  Already it will be evident that the practice of medicine in seventeenth-century England, and hence in the first American colonies, was not neatly confined to the licensed graduates of accredited medical schools. Quite the contrary. In fact, Henry VIII had complained that all kinds of ignorant people got into the act, including “Smiths, Weavers, and Women.” In the upper half of this woodcut from The Expert Doctor’s Dispensary, published in London in 1657, a learned physician is shown conducting a urinalysis. He simply holds the flask of liquid to the light for visual examination. Below, a customer presents what appears to be a written prescription to be filled by the apothecary. Two centuries of legal and parliamentary pulling and hauling, plus the consequence of some natural developments, left the situation in England somewhat stabilized—but not necessarily logical. The barbers, chartered as a guild in 1462 and authorized to practice surgery, included both barbers and surgeons in growing disharmony until they were formally divorced in 1745. The apothecaries—the word originally meant shopkeeper—joined the guild of grocers at one time but shortly broke away to form their own guild in 1617. Meantime, the physicians, organized in the College of Physicians, obtained the right to keep watch on the apothecaries. Physicians, who had to have as much as 14 years training and four degrees from Oxford or Cambridge, were naturally not abundant. Being learned men, they would not stoop to the indignity of such menial work as performing surgical operations or compounding medicines. The former was the province of the surgeon or barber-surgeon, the latter was the specialty of the apothecary. But the scarcity of physicians, especially in rural areas, left a medical gap that the apothecaries, trained through apprenticeship and many times more numerous, naturally moved to fill. In 1727 English law finally recognized and legalized the fact that for most people the apothecary-surgeon was the only available practitioner of medicine. In turn, the business of purveying drugs and compounding medicines passed from the apothecaries to the wholesale druggists and pharmaceutical chemists. As it was transferred to America the trade of apothecary—it was neither a craft nor a profession in any strict sense—was probably much like that of the rural apothecary-surgeon of seventeenth-century England. The apothecary still made his living primarily from the provision of drugs and medical preparations; but he also performed amputations, dressed wounds, and subjected his patients to the normal medical treatments of the day. |
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