Charles Darwin's illness

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A temporary page for working on a section of Charles Darwin.

While onboard the ship, Darwin suffered from seasickness. In October 1833 he caught a fever in Argentina, and in July 1834, while returning from the Andes down to Valparaíso, he fell ill and spent a month in bed. From 1837 onwards Darwin was repeatedly incapacitated with episodes of stomach pains, vomiting, severe boils, palpitations, trembling and other symptoms. These symptoms particularly affected him at times of stress, such as when attending meetings or dealing with controversy over his theory. Twenty doctors failed to treat him. By March 28, 1849, Darwin felt that he was dying:

"I was not able to do anything one day out of three, & was altogether too dispirited to write to you or to do anything but what I was compelled. I thought I was rapidly going the way of all flesh." [1]

Darwin diagnosed his own condition as "nervous dyspepsia" and on the advice of a cousin, he traveled with his family over 100 miles to the clinic and “water-cure” spa of Dr James Manby Gully at Malvern on March 10, 1849. Dr Gully had written a popular book called The Water Cure in Chronic Disease[2] and identified himself as a homeopathic physician.[3] Darwin was skeptical of homeopathy, and on March 19 he wrote:

“I grieve to say that Dr Gully gives me homeopathic medicines three times a day, which I take obediently without an atom of faith.”[1]

Just eight days after arriving at Malvern, Darwin experienced a skin eruption all over his legs.[1][4] After two weeks of treatment, Darwin wrote "I much like and think highly of Dr Gully."[1] On March 28, he had not have any vomiting for 10 days (a rare experience for him).[1] On April 19 Darwin wrote:

“I now increase in weight, have escaped sickness for 30 days, which is thrice as long an interval, as I have had for last year; & yesterday in 4 walks I managed seven miles! I am turning into a mere walking and eating machine.”[5]

Darwin stayed at the clinic for four months. Shortly after returning home, he re-experienced his nausea, and he continued to experience digestive problems throughout his life, though he no longer experienced many of his other symptoms (fainting spells, spots before his eyes, and extensive boils) and was able to resume working. [6] When Darwin's daughter Annie had persistent indigestion he took her to Gully's clinic on 24 March 1851. Gully repeatedly reassured them that she was recovering, but Annie died on 23 April. Darwin never returned to Malvern, but found another hydrotherapist, Dr Edward Wickstead Lane. Darwin's condition then was much as when he had first seen Gully, and Dr Lane later wrote

"I cannot recall any [case] where the pain was as poignant as his. When the worst attacks were on, he seemed crushed with agony."


Hydrotherapy

Hydrotherapy, as practised by Dr Gully and others, was a treatment for chronic illness, and was conceived as working by promoting the "Power of Nature" to effect a cure. Treatment involved withdrawal from all drugs; according to Gully,"in a large proportion of the cases treated by allopathic physicians, the disease is cured by Nature and not by them"; that "in a lesser, but still not a small proportion, the cured by Nature in spite of them"; and that consequently, in most cases it would be better "if all remedies, especially drugs, were abandoned." Hydrotherapy involved removing all stimulants including alcohol from the diet, and required quiet rest and a degree of seclusion - the cure would not work, according to Gully, if attempted amidst the gaiety and distractions of city life. Gully asserted nothing miraculous or supernatural about the healing properties of water; for him hydrotherapy involved a clean and simple diet in restful surroundings , with frequent mineral water baths, foot baths, douches etc. - and drinking mainly water


Many books and papers have tried to explain Darwin’s illness as organic or psychosomatic, including arsenic poisoning, Chagas’ disease, multiple allergy, hypochondria, or bereavement syndrome. His medical history shows he had an organic problem, exacerbated by depression. According to Campbell and Mathews (2005)[7], all Darwin’s symptoms match systemic lactose intolerance; in particular, vomiting and gut problems showed up two to three hours after a meal, the time it takes for lactose to reach the large intestine, and his family history shows a major inherited component, as with genetically predisposed hypolactasia. Darwin only got better when, by chance, he stopped taking milk and cream.



"I was at the time so unwell that I was unable to travel which added to my misery. Indeed all this winter I have been bad enough, with dreadful vomiting every week, & my nervous system began to be affected, so that my hands trembled & head was often swimming. I was not able to do anything one day out of three, & was altogether too dispirited to write to you or to do anything but what I was compelled.— I thought I was rapidly going the way of all flesh. Having heard, accidentally, of two persons who had received much benefit from the Water Cure, I got Dr Gully's bookf1 & made further enquiries, & at last started here, with wife, children & all our servants. We have taken a house for two month & have been here a fortnight. I am already a little stronger & now have had no vomiting for 10 days. Dr G. feels pretty sure he can do me good, which most certainly the regular Doctors could not. At present, I am heated by Spirit lamp till I stream with perspiration,f2 & am then suddenly rubbed violently with towels dripping with cold water: have two cold feet-baths, & wear a wet compress all day on my stomach. I eat simply, dine at 1 oclock & take several short walks daily. Even in first 8 days the treatment brought out an eruption all over my legs. I mention all this to you, as being a medical man, you might possibly like to hear about it.— I feel certain that the Water Cure is no quackery.— How I shall enjoy getting back to Down with renovated health, if such is to be my good fortune, & resuming the beloved Barnacles."

Despite the benefits that Darwin seemed to experience, he remained skeptical about homeopathy. Three months after leaving Dr. Gully’s clinic, he wrote:

"You speak about Homœopathy; which is a subject which makes me more wrath, even than does Clairvoyance: clairvoyance so transcends belief, that one's ordinary faculties are put out of question, but in Homœopathy common sense & common observation come into play, & both these must go to the Dogs, if the infinitesimal doses have any effect whatever. How true is a remark I saw the other day by Quetelet, in respect to evidence of curative processes, viz that no one knows in disease what is the simple result of nothing being done, as a standard with which to compare Homœopathy & all other such things. It is a sad flaw, I cannot but think in my beloved Dr Gully, that he believes in everything when his daughter was very ill, he had a clairvoyant girl to report on internal changes, a mesmerist to put her to sleep, an homœopathist, viz Dr. Chapman; & himself as Hydropathist! & the girl recovered.”

Even though Darwin was skeptical of homeopathy and of Dr. Gully's various treatments provided by Gully's team of practitioners, his quote above notes that he acknowledged that recovery occurred in the girl's health. Darwin's own health benefits from Dr. Gully's care in a short period of time was also significant.




Notes

  1. 1.0 1.1 1.2 1.3 1.4 Darwin Correspondence Project, Letter 1236 — Darwin, C. R. to Hooker, J. D., 28 Mar 1849.
    Summary:
    CD's health and his father's death have delayed his answer. Describes J. M. Gully's water-cure.
    JDH's Galapagos papers [Trans. Linn. Soc. Lond. 20 (1851): 163–233] have excellent discussion of geographical distribution, but why no general treatment of affinities?
    CD's views on clay-slate laminae.
    Turmoil in Royal Society between naturalists and physicists.
  2. Gully, James Manby (1856). The water cure in chronic disease., 5th Edition. Churchill. 
  3. Gully was a member of the British Homoeopathic Society in 1848[1]
  4. Homeopaths and other practitioners of natural medicine commonly refer to a “healing crisis,” an initial and temporary exacerbation of symptoms prior to significant relief of a chronic ailment. Skin symptoms, in particular, are considered to be externalizations of the disease process. Such exacerbations of symptoms suggest that a placebo response is unlikely. This note refers to a possible "healing crisis" described in Darwin’s 'Letter 1236'
  5. http://www.darwinproject.ac.uk/darwinletters/calendar/entry-1240.html
  6. According to his son, Francis, Gully's cures had anly a transient effect "Besides the holidays which I have mentioned there were his visits to the water cure. He began in 1849 when very ill suffering from constant sickness. He was urged to try to water cure by Fox (or Sulivan) and at last agreed to try Dr. Gully's establishment.1 — His letters to Fox show how much good the treatment did him: I fancy he thought that he found a cure for his troubles, which but like all other remedies it had only a transient effect on him. However he found it at first so good for him that he built himself a douche when he came home, & Parslow learned to be his bathman. He thought Dr. Gully a clever Dr but I do not think he liked him. He was repelled by all the homeopathy & spiritualism that Dr Gully favoured. — He so far humoured Dr G. as to allow himself to be examined by a medical clairvoyante. who This person who localized the mischief in the stomach, in doing so he followed as my father believed some unconscious hints from Gully or his assistant." It was I think to this clairvoyante to whom my father offered a £5 note if she could tell him the number. She scornfully refused demean herself in such a way..." Memoirs of Charles Darwin's son, Francis The Charles Darwin Library online
  7. Campbell AK, Matthews SB (2005)Darwin’s illness revealed Postgraduate Medical Journal 81:248-251