Those natural and vegetal powers are not commanded by will at all; for "who can add one cubit to his stature?" These other may, but are not: and thence come all those headstrong passions, violent perturbations of the mind; and many times vicious habits, customs, feral diseases; because we give so much way to our appetite, and follow our inclination, like so many beasts. The principal habits are two in number, virtue and vice, whose peculiar definitions, descriptions, differences, and kinds, are handled at large in the ethics, and are, indeed, the subject of moral philosophy.
MEMB. III.
SUBSECT. I.—Definition of Melancholy, Name, Difference.
Having thus briefly anatomised the body and soul of man, as a preparative to the rest; I may now freely proceed to treat of my intended object, to most men's capacity; and after many ambages, perspicuously define what this melancholy is, show his name and differences. The name is imposed from the matter, and disease denominated from the material cause: as Bruel observes, [Greek: Melancholia] quasi [Greek: Melainacholae], from black choler. And whether it be a cause or an effect, a disease or symptom, let Donatus Altomarus and Salvianus decide; I will not contend about it. It hath several descriptions, notations, and definitions. [1024]Fracastorius, in his second book of intellect, calls those melancholy, "whom abundance of that same depraved humour of black choler hath so misaffected, that they become mad thence, and dote in most things, or in all, belonging to election, will, or other manifest operations of the understanding." [1025] Melanelius out of Galen, Ruffus, Aetius, describe it to be "a bad and peevish disease, which makes men degenerate into beasts:" Galen, "a privation or infection of the middle cell of the head," &c. defining it from the part affected, which [1026]Hercules de Saxonia approves, lib. 1. cap. 16. calling it "a depravation of the principal function:" Fuschius, lib. 1. cap. 23. Arnoldus Breviar. lib. 1. cap. 18. Guianerius, and others: "By reason of black choler," Paulus adds. Halyabbas simply calls it a "commotion of the mind." Aretaeus, [1027]"a perpetual anguish of the soul, fastened on one thing, without an ague;" which definition of his, Mercurialis de affect. cap. lib. 1. cap. 10. taxeth: but Aelianus Montaltus defends, lib. de morb. cap. 1. de Melan. for sufficient and good. The common sort define it to be "a kind of dotage without a fever, having for his ordinary companions, fear and sadness, without any apparent occasion." So doth Laurentius, cap. 4. Piso. lib. 1. cap. 43. Donatus Altomarus, cap. 7. art. medic. Jacchinus, in com. in lib. 9. Rhasis ad Almansor, cap. 15. Valesius, exerc. 17. Fuschius, institut. 3. sec. 1. c. 11. &c. which common definition, howsoever approved by most, [1028]Hercules de Saxonia will not allow of, nor David Crucius, Theat. morb. Herm. lib. 2. cap. 6. he holds it insufficient: as [1029]rather showing what it is not, than what it is: as omitting the specific difference, the phantasy and brain: but I descend to particulars. The summum genus is "dotage, or anguish of the mind," saith Aretaeus; "of the principal parts," Hercules de Saxonia adds, to distinguish it from cramp and palsy, and such diseases as belong to the outward sense and motions [depraved] [1030]to distinguish it from folly and madness (which Montaltus makes angor animi, to separate) in which those functions are not depraved, but rather abolished; [without an ague] is added by all, to sever it from frenzy, and that melancholy which is in a pestilent fever. (Fear and sorrow) make it differ from madness: [without a cause] is lastly inserted, to specify it from all other ordinary passions of [fear and sorrow.] We properly call that dotage, as [1031]Laurentius interprets it, "when some one principal faculty of the mind, as imagination, or reason, is corrupted, as all melancholy persons have." It is without a fever, because the humour is most part cold and dry, contrary to putrefaction. Fear and sorrow are the true characters and inseparable companions of most melancholy, not all, as Her. de Saxonia, Tract. de posthumo de Melancholia, cap. 2. well excepts; for to some it is most pleasant, as to such as laugh most part; some are bold again, and free from all manner of fear and grief, as hereafter shall be declared.
SUBSECT. II.—Of the part affected. Affection. Parties affected.
Some difference I find amongst writers, about the principal part affected in this disease, whether it be the brain, or heart, or some other member. Most are of opinion that it is the brain: for being a kind of dotage, it cannot otherwise be but that the brain must be affected, as a similar part, be it by [1032]consent or essence, not in his ventricles, or any obstructions in them, for then it would be an apoplexy, or epilepsy, as [1033]Laurentius well observes, but in a cold, dry distemperature of it in his substance, which is corrupt and become too cold, or too dry, or else too hot, as in madmen, and such as are inclined to it: and this [1034] Hippocrates confirms, Galen, the Arabians, and most of our new writers. Marcus de Oddis (in a consultation of his, quoted by [1035]Hildesheim) and five others there cited are of the contrary part; because fear and sorrow, which are passions, be seated in the heart. But this objection is sufficiently answered by [1036]Montaltus, who doth not deny that the heart is affected (as [1037]Melanelius proves out of Galen) by reason of his vicinity, and so is the midriff and many other parts. They do compati, and have a fellow feeling by the law of nature: but forasmuch as this malady is caused by precedent imagination, with the appetite, to whom spirits obey, and are subject to those principal parts, the brain must needs primarily be misaffected, as the seat of reason; and then the heart, as the seat of affection. [1038]Capivaccius and Mercurialis have copiously discussed this question, and both conclude the subject is the inner brain, and from thence it is communicated to the heart and other inferior parts, which sympathise and are much troubled, especially when it comes by consent, and is caused by reason of the stomach, or mirach, as the Arabians term it, whole body, liver, or [1039]spleen, which are seldom free, pylorus, mesaraic veins, &c. For our body is like a clock, if one wheel be amiss, all the rest are disordered; the whole fabric suffers: with such admirable art and harmony is a man composed, such excellent proportion, as Ludovicus Vives in his Fable of Man hath elegantly declared.
As many doubts almost arise about the [1040]affection, whether it be imagination or reason alone, or both, Hercules de Saxonia proves it out of Galen, Aetius, and Altomarus, that the sole fault is in [1041]imagination. Bruel is of the same mind: Montaltus in his 2 cap. of Melancholy confutes this tenet of theirs, and illustrates the contrary by many examples: as of him that thought himself a shellfish, of a nun, and of a desperate monk that would not be persuaded but that he was damned; reason was in fault as well as imagination, which did not correct this error: they make away themselves oftentimes, and suppose many absurd and ridiculous things. Why doth not reason detect the fallacy, settle and persuade, if she be free? [1042]Avicenna therefore holds both corrupt, to whom most Arabians subscribe. The same is maintained by [1043]Areteus, [1044]Gorgonius, Guianerius, &c. To end the controversy, no man doubts of imagination, but that it is hurt and misaffected here; for the other I determine with [1045] Albertinus Bottonus, a doctor of Padua, that it is first in "imagination, and afterwards in reason; if the disease be inveterate, or as it is more or less of continuance;" but by accident, as [1046]Herc. de Saxonia adds; "faith, opinion, discourse, ratiocination, are all accidentally depraved by the default of imagination."
Parties affected.] To the part affected, I may here add the parties, which shall be more opportunely spoken of elsewhere, now only signified. Such as have the moon, Saturn, Mercury misaffected in their genitures, such as live in over cold or over hot climes: such as are born of melancholy parents; as offend in those six non-natural things, are black, or of a high sanguine complexion, [1047]that have little heads, that have a hot heart, moist brain, hot liver and cold stomach, have been long sick: such as are solitary by nature, great students, given to much contemplation, lead a life out of action, are most subject to melancholy. Of sexes both, but men more often; yet [1048]women misaffected are far more violent, and grievously troubled. Of seasons of the year, the autumn is most melancholy. Of peculiar times: old age, from which natural melancholy is almost an inseparable accident; but this artificial malady is more frequent in such as are of a [1049]middle age. Some assign 40 years, Gariopontus 30. Jubertus excepts neither young nor old from this adventitious. Daniel Sennertus involves all of all sorts, out of common experience, [1050]in omnibus omnino corporibus cujuscunque constitutionis dominatar. Aetius and Aretius [1051]ascribe into the number "not only [1052]discontented, passionate,