"It (the place) hath been fertilised by the first spring showers of the constellations, and hath been swept by The incessant torrents of the thunder-clouds, falling in heavy and in gentle rains, >From each night-cloud, and heavily dropping morning-cloud, And the even-cloud, whose crashings are re-echoed from around." "It (the place) hath been fertilised by the first spring showers of the constellations, and hath been swept by The incessant torrents of the thunder-clouds, falling in heavy and in gentle rains, >From each night-cloud, and heavily dropping morning-cloud, And the even-cloud, whose crashings are re-echoed from around."

And the European reader will observe that the Arabs generally reckon three seasons, including our autumn, in their summer. The hot weather at Al-Madinah appeared to me as extreme as the hibernal cold is described to be, but the air was dry, and the open plain prevented the faint and stagnant sultriness which distinguishes Meccah. Moreover, though the afternoons were close, the nights and the mornings were cool and dewy. At this season the citizens sleep on the house-tops, or on the ground

[p.384]outside their doors. Strangers must follow this example with considerable circumspection; the open air is safe in the Desert, but in cities it causes, to the unaccustomed, violent catarrhs and febrile affections.

I collect the following notes upon the diseases and medical treatment of the Northern Hijaz. Al-Madinah has been visited four times by the Rih al-Asfar[FN#11] (yellow wind), or Asiatic Cholera, which is said to have committed great ravages, sometimes carrying off whole households. In the Rahmat al-Kabirah, the "Great Mercy," as the worst attack is piously called, whenever a man vomited, he was abandoned to his fate; before that, he was treated with mint, lime-juice, and copious draughts of coffee. It is still the boast of Al-Madinah, that the Taun, or plague, has never passed her frontier.[FN#12] The Judari, or smallpox, appears to be indigenous to the countries bordering upon the Red Sea; we read of it there in the earliest works of the Arabs,[FN#13] and even to the present time it sometimes sweeps through Arabia and the Somali

[p.385] country with desolating violence. In the town of Al-Madinah it is fatal to children, many of whom, however, are in these days inoculated[FN#14]: amongst the Badawin, old men die of it, but adults are rarely victims, either in the City or in the Desert. The nurse closes up the room whilst the sun is up, and carefully excludes the night air, believing that, as the disease is "hot,[FN#15]" a breath of wind will kill the patient. During the hours of darkness, a lighted candle or lamp is always placed by the side of the bed, or the sufferer would die of madness, brought on by evil spirits or fright. Sheep's wool is burnt in the sick-room, as death would follow the inhaling of any perfume. The only remedy I have heard of is pounded Kohl (antimony) drunk in water, and the same is drawn along the breadth of the eyelid, to prevent blindness. The diet is Adas (lentils),[FN#16] and a peculiar kind of date, called Tamr al-Birni. On the twenty-first day the patient is washed with salt and tepid water.

Ophthalmia is rare.[FN#17] In the summer, quotidian and

[p.386]tertian fevers (Hummah Salis) are not uncommon, and if accompanied by emetism, they are frequently fatal.

[p.387]The attack generally begins with the Naffazah, or cold fit, and is followed by Al-Hummah, the hot stage. The principal remedies are cooling drinks, such as Sikanjabin (oxymel) and syrups. After the fever the face and body frequently swell, and indurated lumps appear on the legs and stomach. There are also low fevers, called simply Hummah; they are usually treated by burning charms in the patient's room. Jaundice and bilious complaints are common, and the former is popularly cured in a peculiar way. The sick man looks into a pot full of water, whilst the exorciser, reciting a certain spell, draws the heads of two needles from the patient's ears along his eyes, down his face, lastly dipping them into water, which at once becomes yellow. Others have "Mirayat," magic mirrors,[FN#18] on which the patient looks, and looses the complaint.

[p.388] Dysenteries frequently occur in the fruit season, when the greedy Arabs devour all manner of unripe

[p.389]peaches, grapes, and pomegranates. The popular treatment is by the actual cautery; the scientific affect the use of drastics and astringent simples, and the Bizr al-Kutn (cotton-seed), toasted, pounded, and drunk in warm water. Almost every one here, as in Egypt, suffers more or less from haemorrhoids; they are treated by dietetics-eggs and leeks-and by a variety of drugs, Myrobalans, Lisan-al-Hamal (Arnoglossum), etc. But the patient looks with horror at the scissors and the knife, so that they seldom succeed in obtaining a radical cure. The Filaria Medinensis, locally called "Farantit," is no longer common at the place which gave it its European name. At Yambu', however, the people suffer much from the Vena appearing in the legs. The complaint is treated here as in India and in Abyssinia: when the tumour bursts, and the worm shows, it is extracted by being gradually wound round a splinter of wood. Hydrophobia is rare, and the people have many superstitions about it. They suppose that a bit of meat falls from the sky, and that a dog eating it becomes mad. I was assured by respectable persons, that when a man is bitten, they shut him up with food, in a solitary chamber, for four days, and that if at the end of that time he still howls like a dog, they expel the Ghul (demon) from him, by pouring over him boiling water mixed with ashes-a certain cure I can easily believe. The only description of leprosy known in Al-Hijaz is that called "Al-Baras": it appears in white patches on the skin, seldom attacks any but the poorer classes, and is considered incurable. Wounds are treated by Marham, or ointments, especially by the "Balesan," or Balm of Meccah; a cloth is tied round the limb, and