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290 IV. DE ARACHNOLOGIA<br />
seventeenth century it was declining, and finally there remained only<br />
the tarantella, a graceful Italian dance and the last vestige by which it<br />
might be recalled.<br />
The symptoms of tarantism, according to contemporary and later<br />
writers, were indeed alarming. The work of l'\unez, mentioned below,<br />
devoted several pages to describing them, and scarcely an organ or a<br />
part of the body seems to have been exempt from the effects of the<br />
venom. Pain and swelling, paralysis, nausea and vomiting, lassitude<br />
and delirium, palpitation and fainting, continued priapism and shameless<br />
exhibitionism are all included, together with acute melancholic<br />
depression, ending, unless treatment was provided, in death.<br />
The drugs in use at that time had no effect, and alcohol, even in<br />
quantity, did not produce intoxication. The only cure was dancing,<br />
prolonged and strenuous, inspired by appropriate music and resulting in<br />
copious sweating.<br />
A phenomenon of this nature was bound to excite interest, and for<br />
several decades descriptions of authenticated cases of tarantism alternated<br />
with equally confident denials that the attacks were anything<br />
more than midsummer madness or general hysteria. The first writer to<br />
gather these and to offer a reasoned discussion of the disease<br />
was Ferdinand Epiphane ofMessina, hut a more ambitious treatise was<br />
that of Baglivi.<br />
Georges Baglivi was a well known Italian physician and his work,<br />
"De Anatomia, 1v1orsu et Effectihus Tarantulae", was published in<br />
1696. It occupies only 42 pages and contains what appears to be the<br />
first published drawing of the tarantula spider itself. Baglivi described<br />
all the symptoms, credible and incredible, various methods of treatment,<br />
notes the greater frequency of the disease injuly, and discusses various<br />
methods of treatment, including music. His work, though short, is of<br />
interest since it is the first discussion of the matter by a writer of scientific<br />
experience and of a more than local reputation.<br />
He believed that tarentism was a true clinical entity resulting from the<br />
bite of a particular spider. This was the opinion of the time, and in<br />
Britain the Hon. Robert Boyle in 1686 wrote that his own doubts had<br />
been replaced by conviction.<br />
Fifty years later Dr Richard Mead contributed to Eleazar Albin's<br />
"Natural History of Spiders" a four-page section "Of the Tarantula",<br />
and in his later writings expressed himself at greater length. He wrote<br />
that in winter the bite of the spider is harmless, but that in the dog-days<br />
the patient is soon "seized by a violent sickness, difficulty of breathing<br />
and universal faintness being asked what the ail is makes no reply, or<br />
with a querulous voice and melancholy look". This condition is not<br />
34. MEDICAL ARACHNOLOGY 291<br />
"relieved by the usual alexipharmic and cordial medicines" and "music<br />
alone performs the cure".<br />
"They dance", says :Mead, "three or four hours, then rest. At this<br />
sport they usually spend twelve hours a day, and it continues three or<br />
four days; by which time they are generally freed from all their symptoms,<br />
which do nevertheless attack 'em about the same time the next<br />
year". :Mead also reported that the tarantati, while dancing "talk and<br />
act obscenely and rudely, take great pleasure in playing with vine<br />
with naked S'.vords and red cloths" and "cannot bear the sight of<br />
anything black".<br />
Disbelief in the reality of tarantism was first expressed by N. Fairfax<br />
in the 'Philosophical Transactions" of the Royal Society in 1667; and<br />
the opinion was more forcibly expressed in 1671, that is 24 years earlier<br />
than Baglivi's treatise, in a lettn from a Neapolitan physician Thomas<br />
Cornelius. He said that the tarantati were either malingerers or they<br />
were wanton young women, described as dolci di sale, or half-wits. The<br />
case tarantism was fully argued by Dr Francesco Serao in<br />
1742. His book, "Della Tarantola osia Falangio di Paglia", was published<br />
in Naples and contained 284 pages.<br />
The conclusion however, unavoidable, that affliction with tarantism<br />
must have brought some advantage to the victims, for the phenomenon<br />
lasted for a time, and having, as one might say, exploited<br />
Italy, to the full, it reappeared in Spain.<br />
The first published account of Spanish tarantism was a record of six<br />
cases described in a "Tratado del Tarantismo" by Dr D. Manuel<br />
Iraneta y Jauregut. This was in 1785, or 47 years after Seras's denial<br />
and 89 years later than Baglivi. Iraneta's work of 121 pages was, however,<br />
but a trifle when compared with that of Francisco Xavier Cid,<br />
"Tarantismo Observadoin , published in .Madrid in 1787.<br />
Like Baglivi, Cid was a physician of some eminence. He wrote an<br />
authoritative account of the disease, based on 38 cases which, he satisfied<br />
himself, were well authenticated. He showed that the Spanish and<br />
Italian forms were identical, and he accepted as proven the reality of<br />
tarantism and the curative power of music. Indeed, he ended an<br />
interesting and erudite work with a chapter on "The Philosophy of<br />
Music".<br />
Cid's book inspired a number of Spanish doctors to write on the same<br />
subject; among them may be mentioned Mestre y l\1arzal, 1843;<br />
~'lendez Alvaro, 1846 and Ch. Ozanan, 1856.<br />
The most comprehensive work on tarantism is J. Nunez's "Etude<br />
Medicale sur le Venin de la Tarantule", published in Paris in 1866. A<br />
book of 168 pages, it begins with a historical review of the records of<br />
the complaint, and emphazise three points-that tarantism is a real