Temptation, Burning Skin Disease, and Care as Cure.

After writing about the prophets Jeremiah and Isaiah, and more recently about Daniel, I feel it’s time to return to the Saints: who they are, and how to recognise them in art. One saint I’ve long wanted to write about is Saint Anthony. There are several saints named Anthony, but I mean Saint Anthony the Great also known as Saint Anthony the Abbot. He is the protector and healer of those suffering from Saint Anthony’s Fire, or Ergotism, which is a burning skin disease combined with hallucinations.

Anthony’s story is also a fascinating example of the difference between care and cure in the history of medicine. The monks of the Antonine order offered such dedicated care to the sick that it was often seen as a cure. And of course, plenty of prayer, that helped too.

The stories around Saint Anthony I’ll be exploring are:

• Saint Anthony as a historical figure
• The Temptation of Saint Anthony
• Saint Anthony’s Fire and Ergotism
• How to recognize Saint Anthony in art
• Travel destinations connected to his legacy
• Medical literature (two articles)
• A bonus: Salvador Dalí and Max Ernst

A recurring theme is care as cure; how, in the pre-scientific medical era, the care offered by monks served as both physical and spiritual healing.

Saint Anthony as a historical figure

First, a few words about Saint Anthony and who he was as a historical figure. Anthony was a monk who lived in Egypt during the 3rd and 4th centuries AD. At a young age, Anthony gave away all his wealth and worldly possessions after hearing the Gospel message to ‘sell all you have and give to the poor.’ He chose to live an ascetic life in the desert, devoting himself to solitude, prayer, and spiritual struggle. He is often considered the father of Christian monasticism.

Monasticism, in the Christian tradition, refers to a way of life in which individuals withdraw from worldly society to live in spiritual discipline, often in communities (monasteries) devoted to prayer, work, and contemplation. Saint Anthony is called the father of monasticism because he was among the first to retreat into the desert purely for religious reasons, inspiring many others to follow his example. Although he lived as a hermit himself, his life and teachings laid to the foundation of communal life in monastries as the Hospital Brothers of Saint Anthony, later known as the Antonines.

The Temptation of Saint Anthony

During his years of isolation, Anthony reportedly endured intense temptations, visions and torments involving lust, wealth, pride, and physical suffering, which he resisted through faith and prayer. These battles became central themes in later depictions of him in art, especially in the many dramatic scenes of ‘The Temptation of Saint Anthony.

Saint Anthony’s Fire and Ergotism

Anthony’s legendary temptations bear a striking resemblance to the symptoms of Ergotism, a disease caused by eating rye bread contaminated with the ergot fungus. In the Middle Ages, rye was a staple food for the poor. When stored in damp conditions, especially during the wet autumn months, the grain could easily become infected. Bread made from this tainted rye caused severe outbreaks of illness across entire mostly-rural communities. This mysterious and terrifying illness, especially the burning pain of the skin (like a fire) is known as Saint Anthony’s Fire, or in Dutch as Kriebelziekte (“Itching Disease”). Common Ergotism symptoms included this burning skin pain, but also hallucinations, convulsions, mania, and gangrene, often mistaken for demonic possession or divine punishment. At the time, people had no idea that a fungus in their bread was the cause. Instead, they believed they were possessed or being punished by the devil. In their desperation, many turned to Saint Anthony, whose legendary temptations in the desert seemed to reflect their own torments. His name became associated with miraculous healing and spiritual endurance.

In response to widespread suffering, the Hospital Brothers of Saint Anthony, later known as the Antonines, were founded in France in the late 11th century by two French noblemen who credited Saint Anthony with healing them. The order established monasteries and hospitals across Europe, particularly along pilgrimage routes, where they cared for victims of Saint Anthony’s Fire. Though unaware of the disease’s true cause (infected bread), the Antonines provided nourishing food (proper bread and not infected rye bread), hygiene, skin treatment, and spiritual care. Their compassion and effectiveness further strengthened Saint Anthony’s reputation as a protector of the sick and suffering.

The Isenheimer Altarpiece, created by Matthias Grünewald in the early 16th century, was made for the Antonine monastery and hospital in Isenheim, near Colmar, France. The altarpiece held a central place in the hospital chapel. With its vivid, often harrowing imagery of suffering and healing, it was meant to offer spiritual comfort and a sense of connection between Christ’s pain and the patients’ own suffering from Saint Anthony’s Fire.

The symptoms of ergotism can lead to a range of psychiatric and neurological disturbances, including mania and psychosis. The symptoms are akin to bad LSD trips, as LSD contains chemical elements related to the ergot fungus. Sufferers may see all kinds of monsters flying or even believe they can fly themselves. Very much alike the temptations of Saint Anthony.

By the end of the 15th century, the monks had built roughly 370 hospitals across Europe to treat outbreaks of Saint Anthony’s Fire. The brothers were also instrumental in caring for those infected with the plague or Black Death. The success of these hospitals may be attributed to feeding their patients bread made from uninfected grains, such as wheat or other cereals, and providing compassionate care as a form of treatment. The Antonine Order as a monastic institution no longer exists. It began to decline in the 17th century, and by the late 18th century, it was absorbed into other religious orders or dissolved, especially during the wave of secularization and monastic reform that swept Europe.

However, their legacy of care lived on and we still see traces of it today, particularly in the naming of hospitals, clinics, and charitable institutions. Names like Antonius Gasthuis (Hospital) in the Netherlands preserve this heritage, reminding us that long before modern medicine, healing was closely tied to religious devotion, charity, and the care of the sick.

How to recognize Saint Anthony in art

The Antonines were allowed to let their pigs roam freely through towns and villages. These pigs often wore little bells to signal that they belonged to the order and should not be harmed. The fat from these pigs was used by the monks to make the medicinal Saint Anthony’s balm, a healing ointment for treating the skin lesions and intense burning sensations caused by ergotism (by Saint Anthony’s Fire). When going around for alms, the monks were also carrying and ringing bells.

Over time, the pig and the bell became symbols of Saint Anthony’s role as a protector of the sick. In art, the pig is a subtle allusion to both his healing work and the monastic order’s care practices. Another symbol is the fire, which represents the fire-like burning pain of the skin disease, the Saint Anthony’s Fire.

Another symbol closely associated with Saint Anthony is the Greek letter Tau (Τ). This simplest form of the cross was a decorative emblem with a spiritual meaning. Saint Anthony is said to have used the Tau as a sign of protection against evil, and it became the emblem of the Antonine order and the monks wore it on their habits.

Travel destinations

Two important sites are closely connected to the legacy of Saint Anthony and are now high on my visit-wish-list: Saint-Antoine-l’Abbaye in France and the Monastery of Saint Anthony in Egypt.

Saint-Antoine-l’Abbaye, in southeastern France, is a medieval village that developed around an abbey housing relics of Saint Anthony, brought there in the 11th century. In the Middle Ages, it became a major pilgrimage destination, especially for those seeking healing from Saint Anthony’s Fire. It was also the motherhouse of the Antonines, or the Hospital Brothers of Saint Anthony, the religious order devoted to care and healing.

The Monastery of Saint Anthony in Egypt, located in the Eastern Desert near the Red Sea, is one of the oldest Christian monasteries in the world. Founded in the 4th century near the cave where Saint Anthony lived in seclusion, it has remained a center of pilgrimage and monastic life ever since, preserving the spiritual heritage of early Christian monasticism within the Coptic Orthodox tradition.

Medical literature

And here are two great articles from the medical literature.

An article (in Dutch) about healthcare in relation to the Isenheim Altarpiece, published in 1995 in the Dutch Magazine for Healthcare, J.P. Mackenbach, ‘De kriebelziekte en het Isenheimer altaar’, Nederlands Tijdschrift voor Geneeskunde, 1995.

In another beautiful article (in English) the writers underscore that at least three distinct diseases, one toxic (i.e., ergotism) and two infectious (i.e., erysipelas and herpes zoster) have been called Saint Anthony’s Fire, and that even some cases of plague may have been included. The article is from 2021, “One holy man, one eponym, three distinct diseases. St. Anthony’s fire revisited”, by G. Cervellin, U. Longobardi an G. Lippi, in Acata Biomedica, 2021.

Closing Notes

Although the Antonine monasteries no longer exist, their legacy is still with us. Hospitals and care institutions across Europe still bear the name of Saint Anthony, such as the ‘St. Antonius Gasthuis’ in Zeeland, The Netherlands. These names are not coincidental. They are echoes of a time when healing the sick was considered a sacred duty, and when monks provided care long before the advent of modern medicine. The spirit of Saint Anthony’s compassion, and the idea that care itself can be a form of healing, continues to influence how we think about health and humanity today.

In our modern world, medicine often revolves around the idea of cure: fixing what is broken, extending life, eliminating disease. While this is a noble and essential goal, we sometimes risk forgetting the quieter, older value of care. Saint Anthony and the Antonine monks remind us that healing is not always about eradicating illness. Their gentle presence, their comfort, their tending to the pain of others – these were acts of care that, in their time, were experienced as cures.

For the old, the frail, and those nearing the end of life, a cure may no longer be possible. But care, simple and devoted and human, can still be given. And in many cases, it may be the greater blessing.

Bonus

This 1946 painting by Salvador Dalí was created for an invitational competition on the theme of The Temptation of Saint Anthony, organized by the Loew-Lewin Company, a film production firm. The winning entry would appear in the movie The Private Affairs of Bel Ami, based on a story by Guy de Maupassant. Eleven artists participated, including Dalí, Paul Delvaux, and Max Ernst. Although Dalí’s painting did not win the contest, it later became the most well-known of all the submissions. The prize ultimately went to Ernst.