The Hospital Brothers of Saint Anthony

In 1095 CE, Gaston of Valloire (or of Dauphiné) founded a religious order, sanctioned by Pope Urban II (who also called for the First Crusade that same year). It was named for St. Anthony the Great, by whose intercession Gaston believed his son had been cured of the disease that then came to be known as St. Anthony's fire.

Gaston and his son built a hospital near the Church of St. Anthony at Saint-Didier de la Mothe, which was administered by the new order, the Hospital Brothers of St. Anthony. It was dedicated to caring for victims of St. Anthony's fire, which was the cause of frequent epidemics.*

The Hospital Brothers were laymen, and though they cared for the poor and sick who came to visit the shrine with relics of St. Anthony at the nearby church, they did not always get along with the community of Benedictines who tended the church and shrine.

The Hospital Brothers wore black with a a blue Tau ("T") cross. The Tau cross was affiliated with St. Anthony, but we are not sure why. He was not executed on one, as some suggest (he died in his bed). One theory is that he had a T-shaped staff on which he would rest. The laymen eventually evolved into a monastic order with the blessing of Pope Honorius III (who also sanctioned the Dominicans) in 1218; 30 years later they adopted the Rule of St. Augustine and were declared canons regular by Pope Boniface VIII.

Now the "Antonines" were a fully-fledged "rival order" to the nearby Benedictines; each group felt they had primary responsibility for the relics of Anthony. Hostilities arose until the pope gave custody of the shrine to the Antonines and sent the Benedictines to Montmajour Abbey, 130 miles away.

The success of the hospital motivated them to expand. By the 15th century there were 370 hospitals in France, Spain, Italy, and Germany run by the Order of St. Anthony. They were caring for many illnesses, including the Black Death. Their popularity declined after the Reformation, especially when the link was discovered between St. Anthony's fire and ergot, after which incidents of the disease fell sharply. Their donations and influence dwindled, and in 1777 they were subsumed into the Knights of Malta. The last hospital, in Hochst, Germany (see illustration), was closed in 1803. In Memmingen, Germany, you can see a museum to the Order, on the site of one of their hospitals that was opened in 1214.

The man who first sanctioned the Order and called for the First Crusade, Urban II, did a lot more in his decade as pope. Let's dig into his career tomorrow.

*For those who don't like to click links, St. Anthony's fire was caused by ergotism, although some of the symptoms could also be the result of erysipelas.

Ergot Poisoning

When the relics of St. Geneviève were paraded through there streets of Paris in 1129 during an outbreak of St. Anthony's fire, they seemed to work. The truth is, however, that St. Anthony's fire could abate as suddenly as it arrived, so coincidence might have figured in the miraculous cure. But what was (is) St. Anthony's Fire? Modern researchers put their money on ergotism, or ergot poisoning.

Ergot is a fungus— Claviceps purpurea—that grows on certain grains, especially rye. The early symptoms may not cause too much alarm: fatigue, nausea, diarrhea. Later, it can lead to convulsions. It becomes St. Anthony's Fire when the fungus causes the blood vessels in the outer extremities to constrict. The arms and legs do not get blood and oxygen and therefore develop gangrene. At that stage, amputation (or a miracle) is the only recourse. While the limbs were dying, the sensation of burning was intense, hence the reference to "fire." So why "St. Anthony"?

The Order of Hospitallers of St. Anthony founded hospitals to treat the disease. There was plenty of work to do. St. Anthony's Fire was a problem waiting to happen as soon as stored grain started getting moldy.

Ergot was known at some point: the black growth on the rye was studied. In 1582, a German doctor used small doses to produce contractions in pregnant women. In the 20th century, ergotamine was developed to help with migraines and cluster headaches.

Tomorrow I'll talk a little more about medieval hospitals and cures.

Medieval Benghazi

The port at Benghazi, where it all began

Benghazi has been much in the news lately. As with any part of the Eastern Hemisphere, it has been around long enough to have medieval history.

Hundreds of years BCE (sources vary regarding the date of its founding), a city called Euesperides was founded by the Greeks on the coast of the Mediterranean. It was likely named in honor of the Hesperides, the daughters of Hesperus who tended a peaceful garden in the extreme West. Coins from Euesperides dating as far back as 480 BCE have been found, with Delphi on one side and the silphium plant on the other. Silphium, valued as a spice and a medicine, was a major export; today, however, we have no idea what plant species it was.

Herodotus mentions it in his History when the satrap of Egypt sends a force to conquer the Cyreneans there. The Greek historian Thucydides mentions it being besieged by "Libyans"; the town was saved that time by a fleet led by a Spartan general who arrived by accident due to unpredictable winds. One of their kings, Arcesilaus IV, competed in the Pythian Games* in 414 BCE.

Euesperides moved in the mid 3rd century BCE—presumably because of the silting up of the lagoon its ships used—and was renamed Berenice (for the daughter of King Magas of Cyrene. Ancient Berenice was located under what is now the center of the modern city.) The city later came under Roman rule and existed for several centuries, but dwindled to a small settlement. St. Anthony the Great may have traveled through there on his way to be a hermit in the desert.

In the 13th century, the location became a stopping place for Genoese merchants who wished to trade with the interior. (Remember, the Genoese were spreading out all over the mediterranean, even as far as Monaco.) By the 1500s, it was appearing on maps as Marsa ibn Ghazi. I have not discovered who the "sons of Ghazi" were for whom it is now named, but Ghazi is a Muslim title of respect, so it may have a non-specific origin.

Benghazi has been through many changes of name, and its long history is fraught with conflict and attempts—some successful—for regime change.

*The Olympian Games were not the only "world-wide" athletic competitions in the Classical World.

Pachomius

St. Anthony the Great is credited with being the first monk in that he did not just live an ascetic life, but also he removed himself from civilization and went into the desert. The eremitical (hermit) life appealed to many in the years to follow, but not everyone had the self-discipline to lead that kind of life. This is where Pachomius was needed.

St. Pachomius (c.292-348) was born a pagan. Drafted into military service by the Roman army, he noticed how Christians brought food to the conscripts. When he left the army a few years later, he investigated Christianity and converted in 314. After seven years as a hermit, he traveled to where St. Anthony was living, modeling his life after Anthony's solitary example. Then, however, a vision told him to create a community where others could join him.

Hermits had clustered together in the same area before, but Pachomius created an organized structure for monks who actually lived and worked together, holding their possessions in common and following a similar schedule. This style of monastic tradition is called cenobitic, a Latin word from the Greek words for "common" [κοινός] and "life" [βίος].

He created the first community shortly after this vision; the first person to join him was his brother John. Many more were to follow. Pachomius built nine monasteries, but the trend caught on: by the time of his death there were an estimated 3000 communities in Egypt. Pachomius was referred to as "Abba," [father], from which the terms "abbot" and "abbey" come. He also wrote the Rule of Pachomius, creating guidelines for communities. It is written in the Coptic (Egyptian) language.

Pachomius never was ordained as a priest. St. Athanasius visited him and wanted to ordain him in 333—Pachomius, like Athanasius, had proven to be a vocal opponent of Arianism—but Pachomius did not want ordination. He died on 9 May 348, presumably from plague.

Saint Anthony

The Classical and Middle Ages generated more Saints Anthony that you can shake a crozier at:

Anthony of Antioch (d.302)
Anthony the Hermit (c.468-c.520) aka Anthony of Lérins
Anthony of Kiev (c.983-1073) aka Anthony of the Caves
Anthony of Rome (d.1147) aka Anthony Rimlyanin
Anthony of Padua (c.1195-1231) aka Anthony of Lisbon
Anthony of Florence (1389-1459)

But if you wanted to talk about an Anthony, wouldn't you pick the one they called "the Great"?

St. Anthony the Great (c.251-356) was mentioned in yesterday's post, supporting St. Athanasius against Arianism. He was a Coptic Christian from Egypt, but is recognized as a saint by the Coptic, Roman Catholic, Bulgarian Orthodox, and Eastern Orthodox churches.

His denomination-crossing significance derives from his status as the first monk. To be honest, there were monks—ascetics, men who chose to deny themselves worldly pleasure in order to study and pray—before him, but his decision to go out into the desert of Libya to get away from civilization was the example that made other ascetics take note.

It was about the year 270 that he heard the words from the Gospel of Matthew 19:21 at mass: "If you wish to be perfect, go, sell what you have, and give it to the poor." He was moved to act immediately: he convinced his sister to join a local group of nuns, sold his considerable property, gave the money to the poor (except for a small amount he set aside for his sister's needs), and headed into the desert. He fasted during daylight hours, lived on bread and salt and water, slept on the ground, resisted devilish temptation, and fought demons.

The Enemy subjected him to the temptations of the flesh and the anxieties of the world like thoughts of his family and loved ones, urging him to return to the world (as we are told by his biographer, St. Athanasius):

But the more the Evil One brought unto him filthy and maddening thoughts, the more Saint Anthony took refuge in prayer and in abundant supplication, and amid them all he remained wholly chaste.

Monastery of St. Anthony

Stories of Anthony's great devotion and asceticism were taken back to civilization by visitors, and more and more people came to learn from him and share in his growing reputation for holiness. But Athanasius tells us that Anthony was horrified by this, lest he himself be exalted as more worthy than other men. The so-called "first monk" never founded a monastery, never gathered followers, never preached a set of rules for others to live by. He pursued his own path to faith. On his death bed, he instructed the division of his garments to others, and requested to be put into an unmarked hole in the ground by two friends, Marcarius and Amatas, and the location left unrevealed to prevent veneration.

That didn't stop others from using him as a focal point, however. Shortly after his death at the age of 105, his followers started to dig and expand a spring in the cave where he lived, creating an oasis. Around this they began to build a monastery. The Monastery of St. Anthony still stands today, the oldest and largest Coptic monastery in Egypt. Its extreme isolation saved it from being a target of Arab conquest. It has changed and expanded greatly over the centuries, but can still be found 1300 feet above sea level in the desert southeast of Cairo.