Since 1942 BBC Radio has broadcast a show entitled “Desert Island Discs”, called by some the “greatest radio programme of all time”. Each week a guest is asked to imagine that he or she is a castaway on some deserted shore who is allowed to bring along a book (not including a Bible and the works of Shakespeare), 8 recordings, and a luxury item (which cannot allow one to escape or communicate with the outside world.) Much interesting chatter ensues as the guests justify their choices.

If I were to choose a single book with which to while away the months or years on my coral atoll, I would choose Robert Burton’s The Anatomy of Melancholy, What it is: With all the Kinds, Causes, Symptomes, Prognostickes, and Several Cures of it. In Three Maine Partitions with their several Sections, Members, and Subsections. Philosophically, Medicinally, Historically, Opened and Cut Up, first published in 1621. Among its many virtues are its length (over 1,000 pages), encyclopedic scope, and its depth of understanding of the human condition.
Burton was an Oxford academic suffering from what we would call today a clinical depression. One of the ways he dealt with his mental state, and to help others with theirs, was to examine the condition in light of medical knowledge and philosophy. The result was The Anatomy of Melancholy.
The ancient notion of mind and body being governed by the “four humours” still ruled early-modern medicine. To be healthy (or in “good humour”) was to enjoy a balance of four liquids: blood, phlegm, yellow bile, and black bile. A predominance of blood led to a sanguine personality (active, bold); phlegm to a phlegmatic disposition (cold, dispassionate); yellow bile to being choleric (prone to anger, daring); and black bile to being melancholic – a state that included not just depression but a host of other mental challenges. By examining the condition of melancholy Burton is led to discourse on innumerable topics in medicine, science, philosophy, literature, love, geography, etc. As he says: “No Centaurs here, or Gorgons look to find,/ My subject is of man, and human kind.”
The Anatomy of Melancholy is not an easy book to read. Burton’s range of learning was vast and he was wont to cite sources unfamiliar to most scholars today. He also loved to quote in Latin, sometimes translating, sometimes not. This sentence is typical: “When I first took this task in hand, et quod ait ille, impellents genio negotium suscepi, this I aimed at; vel ut lenirem animum scribendo, to ease my mind by writing”. But after a while the eye skips over the Latin and reassembles the sentence. Here are some pertinent quotes:
Melancholy, the subject of our present discourse, is either in disposition or habit. In disposition, is that transitory melancholy which goes and comes upon every small occasion of sorrow, need, sickness, trouble, fear, grief, passion, or perturbation of the mind, any manner of care, discontent, or thought, which causeth anguish, dullness, heaviness and vexation of spirit, any ways opposite to pleasure, mirth, joy, delight, causing frowardness in us, or a dislike. In which equivocal and improper sense, we call him melancholy that is dull, sad, sour, lumpish, ill disposed, solitary, any way moved, or displeased. And from these melancholy dispositions, [925]no man living is free, no stoic, none so wise, none so happy, none so patient, so generous, so godly, so divine, that can vindicate himself; so well composed, but more or less, some time or other he feels the smart of it. Melancholy in this sense is the character of mortality.Every other sin hath some pleasure annexed to it, or will admit of an excuse; envy alone wants both. Other sins last but for awhile; the gut may be satisfied, anger remits, hatred hath an end, envy never ceaseth.
[Diseases] crucify the soul of man, attenuate our bodies, dry them, wither them, shrivel them up like old apples, make them so many anatomies.
[The rich] are indeed rather possessed by their money than possessors.
Though they [philosophers] write contemptu gloriæ, yet as Hieron observes, they will put their names to their books.
Aristotle said melancholy men of all others are most witty.
Machiavel says virtue and riches seldom settle on one man.
Every man, as the saying is, can tame a shrew but he that hath her.
Tobacco, divine, rare, superexcellent tobacco, which goes far beyond all the panaceas, potable gold, and philosopher’s stones, a sovereign remedy to all diseases…but as it is commonly abused by most men, which take it as tinkers do ale, ’tis a plague, a mischief, a violent purger of goods, lands, health, hellish, devilish and damned tobacco, the ruin and overthrow of body and soul.
England is a paradise for women and hell for horses; Italy a paradise for horses, hell for women.
What physic, what chirurgery, what wealth, favor, authority can relieve, bear out, assuage, or expel a troubled conscience? A quiet mind cureth all them, but all they cannot comfort a distressed soul: who can put to silence the voice of desperation?
Now go and brag of thy present happiness, whosoever thou art, brag of thy temperature, of thy good parts, insult, triumph, and boast; thou seest in what a brittle state thou art, how soon thou mayst be dejected, how many several ways, by bad diet, bad air, a small loss, a little sorrow or discontent, an ague, &c.; how many sudden accidents may procure thy ruin, what a small tenure of happiness thou hast in this life, how weak and silly a creature thou art.
And yet with crimes to us unknown, Our sons shall mark the coming age their own.
As Petrarch observes, we change language, habits, laws, customs, manners, but not vices, not diseases, not the symptoms of folly and madness, they are still the same.