A Short History of Quackery and Byways in Medicine

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A Short History of Quackery and Byways in Medicine A Short History of Quackery And Byways In Medicine JANET J. LIEBERMAN possible to buy medicine (Bettmann 1956). In addi- STANLEY J. LIEBERMAN tion, a prescription sent to a dozen different phar- macies would yield as many differents remedies, dif- fering in appearance odor, taste, and, we suppose, effectiveness. The bubonic plague, smallpox, and syphilis took their toll, but the quack survived. Downloaded from http://online.ucpress.edu/abt/article-pdf/37/1/39/32529/4445041.pdf by guest on 26 September 2021 Blood-Letting IT IS DIFFICULT TO DISTINGUISH between a From earliest times doctors theorized that life con- quack and a legitimate medical practitioner, if their sists of juices. The body was only the container in prescribed remedies work. Most people feel that a which the juices flowed. Four of these juices, or quack is one who engages in some aspect of the heal- humours, originated from the four elements of Em- ing art without proper qualifications; but he who has pedocles-earth, air, fire, and water. The organs were qualifications may also be a quack. merely preparers of the juices. In case of disharmony The difference appears to be based on the criteria in the body, excess juices had to be dispelled. Aside of place and time-and of intent. The "witch doctor" from the ordinary portals of release of these juices, oc- of long-ago Africa may really have believed he had curring in good health and illness, the physicians in- the power to cure. If he made serious attempts to vented another portal in the form of blood-letting. tend the injured and ill, he was considered a healer. Blood-letting was even practiced in the Stone Age. But if his intentions were fraudulent-if he knew Sharp flints, shells, fishbones, and wood splinters the magic incantations and potions worked only on were used to pierce a vein and permit excess blood to the patient's psyches, and if he used these mainly be released (Glasscheib 1963). Gardner (1965) notes for personal gain, power or money- he was a quack. that Celsus, first-century Roman medical encyclope- Although the exact origin of the term "quack" is dist, details blood-letting of that era. Glasscheib lost in antiquity, it may have come from the Dutch (1963) goes on to say that of all the ancient civiliza- word Kwaksalver, which refers to a salve for sebace- tions, China alone withstood the epidemic of blood-let- ous cysts (Jameson 1961) or a seller of such salves ting. The Chinese developed acupuncture instead. (Maple 1968). Quackery had its origins in our prehis- Philosophies on blood-letting varied through the toric past. By the time of the Roman Empire, quacks ages. Some phlebotomists (blood-letters), would existed in great numbers. They sold cosmetics, eye make a small opening in the vein in that area of the salves, and love philters. The quacks' remedies often body opposite the diseased side. Others preferred came from their Greek antecedents. bleeding the same side. The operation had to corres- pond to the proper phases of the moon. Thus, elaborate blood-letting calendars were designed Apothecaries of the Middle Ages (Maple 1968). Maple notes that in the Middle Ages monks were obliged by ecclesiastical law to undergo When the Greco-Roman civilization fell, there fol- regular blood-letting to regulate the decay of the lowed twelve or more centuries in which anything juices. Eventually, laymen, too, had to submit to that had been previously learned about the mainten- prophylactic phlebotomy. ance of health in the human body was completely forgotten. During these times anyone who practiced The authors (wife and the healing arts did so as well or as badly as his husband) live at 928 Monte rivals. Quacks had a field day in the Middle Ages Vista Dr., West Chester, when one epidemic after another swept through Pa. 19380. Janet J. Lieber- man is currently a doctoral Europe. candidate at Temple Uni- The apothecary dispensed remedies along with free versity, Philadelphia. For medical advice. During the plague, when many phy- biographical information, sicians fled, the apothecary became nearly the sole see ABT 35(6):315. Stanley Ef authority on health. The apothecaries charged exor- J. Lieberman is the senior member of Lieberman & Kelley, Attorneys at Law. He is also a lecturer in business law at bitant fees for their elixirs, potions, and philters. As Immaculata (Pa.) College and is on the board of trustees of a result, the average patient generaaly found it im- West Chester State College. 39 Leeching and Cupping Leech therapy, another method of blood-letting, is mentioned in Pliny's Historia Naturalis (circa 100 A.D.) Galen (a Greek physician and philosopher of the 2nd century) was concerned with what should be done if a leech was inadvertently swallowed (Lasagna 1962). Physicians and barber surgeons had long em- ployed the leech in popular medicine. However, in the late 18th and early 19th century, particularly -in France, leeching became the rage. French ponds were quickly emptied of these valuable worms and they had to be imported from other countries. Between 1827 and 1836, Paris hospitals alone used five to six million f+:S~'i leeches annually (Glasscheib 1963). Applied by the hundreds to a patient's abdomen, the leeches could Fig. 1. A lady of quality is bled. After the procedure the suck up to one ounce of blood apiece before dropping surgeon bandages the cut by her elbow. Engraving by off engorged. Because the leech injected an an- Abraham Basse, in Glasscheib (1963). (Reprinted with per- Downloaded from http://online.ucpress.edu/abt/article-pdf/37/1/39/32529/4445041.pdf by guest on 26 September 2021 ticoagulant into the wound, blood continued to flow mission from Rowohlt Verlag Gmbh, Reinbek bei Hamburg, even after the leech fell off. Germany, and MacDonald & Co., London.) The practice of cupping was an allied art. Into a cup was placed some cotton or paper which was then mother-of-pearl, and porcelain. According to Glas- ignited. The cup and burning contents were placed scheib (1963), Louis XIII was subjected to 47 immediately over the patient's skin. A vacuum was phlebotomies, 215 purgings, and 312 clysters all in a created as the fire extinguished itself, drawing the six-minth period. (One would assume that the royal underlying tissue into the cup. Blood too was pulled throne was largely unoccupied during that time.) It be- into the area. If the skin was left unpunctured a came the mode at the French court of Louis XIV to hematoma (tumor filled with blood) developed; this take anemata even three or four times a day. was dry cupping. Wet cupping required the skin to be Clyster mixtures ranged from holy water, used to ex- pierced before the cup was applied, resulting in blood- orcise devils from possessed nuns, to wine, extracts of letting. Hippocrates mentions cupping, and it ap- orange blossoms or roses, and tobacco smoke, which parently gained and waned in popularity up to the was said to have a purifying effect and to ease present. Lasagna (1962) says that the medical profes- stomach cramps and fainting fits. sion had by the 20th century given up the practice, yet Although it may appear that the blood-letting, he also mentions that in 1929 author George Orwell purgings, and clysters were part of the legitimate prac- was cupped for pneumonia in a French hospital. It tice of medicine at the time, some people realized how appears that "old wives" still use this remedy in many senseless and potentially damaging these measures parts of the world. were. Contemporary writers and poets mocked them. Moli'ere ridiculed them in his plays, but this also their use. One had to be copiously Purging, served to popularize bled and one's intestines thoroughly evacuated in all cases of joy and sorrow. The poisons had to be dispelled from the body, even if it cost the patient his life. In addition to blood-let- ting, there was also the practice of purging. If the poisons could not be expelled through the veins, they fmust be forced out through the intestines. Use of emetics and purgatives became common medical prac- tice, both in the curing of ills and for prophylactic purposes. Even this was not enough, however, and the use of the enema, or clyster, became the panacea. Ac- cording to Lasagna (1962) and Glasscheib (1963), the enema was applied by the Egyptians. Pliny suggested that the Ibis, a bird sacred to the Egyptians, used its curved beak, aided by its very long neck, to give itself a rectal infusion of Nile water. In the 15th century the clyster syringe once again became popular. There followed three-hundred years during which the clyster was enjoyed as one of the most popular remedies for all cases of physical dis- Fig. 2. A sick woman about to receive a clyster. Engraving comfort. Louis XI had enemata administered to his pet by Abraham Basse, in Glasschieb (1963). (Reprinted with dogs. Louis XIII collected clyster syringes that were permission from Rowohlt Verlag Gmbh, Reinbek bei Ham- works of art; some of silver, others of tortoise shell, burg, Germany, and MacDonald & Co., London.) 40 THE AMERICAN BIOLOGY TEACHER,JANUARY 1975 Animal Magnetism wand in hand, drifted from one patient to the next. With the odor of incense all about and to plaintive background The 16th-century physician Phillipus Aureolus music, the patients, holding hands, fell one by one to Theophrastus Bombastus von Hohenheim, who called the floor in ecstatic convulsions. Mesmer's himself Paracelsus (greater than Celsus), was con- treatment of psychosomatically ill patients resulted in sidered a quack by his peers.
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