FIG. 4—THE RELATION OF THE PARTS OF THE HUMAN BODY TO THE SIGNS OF THE ZODIAC

After the young mortal had safely arrived, and if a fortunate destiny had placed in his cradle a favorable medical horoscope, both for the hour during which the first material foundation had been laid for his life and also for the hour of his birth, he had overcome only a small part of the troubles which the starry world might be able to inflict on his bodily welfare. If the various signs of heaven appeared in unfavorable conjunction, or if the moon entered into any fatal relations with the signs of the zodiac, members of the body which were under the influence of the respective celestial bodies were still imperiled. These dangers might threaten not only one individual, but they were capable, eventually, even of calling down epidemics and pestilence upon all humanity. After any form of disease had taken hold of a person its course, treatment, and termination could be clearly read in the stars of heaven. It was necessary, above all, to ascertain the day, hour, and minute when the disease appeared. Unfortunately, this must have been quite difficult at times; for many diseases begin so insidiously that the moment of the attack is completely beyond precise definition. In such a case one did the best that could be done, and probably took as the moment of attack the first complaints of the patient regarding his disorder. After the appearance of the disease was dated in such a manner, the heavenly body, in the ascendant at this period, was then ascertained; thus, the position and the course and the phases of the moon, the relations of sun and moon to the twelve signs of the zodiac, and the planets would be noted. It was necessary to observe whether the moon was in opposition, quadrature, or conjunction to the planets while she stood in the sign of this or that figure of the zodiac. From these observations clear conclusions were first drawn regarding the general condition, the character, the duration, and the prognosis of the affection. These conclusions, however, were by no means satisfactory as yet. An attempt was therefore made to obtain a much more detailed insight into the causes, complications, and therapy of the case in question by means of astrology, and such information was abundantly provided in the Medicina Astrologica.

In the first place, the fact that sun, moon, planets, and the signs of the zodiac shared the rule over the various organs of the body, and furnished positive intimations regarding the cause of the disease in question, made it unnecessary for the physician to trouble himself at all with an examination of the patient in order to ascertain cause and localization of the affection. One glance at the conjunctions of the stars was sufficient to show which organ of the patient happened to be endangered by the celestial constellation. If an individual complained, for instance, of disturbed digestion, and if the heavenly body that presided over the liver presented any remarkable phenomena, naturally only the liver was responsible for the case in question, and the diagnosis was made. Complications were to be expected if the stars which controlled the circulation of blood and mucus showed unfavorable signs. It was even possible for the physician well versed in astrology to determine in advance the period of time at which the occurrence of such humoral complications might be expected, as he had learned that the various hours of the day and of the night were to exert a powerful influence upon the juices of the body. For instance, Almanzor explains that the first three hours of day and of night are in closest relation to the blood, whereas the second quarters of day and of night hold sway over the yellow, the third over the black (bile), and the last quarters, finally, over the mucus. However, not only were the various hours of great importance to the course of the disease, but certain days of the disease—so-called critical days—were of still greater significance. It is true, the doctrine of these critical days was by no means the property of Medicina Astrologica, but the Corpus Hippocraticum already contained a book Περὶ χρίησὶμων. But the followers of Hippocrates had developed this theory only from humoro-pathological premises, and Galen, in his work χρήἱσιμαι ἡμέραι, had only included astrology in order to explain and to prove the entire doctrine of crises (compare also Sudhoff). He calculated in accordance with moon weeks and months, and in such a manner that a week counted six days and seventeen and one-half hours, and the month of the moon only twenty-six days and twenty-two hours. The seventh, fourteenth, twentieth, and twenty-seventh days were to be considered critical days of the first order. “Contemplate,” says Galen, “the critical days in the course of the moon in the angles of a geometrical figure of sixteen sides; if you find these angles in a favorable constellation, the patient will fare well; badly, however, if evil signs prevail.” But not only were certain hours and certain days of the week said to exert an important astrological influence upon the human body, such an influence was ascribed also to certain years. Such years were called “Anni Scansiles”—that is, “climacteric.” The expression “Anni Climacterici” was also used, but this designation has nothing in common with the modern conception of the climacteric. It was believed that the condition of the body underwent a thorough revolution during these climacteric years, and that a new stage, as it were, of organic life was reached. Heinrich von Rantzau, the astronomic aristocrat and statesman, accordingly defines the climacteric years as “anni, in quibus ad sequentis temporis constitutionem sese vertat ætas et inflectat.” Therefore, such years should in themselves harbor dangers for corporeal existence, and offer no favorable prospect for the course of diseases.

Two kinds of such climacteric years were distinguished. One kind was brought about by multiplication with the figure 7, and they were called anni hebdomatici, or climacterici (stricte sic dicta). Accordingly, these were the years 7, 14, 21, 28, 35, 42, 49, 56, 63. These nine years formed the climactericus parvus, whereas the years 77, 84, 91, 98, 105, 112, 119, 126 were called the climactericus magnus. A multiplication which extended further, to 171, reached the climactericus maximus. The other kind of climacteric years was obtained by multiplication with 9, and such years were called anni enneatici, or decretorii. These were the years 9, 18, 27, 36, 45, 54, 63, 72, 81, 90, 99, 108, etc.

However, these climacteric years did not all present the same dangers, but the peril inherent in them varied considerably. It was determined by the multiplicator, and here especially the 3 and the 7 played a very fatal rôle. The 21st year of life (3 × 7), and the 27th (3 × 9), were one grade higher in the scale of dangers than those obtained by other multiplicators. Still more dangerous were those years arrived at by ascending in spaces of three hebdomads; therefore, the 21st year of life—i.e., the period of three hebdomads—namely, 3 × 7; the 42d year, as a period of 2 × 3 hebdomads—i.e., 2 × 21; the 63d year of life, as a period of 3 hebdomads—i.e., 3 × 21; 84 = to 4 × 21; 105 = 5 × 21, etc. The 49th year of life and the 56th year of life were said to be still more dangerous than these years obtained from the period of three hebdomads. It is true, the cause of the danger is quite obvious in the case of the 49th year; it was the ominous 7 × 7 which here gave rise to forebodings. And it was not quite comprehensible what caused the bad reputation of innocent 56; Rantzau fails to give us a sufficient explanation.

But the most dangerous climacteric year was the 63d, for this was made up of 7 × 9. It was, therefore, an annus hebdomaticus and, at the same time, also an annus enneaticus, for it belonged both to the class of those climacteric years which were formed by the multiplier 7, as also to that which were obtained by the multiplier 9. It was most natural, therefore, that a period of life which from two sides was fraught with danger, like the unfortunate 63d year of life, was bound to appear equally suspicious to the healthy and to the sick. It is probable that this year was, therefore, called androdas, because, as Rantzau believes, it debilitates and breaks vitality.

It would appear, moreover, that the climacteric years enjoyed general consideration in ancient times as well as in the middle ages, for Rantzau names a number of celebrated men who were said to have expressed themselves regarding the significance of these years, such as Plato, Censorinus, Gellius, Philo Judæus, Macrobius, Cicero, Boëtius, St. Ambrose, St. Augustine, Bede, Georgius Valla, and others. Not satisfied with this statement, Rantzau also mentions in his catalog a multitude of prominent men who all departed this life in their 63d year, and thus, as he believes, had established the dangerousness of this year by their death.

It is probable, therefore, that the 63d birthday was celebrated with great apprehension during the entire middle ages, and the respective individual did not draw an easy breath until after the ominous year had been successfully passed.