u A ^e ' / A HISTORY OF EPIDEMICS IN BRITAIN k aonlion: C. J. CLAY and SONS, CAMBRIDGE UNIVERSITY PRESS WAREHOUSE, AXU H. K. LEWIS, 136, GOWER STREET, W.C. CamfanUnc: DEIGHTON, BELL AND CO. Etipjifl: F. A. BROCKHAUS. iftcto gork: MACMILLAN AND CO. A HISTORY OF EPIDEMICS IN BRITAIN from A.D. 664 to the Extinction of Plague BY CHARLES CREIGHTON, M.A., M.D., FORMERLY DEMONSTRATOR OF ANATOMY IN THE UNIVERSITY OF CAMBRIDGE. CAMBRIDGE: AT THE UNIVERSITY PRESS. 1891 (fTambritigE : PRINTED BY C. J. CLAY, M.A. AND SONS, AT THE UNIVERSITY PRESS. PREFACE. *" I ^HE title and contents-table of this volume will show -■- sufficiently its scope, and a glance at the references in the several chapters will show its sources. But it may be convenient to premise a few general remarks under each of those heads, ? The date 664 A.D. has been chosen as a starting-point, for the ^ reason that it is the year of the first pestilence in Britain recorded on contemporary or almost contemporary authority, that of ■^ Beda's 'Ecclesiastical History.' The other limit of the volume, , the extinction of plague in 1665-66, marks the end of a long era of epidemic sickness, which differed much in character from the era next following. At or near the Restoration we come, as it were, to the opening of a new seal or the outpouring of another vial. The history proceeds thenceforth on other lines and comes largely from sources of another kind ; allowing for a little r overlapping about the middle of the seventeenth century, it ^ might be continued from 1666 almost without reference to what ^ had gone before. The history is confined to Great Britain and Ireland, except in Chapter XI. which is occupied with the first Colonies and the early voyages, excepting also certain sections of other chapters, where the history has to trace the antecedents of some great epidemic sickness on a foreign soil. C. d r vi Preface. The sources of the work have been the ordinary first-hand sources of EngHsh history in general. In the medieval period these include the monastic histories, chronicles, lives, or the like (partly in the editions of Gale, Savile, Twysden, and Hearne, and of the English Historical Society, but chiefly in the great series edited for the Master of the Rolls), the older printed collections of State documents, and, for the Black Death, the recently published researches upon the rolls of manor courts and upon other records. From near the beginning of the Tudor period, the Calendars of State Papers (Domestic, Foreign, and Colonial), become an invaluable source of information for the epidemiologist just as for other historians. Also the Reports of the Historical Manuscripts Commission, together with its Calendars of private collections of papers, have yielded a good many facts. Many exact data, relating more particularly to local outbreaks of plague, have been found in the county, borough, and parish histories, which are of very unequal value for the purpose and are often sadly to seek in the matter of an index. The miscellaneous sources drawn upon have been very numerous, perhaps more numerous, from the nature of the subject, than in most other branches of history. Medical books proper are hardly available for a history of English epidemics until the Elizabethan period, and they do not begin to be really important for the purpose until shortly before the date at which the present history ends. These have been carefully sought for, most of the known books having been met with and examined closely for illustrative facts. In the latter part of the seventeenth century the best English writers on medicine occupied themselves largely with the epidemics of their own time, and the British school of epidemiology, which took a distinguished start with Willis, Sydenham and Morton, was worthily continued by many writers throughout the eighteenth century; so that the history subsequent to the period here Preface. vii treated of becomes more and more dependent upon medical sources, and of more special interest to the profession itself. Reference has been made not unfrequently to manuscripts ; of which the more important that have been used (for the first time) are a treatise on the Sweating Sickness of 1485 by a contemporary physician in London, two original London plague- bills of the reign of Henry VIII., and a valuable set of tables of the weekly burials and christenings in London for five years (almost complete) from 1578 to 1583, among the Cecil papers — these last by kind permission of the Marquis of Salisbury. Collecting materials for a British epidemiology from these various sources is not an easy task ; had it been so, it would hardly have been left to be done, or, so far as one knows, even attempted, for the first time at so late a period. Where the sources of information are so dispersed and casual it is inevitable that some things should have been overlooked : be the omissions few or many, they would certainly have been more but for suggestions and assistance kindly given from time to time by various friends. The materials being collected, it remained to consider how best to use them. The existing national epidemiologies, such as that of Italy by Professor Corradi or the older ' Epidemiologia Espafiola' of Villalba, are in the form of Annals. But it seemed practicable, without sacrificing a single item of the chronology, to construct from the greater events of sickness in the national annals a systematic history that should touch and connect with the general history at many points and make a volume supplementary to the same. Such has been the attempt; and in estimating the measure of its success it may be kept in mind that it is the first of the kind, British or foreign, in its own department. The author can hardly hope to have altogether escaped errors in touching upon the general history of the country over so long a period ; but he has endeavoured to go as viii Preface. little as possible outside his proper province and to avoid making gratuitous reflections upon historical characters and events. The greater epidemic diseases have, however, been discussed freely — from the scientific side or from the point of view of their theory. It remains to acknowledge the liberality of the Syndics of the Cambridge University Press in the matter of publication, and the friendly interest taken in the work by their Chairman, the Master of Peterhouse. November, 1891. CONTENTS. CHAPTER I. PESTILENCES PREVIOUS TO THE BLACK DEATH, CHIEFLY FROM FAMINES. PAGE The plague of 664-684 described by Beda, and its probable relation to the plague of Justinian's reign, 542- ..... 4 Other medieval epidemics not from famine ..... 9 Chronology of Famine Sicknesses, with full accounts of those of 1 194-7, 1257-9, and 1315-16 15 Few traces of epidemics of Ergotism ; reason of England's immunity from ignis sacer 52 Generalities on medieval famines in England 65 CHAPTER n. LEPROSY IN MEDIEVAL BRITAIN. Medieval meanings of /i?/r« 6g Biblical associations of Leprosy ........ 79 Medieval religious sentiment towards lepers . . . . . 81 Leprosy-prevalence judged by the leper-houses, — their number in England, special destination, and duration ..... 86 Leper-houses in Scotland and Ireland 99 The prejudice against lepers 100 Laws against lepers 106 Things favouring Leprosy in the manner of life — Modern analogy of Pellagra 107 CHAPTER HI. THE BLACK DEATH OF 1 348-9. Arrival of the Black Death, and progress through Britain, with contemporary English and Irish notices of the symptoms . . 114 Inquiry into the extent of the mortality 123 Antecedents of the Black Death in the East— Overland China trade — Favouring conditions in China 142 The Theory of Bubo-Plague 156 Illustrations from modern times 163 Summary of causes, and of European favouring conditions . . 1 73 Contents. CHAPTER IV. ENGLAND AFTER THE BLACK DEATH, WITH THE EPIDEMICS TO 1485. Efforts to renew the war with France ..... Direct social and economic consequences in town and country More lasting effects on farming, industries and population Epidemics following the Black Death . Medieval English MSS. on Plague The 14th century chronology continued The public health in the 15th century Chronology of Plagues, 15th century . Plague &c. in Scotland and Ireland, 1349-1475 CHAPTER V. THE SWEATING SICKNESS, 1485-1551 The First invasion of the Sweat in 1485 The Second outbreak in 1508 The Third Sweat in 15 17 The Fourth Sweat in 1528 . Extension of the Fourth Sweat to the Continent in 1529 The Fifth Sweat in 155 1 Antecedents of the English Sweat Endemic Sweat of Normandy Theory of the English Sweat Extinction of the Sweat in England CHAPTER VI. PLAGUE IN THE TUDOR PERIOD. Chronology of the outbreaks of Plague in London, provincial towns and the country generally, from 1485 to 1556 The London Plague of 1563 .... Preventive practice in Plague-time under the Tudors Sanitation in Plantagenet and Tudor times The disposal of the dead Chronology of Plague 1 564-1 592 — Vital statistics of London 1578 1583 The London Plague of 1 592-1 593 Plague in the Provinces, 1 592-1 598 . Plague in Scotland, 1495-1603— Skene on the Plague (1568) Plague in Ireland in the Tudor period .... 375 376 383 387 397 Contents. xi CHAPTER VII. GAOL FEVERS, INFLUENZAS, AND OTHER FEVERS IN THE TUDOR PERIOD. The Black Assizes of Cambridge, 1522 .... Oxford Black Assizes, 1577 Exeter Black Assizes, 1586 ....... Increase of Pauperism, Vagrancy, &c. in the Tudor period Influenzas and other "strange fevers" and fluxes, 1540- 1597 CHAPTER VIII. THE FRENCH POX. Meagreness of English records 414 Evidence of its invasion of Scotland and England, in 1497 and sub- sequent years . . . . . . . . . . 417 English writings on the Pox in the Elizabethan period, with some notices for the Stuart period ........ 423 The circumstances of the great European outbreak in 1494 — Invasion of Italy by Charles VIII 429 CHAPTER IX. SMALLPOX AND MEASLES. First accbunts of Smallpox in Arabic writings — Nature of the disease 439 European Smallpox in the Middle Ages 445 Measles in medieval writings — Origin of the names "measles" and "pocks" 448 First English notices of Smallpox in the Tudor period . . . 456 Great increase of Smallpox in the Stuart period .... 463 Smallpox in Continental writings of the i6th century . . . . 467 CHAPTER X. PLAGUE, FEVER AND INFLUENZA FROM THE ACCESSION OF JAMES I. TO THE RESTORATION. Growth of London in the Tudor and Stuart periods . . . . 471 The London Plague of 1603 474 Annual Plague in London after 1603 ....... 493 Plague in the Provinces, Ireland and Scotland, in 1603 and following years 496 Malignant Fever preceding the Plague of 1625 ..... 504 Xll Contents. PAGE The London Plague of 1625 507 Plague in the Provinces in 1625 and following years .... 520 The London Plague of 1636 529 Fever in London and in England generally to 1643 .... 532 War Typhus in Oxfordshire «&;c. and at Tiverton, 1643-44 . . 547 Plague in the Provinces, Scotland and Ireland during the Civil Wars 555 Fever in England 1651-52 ......... 566 The Influenzas or Fevers of 1657-59 ....... 568 CHAPTER XI. SICKNESSES OF EARLY VOYAGES AND COLONIES. Scurvy in the early voyages, north and south . . . . . 579 The remarkable epidemic of Fever in Drake's expedition of 1585-6 to the Spanish Main 585 Other instances of ship-fevers, flux, scurvy, &c. ..... 590 Scurvy &c. in the East India Company's ships : the treatment . . 599 Sickness of Virginian and New England voyages and colonies . . 609 Early West Indian epidemics, including the first of Yellow Fever — The Slave Trade . . . . . . . . . . 613 The epidemic of 1655-6 at the first planting of Jamaica . . . 634 CHAPTER XH. THE GREAT PLAGUE OF LONDON, AND THE LAST OF PLAGUE IN ENGLAND. Literature of the Great Plague 646 Antecedents, beginnings and progress of the London Plague of 1665 651 Mortality and incidents of the Great Plague — Characters of the disease 660 Plague near London and in the Provinces, 1665-66 .... 679 The Plague at Eyam 1665-66 ........ 682 The Plague at Colchester, 1665-66, and the last of Plague in England 688 ERRATA. At p. 28 line ■\-,for " for " read " at." At p. 126 line ^ for " 1351 " read " 1350;" same change at p. 130, lines 6 and 9. At p. 185 note i read " Ochenkowski." At p. 264 line 18, and at p. 554 line. 1 1 from bottom, read "■ pathogitomoniciiin." At p. 401, note I for "■ \(ii'i'" read "1558." At p. 420, line v~t, for "Henry IV.," read " Henry V." At p. 474, line ^, for "more" read "less." At p. 649 line 22 omit " I lancock." CHAPTER I. PESTILENCES PREVIOUS TO THE BLACK DEATH, CHIEFLY FROM FAMINES. The Middle Age of European history has no naturally fixed beginning or ending. The period of Antiquity may be taken as concluded by the fourth Christian century, or by the fifth or by the sixth ; the Modern period may be made to commence in the fourteenth, or in the fifteenth or in the sixteenth. The historian Hallam includes a thousand years in the medieval period, from the invasion of France by Clovis to the invasion of Italy by Charles VIII. in 1494. We begin, he says, in darkness and calamity, and we break off as the morning breathes upon us and the twilight reddens into the lustre of day. To the epide- miologist the medieval period is rounded more definitely. At the one end comes the great plague in the reign of Justinian, and at the other end the Black Death. Those are the two greatest pestilences in recorded history ; each has no parallel except in the other. They were in the march of events, and should not be fixed upon as doing more than their share in shaping the course of history. But no single thing stands out more clearly as the stroke of fate in bringing the ancient civilization to an end than the vast depopulation and solitude made by the plague which came with the corn-ships from Egypt to Byzantium in the year 543 ; and nothing marks so definitely the emergence of Europe from the middle period of stagnation as the other depopulation and social upheaval made by the plague which came in the overland track of Genoese and Venetian traders 2 The great plagiie of Justiniaiis reign, a.d. 543. from China in the year 1347. While many other influences were in the air to determine the oncoming and the oflgoing of the middle darkness, those two world-wide pestilences were singular in their respective effects : of the one, we may say that it turned the key of the medieval prison-house ; and of the other, that it unlocked the door after eight hundred years. The Black Death and its after-effects will occupy a large part of this work, so that what has just been said of it will not stand as a bare assertion. But the plague in the reign of Justinian hardly touches British history, and must be left with a brief reference. Gibbon was not insensible of the part that it played in the great drama of his history. " There was," he says, " a visible decrease of the human species, which has never been repaired in some of the fairest countries of the globe." After vainly trying to construe the arithmetic of Procopius, who was a witness of the calamity at Byzantium, he agrees to strike off one or more ciphers, and adopts as an estimate " not wholly in- admissible," a mortality of one hundred millions. The effects of that depopulation, in part due to war, are not followed in the history. So far as Gibbon's method could go, the plague came for him into the same group of phenomena as comets and earth- quakes ; it was part of the stage scenery amidst which the drama of emperors, pontiffs, generals, eunuchs, Theodoras, and adven- turers proceeded. Even of the comets and earthquakes, he remarks that they were subject to physical laws ; and it was from no want of scientific spirit that he omitted to show how a plague of such magnitude had a place in the physical order, and not less in the moral order. A new science of epidemiology has sprung up since the time of Gibbon, who had to depend on the writings of Mead, a busy and not very profound Court physician. More particularly the Egyptian origin of the plague of the sixth century, and its significance, have been elucidated by the brilliant theory of Pariset, of which some account will be given at the end of the chapter on the Black Death. For the present, we are concerned with it only in so far as it may have a bearing upon the pestilences of Britain. The plague of the sixth century made the greatest impression, naturall)', upon the oldest civilized countries of Continuance of plague in Europe. 3 Europe ; but it extended also to the outlying provinces of the empire, and to the countries of the barbarians. It was the same disease as the Black Death of the fourteenth century, the bubo- plague ; and it spread from country to country, and lasted from generation to generation, as that more familiar infection is known to have done\ Renewals of it are heard of in one part of Europe or another until the end of the sixth century, when its continuity is lost. But it is clear that the seeds of pestilence were not wanting in Rome and elsewhere in the centuries following. Thus, about the year 668, the English archbishop-elect, Vighard, having gone to Rome to get his election confirmed by the Pope Vitalianus, was shortly after his arrival cut off by pestilence, with almost all who had gone with hi ml Twelve years after, in 680, there was another severe pestilence in the months of July, August and September, causing a great mortality at Rome, and such panic at Pavia that the inhabitants fled to the mountainsl In 746 a pestilence is said to have advanced from Sicily and Calabria, and to have made such devastation in Rome that there were houses without a single inhabitant left*. The common name for all such epidemics \?> pestis ox pestilentia or magna viorialitas, so that it is open to contend that some other type than bubo- plague, such as fever or flux, may have been at least a part of them ; but no type of infection has ever been so mortal as the bubo-plague, and a mortality that is distinguished by a chronicler as causing panic and devastation was presumably of that type. 1 The references to the Justinian plague by contemporary and later historians have been collected, together with partly irrelevant matter about portents and earthquakes, by Val. Seibel, Die grosse Pest zur Zeit Jttstinian's I. Dillingcn, 1S57. The author, a layman, throws no light upon its origin. 2 Beda, Hist. Eccles. Eng. Hist. Society's ed. p. -243 : " qui ubi Romam pervenit, cujus sedi apostolicae tempore illo Vitalianus praeerat, postquam ilincris sui causam praefato papae apostolico patefecit, non nndto post et ipse et omnes pcnc, qui cum eo advenerant, socii, pestilentia superveniente, deleti sunt." 3 Flores Histor. by Roger of Wendover. Eng. Hist. Society's ed. i. 180. 4 Ibid. I. 228. 4 Probable extoision to Britain, A.D. 664. Pestilence in England and Ireland in the Seventh Century. It is more than a century after the first great wave of pestilence had passed over Europe in the reign of Justinian, before we hear of a great plague in England and Ireland. Dr Willan, the one English writer on medicine who has turned his erudition to that period, conjectures that the infection must have come to this country from the continent at an earlier date. From the year 597, he says, the progress of conversion to the Christian religion " led to such frequent intercourse with Italy, France and Belgium, that the epidemical and contagious disease prevailing on the continent at the close of the sixth century must necessarily be communicated from time to time through the Heptarchy \" Until we come to the Ecclesiastical History of Beda, the only authorities are the Irish annals ; and in them, the first undoubted entry of a great plague corresponds in date with that of Beda's history, the year 664. It is true, indeed, that the Irish annals, or the later recensions of them, carry the name that was given to the plague of 664 {pestis ictericia or binde connaill) back to an alleged mortality in 543, or 548, and make the latter the " first btiide connailV ; but the obituary of saints on that occasion is merely what might have occurred in the ordinary way, and it is probable, from the form of entry, that it was really the rumour of the great plague at Byzantium and elsewhere in 543 and subsequent years that had reached the Irish annalist ^ The plague of 664 is the only epidemic in early British annals that can be regarded as a plague of the same nature, and on the same great scale, as the devastation of the continent of 1 Miscellaneous Works of the late Robert Willan, M.D., F.R.S., F.A.S. Edited by Ashby Smith, M.D. London, 1821. 'An Enquiiy into the Antiquity of the Smallpox etc' p. 108. - Annals of the Four Masters, ed. O'Donovan, Dublin, 1851, I. 183. "a.d. 543. There was an extraordinary universal plague through the world, which swept away the noblest third part of the human race." p. 1S7. "A.D. 548, Of the mortality which was called Cron Chonaill — and that was the first Buide Chonaill \flava ictericia'], — these saints died," several names following. The entries of that [ilague are under different years in the various original Annals. Bedas accoiDit of the general plague of 664. 5 Europe more than a century earlier, whether it be taken to be a late offshoot of that or not. The English pestilence of 664 is the same that was fabled long after in prose and verse as the great plague "of Cadwallader's time." It left a mark on the traditions of England, which may be taken as an index of its reality and its severity ; and with it the history of epidemics in Britain may be said to begin. It was still sufficiently recent to have been narrated by eyewitnesses to Beda, whose Eccle- siastical History is the one authentic source, besides the entry in the Irish annals, of our information concerning it. The pestilence broke out suddenly in the year 664, and after " depopulating" the southern parts of England, seized upon the province of Northumbria, where it raged for a long time far and wide, destroying an immense multitude of people*. In another passage Beda says that the same mortality occurred also among the East Saxons, and he appears to connect there- with their lapse to paganism ^ The epidemic is said to have entered Ireland at the be- ginning of August, but whether in 664 or 665 is not clear. According to one of those vague estimates which we shall find again in connexion with the Black Death, the mortality in Ireland was so vast that only a third part of the people were left alive. The Irish annals do, however, contain a long list of notables who died in the pestilence''. Beda follows his general reference to the plague by a story of the monastery of Rathmelsigi, identified with Melfont in 1 " Eodem anno dominicae incarnationis sexcentesimo sexagesimo quarto, facta erat eclipsis solis die tertio mensis Mali, hora circiter decima diei ; quo etiam anno subita pestilentiae lues, depopulatis prius australibus Brittaniae plagis, Nordanhyin- brorum quoque provinciam corripiens, atque acerba clade diutius longe lateque desaeviens, magnam hominum multitudinem stravit. Qua plaga piaefatus Domini sacerdos Tuda raptus est de mundo, et in monasterio, quod dicitur Taegnalaech, honorifice sepultus. Haec autem plaga Hiberniam quoque insulani pari clade pre- mebat. Erant ibidem eo tempore multl nobilium simul et mediocrium de gente Anglorum, qui tempore Finani et Colmani episcoporum, relicta insula patria, vel divinae lectionis, vel continentioris vitae gratia, illo secesserant Erant inter hos duo juvenes magnae indolis, de nobilibus Anglorum, Aedilhun et Ecgberct," etc. Beda's Z^/j/. Eccles. ed. Stevenson. Engl. Hist. Soc. I. p. 231. - Ibid. p. 240. * Annals of the Four Masters, i. 275. 6 Reneived outbreaks in nwuasteries, 685. Meath, which he heard many years after from the chief actor in it. Egbert, an EngHsh youth of noble birth, had gone to Ireland to lead the monastic life, like many more of his country- men of the same rank or of the middle class. The plague in his monastery had been so severe that all the monks either were dead of it or had fled before it, save himself and another, who were both lying sick of the disease. Egbert's companion died ; and he himself, having vowed to lead a life of austerity if he were spared, survived to give effect to his vow and died in the year 729 with a great name for sanctity at the age of ninety. The plague of 664 is said, perhaps on constructive evidence \ to have continued in England and Ireland for twenty years ; and there are several stories told by Beda of incidents in monasteries which show, at least, that outbreaks of a fatal infection occurred here or there as late as 685. Several of these relate to the new monastery of Barking in Essex, founded for monks and nuns by a bishop of London in 6']6. First we have a story relating to many deaths on the male side of the house^ and then two stories in which a child of three and certain nuns figure as dying of the pestilence ^ Another story appears to relate to the plague in a monastery on the Sussex coast, seemingly Selsea^ Still another, in which Beda 1 Thorpe, in his edition of Florence of Worcester, for the Eng. Hist. Society, I. 25. - The first of Beda's incidents of the Barking monastery relates to a miraculous sign in the heavens showing where the cemetery was to be. It begins: "Cum tempestas saepe dictae cladis, late cuncta depopulans, etiam partem monasterii hujus illam qua viri tenebantur, invasisset, et passim quotidie raperentur ad Dominuni. " "^ " Erat in eodem nionasterio [Barking] puer trium circiter, non amplius annorum, yEsica nomine, qui propter infantilem adhuc aetatem in virginum Deo dedicatarum solebat cella nutriri, ibique medicari. Hie praefata pestilentia tactus ubi ad extrema pervenit clamavit tertio unam de consecratis Christo virginibus, proprio cam nomine quasi pracscntem alloquens ' Eadgyd, Eadgyd, Eadgyd ' ; et sic terminans temporalem vitam intravit aeternam. At virgo ilia, quam moriens vocabat, ipso quo vocata est die dc hac luce subtracta, et ilium qui se vocavit ad regnum coeleste secuta est." Beda, p. 265. Then follows the story of a nun dying of tlie pestilence in the same monastery. '' Beda, Lib. iv. cap. 14. In addition to the instances in the tex.1, which I have collected frt)m Beda's Ecclesiastical History, I find two mentioned by Willan in his " Inquiry into the Antiquity of the Smallpo.x," {Misccll. Works, London, 1821, Plague in the Nortlimnbrian moitasterics, 685. 7 himself is supposed to have played a part, is told of the monastery of Jarrow, the date of it being deducible from the context as the year 685. Of the two Northumbrian monasteries founded by Benedict, that of Wearmouth lost several of its monks by the plague, as well as its abbot Easterwine, who is otherwise known to have died in March, 685. The other monastery of Jarrow, of which Ceolfrith was abbot, was even more reduced by the pestilence. All who could read, or preach, or say the antiphonies and responses were cut off, excepting the abbot and one little boy whom Ceolfrith had brought up and taught. For a week the abbot conducted the shortened services by himself, after which he was joined by the voice of the boy ; and these two carried on the work until others had been instructed. Beda, who is known to have been a pupil of Ceolfrith's at Jarrow, would then have been about twelve years old, and would correspond to the boy in the story \ The nature of these plagues, beginning with the great invasion of 664, can only be guessed. They have the look of having been due to some poison in the soil, running hither and thither, as the Black Death did seven centuries after, and re- pp. 109, no) : "About the year 672, St Cedda, Bisliop of the East Saxons, Ijcing on a visitation to the monastery of Lestingham, was infected with a contagious distemper, and died on the seventh day. Thirty monks, who came to visit the tomb of their bishop, were likewise infected, and most of them died" (Vita S. Cecidae, \'ii. Jan. P- 375- Cf. Beda, iv. 3). Again : "In the course of the year 685, the disease re-appeared at Lindisfarne, (Holy Island), St Cuthbcrt's al)bacy, and in 686 spread through the adjoining district, where it particularly affected children " ( Vita S. CiUhberti, cap. 33). Willan's erudition has been used in support of a most improbable hypothesis, that the pestilence of those years, in monasteries and elsewhere, was smallpox. 1 Ilistoria Abbatum Gyrvensium, auctore anonymo, §§ 13 and 14. (App. to vol. II. of Beda's works. Eng. Hist. Society's edition, p. 323.) § 13. Qui dum transmarinis moraretur in locis [Benedict] ecce subita i>estilentiae procella Brittaniam corripiens lata nece vastavit, in qua plurimi de utroque ejus monasterio, et ipse venerabilis ac Deo dilectus abbas Eosterwini raptus est ad Dominum, quarto ex quo abbas esse coeperat anno. § 14. Porro in monasterio cui Ceolfridus praeerat omnesqui legere, vel praedicare, vel antiphonas ac responsoria dicere possent ablati sunt excepto ipso abbate et uno puerulo, qui ab ipso nutritus et eruditus. In the Article "Baeda," Diet. Nat. Biog., the Rev. W. Hunt points out that the boy referred to in the above passage would have been Beda himself. 8 Nature of the seventh-century pestilence. maining in the country to break out afresh, not universally as at first, but here and there, as in monasteries. The hypothesis of a late extension to England and Ireland of the great European invasion of bubo-plague in 543, would suit the facts so far as we know them. The one medical detail which has been preserved, on doubtful authority, that the disease was a pestis ictericia, marked by yellowness of the skin, and colloquially known in the Irish language as buide connaill, is not incompatible with the hypothesis of bubo-plague, and is otherwise unintelligible \ For the next seven centuries, the pestilences of Britain are mainly the results of famine and are therefore of indigenous origin. So strongly is the type of famine-pestilence impressed upon the epidemic history of medieval England that the chroniclers and romancists are unable to dissociate famine from their ideas of pestilence in general. Thus Higden, in his reference to the outbreak of the Justinian plague at Constantinople, associates it with famine alone ''^; and the metrical romancist, Robert of Brunne, who had the great English famine of 13 15-16 fresh in his memory, describes circumstantially the plague of 664 or the plague of Cadwallader's time, as a famine-pestilence, his details being taken in part from the account given by Simeon of Durham of the harrying of Yorkshire by William the Conqueror, and in part, doubtless, from his own recent experience of a great English famine ^ But before we come to these typical famine- pestilences of Britain, which fill the medieval interval between the foreign invasion of plague in Beda's time and the foreign invasion of 1348, it remains to dispose in this place of those outbreaks on English soil which do not bear the marks of famine-sickness, but, on the other hand, the marks of a virulent infection arising at particular spots probably from a tainted soil. These have to be collected from casual notices in the most ^ Tlie liistory of llic wmwq peslis Jlava ictericia is given by O'Donovan in a note to the passage in tlae Annals of th: Four Masters, I. 275 : " Icteritia vel aurigo, id est abundantia llavae bilis, pjr corpus efifusae, hominenique pallidum reddentis," is the explanation of P. O'S. Beare. The earliest mention of "yellow plague " appears to have been in an ancient life of St Gerald of Mayo, in Colgan's Ada Sanctorum, at the calendar date of 13th March. - Polyclironicon, Rolls edition, v. 250. ^ The Story of England, Rolls series, ed. Furnivall, 11. c,6y. Outbreaks at Canterbury, 829 and Cray land, 1304. 9 unlikely corners of monastic chronicles; but it is just the casual nature of the references that makes them credible, and leads one to suppose that the recorded instances are only samples of epidemics not altogether rare in the medieval life of England. Early Epidemics not connected with Famine. The earliest of these is mentioned in the annals of the priory of Christ Church, Canterbury. In the year 829, all the monks save five are said to have died of pestilence, so that the monastery was left almost desolate. The archbishop Ceolnoth, who was also the abbot of the monastery, filled up the vacancies with secular clerks, and he is said to have done so with the consent of the five monks "that did outlive the plague." The incident comes into the Canterbury MS. of the Anglo-Saxon Chronicle ^ under the year 870, in connexion with the death of Ceolnoth and the action of his successor in expelling the seculars and completing the original number of regulars. So far as the records inform us, that great mortality within the priory of Christ Church two centuries after it was founded by Augustine, was an isolated event ; the nearest general epidemic to it in the Anglo-Saxon Chronicle was a great mortality of man and beast about the year 897 following the Danish invasion which Alfred at length repelled. That such deadly intramural epidemics in monasteries were not impossible is conclusively proved by the authentic particulars of a sudden and severe mortality among the rich monks of Croyland at a much more recent date — between the years 1304 and 1315. In the appendix to the chronicle of Ramsey Abbey'' there is printed a letter from Simon, abbot of Croyland, without date but falling between the years above given, addressed to his neighbours the abbots of Ramsey, Peterborough and Thorney, and the prior of Spalding. The letter is to ask their prayers on the occasion of the sudden death of thirteen of the monks of Croyland and the sickness of others ; that large number of the 1 Rolls series, ed. Thoipe, i. 136, 137 (Tiaiisl. n. 60). Also in Gervasc of Canterbury, Rolls series, ed. Stubbs, H. 348. '^ Chronicon Abbatiac Raiiicsicnsis, Rolls ed. 1S86, p. 397. lO Similar instance among English at Rome, 1188. brethren had been cut off within fifteen days — " potius violenter rapti quam fataliter resoluti '." The letter is written from Daddington, whither abbot Simon had doubtless gone to escape the infection. These are two instances of deadly epidemics within the walls of English monasteries. In the plague-years 664 — 685, and long after in the Black Death, the mortalities among the monks were of the same degree, only there was an easy explanation of them, in one if not in both cases, as being part of an imported infection universally diffused in English soil. What the nature of the occasional outbreaks in earlier times may have been, we can only guess : something almost as deadly, we may say, as the plague itself, and equally sudden. The experience was not peculiar to England, An incident at Rome almost identical with that of Vighard in 66% is related in a letter sent home in 1 1 88, by Honorius the prior of Canterbury, who had gone with others of the abbey on a mission to Rome to obtain judgment in a dispute between the archbishop and the abbey, that the whole of his following was stricken with sickness and that five were dead. John de Bremble, who being also abroad was ordered to go to the help of the prior, wrote home to the abbey that when he reached Rome only one of the brethren was alive, and he in great danger, and that the first thing he had to do on his arrival was to attend the cook's funeral "^ There is no clue to the type of these fatal outbreaks of sickness within monastic communities. One naturally thinks of a soil-poison fermenting within and around the monastery walls, and striking down the inmates by a common influence as if at one blow. There are in the medieval history previous to the Black Death a few instances of local pestilences among the common people also, which differ from the ordinary famine- sicknesses of the time. The most significant of these is a story told by William of Newburgh at the end of his chronicle and ' According to an imjuisition of 2 Edward III., ihe abbey of Croyland contained in 1328, forty-one monks, besides fifteen " corrodiarii " and thirty-six servitors. Chronicle of Croyland mQz^Q, I. 482. * Epistolae Caiitiiarienscs, Rolls series, No. 38, ed. .Stubbs, Epist. CCL.WU. ]:>. 254, and Introduction, p. Ixvii. A village plague at Annan, 1 196. ii probably dating from the corresponding period, about the year ii96\ For several years there had been, as we shall sec, famine and fever in England ; but the particular incident does not relate to the famine, although it may join on to it. It is the story of a ghost walking, and it comes from the village of Annan on the Solway, having been related to the monk of Newburgh in Yorkshire by one who had been an actor in it. A man who had fled from Yorkshire and taken refuge in the village under the castle of Annan, was killed in a quarrel about the woman whom he had married, and was buried without the rites of the church. His unquiet ghost walked, and his corpse tainted the air of the village ; pestilence was in every house, so that the place which had been populous looked as if deserted, those who escaped the plague having fled. William of Ncwburgh's informant had been in the midst of these calamities, and had taken a lead in mitigating them ; he had gone to certain wise men living "in sacra dominica quae Palmarum dicitur," and having taken counsel with them, he addressed the people : " Let us dig up that pestilence and let us burn it with ^xo." (effodiamus pesteni illani et combnramus igni). Two young men were, accordingly, induced to set about the task. They had not far to dig: "repente cadaver non multa humo egesta nudaverunt, enormi corpulentia distentum, facie rubenti turgentique supra modum." The story, like others of the kind with a mixture of legend in them, is more symbolical than real. The wise men of Annan may have been in error in tracing the plague of their village to a single corpse, but they were probably on the right lines of causation. It is curious to observe in another chronicler of the same period, Ralph of Coggeshall in Essex, and in a part of his chronicle which relates to the last years of Richard I,, and first years of John, a comment upon the action of Pope Innocent III. (about 1200 A.D.) in interdicting all Christian rites save baptism by the clergy in France: "O how horrible... to refuse the Christian rite of burial to the bodies of the dead, so that they infected the air by their foetor and struck horror into the souls of the living by their ghastly looks^" The same pope's interdict 1 William of Newburgh, Rolls cd. p. 481. - Ralph of Coggeshall, Rolls series, No. 66, p. 1 1 2. 12 Pestilence in the Welsh Marches, 1234. of decent burial and of other clerical rites extended to England in 1208, the famous Interdict of the reign of John. It was the papal method of checkmating the kingdoms of this world ; that it was subversive of traditional decency and immemorial sanitary precaution was a small matter beside the assertion of the autho- rity of Peter. Rightly or wrongly, taught by experience or misled by fancy, the medieval world firmly believed that the formal and elaborate disposal of the dead had a sanitary aspect as well as a pious. The infection of the air, of which we shall hear much more in connexion with the plague, was a current notion in England for several centuries before the Black Death. Es- pecially does the dread of it find expression where corpses were unburied after a battle, massacre, or calamity of nature. The exertions made in these circumstances to bury the dead, even when all pious and domestic feeling was hardened to the barest thought of self-preservation, are explained in set terms as insti- gated by the fear of breeding a pestilence. The instinct is as wide as human nature, and there is clear evidence in our own early writers that its sanitary meaning was recognised. One such instance may be quoted from the St Albans annalist of the time of John and first years of Henry 1 11.^ In the year 1234, an unusually savage raid was made by the Welsh as far as Shrewsbury ; they laid waste the country by fire and sword ; wayfarers were horrified at the sight of naked and unburied corpses without number by the road sides, preyed on by ravenous beasts and birds ; the foetor of so much corruption infected the air on all sides, so that even the dead slew the living. The chronicler's language, " quod etiam homines sanos mortui pere- merunt," is marked by the perspicacity or correctness which distinguishes him. When the bubo-plague came to be do- mesticated in English soil more than a century later, the disposal of the dead became a sanitary question of obvious importance. But even in the centuries before the Black Death, and most of all in the times when the traditional practices of decent burial were interdicted by Popes or turned to mercenary ' Roger of Weiulovcr, 111. 72. War pestilence rare in England. 13 purposes by clergy \ we shall perhaps not err in looking for one, at least, of the causes of localised outbreaks of pestilence in the tainting of the soil and the air by the corruption of corpses insufficiently buried and coffined. There still remains, before we come to famine-sickness as the common type of pestilence in medieval England, to discover from the records any evidence of pestilence due to war and invasion. The domestic history from first to last is singularly free from such calamities. The whole history of Mohammedan conquest and occupation is a history of infection following in the train of war ; and in Western Europe, at least from the invasion of Italy by Charles VIII., when the medieval period (according to Hallam) closes, the sieges, battles, and campaigns are constantly associated with epidemic sickness among the people as well as among the troops. There is only one period in the history of England, that of the civil wars of the Parliament and the Royalists, in which the people had a real taste of the common continental experience. The civil wars of York and Lancaster, as we shall see, touched the common people little, and appear to have bred no epidemics. Apart from civil war, there were invasions, by the Welsh and Scots on the western and northern marches, and by the Danes. One instance of pestilence following a Welsh raid in the thirteenth century has been given from Roger of Wendover. A single instance is recorded in the history of the Danish invasions. It has been preserved by several independent chroniclers, with some variation in details ; and it appears to have been distinguished by so much notice for the reason that it illustrates the magnanimity, sanctity, and miraculous power of St Elphege, archbishop of Canterbury. In the year loio (or ion according to some), the Danes had stormed Canterbury, burnt the fair city, massacred the inhabitants, or carried them captive to their ships at Sandwich. ^ In the Life of St Hugh of Lincohi, who died in 1200, or eight years before the Papal Interdict, there is a clear reference to difficulties thrown by the priests in the way of burial, especially for the poor, and perhaps in a time of epidemic sickness such as the years 11 94 — 6. See Vita S. Hiigoiiis Lincohicusis, Rolls series, No. 37, pp. 228—233. 14 Camp sickness in a Danish invasion^ loio. The archbishop Elphege was put on board a small vessel and taken (doubtless by the inland channel which was then open from the Stour to the Thames) to Greenwich, where he was imprisoned for seven months'. A council had assembled in London for the purpose of raising forty thousand pounds to buy off the invaders. According to the account used by Higden^ Elphege refused to sanction the payment of a ransom of three thousand pounds for his own person : he was accordingly taken from prison, and on the 13th of the Calends of May, lOio, was stoned to death by the Danes disappointed of his ransom. Therefore a pestilence fell upon the invaders, a dolor visccrum, which destroyed them by tens and twenties so that a large number perished. The earlier narrative of William of Malmes- bury^ is diversified by the introduction of a miracle, and is otherwise more circumstantial. While the archbishop was held in durance, a deadly sickness broke out among the Danes, affecting them in troops {catervatini), and proving so rapid in its effects that death ensued before they could feel pain. The stench of their unburied bodies so infected the air as to bring a plague upon those of them who had remained well. As the survivors were thrown into a panic, " sine numero, sine modo," Elphege appeared upon the scene, and having administered to them the consecrated bread, restored them to health and put an end to the plague. Disregarding what is fabulous, we may take these narratives to establish the fact that a swift and fatal pestilence did break out among the Danes in Kent. It had consisted probably of the same forms of camp sickness, including dysentery (as the name dolor viscernm implies), which have occurred in later times. It is the only instance of the kind recorded in the early history. ^ Eadmer, I.e. ' Polychronicon, Rolls ed. vii. 90. * Gcsta Pontificum, Rolls ed. p. 171. Anothei' narrator of the story of St Elphege and the Danes is Henry of Huntingdon (Rolls ed. p. 179) ; he says nothing of the pestilence, but describes the sack of Canterbury. Eadmer also {^flistoria NoTorum in Ani^lia, Rolls ser. 81, p. 4) omits the pestilence. CJironology of faviine-pestilences. •5 Medieval Famine-pestilences. The foregoing are all the instances of pestilence in early English history, unconnected with famine, that have been col- lected in a search through the most likely sources. The history of English epidemics, previous to the Black Death, is almost wholly a history of famine sicknesses ; and the list of such famines with attendant sickness, without mentioning the years of mere scarcity, is a considerable one. TABLE OF FAMINE-PESTILENCES IN ENGLAND. Year 679 793 897 962 976 986 987 1005 1036I 1039J 1044 1046 10481 1049J Character Three years' famine in Sus- sex from droughts General famine and severe mortality Mortality of men and cattle for three years during and after Danish invasion Great mortality: "the great fever in London " Famine Famine. Fever of men and murrain of cattle Desolation following expul- sion of Danes Famine Famine Very hard winter ; pesti- lence and murrain Great mortality of men and cattle Authority Beda, Hist. Eccles. § 290 Anglo-Saxon Chronicle, s}{b aiifw. Roger of Howden. Simeon of Durham Anglo-Saxon Chronicle. Florence of Worcester. Annales Cambriae {anno 896) Anglo-Saxon Chronicle Anglo-Saxon Chronicle. Roger of Howden Anglo-Saxon Chronicle. Roger of Howden. Simeon of Durham. Malmesbury. Gcst. Pontif. .^Ini^/. p. 171. Flor. of Worcester. Roger of Wendover, Flor. Hist. Brom- ton (in Twysden). Higdcn Henry of Huntingdon Anglo-Saxon Chronicle. Henry of Huntingdon Anglo-.Saxon Chronicle Anglo-Saxon Chronicle Anglo-Saxon Chronicle {sub mnio 1049). Roger of Howden. Simeon of Durham {si/b anno 1048) i6 Chronology of famine-pestilences. Year 1069 1086I 10S7J 1091 Character Wasting of Yorkshire Great fever-pestilence. Sharp famine Siege of Durham by the Scots Floods ; hard winter ; se- vere famines ; universal sickness and mortality General pestilence and mur- rain Authority Simeon of Durham, ii. 188 Anglo-Saxon Chronicle. Malmes- bury. Henry of Huntingdon, and most annalists Simeon of Durham, ii. 339 Anglo-Saxon Chronicle. Annals of Winchester. William of Malmes- bury. Henry of Huntingdon. An- nals of Margan. Matthew Paris, and others Anglo-Saxon Chronicle. Wendover Roger of Famine 1 1 1 2 " Destructive pestilence '" II 14 1125 [1130 1 1 371 1140J Famine in Ireland ; flight or death of people Most dire famine in all England ; pestilence and Great murrain Famine from civil war ; mortality 1 143 Famine and mortality. 1 1 7 1 Famine in London in Spring 1 1 72 Dysentery among the troops in Ireland 1 173 "Tussis quaedam mala ct inaudita" 1 175 Pestilence; famine Anglo-Saxon Chronicle. Roger of Wendover Anglo-Saxon Chronicle. Annals of Osney. Annales Cambriae Annals of Margan Anglo-Saxon Chronicle. William of Malmesbury, Gest. Pont. p. 442. Henry of Huntingdon. Annals of Margan. Roger of Howden. Annals of Margan. Anglo-Saxon Chronicle [stib anno 1131)] Anglo-Saxon Chronicle. Annals of Winchester. Henry of Huntingdon (1138) Gesta Stephani, p. 98. William of Newburgh. Henry of Huntingdon Stow, Survey of London Radulphus de Diceto, Imng. Hist. i. 348 Chronica dc Mailros Benedict of Peterborough. Roger of Howden Chronology of faininc-pestilcnccs to 1322. 17 Year Character 1 189 Famine and mortality 1 1 94 Effects of a five years' 119s scarcity ; great mortality 1 196 over all England 1197^ 1201 Unprecedented plague of people and murrain of animals 1203 Great famine and mortality 1210 Sickly year throughout Eng- land 1234 Third year of scarcity; sick- ness 1247 Pestilence from September to November; dearth and famine 1257' 1258- 1259] Bad harvests ; famine and fever in London and the country 1268 Probably murrain only. (" Lungessouth ") 1 27 1 Great famine and pestilence in England and Ireland [1274 Beginning of a great im- ported murrain among sheep 1285 Deaths from heat and drought 1294 Great scarcity ; epidemics of flux 1315]. General famine in England; 1316J great mortality from fever, flux &c. ; murrain 1322 Famine and mortality in Edward II.'s army in Scotland; scarcity in Lon- don Authority Annals of Margan. Giraldus Cam- brensis, ///;/. Walliac Annals of Burton. William of New- burgh. Roger of Howden iii. 290. Rigord. Bromton (in Twysden col. 1271). Radulphus dc Diceto {stib anno 1 197) Chronicon de Lancrcost (probably relates to 1203) Annals of Waverley. Annals of Tewkesbury. Annals of Margan. Ralph of Coggeshall(j-///' (?;/;/ (^ 1205) Annals of Margan Roger of Wendover. Annals of Tewkesbury Matthew Paris. Higden Annales Cambriae {sitb anno 1248) Matthew Paris. Annals of Tewkes- bury. Continuator of M. Paris (1259). Rishanger Chronicon de Lanercost Continuator of William of Newburgh ii. 560 [doubtful] Rishanger (also sub anno 1275). Contin. Fl. of Worcester sub anno 1276] Rishanger Rishanger. Continuator of Florence of Worcester p. 405. Trivet Trokelowc. Walsingham, Hist. Angl. i. 146. Contin. Trivet, pp. 18, 27. Rogers, Hist, of Agric. and Prices Higden. Annales Londinenses 1 8 'Merry England' a land of plenty. The period covered by this long list is itself a long one ; and the intervals between successive famine-pestilences are some- times more than a generation. A history of epidemics is necessarily a morbid history. In this chapter of it, we search out the lean years, saying nothing of the fat years ; and by exclusively dwelling upon the dark side we may form an entirely wrong opinion of the comforts or hardships, prosperity or adversity, of these remote times. English writers of the earliest period, when they use generalities, are loud in praise of the advantages of their own island ; until we come to the fourteenth century poem of ' The Vision of Piers the Ploughman ' we should hardly suspect, from their usual strain, that England was other than an earthly paradise, and every village an Auburn, " where health and plenty cheered the labouring swain." There is a poem preserved in Higden's PolycJironicon by one Henricus, who is almost certainly Henry archdeacon of Huntingdon in the time of Henry I., although the poem is not included among the archdeacon's extant verse. The subject is ' De Praerogativis Angliae,' and the period, be it remarked, is one of the early Norman reigns, when the heel of the conquering race is supposed to have been upon the neck of the English. Yet this poem contains the famous boast of ' Merry England,' and much else that is the reverse of unhappy : — "Anglia terra ferax et fertilis an^julus orbis. Anglia plena jocis, gens libera, digna jocari ; Libera gens, cui libera mens et libera lingua : Sed lingua melior liberiorque manus. Anglia terrarum decus et flos finitimarum, Est contenta sui fcrtilitate boni. Externas gentcs consumptis rebus egentes, Quando fames laedit, recreat et leficit. Commoda terra satis mirandae fertilitatis Prosperitate viget, cum bona pacis habet^" Or, to take another distich, apparcntl)' by Alfred of Beverley, "Insula praedives, quae toto non eget orbe, Et cujus totus indiget orbis ope." ' (j)iuitc(l Ijy IIJLjden, Polychronicon, Rolls ed. II. i8. Tliis may Iiave lieeii one of Henry of Huntingdon's poems wliich were exlant in Lcland's time, but are now lost. But notorious abroad for its famines. 19 Or, in Higden's own fourteenth century words, after quoting these earlier estimates : " Prae ceteris gulae dedita, in victu et vestitu multum sumptuosa'." On the other hand there is a medieval proverbial saying which places England in a light strangely at variance with this native boast of fertility, plenty, and abundance over- flowing to the famished peoples abroad : " Tres plagae tribus regionibus appropriari solent, Anglorum fames, Gallorum ignis, Normannorum lepra" — three afflictions proper to three countries, famine to England, St Anthony's fire to France, leprosy to Normandy^ Whatever the "lepra Normannorum" may refer to, there is no doubt that St Anthony's fire, or ergotism from the use of bread containing the grains of spurred rye, was a frequent scourge of some parts of France ; and, in common repute abroad, famine seems to have been equally characteristic of England. Perhaps the explanation of Eng- land's evil name for famines is that there were three great English famines in the medieval history, before the Black Death, separated by generations, no doubt, but yet of such magnitude and attended by so disgraceful circumstances that the rumour of them must have spread to foreign countries and made England a by-word among the nations. These were the famines of 1194-96, 1257-59, and 1315-16. Of the first we have a tolerably full account by William of Newburgh, who saw it in Yorkshire ; of the second we have many particulars and generalities by Matthew Paris of St Albans, who died towards the end of it; and of the third we have an account by one of his successors as historiographer at St Albans, John Trokelowe. All other references to famine in England are meagre beside the narratives of these competent observers, although there were probably two or three famines in the Norman period equally worthy of the historian's pen. F"or the comprehension of English famine-pestilences in general, we ought to take the best recorded first ; but it will be on the whole ^ Polychroiiicoiiy \\. 166. - Marchand, E/mA' stir quelqiics c-pidemics d endemics dti tiioycu <\i^c' (Tliese), Paris, 1873, p. 49, with a reference to Fuchs, " Das heilige Feuer im Mittelalter" in Hecker's Aunakii, vol. 28, p. 1, which journal I have been unalile to consult. 2 — 2 20 Generalities of MaltJius on apparent plenty. more convenient to observe the chronological order, and to introduce, as occasion ofifers, some generalities on the types of disease which famine induced, the extent of the mortalities, and the conditions of English agriculture and food-supply which made possible occasional famines of such magnitude. From the great plague " of Cadwallader's time," which corre- sponds in history to the foreign invasion of pestilence in 664, until nearly the end of the Anglo-Saxon rule, there is little recorded of famines and consequent epidemic sickness. It does not follow that the period was one of plenty and prosperity for the people at large. The Anglo-Saxon Chronicle is at no period detailed or circumstantial on the subject of famines and pesti- lences ; and although the entries become more numerous in the last hundred years before the Chronicle came to an end in 11 37, their paucity in the earlier period probably means no more than the imperfection of the record. Some of the generalities of Malthus might be applied to help the imagination over a period of history which we might otherwise be disposed to view as the Golden Age. One of these, originally written for the South Sea Islands, is applicable to all romantic pictures of " rude plenty," such as the picture of the Anglo-Saxon household in Ivanhoe. It has been remarked of Scott as a novelist that he always feeds everyone well ; but the picture, grateful to the imagination though it be, is probably an illusion. " In a state of society," says Malthus, " where the lives of the inferior order of the people seem to be considered by their superiors as of little or no value, it is evident that we are very liable to be deceived with regard to the appearances of abundance"; and again : "We may safely pronounce that among the shepherds of the North of Europe, war and famine were the principal checks that kept the popula- tion down to the level of their scanty means of subsistence." The history of English agriculture is known with some degree of accuracy from the thirteenth century, and it is a history of prices becoming steadier and crops more certain. It is not to be supposed that tillage was more advanced before the Conquest than after it. On the other hand the probabilities arc that England had steadily emerged from a pastoral state. It would be unfair to judge of the .state of rural England at any Ireland and Wales in the \2th Cent my. 2i time by the state of Wales in the twelfth century, as it is described by Giraldus Cainbrensis, or by the condition of Ireland as described from the same traveller's observations. But in the absence of any concrete view of primitive England itself, the picture of the two neighbouring provinces may be introduced here. Ireland, says Giraldus, closely following Beda, is a fertile land neglected ; it had no agriculture, industries or arts ; its in- habitants were rude and inhospitable, leading a purely pastoral life, and living more upon milk than upon meat. At the same time there was little sickness ; the island had little need of physicians ; you will hardly ever find people ill unless they be at the extremity of death ; between continuous good health and final dissolution there was no middle term. The excessive number of children born blind, or deaf, or deformed, he ascribes to incestuous unions and other sexual laxities^ The picture of Wales is that of a not less primitive society ^ The Welsh do not congregate in towns, or in villages, or in fortified places, but live solitary in the woods ; they build no sumptuous houses of stone and lime, but only ozier booths, sufificient for the year, which they run up with little labour or cost. They have neither orchards nor gardens, and little else than pasture land. They partake of a sober meal in the evening, and if there should be little or nothing to eat at the close of day, they wait patiently until the next evening. They do not use table-cloths nor towels ; they are more natural than neat {naturae magis student quani nitori). They lie down to sleep in their day clothes, all in one room, with a coarse covering drawn over them, their feet to the fire, lying close to keep each other warm, and when they are sore on one side from lying on the hard floor, they turn over to the other. There are no beggars among this nation. It is of interest, from the point of view of the " positive checks " of Malthus, to note that Giraldus more than hints at the practice of a grosser form of immorality than he had charged the Irish with. Spinning and weaving were of ^ Giraldus Cainbrensis, Topographia Hibcniiae, in Rolls edition of his works, No. 21, vol. V. - " Itinerarium Walliae " and " Descriptio Kanihriae," Opera, vol. vi. 22 State of tillage at the Domesday Survey, 1086. course not unknown, for the hard and rough blanket mentioned above was a native product. By the time that Higden wrote (about 1340), he has to record a considerable advance in the civilization of Wales. Having used the description of Giraldus, he adds : " They now acquire property, apply themselves to agriculture, and live in towns ^" But in the reign of Henry H., it was found easy to bring the rebellious Welsh to terms by stopping the supplies of corn from England, upon which they were largely dependent ^ Of the condition of Scotland in the twelfth century we have no such sketch as Giraldus has left for Wales and Ireland. Uncivilized compared with England, the northern part of the island must certainly have been, if we may trust the indignant references by Simeon of Durham and Henry of Huntingdon to the savage practices of the Scots who swarmed over the border, with or without their king to lead them, or the remark by William of Malmesbury concerning the Scots who went on the Crusade leaving behind them the insects of their native country. Giraldus intended to have written an itinerary or topography of England also, but his purpose does not appear to have been fulftlled. Higden, his immediate successor in that kind of writing a century and a half later, is content, in his section on England, to reproduce the generalities of earlier authors from Pliny downwards. Of these, we have already quoted the ' Prerogatives of England ' by Henry of Huntingdon, from which one might infer that the British Isles, under the Norman yoke, were the Islands of the Blest. On the other hand, the impression made by the details of the Domesday survey upon a historian of the soundest judgment, Hallam, is an impression of poor cultivation and scanty sustenance. " There cannot be a more striking proof," he says, "of the low condition of English agriculture in the eleventh century than is exhibited in Domes- day book. Though almost all England had been partially cultivated, and wc find nearly the same manors, except in the north, which exist at present, yet the value and extent of culti- vated ground are inconceivably small. With every allowance ^ J^olychronicon, I. 410. - William of Newburgli, sub anno 1157, I. 107. She of Engl is Jl toivns at the Survey. 23 for the inaccuracies and partialities of those by whom that famous survey was completed, we are lost in amazement at the constant recurrence of two or three carucates in demesne, with folkland occupied by ten or a dozen villeins, valued all together at forty shillings, as the return of a manor which now would yield a competent income to a gentleman \" Whether the population at the Domesday survey were nearer two milHons than one, the people were almost wholly on the land. Of the size of the chief towns, as the Normans found them, we may form a not incorrect estimate from the Domesday enumeration of houses held of the king or of other superiors"^. London, Winchester and Bristol do not come at all into the survey. Besides these, the towns of the first rank are Norwich, York, Lincoln, Thetford, Colchester, Ipswich, Gloucester, Oxford, Cambridge, and Exeter. Norwich had 1320 burgesses in the time of Edward the Confessor ; in the borough were 665 English burgesses rendering custom, and 480 bordarii rendering none on account of their poverty ; there were also more than one hundred French households. Lincoln had 970 inhabited houses in King Edward's time, of which 200 were waste at the survey. Thetford had 943 burgesses before the Conquest, and at the survey 720, with 224 houses vacant. York was so desolated just before the survey that it is not easy to estimate its ordinary population ; but it may be put at about 1200 houses. Gloucester had 612 burgesses. Oxford seems to have had about 800 houses ; and for Cambridge we find an enumeration of the houses in nine of the ten wards of the town in King Edward's time, the total being about 400. Colchester appears to have had some 700 houses, Ipswich 538 burgesses, with 328 houses " waste " so far as tax was concerned. Exeter had 300 king's houses, and an uncertain number more. Next in importance come such places as Southampton, Wallingford, Northampton, Leicester, War- wick, Shrewsbury, Nottingham, Coventry, Derby, Canterbury, Yarmouth, Rochester, Dover, Sandwich (about 400 houses), and Sudbury. In a third class may be placed towns like Dorchester, llchester, Bridport, Wareham, Shaftesbury, Bath, Chichester, Lewes, Guildford, Hythe, Romney, Pcvcnsey, Windsor, Bath, Chester, Worcester, Hereford, Huntingdon, Stamford, Grantham, Hertford, St Albans, Torchesey, Maldon, each with from 100 to 200 burgesses. Dover and Sandwich each supplied twenty ships, with crews of twenty-four men, for King Edward's service during fifteen days of the year. In Hereford there were six smiths, each rendering one penny a year for his forge, and making 120 nails of the king's iron. Many of these houses were exceedingly small, with a frontage of seven feet ; the poorest ^ Europe during the Middle Ages, chap. i.x. 2 I have used for this purpose Mere wether and Stephens' History of Boroughs, 3 vols. 1835. 24 Ordiiiaiy maladies of the English, wth Century. class were mere sheds, built in the ditch against the town wall, as at York and Canterbury. It would be within the mark to say that less than one-tenth of the population of England was urban in any distinctive sense of the term. After London, Norwich, York, and Lincoln, there were probably no towns with five thousand inhabitants. There were, of course, the simpler forms of industries, and there was a certain amount of commerce from the Thames, the East Coast, and the Channel ports. The fertile soil of England doubtless sustained abundance of fruit trees and produced corn to the measure of perhaps four or six times the seed. There were flocks of sheep, yielding more wool than the country used, herds of swine and of cattle. The exports of wool, hides, iron, lead, and white metal gave occasion to the importation of commodities and luxuries from Flanders, Normandy, and Gascony. If there was "rude plenty" in England, it was for a sparse population, and it was dependent upon the clemency of the skies. A bad season brought scarcity and murrain, and two bad seasons in succession brought famine and pestilence. Of the general state of health we may form some idea from the Anglo-Saxon leechdoms, or collections of remedies, charms and divinations, supposed to date from the eleventh century *. The maladies to which the English people were liable in these early times correspond on the whole to the everyday diseases of our own age. There were then, as now, cancers and consump- tions, scrofula or " kernels," the gout and the stone, the falling sickness and St Vitus' dance, apoplexies and palsies, jaundice, dropsies and fluxes, quinsies and anginas, sore eyes and putrid mouth, carbuncles, boils and wildfire, agues, rheums and coughs. Maladies peculiar to women occupy a chief place, and there is evidence that hysteria, the outcome of hardships, entered largely into the forms of sickness, as it did in the time of Sydenham. Among the curiosities of the nosology may be mentioned wrist-drop, doubtless from working in lead. One great chapter in disease, the sickness and mortality of infants ' Leechdoms, Wort-cunning and Slarcrafl of Early Eiii^land. Edited by Cockayne for the Rolls Scries, }, vols. 1864-66. A famine in Snsscx about 6yc). 25 and children, is almost a complete blank. It ought doubtless to have been the greatest chapter of all. The population remained small, for one reason among others, that the children would be difficult to rear. There is no direct evidence ; but we may infer from analogous circumstances, that the inexpansive population meant an enormous infant mortality. The sounds which fell on the ear of /Eneas as he crossed the threshold of the nether world may be taken as prophetic, like so much else in Virgil, of the experience of the Middle Ages : " Continue auditae voces, vagitus et ingens Infantumque animae flentes, in limine primo : Ouos dulcis vitae exsortes, et ab ubere raptos, Abstulit atra dies, et funere niersit acerbo." We come, then, to the chronology of famine-pestilences, and first in the Anglo-Saxon period. The years from 664 to 685 are occupied, as we have seen, by a great plague, probably the bubo-plague, which returned in 1348 as the Black Death, affecting, like the latter, the whole of England and Ireland on its first appearance, and afterwards particular monasteries, such as Barking and Jarrow. But it is clear that famine-sickness was also an incident of the same years. The metrical romancist of the fourteenth century, Robert of Brunne, was probably mistaken in tracing the great plague of " Cadwaladre's time " to famine in the first instance ; there is no such suggestion in the authentic history of Beda. But that historian does make a clear reference to famine in Sussex about the year 679 \ Describing the conversion of Sussex to Christianity by Wilfrid, he says that the province had been afflicted with famine owing to three seasons of drought, that the people were dying of hunger, and that often forty or fifty together, " inedia macerati," would proceed to the edge of the Sussex cliffs, and, joining hands, throw themselves into the sea. But on the very day when the people accepted the Christian baptism, there fell a plenteous ^ It is illustrative of the confusion which arises from careless copying by later compilers of history that Roger of Wendover, in his Flares Historiarnin (Eng. Hist. Society's edition I. 159), takes Beda's Sussex reference to famine and makes it do duty, under the year 665, for the great general plague of 664, having apparently overlooked Beda's entirely distinct account of the latter. 2^ Fauiine-fcvcrs in the Anglo-Saxon period. rain, the earth flourished anew, and a glad and fruitful season ensued \ The anarchy in Northumbria which followed the death of Beda (in 735), with the decline of piety and learning in the northern monasteries, is said to have led to famine and plagued It is not until the year 793 that an entry of famine and mortality occurs in the Anglo-Saxon Chronicle. It is in keeping with the disappointing nature of all these early records that Simeon of Durham and Roger of Howden, the two compilers who had access to lost records, are more particular in enumerating the portents that preceded the calamity than in describing its actual circumstances. Then a whole century elapses (but for a vague entry under the year 822) until we come to the three calamitous years, with 897 as the centre, which followed Alfred's famous resistance to the Danes. In that mortality, many of the chief thanes died, and there was a murrain of cattle, with a scarcity of food in Ireland. Two generations pass before the chronicle contains another entry of the kind : in 962 there was a great mortality, and the "great fever" was in London. At no long intervals there are two more famines, in 976 and 986. That of 986 (or 987) would appear to have been severe ; the church plate at Winchester was melted for the benefit of the starving^, and there was "a fever of men and a murrain of cattle ^" After the expulsion of the Danes in 1005, says Henry of Huntingdon, there was such desolation of famine as no one ' Hisl. Eccles. § 290 : — " Siquidem tribiis annis ante adventum ejus in provinciam, nulla illis in locis pluvia cecideral, unde et fames acerbissima plebein invadens inopia nece prostravit. Denique ferunt quia saepe quadraginta simul aut quinquaginta homines inedia macerati procederent ad praecipitium aliquod sive ripam maris, et junctis niisere manibus pariter omnes aut ruina peiituri, aut fluctibus absorbendi deciderent. Veium ipso die, quo baptisma fidei gens suscepit ilia, descendit pluvia serena sed copiosa, lelloruil terra, rediit viridantibus arvis annus laetus et frugifer." - Green, Short History of the English People, p. 39 : " The very fields lay waste, and the land was scourged by famine and plague." I have missed this reference to ]ilague in the original authorities. A i)assage in Iligden's Polyehronieon (v. 258) may relate to that period, although it is referred to the mythical time of Vortigern. ^ Slow, in enumerating the instances of public charity in his Survey of London, ascribes the melting of the church plate to Ethelwald, bishop of Winchester in the reign of King Edgar, about the year 963. ■• The murrain was a flux, angliee " scillia " (Roger of Howden) or "schitta" (liromloii). The zoasting of Yorkshire, 1069. 27 remembered. Then in loio or lOii comes the incident of St Elphege, already t^iven. From 1036 to 1049 we find mention of four, or perhaps five, famines, those of the years 1046 and 1049 being marked by a great mortality of men and murrain of cattle. Except in Yorkshire, the Norman Conquest had no imme- diate effects upon the people of England in the way of famine and pestilence. From the last great mortality of 1049, ^ period of nearly forty years elapses until we come to the great pestilence and sharp famine in the last year of the Conqueror's reign (1086-7). The harrying of Yorkshire, however, is too important a local incident to be passed over in this history. Of these ruthless horrors in the autumn of 1069 we have some particulars from the pen of Simeon of Durham, who has contemporary authority. There was such hunger, he says, that men ate the flesh of their own kind, of horses, of dogs, and of cats. Others sold themselves into perpetual slavery in order that they might be able to sustain their miserable lives on any terms (like the Chinese in later times). Others setting out in exile from their country perished before their journey was ended. It was horrible to look into the houses and farm-yards, or by the wayside, and see the human corpses dissolved in corruption and crawling with worms. There was no one to bury them, for all were gone, either in flight or dead by the sword and famine. The country was one wide solitude, and remained so for nine years. Between York and Durham no one dwelt, and travellers went in great fear of wild beasts and of robbers \ William of Malmesbury says that the city of York was so wasted by fire that an old inhabitant would not have recognized it; and that the country was still waste for si.xty miles at the time of his writing (1125)"^ In the Domesday survey we find that there were 540 houses so waste that they paid nothing, 400 houses " not inhabited," of which the better sort pay one penny and others less, and only 50 inhabited houses paying full dues. The same local chronicler who has left particulars of the 1 Simeon of Durham, in Rolls series, 11. 1S8. As to fugitives, see Chr. Evesham, p. 91. - Gcsta Pontif. Angl. p. 208. 28 A medieval siege — Durham, 1091. devastation of 1069 — 70, has given also a picture of the siege of Durham by Malcolm Canmore in 1091, which may serve to realize for us what a medieval siege was, and what the Scots marches had to endure for intervals during several centuries : — Malcolm advancing drives the Northumbrians before him, some into the woods and hills, others into the city of Durham ; for there have they always a sure refuge. Thither they drive their whole flocks and herds and carry their furniture, so that there is hardly room within the town for so great a crowd. Malcolm arrives and invests the city. It was not easy for one to go outside, and the sheep and cattle could not be driven to pasture : the churchyard was filled with them, and the church itself was scarcely kept clear of them. Mixed with the cattle, a crowd of women and children surrounded the church, so that the voices of the choristers were drowned by the clamour. The heat of summer adds to the miseries of famine. Every- where throughout the town were the sounds of grief, ' et plurima mortis imago,' as in the sack of Troy. The siege is raised by the miraculous intervention of St Cuthbert^ The wasting of Yorkshire by William and the five incursions of the Scots into Northumberland and Durham in the reign of Malcolm Canmore had the effect of reducing a large part of the soil of England to a comparatively unproductive state. The efifacement of farms (and churches) in Hampshire, for the plant- ing of the New Forest, had the same effect in a minor degree. The rigorous enforcement of the forest laws in the interests of the Norman nobles must have served also to remove one con- siderable source of the means of subsistence from the people. Whether these things, together with the general oppression of the poor, contributed much or little to what followed, it is the fact that the long period from the last two years of William to the welcomed advent of Henry H. to the throne in 1154, is filled with a record of famines, pestilences, and other national misfortunes such as no other period of English history shows. The first general famine and pestilence under Norman rule was in the years 1086 and 1087, the last of the Conqueror's reign. It is probable from the entries in the Anglo-Saxon Chronicle that the aggravation (for which we must always look in order to explain a historical famine and pestilence) was clue to two ' SiiiicDii of 1 )iuliam, "On tin.- Miracles of St Culhbert," Wor/cs, n. 3,^8-40. TJic great fever and famine of 1086-7. 29 bad harvests in succession. The year 1086 was " heavy, toilsome and sorrowful," through failure of the corn and fruit crops owing to an inclement season, and through murrain of cattle*. Some form of sickness appears to have been prevalent between that harvest and the next. Almost every other man, says the Anglo- Saxon Chronicle, was stricken with fever, and that so sharply that many died of it. " Alas ! how miserable and how rueful a time was then ! when the wretched men lay driven almost to death, and afterwards came the sharp famine and destroyed them quite." It is probably a careless gloss upon that, by a historian of the next generation", when he says that "a promiscuous fever destroyed more than half the people," and that famine, coming after, destroyed those whom the fever had spared I But there can be no question that this was one of those great periodic conjunctions of famine and fever {\t,fiov ofjbov koX Xoi/jlov), of which we shall find fuller details in the chronicles of the twelfth, thirteenth and fourteenth centuries. It is easy to understand that England, with all her wealth of fruits and corn in a good season, had no reserve for the poor at least, and sometimes not even for the rich, to get through two or more bad seasons with. How much the corn crop in those days depended on the season is clear from the entry in the chronicle two years after (1089), that reaping was still in progress at Martinmas (11 November) and even later. Fields cultivated to yield an average of only four or six times the seed were, of course, more at the mercy of the seasons than the highly cultivated corn-land of our own time. The next famine with pestilence in England, seven years later, or in the seventh year of William Rufus, introduces us to a new set of considerations. It was the time when the exactions of tribute for the king's wars in Normandy, or for the satisfaction of his greed and that of his court, were severely felt both by the church and the people. England, says one^ was 1 Anglo-Saxon Chronicle. Malmesbury adds " a mortality of men." - William of Malmesbury, Gcst. Meg. Eng. Hist. Sec. Ii. 452. ^ Malmesbury's construction is repeated by Henry of Huntingdon, Rolls cd. p. 209. Florence of Worcester merely says : " primo feluilms, deinde fame." * Henry of Huntingdon, p. 232. 30 A feudal cause of famine and pestilence, 1094. suffocated and unable to breathe. Both clergy and laity, says another^ were in such misery that they were weary of life. But the most remarkable phraseology is that of William of Malmesbury, the chief historian of the period, who seldom descends from the region of high political and ecclesiastical affairs to take notice of such things as famine and pestilence. In the 7th year of Rufus, he says, "agriculture failed" on account of the tributes which the king had decreed from his position in Normandy. The fields running to waste, a famine followed, and that in turn was succeeded by a mortality so general that the dying were left untended and the dead unburied^ The phrase about the lack of cultivation is a significant and not incredible statement, which places the England of Rufus in the same light as certain belated feudal parts of India within recent memory. In the villa<]fes of Gujeiat, when the festival comes round early in May, the chief of a village collects the cultivators and tells them that it is time for them to commence work. They say : " No ! the assessment was too heavy last year, you lay too many taxes upon us." However, after much higgling, and presents made to the more important men, a day is fixed for cultivation to begin, and the clearing and manuring of the fields proceeds as before^. But while Gujerat was still possessed by hundreds of petty feudal chiefs under the Mahratta rule, previous to the establishment of the British Agency in 1821, the exactions of tribute by the Baroda government were so extreme, and enforced by so violent means ', that cultivation was almost neglected ; the towns and villages swarmed with idlers, who subsisted upon milk and ghee from their cows, while indolence and inactivity affected the whole community^ A dreadful famine had "raged with destructive fury" over Gujerat and Kattiwar for more than one year about 181 2-1 3-14, which was followed, not by a contagious fever, but by the true bubo-plague. If the English historian's language, " agricultura defecit," with ' Annals of Winchester, sjih amio 1096. " " Scplimo mino propter trilnjta quae rex in Normannia positus eclixerat, agri- cultura defecit ; qua fatisccntc fames e vestigio ; ea cpioque invalescenle mortalitas hominum subsecuta, adeo crebra ut deesset morituris cura, mortuis sepuUura." Gest. A'ci^. II. 506. Copied in the Annals of Margan, I-lolls cd. 11. 506. ■' luh A/(1li1, by A. Kinloch Forbes, 2nd ed. p. 543. ^ //>jd. •'"' Tiionias Whyte, " Report on the disease which prevailed in KaUywar in 1819- 20." Trans. Med. Phys. Soc. Bombay, I. (1838), p. 169. See also Gilder, ibid. \>. 192 ; Frederick F()il)es ibid. II. i, and Thesis on I'lague, Edin. 1S40. A.D. I 103 to I 130. 31 reference to the tribute exacted by Rufus, have that fitness which we have reason to expect from him, — Higden varies it to " ita ut agricultura cessaret et fames succederet," — then the famine and mortahty about the years 1094-5 were due to no less remark- able a cause than a refusal to cultivate the land. It is not to be supposed that the incubus of excessive tribute passed away with the accession of Henry I. The Anglo-Saxon Chronicle repeats the complaint of heavy taxation in connexion with bad harvests and murrains in 1 103, 1 105 and 1 1 lo^ Severe winters, or autumn floods, with murrains and scarcity, are recorded also for the years 1 1 1 1, 1 1 15, 1 1 16, 1 1 17, 1 124 and 1 125, the famine of 1 125 having been attended with a mortality, and having been sufficiently great and general to be mentioned by several chroniclersl In the midst of these years of scarcity and its effects upon the population, there occurs one singular entry of another kind in the Anglo-Saxon Chronicle, under the year 11T2: "This was a very good year, and very abundant in wood and in field ; but it was a very sad and sorrowful one, through a most de- structive pestilence^" Under the year 11 30, the annalist of the Welsh monastery of Margan, who is specially attentive to domes- tic events, records a murrain of cattle all over England, which lasted several years so that scarcely one township escaped the pest, the pigsties becoming suddenly empty, and whole meadows swept of their cattle. It is to the same murrain that the Anglo- Saxon Chronicle refers under the year 1131 : in towns where there had been ten or twelve ploughs going there was not one left, and the man who had 200 or 300 swine had not one left ; after that died the domestic fowls. These things happened from time to time in the comparatively prosperous reign of Henry I. But with the death of Henry in 1 135, there began a state of misery and lawlessness lasting 1 In mo the tax was for the dower of tlie king's daiiglitcr on her marriage. That also was parallel with a feudal right in Gujerat : " When a chief has to portion a daughter, or to incur other similar necessary expense, he has the right of imposing a levy upon the cultivators to meet it." A. Kinloch Forbes, Rds MAIA, iw<\ ed. p. 546. Refusal to plough, temp. Henry I. is stated by Pearson, i. 442. - Malmesbury, Gcst. Pont. p. 442; H. of Huntingdon ; Annals of Margan ; Roger of Howden. ^ Also in the Annals of Osney : " Mortalitas maxima honiinum in Anglia.'" 32 Miseries of tJie English, 1143. almost to the accession of Henry II. in 1154, beside which the former state of England was spoken of as " most flourishing'." Besides the barbarities of the Scots and the Welsh on the northern and western marches-, there were the civil wars of the factions of King Stephen and the Empress Maud, and the cruelties and predations of the unruly nobles under the walls of a thousand newly-built strongholds. A graphic account of the condition of England remains to us from the pen of an eyewitness, the obser- vant author of the Gesta StcpJiani'^. Under the year 1143 he writes that there was most dire famine in all England ; the people ate the flesh of dogs and horses or the raw garbage of herbs and roots. The people in crowds pined and died, or another part entered on a sorrowful exile with their whole families. One might see houses of great name standing nearly empty, the residents of either sex and of every age being dead. As autumn drew near and the fields whitened for the harvest, there was no one to reap them, for the cultivators were cut off by the pestilent hunger which had come between. To these home troubles was added the presence of a multitude of barbarous adventurers, without bowels of pity and compassion, who had flocked to the country for military service. The occasion was one of those which cause the archdeacon of Huntingdon to break out into his elegiac verse: " Ecce Stygis facies, consimilisque lues *." " And in those days," says another, " there was no king in Israeli" The Anglo-Saxon Chronicle, which comes to an end in this scene of universal gloom, describes how one might go a day's journey and never find a man sitting in a town, or the land 1 " Attenuata est Anglia, ut ex regno florentissimo infelicissimuni videretur." William of Ncvvburgh, Rolls ed. p. 39. * Ilcniy of Huntingdon, sjib anno 1138. ^ Gcsia S/i'/)/iani, Rolls series, No. 82, vol. HI. p. 99. The author is conjectured to have been a foreigner in the service of the bishop of Winchester, brother of the king. ■* " Afiluit ergo fames; consumpta carnc gementes Exhalant animas ossa cutisque vagas. Quis tantos sepelire queat coetus morientium ? Ecce Stigis facies, consimilisque lues." ■'■• William of Newburgh, sub anno 1149- Burials iv. a day at PeterborongJi, in tJic epidemic of wj^. 'i,'^ tilled, and how men who once were rich had to go begging their bread, concluding with the words, " And they said openly that Christ and His saints slept." Among the penances of Henry H. after the murder of Recket, there is recorded his charity in feeding during a dearth ten thou- sand persons daily from the first of April, 1 171, until the harvest'. Rut, apart from a reference to a flux among the troops in Ireland in 1 172, from errors of diet^ the long reign of Henry H. is marked by only one record of general pestilence. It is recorded by the best contemporary writer, Renedict of Peterborough, and it is the first instance in which the number of burials in a day (perhaps at Peterborough) is given. In the year 1175, he says, there was in England and the adjacent regions a pesti- lential mortality of men, such that on many days seven or eight corpses were carried out to be buried. And immediately upon that pestilential mortality there followed a dire famine^ It is to be observed that the famine is explicitly stated to have come after the pestilence, just as in the great mortality of 1087 ; and, as in the latter case, it may be that a hard winter, with scarcity of food, brought a general sickness, and that the scarcity had been raised to famine point by a second bad harvest. The entr}- in the chronicle of Melrose for 1173 may refer to Scotland only: a bad kind of cough, unheard of before, affected almo.st everj-one far and wide, whereof, "or from which pest," many died. This is perhaps the only special reference to "tussis" as epidemic until the influenzas of the seventeenth century. The comparative freedom of the long reign of Henry II. from famines and national distress probably arose as much from good government as from the clemency of the seasons. The country was growing rich by foreign trade. In 1 190 the two leading Jews of York, Joyce and Renedict, were occupying residences in the heart of the town like royal palaces in size and in the sumptuous- ne.ss of their furniture. The same historian, William of Newburgh, ' i>io\\^?. Survey of London, Popular ed. (1890) p. 116. " " Recentium esus carnium et haustus aquae, tarn insolitus quani incognilus, plures de regis exercitu panis inedia laborantes, fluxu ventris afllixit in Ilyliernia." Kadulphus de Diceto, Imagines Ilisforiar. I. 330. ^ Benedict of Peterborough, I. 104, and, in identical terms, in Roger of Ilowden. C. 3 34 The size and wealth of London under Henry IT. who records the king's protection of these envied capitalists, mentions also his protection of " the poor, the widows and the orphans," and his liberal charities. That the king's protection of his poorer subjects was not unneeded, would be obvious if we could trust the extraordinary account of the keen traders of London which is put by Richard of Devizes into the mouth of a hostile witness^ The peoples of all nations, it appears, flocked to London, each nationality contributing to the morals of the capital its proper vices and manners. There was no righteous person in London, no, not one ; there were more thieves in London than in all France'-, In the entirely different account, of the same date, by an enthusiastic Londoner, the monk Fitz-Stephen, the only " plagues " of London are said to be " the immoderate drinking of fools and the frequency of fires." The city and suburbs had one hundred and twenty-six small parish churches, besides thirteen greater conventual churches ; and it was a model to all the world for religious observances. "Nearly all the bishops, abbots, and magnates of England are, as it were, citizens and freemen of London ; having there their own splendid houses, to which they resort, where they spend largely when summoned to great councils by the king or by their metropolitan, or drawn thither by their own private affairs-'." The archdeacon of London, of the same date, Peter of Blois, in a letter to the pope, Innocent III., concerning the extent of his duties and the small- ness of his stipend, gives the parish churches in the city at one hundred and twenty, and the population at forty thousand ^ ' The speaker is represented as a Jew in France. It is significant that the massacre of the Jews at Lynn in 1190 is stated hy William of Newburgh to have been insti- gated by iheforeigJi traders. ^ Ricardus Divisiensis. Eng. Hist. Society's ed. p. 60. ** Description of London, prefixed to Fitzstephen's Life of Becket. Reproduced in .Stow's Survey 0/ London. '' Petri Blesensis omnia opera, ed. Giles, Epist. CLI. The number of churches may seem large for the population ; but it should be kept in mind that these city parish churches were mere chapels or oratories, like the side-chapcls of a great church. Indeed, at Yarmouth, they were actually built along the sides of the single great parish church ; whereas, at Norwich, there were sixty of them standing each in its own small parish area, the Cathedral, as well as the other conventual churches, being the greater places of worship. Lincoln is said to have had 49 of these small churches, and Yf)rk 40. An example of iheiri remains in St I'eter's at Cambridge. Starving crowd at Margaii Dwnastcry, 1189. 35 The Germans who came in the train of Richard I. on his return to England in 1194, after his release from the hands of the emperor, were amazed at the display of wealth and finery which the Londoners made to welcome back the king ; if the emperor had known the riches of England, they said, he would have demanded a heavier ransom \ The ransom, all the same, required a second, or even a third levy before it was raised, owing, it was said, to peculation ; and the ecclesiastics, who held a large part of the soil, appear to have had so little in hand to pay their share that they had to pledge the gold and silver vessels of the altar^ The year of Richard's accession, 1 189, is given by the annalist of the Welsh monastery of Margan, as a year of severe famine and of a mortality of men. Probably it was a local famine, and it may well have been the same in which Giraldus Cambrensis says that he himself saw crowds of poor people coming day after day to the gates of the monastery of Margan, so that the bretliren took counsel and sent a ship to Bristol for cornl The great and general famine with pestilence in Richard's time was in the years 1 193, 1 194, 1 195, 1 196 and 1 197, and it appears to have been felt in France, in the basin of the Danube, and over all Europe, as well as in England. Of the pestilence which came with it in England we have an exceptionally full account from the pen of William of Newburgh. The monastery in which William wrote his history was situated among woods by the side of a stream under the Hambledon hills in Yorkshire, on the road between York and the mouth of the Tees ; so that when he saj-s of this famine and pestilence, " we speak what we do know, and testify what we have seen," he may be taken as recording the experience of a sufficientl)' typical region of rural England. ' William of Newburgh, p. 431. "- Ibid. ^ "His quoque nostris dielms, ingiiiente faniis inedia, et maxima paupeium turba quotidie ad janiiam jacente, de communi patrum consilio, ad caritatis explendae sufficientiam, propter bladum in Angliam navis Bristolliim missa est." Ftiiier. IValliae, Rolls ed. VI. 68. The itinerary of Bishop Baldwin, which the author follows, was in ir88; but the "his qunquc nostris diebus " clearly refers to a later date, which may have been the year after, or may have been the more severe famine of 1 195-7 or of 1203. 3—2 36 Details of pestilence in YorksJiirc, 11 96. His narrative of the pestilence* is given under the year 1196, which was the fourth year of the scarcity or famine : After the crowds of poor had been dying on all sides of want, a most savage plague ensued, as if from air corrupted by dead bodies of the poor. This pestilence showed but little respect even for those who had abundance of food ; and as to those who were in want, it put an end to their long agony of hunger. The disease crept about everywhere, always of one type, namely that of an acute fever. Day after day it seized so many, and finished so many more, so that there were scarcely to be found any to give heed to the sick or to bury the dead. The usual rites of burial were omitted, except in the case of some nobler or richer person ; at whatever hour anyone died the body was forthwith committed to the earth, and in many places great trenches were made if the number of corpses was too great to afford time for burying them one by one. And as so many were dying every day, even those who were in health fell into low spirits, and went about with pale faces, themselves the living picture of death. In the monasteries alone was this pestilence comparatively unfelt. After it had raged on all sides for five or six months, it subsided when the winter cold came. Those lean years were doubtless followed by seven fat years ; for it is not until 1203, the fourth year of John, that we again meet with the records of famine and pestilence. From various monas- teries, from Waverley in Sussex, Tewkesbury in Gloucester and Margan in Glamorgan, we have the same testimony — " fames magna et mortalitas," " fames valida, et saeva mortalitas multitu- dinem pauperum extinguit," " maxima fames." The monks of Waverley had to leave their own house and disperse themselves through various monasteries. Two years after, 1205, there came so hard a season that the winter-sown seed was almost killed by frost. The Thames was crossed on the ice, and there was no ploughing for many weeks. An Essex annalist says there was a famine, and quotes the famine prices : a quarter of wheat was sold for a pound in many i)arts of England, although in Henry n.'s time it was often as low as twelve pence; a quarter of beans ^ Hislor. Rer. Angl., Rolls series, No. 82, vol. i. pp. 460, 484. Value of the St A /bans annals, 1 234-1 323. 'i,'/ ten shillings; a quarter of oats forty pence, which used to be four pence\ The annalist at Margan enters also the year 12 10 as a sickly one throughout England'-. We are now come to the period when we can read the succession of these events in the domestic life of the people from the more trustworthy records of the St Albans school of historians. Of the scarcity and sickness among the poor in 1234 we have some suggestive particulars by Roger of Wendovcr^, and for the series of famines and epidemics from 1257 to 1259 we have a comparatively full account by his famous successor in the office of historiographer to the abbey, Matthew Paris ■*. The next St Albans scriptorius, Rishanger^ notes the kind of harvest every year from 1259 to 1305, and for only one of those years after the scarcity of 1259 was past, namely the year 1294, does he speak of the people dying of hunger. His successor, John Trokelowe*', carries on the annals to 1323, and gives us some particulars, not without diagnostic value, of the great famine- sickness of 13 1 5-16, and of the succession of dear years of which the epidemic was an incident. It is on these contemporary accounts by the St Albans school, together with the record for the year 1196 by William of Newburgh, that our knowledge of the famine-pestilences of England must be based. With the harvest of 1259 begins the tabulation of agricultural prices from farm-bailiffs' accounts, by Professor Thorold Rogers, a work of vast labour in which the economic history of the English people is written in indubitable characters, and by means of which we are enabled to check the more general and often rhetorical statements of the contemporary historians. Although the history of the last year or two of John and of the earlier years of Henry HI. is full of turbulence and rapine, yet we hear of no general distress among the cultivators of the soil. The contemporary authority, Roger of Wendover, has no ^ Ralph of Coggeshall, sub aituo. ^ " Variis infirmitatibus homines per Angliam vexantur ct quamplures moriiintur, " Annals of Margan, Rolls series, No. 36. ^ Roger of Wendover, Fl. Hist. Rolls ed. ^ Matthew Paris, Chronica Majora, Rolls series. No. 57, ed. Luard, vol. V. ^ Rishanger in Chron. Monast. S. Allxini, Rolls series. No. 28. •^ John Trokelowe, ibid. 246766 3^ The Barons luars produce no epidemics. entry of the kind until 1234, excepting a single note under the year 1222, that wheat rose to twelve shillings the quarter. We hear of king John and his following as plundering the rich churchmen and laymen all the way from St Albans to Notting- ham, of William Longspee, earl of Salisbury, carrying on the same practices in the counties of Essex, Middlesex, Hertford, Cam- bridge and Huntingdon, of the spoliation of the Isle of Ely, and of the occupation of towns and villages in Essex, Suffolk and Norfolk by Louis, Dauphin of France, the king-elect, or broken reed, on whom the Barons of Magna Charta thought for a time to lean\ But the whole of that period, and of the years following until 1234, is absolutely free from any record of wide-spread distress among the lower class. We are reminded of the observation by Philip de Comines, with the civil wars of York and Lancaster in his mind, a saying which is doubtless true of all the struggles in England for the settlement of the respective claims of king and aristocracy: "England has this peculiar grace," says the French statesman, " that neither the country, nor the people, nor the houses are wasted or demolished ; but the calamities and misfortunes of the war fall only upon the soldiers and especially the nobility, of whom they are more than ordinarily jealous : for nothing is perfect in this world." That cannot apply of course to the barbarous incursions of the Scots and the Welsh ; for the northern marches were often reduced to desolation during a period of three hundred years after the Conquest and were never more desolate than in the reign of Richard H. ; while the marches of Wales were subject to not less ruthless spoliations until the concessions to the Welsh by Edward L Nor is the immunity of the peasantry from the troubles of civil war to be taken as absolute ; for we find under the year 1264, when Simon de Montfort was in the field against the king, an explicit statement that the small peasantry were plundered even to the poor furniture of their cottages. But on the whole we may take it that the paralysing effect of civil war seldom reached to the English lower classes in the medieval period, that the tenour of their lives was seldom disturbed except ' Wcndovcr, II. 162, 171, 190, 205. Iiicidoit in the chunk at Abbotsley, 1234. 39 by famine or plague, and that kings and nobles were left to fight it out among themselves. We become aware, however, from the time of the Great Charter, and during the steady growth of the country's pros- perity, of a widening chasm between the rich and the poor within the ranks of the commons themselves, and that too, not only in the centres of trade (as we shall see), but also in country districts. The claims of feudal service did not prevent some among the villagers from adding house to house, and field to field, thereby marking in every parish the interval between the thriving and comfortable and a residuum of paiipct'cs composed of the less capable or the less fortunate. A curious story, told by Roger of Wendover of the village of Abbotsley near St Neots, will serve as an illustration of a fact which we might be otherwise well assured of from first principles \ The year 1234 was the third of a succession of lean years. So sharp was the famine before the harvest of that year, that crowds of the poor went to the fields in the month of July, and plucked the unripe ears of corn, rubbing them in their hands and eating the raw grain. The St Albans monk is full of indignation against the prevailing spirit of avarice which reduced some of the people to that sad necessity : Alms had everywhere gone out of fashion ; the rich, abounding in all manner of temporal goods, were so smitten with blind greed that they suffered Christian men, made in the image of God, to die for want of food. Some, indeed, were so impious as to say that their wealth was due to their own industry, and not to the gift of God. Of that mind seem to have been the more prosperous cultivators of the village of Abbotsley " who looked on the needy with an eye of suspicion ^" The following story is told of them. Seeing the poor making free with their corn in the ear, they assembled in the parish church on a Sunday in August, and assailed the parson with their clamours, demanding that he would forthwith pronounce the ban of the Church upon those who helped themselves to the ears of corn. The parson, notwithstanding a well-known precedent in the Gospels, was about to yield to their insistence, when a man 1 Wendover, HI. 95, 98. * " Qui ex avaritia inopiam semper habent suspectam." 40 Spirit of avarice general in all classes. of religion and piety rose in the congregation and adjured the priest, in the name of God and all His saints, to refrain from the sentence, adding that those who were in need were welcome to help themselves to his own corn. The others, however, insisted, and the parson was just beginning to ban the pilferers, when a thunderstorm suddenly burst, with hail and torrents of rain. When the storm had passed, the peasants went out to find their crops destroyed, — all but that one simple and just man who found his corn untouched. We have only to recall the minute subdivisions of the common field, or fields, of the parish into half-acre strips separated by balks of turf, and the fact that no two half-acres of the same cultivator lay together, to realize how nice must have been the discrimination \ But the moral of the story is obvious. It is an appeal to the teaching and the sanction of the Gospels, against the rooted belief of the natural man that he owes what he has to his own industry and thrift, and that it is no business of his to part with his goods for the sustenance of a helpless and improvident class. The spirit of avarice, according to Wendover, permeated all classes at this period, from high ecclesiastics downwards. Walter, archbishop of York, had his granaries full of corn during the scarcity, some of it five years old. When the peasants on his manors asked to be supplied from these stores in the summer of 1234, the archbishop instructed his bailiffs to give out the old corn on condition of getting new for it when the harvest was over. It need not be told at length how the archbishop's barns at Ripon were found on examination to be infested with vermin, how the corn had turned mouldy and rotten, and how the whole of it had to be destroyed by fire*. Of the same import are the raids upon the barns of the alien or Italian clergy in 1228, in the diocese of Winchester and else- where, and the ostentatious distribution by the raiders of doles to the poor I ' Alboklslea, or Abbolsley, was tlie parish of which the famous Grosseteste, bishop of Lincoln, was rector (perhaps non-resident) down to 1231, or to within three years of the date of the above anecdote. The existing church is of great age, and may well have Ijeen the actual edifice in which the scene was enacted. - Wendover, iii. 96. ^ Ibid. ni. 19, 27. The mission of the Friars, 13//; Century. 41 The somewhat parallel course of public morality in the centres of trade, or, as Wendover would call it, the prevalence of avarice, demands a brief notice for our purpose. In every state of society, there will of course be rich and poor. But a class of pauperes seems to emerge more dis- tinctly in the life of England from about the beginning of the thirteenth century. The period corresponds to the appearance on the scene of St Francis and his friars. Doubtless St Francis was inspired by a true sense of what the time needed, even if it be open to contend that his ministrations of charity brought out, consolidated, and kept alive a helpless class who would have been less heard of if they had been left to the tender mercies of economic principles. The mission of the friars was not merely to the poor ; it was also to the rich, whether of the church or of the world, " to soften the hardness of their hearts by the oil of preaching\" It was one of these interpositions, ever needed and never wanting, to reduce the inequalities of the human lot, not by preaching down-right theoretical com- munism, but, more by force of rhetoric than of logic, to extort from the strong some concessions to the weak, to mitigate the severity of the struggle for existence, and to bring the respectable vices of greed and sharp practice to the bar of conscience. As early as 1 196 there is the significant incident, in the city of London, of the rising of the poorer class and the middling class, headed by Fitzosbert Longbcard, himself one of the privileged citizens, against an assessment in which the class represented by the mayor and aldermen were alleged to have been very tender of their own interests ^ Longbeard was hailed as "the friend of the poor," and, having lost his life in their cause (whether in the street before Bow Church, or on a gallows at Tyburn, or at the Smithfield elms, the narratives are not agreed), he is celebrated by the sympathetic IMatthew Paris as " the martyr of the poorl" That historian continues, after the 1 Wendover, HI. 381. ^ William of Newburgli, sit/i anno i ry6. ■' On the other hand John Stow seems to liavc ac(juired, from some unstated source, an extraordinary prejudice against him. 42 Effects of famine, 1234. — Epidemic in 1247. manner of his predecessor Wendover, to speak of Londoners as on the one hand the " mediocres, populares et plebei," and on the other hand the "divites." In 1258 the latter class over- reached themselves : they were caught in actual vulgar pecu- lation of money raised by assessment for repairing the city walls ; some of them were thrown into prison and only escaped death through the royal clemency at the instance of the no- torious pluralist John Mansel, and on making restitution of their plunder ; but one of them, the mayor, never recovered the blow to his respectability, and died soon after of grief \ Whether it meant a wide-spread spirit of petty fraud, or some unadjusted change in value, the young king in 1228, during a journey from York to London, took occasion along his route to destroy the " false measures " of corn, ale and wine, to substitute more ample measures, and to increase the weight of the loaf. The scarcity or famine of 1234, to which the Abbotsley incident belongs, was accompanied, says the St Albans annalist, by a mortality which raged cruelly everywhere. On the other hand the annalist of Tewkesbury may be credited when he says that, although the year was one of scarcity, corn being at eight shillings, yet "by the grace of God the poor were better sustained than in other years"''." There was an epidemic in 1247, but it is not clear whether it was due to famine. Although Higden, quoting from some unknown record, says that there was dearth in England in that year, wheat being at twelve shillings the quarter, yet he does not mention sickness at all ; and Matthew Paris, who was then living, is explicit that the harvest of 1247 was an abundant one, and that the mortality did not begin until September of that year. There does appear, however, to have been a sharp famine in Wales ; and it is recorded that the bishop of Norwich, "about the year 1245," in a time of great dearth, sold all his plate and distributed it to the poor'. All that we know of this epidemic is the statement of Matthew Paris, that it began in September and lasted for three months ; and that as many 1 Matthew Paris, Cliron. Maj. cd. Luard, v. 663, 675. * Annals of Tewkesl)ury in Aiinales Monastici, Rolls scries. No. 36. •' Chronica Alajora, w. 647; Stow, Survey of London. Antecedents of the f amine of 12 57- 1259. 43 as nine or ten bodies were buried in one day in the single churchyard of St Peter's at Saint Albans \ Matthew Paris notes the quality of the harvest and the prices of grain every year, and his successor Rishanger continues the practice. The prices noted appear, from comparison with those tabulated by Thorold Rogers from actual accounts, to have been the lowest market rates of the year. The harvest of 1248 was plentiful, and wheat sold at two shillings and sixpence a quarter. In 1249 and 1250 it was at two shillings, oats being at one shilling. But those years of exceptional abundance were followed at no long interval by a series of years of scarcity or famine, which brought pestilential sickness of the severest kind. The scarcity or famine in the years 1256-59 was all the more acutely felt owing to the dearth of money in the country. The burden of the history of Matthew Paris before he comes to the famine is that England had been emptied of treasure by the exactions of king and pope. Henry III. was under some not quite intelligible obligation of money to his brother, the earl of Cornwall. The English earl was a candidate for the Imperial crown, and had got so far towards the dignity of emperor as to have been made king of the Germans. It was English money that went to pay his Gerrnan troops, and to further his cause with the electoral princes ; but the circulating coin of P^ngland does not appear to have sufficed for these and domestic purposes also. The harvest of 1256 had been spoiled by wet, and the weather of the spring of 1257 was wretched in the extreme. All England was in a state of marsh and mud, and the roads were impassable. Many sowed their fields over again ; but the autumn proved as wet as the rest of the year. " Whatever had been sown in winter, whatever had germinated in spring, what- ever the summer had brought forward — all was drowned in the floods of autumn." The want of coins in circulation caused unheard-of poverty. At the end of the year the fields lay untilled, and a multitude of people were dead of famine. At Christmas wheat rose to ten shillings a quarter. But the year 1257 appears to have had " lethal fevers" before the loss of the ' ChfOH. Maj. IV. 654. 44 TJie dearth and sickness in London, 1258. harvest of that year could be felt. Not to mention other places, says the St Albans historian, there was at St Edmundsbury in the dog-days so great a mortality that more than two thousand bodies were buried in its spacious cemetery \ The full effects of the famine were not felt until the spring of 1258. So great was the pinch in London from the failure of the crops and the want of money that fifteen thousand '"* are said to have died of famine, and of a grievous and wide-spread pestilence that broke out about the feast of the Trinity (19 May). The earl of Cornwall (and king of Germany) who had relieved the country of a great part of its circulating coin, took the opportunity to buy up corn in Germany and Holland for the supply of the London market. Fifty great ships, says Matthew Paris, arrived in the Thames laden with wheat, barley, and other grain. Not three English counties had produced as much as was imported. The corn was for such as could buy it ; but the king interposed with an edict that, whereas greed was to be discouraged, no one was to buy the foreign corn in order to store it up and trade in it. Those who had no money, we are expressly told, died of hunger, even after the arrival of the ships ; and even men of good position went about with faces pinched by hunger, and passed sleepless nights sighing for bread. No one had seen such famine and misery, although many would have remembered corn at higher prices. The price quoted about this stage of the narrative, although not with special reference to the foreign wheat, is nine shillings the quarter. Elsewhere the price is said to have mounted up to fifteen shillings, which may have been the rate before the foreign supply came in. But such was the scarceness of money, we are told, that if the price of the quarter of wheat had been less, there would hardly have been found anyone to buy it. ' Chr. Maj. v. 660. ( )lhcr cielails occur here and there to the end of the clironicle. - This is tlie number j^iven by Matthew Paris. It suggests a larger popuhalion in tiic capital than we might have been disposed to credit. The same writer says that London was so full of people when the parliament was sitting the year before {1257) that the city could hardly hold them all in her amjilc lx)som. The Annals of Tewkesbury put the wlinlc mortality from famine and fever in Lond(jn in 1258 al 20,000. Hut the vvliole iioiiuialicjii did not probably exceed 40,000. Famine and pestilence eontinucd to 1259. 45 Even those who were wont to succour the miserable were now reduced to perish along with them. It is difficult to believe that the historian has not given way to the temptations of rhetoric, and it is pleasing to be able to give the following complement to his picture. After some 15,000 had died in London, mostly of the poorer sort, one might hear a crier making proclamation to the starving multitude to go to a distribution of bread by this or that nobleman, at such and such a place, mentioning the name of the benefactor and the place of dole. In other passages, which may be taken as picturing the state of matters in the country, the historian says that the bodies of the starved were found swollen and livid, lying five or six together in pig-sties, or on dungheaps, or in the mud of farm- yards. The dying were refused shelter and succour for fear of contagion, and scarcely anj'one would go near the dead to bury them. Where many corpses were found together, the)- were buried in capacious trenches in the churchj-ards. We come now to the harvest of 1258. After a bleak and late spring the crops had come forward well under excessive heat in summer, and the harvest was an unusually abundant, although a late one. Rains set in before the corn could be cut, and at the feast of All Saints (i November) the heavy crops had rotted until the fields were like so many dungheaps. Only in some places was any attempt made to carry the harvest home, and then it was so spoiled as to be hardly worth the trouble. Even the mouldy grain sold as high as sixteen shillings a quarter. The famishing people resorted to various .shifts, selling their cattle and reducing their households. Mow the country got through the winter, we are not told. Matthew Paris himself died early in 1259, and the annalist who added a few pages to the CJironica Majora after his death, merel)- mentions that the corn, the oil and the wine turned corrupt, and that as the sun entered Cancer a pestilence and mortality of men began unexpectedly, in which many died. Among others Fulk, the bishop of London, died of pestilence in the spring of 1259; and, to say nothing of many other places, at Paris thousand (the number is left blank) were buried. 46 Prices of corn from 1259. — "Scab" of s/iccp tj/iported, 1274. The vagueness of the last statement reminds us that we are now deprived of the comparatively safe guidance of Matthew Paris. His successor in the office of annalist at St Albans, Rishanger, is much less trustworthy. He sums up the year 1259 in a paragraph which repeats exactly the facts of the notorious year 1258, and probably applies to that alone; for the year 1260 his summary is that it was more severe, more cruel and more terrible to all living things than the year before, the pestilence and famine being intolerable. There is, however, no confirmation of that in the authentic prices of the year collected by Thorold Rogers. Parcels of wheat of the harvest of 1259 were sold at about five and six shillings, and of the harvest of 1260 at from three shillings and sixpence to six shillings. For a number of years, corresponding to the Barons* war and the war in Wales, the price is moderate or low, the figures of extant bailiffs' accounts agreeing on the whole with Rishanger's summary statements about the respective harvests\ The years from 1271 to 1273 were dear years, and for the first of the series we find a doubtful record by the ^ The year 1274 was the beginning of so exceptional a murrain of sheep that it deserves mention here, although murrains do not come within the scope of the work. It is recorded by more than one contemporary. Rishanger (p. 84) says : " In that year a disastrous plague of sheep seized upon England, so that the sheep-folds were everywhere emptied through the spreading of it. It lasted for twenty-eight years following, so that no farm of the whole kingdom was without the infliction of that misery. Many attributed the cause of this disease, which the inhabitants had not been acquainted with before, to a certain rich man of the Frankish nation, who settled in Northumberland, having brought with him a certain sheep of Spanish breed, the size of a small two year old ox, which was ailing and contaminated all the flocks of England by handing on its disease to them." Under the year following, 1275, he enters it again, using the term "scabies." Thorold Rogers [Hist, of Aip-ic. and Prices, i. 31) has found " scab " of sheep often mentioned in the bailiffs' accounts from about 1288 ; it is assumed to have become permanent from the item of tar occurring regularly in the accounts ; but tar was used ordinarily for marking. It may have been sheep-pox, which Fitzherbert, in his Book of Husbandry (edition of 1598), describes under the name of " the Poxe," giving a clear account of the way to deal with it by isolation. For murrains in general, the reader may consult Fleming's Animal Plagues, 2 vols. 1871 — 1884, a work which is mostly compiled (with meagre acknowledgment for "bibliography" only) from the truly learned work of Ileusinger, Recherches de Pathologie Comparee, Cassel, 1844. Fleming has used only the "pieces justificatives," and has not carried the history beyond the ]5oint where Ileusinger left it. Epidemic of flux from famine, 1294. 47 Yorkshire continuator of William of Newburi^h that there was " a great famine and pestilence in Enf^land and Ireland \" The harvest of 1288 was so abundant that the price of wheat in the bailiffs' accounts is mostly about two shillings, ranging from sixteen pence to four and eightpence. Rishanger's prices for the year are sufficiently near the mark : in some places wheat sold at twenty pence the quarter, in others at sixteen pence, and in others at twelve pence. From that extremely low point, a rise begins which culminates in 1294. The chronicler's state- ment for 1289, that in London the bushel of wheat rose from threepence to two shillings, is not borne out by the bailiffs' accounts, which show a range of from two shillings and eight- pence to six shillings the quarter. But these accounts confirm the statement that the years following were dear years, and that 1294 was a year of famine prices, wheat having touched fourteen shillings at Cambridge, in July. Rishanger's two notes are that the poor perished of hunger, and that the poor died of hunger on all sides, afflicted wnth a looseness {lienteria)^. The two years following are also given as hard for the poor, but not as years of famine or sickness ; the country was at the same time heavily taxed for the expenses of the war which Edward I. was waging against the Scots. Ordinary prosperit}' attends the cultivators of the soil until the end of Rishanger's chronicle in 1 305 ; and from the beginning of Trokelowe's in 1307, the year of Edward II. 's accession, there is nothing for our purpose until we come to the great famine of 13151 It is clear, however, that prices were high in every year from 1309 until that famine, with the single exception of the harvest of 1311. At the meeting of Parliament in London before ^ Continuation of Wm. of Newhurgh, Rolls series No. 82, vol. ii. p. 5r)o : " Facta est magna fames per universam Angliam et maxime partihus occidentalihiis. In Ilibernia vero tres pestes invaluerunt, sc. morlalitas, fames, ct gladiiis : perguerram mortalem praevalentibus Hybernicis et Anglicis succumbentibus. Qui vero gladium et famem evadere potuerunt, peste mortalitatis praevenli sunt, ita ut vivi mortuis sepeliendis vix sufficere valerent." ^ See also the continuation of the chronicle of Florence of Worcester, Bohn's series, p. 405. ^ Rishanger's annals, i'259-i_^o5, and Trokelowe's, 1307-1323, are printed in the volumes of Chronica Monast. S. Allxiiii, No. 28 of the Rolls series. 48 Great fanuiic-pestilciicc in 1 3 1 5- 1 3 1 6. Easter in 131 5, the dearth was a subject of deliberation, and a King's writ was issued attempting to fix the prices at which fat oxen, cows, sheep, pigs, geese, fowls, capons, chickens, pigeons and eggs should be sold on demand, subject to con- fiscation if the sale were refused. The statute was ineffective (it was repealed the year after), and provisions became dearer than ever. The quarter of wheat, beans and peas sold for twenty shillings, of oats for ten shillings, and of salt for thirty- five. When the king stopped at St Albans at the feast of St Lawrence, says Trokelowe, it was hardly possible to buy bread for the use of his household. The scarcity was most felt from the month of May until the harvest. With the new crop, ruined as it was by rains and floods, the scarcity lessened somewhat, but not before many had felt the pinch of hunger, and others were seen (as the St Albans annalist says he saw them) lying squalid and dead in the villages and by the road-sides. At Midsummer, 13 16, wheat rose to thirty shillings, and after that as high as forty shillings (the highest price found by Thorold Rogers is twenty-six shillings and eightpence at Leatherhead in July). The various forms of famine-sickness are mentioned : — dysentery from corrupt food, affecting nearly everyone, an acute fever which killed many, or a putrid sore throat {pest is gnttn- ruosa). To show the extremities to which England was reduced, Trokelowe specially inserts the following: Ordinary flesh was not to be had, but horse-flesh was eaten, fat dogs were stolen to eat, and it was rumoured abroad that in many places both men and women secretly ate the flesh of their own children, or of the children of others. But the detail which Trokelowe justly thinks posterity will be most horrified to read, is that prisoners in gaols set upon the thieves newly brought in and devoured them alive. It is probably the same famine and pestilence that we find worked into the metrical romance of Robert of Brunne (1338), under the guise of the plague ' in Cadwaladre's time,' that is, the pestilence recorded by Beda for the year 664. The Lincoln- shire romancist must have seen the famine and pestilence of 1 31 5-16, for he was then in the prime of life, and probably he transferred his own cxjieriences of famine and pestilence to the Faviinc-sickiicss in Edzuard II.'s army, 1322. 49 remote episode of the seventh century, to which he devotes thirty-eight lines of his romance. In Cadwaladre's time the corn fails and there is great hunger. A man may go for three days before he can buy any food in burgh, or in city, or in upland ; he may indeed catch wild creatures, or fishes, or gather leaves and roots. Worse still, a plague comes, from rotten air and wicked winds, so that hale men fall down suddenly and die ; gentle and bondmen all go, hardly any are left to till the land, the living cannot bury the dead, those who try fall dead in the grave. Men leave house and land, and few are left in the country. Eleven years does Britain lie waste with but few folk to till the land'. After the famine of 131 5-16, the third and last of the great and, one may say, disgraceful famines which gave rise to the by-word " Anglorum fames," prices continued at their ordinary level for several years. But from 1320 to 1323 they again came to a height. To that period probably belongs a mortality which is entered, in a chronicle of the next century^, under the year 1325. On the contemporary authority of Higden we know that, in 1322, the king went to Scotland about the feast of St Peter ad Vincula, " and though he met not with resistance, lost many of his own by famine and disease." After that period of scarcity comes a long succession of cheap years, covering the interval to the next great event in the annals of pestilence that concerns us, the arrival of the Black Death in the autumn of 1348. With that great event the history of English epidemics enters upon a new chapter. There were, of course, years of dearth and scarcity in the centuries following, but there were no great famine-pestilences like those of 1 196, 1258 and 1315. The period of the great famines ought not to be left without another reference to the widening gulf between the rich and the poor, and the keenness of traders which led them sometimes to incur the restraints of government and the punishments of justice. On 26 March, 1269, was issued one of those ordinances against forestalling, of which many more followed for several ' Furnivall's ed. Rolls series, No. 87, vol. 11. 569, 573. - Chronicle of William Gregory, Camden .Society, ed. Gairdner, 1876. 50 Dishonest traders. — Luxurious monks. centuries : no citizen to go outside the city of London, either by road or river, to meet victuals coming to market. In the 7th year of Edward I., clipping or debasing the coinage was carried on so systematically that nearly three hundred persons, mostly of the Hebrew race, were drawn and hanged for it. In the nth year of Edward I. (1283) a statute had been directed against cheating by bakers and millers. Meanwhile the nobility retaliated by plundering the traders and merchants at Boston fair, and the king settled the account with these marauding nobles by hanging them. A statute of 13 16, the second year of the famine, to fix the price of ale, has an interest on account of its motive — "ne frumentum ulterius per potum consumeretur." The proportion of the corn of the country turned into malt, or the amount diverted from bread to beer, may be guessed from the fact that in London, for which the beer ordinance was first made, there were in 1309, brewhouses to the number of 1334, and taverns to the number of 354^ In the very year of great famine, 13 16, an ordinance was issued (in French, dated from King's Langley) against extravagant housekeeping^ In the year of great scarcity and mortality, 1322, there was such a crowd for a funeral dole at Blackfriars (for the soul of Henry Fingret) that fifty-five persons, children and adults, were crushed to death in the scramble'. At the same time the prior of Christ Church, Canterbury, was sitting down to dinners of seventeen dishes, the cellarer had thirty-eight servants under him, the chamberlain and sacrist had large numbers of people employed as tailors, furriers, launderers and the like, and the servants and equipages of the one hundred and forty brethren were numerous and splendid ^ The monasteries, on which the relief of the poor mostly depended, have been thus characterized : " From the end of the twelfth century until the Reformation," says Bishop Stubbs, "from the days of Hubert Walter to those of Wolsey, the monasteries remained magnificent hostelries : their churches were splendid chapels for noble patrons ; their inhabitants were bachelor country gentlemen, more polished and charitable, but little more learned or more pure in life ' Annales Londonicnscs, Rolls series, No. 76, ed. .Stubbs. Introduction, p. Ixxvi. '■* Iliici. (Annales Panlhii), p. -238. 3 Ibid. p. 304. * Epistolae Canhtaricnsvs, Rolls series, No. 38, 11. Introduction by Stubbs, p. xxxii. TJic medical profession. — John of Gaddesden. 5 1 than their lay neighbours ; their estates were well managed, and enjoyed great advantages and exemptions ; they were, in fact, an element of peace in a nation that delighted in war. But, with a few noble exceptions, there was nothing in the system that did spiritual serviced" There is little to be said, at this period, of the profession most directly concerned with sickness, epidemic or other, namely the medical. We become aware of its existence on rare occasions : as in the account of the death of William the Conqueror at Rouen on 9 September, 1087, of the illness and death of Hubert, archbishop of Canterbury, on 13 July, 1205, at one of his manors on a journey to Rochester^, or in the reference by William of Newburgh, to the noted Jewish physician of King's Lynn, whose honourable repute among the citizens for skill and modesty did not save him from the murderous fanaticism against his race in 1190^ or in occasional letters of the time\ There were doubtless benevolent men among the practitioners of medicine, then as now ; but the profession has never been one in which individuals could rise conspicuously above the level of their age, and the moral standard of those centuries was a poor one. It is not surprising, then, that John of Salisbury, indulging a taste for epigram, should have characterized the profession of medicine in the twelfth century as follows : " They have only two maxims which they never violate, ' Never mind the poor ; never refuse money from the rich'V The one English physician whose writings have come down to us from the period that we are still engaged with, is John of Gaddesden. There is every reason to think that he was practising at the time of the famine and pestilence of 1315-16; but it is not from his bulky treatise on medicine that we learn the nosological types of the epidemic maladies of those years. Some account of his Rosa Anglica will be found in the 1 Epistolae Cantiiarienses, Rolls series, No. 38, H. Introduction by Stubl^s, p. cxix. ^ Ralph of Coggeshall, Rolls series. No. 66, p. 156. ^ He might have been, and probably was, the prototype of the physician Natlian Ben Israel, in the 35th Chapter of Ivanhoe. * Adam de Marisco to Grosseteste, Mon. Francisc. ed. Brewer, i. 113. ■'' I have not succeeded in finding this in the author's writings, and quote it at second hand. 4—2 52 Gaddcsdcn silent as to famine-sickness. chapter on Smallpox ; it must suffice to say here that he was a verbalist compiler from other books, themselves not altogether original, and that, according to Dr Freind, he displays no great knowledge of his profession. It is nothing strange, therefore, that Gaddesden throws no light upon the famine-pestilences of England, such as those of 131 5-1 6, which he lived through. Dysentery and lientery, he treats of almost in the very words of Gilbertus Anglicus ; but those maladies might have been among the dwellers in another planet, so far as native experience comes in. He reproduces whole chapters from his predecessors, on synochus and synocJia, without a hint that England ever witnessed such scenes of hunger-typhus as the St Albans chroniclers have recorded for us from their own observation. The reference by Trokelowe to the prevalence o{ pestis gntturuosa in 13 16, is one that a medical writer of the time might well have amplified ; but Gaddesden missed the opportunity of perhaps anticipating Fothergill's de- scription of putrid sore-throat by more than four hundred years. Epidemics of St Anthony's Fire, or Ergotism. One form of epidemic malady, intimately connected with bad harvests and a poor state of agriculture, namely Ergotism, from the mixture of poisoned grains in the rye or other corn, is conspicuously missed from English records of the medieval period, although it plays a great part in the history of French epidemics of the Middle Ages, under such names as ignis sacer, ignis S. Antonii, or ignis infernalis. According to the pro- verbial saying already quoted, France was as notorious for ignis as England for famine, and Normandy for lepra: "Tres plagae tribus regionibus appropriari solent, Anglorum fames, Gallorum ignis, Normannorum lcpra\" The malady was of a nature to attract notice and excite pity ; it is entered by chroniclers, and is a frequent topic in French legends of the Saints. Its occur- rence in epidemic form can be traced in France, with a degree ^ Quoted, without date, by Marchand, ^iudc historique ct nosograpJiiqiie S7tr quel- qiies cpidinnics li cmitDties Jii vioycn Age. Paris, 1873. Description of ergot in a field of rye. 53 of probability, as far back as 857 (perhaps to 590); six great outbreaks are recorded in the tenth century, seven in the eleventh, ten in the twelfth, and three in the thirteenth, the medieval series ending with one in the year 1373. The estimates of mortality in the several epidemics of ergotism over a larger or smaller area of France, range as high as 40,000, and 14,000, which numbers may be taken to be the roughest of guesses ; but in later times upwards of 500 deaths from ergotism have been accurately counted in a single outbreak within a limited district. The epidemics have been observed in par- ticular seasons, sometimes twenty years or more elapsing with- out the disease being seen ; they have occurred also in particular provinces — in the basin of the Loire, in Lorraine, and, since the close of the medieval period, especially in the Sologne. The disease has usually been traced to a spoiled rye crop ; but there is undoubted evidence from the more recent period that a poison with corresponding effects can be produced in some other cereals, even in wheat itself. In a field of rye, especially after a wet sowing or a wet season of growth, a certain proportion of the heads bear long brown or purple corns, one or more upon a head, projecting in the shape of a cock's spur, whence the French name of ergot. The spur appears to be, and probably is, an overgrown grain of rye ; it is grooved like a rye-corn, occupies the place of the corn between the two chaff-coverings, and contains an abundant whitish meal. Microscopic research has detected in or upon the spurred rye the filaments of a minute parasitic mould ; so that it is to the invasion by a parasite that we may trace the enormous overgrowth of one or more grains on an ear, and it is probably to the ferment-action of the fungus that we should ascribe the poisonous properties of the meal. The proportion of all the stalks in a field so affected will vary considerably, as well as the proportion of grains on each affected head of corn\ Rye affected with ergot is apt to be a poor crop at any rate ; one or more spurred corns on a head tend to keep the rest of the grains small or unfilled ; and if there be many stalks ^ I give this account of the obvious characters of spurred rye from a recent observation of a growing crop of it. 54 Symptoms of gangrenous Ergotism. in the field so affected, the spurred grain will bulk considerably in the whole yield. When the diseased grains are ground to meal along with the healthy grains, the meal and the bread will contain an appreciable quantity of the poison of ergot ; and if rye-bread were the staple food, there would be a great risk, after an unusually bad harvest, of an outbreak of the remarkable constitutional effects of ergotism. Rye-bread with much ergot in it may be rather blacker than usual ; but it is said to have no peculiar taste. It is almost exclusively among the peasantry that symptoms of ergotism have been seen, and among children particularly. The attack usually began with intense pains in the legs or feet, causing the victims to writhe and scream. A fire seemed to burn between the flesh and the bones, and, at a later stage, even in the bowels, the surface of the body being all the while cold as ice. Sometimes the skin of affected limbs became livid or black ; now and then large blebs or blisters arose upon it, as in bad kinds of erysipelas. Gangrene or sloughing of the extremities followed ; a foot or a hand fell off, or the flesh of a whole limb was destroyed down to the bones, by a process which began in the deeper textures. The spontaneous sepa- ration of a gangrenous hand or foot was on the whole a good sign for the recovery of the patient. Such was the ignis saccr, or ignis S. Antonii which figures prominently, I am told, in the French legends of the Saints, and of which epidemics are recorded in the French medieval chronicles. Corresponding effects of ergotism may or may not have occurred during the medieval period in other countries of Europe where rye was grown. The remarkable thing is, that when we do begin in the sixteenth and seventeenth centuries to obtain evidence of agrarian epidemics in Germany, Sweden and Russia, which have eventually come to be identified, in the light of more recent knowledge, with ergotism, the type of the disease is different, not perhaps fundamentally or in the ultimate patho- logical analysis, but at all events different as being a functional disorder of the nervous system, instead of a disorder, on nervous lines, affecting the nutrition of j^cU'ts and their structural in- Symptoms of commlsivc Ergotism. 55 tegrity. This newer form, distinctive of Germany and north- eastern Europe, was known by the name of Kriebelkrankheit, from the creeping or itching sensations in the limbs at the beginning of it ; these heightened sensibiHties often amounted to acute pain, as in the beginning of the gangrenous form also ; but the affection of the sensory nerves, instead of leading to a breakdown in the nutrition of the parts and to gangrene, was followed by disorder of the motor nerves, — by spasms of the hands and arms, feet and legs, very often passing into con- tractures of the joints which no force could unbend, and in some cases passing into periodic convulsive fits of the whole body like epilepsy, whence the name of convulsive ergotism \ Side by side with these German, Swedish and Russian outbreaks of convulsive ergotism, or Kriebelkrankheit (called by Linnaeus in Sweden by the Latin name rapJiania), there had been a renewal or continuance of the medieval epidemics in France, notably in the Sologne ; but the French ergotism has retained its old type of ignis or gangrene. It was not until the eighteenth century that the learned world became clear as to the connexion between either of those forms of disease among the peasantry and a damaged rye-crop, although the country people themselves, and the observant medical practitioners of the affected districts, had put this and that together long before. Thus, as late as 1672-75, there were communications made to the Paris Academy of Medicine'^ by observers in the Sologne and especially around Montargis, in which ergot of rye is clearly described, as well as the associated symptoms of gangrenous disease in the peasantry ; but the connexion between the two was still regarded as open to doubt, and as a question that could only be settled by experiment ; while there is not a hint given that these modern outbreaks were of the same nature as the notorious medieval ignis sacer. According to Haser, it was not until the French essay of Read (Strasbourg, 1771) that the ^ One of the greatest epidemics was in Westphalia and tlie Cologne district in 1596 and 1597. It fell to be described by two learned writers, Sennert and Horst, of whose accounts a summary is given by Short, Air, weather, seasons, etc. i. 275-285. - Translated into the Philosophical Transactions, No. 130, vol. xii. p. 758 (14 Dec. 1676) from the Journal dcs Si^avans. 56 Ergotism of France, and of North-eastern Europe. identity of the old ignis with the modern gangrenous ergotism was pointed out. The result of the modern study of outbreaks of ergotism, including the minute record of individual cases, has been to show that there is no hard and fast line between the gangrenous and convulsive forms, that the French epidemics, although on the whole marked by the phenomena of gangrene, have not been wanting in functional nervous symptoms, and that the German or northern outbreaks have often been of a mixed type. Thus, in the French accounts of 1676, "malign fevers accompanied with drowsiness and raving," are mentioned along with " the gangrene in the arms but mostly in the legs, which ordinarily are corrupted first." Again, the observations of Th. O. Heusinger^ on an outbreak near Marburg in 1855-56, led him decidedly to conclude for the essential sameness of ignis and Kriebelkrankheit,'and for the existence of a middle type, although undoubtedly the sensory and motor disorders, including hyperaesthesia, pain and anaes- thesia on the one hand, and contractures of the joints, choreic movements and convulsions on the other, were more distinctive of the epidemics of ergotism on German or northern European soil. Thus far the foreign experience of ergotism, both medieval and modern, and of its several types. We shall now be in a position to examine the English records for indications of the same effects of damaged grain. In the English medieval chronicles an occasional reference may be found to ignis or wild fire. The reference to wild fire in Derbyshire in the Anglo-Saxon Chronicle under the year 1049, probably means some meteorological phenomenon, elsewhere called ignis sylvaiieus: " Eac ~|5 wilde fyr on Deorbyscirc mice! yfel dyde^." Whatever the ignis sylvaticus or igjiis aereus was, which destroyed houses as well as crops, there appears to be no ^ Studicn iiber den Ergotismus,^'axh\xx^, 1856. - Simeon of Durham and Roger of Howden have the following, under the year 1048: " Mortalitas hominum et animalium multas occupavit Angliae provincias, et ignis aereus, vulgo dictus sylvaticus, in Deorbensi provincia et quil:)usdam aliis provineiis, villas et scgetes multas ustulavit." Ergotism in England. — Short's Chronology. 57 warrant for the conclusion of C. F. Heusingcr that it was the same as the ignis sacer of the French peasantry*. An undoubted reference to ignis infernalis as a human malady occurs in the TopograpJiy of Ireland by Giraldus Cambrensis : a certain archer who had ravished a woman at St Fechin's mill at Fore was overtaken by swift vengeance, " igne infernali in membro percussus, usque in ipsum corpus statim exarsit, et nocte eadem exspiravit." Taking the incident as legendary, and the diagnosis as valueless, we may still conclude that the name, at least, of ignis infernalis was familiar to English writers. But in all the accounts of English famines and wide-spread sicknesses in the medieval period which have been extracted from the nearest contemporary authorities, I have found no mention of any disease that might correspond to ergotism ^ The first undoubted instance of ergotism in England belongs to the eighteenth century. On or about the loth of January, 1762, a peasant's family (father, mother, and six children) of Wattisham in Suffolk, were attacked almost simultaneously with 1 " Je crois qu'ils ont voulu indiquer I'ignis sacer ou de St Antoine, qui dans ces annees et surtout 1044 sevit en France." Rccherches dc Pathologic Comparce, vol. il. p. cxlviii. ■•^ On the other hand, Short, in his General Chronological History of the Air, Weather, Seasons, Meteors etc. (2 vols. London, 1749) says that the epidemic of mo consisted of " especially an epidemic erysipelas, whereof many died, the parts being black and shrivelled up ; " and that in 1128, " St Anthony's fire was fatal to many in England." He gives no authority in either case. But the one error is run to earth in a French entry of 1109, " membris instar carbonum nigrescentibus" (Sig. Gembl. auctar. p. 274, Migne) ; the other, most likely, in the ignis around Chartres, 1 1 28 (Stephen of Caen, Bouquet, xii. 780). Perhaps this is the best place to express a general opinion on the work by Short, which is the only book of the kind in English previous to my own. It is everywhere uncritical and credulous, and often grossly inaccurate in dates, sometimes repeating the same epidemic under different years. It appears to have been compiled, for the earlier part, at least, from foreign sources, such as a Chronicle of Magdeburg, and to a large extent from a work by Colle de Belluno (fl. 1631). Many of the facts about English epidemics are given almost as in the original chronicles, but without reference to them. English experience of sickness is lost in the general chronology of epidemics for all Europe, and is dealt with in a purely verbalist manner. So far as this volume extends (1667) I have found Short's book of no use, except now and then in calling my attention to something that I had overlooked. I lis other work, Ne'ii) Observations on City, To7on and Comity Bills of Mortality (London, 1750) shows the author to much greater advantage, and I have used his statistical tables for the sixtccnlli and seventeenth centuries. 58 Genuine Ergotism in Suffolk, 1762, the symptoms of gangrenous ergotism, several of them eventually losing portions of their limbs. The disease began with intense pain in the legs, and contractures of the hands and feet. It was proved that they had not been using rye flour ; but their bread for a short time before had been made exclusively from damaged wheat, grown in the neighbourhood and kept apart from the farmer's good corn so as not to spoil his sample. It had been sent to the mill just before Christmas, and had been used by some others besides the family who developed the symptoms of ergotism'. In that authentic instance of ergotism (although not from rye), there was one symptom, the contractures of the hands and feet, which is distinctive of the convulsive form ; so that the English type may be said to have been a mixture of the French form and of the form special to the north-eastern countries of Europe. With that instance as a type, let us now inquire whether any epidemics in England at earlier periods may not be brought under the head of ergotism. It is to be kept in mind that none of the medieval outbreaks were called by their present name, or traced to their true source, until centuries after ; so that our task is, not to search the records for the name of ergotism, but to scrutinize any anomalous outbreak of disease, or any outbreak distinguished in the chronicles by some unusual mark, with a view to discovering whether it suits the hypothesis of ergotism. I shall have to speak of three such outbreaks in the fourteenth century, and of one in Lancashire and Cheshire in 1702^ 1 The facts were communicated to the Royal Society by Chailton WoUaston, M.D., F.R.S., then resident in Suffolk, and by the Rev. James Bones. They were referred by Dr G. Baker to Tissot of Lausanne, who replied that they corresponded to ty[)ical gangrenous ergotism. See Phil. Traits, vol. Lii. pt. 2 (1762) p. 523, p. 526, p. 529 ; and vol. LX. (1768) p. 106. - An erroneous statement as to an epidemic of gangrenous ergotism, or of Kriebel- krankheit, in England in 1676, has somehow come to be current in German books. It has a place in the latest chronological table of ergotism epidemics, that of Hirsch in his llandbuch der Jiistorisch-gcographischcn PalJiologie, vol. II. 1883 (Engl. Transl. II. p. 206), the reference being to Birch, Philos. Transact. This reference to ergotism in England in 1676 is given also in Th. O. lleusinger's table (1856), where it appears in the form of " Schnurrer, nach Birch." On turning to Schnurrer's Chronik der Scndiai (11. 210), the reference is found to be, "Birch, Phil. Trans, vols. XI. and Strai/gc epidemic in Leicestershire, 1340. 59 The first of these is given by Knighton for a period and a locality that may have been within his own cognizance. In the summer of 1340 there happened in England generally, but especially in the county of Leicester, a certain deplorable and enormous infirmity. It was marked by paroxysms or fits, attended by intolerable suffering ; while the fit lasted, the victims emitted a noise like the barking of dogs. A " great pestilence," or perhaps a great mortality, is said to have ensued'. In that record the salient points are, firstly the wide or epidemic incidence of the malady, at all events in Leicestershire, which was Knighton's own county; secondly the paroxysmal nature of the attacks, and the strange noises emitted therewith ; thirdly the intolerable suffering {poena) that attended each fit (passio). Except for the clear indication of pain, one might think of the strange hysterical outbreaks, extending, by a kind of psychical contagion, to whole communities, which were observed about the same period in some parts of the continent of Europe. But of these medieval psychopathies, as they are called, there is hardly any trace in England. The Flagellants came over from Zealand to London in 1349, and gave exhibitions at St Paul's, but that pseudo-religious mania does not appear to have taken hold among the English. The epidemic recorded by Knighton had probably a more material cause. To illustrate the somewhat meagre reference by Knighton to the strange epidemic of 1340, I shall proceed at once to the remarkable outbreak in Lancashire and Cheshire in 1702, which was clearly not a psychopathy or hysterical outbreak, and yet had a seemingly hysterical element in it. An account of it was sent to the Royal Society by Dr Charles Leigh " of Lancashire^." XII."; and coming at length to the Philosophical Transactions, it appears that vols. X., XI. and XII. are bound iip together, that vol. xii. (1676) p. 758, contains an extract from \.\iQ Joitrnal des Sfavans about ergot of rye in certain parts of France, and that there is nothing about ergotism in England in either vol. XI. or vol. Xll. So fiir as concerns Ur Birch, he was secretary to the Royal Society in the next century. ^ Knighton, De Eventibits Angliac in Twysden, col. 2580: "In aestate scilicet anno Gratiae i34oaccidit quaedam execrabilis et enormis infirmitas in Anglia quasi communis, ct praecipue in comitatu Leiccslriae adeo quod durante passione homines emiserunt vocem latrabilem ac si essct latratus canuni ; et fuil quasi intolerabilis poena durante passione: ex inde fuit magna pestilentia hominum. " "^ Phil. Trans. XXIII. p. 1174 (June 26, 170:). 6o Epidemic in Lancashire and ChcsJiirc, 1702. "We have this year [1702] had an epidemical fever, attended with very surprising symptoms. In the beginning, the patient was frequently attacked with the colica ventriculi ; convulsions in various parts, sometimes violent vomitings, and a dysentery ; the jaundice, and in many of them, a suppression of urine ; and what urine was made was highly saturated with choler. About the state of the distemper, large purple spots appeared, and on each side of 'em two large blisters, which continued three or four days : these blisters were so placed about the spots that they might in some measure be term'd satellites or tenders : of t?iese there were in many four different eruptions. But the most remarkable instance I saw in the fever was in a poor boy of Lymm in Cheshire, one John Pownel, about 13 years of age, who was affected with the following symptoms : — " Upon the crisis or turn of the fever, he was seized with an aphonia, and was speechless six weeks [.'' days], with the following convulsions : the distemper infested the nerves of both arms and legs which produced the Chorea Sancti Viti, or St Vitus's dance ; and the legs sometimes were both so contracted that no person could reduce them to their natural position. Besides these, he had most terrible symptoms, which began in the following manner : [description of convulsions follows]... and then he barked in all the usual notes of a dog, sometimes snarling, barking, and at the last howling like an hound. After this the nerves of the mandibles were convulsed, and then the jaws clashed together with that violence that several of his teeth were beaten out, and then at several times there came a great foam from his mouth... These symptoms were so amazing that several persons about him believed he was possessed. I told them there was no ground for such suppositions, but that the distemper was natural, and a species of an epilepsy, and by the effects I convinced them of the truth of it ; for in a week's time I recovered the boy his speech, his senses returned, his con- vulsions vanished, and the boy is now very cheerful. There have been other persons in this country much after the same manner." This epidemic of 1702 in Lancashire and Cheshire was recorded as something unusual. It had certain intestinal symptoms such as colic, which may well have followed the use of poisoned food and are indeed described among the .symptoms of ergotism ; there were also convulsions, large purple spots with blisters coming and going on the skin near them, and, in the single case that is given with details, there were contractures of the legs " so that no person could reduce them to their natural position," and a continuance for several days of painful epileptiform fits attended with noises like the barking of a dog, or the hissing of a goose, " all which different sounds (I take it) proceed from the different contractions of the Comparison of Oxfoj-dsJiire cases in 1700. 61 lungs variously forcing out the air." The remarkable case of the boy, certified by several witnesses, is expressly given as one belonging to the general epidemic of the locality, others having been affected " much after the same manner." Whatever sug- gestion there may be of ergotism in these particulars, nothing is said of gangrene of the limbs, although the livid spots and blisters are part of the symptoms of gangrenous ergotism, just as the convulsions and contractures are of convulsive ergotism. In the Suffolk cases of 1762 there were both contractures of the limbs and gangrene. Knighton's mention of the barking noises emitted b}' the sufferers of 1340 has suggested to Nichols, the author of the History of Leiccsters/tirc\ a comparison of them with the cases investigated by Dr Freind in the year 1700, at the village of Blackthorn in Oxfordshire. Having heard a great rumour in the summer of that year that certain girls at that Oxfordshire village were taken with frequent barkings like dogs, Dr Freind made a journey to the place to investigate the cases^ He found that this pcstis or plague had invaded two families in the village, on terms of close intimacy with each other. Two or three girls in each family are specially referred to : they were seized at intervals of a few hours with spasms of the neck and mouth, attended by vociferous cries ; the spasmodic movements increased to a climax, when the victims sank exhausted. The fits had kept occurring for several weeks, and had appeared in the second family at a considerable interval after the first. The symptoms, said Freind, were those that had been described by Seidelius — distortion of the mouth, indecorous working of the tongue, and noises emitted like barking. He found nothing in the girls' symptoms that could not be referred to a form of St Vitus' dance or to hysteria, in which maladies, laughter, howling and beating of the breast are occasionally seen as well as the spasmodic working of the neck and limbs. The question remains whether the cases of 1700 in the Oxfordshire village, assuming Dr Freind's reading of them to be correct, were as illustrative of the outbreak of 1340 as the cases of 1702 in Lancashire and Cheshire, which were probably too numerous and too much complicated with symptoms of 1 op. cit. I. pt. 2, p. 366. - Phil. Trans. XXII. (1700-1701), p. 799, a Letter in Latin from Joh. Freind dated Christ Church, Oxford, 31 March. 62 Convulsive Ergotism, or epidemic Hysteria? material toxic disorder to be explained as hysterical. There is, indeed, a larger question raised, whether the so-called psycho- pathies of the medieval and more recent periods may not have had a beginning, at least, in some toxic property of the staple food. The imagination readily fixes upon such symptoms as foaming at the mouth and barking noises, exalts these pheno- mena over deeper symptoms that a physician might have de- tected, and finds a simple explanation of the whole complex seizure as demoniac possession or, in modern phrase, as a psychopathy. Without questioning the subjective or imitative nature of many outbreaks which have been set down to hysteria, it may be well to use some discrimination before we exclude altogether an element of material poisoning such as ergot in the staple food, more especially in the case of the wide-spread hysterical epidemics of Sweden, a country subject to ergotism also'. These eighteenth-century instances have been brought in to illustrate Knighton's account of the epidemic of 1340. The next strange outbreak of the fourteenth century is recorded by the St Albans historian (" Walsingham") under a year between 1361 and 1365, probably the year 1362. Like so many more of the medieval records of epidemic sickness, it is a meagre and confused statement : " Numbers died of the disease of lethargy, prophesying troubles to many ; many women also died by the flux ; and there was a general murrain of cattle^" Along with that enigmatical entry, we may take the last of the kind that here concerns us. At Cambridge, in 1389, there occurred an epidemic of "phrensy;" it is described as "a great and formid- able pestilence, which arose suddenly, and in which men were attacked all at once by the disease of phrensy of the mind, dying ^ The earliest religious hysterias of Sweden fall in the years i66S to 1673, which do not correspond to years of ergotism in that country, although there was ergotism in France in 1670 and in Westphalia in 1672. The later Swedish psychopathies have been in 1841-2, 1854, 1858, and 1866-68, some of which years do correspond closely to periods of ergotism in Sweden. - " Moriebantur ctiam plures morbo litargiac, multis infortunia prophetantes ; mulieres insuper decessere multae per fluxum, ct crat communis jiestis bestiarum. " Walsingham, Hist. Angl., sitli a>ifio\ and in identical terms in the Chrovicon Aiigliae a Monacho Sancti Albani. Fatal epidemic of '^pJireusy'' at Cambridge, 1389. 63 without the viaticum, and in a state of unconsciousness*." The names of phrensy and lethargy occur in the manuscript medical treatises of the time in the chapters upon diseases of the brain and nerves'*; strictly they are names of symptoms, and not of forms or types of disease, and they may be used loosely of various morbid states which have little in common. A lethargy would in some cases be a name for coma in fever, or for a paralytic stroke; a phrensy might be actual mania, or it might be the delirium of plague or typhus fever. The " letharg)'" of 1362 is alleged of a number of people as if in an epidemic, whatever the singular phrase " prophetantes infortunia multis" may mean; and the " phrensy of the mind " of which many died suddenly at Cambridge in 1389, does not look as if it had been a symptom of plague or pestilential fever. The judicious reader will make what he can of these disappointingly meagre details. But for his guidance it may be added that the French accounts of ergotism in 1676 give one of the poisonous effects as being "to cause sometimes malign fevers accompanied with drowsiness and raving," which terms might stand for lethargy and phrensy ; also that it has not always been easy, in an epidemic among the peasantry after a bad harvest, to distinguish the cases of ergotism from the cases of typhus, the contractures of the limbs, which seem so special to ergotism, having been described also for undoubted cases of typhus^ Whether these anomalous epidemics in medieval England ^ " Magna et formidabilis pestilentia extemplo subsecuta est Cantabrigiae, qua homines subito, prout dicebatur, sospites, invasi mentis phrenesi moriebantur, sine viatico sive sensu." Walsingham, Hist. A7tgl. n. 186. Under tlie same year, 1389, the continuator of Higden's Polychronicoji (ix. ■216) says that the king being in the south and "seeing some of his prostrated by sudden death, hastened to Windsor." - For example in the Sloane MS. 2420 (the treatise by Constantinus Africanus of Salerno), there are chapters " De Litargia," "De Stupore Mentis," and " De Phrenesi." ^ Th. O. Heusinger, Shtdicn iiber den Ergotismtis, Marburg, i8;,6, p. 35 : " Es werden freilich in den Beschreibungen einiger friiheren Epidemieen cifter typhose Erscheinungen erwahnt ; die Beschreiber behaupten aber auch dann meist die Con- tagiositjit der Krankheit, und es liegt die Vermuthung nahe, dass die Krankheit dann eigentlich ein Typhus war, bei dem die Erscheinungen des Ergotismus ebenso constant vorkommen, wie sie sonst in vereinzelteren Fallen dem Typhus sich beigesellen " (cf. ' Dorf Gossfelden,' in Appendix). 64 Little rye in England. — Epidemics from frnit, 1383, 1391. were instances of convulsive ergotism or not, the English records are on the whole wanting in the evidence of such wide-spread and frequent disasters from a poisoned harvest as distinguish the French annals of the same period. One reason of our im- munity may have been that the grain was better grown ; an- other reason certainly is that rye was a comparatively rare crop in England, wheaten bread being preferred, although bread made from beans and barley was not uncommon. Thorold Rogers says : " Rye was scantily cultivated. An occasional crop on many estates, it is habitually sown in few. It is regularly sown in Cambridgeshire and some other of the eastern counties. As the period before us passes on [1259-1400], it becomes still more rare, and as will be seen below, some of the later years of this enquiry contain no entries of its purchase and sale\" But it is clear from the entries in chronicles, more particularly about the very period of the fourteenth century to which the three epi- demics suggestive of ergotism belong, that the English peasantry suffered from the poisonous effects of damaged food, even if they suffered little from spurred rye. Thus, under the year 1383, in the history known as Walsingham's, there is an unmistakeable reference to many fatalities, as well as serious maladies, caused by the eating of damaged fruitl Again, under 1391, it is stated that this was " a hard and difficult year for the poor owing to a dearth of fruits, which had now lasted two years ; whence it happened that at the time of the nuts and apples, many of the poor died of dysentery brought on by eating them ; and the pestilence would have been worse had it not been for the laudable diligence of the Mayor of London, who caused corn to be brousrht to London from over sea^" ^ History of Agriculture and Prices, i. 27. 2 " Seel in fructibus arborum suspicio niulta fuit, co quod per nebulas foetentes, exhalationes, aerisque varias corruptiones, ipsi fructus, puta poma, pyra, et hujus- mofli sunt infecta ; quorum esu multi mortales hoc anno [1383] vel pestem letalem vel graves morbos et infirmitatcs incurrerunt." Walsingham, Hist. Angl. 11. 109. The continuator of Iligden records under the same year, in one place a "great pestilence in Kent which destroyed many, and spared no age or sex" (ix. 27), and on another page (ix. 21) a great epidemic in Norfolk, which attacked only the youth of either sex between tliaages of seven and twenty-two ! ^ Walsingham, 11. 203 ; .Stovv's Sin~vey of London, p. 133. English extremes of surfeit and starvation. 65 Generalities on Medieval Famines in England. Summing up the English famine-pestilences of the medieval period, we find that they included the usual forms of such sickness — spotted fever of the nature of typhus, dysentery, lien- tery or looseness (such as has often subsequently accompanied typhus or famine-fever in Ireland), and putrid sore-throat. That some of these effects were due to spoiled grain and fruits, as well as to absolute want, we may reasonably conclude ; for example the harvest of 1258 rotted on the ground, and yet the mouldy corn was sold at famine prices. With all those records of famines and their attendant sicknesses in England, it is signi- ficant that there is little indication of ergotism. The immunity of England from ergotism, with such a record of famines as the annals show, can only have been because little rye was grown and little black bread eaten. The standard of living would appear to have been higher among the English peasantry than among the French. A bad harvest, still more two bad harvests in succession, made them feel the pinch of famine more acutely, perhaps, than if they had accommodated themselves to the more sober level of rye bread. Hence the somewhat paradox- ical but doubtless true saying of the Middle Ages — "Anglorum fames, Francorum ignis." The saying really means, not that England was a poor country, which would be an absurd repute for foreigners to have fixed upon her ; but that the English were subject to alternating periods of abundance and scarcity, of surfeit and starvation. The earliest English work which deals fully and concretely with the social condition of the country is the fourteenth-century poem of " The Vision of Piers the Ploughman." A few passages from that poem will be of use as throwing light upon the famines of England, before wc finally leave the period of which they are characteristic. Langland's poem describes the social state of England in peculiar circumstances, namely, after the upheaval and dislocation of the Great Mortality of 1349; and in that respect it has an interest for our subject which comes into a later chapter. But in so far as it illustrates the alternating periods of abundance c. 5 66 Illustrations from ' Piers t/ic Ploughman! and scarcity, the vision of medieval England concerns us here before we quit the subject of famine-pestilences. The average industrious ploughman, represented by Piers himself, fares but soberly until Lammas comes round ^: — " I have no penny, quod Piers, pullets for to buy, Ne neither geese nor pigs, but two green cheeses, A few cruddes and cream, and an haver-cake, And two loaves of beans and bran ybake for my fauntis. And yet I say, by my soul, I have no salt bacon. Nor no cookeney, by Christ, collops for to maken. And I have percil and porettes and many kole-plantes. And eke a cow and a calf, and a cart-mare To draw afield my dung the while the drought lasteth. And by this lyflode me mot live till lammas time ; And by that I hope to have harvest in my croft ; And then may I digte thy dinner as me dear liketh." Some are worse off than the ploughman in the slack time before the harvest : "All the poor people tho pesecoddes fetched. Beans and baken apples they brought in their lappes, Chibolles and chervelles and ripe cherries many. And proferred Piers this present to plead with Hunger. All Hunger ate in haste, and axed after more. Then poor folk for fear fed Hunger eagerlie, With green poret and pesen, to poison Hunger they thought. By that it nighed near harvest, new corn came to chipping. Then was folk fain, and fed Hunger with the best, With good ale, as glutton taught, and gerte Hunger go sleep. And though would waster not work but wandren about, Ne no beggar eat bread that beans in were. But of cocket or clerematyn or else of clean wheat : Ne no halfpenny ale in none wise drink. But of the best and of the brownest that in burgh is to sell. Labourers that have no land to live on, but their hands, Deigned nought to dine a-day night-old wortes. May no penny ale them pay ne no piece of bacon, But if it be fresh flesh other fish fried other bake." The waster being now in his season of plenty falls to abusing the Statute of Labourers : ' The .spelling, and a few whole words, have been altered from Skeat's text, so as to make the meaning clear. Illustrations from ' Piers tJic PlougJuiian! 6"] "And then cursed he the king and all his council after, Such laws to loke, labourers to grieve. But whiles Hunger was their master there would none of them chide, Nor strive against Ids statute, so sternly he looked. And I warn you, workmen, wynneth while ye mowc, For Hunger hitherward hasteth him fast. He shall awake with water wasters to chasten. Ere five year be fulfilled such famine shall arise Through floods and through foul weathers fruits shall fail. And so said Saturn, and sent you to warn.... Then shall death withdraw and dearth be justice, And Daw the dyker die for hunger, But if God of his goodness grant us a truce." He proposes to feed the lazy wasters on beans : "And gif the groomes grudge, bid them go swynk, And he shall sup the sweeter when he hath deserved." The ploughman asks Hunger the reason why both himself and his servants are unable to work : " I wot well, quod Hunger, what sickness you aileth. Ye have maunged over much, and that maketh you groan.... Let not sir Surfeit sitten at thy board.... And gif thy diet be thus, I dare lay mine ears That Physic shall his furred hoods for his food sell, And his cloak of calabre with all the knaps of gold, And be fain, by my faith, his physic to let. And learn to labour with land, for lyflode is sweet : For murtherers are many leeches, Lord them amend ! They do men kill through their drinks, or destiny it would. By Saint Poul, quod Piers, these aren profitable words." In another place, Hawkin the minstrel confesses to gluttony : "And more meat ate and drank than nature might digest, And caught sickness some time for my surfeits oft." A liking for the best of food, and plenty of it, when it was to be had, has clearly been an English trait from the earliest times. Conversely thrift does not appear to have been a virtue or a grace of the labouring class in England. Thus a bad harvest brought wide-spread scarcity, and two bad harvests brought famine and famine-pestilences. The contrasts were sharp be- cause the standard of living was high. And although three, at 5—2 68 Diet of the English superior. least, of the English famines were disgraceful to so rich a country, and were probably the occasion of the foreign reproach of "An'glorum fames;" yet the significant fact remains that the disease of the European peasantry, which is the truest index of an inferior diet, namely ergotism, has little or no place in our annals of sickness. CHAPTER II. LEPROSY IN MEDIEVAL BRITAIN. The history of leprosy in Britain can hardly be the history of leprosy alone, but of that disease along with others which were either mistaken for it or conveniently and euphemistically included under it. That there was leprosy in the country is undoubted; but it is just as certain that there was hies venerea; that the latter as a primary lesion led an anonymous existence or was called lepra or morpJiaea if it were called anything; that the remote effects of the lues were not known as such, being taken for detached or original outcomes of the disordered humours and therefore in the same general class as leprous manifestations ; and that the popular and clerical notions of leprosy were too superstitious and inexact, even if the diagnostic intention had been more resolute than it was, to permit of any clear separation of the leprous from the syphilitic, to say nothing of their separation from the poor victims of lupus and cancer of the face, of scrofulous running sores, or of neglected skin- eruptions more repulsive to the eye than serious in their nature. I shall give some proof of each of those assertions — as an essential preliminary to any correct handling of the historical records of British leprosy. Leprosy in Medieval Medical Treatises. The picture given of true leprosy in the medieval treatises on medicine is unmistakeable. There are two systematic 70 Gilbertus Angliciis and Bernard Gordonio. writers about the year 1300 who have left a better account of it than the Arabian authors from whom they mostly copied. While the writers in question have transferred whole chapters unaltered from Avicenna, Rhazes and Theodoric, they have improved upon their models in the stock chapter * De Lepra.' It so happens that those two writers, Bernard Gordonio and Gil- bertus Anglicus, bear names which have been taken to indicate British nationality, and the picture of leprosy by the latter has actually been adduced as a contemporary account of the disease observed in England \ Gordonio was a professor at Montpellier, and his experience and scholarship are purely foreign. The circumstances of Gilbert the Englishman are not so well known ; but it is tolerably certain that he was not, as often assumed, the Gilbert Langley, Gilbert de I'Aigle, or Gilbertus de Aquila, who was physician to Hubert, archbishop of Canterbury ("f- 13 July, I205)^ having been a pupil at Salerno in the time of Aegidius of Corbeil (about 11 80). The treatise of Gilbertus Anglicus bears internal evidence of a later century and school ; it is distinguished by method and comprehensiveness, and is almost exactly on the lines of the Lilium Medicinae by Gordonio, whose date at Montpellier is known with some exactness to have been from 1285 to about 1307. Future research may perhaps discover where Gilbert taught or was taught ; meanwhile we may safely assume that his scholarship and system were of a foreign colour. The medical writer of that time in England was John of Gaddesden, mentioned in the end of the foregoing chapter ; he is the merest plagiary, and the one or two original remarks in his chapter ' De Lepra ' would almost justify the epithet of "fatuous" which Guy de Chauliac applied to him. Although we cannot appeal to Gilbertus Anglicus for native English experience any more than we can to his alter ego, Gordonio, yet we may assume that the picture of leprosy which they give might have been sketched in England as well as in Italy or in Provence. The conditions were practically ' Simpson, Edin. Med. and Surg. Jonni. 1S42, vol. i.vii. p. i_^r). - Ralph of Coggcshall (Rolls cd. p. 156) describes the deatJi of Ilubcrt on 13 July, 1 20,T, lull docs not mention the nnnie of his physician. T^Jieir first-hand descriptions of Leprosy. 71 uniform throughout Christendom ; the true leprosy of any one part of medieval Europe is the true leprosy of the whole. Gilbert's picture^ as we have said, is unmistakeable, and the same might be said of Bernard's '^ — the eyebrows falling bare and getting knotted with uneven tuberosities, the nose and other features becoming thick, coarse and lumpy, the face losing its mobility or play of expression, the raucous voice, the loss of sensibility in the hands, and the ultimate break-up or naufragium of the leprous growths into foul running sores. The enumera- tion of nervous symptoms, which are now recognised to be fundamental in the pathology of leprosy, shows that Gilbert went below the surface. Among the "signa leprae gcneralia" he mentions such forms of hyperaesthesia as forviicatio (the creeping of ants), and the feeling of " needles and pins ; " and, in the way of anaesthesia, he speaks of the loss of sensibility from the little finger to the elbow, as well as in the exposed parts where the blanched spots or thickenings come — the forehead, cheeks, eyebrows, to which he adds the tongue. Gilbert's whole chapter ' De Lepra ' is an obvious improvement ujjon the cor- responding one in Avicenna, who says that lepra is a cancer of the whole body, cancer being the lepra of a single member, and is probably confusing lupus with leprosy when he describes the cartilages of the nose as corroded in the latter, and the nostrils destroyed by the same kind of naufragium as the fingers and toes. All students of the history or clinical characters of leprosy, from Guy de Chauliac, who wrote about 1350, down to Hensler and Sprengel, have recognised in Gilbert's and Bernard's account of it the marks of first-hand observation ; so that we may take it, without farther debate, that leprosy, as correctly diagnosed, was a disease of Europe and of Britain in the Middle Ages. Having got so far, we come next to a region of almost inextricable confusion, a region of secrecy and mystification, as well as of real contemporary ignorance. We may best approach it by one or two passages from Gilbert and Gordonio themselves. ' Gilberti Anglici Compendium Medkiiiae, ed. Michael dc Capclla. Liij^duni, 1512, Lib. VII. cap. "De Lepra," pp. 337-345- ^ Bernardi Goidonii Liliiim Mcdiciiiac. Lugd. 1551, Ji. 8S. 72 Gordonio records a case at Montpellier. The systematic handling of lepra in their writings is one thing, and their more concrete remarks on its conditions of origin, its occasions, or circumstances are another. What are we to make of this kind of leprosy ? — " In hoc genere, causa est accessus ad muHerem ad quam accessit prius leprosus ; et corrumpit velocius vir sanus quam mulier a leproso....Et penetrant [venena] in nervos calidos et arterias et venas viriles, et inficiunt spiritus et bubones, et hoc velocius si mulier," etc. Or to quote Gilbert again : '* Ex accessu ad mulieres, diximus superius, lepram in plerisque generari post coitus leprosos'." Or in Gordonio : " Et provenit [lepra] etiam ex nimia confibulatione cum leprosis, et ex coitu cum leprosa, et qui jacuit cum muliere cum qua jacuit leprosus ^" That these circumstances of contracting lepra were not mere verbal theorizings inspired by the pathology of the day and capable of being now set aside, is obvious from a Jiistoria or case which Gordonio introduces into his text. " I shall tell what happened," he says ; and then proceeds to the following relation -.^ " Quaedam comtissa venit leprosa ad Montem Pessulanum [Montpellier], et erat in fine in cura mea ; et quidam Baccalarius in medicina ministrabat ei, et jacuit cum ea, et impregnavit eam, et perfectissime leprosus factus est." Happy is he therefore, he adds, who learns caution from the risks of others. Here we have sufficient evidence, from the beginning of the fourteenth century, of a disease being called lepra which does not conform to the conditions of leprosy as we now understand them. The same confusion between leprosy and the lues venerea prevailed through the whole medieval period. Thus, in the single known instance of a severe edict against lepers in England, the order of Edward HI. to the mayor and sheriffs of London in 1346*, the reasons for driving lepers out of the City are given, — among others, because they communicate their disease " by carnal intercourse with women in stews and other secret places," and by their polluted breath. It was pointed ' Compcnd. Med. Ed. cit, p. 344. ^ Lilium Medic in ac. Lugd. 1551, p. 89. 3 Ibid. p. 89. ^ For fuller reference, see p. 10 j. Leprosy a generic }iaine inclusive of Syphilis. yi out long ago by Beckett in his paper on the antiquity of the lues venerea^, that the polluted breath was characteristic of the latter, but not of leprosy. Of course the pollution of their breath might have meant no more than the theoretical reasoning of the books (as in Gilbert, where the breath of lepers, as well as the mere sight of them, is said to give the disease, p. 337), but the breath was probably obnoxious in a more real way, just as we know, from Gordonio's case at Montpellier, that the other alleged source of " leprous " contagion was no mere theoretical deduction. As the medieval period came to an end the leper- houses (in France) were found to contain a miscellaneous gathering of cases generically called leprous ; and about the same time, the year 1488, an edict of the same purport as Edward III.'s London one of 1346, was issued by the provost of Paris against les lepreiix of that city. The year 1488 is so near the epidemic outburst of the morbus Gallicus during the French campaigns on Italian soil in 1494-95, that the historian has not hesitated to set down that sudden reappearance of leprous contagion, in a proclamation of the State, to a real prevalence already in Paris of the contagious malady which was to be heard of to the farthest corners of Europe a few years after^ There is no difficulty in producing evidence from medieval English records of the prevalence of lues venerea, which was not ^ Philos. Trans, of Royal Society, xxxi. 58: "Now in a true leprosy we never meet with the mention of any disorder in those parts, which, if there be not, must absohitely secure the person from having that disease communicated to him by coition with leprous women ; but it proves there was a disease among them which was not the leprosy, although it went by that name ; and that this could be no other than venereal because it was infectious." He then quotes from Trevisa's translation of Bartholomew Glanvile, De proprie- tatibus rerum, passages which he thinks relate to syphilis, although they are ob- viously the distinctive signs of lepra taken almost verbatim from Gilbertus Anglicus. He implies that the later so-called leper-houses of London were really founded for syphilis when it became epidemic. In the will of Ralph Holland, merchant taylor, mention is made of three leper-houses, the Loke, Hackenay and St Giles beyond Holborn Bars, as if these were all that existed in the year 1452. But in the reign of Henry VHI. there were six of them besides St Giles's, — Knightsbridge, Hammer- smith, Highgate, Kingsland, the Lock, and Mile End; and these, says Beckett, were used for the treatment of the French pox, which became exceedingly common after 1494-6. - Martin, Histoirc dc France, vu. 283. 74 Evidence of Syphilis in medieval England. concealed under the euphemistic or mistaken diagnosis of leprosy. Instances of a very bad kind, authenticated with the names of the individuals, are given in Gascoigne's Liber Veritatiini, under the date of 1433 \ In the medieval text-books of Avicenna, Gilbert and others, there are invariably paragraphs on pustulae et apostemata virgae. In the only original English medical work of those times, by John Ardern, who was practising at Newark from 1349 to 1370, and came afterwards to London, appearances are de- scribed which can mean nothing else than condylomata'''. From a manuscript prescription-book of the medieval period, in the British Museum, I have collected some receipts (or their headings) which relate, as an index of later date prefixed to the MS. says, to "the pox of old^" ^ One of Gascoigne's references was copied by Beckett {Phil. Trans, xxxi. 47), beginning : " Novi enim ego, Magister Thomas Gascoigne, licet indignus, sacrae theologiae doctor, qui haec scripsi et collegi, diversos viros, qui mortui fuerunt ex putrefactione membrorum suorum et corporis sui, quae corruptio et putrefactio causata fuit, ut ipsi dixerunt, per exercitium copulae carnalis cum mulieribus. Magnus enim dux in Anglia, scil. J. de Gaunt, mortuus est ex tali putrefactione membrorum genitalium et corporis sui, causata per frequentationem mulierum. Magnus enim fornicator fuit, ut in toto regno Angliae divulgabatur," etc. In the Loci e Libra Vcriiatuin, printed by Thorold Rogers (Oxford, 1881), the following consequences are mentioned : " Plures viri per actum libidinosum luxuriae habuerunt membra sua corrupta et penitus destructa, non solum virgam sed genitalia : et alii habuerunt membra sua per luxuriam corrupta ita quod cogebantur, propter poenam, caput virgae abscindere. Item homo Oxoniae scholaris, Morland nomine, mortuus fuit Oxoniae ex corruptione causata per actum luxuriae." p. 136. - A most excellent and compendious method of curing woundes in the head and in other partes of the body; translated into English by fohn Read, Chirurgeon; with the exact cure of the Caruncle, treatise of the Fistulae in the fundament, out of yah. Ardern, etc. London, 1588. ^ MS. Harl. 2378 : — No 86 is : " Take lynsed or lynyn clothe and brene it & do ye pouder in a clout, and bynd it to ye sore pintel." Also. "Take linsed and stamp it and a lytel oyle of olyf and a lytl milk of a cow of a color, and fry them togeder in a panne, and ley it about ye pyntel in a clout." No. 87 is "for bolnyng of pyntel." No. 88 is " For ye kank' on a manys pyntel." On p. 103 is another " For ye bolnyng of a manys yerde....Bind it alle abouten ye yerde, and it salle suage." On folio 19: "For ye nebbe yt semeth leprous... iii dayes it shall be hole." "For ye kanker" might have meant cancer or chancre. The prescriptions in Moulton's This is the Myrour or Glasse of Helth (? 1 540) correspond closely with these in the above Harleian MS. The printed book gives one (cap. 63), "For a man that is Lepre, and it take in his legges and go upwarde." There is also a prescription for "mor- phcwe. " Relation of constitutional to local not then knozvn. 75 Some have refused to see in such cases any real corre- spondence with the modern forms of syphilis because only local effects are described and no constitutional consequences traced. But no one in those times thought of a primary focus of infection with its remoter effects at large, in the case of any disease whatsoever. Even in the great epidemic of syphilis at the end of the fifteenth century, the sequence of primary and secondary (tertiaries were unheard of until long after), was not at first understood ; the eruption of the skin, which was com- pared to a bad kind of variola, the imposthumes of the head and of the bones elsewhere, together with all other constitutional or general symptoms, were traced, in good faith, to a disordered liver, an organ which was chosen on theoretical grounds as the niinera niorbi or laboratory of the disease\ The circumstances of the great epidemic were, of course, special, but they were not altogether new. No medieval miracle could have been more of a suspension of the order of nature than that luxuria, ininiun- ditia, and foeditas, with their attendant corrnptio vicnibronini, should have been free from those consequences, in the individual and in the community, which are more familiar in our own not less clean-living days merely because the sequence of events is better understood. That such vices abounded in the medieval world we have sufficient evidence. They were notorious among the Norman conquerors of England, especially notorious in the reign of William Rufus^ ; hence, perhaps, the significance of the phrase lepra Nonnanjiontni. That particular vice which amounts to a felony was the subject of the sixth charge (unproved) in the indictment of the order of the Templars before the Pope Clement V. in 1307. Effects on the public health traceable to such causes, for the most part snb rosa, have been often felt in the history of nations, from the Biblical episode of Baal-peor down to modern times. The evidence is written at large in the works of Astruc, Hensler and Rosenbaum. We are here concerned with a much smaller matter, namely, any evidence from England which may throw light upon the classes of cases that were called leprous if they were called by a name at all. ^ Nicolas Massa, in Luisini. "^ Freeman, The Reign of Will iam Riifiis. App. vol. it. ]i. .(99. 76 A case of MorpJiaca, 1258. Under the year 1258, Matthew Paris introduces a singular paragraph, which is headed, " The Bishop of Hereford smitten with polypus." The bishop, a Provencal, had made himself obnoxious by his treacherous conduct as the agent of Henry HI. at the Holy See in the matter of the English subsidies to the pope. Accordingly it was by the justice of God that he was deformed by a most disgraceful disease, to wit, morphea, or again, "morphea polipo, vel quadam specie leprae\" According to the medical teaching of the time, as we find it in Gilbertus Anglicus, morphaea was an infection producing a change in the natural colour of the skin ; it was confined to the skin, whereas lepra was in the flesh also ; the former was curable, the latter incurable ; mo)phaea might be white, red, or blackl The account of morphaea by Gordonio is somewhat fuller. All things, he says, that are causes of lepra are causes of morphaea ; so that what is in the flesh lepra is morphaea in the skin. It was a patchy discoloration of the skin, reddish, yellowish, whitish, dusky, or black, producing terribilis aspectus ; curable if recent, incurable if of long standing ; curable also if of moderate extent, but difficult to cure if of great extent^ In this descrip- tion by Gordonio a modern French writer on leprosy* discovers the classical characters of the syphilis of our own day : " not one sign is wanting." No doubt the medical writers drew a distinction between ■morphaea and lepra, as we have seen in quoting Gilbert and Gordonio. Gaddesden, also, who mostly copies them, interpo- lates here an original remark. No one should be adjudged leprous, he says, and separated from his fellows, merely because the "figure and form" (the stock phrase) of the face are cor- rupted : the disease might be " scabies foeda," or if in the feet, it might be " cancer." Nodosities or tubercles should not be taken to mean leprosy, unless they are confirmed (inveterate) in the ' L.c. V. 679, "Episcopus Herefoidensis polipo peicutitiir. — Episcopus Here- forclcnsis turpissimo moibo videlicet morphea, Deo percutiente, merito deformatur, qvii totum regnum Angliae proditiose dampnificavit;" and again v. 622. '^ Compcnd. I\/ccL Ed. cit. p. 170. * Lilium Med. Ed. cit. p. 108. ^ Brassac, Art. "Elephantiasis" (p. 465) in Did. Eiiiycl. dcs Sciciucs McdicaUs. Uncertainties of the diagnosis. yy face'. But how uncertain are these diagnostic indications, as between lepra and nwrphaea, lepra and " scabies foeda," lepra and "cancer in pedibus!" If there were any object in calling the disease by one name rather than another, it is clear that the same disease might be called by a euphemism in one case and by a term meant to be opprobrious in another. Although leprosy was not in general a disease that anyone might wish to be credited with, yet there were circumstances when the diagnosis of leprosy had its advantages. It was of use to a beggar or tramp to be called a leper : he would excite more pity, he might get admission to a hospital, and he might solicit alms, under royal privilege, although begging in ordinary was punishable. It is conceivable also that the diagnosis of leprosy was a con- venient one for men in conspicuous positions in Church and State. It is most improbable that the "lepra Normannorum" was all leprosy ; it is absurd to suppose that leprosy became common in Europe because returning Crusaders introduced it from the East, as if leprosy could be " introduced" in any such way ; and it is not easy to arrive at certitude, that all the cases of leprosy in princes and other high-placed personages (Baldwin IV. of Jerusalem who died at the age of twenty-five,'^ Robert the Bruce of Scotland,^ and Henry IV. of England'') were cases that would now be diagnosed leprous. Instances may be quoted to show that the name of leper was flung about somewhat at random. Thus, in an edict issued by Henry II., during the absence of Becket abroad for the settle- ment of his quarrel with the king, it was decreed that any- one who brought into the country documents relating to the threatened papal interdict should have his feet cut off if he were a regular cleric, his eyes put out if a secular clerk, should be hanged if a layman, and be burned if a leprosus — that is to ^ Rosa Anglica. Papiae, 1492. - That Baldwin IV. 's disease excited interest in him is clear from the reference of William of Newburgh, who calls him (p. 242) "princeps Christianus Icpram corporis animi virtute exornans." ^ Chronicon de Lanercost (Bannatyne Club, p. 259) : "Dominus autem Robertus de Brus, quia factus fuerat leprosus, ilia vice [anno 1327] cum eis Angliam non intravit." The rubric on folio 228 of the MS. has "leprosus moritur." ■* The original account is by Gascoigne, Loci etc. ed. Rogers, Oxon. p. 228. 78 Instances of vague nsagc. say, a beggar or common tramp. Again, in the charges brought for Henry III. against the powerful minister Hubert de Burg in 1239, one item is that he had prevented the marriage of our lord the king with a certain noble lady by representing to the latter and to her guardian that the king was " a squinter, and a fool, and a good-for-nothing, and that he had a kind of leprosy, and was a deceiver, and a perjurer, and more of a craven than any woman ^" etc. There is also a curious instance of the term leprous being applied to the Scots, evidently in the sense in which William of Malmesbury, and many more after him, twitted that nation with their cutaneous infirmities. When the Black Death of 1348-9 had reached the northern counties of England, the Scots took advantage of their prostrate state to gather in the forest of Selkirk for an invasion, exulting in the " foul death of England." Knighton says that the plague reached them there, that five thousand of them died, and that their rout was completed by the English falling upon them^. But the other contemporary chronicler of the Black Death, Geoffrey le Baker^, tells the story with a curious difference. The Scots, he says, swearing by the foul death of the English, passed from the extreme of exultation to that of grief; the sword of God's wrath was lifted from the English and fell in its fury upon the Scots, " et [Scotos] per lepram, nee minus quam Anglicos per apostemata et pustulos, mactavit." The apostemata 2ir\d pus tuli were indeed the buboes, boils and carbuncles of the plague, correctly named ; but what was the lepra of the Scots .-* It was probably a vague term of abuse ; but, if the clerk of Osney attached any meaning to it, it is clear that he saw nothing improbable in a disease called lepra springing up suddenly and spreading among a body of men. ^ "Item matrimonium inter dominum regem et quandam nobilem mulierem nequiter impedivit, dum clanculo significavit eidem mulieri et suo generi, quod rex strabo et fatuus nequamque fuerat, et speciem leprae habere, fallaxque fuerat et perjurus, imbellis plusquam mulier, in suos tantum saevientem, et prorsus iniitilem complexibus alicujus ingenuae mulieris asserendo." Matthew Paris, Chron. Ma}., Rolls ed., in. 618-19. 2 Chronicon Angliac in Twysdcn, col. 2600. •' Chronicle of Geoffrey le Baker, edited by E. Maundc Thompson. Oxford, tSSq, p. 100. Origin of the name Lazars for lepers. 79 We conclude, then, that lepra was a term used in a generic sense because of a real uncertainty of diagnosis, or because there was some advantage to be got from being called lepros?is, or because it was flung about at random. But there is still another reason for the inexact use of the terms lepra and hprosiis in the medieval period, namely, the dominant influence of religious tradition. The heritage or accretion of religious sentiment not only perverted the correct use of the name, but led to regulations and proscriptions which were out of place even for the real disease. The Biblical Associations of Leprosy. Among the synonyms for leprosi we find the terms " pau- peres Christi, videlicet Lazares," the name of " Christ's poor " being given to lepers by Aelred in the twelfth century and by Matthew Paris in the thirteenth. The association of ideas with Lazarus is a good sample of the want of discrimination in all that pertains to medieval leprosy. The Lazarus of St Luke's Gospel, who was laid at the rich man's gate full of sores, is a representative person, existing only in parable. On the other hand, the Lazarus of St John's Gospel, Lazarus of Bethany, the brother of Martha and Mary, the man of many friends, is both a historical personage and a saint in the calendar. But there is nothing to show that he was a leper. He had a remarkable experience of restoration to the light of day, and it was probably on account of an episode in his life that made so much talk that he received posthumously the name of Lazarus, or " helped of God\" The name of the man in the parable is also generic, just ' Professor Robertson Smith has kindly written for me the following note : "The later Jews were given to shorten proper names ; and in the Talmud we find the shortening La^zar (with a guttural, which the Greeks could not pronounce, between the a and the s), for EHezer or Eleazar. A-a^apos is simply La^zar with a Greek ending, and occurs, as a man's name, not only in the New Testament but in Josephus [B. yiid. v. 13, 7). This was quite understood by early readers of the Gospels; the Syriac New Testament, translated from the Greek, restores the lost guttural, and uses the Syriac form, as employed in i Mace. viii. 17 to render the Greek 'EXedfapos. Moreover the Latin and Greek onomastica explain Lazarus as meaning 'adjutus,' which shows that they took it from (Hebrew) 'to help' — the second element in the compound Eliezer. The etymology 'adjutus' (or the like) 8o The Levitical Leprosy. as generic as that of his contrast Dives is ; but specifically there was nothing in common between the one Lazarus and the other. Yet St Lazarus specially named as the brother of Martha and Mary (as in the charter of the leper-house at Sherburn) became the patron of lepers. The ascription to Lazarus of Bethany of the malady of Lazarus in the parable has done much for the prestige of the latter's disease ; in the medieval world it brought all persons full of sores within a nimbus of sanctity, as being in a special sense " pauperes Christi," the successors at once of him whom Jesus loved and of " Lazarus ulcerosus." Doubtless the lepers deserved all the charity that they got ; but we shall not easily understand the interest exceptionally taken in them, amidst abounding suffering and wretchedness in other forms, unless we keep in mind that they somehow came to be regarded as Christ's poor. Next to the image of Lazarus, or rather the composite image of the two Lazaruses, the picture of leprosy that filled the imagination was that of the thirteenth and fourteenth chapters of Leviticus. That picture is even more composite than the other, and for leprosy in the strict sense it is absolutely misleading. The word translated "leprosy" is a generic term for various communicable maladies, most of which were curable within a definite period, sometimes no longer than a week. It rested with the skill of the priesthood to discriminate between the forms of communicable disease, and to prescribe the appropriate cere- monial treatment for each ; the people had one common name for them all, and beyond that they were in the hands of their priests, who knew quite well what they were about. The Christian Church dealt with all those archaic institutions of an Eastern people in a child-like spirit of verbal or literal interpre- 'helped by God,' would no doubt powerfully assist in the choice of the designation lazars (for lepers). Suicer, in his Thesaurus, quotes a sermon of Theophanes, where it is suggested that every poor man who needs help from those who have means might be called a Lazarus." Ilirsch (Gcog. and Hist. Path. ii. 3) says thai the Arabic word for the falling sickness comes from the same root (meaning "thrown to the ground") as the Ilc'lircw word "sriraat," which is the term translated "leprosy" in Leviticus xiii. and xiv. In Isaiah liii. 4, the Vulgate has "et nos putavimus eum quasi leprosum," where the English I'.ible has "yet we did esteem him stricken." Religions deference paid to lepers. 8i tation, doubtless finding the greater part of them a meaningless jargon. But some verses would touch the imagination and call up a real and vivid picture, such verses, for example, as the following : "And the leper in whom the plague is, his clothes shall be rent, and his head bare, and he shall put a covering upon his upper lip, and shall cry. Unclean, unclean. All the days wherein the plague shall be in him he shall be defiled ; he is unclean ; he shall dwell alone ; without the camp shall his habitation be." Even in that comparatively plain direction, the obvious suggestion that the unclean person would not always be unclean, and that there was a term to his stay outside the camp, would go for little in reading the scripture. The medieval religious world took those parts of the Jewish teaching that appealed to their apprehension, and applied them to the circumstances of their own time with as much of zeal as the common sense of the community would permit. We have clear evidence of the effect of the Levitical teaching about "leprosy" upon English practice in the ordinances of the St Albans leper hospital of St Julian, which will be given in the sequel. The Medieval Religious Sentiment towards Lepers. Several incidents told of lepers by the chroniclers bring out that exaggerated religious view of the disease. Roger of Howden has preserved the following mythical story of Edward the Confessor. Proceeding one day from his palace to the Abbey Church in pomp and state, he passed with his train of nobles and ecclesiastics through a street in which sat a leper full of sores. The courtiers were about to drive the wretched man out from the royal presence, when the king ordered them to let him sit where he was. The leper, waxing bold after this con- cession, addressed the king, " I adjure thee by the living God to take me on thy shoulders and bring me into the church ; " whereupon the king bowed his head and took the leper upon his shoulders. And as the king went, he prayed that God would give health to the leper ; and his prayer was heard, and the c. 6 82 Authentic leper-story, \2tJ1 cetitury. leper was made whole from that very hour, praising and glorifying God\ It is not the miraculous ending of this incident that need surprise us most ; for the Royal touch by which the Confessor wrought his numerous cures of the blind and the halt and the scrofulous, continued to be exercised, with unabated virtue, down to the eighteenth century, and came at length to be supervised by Court surgeons who were fellows of the Royal Society. It is the humility of a crowned head in the presence of a leper that marks an old-world kind of religious sentiment. The nearest approach to it in our time is the feet-washing of the poor by the empress at Vienna on Corpus Christi day. A similar story, with a truer touch of nature in it, is told of Matilda, queen of Henry I. ; and it happens to be related on so good authority that we may believe every word of it. Matilda was a Saxon princess, daughter of Margaret the Atheling, the queen of Malcolm Canmore. The other actor in the story was ner brother David, afterwards king of Scots and, like his mother, honoured as a saint of the Church. The narrator is Aelred, abbot of Rievaulx, in the North Riding of Yorkshire, celebrated for his Latin style and his care for Saxon history. The abbot was a friend of St David, whose virtues he celebrates at length ; the incident of queen Matilda and the lepers was one that he often heard from David's own lips (quod ex ore saepe Davidis regis audivi). The princess Matilda, taking more after her mother than her father, had been brought up in an English convent under her aunt, the abbess of it. When it came to a marriage between her and Henry I., an alliance which was meant to reconcile the Saxons to Norman rule, the question arose in the mind of Anselm whether the princess Matilda had not actually taken the veil, and whether he could legally marry her to the king. Questioned as to the fact, the princess made answer that she had indeed worn the veil in public, but only as a protection from the licentious insolence of the Norman nobles. She had no liking for the great match arranged for her, and 1 Roger of Ilowdcn. Edited by Stubbs. Rolls series, No. 51, vol. i. p. no. Aelred, the chief colleclor of the miraculous cures by Edward the Confessor, appears to have omitted this one- Queen Matilda and the lepers. 83 consented unwillingly although the king was enamoured of her. Such was her humility that Aclred designates her " the Esther of our times." The marriage was on the 15th of November, iioo ; and in the next year, according to the usual date given, the young queen sought relief and effusion for her religious instincts by founding the leper hospital of St Giles in the Fields, " with a chapel and a sufficient edifice." Matthew Paris, a century and a half after, saw it standing as queen Matilda had built it, and made a sketch of it in colours on the margin of his page, still remaining to us in a library at Cambridge, with the description, " Memoriale Matild. Regine." The story which her brother David told to the abbot of Rievaulx is as follows : When he was serving as a youth at the English Court, one evening he was with his companions in his lodging, when the queen called him into her chamber. He found the place full of lepers, and the queen standing in the midst, with her robe laid aside and a towel girt round her. Having filled a basin with water, she proceeded to wash the feet of the lepers and to wipe them with the towel, and then taking them in both her hands, she kissed them with devotion. To whom her brother : " What dost thou, my lady .-' Certes if the king were to know this, never would he deign to kiss with his lips that mouth of thine polluted with the soil of leprous feet." But she answered with a smile : " Who does not know that the feet of an Eternal King are to be preferred to the lips of a mortal king.? See, then, dearest brother, wherefore I have called thee, that thou mayest learn by my example to do so also. Take the basin, and do what thou hast seen me do." "At this," said David, narrating to the abbot, " I was sore afraid, and answered that I could on no account endure it. For as yet I did not know the Lord, nor had His Spirit been revealed to me. And as she proceeded with her task, I laughed — max culpa — and returned to my comrades ^" ^ Ailrecli Abbatis Rievallensis Geiiealogia Regum Anglortiin. In Twysden's Decern Scriptores, col. 368. "Cum, inquit [David], adolescens in curia regia [Anglica] servirem, nocte quadam in hospicio meo cum sociis meis nescio quid agens, ad thalamum reginae ab ipsa vocatus accessi. Et ecce domus plena leprosis, et regina in medio stans, deposito pallio, lintheo se precinxit, et posita in pelvi aqua, coepit lavare pedes eorum, et extergere, extersosque utrisque constringere manibus et devotissime osculari. Cui ego: 'Quid agis,' inquam, 'O domina mca? Certe si rex sciret ista, nunquam dignaretur os tuum, leprosorum pedum tabe pollutum, suis labiis osculari.' Et ilia surridens ait : 'Pedes,' inquit, 'Regis aeterni quis nescit labiis regis morituri esse praeferendos? Ecce, ego idcirco vocavi tc, frater carissime, ut exemplo mei talia discas (iperari. Sinnpta proinde pelvi, fac c[uod me laccie iiUueris. ' Ad 6—2 84 Si HitgJi and the LincolnsJiire lepers. The example of his sister, however, was not lost upon him ; for when he acquired the earldom and manor of Huntingdon, and so became an opulent English noble, he founded a leper-hospital there. Aelred sees him in Abraham's bosom with Lazarus. The meaning of all this devotion to lepers is shown in the name which Aelred applies to them — panpercs Christi. In washing their feet the pious Matilda was in effect washing the feet of an Eternal King ; and that, in her estimation, was better than kissing the lips of a mortal king. Again, in the Life of St Hugh of Lincoln we see the good bishop moved to treat the leprous poor with a sort of attention which they can hardly have needed or expected, merely because they were, as his biographer says, the successors of Lazarus nkerosus, and the special proteges of Jesus. Not a few, says the biographer, were kept in seclusion owing to that disease, both men and women. Bishop Hugh would take up his abode among them and speak to them words of good cheer, promising them the flowers of Paradise and an immortal crown. Having sent the women lepers out of the way, he would go round among the men to kiss them, and when he came to one who was more atrociously marked by the disease than another, he would hold him in a longer and more gracious embrace. It was too much for the bishop's biographer : " Spare, good Jesus, the unhappy soul of him who relates these things " — horrified, as he says he was, at seeing the "swollen and livid faces, deformed and sanious, with the eyelids everted, the eyeballs dug out, and the lips wasted away, faces which it were impossible to touch close or even to behold afar off^". But these horrible disfigure- ments of the face are by no means the distinctive marks of leprosy. The dragging down of the eyelids is an effect of leprosy but as likely to happen in lupus or rodent ulcer. The loss of the eyeball may be a leprous sign, or perhaps from tumour. The wasting of the lips is a characteristic feature of lupus, after it has scarred, or if there be an actual loss of substance, of epithelial banc vocem vehementer expavi, et nullo modo id me pati posse respondi. Necdum enim sciebam Dominum, ncc revelatus fuerat mihi Spiritus ejus. Ilia igitur coeptis insistente, ego — mea culpa — vidcns ad socios remeavi." ' Vitn S. Ifugonis Lituolncnsis. Rolls series, 39, jj. 163-4. St Francis and the lepers. 85 cancer ; in leprosy, on the other hand, the lips, as well as other prominent folds of the face, undergo thickening, and will probably remain thickened to the end. The sufferers who excited the compassion of St Hugh must have merited it; only they were not all lepers, nor probably the majority of them'. Two leper-stories are told to the honour of St Francis of Assisi. Seeing one day a friar of his order named James the Simple, consorting on the way to church with a leper from the hospital under his care, St Francis rebuked the friar for allowing the leper to be at large. While he thus admonished the friar, he thought that he observed the leper to blush, and was stricken with a sudden remorse that he should have said anything to hurt the wretched man's feelings. Having confessed and taken counsel, he resolved, by way of penance, to sit beside the leper at table and to eat with him out of the same dish, a penance all the greater, says the biographer, that the leper was covered all over with offensive sores and that the blood and sanies trickled down his fingers as he dipped them in the dish. The other story is a more pleasing one. There was a certain leper among those cared for by the friars, who would appear from the description of him to have been one of the class of truculent impostors, made all the worse by the morbid considera- tion with which his disease, or supposed disease, was regarded. One of his complaints was that no one would wash him ; whereupon St Francis, having ordered a friar to bring a basin of perfumed water, proceeded to wash the leper with his own handsl These four tales, all of them told of saints except that of Matilda — she somehow missed being canonised along with her mother St Margaret and her brother St David — will serve to show what a halo of morbid exaggeration surrounded the idea of leprosy in the medieval religious mind. We live in a time of saner and better-proportioned sentiment ; but the critical spirit, ^ The bishop left by his will 100 marks to be distributed "per domes lepros- orum" in his diocese and a like sum "per domos hospitales," and three marks each to the leper-houses at Selwood and outside Bath and Ilchester. Hist. MSS. Coinmiss. X. pt. 3, p. 186. - Momiincnta Franciscana. Rolls series. No. 4. Introd. by Brewer, p. xxiv. 86 Sources of iiiforniatiou as to Icper-Jionses. which has set so much else in a sober light, has spared the medieval tradition of leprosy. Not only so, but our more graphic writers have put that disease into the medieval foreground as if it had been the commonest affliction of the time. We are taught to see the figures of lepers in their grey or russet gowns flitting everywhere through the scene ; the air of those remote times is as if filled with the dull creaking of St Lazarus's rattle. Our business here is to apply to the question of leprosy in medieval Britain the same kind of scrutiny which has been applied to the question of famines and famine-fevers, and remains to be applied next in order to the great question of plague — the kind of scrutiny which no historian would be excused from if his business were with politics, or campaigns, or economics, or manners and customs. The best available evidence for our purpose is the history of the leper-houses, to which we shall now proceed. The English Leper-houses. The English charitable foundations, or hospitals of all kinds previous to the dissolution of the monasteries, including alms- houses, infirmaries, Maisons Dieu and lazar-houses, amount to five hundred and nine in the index of Bishop Tanner's Notitia Monastica. In the 1830 edition of the Monasticou Anglicanuni, the latest recension of those immense volumes of antiquarian research, there are one hundred and four such foundations given, for which the original charters, or confirming charters, or reports of inquisitions, are known ; and, besides these, there are about three hundred and sixty given in the section on "Additional Hospitals," the existence and circumstances of which rest upon such evidence as casual mention in old documents, or entries in monastery annals, or surviving names and traditions of the locality. Our task is to discover, if we can, what share of this charitable provision in medieval England, embracing at least four hundred and sixty houses, was intended for the class of Icprosl ; what indications there are of the sort of patients reckoned Icprosi ; how many sick inmates the leper-houses had, TJu'cc near Canterbury, iil/i and i2lh centuries. 8/ absolutely as well as in proportion to their clerical staff; and how far those refuges were in request among the people, either from a natural desire to find a refuge or from the social pressure upon them to keep themselves out of the way. It is clear that the endowed hospitals of medieval England were in no exclusive sense leper-hospitals, but a general provision, under religious discipline, for the infirm and sick poor, for infirm and ailing monks and clergy, and here or there for decayed gentlefolk. The earliest of them that is known, St Peter's dnd St Leonard's hospital at York, founded in 936 by king Athelstane, and enlarged more especially on its religious side by king Stephen, was a great establishment for the relief of the poor, with no reference to leprosy ; it provided for no fewer than two hundred and six bedesmen, and was served by a master, thirteen brethren, four seculars, eight sisters, thirty choristers and six servitors. When Lanfranc, the first Norman archbishop of Canterbury, set about organising the charitable relief of his see in 1084, he endowed two hospitals, one for the sick and infirm poor in general, and the other for leprosi^. The former, St John Baptist's hospital, was at the north gate, a commodious house of stone, for poor, infirm, lame or blind men and women. The latter was the hospital of Herbaldown, an erection of timber, in the woods of Blean about a mile from the west gate, for persons regia valetudine Jluentibus (.-'), who are styled leprosi in a confirming charter of Henry II."'' The charge of both these houses was given to the new priory of St Gregory, over against St John Baptist's hospital, endowed with tithes for secular clergy. The leper-house at Herbaldown was divided between men and women; but in a later reign (Henry II.) a hospital entirely for women (twenty-five leprous sisters) was founded at Tannington, outside Canterbury, with a master, prioress and three priests. There was still a third hospital at Canterbury, St Lawrence's, founded about 1137, for the relief of leprous monks or for the poor parents and relations of the monks of St Augustine's. ^ William of Malinesbury, Gesla pontificiini., Rolls cd., p. 72. '" In 1574 it was found providing indoor relief for fifteen bretlircn and fifteen sisters, and outdoor relief for as many more. 88 Tzvo leper- hospitals near London or Westminster. London had two endowed leper-hospitals under ecclesiastical government, as well as certain spitals or refuges of comparatively late date. The hospital and chapel of St Giles in the Fields was founded, as we have seen, by Matilda, queen of Henry I., in iioi, and was commonly known for long after as Matilda's hospital. It was built for forty leprosi, who may or may not all have lived in it ; and it was supported in part by the voluntary contributions of the citizens collected by a proctor. Its staff was at first exceptionally small for the number of patients, — a chaplain, a clerk and a messenger ; but as its endowments increased several other clerics and some matrons were added. By a king's charter of 1208 (loth John), it was to receive sixty shillings annually. It is next heard of, in the Rolls of Parliament, in connexion with a petition of 1 314-15 (8 Ed. II.), by the terms of which, and of the reply to it, we can see that there were then some lepers in the hospital but also patients of another kind. It is mentioned by Wendover, under the year 1222, as the scene of a trial of strength between the citizens and the comprovinciales extra iirbeni positos^ : at that date it stood well in the country, probably near to where the church of St Giles now stands at the end of old High Holborn. The drawing of the hospital on the margin of Matthew Paris's manuscript shows it as a house of stone, with a tower at the east end and a smaller one over the west porch, and with a chapel and a hall, but probably no dormitories for forty lepers'-'. The other endowed leper-house of the metropolis was the hospital of St James, in the fields beyond Westminster. It was of ancient date, and provided for fourteen female patients, who came somehow to be called the leprosae pnellae^, although youth is by no means specially associated with leprosy. This 1 Roger of Wendover. Rolls ed. il. 265. - In the MS. of Matthew Paris's Chronica Majora in the library of Corpus Christi College, Cambridge, No. 26 in the Parker Collection, p. 220. The late Rev. S. S. Lewis, fellow and librarian of the College, who most liberally had a fac-simile of the drawing made for me, would date it a little before 1250. (Rolls edition, by Luard, n. 144.) ■' RoluU Chai'tani/n, ii9()-i2i6. Charter of confirmation, 1204 (5 Joh.) p. 117 b. llic Knights of St Lazarus in England. 89 house grew rich, and supported eight brethren for the rehgious services of the sixteen patients \ It is usual to enumerate five, and sometimes six, other leper- hospitals, in the outskirts of London — at Kingsland or Hackney, in Kent Street, Southwark (the Lock), at Highgate, at Mile End, at Knightsbridge and at Hammersmith. But the earliest of these were founded in the reign of Edward HL (about 1346) at a time when the old ecclesiastical leper-houses were nearly- empty of lepers. It would be misleading to include them among the medieval leper-houses proper, and I shall refer to them in a later part of this chapter. The example of archbishop Lanfranc at Canterbury and of queen Matilda in London was soon followed by other founders and benefactors. The movement in favour of lepers — there was probably too real an occasion for it to call it a craze — gained much from the appearance on the scene of the Knights of the Order of St Lazarus of Jerusalem. Those knights were the most sentimental of the orders of chivalry, and probably not more reputable than the Templars or the main body of the Plospital- lers from which they branched off. If we may judge of them by modern instances, they wanted to do some great thing, and to do it in the most theatrical way, with everybody looking on. What real services they may have rendered to the sick poor, leprous or other, there is little to show. The head-quarters of the order were at Jerusalem, the Grand Master and the Knights there being all Icprosi — doubtless in a liberal sense of the term. We should be doing them no injustice if we take them to have been Crusaders so badly hit by their vices or their misfortunes as to be marked off into a separate order by a natural line. How- ever, many others enlisted under the banner of St Lazarus who were not /t^wj-/; these established themselves in various countries of Europe, acquired many manors and built fine houses^ In England their chief house was at Burton in Leicestershire ; it ^ 111 the Valor Ecdesiastkiis of Henry VIII. its revenue is put at ;;^ioo. ^ The commanderies of the Knights of St Lazarus were numerous in every province of France. For an enumeration of them see Lcs Lcprcux et Ics Chevaliers de Saint Lazare de Jerusalem et de Notre Dame et de Mont Carmel. Par Eugene Vignat, Orleans, 1884, pp. 315-364. 90 Burton Laaars. — St Juliaiis at St Albans. was not by any means a great leper-hospital, but a Commandery or Preceptory for eight whole knights, with some provision for an uncertain number of poor brethren — the real Lazaruses who, like their prototype, would receive the crumbs from the high table. The house of Burton Lazars gradually swallowed up the lands of leper-hospitals elsewhere, as these passed into de- suetude, and at the valuation of Henry VIII. it headed the list with an annual rental of ;^250. Their establishment in England dates from the early part of the twelfth century, and although the house at Burton appears to have been their only considerable possession, they are said, on vague evidence, to have enlisted many knights from England, and, curiously enough, still more from Scotland. A letter is extant by the celebrated schoolman, John of Salisbury, afterwards bishop of Chartrcs, written in the reign of Henry II. to a bishop of Salisbury, from which it would appear that the " Fratres Hospi- tales" were regarded with jealousy and dislike by the clerical profession; " rapiunt ut distribuant," says the writer, as if there were something at once forced and forcible in their charities\ Coincidently with the appearance in England of the Knights of St Lazarus, we find the monasteries, and sometimes private benefactors among the nobility, beginning to make provision for lepers, either along with other deserving poor or in houses apart. After the hospitals at Canterbury and London (as well as an eleventh-century foundation at Northampton, which may or may not have been originally destined (or Icprosi), come the two leper-houses founded by the great abbey of St Albans. As these were probably as good instances as can be found, their history is worth following. In the time of abbot Gregory (i 119 to 114.6), the hospital and church of St Julian was built on the London road, for six poor brethren {Lazares ox pmipercs CJiristi) governed by a master and four chaplains. The mastership of St Julian's is twice mentioned in the abbey chronicles as a valuable piece of prefer- ment. In 1254 the lands of the hospital were so heavily taxed, for the king and the pope, that the misdli, according to Matthew ^ jfoaiinis Siwislmriensls Opera omnia, cd. (Jilcs 1,141 (IcUcr Lo Josselin, bishop of Salisbury). Fate of woineiis Icpcr-honscs at St Albans, Canterbury, etc. 91 Paris, had barely the necessaries of life. But a century after, in 1350, the revenues were too large for its needs, and new statutes were made ; the accommodation of its six beds was by no means in request, the number of inmates being never more than three, sometimes only two, and occasionally only one\ The fate of the other leper-house of St Albans abbey, that of St Mary de Pratis for women, is not less instructive. The date of its foundation is not known, but in 1254 it had a church and a hospital occupied by misellae"^. A century later we hear of the house being shared between illiterate sisters and nuns. The former are not called lepers, but simply poor sisters ; whatever they were, the nuns and they did not get on comfortably together, and the abbot restored harmony by turning the hospital into a nunnery pure and simple^ Similar was the history of one of the richest foundations of the kind, that of Mayden Bradley in Wiltshire. It was originally endowed shortly before or shortly after the accession of Henry II. (1135) by a noble family for an unstated number of poor women, generally assumed to have been leprosae, and for an unstated number of regular and secular clerics to perform the religious offices and manage the property. It had not existed long, however, when the bishop of Salisbury, in 1190, got the charter altered so as to assign the revenues to eight canons and — poor sisters, and so it continued until the valuation of Henry VIII., when it was found to be of considerable wealth. In like manner the hospital of St James, at Tannington near Canterbury, founded in the reign of Henry II. for twenty-five "leprous sisters," was found, in the reign of Edward III. (1344), to contain no lepers, its "corrodies" being much sought after by needy gentlewomen *. Another foundation of Henry II.'s reign was the leper-hospital ^ "Vix seu raro inveniuntur tot leprosi volentes vitam ducere observantiis obli- gatam ad dictum hospitale concurrentes." Walsingham, Gesta Abbatuin, Rolls ed. II. 484. " Matthew Paris, Chron. Maj. V. 452. ^ Walsingham, Gesta Abbatum, II. 401. ^ "The sisters of St James's were bound by no vows, and at this period [1344] were not all, or even any of them, lepers ; and in consequence a place in the hospital was much sought after by needy dependents of tlie Court." Report on MSS. of the Dean and Chapter of Canterbury, in Hist. MSS. Commission Reports, IX. p. 87. 92 Covciiliy. — Lincoln. — Bnry St Ednuinds. of St Mary Magdalen at Sponne, outside the walls of Coventry. It was founded by an Earl of Chester, who, having a certain leprous knight in his household, gave in pure alms for the health of his soul and the souls of his ancestors his chapel at Sponne with the site thereof, and half a carucate of land for the mainten- ance of such lepers as should happen to be in the town of Coventry. There was one priest to celebrate, and with him were wont to be also certain brethren or sisters together with the lepers, praying to God for the good estate of all their benefactors. " But clear it is," says Dugdale, " that the monks shortly after appropriated it to their own use." However, they were in time dispossessed by the Crown, to which the hospital belonged until the 14th of Edward IV\ One of the most typical as well as earliest foundations was the hospital of the Holy Innocents at Lincoln, endowed by Henry I. We owe our knowledge of its charter to an inquisition of Edward III. It was intended for ten leprosi, who were to be of the outcasts {de ejectibns) of the city of Lincoln, the presen- tation to be in the king's gift or in that of the mayor or other good men of the city, and the administration of it by a master or warden, two chaplains and one clerk. In the space of two centuries from its foundation the character of its inmates had gradually changed. Edward II I. 's commissioners found nine poor brethren or sisters in it ; only one of them was leprosus, and he had obtained admission by a golden key; also the seven poor women had got in per viam peciiniam. In Henry VI. 's time provision was made for the possibility of lepers still requiring its shelter — quod absit, as the new charter said. In the same reign (end of Henry I.) the hospital of St Peter was founded at Bury St Edmunds by abbot Anselm, for priests and others when they grew old and infirm, leprous or diseased. The other hospital at Bury, St Saviour's, had no explicit refer- ence to leprosy at all. It was founded by the famous abbot Samson about 11 84, for a warden, twelve chaplain-priests, six clerks, twelve poor gentlemen, and twelve poor women. About a hundred years later the poor sisters had to go, in order to make room for old and infirm priests. ^ Viw'gA'^ii'-, Ilistoiy of IVanoicksJiirc, p. 197. Ripoii. — Lynn. — Oxford. — Stourbridge. 93 Sometime before his death in 1139, Thurstan, archbishop of York, founded a hospital at Ripon for the relief of '' all the lepers in Richmondshirc ;" the provision was for eighteen patients, a chaplain and sisters. At an uncertain date afterwards the house was found to contain a master, two or three chaplains and some brethren, who are not styled Icprosi ; and from the inqui- sition of Edward III. we learn that its original destination had been for the relief as much of the poor as the leprous {tarn pauperum qnain leprosormn), and that there was no leprous person in it at the date of the inquisition. The mixed character of hospitals commonly reckoned leper- hospitals is shown by several other instances. St Mary Mag- dalene's at Lynn (i 145) provided for a prior and twelve brethren or sisters, nine of whom were to be whole and three leprous. St Leonard's at Lancaster (time of king John) was endowed for a master, a chaplain, and nine poor persons, three of them to be leprous. St Bartholomew's at Oxford provided for a master, a clerk, two whole brethren and six infirm or leprous brethren ; but the infirm or leprous brethren had all been changed into whole brethren by the time of Edward IW. So again the Normans' spital at Norwich was found to be sheltering " seven whole sisters and seven half-sisters." The leper-hospital at Stourbridge, near Cambridge, was founded for lepers by king John, the one king in English history who cared greatly about his leprous subjects. It was committed to the charge of the burgesses of Cambridge, but it was shortly after seized by Hugo de Norwold, bishop of Ely, and within little more than fifty years from its foundation (7 Ed. I.) it was found that the bishop of Ely of that da}' was using it for some purposes of his own, but " was keeping no lepers in it, as he ought, and as the custom had been"." The ostentatious patronage of lepers by king John, of which something more might be said, was preceded by a more impor- tant interposition on their behalf by the third Council of the ^ On Nov. 24, 1 200, king John signed