“I had too good experience of myself in Queen Mary’s reign, living at Lettlé in my good lord’s house, the right honourable Lord St John, beside Southampton, the which, notwithstanding the great sweat, it was long after before I recovered of my health, so that the said sweat did nothing profit.”
“I had too good experience of myself in Queen Mary’s reign, living at Lettlé in my good lord’s house, the right honourable Lord St John, beside Southampton, the which, notwithstanding the great sweat, it was long after before I recovered of my health, so that the said sweat did nothing profit.”
He then proceeds to compare the sweat, almost certainly the epidemic mentioned in St John’s despatch of 6th September, 1558, with the sweating sickness of 1551:
“So in our days, even in King Edward VI.’s reign, it brought many to their long home, as some of the most worthy, the two noble princes of Suffolk, imps of honour most towardly, with others of all degrees infinite many; and the more perished no doubt for lack of physical counsel speedily[815].”
“So in our days, even in King Edward VI.’s reign, it brought many to their long home, as some of the most worthy, the two noble princes of Suffolk, imps of honour most towardly, with others of all degrees infinite many; and the more perished no doubt for lack of physical counsel speedily[815].”
The next that we hear of this epidemic of the autumn of 1558, is in a despatch from Dover, 11 p.m. 6th October: the writer has “learnt from the mayor of Dover that there is no plague there, but the people that daily die are those that come out of the ships, and such poor people as come out of Calais, of the new sickness[816].” A despatch of 17th October, 1558, from one of the commissioners for the surrender of Calais, Sir Thomas Gresham, at Dunkirk, to the Privy Council, says that he “returned hither to write his letter to the queen, and foundSir William Pickering very sore sick of this new burning ague. He has had four sore fits, and is brought very low, and in danger of his life if they continue as they have done[817].”
Here we have the same term “new sickness” and “new burning ague” as in the two English chronicles under the year before—the “strange and new sicknesses” which “took men and women in their heads,” and the “strange agues and fevers.” The very general prevalence in Southampton, Portsmouth and the Isle of Wight suggests influenza; the symptom of sweating described by Jones for his own case during that prevalence is in keeping with what we hear of the influenzas of the time from foreign writers, and so is the long and slow convalescence; the fact of one person having had four sore fits of “this new burning ague” is more like influenza than typhus.
The severe mortalities in the autumn of 1558 at Loughborough and Chester are put down to “plague,” and they may, of course, have been circumscribed outbursts of the old bubo-plague. If, however, they were part of the general prevalence of hot or burning agues, which we may take to have been influenza or a very volatile kind of typhus, they would indicate a degree of fatality in the latter somewhat greater than more recent influenzas have had. A high death-rate is, indeed, demonstrable for the year 1558, from parish registers, by comparing the deaths in that year with the deaths in years near it, and by comparing the deaths with the births in 1558 itself.
The registers of christenings and burials, which had been ordered first in 1538, were kept in a number of parishes from that date; and from 1558, when the order for keeping them was renewed by queen Elizabeth, they were generally kept. Dr Thomas Short, a man of great industry, about the middle of last century obtained access to a large number of parish registers, and worked an infinite number of arithmetical exercises upon their figures[818]. His abstract results or conclusions are colourless and unimpressive, as statistical results are apt to be for the average concrete mind; nor can they be made to illustrate theepidemic history of Britain with the help of his companion volumes, ‘A General Chronological History of the Air, Weather, Seasons, Meteors etc[819].’, for these extraordinary annals are for the most part loosely compiled from foreign sources, bringing into one focus the most scattered references to disease in any part of Europe, and that too without criticism of authorities but often with surprising credulity and inaccuracy. That so much statistical or arithmetical zeal and exhaustiveness (in the work of 1750) should go with so total a deficiency of the critical and historical sense, (in the work of 1749) is noteworthy, and perhaps not unparalleled in modern times. Short’s history is mostly foreign, but his statistics, which are English, may be used to illustrate and confirm what can be learned of sicknesses in England in the ordinary way of historical research.
Thus, the period from 1557 to 1560 stands out in Short’s table as one of exceptional unhealthiness both in country parishes and in market towns, the unhealthiness being estimated by the excess of burials over christenings.
Country Parishes.
Market Towns.
Short’s collection of parish registers appears to have represented many English counties, although there is no clue to their identity in the tables from which these figures are taken. Theheavy mortalities in the registers correspond exactly to the epidemic years as otherwise known, and may be said to bear witness to the extent or generality of the epidemic infection.
The next that we hear of malignant fevers in England is the outbreak at Oxford in 1577, following the Assizes. Anthony Wood says of it: “Some thought that this Oxford mortality was the same that Leonard Fuchsius styles sudor Anglicus.” Cogan, a contemporary, says:
“And certainly after that sudden bane at Oxford, the same year and a year or two following, the same kind of agues raged in a manner all over England, and took away very many of the strongest sort in their lustiest age, and for the most part men and not women nor children, culling them out here and there, even as you should choose the best sheep out of a flock. And certain remedy was none to be found.... And they that took a moderate sweat at the beginning of their sickness, and did rid their stomachs well by vomit, sped much better.”
“And certainly after that sudden bane at Oxford, the same year and a year or two following, the same kind of agues raged in a manner all over England, and took away very many of the strongest sort in their lustiest age, and for the most part men and not women nor children, culling them out here and there, even as you should choose the best sheep out of a flock. And certain remedy was none to be found.... And they that took a moderate sweat at the beginning of their sickness, and did rid their stomachs well by vomit, sped much better.”
This is partly confirmed by Short’s abstracts of the parish registers. Thus in 1580, of sixty registers examined, ten showed unhealthiness, the births being to the deaths as 248 to 284. In 1582, seven country parishes were markedly unhealthy, the births being to the deaths as 140 to 244. In market towns the incidence is not so striking: in 1580, four towns out of sixteen examined showed an unhealthy birth-rate, 237 births to 276 deaths. It is in 1583 that the disparity becomes greatest in these towns: three out of the sixteen in the list were notably unhealthy, the deaths being 1062 and the births 467. But it is the obvious defect of Short’s method that we have no means of knowing whether that mortality may not have been largely from plague, and not from fever or other form of epidemic sickness.
The only year between 1558 and 1580 in Short’s tables, which stands out as decidedly unhealthy both in country parishes and market towns is 1570, while the years from 1573 to 1575 are less healthy than the average. Those were years of war, and of war-typhus, on the Continent, as the foreign writings show, but there are no records of the kind of sickness in England.
One glimpse of the prevalence of those fevers of 1580-82 isgot from a letter of the earl of Arundell to Lord Burghley, October 19, 1582. The earl had left his house in London because it was so “beset and encompassed” by plague; while, as to his country house: “The air of my house in Sussex is so corrupt even at this time of the year as, when I came away, I left xxiv sick of hot agues.” He therefore begs the loan of the bishop of Chichester’s house till such time as the vacancy in the see should be filled up[820].
The widespread volatile sicknesses of 1557-8 and 1580-2, which are grouped under the generic name of influenza, were related in time to great epidemics of the far more deadly bubo-plague. These plague outbursts were less noticeable in England than abroad. Thus in 1557 there were most disastrous epidemics of true bubo-plague in several towns of the Low Countries, and in 1580 there was at Cairo one of the worst epidemics in the whole history of plague from its beginning. The years preceding 1580 were also plague-years in many parts of Europe (Padua, Mantua, Venice, Messina, Palermo, Lisbon, Brussels). Those years were also the occasion of the first great and disastrous epidemics of diphtheria (garottillo) in Spain. Then come the epidemics of typhus; and at the far end of the pestilential scale the flying waves of influenza. A relation of influenza to other prevalent infections has been one of the theories of its nature, especially the relation to epidemics of Asiatic cholera.
In that view influenza looks as if it were a volatile product, a swifter and more superficial wave on the top of some slower and more deadly earth-borne virus. As the old writers said, it was alevis corruptio aeris, a diluted virus as it were, mild in proportion to its volatility and swiftness, but in universality equalling in its own milder way the universality of the plague of Justinian’s reign or of the Black Death.
Now, the same century and the same state of society which witnessed the most remarkable of those flying ripples of infection over the whole surface of Europe witnessed also some waves of infection which did not travel so far, nor were mere influenzas. The English sweat travelled over England in thatway; it was called the posting sweat, because it posted from town to town: thus in 1551 it suddenly appeared one day in Oxford, and next day it was in the villages around, as if carried in the air; in like manner it posted to Devonshire, to Leicestershire, to Cheshire, and doubtless all over England, like the influenzas of recent memory. And while the English sweat was thus flying about in England, influenza was flying about the same year (1551) in France, a country which never suffered from any of the five sweating sicknesses of 1485-1551. Again, the influenza in England in 1558 had the symptom of sweating so marked that it was compared to the true sweat of 1551 by Dr Jones, who himself suffered from it. Also the influenza of 1580 all over Europe had so much of a sweating character that in some places they said the English sweat had come back. Lastly, the gaol-fever of Oxford in 1577 was thought by some to present the symptoms described by Leonard Fuchs forsudor Anglicus; and Cogan, an English medical writer then living, specially mentions the phenomenon of sweating (as well as the intestinal profluvium called a “lask”), both at Oxford and in the more widely prevalent diseases of that year and the years following. The gaol-fever of Exeter in 1586 illustrates still another side of the question; it diffused itself—probably by other means than contact with the sick—all over the county of Devon, and had not ceased six months after it began in the month of March at Exeter. The Devonshire diffusion was like the spreading circles in a still pool. The spread of influenza was like the flying ripples on a broad surface of water. The spread of plague, on the occasions when it was universal, was like the massive rollers of the depths, the onward march of cholera from the East having, in our own times, illustrated afresh the same momentum.
In using hitherto the name of influenza for the universal fevers in England in 1557-58 and in 1580-82, I have done so because those years are usually reckoned in the annals of influenza. But the name is at best a generic one, and need not commit us to any nosological definition. I shall have to deal at more length with this question in the tenth chapter, when speaking of the fevers of 1657-59 described by Willis andWhitmore, two competent medical observers; in those years the vernal fever was a catarrhal fever, or influenza proper, while the fever of the hot and dry season, autumnal or harvest-fever, was a pestilential fever, a spotted fever, a burning ague, a contagious malignant fever. There were also differences in their epidemological as well as in their clinical characters, the influenza wave being soonest past. But so far as regarded universality of diffusion and generality of incidence, both types were much alike.
Molineux, writing in 1694, a generation after Willis, “On the late general coughs and colds,” brought into comparison with them another epidemic which he had observed in Dublin in the month of July, 1688: “The transient fever of 1688 ... I look upon to have been the most universal fever, as this [1693] the most universal cold, that has ever appeared[821].”
When we come to the 18th century, to great epidemics not only in connexion with famine in Ireland, but also in England, we shall find the same diffusiveness associated with the clear type of disease which we now call typhus. Influenza is the only sickness familiar to ourselves which shows the volatile character, and we are apt to conclude that no other type of fever ever had that character. But, without going farther back than the 18th century we shall find epidemics of spotted typhus resting like an atmosphere of infection over whole tracts of Britain and Ireland, town and country alike; and even if we give the name of influenza to the epidemical “hot agues” with which we are here immediately concerned, in the years 1540, 1557-8, and 1580-82, we may also regard them as in a manner corresponding to, if not as embracing, the types of fever that prevailed from time to time over wide districts of country in the centuries following.
The term “ague,” often used at the time, is no more decisive for the nosological character than the term “influenza.” Ague originally meant a sharp fever (febris acuta, ὄξυς), and in Ireland, from the time of Giraldus Cambrensis down to the 18th century, it meant the acute fever of the country, whichhas not been malarial ague, in historical times at least, but typhus. “Irish ague” was in later times a well-understood term for contagious pestilential fever or typhus. In theDyall of Aguesby Dr John Jones (1564 ?), just as in the writings of Sydenham a century later, intermittents were mixed up with continued fevers which had nothing malarial in their cause or circumstances. Thus, Jones has a chapter on “Hot Rotten Agues,” which he identifies with the synochus or continued fever of the Greeks; in another chapter on “The Continual Rotten Ague,” he locates the continued fevers within the vessels and the “interpolate” without their walls, and proceeds:
“It happeneth where all the vessels, but most chiefly in the greatest which are annexed about the flaps of the lungs and spiritual members, all equally putrefying, which often happeneth, as Fuchsius witnesseth, of vehement binding and retaining the filth in the cavity or hollowness of the vessels, inducing a burning heat. Wherefore, this kind of fever chanceth not to lean persons, nor to such as be of a thin constitution and cold temperament, nor an old age (that ever I saw), but often in them which abound with blood and of sanguine complexion, replenished with humour, fat and corpulent, solemners of Bacchus’ feasts,—gorge upon gorge, quaff upon quaff—not altogether with meat or drink of good nourishment but of omnium gatherum, as well to the destruction of themselves as uncurable to the physician, as by my prediction came to pass (besides others) upon a gentleman of Suffolk, a little from Ipswich, who by the causes aforesaid got his sickness, and thereof died the ninth day, according to my prediction, as his wife and friend knoweth.”
“It happeneth where all the vessels, but most chiefly in the greatest which are annexed about the flaps of the lungs and spiritual members, all equally putrefying, which often happeneth, as Fuchsius witnesseth, of vehement binding and retaining the filth in the cavity or hollowness of the vessels, inducing a burning heat. Wherefore, this kind of fever chanceth not to lean persons, nor to such as be of a thin constitution and cold temperament, nor an old age (that ever I saw), but often in them which abound with blood and of sanguine complexion, replenished with humour, fat and corpulent, solemners of Bacchus’ feasts,—gorge upon gorge, quaff upon quaff—not altogether with meat or drink of good nourishment but of omnium gatherum, as well to the destruction of themselves as uncurable to the physician, as by my prediction came to pass (besides others) upon a gentleman of Suffolk, a little from Ipswich, who by the causes aforesaid got his sickness, and thereof died the ninth day, according to my prediction, as his wife and friend knoweth.”
Again, in his eighth chapter, “Of the Pestilential Fever, or Plague, or Boche [Botch],” he remarks upon the varying types of pestilential diseases, mentioning among other national types the English sweat:
“As we, not out of mind past, with a sweat called stoupe galante, as that worthy Doctor Caius hath written at large in his bookDe Ephemera Britannica,” adding the remark that here concerns us:—“and sethence [since then], with many pestilential agues, and, lastly of all, with the pestilential boche [botch or plague rightly termed].” These continued fevers, pestilential agues, or hot rotten agues, Jones distinguishes from quotidians, tertians and quartans. Of the last he says: “and when quartans reign everywhere, as they did of no long years past; of the which then I tasted part, besides my experience had of others,”—probably the fevers of 1558, elsewhere called by him the sweating sickness, and by Stow called “quartan agues.” He mentions also quintains, which he had never seen in England,“but yet in Ireland, at a place called Carlow, I was informed by Mr Brian Jones, then there captain, of a kerne or gentleman there that had the quintain long.”
“As we, not out of mind past, with a sweat called stoupe galante, as that worthy Doctor Caius hath written at large in his bookDe Ephemera Britannica,” adding the remark that here concerns us:—“and sethence [since then], with many pestilential agues, and, lastly of all, with the pestilential boche [botch or plague rightly termed].” These continued fevers, pestilential agues, or hot rotten agues, Jones distinguishes from quotidians, tertians and quartans. Of the last he says: “and when quartans reign everywhere, as they did of no long years past; of the which then I tasted part, besides my experience had of others,”—probably the fevers of 1558, elsewhere called by him the sweating sickness, and by Stow called “quartan agues.” He mentions also quintains, which he had never seen in England,“but yet in Ireland, at a place called Carlow, I was informed by Mr Brian Jones, then there captain, of a kerne or gentleman there that had the quintain long.”
Not only the term “ague,” but also the terms “intermittent,” “tertian,” and more especially “quartan,” can hardly be taken in their modern sense as restricted to malarial or climatic fevers. An intermittent or paroxysmal character of fevers was made out on various grounds, to suit the traditional Galenic or Greek teaching; but the paroxysms and intermissions were not associated specially with rise and fall of the body-temperature. The curious history of agues, and of the specialist ague-curers, properly belongs to the time of the Restoration, when Peruvian bark came into vogue, and will be fully dealt with in the first chapter of another volume.
The last years in the Tudor period that stand out conspicuously in the parish registers for a high mortality, not due to plague, are 1597-8. The year 1597 was a season of influenza in Italy, and perhaps elsewhere in Europe; so that the epidemic in England that year may have been the same, but more probably was famine-fever. In the parish register of Cranbrooke the deaths for the year are 222, against 56 births; and 181 of the deaths are marked with the mark which is supposed to mean plague proper. The register of Tiverton has 277 deaths, against 66 births, but it is almost certain that the cause of the excess was not plague, of which the nearest epidemic in that town was in 1591. In a country parish of Hampshire, with a population of some 2700, the deaths in 1597 were 117, against 48 births, the mortality being about twice as great as in any year from the commencement of the register in 1569, and after until 1612[822]. In the north of England the type of disease in 1597-8 was plague proper.
The parish register of Finchley has a remarkable entry under the year 1596 which introduces us to other considerations: “Hoc anno moriebantur de dysenteria xix,” the whole number of burials for the year having been 28. Next year, 1597, there are 23 deaths from dysentery, the burials in all having been 48—an enormous mortality compared with the average of the parish.The year 1597, if not also 1596, was a year of great scarcity, apparently all over England; in Northumberland, Durham, and Cumberland, the scarcity was attended by plague proper; but in other parts of England, it would seem, by other types of sickness, of which dysentery was one.
One of the 16th century English names used for flux was the obsolete word lask, which occurs often enough in writings of the period to suggest that the malady was common; it is sometimes called a choleric lask (cholera morbus), or a vehement lask, as in Elyot’sCastel of Healthand in Cogan’sHaven of Health. Lasks, or lienteries, or dysenteries have not been dealt with in a chapter by themselves because the records of them are too few and meagre, so far as we have gone in the history; but it may be convenient to bring together here the better known instances. In the period of famine-sicknesses, dysentery and lientery must have been common types, the latter being specially mentioned by Rishanger of St Albans for the year 1294. Trokelowe, another St Albans chronicler, writing of the famine-sickness of 1315-16, uses the singular phrase “morbus enim dysentericus ex corruptis cibis fere omnes maculavit” and says it was followed by “acuta febris vel pestis gutturuosa.” Dysentery from corrupt food is again specially named for the year 1391. The “wame-ill” was the prevalent type of sickness in the great Scots famine of 1439, a year of famine in England and France. When we next hear of it in English history it is among the troops of the marquis of Dorset in Gascony and Biscay in 1512, some 1800 of them having died of “the flix.” Then comes the “great lask throughout the realm” in 1540, associated with “strange fevers.” The sickly years 1557-58 and 1580-82 had probably some dysentery, or lientery, either as primary maladies or as complications of the fevers: Cogan’s generalities imply as much for 1580-82, and we know that the corresponding sickly period a century after (1657-59) was so characterised in the description by Willis. The fatal infection in the fleet after the defeat of the Spanish Armada, in August, 1588, was probably dysentery and ship-fever. Many other instances of the kind remain to be given in the chapter on the sicknesses of voyages and colonial settlements.
Dysentery begins to be heard of more frequently in the Stuart period, as a malady of London. It is a prominent item, along with summer diarrhoea, in the London bills of mortality from the year 1658, under the name “griping of the guts,” and is occasionally mentioned in letters from London about the same years. The dysentery of London in 1669 was the subject of Sydenham’s observations, who says that it had been rarely seen in the preceding ten years[823]. On the other hand he speaks of “the endemic dysentery of Ireland,” although he is not sure as to its type or species[824]. Statements as to the Irish “country disease,” are as old as Giraldus Cambrensis[825]; but as the whole question of dysentery is intimately bound up with that of typhus-fever, I shall reserve consideration of its prevalence in Ireland on the great scale, as well as of the annual mortality from it in the London bills of the 17th century, until that section of the work in which fevers and the maladies akin to them come into the first rank as if in lieu of the plague.
Note.A sweating character in the “hot agues” or fevers of the Elizabethan period, in those of 1580-82 as well as in those of 1557-58, is asserted in several passages in the text. It is noteworthy that inMeasure for Measure, one of Shakespeare’s early comedies, the bawd says: “Thus, what with the war, what with the sweat, what with the gallows, and what with poverty, I am custom-shrunk” (Act I. Scene 2).
THE FRENCH POX.
One great epidemic disease of the first Tudor reigns, which brought consternation and distress to multitudes, makes hardly any appearance in the English records of the time, and no appearance at all in the writings of the English profession. Long after, in 1576, William Clowes, surgeon to St Bartholomew’s Hospital, first broke the professional silence aboutlues venereain England, and in his larger work of 1579 he gave a number of startling facts and figures of its then prevalence in London. But the great epidemic outburst of that disease in Europe began in the last years of the 15th century; its ravages on the epidemic scale are supposed to have lasted for twenty or thirty years from 1494; and its subsequent prevalence is assumed, not without reason, to have been of a milder type and within narrower limits. We hear of it, in England, from the political side, at the time when popular arguments were wanted against the Romish mass-priests and against the monasteries and the orders of friars. In the practical reasoning of Englishmen the scandalous lives of priests, monks and friars made the strongest argument for the policy which the king had adopted towards Rome; and it so happened in those very years that a scandalous life was betrayed, and made odious in more than sentiment, by bearing an outward and visible sign. The epidemic ofmorbus Gallicusarose at an unfortunate time for the pretensions of Rome, or, perhaps, it was itself part of the march of events. In Simon Fish’sSupplication of Beggars,which was compiled in 1524 and was read to Henry VIII. shortly after, the weightiest plea is the charge of scandalous conduct resting upon the priests. In the inquisitions which preceded the suppression of the monasteries, the same plea is, justly or unjustly, brought to the front in the case of one abbey after another. So close did the association of a scandalous vice and its attendant disease become with the priesthood that James I., writing long after concerning the sentiments of his mother, Mary the queen of Scots, represents her as forbidding the archbishop “to use the spittle” in his own baptism, for the reason that she would not have “a pokie priest to spet in her child’s mouth[826].” These, says king James, were “her owne very words;” at all events, “a pocky priest” may be accepted as a phrase of the time. The fact that the epidemic of syphilis in England was used to discredit Romish priests is one of the few indications that we have of its existence in this country. Wide and deep as the commotion must have been which it caused, it found hardly any more permanent expression than the private talk of the men of those days. It was otherwise on the Continent. There, indeed, a copious literature sprang up, of which some thirty works remain, from the essay of Conrad Schellig of Heidelberg, printed without date or place, but ascribed to the year 1494 or 1495, down to the elaborate survey of the disease by Nicolas Massa of Venice in 1532. The single work extant in England from that, the earliest and greatest, period of the disease, is a poor piece of manuscript in the Sloane collection, translated from some foreign author, and entitled, “The tretese of the pokkis: and the cure by the nobull counsell of parris[827].” One of its cases is that of a man, aged forty, with two broad and deep, corroding and painful sores on his leg; another is of a bishop of Toledo, who had “pustules” and nocturnal pains “as if the bones would part from the flesh.” The vague meaning of the term pox is shown in one phrase, “paynes, viz. aches and pokkis.”
It was nothing unusual abroad to give cases, and to authenticate them with the names of the sufferers. Thus Peter Pinctor, physician to the pope Alexander Borgia, in a notorious but exceedingly scarce work published in 1500, enters fully into the truly piteous case of the cardinal bishop of Segovia, major-domo of the Vatican, “qui hunc morbum patiebatur cum terribilibus et fortissimis doloribus, qui die ac nocte, praecipue in lecto, quiescere nec dormire poterat,” as well as into the case of Peter Borgia, the pope’s nephew, “in quo virulentia materiae pustularum capitis corrosionem in pellicaneo [pericranio] et in craneo capitis sui manifeste fecit[828].”
Contrasted with the copious writing and recording of cases abroad, the English silence is remarkable. The origin of our first printed book on the subject is characteristic. A literary hack of the time, one Paynel, a canon of Merton Abbey, had translated, among other things, theRegimen Salernitanum, a popular guide to health several hundred years old. Going one day into the city to see the printer about a new edition, he was asked by the latter to translate the essay on the cure of the French pox by means of guaiacum (or the West-Indian wood) “written by that great clerke of Almayne, Ulrich Hütten, knyght.” For, said the printer, “almost into every part of this realme this most foul and peynfull disease is crept, and many soore infected therewith.” Ulrich von Hütten’s personal experience of the guaiacum cure was accordingly translated from the Latin, in 1533, and proved a good venture for the printer, several editions having been called for[829]. The translation has no notes, and throws no light on English experience. It is not until 1579, when Clowes published his essay on the morbusGallicus, that we obtain any light from the faculty upon the prevalence of the malady in England. Meanwhile it remains for us to collect what scraps of evidence may exist, in one place or another, of this country’s share in the original epidemic invasion during the last years of the 15th century.
The first authentic news of it comes from the Council Register of the borough of Aberdeen under the date 21st April, 1497[830]:—
“The said day, it was statut and ordanit be the alderman and consale for the eschevin of the infirmitey cumm out of Franche and strang partis, that all licht weman be chargit and ordaint to decist fra thar vicis and syne of venerie, and all thair buthis and houssis skalit, and thai to pas and wirk for thar sustentacioun, under the payne of ane key of het yrne one thar chekis, and banysene of the towne.”
“The said day, it was statut and ordanit be the alderman and consale for the eschevin of the infirmitey cumm out of Franche and strang partis, that all licht weman be chargit and ordaint to decist fra thar vicis and syne of venerie, and all thair buthis and houssis skalit, and thai to pas and wirk for thar sustentacioun, under the payne of ane key of het yrne one thar chekis, and banysene of the towne.”
The next news of it is also from Scotland, from the minutes of the town council of Edinburgh, wherein is entered a proclamation of James IV., dated 22 September, 1497[831]:—
“It is our Soverane Lords Will and the Command of the Lordis of his Counsale send to the Provest and Baillies within this burtthat this Proclamation followand be put till execution for the eschewing of the greit appearand danger of the Infection of his Leiges fra this contagious sickness callit theGrandgorand the greit uther Skayth that may occur to his Leiges and Inhabitans within this burt; that is to say, we charge straitly and commands be the Authority above writtin, that all manner of personis being within the freedom of this burtquilks are infectit, or hes been infectit, uncurit, with this said contagious plage callit theGrandgor, devoyd, red and pass furtof this Town, and compeir upon the sandis of Leith at ten hours before none, and their sall thai have and fynd Botis reddie in the havin ordanit to them be the Officeris of this burt, reddely furneist with victuals, tohave thame to theInche[the island of Inch Keith in the Firth of Forth], and thair to remane quhill God proviyd for thair Health: And that all uther personis the quilks taks upon thame to hale the said contagious infirmitie and taks the cure thairof, that they devoyd and pass with thame, sua that nane of thair personis quhilks taks sic cure upon thame use the samyn cure within this burtin pns nor peirt any manner of way. And wha sa be is foundin infectit and not passand to theInche, as said is, beMonondayat the Sone ganging to, and in lykways the said personis that takis the sd Cure of sanitie upon thame gif they will use the samyn, thai and ilk ane of thame salle be brynt on the cheik with the marking Irne that thai may be kennit in tym to cum, and thairafter gif any of tham remains, that thai sall be banist but favors[832].”
“It is our Soverane Lords Will and the Command of the Lordis of his Counsale send to the Provest and Baillies within this burtthat this Proclamation followand be put till execution for the eschewing of the greit appearand danger of the Infection of his Leiges fra this contagious sickness callit theGrandgorand the greit uther Skayth that may occur to his Leiges and Inhabitans within this burt; that is to say, we charge straitly and commands be the Authority above writtin, that all manner of personis being within the freedom of this burtquilks are infectit, or hes been infectit, uncurit, with this said contagious plage callit theGrandgor, devoyd, red and pass furtof this Town, and compeir upon the sandis of Leith at ten hours before none, and their sall thai have and fynd Botis reddie in the havin ordanit to them be the Officeris of this burt, reddely furneist with victuals, tohave thame to theInche[the island of Inch Keith in the Firth of Forth], and thair to remane quhill God proviyd for thair Health: And that all uther personis the quilks taks upon thame to hale the said contagious infirmitie and taks the cure thairof, that they devoyd and pass with thame, sua that nane of thair personis quhilks taks sic cure upon thame use the samyn cure within this burtin pns nor peirt any manner of way. And wha sa be is foundin infectit and not passand to theInche, as said is, beMonondayat the Sone ganging to, and in lykways the said personis that takis the sd Cure of sanitie upon thame gif they will use the samyn, thai and ilk ane of thame salle be brynt on the cheik with the marking Irne that thai may be kennit in tym to cum, and thairafter gif any of tham remains, that thai sall be banist but favors[832].”
Sir James Simpson, with his indefatigable research over antiquarian points[833], has brought together evidence of payments from the king’s purse to persons infected with the “Grantgore” at Dalry, Ayrshire, in September, 1497, at Linlithgow on 2nd October, 1497, at Stirling on the 21st February, 1498 (“at the tounne end of Strivelin to the seke folk in the grantgore”), at Glasgow (also “at the tounn end”) on 22nd February, 1498, and again at Linlithgow, 11th April, 1498. He quotes also from a poem of William Dunbar, written soon after 1500, on the conduct of the Queen’s men on Fastern’s e’en, the terms “pockis” and “Spanyie pockis.” From Sir David Lyndsay’s poems, of much later date, and from other references, he makes out that “grandgore” or “glengore” was the usual name in Scotland down to the 17th century. Grandgore meansà la grande gorre, which is the same asà la grande mode. This name was given for a time in France to the great disease of the day, but it was soon superseded byvérole. Scotland is the only country where “grandgore” became established as the common name of the pox.
Before leaving the Scots evidence, two other ordinances maybe quoted from the town council records of Aberdeen. In a long list of regulations under date the 8th October, 1507, there occur these two[834]:—
“Item, that diligent inquisitioun be takin of all infect personis with this strange seiknes of Nappillis, for the sauetie of the town; and the personis beand infectit therwith be chargit to keip thame in ther howssis and uther places, fra the haile folkis.”“Item, that nayne infectit folkis with the seiknes of Napillis be haldin at the common fleschouss, or with the fleschouris, baxteris, brousteris, ladinaris, for sauete of the toun, and the personis infectit sall keip thame quyat in thar housis, zhardis, or uther comat placis, quhill thai be haill for the infectioun of the nichtbouris.”
“Item, that diligent inquisitioun be takin of all infect personis with this strange seiknes of Nappillis, for the sauetie of the town; and the personis beand infectit therwith be chargit to keip thame in ther howssis and uther places, fra the haile folkis.”
“Item, that nayne infectit folkis with the seiknes of Napillis be haldin at the common fleschouss, or with the fleschouris, baxteris, brousteris, ladinaris, for sauete of the toun, and the personis infectit sall keip thame quyat in thar housis, zhardis, or uther comat placis, quhill thai be haill for the infectioun of the nichtbouris.”
“Sickness of Naples” is a reference to the well-known diffusion of the disease all over Europe by the mercenaries of Charles VIII. of France, dispersing after the Italian war and the occupation of Naples.
For England the first known mention of the pox is several years later than the Scots references, although that proves nothing as to its actual beginning in epidemic form. In the book of the Privy Purse Expenses of Elizabeth of York, queen of Henry VII., there is an entry under the date of March 15, 1503, of a sum of forty shillings paid on behalf of John Pertriche “oon of the sonnes of mad Beale;” which sum appears to have been what the youth cost her majesty for board, clothes, education, and incidental expenses, during the year past. The various items making up the sum of forty shillings are: his diets “for a year ending Christmas last past,” a cloth gown, a fustian coat, shirts, shoes and hose, “item, for his learning, 20d.item for a prymer and saulter 20d.And payed to a surgeon which heled him of the Frenche pox 20s.Sm̅a.40s.” It will be observed that the surgeon’s bill was as much as all his other expenses for the year together[835].
The London chronicler of the time is alderman Robert Fabyan; but although Fabyan, writing in the first years of the 16th century, uses the word “pockys” to designate an illness ofEdward IV. during a military excursion to the Scots Marches in 1463, or long before the epidemic invasion from the south of Europe, he says nothing of that great event itself. There is a record, however, of one significant measure taken in the year 1506, the suppression of the stews on the Bankside in Southwark. These resorts were of ancient date, and for long paid toll to the bishop of Winchester. In 1506 there were eighteen of them in a row along the Surrey side of the river, a little above London Bridge; they were wooden erections, each with a stair down to the water, and each with its river front painted with a sign like a tavern, such as the Boar’s Head, the Cross Keys, the Gun, the Castle, the Crane, the Cardinal’s Hat, the Bell, the Swan, etc. These houses, says Stow, were inhibited in the year 1506, and the doors closed up; but it was not long ere they were set open again, the number being at the same time restricted to twelve[836]. They had been suppressed once before, at the earnest demand of the citizens, in the reign of Henry IV., and it appears from a sermon of Latimer’s that they were again suppressed about the year 1546. Thus Shakespeare had several precedents in London for the situation which he creates in a foreign city, inMeasure for Measure.
The next reference that I find to it is an oblique one, by Bernard André in hisAnnals of Henry VII.On the occasion of mentioning the sweating sickness of 1508, he says the latter disease occurred first in England about four-and-twenty years before, and that it was “followed by a far more detestable malady, to be abhorred as much as leprosy, a wasting pox which still vexes many eminent men” (“multos adhuc vexat egregios alioquin viros tabifica lues[837]”). Bernard André’s association of the pox with the sweating sickness, as of one new disease following another, is in the same manner as the reference to it by Erasmus. In a letter from Basle, in August, 1525, to Schiedlowitz, chancellor of Poland, he discourses upon the sickliness of seasonsand the mutations of diseases[838]: Until thirty years ago England was unacquainted with the sweat, nor did that malady go beyond the bounds of the island. In their own experience they had seen mutations:—“nunc pestilentiae, nunc anginae, nunc tusses; sed morbum morbus, velut ansam ansa trahit; nec facilé cedunt ubi semel incubuere.” He then proceeds:
“But if one were to seek among the diseases of the body for that which ought to be awarded the first place, it seems to my judgment that it is due to that evil, of uncertain origin, which has now been for so many years raging with impunity in all countries of the world, but has not yet found a definite name. Most persons call it the French pox (Poscas Galleas), some the Spanish. What sickness has ever traversed every part of Europe, Africa and Asia with equal speed? What clings more tenaciously, what repels more vigorously the art and care of physicians? What passes more easily by contagion to another? What brings more cruel tortures? Vitiligo and lichens are deformities of the skin, but they are curable. This lues, however, is a foul, cruel, contagious disease, dangerous to life, apt to remain in the system and to break out anew not otherwise than the gout.”
“But if one were to seek among the diseases of the body for that which ought to be awarded the first place, it seems to my judgment that it is due to that evil, of uncertain origin, which has now been for so many years raging with impunity in all countries of the world, but has not yet found a definite name. Most persons call it the French pox (Poscas Galleas), some the Spanish. What sickness has ever traversed every part of Europe, Africa and Asia with equal speed? What clings more tenaciously, what repels more vigorously the art and care of physicians? What passes more easily by contagion to another? What brings more cruel tortures? Vitiligo and lichens are deformities of the skin, but they are curable. This lues, however, is a foul, cruel, contagious disease, dangerous to life, apt to remain in the system and to break out anew not otherwise than the gout.”
Whether it was from some mistaken theory of contagiousness or for other reasons, a fellow of Merton was ordered to leave in 1511 because he had the French pox[839]. In the English history nothing appears above the surface until the beginning of the movement against the papal supremacy and in favour of Reformation. That was a time of public accusations of all kinds, and among the rest of opprobrious references to the pox. In Simon Fish’sSupplication of Beggars[840], which was written in 1524, certain priests are thus hyperbolically spoken of:
“These be they that have made an hundred thousande ydel hores in your realme, which wold have gotten theyr lyvinge honestly in the swete of their faces had not there superfluous riches illected them to uncleane lust and ydelnesse. These be they that corrupte the hole generation of mankynd in your realme, that catch the pockes of one woman and beare it to another, ye some one of them will boste amonge his felowes that he hath medled with an hundreth wymen.”
“These be they that have made an hundred thousande ydel hores in your realme, which wold have gotten theyr lyvinge honestly in the swete of their faces had not there superfluous riches illected them to uncleane lust and ydelnesse. These be they that corrupte the hole generation of mankynd in your realme, that catch the pockes of one woman and beare it to another, ye some one of them will boste amonge his felowes that he hath medled with an hundreth wymen.”
In the year 1529, there is a more painful and most undignified charge. In the Articles of Arraignment of Wolsey in the House of Peers, the sixth charge is:
“The same Lord Cardinall, knowing himself to have the foul and contagious disease of the great pox, broken out upon him in divers places of his body, came daily to your Grace [the King], rowning in your ear, and blowing upon your most noble Grace with his perilous and infective breath, to the marvellous danger of your Highness, if God of his infinite goodness had not better provided for your Highness. And when he was once healed of them, he made your Grace believe that his disease was an impostume in his head, and of none other thing[841].”
“The same Lord Cardinall, knowing himself to have the foul and contagious disease of the great pox, broken out upon him in divers places of his body, came daily to your Grace [the King], rowning in your ear, and blowing upon your most noble Grace with his perilous and infective breath, to the marvellous danger of your Highness, if God of his infinite goodness had not better provided for your Highness. And when he was once healed of them, he made your Grace believe that his disease was an impostume in his head, and of none other thing[841].”
Among the glimpses of contemporary manners in Bullein’sDialogue of the Fever Pestilence(1564), there is one referring to the pox; Roger, the groom, soliloquizes thus: “her first husband was prentice with James Elles, and of him learned to play at the short-knife and the horn thimble. But these dog-tricks will bring one to the poxe, the gallows, or to the devil[842].” Bullein, in his more systematic handbook to health, promises to treat of the pox fully, but omits to do so. In one place he refers to the wounds of a young man who fell into a deep coal-pit at Newcastle as having been healed “by an auncient practisour called Mighel, a Frencheman, whiche also is cunnynge to helpe his owne countrey disease that now is to commonly knowen here in England, the more to be lamented: But yet dayly increased, whereof I entinde to speake in the place of the Poxe.” But the only other reference is (in the section on the “Use of Sicke Men and Medicine,”) to certain drugs “which have vertue to cleanse scabbes, iche, pox. I saie the pox, as by experience we se there is no better remedy than sweatyng and the drinkyng of guaiacum,” etc[843].
A good instance of the oblique mode of reference to the malady occurs in another dialogue by a surgeon, Thomas Gale[844].The pupil who is being instructed tables the subject of “the morbus,” which he farther speaks of as “a great scabbe;” whereupon Gale pointedly takes him to task for the affectation of “the morbus;” any disease, he says, is the morbus; what you mean is the morbus Gallicus.
About the same date, 1563, a casual reference is made to the wide prevalence of the pox by John Jones in hisDyall of Agues. In illustration of the fact that various countries originate different forms of pestilence, as the Egyptians the leprosy, the Attics the joint-ache, the Arabians swellings of the throat and flanks, and the English the sweating sickness, he instances farther, “the Neapolitans, or rather the besiegers of Naples, with the pockes, spread hence to far abroad through all the parts of Europe, no kingdom that I have been in free—the more pity[845].”
The first original English writer on the pox was William Clowes. In his treatise[846]of 1579, dedicated to the Society of the Barbers and Chirurgions, he says that he had been bold “three years since to offer unto you a very small and imperfect treatise of mine touching the cure of the disease called in LatineMorbus Gallicus, the which, forasmuch as it was at that time rather wrested from me by the importunitye of some of my frendes, upon certain occasions then moving, than willingly of my selfe published, it passed out of my handes so sodeinly and with so small overlooking or correction,” that he now in 1579 reissues it in a revised and corrected form.