A desperate DISEASE must have a desperate cure

Meaning & Analysis

A life-threatening or severe illness necessitates a risky, extreme, or unconventional treatment that would not be used in normal circumstances.

Insights

Extreme Problems, Extreme Solutions

The proverb asserts that extreme or intractable problems require correspondingly drastic, unconventional, or high-risk solutions. It suggests that standard methods are insufficient when facing a severe crisis.

Calculated Risk

It implies a cost-benefit analysis where the potential for a positive outcome justifies taking significant risks. The 'cure' may be unpleasant or dangerous, but it is preferable to the certain negative outcome of the 'disease'.

The Ends Justify the Means

The proverb can be interpreted as a version of 'the ends justify the means'. It suggests that when the stakes are high enough, actions that would typically be considered unacceptable become necessary to achieve a resolution.

Historical Medical and Political Context

The proverb reflects the pre-modern medical reality where treatments for severe illnesses were often as dangerous as the diseases themselves, involving risky procedures like aggressive bloodletting or toxic remedies. Its frequent use by Shakespeare underscores its relevance in an era of political instability, where radical solutions were often proposed for societal ills.

Justification for Radical Action

This proverb serves as a powerful political and ethical justification for radical, often morally ambiguous, actions. It is frequently invoked during crises—such as war, rebellion, or economic collapse—to argue that extreme circumstances override normal ethical constraints, framing drastic measures as a necessary evil.

Psychology of Crisis

Psychologically, the proverb captures the cognitive shift that occurs when facing a catastrophic threat. The fear of certain doom (the 'desperate disease') makes high-risk, unconventional strategies (the 'desperate cure') seem not only acceptable but rational, overriding typical risk aversion.

Rhetorical Devices

Repetition / Parallelism

The repetition of the word 'desperate' creates a powerful parallel structure, emphatically linking the severity of the problem directly to the nature of the required solution.

Metaphor

The core of the proverb is a medical metaphor where 'disease' represents any severe problem and 'cure' its solution, allowing the saying to be applied to a wide range of non-medical crises.

Hyperbole

The use of 'desperate' is a form of hyperbole that heightens the sense of urgency and gravity, effectively communicating that the situation is at a critical breaking point.

necessityriskcrisisjustificationextremismproblem-solving
Analyzed with gemini-2.5-pro on July 6, 2025

Transcription

Quotations

A stronge disease requyreth a stronge medicine.

1539, TAV., f. 4V

Th[e] expert phisitian vseth vehement remedies for desperate diseases.

1555, EDEN, Decades New World, p. 57

Main evils you know must have main remmedies.

1573, G. HARVEY, Let. Bk., p. 23

Grievous wounds must have smarting plasters, and those medicines ever soonest heal us which most grieve us.

1576, PETTIE, Pet. Pal., II 23

Extreme diseases Ask extreme remedies.

1605, CHAPMAN, All Fools, VI 51

A sharpe salue for a sharpe sore.

1616, DR., s.v. Severity, no. 1948

According to the usual Proverb, A desperate disease must have a desperate remedy.

1659, BUCKINGHAM, Prince's Journey Spain, Rushworth Hist. Coll., I 120

As desperate woonds still must have desperate cures, so all rash mischeifes should have suddeine shiftes.

1624, T. HEYWOOD, Captives, III iii 129

Desperate cuts must have desperate cures.

1639, CL., p. 200

[As in 1639 Cl.]

1670, RAY, p. 76

Desperate Cases must have desperate Cures.

1732, FUL., no. 1274

Shakespeare Citations

Extremity still urgeth such extremes.

Luc, 1337

But passion lends them power, time means, to meet, Temp'ring extremities with extreme sweet.

Rom, II.Prol.

Hold, daughter. I do spy a kind of hope, Which craves as desperate an execution As that is desperate which we would prevent.

Rom, IV.i

To strange sores strangely they strain the cure.

Ado, IV.i

Diseases desperate grown By desperate appliance are reliev'd, Or not at all.

Ham, IV.iii

Be comforted. Let's make us med'cines of our great revenge To cure this deadly grief.

Mac, IV.iii

Cross References

Original Scan

A desperate DISEASE must have a desperate cure - a scanned entry from Tilley's 1950 Dictionary of Proverbs.
Scan courtesy of HathiTrust Digital Library.
Used under CC BY-NC 3.0.

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Last updated: January 27, 2026