J[/fedioal Thoughts ^j e. MEDICAL THOUGHTS OF SHAKESPEARE By B. RUSH FIELD, M. D. MEMBER OF THE SHAKESPEARE SOCIETY OF NEW YORK. SECOND EDITION, REVISED AND ENLARGED. 0^ E ASTON, PA. : ANDREWS & CLIFTON, PUBLISHEES. 1885. TO THE MEDICAL PROFESSION. pi^EfACE TO SECOIMD EDIJION- If any old lacly, knight, priest or physician, Should condemn me for writing a second edition ; If good Madam Sqnintnni my work should abuse, May I venture to give her a. smack of my muse ? AnMei/'s Xew Bath GnUh. p. 100. The occasion is taken to acknowledge the kind consideration tliat the first edition of this little work has received. This edition appears in a thoroughly revised and much enlarged form ; to what extent, may^ be judged by the fact that chapters on The Physician, Surgery, Physiology, Anatomy and Phar- macy have been added, together with many allusions to the other medical subjects, making an increase of over four hundi'ed quotations. It has been impossible to resist the temptation of adding a few medical thoughts from other authors, which will be found under their appropriate heads. The labor necessary to accomplish -this has not interfered in any way with profes- sional duties ; it being a task entirely of the leisure hours of the night. Eastox, Pennsylvania, Juuc, 1885. CONTENTS PART I. The Physician, - - - .----' PART II. Practice of Medicine, ------- 1-^ Diseases of Nervous System, 13 ; of Circulatory System, 22 ; of Respiratory System, 25 ; of Digestive System, 26 ; of Secretory System, 29. Fevers and other General Diseases, 32. Action of Jledicines, 37. Miscellaneous- Age and Death, 43. PART III. Surgery, - - - - Surgery and the Surgeon, 49. Syphilis, 50. Diseases of the Eye, 53. Wounds, 53. iliscellaneous, 55. PART IV. Obstetrics, ------ Marriageable Age, 59. Fecundation, 62, Character of Offspring, 63. Pregnancy, 64. Labor, 66. Miscellaneous, 71. PART V. Physiology. ----"■■■ Of the Circulation of the Blood, 73. Of the Digestive Proce.ss, 78. Miscellaneous, 80. PART VI. Anatomy. ----■''"' PART VII. Pharmacy. - - ---"""" 49 5!) 73 83 85 Medical Thoughts of Shakespeare. PART I. THE PHYSICIAN. HAKESPEARE'S education was not, by any means, hedged in by plots and characters ; besides these, his mighty mind seems to have teemed with the knowledge of languages, medicine, law and court etiquette. It is wonderful that one brain could shine forth such a vast variety, and surprising that he has even gone into the minutiie of the different avenues of learning through which he has stridden. Shakespeare paid considerable attention to medicine, and has furnished some of the finest specimens of the medical character that have ever been drawn by any writer. His Cerimon, in Pericles, is a most noble one. He speaks for him- self: 'Tis known, I ever Have studied physic, through v?hich secret art. By turning o'er authorities, I have (Together with ray practice,) made familiar To me and to my aid, the bless'd infusions That dwell in vegetives, in metals, stones ; And I can speak of the disturbances That nature works, and of her cures ; which doth give me A more content in course of true delight Than to be thirsty after tottering honour. Or tie my treasure up in silken bags To please the fool and death. Act III., Se. II. MEDICAL THOUGHTS OF SHAKESPEARE. And others speak of him : Hundreds call themselves Your creatures, who by yon have been restored : And not yonr knowledge, your personal pain, but even Your purse, still open, hath built lord Cerimou Such strong renown as time shall ne'er decay. Act III., Sc. II. ' Dowden says, " Cerimon, who is master of the secrets of nature, who is liberal in his ' learned charity,' who held it ever 'Virtue and cunning were endowments greater Than nobleness and riches,' is like a first study of Prospero ;" while Furnivall thinks that he represents to some extent the famous Stratford physician, Dr. John Hall, who married Shakespeare's eldest daughter Susanna. What an excellent physician was Gerard de Narbon, Helena's father, who is referred to in All's Well : This young gentlewoman had a father, whose skill was almost as great as his honesty ; had it stretched so far, would have made Nature immortal, and death should have play for lack of work. Would, for the king's sake, he were living! I think it would be the death of the king's disease. * * * * He was famous, sir, in his profession, and it was his right to be so. * * * The king * * '" spoke of him admiringly and mournfully : he was skill- ful enough to have lived still, if knowledge could be set up against mortality. AetI.,Sc.I. How long is't, count, Since the physician at your father's died ? If he were living. I would try him yet; — * * -;:- * * the rest have worn me out. With several applications : nature and sickness Debate it at their leisure. Act. /., Sc. IL My father's skill, which was the greatest of his profession. Act /., Sc. in. Another worthy phj^sician is to be found in Cymbeline. Cor- nelius argues with the queen against her designs, and failing in this he completely thwarts her murderous intentions by giving her a false compound. « THE PHYSICIAN. Qneen. Now, master doctor, have you brought those drugs? Cor. * * * I beseech your grace, without ofience. My conscience bids me ask, — wherefore you have Commanded of me these most poisonous compounds, Which are the movers of a languishing death ; But though slow, deadly ? -;f ******* * Your highness Shall from this practice but make hard your heart: Besides, the seeing these effects will be Both noisome and infectious. **•;;-****** {Aside.'] I do suspect you, madame ; But you shall do no harm. * -:;- * I (Jo not like her. She doth think she has Strange ling'ring poisons: I do know her spirit. And will not trust one of her malice with A drug of such damn'd nature. Those she has Will stupify and dull the sense awhile ; ****** but there is No danger in what show of death it makes, More than the locking up the spirits a time, To be more Iresh, reviving. She is fool'd With a most false etfect ; and I the truer So to be false with her. ^ Act /., Sc. V. The queen, sir, very oft importun'd me To temper poisons for her ; still pretending The satisfaction of her knowledge only In killing creatures vile, as cats and dogs. Of no esteem : I, dreading that her purpose Was of more danger, did compound for her A certain stuff, which, being ta'en, would cease The present power of lile ; but in short time All offices of nature should again Do their due function. Act V.,Sc. V. Macbeth supplies us with a wise member of the profession, who, at a time w^hen charlatans without number were promising to cure every malady, sees clearly that Lady Macbeth's disease is beyond his power, and so informs Macbeth. This disease is beyond my practice : ****** infected minds MEDICAL TIlOTfJUTs OF SlIAKEST'EARE. To their deaf pillows will discharge their secrets. More needs she the diviue than the physician : Iveniove from her the means of all annoyance, And still keep eyes upon her. Ad J'., St: I. Kinfi Mach. How does your patient, doctor? Doct. Not so sick, my lord, As she is troubled with thick-coming fancies, That keep her from her rest. Kiiif/ 3l(tch. Cure her of that: Canst thou not minister to a mind diseas'd ; Pluck from the memory a rooted sorrow ; Raze out the written tnmbles of the brain ; And, with some sweet oblivions antidote. Cleanse the stuff 'd bosom of that perilous stuff Which weighs upon the heart ? Dort. Therein the patient Must minister to himself Khif/ Much. Throw physic to the dogs, I'll none of it. 3Tacheth,Ar( J'.,Sc. III. In Kinuj Lear also appears a physician worthy of the name. The last scene of the fourth act shows his excellent skill in treat- ing Lear's case. Dr. Bucknill, of England, in writing of it twenty-five years ago, says : "We confess, almost with shame, that although near two centuries and a half have passed since Shakespeare thus wrote we have very little to add to his method of treating the insane as thus ]>ointed out." Dr. Butts, in Henry VIII, and Dr. Cains, in Merry Wives, play rather unimportant parts. He compliments the profession by putting this speech in the mouth of a madman : Tlmon to Banditti : Trust not the physician ; His antidotes are poison, and he slays More than you rob. Timon of Athens, Act IV., Sc. III. And bringing this one from the lips of an ignorant prostitute: Nay, will you cast away your child on a fool and a physician ? Merry Wives, Act III., Sc. I]\ 10 THE PHYSTCTAN. Eefercncc to the physician is frequently" made throuf^liont his works. Cor. The queen is dead. ('//III. Whom worse than a physician Would this report become. But I consider, By med'cine life may be prolong'd, yet death Will seize the doctor too. Cymheline, Act V., Sc. V. "■•■ * "' ■" doctor-like, controlling skill. So)inet.% LXVI. We * * * may not be so credulous of cure. When our most learned doctors leave us. AlVs Well, Acf II., Se. L Kill thy physician, and the fee bestow Upon tlie Ibul disease. King Ia((v, Acf L, Sc. I. Thou speak'st like a physician, Helicanus; That minister'st a potion iiuto me, That thou would'st tremble to receive thyself. Pericle><, Ad I., Sc. 11 The patient dies while the physician sleeps. Liicrece. The physician Angry that his prescriptions are not kept, Hath left me. Sonnels, CXL VII. Testy sick men, when their deaths be near. No news but health from their phy.sicians know. Sonnets, CXL. His friends, like phy.sicians, thrice give him over. Timon of Athens, Act III, Sc. III. He is the wiser man, master doctor; he is a curer of souls, and you a cnrer of bodies. 3Ierry Wives, Ad II, Sc. NT. A poor phj'sician's daughter my wife ! Disdain Rather corrupt me ever. AWs Well, Ad II., Sc. III. Doctors, less famoiis for their cures than fees. Burn)!— Don ,7iian, Cnnlo XIV., Veme XLVIII. 11 MEDICAL THOUGHTS OF SHAKESPEARE. Like a port sculler, one physician plies And all his art and all his skill he tries ; But two physicians, like a pair of oars, Conduct you faster to the Stygian shores. Tliis is tlie way physicians mend or end us, Secundum arteiii : but althongli we sneer In health— when ill, we call them to attend us Without the least propensity to jeer; While that " hiiilii.< •luaxime dcjlciulas" To be flUed up by spade or niattoek, 's near. Instead of gliding graciously down Lethe, We tease mild Baillie, or soft Abernethy. Byron — Dun Juan, Canlo X, Verne XLII. (xod and the doctor we alike adore. But only when in danger, not before ; The dariger o'er, both are alike requited, God is forgotten, and the doctor slighted. The doctor says so ***** * ******* they sometimes Are soothsayers and always cunning men. Which doctor was it ? Beti Jonson — Magnetic Lady, Acl IT., Sc. I. A side thrust at the experimenters in the profession is found in Cymbeline. I do know her spirit, And will not trust one of her malice with A drug of such danin'd nature. Those she has Will stupify and dull the sense awhile ; Which first, perchance, she'll prove on cats and dogs, Then afterwards up higher. Act I., Sc. J\ I can smile, and murder whiles I smile. Henry VI.— 3d, Act III., Sc. II. He has in several plays shown his contempt for the "pratini;- mountebank " or " doting wizard." They brought one Pinch, a hungry, lean-fac'd villain, A mere anatomy, a mountebank, A thread-bare juggler, and a fortune-teller; A needy, hollow-ey'd, sharp-looking wretch, A living dead man : this pernicious slave, Forsooth, took on him as a conjurer, And, gazing in mine eyes, feeling my pulse, And with no face, as 'twere, out-facing me, Cries out I was possessed Comedy of Errors, Act V., Sc- I. I say we must not So stain our judgment, or corrupt our hope. To prostitute our past-cure malady To empirics ; or to dissever so Our great self and our credit, to esteem A senseless help, when help past sense we deem. AlVs Well, Act II., Sc. I. 12 PART 11. PRACTICE OF MEDICINE. Shakespeare's maladies are many and the symptoms very well defined. Diseases of the nervous system seem to have been a favorite study, especially insanity ; Lear, Timon, and Hamlet being excellent examples. And lie * * * (a short tale to make), Fell into a sadness; then into a fast; Thence to a watch ; thence into a weakness; Thence to a lightness; and, by this declension Into the madness wherein now he raves. Hamlet, Act II., Sc. II. He took me by the wrist and held me hard ; Then goes he to the length of all his arm ; And with his other hand thus o'er his brow, He falls to such perusal of my face, As he would draw it. Long stay'd he so; At last, — a little shaking of mine arm, And thrice his head thus waving up and down. He raised a sigh so piteous and profound, That it did seem to shatter all his bulk. And end his being : That done, he lets me go : And, with his head o'er his shoulder turn'd. He seem'd to find his way without his eyes; For out o' doors he went without their help. And, to the last, bended their light on me. Hamlet, Act II., Sc. I. Alas, how is it with you. That you do bend your eye on vacancy. And with the incorporal air do hold discourse? Forth at your eyes yovir spirits wildly peep ; And, as the sleeping soldiers in the alarm, Your bedded hair, like life in excrements, Starts up, and stands on end. Hamlet, Act III, Sc. IV. 13 MEDICAL THOUGHTS OF SHAKESPEARE. O, what a noble mind is here o'erthrown ! The courtier's, scholar's, soldier's, eye, tongue, sword : The expectancy and rose of the fair state, The glass of fashion and the mould of form, The observed of all observers,— quite, quite down! And I, of ladies most deject and wretched. That snck'd the honey of his music vows, Now see that noble and most sovereign reason, Like sweet bells jangled, out of tune and harsh ; That unmatch'd form and feature of blown youth, Blasted with ecstasy. Hamlet, Act Ilf., Sc. I. There's something in his sonl, O'er which his melancholy sits on brood ; And I do doubt the hatch and the disclose. Will be some danger. Homlct, Act III., Se. I. Canst thou not minister to a mind diseas'd ; Pluck from the memory a rooted sorrow ; Raze out the written troubles of the brain ; And, with some sweet oblivious antidote. Cleanse the stulf 'd bosom of that perilous stuff Which weighs upon tiie heart? Macbeth, Act V., Sc. HI. ****** Infected minds To their deaf pillows will discharge their secrets. ********* Remove from her the means of all annoyance, And still keep eyes upon her. 3Incheth, Act V., Sc. I. Infirmity doth still neglect all office, Whereto our health is bound ; we are not ourselves, When nature, being oppress'd, commands the mind To suffer with the body : I'll forbear ; And am fall'n out with my more headier will, To take the indispos'd and sickly fit For the sound man. King Lear, Act II., Sc. IV. This is in thee a nature but infected ; A poor unmanly melancholy, sprung From change of fortune. Timon of Athens, Act IV., Sc. III. 14 PRACTICE Oh' JIEDICINE. The mere want of gold, and the falling- from of his friends, drove him into til is melancholy. Timo)i of Alheiis, AH 71'., Sr. III. Tell him * •■ ■• - - * * * * that his lady mourns at his disease : Persuade him that he hath been a lunatic. Tamiiuj of the Sfireir, Jnd., Sc. I. -X- ;: -X- Being lunatic He ru.sh'd into my hou^e, ana took perforce My ring away. Comedy of Errors, Aet IF., Se. III. These dangerous unsafe lunes. U'inler'.s Tttle, Aet 11, ,Se. II With great imagination. Proper to madmen, led his powers to death, And, winking, leap'd into de.strnction. Heiiri/ IV— 2(1 Aet. I, Se. Ill Oft the eye mistakes, tlie brain being troubled. Venus (1)1(1 Adonis. To see his nobleness ! Conceiving the dishonour of his mother, He straight declin'd, droop'd. took it deeply; Fasten'd and tix'd the shame on 't in himself; Threw off his .spirit, his appetite, his sleep, And downright languish 'd. Winter'.'^ Tale, Act II., Se III His siege is now Against the mind, the which he pricks and wounds With many legions of strange fantasies, Which, in their throng and press to that last hold. Confound themselves. Kin;/ John, Aet v., Se. VII. Shakespeare certainly had the true idea of the great value of sleep, and he also knew of its importance in the treatment of brain diseases. Sleep serves as an excellent stimukxnt, promot- ing the growth of the brain. The infant, during the first ten weeks of its life, sleeps most of the time and hence dui-ing that period its brain is overdeveloped in proportion to its size. Our foster-nurse of nature is repose. The which he lacks ; that to provoke in him, 15 ^MKDICAL TIIOUGHTS OF SHAKESPEARE. Are mauy simples operative, whose power Will close the eye of anguish. Kiiui Lear, Ad IV., Sc. IV. O sleep, gentle sleep, Nature's soft nurse, Khuj Henry JV—2(l, Ad ITT., Sr. I. Sleep, that knits up the ravell'd sleave of care. The death of each day's life, sore labour's bath. Balm of hurt minds, great nature's second course. Chief nourisher of life's feast. BImheih, Ad J I., Sv. I. Oppressed nature sleeps: — This rest might yet have balni'd thy broken senses, Which, if convenient will not allow, Stand in hard cure. Kitif/ Lear, Ad III., Si: VI. Man's rich restorative ; his balmy batli, That supplies, lubricates and keeps in play The various movements of that nice machine. Which asks such frequent periods of repair. YiiiiiKj's Ml/Id TItoiiiilila. Music was held us one of the remedies in the treatment of insanity. It plays an important part in King Lear, (TV-VIT), and finds mention as a remedy in other plays. This music mads me, let it sound no more ; For, though it have holp madmen to their wits. In me it .seems it will make wise men mad. Rivhurd II., Ad. v., ,SV. V. Let there be no noi.se made, my gentle friends ; Unless some dull and favourable hand Will whisper music to my weary spirit. Henry IV— M, Ad IV., Sc IV. Your honour's players, hearing your amendment, Are come to play a pleasant comedy. For so your doctors hold it very meet. Seeing too much sadness hath congeal'd your blood, And melancholy is the nur.se of frenzy ; Therefore, they thought it good you hear a play. And frame your mind to mirth and merriment, Which bars a thousand harms, and lengthens life. Taming of the Shrew, Ind., Sc. II. 16 PRACTICE OF MEDICINE. Your physicians have expressly charg'd, In peril to incur your former malady, That I should yet absent me from your bed. * Tftminf/ of the Shreir, Ind., ii)i. .finiii, ('until VI.. rer.< YIET)I('INE. There's never any of these demure boys come to any proof; for thin drink doth so overcool their blood, and making many fish-meals, that they fall into a kind of male green sickness ; they are generally fools and cowards. Henni IV— 2d, Avt IV., Sr. III. Lepidus, .Since Pompey's feast, as Menas says, is tronbled With the green sickness. Atitnnji and CJcnpnlro, Act III., Sc. II. Ben Jonson in writing of this disease has happily and properly recommended mai'riage as an important step toward recovery. Ill' would keep vdii * * * not alone without a luisl)iui(l. H\it with a sickness ; ay. and the green sickness, The maiden's malady ; which is a sickness,— \ kind of a disease, ***** XwiX like the fi.sh our mariners call iriiioni. I say re mora, For it will stay a ship that's under sail : .Uid stays are lonj; and tedious things to maids I And maids are young ships that wt)Uld ))e sailing When they be rigg'd. * *. * * * Tlie stay is dangerous. * ****** * * I can assure you from the doctor's moutli. She has a dropsy, and must change tlie air Before she can recover. (live her vent. If she do swell. A gimhlct mu.st Ix' had : It is a tympanites she is troubled with. There are three kinds : the first is anasarca. Under the flesh a tumor ; that's not hers. The second is ascites, or aquosus, .\ watery humour ; that is not hers neither ; Hut tympanites, which we call the drum, A wind-bombs in her belly, must Ije unbraced. And with a faucet or a peg, let out, And she'll do well : get her a husband. Mnfivetir Lath/, AH IT., Sc. I. My nose fell a-bleeding on Black-Monday last. 3TercJi(nit of Venice, Act II., Sc. V. Diseases of the respiratory system were quite overlooked by Shakespeare. Consumption catch thee ! Timon of Athens, Act IV., Sc. III. 25 MEDTf'AL THOrtiHTS OK SHAKESPKARE. There's hell, there's darkness, there is the sulphurous pit, burning, scalding, stench, consumption ! Kind Lear, Act IV., Sc. VI. Thy food is such As has been belch 'd ou by infected lungs. Pcrirle.^ Arf TV., Sc VI. ]5ut I'm relapsing into mi'tiiphysics, That labyrinth, whose chie is of the same Construction as your cures for hectic phthisics. Those brisrht moths flntterins' round a dying flame. Byron — Don ,Tuan, Canto XI J. , Verne IjXXII. Love is riotous, but mairiag-e should have quiet, And. being consumptive, live on a milk diet. Bjiron — Don Jiiaii. Canto XW, IV/w XI, I. For goodness, growing to a plurisy, Dies in his own too-much. Hamlet, Art IV., .SV-. VII A whoreson cold, sir ; a cough, sir; which I caught with ringing in the king's affairs, upon his coronation day. Henri/ IV—2i1, Act III, ,Se. II. 'Tis dangerous to take a cold. Henri/ IV., Art II, Sr. III. The tailor cries, and falls into a cough. Miil.Hiimmer A'/V//(/'.s Dream, Act II., Se. I. Coug'lis will come when sighs ,i— Don ./mill, OiiiM X.. Vrrxe VJII. Who, * * =■■ but would much rather Sigh like his son, than cougli like his grandfatluT? Byron — Don .hiaii, C< Lost, Act I., Sc. I. Say, can you fast ? Your stomachs are too young ; And abstinence engenders maladies. Love's Labour's Lost, Act IV., Sc. III. I'nquiet meals make ill digestions. Comedy of Errors, Act V., Sc. I. A. sick man's appetite, who desires most that Which would increase his evil. Coriolamis, Act I., Sc. I. Do not turn me about ; my stomach is not constant. Tempest, Act II., Sc. II. 27 JIKDTCAL TIIOUGHTS OF SHAKESPEARE. For. PVLT iuiil iuioii coim's indiircstioii. Jli/raii — 1)1)11 JiKiii. ( 'auto XL, \'(ixi'lll. When a roast and a ragout, And fish and soup, by some side-dislies l)ack'd. Can give us either pain or pleasure, who Would pique himself on intellerts, whose use Deijends so much upon the gastric juice? Bj/rmi — I>(iti Jiiiw, Carilo I'., Vcr^r A'.VA'//. He ate and he was well supplied ; and she Who watch'd him like a mother, would have fed Him past all bounds, because she smiled to see. Such ai)i)etite in one she had deem'd dead : But Zoe, being older than Haidee, Knew (by tradition, for she ne'er had read). That famish'd people must be slowly nursed, And fed l)y si)Oonfnls, else they always l^iust. lijivdii—lhrn Jiiav. Cmito II.. Vrrtr CLVIIL Why look you pale? Seasick, I think, coming from Muscovy. Jjiic'k L(iii .iiKui. oiiitox.. ivm r.xn: Xow we've reached her, lo I the captain, Gallant Kidd, commands the crew ; Passengers their berths are clapt in. Some to grumble, some to spew. ****** H: " Helji !"— " a couplet?"—" no. a cu]! Of warm water." ' ' What' s the matter ?' ' " Zotnids ! my liver 's coming u|i : ] shall not survive the racket Of this brutal Li.sbon Packet." Jii/mii —Pori)i.ii. Love 's a capricious power ; I've known it hold Out through a fever caused by its own heat, But be much puzzled by a cough or cf)ld. And find a quinsy very hard to treat ; Against all noble maladies he 's bold. But vulgar illnesses don't like to meet, Nor that a sneeze should interrupt his sigh. Nor inflammations redden his lilind eye. But worst of all it's nausea, or a pain .\bout the lower regions of the bowels : Love who heroically breathes a vein, Shrinks from the application of hot towels. 28 PRAfiTIOE OF MEDICINE. And purfratives ;\vv dniisorons to liis rciijii. Seasickiu'ss dt'atli. Jlili<>ii—J>oii JiKiii. CitJilo II.. IVrxe -V.V//. Like wind coiiiiiri'.ss'd and ]>eiil within a liladdt'v. Or like a lunnan colic which is sadder. l!iir(iii—]'i,tioii Iff .Jtidijiiii'iil. Wlicn will your c()nstii>atii)n have done, .nood inadanic? Ciirdi-rinlit. Diseases of tlie secretory system have not escaped bis eao-le eye. A (at old man """ ••" -" that sAvoln parcel of dropsies. Jleiin/ JJ'., Art II., ,SV'. If. The dropsy drown this fool ! Tempest, Act IV., Sc. I. It is a dropsied honour. -l//'s Well, Act II., Sc. 111. Flit. You make liit rascals, mislress Doll. DoU. I make them ! gluttony and disease make them. Heni!) IV— 2d, Act II., Sc. IV. Leprosy was sometimes called measles, from the French of leper, meseau or mesel. This is the sense in which Shakespeare uses the word measles — an entirely ditterent one from that now in vogue. The word "hoar," occurring in several of the quota- tions, refers to the white spots so eharactei'istic of the disease. As (or my country I have shed my blood, Not fearing outward force, so shall my lungs Coin words till their decay against tho.se measle.s. Which we disdain should tetter n.s, yet .sought The very way to catch them. Coriolfoms, Act IIL, Sc. I. CJold! - '" * - * - This yellow slave will make the hoar leprosy ador'd. Timoii of Af/icDfi, Act I]'., Sc. III. Hoar the flameu, That scolds against the quality of fle.sh. And not believes him.self Tiiiion of Atheii>i, Act IV., Sc. III. Itches, blaius, Sow all the Athenian bosoms, and their crop Be general leprosy ! Timon of Athens, Act IV., Sc. I. 29 .MEDICAL THOrOHTS OF SIIAKKSl'KAHK. Diseased nature oftimes breaks forth In strange eruptions. Hen 11/ IV., J (I in.,S<: I. For thine own bowels, which do call thee sire, The mere elit'nsion of thy ])roper loins, Do curse the gout, .s rpigo, and the rheum, For ending thee no sooner. Jfi'dsiirc for Measure, Ad III., S<\ I. Now the dry serpigo on the subject ! Troilits iiiiil C'ressiilo, Act II., Sc. III. A tailor might scratch her where 'er she did itch. Tempest, Act II., Sc II. Tn the midland counties of England a pimple was frequently called " a quat." I have rubb'd this young c^uat almost to a .sen.se, And he grows angry. OlhcUo. Act V.,Sc. I. Rubbing the poor itch, -::- •;:- -;;- Make yourselves scabs CoridhiniiH, Act I., Sc. I. I would thou didst itch from head to foot, and I had the scratching of thee : I would make thee the loathsomest scab in Greece. TroiluK and CrcKsida, Act II., Sc. I. My elbow itched ; I thought there would a scab follow. 3Iuch Ado, Act III., Sc. III. Scratching her legs that one shall swear she bleeds. Taming of the Shrew, Ind., Sc. II. Full of unpleasing blots and sightless stains. King John, Act HI., Sc. I. Dro. S. She sweats— a man may go over shoes in the grime of it. Ant. S. That's a fault that water will mend. Dro. S. No, sir, 'tis iu grain. Comedy of Errors, Act III., Sc. II. I had rather heat my liver with drinking. • Antony and C/eopafrd, Act I., Sc. II. Let my liver rather heat with wine, Than my heart cool with mortifying groans. Merchant of Venice, Act I., Sc. I. 30 PRACTICE OF MEDICINK. Were my wife's liver Infected as her life, she would not live The ruunin-i of one glass. W!iiier\'< Talr, Art I.. ,SV. //. What grief hath set the jaundice on your cheeks? Troilu^ and Vrcxsidu, Aft /., Sc III. All seems infected that the infected spy, And all seems yellow to the jiuuidiced eye. The liver is the lazaret of ))ilc, Hilt very rarely executes its function, For the tirst passion stays there such a w liilc That all the rest creep in and form a junction. Like knots of vipers on a dunghill's soil. Rage, fear, hate, jealousy, revenge, compiniction. So that all mischiefs spring up from this entrail. Like eartluiuakes from tlie hidden fire call'd " central." Bilfov—Ihiii Jintii, Canto III.. IVr.se CCXV. The examination of the urine as an aid to diagnosis has been resorted to for many centuries, but the processes of to-day are, of course, vastly different from and hardly to be compared with those of earlier times, when blind ignorance caused urine-examining, or •' water-casting," to be a mere mockery. The practice, says Dr. Bucknill, arose " like the barber surgery, from the ecclesiastical interdics upon the medical vocations of the clergy. Priests and monks, being unable to visit their former patients, are said tirst to have resorted to the expedient of divining the malady, and directing the treatment upon simple inspection of the urine." The College of Physicians, in an old statiite, denounced it as be- longing only to charlatans, and members were not allowed to give advice on inspection only. Shakespeare has frequently referred to it, as have also many others of the old writers, who condemn strono-ly what was then a shallow deception, but what has now Itecome, by the light of knowledge, one of the most important diagnostic aids to many diseases. 7/o.s/. Thou art a Castilian, king urinal ! -::- Pardon, a word, monsieur, mock-water. J>r. Coiu^. Wock-vater ! vatisdat? 3Iern/ IF(<;e.s, Art II., Sr. III. If thou conld'st, doctor, cast Tlie water of my land, tind her disease, 31 MEDICAL TIIOrGIITS OF SHAKESPEARE. And purge it to a sound and pristine health, I would applaud thee to the very echo. Blacheih, Act V., Sc. III. Carry his water to the wise woman. Twelffh Nif/ht, Act III., Sc. IV. Fahtaff. What says the doctor to my water? Page. He said, sir, the water itself was a good healthy water; but, for the party that owed it, he might have more diseases than he knew for. Henry IV— M, Act /., .SV. //. Others, when the bagpipe sings i' the nose Cannot contain their urine: for affection, Master of passion, sways it to the mood Of what it likes or loathes. Slercliunt of Venice, Act IV., Sc. I. Macd. What three things does drink especially provoke ? Port. Marry, sir, nose-painting, sleep, and urine. Macbeth, Act II., Sc II. When he makes water, his urine is congealed ice. Meaiiure for Measure, Act III., Sc. II. Fevers and other general diseases are often referred to and ver}^ many excellent allusions have been made to them. I He is so shaked of a burning quotidian tertian, that it is most lamentable to behold. Henry V., Act II., Sc I. If all the wine in my bottle will recover him, I will help his ague. Tempest, Act II., Sc. IT. A lunatic lean-witted fool. Presuming on an ague's privilege, Dar'st with thy frozen admonition Make pale our cheek ; chasing the royal blood. With fury, from his native residence Richard II., Act II., Sc I. But now will canker sorrow eat my bud, And chase the native beauty from his cheek, And he will look as hollow as a ghost, As dim and meagre as an ague's fit. And so he'll die. Kimi John, Act III, Sc IV. Here let them lie till famine and the ague eat them up. Macbeth, Act V, Sc V. 32 PRACTICE OP MKDICINK, An untimely ague Htay'd ine a prisoner in my chambor. Henry VIII., Art /., Sc. I My wind * '• * would Wow me to an ague. Mervhant of Venire, Act I., Sc I. He had a lever when he was in Spain, And, when the fit was on him, I did mark How he did shake ; 'tis true, this god did shake : His coward lips did from their colour fly ; And that same eye whose bend did awe the world Did lose his lustre : I did hear him groan : Ay, and that toDgue of his, that bade the Konians Mark him, and write his speeches in their books, ,-1/fr.s .' it cried, Gire vie some (Iriiik, Tiiiniiis, As a sick girl. Julius desnr, Act /., -SV-. //. Home without boots, and in foul weather too ! How 'scapes he agues? Henrij IV., Ad III, Se. I Danger, like an ague, subtly taints Even then when we sit idly in the sun. Troihis and Cressidn, Act III., Sc III. All the infectious that the sun sucks up From bogs, fens, flats, on Prosper fall, and make him By inch-meal a disease ! Tempest, Act II., Sc. II. It is not for your health thus to commit Your weak condition to the raw cold morning. Julius Ciesar, Act II., Sc. I. I asked the doctors after his disease — He died of the slow fever called the tertian, .\nd left his widow to her own aversion. Bijrtm — Don Jiiun, Ccudo I.. Veist XXXIV. His feeluigs had not those strange fits, like tertians Of common likings, which make some deplore What they should laugh at— the mere ague still ( »f men's regards, the fever or the chill. Biinjii—Doii Jiiini. Cavlo XIII., Verse XVII. Plague Las been alluded to frequently, but generally only the symptoms of carbuncles and the petechise are mentioned. As the latter only occur in very bad cases, they were called " God's tokens," and their appearance denoted a fatal termina- ls MEDICAL THOUGHTS OP SHAKESPEARE. tion of the disease. Hence the home of the patient was closed and " Lord have mercy on ns " placed upon the door. Write Lord have mercy on us on those three ; They are infected, in their hearts it lies; They have the phigue and caught it of your eyes. Lovers Labours Lout, Act V., S<: I J. He is so plaguy-proud, that the death tokens of it cry — No recovery. Troihis and Cremda, Act IL, Sc IJL Enoharlms. How appears the fight? Scaritx. On our side like the token'd pestilence, Where death is sure AntiDU) and Cleopatra, Act IIL, ,Sc. A'. Now the red pestilence strike all trades in IJonie, Antl occupations perish ! Coviolantis, Act IV., Sc. I. The searchers of the town, Suspecting that we both were in a house Where the infectious pestilence did reign, Healed up the doors and would not let us forth. / I'oineo and Juliet, Act V., Sc. IL Thou art a boil, A plague sore, an embossed carbuncle, In mv corrupted blood. Kinf/ Lear, Act IL, Sc. IV. Boils and plagues Plaster you o'er ; that you may be abhorr'd Further than seen, and one infect another Against the wind a mile ! Coriola)nift, Act /., .SV'. /T. Men take diseases, one of another : Therefore, let men take heed of their company. Henri/ IV— 2d, Act V., Sc. L Being sick * "■•" * "•'" * '•■' And as the wretch, whose fever- weak en 'd joints. Like .strengthless hinges, buckle under life. Henri/ IV— 2d, Act L, Sc. I. We are all diseas'd ; and ****** * * -;:- Have brought ourselves into a burning fever. And we must bleed for it. Henry IV— 2d, Act IV., Sc. I. 34 PRACTICE OF MEDICINE. This fever, that hath troubled me so loug, Lies heavy on me. * * "•'' "" This tyrant fever burns me up, And will not let me welcome this good news. Kin;/ John, Act V., S<: J 1 1. What's a fever but a fit of madness ? Corned 1/ of Errors, Act V., Sc. J. At this instant he is sick, my lord. Of a strange fever. 3IeasKre for dleasine, Act J'., S<-. I. My heart beats thicker than a feverous pulse. Troitiis and Crcssida, Act III., Sc. II. Sickness is calchiug. Midmmmer NighVs Dream, Act /.. ,SV-. T. Tlius saith the preacher : " Noujflit l)eneath the sun, Is new," yet still from change to change we run : W hat varied wonders tempt us as they jjass ! The cow-i)ox, tractors, galvanism, and gas, In turns appear, to make the vulgar stare. Till the swoln bubble liursts— and all is air ! Jii/roii—Eiii/. Hard.'' mid Sfalrh Hi rifirrrn. Vaccination certainly has been .V kind antithesis to Congreve's rockets. With which the Doctor paid off an old pox. By bf)rrowing a new one from an ox. Bjinm — Don .Jiiiiii. Ciiiifii I., IV/sf CXXTX. I don't know how it was, but he grew sick : The empress w'as alarm'd, and her physician (The same who physick'd Peter), found the tick Of his tierce pulse betoken a condition Which augur'd of the dead, however ijiiick Itself, and show'd a feverish disposition ; At which the whole court was extremely troubled. The sovereign shock'd, and all his medicines doubled. Low were the whispers, manifold the rumoiu's : Some said he had been poison'd by Potemkin ; ( )thers talked learnedly of certain tumours, Kxhaustion, or disorders of the same kin ; St)me said 'twas a concoction of the humours. With which the Ijlood too readily will claim kin : Others again were ready to maintain, " 'Twas only the fatigue of last campaign." But here is one prescription out of many : " Sodie-sulphat. 3. VI. 3. S. mannte optim. Aq. fervent. F. 3. iss. 3. ij tinct. sennse Haustus," (and here the surgeon came and cupp'd him), R. Pulv. com. gr iii. Ipecacuanha'," (With more besides, if .Tuan had not stopp'd 'em). 85 MEDICAL THOUGHTS OF SHAKESPEARE. " Bolus potassie sulphuret. sumendns, Et haustus ter in die capiendus." This is the way physicians mend or end ns, Secundum artera. ***** Bunm—ihiii JiKiii. Cantd A'., IV)>v A'.YA'/A'. Kheuniiatic diseases do abound : Aud through this disteniperature, we see The seasons alter. Miihiimmcf NigJifs Drcatn, Act 11.^ Sr. I. This raw rheumatic day. Merry Wm:<:, Act III., So. I. Is Brutus sick, — aud is it physical To walk unbraced, and suck up humours Of the dank morning ? What, is Brutus sick, Aud will he steal out of his wholesome bed, To dare the vile contagion of the night, And tempt the rheuma aud unpurged air To add unto his sickness? Jxliits desar, Act II., Sc. I. Is this the poultice for my aching bones? Romeo and Juliet, Act II.. Se. V. .1 roininii .-ilioirrr your slidDtinj;' corns presjige, Old ac/i)•.««/> A" 17/. like an oi>iate which brings troubled rest, ( )r none, Biliiiii — Thill .Fiian, Canto A'17., \'f'rxe X The drug he gave me, which, he .said, was precious And cordial to me, have I not found it Murderous to the sen-ses ? CyiiiheJine, AH IV., ,Sc. II. Have we eaten of the insane root, That takes the reason prisoner ? Jlacleth, Act I., Se. III. Commentators think that Shakespeare found the name of this root in Bateman's Commentary on Bartholeme de Propriet Re- rum : "Henbane (Hyoscyamus) is called //i^a^ia, mad, for the use thereof is perillous ; for if it be eate or drunke, it breedeth madnesse, or slow lykenesse of sleepe. Therefore this hearb is called commonly Mirilidium, for it taketh away wit and reason." Lib. A'VIf., Ch. 81. Thy uncle stole. With juice of cursed hehenon in a vial. And in the porches of mine ears did ])()nr The le]3erous distilment ; whose effect Holds such an enmity with blood of man. That, swift as quicksilver, it courses through The natural gates and alleys of the body ; 38 PRACTICE OF MEDICINE. And with a sndden rigour, it doth posset And enrd, like sour droppings into milk, The thin and wholesome blood : so did it mine, And a most instant tetter bark'd abont, Most lazar-like, with vile and loathsome crust. All my smooth body- Jfamlcf, Ad L, Sc. V. It would indeed be interesting- to know the source of Shakes- peare's knowledge on the ph3'siological action of this alkaloid of tobacco. Most true it is that he has selected an excellent drug for his purpose in taking up the crude oil — Nicotia nin (hebenon). Birds will fall dead as the}' approach it ; one drop is sufficient to kill a dog ; and man dies in from two to five minutes after tak- ing a poisonous dose: but the drug produces death by tha failure of respiration, not by its direct action on the blood. " In nicotia- poisoning the blood is, however, not percepiiibly affected. The amount of the alkaloid necessary to take life is exceedingly small, and although death by asphyxia causes the vital fluid to be everywhere dark, yet the microscope reveals only normal corpuscles. Moreover, Krocker has found that the dark blood rapidly assumes an arterial haie when shaken in the air, and that its spectrum is normal." (H. C. Wood's Toxicology, 1882, p. 370.) It is thought by many that Shakespeare did not intend "heb- enon " to mean the alkaloid of tobacco, and very plausible arguments have been brought forward to show that he meant' hebon or the juice of the yew. Dyer, in his chapter on plants, gives the following extract of a paper read by Rev. W. A. Har- rison before the New Shakespeare Society in 1882: " It has been suggested that the ]ioison intended by the Ghost in 'Hamlet,' ([-V.), when he speaks of the 'juice of cursed hebenon,' is that of the yew, and is the same as Marlowe's 'juice of hebon.' (Jew of Malta, III-I V.) The yew is called hebon by Spenser and by other writei"s of Shakespeare's age ; and in its various forms of eben, eiben, hiben, etc., this tree is so named in no less than five different European languages. From medical authorities, both of ancient and modern times, it would seem that the juice of the yew is a rapidly fatal poison ; next, that the symptoms attend- ing upon yew-])oisoning correspond, in a veiy remarkable man- ner, with those which follow the bites of poisonous snakes; and. 39 MEDICAL THOUGHTS OF SHAKESPEARE. lastly, that no other poison but the yew produces the " lazar- like ulcerations on the body, ujiou which Shakespeare, in this passage, lays so much stress." From these arguments there seems to be every reason for believing that Shakespeare did mean the juice of the yew, and it is to be hoped that the con- tinual harping on this subject, as an evidence of his medical ignorance, will soon cease. Recovered again with aquavitte, or some other hot infusion. Winter's Tale, Act IV., Sc. III. I must needs wake you : * * * * Alas! mj' lady's dead ! "" * ""' * '•' " * * * * Some aquavitic, ho ! Romeo and Juliet, Act IV., Sc. V. The second property of your excellent sherris is — the warming of the blood ; which, before cold and settled, left the liver white and pale, * * * but the sherris warms it, and makes it course from the inwards to the parts extreme. Henry IV— 2d, Act IV., Sc. III. The rapidity with which aconite, in poisonous doses, acts, is forcibly shown in the comparison of it with gunpowder. A hoop of gold to bind thy brothers in, That the united vessel of their blood, Mingled with venom of suggestion, (As, force perforce, the age will pour it in,) Shall never leak, though it do work as strong As aconitum, or rash gunpowder. Henn, IV— 2d, Act IV., Sc. IV. Let me have A dram of poison; such soou-speeding gear As will disperse itself through all the veins, That the life-weary taker may fall dead ; And that the trunk may be discharg'd of breath As violently, as hasty powder fir'd Doth hurry from the fatal cannon's womb. Romeo and Juliet, Act V., Sc. I. The curative properties of balm or balsam have been known and valued for ages past. But, saying thus, instead of oil and balm. Thou lay'st in every gash that love hath given me The knife that made it. Troilus and Cressida, Act I., Sc. I. 40 PRACTICE OF MEDICINE. Is this tlie biilsam that tlie usniiug senate Poms into captain's wounds? Banishment I Timon of AiheiiK, Act III., Sc F. My pity hath been balm to heal their wounds. Jhnry VI.—^^iJ, Act IV , Sc. III. A solution of gold was supposed to possess great medical power ; even the actual contact of the pure metal, according to their belief, kept the wearer ever in good health. Dyer quotes from John Wight's translation of the " Secrets of Alexis," in which is given a receipt " to dissolve and reducte golde into a potable licour which conserveth the youth and healthe of a man, and will heale every disease that is thought incurable in the space of seven dales at the furthest." The term "grand liquor," as it appears in Shakespeare, refers to this solution. Coming to look on you, thinking 3011 dead, (.•Vnd dead almost, my liege, to think you were,) I sjjake unto ihe crown, as having sense, And thus upbraided it: 7'hc care on tlicc (hpcndiiif/, Ifafli fed upon the bodi/ of my father ; 'Therefore, thou, best of gold, art worst of (/old : Other, less fine in. carat, is more precious, Prescrrintf life in med'cinc jyotalile. Henry IV— 2d, Act IV., Sc. IV. Plutus himself, That knows the tinct and multipljnng medicine, Hath not in nature's mystery more science Than I have in this ring. AlVs Well, Act v., Sc. III. Find this grand licjuor that hath gilded 'em. Tempest, Act V., Sc. I. We sicken to .shun sickness when we purge. Sonnet.'i, CXVIII. What rhubarb, senna, or what purgative drug. Would scour these English hence ? Macbeth, Act V., Sc. Ill Let's purge this choler without letting blood: This we prescribe, though no physician ; Our doctors .say, this is no mouth to l)leed. IiichardII.,AetI.,Sc. I. 41 MEDICAL THOUGHTS OF SHAKESPEARE. That gentle physic, given in time, had cur'd me ; But now I am past all " '• * Henry VIII. , Act IV., Sc. II. 'Tis time to give 'em physic, their diseases Are grown so catching. Henry VIII., Act I.. Sc. III. He brings his physic After his patient's death. Henry VIII, Act III., Sc. II. I will not cast awaj^ my physic, hut on those that are sick. As You Like It, Act III , Sc. II. To jump a body with a dangerous physic That's sure of death without it. Coriohuuis, Act III., Sc. I. Doctors give physio bv wav of invvt'iitioii. Sirifl. The ignorant and superstitious were of the opinion that poi- sons could be prepared so that the eifeet could be produced at certain periods after their ingestion. They were also jn error in the thought that poisons caused great swelling of the body. She did confess she had For you a mortal mineral ; which, being took, Should by the minute feed ou life, and, lingering, By inches waste you. Cymbeline, Act V., Sc. V. All three of them are desperate : their great guilt, Like poison given to work a great time after. Now 'gins to bite the spirits. Tempe.^t, Act III, Sc. III. Hubert. The king, I fear, is poison'd by a monk : I left him almost speechless. * * * Bastard. How did he take it ? who did taste to him ? Hubert. A monk, I tell you ; a resolved villain. Whose bowels suddenly burst out : the king Yet speaks, and, peradventure, may recover. Kin;/ John, Act V., Sc. VI. You shall digest the venom of your spleen, Though it do split you ! Julius Csesar, Act IV., Sc. III. 42 PRACTICE OF MEDICINE. If they had swallow'd poison 't would appear By external swelling : but she looks like sleep. Antony and Cleopatra, Act V., Sc. II. K. John. There is so hot a summer in my bosom, That all my bowels crumble up to dust: I am a scribbled form, drawn with a pen Upon a parchment; and against this fire Do I shrink up. F. Henry. How fares your majesty ? K. John. Poison'd, — ill fare; dead, forsook, cast off: And none of you will bid the winter come, To thrust his icy fingers in my maw ; Nor let my kingdom's rivers take their course Through my burn'd bosom ; nor entreat the north To make his bleak winds kiss my parched lips. And comfort me with cold : I do not ask you much, 1 beg cold comfort ; and you are so strait. And so ingrateful, you deny me that * * * ■\Vithin me is a hell ; and there the poison Is, as a fiend, confin'd to tyrannize On unreprievable condemned blood. Kiuff John, Art V., Sc. VII. Within the infant rind of this Aveak flower Poison hath residence, and medicine power : For this, being smelt, with that part cheers each part; Being tasted, slays all senses with the heart. Romeo and Juliet, Act II., Sc. III. Like a poisonous mineral, gnaw my inwards. Othello, Act II , Sc. I. I bought an unclion of a mountebank, So mortal, that but dip a knife in it. Where it draws blood no cataplasm so rare Collected from all simples that have virtue Under the moon, can save the thing from death That is but scratch'd withal. Hamlet, Act IV., Sc. VII. A few miscellaneous quotations referring to medical subjects must here find a place. The more one sickens the worse at ease he is. .I.s You Like It, Act III., Sc. II. 43 MEDICAL THOUnilTS OF SHAKESPEARE. He fell sick suddenly, and jirew so ill He could not sit his mule. Hvnvn J' TIL, Act IV., Sc. II. the sun is ii most glorious sight. I've seen him rise full oft, iufleed of late I have set up on purpose all the night, Which hastens, as phyisicians say, one's fate : And so all ye, who -would be in the right In health and purse, begin your day to date From day-break, and when eoffin'd at fourscore, Engrave upon the plate you rose at four. Bi/rov — Don.Tiian, Canto II., Vcrix' CXL. So much was our love, We would not understand what was most tit ; But, like the owner of a foul disease, To keep it from divul^iiug, let it feed Even on the pith of life. Diseases desperate grown. By desperate appliance are reiiev'd Or not at all. Hiimhl, .id IV., He. I. Hamlet, AH IV., Sc. III. His di.ssolute disease will scarce obey this medicine. Merri/ Wives, Act III., Sc. III. O vanity of sickness! tierce extremes, In their continuance, will not feel themselves. Death, having prey'd upon the outward parts, Leaves them insensible. Kinf/ John, Act V., Sc. VII. What a catalogue have we here: Now the rotten diseases of the south, the guts-griping, ruptures, catarrhs, loads o' gravel i' the back, lethargies, cold palsies, raw eyes, dirt-rotten livers, wheezing lungs, bladders full of imposthume, sciaticas, lime-kilns i' the palm, incurable bone-ache, and the rivelled fee-simple of tetter, take and take again such preposterous discoveries ! Troiliis and Crcssida, Act V., Sc. I. As burning fevers, agues pale and faint. Life-poisoning pestilence, and frenzies wood, The marrow-eating sickne-ss, Avhose attaint Disorder breeds by heating of the blood : Surfeits, imposthumes, grief and damu'd despair. Swear nature's death for framing thee so fair. Vcnns and Adonis. 44 VRAOTICE OP MEDICINK. How nicely does be describe the decay of man, the second childhood, the wasting- aAvay of the organism : The sixth age shifts Into the lean and slipper'd pantaloon, AViih spectacles on nose and pouch on side; His youthful hose, well sav'd, a world too wide J\jr his shrunk shank; and his big manly voice Turning again towards childish treble, pipes And whistles in his sound. Last scene of all. That ends this strange eventful history. Is second childishness, and mere oblivion. Sans teelh, sans eyes, sans taste, sans everything. As YoH Like It, Art. IT., Sc. VII. Again : Do you set down your name in the scroll of youth, that are written down old with all the characters of age ? Have you not a moist eye ? a dry hand ? a yellow cheek? a white beard? a decreasing leg? an increasing belly? Is not your voice broken ? your wind short? your chin double ? your wit single ? and every part of you blasted with antiquity : and will you yet call yourself young? Henry IV— 2d, Act I., Sv. II. The satirical rogue says here, that old men have grey beards; that their Aices are wrinkled; their eyes purging thick amber and plum-tree gum; and that they have a plentiful lack of wit, together with most weak hams. Hmnh't, Act II., Sc. II. A good leg will fall; a straight back will stoop; a black beard will turn white; a curled pate will grow bald ; a fair face will wither; a full eye will wax hollow. * * * Renry V., Act V., Sc. II. Were I hard-favour'd, foul, or wrinkled-old, Ill-natur'd, crooked, churlish, harsh in voice. O'er worn, despised, rheumatic, and cold. Thick -sighted, barren, lean, and lacking juice. Then might thou pau.se. ■•" * * Venus and Adonis. Let them die, that age and sullens have ; * * * both become the grave. Richard II., Act II, So. I. Thus, methinks, I hear them speak. See, how the Dean begins to break ! Poor gentleman ! he droops apace ! You plainly find it in his face. That old vertigo in his head -±5 MEDICAL THOUGHTS OF SHAKESPEARE. Will never leave him, till he's dead. Besides, his memory decays : He recollects not what he says ; He can not call his friends to mind ; Forgets tlie place where last he dined : Plies you with stories o'er and o'er : He told them fifty times before. How does he fancy we can sit To hear his out-of-fashion wit? But he takes up with younger folks, Wlio for his wine will bear his jokes. Faith, he must make liis stories shorter, Or change his comrades once a quarter. SwiJ'l—" Death of Dr. Sirifl." Thus Swift predicted his own end as early as 1731. History mournfully testifies that his candle bui-nt out as he anticipated. " Fits of lunacy were succeeded by the dementia of old age. For three years he uttered only a few words and broken interjections. He would often attempt to speak, but could not recollect words to express his meaning, upon which he would sigh heavily. Babylon in ruins (to use a simile of Addison's), was not a more melan- choly spectacle than this wreck of a mighty intellect ! In speech- less silence his spirit passed away Octolier 19, 1745." (Chamber's Eng. Lit.) Manhood declines — age palsies every limb ; He quits the scene — or else the scene quits him ; Scrapes wealth, o'er each departing penny grieves, And avarice seizes all ambition leaves ; Counts cent, per cent., and smiles or vainly frets, O'er hoards diminish'd by young Hopeful's debts : Weighs well and wisely what to sell or buy, Complete in all life's lessons— but to die ; Peevish and spiteful, doting, hard to please. Commending every time, save tiines like these : Crazed, querulous, forsaken, half forgot. Expires unwe])! — is Ijuried — let liim rot 1 Byron — Hinf>! from Horarr. The signs of a probable fatal termination are most beautifidly portrayed by Shakespeare. The death of Falstatf can not fail to be regarded by the profession as an excellent description of approaching dissolution. 'A made a finer end, and went away, an it had been any chiistoni cliild ; 'a parted even just between twelve and one, even at the turnin*;- of the tide: for after I saw him fumble with the sheets, and play with flower.s, and smile upon his finger's ends, I knew there was but one way; for his nose was as sharp as a pen, and 'a babbled of green fields. * * * 'A bade nie lay more clothes on his feet : I put my hand into the bed and felt them, and they 40 PRACTICE OF MEDICINE. were as cold as any stone; then I felt to his knees, and so upwards, and up- wards, and all was as cold as any stone. Henry V., Act II., Sc. III. Clarence. Lord ! Methought, what pain it was to drown ! What dreadful noise of waters in mine ears! What ugly sights of death within mine eyes ! * -:;- * * * * * * * Brakenhttri/. Had you such leisure in the time of death, To gaze upon these secrets of the deep? Clarence. Methought I had ; for still the envious flood Kept in my soul and would not let it forth To seek the empty, vast, and wand'ring air ; But smother'd it within ray panting hulk. Which almost burst to belch it in the sea. Richard III, Act I. Sc. IV. / How oft when men are at the point of death, *^ Have they been merry ! which their keepers call A lightning before death. Romeo and Juliet, Act V., Sc. III. Out, alas ! she's cold ; Her blood is settled, and her joints are stiff; (/ ' Life and these lips have long been separated : Death lies on her like an untimely frost Upon the sweetest flower of all the field. Romeo and Juliet, Act IJ'., Sc. V. Do yon notice How much her grace is alter'd on the sudden ? How long her flice is drawn ? how pale she looks. And of an earthy cold ! Mark her eyes. * * * She is going. Henri/ Vin.,Act IV., Sc. 11 Her physician tells me She hath pursu'd conclusions infinite Of easy ways to die. Antony and Cleopatra, Act V., Sc. II. j/ Bid a sick man in sadness make his will : — A word ill urg'd to one that is so ill. Romeo and Jnliet, Act 7. , Sc. I. By his gates of breath There lies a downy feather, which stirs not: Did he suspire, that light and weightless down Perforce must move. Henry IV — 2d, Act IV., Sc. IV. Lend me a looking-glass ; If that her breath will mist or stain ine stone, Why then she lives. Kine/ Lear, Act V., Sc. III. 47 MEDICAL THOUGHTS OF SHAKESPEARE. Death, on a solemn night of state, In all his pomp of terror sate : The attendants of his gloomy reign, Diseases dire, a ghastly train ! C rowded the vast court. With hollow tone, A voice thus thundered from the throne : " This night our minister we name ; Let every servant speak his claim : Merit shall bear this ebon wand." All, at the word, stretched forth their hand. Fever, with burning heat possessed, Advanced, and for the wand addressed : " I to the weekly bills appeal : Let those express itiy fervant zeal ; On every slight occasion near, With violence I persevere " Next Gout appears with limping pace, Pleads how he shifts from place to place : From head to foot how swift he flics, And every joint and sinew plies ; Still working when he seems supprest, A most tenacious stubborn guest. A haggard spectre from the crew Crawls forth, and thus asserts his due : " 'Tis I who taint the sweetest joy. And in the shape of love destroy. My shanks, sunk eyes, and noseless ftice. Prove my pretension to the place." Stone urged his overgrowing force ; And, next consumption's meagre corse, With feeble voice that scarce was heard. Broke with short coughs, his suit preferred : " Let none object my lingering way ; I gain, like Fabius, by delay ; Fatigue and weaken every foe By long attack, secure, though slow." Plague represents his rapid power. Who thinned a nation in an hour. All spoke their claim and hoped the wand. Now expectation hushed the baud, When thus the monarch from the throne ; " Merit was ever modest known. What ! no physician speak his right ? None here ! but fees their toil requite. Let, then. Intemperance take the wand. Who tills with gold their zealous hand. You, F^ever, Gout, and all the rest — Whom wary men as foes detest— Forego yoiu- claim. No more pretend Intemperance is esteemed a friend ; He shares their mirth, their social joys, And as a courted guest destroys. The charge on him must justly fall. Who finds employment for you all " Gdij—" Court of Drath. 48 PART III. SURGERY. Shakespeare paid much more attention to the practice of medicine and obstetrics than to surgery. Perhaps the cause of this was that at that time surgery had not reached its present perfection. A more probable reason is that his son-in-law, Dr. John Hall, may not have been a surgeon. lago. What, are you hurt, lieutenant? rV/.s. Ay, past all surgery. OtheUo.Act II., Sr. III. Can honour set a leg? No. Or an arm? No. Or take away the grief of a wound? No. Honour hath no .skill in surgery then? No. Henry IV., Ad V., Sr. I. With the help of a surgeon he might yet recover. 3Ii(if<>imm€r N^i(/Jif.'< Dreaw, Act F.. Sc. I. Let me have surgeons; I am cut to the hrains. Kiiif/ Lear, Act IV., Se. VI. Tiie king himself hath a heavy reckoning to make when all those legs, and arms, and heads, chopped off in a hattle, shall join together at the latter day, and cry all We died at such a place ; some swearing, some crying for a surgeon, .some, upon their wives left poor behind them. Henry V., Act IV., Sc. I. Piitr. Who keeps the tent now ? Titer. The surgeon's box, or the patient's wound. Troilns and Crcs.'<)ii .TiKui, ('unto I., \'ersr CXXIX. 49 k MEDICAL THOUGHTS OV SHAKESPEARE. The lawyer's l)rit'l' is like the surgeon's knife Dissecting the whole inside of a ((Uestion, And witli it all the process of digestion. Byriiii—Doii Jmui. Cuvln X., Vernf X]\'. All feel the ill, yet slmn the cure. Can sense this paradox endnre? Swift. Syphilis is frequently referred to, and lie represents several of his characters as having it; among them Falstaff and Dame Quickly. Li/simnchiis to keeper of o hawdij house: Have you that a man may deal withal and defy the surgeon? FeH(le.% Art IV., So. VI. ■ You help to make the diseases, Doll: We catch of you, Doll, we catch of you. Henry IV— 2d, Act II., Se. IV. Boult. Do you know the French kuight that cowers i' the hams? * * * Hated. As for him he brought his disease hither. Pericles, Act IV., Sc. IT. Doth fortune play the huswife with me now ? News have I, that my Nell is dead i' the spital Of malady of France. Henri/ V., Act I'., ,SV-. 7. In this sty, where, since I came, Disea.ses have been .sold dearer than physic. Pericle.% Act IV., Sc. VI. With tomboys, '•' * * with diseas'd ventures, That play with all infirmities for gold. Which rottenness can lend nature ! Such boil'd .stuff As well might poi.son poi.son! Ci/mheline, Act I., Sc. VI. I have purchased as many disea.ses under her roof as come to * * * ••" three thousand dollars a year. yiea>n(re for Measure, Act I, Sc. II. Nor did not with unbashful forehead woo The means of weakness and debility. As You Like It, Act II., Sc. III. If we two be one, and thou play false, I do digest the poison of thy flesh. Comedy of Errors, Act II., Sc. II. 50 srR({ERy Consumptions sow In hullaw hones of lueo ; strike their sharp shins. And mar men's spurring. Crack the lawyer's roiee, That he nuiy never more false title plead, Nor sound his quillets shrilly: hoar the flamen, Thai scolds against the quality of flesh, And not believes himself: down wHh the nose, Down with it flat ; take the bridge quite awoi/, Of him that, his particular to foresee, Smelts from the f/enenil weal : make rurVd pate ruffians hald : And let the uuscarr'd braggarts of the war Derive some pain from yon. Timon of Athens, Art IV., Se. III. The symptoms of secondary and tertiary syphilis are accu- rately expressed in this curse of Timon's. Leprosy is referred to in the sentence " hoar the flamen," or in other words, make white the priest. Shakespeare here shows a ver3' fine point by using these most dreaded of all diseases : leprosy, syphilis, and consumption— maladies that are hereditary, incurable, and' con- tagious. They are certainly lasting,as he wishes the curse to be. A pox on 't ! A common expression scattered through many of his plays. A man can no more separate age and covetousness than he can part young limbs and lechery; but the gout galls the one, and the pox pinches the other. Hen r 11 IV— 2d, Act /., Sc. II I'faith, if he be not rotten before he die (as we have many pocky corses now-a-days, that will scarce hold the laying in), he will last you some eight year or nine year. Hamlet, Art V., Se. I. She hath eaten up all her beef, and is herself in the tub. Measure for Measure, Act III, Se. II. To the spital go, And from the powdering-tub of infamy Fetch forth the lazar-kite of Cre.ssid's kind, Doll Tearsheet she by name. Henry V., Act II, Se. I. Be a whore still : -• ■• ^^ -- Give them diseases, * ""' * ■A- -:;- * -;s- geason the slaves For tubs and baths; bring down rose-cheeked youth To the tub-fast, and the diet. Timon of Athens, Act IV., Se. III. 51 MEDICAL THOUGHTS OF SHAKESPEARE. Dr. Macdonnell, of Canada, has thrown much light on these quotations in his works on Syphilis. He says : " It appears to have been the custom to prescribe for syphilitic patients, in addition to inunction, a prolonged diaphoresis and a veiy low diet. On the continent the patient was placed in a cave, oven, or dungeon, and Wiseman says it was the custom in England to use a tub for this purpose." In the foot-note to the passage in Johnson & Steven's edition of Shakespeare's works the following quotations from old plays ai'e given : " you had better match a ruin'd bawd, One ten times cnr'd by sweating and the tub." Jaspar Mninra, Ifi:','.). Again, in the Family of Love., (1608), a doctor says : " O for one of the hoops of my Cornelius' tub, I shall burst myself with laushing- else." In Monsieur d' Olive, (1606) : " Onr embassage is into France, there ms it will lie followed liy the great. 'Tis said the great came from America : Perhaps it may set out on its return, — The population there so spreads, they say, 'Tis grown high time to thin it in its turn. With war, or plague, or famine, any way. So that civilization they may learn ; And ^\■hich in ravage the more loathsome evil is— Their real lues, or our pseudo-syphilis? Bi/mii—D(iv Juan, Canto I., Vrrsc CXXX. He'll feci the weight of it many a day. Cmiieij. 52 SURGERY. A little attention if< paid to diseases of the eye. thus in Winter's Tale : Wishing all eyes Blind with the pin and web, bnt theirs, theirs only, That would unseen be wicked. Act L, Sc. II. Commentators have the thought that Shakespeare wished to express the idea of cataract by the term pin and web— this is, without doubt, a mistake ; he did not intend to make lovers so cruel that they should desire to deprive every one else of sight. Pin and web (being a varicose excrescence of the conjunctiva, sometimes to such an extent as to totally prevent vision), was meant to express a veil, or in other words, the eyelid. Must you with hot irons burn out both mine eyes? O heaven ! that there were but a mote in yours, A grain, a dust, a gnat, a wandering hair. Any annoyance in that precious sense! Then, feeling what small things are boist'rous there, Your vile intent must needs seem horrible. Kh)g John, Ad IV., . .jcn.y , Merchnnt of Venice, Act III, Sc. f . I would there were no age between ten, and three and twenty, or that youth would sleep out the rest ; for there is nothing in the between but get- ino- wenches with child, wronging the ancientry, stealing, fighting. - ^ Winter's Tale, Act III., Sc III He was whipped for getting the shrieve's fool with child; a dumb inno- cent that could not say him nay. ^^^,^ ^^^^^^^ ^^^ ^^.^ ^^, ^^^ Let wives with child Pray that their burthens may not fall this day. King John, Act III, Sc. I. Shakespeare knew of the importance of pregnant women, being particularly careful that nothing should excite them. I the rather wean me from despair, For love of Edward's offspring in my womb : This is it that makes me bridle passion, And bear with mildness my misfortune's cross; Ay, ay, for this I draw in many a tear. And stop the rising of blood-sucking sighs, Lest with my sighs or tears I blast or drown Kin*^ Edward's fruit, true heir to the English crown. Henry VI— M, Act IV., Sc. IV. 05 i / MEDICAL THOUGHTS OF SHAKESPEARE. The longings or desires of pregnant women are very nicely shown in Measure for Measure : She came in great with chikl, and longing for stewed prunes. Act II., Sc. I. This mistress Elbow, being as I say, with child, and being great bellied, and longing, as I said, for prunes. * * * Measure for Measure, Act II., Sc. I. From whom my absence was not six months old. Before herself (almost at fainting under The pleasing punishment that women bear) Had made provision for her following me. Comedy of Errors, Act I., Sc. I. The queen rounds apace. * * * * * * She is spread of late Into a goodly bulk. Winter's Tale, Act II, Se. I. The queen, your mother, rounds apace : we shall Present our services to a fine new prince One of these days. Winter's Tale, Act II., Sc. I. She grew round-wombed, and had a son for her cradle ere she had a hus- band for her bed. King lear, Act I., Sc. I. Great-bellied women, That had not half a week to go, like rams In the old time of war, would shake the press And make 'em reel before 'em. Renrij VIII., Act IV., Sc. I. Parturition is referred to in many instances. Lucina, O Divinest patroness, and midwife gentle To those that cry by night,, convey thy deity Aboard our dancing boat ; make swift the pangs Of my queen's travails ! Pericles, Act III, Sc. L What shall be done with groaning Juliet? She's very near her hour. Measure for Measure, Act II., Se. II. 66 OBSTETRICS. Come, let us go, and pray to all the gods For our beloved mother in her pains. I'itm Andronicus, Act /F., 8c. 11. The lady shrieks, aud well-a-near Doth fall in travail with her fear. Pericles, Gow to Act III. \ She is deliver'd, lords,— she is deliver'd. ' I mean, she is brought a-bed. I Tituti Andronicits, Act IV., Sc. II. [ The queen's in labour, ; They say, in great extremity ; and fear'd She'll wilh the labour end. Henry VIII., Act V., Sc. I. The queen's in labour. * * * Her sufferance made Almost each pang a death. Henry VIII , Act V., Sc. I. Finger of birth-strangled babe Difch-deliver'd by a drab. * * * i Machcth, Act IV., Sc. I. You ne'er oppressed me with a mother's groan. Yet I express to you a mother's care. AlVs Well, Act I, Sc. I History records the fact that the Duke of Gloucester, after- wards Richard III,, was born with teeth, uneven shoulders, one ^ leg shorter than the other, deformed back, with a clump of hair on it. These facts Shakespeare never forgot, and continually harps on them. Thy mother felt more than a motlier's pain. And yet brought forth less than a mother's hope; To wit, an indigest deformed lump. Not like the fruit of such a goodly tree. Teeth hadst thou in thy head when thou wast born, To signify, thou cam'st to bite the world. Henry VISd., Act V, Sc. VL I have often heard my mother say I came into the world with my legs forward : Had I not reason, think ye, to make haste. And seek their ruin Ihat usurp'd our right? The midwife wonder'd and the women cried, O, Jems Idess vs, he is horn icitli teeth ! 67 MEDICAL THOUGHTS OF SHAKESPEARE. And SO I was, which plainly signified That I should snarl, and bite, and play the dog. Henry VI— M., Act V., Sc. VI. Love forswore me in ray mother's womb : And, for I should not deal in her soft laws. She did corrupt frail nature with some bribe To shrink miue arm up like a wither'd shrub ; To make an envious mountain on my back. Where sits deformity to mock my body ; To shape my legs of an unequal size ; To disproportion me in every part. Like to a chaos, or an unlick'd bear-whelp That carries no impression like the dam. Henry VI— M, Act III, .Sc. II. The term " unlick'd bear-whelp," in the last quotation, refers to an old notion existing before Shakespeare's time : that the bear brings forth masses of animated flesh, having no resem- blance whatever to her, and that she then licks this shapeless lump into a cub. There is a thread of truth running through this idea, as will be seen by the following extract taken b}" Dyer from "Arcana Microcosmi," by Alexander Ross : " Bears bring- forth their j^oung deformed and misshapen, by reason of the thick membrane in which they are wrapped, that is covered over with a mucous matter. This, he says, the dam contracts in the winter-time, by l3'ing in hollow caves without motion, so that to the eye the cub appears like an unformed lump. The above mucilage is afterwards licked away by the dam, and the mem- brane broken, whereby that which before seemed to be unformed appears now in its right shape." lioss holds that this was well known by the ancients and that the}'' entertained no other idea in regard to it. Hence, heap of wrath, foul indigested lump. As crooked in tliy manners as thy shape ! Henry V 1-2(1, Act V, Sc. I I, that am curtail'd of this fair proportion. Cheated of feature by dissembling nature, Deform'd, untinish'd, sent before my time Into this breathing world, scarce half made up, And that so lamely and unfashionable, 68 OBSTETRICS. That dogs bark at me as I halt by them ; Why I. * * * since I cannot prove a lover, I am determined to prove a villain. Eichnrd III., Act I., Sc. I. Marry, they say my uncle grew so fast That he could gnaw a crust at two hours old ; 'Twas full two years ere I could get a tooth. Bichard III., Act II., Sc. IV. Thou elvish-mark 'd, abortive, rootiug hog ! Thou that wast seal'd in thy nativity The slave of nature and the son of hell ! Thou slander of thy mother's heavy womb! Thou loathed issue of Ihy father's loins! Richard III., Act I., Sc. III. Art thou so hasty ? I have stay'd for thee, God knows, in anguish, pain and agony. * ■■■ * A grievous burden was thy birth to me. Eichard III., Act IV., Sc. IV. From forth the kennel of thy womb hath crept A hell-hound that doth hunt us all to death : That dog, that had his teeth before his eyes. Bichard III., Act IV., Sc. IV. A few other quotations referring to labor are here found. By her he had two children at one birth. Henry VI— 2d, Act IV., Sc. II. A terrible child-bed hast ihou had, my dear; No light, uo fire. Pericles, Act III., Sc. I. At sea, in child-bed died she, but brought forth A maid-child called Marina. Pericles, Act V., Sc. III. The child-bed privilege denied, which 'longs To women of all fashion ;— lastly, hurried Here to this place, i' the open air, before I have got strength of limit. Winter's Tale, Act III., Sc. II. Alas ! worlds fall— and woman since she fell'd The world (as, since that history, less polite Than true, hath been a creed so strictly held ) Has not yet given up the practice quite. Poor thinfr of usages ! coerced, compell'd, 69 MEDICAL THOUGHTS OF SHAKESPEARE. Victim wlien wrong, and martyr oft when right, Condemn'd to child-bed, as men for their sins. Have shaving too entail' d upon their chins,— A daily plague, which, in the aggregate, May average on the whole with parturition. But as to women who can penetrate The real sufferings of their she condition ? Man's very sympathy with their estate Has much of selfishness and more suspicion. Their love, their virtue, beauty, education. But form good housekeepers to breed a nation. Bi/ron — Don Juan , Can to XIV.. Verxe XXIIT. They are as children but one step below, Even of your mettle, of your very blood ; Of all one pain, save for a nijjht of groans Endnr'd of her, for whom you bid like sorrow. Rklinrd III., Ad IV., Si: IV. Would I had died a maid. And never seen thee, never borne thee sou. Seeing thou hast prov'd so unnatural a lather ! Hath he deserv'd to lose his birthright thus? Hadst thou but lov'd him half so well as I, Or felt that pain which I did for him once. Or nourish'd him, as I did with my blood. Henrii VI— ^d, Ad /., Sc. I. He is your brother, lords; sensibly fed Of that self-blood that first gave life to you ; And from that womb where you imprison'd were. He is enfranchised and come to light. TiUifi Andronicus, Ad IV., Sc. II. The child was prisoner to the womb, and is By law and process of great Natiire, thence Freed and enfranchi.-^'d. Winfrr'.'i Tale, Ad II., Sc. II. She said, no shepherd sought her side, No hunter's hand her snood untied. Yet ne'er again to braid her hair Tlie virgin snood did Alice wear : (rone was her maiden glee and sport, Her maiden girdle all too short, Nor sought she, from that fatal night. Or holy church or blessed rite, But lock'd her secret in her breast, And died in travail unconfess'd. Scott— UuJii of the Lake. Canio ITf., Ver.te V. OBSTETRICS. iMy princely father then had wars in France; ^\ih1 by true computation of the time, B\)un(l that the issue \\ as not his begot. Rklmrd III., Art III., Sc. V. Worse than a slavish wipe, or birth hour's blot: Fdir marks descried in mens nativity Ari; nature's faults, not their own infamy. Lncrece. A few quotations on abortion, and some others that are inti- mately related to obstetrics, remain. If ever he have child, abortive be it, Proditjioiis, and untimely brought to light, Whose ugly and unnatural aspect May frigiit the hopeful mother at the view. /i'ir/uinl III, Art /., ,SV-. //. Why shdulfl I joy in any abortive birth ? Lovc'^i Lahoiuls Lost, Act /., .SV-. /. Truth is truth : large length of seas and shores Between my father and my mother lay, — And I have heard my father speak * * * That this, my mother's son, was none of his ; And, if he were, lie came info the world Full fourteen weeks before the cour.se of time. King John, Act I., Sc. I. Shakespeare has interwoven some of his family history here, and made the advent of Philip, the Bastard, correspond exactly to the untimely birth of his eldest daughter Susanna, who ap- peared only five and a half months after his marriage — " full fourteen weeks before the course of time." Later on in the play we find the following: Your brother is legitimate. Your father's wife did after wedlock bear him. — thus furnishing proof of legitimacy in such cases. She is, something before her time, deliver'd. * "" * A daughter ; and a goodly babe. Lusty, and like to live. Wivicr's Tale, Act II., Sc. II. O pray God, the fruit of her womb mi.scarry. Hciirij IV— 2d, Act. V., Sc IV. 71 MEDICAL THOUGHTS OF SHAKESPEARE. She had also snatch'd a moment since her marriage To bear a son and heir— and one miscarriage. Bijfoii — Don Juan, Canto XIV.. Vrri