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  • Henry VIII of England on Random Major Historical Leaders Who Were Debilitated By Gout

    (#1) Henry VIII of England

    • Dec. at 56 (1491-1547)

    Historians believe Henry VIII had gout, in large part because many aspects of his lifestyle - including excessive meat and alcohol consumption - are associated with the illness. Henry VIII gained more weight as he aged, which could have increased his risk. The painful swelling caused by the so-called "disease of kings" could be acute or chronic, and the king definitely suffered from leg ulcers, mood swings, and constant pain.

    In 1541, the French ambassador wrote, "The King's life was really thought [to be] in danger, not from fever, but from the leg which often troubles him." Henry's own doctors commented, "By reason of his sore leg, the anguish whereof began more and more to increase, he waxed sickly, and therewithal forward and difficult to be pleased... it was high time for us to get clear of him, in order to avoid offending him or irritating him further, having regard to his malady."

    Henry's health problems may have been further exacerbated by syphilis, but this diagnosis is unsubstantiated.

  • Philip II of Spain on Random Major Historical Leaders Who Were Debilitated By Gout

    (#2) Philip II of Spain

    • Dec. at 71 (1527-1598)

    The Spanish monarch's struggles with gout may have been hereditary given his father's severe case of the disease. The son of Charles V, King of Spain and Holy Roman Emperor, Philip II ruled Spain from 1556 until his passing in 1598.

    Philip's struggle with gout began around 1568. Historical records indicate he had "been ill quite a few days with gout in the right hand, which was swollen." By some accounts, he had minor flair-ups as early as 1562.

    The king wouldn't acknowledge that he was suffering from gout, but he was bled and treated for it anyway. Philip was especially prone to develop the illness given his heavy meat consumption, age, and genetic ties to the affliction. Gout left the king incapacitated by age 65. Physicians tried to alleviate his pain by draining his joints, but this only led to infected sores. Philip II succumbed to cancer, but his gout contributed to his suffering.

  • Benjamin Franklin on Random Major Historical Leaders Who Were Debilitated By Gout

    (#3) Benjamin Franklin

    • Dec. at 84 (1706-1790)

    Benjamin Franklin had a terrible case of gout, but he wasn't the only American colonial to suffer from the affliction during the 18th century. William Pitt, for example, also struggled with the disease. Franklin and Pitt were said to have discussed gout, but it's Franklin's conversation with gout, itself, that gives us insight into the nature of his affliction.

    In Dialogue Between Franklin and the Gout, written in 1780, Franklin asks Gout what he did to deserve the aches and pains brought on by the disease.  Gout responds that it was the result of excessive eating, drinking, and other indulgences. Gout chides Franklin for his sedentary lifestyle, asking him why he eats "an inordinate breakfast, four dishes of tea, with cream, and one or two buttered toasts, with slices of hung beef" only to "sit down to write at your desk, or converse with persons who apply to you on business... without any kind of bodily exercise."

    Franklin tries to defend his use of a carriage, but Gout responds that he should burn it or offer it to "the poor peasants, who work in the vineyards and grounds about the villages... bent and perhaps crippled by weight of years, and too long and too great labor." 

    In the end, Gout and Franklin agree that physicians, or "quacks," are not the answer and Franklin promises to "take exercise daily, and live temperately." Gout tells Franklin it's only a matter of time before he picks up his "old habits," cautioning Franklin about a return visit "at a proper time and place." 

  • Louis XVIII of France on Random Major Historical Leaders Who Were Debilitated By Gout

    (#4) Louis XVIII of France

    • Dec. at 69 (1755-1824)

    King Louis XVIII of France, the first king of the newly restored monarchy following the French Revolution, suffered from severe gout. He became King of France in 1814 and ruled for a decade, but he struggled with gout during the entirety of his tenure.

    Already overweight and almost 60 years old, Louis XVIII treated his gout with herbal remedies like colchicum, which was believed to alleviate pain. By 1820, Louis XVIII's affliction was so severe that he was unable to resist his political rivals, the ultraroyalists, and essentially handed over the government to his brother Charles-Philippe, Count of Artois. The Count of Artois became King Charles X after Louis XVIII's passing in 1824.

    Louis XVIII's gout was very much a result of his love of food. According to those who knew him, Louis XVIII could identify the origins of the meat he ate upon first bite. He paid the price, however, with legs that were gouty and gangrenous to the point that he allegedly lost one of his toes. 

  • Napoleon III on Random Major Historical Leaders Who Were Debilitated By Gout

    (#5) Napoleon III

    • Dec. at 65 (1808-1873)

    Napoleon III, nephew of Napoleon Bonaparte and President of France from 1848 to 1852, later seized control of the government and established himself as emperor until his death in 1873. By the mid-1850s, Napoleon III suffered from numerous health problems including bladder infections and stones, arthritis, and gout.

    He was obese, experienced pain his legs, suffered from mental anguish, had odd fainting spells, and was told by doctors to rest and change his diet. Given Napoleon III's weakened condition caused by "an exhausted nervous system and diseased organs," doctors cautioned the political impact could be "fearful."

  • George IV of the United Kingdom on Random Major Historical Leaders Who Were Debilitated By Gout

    (#6) George IV of the United Kingdom

    • Dec. at 68 (1762-1830)

    King George IV, ruler of Great Britain, Ireland, and Hanover, was known his life of excess. He enjoyed women, wine, and luxury. He became a joke of sorts for all of his excesses. George IV, called "the First Gentleman of Europe," was described as "such a powerful toper that six bottles after dinner scarce made a perceptible change in his countenance." 

    Before becoming king in 1820, George IV served as regent for his mentally ill father, George III. During that time, he spent large amounts of money on mistresses, clothing, parties, and palaces. As early as 1817, the future king reportedly told his physicians, "Gentlemen, I have taken your half-measures long enough to please you... from now on I shall take colchicum to please myself."

    He was aware of his gout, calling it "that thorn in the rose of gastronomy." However, George IV chose to continue his extravagant ways as long as he had medicinal relief in the form of Colchicum autumnale. By 1823, he had "no stamina to resist attacks of the gout constantly prevailing in his habit" and was often bedridden. He wasn't opposed to using gout as a political tool, though, and only left Hanover for England when "his pretended gout" became "a bore."

  • Piero di Cosimo de' Medici on Random Major Historical Leaders Who Were Debilitated By Gout

    (#7) Piero di Cosimo de' Medici

    • Dec. at 53 (1416-1469)

    As the oldest legitimate son of Cosimo de' Medici, Piero di Cosimo de' Medici is known as Piero "the Gouty." Gout affected many male members of the Medici family, including Piero's father, Cosimo. Piero succeeded his father as ruler of Florence in 1464, but gout left him more or less bedridden until his passing five years later. Still, Piero the Gouty made enemies by calling in loans from Florence and across Europe. 

    Piero managed to maintain the strength of the Medici bank and set up a succession of power to his son, Lorenzo.

  • Charles V, Holy Roman Emperor on Random Major Historical Leaders Who Were Debilitated By Gout

    (#8) Charles V, Holy Roman Emperor

    • Dec. at 58 (1500-1558)

    In 2006, scientists learned Charles V, Holy Roman Emperor, suffered from severe gout for almost four decades. After analyzing his remains, they discovered excessive levels of uric acid. Charles V's gout was so extreme that his finger joints were ruined by gouty tophi, growths of uric acid crystals. 

    Charles V documented his gout during a trip to Tunisia in the mid-1530s. As his gout worsened, his pain drove him to lash out at his rivals, including the Catholic Church.  In December 1556, he had a gout flair-up "in his knees and shoulders... for some days he was entirely deprived of the use of his right arm, and could neither raise a cup to his lips nor wipe his mouth." This did not hinder his appetite, however. He ate a large number of sausages and olives sent to him as a gift. 

    In the final years of Charles's life, his "chief annoyance was the state of his fingers, which were so much swollen and disabled by gout, that he remarked, on receiving from the Duchess of Frais a present of a chased silver sauce pan and a packet of perfumed gloves, 'If she sends gloves, she had better also send hands to wear them on.'"

  • Anne, Queen of Great Britain on Random Major Historical Leaders Who Were Debilitated By Gout

    (#9) Anne, Queen of Great Britain

    • Dec. at 49 (1665-1714)

    Anne, Queen of Great Britain, was the last of the Stuart monarchs, ruling from 1702 to 1714. Anne never produced an heir, although she had 17 pregnancies that resulted in five live births. None of her children survived past the age of 11.

    Her reproductive struggles characterized her early life, but by the time Anne became queen at the age of 37, her weight had increased significantly, contributing to her gout. It became so severe that she was often unable to walk. Anne's use of wheelchairs and walking sticks led one observer to comment, "Nature seems to be inverted when a poor infirm woman becomes one of the rulers of the world." 

    There are numerous references to "fits of gout" in The History of the Life & Reign of Queen Anne, which includes official letters and papers related to Queen Anne's tenure. Anne's gout affected her appearances before Parliament, and those closest to her struggled "to conceal the true state of the Queen's health." On one occasion in 1712, Anne's gout cleared up "so easy that she was able to hold a Cabinet-Council" and tend to her duties without anyone suspecting her chronic pain. 

  • Alexander the Great on Random Major Historical Leaders Who Were Debilitated By Gout

    (#10) Alexander the Great

    • Dec. at 33 (355 BC-322 BC)

    Little is known about the specifics of the maladies of many historical leaders. Alexander the Great, who is believed to have suffered from gout, experienced symptoms in line with Hippocrates's description of the illness from the 5th century BCE. Hippocrates called it "the unwalkable disease." According to the ancient Greek physician, "It lasts long and becomes chronic... The pain may remain fixed in the great toes... it is not fatal." 

    Historians claim Alexander the Great lived a life of moderation and never ate or drank in excess; however, there is some indication that Alexander drank heavily on occasion.

  • Pope Honorius IV on Random Major Historical Leaders Who Were Debilitated By Gout

    (#11) Pope Honorius IV

    • Dec. at 77 (1210-1287)

    Thirteenth-century Pope Honorius IV was in his 70s when he became the head of the Catholic Church in 1285. He was already suffering from severe gout at that time. Not much is known about Honorius's early life, but he was a member of the aristocratic Savelli family in Rome.

    His gout was so bad that he was unable to walk or stand because he "almost entirely lost the use of his hands and feet." He used "certain instruments in the celebration" of mass, including a mechanical device that moved him while at the altar. Honorius perished from the affliction in 1287, becoming a "martyr to gout." 

  • Neville Chamberlain on Random Major Historical Leaders Who Were Debilitated By Gout

    (#12) Neville Chamberlain

    • Dec. at 71 (1869-1940)

    Serving as British Prime Minister from 1937 to 1940, Neville Chamberlain didn't want everyone to know he had gout, indicating he "would like to keep the gout out of the press... if only to avoid all the letters of sympathy and the offers of gifts of remedies that it always bring forth." 

    Chamberlain's gout had been a problem for years, flaring up several times in 1932. While at the Lausanne Conference in June 1932, he wrote to his sister Hilda that he "got this accursed gout again" and had "been lying on a sofa ever since."

    Chamberlain had to use a gout boot, crutches, and medication to alleviate his pain, asserting that "life seem[ed] insupportable at times." At first, Chamberlain took the advice of his doctors and avoided meat to quell flares; however, after denying himself meat for two months and still suffering, he decided against consulting with physicians again.

    It's unreasonable to think Chamberlain's gout influenced his interactions with Hitler during the late 1930s, but it's possible the illness shaped the trajectory of Chamberlain's career. When he was asked to take a seat on the board of Lloyds Bank during the 1910s, he reportedly turned it down because his gout was so severe. 

  • Anne of Denmark on Random Major Historical Leaders Who Were Debilitated By Gout

    (#13) Anne of Denmark

    • Dec. at 45 (1574-1619)

    Anne of Denmark and her husband, King Charles I of England, may have both suffered from gout. On October 25, 1617, Charles was said to be nursing a sprained leg. However, it may have been a ruse to keep his subjects from knowing his true illness. Anne, for her part, was "still ill disposed, and though she would fain lay all her infirmities upon the gout, yet most of her physicians fear a further inconvenience of an ill habit or disposition through her whole body."

    Clearly, both Anne and Charles were ill, but Anne's struggle with gout was more commonly known. Anne often visited Bath, England, to relieve her gout, making her an early royal adopter of 17th-century public bathing. Anne also suffered from dropsy, which became increasingly debilitating by 1618. 

    Charles may have had another flare-up in 1622 when he was "suddenly taken with the gout, or some such infirmity, in his knee." It's difficult to know exactly what ailed the hing, however. Observers noted:

    His infirmity is given out to be the gout, and the greatest harm or sense he has of it is in the heel; and sometimes he takes pleasure to flout and play with his disease, which he says, hath changed the whole covetous course... but, in truth, the general opinion is, that he has so tender a constitution, both of body and mind, that he will hardly be able to undergo the burthen of so much business as his place requires; and that, if he do not rouse and force himself beyond his natural inclination, both private subjects and the commonwealth will suffer much.

  • Charlemagne on Random Major Historical Leaders Who Were Debilitated By Gout

    (#14) Charlemagne

    Charlemagne, King of the Franks and Holy Roman Emperor, united large sections of Western and Central Europe during the 8th century, all while suffering from gout. According to his biographer Einhard, Charlemagne's gout was problematic, but the emperor was at odds with his physicians after "they urged him to give up roasts, to which he was accustomed, and to eat boiled meat instead." Apparently boiled meat was something Charlemagne thought was "particularly odious."

    Charlemagne didn't stop eating meat and his "daily meal was served in four courses only, exclusive of the roast, which the hunters used to bring in on spits, and which he ate with more pleasure than any other food." His health may have suffered, however, and he went lame in one foot later in life. 

    Charlemagne went swimming at the hot springs near his palace at Aachen to ease his gout pain. Einhard claimed Charlemagne constantly exercised "both by riding and hunting," and enjoyed "the vapour of naturally hot waters" with his sons, nobles, friends, and bodyguards.

     

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About This Tool

Gout is a disease with a long history, once called "the disease of kings". Many historical figures have suffered from gout, and some have even been tortured to death, including many emperors and celebrities, such as Alexander the Great, Frederick the Great, Goethe, Leonardo da Vinci. In France in the first half of the 13th century, more than a dozen kings, such as Louis VII and Louis XVI, suffered from gout.

In the past, privileged people had more opportunities to enjoy food and excessive drinking, so they were more likely to get gout than ordinary people. The incidence of gout is closely related to diet and lifestyle. The random tool lists 14 famous historical leaders who suffered gout for a long time.

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