Archaeological Evidence for 18Th-Century Medical Practice in The
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Proc Soc Antiq Scot, (1996)6 12 , 929-941 Archaeological evidenc r 18th-centurefo y medical Towd Ol practicf Edinburgh no e th n i e : excavationt a s 13 Infirmary Street and Surgeons' Square David Henderson*, Mark Collard Danie*& JohnstoA l nt ABSTRACT Articulated human skeletons and disarticulated bones recovered in 1993 from excavations in the area of the former Lady Tester's Kirkyard showed clear evidence of post-mortem dissection. They identified 'unclaimed'are the as dead buriedRoyalthe by Infirmary secondthe in 18th the half of century. There was evidence for post-mortem tooth removal from all the dentitions recovered during the excavation, probably for the manufacture of sets of false teeth. A further assemblage of human bones, found in 1988 adjacent to 18th/19th-century anatomy schools formed part of a teaching collection from the schools. INTRODUCTION This report describe investigationo tw s s (illus Archaeologe 1)th carriey b t dou y Servic Cite th yf o e of Edinburgh District Council in the south-east quarter of the Old Town of Edinburgh. Both produced human bone which, when examined, provided evidence of medical practice in later post-medieval Edinburgh. The full site archive and a detailed report on the skeletal remains has been deposited in Nationae th l Monuments Recor f Scotlando d (RCAHMS), Edinburgh. 13 INFIRMARY STREET In December 1992 contractors carrying out underpinning operations on behalf of the University of Edinburg Infirmar3 1 t ha y Street, Edinburg 260T h(N 8 7343), uncovered human skeletal remains beneat internan ha lbuildinge walth f o JohnstolA Archaeologe D . th f no y Servic Cite th f y o f eo Edinburgh District Council investigated and excavated the remains. Subsequently excavations for the installation of a lift-shaft in an adjacent room uncovered further human bone and the area affected was excavate CollarJohnstoA M y D d b d & Januar n ni y 1993 Septemben I . r 199 smal3a l amount of disarticulated human bonrecoveres Lawsowa eA J y db n from excavation northere th n i s n part of the building. * Edinburgh City Council Archaeology Service Broughto0 1 , n Market Broughtond Ol , , EdinburgU 6N 3 hEH Swain4 2 t e Hill Crescent, Yeadon, Leeds LS19 THE 930 I SOCIETY OF ANTIQUARIES OF SCOTLAND, 1996 e locatio excavatione Th ILLUth f no 1 S Infirmar3 1 t a s ySurgeonsd Streean ) (1 t ' Square (2). Ordnancee (Basedth n o Survey map © Crown Copyright) SITE HISTORY (ILLU) 3 S& 12 , site eTh lies withi north-westere nth formene parth f o tr precinc medievae th f to l Blackfriars Monas- tery, on the west side of a transe (later High School Wynd) which gave access to the monastery from the Cowgate. The lands of Blackfriars passed to the Town Council of Edinburgh in 1563 (Cowan 1912, 68). In 1635 the Town Council of Edinburgh resolved to construct two new churches, only one of whic Tro e buils th nHig he wa t- Kirth hn kStreeto seconde Th . Castlehilln o , neves wa , r completed. Instead resula totaa s a f , o tl donatio f 16,00no 0 merk Margarety sb f Yester, o Lad y ychurcHa a , h was erectewese th tn do sid f Higeo h School Wynde cornee streeth th f n to o r , later knows a n Infirmary Street. The kirk was completed in 1647, and is visible on the view of Edinburgh drawn by Gordon of Rothiemay in the same year. The form of the church is not particularly clear on Gordon's t withise s i precinctna t i plan t bu , , surrounde walla Willian y db O . m Edgar's measured plaf no 1765 (illus 3) the church is clearly cruciform and is surrounded by a kirkyard wall, with two entrance gates on the east side. In 174 constructioe 8th Royae th f no l Infirmar f Edinburgyo hcompletes (illuwa e ) 3 sth n do ground immediately to the south of the kirk. In 1749 the managers of the hospital asked the Town Coun- 'tl oci allo smalta l portio Lade th yf n o Yester' s Churchyar Roya e buriadear e dth fo th f df o l l o Infirmary ' (Cowan 1912, 89). This was granted with the condition that the managers were, in their interments, 'to kee distanca t pa e fro wallse mth , because they were dispose privatr dfo e burying places'. kire kTh itsel18te th rese hf th derelic s o tcenturcontinue r wa fo t e 1803y ytb bu us n di , when condemnes iwa t Towe unsafs da th y nb e Council church,w ne A . also called Lady Yester's Kirk, was completed by 1805. This lay 30 m to the west of the original site, along Infirmary Street, and the secularized building still stands (illus 2). The old site was vacant until 1821 (only the churchyard HENDERSON, COLLARD & JOHNSTON: 18TH-CENTURY MEDICAL PRACTICE IN EDINBURGH I 931 e locatio InfirmarTh 3 ILLU1 f no S2 ySecone Streeth d dan t Lady Tester's Kirk (LYKsecularisea w no : d building) is marke Kirkwood'n do f 1817o buildingp o n , sma showne sar ) churcwhew buils a ne na y hwa b t congregation of Seceders. The feu grant reserved a right of access to the 'Burying Vault at the north end of the ground' where tombstones survived at the time of Cowan's writing. Since then, the building has had a wide variety of owners but the only substantial structural alteration has been the addition of a single-storey extension against the original fa$ade (Gifford, Me William & Walker 1984 229). EXCAVATION RESULTS: ARE) 6 A(ILLU A & 5 , S4 aree Th a excavated measure l materiam4 Al .3. y m6 b d 3. l within removes thiswa d dow depta o nt h belom 5 wo1. f ground level withi buildinge nth situn i x skeletonSi . s were excavated varyinn i , g degrees of survival. In addition a group of foot bones at the west end of the trench probably indicates 932 SOCIETY OF ANTIQUARIES OF SCOTLAND, 1996 firse Th ILLUt Lad S3 y Yester's Kirk, Surgeons Royae ' th Hal d l an lInfirmary , base plaa f 176n ndo o Williay 5b m Edgar, The Kirk is no longer extant. the existence of a further burial; a line of preserved wood to the south of these was interpreted as the foot-end of a coffin. Neither of these features were removed as they lay close to the section edge, and lefe werb t o eundisturbet subsequene th y db t building works. Discrete group f redepositeso d disarticulated human bone were found through the excavated deposits. Stratigraphy (illus5) The natural subsoil of a reddish-brown glacial till and an outcrop of sandstone bedrock were exposed in the southern part of Area A and the burials in this area were just cut into its upper surface. North of this the natural ground level sloped away toward Cowgate sth e buriale valleyth d thin si an ,s area wer t intecu o anthropogenic deposits. All the inhumations were found at approximately the same level below modern ground surface, c 1.50 m. Owin contractorse th o gt ' working method usuae th d l problesan f discerninmo g grave cuts wher file elth of the grave is of the same material as the deposits through which it is cut, the only observable stratigraphy was seen in section in the initial underpinning trenches but this was sufficient to demonstrate the sequence of activity buriale Th . s beneat wale 019& hth l1 ) footinwer00 K e g(S bot h within grave cuts, 0.6 deep5m t cu , through accumulated deposits of dark loams with oyster shell and rubble; these were visible as stratified deposits HENDERSON, COLLARD & JOHNSTON: 18TH-CENTURY MEDICAL PRACTICE IN EDINBURGH I 933 approximate line of frontage of Lady Yester's Kirk 10m e excavate t Th ILLU1a 3 ) Infirmar B S4 dd areaan yA s( Street 934 I SOCIETY OF ANTIQUARIES OF SCOTLAND, 1996 N coffin nails 1m ILLUS 5 13 Infirmary Street: section through deposits underlying wale th l footin norte th t hga sid f Areeo aA nort e o013L nth hgrave& e ) soutsidth e whil2 f 010th L e01 o ( s ho et L , the y were very mixe 018)L d( e th , result of repeated excavation and redeposition within the area of burials. These deposits and the graves were seale deposia y db f rubblo t mortad ean 003L ( rwhicn o ) existine hth g internal walbuildine 002F th ( l f o ) g s constructedwa . This raise wa sstonn do e s builfooting f rubblwa o t d an se with some area f hand-mado s e bricks. It was the dividing wall between the original entrance area and the main body of the 19th-century chapel prior to the construction of the extension on the front of the building (illus 4). thus i t sI demonstrable thaburiale th t s predat constructioe eth existine th f no g buildin 1821n gi . The illustration of Lady Yester's Kirk on Edgar's map of 1742 shows clearly that the church was set well back from the line of Infirmary Street, and the burials excavated in 1993 can be securely identifie beins da g fro kirkyare mth d which surrounde t (illudi . s3) The burials (illus 6) inhumationx si l Al s were supine, witwest e heae th h th conventionan o i d,t l Christian arrangement. They gener- ally respecte positione dth f otheso r graves werd an , e burie roughln di y parallel row5 s 02 Onl grave K yS th f eo cut throug beed hha n earlie 2 extensivel 02 026)K rS K inhumationS .& 2 y 02 disturbe K (S s d subsequeno t t interment.