CHAPTER X RABIES Rabies, which I shall now discuss in its turn, is just as sur— prising a disease. Galen writes that no animal except the dog is subject to it, per se, and that is certainly an observed fact. Aristotle, however, asserts that every kind of animal, after having been bitten by a mad dog, suffers from rabies, "except man'. The following phenomena are observed in this kind of contagion. In the first place, all agree that it cannot be contracted by every sort of contaet, or by fomes, or at a distance, but only when the outer skin is so torn by the bite of a dog that blood is drawn; as though the contagion takes place in the blood it— self through contaet with the teeth and foam from the mouth of the rabid animal. Its incubation is so stealthy, slow, and gradual, that the infection is very rarely manifest before the twentieth day, in most cases after the thirtieth day, and in many cases not till four or six months have elapsed. There are cases recorded in which it became manifest a year after the bite, and even five years after. I have myself seen a boy who, eight months after he had been bitten, showed signs of the con— tagion, from which he presently died. Meanwhile no fever is perceptible, nor distress of any sort, and the infected person does not realise that a highly pernicious infection is latent within him; but presently, about the time when it reaches the heart, he is conscious of it. Once it has penetrated there, it a&fflicts the sufferer with incredible torments. There are violent twitchings in the heart and the praecordia; the patient can neither stand nor lie down; like a madman he flings himself hither and thither, tears his flesh with his hands, and feels in— tolerable thirst. 'This is the most distressing symptom, for he so shrinks from water and all liquids that he would rather die than drink or be brought near to water; it is then that they bite other persons, foam at the mouth, their eyes look twisted, 125