th together; and _consil. 23_, with
vertigo, [1087]Julius Caesar Claudinus with stone, gout, jaundice.
Trincavellius with an ague, jaundice, caninus appetitus, &c. [1088]Paulus
Regoline, a great doctor in his time, consulted in this case, was so
confounded with a confusion of symptoms, that he knew not to what kind of
melancholy to refer it. [1089]Trincavellius, Fallopius, and Francanzanus,
famous doctors in Italy, all three conferred with about one party, at the
same time, gave three different opinions. And in another place,
Trincavellius being demanded what he thought of a melancholy young man to
whom he was sent for, ingenuously confessed that he was indeed melancholy,
but he knew not to what kind to reduce it. In his seventeenth consultation
there is the like disagreement about a melancholy monk. Those symptoms,
which others ascribe to misaffected parts and humours, [1090]Herc. de
Saxonia attributes wholly to distempered spirits, and those immaterial, as
I have said. Sometimes they cannot well discern this disease from others.
In Reinerus Solenander's counsels, (_Sect, consil. 5_,) he and Dr. Brande
both agreed, that the patient's disease was hypochondriacal melancholy. Dr.
Matholdus said it was asthma, and nothing else. [1091]Solenander and
Guarionius, lately sent for to the melancholy Duke of Cleve, with others,
could not define what species it was, or agree amongst themselves. The
species are so confounded, as in Caesar Claudinus his forty-fourth
consultation for a Polonian Count, in his judgment [1092]"he laboured of
head melancholy, and that which proceeds from the whole temperature both at
once." I could give instance of some that have had all three kinds _semel
et simul_, and some successively. So that I conclude of our melancholy
species, as [1093]many politicians do of their pure forms of commonwealths,
monarchies, aristocracies, democracies, are most famous in contemplation,
but in practice they are temperate and usually mixed, (so [1094]Polybius
informeth us) as the Lacedaemonian, the Roman of old, German now, and many
others. What physicians say of distinct species in their books it much
matters not, since that in their patients' bodies they are commonly mixed.
In such obscurity, therefore, variety and confused mixture of symptoms,
causes, how difficult a thing is it to treat of several kinds apart; to
make any certainty or distinction among so many casualties, distractions,
when seldom two men shall be lik