The sober-minded, sensible, well-instructed Dr. Butts was not a little exercised in mind by the demands made upon his knowledge by his young friend, and for the time being his pupil, Miss Lurida Vincent. “I don't wonder they called her The Terror,” he said to himself. “She is enough to frighten anybody. She has taken down old books from my shelves that I had almost forgotten the backs of, and as to the medical journals, I believe the girl could index them from memory. She is in pursuit of some special point of knowledge, I feel sure, and I cannot doubt what direction she is working in, but her wonderful way of dealing with books amazes me.” What marvels those “first scholars” in the classes of our great universities and colleges are, to be sure! They are not, as a rule, the most distinguished of their class in the long struggle of life. The chances are that “the field” will beat “the favorite” over the long race-course. Others will develop a longer stride and more staying power. But what fine gifts those “first scholars” have received from nature! How dull we writers, famous or obscure, are in the acquisition of knowledge as compared with them! To lead their classmates they must have quick apprehension, fine memories, thorough control of their mental faculties, strong will, power of concentration, facility of expression,—a wonderful equipment of mental faculties. I always want to take my hat off to the first scholar of his year. Dr. Butts felt somewhat in the same way as he contemplated The Terror. She surprised him so often with her knowledge that he was ready to receive her without astonishment when she burst in upon him one day with a cry of triumph, “Eureka! Eureka!” “And what have you found, my dear?” said the doctor. Lurida was flushed and panting with the excitement of her new discovery. “I do believe that I have found the secret of our strange visitor's dread of all human intercourse!” The seasoned practitioner was not easily thrown off his balance. “Wait a minute and get your breath,” said the doctor. “Are you not a little overstating his peculiarity? It is not quite so bad as that. He keeps a man to serve him, he was civil with the people at the Old Tavern, he was affable enough, I understand, with the young fellow he pulled out of the water, or rescued somehow,—I don't believe he avoids the whole human race. He does not look as if he hated them, so far as I have remarked his expression. I passed a few words with him when his man was ailing, and found him polite enough. No, I don't believe it is much more than an extreme case of shyness, connected, perhaps, with some congenital or other personal repugnance to which has been given the name of an antipathy.” Lurida could hardly keep still while the doctor was speaking. When he finished, she began the account of her discovery: “I do certainly believe I have found an account of his case in an Italian medical journal of about fourteen years ago. I met with a reference which led me to look over a file of the Giornale degli Ospitali lying among the old pamphlets in the medical section of the Library. I have made a translation of it, which you must read and then tell me if you do not agree with me in my conclusion.” “Tell me what your conclusion is, and I will read your paper and see for myself whether I think the evidence justifies the conviction you seem to have reached.” Lurida's large eyes showed their whole rounds like the two halves of a map of the world, as she said, “I believe that Maurice Kirkwood is suffering from the effects of the bite of a TARANTULA!” The doctor drew a long breath. He remembered in a vague sort of way the stories which used to be told of the terrible Apulian spider, but he had consigned them to the limbo of medical fable where so many fictions have clothed themselves with a local habitation and a name. He looked into the round eyes and wide pupils a little anxiously, as if he feared that she was in a state of undue excitement, but, true to his professional training, he waited for another symptom, if indeed her mind was in any measure off its balance. “I know what you are thinking,” Lurida said, “but it is not so. 'I am not mad, most noble Festus.' You shall see the evidence and judge for yourself. Read the whole case,—you can read my hand almost as if it were print, and tell me if you do not agree with me that this young man is in all probability the same person as the boy described in the Italian journal, “One thing you might say is against the supposition. The young patient is spoken of as Signorino M—— Ch——— But you must remember that ch is pronounced hard in Italian, like k, which letter is wanting in the Italian alphabet; and it is natural enough that the initial of the second name should have got changed in the record to its Italian equivalent.” Before inviting the reader to follow the details of this extraordinary case as found in a medical journal, the narrator wishes to be indulged in a few words of explanation, in order that he may not have to apologize for allowing the introduction of a subject which may be thought to belong to the professional student rather than to the readers of this record. There is a great deal in medical books which it is very unbecoming to bring before the general public,—a great deal to repel, to disgust, to alarm, to excite unwholesome curiosity. It is not the men whose duties have made them familiar with this class of subjects who are most likely to offend by scenes and descriptions which belong to the physician's private library, and not to the shelves devoted to polite literature. Goldsmith and even Smollett, both having studied and practised medicine, could not by any possibility have outraged all the natural feelings of delicacy and decency as Swift and Zola have outraged them. But without handling doubtful subjects, there are many curious medical experiences which have interest for every one as extreme illustrations of ordinary conditions with which all are acquainted. No one can study the now familiar history of clairvoyance profitably who has not learned something of the vagaries of hysteria. No one can read understandingly the life of Cowper and that of Carlyle without having some idea of the influence of hypochondriasis and of dyspepsia upon the disposition and intellect of the subjects of these maladies. I need not apologize, therefore, for giving publicity to that part of this narrative which deals with one of the most singular maladies to be found in the records of bodily and mental infirmities. The following is the account of the case as translated by Miss Vincent. For obvious reasons the whole name was not given in the original paper, and for similar reasons the date of the event and the birthplace of the patient are not precisely indicated here. [Giornale degli Ospitali, Luglio 21, 18—.] REMARKABLE CASE OF TARANTISM. “The great interest attaching to the very singular and exceptional instance of this rare affection induces us to give a full account of the extraordinary example of its occurrence in a patient who was the subject of a recent medical consultation in this city. “Signorino M... Ch... is the only son of a gentleman travelling in Italy at this time. He is eleven years of age, of sanguine-nervous temperament, light hair, blue eyes, intelligent countenance, well grown, but rather slight in form, to all appearance in good health, but subject to certain peculiar and anomalous nervous symptoms, of which his father gives this history. “Nine years ago, the father informs us, he was travelling in Italy with his wife, this child, and a nurse. They were passing a few days in a country village near the city of Bari, capital of the province of the same name in the division (compartamento) of Apulia. The child was in perfect health and had never been affected by any serious illness. On the 10th of July he was playing out in the field near the house where the family was staying when he was heard to scream suddenly and violently. The nurse rushing to him found him in great pain, saying that something had bitten him in one of his feet. A laborer, one Tommaso, ran up at the moment and perceived in the grass, near where the boy was standing, an enormous spider, which he at once recognized as a tarantula. He managed to catch the creature in a large leaf, from which he was afterwards transferred to a wide-mouthed bottle, where he lived without any food for a month or more. The creature was covered with short hairs, and had a pair of nipper-like jaws, with which he could inflict an ugly wound. His body measured about an inch in length, and from the extremity of one of the longest limbs to the other was between two and three inches. Such was the account given by the physician to whom the peasant carried the great spider. “The boy who had been bitten continued screaming violently while his stocking was being removed and the foot examined. The place of the bite was easily found and the two marks of the claw-like jaws already showed the effects of the poison, a small livid circle extending around them, with some puffy swelling. The distinguished Dr. Amadei was immediately sent for, and applied cups over the wounds in the hope of drawing forth the poison. In vain all his skill and efforts! Soon, ataxic (irregular) nervous symptoms declared themselves, and it became plain that the system had been infected by the poison. “The symptoms were very much like those of malignant fever, such as distress about the region of the heart, difficulty of breathing, collapse of all the vital powers, threatening immediate death. From these first symptoms the child rallied, but his entire organism had been profoundly affected by the venom circulating through it. His constitution has never thrown off the malady resulting from this toxic (poisonous) agent. The phenomena which have been observed in this young patient correspond so nearly with those enumerated in the elaborate essay of the celebrated Baglivi that one might think they had been transcribed from his pages. “He is very fond of solitude,—of wandering about in churchyards and other lonely places. He was once found hiding in an empty tomb, which had been left open. His aversion to certain colors is remarkable. Generally speaking, he prefers bright tints to darker ones, but his likes and dislikes are capricious, and with regard to some colors his antipathy amounts to positive horror. Some shades have such an effect upon him that he cannot remain in the room with them, and if he meets any one whose dress has any of that particular color he will turn away or retreat so as to avoid passing that person. Among these, purple and dark green are the least endurable. He cannot explain the sensations which these obnoxious colors produce except by saying that it is like the deadly feeling from a blow on the epigastrium (pit of the stomach). “About the same season of the year at which the tarantular poisoning took place he is liable to certain nervous seizures, not exactly like fainting or epilepsy, but reminding the physician of those affections. All the other symptoms are aggravated at this time. “In other respects than those mentioned the boy is in good health. He is fond of riding, and has a pony on which he takes a great deal of exercise, which seems to do him more good than any other remedy. “The influence of music, to which so much has been attributed by popular belief and even by the distinguished Professor to whom we shall again refer, has not as yet furnished any satisfactory results. If the graver symptoms recur while the patient is under our observation, we propose to make use of an agency discredited by modern skepticism, but deserving of a fair trial as an exceptional remedy for an exceptional disease. “The following extracts from the work of the celebrated Italian physician of the last century are given by the writer of the paper in the Giornale in the original Latin, with a translation into Italian, subjoined. Here are the extracts, or rather here is a selection from them, with a translation of them into English. “After mentioning the singular aversion to certain colors shown by the subject of Tarantism, Baglivi writes as follows: “'Et si astantes incedant vestibus eo colore difusis, qui Tarantatis ingrates est, necesse est ut ab illorum aspectu recedant; nam ad intuitum molesti coloris angore cordis, et symptomatum recrudescantia stating corripiuntur.' (G. Baglivi, Op. Omnia, page 614. Lugduni, 1745.) “That is, 'if the persons about the patient wear dresses of the color which is offensive to him, he must get away from the sight of them, for on seeing the obnoxious color he is at once seized with distress in the region of the heart, and a renewal of his symptoms.' “As to the recurrence of the malady, Baglivi says: “'Dam calor solis ardentius exurere incip at, quod contingit circa initia Julii et Augusti, Tarantati lente venientem recrudescentiam veneni percipiunt.' (Ibid., page 619.) “Which I render, 'When the heat of the sun begins to burn more fiercely, which happens about the beginning of July and August, the subjects of Tarantism perceive the gradually approaching recrudescence (returning symptoms) of the poisoning. Among the remedies most valued by this illustrious physician is that mentioned in the following sentence: “'Laudo magnopere equitationes in aere rusticano factas singulis diebus, hord potissimum matutina, quibus equitationibus morbos chronicos pene incurabiles protanus eliminavi.' “Or in translation, 'I commend especially riding on horseback in country air, every day, by preference in the morning hours, by the aid of which horseback riding I have driven off chronic diseases which were almost incurable.'” Miss Vincent read this paper aloud to Dr. Butts, and handed it to him to examine and consider. He listened with a grave countenance and devout attention. As she finished reading her account, she exclaimed in the passionate tones of the deepest conviction, “There, doctor! Have n't I found the true story of this strange visitor? Have n't I solved the riddle of the Sphinx? Who can this man be but the boy of that story? Look at the date of the journal when he was eleven years old, it would make him twenty-five now, and that is just about the age the people here think he must be of. What could account so entirely for his ways and actions as that strange poisoning which produces the state they call Tarantism? I am just as sure it must be that as I am that I am alive. Oh, doctor, doctor, I must be right,—this Signorino M ... Ch... was the boy Maurice Kirkwood, and the story accounts for everything,—his solitary habits, his dread of people,—it must be because they wear the colors he can't bear. His morning rides on horseback, his coming here just as the season was approaching which would aggravate all his symptoms, does n't all this prove that I must be right in my conjecture,—no, my conviction?” The doctor knew too much to interrupt the young enthusiast, and so he let her run on until she ran down. He was more used to the rules of evidence than she was, and could not accept her positive conclusion so readily as she would have liked to have him. He knew that beginners are very apt to make what they think are discoveries. But he had been an angler and knew the meaning of a yielding rod and an easy-running reel. He said quietly, “You are a most sagacious young lady, and a very pretty prima facie case it is that you make out. I can see no proof that Mr. Kirkwood is not the same person as the M... Ch... of the medical journal,—that is, if I accept your explanation of the difference in the initials of these two names. Even if there were a difference, that would not disprove their identity, for the initials of patients whose cases are reported by their physicians are often altered for the purpose of concealment. I do not know, however, that Mr. Kirkwood has shown any special aversion to any particular color. It might be interesting to inquire whether it is so, but it is a delicate matter. I don't exactly see whose business it is to investigate Mr. Maurice Kirkwood's idiosyncrasies and constitutional history. If he should have occasion to send for me at any time, he might tell me all about himself, in confidence, you know. These old accounts from Baglivi are curious and interesting, but I am cautious about receiving any stories a hundred years old, if they involve an improbability, as his stories about the cure of the tarantula bite by music certainly do. I am disposed to wait for future developments, bearing in mind, of course, the very singular case you have unearthed. It wouldn't be very strange if our young gentleman had to send for me before the season is over. He is out a good deal before the dew is off the grass, which is rather risky in this neighborhood as autumn comes on. I am somewhat curious, I confess, about the young man, but I do not meddle where I am not asked for or wanted, and I have found that eggs hatch just as well if you let them alone in the nest as if you take them out and shake them every day. This is a wonderfully interesting supposition of yours, and may prove to be strictly in accordance with the facts. But I do not think we have all the facts in this young man's case. If it were proved that he had an aversion to any color, it would greatly strengthen your case. His 'antipatia,' as his man called it, must be one which covers a wide ground, to account for his self-isolation,—and the color hypothesis seems as plausible as any. But, my dear Miss Vincent, I think you had better leave your singular and striking hypothesis in my keeping for a while, rather than let it get abroad in a community like this, where so many tongues are in active exercise. I will carefully study this paper, if you will leave it with me, and we will talk the whole matter over. It is a fair subject for speculation, only we must keep quiet about it.” This long speech gave Lurida's perfervid brain time to cool off a little. She left the paper with the doctor, telling him she would come for it the next day, and went off to tell the result of this visit to her bosom friend, Miss Euthymia Tower. |