and church, while frequently secretly consulting them, openly proscribed them. Gregory of

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and church, while frequently secretly consulting them, openly proscribed them. Gregory of Tours tells us of an archdeacon who, having been partially cured of disease of the eyes by St. Martin, sought further aid from a Jewish physician, with the result that neither the saint nor the Jew could help him afterward. Popes Eugene IV, Nicholas V, and Calixtus III especially forbade Christians to employ them. The Trullanean Council in the eighth century, the Councils of Beziers and Alby in the thirteenth, the Councils of Avignon and Salamanca in the fourteenth, the Synod of Bamberg and the Bishop of Passau in the fifteenth, the Council of Avignon in the sixteenth, with many others, expressly forbade the faithful to call Jewish physicians or surgeons; such great preachers as John Geiler and John Herolt thundered from the pulpit against them and all who consulted them. As late as the middle of the seventeenth century, when the City Council of Hall, in Wurtemberg, gave some privileges to a Jewish physician "on account of his admirable experience and skill," the clergy of the city joined in a protest, declaring that "it were better to die with Christ than to be cured by a Jew doctor aided by the devil." Still, in their extremity, bishops, cardinals, kings, and even popes, insisted on calling in physicians of the hated race.[[45]] VIII. FETICH CURES UNDER PROTESTANTISM.--THE ROYAL TOUCH. The Reformation made no sudden change in the sacred theory of medicine. Luther, as is well known, again and again ascribed his own diseases to "devils' spells," declaring that "Satan produces all the maladies which afflict mankind, for he is the prince of death," and that "he poisons the air"; but that "no malady comes from God." From that day down to the faith cures of Boston, Old Orchard, and among the sect of "Peculiar People" in our own time, we see the results among Protestants of seeking the cause of disease in Satanic influence and its cure in fetichism. Yet Luther, with his sturdy common sense, broke away from one belief which has interfered with the evolution of medicine from the dawn of Christianity until now. When that troublesome declaimer, Carlstadt, declared that "whoso falls sick shall use no physic, but commit his case to God, praying that His will be done," Luther asked, "Do you eat when you are hungry?" and the answer being in the affirmative, he continued, "Even so you may use physic, which is God's gift just as meat and drink is, or whatever else we use for the preservation of life." Hence it was, doubtless, that the Protestant cities of Germany were more ready than others to admit anatomical investigation by proper dissections.[[46]] Perhaps the best-known development of a theological view in the Protestant Church was that mainly evolved in England out of a French germ of theological thought--a belief in the efficacy of the royal touch in sundry diseases, especially epilepsy and scrofula, the latter being consequently known as the king's evil. This mode of cure began, so far as history throws light upon it, with Edward the Confessor in the eleventh century, and came down from reign to reign, passing from the Catholic saint to Protestant debauchees upon the English throne, with ever-increasing miraculous efficacy. Testimony to the reality of these cures is overwhelming. As a simple matter of fact, there are no miracles of healing in the history of the human race more thoroughly attested than those wrought by the touch of Henry VIII, Elizabeth, the Stuarts, and especially of that chosen vessel, Charles II. Though Elizabeth could not bring herself fully to believe in the reality of these cures, Dr. Tooker, the Queen's chaplain, afterward Dean of Lichfield, testifies fully of his own knowledge to the cures wrought by her, as also does William Clowes, the Queen's surgeon. Fuller, in his _Church History_, gives an account of a Roman Catholic who was thus cured by the Queen's touch and converted to Protestantism. Similar testimony exists as to cures wrought by James I. Charles I also enjoyed the same power, in spite of the public declaration against its reality by Parliament. In one case the King saw a patient in the crowd, too far off to be touched, and simply said, "God bless thee and grant thee thy desire"; whereupon, it is asserted, the blotches and humours disappeared from the patient's body and appeared in the bottle of medicine which he held in his hand; at least so says Dr. John Nicholas, Warden of Winchester College, who declares this of his own knowledge to be every word of it true. But the most incontrovertible evidence of this miraculous gift is found in the case of Charles II, the most thoroughly cynical debauchee who ever sat on the English throne before the advent of George IV. He touched nearly one hundred thousand persons, and the outlay for gold medals issued to the afflicted on these occasions rose in some years as high as ten thousand pounds. John Brown, surgeon in ordinary to his Majesty and to St. Thomas's Hospital, and author of many learned works on surgery and anatomy, published accounts of sixty cures due to the touch of this monarch; and Sergeant-Surgeon Wiseman devotes an entire book to proving the reality of these cures, saying, "I myself have been frequent witness to many hundreds of cures performed by his Majesty's touch alone without any assistance of chirurgery, and these many of them had tyred out the endeavours of able chirurgeons before they came thither." Yet it is especially instructive to note that, while in no other reign were so many people touched for scrofula, and in none were so many cures vouched for, in no other reign did so many people die of that disease: the bills of mortality show this clearly, and the reason doubtless is the general substitution of supernatural for scientific means of cure. This is but one out of many examples showing the havoc which a scientific test always makes among miracles if men allow it to be applied. To James II the same power continued; and if it be said, in the words of Lord Bacon, that "imagination is next of kin to miracle--a working faith," something else seems required to account for the testimony of Dr. Heylin to cures wrought by the royal touch upon babes in their mothers' arms. Myth-making and marvel-mongering were evidently at work here as in so many other places, and so great was the fame of these cures that we find, in the year before James was dethroned, a pauper at Portsmouth, New Hampshire, petitioning the General Assembly to enable him to make the voyage to England in order that he may be healed by the royal touch. The change in the royal succession does not seem to have interfered with the miracle; for, though William III evidently regarded the whole thing as a superstition, and on one occasion is said to have touched a patient, saying to him, "God give you better health and more sense," Whiston assures us that this person was healed, notwithstanding William's incredulity. As to Queen Anne, Dr. Daniel Turner, in his _Art of Surgery_, relates that several cases of scrofula which had been unsuccessfully treated by himself and Dr. Charles Bernard, sergeant-surgeon to her Majesty, yielded afterward to the efficacy of the Queen's touch. Naturally does Collier, in his _Ecclesiastical History_, say regarding these cases that to dispute them "is to come to the extreme of scepticism, to deny our senses and be incredulous even to ridiculousness." Testimony to the reality of these cures is indeed overwhelming, and a multitude of most sober scholars, divines, and doctors of medicine declared the evidence absolutely convincing. That the Church of England accepted the doctrine of the royal touch is witnessed by the special service provided in the _Prayer-Book_ of that period for occasions when the King exercised this gift. The ceremony was conducted with great solemnity and pomp: during the reading of the service and the laying on of the King's hands, the attendant bishop or priest recited the words, "They shall lay their hands on the sick, and they shall recover"; afterward came special prayers, the Epistle and Gospel, with the blessing, and finally his Majesty washed his royal hands in golden vessels which high noblemen held for him. In France, too, the royal touch continued, with similar testimony to its efficacy. On a certain Easter Sunday, that pious king, Louis XIV, touched about sixteen hundred persons at Versailles. This curative power was, then, acknowledged far and wide, by Catholics and Protestants alike, upon the Continent, in Great Britain, and in America; and it descended not only in spite of the transition of the English kings from Catholicism to Protestantism, but in spite of the transition from the legitimate sovereignty of the Stuarts to the illegitimate succession of the House of Orange. And yet, within a few years after the whole world held this belief, it was dead; it had shrivelled away in the growing scientific light at the dawn of the eighteenth century.[[49]] IX. THE SCIENTIFIC STRUGGLE FOR ANATOMY. We may now take up the evolution of medical science out of the medieval view and its modern survivals. All through the Middle Ages, as we have seen, some few laymen and ecclesiastics here and there, braving the edicts of the Church and popular superstition, persisted in medical study and practice: this was especially seen at the greater universities, which had become somewhat emancipated from ecclesiastical control. In the thirteenth century the University of Paris gave a strong impulse to the teaching of medicine, and in that and the following century we begin to find the first intelligible reports of medical cases since the coming in of Christianity. In the thirteenth century also the arch-enemy of the papacy, the Emperor Frederick II, showed his free-thinking tendencies by granting, from time to time, permissions to dissect the human subject. In the centuries following, sundry other monarchs timidly followed his example: thus John of Aragon, in 1391, gave to the University of Lerida the privilege of dissecting one dead criminal every three years.[[50]] During the fifteenth century and the earlier years of the sixteenth the revival of learning, the invention of printing, and the great voyages of discovery gave a new impulse to thought, and in this medical science shared: the old theological way of thinking was greatly questioned, and gave place in many quarters to a different way of looking at the universe. In the sixteenth century Paracelsus appears--a great genius, doing much to develop medicine beyond the reach of sacred and scholastic tradition, though still fettered by many superstitions. More and more, in spite of theological dogmas, came a renewal of anatomical studies by dissection of the human subject. The practice of the old Alexandrian School was thus resumed. Mundinus, Professor of Medicine at Bologna early in the fourteenth century, dared use the human subject occasionally in his lectures; but finally came a far greater champion of scientific truth, Andreas Vesalius, founder of the modern science of anatomy. The battle waged by this man is one of the glories of our race. From the outset Vesalius proved himself a master. In the search for real knowledge he risked the most terrible dangers, and especially the charge of sacrilege, founded upon the teachings of the Church for ages. As we have seen, even such men in the early Church as Tertullian and St. Augustine held anatomy in abhorrence, and the decretal of Pope Boniface VIII was universally construed as forbidding all dissection, and as threatening excommunication against those practising it. Through this sacred conventionalism Vesalius broke without fear; despite ecclesiastical censure, great opposition in his own profession, and popular fury, he studied his science by the only method that could give useful results. No peril daunted him. To secure material for his investigations, he haunted gibbets and charnel-houses, braving the fires of the Inquisition and the virus of the plague. First of all men he began to place the science of human anatomy on its solid modern foundations--on careful examination and observation of the human body: this was his first great sin, and it was soon aggravated by one considered even greater. Perhaps the most unfortunate thing that has ever been done for Christianity is the tying it to forms of science which are doomed and gradually sinking. Just as, in the time of Roger Bacon, excellent men devoted all their energies to binding Christianity to Aristotle; just as, in the time of Reuchlin and Erasmus, they insisted on binding Christianity to Thomas Aquinas; so, in the time of Vesalius, such men made every effort to link Christianity to Galen. The cry has been the same in all ages; it is the same which we hear in this age for curbing scientific studies: the cry for what is called "sound learning." Whether standing for Aristotle against Bacon, or for Aquinas against Erasmus, or for Galen against Vesalius, the cry is always for "sound learning": the idea always has been that the older studies are" _safe_." At twenty-eight years of age Vesalius gave to the world his great work on human anatomy. With it ended the old and began the new; its researches, by their thoroughness, were a triumph of science; its illustrations, by their fidelity, were a triumph of art. To shield himself, as far as possible, in the battle which he foresaw must come, Vesalius dedicated the work to the Emperor Charles V, and in his preface he argues for his method, and against the parrot repetitions of the mediaeval text-books; he also condemns the wretched anatomical preparations and specimens made by physicians who utterly refused to advance beyond the ancient master. the parrot-like repeaters of Galen gave battle at once. After the manner of their time their first missiles were epithets; and, the vast arsenal of these having been exhausted, they began to use sharper weapons--weapons theologic. In this case there were especial reasons why the theological authorities felt called upon to intervene. First, there was the old idea prevailing in the Church that the dissection of the human body is forbidden to Christians: this was used with great force against Vesalius, but he at first gained a temporary victory; for, a conference of divines having been asked to decide whether dissection of the human body is sacrilege, gave a decision in the negative. The reason was simple: the great Emperor Charles V had made Vesalius his physician and could not spare him; but, on the accession of Philip II to the throne of Spain and the Netherlands, the whole scene changed. Vesalius now complained that in Spain he could not obtain even a human skull for his anatomical investigations: the medical and theological reactionists had their way, and to all appearance they have, as a rule, had it in Spain ever since. As late as the last years of the eighteenth century an observant English traveller found that there were no dissections before medical classes in the Spanish universities, and that the doctrine of the circulation of the blood was still denied, more than a century and a half after Sarpi and Harvey had proved it. Another theological idea barred the path of Vesalius. Throughout the Middle Ages it was believed that there exists in man a bone imponderable, incorruptible, incombustible--the necessary nucleus of the resurrection body. Belief in a resurrection of the physical body, despite St. Paul's Epistle to the Corinthians, had been incorporated into the formula evolved during the early Christian centuries and known as the Apostles' Creed, and was held throughout Christendom, "always, everywhere, and by all." This hypothetical bone was therefore held in great veneration, and many anatomists sought to discover it; but Vesalius, revealing so much else, did not find it. He contented himself with saying that he left the question regarding the existence of such a bone to the theologians. He could not lie; he did not wish to fight the Inquisition; and thus he fell under suspicion. The strength of this theological point may be judged from the fact that no less eminent a surgeon than Riolan consulted the executioner to find out whether, when he burned a criminal, all the parts were consumed; and only then was the answer received which fatally undermined this superstition. Yet, in 1689 we find it still lingering in France, stimulating opposition in the Church to dissection. Even as late as the eighteenth century, Bernouilli having shown that the living human body constantly undergoes a series of changes, so that all its particles are renewed in a given number of years, so much ill feeling was drawn upon him, from theologians, who saw in this statement danger to the doctrine of the resurrection of the body, that for the sake of peace he struck out his argument on this subject from his collected works.[[53]] Still other enroachments upon the theological view were made by the new school of anatomists, and especially by Vesalius. During the Middle Ages there had been developed various theological doctrines regarding the human body; these were based upon arguments showing what the body, _ought to be_, and naturally, when anatomical science showed what it _is_, these doctrines fell. An example of such popular theological reasoning is seen in a widespread belief of the twelfth century, that, during the year in which the cross of Christ was captured by Saladin, children, instead of having thirty or thirty-two teeth as before, had twenty or twenty-two. So, too, in Vesalius's time another doctrine of this sort was dominant: it had long been held that Eve, having been made by the Almighty from a rib taken out of Adam's side, there must be one rib fewer on one side of every man than on the other. This creation of Eve was a favourite subject with sculptors and painters, from Giotto, who carved it upon his beautiful Campanile at Florence, to the illuminators of missals, and even to those who illustrated Bibles and religious books in the first years after the invention of printing; but Vesalius and the anatomists who followed him put an end among thoughtful men to this belief in the missing rib, and in doing this dealt a blow at much else in the sacred theory. Naturally, all these considerations brought the forces of ecclesiasticism against the innovators in anatomy.[[54]] A new weapon was now forged: Vesalius was charged with dissecting a living man, and, either from direct persecution, as the great majority of authors assert, or from indirect influences, as the recent apologists for Philip II admit, he became a wanderer: on a pilgrimage to the Holy Land, apparently undertaken to atone for his sin, he was shipwrecked, and in the prime of his life and strength he was lost to the world. And yet not lost. In this century a great painter has again given him to us. By the magic of Hamann's pencil Vesalius again stands on earth, and we look once more into his cell. Its windows and doors, bolted and barred within, betoken the storm of bigotry which rages without; the crucifix, toward which he turns his eyes, symbolizes the spirit in which he labours; the corpse of the plague-stricken beneath his hand ceases to be repulsive; his very soul seems to send forth rays from the canvas, which strengthen us for the good fight in this age.[[54b]] His death was hastened, if not caused, by men who conscientiously supposed that he was injuring religion: his poor, blind foes aided in destroying one of religion's greatest apostles. What was his influence on religion? He substituted, for the repetition of worn-out theories, a conscientious and reverent search into the works of the great Power giving life to the universe; he substituted, for representations of the human structure pitiful and unreal, representations revealing truths most helpful to the whole human race. The death of this champion seems to have virtually ended the contest. Licenses to dissect soon began to be given by sundry popes to universities, and were renewed at intervals of from three to four years, until the Reformation set in motion trains of thought which did much to release science from this yoke.[[55]] X. THEOLOGICAL OPPOSITION TO INOCULATION, VACCINATION, AND THE USE OF ANAESTHETICS. I hasten now to one of the most singular struggles of medical science during modern times. Early in the last century Boyer presented inoculation as a preventive of smallpox in France, and thoughtful physicians in England, inspired by Lady Montagu and Maitland, followed his example. Ultra-conservatives in medicine took fright at once on both sides of the Channel, and theology was soon finding profound reasons against the new practice. The French theologians of the Sorbonne solemnly condemned it; the English theologians were most loudly represented by the Rev. Edward Massey, who in 1772 preached and published a sermon entitled _The Dangerous and Sinful Practice of Inoculation_. In this he declared that Job's distemper was probably confluent smallpox; that he had been inoculated doubtless by the devil; that diseases are sent by Providence for the punishment of sin; and that the proposed attempt to prevent them is "a diabolical operation." Not less vigorous was the sermon of the Rev. Mr. Delafaye, entitled _Inoculation an Indefensible Practice_. This struggle went on for thirty years. It is a pleasure to note some churchmen--and among them Madox, Bishop of Worcester--giving battle on the side of right reason; but as late as 1753 we have a noted rector at Canterbury denouncing inoculation from his pulpit in the primatial city, and many of his brethren following his example. The same opposition was vigorous in Protestant Scotland. A large body of ministers joined in denouncing the new practice as "flying in the face of Providence," and "endeavouring to baffle a Divine judgment." On our own side of the ocean, also, this question had to be fought out. About the year 1721 Dr. Zabdiel Boylston, a physician in Boston, made an experiment in inoculation, one of his first subjects being his own son. He at once encountered bitter hostility, so that the selectmen of the city forbade him to repeat the experiment. Foremost among his opponents was Dr. Douglas, a Scotch physician, supported by the medical professton and the newspapers. The violence of the opposing party knew no bounds; they insisted that inoculation was "poisoning," and they urged the authorities to try Dr. Boylston for murder. Having thus settled his case for this world, they proceeded to settle it for the next, insisting that "for a man to infect a family in the morning with smallpox and to pray to God in the evening against the disease is blasphemy"; that the smallpox is "a judgment of God on the sins of the people," and that "to avert it is but to provoke him more"; that inoculation is "an encroachment on the prerogatives of Jehovah, whose right it is to wound and smite." Among the mass of scriptural texts most remote from any possible bearing on the subject one was employed which was equally cogent against any use of healing means in any disease--the words of Hosea: "He hath torn, and he will heal us; he hath smitten, and he will bind us up." So bitter was this opposition that Dr. Boylston's life was in danger; it was considered unsafe for him to be out of his house in the evening; a lighted grenade was even thrown into the house of Cotton Mather, who had favoured the new practice, and had sheltered another clergyman who had submitted himself to it. To the honour of the Puritan clergy of New England, it should be said that many of them were Boylston's strongest supporters. Increase and Cotton Mather had been among the first to move in favour of inoculation, the latter having called Boylston's attention to it; and at the very crisis of affairs six of the leading clergymen of Boston threw their influence on Boylston's side and shared the obloquy brought upon him. Although the gainsayers were not slow to fling into the faces of the Mathers their action regarding witchcraft, urging that their credulity in that matter argued credulity in this, they persevered, and among the many services rendered by the clergymen of New England to their country this ought certainly to be remembered; for these men had to withstand, shoulder to shoulder with Boylston and Benjamin Franklin, the same weapons which were hurled at the supporters of inoculation in Europe--charges of "unfaithfulness to the revealed law of God." The facts were soon very strong against the gainsayers: within a year or two after the first experiment nearly three hundred persons had been inoculated by Boylston in Boston and neighbouring towns, and out of these only six had died; whereas, during the same period, out of nearly six thousand persons who had taken smallpox naturally, and had received only the usual medical treatment, nearly one thousand had died. Yet even here the gainsayers did not despair, and, when obliged to confess the success of inoculation, they simply fell back upon a new argument, and answered: "It was good that Satan should be dispossessed of his habitation which he had taken up in men in our Lord's day, but it was not lawful that the children of the Pharisees should cast him out by the help of Beelzebub. We must always have an eye to the matter of what we do as well as the result, if we intend to keep a good conscience toward God." But the facts were too strong; the new practice made its way in the New World as in the Old, though bitter opposition continued, and in no small degree on vague scriptural grounds, for more than twenty years longer.[[57]] The steady evolution of scientific medicine brings us next to Jenner's discovery of vaccination. Here, too, sundry vague survivals of theological ideas caused many of the clergy to side with retrograde physicians. Perhaps the most virulent of Jenner's enemies was one of his professional brethren, Dr. Moseley, who placed on the title-page of his book, _Lues Bovilla_, the motto, referring to Jenner and his followers, "Father, forgive them, for they know not what they do": this book of Dr. Moseley was especially indorsed by the Bishop of Dromore. In 1798 an Anti-vaccination Society was formed by physicians and clergymen, who called on the people of Boston to suppress vaccination, as "bidding defiance to Heaven itself, even to the will of God," and declared that "the law of God prohibits the practice." As late as 1803 the Rev. Dr. Ramsden thundered against vaccination in a sermon before the University of Cambridge, mingling texts of Scripture with calumnies against Jenner; but Plumptre and the Rev. Rowland Hill in England, Waterhouse in America, Thouret in France, Sacco in Italy, and a host of other good men and true, pressed forward, and at last science, humanity, and right reason gained the victory. Most striking results quickly followed. The diminution in the number of deaths from the terrible scourge was amazing. In Berlin, during the eight years following 1783, over four thousand children died of the smallpox; while during the eight years following 1814, after vaccination had been largely adopted, out of a larger number of deaths there were but five hundred and thirty-five from this disease. In Wurtemberg, during the twenty-four years following 1772, one in thirteen of all the children died of smallpox, while during the eleven years after 1822 there died of it only one in sixteen hundred. In Copenhagen, during twelve years before the introduction of vaccination, fifty-five hundred persons died of smallpox, and during the sixteen years after its introduction only one hundred and fifty-eight persons died of it throughout all Denmark. In Vienna, where the average yearly mortality from this disease had been over eight hundred, it was steadily and rapidly reduced, until in 1803 it had fallen to less than thirty; and in London, formerly so afflicted by this scourge, out of all her inhabitants there died of it in 1890 but one. As to the world at large, the result is summed up by one of the most honoured English physicians of our time, in the declaration that "Jenner has saved, is now saving, and will continue to save in all coming ages, more lives in one generation than were destroyed in all the wars of Napoleon." It will have been noticed by those who have read this history thus far that the record of the Church generally was far more honourable in this struggle than in many which preceded it: the reason is not difficult to find; the decline of theology enured to the advantage of religion, and religion gave powerful aid to science. Yet there have remained some survivals both in Protestantism and in Catholicism which may be regarded with curiosity. A small body of perversely ingenious minds in the medical profession in England have found a few ardent allies among the less intellectual clergy. The Rev. Mr. Rothery and the Rev. Mr. Allen, of the Primitive Methodists, have for sundry vague theological reasons especially distinguished themselves by opposition to compulsory vaccination; but it is only just to say that the great body of the English clergy have for a long time taken the better view. Far more painful has been the recent history of the other great branch of the Christian Church--a history developed where it might have been least expected: the recent annals of the world hardly present a more striking antithesis between Religion and Theology. On the religious side few things in the history of the Roman Church have been more beautiful than the conduct of its clergy in Canada during the great outbreak of ship-fever among immigrants at Montreal about the middle of the present century. Day and night the Catholic priesthood of that city ministered fearlessly to those victims of sanitary ignorance; fear of suffering and death could not drive these ministers from their work; they laid down their lives cheerfully while carrying comfort to the poorest and most ignorant of our kind: such was the record of their religion. But in 1885 a record was made by their theology. In that year the smallpox broke out with great virulence in Montreal. The Protestant population escaped almost entirely by vaccination; but multitudes of their Catholic fellow-citizens, under some vague survival of the old orthodox ideas, refused vaccination; and suffered fearfully. When at last the plague became so serious that travel and trade fell off greatly and quarantine began to be established in neighbouring cities, an effort was made to enforce compulsory vaccination. The result was, that large numbers of the Catholic working population resisted and even threatened bloodshed. The clergy at first tolerated and even encouraged this conduct: the Abbe Filiatrault, priest of St. James's Church, declared in a sermon that, "if we are afflicted with smallpox, it is because we had a carnival last winter, feasting the flesh, which has offended the Lord; it is to punish our pride that God has sent us smallpox." The clerical press went further: the _Etendard_ exhorted the faithful to take up arms rather than submit to vaccination, and at least one of the secular papers was forced to pander to the same sentiment. The Board of Health struggled against this superstition, and addressed a circular to the Catholic clergy, imploring them to recommend vaccination; but, though two or three complied with this request, the great majority were either silent or openly hostile. The Oblate Fathers, whose church was situated in the very heart of the infected district, continued to denounce vaccination; the faithful were exhorted to rely on devotional exercises of various sorts; under the sanction of the hierarchy a great procession was ordered with a solemn appeal to the Virgin, and the use of the rosary was carefully specified. Meantime, the disease, which had nearly died out among the Protestants, raged with ever-increasing virulence among the Catholics; and, the truth becoming more and more clear, even to the most devout, proper measures were at last enforced and the plague was stayed, though not until there had been a fearful waste of life among these simple-hearted believers, and germs of scepticism planted in the hearts of their children which will bear fruit for generations to come.[[61]] Another class of cases in which the theologic spirit has allied itself with the retrograde party in medical science is found in the history of certain remedial agents; and first may be named cocaine. As early as the middle of the sixteenth century the value of coca had been discovered in South America; the natives of Peru prized it highly, and two eminent Jesuits, Joseph Acosta and Antonio Julian, were converted to this view. But the conservative spirit in the Church was too strong; in 1567 the Second Council of Lima, consisting of bishops from all parts of South America, condemned it, and two years later came a royal decree declaring that "the notions entertained by the natives regarding it are an illusion of the devil." As a pendant to this singular mistake on the part of the older Church came another committed by many Protestants. In the early years of the seventeenth century the Jesuit missionaries in South America learned from the natives the value of the so-called Peruvian bark in the treatment of ague; and in 1638, the Countess of Cinchon, Regent of Peru, having derived great benefit from the new remedy, it was introduced into Europe. Although its alkaloid, quinine, is perhaps the nearest approach to a medical specific, and has diminished the death rate in certain regions to an amazing extent, its introduction was bitterly opposed by many conservative members of the medical profession, and in this opposition large numbers of ultra-Protestants joined, out of hostility to the Roman Church. In the heat of sectarian feeling the new remedy was stigmatized as "an invention of the devil"; and so strong was this opposition that it was not introduced into England until 1653, and even then its use was long held back, owing mainly to anti-Catholic feeling. What the theological method on the ultra-Protestant side could do to help the world at this very time is seen in the fact that, while this struggle was going on, Hoffmann was attempting to give a scientific theory of the action of the devil in causing Job's boils. This effort at a _quasi_-scientific explanation which should satisfy the theological spirit, comical as it at first seems, is really worthy of serious notice, because it must be considered as the beginning of that inevitable effort at compromise which we see in the history of every science when it begins to appear triumphant.[[62]] But I pass to a typical conflict in our days, and in a Protestant country. In 1847, James Young Simpson, a Scotch physician, who afterward rose to the highest eminence in his profession, having advocated the use of anaesthetics in obstetrical cases, was immediately met by a storm of opposition. This hostility flowed from an ancient and time-honoured belief in Scotland. As far back as the year 1591, Eufame Macalyane, a lady of rank, being charged with seeking the aid of Agnes Sampson for the relief of pain at the time of the birth of her two sons, was burned alive on the Castle Hill of Edinburgh; and this old theological view persisted even to the middle of the nineteenth century. From pulpit after pulpit Simpson's use of chloroform was denounced as impious and contrary to Holy Writ; texts were cited abundantly, the ordinary declaration being that to use chloroform was "to avoid one part of the primeval curse on woman." Simpson wrote pamphlet after pamphlet to defend the blessing which he brought into use; but he seemed about to be overcome, when he seized a new weapon, probably the most absurd by which a great cause was ever won: "My opponents forget," he said, "the twenty-first verse of the second chapter of Genesis; it is the record of the first surgical operation ever performed, and that text proves that the Maker of the universe, before he took the rib from Adam's side for the creation of Eve, caused a deep sleep to fall upon Adam." This was a stunning blow, but it did not entirely kill the opposition; they had strength left to maintain that the "deep sleep of Adam took place before the introduction of pain into the world--in a state of innocence." But now a new champion intervened--Thomas Chalmers: with a few pungent arguments from his pulpit he scattered the enemy forever, and the greatest battle of science against suffering was won. This victory was won not less for religion. Wisely did those who raised the monument at Boston to one of the discoverers of anaesthetics inscribe upon its pedestal the words from our sacred text, "This also cometh forth from the Lord of hosts, which is wonderful in counsel, and excellent in working."[[63]] XI. FINAL BREAKING AWAY OF THE THEOLOGICAL THEORY IN MEDICINE. While this development of history was going on, the central idea on which the whole theologic view rested--the idea of diseases as resulting from the wrath of God or malice of Satan--was steadily weakened; and, out of the many things which show this, one may be selected as indicating the drift of thought among theologians themselves. Toward the end of the eighteenth century the most eminent divines of the American branch of the Anglican Church framed their _Book of Common Prayer_. Abounding as it does in evidences of their wisdom and piety, few things are more noteworthy than a change made in the exhortation to the faithful to present themselves at the communion. While, in the old form laid down in the English _Prayer Book_, the minister was required to warn his flock not "to kindle God's wrath" or "provoke him to plague us with divers diseases and sundry kinds of death," from the American form all this and more of similar import in various services was left out. Since that day progress in medical science has been rapid indeed, and at no period more so than during the last half of the nineteenth century. The theological view of disease has steadily faded, and the theological hold upon medical education has been almost entirely relaxed. In three great fields, especially, discoveries have been made which have done much to disperse the atmosphere of miracle. First, there has come knowledge regarding the relation between imagination and medicine, which, though still defective, is of great importance. This relation has been noted during the whole history of the science. When the soldiers of the Prince of Orange, at the siege of Breda in 1625, were dying of scurvy by scores, he sent to the physicians "two or three small vials filled with a decoction of camomile, wormwood, and camphor, gave out that it was a very rare and precious medicine--a medicine of such virtue that two or three drops sufficed to impregnate a gallon of water, and that it had been obtained from the East with great difficulty and danger." This statement, made with much solemnity, deeply impressed the soldiers; they took the medicine eagerly, and great numbers recovered rapidly. Again, two centuries later, young Humphry Davy, being employed to apply the bulb of the thermometer to the tongues of certain patients at Bristol after they had inhaled various gases as remedies for disease, and finding that the patients supposed this application of the thermometer-bulb was the cure, finally wrought cures by this application alone, without any use of the gases whatever. Innumerable cases of this sort have thrown a flood of light upon such cures as those wrought by Prince Hohenlohe, by the "metallic tractors," and by a multitude of other agencies temporarily in vogue, but, above all, upon the miraculous cures which in past ages have been so frequent and of which a few survive. The second department is that of hypnotism. Within the last half-century many scattered indications have been collected and supplemented by thoughtful, patient investigators of genius, and especially by Braid in England and Charcot in France. Here, too, great inroads have been made upon the province hitherto sacred to miracle, and in 1888 the cathedral preacher, Steigenberger, of Augsburg, sounded an alarm. He declared his fears "lest accredited Church miracles lose their hold upon the public," denounced hypnotism as a doctrine of demons, and ended with the singular argument that, inasmuch as hypnotism is avowedly incapable of explaining all the wonders of history, it is idle to consider it at all. But investigations in hypnotism still go on, and may do much in the twentieth century to carry the world yet further from the realm of the miraculous. In a third field science has won a striking series of victories. Bacteriology, beginning in the researches of Leeuwenhoek in the seventeenth century, continued by O. F. Muller in the eighteenth, and developed or applied with wonderful skill by Ehrenberg, Cohn, Lister, Pasteur, Koch, Billings, Bering, and their compeers in the nineteenth, has explained the origin and proposed the prevention or cure of various diseases widely prevailing, which until recently have been generally held to be "inscrutable providences." Finally, the closer study of psychology, especially in its relations to folklore, has revealed processes involved in the development of myths and legends: the phenomena of "expectant attention," the tendency to marvel-mongering, and the feeling of "joy in believing." In summing up the history of this long struggle between science and theology, two main facts are to be noted: First, that in proportion as the world approached the "ages of faith" it receded from ascertained truth, and in proportion as the world has receded from the "ages of faith" it has approached ascertained truth; secondly, that, in proportion as the grasp of theology Upon education tightened, medicine declined, and in proportion as that grasp has relaxed, medicine has been developed. The world is hardly beyond the beginning of medical discoveries, yet they have already taken from theology what was formerly its strongest province--sweeping away from this vast field of human effort that belief in miracles which for more than twenty centuries has been the main stumblingblock in the path of medicine; and in doing this they have cleared higher paths not only for science, but for religion.[[66]] CHAPTER XIV. FROM FETICH TO HYGIENE. I. THE THEOLOGICAL VIEW OF EPIDEMICS AND SANITATION. A VERY striking feature in recorded history has been the recurrence of great pestilences. Various indications in ancient times show their frequency, while the famous description of the plague of Athens given by Thucydides, and the discussion of it by Lucretius, exemplify their severity. In the Middle Ages they raged from time to time throughout Europe: such plagues as the Black Death and the sweating sickness swept off vast multitudes, the best authorities estimating that of the former, at the middle of the fourteenth century, more than half the population of England died, and that twenty-five millions of people perished in various parts of Europe. In 1552 sixty-seven thousand patients died of the plague at Paris alone, and in 1580 more than twenty thousand. The great plague in England and other parts of Europe in the seventeenth century was also fearful, and that which swept the south of Europe in the early part of the eighteenth century, as well as the invasions by the cholera at various times during the nineteenth, while less terrible than those of former years, have left a deep impress upon the imaginations of men. From the earliest records we find such pestilences attributed to the wrath or malice of unseen powers. This had been the prevailing view even in the most cultured ages before the establishment of Christianity: in Greece and Rome especially, plagues of various sorts were attributed to the wrath of the gods; in Judea, the scriptural records of various plagues sent upon the earth by the Divine fiat as a punishment for sin show the continuance of this mode of thought. Among many examples and intimations of this in our sacred literature, we have the epidemic which carried off fourteen thousand seven hundred of the children of Israel, and which was only stayed by the prayers and offerings of Aaron, the high priest; the destruction of seventy thousand men in the pestilence by which King David was punished for the numbering of Israel, and which was only stopped when the wrath of Jahveh was averted by burnt-offerings; the plague threatened by the prophet Zechariah, and that delineated in the Apocalypse. From these sources this current of ideas was poured into the early Christian Church, and hence it has been that during nearly twenty centuries since the rise of Christianity, and down to a period within living memory, at the appearance of any pestilence the Church authorities, instead of devising sanitary measures, have very generally preached the necessity of immediate atonement for offences against the Almighty. This view of the early Church was enriched greatly by a new development of theological thought regarding the powers of Satan and evil angels, the declaration of St. Paul that the gods of antiquity were devils being cited as its sufficient warrant.[[68]] Moreover, comets, falling stars, and earthquakes were thought, upon scriptural authority, to be "signs and wonders"-- evidences of the Divine wrath, heralds of fearful visitations; and this belief, acting powerfully upon the minds of millions, did much to create a panic-terror sure to increase epidemic disease wherever it broke forth. The main cause of this immense sacrifice of life is now known to have been the want of hygienic precaution, both in the Eastern centres, where various plagues were developed, and in the European towns through which they spread. And here certain theological reasonings came in to resist the evolution of a proper sanitary theory. Out of the Orient had been poured into the thinking of western Europe the theological idea that the abasement of man adds to the glory of God; that indignity to the body may secure salvation to the soul; hence, that cleanliness betokens pride and filthiness humility. Living in filth was regarded by great numbers of holy men, who set an example to the Church and to society, as an evidence of sanctity. St. Jerome and the Breviary of the Roman Church dwell with unction on the fact that St. Hilarion lived his whole life long in utter physical uncleanliness; St. Athanasius glorifies St. Anthony because he had never washed his feet; St. Abraham's most striking evidence of holiness was that for fifty years he washed neither his hands nor his feet; St. Sylvia never washed any part of her body save her fingers; St. Euphraxia belonged to a convent in which the nuns religiously abstained from bathing. St. Mary of Egypt was emninent for filthiness; St. Simnon Stylites was in this respect unspeakable--the least that can be said is, that he lived in ordure and stench intolerable to his visitors. The _Lives of the Saints_ dwell with complacency on the statement that, when sundry Eastern monks showed a disposition to wash themselves, the Almighty manifested his displeasure by drying up a neighbouring stream until the bath which it had supplied was destroyed. The religious world was far indeed from the inspired utterance attributed to John Wesley, that "cleanliness is near akin to godliness." For century after century the idea prevailed that filthiness was akin to holiness; and, while we may well believe that the devotion of the clergy to the sick was one cause why, during the greater plagues, they lost so large a proportion of their numbers, we can not escape the conclusion that their want of cleanliness had much to do with it. In France, during the fourteenth century, Guy de Chauliac, the great physician of his time, noted particularly that certain Carmelite monks suffered especially from pestilence, and that they were especially filthy. During the Black Death no less than nine hundred Carthusian monks fell victims in one group of buildings. Naturally, such an example set by the venerated leaders of thought exercised great influence throughout society, and all the more because it justified the carelessness and sloth to which ordinary humanity is prone. In the principal towns of Europe, as well as in the country at large, down to a recent period, the most ordinary sanitary precautions were neglected, and pestilences continued to be attributed to the wrath of God or the malice of Satan. As to the wrath of God, a new and powerful impulse was given to this belief in the Church toward the end of the sixth century by St. Gregory the Great. In 590, when he was elected Pope, the city of Rome was suffering from a dreadful pestilence: the people were dying by thousands; out of one procession imploring the mercy of Heaven no less than eighty persons died within an hour: what the heathen in an earlier epoch had attributed to Apollo was now attributed to Jehovah, and chroniclers tell us that fiery darts were seen flung from heaven into the devoted city. But finally, in the midst of all this horror, Gregory, at the head of a penitential procession, saw hovering over the mausoleum of Hadrian the figure of the archangel Michael, who was just sheathing a flaming sword, while three angels were heard chanting the Regina Coeli. The legend continues that the Pope immediately broke forth into hallelujahs for this sign that the plague was stayed, and, as it shortly afterward became less severe, a chapel was built at the summit of the mausoleum and dedicated to St. Michael; still later, above the whole was erected the colossal statue of the archangel sheathing his sword, which still stands to perpetuate the legend. Thus the greatest of Rome's ancient funeral monuments was made to bear testimony to this medieval belief; the mausoleum of Hadrian became the castle of St. Angelo. A legend like this, claiming to date from the greatest of the early popes, and vouched for by such an imposing monument, had undoubtedly a marked effect upon the dominant theology throughout Europe, which was constantly developing a great body of thought regarding the agencies by which the Divine wrath might be averted. First among these agencies, naturally, were evidences of devotion, especially gifts of land, money, or privileges to churches, monasteries, and shrines--the seats of fetiches which it was supposed had wrought cures or might work them. The whole evolution of modern history, not only ecclesiastical but civil, has been largely affected by the wealth transferred to the clergy at such periods. It was noted that in the fourteenth century, after the great plague, the Black Death, had passed, an immensely increased proportion of the landed and personal property of every European country was in the hands of the Church. Well did a great ecclesiastic remark that "pestilences are the harvests of the ministers of God."[[71]] Other modes of propitiating the higher powers were penitential processions, the parading of images of the Virgin or of saints through plague-stricken towns, and fetiches innumerable. Very noted in the thirteenth and fourteenth centuries were the processions of the flagellants, trooping through various parts of Europe, scourging their naked bodies, shrieking the penitential psalms, and often running from wild excesses of devotion to the maddest orgies. Sometimes, too, plagues were attributed to the wrath of lesser heavenly powers. Just as, in former times, the fury of "far-darting Apollo" was felt when his name was not respectfully treated by mortals, so, in 1680, the Church authorities at Rome discovered that the plague then raging resulted from the anger of St. Sebastian because no monument had been erected to him. Such a monument was therefore placed in the Church of St. Peter ad Vincula, and the plague ceased. So much for the endeavour to avert the wrath of the heavenly powers. On the other hand, theological reasoning no less subtle was used in thwarting the malice of Satan. This idea, too, came from far. In the sacred books of India and Persia, as well as in our own, we find the same theory of disease, leading to similar means of cure. Perhaps the most astounding among Christian survivals of this theory and its resultant practices was seen during the plague at Rome in 1522. In that year, at that centre of divine illumination, certain people, having reasoned upon the matter, came to the conclusion that this great scourge was the result of Satanic malice; and, in view of St. Paul's declaration that the ancient gods were devils, and of the theory that the ancient gods of Rome were the devils who had the most reason to punish that city for their dethronement, and that the great amphitheatre was the chosen haunt of these demon gods, an ox decorated with garlands, after the ancient heathen manner, was taken in procession to the Colosseum and solemnly sacrificed. Even this proved vain, and the Church authorities then ordered expiatory processions and ceremonies to propitiate the Almighty, the Virgin, and the saints, who had been offended by this temporary effort to bribe their enemies. But this sort of theological reasoning developed an idea far more disastrous, and this was that Satan, in causing pestilences, used as his emissaries especially Jews and witches. The proof of this belief in the case of the Jews was seen in the fact that they escaped with a less percentage of disease than did the Christians in the great plague periods. This was doubtless due in some measure to their remarkable sanitary system, which had probably originated thousands of years before in Egypt, and had been handed down through Jewish lawgivers and statesmen. Certainly they observed more careful sanitary rules and more constant abstinence from dangerous foods than was usual among Christians; but the public at large could not understand so simple a cause, and jumped to the conclusion that their immunity resulted from protection by Satan, and that this protection was repaid and the pestilence caused by their wholesale poisoning of Christians. As a result of this mode of thought, attempts were made in all parts of Europe to propitiate the Almighty, to thwart Satan, and to stop the plague by torturing and murdering the Jews. Throughout Europe during great pestilences we hear of extensive burnings of this devoted people. In Bavaria, at the time of the Black Death, it is computed that twelve thousand Jews thus perished; in the small town of Erfurt the number is said to have been three thousand; in Strasburg, the Rue Brulee remains as a monument to the two thousand Jews burned there for poisoning the wells and causing the plague of 1348; at the royal castle of Chinon, near Tours, an immense trench was dug, filled with blazing wood, and in a single day one hundred and sixty Jews were burned. Everywhere in continental Europe this mad persecution went on; but it is a pleasure to say that one great churchman, Pope Clement VI, stood against this popular unreason, and, so far as he could bring his influence to bear on the maddened populace, exercised it in favour of mercy to these supposed enemies of the Almighty.[[73]] Yet, as late as 1527, the people of Pavia, being threatened with plague, appealed to St. Bernardino of Feltro, who during his life had been a fierce enemy of the Jews, and they passed a decree promising that if the saint would avert the pestilence they would expel the Jews from the city. The saint apparently accepted the bargain, and in due time the Jews were expelled. As to witches, the reasons for believing them the cause of pestilence also came from far. This belief, too, had been poured mainly from Oriental sources into our sacred books and thence into the early Church, and was strengthened by a whole line of Church authorities, fathers, doctors, and saints; but, above all, by the great bull, _Summis Desiderantes_, issued by Pope Innocent VIII, in 1484. This utterance from the seat of St. Peter infallibly committed the Church to the idea that witches are a great cause of disease, storms, and various ills which afflict humanity; and the Scripture on which the action recommended against witches in this papal bull, as well as in so many sermons and treatises for centuries afterward, was based, was the famous text, "Thou shalt not suffer a witch to live." This idea persisted long, and the evolution of it is among the most fearful things in human history.[[74]] In Germany its development was especially terrible. From the middle of the sixteenth century to the middle of the seventeenth, Catholic and Protestant theologians and ecclesiastics vied with each other in detecting witches guilty of producing sickness or bad weather; women were sent to torture and death by thousands, and with them, from time to time, men and children. On the Catholic side sufficient warrant for this work was found in the bull of Pope Innocent VIII, and the bishops' palaces of south Germany became shambles,--the lordly prelates of Salzburg, Wurzburg, and Bamberg taking the lead in this butchery. In north Germany Protestantism was just as conscientiously cruel. It based its theory and practice toward witches directly upon the Bible, and above all on the great text which has cost the lives of so many myriads of innocent men, women, and children, "Thou shalt not suffer a witch to live." Naturally the Protestant authorities strove to show that Protestantism was no less orthodox in this respect than Catholicism; and such theological jurists as Carpzov, Damhouder, and Calov did their work thoroughly. An eminent authority on this subject estimates the number of victims thus sacrificed during that century in Germany alone at over a hundred thousand. Among the methods of this witch activity especially credited in central and southern Europe was the anointing of city walls and pavements with a diabolical unguent causing pestilence. In 1530 Michael Caddo was executed with fearful tortures for thus besmearing the pavements of Geneva. But far more dreadful was the torturing to death of a large body of people at Milan, in the following century, for producing the plague by anointing the walls; and a little later similar punishments for the same crime were administered in Toulouse and other cities. The case in Milan may be briefly summarized as showing the ideas on sanitary science of all classes, from highest to lowest, in the seventeenth century. That city was then under the control of Spain; and, its authorities having received notice from the Spanish Government that certain persons suspected of witchcraft had recently left Madrid, and had perhaps gone to Milan to anoint the walls, this communication was dwelt upon in the pulpits as another evidence of that Satanic malice which the Church alone had the means of resisting, and the people were thus excited and put upon the alert. One morning, in the year 1630, an old woman, looking out of her window, saw a man walking along the street and wiping his fingers upon the walls; she immediately called the attention of another old woman, and they agreed that this man must be one of the diabolical anointers. It was perfectly evident to a person under ordinary conditions that this unfortunate man was simply trying to remove from his fingers the ink gathered while writing from the ink-horn which he carried in his girdle; but this explanation was too simple to satisfy those who first observed him or those who afterward tried him: a mob was raised and he was thrown into prison. Being tortured, he at first did not know what to confess; but, on inquiring from the jailer and others, he learned what the charge was, and, on being again subjected to torture utterly beyond endurance, he confessed everything which was suggested to him; and, on being tortured again and again to give the names of his accomplices, he accused, at hazard, the first people in the city whom he thought of. These, being arrested and tortured beyond endurance, confessed and implicated a still greater number, until members of the foremost families were included in the charge. Again and again all these unfortunates were tortured beyond endurance. Under paganism, the rule regarding torture had been that it should not be carried beyond human endurance; and we therefore find Cicero ridiculing it as a means of detecting crime, because a stalwart criminal of strong nerves might resist it and go free, while a physically delicate man, though innocent, would be forced to confess. Hence it was that under paganism a limit was imposed to the torture which could be administered; but, when Christianity had become predominant throughout Europe, torture was developed with a cruelty never before known. There had been evolved a doctrine of "excepted cases"--these "excepted cases" being especially heresy and witchcraft; for by a very simple and logical process of theological reasoning it was held that Satan would give supernatural strength to his special devotees--that is, to heretics and witches--and therefore that, in dealing with them, there should be no limit to the torture. The result was in this particular case, as in tens of thousands besides, that the accused confessed everything which could be suggested to them, and often in the delirium of their agony confessed far more than all that the zeal of the prosecutors could suggest. Finally, a great number of worthy people were sentenced to the most cruel death which could be invented. The records of their trials and deaths are frightful. The treatise which in recent years has first brought to light in connected form an authentic account of the proceedings in this affair, and which gives at the end engravings of the accused subjected to horrible tortures on their way to the stake and at the place of execution itself, is one of the most fearful monuments of theological reasoning and human folly. To cap the climax, after a poor apothecary had been tortured into a confession that he had made the magic ointment, and when he had been put to death with the most exquisite refinements of torture, his family were obliged to take another name, and were driven out from the city; his house was torn down, and on its site was erected "The Column of Infamy," which remained on this spot until, toward the end of the eighteenth century, a party of young radicals, probably influenced by the reading of Beccaria, sallied forth one night and leveled this pious monument to the ground. Herein was seen the culmination and decline of the bull _Summis Desiderantes_. It had been issued by him whom a majority of the Christian world believes to be infallible in his teachings to the Church as regards faith and morals; yet here was a deliberate utterance in a matter of faith and morals which even children now know to be utterly untrue. Though Beccaria's book on _Crimes and Punishments_, with its declarations against torture, was placed by the Church authorities upon the _Index_, and though the faithful throughout the Christian world were forbidden to read it, even this could not prevent the victory of truth over this infallible utterance of Innocent VIII.[[78]] As the seventeenth century went on, ingenuity in all parts of Europe seemed devoted to new developments of fetichism. A very curious monument of this evolution in Italy exists in the Royal Gallery of Paintings at Naples, where may be seen several pictures representing the measures taken to save the city from the plague during the seventeenth century, but especially from the plague of 1656. One enormous canvas gives a curious example of the theological doctrine of intercession between man and his Maker, spun out to its logical length. In the background is the plague-stricken city: in the foreground the people are praying to the city authorities to avert the plague; the city authorities are praying to the Carthusian monks; the monks are praying to St. Martin, St. Bruno, and St. Januarius; these three saints in their turn are praying to the Virgin; the Virgin prays to Christ; and Christ prays to the Almighty. Still another picture represents the people, led by the priests, executing with horrible tortures the Jews, heretics, and witches who were supposed to cause the pestilence of 1656, while in the heavens the Virgin and St. Januarius are interceding with Christ to sheathe his sword and stop the plague. In such an atmosphere of thought it is no wonder that the death statistics were appalling. We hear of districts in which not more than one in ten escaped, and some were entirely depopulated. Such appeals to fetich against pestilence have continued in Naples down to our own time, the great saving power being the liquefaction of the blood of St. Januarius. In 1856 the present writer saw this miracle performed in the gorgeous chapel of the saint forming part of the Cathedral of Naples. The chapel was filled with devout worshippers of every class, from the officials in court dress, representing the Bourbon king, down to the lowest lazzaroni. The reliquary of silver-gilt, shaped like a large human head, and supposed to contain the skull of the saint, was first placed upon the altar; next, two vials containing a dark substance said to be his blood, having been taken from the wall, were also placed upon the altar near the head. As the priests said masses, they turned the vials from time to time, and the liquefaction being somewhat delayed, the great crowd of people burst out into more and more impassioned expostulation and petitions to the saint. Just in front of the altar were the lazzaroni who claimed to be descendants of the saint's family, and these were especially importunate: at such times they beg, they scold, they even threaten; they have been known to abuse the saint roundly, and to tell him that, if he did not care to show his favour to the city by liquefying his blood, St. Cosmo and St. Damian were just as good saints as he, and would no doubt be very glad to have the city devote itself to them. At last, on the occasion above referred to, the priest, turning the vials suddenly, announced that the saint had performed the miracle, and instantly priests, people, choir, and organ burst forth into a great _Te Deum_; bells rang, and cannon roared; a procession was formed, and the shrine containing the saint's relics was carried through the streets, the people prostrating themselves on both sides of the way and throwing showers of rose leaves upon the shrine and upon the path before it. The contents of these precious vials are an interesting relic indeed, for they represent to us vividly that period when men who were willing to go to the stake for their religious opinions thought it not wrong to save the souls of their fellowmen by pious mendacity and consecrated fraud. To the scientific eye this miracle is very simple: the vials contain, no doubt, one of those mixtures fusing at low-temperature, which, while kept in its place within the cold stone walls of the church, remains solid, but upon being brought out into the hot, crowded chapel, and fondled by the warm hands of the priests, gradually softens and becomes liquid. It was curious to note, at the time above mentioned, that even the high functionaries representing the king looked at the miracle with awe: they evidently found "joy in believing," and one of them assured the present writer that the only thing which _could_ cause it was the direct exercise of miraculous power. It may be reassuring to persons contemplating a visit to that beautiful capital in these days, that, while this miracle still goes on, it is no longer the only thing relied upon to preserve the public health. An unbelieving generation, especially taught by the recent horrors of the cholera, has thought it wise to supplement the power of St. Januarius by the "Risanamento," begun mainly in 1885 and still going on. The drainage of the city has thus been greatly improved, the old wells closed, and pure water introduced from the mountains. Moreover, at the last outburst of cholera a few years since, a noble deed was done which by its moral effect exercised a widespread healing power. Upon hearing of this terrific outbreak of pestilence, King Humbert, though under the ban of the Church, broke from all the entreaties of his friends and family, went directly into the plague-stricken city, and there, in the streets, public places, and hospitals, encouraged the living, comforted the sick and dying, and took means to prevent a further spread of the pestilence. To the credit of the Church it should also be said that the Cardinal Archbishop San Felice joined him in this. Miracle for miracle, the effect of this visit of the king seems to have surpassed anything that St. Januarius could do, for it gave confidence and courage which very soon showed their effects in diminishing the number of deaths. It would certainly appear that in this matter the king was more directly under Divine inspiration and guidance than was the Pope; for the fact that King Humbert went to Naples at the risk of his life, while Leo XIII remained in safety at the Vatican, impressed the Italian people in favour of the new _regime_ and against the old as nothing else could have done. In other parts of Italy the same progress is seen under the new Italian government. Venice, Genoa, Leghorn, and especially Rome, which under the sway of the popes was scandalously filthy, are now among the cleanest cities in Europe. What the relics of St. Januarius, St. Anthony, and a multitude of local fetiches throughout Italy were for ages utterly unable to do, has been accomplished by the development of the simplest sanitary principles. Spain shows much the same characteristics of a country where theological considerations have been all-controlling for centuries. Down to the interference of Napoleon with that kingdom, all sanitary efforts were looked upon as absurd if not impious. The most sober accounts of travellers in the Spanish Peninsula until a recent period are sometimes irresistibly comic in their pictures of peoples insisting on maintaining arrangements more filthy than any which would be permitted in an American backwoods camp, while taking enormous pains to stop pestilence by bell-ringings, processions, and new dresses bestowed upon the local Madonnas; yet here, too, a healthful scepticism has begun to work for good. The outbreaks of cholera in recent years have done some little to bring in better sanitary measures.[[81]] II. GRADUAL DECAY OF THEOLOGICAL VIEWS REGARDING SANITATION. We have seen how powerful in various nations especially obedient to theology were the forces working in opposition to the evolution of hygiene, and we shall find this same opposition, less effective, it is true, but still acting with great power, in countries which had become somewhat emancipated from theological control. In England, during the medieval period, persecutions of Jews were occasionally resorted to, and here and there we hear of persecutions of witches; but, as torture was rarely used in England, there were, from those charged with producing plague, few of those torture-born confessions which in other countries gave rise to widespread cruelties. Down to the sixteenth and seventeenth centuries the filthiness in the ordinary mode of life in England was such as we can now hardly conceive: fermenting organic material was allowed to accumulate and become a part of the earthen floors of rural dwellings; and this undoubtedly developed the germs of many diseases. In his noted letter to the physician of Cardinal Wolsey, Erasmus describes the filth thus incorporated into the floors of English houses, and, what is of far more importance, he shows an inkling of the true cause of the wasting diseases of the period. He says, "If I entered into a chamber which had been uninhabited for months, I was immediately seized with a fever." He ascribed the fearful plague of the sweating sickness to this cause. So, too, the noted Dr. Caius advised sanitary precautions against the plague, and in after-generations, Mead, Pringle, and others urged them; but the prevailing thought was too strong, and little was done. Even the floor of the presence chamber of Queen Elizabeth in Greenwich Palace was "covered with hay, after the English fashion," as one of the chroniclers tells us. In the seventeenth century, aid in these great scourges was mainly sought in special church services. The foremost English churchmen during that century being greatly given to study of the early fathers of the Church; the theological theory of disease, so dear to the fathers, still held sway, and this was the case when the various visitations reached their climax in the great plague of London in 1665, which swept off more than a hundred thousand people from that city. The attempts at meeting it by sanitary measures were few and poor; the medical system of the time was still largely tinctured by superstitions resulting from medieval modes of thought; hence that plague was generally attributed to the Divine wrath caused by "the prophaning of the Sabbath." Texts from Numbers, the Psalms, Zechariah, and the Apocalypse were dwelt upon in the pulpits to show that plagues are sent by the Almighty to punish sin; and perhaps the most ghastly figure among all those fearful scenes described by De Foe is that of the naked fanatic walking up and down the streets with a pan of fiery coals upon his head, and, after the manner of Jonah at Nineveh, proclaiming woe to the city, and its destruction in forty days. That sin caused this plague is certain, but it was sanitary sin. Both before and after this culmination of the disease cases of plague were constantly occurring in London throughout the seventeenth century; but about the beginning of the eighteenth century it began to disappear. The great fire had done a good work by sweeping off many causes and centres of infection, and there had come wider streets, better pavements, and improved water supply; so that, with the disappearance of the plague, other diseases, especially dysenteries, which had formerly raged in the city, became much less frequent. But, while these epidemics were thus checked in London, others developed by sanitary ignorance raged fearfully both there and elsewhere, and of these perhaps the most fearful was the jail fever. The prisons of that period were vile beyond belief. Men were confined in dungeons rarely if ever disinfected after the death of previous occupants, and on corridors connecting directly with the foulest sewers: there was no proper disinfection, ventilation, or drainage; hence in most of the large prisons for criminals or debtors the jail fever was supreme, and from these centres it frequently spread through the adjacent towns. This was especially the case during the sixteenth and seventeenth centuries. In the Black Assize at Oxford, in 1577, the chief baron, the sheriff, and about three hundred men died within forty hours. Lord Bacon declared the jail fever "the most pernicious infection next to the plague." In 1730, at the Dorsetshire Assize, the chief baron and many lawyers were killed by it. The High Sheriff of Somerset also took the disease and died. A single Scotch regiment, being infected from some prisoners, lost no less than two hundred. In 1750 the disease was so virulent at Newgate, in the heart of London, that two judges, the lord mayor, sundry aldermen, and many others, died of it. It is worth noting that, while efforts at sanitary dealing with this state of things were few, the theological spirit developed a new and special form of prayer for the sufferers and placed it in the Irish _Prayer Book_. These forms of prayer seem to have been the main reliance through the first half of the eighteenth century. But about 1750 began the work of John Howard, who visited the prisons of England, made known their condition to the world, and never rested until they were greatly improved. Then he applied the same benevolent activity to prisons in other countries, in the far East, and in southern Europe, and finally laid down his life, a victim to disease contracted on one of his missions of mercy; but the hygienic reforms he began were developed more and more until this fearful blot upon modern civilization was removed.[[84]] The same thing was seen in the Protestant colonies of America; but here, while plagues were steadily attributed to Divine wrath or Satanic malice, there was one case in which it was claimed that such a visitation was due to the Divine mercy. The pestilence among the _Indians_, before the arrival of the Plymouth Colony, was attributed in a notable work of that period to the Divine purpose of clearing New England for the heralds of the gospel; on the other hand, the plagues which destroyed the _white_ population were attributed by the same authority to devils and witches. In Cotton Mather's _Wonder of the Invisible World_, published at Boston in 1693, we have striking examples of this. The great Puritan divine tells us: "Plagues are some of those woes, with which the Divil troubles us. It is said of the Israelites, in 1 Cor. 10. 10. _They were destroyed of the destroyer_. That is, they had the Plague among them. 'Tis the Destroyer, or the Divil, that scatters Plagues about the World: Pestilential and Contagious Diseases, 'tis the Divel, who do's oftentimes Invade us with them. 'Tis no uneasy thing, for the Divel, to impregnate the Air about us, with such Malignant Salts, as meeting with the Salt of our Microcosm, shall immediately cast us into that Fermentation and Putrefaction, which will utterly dissolve All the Vital Tyes within us; Ev'n as an Aqua Fortis, made with a conjuuction of Nitre and Vitriol, Corrodes what it Siezes upon. And when the Divel has raised those Arsenical Fumes, which become Venomous. Quivers full of Terrible Arrows, how easily can he shoot the deleterious Miasms into those Juices or Bowels of Men's Bodies, which will soon Enflame them with a Mortal Fire! Hence come such Plagues, as that Beesome of Destruction which within our memory swept away such a throng of people from one English City in one Visitation: and hence those Infectious Feavers, which are but so many Disguised Plagues among us, Causing Epidemical Desolations." Mather gives several instances of witches causing diseases, and speaks of "some long Bow'd down under such a Spirit of Infirmity" being "Marvelously Recovered upon the Death of the Witches," of which he gives an instance. He also cites a case where a patient "was brought unto death's door and so remained until the witch was taken and carried away by the constable, when he began at once to recover and was soon well."[[86]] In France we see, during generation after generation, a similar history evolved; pestilence after pestilence came, and was met by various fetiches. Noteworthy is the plague at Marseilles near the beginning of the last century. The chronicles of its sway are ghastly. They speak of great heaps of the unburied dead in the public places, "forming pestilential volcanoes"; of plague-stricken men and women in delirium wandering naked through the streets; of churches and shrines thronged with great crowds shrieking for mercy; of other crowds flinging themselves into the wildest debauchery; of robber bands assassinating the dying and plundering the dead; of three thousand neglected children collected in one hospital and then left to die; and of the death-roll numbering at last fifty thousand out of a population of less than ninety thousand. In the midst of these fearful scenes stood a body of men and women worthy to be held in eternal honour--the physicians from Paris and Montpellier; the mayor of the city, and one or two of his associates; but, above all, the Chevalier Roze and Bishop Belzunce. The history of these men may well make us glory in human nature; but in all this noble group the figure of Belzunce is the most striking. Nobly and firmly, when so many others even among the regular and secular ecclesiastics fled, he stood by his flock: day and night he was at work in the hospitals, cheering the living, comforting the dying, and doing what was possible for the decent disposal of the dead. In him were united the, two great antagonistic currents of religion and of theology. As a theologian he organized processions and expiatory services, which, it must be confessed, rather increased the disease than diminished it; moreover, he accepted that wild dream of a hysterical nun--the worship of the material, physical sacred heart of Jesus--and was one of the first to consecrate his diocese to it; but, on the other hand, the religious spirit gave in him one of its most beautiful manifestations in that or any other century; justly have the people of Marseilles placed his statue in the midst of their city in an attitude of prayer and blessing. In every part of Europe and America, down to a recent period, we find pestilences resulting from carelessness or superstition still called "inscrutable providences." As late as the end of the eighteenth century, when great epidemics made fearful havoc in Austria, the main means against them seem to have been grovelling before the image of St. Sebastian and calling in special "witch-doctors"--that is, monks who cast out devils. To seek the aid of physicians was, in the neighbourhood of these monastic centres, very generally considered impious, and the enormous death rate in such neighbourhoods was only diminished in the present century, when scientific hygiene began to make its way. The old view of pestilence had also its full course in Calvinistic Scotland; the only difference being that, while in Roman Catholic countries relief was sought by fetiches, gifts, processions, exorcisms, burnings of witches, and other works of expiation, promoted by priests; in Scotland, after the Reformation, it was sought in fast-days and executions of witches promoted by Protestant elders. Accounts of the filthiness of Scotch cities and villages, down to a period well within this century, seem monstrous. All that in these days is swept into the sewers was in those allowed to remain around the houses or thrown into the streets. The old theological theory, that "vain is the help of man," checked scientific thought and paralyzed sanitary endeavour. The result was natural: between the thirteenth and seventeenth centuries thirty notable epidemics swept the country, and some of them carried off multitudes; but as a rule these never suggested sanitary improvement; they were called "visitations," attributed to Divine wrath against human sin, and the work of the authorities was to announce the particular sin concerned and to declaim against it. Amazing theories were thus propounded--theories which led to spasms of severity; and, in some of these, offences generally punished much less severely were visited with death. Every pulpit interpreted the ways of God to man in such seasons so as rather to increase than to diminish the pestilence. The effect of thus seeking supernatural causes rather than natural may be seen in such facts as the death by plague of one fourth of the whole population of the city of Perth in a single year of the fifteenth century, other towns suffering similarly both then and afterward. Here and there, physicians more wisely inspired endeavoured to push sanitary measures, and in 1585 attempts were made to clean the streets of Edinburgh; but the chroniclers tell us that "the magistrates and ministers gave no heed." One sort of calamity, indeed, came in as a mercy--the great fires which swept through the cities, clearing and cleaning them. Though the town council of Edinburgh declared the noted fire of 1700 "a fearful rebuke of God," it was observed that, after it had done its work, disease and death were greatly diminished.[[88]] III. THE TRIUMPH OF SANITARY SCIENCE. But by those standing in the higher places of thought some glimpses of scientific truth had already been obtained, and attempts at compromise between theology and science in this field began to be made, not only by ecclesiastics, but first of all, as far back as the seventeenth century, by a man of science eminent both for attainments and character--Robert Boyle. Inspired by the discoveries in other fields, which had swept away so much of theological thought, he could no longer resist the conviction that some epidemics are due--in his own words--"to a tragical concourse of natural causes"; but he argued that some of these may be the result of Divine interpositions provoked by human sins. As time went on, great difficulties showed themselves in the way of this compromise--difficulties theological not less than difficulties scientific. To a Catholic it was more and more hard to explain the theological grounds why so many orthodox cities, firm in the faith, were punished, and so many heretical cities spared; and why, in regions devoted to the Church, the poorer people, whose faith in theological fetiches was unquestioning, died in times of pestilence like flies, while sceptics so frequently escaped. Difficulties of the same sort beset devoted Protestants; they, too, might well ask why it was that the devout peasantry in their humble cottages perished, while so much larger a proportion of the more sceptical upper classes were untouched. Gradually it dawned both upon Catholic and Protestant countries that, if any sin be punished by pestilence, it is the sin of filthiness; more and more it began to be seen by thinking men of both religions that Wesley's great dictum stated even less than the truth; that not only was "cleanliness akin to godliness," but that, as a means of keeping off pestilence, it was far superior to godliness as godliness was then generally understood.[[89]] The recent history of sanitation in all civilized countries shows triumphs which might well fill us with wonder, did there not rise within us a far greater wonder that they were so long delayed. Amazing is it to see how near the world has come again and again to discovering the key to the cause and cure of pestilence. It is now a matter of the simplest elementary knowledge that some of the worst epidemics are conveyed in water. But this fact seems to have been discovered many times in human history. In the Peloponnesian war the Athenians asserted that their enemies had poisoned their cisterns; in the Middle Ages the people generally declared that the Jews had poisoned their wells; and as late as the cholera of 1832 the Parisian mob insisted that the water-carriers who distributed water for drinking purposes from the Seine, polluted as it was by sewage, had poisoned it, and in some cases murdered them on this charge: so far did this feeling go that locked covers were sometimes placed upon the water-buckets. Had not such men as Roger Bacon and his long line of successors been thwarted by theological authority,--had not such men as Thomas Aquinas, Vincent of Beauvais, and Albert the Great been drawn or driven from the paths of science into the dark, tortuous paths of theology, leading no whither,--the world to-day, at the end of the nineteenth century, would have arrived at the solution of great problems and the enjoyment of great results which will only be reached at the end of the twentieth century, and even in generations more remote. Diseases like typhoid fever, influenza and pulmonary consumption, scarlet fever, diphtheria, pneumonia, and _la grippe_, which now carry off so many most precious lives, would have long since ceased to scourge the world. Still, there is one cause for satisfaction: the law governing the relation of theology to disease is now well before the world, and it is seen in the fact that, just in proportion as the world progressed from the sway of Hippocrates to that of the ages of faith, so it progressed in the frequency and severity of great pestilences; and that, on the other hand, just in proportion as the world has receded from that period when theology was all-pervading and all-controlling, plague after plague has disappeared, and those remaining have become less and less frequent and virulent.[[90]] The recent history of hygiene in all countries shows a long series of victories, and these may well be studied in Great Britain and the United States. In the former, though there had been many warnings from eminent physicians, and above all in the seventeenth and eighteenth centuries, from men like Caius, Mead, and Pringle, the result was far short of what might have been gained; and it was only in the year 1838 that a systematic sanitary effort was begun in England by the public authorities. The state of things at that time, though by comparison with the Middle Ages happy, was, by comparison with what has since been gained, fearful: the death rate among all classes was high, but among the poor it was ghastly. Out of seventy-seven thousand paupers in London during the years 1837 and 1838, fourteen thousand were suffering from fever, and of these nearly six thousand from typhus. In many other parts of the British Islands the sanitary condition was no better. A noble body of men grappled with the problem, and in a few years one of these rose above his fellows--the late Edwin Chadwick. The opposition to his work was bitter, and, though many churchmen aided him, the support given by theologians and ecclesiastics as a whole was very far short of what it should have been. Too many of them were occupied in that most costly and most worthless of all processes, "the saving of souls" by the inculcation of dogma. Yet some of the higher ecclesiastics and many of the lesser clergy did much, sometimes risking their lives, and one of them, Sidney Godolphin Osborne, deserves lasting memory for his struggle to make known the sanitary wants of the peasantry. Chadwick began to be widely known in 1848 as a member of the Board of Health, and was driven out for a time for overzeal; but from one point or another, during forty years, he fought the opposition, developed the new work, and one of the best exhibits of its results is shown in his address before the Sanitary Conference at Brighton in 1888. From this and other perfectly trustworthy sources some idea may be gained of the triumph of the scientific over the theological method of dealing with disease, whether epidemic or sporadic. In the latter half of the seventeenth century the annual mortality of London is estimated at not less than eighty in a thousand; about the middle of this century it stood at twenty-four in a thousand; in 1889 it stood at less than eighteen in a thousand; and in many parts the most recent statistics show that it has been brought down to fourteen or fifteen in a thousand. A quarter of a century ago the death rate from disease in the Royal Guards at London was twenty in a thousand; in 1888 it had been reduced to six in a thousand. In the army generally it had been seventeen in a thousand, but it has been reduced until it now stands at eight. In the old Indian army it had been sixty-nine in a thousand, but of late it has been brought down first to twenty, and finally to fourteen. Mr. Chadwick in his speech proved that much more might be done, for he called attention to the German army, where the death rate from disease has been reduced to between five and six in a thousand. The Public Health Act having been passed in 1875, the death rate in England among men fell, between 1871 and 1880, more than four in a thousand, and among women more than six in a thousand. In the decade between 1851 and 1860 there died of diseases attributable to defective drainage and impure water over four thousand persons in every million throughout England: these numbers have declined until in 1888 there died less than two thousand in every million. The most striking diminution of the deaths from such causes was found in 1891, in the case of typhoid fever, that diminution being fifty per cent. As to the scourge which, next to plagues like the Black Death, was formerly the most dreaded--smallpox--there died of it in London during the year 1890 just one person. Drainage in Bristol reduced the death rate by consumption from 4.4 to 2.3; at Cardiff, from 3.47 to 2.31; and in all England and Wales, from 2.68 in 1851 to 1.55 in 1888. What can be accomplished by better sanitation is also seen to-day by a comparison between the death rate among the children outside and inside the charity schools. The death rate among those outside in 1881 was twelve in a thousand; while inside, where the children were under sanitary regulations maintained by competent authorities, it has been brought down first to eight, then to four, and finally to less than three in a thousand. In view of statistics like these, it becomes clear that Edwin Chadwick and his compeers among the sanitary authorities have in half a century done far more to reduce the rate of disease and death than has been done in fifteen hundred years by all the fetiches which theological reasoning could devise or ecclesiastical power enforce. Not less striking has been the history of hygiene in France: thanks to the decline of theological control over the universities, to the abolition of monasteries, and to such labours in hygienic research and improvement as those of Tardieu, Levy, and Bouchardat, a wondrous change has been wrought in public health. Statistics carefully kept show that the mean length of human life has been remarkably increased. In the eighteenth century it was but twenty-three years; from 1825 to 1830 it was thirty-two years and eight months; and since 1864, thirty-seven years and six months. IV. THE RELATION OF SANITARY SCIENCE TO RELIGION. The question may now arise whether this progress in sanitary science has been purchased at any real sacrifice of religion in its highest sense. One piece of recent history indicates an answer to this question. The Second Empire in France had its head in Napoleon III, a noted Voltairean. At the climax of his power he determined to erect an Academy of Music which should be the noblest building of its kind. It was projected on a scale never before known, at least in modern times, and carried on for years, millions being lavished upon it. At the same time the emperor determined to rebuild the Hotel-Dieu, the great Paris hospital; this, too, was projected on a greater scale than anything of the kind ever before known, and also required millions. But in the erection of these two buildings the emperor's determination was distinctly made known, that with the highest provision for aesthetic enjoyment there should be a similar provision, moving on parallel lines, for the relief of human suffering. This plan was carried out to the letter: the Palace of the Opera and the Hotel-Dieu went on with equal steps, and the former was not allowed to be finished before the latter. Among all the "most Christian kings" of the house of Bourbon who had preceded him for five hundred years, history shows no such obedience to the religious and moral sense of the nation. Catharine de' Medici and her sons, plunging the nation into the great wars of religion, never showed any such feeling; Louis XIV, revoking the Edict of Nantes for the glory of God, and bringing the nation to sorrow during many generations, never dreamed of making the construction of his palaces and public buildings wait upon the demands of charity. Louis XV, so subservient to the Church in all things, never betrayed the slightest consciousness that, while making enormous expenditures to gratify his own and the national vanity, he ought to carry on works, _pari passu_, for charity. Nor did the French nation, at those periods when it was most largely under the control of theological considerations, seem to have any inkling of the idea that nation or monarch should make provision for relief from human suffering, to justify provision for the sumptuous enjoyment of art: it was reserved for the second half of the nineteenth century to develop this feeling so strongly, though quietly, that Napoleon III, notoriously an unbeliever in all orthodoxy, was obliged to recognise it and to set this great example. Nor has the recent history of the United States been less fruitful in lessons. Yellow fever, which formerly swept not only Southern cities but even New York and Philadelphia, has now been almost entirely warded off. Such epidemics as that in Memphis a few years since, and the immunity of the city from such visitations since its sanitary condition was changed by Mr. Waring, are a most striking object lesson to the whole country. Cholera, which again and again swept the country, has ceased to be feared by the public at large. Typhus fever, once so deadly, is now rarely heard of. Curious is it to find that some of the diseases which in the olden time swept off myriads on myriads in every country, now cause fewer deaths than some diseases thought of little account, and for the cure of which people therefore rely, to their cost, on quackery instead of medical science. This development of sanitary science and hygiene in the United States has also been coincident with a marked change in the attitude of the American pulpit as regards the theory of disease. In this country, as in others, down to a period within living memory, deaths due to want of sanitary precautions were constantly dwelt upon in funeral sermons as "results of national sin," or as "inscrutable Providences." That view has mainly passed away among the clergy of the more enlightened parts of the country, and we now find them, as a rule, active in spreading useful ideas as to the prevention of disease. The religious press has been especially faithful in this respect, carrying to every household more just ideas of sanitary precautions and hygienic living. The attitude even of many among the most orthodox rulers in church and state has been changed by facts like these. Lord Palmerston refusing the request of the Scotch clergy that a fast day be appointed to ward off cholera, and advising them to go home and clean their streets,--the devout Emperor William II forbidding prayer-meetings in a similar emergency, on the ground that they led to neglect of practical human means of help,--all this is in striking contrast to the older methods. Well worthy of note is the ground taken in 1893, at Philadelphia, by an eminent divine of the Protestant Episcopal Church. The Bishop of Pennsylvania having issued a special call to prayer in order to ward off the cholera, this clergyman refused to respond to the call, declaring that to do so, in the filthy condition of the streets then prevailing in Philadelphia, would be blasphemous. In summing up the whole subject, we see that in this field, as in so many others, the triumph of scientific thought has gradually done much to evolve in the world not only a theology but also a religious spirit more and more worthy of the goodness of God and of the destiny of man.[[95]] CHAPTER XV. FROM "DEMONIACAL POSSESSION" TO INSANITY. I. THEOLOGICAL IDEAS OF LUNACY AND ITS TREATMENT. OF all the triumphs won by science for humanity, few have been farther-reaching in good effects than the modern treatment of the insane. But this is the result of a struggle long and severe between two great forces. On one side have stood the survivals of various superstitions, the metaphysics of various philosophies, the dogmatism of various theologies, the literal interpretation of various sacred books, and especially of our own--all compacted into a creed that insanity is mainly or largely demoniacal possession; on the other side has stood science, gradually accumulating proofs that insanity is always the result of physical disease. I purpose in this chapter to sketch, as briefly as I may, the history of this warfare, or rather of this evolution of truth out of error. Nothing is more simple and natural, in the early stages of civilization, than belief in occult, self-conscious powers of evil. Troubles and calamities come upon man; his ignorance of physical laws forbids him to attribute them to physical causes; he therefore attributes them sometimes to the wrath of a good being, but more frequently to the malice of an evil being. Especially is this the case with diseases. The real causes of disease are so intricate that they are reached only after ages of scientific labour; hence they, above all, have been attributed to the influence of evil spirits.[[97]] But, if ordinary diseases were likely to be attributed to diabolical agency, how much more diseases of the brain, and especially the more obscure of these! These, indeed, seemed to the vast majority of mankind possible only on the theory of Satanic intervention: any approach to a true theory of the connection between physical causes and mental results is one of the highest acquisitions of science. Here and there, during the whole historic period, keen men had obtained an inkling of the truth; but to the vast multitude, down to the end of the seventeenth century, nothing was more clear than that insanity is, in many if not in most cases,


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