CHAPTER XIII ELEPHANTIASIS The writings of that great authority Leoniceno might have sufficed to make it evident that the so—called French Sickness is not the disease that is called by the Greeks elephantia, or sometimes elephantiasis, or elephas. However, certain writers later than he, with irrational obstinacy, have recorded their opinion that elephantia and the French Sickness are one and the same disease, and that in treating them the same remedies ought to be used. It will therefore be expedient for me to ful— fil my promise and to add a few remarks on this subject. What in the main led them astray was the fact that they observed that the ancients wrote on leprosy and elephantia as two dis— tinct diseases. Hence they thought that the ancients meant by the word leprosy the disease which we now commonly call leprosy, and they did not know what elephantia could be, un— less it were the disease which later was called French Sickness. But this shows that the writings of the ancients had not been studied with sufficient care by these obstinate persons. For it is not true, as they suppose, that by leprosy the Greeks meant the disease now commonly called leprosy; the Greeks meant another and far milder affection which they discuss along with psora,59 i. e. scabies. 'This affection may indeed lead to ele— phantia, which, strictly speaking, is that ailment which not only the common people but also recent medical writers, wheth— er Latin or Arab, call leprosy. " Paul*? discusses leprosy along with psora, and says: **Both of these diseases cause a rough— ness of the outermost skin together with itching and atten— uation of the body, originating in the black bile humor''. Galen, in his treatise 'On Tumors',*' says: "*Psora and leprosy are affections due to black bile and attack only the skin. But when they take firm hold of the blood—vessels and the flesh, they are called cancer and elephas". Also he says that cer— tain persons suffering from elephantia became leprous when 159