The Epidemics of the Middle Ages

by J. F. C. Hecker; John Caius

“In 1796, on the estates of the Earl of Uxbridge and Holland Griffith, Esq., 23 females, from 10 to 25, and one boy, of about 17 years of age, who had all intercourse with each other, were seized with an unusual kind of convulsions, affecting only the upper extremities. It began with pain of the head, and sometimes of the stomach and side, not very violent; after which there came on violent twitchings or convulsions of the upper extremities, continuing with little intermission, and causing the shoulders almost to meet by the exertion. In bed the disorder was not so violent: but, in some cases at least, it continued even during sleep. Their pulse was moderate, the body costive, and the general health not much impaired. In general they had a hiccough; and, when the convulsions were most violent, giddiness came on, with the loss of hearing and recollection. During their convalescence, and they all recovered, the least fright or sudden alarm brought on a slight paroxysm.

“Dr. Haygarth, who was consulted on the means of relieving these unfortunate people, successfully recommended the use of antispasmodics; that all girls and young women should be prevented from having any communication with persons affected with those convulsions; and that those who were ill should be kept separate as much as possible.”

The same paper from which the above extracts have been taken, quotes a remarkable instance in which religious enthusiasm was the exciting cause of a convulsive disease analogous to those already noticed. The account is given by the Rev. Dr. Meik, at great length. It appears, that in January, 1742, about 90 persons in the parish of Cambuslang, in Lanarkshire, were induced to subscribe a petition to the minister, urging him to give them a weekly lecture, to which he readily assented. Nothing particular occurred at the first two lectures, but, at the third, to which the hearers had been very attentive, when the minister in his last prayer expressed himself thus, “Lord, who hath believed our report; and to whom is the arm of the Lord revealed?—where are the fruits of my poor labours among this people?” several persons in the congregation cried out publicly, and about fifty men and women came to the minister’s house, expressing strong convictions of sin, and alarming fears of punishment. After this period, so many people from the neighbourhood resorted to Cambuslang, that the minister thought himself obliged to provide them with daily sermons or exhortations, and actually did so for seven or eight months. The way in which the converts were affected, for it seems they were affected much in the same way, though in very different degrees, is thus described. “They were seized, all at once, commonly by something said in the sermons or prayers, with the most dreadful apprehensions concerning the state of their souls, insomuch that many of them could not abstain from crying out, in the most public and frightful manner, ‘bewailing their lost and undone condition by nature; calling themselves enemies to God, and despisers of precious Christ; declaring that they were unworthy to live on the face of the earth; that they saw the mouth of hell open to receive them, and that they heard the shrieks of the damned;’ but the universal cry was, ‘What shall we do to be saved?’ The agony under which they laboured was expressed, not only by words, but also by violent agitations of body; by clapping their hands and beating their breasts; by shaking and trembling; by faintings and convulsions; and sometimes by excessive bleeding at the nose. While they were in this distress, the minister often called out to them, not to stifle or smother their convictions, but to encourage them: and, after sermon was ended, he retired with them to the manse, and frequently spent the best part of the night with them in exhortations and prayers. Next day, before sermon began, they were brought out, and, having napkins tied round their heads, were placed all together on seats before the tents, where they remained sobbing, weeping, and often crying aloud, till the service was over. Some of those who fell under conviction were never converted; but most of those who fell under it were converted in a few days, and sometimes in a few hours. In most cases their conversion was as sudden and unexpected as their conviction. They were raised all at once from the lowest depth of sorrow and distress, to the highest pitch of joy and happiness; crying out with triumph and exultation, ‘that they had overcome the wicked one; that they had gotten hold of Christ, and would never let him go; that the black cloud which had hitherto concealed him from their view was now dispelled; and that they saw him, with a pen in his hand, blotting out their sins.’ Under these delightful impressions, some began to pray, and exhort publicly, and others desired the congregation to join with them in singing a particular psalm, which they said God had commanded them to sing. From the time of their conviction to their conversion, many had no appetite for food, or inclination to sleep, and all complained of their sufferings during that interval.”

The following account, which closes the paper whence the above quotations have been extracted, is taken from an Inaugural Essay on Chorea Sancti Viti, by Felix Robertson of Tennessee, 8vo. Philadelph. 1805.

“The Chorea, which is more particularly the subject of this dissertation, made its appearance during the summer of 1803, in the neighbourhood of Maryville, (Tennessee,) in the form of an epidemic. Previously to entering on its history, I think it necessary to premise a few cursory remarks on the mode of life of those amongst whom it originated, for some time before the appearance of the disease.

“I suppose there are but few individuals in the United States, who have not at least heard of the unparalleled blaze of enthusiastic religion which burst forth in the western country, about the year 1800; but it is, perhaps, impossible to have a competent idea of its effects, without personal observation. This religious enthusiasm travelled like electricity, with astonishing velocity, and was felt, almost instantaneously, in every part of the states of Tennessee and Kentucky. It often proved so powerful a stimulus, that every other entirely lost its effect, or was but feebly felt. Hence that general neglect of earthly things, which was observed, and the almost perpetual attendance at places of public worship. Their churches are, in general, small and every way uncomfortable; the concourse of people, on days of worship, particularly of extraordinary meetings, was very numerous, and hundreds who lived at too great a distance to return home every evening, came supplied with provisions, tents, &c., for their sustenance and accommodation, during the continuance of the meeting, which commonly lasted from three to five days. They, as well as many others, remained on the spot day and night, the whole or greater part of this time, worshipping their Maker almost incessantly. The outward expressions of their worship consisted chiefly in alternate crying, laughing, singing, and shouting, and, at the same time, performing that variety of gesticulation, which the muscular system is capable of producing. It was under these circumstances that some found themselves unable, by voluntary efforts, to suppress the contraction of their muscles; and, to their own astonishment, and the diversion of many of the spectators, they continued to act from necessity, the curious character which they had commenced from choice.

“The disease no sooner appeared, than it spread with rapidity through the medium of the principle of imitation; thus it was not uncommon for an affected person to communicate it to the greater part of a crowd, who, from curiosity or other motives, had collected around him. It is at this time, in almost every part of Tennessee and Kentucky, and in various parts of Virginia, but is said not to be contagious (or readily communicated) as at its commencement. It attacks both sexes, and every constitution, but evidently more readily those who are enthusiasts in religion, such as those above described, and females; children of six years of age, and adults of sixty, have been known to have it, but a great majority of those affected are from fifteen to twenty-five. The muscles generally affected are those of the trunk, particularly of the neck, sometimes those of the superior extremities, but very rarely, if ever, those of the inferior. The contractions are sudden and violent, such as are denominated convulsive, being sometimes so powerful, when in the muscles of the back, that the patient is thrown on the ground, where, for some time, his motions more resemble those of a live fish, when thrown on land, than any thing else to which I can compare them.

“This, however, does not often occur, and never, I believe, except at the commencement of the disease. The patients, in general, are capable of standing and walking, and many, after it has continued a short time, can attend to their business, provided it is not of a nature requiring much steadiness of body. They are incapable of conversing with any degree of satisfaction to themselves or company, being continually interrupted by those irregular contractions of their muscles, each causing a grunt, or forcible expiration; but the organs of speech do not appear to be affected, nor has it the least influence on the mind. They have no command over their actions by any effort of volition, nor does their lying in bed prevent them, but they always cease during sleep. This disease has remissions and exacerbations, which, however, observe no regularity in their occurrence or duration. During the intermission a paroxysm is often excited at the sight of a person affected, but more frequently by the common salute of shaking hands. The sensations of the patients in a paroxysm are generally agreeable, which the enthusiastic class often endeavour to express, by laughing, shouting, dancing, &c.

“Fatigue is almost always complained of after violent paroxysms, and sometimes a general soreness is experienced. The heart and arteries appear to be no further affected by the disease, than what arises from the exercise of the body; nor does any change take place in any of the secretions or excretions. It has not proved mortal in a single instance within my knowledge, but becomes lighter by degrees, and finally disappears. In some cases, however, of long continuance, it is attended with some degree of melancholia, which seems to arise entirely from the patient’s reflections, and not directly from the disease.

“The state of the atmosphere has no influence over it, as it rages with equal violence in summer and in winter; in moist and in dry air.”