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Superstition in Medicine E-Book

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Superstition in Medicine is a comprehensive exploration of the myriad beliefs, customs, and practices that have shaped the history of medicine through the lens of superstition. Drawing from a wide array of historical sources, the book delves into the fascinating world where science and folklore intersect, revealing how ancient and medieval societies interpreted disease, healing, and the human body. The author meticulously examines the origins and persistence of superstitious practices, from the use of charms, amulets, and incantations to the reliance on astrology, magical rituals, and the influence of planetary alignments on health. The narrative traces the evolution of medical thought, highlighting the tension between rational inquiry and mystical explanations. It uncovers the ways in which physicians, patients, and communities resorted to supernatural explanations for illness, often blending religious beliefs with early medical theories. The book discusses the role of witches, sorcerers, and cunning folk in healing, as well as the impact of religious relics, saints, and pilgrimage sites on the treatment of disease. Through vivid anecdotes and detailed case studies, Superstition in Medicine illustrates how fear, ignorance, and tradition often dictated medical practice, sometimes with tragic consequences. Yet, it also acknowledges the gradual emergence of scientific reasoning and the eventual decline of superstition as medical knowledge advanced. The work serves as both a cautionary tale and a tribute to the resilience of human curiosity, offering readers a captivating journey through the shadowy corridors of medical history, where the boundaries between science and superstition were often blurred.

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Note: The cover of this book was created by the transcriber and is placed in the public domain. A more extensive transcriber’s note can be found at the end of this book.

SUPERSTITION IN MEDICINE

SUPERSTITION IN MEDICINE

BYProf. Dr. HUGO MAGNUS

AUTHORIZED TRANSLATION FROM THE GERMAN, EDITED BYDr. JULIUS L. SALINGERLate Assistant Professor of Clinical Medicine, Jefferson Medical College; Physician to the Philadelphia General Hospital, etc.

FUNK & WAGNALLS COMPANYNEW YORK AND LONDON 1908

Copyright, 1905, by FUNK & WAGNALLS COMPANY [Printed in the United States of America] Published, April, 1905

PREFACE

The history of medicine is closely interlinked with the development of theology. The errors of one are for the most part reflected in the mistakes of the other. No matter how obscure and dark the origin of either, whether derived from ignorance and superstition or not, the ultimate achievement alone must be taken into consideration. We do not reject chemistry because it originated in alchemy, we do not disregard astronomy because its roots are entwined with the teachings of astrology, and so in theology and medicine we look to the final issue. The statements set forth in this book should not be construed as reflecting the development of theology or medicine at the time, but as the belief of the people existing in these periods. Philosophy may have been pure, but if the mind of man was faulty the responsibility must not be laid at the door of science. It is the function of the historian truthfully to depict the thought and spirit of the time of which he writes. This has been attempted in the present work. It is not a criticism of a system, but a criticism of man. There can be no doubt that absurd superstitions are still existent for which the twentieth century will be severely criticized in time to come. Thus the words of our martyred President may well be used as a motto for this book: “With malice towards none, with charity for all.”

The last chapter of this book has been added by the translator, as it seemed necessary for the full discussion of the subject.

Julius L. Salinger.

Philadelphia, Pa.

CONTENTS

    PAGE I. What is Medical Superstition? 1 II. Theism in Its Relation to Medicine and in Its Struggle with the Physico-Mechanical Theory of Life 7 III. Religion the Support Of Medical Superstition 23 IV. The Influence Of Philosophy Upon the Form and Origin of Medical Superstition 89 V. The Relations of Natural Science to Medical Superstition 128 VI. Influence Exerted Upon the Development of Superstition by Medicine Itself 185 VII. Medical Superstition and Insanity 191   Bibliography 201

ILLUSTRATIONS

  PAGE CIRCLE OF PETOSIRIS 141 CIRCLE OF PETOSIRIS 143 THE TABLE OF DEMOCRITUS 145 THE RELATION OF THE PARTS OF THE HUMAN BODY TO THE SIGNS OF THE ZODIAC 159 VENESECTION IN ITS ASTRONOMICAL CONNECTION 175

I

WHAT IS MEDICAL SUPERSTITION?

Faith and superstition are twin brothers. Altho the former leads humanity to its sublimest ideals and the latter only presents us with a caricature of human knowledge, both are children of the same family. Both originate in a sense of the inadequacy of human science in regard to natural phenomena. The fact that the most important processes of organic life can not be traced to their ultimate origin, but that their investigation will soon lead to a point of irresistible opposition to further analysis, has always called forth a feeling of impotency and dependence in the human mind. This consciousness of being dependent upon factors which are entirely beyond human understanding has thus given rise to the metaphysical need of reflecting upon these mysterious factors, and bringing them within reach of human comprehension. Humanity, in attempting to satisfy such a metaphysical requirement from an ethical standpoint, created faith, which subsequently found expression in the various forms of religion. It is not within the scope of this essay to consider how far Divine revelations have been vouchsafed on this subject. Superstition undoubtedly entered the scene when, simultaneously with these, endeavors were made to consider and to explain physical processes from the standpoint of such metaphysical requirements. It is true that this did not, at first, lead to a marked contrast between faith and superstition; for a period existed in which faith and superstition—i.e., the metaphysical consideration of ethical values and the metaphysical consideration of the entire phenomena of life—were not only equivalent, but even merged into one conception. This occurred in an age in which mankind considered all terrestrial processes, whether they were of a psychical or of a material nature, as immediately caused by the steady interference of supernatural powers—a period during which the deity was held responsible for all terrestrial phenomena. During this period faith became superstition, and superstition, faith. A separation did not take place until some especially enlightened minds began to evolve the idea that it would be more reasonable to explain natural phenomena—temporal becoming, being, and passing away—by natural rather than by supernatural causes. The reaction against this better interpretation, the tenacious adherence to the original association of terrestrial manifestations with metaphysical factors, created the superstition of the natural sciences. The birth of superstition in the Greek world must be placed about the seventh century, B.C., the period during which Thales of Miletus came forward with his endeavor to explain natural processes in a natural manner. This attempt of the Milesian is the initiation of a rational scientific conception of natural manifestations, and the ancient theistic consideration of nature became superstition only in opposition to such a view. It follows, then, that what holds good with regard to the interpretation of natural manifestations in general holds good in medicine especially. Here, also, superstition came into question only when, besides the original theistic conception of the functions of the body and besides the metaphysical treatment of the sick, a valuation of the normal as well as of the morbid phenomena of the human organism came into vogue which took into account terrestrial causes. Not until this stage was reached did theism and theurgy lose their title and become superstition; until then they could claim fullest acceptance in medicine as thoroughly logical consequences of the prevailing theory of life. This took place, so far as Greek medicine was concerned, at about the end of the sixth century, B.C. The Corpus Hippocraticum already shows us Greek medicine as being purified from all theistic sophistications and only reckoning with natural causes. When this separation must have taken place for pre-Greek, Indian, Assyrian, and Egyptian culture can not be at present determined with certainty. For the Egyptian and Babylonico-Assyrian manuscripts, so far known, show an intimate admixture of true observation of nature with theistic speculations—i.e., a treatment of medicine which, altho it took account of physico-natural manifestations, was still deeply tinctured with superstition.

According to what we have stated, medical superstition might be defined as follows: “Belief that the normal as well as the pathological manifestations of organic life may be explained and eventually treated, without consideration of their physical nature, by means of supernatural agencies.”

Medical superstition varies according to the kind and the origin of these supernatural causes, and therefore appears in the greatest variety of forms. If these causes were looked for in celestial regions, medical superstition became vested with the religious garb, and its source was in the religious cult; but if the belief prevailed that God shared the domination of the world with other mysterious elements, such as were embodied in different forms in accordance with the various philosophical systems, medical superstition bore a philosophical and mystical stamp whose origin is revealed in the history of philosophy. But if certain mysterious powers hidden in the womb of nature or active above the earth were considered to influence human life, medical superstition assumed a physical character. However, it frequently followed that the above three factors acted simultaneously or in varying combinations, or certain other elements which were inherent in human nature cooperated. For this reason it is sometimes not quite easy to decide as to the source from which this or that form of medical superstition principally derived its persistent currency. But, nevertheless, it is our intention to divide our subject in accordance with the sources from which the several forms of medical superstition spring, as it is absolutely impossible to obtain a satisfactory view of the extensive material without first attempting a systematic arrangement of the data at hand.

But before attempting to inquire why the purest and most valuable fountains of all human knowledge—religion, philosophy, and natural science—have at the same time become sources of medical superstition, it will be advisable to explain the character which medical science had assumed under the exclusive domination of theism, and how conditions shaped themselves when physico-mechanical philosophy appeared and began to do battle with the theistic conception of life. These conditions played such a special part in the development of medico-physical superstition that it becomes necessary first to examine their power and tendency before attempting to contemplate medical superstition proper.

II

THEISM IN ITS RELATION TO MEDICINE AND IN ITS STRUGGLE WITH THE PHYSICO-MECHANICAL THEORY OF LIFE

As we explained in Chapter I., the development of all peoples has passed through a period during which medico-physical knowledge found expression exclusively in the teachings of religion. By theism we mean the system which endeavors to explain natural phenomena by supernatural causes. However, this view of nature, with its tinge of religion, did not as yet show any trace of superstition. It was rather the only justifiable conception of nature and thoroughly in keeping with the power of comprehension of man, until it began to dawn upon the mind that natural phenomena might be due to natural causes. This was the period of which we stated, in the beginning of this investigation, that faith became superstition and superstition became faith. It was during this time that the powers above were held accountable for all bodily ailments of mankind. It was their task most carefully to observe the functional processes of the human body in all its phases, and to protect their undisturbed continuance. But as the inhabitants of heaven, like the inhabitants of the earth, were subject to whims, it happened very often, unfortunately, that they attended to their task of protecting the undisturbed development of the vegetative as well as the animal functions of the body in a very unsatisfactory manner, sometimes, in fact, even purposely neglecting it. Thus disturbances occurred in the regular course of organic life, and this brought diseases into the world. If, therefore, the gods were directly responsible for the appearance of disease, it was palpably their duty to effect its elimination. Thus it came about that pathology and therapy were exclusively attended to by the gods. But in what light they regarded these medical duties of theirs, and how they performed them, were matters subject to very varying considerations, as expounded by the different religions of antiquity. The Babylonian considered the great god Marduk the expeller of all maladies, whereas Urugal, Namtor, and Nergal were recognized gods of pestilence.

Similar ideas prevailed among the Egyptians. The cat-headed goddess Bubastis was believed to deal out to mothers the blessings of fertility. Ibis showed an especial interest in those human beings who were troubled with disturbances of digestion, and this interest found benevolent expression in the invention of the clyster.

With the Greeks also the gods rendered services to diseased humanity. Thus Apollo invented the art of healing, and if his time permitted he occasionally lent a hand when difficulties beset the entrance into this world of a young mortal. But, as a rule, it was the duty of Aphrodite to attend to such cases, just as, in fact, she was responsible for everything that referred to love, no matter whether it was a question of the esthetic or the pathological part of that passion. Athene was the specialist in ophthalmology, and it seems that she did not fare badly with this occupation. A temple was dedicated to her by Lycurgus, whom, as it appears, she healed of a sympathetic affection of the eyes; and, besides, she won by her ophthalmological activity various ornamental epithets, such, for instance, as ὀφθαλμίτις, etc.

It was quite natural, in view of the exclusively theistic conception which in those times preoccupied the human mind, that the priests were the sole possessors of physico-medical knowledge; and naturally so. For when we consider the theory of life that prevailed at that period, who could have been better qualified to give information to men regarding their own body as well as regarding nature in general, than the priest, the mortal representative of immortal gods? And who better qualified than the priest to invoke the aid of the heavenly powers in all bodily ailments? Thus it was the unavoidable consequence of the theistic theory of life that the priest was the physician as well as the representative of physical knowledge and also the helper and adviser in all mundane exigencies. Whether bodily or psychic troubles afflicted individuals, whether an entire population groaned under heavy chastisements like pestilence, aid and deliverance were always sought in the sanctuary of the gods, from the infallible priest. And the priests were always equal to the occasion; they have always, in a masterly manner, known the art of satisfying the medico-physical needs of their suppliants. For the religions of all civilized peoples—and Christianity by no means occupies an exceptional position in this respect—have always endeavored most strenuously to keep physical as well as medical thought in strictest dependence upon their doctrines and dogmas. To attain this end various ceremonies, customs, and dogmas were relied upon to keep the priests in a position to secure the assistance of the gods for humanity harassed by pain and affliction. These sacred observances were strange, and varied with the various religious systems. According to the primeval cult of Zoroaster, all evils, consequently also all diseases, were derived from the principle of darkness which was embodied in the person of Ahriman, and only the sacerdotal caste of the magicians who sprung from a special Median tribe was able to heal them. But it was by no means easy to become a member of this caste and to acquire the magic powers pertaining to it alone. It was necessary before gaining mastery over the powers of nature to become initiated into the mysteries of Mitra. However, after priestly consecration had once been bestowed, the individual thus honored bore the proud title “Conqueror of Evil,” and was able to practise medicine. As the most essential constituent of every medical treatment, the divine word was applied in the form of mysterious exorcisms, sacred hymns, and certain words which were considered specially curative in effect, particularly the word “Ormuzd,” the name of the highest god, in whose all-embracing power of healing great confidence was placed.

The Sumerians, the precursors of Babylonico-Assyrian culture, ascribed a considerable and important rôle to dreams. They were considered to bring direct medical advice from the gods, and it became the office of the sacerdotal physician to interpret the dream in such a way as to alleviate the sufferings of the dreamer.

The ancient Greek culture also conceded a conspicuous medical significance to dreams, and even arranged a system of its own, that of the temple sleep, in order always to obtain prophesying dreams from the gods. The patient, after the obligatory offering, was required to remain a night in the temple, and his dream during this night was the medical advice of the divinity in its most direct form. But only the priest was able to interpret a dream obtained in such a manner, and to extract medical efficacy from it. But as it occasionally happened that a too prosaic and phlegmatic patient did not dream at all, the priest was benevolent enough to intercede. He was always promptly favored by the gods with a suggestive dream.

The medical function of the priests had reached a peculiar development during the first centuries of Rome. This was manifest especially in the time of public calamities, such as pestilence, war, etc. When such events reached dimensions which threatened the existence of the republic, attempts were made to gain the favor of the gods by most curious ceremonies. The celestials were simply invited to take part in an opulent banquet. The first divine feast of such a character was celebrated in Rome in the sixth century, B.C., on account of a great epidemic. Apollo, Latona, Diana, Hercules, Mercury, and Neptune were most ceremoniously invited to take part in a religious banquet which lasted for eight days. The images of the gods were placed upon magnificently cushioned couches, and the tables were loaded with dainties. Not only the gods, but the entire population, were invited; every one kept open house, and whoever wished to do so could feast at the richly prepared boards of the wealthy. Even the pronounced enemies of the house were allowed to enter and to enjoy the dainties without fear of hostile remarks; indeed, it was deemed advisable in the interests of public hygiene to unchain the prisoners and to liberate them. But if the gods, in spite of the most opulent entertainments, did not have any consideration, and if pestilence, military disaster, failure of crops, or whatever was the immediate cause of popular anxiety, continued to persist with unabated fury, endeavors were made by theatrical performances to provide as much as possible for the amusement of the gods. Such plays, at first, consisted only in graceful dances, with flute accompaniments, and from these simple beginnings, according to Livy, Book 7, Chapter II., the drama is said to have developed all those variations which characterized the scenic art of antiquity. There can be no doubt that even the stage of modern times is of religio-sanitary origin—a peculiar fact which modern patrons of the theater scarcely ever dream of.

An attempt was eventually made to increase the delight of the gods in such amusements by a number of novel devices. For instance, it was stipulated that the performances instituted to ward off the invasion of Hannibal were to cost 333,333⅓ copper asses. But if, nevertheless, the gods were not sufficiently propitiated by banquets, dances, and playing of the flute, and if they could not be prevailed upon by such pastimes to remove the pestilence or other calamity, a dictator was named who, if possible, on September 13th, drove a nail into the temple of Jupiter to appease divine indignation. It appears that this was a primeval custom of the Etruscans; at least, it is reported by the Roman author, Cincius, that such nails could be seen in the temple of the Etruscan goddess Nortia. This nail therapy was resorted to by the Romans, for instance, during the terrible plague which raged in the fifth century, B.C., and of which the celebrated Furius Camillus died.

Wonderful as all the described procedures seem to us, and closely as they may conform to the modern conception of superstition, at the time they originated they were considered as quite removed from that superstition with which we so closely identify them to-day. For the period which saw the above events was an era of exclusive theism, and for that reason divine sleep, divine feasts, the sacred performances, and all the other peculiar means which were employed to secure medical aid of the gods, were well-established features of religious worship. The stigma of superstition was not set upon them as yet. And this state of things naturally persisted so long as the theistic theory of life stood unchallenged.

This absolute reign of theistic theory dominating human life through the above-described therapeutic ideas was followed by an epoch in which theism was forced to divide its authority with a powerful rival—namely, the physico-mechanical theory of life. The struggle between both these systems was ushered in, for the Hellenic as well as for the Occidental world of civilization, by the appearance of Ionian philosophy. Even in our own day this struggle is still going on in many minds. This much, at least, is certain: that superstition has always been especially active in medicine in areas of civilization where the theistic idea has gained the ascendency.

The deadly struggle between theistic and physico-mechanical theories of life in the realm of medicine has found no place in the experience of Hellenic and Roman antiquity. The change in opinion was rather wrought by a gradual recession from the idea that the gods interfered with the proper course of man’s bodily functions. This conviction resulted from a progressive growth of his physico-mechanical knowledge, and became established at least as far as the thoughts and the opinions of the physicians were concerned. That the other classes, in particular the representatives of religion, did not so peaceably acquiesce in this mechanical conception of life we shall soon explain in Chapter III. It was different, however, with the art of healing itself. Even the Corpus Hippocraticum reveals to us a medicine which had been purified from all theistic admixtures, and from the publication of this work (i.e., from about the fifth century, B.C., up to the overthrow of the ancient period—i.e., until about the fifth or sixth century, A.D.) no further attempt to refer the cause of disease and the treatment of disease to the gods of the ancient heavens is noticed in medical works. On the contrary, that great efforts were made to look for the nature of disease in the mechanical conditions of the body is proven by a number of the most various medical doctrines. The extensive work of Galen, that antique canon of medicine, which dates back to the second century, A.D., disavows all theism and all theurgy, and relies solely upon physico-mechanical methods: observation, experiment, dissection. Antique religion and antique medicine had effected a reconciliation—a reconciliation, however, in which neither party was to acknowledge a complete defeat; but the result was an amicable settlement, in which their just dues were given both to the theistic and to the physico-mechanical theories of life. The point of agreement upon which this settlement, or, to express it better, compromise, was made was teleology.

By teleology we understand the conception that all earthly existence is created by a supreme power in accordance with a preconceived plan, and that, accordingly, all organic life, in form and action, is most perfectly adapted to the task prescribed for it by this power. This conception was absolutely indispensable to antique medicine; for it allowed the adherents of the theistic theory without hesitation to consider man as a product of the creator, which was distinguished in all directions and which bore witness of the wisdom of God, a position which precluded the assumption, which was impossible according to the antecedent medical observations, that disease came from God. For it seemed quite plausible, according to the physico-mechanical theory of life, that disease might be a product of a number of adverse, purely earthly conditions, an assumption not involving the slightest doubt of the wisdom and creative power of the gods. This teleological doctrine, which runs like a red thread through all ancient philosophy, becomes conspicuously prominent in Galen. Every section of the powerful work of Galen—anatomy, as well as physiology, pathology, and therapy—bear witness to the most confident teleological conception, a conception which in the end culminates in the verdict (“Use of the Parts,” Book 11, Chapter XIV.): “The creator of nature has disclosed his benevolence by wise care for all his creatures, in that he has bestowed upon each one what is truly of service to it.”

This teleological idea of all earthly becoming, being, and passing away was henceforth destined to be a permanent factor in human speculation. Christianity received it as a possession from antique civilization, and only the philosophy and natural science of modern times have been able to threaten its permanence. Biology, as of modern creation, teaches us that all natural phenomena owe their existence to natural causes, that the natural world is subject to natural laws. And, accordingly, teleology, as we encounter it in the works of the heathen Galen and in the writings of the Christian Church Fathers, has turned out to be superstition, which, however, must by no means be classed with the vagaries of mere medico-physical superstition. In coming to this decision, however, we must beware of rash generalization. In this connection we refer only to that kind of teleology which dominated the world previous to the teachings of Descartes and Spinoza, and previous to the advent of modern natural science, with its biological methods. Whether, after all, a theory of life might be possible which, while avoiding the reproach of superstition, might be traced to teleological prepossessions, is a question we can not here discuss. It is admittedly true that the deeper we penetrate into the secrets of nature the more energetically the existence of a marvelous, intelligent will manifests itself as permeating all domains of nature. However, if this fact is not denied on principle, as modern materialism denies it, and proper allowance is made for it, a rehabilitation of teleology as a necessary factor of our theory of life would be the logical consequence. Of