Guy de Chauliac, considers the influence of the conjunction, which was held to be all-potent, as the chief general cause of the Black Plague; the diseased state of bodies, the corruption of the fluids, debility, obstruction, and so forth, as the especial subordinate causes.[167] By these, according to his opinion, the quality of the air, and of the other elements, was so altered, that they set poisonous fluids in motion towards the inward parts of the body, in the same manner as the magnet attracts iron; whence there arose in the commencement fever and the spitting of blood; afterwards, however, a deposition in the form of glandular swellings and inflammatory boils. Herein the notion of an epidemic constitution was set forth, clearly and conformably, to the spirit of the age. Of contagion, Guy de Chauliac was completely convinced. He sought to protect himself against it by the usual means;[168] and it was probably he who advised Pope Clement VI. to shut himself up while the plague lasted. The preservation of this pope’s life, however, was most beneficial to the city of Avignon, for he loaded the poor with judicious acts of kindness,--took care to have proper attendants provided, and paid physicians himself to afford assistance wherever human aid could avail; an advantage which, perhaps, no other city enjoyed.[169] Nor was the treatment of plague patients in Avignon by any means objectionable; for, after the usual depletions by bleeding and aperients, where circumstances required them, they endeavoured to bring the buboes to suppuration; they made incisions into the inflammatory boils, or burned them with a red-hot iron, a practice which at all times proves salutary, and in the Black Plague saved many lives. In this city, the Jews, who lived in a state of the greatest filth, were most severely visited, as also the Spaniards, whom Chalin accuses of great intemperance.[170] [167] Causa universalis agens--causa particularis patiens. To this correspond, in _Chalin_, the expressions Causa superior et inferior. [168] Purging with alöetic pills; bleeding; purification of the air by means of large fires; the use of treacle; frequent smelling to volatile substances, of which certain “poma,” were prepared; the internal use of Armenian bole,--a plague-remedy derived from the Arabians, and, throughout the middle ages, much in vogue, and very improperly used; and the employment of acescent food, in order to resist putridity. _Guy de Chauliac_ appears to have recommended flight to many. Loc. citat. p. 115. Compare _Chalin_, L. II. who gives most excellent precepts on this subject. [169] _Auger. de Biterris._ Loc. cit. [170] L. I. c. 4. p. 39.