The Island of Ruach

François Rabelais, Gargantua and Pantagruel IV.43 (tr. J.M. Cohen):

They do not shit, piss, or spit on this island. But, on the other hand, they poop, fart, and belch most copiously. They suffer from all sorts and varieties of diseases. For every malady originates and develops from flatulence, as Hippocrates proves in his book, On Wind. But the worst epidemic they know is the windy colic, as a remedy for which they use large cupping-glasses, and so draw off much wind. They all die of dropsy or tympanites; they all fart as they die, the men loudly, the women soundlessly, and in this way their souls depart by the back passage.