Tag Archives: Dr. Richard Mead

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.