The Epidemics of the Middle Ages by J. F. C. Hecker and John Caius

out with a loud voice, “What shall I do to be saved?” at the same time manifesting the greatest uneasiness and solicitude respecting the condition of his soul. Some other members of the congregation, following his example, cried out in the same form of words, and seemed shortly after to suffer the most excruciating bodily pain. This strange occurrence was soon publicly known, and hundreds of people, who had come thither, either attracted by curiosity, or a desire, from other motives, to see the sufferers, fell into the same state. The chapel remained open for some days and nights, and from that point the new disorder spread itself, with the rapidity of lightning, over the neighbouring towns of Camborne, Helston, Truro, Penryn, and Falmouth, as well as over the villages in the vicinity. Whilst thus advancing, it decreased in some measure at the place where it had first appeared, and it confined itself throughout to the Methodist chapels. It was only by the words which have been mentioned that it was excited, and it seized none but people of the lowest education. Those who were attacked betrayed the greatest anguish, and fell into convulsions; others cried out, like persons possessed, that the Almighty would straightway pour out his wrath upon them, that the wailings of tormented spirits rang in their ears, and that they saw hell open to receive them. The clergy, when in the course of their sermons, they perceived that persons were thus seized, earnestly exhorted them to confess their sins, and zealously endeavoured to convince them that they were by nature enemies to Christ; that the anger of God had therefore fallen upon them; and that if death should surprise them in the midst of their sins, the eternal torments of hell would be their portion. The over-excited congregation upon this repeated their words, which naturally must have increased the fury of their convulsive attacks. When the discourse had produced its full effect, the preacher changed his subject; reminded those who were suffering, of the power of the Saviour, as well as of the grace of God, and represented to them in glowing colours the joys of heaven. Upon this a remarkable reaction sooner or later took place. Those who were in convulsions felt themselves raised from the lowest depths of misery and despair to the most exalted bliss, and triumphantly shouted out that their bonds were loosed, their sins were forgiven, and that they were translated to the wonderful freedom of the children of God. In the mean time, their convulsions continued, and they remained, during this condition, so abstracted from every earthly thought, that they staid two and sometimes three days and nights together in the chapels, agitated all the time by spasmodic movements, and taking neither repose nor nourishment. According to a moderate computation, 4000 people were, within a very short time, affected with this convulsive malady. The course and symptoms of the attacks were in general as follows:—There came on at first a feeling of faintness, with rigour and a sense of weight at the pit of the stomach, soon after which the patient cried out, as if in the agonies of death or the pains of labour. The convulsions then began, first showing themselves in the muscles of the eyelids, though the eyes themselves were fixed and staring. The most frightful contortions of the countenance followed, and the convulsions now took their course downwards, so that the muscles of the neck and trunk were affected, causing a sobbing respiration, which was performed with great effort. Tremors and agitation ensued, and the patients screamed out violently, and tossed their heads about from side to side. As the complaint increased, it seized the arms, and its victims beat their breasts, clasped their hands, and made all sorts of strange gestures. The observer who gives this account remarked that the lower extremities were in no instance affected. In some cases, exhaustion came on in a very few minutes, but the attack usually lasted much longer, and there were even cases in which it was known to continue for sixty or seventy hours. Many of those who happened to be seated when the attack commenced, bent their bodies rapidly backwards and forwards during its continuance, making a corresponding motion with their arms, like persons sawing wood. Others shouted aloud, leaped about, and threw their bodies into every possible posture, until they had exhausted their strength. Yawning took place at the commencement in all cases, but as the violence of the disorder increased, the circulation and respiration became accelerated, so that the countenance assumed a swollen and puffed appearance. When exhaustion came on, patients usually fainted, and remained in a stiff and motionless state until their recovery. The disorder completely resembled the St. Vitus’s dance, but the fits sometimes went on to an extraordinarily violent extent, so that the author of the account once saw a woman, who was seized with these convulsions, resist the endeavours of four or five strong men to restrain her. Those patients who did not lose their consciousness were in general made more furious by every attempt to quiet them by force, on which account they were in general suffered to continue unmolested until nature herself brought on exhaustion. Those affected complained, more or less, of debility after the attacks, and cases sometimes occurred in which they passed into other disorders: thus some fell into a state of melancholy, which, however, in consequence of their religious ecstacy, was distinguished by the absence of fear and despair; and in one patient inflammation of the brain is said to have taken place. No sex or age was exempt from this epidemic malady. Children five years old and octogenarians were alike affected by it, and even men of the most powerful frame were subject to its influence. Girls and young women, however, were its most frequent victims[328].