Category Archives: Posts

Tobacco Smoke Enemas in Eighteenth-Century Domestic Medicine

By Katherine Allen

Over the holiday I was working on a transcription of an eighteenth-century recipe book and came across an initially humorous recipe for treating ‘the winde & Collick’ (Wellcome, WMS 3500) which goes as follows:

And so is tobacco given in A pipe [when] it is well Lighted the small end to be oyled and put up into ye fundament and some body put the great end into their Mouth and blow the smoake up into the body this never fails to give ease to the winde collick you may put A small Glister pipe into the body and put the small end of the pipe Tobacco in the End of ye Glister pipe this way will Convey the Smoak into ye body very well. (fol. 87r.)

This surprising description of getting a companion’s assistance in administering the remedy has inspired me to write this post on the history of the familiar phrase ‘to blow smoke up one’s arse [ass]’ and the possible use of tobacco glisters in eighteenth-century domestic medicine.

Tobacco Plant. Image Credit: http://www.spamula.net/blog/i41/non3.jpg

Tobacco (Nicotiana tabacum) is a type of herb in the night shade family Solanaceae. It was smoked by indigenous peoples in the Americas as far back as 1000BC, but gained popularity in Europe and in global markets through trade in the sixteenth century. By the eighteenth century, tobacco was a popular luxury good in England and was increasingly consumed more for pleasure than medicinal treatment.

But how was tobacco used as medicine in the early modern era? Discussing the humoral and astrological qualities of tobacco, Nicholas Culpeper stated in an eighteenth-century version of his herbal that it was a hot and dry herb under the dominion of Mars. Tobacco was useful as an infusion for vomits, rheumatic pain, and piles. As a distilled oil, it was used for aching teeth however, ‘the distilled oil is of a poisonous nature; a drop of it taken inwardly will destroy a cat’. Culpeper also praised tobacco as an expectorant, a digestive aid, and a pesticide for vermin and for preventing plague.[1]

Those who are familiar with recipe collections will have surely come across at least one recipe using tobacco, and the most common recipe seems to have been a tobacco ointment. The Tyrrell Family collection has one such recipe which called for bruised tobacco leaved infused in red wine and then boiled in hog grease along with tobacco juice and beeswax.[2] Tobacco has astringent qualities and acts as a coagulant, and would have been an effective ingredient in salves for treating wounds. Another recipe stated that the tobacco salve ‘is an excellent Mundifier [cleanser] and healer of old sores, and Ulcers, if the sores be first washed with a little good brandy, which ought to be done, till the sores look fresh, which it will do in 3 or 4 dayes if this course be taken.’[3]

Wellcome, WMS 7822, fol. 11r. Image Credit: Wellcome Library

But, when and how did tobacco smoke enemas come into use and how did this treatment come to be in a household book of remedies? The phrase ‘to blow smoke up one’s arse’ means to get a rise or reaction out of someone, sometimes by giving them insincere compliments for attention. This phrase originates from the practice of using smoke enemas to resuscitate near-drowned victims via stimulation and it was first practiced by indigenous groups in North America.[4]

During the eighteenth century, tobacco smoke enemas were used by humane societies across Europe, including the Royal Humane Society in London, to resuscitate victims.[5] Culpeper included the tobacco enema under treatment advice for the inflammation of the intestines induced by colic or hernia and suggested that it ‘is of singular efficacy in obstinate stoppages of the bowels, for destroying those small worms called ascarids [roundworms], and for the recovery of persons apparently drowned.’[6] Physician Richard Mead was a proponent of the tobacco glister, using it to treat iatrogenic drowning caused by immersion therapy for hydrophobia and mania, and later Thomas Sydenham wrote a treatise on its use in bowel obstructions.[7] The use of this treatment declined in the early nineteenth century when it was affirmed that the nicotine found in tobacco can stop blood circulation if there is too much in the body, as in the case of an enema.[8] By the mid-nineteenth century the enemas were not used by the medical faculty.

Tobacco Pipe Enema circa 1773. Image Credit: http://en.wikipedia.org/wiki/File:Tobacco_smoke_enema.png

There is no author associated with the tobacco glister recipe found in MS 3500, but it is likely that this information was communicated to the compiler by a physician. This particular collection is dated 1688-1727 and was owned by a Mrs. Meade (and others), but it does not appear that she was related to Dr. Richard Mead. Several of the recipes are however directly attributed to Dr. Richard Lower for treating the young Nathaniel Meade, one of which is a purge dated the 1st of December, 1688.  There is also one recipe attributed to Dr. Needham on the page before the tobacco glister recipe.

Considering that tobacco enemas were only in vogue from the mid-eighteenth century to the early nineteenth century, it is unusual to find this medical advice in a domestic collection, let alone one dated from the early eighteenth century. As it is improbable that an eighteenth-century household would have had its own tobacco pipe for administering a glister for bowel complaints, I suspect that this recipe is an example of a physician’s remedies being copied into a domestic collection. More importantly, this is an example of how recipe books were continually evolving and being updated alongside innovations in the medical faculty. What started as a chuckle over an amusing recipe has led me to explore the history of this peculiar remedy from its use by the medical faculty to its indigenous origins; giving a whole new meaning for me to the phrase ‘blow smoke up one’s ass’.

 


[1] Nicholas Culpeper, Culpeper’s Family Physician; or Medical Herbal Enlarged. Vol. 2 (London, 1782). p. 134.

[2] Wellcome, WMS 7822. Anon [Tyrrell], ‘Collection of Medical and Cookery Receipts, 17thC-18thC’, fol. 11r.

[3] Wellcome, WMS 1796. Anon, ‘Collection of Cookery and Medical Receipts, c. 1685-c.1725’, fol. 64r.

[4] Raymond Hurt et al., The History of Cardiothoracic Surgery from Early Times (London: Parthenon, 1996). p. 120.

[5] Lawrence Ghislaine, ‘Tools of the Trade, Tobacco Smoke Enemas’ The Lancet vol. 359 issue. 9315 (April 2002): 1442.

[6] Culpeper, p. 281.

[7] Thomas Sydenham, ‘Schedula Monitoria, or an Essay on the Rise of a New Fever’ in Benjamin Rush, The works of Thomas Sydenham, M.D., on acute and chronic diseases: with their histories and modes of cure (Philadelphia: B & T Kite, 1809). p. 383.

[8] Ghislaine, 1442.

Medicinal Compounds, Efficacious in Every Case

By Lisa Smith

Perhaps the most famous cure-all of all time is Lydia E. Pinkham’s Vegetable Compound, immortalized in song as “Lily the Pink” (or “The Ballad of Lydia Pinkham”).* Although the original vegetable compound aimed to treat women’s ailments, the song suggests—tongue in cheek–that it might have much wider, rather miraculous applications. The boy with sticky out ears learns how to fly; the man who thought himself Julius Caesar becomes emperor of Rome.

Ridiculous. How, after all, could one drug cure so many ailments? In the modern world, cure-alls just don’t make sense.

But they did at one time. In early modern Europe, cure-all medicines were as likely to be sold by elite physicians as by “quacks” and were often made domestically. These treatments made sense. In a humoral body, with its properties of cold, hot, wet and dry, many seemingly different problems might have the same underlying cause.

Bridget Hyde’s book, late seventeenth century. Wellcome Library, MS 2990, f. 52v. Image Credit: Wellcome Library.

“Dr Stevens’ Water” was a common remedy in English remedy collections kept by well-to-do families. Authors sometimes provided lists of a treatment’s “virtues”, which usefully explain the underlying rationale. Bridget Hyde, for example, described Dr. Stevens’ Water as good for the vital spirits, inward colds, palsy, dropsy, gout, bladder stones, weak sinews, barrenness, worms, tooth-ache, stomach, and “rayns of ye back”. (Reins of the back refers to a urinary or genital discharge.)

An even more impressive and random list than Lydia Pinkham’s Vegetable Compound! What all of these illnesses had in common, however, was that they were caused by cold and wet humours. Looking up each ingredient in herbals and pharmacopoeias reveals that herbs like nutmegs, cloves, mace, aniseeds, lavender and rosemary (for example) had warming and drying properties.  Rosemary was ruled by the Sun and Aries; given its warming and comforting properties, it was commonly prescribed for any problems caused by cold humours. Mace, ruled by Venus, was chiefly used for treating problems of the womb.

Sometimes the connections are surprising. “Pertes de sang” (or blood loss) in French collections could refer to general losses of blood, excessive menstruation or uterine bleeding, miscarriage – or diarrhoea.  For example, one remedy for fluxes of blood in Mme Lievain’s book (Wellcome Library MS 3258, f. 132) also specified its use in diarrhoea. The main herb, cinquefoil, was commonly used for stomach problems as well as fluxes of all kinds, with a cooling property to sweeten the blood.

Most cure-alls did not try to treat everything, but had a clear rationale and focused on a group of closely-related ailments.

That said, not all cure-alls were created equal — and there were some weird ones out there. Lionel Lockyear, for example, claimed that his pills had the extract of the sun in them. Even better than Lily the Pink, then…

Broadsheet advertising L.Lockyer’s patent medicine. Image Credit: Wellcome Library.

*A rather entertaining song, though it needs an ear worm alert.

This has been cross-posted at the Cliopatra award-winning Wonders & Marvels, a fun group blog that focuses on odd stories and interesting historical tidbits. 

More on multi-purpose remedies can be found in my article, “Imagining Women’s Fertility before Technology”, Journal of Medical Humanities, 31, 1 (2010): 69-79.

The Recipe Collection of the Last Medici Princess

By Ashley Buchanan

Two summers ago in the state archive of Florence I discovered, filed under the heading of “miscellaneous Medici,” a simple sleeve which held a collection of over 200 recipes that belonged to the last Medici Princess, Anna Maria Luisa de’ Medici (1667-1743). Born in 1667 in Florence, Anna Maria Luisa was the only daughter and second child of Cosimo III de Medici, Grand Duke of Tuscany, and Marguerite Louise d’Orléans. In 1691, she was married to Johann Wilhelm II von der Pfalz (1658-1716), Elector Palatine. She lived in Düsseldorf, her husband’s capital, until his death in 1716. A year later Anna Maria Luisa returned to her native Florence. During her twenty-six year absence neither of her brothers, Ferdinando or Gian Gastone, produced a Medici heir. With the death of her father and both of her brothers, Anna Maria Luisa became the last Medici.

Antonio Franchi [Public domain], via Wikimedia Commons
Electress Anna Maria Luisa de’ Medici by Antonio Franchi [Public domain], via Wikimedia Commons
Anna Maria Luisa’s collection of recipes covered topics as diverse as rare paint colors, desserts, fever waters, concoctions to control epilepsy and lung inflammation, and even forms of lapidary medicine. One rather strange recipe to control infant convulsions or a periodic fever (terzana) detailed how to make a powder from the precipitation of a pulverized skull of a man who died violently but was never buried, oriental pearls, red and white coral, yellow amber, and peony roots and seeds. Another simply prescribed female rhino blood for strokes and general blood flow, and yet another recipe recommended the vaginal insertion of St. Ignatius beans to “lower the monster of women.”[1]

Intrigued at what I had uncovered, I read on. I found that many of the recipes were straightforward directions for combining listed ingredients, like the infant convulsion powder, while others incorporated more complex alchemical techniques such as steeping, pulverizing, fermentation, and distillation. One of the recipes for fever water (acqua da febbre) called for the creation of a poisonous plant tincture and distillation of sulfur. The recipe then instructed to mix one ounce of each with Capraggine water (made from a European shrub) and leave it sealed to ferment in the sun for two days.

Pieces of folded paper and letters of correspondence grouped many of the recipes within the collection, making a few distinct categories apparent—techniques to create rare or secret paint colors and dye marble, the whitening of silks and lace, culinary recipes, and medicinal recipes and therapeutics. The sequential and identical page numbers penciled in at the top of every page indicated that these categories were the product of later archivists.

In addition to recipes for fever water, perfumes, and ointments, directions for applying balsams, and therapeutics for epilepsy and pleurisy (lung pain or inflammation), Anna Maria Luisa’s collection also included a lengthy and detailed Portuguese inventory of raw medicinal materials. This inventory not only listed materia medica, like roots and seeds from the Kingdom of Manica, beans from Manila, and “bread” from Timor, it also detailed the uses and virtues of each. Two pages, one written in Portuguese the other in Italian, were dedicated to the uses and virtues of Pietre Cordiali, or Goa Stones. The unknown author of the inventory explained that these stones, created by the lay Jesuit Gaspar Antonio, were the best heart medicines he had ever found, but could also be used to combat fevers, animal venom, poisons, and even kidney stones.

(Metmuseum.org), via Wikimedia Commons
Late 17th Century/Early 18th Century Goa Stone and container, Metropolitan Museum of Art (Metmuseum.org), via Wikimedia Commons

After reading through her collection, it was clear that Anna Maria Luisa collected recipes from her family’s ducal pharmacy (some of the recipes credit the Medici fonderia or are stamped with the Medici crest), received and exchanged recipes via courtly epistolary networks, and gathered exotic raw medicinal materials through Italian and Portuguese trade networks and Jesuit missionaries. As I read through the inventories of raw materials, it became apparent that Anna Maria Luisa’s collection was not only the product of European courtly customs, but was also connected to exploration, colonial expansion, and global exchanges through trade and missionary commerce, all of which facilitated the movement of people, things, and knowledge. 

Anna Maria Luisa’s recipes have become the foundation of my dissertation, which I have just begun researching. I look forward to sharing my findings as I search for what motivated Anna Maria Luisa to collect recipes, who (if anyone) she exchanged recipes with, and how she learned of the exotic raw materials she collected. On a larger scale, I hope this project offers the opportunity to study how people or groups outside institutional medicine contributed to the creation, dissemination, and legitimization of emerging scientific and medicinal knowledge. In this case, how did a Medici princess, courtly scientific patronage, Italian and Portuguese traders, Jesuit missionaries, and indigenous populations contributed to the discourse of early modern medicine through recipes?


[1] The rhino blood, presumably from Africa–“Dos Sangue d Abbada, Serve este sangue para cursos, e fluxos de sangue.” And the St. Ignatius beans from the Philippines–“Para fave (fazer) abaixar o menstro das molheres”

 

The Origins of Haggis: A Burns Day Post

Chris Hilton

Recent historical work casts doubt on the provenance of Scotland’s national dish, as reported on the BBC website on Monday 3rd August 2009. Historian Catherine Brown has located a reference to haggis in Gervase Markham’s 1615 work The English Hus-Wife, which predates Burns’ celebration of the dish by more than a century and a half (and is, of course, held in the Wellcome Library).

The hunt is on, then, for more seventeenth-century references to haggis, to prove or disprove its Scots origins. The Wellcome Library’s launch of a digitisation programme makes available the contents of seventy recipe books from this period, indexed down to individual recipes and available for remote study via the internet. Already one haggis recipe is visible to the public, in an early seventeenth-century volume held as MS.635. In a faded but perfectly legible hand, the author instructs one in the art of making a haggis:

Take a calves chaldron [entrails] and parboyle it; when it is cold mince it fine with a pound of beefe suet & penny loafe grated, some Rosemary, tyme, Winter Savory & Penny royall of all a small handful, a little cloves, mace, nutmeg, & Cinamon, a quarter of a pound of currants, a little suger, a little salt, a little Rosewater all these mixt together well with 6 yolkes of Eggs boyle it in a sheepes paunch and so boyle it.

Does this help to settle the argument? Not quite: the snag is that we do not know who wrote MS.635 or where. This sounds like sitting on the fence, or maybe on Hadrian’s Wall: but all we can do is invite readers in to the Library or onto our website, to view the manuscript, try to work out its origins, and join in the argument.

This post was originally published on the wonderful Wellcome Library blog in 2009. Thank you to Chris Hilton who has very kindly allowed us to edit (slightly) and post this for Robert Burns Day!