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A Respectable Occupation: - University of Hertfordshire Research ...

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In its early days medicine was practised by a large variety <strong>of</strong> people:<br />

herbalists, clergymen, housewives, bonesetters, cuppers, leech appliers,<br />

quacks, chemists and druggists, surgeons, apothecaries and physicians were<br />

all involved. 8 Fissell concurs with this view expressed by Burnby, Robb-<br />

Smith and Wyman, but makes the further point that the lay people in this<br />

group were applying the same principles and using the same cures as the<br />

physicians and apothecaries. 9 Some <strong>of</strong> the medicines used were efficacious,<br />

such as quinine used in malaria, opium for pain relief, colchicum in cases <strong>of</strong><br />

gout and amyl nitrate in angina. But there were a great number <strong>of</strong> others<br />

in frequent use that were ineffective. 10 Out <strong>of</strong> this disparate group <strong>of</strong><br />

healers, it was the physicians, surgeons, apothecaries and chemists and<br />

druggists that became recognised by law and survived, but <strong>of</strong> these it was<br />

the physicians who were the senior branch throughout.<br />

Although the physicians‘ existence can be traced to Ancient Greece,<br />

they were first formally recognised in England, in a charter given by Henry<br />

VIII in 1518. 11 There were a number <strong>of</strong> ways <strong>of</strong> becoming a physician; one<br />

could enter either Oxford or Cambridge and first take a degree in classics<br />

lasting seven years, followed by a medical qualification <strong>of</strong> six years<br />

duration. 12 However, by 1565, Cambridge had abandoned this requirement<br />

8<br />

Burnby, A Study <strong>of</strong> the English Apothecary from 1660-1760, p. 83; Robb-Smith, „Medical Education at<br />

Oxford and Cambridge Prior to 1850‟, in Poynter, (ed.) The Evolution <strong>of</strong> Medical Education in Britain, p.<br />

37; A. Wyman, „The Surgeoness: The Female Practitioner <strong>of</strong> Surgery 1400-1800‟, Medical History, 28,<br />

(1984) 23; Pelling, Common Lot, p. 241.<br />

9<br />

Fissell, Patients, Power and the Poor in Eighteenth Century Bristol, p. 16.<br />

10<br />

R. Porter, Blood and Guts: a short history <strong>of</strong> medicine (London, 2003), p. 39.<br />

11<br />

R. Mann, „From Mithridatium to modern medicine: the management <strong>of</strong> drug safety‟, Journal <strong>of</strong> the<br />

Royal Society <strong>of</strong> Medicine, 81, (1988) 725.<br />

12<br />

Robb-Smith, „Medical Education at Oxford and Cambridge Prior to 1850‟, in Poynter, (ed.) The<br />

Evolution <strong>of</strong> Medical Education in Britain, p. 21; A. Carr-Saunders and P. Wilson, The Pr<strong>of</strong>essions<br />

(London, 1964), p. 66.<br />

11

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