Essays of Michel de Montaigne Part 93

He was a much wiser man of their tribe, who of old gave it as a rule, that only one physician should undertake a sick person; for if he do nothing to purpose, one single man's default can bring no great scandal upon the art of medicine; and, on the contrary, the glory will be great if he happen to have success; whereas, when there are many, they at every turn bring a disrepute upon their calling, forasmuch as they oftener do hurt than good. They ought to be satisfied with the perpetual disagreement which is found in the opinions of the princ.i.p.al masters and ancient authors of this science, which is only known to men well read, without discovering to the vulgar the controversies and various judgments which they still nourish and continue amongst themselves.

Will you have one example of the ancient controversy in physic?

Herophilus lodges the original cause of all diseases in the humours; Erasistratus, in the blood of the arteries; Asclepiades, in the invisible atoms of the pores; Alcmaeon, in the exuberance or defect of our bodily strength; Diocles, in the inequality of the elements of which the body is composed, and in the quality of the air we breathe; Strato, in the abundance, crudity, and corruption of the nourishment we take; and Hippocrates lodges it in the spirits. There is a certain friend of theirs,--[Celsus, Preface to the First Book.]--whom they know better than I, who declares upon this subject, "that the most important science in practice amongst us, as that which is intrusted with our health and conservation, is, by ill luck, the most uncertain, the most perplexed, and agitated with the greatest mutations." There is no great danger in our mistaking the height of the sun, or the fraction of some astronomical supputation; but here, where our whole being is concerned, 'tis not wisdom to abandon ourselves to the mercy of the agitation of so many contrary winds.

Before the Peloponnesian war there was no great talk of this science.

Hippocrates brought it into repute; whatever he established, Chrysippus overthrew; after that, Erasistratus, Aristotle's grandson, overthrew what Chrysippus had written; after these, the Empirics started up, who took a quite contrary way to the ancients in the management of this art; when the credit of these began a little to decay, Herophilus set another sort of practice on foot, which Asclepiades in turn stood up against, and overthrew; then, in their turn, the opinions first of Themiso, and then of Musa, and after that those of Vectius Valens, a physician famous through the intelligence he had with Messalina, came in vogue; the empire of physic in Nero's time was established in Thessalus, who abolished and condemned all that had been held till his time; this man's doctrine was refuted by Crinas of Ma.r.s.eilles, who first brought all medicinal operations under the Ephemerides and motions of the stars, and reduced eating, sleeping, and drinking to hours that were most pleasing to Mercury and the moon; his authority was soon after supplanted by Charinus, a physician of the same city of Ma.r.s.eilles, a man who not only controverted all the ancient methods of physic, but moreover the usage of hot baths, that had been generally and for so many ages in common use; he made men bathe in cold water, even in winter, and plunged his sick patients in the natural waters of streams. No Roman till Pliny's time had ever vouchsafed to practise physic; that office was only performed by Greeks and foreigners, as 'tis now amongst us French, by those who sputter Latin; for, as a very great physician says, we do not easily accept the medicine we understand, no more than we do the drugs we ourselves gather. If the nations whence we fetch our guaiac.u.m, sarsaparilla, and China wood, have physicians, how great a value must we imagine, by the same recommendation of strangeness, rarity, and dear purchase, do they set upon our cabbage and parsley? for who would dare to contemn things so far fetched, and sought out at the hazard of so long and dangerous a voyage?

Since these ancient mutations in physic, there have been infinite others down to our own times, and, for the most part, mutations entire and universal, as those, for example, produced by Paracelsus, Fioravanti, and Argentier; for they, as I am told, not only alter one recipe, but the whole contexture and rules of the body of physic, accusing all others of ignorance and imposition who have practised before them. At this rate, in what a condition the poor patient must be, I leave you to judge.

If we were even a.s.sured that, when they make a mistake, that mistake of theirs would do us no harm, though it did us no good, it were a reasonable bargain to venture the making ourselves better without any danger of being made worse. AEsop tells a story, that one who had bought a Morisco slave, believing that his black complexion had arrived by accident and the ill usage of his former master, caused him to enter with great care into a course of baths and potions: it happened that the Moor was nothing amended in his tawny complexion, but he wholly lost his former health. How often do we see physicians impute the death of their patients to one another? I remember that some years ago there was an epidemical disease, very dangerous and for the most part mortal, that raged in the towns about us: the storm being over which had swept away an infinite number of men, one of the most famous physicians of all the country, presently after published a book upon that subject, wherein, upon better thoughts, he confesses that the letting blood in that disease was the princ.i.p.al cause of so many mishaps. Moreover, their authors hold that there is no physic that has not something hurtful in it. And if even those of the best operation in some measure offend us, what must those do that are totally misapplied? For my own part, though there were nothing else in the case, I am of opinion, that to those who loathe the taste of physic, it must needs be a dangerous and prejudicial endeavour to force it down at so incommodious a time, and with so much aversion, and believe that it marvellously distempers a sick person at a time when he has so much need of repose. And more over, if we but consider the occasions upon which they usually ground the cause of our diseases, they are so light and nice, that I thence conclude a very little error in the dispensation of their drugs may do a great deal of mischief. Now, if the mistake of a physician be so dangerous, we are in but a scurvy condition; for it is almost impossible but he must often fall into those mistakes: he had need of too many parts, considerations, and circ.u.mstances, rightly to level his design: he must know the sick person's complexion, his temperament, his humours, inclinations, actions, nay, his very thoughts and imaginations; he must be a.s.sured of the external circ.u.mstances, of the nature of the place, the quality of the air and season, the situation of the planets, and their influences: he must know in the disease, the causes, prognostics, affections, and critical days; in the drugs, the weight, the power of working, the country, figure, age, and dispensation, and he must know how rightly to proportion and mix them together, to beget a just and perfect symmetry; wherein if there be the least error, if amongst so many springs there be but any one out of order, 'tis enough to destroy us. G.o.d knows with how great difficulty most of these things are to be understood: for (for example) how shall the physician find out the true sign of the disease, every disease being capable of an infinite number of indications? How many doubts and controversies have they amongst themselves upon the interpretation of urines? otherwise, whence should the continual debates we see amongst them about the knowledge of the disease proceed? how could we excuse the error they so oft fall into, of taking fox for marten? In the diseases I have had, though there were ever so little difficulty in the case, I never found three of one opinion: which I instance, because I love to introduce examples wherein I am myself concerned.

A gentleman at Paris was lately cut for the stone by order of the physicians, in whose bladder, being accordingly so cut, there was found no more stone than in the palm of his hand; and in the same place a bishop, who was my particular friend, having been earnestly pressed by the majority of the physicians whom he consulted, to suffer himself to be cut, to which also, upon their word, I used my interest to persuade him, when he was dead and opened, it appeared that he had no malady but in the kidneys. They are least excusable for any error in this disease, by reason that it is in some sort palpable; and 'tis thence that I conclude surgery to be much more certain, by reason that it sees and feels what it does, and so goes less upon conjecture; whereas the physicians have no 'speculum matricis', by which to examine our brains, lungs, and liver.

Even the very promises of physic are incredible in themselves; for, having to provide against divers and contrary accidents that often afflict us at one and the same time, and that have almost a necessary relation, as the heat of the liver and the coldness of the stomach, they will needs persuade us, that of their ingredients one will heat the stomach and the other will cool the liver: one has its commission to go directly to the kidneys, nay, even to the bladder, without scattering its operations by the way, and is to retain its power and virtue through all those turns and meanders, even to the place to the service of which it is designed, by its own occult property this will dry-the brain; that will moisten the lungs. Of all this bundle of things having mixed up a potion, is it not a kind of madness to imagine or to hope that these differing virtues should separate themselves from one another in this mixture and confusion, to perform so many various errands? I should very much fear that they would either lose or change their tickets, and disturb one another's quarters. And who can imagine but that, in this liquid confusion, these faculties must corrupt, confound, and spoil one another? And is not the danger still more when the making up of this medicine is entrusted to the skill and fidelity of still another, to whose mercy we again abandon our lives?

As we have doublet and breeches-makers, distinct trades, to clothe us, and are so much the better fitted, seeing that each of them meddles only with his own business, and has less to trouble his head with than the tailor who undertakes all; and as in matter of diet, great persons, for their better convenience, and to the end they may be better served, have cooks for the different offices, this for soups and potages, that for roasting, instead of which if one cook should undertake the whole service, he could not so well perform it; so also as to the cure of our maladies. The Egyptians had reason to reject this general trade of physician, and to divide the profession: to each disease, to each part of the body, its particular workman; for that part was more properly and with less confusion cared for, seeing the person looked to nothing else.

Ours are not aware that he who provides for all, provides for nothing; and that the entire government of this microcosm is more than they are able to undertake. Whilst they were afraid of stopping a dysentery, lest they should put the patient into a fever, they killed me a friend, --[Estienne de la Boetie.]--who was worth more than the whole of them.

They counterpoise their own divinations with the present evils; and because they will not cure the brain to the prejudice of the stomach, they injure both with their dissentient and tumultuary drugs.

As to the variety and weakness of the rationale of this art, they are more manifest in it than in any other art; aperitive medicines are proper for a man subject to the stone, by reason that opening and dilating the pa.s.sages they help forward the slimy matter whereof gravel and stone are engendered, and convey that downward which begins to harden and gather in the reins; aperitive things are dangerous for a man subject to the stone, by reason that, opening and dilating the pa.s.sages, they help forward the matter proper to create the gravel toward the reins, which by their own propension being apt to seize it, 'tis not to be imagined but that a great deal of what has been conveyed thither must remain behind; moreover, if the medicine happen to meet with anything too large to be carried through all the narrow pa.s.sages it must pa.s.s to be expelled, that obstruction, whatever it is, being stirred by these aperitive things and thrown into those narrow pa.s.sages, coming to stop them, will occasion a certain and most painful death. They have the like uniformity in the counsels they give us for the regimen of life: it is good to make water often; for we experimentally see that, in letting it lie long in the bladder, we give it time to settle the sediment, which will concrete into a stone; it is good not to make water often, for the heavy excrements it carries along with it will not be voided without violence, as we see by experience that a torrent that runs with force washes the ground it rolls over much cleaner than the course of a slow and tardy stream; so, it is good to have often to do with women, for that opens the pa.s.sages and helps to evacuate gravel; it is also very ill to have often to do with women, because it heats, tires, and weakens the reins. It is good to bathe frequently in hot water, forasmuch as that relaxes and mollifies the places where the gravel and stone lie; it is also ill by reason that this application of external heat helps the reins to bake, harden, and petrify the matter so disposed. For those who are taking baths it is most healthful. To eat little at night, to the end that the waters they are to drink the next morning may have a better operation upon an empty stomach; on the other hand, it is better to eat little at dinner, that it hinder not the operation of the waters, while it is not yet perfect, and not to oppress the stomach so soon after the other labour, but leave the office of digestion to the night, which will much better perform it than the day, when the body and soul are in perpetual moving and action. Thus do they juggle and trifle in all their discourses at our expense; and they could not give me one proposition against which I should not know how to raise a contrary of equal force. Let them, then, no longer exclaim against those who in this trouble of sickness suffer themselves to be gently guided by their own appet.i.te and the advice of nature, and commit themselves to the common fortune.

I have seen in my travels almost all the famous baths of Christendom, and for some years past have begun to make use of them myself: for I look upon bathing as generally wholesome, and believe that we suffer no little inconveniences in our health by having left off the custom that was generally observed, in former times, almost by all nations, and is yet in many, of bathing every day; and I cannot imagine but that we are much the worse by, having our limbs crusted and our pores stopped with dirt. And as to the drinking of them, fortune has in the first place rendered them not at all unacceptable to my taste; and secondly, they are natural and simple, which at least carry no danger with them, though they may do us no good, of which the infinite crowd of people of all sorts and complexions who repair thither I take to be a sufficient warranty; and although I have not there observed any extraordinary and miraculous effects, but that on the contrary, having more narrowly than ordinary inquired into it, I have found all the reports of such operations that have been spread abroad in those places ill-grounded and false, and those that believe them (as people are willing to be gulled in what they desire) deceived in them, yet I have seldom known any who have been made worse by those waters, and a man cannot honestly deny but that they beget a better appet.i.te, help digestion, and do in some sort revive us, if we do not go too late and in too weak a condition, which I would dissuade every one from doing. They have not the virtue to raise men from desperate and inveterate diseases, but they may help some light indisposition, or prevent some threatening alteration. He who does not bring along with him so much cheerfulness as to enjoy the pleasure of the company he will there meet, and of the walks and exercises to which the amenity of those places invite us, will doubtless lose the best and surest part of their effect. For this reason I have hitherto chosen to go to those of the most pleasant situation, where there was the best conveniency of lodging, provision, and company, as the baths of Bagneres in France, those of Plombieres on the frontiers of Germany and Lorraine, those of Baden in Switzerland, those of Lucca in Tuscany, and especially those of Della Villa, which I have the most and at various seasons frequented.

Every nation has particular opinions touching their use, and particular rules and methods in using them; and all of them, according to what I have seen, almost with like effect. Drinking them is not at all received in Germany; the Germans bathe for all diseases, and will lie dabbling in the water almost from sun to sun; in Italy, where they drink nine days, they bathe at least thirty, and commonly drink the water mixed with some other drugs to make it work the better. Here we are ordered to walk to digest it; there we are kept in bed after taking it till it be wrought off, our stomachs and feet having continually hot cloths applied to them all the while; and as the Germans have a particular practice generally to use cupping and scarification in the bath, so the Italians have their 'doccie', which are certain little streams of this hot water brought through pipes, and with these bathe an hour in the morning, and as much in the afternoon, for a month together, either the head, stomach, or any other part where the evil lies. There are infinite other varieties of customs in every country, or rather there is no manner of resemblance to one another. By this you may see that this little part of physic to which I have only submitted, though the least depending upon art of all others, has yet a great share of the confusion and uncertainty everywhere else manifest in the profession.

The poets put what they would say with greater emphasis and grace; witness these two epigrams:

"Alcon hesterno signum Jovis attigit: ille, Quamvis marmoreus, vim pat.i.tur medici.

Ecce hodie, jussus transferri ex aeede vetusta, Effertur, quamvis sit Deus atque lapis."

["Alcon yesterday touched Jove's statue; he, although marble, suffers the force of the physician: to-day ordered to be transferred from the old temple, where it stood, it is carried out, although it be a G.o.d and a stone."--Ausonius, Ep., 74.]

and the other:

"Lotus n.o.bisc.u.m est, hilaris coenavit; et idem Inventus mane est mortuus Andragoras.

Tam subitae mortis causam, Faustine, requiris?

In somnis medic.u.m viderat Hermocratem:"

["Andragoras bathed with us, supped gaily, and in the morning the same was found dead. Dost thou ask, Faustinus, the cause of this so sudden death? In his dreams he had seen the physician Hermocrates."

--Martial, vi. 53.]

upon which I will relate two stories.

The Baron de Caupene in Chalosse and I have betwixt us the advowson of a benefice of great extent, at the foot of our mountains, called Lahontan.

It is with the inhabitants of this angle, as 'tis said of those of the Val d'Angrougne; they lived a peculiar sort of life, their fashions, clothes, and manners distinct from other people; ruled and governed by certain particular laws and usages, received from father to son, to which they submitted, without other constraint than the reverence to custom.

This little state had continued from all antiquity in so happy a condition, that no neighbouring judge was ever put to the trouble of inquiring into their doings; no advocate was ever retained to give them counsel, no stranger ever called in to compose their differences; nor was ever any of them seen to go a-begging. They avoided all alliances and traffic with the outer world, that they might not corrupt the purity of their own government; till, as they say, one of them, in the memory of man, having a mind spurred on with a n.o.ble ambition, took it into his head, to bring his name into credit and reputation, to make one of his sons something more than ordinary, and having put him to learn to write in a neighbouring town, made him at last a brave village notary. This fellow, having acquired such dignity, began to disdain their ancient customs, and to buzz into the people's ears the pomp of the other parts of the nation; the first prank he played was to advise a friend of his, whom somebody had offended by sawing off the horns of one of his goats, to make his complaint to the royal judges thereabout, and so he went on from one to another, till he had spoiled and confounded all. In the tail of this corruption, they say, there happened another, and of worse consequence, by means of a physician, who, falling in love with one of their daughters, had a mind to marry her and to live amongst them. This man first of all began to teach them the names of fevers, colds, and imposthumes; the seat of the heart, liver, and intestines, a science till then utterly unknown to them; and instead of garlic, with which they were wont to cure all manner of diseases, how painful or extreme soever, he taught them, though it were but for a cough or any little cold, to take strange mixtures, and began to make a trade not only of their health, but of their lives. They swear till then they never perceived the evening air to be offensive to the head; that to drink when they were hot was hurtful, and that the winds of autumn were more unwholesome than those of spring; that, since this use of physic, they find themselves oppressed with a legion of unaccustomed diseases, and that they perceive a general decay in their ancient vigour, and their lives are cut shorter by the half. This is the first of my stories.

The other is, that before I was afflicted with the stone, hearing that the blood of a he-goat was with many in very great esteem, and looked upon as a celestial manna rained down upon these latter ages for the good and preservation of the lives of men, and having heard it spoken of by men of understanding for an admirable drug, and of infallible operation; I, who have ever thought myself subject to all the accidents that can befall other men, had a mind, in my perfect health, to furnish myself with this miracle, and therefore gave order to have a goat fed at home according to the recipe: for he must be taken in the hottest month of all summer, and must only have aperitive herbs given him to eat, and white wine to drink. I came home by chance the very day he was to be killed; and some one came and told me that the cook had found two or three great b.a.l.l.s in his paunch, that rattled against one another amongst what he had eaten. I was curious to have all his entrails brought before me, where, having caused the skin that enclosed them to be cut, there tumbled out three great lumps, as light as sponges, so that they appeared to be hollow, but as to the rest, hard and firm without, and spotted and mixed all over with various dead colours; one was perfectly round, and of the bigness of an ordinary ball; the other two something less, of an imperfect roundness, as seeming not to be arrived at their, full growth.

I find, by inquiry of people accustomed to open these animals, that it is a rare and unusual accident. 'Tis likely these are stones of the same nature with ours and if so, it must needs be a very vain hope in those who have the stone, to extract their cure from the blood of a beast that was himself about to die of the same disease. For to say that the blood does not partic.i.p.ate of this contagion, and does not thence alter its wonted virtue, it is rather to be believed that nothing is engendered in a body but by the conspiracy and communication of all the parts: the whole ma.s.s works together, though one part contributes more to the work than another, according to the diversity of operations; wherefore it is very likely that there was some petrifying quality in all the parts of this goat. It was not so much for fear of the future, and for myself, that I was curious in this experiment, but because it falls out in mine, as it does in many other families, that the women store up such little trumperies for the service of the people, using the same recipe in fifty several diseases, and such a recipe as they will not take themselves, and yet triumph when they happen to be successful.

As to what remains, I honour physicians, not according to the precept for their necessity (for to this pa.s.sage may be opposed another of the prophet reproving King Asa for having recourse to a physician), but for themselves, having known many very good men of that profession, and most worthy to be beloved. I do not attack them; 'tis their art I inveigh against, and do not much blame them for making their advantage of our folly, for most men do the same. Many callings, both of greater and of less dignity than theirs, have no other foundation or support than public abuse. When I am sick I send for them if they be near, only to have their company, and pay them as others do. I give them leave to command me to keep myself warm, because I naturally love to do it, and to appoint leeks or lettuce for my broth; to order me white wine or claret; and so as to all other things, which are indifferent to my palate and custom.

I know very well that I do nothing for them in so doing, because sharpness and strangeness are incidents of the very essence of physic.

Lycurgus ordered wine for the sick Spartans. Why? because they abominated the drinking it when they were well; as a gentleman, a neighbour of mine, takes it as an excellent medicine in his fever, because naturally he mortally hates the taste of it. How many do we see amongst them of my humour, who despise taking physic themselves, are men of a liberal diet, and live a quite contrary sort of life to what they prescribe others? What is this but flatly to abuse our simplicity? for their own lives and health are no less dear to them than ours are to us, and consequently they would accommodate their practice to their rules, if they did not themselves know how false these are.

'Tis the fear of death and of pain, impatience of disease, and a violent and indiscreet desire of a present cure, that so blind us: 'tis pure cowardice that makes our belief so pliable and easy to be imposed upon: and yet most men do not so much believe as they acquiesce and permit; for I hear them find fault and complain as well as we; but they resolve at last, "What should I do then?" As if impatience were of itself a better remedy than patience. Is there any one of those who have suffered themselves to be persuaded into this miserable subjection, who does not equally surrender himself to all sorts of impostures? who does not give up himself to the mercy of whoever has the impudence to promise him a cure? The Babylonians carried their sick into the public square; the physician was the people: every one who pa.s.sed by being in humanity and civility obliged to inquire of their condition, gave some advice according to his own experience. We do little better; there is not so simple a woman, whose gossips and drenches we do not make use of: and according to my humour, if I were to take physic, I would sooner choose to take theirs than any other, because at least, if they do no good, they will do no harm. What Homer and Plato said of the Egyptians, that they were all physicians, may be said of all nations; there is not a man amongst any of them who does not boast of some rare recipe, and who will not venture it upon his neighbour, if he will let him. I was the other day in a company where one, I know not who, of my fraternity brought us intelligence of a new sort of pills made up of a hundred and odd ingredients: it made us very merry, and was a singular consolation, for what rock could withstand so great a battery? And yet I hear from those who have made trial of it, that the least atom of gravel deigned not to stir fort.

I cannot take my hand from the paper before I have added a word concerning the a.s.surance they give us of the certainty of their drugs, from the experiments they have made.

The greatest part, I should say above two-thirds of the medicinal virtues, consist in the quintessence or occult property of simples, of which we can have no other instruction than use and custom; for quintessence is no other than a quality of which we cannot by our reason find out the cause. In such proofs, those they pretend to have acquired by the inspiration of some daemon, I am content to receive (for I meddle not with miracles); and also the proofs which are drawn from things that, upon some other account, often fall into use amongst us; as if in the wool, wherewith we are wont to clothe ourselves, there has accidentally some occult desiccative property been found out of curing kibed heels, or as if in the radish we eat for food there has been found out some aperitive operation. Galen reports, that a man happened to be cured of a leprosy by drinking wine out of a vessel into which a viper had crept by chance. In this example we find the means and a very likely guide and conduct to this experience, as we also do in those that physicians pretend to have been directed to by the example of some beasts. But in most of their other experiments wherein they affirm they have been conducted by fortune, and to have had no other guide than chance, I find the progress of this information incredible. Suppose man looking round about him upon the infinite number of things, plants, animals, metals; I do not know where he would begin his trial; and though his first fancy should fix him upon an elk's horn, wherein there must be a very pliant and easy belief, he will yet find himself as perplexed in his second operation. There are so many maladies and so many circ.u.mstances presented to him, that before he can attain the certainty of the point to which the perfection of his experience should arrive, human sense will be at the end of its lesson: and before he can, amongst this infinity of things, find out what this horn is; amongst so many diseases, what is epilepsy; the many complexions in a melancholy person; the many seasons in winter; the many nations in the French; the many ages in age; the many celestial mutations in the conjunction of Venus and Saturn; the many parts in man's body, nay, in a finger; and being, in all this, directed neither by argument, conjecture, example, nor divine inspirations, but merely by the sole motion of fortune, it must be by a perfectly artificial, regular and methodical fortune. And after the cure is performed, how can he a.s.sure himself that it was not because the disease had arrived at its period or an effect of chance? or the operation of something else that he had eaten, drunk, or touched that day? or by virtue of his grandmother's prayers? And, moreover, had this experiment been perfect, how many times was it repeated, and this long bead-roll of haps, and concurrences strung anew by chance to conclude a certain rule?

And when the rule is concluded, by whom, I pray you? Of so many millions, there are but three men who take upon them to record their experiments: must fortune needs just hit one of these? What if another, and a hundred others, have made contrary experiments? We might, peradventure, have some light in this, were all the judgments and arguments of men known to us; but that three witnesses, three doctors, should lord it over all mankind, is against reason: it were necessary that human nature should have deputed and chosen them out, and that they were declared our comptrollers by express procuration:

"TO MADAME DE DURAS.

--[Marguerite de Grammont, widow of Jean de Durfort, Seigneur de Duras, who was killed near Leghorn, leaving no posterity. Montaigne seems to have been on terms of considerable intimacy with her, and to have tendered her some very wholesome and frank advice in regard to her relations with Henry IV.]--

"MADAME,--The last time you honoured me with a visit, you found me at work upon this chapter, and as these trifles may one day fall into your hands, I would also that they testify in how great honour the author will take any favour you shall please to show them. You will there find the same air and mien you have observed in his conversation; and though I could have borrowed some better or more favourable garb than my own, I would not have done it: for I require nothing more of these writings, but to present me to your memory such as I naturally am. The same conditions and faculties you have been pleased to frequent and receive with much more honour and courtesy than they deserve, I would put together (but without alteration or change) in one solid body, that may peradventure continue some years, or some days, after I am gone; where you may find them again when you shall please to refresh your memory, without putting you to any greater trouble; neither are they worth it. I desire you should continue the favour of your friendship to me, by the same qualities by which it was acquired.

"I am not at all ambitious that any one should love and esteem me more dead than living. The humour of Tiberius is ridiculous, but yet common, who was more solicitous to extend his renown to posterity than to render himself acceptable to men of his own time. If I were one of those to whom the world could owe commendation, I would give out of it one-half to have the other in hand; let their praises come quick and crowding about me, more thick than long, more full than durable; and let them cease, in G.o.d's name, with my own knowledge of them, and when the sweet sound can no longer pierce my ears. It were an idle humour to essay, now that I am about to forsake the commerce of men, to offer myself to them by a new recommendation. I make no account of the goods I could not employ in the service of my life. Such as I am, I will be elsewhere than in paper: my art and industry have been ever directed to render myself good for something; my studies, to teach me to do, and not to write. I have made it my whole business to frame my life: this has been my trade and my work; I am less a writer of books than anything else. I have coveted understanding for the service of my present and real conveniences, and not to lay up a stock for my posterity. He who has anything of value in him, let him make it appear in his conduct, in his ordinary discourses, in his courtships, and his quarrels: in play, in bed, at table, in the management of his affairs, in his economics. Those whom I see make good books in ill breeches, should first have mended their breeches, if they would have been ruled by me. Ask a Spartan whether he had rather be a good orator or a good soldier: and if I was asked the same question, I would rather choose to be a good cook, had I not one already to serve me.

My G.o.d! Madame, how should I hate such a recommendation of being a clever fellow at writing, and an a.s.s and an inanity in everything else!

Yet I had rather be a fool both here and there than to have made so ill a choice wherein to employ my talent. And I am so far from expecting to gain any new reputation by these follies, that I shall think I come off pretty well if I lose nothing by them of that little I had before. For besides that this dead and mute painting will take from my natural being, it has no resemblance to my better condition, but is much lapsed from my former vigour and cheerfulness, growing faded and withered: I am towards the bottom of the barrel, which begins to taste of the lees.

"As to the rest, Madame, I should not have dared to make so bold with the mysteries of physic, considering the esteem that you and so many others have of it, had I not had encouragement from their own authors. I think there are of these among the old Latin writers but two, Pliny and Celsus if these ever fall into your hands, you will find that they speak much more rudely of their art than I do; I but pinch it, they cut its throat.

Pliny, amongst other things, twits them with this, that when they are at the end of their rope, they have a pretty device to save themselves, by recommending their patients, whom they have teased and tormented with their drugs and diets to no purpose, some to vows and miracles, others to the hot baths. (Be not angry, Madame; he speaks not of those in our parts, which are under the protection of your house, and all Gramontins.) They have a third way of saving their own credit, of ridding their hands of us and securing themselves from the reproaches we might cast in their teeth of our little amendment, when they have had us so long in their hands that they have not one more invention left wherewith to amuse us, which is to send us to the better air of some other country. This, Madame, is enough; I hope you will give me leave to return to my discourse, from which I have so far digressed, the better to divert you."

It was, I think, Pericles, who being asked how he did: "You may judge,"

says he, "by these," showing some little scrolls of parchment he had tied about his neck and arms. By which he would infer that he must needs be very sick when he was reduced to a necessity of having recourse to such idle and vain fopperies, and of suffering himself to be so equipped.

I dare not promise but that I may one day be so much a fool as to commit my life and death to the mercy and government of physicians; I may fall into such a frenzy; I dare not be responsible for my future constancy: but then, if any one ask me how I do, I may also answer, as Pericles did, "You may judge by this," shewing my hand clutching six drachms of opium.

It will be a very evident sign of a violent sickness: my judgment will be very much out of order; if once fear and impatience get such an advantage over me, it may very well be concluded that there is a dreadful fever in my mind.

I have taken the pains to plead this cause, which I understand indifferently, a little to back and support the natural aversion to drugs and the practice of physic I have derived from my ancestors, to the end it may not be a mere stupid and inconsiderate aversion, but have a little more form; and also, that they who shall see me so obstinate in my resolution against all exhortations and menaces that shall be given me, when my infirmity shall press hardest upon me, may not think 'tis mere obstinacy in me; or any one so ill-natured as to judge it to be any motive of glory: for it would be a strange ambition to seek to gain honour by an action my gardener or my groom can perform as well as I.

Certainly, I have not a heart so tumorous and windy, that I should exchange so solid a pleasure as health for an airy and imaginary pleasure: glory, even that of the Four Sons of Aymon, is too dear bought by a man of my humour, if it cost him three swinging fits of the stone.

Give me health, in G.o.d's name! Such as love physic, may also have good, great, and convincing considerations; I do not hate opinions contrary to my own: I am so, far from being angry to see a discrepancy betwixt mine and other men's judgments, and from rendering myself unfit for the society of men, from being of another sense and party than mine, that on the contrary (the most general way that nature has followed being variety, and more in souls than bodies, forasmuch as they are of a more supple substance, and more susceptible of forms) I find it much more rare to see our humours and designs jump and agree. And there never were, in the world, two opinions alike, no more than two hairs, or two grains: their most universal quality is diversity.

ETEXT EDITOR'S BOOKMARKS:

I am towards the bottom of the barrel Accusing all others of ignorance and imposition Affection towards their husbands, (not) until they have lost them Anything of value in him, let him make it appear in his conduct As if impatience were of itself a better remedy than patience a.s.surance they give us of the certainty of their drugs At least, if they do no good, they will do no harm Attribute to itself; all the happy successes that happen Best part of a captain to know how to make use of occasions Burnt and roasted for opinions taken upon trust from others Commit themselves to the common fortune Crafty humility that springs from presumption Did not approve all sorts of means to obtain a victory Disease had arrived at its period or an effect of chance?

Dissentient and tumultuary drugs Do not much blame them for making their advantage of our folly Doctors: more felicity and duration in their own lives?

Doctrine much more intricate and fantastic than the thing itself Drugs being in its own nature an enemy to our health Even the very promises of physic are incredible in themselves Fathers conceal their affection from their children He who provides for all, provides for nothing Health depends upon the vanity and falsity of their promises Health is altered and corrupted by their frequent prescriptions Health to be worth purchasing by all the most painful cauteries Homer: The only words that have motion and action I dare not promise but that I may one day be so much a fool I see no people so soon sick as those who take physic Indiscreet desire of a present cure, that so blind us Intended to get a new husband than to lament the old Let it alone a little Life should be cut off in the sound and living part Live a quite contrary sort of life to what they prescribe others Live, not so long as they please, but as long as they ought Llaying the fault upon the patient, by such frivolous reasons Long a voyage I should at last run myself into some disadvantage Making their advantage of our folly, for most men do the same Man may with less trouble adapt himself to entire abstinence Man runs a very great hazard in their hands (of physicians) Mark of singular good nature to preserve old age Men must embark, and not deliberate, upon high enterprises Mercenaries who would receive any (pay) Moderation is a virtue that gives more work than suffering More valued a victory obtained by counsel than by force Most men do not so much believe as they acquiesce and permit Never any man knew so much, and spake so little No danger with them, though they may do us no good No other foundation or support than public abuse No physic that has not something hurtful in it n.o.ble and rich, where examples of virtue are rarely lodged Obstinacy is the sister of constancy Order a purge for your brain, it will there be much better Ordinances it (Medicine) foists upon us Pa.s.sion has a more absolute command over us than reason Pay very strict usury who did not in due time pay the princ.i.p.al People are willing to be gulled in what they desire Physician's "help", which is very often an obstacle Physicians are not content to deal only with the sick Physicians fear men should at any time escape their authority Physicians were the only men who might lie at pleasure Physicians: earth covers their failures Plato said of the Egyptians, that they were all physicians Pure cowardice that makes our belief so pliable Recommendation of strangeness, rarity, and dear purchase Send us to the better air of some other country Should first have mended their breeches Smile upon us whilst we are alive So austere and very wise countenance and carriage (of physicians) So much are men enslaved to their miserable being Solon said that eating was physic against the malady hunger Strangely suspect all this merchandise: medical care Studies, to teach me to do, and not to write Such a recipe as they will not take themselves That he could neither read nor swim The Babylonians carried their sick into the public square They (good women) are not by the dozen, as every one knows They have not one more invention left wherewith to amuse us They juggle and trifle in all their discourses at our expense They never loved them till dead Tis in some sort a kind of dying to avoid the pain of living wel Tis not the number of men, but the number of good men Tis there she talks plain French To be, not to seem To keep me from dying is not in your power Two opinions alike, no more than two hairs Tyrannical authority physicians usurp over poor creatures Venture it upon his neighbour, if he will let him Venture the making ourselves better without any danger We confess our ignorance in many things We do not easily accept the medicine we understand What are become of all our brave philosophical precepts?

What we have not seen, we are forced to receive from other hands Whatever was not ordinary diet, was instead of a drug Whimpering is offensive to the living and vain to the dead Who does not boast of some rare recipe Who ever saw one physician approve of another's prescription Willingly give them leave to laugh after we are dead With being too well I am about to die Wont to give others their life, and not to receive it You may indeed make me die an ill death