This numerous class of patients certainly contributed not a little to the maintenance of the evil, for their fantastic sufferings, in which dissimulation and reality could scarcely be distinguished even by themselves, much less by their physicians, were imitated, in the same way as the distortions of the St. Vitus’s dancers, by the impostors of that period. It was certainly by these persons also that the number of subordinate symptoms was increased to an endless extent, as may be conceived from the daily observation of hysterical patients, who, from a morbid desire to render themselves remarkable, deviate from the laws of moral propriety. Powerful sexual excitement had often the most decided influence over their condition. Many of them exposed themselves in the most indecent manner, tore their hair out by the roots, with howling and gnashing of their teeth; and when, as was sometimes the case, their unsatisfied passion hurried them on to a state of frenzy, they closed their existence by self-destruction; it being common at that time for these unfortunate beings to precipitate themselves into the wells[306]. It might hence seem that, owing to the conduct of patients of this description, so much of fraud and falsehood would be mixed up with the original disorder, that having passed into another complaint, it must have been itself destroyed. This, however, did not happen in the first half of the seventeenth century; for as a clear proof that Tarantism remained substantially the same and quite unaffected by Hysteria, there were in many places, and in particular at Messapia, fewer women affected than men, who in their turn were, in no small proportion, led into temptation by sexual excitement[307]. In other places, as for example at Brindisi, the case was reversed, which may, as in other complaints, be in some measure attributable to local causes. Upon the whole it appears, from concurrent accounts, that women by no means enjoyed the distinction of being attacked by Tarantism more frequently than men. It is said that the cicatrix of the tarantula bite, on the yearly or half-yearly return of the fit, became discoloured[308], but on this point the distinct testimony of good observers is wanting to deprive the assertion of its utter improbability.