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a man of stern resolve, who went straight to his end without at last obtained Siena and Porto Ferraio by giving up his claim scruples or half-measures. Before long he was regarded by many to a sum of 200,000 ducats that he was to have received from as the incarnation of Machiavelli's Prince, "inasmuch as he Charles V. joined daring to talent and prudence, was capable of great In 1559 Cosimo also captured Montalcino, and thus formed the cruelty, and yet could practise mercy in due season." Guicciar-grand-duchy of Tuscany, but he continued to govern the new dini, who still pretended to act as mentor, and who on account state-i.e. Siena and its territories-separately from of his many services had a certain influence over him, was obliged the old. His rule was intelligent, skilful and des- Grand-Duchy to withdraw from public life and busy himself with writing his potic; but his enormous expenses drove him to raise formed. History at his villa of Arcetri. He died in this retreat in 1540, large sums of money by special contrivances unsuited and it was immediately rumoured that the duke had caused him to the country and the people. Hence, notwithstanding the to be poisoned. This shows the estimation in which Cosimo genius of its founder, the grand-duchy held from the first the was now held. He punished with death all who dared to resist elements of its future decay. Cosimo preferred to confer office his will. By 1540 sentence of death had been pronounced against upon men of humble origin in order to have pliable tools, but he four hundred and thirty contumacious fugitives, and during his also liked to be surrounded by a courtier aristocracy on the reign one hundred and forty men and six women actually Spanish and French pattern. As no Tuscan aristocracy any ascended the scaffold, without counting those who perished in longer existed, he created new nobles, and tempted foreign ones foreign lands by the daggers of his assassins. He reduced the to come by the concession of various feudal privileges; and, to old republican institutions to empty forms, by making the magis- turn this artificial aristocracy to some account, he founded the trates mere creatures of his will. He issued the sternest edicts knightly order of St Stephen, charged with the defence of the against the rebels, particularly by the law known as the "Pol- coast against pirates, which in course of time won much honour verina," from the name of its proposer Jacopo Polverini. This by its prowess. He also established a small standing army for law decreed not only the confiscation of the property of exiles, the protection of his frontiers; but he generally employed German but likewise that of their heirs, even if personally acquired by and Spanish troops for his wars, and always had a foreign body. the latter. Cosimo ruled like the independent sovereign of a guard. At the commencement of his reign he opposed the popes great state, and always showed the capacity, firmness and in order to maintain the independence of his own state; but later, courage demanded by that station. Only, his state being small to obtain help, he truckled to them in many ways, even to the and weak, he was forced to rely chiefly upon his personal talent extent of giving up to the Inquisition his own confidant, Piero and wealth. It was necessary for him to make heavy loans to Carnesecchi, who, being accused of heresy, was beheaded and the different European sovereigns, especially to Charles V., the burnt in 1567. In reward for these acts of submission, the popes most rapacious of them all, and to give enormous bribes to their showed him friendship, and Pius V. granted him the title of ambassadors. Besides, he had to carry on wars for the exten- grand-duke, conferring the patent and crown upon him in Rome, sion of his dominions; and neither his inherited wealth nor the although the emperor had always withheld his consent. The large sums gained by confiscating the estates of rebellious measure most injurious to Tuscany was the fiscal system of subjects sufficed for all this outlay. He was accordingly com- taxes, of which the sole aim was to extort the greatest possible pelled to burden the people with taxes, and thus begin at once to amount of money. The consequent damage to industry, comdiminish its strength. merce and agriculture was immense, and, added to the devastations caused by the Sienese War, led to their utter ruin. Otherwise Cosimo did not neglect useful measures for the interior prosperity of his state. He was no Maecenas; nevertheless he restored the Pisan university, enlarged that of Siena, had the public records classified, and also executed public works like the Santa Trinità bridge. During the great inundations of 1557 he turned his whole energy to the relief of the sufferers.

Lucca and

Cosimo bore a special grudge against the neighbouring republics of Siena and Lucca. Although the latter was small and weak, and the former garrisoned by Siena seized. Spaniards, yet the spectacle of free institutions at the frontiers of his own state served as a continual incitement to subjects disaffected to the new régime. In fact Francesco Burlamacchi, a zealous Lucchese patriot, had conceived the design of re-establishing republican government in In 1539 he had espoused Eleonora of Toledo, daughter of the all the cities of Tuscany. Cosimo, with the emperor's help, viceroy of Naples, by whom he had several children. Two died succeeded in having him put to death. Lucca, however, was in 1562, and their mother soon followed them to the grave. It an insignificant state making no pretence of rivalry, whereas was said that one of these boys, Don Garcia, had murdered the Siena was an old and formidable foe to Florence, and had always other, and then been killed by the enraged father. Indeed, given protection to the Florentine exiles. It was now very Cosimo was further accused of having put his own wife to death; reluctantly submitting to the presence of a Spanish garrison, but neither rumour had any foundation. He now showed signs and, being stimulated by promises of prompt and efficacious of illness and failure of strength. He was not old, but worn by assistance from France, rose in rebellion and expelled the Span- the cares of state and self-indulgence. Accordingly in 1564 he iards in 1552. Cosimo instantly wrote to the emperor in terms resigned the government to his eldest son, who was to act as his that appealed to his pride, asked leave to attack Siena, and lieutenant, since he wished to have power to resume the sceptre begged for troops to ensure the success of his enterprise. As no on any emergency. In 1570, by the advice of Pope Pius V., he immediate answer arrived, he feigned to begin negotiations with married Camilla Martelli, a young lady of whom he had been Henry II. of France, and, by thus arousing the imperial jealousy, long enamoured. In 1574 he died, at the age of fifty-four obtained a contingent of German and Spanish infantry. Siena | years and ten months, after a reign of thirty-seven years, was besieged for fifteen months, and its inhabitants, aided by the leaving three sons and one daughter besides natural children. valour of Piero Strozzi, who fought under the French flag, made These sons were Francesco, his successor, who was already at a most heroic resistance, even women and children helping on the head of the government, Cardinal Ferdinand, and Piero. the walls. But fortune was against them. Piero Strozzi sustained several defeats, and finally the Sienese, having exhausted their ammunition and being decimated by famine and the sword, were obliged to capitulate on honourable terms that were shame-own account in 1574, he speedily manifested his real lessly violated. By the varied disasters of the siege and the number of fugitives the population was reduced from forty to eight thousand inhabitants. The republicans, still eager to resist, withdrew to Montalcino. Cosimo now ruled the city and territory of Siena in the name of Charles V., who always refused him its absolute possession. After the emperor's abdication, and the succession of Philip II. to the Spanish throne, Cosimo

Francesco I., born in 1541, began to govern as his father's lieutenant in 1564, and was married in 1565 to the archduchess Giovanna of Austria. On beginning to reign on his Francesco I.

character. His training in the hands of a Spanish mother had made him suspicious, false and despotic. Holding every one aloof, he carried on the government with the assistance of a few devoted ministers. He compelled his step-mother to retire to a convent, and kept his brothers at a distance from Florence. He loved the privileges of power without its burdens. Cosimo had known how to maintain his independence, but Francesco casi

himself like a vassal at Austria's feet. He reaped his reward by | prepared a poisoned tart for the cardinal, and that, when he obtaining from Maximilian II. the title of grand-duke, for which suspiciously insisted on the grand-duke tasting it first, Bianca Cosimo had never been able to win the imperial sanction, but desperately swallowed a slice and followed her husband to the he forfeited all independence. Towards Philip II. he showed tomb. even greater submissiveness, supplying him with large sums of Such was the life of Francesco dei Medici, and all that can be money wrung from his overtaxed people. He held entirely said in his praise is that he gave liberal encouragement to a few aloof from France, in order not to awake the suspicions of his artists, including de Giovanni Bologna (q.v.). He was the protectors. He traded on his own account, thus creating a founder of the Uffizi gallery, of the Medici theatre, and the villa monopoly that was ruinous to the country. He raised the tax of Pratolino; and during his reign the Della Cruscan academy upon corn to so high a rate that few continued to find any profit was instituted. in growing it, and thus the Maremme, already partly devastated during the war with Siena, were converted into a desert. Even industry declined under this system of government; and, although Francesco founded porcelain manufactories and pietra dura works, they did not rise to any prosperity until after his death. His love of science and letters was the only Mediccan virtue that he possessed. He had an absolute passion for chemistry, and passed much of his time in his laboratory. Sometimes indeed he gave audience to his secretaries of state standing before a furnace, bellows in hand. He took some useful measures to promote the rise of a new city at Leghorn, which at that time had only a natural and ill-sheltered harbour. The improvement of Leghorn had been first projected by Cosimo I., and was carried on by all the succeeding Medici. Francesco was a slave to his passions, and was led by them to scandalous excesses and deeds of bloodshed. His example and neglect of the affairs of the state soon caused a vast increase of crime even among the people, and, during the first eighteen months of his reign, there occurred no fewer than one hundred and sixty-eight murders.

In default of public events, the historians of this period enlarge upon private incidents, generally of a scandalous or sanguinary kind. In 1575 Orazio Pucci, wishing to avenge his father, whom Cosimo had hanged, determined to get up a conspiracy, but, soon recognizing how firmly the Medicean rule had taken root in the country, desisted from the attempt. But the grand-duke, on hearing of the already abandoned plot, immediately caused Pucci to be hanged from the same window of the Palazzo Vecchio, and even from the same iron stanchion, from which his father before him had hung. His companions, who had fled to France and England, were pursued and murdered by the ducal | emissaries. Their possessions were confiscated, and the " Polverina" law applied, so that the conspirators' heirs were reduced to penury, and the grand-duke gained more than 300,000 ducats.

Next year Isabella dei Medici, Francesco's sister, was strangled in her nuptial bed by her husband, Paolo Giordano Orsini, whom she had betrayed. Piero dei Medici, Francesco's brother, murdered his wife Eleonora of Toledo from the same motive. Still louder scandal was caused by the duke's own conduct. He was already a married man, when, passing one day through the Piazza of St Mark in Florence, he saw an exceedingly beautiful woman at the window of a mean dwelling, and at once conceived a passion for her. She was the famous Bianca Cappello, a Venetian of noble birth, who had cloped with a young Florentine named Pietro Buonaventuri, to whom she was married at the time that she attracted the duke's gaze. He made her acquaintance, and, in order to see her frequently, nominated her husband to a post at court. Upon this, Buonaventuri behaved with so much insolence, even to the nobility, that one evening he was found murdered in the street. Thus the grand-duke, who was thought to have sanctioned the crime, was able to indulge his passion unchecked. On the death of the grand-duchess in 1578 he was privately united to Bianca, and afterwards married her publicly. But she had no children, and this served to poison her happiness, since the next in succession was her bitter enemy, the cardinal Ferdinand. The latter came to Florence in 1587, and was ostentatiously welcomed by Bianca, who was most anxious to conciliate him. On the 18th of October of the same year the grand-duke died at his villa of Poggio a Caiano, of a fever caught on a shooting excursion in the Maremme, and the next day Bianca also expired, having ruined her health by drugs taken to cure her sterility. But rumour asserted that she had

Ferdinand I. was thirty-eight years of age when, in 1587, he succeeded his brother on the throne. A cardinal from the age of fourteen, he had never taken holy orders. He Ferdinand L showed much tact and experience in the management of ecclesiastical affairs. He was the founder of the Villa Medici at Rome, and the purchaser of many priceless works of art, such as the Niobe group and many other statues afterwards transported by him to Florence. After his accession he retained the cardinal's purple until the time of his marriage. He was in all respects his brother's opposite. Affable in his manners and generous with his purse, he chose a crest typical of the proposed mildness of his rule-a swarm of bees with the motto Majestate tantum. He instantly pardoned all who had opposed him, and left his kinsmen at liberty to choose their own place of residence. Occasionally, for political reasons, he committed acts unworthy of his character; but he re-established the administration of justice, and sedulously attended to the business of the state and the welfare of his subjects. Accordingly Tuscany revived under his rule and regained the independence and political dignity that his brother had sacrificed to love of ease and personal indulgence. He favoured commerce, and effectually ensured the prosperity of Leghorn, by an edict enjoining toleration towards Jews and heretics, which led to the settlement of many foreigners in that city. He also improved the harbour and facilitated communication with Pisa by means of the Naviglio, a canal into which a portion of the water of the Arno was turned. He nevertheless retained the reprehensible custom of trading on his own account, keeping banks in many cities of Europe. He successfully accomplished the draining of the Val di Chiana, cultivated the plains of Pisa, Fucecchio and Val di Nievole, and executed other works of public utility at Siena and Pisa. But his best energies were devoted to the foreign policy by which he sought to emancipate himself from subjection to Spain. On the assassination (1589) of Henry III. of France Ferdinand supported the claims of the king of Navarre, undeterred by the opposition of Spain and the Catholic League, who were dismayed by the prospect of a Huguenot succeeding to the throne of France. He lent money to Henry IV., and strongly urged his conversion to Catholicism; he helped to persuade the pope to accept Henry's abjuration, and pursued this policy with marvellous persistence until his efforts were crowned with success. Henry IV. showed faint gratitude for the benefits conferred upon him, and paid no attention to the expostulations of the grand-duke, who then began to slacken his relations with France, and showed that he could guard his independence by other alliances. He gave liberal assistance to Philip III. for the campaign in Algiers, and to the emperor for the war with the Turks. Hence he was compelled to burden his subjects with enormous taxes, forgetting that while guaranteeing the independence of Tuscany by his loans to foreign powers he was increasingly sapping the strength of future generations. He at last succeeded in obtaining the formal investiture of Siena, which Spain had always considered a fief of her own.

During this grand-duke's reign the Tuscan navy was notably increased, and did itself much honour on the Mediterranean. The war-galleys of the knights of St Stephen were despatched to the coast of Barbary to attack Bona, the headquarters of the corsairs, and they captured the town with much dash and bravery. In the following year (1608) the same galleys achieved their most brilliant victory in the archipelago over the stronger fleet of the Turks, by taking nine of their vessels, seven hundred prisoners, and jewels of the value of 2,000,000 ducats.

Cosimo II.

Ferdinand I. died in 1609, leaving four sons, of whom the eldest, Cosimo II., succeeded to the throne at the age of nineteen. He was at first assisted in the government by his mother and a council of regency. He had a good disposition, and the fortune to reign during a period when Europe was at peace and Tuscany blessed with abundant harvests. Of his rule there is little to relate. His chief care was given to the galleys of St Stephen, and he sent them to assist the Druses against the Porte. On one occasion he was involved in a quarrel with France. Concino Concini, the Marshal d'Ancre, being assassinated in 1617, Louis XIII. claimed the right of transferring the property of the murdered man to De Luynes. Cosimo, refusing to recognize the confiscation decreed by the French tribunals, demanded that Concini's son should be allowed to inherit. Hence followed much ill-feeling and mutual reprisals between the two countries, finally brought to an end by the intervention of the duke of Lorraine.

Like his predecessors, Cosimo II. studied to promote the prosperity of Leghorn, and he deserves honour for abandoning all commerce on his own account. But it was no praiseworthy act to pass a law depriving women of almost all rights of inheritance. By this means many daughters of the nobility were driven into convents against their will. He gave scanty attention to the general affairs of the state. He was fond of luxury, spent freely on public festivities and detested trouble. Tuscany was apparently tranquil and prosperous; but the decay of which the seeds were sown under Cosimo I. and Ferdinand I. was rapidly spreading, and became before long patent to all and beyond all hope of remedy. The best deed done by Cosimo II. was the protection accorded by him to Galileo Galilei, who had removed to Padua, and there made some of his grandest discoveries. The grand duke recalled him to Florence in 1610, and nominated him court mathematician and philosopher. Cosimo died in February 1621. Feeling his end draw near, when he was only aged thirty and all his sons were still in their childhood, he hastened to arrange his family affairs. His mother, Cristina of Lorraine, and his wife, Maddalena of Austria, were nominated regents and guardians to his eldest son Ferdinand II., a boy of ten, and a council of four appointed, whose functions were regulated by law. After Cosimo's death, the young Ferdinand was sent to Rome and Vienna to complete his education, and the government of Tuscany remained in the hands of two jealous and quarrelsome women. Thus the administration of justice and finance speedily went to ruin. Out of submissiveness to the pope, the regents did not dare to maintain their legitimate right to inherit the duchy of Urbino. They conferred exaggerated privileges on the new Tuscan nobility, which became increasingly insolent and worthless. They resumed the practice of trading on their own account, and, without reaping much benefit thereby, did the utmost damage to private enterprise.

Ferdinand II.

In 1627 Ferdinand II., then aged seventeen, returned to Italy and assumed the reins of government; but, being of a very gentle disposition, he decided on sharing his power with the regents and his brothers, and arranged matters in such wise that each was almost independent of the other. He gained the love of his subjects by his great goodness; and, when Florence and Tuscany were ravaged by the plague in 1630, he showed admirable courage and carried out many useful measures. But he was totally incapable of energy as a statesman. When the pope made bitter complaints because the board of health had dared to subject certain monks and priests to the necessary quarantine, the grand-duke insisted on his officers asking pardon on their knees for having done their duty. On the death in 1631 of the last duke of Urbino, the pope was allowed to seize the duchy without the slighest opposition on the part of Tuscany. As a natural consequence the pretensions of the Roman curia became increasingly exorbitant; ecclesiastics usurped the functions of the state; and the ancient laws of the republic, together with the regulations decreed by Cosimo I. as a check upon similar abuses, were allowed to become obsolete. On the extinction of the line of the Gonzagas at Mantua in 1627,

war broke out between France on the one side and Spain, Germany and Savoy on the other. The grand duke, uncertain of his policy, trimmed his sails according to events. Fortunately peace was re-established in 1631. Mantua and Monferrato fell to the duke of Nevers, as France had always desired. But Europe was again in arms for the Thirty Years' War, and Italy was not at peace. Urban VIII. wished to aggrandize his nephews, the Barberini, by wresting Castro and Ronciglione from Odoardo Farnese, duke of Parma and brother-in-law to Ferdinand. Farnese marched his army through Tuscany into the territories of the pope, who was greatly alarmed by the attack. The grandduke was drawn into the war to defend his own state and his kinsman. His military operations, however, were of the feeblest and often the most laughable character. At last, by means of the French intervention, peace was made in 1644. But, although the pope was forced to yield, he resigned none of his ecclesiastical pretensions in Tuscany. It was during Ferdinand's reign that the septuagenarian Galileo was obliged to appear before the Inquisition in Rome, which treated him with infamous cruelty. On the death of this great and unfortunate man, the grand-duke wished to erect a monument to him, but was withheld by fear of the opposition of the clergy. The dynasty as well as the country now seemed on the brink of decay. Two of the grandduke's brothers had already died childless, and Ippolito, the sole survivor, was a cardinal. The only remaining heir was his son Cosimo, born in 1642.

Like nearly all his predecessors, Ferdinand II. gave liberal patronage to science and letters, greatly aided therein by his brother Leopold, who had been trained by Galileo Galilei, and who joined with men of learning in founding the celebrated academy Del Cimento, of which he was named president. This academy took for its motto the words Provando e riprovando, and followed the experimental method of Galileo. Formed in 1657, it was dissolved in 1667 in consequence of the jealousies and dissensions of its members, but during its brief existence won renown by the number and importance of its works.

Cosimo III. succeeded his father in 1670. He was weak, vain, bigoted and hypocritical. In 1661 he had espoused Louise of Orléans, niece of Louis XIV., who, being enamoured Cosimo III. of duke Charles of Lorraine, was very reluctant to come to Italy, and speedily detested both her husband and his country, of which she refused to learn the language. She had two sons and one daughter, but after the birth of her third child, Giovan Gastone, her hatred for her husband increased almost to madness. She first withdrew to Poggio a Caiano, and then, being unable to get her marriage annulled, returned to France, where, although supposed to live in conventual seclusion, she passed the greater part of her time as a welcome visitor at court. Even her testamentary dispositions attested the violence of her dislike to her husband.

Cosimo's hypocritical zeal for religion compelled his subjects to multiply services and processions that greatly infringed upon their working hours. He wasted enormous sums in pensioning converts-even those from other countries-and in giving rich endowments to sanctuaries. Meanwhile funds often failed for the payment of government clerks and soldiers. His court was composed of bigots and parasites; he ransacked the world for dainties for his table, adorned his palace with costly foreign hangings, had foreign servants, and filled his gardens with exotic plants. He purchased from the emperor the title of "Highness" in order to be the equal of the duke of Savoy. He remained neutral during the Franco-Spanish War, and submitted to every humiliation and requisition exacted by the emperor. He had vague notions of promoting agriculture, but accomplished no results. At one time he caused eight hundred families to be brought over from the Morca for the cultivation of the Maremme, where all of them died of fever. But when, after the revocation of the Edict of Nantes, French Huguenots offered to apply their labour and capital to the same purpose, the grand duke's religious scruples refused them refuge. So ruin fell upon Tuscany. Crime and misery increased, and the poor, who only asked for work, were given alms and sent oftener to church. This period

witnessed the rise of many charitable institutions of a religious | thought on ascending it was to regain strength enough to pass character under the patronage of the grand-duke, as for instance the congregation of San Giovanni Battista. But these could not remedy the general decay.

Cosimo's dominant anxiety regarded the succession to the throne. His eldest son Ferdinand died childless in 1713. The pleasure-loving Giovan Gastone was married to Anna Maria of Saxe-Lauenburg, widow of a German prince, a wealthy, coarse woman wholly immersed in domestic occupations. After living with her for some time in a Bohemian village, Giovan Gastone yielded to his dislike to his wife and her country, withdrew to France, and ruined his health by his excesses. After a brief return to Bohemia he finally separated from his wife, by whom he had no family. Thus the dynasty was doomed to extinction. |

the remainder of his days in enjoyment. He dismissed the spies, parasites and bigots that had formed his father's court, abolished the pensions given to converts, suppressed several taxes, and prohibited the organized espionage established in the family circle. He wished to live and let live, and liked the people to be amused. Everything in fact bore a freer and gayer aspect under his reign, and the Tuscans seemed to feel renewed attachment for the dynasty as the moment of its extinction drew near. But the grand-duke was too feeble and incapable to accomplish any real improvement. Surrounded by gay and dissipated young men, he entrusted all the cares of government to a certain Giuliano Dami, who drove a profitable trade by the sale of offices and privileges. In this way all things were in the hands of corrupt

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Anna Maria Luisa, 1667-1743
John William of the Palatinate.

individuals; while the grand-duke, compelled to pass the greater part of his time in bed, vainly sought diversion in the company of buffoons, and was only tormented by perceiving that all the world disposed of his throne without even asking his advice. And when, after prolonged opposition, he had resigned himself to accept Don Carlos as his successor, the latter led a Spanish army to the conquest of Naples, an event afterwards leading to the peace of 1735, by which the Tuscan succession was transTheresa. Giovan Gastone was finally obliged to submit even to this. Spain withdrew her garrisons from Tuscany, and Austrian soldiers took their place and swore fealty to the grand-duke on the 5th of February 1737. He expired on the 9th of July of the same year. Such was the end of the younger branch of the Medici, which had found Tuscany a prosperous country, where art, letters, commerce, industry and agriculture flourished,

Cosimo had a passing idea of reconstituting the Florentine republic, but, this design being discountenanced by the European powers, he determined to transfer the succession, after the death of Giovan Gastone, to his sister Anna Maria Louisa, who in fact survived him. For this purpose he proposed to annul the patent of Charles V., but the powers objected to this arrangement also, and by the treaty of 1718 the quadruple alliance of Germany, France, England and Holland decided that Parma and Tuscany should descend to the Spanish Infante Donferred to Francesco II., duke of Lorraine, and husband of Maria Carlos. The grand-duke made energetic but fruitless protests. Cosimo III. had passed his eightieth year at the time of his decease in October 1723, and was succeeded by his son Giovan Gastone, then aged fifty-three. The new sovereign was in bad health, worn out by dissipation, and had neither ambition nor aptitude for rule. His throne was already at the disposal of foreign powers, and his only

Giovan
Gastone.

and left her poor and decayed in all ways, drained by taxation, | surgery becomes the exclusive province of the surgeon, while and oppressed by laws contrary to every principle of sound economy, downtrodden by the clergy, and burdened by a weak and vicious aristocracy.

internal medicine remains to the physician.
A third great
department of practice is formed by obstetric medicine or
midwifery (see OBSTETRICS); and dentistry (q.v.), or dental
surgery, is given up to a distinct branch of the profession.
A state of war, actual or contingent, gives occasion to special
developments of medical and surgical practice (military hygiene
and military surgery). Wounds caused by projectiles, sabres,
&c., are the special subject of naval and military surgery; while
under the head of military hygiene we may include the general
subject of ambulances, the sanitary arrangements of camps,
and the various forms of epidemic camp sickness.

The administration of the civil and criminal law involves frequent relations with medicine, and the professional subjects most likely to arise in that connexion, together with a summary of causes célèbres, are formed into the department of MEDICAL JURISPRUDENCE (q.v.).

In preserving the public health, the medical profession is again brought into direct relation with the state, through the public medical officers.

HISTORY OF MEDICINE

BIBLIOGRAPHY.-G. Capponi, Storia della republica di Firenze (Florence, 1875); F. T. Perrens, Histoire de Florence depuis la domination des Médicis jusqu'à la chute de la république (Paris, 1888, &c.); W. Roscoe, Life of Lorenzo de Medici (new ed., London, 1872) and Life of Leo X. (London, 1846); A. von Reumont, Geschichte Toscanas seit der Ende des florent. Freistaates (2 vols., Gotha, 1876) and Lorenzo de' Medici (Leipzig, 1874); A. Fabroni, Laurentii Medicei magnifici vita (2 vols., Pisa, 1784) and Magni Cosimi Medicei vila (2 vols., Pisa, 1789); Buser, Lorenzo de' Medici als italienischer Staatsmann (Leipzig, 1879) and Die Beziehungen der Mediceer zu Frankreich (Leipzig, 1879); E. Armstrong, Lorenzo de' Medici (London, 1896); P. Villari, La Storia di Girolamo Savonarola (Florence, 1887) and Machiavelli (Florence, 1878-1883, several subsequent editions); Galluzzi, Storia del granducato di Toscana sotto il governo di casa Medici (5 vols., Florence, 1787); E. Robiony, Gli ultimi Medici (Florence, 1905); E. L. S. Horsburgh, Lorenzo the Magnificent and Florence in her Golden Age (1908); and Janet Ross, Lives of the Medici from their Letters (1910). See also under FLORENCE and TUSCANY. (P. V.) MEDICI, GIACOMO (1817-1882), Italian patriot and soldier, was born at Milan in January 1817. Exiled in 1836, he fought in Spain against the Carlists between 1836 and 1840, and in Medicine as Portrayed in the Homeric Poems.-In the state 1846 joined Garibaldi at Montevideo. Returning to Italy with of society pictured by Homer it is clear that medicine has already Garibaldi in 1848, he raised a company of volunteers to fight had a history. We find a distinct and organized profession; we against Austria, and commanded the volunteer vanguard in find a system of treatment, especially in regard to injuries, Lombardy, proceeding thence to Rome, where he gained dis- which it must have been the work of long experience to frame; tinction by defending the "Vascello," a position near the Porta we meet with a nomenclature of parts of the body substantially. San Pancrazio, against the French. During the siege of Rome the same (according to Daremberg) as that employed long he himself was wounded. In the war of 1859 he commanded afterwards in the writings of Hippocrates; in short, we find a a volunteer regiment, and was sent by Cavour into Tirol. In 1860 science and an organization which, however imperfect as comhe tried in vain to dissuade Garibaldi from the Marsala expedi-pared with those of later times, are yet very far from being in tion, but, after his chief's departure, he sailed for Sicily with the their beginning. The Homeric heroes themselves are represecond expedition, taking part in the whole campaign, during sented as having considerable skill in surgery, and as able to which he forced Messina to capitulate after an eight days' siege. attend to ordinary wounds and injuries, but there is also a Joining the regular army, he was appointed military com- professional class, represented by Machaon and Podalirius, the mandant of Palermo, in which capacity he facilitated the abortive two sons of Asclepius, who are treated with great respect. It campaign of Garibaldi in 1862. In 1866 he commanded the would appear, too, from the Aethiopis of Archinus (quoted by division which invaded Tirol, but the effect of his victories Welcker and Häser) that the duties of these two were not was neutralized by the conclusion of peace. Returning to precisely the same. Machaon's task was more especially to Palermo he did good work in restoring order in Sicily. He heal injuries, while Podalirius had received from his father the became a senator in 1870, and marquis of the "Vascello" and gift of "recognizing what was not visible to the eye, and tending first aide-de-camp to the king in 1876. He died on the 9th of what could not be healed." In other words, a rough indication is seen of the separation of medicine and surgery. Asclepius appears in Homer as a Thessalian king, not as a god, though in later times divine honours were paid to him. There is no sign in the Homeric poems of the subordination of medicine to religion which is seen in ancient Egypt and India, nor are priests charged, as they were in those countries, with medical functions-all circumstances which throw grave doubts on the commonly received opinion that medicine derived its origin in all countries from religious observances.

March 1882.

MEDICINE.-The science of medicine, as we understand it, has for its province the treatment of disease. The word "medicine" (Lat. medicina: sc. ars, art of healing, from mederi, to heal) may be used very widely, to include Pathology (q.v.), the theory of the causation of disease, or, very narrowly, to mean only the drug or form of remedy prescribed by the physician-this being more properly the subject of Therapeutics (q..) and Pharmacology (q.v.). But it is necessary in practice, for historical comprehensiveness, to keep the wider meaning in view. Disease (see PATHOLOGY) is the correlative of health, and the word is not capable of a more penetrating definition. From the time of Galen, however, it has been usual to speak of the life of the body either as proceeding in accordance with nature (xarà bow, secundum naturam) or as overstepping the bounds of nature (rapà vow, praeter naturam). Taking disease to be a deflexion from the line of health, the first requisite of medicine is an extensive and intimate acquaintance with the norm of the body. The structure and functions of the body form the subject of Anatomy (q.v.) and Physiology (q.v.).

The medical art (ars medendi) divides itself into departments and subdepartments. The most fundamental division is into internal and external medicine, or into medicine proper and surgery (q..). The treatment of wounds, injuries and deformities, with operative interference in general, is the special department of surgical practice (the corresponding parts of pathology, including inflammation, repair, and removable tumours, are sometimes grouped together as surgical pathology); and where the work of the profession is highly subdivided,

Greeks was thus quite distinct from religion, the worship of Asclepius
Although the actual organization of medicine among the Homeric
(or Aesculapius) as the god of healing demands some notice. This
cult spread very widely among the Greeks; it had great civil im-
portance, and lasted even into Christian times; but there is no reason
to attribute to it any special connexion with the development of
Sick persons repaired, or
the science or profession of medicine.
were conveyed, to the temples of Asclepius in order to be healed,
just as in modern times relief is sought by a devotional pilgrimage
or from the waters of some sacred spring, and then as now the healing
influence was sometimes sought by deputy. The sick person, or his
sleep on the hide of the sacrificed animal, or at the feet of the statue
representative, after ablution, prayer and sacrifice, was made to
of the god, while sacred rites were performed. In his sleep (incubatio,
youngs) the appropriate remedy was indicated by a dream.
Moral or dietetic remedies were more often prescribed than drugs.
The record of the cure was inscribed on the columns or walls of the
temple; and it has been thought that in this way was introduced
the custom of "recording cases," and that the physicians of the
Hippocratic school thus learnt to accumulate clinical experience.
But the priests of Asclepius were not physicians. Although the
latter were often called Asclepiads, this was in the first place to
indicate their real or supposed descent from Asclepius, and in the
second place as a complimentary title. No medical writing of
antiquity speaks of the worship of Asclepius in such a way as to

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