Ulcers and eruptions.—Schirrous ulcers, and other eruptions, frequently break out on their limbs and bodies from the heated state of the blood, which is increased by their constant and extravagant use of stimulants; for whenever they sit down to meat, the first enquiry is (Wosh Skune) Is it stimulating? if it be not, they will not touch it, be it ever so good and palatable. These eruptions often turn to leprous affections.
The Venereal Disease.—The most general disorder, however, is the venereal disease, which is said to have been unknown among them, till the period when Ferdinand King of Castille expelled the Jews from Spain, who coming over to Marocco, and suffering the Africans to cohabit with their wives and daughters, the whole empire was, as it were, inoculated with the dreadful distemper; they call it the great disease,[158] or the woman’s disorder; and it has now spread itself into so many varieties, that, I am persuaded, there is scarcely a Moor in Barbary who has not more or less of the virus in his blood; they have no effectual remedy for it; they know nothing of the specific mercury, but usually follow a course of vegetable diet for forty days, drinking during that time decoctions of sarsaparilla, which afford them a temporary relief. The heat of the climate keeping up a constant perspiration, those who have this disorder, do not suffer so much from it as persons do in Europe; and this, added to their abstaining in general from wine, and all fermented liquors, may be the cause of their being enabled to drag through life without undergoing a radical cure, though they are occasionally afflicted with aches and pains till their dissolution. From repeated infection, and extreme negligence, we sometimes see noseless faces, no remedy having been administered to exterminate the infection; ulcers, particularly on the legs, are so common, that one scarcely sees a Moor without them. I have heard many of them complain, that they had never enjoyed health or tranquillity since they were first infected. If any European surgeon happen to prescribe the specific remedy, they generally, from some inaccuracy of interpretation, want of confidence, or other cause, neglect to follow the necessary regimen; this aggravates the symptoms, and they then discontinue the medicine, from a presumption of its inefficacy; it has even been asserted that mercury does not incorporate with the blood, but passes off with the fæces, producing no salutary effect. In cases of gonnorrhœa they apply, locally, (the Hendal) coloquinth, which (assisted with tisanes and diuretics) is attended with most beneficial effects.
The Bashaw Hayanie, an old man of 100 years of age, who governed Suse and Agadeer part of the time when I was established there (and who was a favourite of the Emperor Muley Ismael) has assured me, that by compelling the Bukarie blacks to carry burdens up the mountain to the town of Agadeer, in the heat of the day, they have been cured of this disease. If this be true, it can be attributed only to the profuse perspiration induced by violent exercise in a hot country. The constant and general use of the warm bath may also tend to assuage the virulence of this enemy to the human constitution.
Leprosy.—Leprosy, called Jeddem, is very prevalent in Barbary; people affected with it are common in the province of Haha, where oil argannick is much used, which, when not properly prepared, is said to heat the blood.[159] The lepers of Haha are seen in parties of ten or twenty together, and approach travellers to beg charity. In the city of Marocco there is a separate quarter, outside of the walls, inhabited by lepers only. In passing through this place, I observed that its inhabitants were not generally disfigured in personal appearance; the women, when young, are extremely handsome; some few have a livid, spotted, or cracked skin: they are sometimes flushed in the face, and at others pale: when they appear abroad, they assist their complexion with (el akker) rouge, and (el kahol) lead ore, with which latter they blacken their eye-lashes and eye brows, and puncture the chin from the tip to the middle of the lower lip; but this practice, which they think increases their beauty, rather disfigures them.
Leprosy being considered epidemical, those who are affected with it are obliged to wear a badge of distinction whenever they leave their habitations, so that a straw hat, with a very wide brim, tied on in a particular manner, is the signal for persons not to approach the wearer; the lepers are seen in various parts of Barbary, sitting on the ground with a wooden bowl before them, begging; and in this way they collect sometimes a considerable sum for such a country: they intermarry with each other; and although the whole system is said to be contaminated, yet they seldom discover any external marks of disease, except those before-mentioned, and generally a paucity or total want of eye-brows. On any change of weather, and particularly if the sky be overcast, and the air damp, they will be seen sitting round a fire, warming their bones, as they term it, for they ache all over till the weather resumes its wonted salubrity.
Elephantiasis and Hydrocele.—Persons affected with the elephantiasis, dropsy, and hydrocele, are frequently met with, particularly about Tangier, the water of which is said to occasion the latter; and those who are recently affected with it, affirm, that it leaves them on removing from the place.[160] During my stay once at Tangier, after travelling through the country, I observed one of my servants labouring under the disorder; on speaking to him about it, and regretting that there was no physician to afford him relief, he laughed, and made light of it, saying he hoped I would not stay long in Tangier, as it was occasioned by the water of the place, and would leave him as soon as we departed; which was actually the case, for two days after our departure it had almost entirely subsided. The elephantiasis has been thought a species of leprosy, for it desiccates the epidermis of the legs, which swell and appear rugous.
(El Murrar) Bile.—This is a very general disease, as well as all those which proceed from a too copious secretion of bile. The Jews, and the Mohammedans who are not scrupulous, use brandy made from raisins or figs to remove the bilious sensation, which operates as an anodyne. Senna, rhubarb, and succotrine aloes, mixed with honey, are administered with temporary success.
(Bu Saffra) Jaundice.—Men, as well as horses, having the jaundice, are punctured with a hot iron, through the skin, at the joints. I have seen both cured in six or seven days by this operation.
(Tunia) Tape-worm.—This is a disease to which the people are particularly subject; they take large quantities of (El Assel ou Assheh) honey and worm-seed, which produces beneficial effects. The children are generally afflicted with this disease; the eyes appear hollow, with a whiteness of the adjacent skin.
(Bu Wasir), Hæmorrhoides.—This disease is very general; refrigerants are applied for its cure internally, and an unguent, composed of oil of almonds, and the juice of the opuntia, or prickly-pear tree.