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Jerome Cardan, a 16th century mathematician-astrologer, was called upon to treat the Archbishop of St. Andrews whose illness had baffled English physicians. After examining the Archbishop's horoscope, Cardan was able to cure the illness but warned that he could not prevent the Archbishop's destined hanging, which occurred 18 years later. Astrology was widely practiced and respected during this era, with kings and nobles employing court astrologers. It was believed the celestial bodies influenced individuals' health and fortunes. Medical astrology attempted to use the positions of planets and signs of the zodiac to diagnose illness and guide treatment, linking specific plants, metals and drugs to each planet. However, astrology was ambiguous
Jerome Cardan, a 16th century mathematician-astrologer, was called upon to treat the Archbishop of St. Andrews whose illness had baffled English physicians. After examining the Archbishop's horoscope, Cardan was able to cure the illness but warned that he could not prevent the Archbishop's destined hanging, which occurred 18 years later. Astrology was widely practiced and respected during this era, with kings and nobles employing court astrologers. It was believed the celestial bodies influenced individuals' health and fortunes. Medical astrology attempted to use the positions of planets and signs of the zodiac to diagnose illness and guide treatment, linking specific plants, metals and drugs to each planet. However, astrology was ambiguous
Jerome Cardan, a 16th century mathematician-astrologer, was called upon to treat the Archbishop of St. Andrews whose illness had baffled English physicians. After examining the Archbishop's horoscope, Cardan was able to cure the illness but warned that he could not prevent the Archbishop's destined hanging, which occurred 18 years later. Astrology was widely practiced and respected during this era, with kings and nobles employing court astrologers. It was believed the celestial bodies influenced individuals' health and fortunes. Medical astrology attempted to use the positions of planets and signs of the zodiac to diagnose illness and guide treatment, linking specific plants, metals and drugs to each planet. However, astrology was ambiguous
Astrology, Drugs and Medicine By OUR NEW YORK CORRESPONDEKT. The Archbishop of St. Andrews, stricken with a disease which baffled the physicians of England, sent to the Continent in 1552 for the aid of the mathematician-astrologer, Jerome Cardan. After erecting the horoscope of the prelate, by which it is said the disease wa discovered and cured, Cardan, according to Manly Hall, took his leave with these words: "I have been able to cure you of your sickness, but caunot change your destiny, nor prevent you from being hung." Eighteen years later, this Archbiohop was hung by order of the conmlissioners appointed by Mary, Queen of Scots. ASTROLOGy-1\ OBLEST OF SCIE:>CES. Thi happened in the sixteenth century when a new golden age of astrology had begun. Astrology, which in thousands of years never had been entirely forgotten by humanity desperately searching for spiritual support, had flourished in Chaldea, Babylon, India, Egypt, China, Greece and Rome, and had been suppressed with the ad,-ent of Christianity. For centuries it remained quiescent. but it was brought back again when the Arabs o,'errau Europe in the ninth and tenth centuries. Soon it was considered the noblest of the sciences. Every king, prince and duke had his court astrologer. Famous astronomers, such as Tyho Brahe and Johann Kepler, dedicated themseh-es to astrology. Kepler, who was General Wallen- stein's astrologer, made for the year 1619 the famous prophecy of the six M's: Magnlls ilfonarcha Jlatthias Mense lIlart-is Morietur-the great Monarch Matthias will die in the month of March. Emperor Matthias actually died on March 20th of that year. The Church was opposed to astrology, and an early modem scientist, Sir Francis Bacon, ridiculed it by saying: "Men mark when they hit, and never mark when they miss." Medical astrology at times was. considered the very centre of medical knowledge, and at other times the height of charlatanism and humbug. It originated from the belief that the celestial bodies are concerned somehow with the welfare of the individual. Jastrow mentions the misconception that the Deity, the planets and the forces of Xature generally are concerned wit.h the welfare of the indi\-idual man, and their conduct brings about his conduct as reward or punishment. This conception appears in all the discussion of the physical diseases, but it disappeared as an active force in diseases of the body long before it disappeared in the diagnosis and treat- ment of the diseases of the mind. Babylonians and Assyrians gave the world the belief that the Macrocosm of the Heavens reflects the Microcosm in individual man. Astrology passed from Babylon to Greece without" however, exerting any particular influence upon Greek medicine, although in Hippocrates' and later in Galen's works we find several hints as to the yalue of astrology upon man's welfare. The seven heavenly bodies-the sun. the moon and the five planets which can be seen by the naked eye, namely, :Mercury, :Mars, Venus, Jupiter and Saturn-correspond to the seven days of the week and the seven metals that were known at that time: gold. silver, iron, mercury. tin, lead and copper. Priest, seer and physician in ancient times were frequently one and the same person. Prognosis and treatment of disease were influenced by the time of the onset of the disease in relation to the position of the heavenly bodies. ASTROLOGICAL TERMS. Later, as astronomy advanced. the astrological were increased. The followinl! short explanation of astrological terms follows in the main points Camac. Two groups of heavenly bodies were observed: first. those that are always in the same place (fixed). usually in clnsters. To these the name ronstellations (con-stella. grouped or clustered stars) was gi\'en. There were about 28 clusters in the North and 64 in the South. Between these was noticed a band of 12 clusters which was called the circle of animals or zodiac (from Greek 'Lodion, dinlinution of won, animal). Each cluster had a name, either based on some fancied resemblance to a natural object or supposedly relating to the weather and agricultural conditions of the earth and corresponding to the months of the year. To each was also given a sign, and these were known as the signs of the zodiac. The second group of heavenly bodies were single stars which were not fixed; they were noticed to "wander" and were called planets (from Greek planein, to wander). The earth was the centre, and about it the planets Saturn, Jupiter, Mars, the Sun, Venus, Mercury and the moon wandered (Neptune, Uranus and Pluto were added by modern astronomy). Th'! signs of the zodiac and the positions of the planets, with reference to the hour of an individual's conception, birth, onset of disease, etc., were the basis of what was later h"llown as "judicial" astrology, and the interpretation came to be called "casting the horoscope" (hora, hour, season). The instrument used was the astrolabe (star-taker), the forerunner of the sextant. According to the " Geomance abregee " of J. B. de la Taille de Bondaroy (Paris, 1574), the Moon, Mercury, Mars and Saturn are generally malefic in their influence; the Sun, Jupiter and Venus generally benefic. The Moon is the planet of brooding and melancholy; Mercury is the planet of com- merce and the arts; Yenus is the planet of love; the Sun presides over glory and terrestrial riches; 1I1ars presides over war and battles; Jupiter is concerned with honours and physical beauty; and Saturn is the most inauspicious and malefic of all the planets-he foretells accidents, violent deaths, and disasters. The influence of these different planets is modified according as they are in conjunction, opposition or other aspects. The metals connected with the planets were: Moon-silver; Mercury-mercury; Venlls-copper; Sun-gold; Mars-iron; Jupiter-tin; Saturn-lead. The therapeutic side of astrology is "very much un- developed ", as a London observer put it, but the course to follow is plainly indicated. Every plant and zodiac sign has its typical plants, metals and drugs. DRUGS PL_-L'\ETS_ Such typical drugs, for instance, belonging to Jupiter are: stannum, eupatorium, mentha, ginseng, iridin; or to Saturn: lead, aconite, belladonna, antimony, salicylate of soda, helle- borns, hyoscyamus, conium, rhus, toxicodendron, verbascum, Indian hemp, hydrocyanic acid. . The Chinese tried to develop the therapeutic side of astrology by surrounding an individual whose horoscope has been " light", and who therefore is prone to incurable complaints, with exorcising objects, giving him proper amulets to wear and proper medicines to swallow and by selecting for him auspicious days and hours. General as well as medical astrology are too cryptic an.? ambiguous; they have too many loopholes to be of practical value. Forman tells an amusing story which is evidence of this ambiguity. As early as 1179 many astrologers felt bound, in virtue of their superior knowledge, to send letters to all lands announcing a great cataclysm, the end of the world, seven years hence, in 1186. The populations of Europe viewed with alarm the fnture. The Persian poet and astrologer Anwari predicted " a great tempest" for September 16, 1186. The conjunction of five planets in the sign of the Balance or Libra, on that night, prompted Anwari to his portentous prediction. However, the night happened to be very calm, and Anwari was overwhelmed with ridicule for his forecast. But it was afterwards noted that Genghiz Khan,. chief of the devastating Tartars, was born on that So it was considered that Anwari foresaw a great storm, but mis- understood its nat\!Ie. To this day the advent of Genghiz Khan is still accounted one of the phenomenal events in human annals. Arnold da Villanova assigns particular strength to each hour. This strength flows into different parts of the body, according to the position of the horoscope. Most important for blood- letting is the position of the moon; the best is the cancer, the crab. Moon + Saturn spoil the effect of medicines, particu- larly of laxatives. Mei II 1946 S.A. TYDSKRIF VIR GENEESKUNDE 243 HUMAN BODY AND CELESTilL BODIES. Here is a table of the connection of celestial bodies and parts of the human body, according to different authors in different centuries. STARS. Saturn Jupiter Mars Sun Venus Mercury Moon Aries, Ram Taurus, Bull Gemini, Twins Cancer, Crab Leo, Lion Virgo, Virgin Libra, Balance Scorpio, Scorpion Sagittarius, Archer Capricornus, Goat Aquarius, Water Carrier Pisces, Fishes PTOLEMAIOS. Egyptian Astronomer about 100-178 .-l..D. R. Ear, Spleen, Arms, Shin- bone Lungs, Liver, Foot L. Ear, Arteries, Genitals R. Side, Heart Neck, Flesh Hand, Shoulder, Hip L. Side, Stomach ARNOLD DE VILLA.."'10VA. Montpellier 1235/40-1312. R. Ear, Spleen, Bladder LiYer, Ribs L. Ear, Arteries, Testicles R. Side, Brain Kidneys, Tongue Kidneys, Tongue L. Side, Stomach Head Neck, Shoulder Arms, Hands Chest, Ribs Heart, Lungs, Liver Intestines, Abdomen Nates, Anus Genitals Hips Knees Legs Feet HnrMELS LAUFF. Published Frankfurt-on-Main, 1550. L. Ear, Spleen Liver, Ribs. Gall Face, Heart Kidneys Tongue Intestines Head Neck, Shoulders Arms, Hands Lungs, Chest Heart, Stomach, Back Intestines, Abdomen, Kidneys Umbilicus, Bladder Genitals, Kidneys, Anus Legs Knee, Shinbone Shinbone Feet In the Middle Ages and the Renaissance medical astrology was at times encouraged by universities and courts. A court physician of the 15th century was often an "astronomer royal "-a deviser of fortune-tellers' almanacs. At the Uni- versity of Bologna, in the early fourteenth century, there was a Professorship of Astrology. Here is a modern counterpart: an Encyclopredia of Medical Astrology has been published in 1933, written by a medical doctor whose title is: Honorary Professor of Medical Astrology at the First National University of Naturopathy and Allied Sciences. INCOME OF AN ASTROLOGIST. Astrologists as well as alchemists frequently had high incomes. A leading alchemist and astrologist in the sixteenth century was Leonhard Thurneysser zum Thurn, born in Basel, Switzerland. As physician-in-ordinary to the Elector of Brandenburg he received annually the sum of 1,352 thalers, which in itself was a high honorarium at that time. His activities were so extensive that he maintained a staff of 200 people. One of his activities was putting together medicine chests for travellers which contained more than 100 medica- ments. The price of such medicine chests was 386 thalers each. He was a druggist on a large scale, preparing tinctures, mixtures, inunctions, which he made in his own laboratory, to high prices. Especially expensive were his secret remedies. such as amethyst tincture, ruby, sapphire, coral, or emerald tinctures. Thurneysser earned enormous sums through the casting of horoscopes; the Count of Oettingen paid 100 gulden for one. His fortune eventually amounted to more than 100,000 gulden. However, he could not cast his own horoscope as well as that of others. and did not foresee that ultimately he would lose his last gulden and thaler in a law-suit. ArMAc'\ACS A:-'"D CALEXDARS. A unique copy of a "Calendar for Blood-letting" I" Aderlasskalender "), printed at Mainz in 1642, is mentioned by Garrison. These popular almanacs show the hold which judicial astrology (the "Lasstafelkunst") has taken upon the peonle. In some of them a special figure. the "zodiacman" (" Tierkreiszeichen-Mann ") indicates as in drug store almanacs of more recent data, the parts of the body influenced by different planetary conjunctions, proper times for bleeding and purgation under each sign of the zodiac, with. gloomy prognostications of the terrible diseases, wars, fammes and other pests which were to befall humanity under different ascendancies and conjunctions of the planets. The almanacs and calendars of that time contained endless tables of the best positions of the planets for various activities: cutting the hair, drawing the teeth, taking a bath or a medicine, performing an operation, time for bleeding, etc. When in the 15th century syphilis spread all over Europe, this pandemic was believed to have ~ produced by an un!-u:cb:y position of the Scorpion. At all tunes, however, physlclans assailed this unfounded belief in the medical effects of star positions-among them doctors such as Manardo, who died in Florence in 1536. Some pictures of that period show the event of childbirth in the living-room, while in the background long- bearded men (physicians?) contemplate the starry skies. PARACELSUS AXD MEDICAL ASTROLOGY. Paracelsus believed in experience and experiment, but he still was a product of the early sixteenth century, and there- fore believed in astrology. He stated that lunacy grows worse with full and new moon because the brain is the microcosmic moon. Re demands that the physician should be an astronomer and should choose the proper time for resisting and ruling. On the other hand, he says: "Stars control nothing in us, ,uggest nothing. incline to nothing, own nothing; they are free from us and we are free from them." Also in the seventeenth century astrology bulked large in medical superstitions. The influenza (grippe) received its name in Tta)y in the seventeenth century because its origin was attributed to the "influence of the stars". A famous book nf Dr. Richard Mead, private physician to George II of England, appeared in 1727; it is entitled "De Imperio Sol is et Lunae in corpora humana et Morbis inde oriundis ". One of the most terrific satires upon medical astrology is contained in Frano;:ois Rabelais' (himself a physician) "Gargantua and Pantagruel". Panurge goes to consult Her Tl'ipa-identical with the famous doctor of Cologne, Heinrich ComeJius Al!rippa von ettesheim, who was court astrologer to Louis of Savoy. 244 S.A. MEDICAL JOURNAL May II, 1946
Her,pes Simplex Keratitis in Malaria.
There appears to be an increased incidence of keratitis as.sociated herpes simplex in a population heavily infected WIth malana. Among new patients at the ophthalmologic clinic during an 18-month period there have been more than SIX tImes as many from a malarial division as from a com- parable group that had not been exposed to malaria. However, less than 0.2 per cent. of patients with acute malaria admitted to the general medical service of this hospital ever had this type of the <;>f precipitating a ulcer In the IndIVIdual patIent WIth therapeutic malarIa would seem very small. Early diagnosis and intensive treatment of fever .are .essent!al in the manage- ment of herpetIc keratItIS occurrmg m patIents with malaria. Recurrent attacks of malaria are often associated with a It is said that astrology is flourishing richly in our times, another means of escaping reality, and when we see the number of .astrologlcal books, many of which have gone through several as well as of astrological magazines and departments m newspapers, we might believe it. The American Society for the. of Cancer, but a few years ago, felt it necessary ISsne thIS. statement: "The strange superstition that there IS a connectIOn between Cancer, the signs of the Zodiac, and cancer, the disease, still persists, some people believing that becanse they are born under that sign they are predestined to die of that disease. This is not so." Medical astrology has no real foundation in the modern world of science and art of healing. This does not exclude, of course, that the attention we give to the physical influence of weather, atmospheric conditions, etc., on the human body is greater to-day than it has been at any time for many centuries. Weather and Susceptibility to the Common Cold. This is a report of an analysis of changes in the incidence of the common cold during the year 1942-1943 in a group of 1,600 girls of college age. This is accompanied by a study of the season to season changes in average physiologic fitness and the differences in average duration of the common cold as influenced by the of ascorbic and citric acid. Sharp in- creases. In the nUJJ.1ber of new colds per day occurred dnring the p.erlOds of fallmg temperature accompamed by heavy rain. The mcreases began and were most steadily sustained in the girls with a total of four or more colds for the year. The smokers, also, had a tendency to precede the non-smokers. The weather-precipitated rises in colds-incidence tended to begin 24 to 48 hours after the beginning of the weather change and to perSIst for 24 to 48 hours after its cessation. The total number of colds, for the September wave, reached its halfway point two days earlier for the more-susceptible fraction than for the less-susceptible fraction. Only a slio-ht deterioration in a physiologic fitness occurred with proo-ress of the veal'. The deterioration was not uniform but restricted to a small fraction. partially balanced by a smaller group showing improvement: The smokers appeared to be slightly less fit, on the whole, than the non-smokers. Nose involvement predominated in the fall colds and throat involvement in the winter colds. which were, mainly. seconds and thirds rather than first colds. A total of 298 colds was studied for the ascorbic acid appraisal, 119 .of which were controls given placebos of citric aCId. ApprOXimately 60 per cent. of the colds with throat only appeared to respond to the basic management both the <;ontrol ascorbic acid groups-restriction of actIVIty, precautIOn agamst and increased fluid intake -with a. checking of further development. The colds WIth nose Involvement were equally responsive to management, alone, if recognised and submitted to care within seven hours of presumed onset. For those not recognised and submitted to care until 8 to 28 hours after presumed onset the percentage of spontaneous checking of further developments was, for those given 1 gm. of ascorbic acid at time of first examination and again 24 hours later, 59 +5 and for those given citric acid, 21 + 4. ' , (Brown, W. B.. et al. : Journal of Immunology, 50: 161, March, 1945.) * * * * The Influence of the Placental Site on Fretal Presentation. The great majority of placentas are located on the anterior or posterior wall of the uterus. The ratio found in this study was 47 anterior to 53 posterior. The placenta located on the anterior wall have a definite tendency to the production of occiput posterior presenting fret uses. Mathematically, when the placenta was anterior the chance for occiput posterior presentation of the fretus was double what it was if the placenta was posterior, 33.3 per cent. to 14.5 per cent. The placenta located on the posterior wall had an increased tendency to produce occiput anterior presentation in the fretuses. In this incidence, when the placenta was on the posterior wall the chance of presentation being occiput anterior was nearly twice what it was when the placenta was anterIor, 59 per cent. to 33.6 per cent. The incidence of occiput transverse presentation of the fretus in the first stage of labour was 26.5 per cent. if the placenta was located on the posterior wall and 33 per cent. if it was located on the anterior wall. (R. Torpin : Journal of the American 1Ifed'ical Association, February 24, 1945.) Neurologic Complications Following the Use of Continuous Caudal Anresthesia. The authors present two obstetric cases with unusual com- plications following the use of continuous caudal amesthesia. In one case the sequela was either an epidural or a subdural abscess, which responded to treatment with a sulfonamide com- pound with complete recovery. The exact location of the abscess was not determined, and no operation was performed. This case was previously briefly reported by SieveI' and Mousel as that of epidural abscess. The other complication was arachnoiditis involving the cauda equina with secondary osteomyelitis, the final outcome of which is still in doubt because of a residual pathologic process. It appears, therefore, that the role of infection in the production of complications following the use of caudal anresthesia is second only to the introduction of the anresthetic into the subarachnoid space, and this view has also been recently expressed by Gready. (peacher and Robertson: Archives of Neurology and Psychiatry, December, 1944.) reactivation or an extension of the corneal ulceration. Through impairment of vision and prolonged irritation of the eye, herpes simplex keratitis has necessitated more disposition to limited duty of patients at this station than any other single eye condition. . Sulfadiazine power applied locally to five dendritic nlcers seemed to promote rapid healing in each instance. In fonr cases of atypical recurrent herpetic nlcers snlfadiazine was of no demonstrable benefit. These results suggest that 'sulfa- diazine may prove a satisfactory adjunct to the accepted treat- ment WIth strong solution of iodine D.S.P. Local applications of snlfanilamide were of no apparent value. In three patients with ulcers of dendritic pattern and in one patient with recurrent ulceration no improvement resulted. The herpes simplex virus was isolated from one dendritic nlcer after ten days' treatment with the drug. From the cornea of each of two patients with recurrent malarial attacks and dendritic keratitis the causative agent was transferred to a rabbit's cornea, and thence to the chorioallantoic membrane of a chick embryo, where characteristic lesions of herpes simplex virus were produced. The identity of virus was confirmed by neutrahsatlOn tests. When the .skIn was tested for to herpes slIDplex antIgen pOSItIve responses were obtamed in about 80 per cent. of a sample of hospitalised adult patients, and there was no appreciable difference in incidence between malarial and non-malarial patients. Thirteen patients with herpes simplex keratitis were shown by neutralisation tests to serum antibodies against a known strain of herpes simplex VIruS: Each of patients gave a strongly positive cutaneous reactIOn. The pOSSIble value of such a cutaneous test in certain atypical cases of herpetic keratitis has beeu indicated. (Chamberlain, Captain W. P., Jr., and Bronson. Captain L. H., Jr.: Archives of Ophthalmology,' 33: 177, March, 1945.) * * *