This disease is not a Sweat onely, (as it is thought & called) but a feuer, as I saied, in the spirites by putrefaction venemous, with a fight, trauaile, and laboure of nature againste the infection receyued in the spirites, whervpon by chaunce foloweth a Sweate, or issueth an humour compelled by nature, as also chanceth in other sicknesses whiche consiste in humours, when they be in their state, and at the worste in certein dayes iudicial, aswel by vomites, bledinges, & fluxes, as by sweates. That this is true, the self sweates do shewe. For as in vtter businesses, bodies yt sore do labour, by trauail of the same are forced to sweat, so in inner diseases, the bodies traueiled & labored by thẽ, are moued to the like. In which labors, if nature be strõg & able to thrust out the poisõ by sweat (not otherwise letted) ye persõ escapeth: if not, it dieth. That it is a feuer, thus I haue partly declared, and more wil streight by the notes of the disease, vnder one shewing also by thesame notes, signes, and short tariance of the same, that it consisteth in the spirites. First by the peine in the backe, or shoulder, peine in the extreme partes, as arme, or legge, with a flusshing, or wind, as it semeth to certeine of the pacientes, flieng in the same. Secondly by the grief in the liuer and the nigh stomacke. Thirdely, by the peine in the head, & madnes of the same. Fourthly by the passion of the hart. For the flusshing or wynde comming in the vtter and extreame partes, is nothing els but the spirites of those same gathered together, at the first entring of the euell aire, agaynste the infection therof, & flyeng thesame from place to place, for their owne sauegarde. But at the last infected, they make a grief where thei be forced, which cõmonly is in tharme or legge (the fartheste partes of theire refuge) the backe or shulder: trieng ther first a brũt as good souldiers, before they wil let their enemye come further into theire dominion. The other grefes be therefore in thother partes aforsaid & sorer, because the spirites be there most plẽtuous as in their founteines, whether alwaies thinfection desireth to go. For frõ the liuer, the nigh stomack, braine, and harte, come all the iij. sortes, and kyndes of spirites, the gouernoures of oure bodies, as firste spronge there. But from the hart, the liuish spirites. In putrifieng wherof by the euel aier in bodies fit for it, the harte is oppressed. Wherupon also foloweth a marueilous heauinesse, (the fifthe token of this disease,) and a desire to sleape, neuer contented, the senses in al partes beynge as they were bounde or closed vp, the partes therfore left heuy, vnliuishe, and dulle. Laste foloweth the shorte abidinge, a certeine Token of the disease to be in the spirites, as wel may be proued by the Ephemera that Galene writethe of, whiche because it consistethe in the Spirites, lasteth but one natural day. For as fire in hardes or straw, is sone in flambe & sone oute, euen so heate in the spirites, either by simple distemperature, or by infection and putrefaction therin conceyued, is sone in flambe and sone out, and soner for the vehemencye or greatnes of the same, whiche without lingering, consumeth sone the light matter, contrary to al other diseases restyng in humoures, wherin a fire ones kindeled, is not so sone put out, no more then is the same in moiste woodde, or fat Sea coles, as well by the particular Example of the pestilence, (of al others most lyke vnto this) may be declared, whyche by that it stãdeth in euel humors, tarieth as I said, sometyme, from iiij. vii. ix. & xj. vntill xiiij. dayes, differentlie from this, by reason therof, albeit by infection most lyke to this same. Thus vnder one laboure shortelie I haue declared both what this disease is, wherein it consisteth, howe and with what accidentes it grieueth and is differente from the Pestilence, and the propre signes, and tokens of the same, without the whiche, if any do sweate, I take theym not to Sweate by this Sickenesse, but rather by feare, heate of the yeare, many clothes, greate exercise, affection, excesse in diete, or at the worst, by a smal cause of infection, and lesse disposition of the bodi to this sicknes. So that, insomoche as the body was nat al voide of matter, sweate it did when infection came: but in that the mattere was not greate, the same coulde neyther be perilous nor paineful as in others, in whom it was greater cause.
The causes. Hetherto I haue shewed the beginning, name, nature, & signes of this disease: nowe I will declare the causes, which be ij.: infectiõ, & impure spirites in bodies corrupt by repletiõ. Infection, by thaire receiuing euel qualities, distẽpring not only ye hete, but the hole substãce therof, in putrifieng thesame, and that generally ij. waies. By the time of the yere vnnatural, & by the nature & site of the soile & region – wherunto maye be put the particular accidentes of this same. By the time of the yeare vnnaturall, as if winter be hot & drie, somer hot and moist: (a fit time for sweates) the spring colde and drye, the fall hot & moist. To this mai be ioyned the euel disposition by constellation, whiche hath a great power & dominion in al erthly thinges. By the site & nature of the soile & regiõ, many wayes. First & specially by euel mistes & exhalatiõs drawen out of the grounde by the sũne in the heate of the yeare, as chanced amõg the Grekes in the siege of Troy, wherby died firste dogges & mules, after, mẽ in great numbre: & here also in Englãd in this m.d.lj. yeare, the cause of this pestilent sweate, but of dyuers nature. Whiche miste in the countrie wher it began, was sene flie frõ toune to toune, with suche a stincke in morninges & eueninges, that mẽ could scarcely abide it. Thẽ by dampes out of the earth, as out of Galenes Barathrũ, or the poetes auernũ, or aornũ, the dampes wherof be such, that thei kil ye birdes fliẽg ouer them. Of like dampes, I heard in the north coũtry in cole pits, wherby the laboring mẽ be streight killed, except before the houre of coming therof (which thei know by ye flame of their cãdle) thei auoid the groũd. Thirdly by putrefactiõ or rot in groũdes aftre great flouddes, in carions, & in dead men. After great fluddes, as happened in ye time of Gallien thẽperor at rome, in Achaia & Libia, wher the seas sodeinly did ouerflow ye cities nigh to yt same. And in the xi. yeare of Pelagius, when al the flouddes throughe al Italye didde rage, but chieflye Tibris at Rome, whiche in many places was as highe as the walles of the citie.
In cariõs or dead bodies, as fortuned here in Englande vpon the sea banckes in the tyme of King Alured, or Alfrede; (as some Chroniclers write) but in the time of king Ethelred after Sabellicus, by occasion of drowned Locustes cast vp by the Sea, which by a wynde were driuen oute of Fraunce thether. This locust is a flie in bignes of a mãnes thumbe, in colour broune, in shape somewhat like a greshopper, hauing vi. fiete, so many wynges, two tiethe, & an hedde like a horse, and therfore called in Italy Caualleto, where ouer ye city of Padoa, in the yeare m.d.xlij. (as I remembre,) I, with manye more did see a swarme of theim, whose passage ouer the citie, did laste two hours, in breadth inestimable to euery man there. Here by example to note infection by deadde menne in Warres, either in rotting aboue the ground, as chaunced in Athenes by theim of Ethiopia, or els in beyng buried ouerly as happened at Bulloigne, in the yere M.D.xlv. the yeare aftre king Henrye theight had conquered the same, or by long continuance of an hoste in one place, it is more playne by dayly experience, then it neadeth to be shewed. Therefore I wil now go to the fourth especial cause of infectiõ, the pent aier, breaking out of the ground in yearthquakes, as chaunced at Uenice in the first yeare of Andrea Dandulo, then Duke, the xxiiij. day of Januarye, and xx. hour after their computacion. By which infectiõ mani died, & many were borne before their time. The v. cause is close, & vnstirred aire, & therfore putrified or corrupt, out of old welles, holes in yt groũd made for grain, wherof many I did se in & about Pesaro in Italy, by openĩg thẽ aftre a great space, as both those coũtrimẽ do cõfesse, & also by exãple is declared, for ye manye in openĩg thẽ vnwarely be killed. Out of caues, & tõbes also, as chaũced first in the country of Babilonia, proceding aftre into Grece, and so to Rome, by occasion that ye souldiers of themperour Marcus Antoninus, vpon hope of money, brake up a golden coffine of Auidius Cassius, spiẽg a litle hole therin, in the tẽple of Apollo in Seleucia, as Ammianus Marcellinus writeth. To these mai be ioyned the particular causes of infectiõ, which I cal the accidentes of the place, augmenting thesame. As nigh to dwelling places, merishe & muddy groundes, puddles or donghilles, sinkes or canales, easing places or carions, deadde ditches or rotten groundes, close aier in houses or ualleis, with suche like. Thus muche for the firste cause.
The second cause of this Englyshe Ephemera, I said were thimpure spirites in bodies corupt by repletiõ. Repletion I cal here, abundance of humores euel & maliciouse, from long time by litle & litle gathered by euel diete, remaining in the bodye, coming either by to moche meate, or by euel meate in qualitie, as infected frutes, meates of euel iuse or nutrimẽt; or both ioyntly. To such spirites when the aire infectiue cometh cõsonant, thẽ be thei distẽpered, corrupted, sore handled, & oppressed, thẽ nature is forced, & the disease engendred. But while I doe declare these impure spirites to be one cause, I must remoue your myndes frõ spirites to humours, for that the spirites be fedde of the finest partes therof, & aftre bringe you againe to spirites where I toke you. And forsomuche as I haue not yet forgotten to whome I write, in this declaration I will leaue a part al learned & subtil reasõs, as here void & vnmiete, & only vse suche as be most euident to whom I write, & easiest to be vnderstanden of the same: and at ones therwith shew also why it haũteth vs English men more thẽ other nations. Therfore I passe ouer the vngẽtle sauoure or smell of the sweate, grosenes, colour, and other qualities of the same, the quantitie, the daunger in stopping, the maner in coming furthe redily, or hardly, hot or cold, the notes in the excremẽtes, the state longer or sorer, with suche others, which mai be tokẽs of corrupt humours & spirites, & onli wil stãd upõ iii. reasõs declaring ye same swet by gret repletiõ to be in vs not otherwise for al the euel aire apt to this disease, more thẽ other natiõs. For as hereaftre I wil shew, & Galẽ cõfirmeth, our bodies cã not suffre any thĩg or hurt by corrupt & infectiue causes, except ther be in thẽ a certeĩ mater prepared apt & like to receiue it, els if one were sick, al shuld be sick, if in this countri, in al coũtres wher the infection came, which thĩg we se doth not chãce. For touching the first reasõ, we se this sweting sicknes or pestilẽt Ephemera, to be oft in Englãd, but neuer entreth Scotland, (except the borders) albeit thei both be ioinctly within the cõpas of on sea. The same beginning here, hath assailed Brabant & the costes nigh to it, but neuer passed Germany, where ones it was in like faciõ as here, with great mortalitie, in the yere m.d.xlix. Cause wherof none other there is naturall, then the euell diet of these thre contries whiche destroy more meates and drynckes withoute al ordre, cõueniẽt time, reasõ, or necessite, thẽ either Scotlande, or all other countries vnder the sunne, to the greate annoiance of their owne bodies and wittes, hinderance of theim which have nede, and great dearth and scarcitie in their cõmon welthes. Wherfore if Esculapius the inuentour of phisike, ye sauer of mẽ from death, and restorer to life, should returne again ĩto this world, he could not saue these sortes of men, hauing so moche sweatyng stuffe, so many euill humoures laid vp in store, frõ this displeasante, feareful, & pestilent disease: except thei would learne a new lesson, & folowe a new trade. For other wise, neither the auoidyng of this countrie (the seconde reason) nor fleyng into others, (a commune refuge in other diseases) wyll preserue vs Englishe men, as in this laste sweate is by experience well proued in Cales, Antwerpe, and other places of Brabant, wher only our contrimen ware sicke, & none others, except one or ii. others of thenglishe diete, which is also to be noted. The cause hereof natural is onely this, that they caried ouer with thẽ, & by lyke diete ther incresed that whiche was the cause of their disease. Wherefore lette vs asserteine our selues, that in what soeuer contrie lyke cause and matter is, there commyng like aier and cause efficient, wil make lyke effecte and disease in persõs of agreable complexions, age, and diete, if the tyme also doe serue to these same, and in none others. These I putte, for that the tyme of the yere hote, makethe moche to the malice of the disease, in openynge the pores of the body, lettynge in the euill aier, resoluynge the humores and makynge them flowable, and disposing therfore the spirites accordyngly, besyde, that (as I shewed in the first cause of this pestilente sweate) it stirreth and draweth out of the erthe euill exhalations and mistes, to thinfection of the aier and displeasure of vs. Diet I put, for that they of the contrarie diete be not troubled with it at all. Age and complexion, for this, that although it spareth nõ age of bothe kyndes, nor no complexion but some it touchethe, yet for the most parte (wherby rules and reasones be alwayes to be made) it vexed theim of the middle age, beste luste, and theim not moche vnder that, and of complexions hote & moiste, as fitteste by their naughty & moche subtiltie of blode to fede the spirites: or nigh and lyke to thesame in some one of the qualities, as cholerike in hete, phlegmatike in moister, excepte thother their qualities, as drinesse in cholerike, & cold in phlegmatike, by great dominion ouer thother, did lette. For the clene contrarie complexiõs to the infected aier, alwaies remaine helthful, saulfe and better then tofore, the corrupte and infected aier notwithstandyng. Therfore cold and drie persones either it touched not at all, or very fewe, and that wyth no danger: such I say as beside their complexion, (whiche is so harde to finde in any man exacte and simple, as exacte helthes) were annoied with some corrupt humoures & spirites, & therfore mete by so moch to receiue it, & that by good reasõ. For nothing can naturally haue power to do ought against any thing, excepte the same haue in it selfe a disposicion by like qualities to receiue it. As the cause in the fote cãnot trouble the flanke and leue the knee (the mean betwixte) except there were a greater consent and likenes of nature in sufferance (whiche we call sympathian) betwixte those then thother. Nor fire refusynge stones, canne burne hardes, strawe, stickes and charcole, oile, waxe, fatte, and seacole, except these same first of al wer apte, and by conuenient qualities disposed to be enflamed and burned. Nor any man goeth about to burne water, because the qualities thereof be contrary, and the body vndisposed to the like of fire. By whiche reason it may also be perceiued, that ye venemouse qualitie of this corrupt aire is (20)[= (19)] hote and moiste, for it redily enfectethe the lyke complexions, and those nigh vnto theim, and the contrary not at all, or hardly: & easely doth putrify, as doe the Southe wyndes. Therfore next vnto those colde and drie cõplexions, olde men escaped free, as like to theim by age: and children, as voide of replecion consumed by their great hete, and therefore alwaies redy to eate. But in this disease the subtile humour euill and abundant in full bodies fedyng ye spirites, is more to be noted then the humour complexional, whiche notwithstanding, as an helper or hinderer to ye same, is not to be neglected. For els it should be in all contries and persones indifferently, wher all complexiones be. The thirde and laste reason is, yt they which had thys sweat sore with perille or death, were either men of welthe, ease, & welfare, or of the poorer sorte such as wer idle persones, good ale drinkers, and Tauerne haunters. For these, by ye great welfare of the one sorte, and large drinkyng of thother, heped vp in their bodies moche euill matter: by their ease and idlenes, coulde not waste and consume it. A comfirmacion of this is, that the laborouse and thinne dieted people, either had it not, because they dyd eate but litle to make the matter: or with no greate grefe and danger, because they laboured out moche thereof. Wherefore vpon small cause, necessarily must folowe a smal effecte. All these reasones go to this ende, that persones of all contries of moderate and good diete, escape thys Englishe Ephemera, and those be onely vexed therewith, whiche be of immoderate and euill diete. But why? for the euill humores and corrupte aier alone? No, for thẽ the pestilence and not the swet should rise. For what then? For ye impure spirites corrupte in theim selues and by the infectiue aier. Why so? for that of impure and corrupte humores, whether thei be blode or others, can rise none other then impure spirites. For euery thynge is suche as that whereof it commeth. Now, that of the beste and fineste of the blode, yea in corrupte bodies (whyche beste is nought) these spirites be ingendred and fedde, I before expressed. Therfor who wyl haue them pure and cleane, and him selfe free from sweat, muste kepe a pure and cleane diete, and then he shalbe sure.