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Medicine Government and Public Health in Philip II S Spain Shared Interests Competing Authorities 1st Edition Michele L. Clouse
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Medicine, Government and Public
Health in Philip II’s Spain
Shared Interests, Competing Authorities
Michele L. Clouse
Medicine, Government and Public Health
in Philip II’s Spain
The History of Medicine in Context
Department of History
Open University
Michele L. Clouse
Ohio University, USA
© Michele L. Clouse 2011
All rights reserved. No part of this publication may be reproduced, stored in a retrieval
system or transmitted in any form or by any means, electronic, mechanical, photocopying,
recording or otherwise without the prior permission of the publisher.
Michele L. Clouse has asserted her right under the Copyright, Designs and Patents Act,
1988, to be identified as the author of this work.
Published by
Ashgate Publishing Limited Ashgate Publishing Company
Wey Court East Suite 420
Union Road 101 Cherry Street
Farnham Burlington
Surrey, GU9 7PT VT 05401-4405
England USA
www.ashgate.com
In loving memory,
Linda Gail Case Corp (d. June 20, 2002)
Alma Thompson Clouse Davis (d. Sept. 22, 2003)
Esperanza ‘Sissy’ Alma Garcia (d. May 22, 2004)
This page has been left blank intentionally
Contents
List of Abbreviations ix
Preface and Acknowledgments xi
Epilogue 169
Bibliography 173
Index 199
This page has been left blank intentionally
List of Abbreviations
Note on Currency
I never intended to write a book about Philip II, but rather the Tribunal del
Protomedicato and medical responses to plague in sixteenth-century Spain. As I
began my investigations, I was quickly frustrated by the lack of documentation on
the Tribunal before the eighteenth century and the plethora of legal sources during
the sixteenth on medicine, particularly during the reign of Philip II. I soon realized
that all trails led back to the Paper King. I also realized that the vibrant medical
world of early modern Spain was practically non-existent in English studies of the
era. Given the literal legajos (bundles) of material one confronts when it comes
to investigating the reign of Philip II, I was puzzled by the seeming indifference
to the subject matter on the part of scholars. In the Preface to Beyond the Black
Legend (the published proceedings of a conference held in Valencia in 2005 on the
history of science and medicine in early modern Spain), eminent history William
Eamon addressed the state of early modern Spanish historiography with regard to
the Scientific Revolution. He stated:
for a variety of reasons, the history of the Scientific Revolution has been written,
for the most part, from the perspective of the North Atlantic world: England,
France and Holland take center stage, while developments in Germany and
Italy follow close behind. The Iberian world, on the other hand, has been almost
completely absent from the traditional narrative, despite the fact that over the
last thirty years an immense amount of research has been generated on the
subject of Iberian science.
I was amazed when I read this statement; Eamon could have just as easily
substituted “medicine” for the “Scientific Revolution” and made an equally true
and equally troubling statement.
For the past three decades or more, Spanish historians have taken a keen
interest in the history of early modern Spanish medicine, yet the rich body of
scholarship by Luis García Ballester, José María López Piñero, Juan Riera
Palmero (many others) remains in the shadows and their names largely lost on
an English-speaking audience. Partly to blame, suggested Eamon, is the Black
Legend, which continues to “loom as a prejudice that invites misunderstanding and
distortion.”1 After a few years of sharing my work with non-Hispanist colleagues
and presenting my work at early modern studies conferences, I realized that
1
Víctor Navarro Brotóns and William Eamon, eds, Mas allá de la Leyenda Negra:
España y la Revolución Científica. Beyond the Black Legend: Spain and the Scientific
xii Medicine, Government and Public Health in Philip II’s Spain
take years to gestate and has no set due date. Furthermore, you know what you are
getting with a human child. I never anticipated giving birth to a book on Philip II.
This book was given life through the assistance of a number of people,
organizations, and institutions. For financial support I have relied on generous
funding at various points along the way from The Program for Cultural
Cooperation Between Spain’s Ministry of Education and Culture and United
States Universities, the University of California at Davis History Department, and
the Ohio University Research Council. Many individuals have contributed in ways
both large and small to this project over the past few years. My sincerest thanks
to Emily Yates and Nikki Selmes at Ashgate; they made the publishing process
look so easy. I would also like to thank Bill Eamon and the anonymous reader
for their generous, yet critical reading of the manuscript. Without the assistance
of the staff and directors at various Spanish archives and libraries, this project
would not have been possible. I am particularly grateful to my companions at the
Archivo General de Simancas who welcomed me back each and every time with
a smile despite my odd, American requests. Luis Boyano and Isabella Alvarez
provided me with a home away from home in Madrid and listened raptly to my
archive tales over many dinners and bottles of wine. Mónica Pérez Rojas and
family graciously opened their home to me and helped me discover a little bit of
Colombia in Valladolid. Adriana Alvarez constantly reminded me that after giving
birth and planting a tree, all I had left to do in my life was to write a book. Thank
you, queridíssima amiga for your constant companionship and down-to-earth
humor over the past 20 years.
I am grateful to a number of colleagues both near and far who read different
versions of the manuscript and offered both encouragement and criticism. Kevin
Uhalde read early drafts of the project and encouraged me to send it out. Robert
Ingram provided a critical assessment and no-nonsense advice at a crucial
moment. I am especially grateful to Ed Behrend-Martínez and Betsy Perry for
their guidance, suggestions, and probing questions, as well as their generosity
of time. Betsy Perry represents the very best of what our chosen profession has
to offer to one another and the greater good. She has blazed a path across the
academic sky that I am deeply honored to try to follow. Kristy Wilson-Bowers has
been a constant companion at conferences over the years and I have enjoyed and
benefitted immensely from our shared interest in early modern Spanish medicine.
Joan Cadden, Deb Harkness, and Shennan Hutton have remained a source of
professional and personal inspiration long after our time together at UC Davis.
My colleagues and dear friends, Miriam Shadis and Mariana Dantas, continued to
believe in this project and in me even when I lost faith in both. I owe a particular
debt of gratitude, however, to Miriam Shadis for having suffered through endless
discussions about Philip II and the medical world of early modern Spain, and for
the countless hours she spent helping me tell these stories. Finally, without the
unfaltering support and encouragement of Patrick Barr-Melej in the final months
of the process, this book would not have seen the light of day. Gracias, compadre.
xiv Medicine, Government and Public Health in Philip II’s Spain
In one of his many comedies, the famous Spanish playwright Fray Gabriel
Téllez (better known as Tirso de Molina) criticized physicians. “What a shame,”
he lamented, “that the blacksmith, shearer, and barber must demonstrate their
proficiency by examination before they can practice their trade while medicine,
that noble profession that deals in no less than giving and taking of life, is of such
little importance that a short time in study and two years’ worth of discussions
makes a physician an expert.”2 The physician’s professional activities were a
common source of comedic tension and perceived shortcomings in their education
and training were often the subject of satire. Indeed, criticism of the profession
was widespread in early modern Spain. The sixteenth-century Spanish monarchs,
Philip II (r. 1556–1598) in particular, shared Gabriel Tellez’s concerns about the
proper training of physicians and other medical practitioners on whom the public
health depended.
Precisely who was responsible for creating, enacting, and enforcing such
regulatory measures over the medical profession, however, was a matter for
negotiation. Philip II, arguably the most powerful of the Habsburg monarchs,
oversaw substantial change to the crown’s public health policies. During his reign,
royal interest in medical matters increased significantly. Philip expanded royal
authority over the marketplace and policed the medical profession because of what
he saw as “the importance of the matter to the public health.”3 A chronic sufferer
of poor health, Philip sought out a number of practitioners and their treatments
from the elite, university-trained physicians to the self-named doctors whose
secret remedies promised miraculous results.4 The king’s life-long struggle with
1
Miguel Eugenio Muñoz, Recopilación de las leyes, pragmáticas reales, decretos y
acuerdos del real protomedicato (Valencia, 1751), 68.
2
Tirso de Molina, Amor Médico; quoted in Pascual Iborra, Historia del
Protomedicato en España (1477–1822), [Madrid, 1885], edición, introducción, e índice de
Juan Riera Palmero and Juan Granda-Juesas (Valladolid: Secretariado de Publicaciones de
la Universidad de Valladolid, 1987), 56.
3
Muñoz, Recopilación, 68.
4
Geoffrey Parker, Philip II, 4th ed. (Chicago: Open Court, 2002), xvi–xvii, 9–11;
Henry Kamen, Philip II of Spain (New Haven: Yale University Press, 1997), 208–209; see
2 Medicine, Government and Public Health in Philip II’s Spain
poor health certainly influenced his attitude toward the medical profession. As one
scholar noted, he “had no faith in any of them” and often voiced concerns about the
efficacy of standard medical remedies such as bloodlettings, as well as eschewing
“quack remedies” particularly toward the end of his life.5 Furthermore, as king and
head of the body politic, Philip understood that the health of the kingdom, and the
expanding empire, relied on the productivity of his subjects in large part; thus, he
set out to reform medical policies and strike a balance between a need for medical
standards on the one hand and the demand for practitioners to satisfy his subjects’
healthcare needs on the other.
Like his late medieval predecessors, Philip II was keenly aware of the
relationship between the welfare of the kingdom and the welfare of its subjects:
he recognized the threat economic, social, and religious disruption posed to the
stability, vitality, and general well-being of the Spanish crown and its populace. In
medical policy, as in other royal policies, Philip believed it was his duty as king to
prevent potential threats to the body politic and to cure existing problems whether
economic, social, or medical in nature. The king’s public health policies shaped
how medicine was practiced and influenced the content of medical science.
The extension of the crown’s authority into the world of medicine was
facilitated by the centralization of medical matters under a singular, nominal head
of medicine – the protomédico (chief medical officer). The protomédico served as a
public health officer, advising on royal policies handed down to the municipalities.
Through the Tribunal del Protomedicato the crown made its presence felt in
almost every arena of the medical market: regulating and licensing a diverse
body of medical practitioners, reforming medical education in the universities,
standardizing medical practice through print culture, defining the professional
boundaries of certain medical fields, and patronizing medical innovation whether
it derived from the university or the marketplace. This intervention also helped
to construct professional boundaries between and among medical practitioners,
which was seen as an effective means of addressing public healthcare needs.
The expansion of central authority and the efforts of Philip to exercise his
medical will were not without conflict, nor did the expansion of the authority
of the protomédico resolve all matters. In a world of overlapping and expanding
jurisdictions and interests, the crown’s efforts to establish medical hegemony
were under constant revision. The crown projected new ideas about its authority
in the medical marketplace and used the office of the protomédico to enforce its
authority as a protector of the public health. Royal sovereignty was consistently
also, Julio Peláez Redondo, “Felipe II ‘el rey enfermo.’ La medicina y los esutidos en su
reinado.” Real Academia de Medicina del Distrito de Granada, session inaugural (1974):
23–90.
5
Kamen, Philip II of Spain, 209.
Introduction 3
restricted and challenged by the need to respect customary arrangements and the
legal prerogatives of existing authorities, particularly in the municipalities.6
The crown’s growing concern with medical matters was part of a general
concern with the disruption and chaos of the sixteenth century, including
the recurring outbreaks of plague, incessant warfare, heresy and the spread of
Protestant ideas, and growing urbanization and its inherent problems, particularly
poverty and poor relief. Across Europe, authorities increased their efforts to
discipline citizens through various measures that required examination, licensure,
or certification. Both local and central authorities, for example, expressed an
interest in distinguishing between the “true poor,” the pauperes Christi, and the
multitude of false beggars who preyed on the charitable intentions and limited
resources of cities, the kingdom, and their subjects. Efforts to control increased
indigence and public begging went hand in hand with regulation of the exchange
of goods and services in the marketplace, including medical care and medicinal
goods for consumption. Rapid urbanization in the sixteenth century also
meant greater demands for medical services. Similarly, municipal and medical
authorities sought to identify and distinguish “good” medical practitioners from
improperly or inadequately trained practitioners whose secret remedies or second-
rate skills threatened the lives of those upon whom the welfare of the kingdom
depended. In medicine, as in poor relief, elites believed they could distinguish
“true from false, genuine from fraud, through licensing,” and were confident in
their abilities to distinguish between beneficial and harmful remedies.7 University-
trained physicians, the elite in the medical professions, laid claim to such skills of
discernment and often petitioned the crown for certain rights and privileges over
other medical practitioners in the name of protecting the public good.
Licensure to practice a trade was not a new experience for either the licenser
or the licensee in sixteenth-century Spain. It provided a modicum of security
to those seeking certification, but the licensure process has been seen by most
scholars as inherently restrictive or limiting. The licensure process certainly
forced practitioners to make choices about the exercise of their profession and
to consider the hefty penalties associated with practicing without a license.
These measures may even have served as a deterrent for some. Regardless, both
licensed and unlicensed medical practitioners continued to offer their services in a
dynamic medical marketplace. Moreover, the licensing process empowered some
practitioners by providing them with a mechanism for improving their professional
and socioeconomic circumstances in a competitive market. An official license,
signed by the crown’s chief medical officer, served to enhance the prestige and
respectability of the practitioner, possibly allowing him or her to charge a higher
fee for services. Such a license certainly gave practitioners protection against
6
Laurence Brockliss and Colin Jones, The Medical World of Early Modern France
(New York: Oxford University Press, 1997), 235.
7
David Gentilcore, Medical Charlatanism in Early Modern Italy (Oxford: Oxford
University Press, 2006), 102.
4 Medicine, Government and Public Health in Philip II’s Spain
8
Quoted in Anastasio Rojo Vega, Enfermos y sanadores en la Castilla del siglo XVI
(Valladolid: Secretariado de Publicaciones, Universidad de Valladolid, 1993), 39.
9
Jon Arrizabalaga, “Protomedicato y minorías en la Castilla de finales del siglo
XVII: el caso del cirujano Roldán Solimán,” Dynamis 16 (1996): 123–34.
10
Some of the more relevant studies are Margaret Pelling, Medical Conflict in Early
Modern London: Patronage, Physicians and Irregular Practitioners, 1550–1640 (Oxford:
Clarendon Press, 2003); Andrew Wear, Knowledge and Practice in English Medicine,
Introduction 5
and history of the medical guilds vary from London to Paris to Florence. Yet across
Europe, the medical guilds fought to control regulatory measures, and protect and
promote their own professional interests often in competition with other medical
practitioners or in reaction to local political authorities. In other regions of Spain,
specifically in the kingdoms of Navarre and Valencia, the corporate model of
medical regulation has been explored in greater detail.11 Julio Sánchez Álvarez’s
recent work on the Kingdom of Navarre offers a substantive exploration of
the medical guilds and the role the guilds played in shaping medical education
and practices as they interacted with local and royal authorities. These studies
of medical practice and medical regulation in Navarre and Valencia document
the contested relationships between local and central authority, and explore the
complex relationship between royal and regional authorities in the “composite
monarchy.”12 Medicine and political authority in Castile, the political center of the
Spanish kingdoms, however, has received less attention.
For Castile, sources detailing the professional and legal activities of the
medical guilds are surprisingly limited. Most certainly medical guilds did exist;
a rare reference here or there suggests that the confraternities of San Cosme
and San Damian served as the local organizational structure or guild.13 The
1550–1680 (Cambridge: Cambridge University Press, 2000); Harold Cook, The Decline
of the Old Medical Regime in Stuart London (Ithaca: Cornell University Press, 1986);
Brockliss and Jones, The Medical World of Early Modern France; David Gentilcore,
Healers and Healing in Early Modern Italy (Manchester: University of Manchester Press,
1998); Gentilcore, Medical Charlatanism.
11
See among others Julio Sánchez Álvarez, El Protomedicato Navarro y Las
Cofradías Sanitarias de San Cosme y San Damián: el control social de las profesiones
sanitarias en Navarra (1496–1829); A. Doctor Fernández, “El control de las profesiones
sanitarias en Aragón: el protomedicato y los colegios,” Dynamis 16 (1996): 173–85; Luis
García Ballester, La medicina a la València medieval: medicina i societat en un país
medieval mediterrani (Valencia: Ediciones Alfons el Magnànim, 1988); R. Jordi González,
“Relaciones de los boticarios catalanes con las instituciones centrales,” (PhD diss.,
Universidad de Barcelona, 1975); José María López Piñero, Estudios sobre la profesión
médica en la sociedad valenciana (1329–1898): orígenes históricos del colegio oficial de
médicos de Valencia (Valencia: Ajuntament de València, 1998); María Luz López Terrada,
“Las prácticas médicas extraacadémicas en la ciudad de Valencia durante los siglos XVI
y XVII,” Dynamis 22 (2002): 85–120; María Luz López Terrada and J. Pardo Tomás, “El
Protomédico y sobrevisitador real a la Vàlencia del segle XVI,” Afers 5–6 (1988): 211–
22; R. Muñoz Garrido, Ejercicio legal de la medicina en España (siglos XV al XVIII),
(Salamanca: Universidad de Salamanca, 1967).
12
J.H. Elliott, “A Europe of Composite Monarchies,” Past and Present 137 (Nov.
1992): 48.
13
Luis Granjel mentions briefly the existence and professional activities of the
confraternity in La medicina española renacentista (Salamanca: Universidad de Salamanca,
1980), 78 and Cirugía española del renacimiento (Salamanca: Ediciones Universidad de
Salamanca, 1968), 16. There are a literal handful of case studies on the activities of the
confraternity in a few Spanish cities. For a brief comparative approach on Spanish medical
6 Medicine, Government and Public Health in Philip II’s Spain
guilds and confraternities with their New World counterparts see María Luisa Rodríguez-
Sala Gómezgil, “La cofradía-gremio durante la baja edad media y siglos XVI y XVII, el
caso de la cofradía de cirujanos, barberos, flebotomianos y médicos en España y la Nueva
España,” Revista Castellano-Manchega de Ciencias Sociales 10 (2009): 149–63.
14
Víctor Navarro Brotóns and William Eamon, eds, Mas allá de la Leyenda Negra:
España y la Revolución Científica, Beyond the Black Legend: Spain and the Scientific
Revolution (Valencia: Instituto de Historia de la Ciencia y Documentación López Piñero,
Universitat de Valencia, 2007), 30; M.L. López Terrada, “Llorenç Coçar: protomédico de
Felipe II y médico paracelsista en la Valencia del siglo XVI,” Cronos 8 (2005): 31–66.
15
For the Italian protomedicato see Gentilcore, Healers and Healing; Gentilcore,
Medical Charlatanism.
16
For its role in the Spanish Americas see John Tate Lanning, The Royal
Protomedicato: The Regulation of the Medical Professions in the Spanish Empire, ed. John
Jay TePaske (Durham: Duke University Press, 1985).
17
For a brief review of the most relevant literature see María Luz López Terrada,
“Los estudios historicomédicos sobre el Tribunal del Protomedicato y las profesiones y
ocupaciones sanitarias en la Monarquía Hispánica durante los siglos XVI al XVIII,”
Dynamis 16 (1996): 21–42. For the kingdom of Aragón and the city of Valencia, see R.
Introduction 7
Jordi González Relaciones (PhD diss., Barcelona, 1971); Asunción Doctor Fernández,
“El control de las profesiones sanitarias en Aragón”; José Danón Bretós, “Protomédicos
y Protomedicato en Cataluña,” Dynamis 16 (1996): 205–18. For the protomédico in the
Americas, see Lanning, Royal Protomedicato; Pilar Gardeta Sabater, “El Nuevo modelo del
Real Tribunal del Protomedicato en la América española: transformaciones sufridas ante las
leyes de Indias y el cuerpo legislativo posterior,” Dynamis 16 (1996): 237–59.
18
María Soledad Campos Díez, El Real Tribunal del Protomedicato Castellano
(siglos XIV–XIX), (Cuenca: Servicio de Publicaciones de la Universidad de Castilla-La
Mancha, 1999); Jesus Barrio Ogayar, “La Organización del Protomedicato en España”
(PhD diss., Universidad de Granada, 1978).
19
López Terrada, “Las prácticas médicas extraacadémicas,” 95–96.
20
Campos Díez, El Real Tribunal; María Luz López Terrada, “Medical Pluralism in
the Iberian Kingdoms: The Control of Extra-academic Practitioners in Valenica,” Medical
History Supplement 29 (2009): 7–25; López Terrada, “El Protomedicato en la administración
central de la monarquía hispánica,” Dynamis 16 (1996): 43–58; R. Ballester Añón, M.L.
López Terrada and A. Martínez Vidal, “La realidad de la práctica médica: el pluralismo
asistencial en la monarquía hispánica (ss. XVI–XVIII),” Dynamis 22 (2002): 21–28; Barrio
Ogayar, Organización del Protomedicato en España; Luis Granjel, “El ejercicio de la
medicina en la sociedad española renacentista,” Cuadernos de Historia de la Medicina
Española 10 (1971): 13–53; Enrique Martínez Ruiz and J.M. López Piñero, eds, Felipe II,
la ciencia y la técnica (Madrid: Actas Editorial, 1999); Juan Riera Palmero, Protomedicato,
humanismo y medicina en Castilla (Valladolid: Universidad de Valladolid, 2000).
8 Medicine, Government and Public Health in Philip II’s Spain
protomédico, limiting its urban role “to that of a prestigious physician giving his
opinion in medical disputes of the time.”21 These studies generally concur that the
extension of royal authority through the Protomedicato was perceived as an effort
by the monarchy to make its presence more visible in the kingdoms and to exert
greater influence over medical policy at the local and regional level. This effort,
however, was limited by the terms of the relationship between the office, which
represented the monarch, and the local medical authorities.
Some medical policies did, indeed, originate with the Spanish crown, and
Philip II’s initiatives, in particular, significantly shaped medical education and
practice. The crown was not the only agent of change, however. Representatives
of the Cortes, municipal and ecclesiastical authorities, and medical practitioners
participated in shaping the discussion about public health and creating medical
reform policy. Medical policies, therefore, were the result of negotiation among
competing political and professional authorities. Not even when the crown was
headed by the powerful and tireless Philip II, did it single-handedly direct public
health policy. As J.B. Owens has demonstrated, the Spanish monarchs most often
reacted to the actions of others “by mediating conflict between differentiated
groups or their representatives.”22 Philip certainly used his authority to resolve
disputes between competing authorities with a vested interest in shaping medical
policies. Moreover, he was regularly influenced by and responded to concerns and
demands voiced on behalf of the towns in the meetings of the Cortes and his own
medical staff. The king played a central role in the development and enactment
of public health policies, yet shared responsibility for protecting the public health
with numerous others.
Recent scholarship on early modern Spanish political culture has emphasized
pluralism in the interactions between local, regional, and royal political agents. 23
Building upon this pluralistic model, this book intends a more nuanced reading of
the crown’s role and influence over the medical professions. Historians of Spanish
medicine have generally accepted that Philip’s interference and micromanaging
policies went hand-in-hand with his centralizing aspirations. Yet to what extent
was the cooption of absolute authority over the medical world of sixteenth-century
Spain his goal? The question itself suggests that such a grab for power should
have been the objective of a sixteenth-century monarch, particularly Philip II, who
ruled over the first global empire where the sun never set.24 The pluralistic model
is built on the premise that the Spanish kingdom consisted of multiple autonomous
21
Asunción Doctor Fernández, “Control de las profesiones sanitarias,” 175.
22
J.B. Owens, “By My Absolute Royal Authority”: Justice and the Castilian
Commonwealth at the Beginning of the First Global Age (Rochester, NY: University of
Rochester Press, 2005), 5.
23
In this I am following the work of Sean T. Perrone, Charles V and the Castilian
Assembly of the Clergy: Negotiations for the Ecclesiastical Subsidy (Leiden: Brill, 2008).
24
Geoffrey Parker, The World is Not Enough: The Imperial Vision of Philip II of
Spain (Waco TX: Baylor University, 2001), 9.
Introduction 9
25
Perrone, Charles V, 6; Owens, “By My Absolute Royal Authority,” 1–15; José
Manuel de Bernardo Ares, “Parliament or City Councils: The Representation of the
Kingdom in the Crown of Castile (1665–1700),” Parliaments, Estates and Representation
25 (2005), 34.
26
See Helen Nader, Liberty in Absolutist Spain: The Habsburg Sale of Towns,
1516–1700 (Baltimore: Johns Hopkins University Press, 1993); Ruth Mackay, The Limits
of Royal Authority: Resistance and Obedience in Seventeenth-Century Castile (Cambridge:
Cambridge University Press, 1999); Ruth Mackay, “Governance and Empire during the
Reign of Charles V: A Review Essay,” Sixteenth Century Journal XL(3) (2009): 769–79;
María José Rodríguez-Salgado, The Changing Face of Empire: Charles V, Philip II and
Habsburg Authority, 1551–1559 (Cambridge: Cambridge University Press, 1988); Aurelio
Espinosa, The Empire of the Cities: Emperor Charles V, the Comunero Revolt, and the
Transformation of the Spanish System (Leiden: Brill, 2009); Owens, “By My Absolute
Royal Authority”; Perrone, Charles V.
27
Nader, Liberty in Absolutist Spain, 3.
28
Owens, “By My Absolute Royal Authority,” 3.
10 Medicine, Government and Public Health in Philip II’s Spain
29
David Goodman, Power and Penury: Government, Science and Technology in
Philip II’s Spain, (Cambridge: Cambridge University Press, 1988), 213.
Introduction 11
would a failure to stop practicing medicine without the proper credentials result in
prosecution to the fullest extent of the law.30
The king could and did, on occasion, send one of his court physicians to a city
in need, most typically during plague epidemics. Providing a physician or other
medical personnel was not perceived as a solution to the pressing medical needs
voiced by the towns; sixteenth-century authorities did not measure effectiveness
by such a modern yardstick. A more desirable solution was the regulation of the
professional medical practitioners through a stringent process of professional
examination and licensure. The goal thus became to establish a systematic program
that sought to ensure the quality of services offered by medical professionals and
to promote the quantity of practitioners deemed professionally suitable to attend a
populace’s health needs. More importantly, there is no indication that the reform
of medical education and training through licensure and examination was an
ineffective means of addressing public health concerns.
The political dynamics generated by the extension of royal authority onto the
medical world of early modern Castile are illuminated by bringing together the
political and institutional history of the early modern monarchy and the history of
medical practices and education. A standard narrative of progress that privileges
certain medical practices, knowledge, or policies because of their comparison
to modern ideas and practices fails to appreciate the rich and complicated story
of early modern Spanish medicine. Choices made in the name of public health
were influenced by both medical and political considerations, and the Spanish
monarchs, “despite their absolute royal authority,” ruled more effectively when
they collaborated with local officials.31
In addition, this study offers a substantive discussion of medical practices as
well as a lively cast of characters, from a Morisco practitioner whose “miraculous
oil” was coveted by the crown to a university-trained, Latin physician whose
medical textbook standardized medical education in the universities. This
examination of the centralizing efforts of the early modern Spanish crown and
its impact on the medical marketplace at the institutional and regulatory levels,
alongside studies of actual medical practice, will broaden the scope of medical
history to include not only the development of medical theory and practice, but also
the complex tensions between various authorities that influenced the development
and nature of medical practice and perceptions of public health in early modern
Europe. This study examines both the institutional development of the medical
office as an extension of royal authority and the impact of that office on medical
practice and practitioners. In doing so, it reveals a complex world of negotiation,
patronage, success, and failure, when the political interests of local, regional, and
royal authorities intersected with medical practice.
30
“Ordenanzas de Duarte de Acuña (Corregidor del principado de Asturias de
Oviedo) de 1594,” in Ordenanzas Generales del Principado de Asturias, ed. Francisco
Tuero Bertrand (Asturias: Junto General del Principado de Asturias, 1997), 12–13.
31
Owens, “By My Absolute Royal Authority,” 5.
12 Medicine, Government and Public Health in Philip II’s Spain
Chapter 1 explores the history of the extension of the crown’s authority into
the world of medicine through the office of the protomédico, the royal official
charged with the responsibility of licensing and supervising medical practitioners
throughout the empire. The expansion of central authority and the efforts of Philip
to exercise his medical will were not without conflict, nor did the expansion
of the authority of the protomédico resolve all medical matters. In a world of
overlapping and expanding jurisdictions and interests, the crown’s efforts to assert
its hegemony over medical matters were under constant construction. The crown
constructed new ideas about its authority in the medical marketplace and used the
office of the protomédico to enforce its authority as a protector of the public health.
Chapter 2 takes the crown’s interest in protecting the public health beyond
monitoring the medical profession in the municipalities to the source of medical
education and training – the university. To ensure the proper training and education
of physicians, Philip II sought to reform medical science and practice from the top
down. The monarch intervened in the art and practice of medicine at the universities
and thus directed the education of physicians in early modern Spain. Particularly
effective were the king’s efforts to regulate, standardize, and enhance medical
training in the three Castilian universities of Salamanca, Valladolid, and Alcalá de
Henares. That influence, however, was not always welcome. More importantly,
it often competed with other interest groups who sought to exercise the same
influence. University faculty, for instance, also contributed significantly to shaping
medical education in sixteenth-century Spain. The crown’s appropriation of the
regulation of medical education exacerbated the inherent conflict of authorities
during the expansion of royal interests. Traditional authorities like the universities,
however, were not without recourse and sought new avenues of influence by allying
their interests with those of the crown. Therefore, advances in sixteenth-century
Spanish medical education in the universities were the product of a confluence of
interests between competing authorities.
Chapter 3 explores the convergence of surgical practices with royal patronage. In
the competitive medical marketplace of early modern Spain, empiric practitioners
(healers with no formal university training and who treated a wide range of
medical ailments) embraced the crown’s vision of a standardized and regularized
medical profession. Many relied on royal intervention in the regulation of medical
practice to protect themselves from accusations of quackery from competitors and
to bypass restrictive municipal sanctions. During the reign of Philip II the Spanish
crown expanded its authority to include “all matters pertaining to medicine”
through a complex legal mechanism that sought to police medical practitioners
by examination and licensing. Philip II envisioned the regulation of medical
practitioners and the standardization of medical practice as key to protecting
the public health. The crown’s legal efforts to regulate the exchange of medical
treatment and services in this way theoretically restricted some practitioners’ ability
to provide services legally. Despite its seemingly restrictive nature, however, the
crown’s vision and the legal mechanism it employed to bring that vision to fruition
provided opportunities for some empiric practitioners, typically women and lower-
Introduction 13
I T was Christmas Eve, and very nearly dark, when Mrs. Lanier,
driving up St. Charles Avenue in her comfortable carriage quite
filled with costly presents for her children, noticed a forlorn little
figure, standing alone at a street corner. There was something about
the sorrowful looking little figure that moved her strangely, for she
turned and watched it as long as she could discern the child’s face in
the gathering twilight.
It was a little girl, thinly clad in a soiled and torn white frock; her
black stockings were full of holes, and her shoes so worn that the
tiny white toes were visible through the rents. She hugged a thin,
faded shawl around her shoulders, and her yellow hair fell in matted,
tangled strands below her waist; her small face was pale and
pinched, and had a woe-begone look that would melt the hardest
heart. Although she was soiled and ragged, she did not look like a
common child, and it was that indefinable something in her
appearance that attracted Mrs. Lanier’s attention, for she thought as
the carriage whirled by and left the child far behind, “Poor little thing!
she didn’t look like a street beggar. I wish I had stopped and spoken
to her!”
It was Lady Jane, and her descent in the scale of misery had been
rapid indeed.
Since that night, some four months before, when Madame Jozain
had awakened her rudely and told her she must come away, she had
lived in a sort of wretched stupor. It was true she had resisted at first,
and had cried desperately for Pepsie, for Mam’selle Diane, for Gex—
but all in vain; Madame had scolded and threatened and frightened
her into submission.
That terrible midnight ride in the wagon, with the piled-up furniture,
the two black drivers, who seemed to the child’s distorted
imagination two frightful demons, madame angry, and at times
violent if she complained or cried, and the frightful threats and cruel
hints of a more dreadful fate, had so crushed and appalled the child
that she scarcely dared open her pale little lips either to protest or
plead.
Then the pitiful change in her life, from loving care and pleasant
companionship to utter squalid misery and neglect. She had been,
suddenly taken from comparative comfort and plunged into the most
cruel poverty. Good Children Street had been a paradise compared
to the narrow, dirty lane, on the outskirts of the city, where madame
had hidden herself; for the wretched woman, in her fear and
humiliation, seemed to have lost every vestige of ambition, and to
have sunk without the least effort to save herself, to a level with
those around her.
Madame had taken a terrible cold in her hurried flight, and it had
settled in her lame hip; therefore she was obliged to lie in her bed
most of the time, and the little money she had was soon spent.
Hunger was staring her in the face, and the cold autumn winds
chilled her to the marrow. She had been poor and in many bitter
straits, but never before like this. Now she dared not let any one
know of her whereabouts, and for that reason the few friends that
she still had could not help her. She was ill and suffering, and alone
in her misery. Her son had robbed and deserted her, and left her to
her punishment, and, for all she knew, she must die of starvation.
Through the aid of the negro Pete, she had parted with nearly
everything of value that she had, and, to crown her cruelty and Lady
Jane’s misery, one day when the child was absent on a begging
expedition she sold the blue heron to an Italian for two dollars.
The bird was the only comfort the unhappy little creature had, the
only link between the past and the miserable present, and when she
returned to her squalid home and found her only treasure gone, her
grief was so wild and uncontrollable that madame feared for her life.
Therefore, in order to quiet the child, she said the bird had broken
his string and strayed away.
After this, the child spent her days wandering about searching for
Tony.
When madame first sent her out into the street to sing and beg,
she went without a protest, so perfect was her habit of obedience,
and so great her anxiety to please and conciliate her cruel tyrant.
For, since the night when madame fled from Good Children Street,
she had thrown off all her pretenses of affection for the hapless little
one, whom she considered the cause of all her misfortunes.
“She has made trouble enough for me,” she would say bitterly, in
her hours of silent communion with her own conscience. “If it hadn’t
been for her mother coming to me, Raste wouldn’t have had that
watch and wouldn’t have got locked up for thirty days. After that
disgrace, he couldn’t stay here, and that was the cause of his taking
my money and running off. Yes, all my trouble has come through her
in one way or another, and now she must sing and beg, or she’ll
have to starve.”
Before madame sent her out, she gave Lady Jane instructions in
the most imperative manner. “She must never on any account speak
of Good Children Street, of Madelon or Pepsie, of the d’Hautreves,
of Gex, or the Paichoux, or of any one she had ever known there.
She must not talk with people, and, above all, she must never tell her
name, nor where she lived. She must only sing and hold out her
hand. Sometimes she might cry if she wanted to, but she must never
laugh.”
These instructions the child followed to the letter, with the
exception of one. She never cried, for although her little heart was
breaking she was too proud to shed tears.
It was astonishing how many nickels she picked up. Sometimes
she would come home with her little pocket quite heavy, for her
wonderful voice, so sweet and so pathetic, as well as her sad face
and wistful eyes, touched many a heart, even among the coarsest
and rudest, and madame might have reaped quite a harvest if she
had not been so avaricious as to sell Tony for two dollars. When she
did that she killed her goose that laid golden eggs, for after the loss
of her pet the child could not sing; her little heart was too heavy, and
the unshed tears choked her and drowned her voice in quivering
sobs.
The moment she was out of Tante Pauline’s sight, instead of
gathering nickels, she was wandering around aimlessly, searching
and asking for the blue heron, and at night, when she returned with
an empty pocket, she shivered and cowered into a corner for fear of
madame’s anger.
One morning it was very cold; she had had no breakfast, and she
felt tired and ill, and when madame told her to go out and not to
come back without some money, she fell to crying piteously, and for
the first time begged and implored to stay where she was, declaring
that she could not sing any more, and that she was afraid, because
some rude children had thrown mud at her the day before, and told
her not to come into the street again.
This first revolt seemed to infuriate madame, for reaching out to
where the child stood trembling and sobbing she clutched her and
shook her violently, and then slapping her tear-stained little face until
it tingled, she bade her go out instantly, and not to return unless she
brought some money with her.
This was the first time that Lady Jane had suffered the ignominy of
a blow, and it seemed to arouse her pride and indignation, for she
stopped sobbing instantly, and, wiping the tears resolutely from her
face, shot one glance of mingled scorn and surprise at her tyrant,
and walked out of the room with the dignity of a little princess.
When once outside, she held her hands for a moment to her
burning face, while she tried to still the tumult of anger and sorrow
that was raging in her little heart; then she gathered herself together
with a courage beyond her years, and hurried away without once
looking back at the scene of her torture.
When she was far enough from the wretched neighborhood to feel
safe from observation, she turned in a direction quite different from
any she had taken before. The wind was intensely cold, but the sun
shone brightly, and she hugged her little shawl around her, and ran
on and on swiftly and hopefully.
“If I hurry and walk and walk just as fast as I can, I’m sure to come
to Good Children Street, and then I’ll ask Pepsie or Mam’selle Diane
to keep me, for I’ll never, never, go back to Tante Pauline again.”
By and by, when she was quite tired with running and walking, she
came to a beautiful, broad avenue that she had never seen before.
There were large, fine houses, and gardens blooming brightly even
in the chilly December wind, and lovely children; dressed in warm
velvet and furs, walking with their nurses on the wide, clean
sidewalks; and every moment carriages drawn by glossy, prancing
horses whirled by, and people laughed and talked merrily, and
looked so happy and contented. She had never seen anything like it
before. It was all delightful, like a pleasant dream, and even better
than Good Children Street. She thought of Pepsie, and wished that
she could see it, and then she imagined how enchanted her friend
would be to ride in one of those fine carriages, with the sun shining
on her, and the fresh wind blowing in her face. The wind reminded
her that she was cold. It pierced through her thin frock and scanty
skirts, and the holes in her shoes and stockings made her ashamed.
After a while she found a sunny corner on the steps of a church,
where she crouched and tried to cover her dilapidated shoes with
her short skirts.
Presently a merry group of children passed, and she heard them
talking of Christmas. “To-morrow is Christmas; this is Christmas Eve,
and we are going to have a Christmas-tree.” Her heart gave a great
throb of joy. By to-morrow she was sure to find Pepsie, and Pepsie
had promised her a Christmas-tree long ago, and she wouldn’t
forget; she was sure to have it ready for her. Oh, if she only dared
ask some of these kind-looking people to show her the way to Good
Children Street! But she remembered what Tante Pauline had told
her, and fear kept her silent. However, she was sure, now that she
had got away from that dreadful place, that some one would find her.
Mr. Gex had found her before when she was lost, and he might find
her now, because she didn’t have a domino on, and he would know
her right away; and then she would get Mr. Gex to hunt for Tony, and
perhaps she would have Tony for Christmas. In this way she
comforted herself until she was quite happy.
After a while a kind-looking woman came along with a market-
basket on her arm. She was eating something, and Lady Jane, being
very hungry looked at her so wistfully that the woman stopped and
asked her if she would like a piece of bread. She replied eagerly that
she would. The good woman gave her a roll and a large, rosy apple,
and she went back to her corner and munched them contentedly.
Then a fine milk-cart rattled up to a neighboring door, and her heart
almost leaped to her throat; but it was not Tante Modeste. Still, Tante
Modeste might come any moment. She sold milk way up town to rich
people. Yes, she was sure to come; so she sat in her corner and ate
her apple, and waited with unwavering confidence.
And in this way the day passed pleasantly and comfortably to Lady
Jane. She was not very cold in her sheltered corner, and the good
woman’s kindness had satisfied her hunger; but at last she began to
think that it must be nearly night, for she saw the sun slipping down
into the cold, gray clouds behind the opposite houses, and she
wondered what she should do and where she should go when it was
quite dark. Neither Tante Modeste nor Mr. Gex had come, and now it
was too late and she would have to wait until to-morrow. Then she
began to reproach herself for sitting still. “I should have gone on and
on, and by this time I would have been in Good Children Street,” said
she.
She never thought of returning to her old haunts or to Tante
Pauline, and if she had tried she could not have found her way back.
She had wandered too far from her old landmarks, so the only thing
to do was to press on in her search for Good Children Street. It was
while she was standing at a corner, uncertain which way to turn, that
Mrs. Lanier caught a glimpse of her. And what good fortune it would
have been to Lady Jane if that noble-hearted woman had obeyed the
kindly impulse that urged her to stop and speak to the friendless little
waif! But destiny intended it to be otherwise, so she went on her way
to her luxurious home and happy children, while the desolate orphan
wandered about in the cold and darkness, looking in vain for the
humble friends who even at that moment were thinking of her and
longing for her.
Poor little soul! she had never been out in the dark night alone
before, and every sound and movement startled her. Once a dog
sprang out and barked at her, and she ran trembling into a doorway,
only to be ordered away by an unkind servant. Sometimes she
stopped and looked into the windows of the beautiful houses as she
passed. There were bright fires, pictures, and flowers, and she heard
the merry voices of children laughing and playing; and the soft notes
of a piano, with some one singing, reminded her of Mam’selle Diane.
Then a choking sob would rise in her throat, and she would cover
her face and cry a little silently.
Presently she found herself before a large, handsome house; the
blinds were open and the parlor was brilliantly lighted. A lady—it was
Mrs. Lanier—sat at the piano playing a waltz, and two little girls in
white frocks and red sashes were dancing together. Lady Jane
pressed near the railing and devoured the scene with wide, sparkling
eyes. They were the same steps that Gex had taught her, and it was
the very waltz that he sometimes whistled. Before she knew it, quite
carried away by the music, and forgetful of everything, she dropped
her shawl, and holding out her soiled ragged skirt, was tripping and
whirling as merrily as the little ones within, while opposite to her, her
shadow, thrown by a street lamp over her head, tripped and bobbed
and whirled, not unlike Mr. Gex, the ancient “professeur of the
dance.” And a right merry time she had out there in the biting
December night, pirouetting with her own shadow.
Suddenly the music stopped, a nurse came and took the little girls
away, and some one drew down the blinds and shut her out alone in
the cold; there was nothing then for her to do but to move on, and
picking up her shawl, she crept away a little wearily, for dancing,
although it had lightened her heart, had wasted her strength, and it
seemed to her that the wind was rising and the cold becoming more
intense, for she shivered from time to time, and her bare little toes
and fingers smarted badly. Once or twice, from sheer exhaustion,
she dropped down on a doorstep, but when she saw any one
approaching she sprang up and hurried along, trying to be brave and
patient. Yes, she must come to Good Children Street very soon, and
she never turned a corner that she did not expect to see Madelon’s
little house, wedged in between the two tall ones, and the light
gleaming from Pepsie’s small window.
CHAPTER XXVIII
LADY JANE FINDS SHELTER
A T last, when she began to feel very tired and sleepy, she came
to a place where two streets seemed to run together in a long
point, and before her she saw a large building, with lights in all the
windows, and behind it a tall church spire seemed nearly to touch
the stars that hung above it so soft and bright. Her tearful eyes
singled out two of them very near together that looked as though
they were watching her, and she held out her arms, and murmured,
“Papa, mama, can’t I come to you? I’m so cold and sleepy.” Poor
little soul! the stars made no answer to her piteous appeal, but
continued to twinkle as serenely as they have done since time
began, and will do until it ends. Then she looked again toward the
brilliantly lighted windows under the shadow of the church spire. She
could not get very near, for in front of the house was an iron railing,
but she noticed a marble slab let into the wall over the porch, on
which was an inscription, and above it a row of letters were visible in
the light from the street lamps. Lady Jane spelled them out.
“‘Orphans’ Home.’ Or-phans! I wonder what orphans are? Oh, how
warm and light it is in there!” Then she put her little cold toes
between the iron railings on the stone coping, and clinging with her
two hands lifted herself a little higher, and there she saw an
enchanting sight. In the center of the room was a tree, a real tree,
growing nearly to the ceiling, with moss and flowers on the ground
around it, and never did the spreading branches of any other tree
bear such glorious fruit. There was a great deal of light and color;
and moving, swaying balls of silver and gold danced and whirled
before her dazzled eyes. At first she could hardly distinguish the
different objects in the confusion of form and color; but at last she
saw that there was everything the most exacting child could desire—
birds, rabbits, dogs, kittens, dolls; globes of gold, silver, scarlet, and
blue; tops, pictures, games, bonbons, sugared fruits, apples,
oranges, and little frosted cakes, in such bewildering profusion that
they were like the patterns in a kaleidoscope. And there was a merry
group of girls, laughing and talking, while they hung, and pinned, and
fastened, more and more, until it seemed as if the branches would
break under their load.
And Lady Jane, clinging to the railing, with stiff, cold hands and
aching feet, pressed her little, white face close to the iron bars, and
looked and looked.
Suddenly the door was opened, and a woman came out, who,
when she saw the child clinging to the railing, bareheaded and
scantily clothed in spite of the piercing cold, went to her and spoke
kindly and gently.
Her voice brought Lady Jane back from Paradise to the bitter
reality of her position and the dreary December night. For a moment
she could hardly move, and she was so chilled and cramped that
when she unclasped her hold she almost fell into the motherly arms
extended toward her.
“My child, my poor child, what are you doing here so late, in the
cold, and with these thin clothes? Why don’t you go home?”
Then the poor little soul, overcome with a horrible fear, began to
shiver and cry. “Oh, don’t! Oh, please don’t send me back to Tante
Pauline! I’m afraid of her; she shook me and struck me this morning,
and I’ve run away from her.”
LADY JANE, CLINGING TO THE RAILING, LOOKED AND LOOKED
“Where does your Tante Pauline live?” asked the woman, studying
the tremulous little face with a pair of keen, thoughtful eyes.
“I don’t know; away over there somewhere.”
“Don’t you know the name of the street?”
“It isn’t a street; it’s a little place all mud and water, with boards to
walk on.”
“Can’t you tell me your aunt’s name?”
“Yes, it’s Tante Pauline.”
“But her other name?”
“I don’t know, I only know Tante Pauline. Oh please, please don’t
send me there! I’m afraid to go back, because she said I must sing
and beg money, and I couldn’t sing, and I didn’t like to ask people for
nickels,” and the child’s voice broke into a little wail of entreaty that
touched the kind heart of that noble, tender, loving woman, the
Margaret whom some to-day call Saint Margaret. She had heard just
such pitiful stories before from hundreds of hapless little orphans,
who never appealed to her in vain.
“Where are your father and mother?” she asked, as she led the
child to the shelter of the porch.
Lady Jane made the same pathetic answer as usual:
“Papa went to heaven, and Tante Pauline says that mama’s gone
away, and I think she’s gone where papa is.”
Margaret’s eyes filled with tears, while the child shivered and clung
closer to her. “Would you like to stay here to-night, my dear?” she
asked, as she opened the door. “This is the home of a great many
little homeless girls, and the good Sisters love and care for them all.”
Lady Jane’s anxious face brightened instantly. “Oh, can I—can I
stay here where the Christmas-tree is?”
“Yes, my child, and to-morrow there will be something on it for
you.”
And Margaret opened the door and led Lady Jane into that safe
and comfortable haven where so many hapless little ones have
found a shelter.
That night, after the child had been fed and warmed, and was
safely in bed with the other little orphans, the good Margaret sent
word to all the police stations that she had housed a little wanderer
who if called for could be found safe in her care.
But the little wanderer was not claimed the next day, nor the next
week. Time went on, and Lady Jane was considered a permanent
inmate of the home. She wore the plain uniform of blue, and her long
golden hair was plaited in a thick braid, but still she was lovely,
although not as picturesque as when Pepsie brushed her waving
locks. She was so lovely in person and so gentle and obedient that
she soon became the idol, not only of the good Margaret, but of all
the Sisters, and even of the children, and her singing was a constant
pleasure, for every day her voice became stronger and richer, and
her thrilling little strains went straight to the hearts of those who
heard them.
“She must be taught music,” said Margaret to Sister Agnes; “such
a voice must be carefully cultivated for the church.” Therefore the
Sister who took her in charge devoted herself to the development of
the child’s wonderful talent, and in a few months she was spoken of
as quite a musical prodigy, and all the wealthy patronesses of the
home singled her out as one that was rare and beautiful, and
showered all sorts of gifts and attentions upon her. Among those who
treated her with marked favor was Mrs. Lanier. She never visited the
home without asking for little Jane (Margaret had thought it best to
drop the “Lady,” and the child, with an intuition of what was right,
complied with the wish), and never went away without leaving some
substantial evidence of her interest in the child.
“I believe Mrs. Lanier would like to adopt little Jane,” said Margaret
one day to Sister Agnes, when that lady had just left. “If she hadn’t
so many children of her own, I don’t think she would leave her long
with us.”
“It is surprising, the interest she takes in her,” returned Sister
Agnes. “When the child sings she just sits as if she was lost to
everything, and listens with all her soul.”
“And she asks the strangest questions about the little thing,”
continued Margaret reflectively. “And she is always suggesting some
way to find out who the child belonged to; but although I’ve tried
every way I can think of, I have never been able to learn anything
satisfactory.”
It was true Margaret had made every effort from the very first to
discover something of the child’s antecedents; but she had been
unsuccessful, owing in a measure to Lady Jane’s reticence. She had
tried by every means to draw some remarks from her that would
furnish a clue to work upon; but all that she could ever induce the
child to say was to repeat the simple statement she had made the
first night, when the good woman found her, cold and forlorn, clinging
to the iron railing in front of the Home.
But Lady Jane’s reticence was not from choice. It was fear that
kept her silent about her life in Good Children Street. Often she
would be about to mention Pepsie, Mam’selle Diane, or the
Paichoux, but the fear of Tante Pauline would freeze the words on
her lips. And she was so happy where she was that even her sorrow
for the loss of Tony was beginning to die out. She loved the good
Sisters, and her grateful little heart clung to Margaret who had saved
her from being sent back to Tante Pauline and the dreadful fate of a
little street beggar. And the warm-hearted little orphans were like
sisters to her; they were merry little playmates, and she was a little
queen among them. And there was the church, with the beautiful
altar, the pictures, the lights, and the music. Oh, how heavenly the
music was, and how she loved to sing with the Sisters! and the
grand organ notes carried her little soul up to the celestial gates on
strains of sweet melody. Yes, she loved it all and was very happy, but
she never ceased to think of Pepsie, Madelon, and Gex, and when
she sang, she seemed always to be with Mam’selle Diane, nestled
close to her side, and, mingled with the strong, rich voices of the
Sisters, she fancied she heard the sweet, faded strains of her
beloved teacher and friend.
Sometimes when she was studying her lessons she would forget
for a moment where she was, and her book would fall in her lap, and
again she would be sitting with Pepsie, shelling pecans or watching
with breathless interest a game of solitaire; and at times when she
was playing with the children suddenly she would remember the
ancient “professeur of the dance,” and she would hold out her little
blue skirt, and trip and whirl as gracefully in her coarse shoes as she
did when Gex was her teacher.
And so the months went on with Lady Jane, while her friends in
Good Children Street never ceased to talk of her and to lament over
their loss. Poor Mam’selle Diane was in great trouble. Madame
d’Hautreve was very ill, and there was little hope of her recovery.
“She may linger through the spring,” the doctor said, “but you can
hardly expect to keep her through the summer.” And he was right, for
during the last days of the dry, hot month of August, the poor lady,
one of the last of an old aristocracy, closed her dim eyes on a life
that had been full of strange vicissitudes, and was laid away in the
ancient tomb of the d’Hautreves, not far from Lady Jane’s young
mother. And Mam’selle Diane, the noble, patient, self-sacrificing
daughter, was left alone in the little house, with her memories, her
flowers, and her birds. And often, during those first bitter days of
bereavement, she would say to herself, “Oh, if I had that sweet child
now, what a comfort she would be to me! To hear her heavenly little
voice would give me new hope and courage.”
On the morning of Madame d’Hautreve’s funeral, when Paichoux
opened his paper at the breakfast table, he uttered such a loud
exclamation of surprise that Tante Modeste almost dropped the
coffee-pot.
“What is it, papa, what is it?” she cried.
And in reply Paichoux read aloud the notice of the death of
Madame la veuve d’Hautreve, née d’Orgenois; and directly
underneath: “Died at the Charity Hospital, Madame Pauline Jozain,
née Bergeron.”
CHAPTER XXIX
TANTE MODESTE FINDS LADY JANE