John of Gaddesden, Professor of Medicine in Merton College, Oxford, and Court Physician to Edward II., minutely describe the disease.

It was the custom in those affected days, when a medical man or anyone wrote a book on medicine or a medicinal subject, to call it either a “rose” or a “lily,” as “Rosa Angelica,” “Lilium medecinæ.”

The following description of the malady is from the Lilium medecinæ, by Bernhard Gordon, written about 1305 or 1309. He gives three stages or classes of the disease, viz., the (1) occult, (2) the infallible, and (3) the last, or terminating signs. None of these indications are laid down in Leviticus for the guidance of the Jewish Priests.

(i.) “The occult premonitory signs of Leprosy are, a reddish colour of the face, verging to duskiness; the expiration begins to be changed, the voice grows hoarse, the hairs become thinned and weaker, and the perspiration and breath incline to fœtidity; the mind is melancholic with frightful dreams and nightmare; in some cases scabs, pustules, and eruptions break out over the whole body; disposition of the body begins to become loathsome, but still, while the form and figure are not corrupted, the patient is not to be adjudged for separation; but is to be most strictly watched.”

(ii.) “The infallible signs, are, enlargement of the eyebrows, with loss of their hair; rotundity of the eyes; swelling of the nostrils externally, and contraction of them within; voice nasal; colour of the face glossy, verging to a darkish hue; aspect of the face terrible, and with a fixed look; with acumination or pointing and contraction of the pulps of the ear. And there are many other signs, as pustules and excrescences, atrophy of the muscles, and particularly of those between the thumb and forefinger; insensibility of the extremities; fissures, and infections of the skin; the blood, when drawn and washed, containing black, earthy, rough, sandy matter. The above are those evident and manifest signs, which, when they do appear, the patient ought to be separated from the people, or, in other words, secluded in a Lazar House.”

(iii.) “The signs of the last stage and breaking-up of the disease, are, corrosion and falling-in of the cartilage forming the septum of the nose; fissure and division of the feet and hands; enlargement of the lips, and a disposition to glandular swelling; dyspnœa and difficulty of breathing; the voice hoarse and barking; the aspect of the face frightful, and of a dark colour; the pulse small, almost imperceptible.” Sometimes the limbs drop off, piecemeal or in their entirety.

All the writers agree in urging most earnestly that no one ought to be adjudged a Leper, unless there manifestly appears a corruption of the figure, or, that state indicated as signa infallibilia.

LAZAR HOUSES.

The period from its introduction into this country, as far as we know, to its final or nearly final extinction, may be embraced within the 10th and 16th centuries. It was at the zenith of its height during the 11th, 12th, and 13th centuries. As early as A.D. 948 laws were enacted with regard to Lepers in Wales by Howel Dda, the Good—the great Welsh King, who died 948.

The enormous extent to which it prevailed during that period may be gauged from the fact, that there were above 200 Lazar Houses in England alone, probably providing accommodation for 4,000 at least, and this, at a time when the whole population of England was only between 2,000,000 and 3,000,000 of persons; being something like two in every thousand.

I have been enabled to compile the following English Lazar Houses, which is however far from being a complete one. These Lazar Houses were founded by the charitably disposed, and were usually under ecclesiastical rule:—

They were presumably under the rule of S. Austin or Augustine.

Chalmers’ Caledonia states 9 hospitals existed in the County of Berwick alone.

It is said that, by a Bull of Alexander III., exemption from the payment of tithes was granted to all the possessions of the Lazar Houses; this, however, does not appear to have always been acted upon, at least in this country, as at Canterbury, etc.

A Prior—usually a Leper—and a number of Priests were attached to each house.

Where a chapel was not attached, the inmates appear to have attended the parish church for service.

There was a special order of Knights founded very early, in Jerusalem, united to the general order of the Knights Hospitallers, whose especial province was to look after the sick, particularly Lepers. They seem to have separated from the Knights Hospitallers at the end of the 11th, or beginning of the 12th centuries. They were at first designated Knights of S. Lazarus, or, of SS. Lazarus and Mary of Jerusalem, from the locality of their original establishment, and from their central preceptory being near Jerusalem. The Master or Prior of the Superior Order was a Leper, that he might be more in sympathy with his afflicted brethren. They were afterwards united by different European princes, with the Military Orders of Notre Dame and Mount Carmel, and, in 1572 with that of S. Maurice. We first hear of them in England, in the reign of King Stephen, when they seem to have made their headquarters at Burton-Lazars, near Melton Mowbray in Leicestershire, where a rich and famous Lazar House was built by a general subscription throughout the country, and greatly aided by the munificence of Robert de Mowbray. The Lazar-houses of S. Leonard’s, Sheffield; Tilton, in Leicestershire; Holy Innocents’, Lincoln; S. Giles’, London; SS. Mary and Erkemould, Ilford, Essex; and the preceptory of Chosely, in Norfolk, besides many others, were annexed to it, as cells containing fratres leprosos de Sancto Lazaro de Jerusalem. The house received at least 35 different charters, confirmed by various sovereigns. Camden in his Britannia, p. 447, says that “The masters of all the smaller Lazar-houses in England, were in some sort subject to the Master of Burton Lazars, as he himself was, to the Master of the Lazars in Jerusalem.”

The rules of these Lazar-houses were very strict. The inmates were allowed to walk within certain prescribed limits only, generally a mile from the house. They were forbidden to stay out all night, and were not on any account permitted to enter the bakehouse, brewhouse, and granary, excepting the brother in charge, and he was not to dare to touch the bread and beer, since it was “most unfitting that persons with such a malady, should handle things appointed for the