Pectore concipiet nil nisi triste suo;
He will imagine naught save sadness in his heart;
Generally thus much we may conclude of melancholy; that it is [2604]most pleasant at first, I say, mentis gratissimus error, [2605]a most delightsome humour, to be alone, dwell alone, walk alone, meditate, lie in bed whole days, dreaming awake as it were, and frame a thousand fantastical imaginations unto themselves. They are never better pleased than when they are so doing, they are in paradise for the time, and cannot well endure to be interrupt; with him in the poet, [2606]pol me occidistis amici, non servastis ait? you have undone him, he complains, if you trouble him: tell him what inconvenience will follow, what will be the event, all is one, canis ad vomitum, [2607]'tis so pleasant he cannot refrain. He may thus continue peradventure many years by reason of a strong temperature, or some mixture of business, which may divert his cogitations: but at the last laesa imaginatio, his phantasy is crazed, and now habituated to such toys, cannot but work still like a fate, the scene alters upon a sudden, fear and sorrow supplant those pleasing thoughts, suspicion, discontent, and perpetual anxiety succeed in their places; so by little and little, by that shoeing-horn of idleness, and voluntary solitariness, melancholy this feral fiend is drawn on, [2608]et quantum vertice ad auras Aethereas, tantum radice in Tartara tendit, “extending up, by its branches, so far towards Heaven, as, by its roots, it does down towards Tartarus;” it was not so delicious at first, as now it is bitter and harsh; a cankered soul macerated with cares and discontents, taedium vitae, impatience, agony, inconstancy, irresolution, precipitate them unto unspeakable miseries. They cannot endure company, light, or life itself, some unfit for action, and the like. [2609]Their bodies are lean and dried up, withered, ugly, their looks harsh, very dull, and their souls tormented, as they are more or less entangled, as the humour hath been intended, or according to the continuance of time they have been troubled.
To discern all which symptoms the better, [2610]Rhasis the Arabian makes three degrees of them. The first is, falsa cogitatio, false conceits and idle thoughts: to misconstrue and amplify, aggravating everything they conceive or fear; the second is, falso cogitata loqui, to talk to themselves, or to use inarticulate incondite voices, speeches, obsolete gestures, and plainly to utter their minds and conceits of their hearts, by their words and actions, as to laugh, weep, to be silent, not to sleep, eat their meat, &c.: the third is to put in practice [2611]that which they think or speak. Savanarola, Rub. 11. tract. 8. cap. 1. de aegritudine, confirms as much, [2612]“when he begins to express that in words, which he conceives in his heart, or talks idly, or goes from one thing to another,” which [2613]Gordonius calls nec caput habentia, nec caudam, (“having neither head nor tail,”) he is in the middle way: [2614] “but when he begins to act it likewise, and to put his fopperies in execution, he is then in the extent of melancholy, or madness itself.” This progress of melancholy you shall easily observe in them that have been so affected, they go smiling to themselves at first, at length they laugh out; at first solitary, at last they can endure no company: or if they do, they are now dizzards, past sense and shame, quite moped, they care not what they say or do, all their actions, words, gestures, are furious or ridiculous. At first his mind is troubled, he doth not attend what is said, if you tell him a tale, he cries at last, what said you? but in the end he mutters to himself, as old women do many times, or old men when they sit alone, upon a sudden they laugh, whoop, halloo, or run away, and swear they see or hear players, [2615]devils, hobgoblins, ghosts, strike, or strut, &c., grow humorous in the end; like him in the poet, saepe ducentos, saepe decem servos, (“at one time followed by two hundred servants, at another only by ten”) he will dress himself, and undress, careless at last, grows insensible, stupid, or mad. [2616]He howls like a wolf, barks like a dog, and raves like Ajax and Orestes, hears music and outcries, which no man else hears. As [2617]he did whom Amatus Lusitanus mentioneth cent. 3, cura. 55, or that woman in [2618]Springer, that spake many languages, and said she was possessed: that farmer in [2619]Prosper Calenius, that disputed and discoursed learnedly in philosophy and astronomy, with Alexander Achilles his master, at Bologna, in Italy. But of these I have already spoken.
Who can sufficiently speak of these symptoms, or prescribe rules to comprehend them? as Echo to the painter in Ausonius, vane quid affectas, &c., foolish fellow; what wilt? if you must needs paint me, paint a voice, et similem si vis pingere, pinge sonum; if you will describe melancholy, describe a fantastical conceit, a corrupt imagination, vain thoughts and different, which who can do? The four and twenty letters make no more variety of words in diverse languages, than melancholy conceits produce diversity of symptoms in several persons. They are irregular, obscure, various, so infinite, Proteus himself is not so diverse, you may as well make the moon a new coat, as a true character of a melancholy man; as soon find the motion of a bird in the air, as the heart of man, a melancholy man. They are so confused, I say, diverse, intermixed with other diseases. As the species be confounded (which [2620]I have showed) so are the symptoms; sometimes with headache, cachexia, dropsy, stone; as you may perceive by those several examples and illustrations, collected by [2621] Hildesheim spicel. 2. Mercurialis consil. 118. cap. 6 and 11. with headache, epilepsy, priapismus. Trincavelius consil. 12. lib. 1. consil. 49. with gout: caninus appetitus. Montanus consil. 26, &c. 23, 234, 249, with falling-sickness, headache, vertigo, lycanthropia, &c. J. Caesar Claudinus consult. 4. consult. 89 and 116. with gout, agues, haemorrhoids, stone, &c., who can distinguish these melancholy symptoms so intermixed with others, or apply them to their several kinds, confine them into method? 'Tis hard I confess, yet I have disposed of them as I could, and will descend to particularise them according to their species. For hitherto I have expatiated in more general lists or terms, speaking promiscuously of such ordinary signs, which occur amongst writers. Not that they are all to be found in one man, for that were to paint a monster or chimera, not a man: but some in one, some in another, and that successively or at several times.
Which I have been the more curious to express and report; not to upbraid any miserable man, or by way of derision, (I rather pity them,) but the better to discern, to apply remedies unto them; and to show that the best and soundest of us all is in great danger; how much we ought to fear our own fickle estates, remember our miseries and vanities, examine and humiliate ourselves, seek to God, and call to Him for mercy, that needs not look for any rods to scourge ourselves, since we carry them in our bowels, and that our souls are in a miserable captivity, if the light of grace and heavenly truth doth not shine continually upon us: and by our discretion to moderate ourselves, to be more circumspect and wary in the midst of these dangers.
MEMB. II.
SUBSECT. I.—Symptoms of Head-Melancholy.
“If [2622]no symptoms appear about the stomach, nor the blood be misaffected, and fear and sorrow continue, it is to be thought the brain itself is troubled, by reason of a melancholy juice bred in it, or otherwise conveyed into it, and that evil juice is from the distemperature of the part, or left after some inflammation,” thus far Piso. But this is not always true, for blood and hypochondries both are often affected even in head-melancholy. [2623]Hercules de Saxonia differs here from the common current of writers, putting peculiar signs of head-melancholy, from the sole distemperature of spirits in the brain, as they are hot, cold, dry, moist, “all without matter from the motion alone, and tenebrosity of spirits;” of melancholy which proceeds from humours by adustion, he treats apart, with their several symptoms and cures. The common signs, if it be by essence in the head, “are ruddiness of face, high sanguine complexion, most part rubore saturato,” [2624]one calls it, a bluish, and sometimes full of pimples, with red eyes. Avicenna l. 3, Fen. 2, Tract. 4, c. 18. Duretus and others out of Galen, de affect. l. 3, c. 6. [2625]Hercules de Saxonia to this of redness of face, adds “heaviness of the head, fixed and hollow eyes.” [2626]“If it proceed from dryness of the brain, then their heads will be light, vertiginous, and they most apt to wake, and to continue whole months together without sleep. Few excrements in their eyes and nostrils, and often bald by reason of excess of dryness,” Montaltus adds, c. 17. If it proceed from moisture: dullness, drowsiness, headache follows; and as Salust. Salvianus, c. 1, l. 2, out of his own experience found, epileptical, with a multitude of humours in the head. They are very bashful, if ruddy, apt to blush, and to be red upon all occasions, praesertim si metus accesserit. But the chiefest symptom to discern this species, as I have said, is this, that there be no notable signs in the stomach, hypochondries, or elsewhere, digna, as [2627] Montaltus terms them, or of greater note, because oftentimes the passions of the stomach concur with them. Wind is common to all three species, and is not excluded, only that of the hypochondries is [2628]more windy than the rest, saith Hollerius. Aetius tetrab. l. 2, sc. 2, c. 9 and 10, maintains the same, [2629]if there be more signs, and more evident in the head than elsewhere, the brain is primarily affected, and prescribes head-melancholy to be cured by meats amongst the rest, void of wind, and good juice, not excluding wind, or corrupt blood, even in head-melancholy itself: but these species are often confounded, and so are their symptoms, as I have already proved. The symptoms of the mind are superfluous and continual cogitations; [2630]“for when the head is heated, it scorcheth the blood, and from thence proceed melancholy fumes, which trouble the mind,” Avicenna. They are very choleric, and soon hot, solitary, sad, often silent, watchful, discontent, Montaltus, cap. 24. If anything trouble them, they cannot sleep, but fret themselves still, till another object mitigate, or time wear it out. They have grievous passions, and immoderate perturbations of the mind, fear, sorrow, &c., yet not so continuate, but that they are sometimes merry, apt to profuse laughter, which is more to be wondered at, and that by the authority of [2631]Galen himself, by reason of mixture of blood, praerubri jocosis delectantur, et irrisores plerumque sunt, if they be ruddy, they are delighted in jests, and oftentimes scoffers themselves, conceited: and as Rodericus a Vega comments on that place of Galen, merry, witty, of a pleasant disposition, and yet grievously melancholy anon after: omnia discunt sine doctore, saith Aretus, they learn without a teacher: and as [2632]Laurentius supposeth, those feral passions and symptoms of such as think themselves glass, pitchers, feathers, &c., speak strange languages, a colore cerebri (if it be in excess) from the brain's distempered heat.