures, or think of remedies, until such time
as we have considered of the causes, so [1095]Galen prescribes Glauco:
and the common experience of others confirms that those cures must be
imperfect, lame, and to no purpose, wherein the causes have not first
been searched, as [1096]Prosper Calenius well observes in his tract de
atra bile to Cardinal Caesius. Insomuch that [1097]Fernelius puts a
kind of necessity in the knowledge of the causes, and without which it
is impossible to cure or prevent any manner of disease. Empirics may
ease, and sometimes help, but not thoroughly root out; sublata causa
tollitur effectus as the saying is, if the cause be removed, the effect
is likewise vanquished. It is a most difficult thing (I confess) to be
able to discern these causes whence they are, and in such [1098]variety
to say what the beginning was. [1099]He is happy that can perform it
aright. I will adventure to guess as near as I can, and rip them all
up, from the first to the last, general and particular, to every
species, that so they may the better be described.
General causes, are either supernatural, or natural. Supernatural are
from God and his angels, or by God's permission from the devil and his
ministers. That God himself is a cause for the punishment of sin, and
satisfaction of his justice, many examples and testimonies of holy
Scriptures make evident unto us, Ps. cvii, 17. Foolish men are plagued
for their offence, and by reason of their wickedness. Gehazi was
stricken with leprosy, 2 Reg. v. 27. Jehoram with dysentery and flux,
and great diseases of the bowels, 2 Chron. xxi. 15. David plagued for
numbering his people, 1 Par. 21. Sodom and Gomorrah swallowed up. And
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