Proceeding on similar lines, Professor Willy Hellpach, of Carlsruhe, observed in the Berlin “Tag” (“Psychologische Rundschau,” Jan. 18, 1912): “Several years ago the Jesuit scholar, Pater Grisar, published in the ‘Kölnische Volkszeitung’ an article entitled ‘Ein Grundproblem aus Luthers Seelenleben.’ Of this work Möbius said, and quite rightly, that it was the best account so far given of the pathology of Luther’s mind. That Luther’s mind was at times morbidly depressed without any reasonable cause has never been doubted by any who knew him, even when they happened to be Evangelicals. Hausrath, in his biography, had spoken of ‘recurrent psychosis’ a statement, which, it is true, he modified later on account of the storm of indignation which broke out among those queer folk who seem to look upon a gifted man’s malady as a worse blot than the greatest crime.” Hellpach points out that laymen are wrong when they imagine that “psychosis” involves “an absolute derangement of the power of thought.”
Wilhelm Ebstein, a Professor of Medicine,[562] recently, and not without reason, registered a protest against the view of those who maintain that Luther was actually out of his mind. Himself interested in the treatment of cases of gout and calculus, he comes to the conclusion that Luther’s chief sufferings were caused by uric acid and faulty digestion, the two together constituting the principal trouble, and being accompanied, as is so often the case with gout, by “neurasthenic symptoms which at times recall psychosis”;[563] his “hypochondriacal depression which passed all bounds” was entirely due to these ailments. Not only these “nervous symptoms,” but also the other ailments of which Luther had to complain, his palpitations, headaches, dizziness, sore-throat, defective hearing, impaired digestion, fainting fits, and particularly his oppression in the region of the heart and the feelings of fear which accompanied it, all these were, according to Ebstein, due more or less to gout and the other troubles resulting from the presence of uric acid.[564]
There can be no doubt that this learned physician gives us many useful observations, but he has not himself selected his historical matter and carefully tested its source. Much of it comes from Küchenmeister, whereas, at the present stage of research, a medical opinion, to carry real weight, must necessarily enter at greater length into the facts more recently brought to light. Some of Küchenmeister’s opinions have, however, been revised by Ebstein, and not without good reason.
Among those of Ebstein’s statements that must be characterised as historically untenable are the following, viz. that Luther’s hallucinations and visions occurred “almost without exception at a time when he was yet under the influence of the asceticism of the monastery, with its night-vigils, spiritual exercises and strenuous mental labours,” i.e. in his Catholic days; likewise, that, in the monastery, he had striven “most diligently to outdo the other monks in the matter of fasting, watching,” etc.; that, in later days, he had “always been able to master his morbid states, and to bid defiance to his moods of depression,” and that these latter had “in no way detracted” from his mental labours; that his method of controversy had never been a morbid one, as Küchenmeister had asserted on insufficient grounds, and that, when even Luther referred to mental sufferings and temptations, his “bodily ailments” always occupied the first place and constituted the leading factor.[565]
His theory that Luther suffered from gout is also eminently doubtful.
Of any symptoms of gout, for instance, of gouty swellings, we hear nothing from Luther[566] though he was wont to expatiate on his complaints, and though, according to Ebstein, he possessed a “rare knowledge of medical matters.”[567] Nor did Luther permanently suffer from sluggishness and constipation of the bowels; we hear of it only at Worms and at the Wartburg in 1521, and then again in 1525. To put down “his moodiness, melancholia and depression” as Ebstein terms the remorse of conscience experienced in 1528 at the time of his greatest “temptations” to an attack of piles, described by Luther in a letter to his friend Jonas on Jan. 6, 1528, is to misapprehend the facts of the case; for, actually, it was three years before this that Luther had for a while been troubled with hæmorrhoids, as is evident both from the text of the inquiry made by Jonas (“ante triennium”), and from Luther’s answer: “My illness was as follows,” etc.[568]
Moreover, Luther was not suffering from stone in 1521, and it is only in 1526 that we hear him speaking of it for the first time; after this the malady was for a long time in abeyance,[569] until, between 1537 and 1539, it once more attacked him severely; it is again referred to in 1543.
Hence we must still await a more accurate medical diagnosis to determine—if indeed this be possible—how far the history of Luther’s outward and inward troubles was dependent on uric acid.[570] Maybe, eventually, greater stress than hitherto will be laid on Luther’s heart troubles; if so, then it will become necessary to find out what the so-called “cardiogmus” was, from which, according to Melanchthon, Luther suffered severely early in 1545; for, in his friend’s opinion, it was to this that Luther’s death later on was due.[571] Ebstein himself says of the oppression in the region of the heart and the resultant anxiety[572] from which Luther suffered, until his death was ultimately brought about by “heart failure,” that it “leads us to diagnose some heart affection”; this, according to his theory, was due, in part directly to gout, in part also to the obstinate constipation which accompanied it. According to him the periodic attacks of heart-oppression suggest heart asthma or angina pectoris, which, notoriously, often co-exists with gout.
As regards Luther’s mental sufferings, Ebstein will not hear of Berkhan’s hypothesis of “fluxions”; he himself, however,—and herein lies his principal fault,—does not make sufficient account of his patient’s frequent nervous states. He thinks that Luther’s black outlook, which, according to him, resulted from gout, was not bound up directly with any sufferings.[573] As regards the “hallucinations of sight and hearing,”[574] which Luther regarded as the work of the devil, he declares, that Luther, from time to time, fell into a condition of “weakness and irritability which make the temporary disturbance of his brain-powers quite intelligible”; as to the cause of the lapses, Ebstein finds it in “the strenuous mental labour” leading to a “condition of inanition.”[575] He also allows, that, even as a monk, and in early life, Luther was a victim of moodiness.[576] He is, however, quite right when he says: “Insanity cannot be thought of, nor even epilepsy.”[577] In his admiration for Luther, he also credits him with having in his lifetime endured “more days of suffering than of well-being.” To make this statement entirely true it would, however, be necessary to include amongst the days of suffering, those when he was so paralysed by remorse of conscience as to be incapable of work. At any rate we quite admit with Ebstein that, in Luther, we have “a man, during a great part of his life, sorely tried by bodily ailments,”[578] a fact which can only make one wonder the more at the extent of his labours.