In a "Book of Counsels to Young Practitioners" (1300) are to be found some interesting items regarding contemporary manners. Fledgling doctors are therein advised to make use of long and unintelligible words, and never to visit a patient without doing something new, lest the latter should say, "He can do nothing without his book." In brief, a reputation for infallibility must be maintained.

It is not surprising that curative spells were popular in the dark ages. A modern-writer[42:1] has been quoted as saying that these were to be used, not because they could effect direct physical changes, but because they brought the patient into a better frame of mind. We know that nervous affections were very prevalent in those times among the ignorant masses of the people, and verbal charms were doubtless of value in furnishing therapeutic mental impulses. The Germanic sooth-saying physicians maintained that every bodily ailment could be cured by the use of magical spells and enchanted herbs. The medieval charlatan oculists inherited ancient medical formulas, by means of which they professed to treat with success ophthalmic disorders. Their methods included the recitation of ritualistic words, accompanied with suitable gestures, and passes over the affected eyes.[42:2]

In Cotta's "Short Discoverie of the Unobserved Dangers of several sorts of Ignorant and Unconsiderate Practisers of Physicke in England" (1612) occur the following passages, quoted also by Brand, in "Popular Antiquities of Great Britain."[42:3]

If there be any good or use unto the health by spels, they have that prerogative by accident, and by the power and vertue of fancie. If fancie then be the foundation whereupon buildeth the good of spels, spels must needs be as fancies are, uncertaine and vaine. So must also, by consequent, be their use and helpe, and no lesse all they that trust unto them. . . . How can religion or reason suffer men that are not void of both, to give such impious credit unto an insignificant and senseless mumbling of idle words contrary to reason, without president of any truly wise or learned, and justly suspected of all sensible men?

In the early part of the seventeenth century, many diseases were regarded in the light of magic seizures. Therefore they were not amenable to treatment by materia medica. More could be accomplished through the patient's faith and imagination.

"Physicians," wrote the German scholar, Valentine Schindler, "do not discover and learn everything that they ought to know, in the universities; they have often to go to old wives, gypsies, masters of the Black Art, old peasant-folk, and learn from them. For these people have more knowledge of such things, than all the colleges and universities."[43:1]

The influence of technical language on the uneducated patient is exemplified in the effect produced on his mind by the mention of Latin names. The writer was impressed with this fact while engaged in dispensary practice some years ago. Such a patient, affected with mumps, for example, appears to experience a certain satisfaction, and is apt to be somewhat puffed up mentally as well as physically, when he learns that his ailment is Cynanche Parotidæa; and he expects a prescription commensurate with its importance.

The effective force of a verbal charm is increased by the rhythmic flow of its words; the solemn recitation or murmuring of mystic phrases. "Hence," said Jacob Grimm, "all that is strong in the speech wielded by priest, physician, or magician is allied to the forms of poetry."[44:1] In many a myth and fairy-tale, a cabalistic metrical verse pronounced by the hero causes wonderful results.[44:2]

As already intimated, the manner of reciting prayers, charms, and formulas was anciently deemed to be of more moment than the meaning of their constituent words. In Assyria, for example, healing-spells were repeated in a "low, gurgling monotone"; and in Egypt the magical force of incantations was largely due, in the popular mind, to their frequent repetition in a pleasing tone of voice.[44:3] The temper of mind which prompts words of good cheer, is in itself a healing charm of no mean value. For we read in the Book of Proverbs: "A merry heart doeth good like a medicine, but a broken spirit drieth the bones."[44:4]