Throughout history, the idea of using fake cures to prevent and treat disease has thrived on the fears, vulnerabilities and a lack of scientific knowledge of the public. A quack doctor was historically a figure intending on deceiving their customers and patients, for profit, with no skill, knowledge or equipment of the medical world, but claimed their wares could cure and treat illnesses. The reasons why these fake and unreliable treatments thrived are not as clear-cut as it appears. For example, some individuals today may seek out these quacks after desperation from not gaining support from medical professionals, their religious beliefs or superstitions and curiosity for less clinical treatments for their conditions.
Amy Chandler explains.
The Quack Doctor, a 17th century painting by Jan Victors.
The Coronavirus (COVID-19) pandemic is no exception to the rise of quack cures, treatments and ways to prevent catching the virus. Despite our society's advancement in medicine, science and technology, the same human fear and vulnerabilities prevail, such as a desire to take control of the situation. Many quack theories emerged during the pandemic suggesting drinking hot water and lemon or smoking as effective prevention. This article explores the rise of quack doctors throughout British history, with a particular focus on eighteenth-century medicine, and its impact on public health.
The rise of fake doctors and medicines
During the eighteenth century, the prospects of surviving over the age of forty for many poor and working class individuals were low. Treatments and surgery were dangerous and painful, especially with no antiseptics and anaesthetics. The rise of the industrial revolution in Great Britain, 1750 to 1850, caused a large number of people to travel to major cities like London to find better employment and improve social status. However, the reality was depressing, poverty-stricken and disease-ridden. Diseases including cholera, typhus and smallpox made death a regular occurrence. Many women did not survive childbirth due to infection and unsanitary hospitals, and if the child did survive birth, it was estimated that one in five infants died before their second birthday.(1) The streets in London were filled with rubbish, rotting food, rats and fleas, contaminated drinking water and poor living conditions that contributed to high mortality rates. Medical knowledge during this time focused on Hippocrates’ theory of the Four Humours and was later expanded by Galen. This theory suggested that the human body had four elements connected to the seasons. The elements were blood, yellow bile, black bile and phlegm. A healthy lifestyle and body meant these elements were in balance, and unbalanced humours caused illness because the body had too much of one humour. Treatments for unbalanced humours included bloodletting. Furthermore, the access to medical treatments provided by doctors was expensive for the working classes, meaning many poorer individuals resorted to consulting barber-surgeons for treatments, such as pulling teeth, amputation and blood-letting through leeches. Due to these dangerous and unsuccessful treatments, many poorer members of society would seek other forms of treatment. The rise of self-treatment and traditional remedies from apothecaries created an opportunity for quack doctors to provide miracle, cure-all medicines.
The reaction throughout Europe towards quack doctors, 'quackery' as many referred to the practice, was mixed and resentful amongst professional medical doctors, who valued science rather than superstition. Many members of the general public were quick to be drawn into the allure of quack cures and lacked the knowledge to condemn them as fake. The Buckingham Express, 1892, reported riots in Russia by peasants who attacked Russian doctors who were medically trained and favoured the quack doctors instead. This report suggested the reaction of the peasants to show “clear widespread superstition in the country” that felt more comfortable with spiritualism rather than science. An example of a popular cure for fever was called “frogs and fright” and it was said that it was unknown if this method killed more than cure, but “it has its advantages, as it must do one or the other”.(2) This is an example of medicines and treatments not having scientific evidence but still having an impact by coincidence or a psychosomatic effect.
Furthermore, an account by Mr G A Brine, reported in the Charity Organisation Reporter, 1875, described his employment as an assistant to a quack doctor. Brine met the unnamed ‘doctor’ when sharing the same accommodation and asked if he was willing to "easily earn a couple of shillings".(3) Brine, being a “pauper in Sherborne workhouse”, accepted this offer gratefully, without much thought of what the work entailed. The next day Brine and the elusive ‘doctor’ visited the marketplace in the afternoon while the doctor was selling “virtues of his infallible medicines”, Brine played an important role in this performance to help sell the medicines. Brine was given money by the vendor to pretend to purchase “half-a-dozen boxes of the pills” and announced that he and others had “derived immense benefits from their use” and claimed he could never be without this medicine.
This account of what it was like to work with a fake doctor highlights that it's not just the customers who are fooled into buying fake medicine, but those who were involved in the practice. Accomplices are motivated by money and the disadvantages of their socioeconomic living and working conditions. Brine is an example of an individual who worked in a workhouse, was poor and had no means of gaining money or moving beyond his social status. The allure of this mystery quack doctor offered Brine a way to earn decent money and survive at the expense of the customers. While Brine takes no responsibility for his involvement in fooling the general public, he described his involvement as a “tool at the hands of others”.(4) This idea emphasises how the key to success for many ‘doctors’ was the way they manipulated the public and played on their fears, vulnerabilities, socioeconomic situation and lack of knowledge, as a performance that drew others into the lie.
Brine was employed in the business and earned a substantial wage from his role in selling at the marketplace and collecting the ingredients for the pills and medicines. These pills were ready-made and coated with finely ground sugar and flour, dried and placed in ready-made pillboxes. This concoction was marketed as ‘American Sugar Coated pills’ containing vegetables and did not contain mercury or other poisonous substances that medically trained doctors prescribed. In some ways, the fake medicine was less dangerous than some professionally prescribed pills, as it did not contain substances like mercury. The quack doctor was skilled enough to fool various villages across England but was a “greater fool” than Brine, as he “could not read a paragraph in a newspaper, and could scarcely write his own name”.(5) This observation by Brine praises how despite having no formal education, there was skill in seeing an opportunity to benefit them.
Successful quack doctors
Many quack doctors throughout history have been called out for their fake cures and lack of medical qualifications, while a few have successfully managed to fool royalty with their miracle cures. The performance of a quack gained advantageous alliances, such as the press, with many selling their concoctions on press property and sharing the profits.(6)
Other quack doctors used the press to advertise their miracle drugs, such as Chevalier Ruspini in 1826. Historians have discovered that Ruspini was trained as a surgeon but decided to branch off into dentistry in 1758, but dentistry was not seen as a respectable career. Ruspini created an image as a surgeon dentist specialising in treatments for illnesses relating to teeth and gums. Ruspini printed an advertisement in the Public Ledger and Daily Advertiser on 31 May 1826, which “begs to inform the Nobility, Gentry and the public that he [Ruspini] has appointed Mr Charles Butler […] agent for the sale of his medicines”.(7) This treatment was called “Dentifrice and Tincture for beautifying and preserving the teeth and gums, and fastening those teeth that are loose”.(8) The advertisement also continues by suggesting the authenticity of the product is only guaranteed by Ruspini’s name engraved onto the government stamp attached to each bottle. It is ironic that Ruspini was concerned about fake and counterfeit versions of his medicines, but implied that customers should be wary of buying fake goods. While Ruspini is regarded as completing medical qualifications, he blurs the truth with embellishments to disguise his dentistry with surgery.
In comparison, Doctor Joshua Ward, in 1733, built a reputation as a noble and miracle curer of all ailments and had a brief career in politics as an MP. Early in Ward’s career, he moved to work in Paris and developed his popular and successful Ward’s Pills and Ward’s Drops, which caused harmful side effects, such as violent sweating.(9) By 1733 he returned to England and created the successful and popular ‘Friar’s Balsams’. Due to Ward’s success, he became a recommended figure among high-ranking officials such as Lord Chief Justice Reynolds and General John Churchill. Ward’s credibility became secured when King George II sprained his thumb and called upon Ward for the “purpose of setting his majesty’s sprained thumb”.(10) It is uncertain whether Ward’s medicines were effective, but while he was attending to King George II, the King recovered, and this secured Ward’s reputation as a doctor and acquired wealthy patients. There are reports that Ward was awarded the thanks by the House of Commons and was given permission to drive his carriage through St James’s park. Endorsement from the King protected Ward from public criticism from the college of physicians.(11)
The Victoria and Albert Museum (V&A) in London displays a statue of Ward in their collection. This statue housed in the V&A was for Ward’s grave located at Westminster Abbey, and after his death in 1761, he was given an ostentatious funeral.(12) Ward’s legacy as a successful doctor overshadows the truth behind his fake cures with generally lethal side effects, but he is also noted for his philanthropic nature, such as building hospitals for the poor and generous financial donations.(13)
Parliamentary reaction
Parliament in Great Britain during the eighteenth century attempted to regulate and prevent toxic medicines from being sold to the general public by quack doctors and medically untrained merchants. As the selling and advertising of toxic, fake medicines became more frequent, Lord John Cavendish, Chancellor of the Exchequer, decided to pass the 1783 Medicine Stamp Duty tax to regulate the medicine trade by unqualified entrepreneurs and raise money.(14) This tax required all medicine sellers to purchase an annual licence, and a stamp to be attached to the packaging to show the duty had been paid. Specific groups were exempt from paying duty and licences, for example, respected professions, such as surgeons, military medical professionals and physicians. However, this tax targeted the individual that sold the medicine rather than the harmfulness of the product. This tax also did not produce as much revenue as predicted. In 1875, the tax was redefined and required every medicinal seller to pay tax on medicine, regardless of status and qualifications, and specific ingredients were taxed more than others.(15) This Act was a start toward regulating the work of quack doctors, but it would take many more centuries until the stricter regulation of medicine.
Conclusion
In conclusion, the rise of quack medicine claimed to cure all, prevent and treat disease, reached a peak in the eighteenth and early nineteenth century. Parliamentary action to regulate and manage the growing number of opportunists and entrepreneurs, who fooled the general public with their performance and allure of the exotic. The success of many quack doctors was the mystery, price and feeding on fears, vulnerabilities and lack of medical and scientific knowledge of the customer and patient. Furthermore, the accessibility of these fake medicines claiming to cure, prevent and treat all diseases was easy to access through marketplaces and shops instead of the path of a physician’s advice and prescription. The cost of a physician was not always accessible to the working and poorer classes, but the opportunity for self-treatment with miracle cures held a lot of appeal. In society today, the regulation of medicine and who can prescribe these are much stricter and ensures the health and safety of the patient. However, there are always opportunities for fake and ineffective products to surface and requires the consumer to be aware of what they buy.
What do you think of quack doctors? Let us know below.
Now read Amy’s article on the Great Stench in 19th century London here.
References
1 M. White, ‘Health, Hygiene and the rise of ‘Mother Gin’ in the 18th Century’, 2009, British Library < https://www.bl.uk/georgian-britain/articles/health-hygiene-and-the-rise-of-mother-gin-in-the-18th-century >[accessed 1 October 2022].
2 Buckingham Express, ‘Quack Cures’, Buckingham Express (20 August 1892).
3 G. A. Brine, ‘ Confessions Of A Quack Doctor’, The British Medical Journal, vol. 2 (1875),pp.111-112.
4 Ibid.,p. 112.
5 Ibid.,p. 112.
6 A. Teal, ‘The art of medicine - Quacks and hacks: Georgian medicine and the power of advertising’, The Lancet, vol. 383 (2014),p.404.
7 ‘Chevalier Ruspini’s Medicines’, 31 May 1826, Public Ledger and Daily Advertiser.
8 Ibid.
9 Science Museum Group, ‘Joshua Ward 1684 – 1761’, 2022, Science Museum Group < https://collection.sciencemuseumgroup.org.uk/people/cp119760/joshua-ward >[accessed on 23 September 2022].
10 W. Sydney, England and the English in the eighteenth century (London, Ward & Downey, 1891), p,309.
11 Ibid.
12 Westminster Abbey, ‘Joshua Ward’, Westminster Abbey, 2022 < https://www.westminster-abbey.org/abbey-commemorations/commemorations/joshua-ward >[accessed on 23 September 2022].
13 Science Museum Group., op.cit.
14 C. Stebbings, ‘Chapter 8: Tax and Quacks: The policy of the Eighteenth Century Medicine Stamp Duty’ in: Tiley J, ed., Studies in the History of Tax Law, vol. 6 (Oxford, Hart Publishing, 2013) < https://www.ncbi.nlm.nih.gov/books/NBK293691/ >.
15 Ibid.
Bibliography
‘Chevalier Ruspini’s Medicines’, 31 May 1826, Public Ledger and Daily Advertiser.
Brine, G. A. ‘ Confessions Of A Quack Doctor’, The British Medical Journal, vol. 2,no.760, July., 1875, pp. 111-112.
Buckingham Express, ‘Quack Cures’, Buckingham Express (20 August 1892).
Science Museum Group, ‘Joshua Ward 1684 – 1761’, 2022, Science Museum Group < https://collection.sciencemuseumgroup.org.uk/people/cp119760/joshua-ward >.
Stebbings, C. ‘Chapter 8: Tax and Quacks: The policy of the Eighteenth Century Medicine Stamp Duty’ in: Tiley J, ed., Studies in the History of Tax Law, vol. 6 (Oxford, Hart Publishing, 2013) < https://www.ncbi.nlm.nih.gov/books/NBK293691/ >.
Sydney, W. England and the English in the eighteenth century (London, Ward & Downey, 1891).
Teal, A, ‘The art of medicine - Quacks and hacks: Georgian medicine and the power of advertising’, The Lancet, vol. 383, Feb., 2014,pp. 404-405.
Westminster Abbey, ‘Joshua Ward’, Westminster Abbey, 2022 < https://www.westminster-abbey.org/abbey-commemorations/commemorations/joshua-ward >.
White, M. ‘Health, Hygiene and the rise of ‘Mother Gin’ in the 18th Century’, 2009, British Library < https://www.bl.uk/georgian-britain/articles/health-hygiene-and-the-rise-of-mother-gin-in-the-18th-century >.
