CHAPTER IV

Jerome Cardan is now standing on the brink of authorship. The very title of his first book, De Malo Recentiorum Medicorum Medendi Usu, gives plain indication of the humour which possessed him, when he formulated his subject and put it in writing. With his temper vexed by the persistent neglect and insult cast upon him by the Milanese doctors he would naturally sit down con amore to compile a list of the errors perpetrated by the ignorance and bungling of the men who affected to despise him, and if his object was to sting the hides of these pundits and arouse them to hostility yet more vehement, he succeeded marvellously well. He was enabled to launch his book rather by the strength of private friendship than by the hope of any commercial success. Whilst at Pavia he had become intimate with Ottaviano Scoto, a fellow-student who came from Venice, and in after times he found Ottaviano's purse very useful to his needs. Since their college days Ottaviano's father had died and had left his son to carry on his calling of printing. In 1536 Jerome bethought him of his friend, and sent him the MS. of the treatise which was to let the world learn with what little wisdom it was being doctored.[67]

Ottaviano seems to have expected no profit from this venture, which was manifestly undertaken out of a genuine desire to help his friend, and he generously bore all the costs. Cardan deemed that, whatever the result of the issue of the book might be, it would surely be to his benefit; he hazarded nothing, and the very publication of his work would give him at least notoriety. It would moreover give him the intense pleasure of knowing that he was repaying in some measure the debt of vengeance owing to his professional foes. The outcome was exactly the opposite of what printer and author had feared and hoped. The success of the book was rapid and great.

Ottaviano must soon have recouped all the cost of publication; and, while he was counting his money, the doctors everywhere were reading Jerome's brochure, and preparing a ruthless attack upon the daring censor, who, with the impetuosity of youth, had laid himself open to attack by the careless fashion in which he had compiled his work. He took fifteen days to write it, and he confesses in his preface to the revised edition that he found therein over three hundred mistakes of one sort or another. The attack was naturally led by the Milanese doctors. They demanded to be told why this man, who was not good enough to practise by their sanction, was good enough to lay down the laws for the residue of the medical world. They heaped blunder upon blunder, and held him up to ridicule with all the wealth of invective characteristic of the learned controversy of the age. Cardan was deeply humbled and annoyed. "For my opponents, seizing the opportunity, took occasion to assail me through the reasoning of this book, and cried out: 'Who can doubt that this man is mad? and that he would teach a method and a practice of medicine differing from our own, since he has so many hard things to say of our procedure.' And, as Galen said, I must in truth have appeared crazy in my efforts to contradict this multitude raging against me. For, as it was absolutely certain that either I or they must be in the wrong, how could I hope to win? Who would take my word against the word of this band of doctors of approved standing, wealthy, for the most part full of years, well instructed, richly clad and cultivated in their bearing, well versed in speaking, supported by crowds of friends and kinsfolk, raised by popular approval to high position, and, what was more powerful than all else, skilled in every art of cunning and deceit?"

Cardan had indeed prepared a bitter pill for his foes, but the draught they compelled him to swallow was hardly more palatable. The publication of the book naturally increased the difficulties of his position, and in this respect tended to make his final triumph all the more noteworthy.

It was in 1536 that Cardan made his first essay as an author.[68] The next three years of his life at Milan were remarkable as years of preparation and accumulation, rather than as years of achievement. He had struck his first blow as a reformer, and, as is often the lot of reformers, his sword had broken in his hand, and there now rested upon him the sense of failure as a superadded torment. Yet now and again a gleam of consolation would disperse the gloom, and advise him that the world was beginning to recognize his existence, and in a way his merits. In this same year he received an offer from Pavia of the Professorship of Medicine, but this he refused because he did not see any prospect of being paid for his services. His friend Filippo Archinto was loyal still, and zealous in working for his success, and as he had been recently promoted to high office in the Imperial service, his good word might be very valuable indeed. He summoned his protégé to join him at Piacenza, whither he had gone to meet Paul III., hoping to advance Cardan's interests with the Pope; but though Marshal Brissac, the French king's representative,[69] joined Archinto in advocating his cause, nothing was done, and Jerome returned disappointed to Milan.

In these months Cardan, disgusted by the failure of his late attack upon the fortress of medical authority, turned his back, for a time, upon the study of medicine, and gave his attention almost entirely to mathematics, in which his reputation was high enough to attract pupils, and he always had one or more of them in his house, the most noteworthy of whom was Ludovico Ferrari of Bologna, who became afterwards a mathematician of repute, and a teacher both at Milan and Bologna. While he was working at the De Malo Medendi, he began a treatise upon Arithmetic, which he dedicated to his friend Prior Gaddi; but this work was not published till 1539. In 1536 he first heard a report of a fresh and important discovery in algebra, made by one Scipio Ferreo of Bologna; the prologue to one of the most dramatic incidents in his career, an incident which it will be necessary to treat at some length later on.

Cardan was well aware that his excursions into astrology worked to his prejudice in public esteem, but in spite of this he could not refrain therefrom. It was during the plentiful leisure of this period that he cast the horoscope of Jesus Christ, a feat which subsequently brought upon him grave misfortune; a few patients came to him, moved no doubt by the spirit which still prompts people suffering from obscure diseases to consult professors of healing who are either in revolt or unqualified in preference to going to the orthodox physician. In connection with this irregular practice of his he gives a curious story about a certain Count Borromeo. "In 1536, while I was attending professionally in the house of the Borromei, it chanced that just about dawn I had a dream in which I beheld a serpent of enormous bulk, and I was seized with fear lest I should meet my death therefrom. Shortly afterwards there came a messenger to summon me to see the son of Count Carlo Borromeo. I went to the boy, who was about seven years old, and found him suffering from a slight distemper, but on feeling his pulse I perceived that it failed at every fourth beat. His mother, the Countess Corona, asked me how he fared, and I answered that there was not much fever about him; but that, because his pulse failed at every fourth beat, I was in fear of something, but what it might be I knew not rightly (but I had not then by me Galen's books on the indications of the pulse). Therefore, as the patient's state changed not, I determined on the third day to give him in small doses the drug called Diarob: cum Turbit: I had already written my prescription, and the messenger was just starting with it to the pharmacy, when I remembered my dream. 'How do I know,' said I to myself, 'that this boy may not be about to die as prefigured by the portent above written? and in that case these other physicians who hate me so bitterly, will maintain he died through taking this drug.' I called to the messenger, and said there was wanting in the prescription something which I desired to add. Then I privately tore up what I had written, and wrote out another made of pearls, of the horn of unicorn,[70] and certain gems. The powder was given, and was followed by vomiting. The bystanders perceived that the boy was indeed sick, whereupon they called in three of the chief physicians, one of whom was in a way friendly to me. They saw the description of the medicine, and demanded what I would do now. Now although two of these men hated me, it was not God's will that I should be farther attacked, and they not only praised the medicine, but ordered that it should be repeated. This was the saving of me. When I went again in the evening I understood the case completely. The following morning I was summoned at daybreak, and found the boy battling with death, and his father lying in tears. 'Behold him,' he cried, 'the boy whom you declared to ail nothing' (as if indeed I could have said such a thing); 'at least you will remain with him as long as he lives.' I promised that I would, and a little later the boy tried to rise, crying out the while. They held him down, and cast all the blame upon me. What more is there to say? If there had been found any trace of that drug Diarob: cum Turbit: (which in sooth was not safe) it would have been all over with me, since Borromeo all his life would either have launched against me complaints grave enough to make all men shun me, or another Canidia, more fatal than African serpents, would have breathed poison upon me."[71]

In this same year, 1536, Lucia brought forth another child, a daughter, and it was about this time that Cardan first attracted the attention of Alfonso d'Avalos, the Governor of Milan, and an intimacy began which, albeit fruitless at first, was destined to be of no slight service to Jerome at the crisis of his fortunes.[72] In the following year, in 1537, he made a beginning of two of his books, which were subsequently found worthy of being finished, and which may still be read with a certain interest: the treatises De Sapientia and De Consolatione. Of the last-named, he remarks that it pleased no one, forasmuch as it appealed not to those who were happy, and the wretched rejected it as entirely inadequate to give them solace in their evil case. In this year he made another attempt to gain admission to the College at Milan, and was again rejected; the issue of the De Malo Medendi was too recent, and it needed other and more potent influences than those exercised by mere merit, to appease the fury of his rivals and to procure him due status. But it would appear that, in 1536 or 1537, he negotiated with the College to obtain a quasi-recognition on conditions which he afterwards describes as disgraceful to himself, and that this was granted to him.[73]

Whatever his qualifications may have been, Cardan had no scruples in treating the few patients who came to him. The first case he notes is that of Donato Lanza,[74] a druggist, who had suffered for many years with blood-spitting, which ailment he treated successfully. Success of this sort was naturally helpful, but far more important than Lanza's cure was the introduction given by the grateful patient to the physician, commending him to Francesco Sfondrato, a noble Milanese, a senator, and a member of the Emperor's privy council. The eldest son of this gentleman had suffered many months from convulsions, and Cardan worked a cure in his case without difficulty. Shortly afterwards another child, only ten months old, was attacked by the same complaint, and was treated by Luca della Croce, the procurator of the College of Physicians, of which Sfondrato was a patron. As the attack threatened to be a serious one, Della Croce recommended that another physician, Ambrogio Cavenago, should be called in, but the father, remembering Cardan's cure of Lanza, wished for him as well. The description of the meeting of the doctors round the sick child's bed, of their quotations from Hippocrates, of the uncertainty and helplessness of the orthodox practitioners, and of the ready resource of the free-lance—who happens also to be the teller of the story—is a richly typical one.[75] "We, the physicians and the father of the child, met about seven in the morning, and Della Croce made a few general observations on death, for he knew that Sfondrato was a sensible man, and he himself was both honoured and learned. Cavenago kept silence at this stage, because the last word had been granted to him. Then I said, 'Do you not see that the child is suffering from Opisthotonos?' whereupon the first physician stood as one dazed, as if I were trying to trouble his wits by my hard words. But Della Croce at once swept aside all uncertainty by saying, 'He means the backward contraction of the muscles.' I confirmed his words, and added, 'I will show you what I mean.' Whereupon I raised the boy's head, which the doctors and all the rest believed was hanging down through weakness, and by its own weight, and bade them put it into its former position. Then Sfondrato turned to me, and said, 'As you have discovered what the disease is, tell us likewise what is the remedy therefor.' Since no one else spoke, I turned towards him and—careful lest I should do hurt to the credit I had gained already,—I said, 'You know what Hippocrates lays down in a case like this—febrem convulsioni'—and I recited the aphorism. Then I ordered a fomentation, and an application of lint moistened with linseed-oil and oil of lilies, and gave directions that the child should be gently handled until such time as the neck should be restored; that the nurse should eat no meat, and that the child should be nourished entirely by the milk of her breast, and not too much of that; that it should be kept in its cradle in a warm place, and rocked gently till it should fall asleep. After the other physicians had gone, I remember that the father of the child said to me, 'I give you this child for your own,' and that I answered, 'You are doing him an ill turn, in that you are supplanting his rich father by a poor one.' He answered, 'I am sure that you would care for him as if he were your own, fearing naught that you might thereby give offence to these others' (meaning the physicians). I said, 'It would please me well to work with them in everything, and to win their support.' I thus blended my words, so that he might understand I neither despaired of the child's cure, nor was quite confident thereanent. The cure came to a favourable end; for, after the fourteenth day of the fever—the weather being very warm—the child got well in four days' time. Now as I review the circumstances, I am of opinion that it was not because I perceived what the disease really was, for I might have done so much by reason of my special practice; nor because I healed the child, for that might have been attributed to chance; but because the child got well in four days, whereas his brother lay ill for six months, and was then left half dead, that his father was so much amazed at my skill, and afterwards preferred me to all others. That he thought well of me is certain, because Della Croce himself, during the time of his procuratorship, was full of spite and jealousy against me, and declared in the presence of Cavenago and of Sfondrato, that he would not, under compulsion, say a word in favour of a man like me, one whom the College regarded with disfavour. Whereupon Sfondrato saw that the envy and jealousy of the other physicians was what kept me out of the College, and not the circumstances of my birth. He told the whole story to the Senate, and brought such influence to bear upon the Governor of the Province and other men of worship, that at last the entrance to the College was opened to me."