“IN the name of God, Amen. To the honour and praise and reverence of God, and of His Mother, Madonna Holy Mary Virgin, and of all the Saints of God, and to the honour and exaltation of the Holy Roman Church, and of the Commune and of the People of the City of Siena, and to the good and pacific state and to the increase of the Spedale of Madonna Holy Mary Virgin of Siena, which is placed in front of the chief church of the said City, and of the Rector and Brothers of the Chapter of the said Spedale, and to the recreation of the sick and poor and foundlings of the said Spedale.”

Thus open the Statutes of 1305 of the famous Spedale of Siena, the united hospitals of Santa Maria della Scala. The buildings occupy the whole side of the Piazza del Duomo opposite the façade. According to the legends, the Spedale was founded at the end of the ninth century by a cobbler named Sorore, who began by lodging pilgrims who passed through Siena on their way to Rome, and mending their shoes, then nursing those of their number who fell sick by the way, and ended by founding a sort of order or company of men—the “Frati Ospitalieri”—to carry on his work. Thus began the hospital for the sick; while a dream of a devout woman, who saw upon this spot a ladder reaching up to Heaven, and little children passing up it into the arms of the Blessed Virgin, caused a home for foundlings to be united to it. Modern writers, however, question the existence of the Beato Sorore, and assign the foundation of the Spedale to the eleventh century.[103] Be that as it may, throughout the whole course of Sienese history the Spedale has a sublime record of devotion and charity, especially in those terrible epochs—that recurred again and again at intervals—when the pestilence and black death devastated Siena. Its revenues were largely increased by donations from the Bishops, by papal commutations of vows, and by bequests from victims of the pestilence who, having lost their natural heirs, bequeathed all that they had to the institution. The order of the “Frati Ospitalieri” was reformed in the thirteenth, and lasted on till the end of the sixteenth century. The Rector of the Spedale, in the days of the Republic, had the right of sitting in the Consistory with the Signoria.

Beyond the entrance-hall is a large room known as the Pellegrinaio, because originally intended for the reception of pilgrims, with a pleasant view from the window at the end. The walls and ceiling are covered with frescoes—those on the walls being practically unique in the story of Sienese art. They represent scenes from the history and illustrate the work of the Spedale. On the right are three by Domenico di Bartolo. They represent the marrying of the maidens, with the Baptism of the children and their nursing (1440); the giving of alms (1443); the care of the sick and diseased (1440). We are struck at once by their realism, which we shall find nowhere else in Sienese painting; some of the heads are powerful, there is excellent grouping and a study of Sienese costumes in the Quattrocento which is of no small value to the student. But withal there is a certain uncouthness, at times exaggerated to the verge of grotesqueness. The painter is following the Florentine methods, but is not fully equipped with Florentine science; the nude figure which we see in the foreground of the second fresco is a striking innovation in a Sienese picture, but it will not stand the comparison—which it inevitably invites—with the naked youths in Masaccio’s famous scene of St Peter baptising in the Carmine of Florence. The two frescoes on either side of the window are unimportant. Then, on the left wall, is another by Domenico di Bartolo (1443), fairly well preserved, representing the granting of privileges to the Spedale, in the person of its Rector, by Celestine III.; a magnificent young Sienese gentleman in the costume of the fifteenth century stands in the centre of the picture. The next fresco, the entry into the Spedale and a lady of Siena taking the robe of the order, is by Priamo di Pietro della Quercia, the brother of the more famous Giacomo; it is somewhat in the style of Domenico, but with more than his uncouthness and falling a long way below his excellence. Following that, by Domenico di Bartolo, badly preserved, is the increase of the buildings of the Spedale with alms given by the Bishop, the group of horsemen approaching, and nearly riding down the builder, being presumably fresh benefactors inspired by the episcopal example. The fresco over the door on the left is by Vecchietta and represents the “Scala del Paradiso,” the dream of the devout woman, in which the little deserted children are seen mounting up the ladder to be received into the arms of the Mother of God.

There are other frescoes of less importance in other parts of the Spedale. In the room on the left of the entrance is a fresco by Beccafumi, one of his early works, painted in 1512, representing the meeting of Joachim and Anne. The Infirmary of San Pietro has unimportant frescoes by Vecchietta, and (inclosed in a tabernacle) the “Madonna of Mercy,” by Domenico di Bartolo. In the Infirmary of San Pio a “Beato Sorore” is likewise ascribed to Domenico, and in the Infirmary of San Galgano is a Crucifixion by Taddeo di Bartolo. The church of the Spedale, dedicated to the Madonna of the Annunciation, was built in the fifteenth century. The bronze Christ over the high altar is by Vecchietta; the organ is said to have been designed by Peruzzi.

In the vaults under the Spedale are the meeting-places of several devout confraternities, which are said to trace their origin from the first Sienese Christians, the converts of St Ansanus, who met in secret on this spot in the days of the Roman persecutions. You enter by the last door in the Piazza. The chapel of Santa Maria sotto le Volte dello Spedale, now sometimes called Santa Caterina delle Notti, was the oratory of the “Disciplinati of the Virgin Mary of the Spedale.” St Catherine was intimately associated with this confraternity, which was conspicuous for its active works of charity, and to which a number of her disciples belonged. One of her latest letters was written from Rome to the Prior and Brothers of the Company.[104] It was whilst praying here in 1380 that Stefano Maconi heard a voice in his heart telling him that Catherine was dying, and he at once hastened to Rome to receive her last injunctions. In a little cell, adjoining the oratory, St Catherine passed long hours in prayer, and from it she assisted at the offices of the Disciplinati. Here is still shown the hard bed of stone upon which she slept, in the intervals of tending the sick at the hospital. In a room beyond, belonging to the confraternity of St Catherine, are some pictures; a Madonna and Child with Saints by Taddeo di Bartolo, and four small paintings, much restored, in the manner of Girolamo del Pacchia. One of the latter represents the members of the confraternity dressed as you may still see them at the door of St Catherine’s house on the day of her festa. Before reaching the oratory, another flight of steps to the left leads down to the meeting-place of the Confraternity of the Madonna. Here are a number of pictures, including a Holy Family by Bazzi; St Catherine leading Pope Gregory back to Rome (though, as a matter of fact, she was present only in spirit) by Benvenuto di Giovanni; a Madonna and Child with Saints by Sano di Pietro. Hung very high up are two small triptychs—the one representing the Crucifixion, Flagellation, Entombment—the other the Blessed Virgin with the two Catherines and other Saints. Mr Berenson ascribes them to Duccio and Fungai respectively. Beyond is the chapel of the confraternity, with remains of frescoes by some pupil of Ambrogio Lorenzetti.

San Bernardino commenced his religious life as a member of this confraternity of Our Lady’s Disciplinati. When the pestilence broke out anew in 1400, and the Spedale was overwhelmed with the sick and the dying, Bernardino collected a band of young men to aid the Rector in his task, and devoted himself to the plague-stricken for four months, while his cousin, Tobia, attended to the women.

From the back of the Spedale the Via di Valle Piatta leads to the little church of San Sebastiano, the oratory of the Contrada della Selva. Its interior is in the form of a Greek cross. It was built by Girolamo di Domenico Ponsi, at the end of the fifteenth century, and its sacristy contains Madonnas by Matteo di Giovanni and Benvenuto. The adjoining convent, originally of the Gesuate, has since 1818 been the Foundling Hospital—Ospizio dei Gettatelli.

From the Via di Valle Piatta the steep Via del Costone winds down the side of the hill upon which the Duomo and Spedale stand, to the Fontebranda. Let us take this way into the valley—for we shall be