I hope I shall not too much offend your delicacy if I begin the first class of our insect assailants with a very disgusting genus, which Providence seems to have created to punish inattention to personal cleanliness. But though this pest of man must not be wholly passed over, yet, since it is unfortunately too well known, it will not be at all necessary for me to enlarge upon its history. I shall only mention one fact which shows the astonishingly rapid increase of these animals, where they have once gotten possession. It is a vulgar notion, that a louse in twenty-four hours may see two generations; but this is rather overshooting the mark. Leeuwenhoek, whose love for science overcame the nausea that such creatures are apt to excite, proves that their nits or eggs are not hatched till the eighth day after they are laid, and that they do not themselves commence laying before they are a month old. He ascertained, however, that a single female louse may, in eight weeks, witness the birth of five thousand descendants[108]. You remember how wolves were extirpated from this country, but perhaps never suspected any monarch of imposing a tribute of lice upon his subjects. Yet we are gravely told that in Mexico and Peru such a poll-tax was exacted, and that bags full of these treasures were found in the palace of Montezuma[109]!!! Were our own taxes paid in such coin, what little grumbling would there be!
Two other species of this genus, besides the common louse, are, in this country, parasites upon the human body——But already I seem to hear you exclaim, "Why dwell so long on creatures so odious and nauseating, whose injuries are confined to the profanum vulgus? Leave them therefore to the canaille—they are nothing to us." Not so fast, my friend—recollect what historians and other writers have recorded concerning the Phthiriasis or pedicular disease, and you must own that, for the quelling of human pride, and to pull down the high conceits of mortal man, this most loathsome of all maladies, or one equally disgusting, has been the inheritance of the rich, the wise, the noble, and the mighty; and in the list of those that have fallen victims to it, you will find poets, philosophers, prelates, princes, kings, and emperors. It seems more particularly to have been a judgement of God upon oppression and tyranny, whether civil or religious. Thus the inhuman Pheretima mentioned by Herodotus, Antiochus Epiphanes, the Dictator Sylla, the two Herods, the Emperor Maximin, and, not to mention more, the great persecutor of the Protestants, Philip the Second, were carried off by it.
I say by this malady, or one equally disgusting, because it is not by any means certain, though some learned men have so supposed, that all these instances, and others of a similar nature, standing also upon record, are to be referred to the same specific cause; since there is very sufficient reason for thinking that at least three different descriptions of insects are concerned in the various cases that have been handed down to us under the common name of Phthiriasis. As the subject of maladies connected with insects, or produced by them, is both curious and interesting, although no writer, that I am aware of, has given it full consideration, and at the same time falls in with my general design, I hope you will not regard me as guilty of presumption, and of intruding into the province of medical men, if I enter rather largely into it, and state to you the reasons that have induced me to embrace the above hypothesis, leaving you full liberty to reject it if you do not find it consonant to reason and fact. The three kinds of insects to which I allude, as concerned in cases that have been deemed Phthiriasis, are lice (Pediculi, L.) mites (Acari, L.), and Larvæ in general.
As far as the habits of the genus Pediculus, whether inhabiting man or the inferior animals, are at present known, it does not appear, from any well ascertained fact, that the species belonging to it are ever subcutaneous. For this observation, as far as it relates to man, I can produce the highest medical authority. "The louse feeds on the surface of the skin," says the learned Dr. Mead in his Medica Sacra; and Dr. Willan, in his palmary work on Cutaneous Diseases, remarks with respect to the body-louse, "that the nits, or eggs, are deposited on the small hairs of the skin," and that "the animals are found on the skin, or on the linen, and not under the cuticle, as some authors have represented." And he further observes, that "many marvellous stories are related by Forestus, Schenkius and others respecting lice bred under the skin, and discharged in swarms from abscesses, strumous ulcers, and vesications. The mode in which Pediculi are generated being now so well ascertained, no credit can be given to these accounts." Thus far this great man, who however supposes (in which opinion Dr. Bateman concurs with him) that the authors to whom he alludes had mistaken for lice some other species of insects, which are not unfrequently found in putrefactive sores.
If these observations be allowed their due weight, it will follow, that a disease produced by animals residing under the cuticle cannot be a true Phthiriasis, and therefore the death of the poet Alcman, and of Pherecydes Syrius the philosopher, mentioned by Aristotle, must have been occasioned by some other kind of insect. For, speaking of the lice to which he attributes these catastrophes, he says that "they are produced in the flesh in small pustule-like tumours, which have no pus, and from which when punctured, they issue[110]." For the same reason, the disorder which Dr. Heberden has described in his Commentaries, from the communications of Sir E. Wilmot, under the name of Morbus pedicularis, must also be a different disease, since, with Aristotle, he likewise represents the insects as inhabiting tumours, from which they may be extracted when opened by a needle. He says, indeed, that in every respect they resemble the common lice, except in being whiter; but medical men, who were not at the same time entomologists, might easily mistake an Acarus for a Pediculus[111].
Dr. Willan, in one case of Prurigo senilis, observed a number of small insects on the patient's skin and linen. They were quick in their motion, and so minute that it required some attention to discover them. He took them at first for small Pediculi; but under a lens they appeared to him rather to be a nondescript species of Pulex[112]; yet the figure he gives has not the slightest likeness to the latter genus, while it bears a striking resemblance to the former. It is not clear whether his draughtsman meant to represent the insect with six or with eight legs: if it had only six, it was probably a Pediculus; but if it had eight, it would form a new genus between the Acarina and the hexapod Aptera. Dr. Bateman, in reply to some queries put to him, at my request, by our common and lamented friend Dr. Reeve, relates that he understood from Dr. Willan, in conversation, that the insect in question jumped in its motion. This circumstance he regards as conclusive against its being a Pediculus; but such a consequence does not necessarily follow, since it not seldom happens that insects of the same tribe or genus either have or have not this faculty; for instance, compare Scirtes with Cyphon, small beetles, and Acarus Scabiei with other Acari[113].
Dr. Willan has quoted with approbation two cases from Amatus Lusitanus, which he seems to think correctly described as Phthiriasis. In one of them, however, which terminated fatally, the circumstances seem rather hyperbolically stated—I mean, where it is said that two black servants had no other employment than carrying baskets full of these insects to the sea!! Perhaps you will think I draw largely upon your credulity if I call upon you to believe this; I shall therefore leave you to act as you please.—Thus much for pure Phthiriasis, which term ought to be confined to maladies produced by lice. I shall only further observe, that as many species as exist of these, which are the causes of disease, so many kinds of Phthiriasis will there be.