Dr Alun Withey

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“The infamous Dr Foulkes”: The ‘black villain’ of 18th-century physick

National Library of Wales Ty Coch 22 Add. MS 836d (also known as ‘Piser Sioned’) is, like so many other early modern ‘miscellanies’ an absolute treasure trove of information. Attributed to various authors over a period of several decades, it contains everything from family records to poems, and quotes from Tyco Brahe.

In the first few pages are records of ‘unfortunate days of the year’, alongside remedies for sore tendons and records of books that the anonymous author had lent to Arthur Jones. One of my particular remedies in the book is this one:

An approved imparabl’d medicine to eat anie overgrown film over an eye

R;/ The green part of a goose dung fresh (or at least very juicy) it will not be fitt after 16 or 24 hours, drop the juice thereof into the Eye with the dew that falls on the first, second or third day of june, wch you must provide or procure in that season. The first does the effect, the second clears the Eye, it does nt smart at all, and nothing has been found better as yet”

Needless to say that putting fresh, “green” goose dung into your eyes is probably best consigned to the book of history. Let’s just take it as read that people at the time believed it would do them good, and leave it at that!

Elsewhere in the document, however, is a record that is starkly at odds with the more generic and haphazard notes that make up the majority. It is unsigned, making it difficult to verify the allegations being made, but appears to relate to someone who has first-hand knowledge of the events being described. First taking the form of a vernacular poem, the verse is dated 1716 and headed:

“To the infamous Dr Foulks, Dr of Physick and Rector of Llanbedr in Denbighshire”.

It is worth quoting the first two verses to get a flavour of the allegations.

Thou Holy letcher thou religious cheat

How shall I halfe thy horrid guilt repeat

Now but my colours strong enough to paint

The blackest villain in a seeming saint

Doe lay thee open to a publick vicar

For greater crimes than ever Judas knew

Thou art, what shall I say, thou art alone

Whose sins epitome, all sins in one

And yet

Thou art too vile to live too bad to die

Nor canst thou from deserved vengeance fly…

 

by philtrers force and sympathetick charms

Oh! Black physician to the fernal Tribe

Who canst for soul and body to prescribe

But such designs thy medicine impart

That both are ruined by the cursed art

 

“Quick, Strait, begone from Wallia, Fruitful Isle

To some far distant unpregnated soile”

 

Strong stuff. “The blackest villain in a seeming saint”, “Black physician to the [in]fernal tribe”. Clearly he was a notorious figure in Llanbedr. But who was this “Dr Foulks…and what had he done?

The Reverend Robert Foulkes of Llanfrothen, Merionethshire, was indeed an M.D. who had graduated from Oxford in 1725. This Dr Foulkes was a correspondent of some of the most eminent physicians of his day and, in 1718, had set up his own physic garden at Cambridge. He wrote to Welsh luminaries such as Edward Lhuyd (then at the Bodleian) on the subject of botany, and was considered to be an authority in his field. Reportedly of delicate health he died young. All in all, this does not sound like the sort of man to inspire the vitriol of the ‘Piser Sioned’ author.

By incredible coincidence, however, there was another Robert Foulkes, also a vicar and physician, at roughly the same time, and it is this man who is the more likely candidate. The Reverend Robert Foulkes of Llanbedr Dyffryn Clwyd, Gwynedd, indeed seems to be the subject of the poem but he is a shadowy figure. Little can be found about either him or his medical practice so we have only the poem to shed light. What had he done to elicit such contempt? Luckily for us the poet left a few lines of narrative to fill in the blanks. At the very end of the poem, written in the margin, is the following note:

“The subject is now too well known but futurity may drown it in oblivion, unless it be commemorated in writeing as thus,

The s(ai)d doctor was guardian to the young ladies of Llanerch in Flintshire with(?) the Davises. He debauched one at 13 years of age and gave her physick to prevent conception. He lay with her 15 or 20 years, at last she refuted physick and conceived, she was delivered privately, he disowned the childe, but s(ai)d he had to do with her mother and did not know(?) but the child might be his grandchild – a black villain”

 

So Dr Foulkes’ sins were laid bare. It is unclear whether this poem was ever published but it would fit the sort of libel that could be distributed around a local area or pinned up in prominent places. Since the “subject [was] now too well known” it seems that Foulkes already had a soured reputation. That he was a vicar, entrusted with the moral and spiritual health of his parishioners, would have been difficult for them to accept. That the sins occurred with young women with whom he had been entrusted with their care would surely have been worse. Even when faced with the allegations and the presence of an illegitimate child Foulkes seemingly refused to take responsibility.

I’m still on the hunt for information about this ‘black villain’ and it would be interesting to find out more about him. Vicars who practised medicine were not uncommon, but those who inspired such venom as did Dr Foulkes certainly are. Sadly, it seems that figures of authority or fame who used their positions to exploit or abuse others are not just a modern phenomenon.

The English Priest’s Powder: A 17th-century quack doctor’s advertisement

The marketing strategies of 17th and 18th-century quack doctors are now familiar territory. As Roy Porter’s outstanding book Quacks did so well to bring alive, early modern Britain was a vibrant medical market, a panoply of colourful characters and dubious remedies. They were, to use Porter’s phrase, “a ragtag and bobtail army of quacks”.

Taking advantage of the newly-available cheap print, quack doctors produced reams of advertisements to peddle their wares. Ranging from brief, straight to the point details to more sophisticated means of selling, quack doctors were often skilled wordsmiths; in many ways they needed to do something to stand out from the crowd. With so many different medicines and vendors jockeying for position, they needed to be innovative. This might include elaborate descriptions of the virtues of their medicine. They often included testimonials from those who, they claimed, recovered through the use of their pill or potion. They might use imagery to embellish their advertisements. Occasionally, though, some particularly innovative strategies can be found. One of my favourite is the clever tool of selling without appearing to sell. One of the ways this was done was by disguising the advertisement in the form of a book. A case in point is the engagingly titled Riddles mervels and rarities: or, A new way of health, from an old man’s experience, published in 1698 by Thomas Mace.

Title page from 'Riddles and Mervels' - availble on EEBO (copyright)

Title page from ‘Riddles and Mervels’ – availble on EEBO (copyright)

At first glance this appears to be a typical ‘self-help’ book, a genre popular in the period. In his opening preamble, Mace sets out his philosophy that age and experience are better than any university-trained, licensed physician. Anticipating howls of derision from the faculty, Mace acknowledged that “I am no physician either by education, graduation, licence or practice’. And yet, he argued, a man like himself of 80 years knew his own body better than any young man of 20 or 30 who had merely spent 5 years reading books in a university. Compelling stuff!

The first hint that all might not be as it first seems occurs early on with the inclusion of the following:

“TO Prevent all Frauds, know, That This Rare Power, known by the Name of the English PRIEST’S-POWDER, is to be had No where but at These few Places Following, viz. By the Author (Tho|mas Mace) at his House in St. Peter’s Parish in Cam|bridge, near the Castle; And at Mr. Daniel Peachcy’s in St. Buttolphs Parish there: And in London, by Mr. Adam Mason at his House in Old Bedlam near Bishops|gate; And by Mr. William Pearson, Printer, at the third Door in Hare Court in Aldersgate-street near the Meet|ing House; And by Mr. John Vaughan, Milliner, at his House in Grivil-street near Hatton Garden; and by Mr. Will. Benson in the Old Baily”

Indeed, advertisements in ‘proper’ books were not unusual, but the alert reader will no doubt note the name of the creator and seller of the powder…one Thomas Mace – the man who claims to be no physician. Disguised within an ‘explication of the title page’, the sell goes on…

Universall-Physical-Me|dicine, for all sorts of Constitutions, and all sorts of Maladies, Sicknesses, and Diseases, is a Chymical Prepar’d Powder which for some late years past I have Publish’d in the Name of the English PRIE                         T’S POWDER, and which it self is never to be Taken, either Inwardly (as Physick) nor Ap|plyed Outwardly to any Wound, Sore Scab, Bruise, Swelling, Pains, Aches, Head-Ach Rheumetick-Sore-Eyes, &c. All which, and many more, tis most Ad|mirably good for.) I say, it is never (it self) to be us’d or Apply’d (as Me|dicine) But (only) a lycture, which It sends forth, into some Certain Li|quors; into which it is to be Infus’d, for some certain Hours: And Those Li|quors, (Retaining its Virtue) are only to be us’d; And (as Physick) are to be taken, into the Body, in the way of Potion; [...]ther for Vomit, Purge, Glister, or Sweat; But in the way of Chirurgery, are only Outwardly Applyed, by Washings or Bathings &c.

As the book progresses, it seems to revert to the ‘every man his own physician’ style. Mace assured the reader that his intentions were honourable and that he only wished to “Accommodate the Meaner sort of Men; but more especially the Poorest of all, who stand most in Need of Help and Comfort in their Sicknesses, seeing no Great and Skillfull-Physicians, will so much as look after Them, or scarce think of their Miseries; so that many Thousands live in Misery; Languish and Dye, for want of That which every ordinary House keeper might Easily Purchase, and not only have the Benefit of it for himself and his whole Family, during his Life, in all common Sicknesses, and Disea|ses, but might also be assisting to all his Poor Sick Neighbours round Him”

There follows a discourse on the Philosopher’s stone, including several pages of what can only be described as vernacular poetry. A short stanza should suffice:

MUch Talk has been of The Philosophers-Stone,
From Ages past; That by its livge alone,
‘Twould turn Inferiour Metals into Gold.
A Glorious Worder sure, if True; but Hold!
Where is’t? Who has’t? we no such Thing can see;
‘Tis surely Folded up in Mystery

There is even a page of music to allow the reader to literally sing the praises of the remedy!

EEBO (Copyright)

EEBO (Copyright)

But the next sections of the book, although clothed in a discussion of the miraculous effects of the philosopher’s stone, are in fact a shining example of pure quack rhetoric. On first glance it seems that Mace is merely reporting the effects of the ‘philosopher’s stone’ on a range of conditions. But, looking more closely, his ‘priest’s powder’ has been cunningly woven into the narrative. A clue comes in the title to his first section – “The admired use of this powder (or stone)”…which one is more prominent?!

The real clincher comes in the “Eight eminent stories” of the power of the “powder (and stone)”.  Ranging from the dying man who could not sit upright but recovered almost as soon as he had taken the powder, to the cured leper, to the woman suffering from yellow jaundice, whose “foul, corrupt stomach” was poisoning her food, all were miraculously brought to recovery not only by the mysterious priest’s powder but by the personal intervention of the ubiquitous Thomas Mace…who, as he was no physician but knew his own body, clearly just happened to be passing!

This was selling by not selling. The reader, perhaps expecting a list of cures and remedies for all ailments, and lulled by the promise of being able to cure themselves of all maladies without the need for physicians, surgeons or apothecaries, was instead subject to stealth marketing. Mace provided everything about his powder, including where to buy it and how to use it, but disguised it in a discussion of the ‘Philosopher’s stone’ to try and locate his ‘Riddles and Mervels’ as a scientific discourse. Clearly this was an advertisement, but it shows the innovation of medical retailers, and the lengths to which they went to sell their goods. Little is known about Mace. By his own admission he was an old man, but was he someone with a genuine concern for his fellow man, or just another medical entrepreneur, out to make a fast buck. You decide.

A Welsh doctor, Sir Hans Sloane, and the disappearing catheter!

**WARNING: CONTAINS SOME GRAPHIC DESCRIPTION OF A PARTICULARLY UNCOMFORTABLE SURGICAL TECHNIQUE**

In 1720, Dr Alban Thomas was something of a high-flyer. The son of a Pembrokeshire cleric and poet, Alban first matriculated from Oxford in 1708, became librarian of the Ashmolean museum, assistant secretary of the Royal Society and, if that wasn’t enough, obtained his doctorate in medicine from Aberdeen in 1719. At a time when Wales was still a largely rural country, with no medical institutions of its own and fairly poortransport and road infrastructures, these were exceptional achievements for a boy from Newcastle Emlyn.Also unusual was that Alban appears to have returned to Wales to set up his medical practice; many Welsh practitioners who had trained in Oxford or London chose not to return, choosing the potentially more lucrative market of the larger English towns. Nonetheless, especially in and around the growing Welsh towns, there was still a relatively wealthy Welsh elite to cater for and some, like Alban, positioned themselves to serve the denizens of large estates and houses.

It is clear, though, that Alban still had connections. One of his correspondents was no less a luminary than Sir Hans Sloane, the Irish physician to the fashionable and, indeed, the royal and, later, president of the Royal Society. Surviving letters from Alban Thomas to Sloane suggest that theirs was a fairly regular correspondence, with Sloane acting in an advisory role for particular cases. It is one particular case that interests us here.

File:Hans Sloane.jpg

Sir Hans Sloane

In November 1738, Alban Thomas wrote to Sloane regarding a patient, Sir Thomas Knolles of Wenallt, Pembrokeshire, who was causing him concern. Knolles, although “a person of great worth, candour and humanity” was also “a person of very gross habit, of body an unusual size and make and about 20 stone weight with an appetite to his meat but very moderate in his drinking”. Knolles enjoyed exercise but, due to his size, this was often done on horseback.

At some stage, Knolles had become ‘dropsicall’ and suffered from swollen legs. The doctor used a combination of diuretics and tight, laced stockings to countermand this with, he reported, some success as Knolles returned to health, requiring only the odd purge as a ‘spring clean’. About four years previously however Knolles had begun to complain of a swelling in his scrotum, which Alban Thomas assumed to be hydrocele – a condition causing grossly swollen testicles (sometimes treated by injecting port wine into the testicles). After drawing off “about a quart of limpid serum” from the stoic Knolles testicles, followed by a dressing and strict recovery routines, the doctor hoped that he had cured the condition for good. This proved to be premature.

A selection of bladder stones and calculus

A selection of bladder stones and calculus

When Knolles began to complain sometimes of not being able to pass urine at all, at others a few drops and occasionally losing his bladder control entirely, he took it upon himself to get a second opinion from an unnamed doctor in nearby Haverfordwest. This physician prescribed a ‘Turbith vomit’ which wrought well and even caused Knolles to void a stone about the size of a kidney bean. Rather than being put off by this occurrence, Knolles was encouraged and began to pester Dr Thomas to give him more of these treatments. Unimpressed and undeterred,Thomas decided on a more proactive course. After putting Knolles on a course of diuretic medicines, liquors and balsams for a week he brought in to his consulting room. What happened next highlights the particular horrors of early modern surgery.

When Knolles arrived, Dr Thomas first applied a Turbith vomit, hoping that “so rugged a medicine” would clear the blockage without the need for more invasive procedures. It didn’t. In fact, the symptoms grew worse. It was at this point that Dr Thomas reached for his catheter and introduced it into the unfortunate Sir Thomas’s member. Expecting some resistance, he was surprised to find that the catheter went in without resistance. “On the contrary it seemed to force itself out of my fingers after passing the neck of the bladder as if it was sucked in, which I thought was owing to the pressure of his belly, the crooked end was now upward”. Yes, you read it right. The catheter was ‘sucked’ out of the doctors fingers and upwards further into the bladder! Now, any male readers may want to cross their legs!

In an attempt to probe for the stone that he feared was lurking in the bladder, and to release some water, Dr Thomas decided to turn the catheter around. At this point, the poor patient “cryed out with some violence…TAKE IT OUT I CAN BEAR IT NO LONGER”. Happily for Knolles the catheter came out “with as much ease as it went in without one drop through it or immediately after it”.

Three months later, the patient was still suffering, with the addition of great pain, defying all attempts for his relief. Despite being a “hail, hearty man having good lungs but lyable to hoarseness” and the occasional cold, Alban Thomas perceived him to be a healthy man. His efforts to treat Knolles had so far failed and he appealed to the eminent Sloane to help him “form a right judgement in this case”.

And so we leave the story there. What happened to Knolles is unclear, but the pain of his condition can only have been matched by the pain of his treatment. Suffering a succession of violent vomits, pills, electuaries and, finally, a wandering catheter, it is almost amazing to think that he ever went near Dr Alban Thomas again. Such (uncomfortable) cases remind us of the situation facing patients in the early modern period. For some the decision to see a doctor must have been a balancing act between bearing their illness or facing treatment.

Appreciating the doctor in early modern Britain!

What was the position of the practitioner within the seventeenth-century community?  How did people regard both them and the services they provided? It has often been said that doctors were unpopular. It was, after all, the local doctor’s prescriptions that commonly made you either violently sick, gave you diarrhoea or otherwise left you similarly disadvantaged or distressed. ‘Damn the Doctor’ ran the title of one seventeenth-century satire. Advice given to Lord Herbert about his health in 1681 suggested that he “never see a damn’d doctor again as long as ye shall live”. According to the poet Bernard Mandeville, “Physicians value fame and wealth/above the drooping patient’s health”. Were doctors really disliked that much?

L0022226 'The poor doctor and the rich patient. 'You are very ill!'(Courtesy of Wellcome Images)

In fact, there is much evidence to show that people appreciated the services of their local practitioners. This was, remember, a world of sickness. Danger lurked in bad airs, unwholesome environments, noisome streets, unwashed bodies and verminous bedding. It has even been argued that most people felt ill in some way for most of the time.  The local doctor was by no means the answer to all of this; but, (s)he was one weapon in the continuing war waged upon sickness and disease.

It is difficult to access ‘ordinary’ people’s views about practitioners. One way we can do this is through their testimonies in prosecutions, giving a rare chance to hear the actual voices of patients. But, obviously, these only tell us of cases that had gone wrong. Finding testimonies to practitioners who had obviously done well is more challenging. One possible way to do this, though, is through the surviving records of community testimonials to the skills of their local practitioner.

For some doctors, to achieve some level of legitimacy (perhaps more for themselves than their patients) meant obtaining a licence to practice from either the Royal Colleges, the Archbishop of Canterbury or one of the various diocesan bishops. In theory, and indeed in law, all physicians should have obtained a licence, but this was neither practical nor easy to enforce beyond London and its surroundings. Nevertheless, one aspect of applying for a licence was providing some sort of proof of good, charitable or successful practice in a particular neighbourhood.

V0010971 A couple of country folk consulting a decrepit doctor, a ser

(Picture courtesy of Wellcome Images)

When David Davies of Llangurig applied for a licence to practice from the Bishop of Bangor in 1749, no less than three local vicars testified that the “said David Davies is a very usefull person in his neighbourhood, has performed several cures in surgery, and (as far as we are judges) we think him a person worthy to be licens’d”.  (National Library of Wales MS Bangor Episcopal B-SM-2).  The supporters of Richard Davies of Llanynys stressed that he was a “person of good character” and “hath performed several cures in surgery”. (NLW MS Bangor Episcopal B-SM-3). When Benjamin Powell of Brecon applied for a licence in 1708, a list of local parishioners supported his application, stating that he was “a p(er)son who is commendably instructed both in the art of Phisick and Chirurgery and is very much Experienced in both the sayd arts, as being one who hath undergone and p(er)formed severall great and desperate cures”. (NLW, Church in Wales Diocese of Llandaff episcopal 1, MS 1194).

It is worth mentioning too that it was not only men, nor ‘orthodox’ practitioners who could rely upon the support of their communities. In fact, where an unlicensed practitioner faced prosecution, the people of Ledbury in Herefordshire intervened and petitioned the Bishop of Hereford to try and save her from prosecution:

“Sir,

The bearer is an honest poor woman of ye parish of Ledbury, who is as far as we are informed, cited into your court for practising surgery. She sometime ago cured a pauper of our parish who had at that time seven small children of a sore breast, without any prospect of reward; and ye parish, hearing of ye service she had done them, ordered ye overseers of ye poor to give her five shill: wch is ye only act of this nature of we can hear she ever did. This matter being so very malitious, we request the favour she may be discharged. She is very poor therefore we hope it may be with as little expence as possible…” (NLW Bodewryd (2), MS 380)

In terms of financial gain, not all doctors were out to fleece their patients. It was not uncommon for practitioners to tailor their bills towards the financial means of their patients. A poor patient might even be treated free, or for a few pennies; a wealthy yeoman might have to spend a few shillings. Also, the local parish authorities could intervene to either bring a practitioner to attend to a sick parishioner or, alternatively, send a parishioner to a large town to secure the services of a well-known or well-respected doctor.

It is worth mentioning too that early-modern people had perhaps a different level of expectation with regard to what the doctor could do. Today, we go to the doctor and expect to be diagnosed – instantly – and sent on our way with a prescription for a ‘cure’. This worked slightly differently in the seventeenth century. When people went to the doctor, they engaged in a two-way dialogue to agree diagnosis and secure a receipt or preparation. Once this was obtained it is questionable whether the early-modern patient expected to be cured. Rather, they hoped to be cured but, if this didn’t work, there were plenty of other doctors and receipts to try – often gleaned from friends and neighbours. If they did recover, naturally they might attribute that recovery to the doctor and his preparation. This would then be retained for future use as a ‘probatum’ (proven) remedy. In this sense, the doctor might easily escape sanction if his cures failed, as the patient was only using his services as one of a range of options in any case.

Before we write off early-modern practitioners as figures of distrust, dislike or ridicule, it’s worth remembering that they were often valued members of a community whose efforts to help their fellow parishioners were appreciated. Often treating the poor for free, and providing an important source of medical knowledge and goods, they offered some degree of comfort in a world where sickness was ubiquitous.

The early modern remedy that should have been!

Just a little light relief to stave off the joint miseries of man flu and a rainy day.

(Dis)ability? Living with impairment in early modern Britain

It is perhaps too easy to view disability in terms of what a person cannot do, as opposed to what they can. Even the terminologies used to describe people (DISability, INcapacity, impairment) all carry negative connotations or suggest a deviation from an ideal or ‘normal’ body. Where sickness or congenital conditions have altered the fabric or capacity of individuals’ bodies, something is implicitly (or often explicitly) assumed to have been ‘lost’, whether physically or functionally.

Looking back at the sickness experiences of individuals through history, it is also too easy to assume that people simply gave up in the face of sickness, or that they were incapable of carrying out a normal life once sickness, injury or old age had afflicted or altered them. In the early modern period, it is highly likely that impairment far more visible than today. In fact, it could be argued that a (by today’s standards) ‘normal’ body would have been highly exceptional.

Given the ubiquity of potentially disabling conditions through sickness and poor diet, for example, skeletal deformities would probably have been much more common, with childhood conditions such as rickets being caused through lack of calcium and vitamin D. Any form of lameness was largely untreatable, except by crude support devices, leaving sufferers to make the best of what they had and, in severe cases, rely on the support and charity of others. As old age set in, the ability to work became restricted and decline could set in rapidly.

Life in pre-industrial society was also highly dangerous in terms of the potential for accidents. Any idea of a bucolic, rustic idyll is shattered by accounts of horrendous accidents caused by seemingly innocuous tasks. In the diary of the puritan minister Philip Henry of Broad Oak, Flintshire, in the mid seventeenth century, for example, is the account of a labourer killed when the man he was working next to swung his pickaxe backwards and took the man’s eye out. The young son of William Bulkeley of Dronwy, Anglesey, called Theophilus, had both of his legs broken when stacks of hay tumbled down on top of him. Theophilus was taken to see specialist bonesetters in Anglesey, but likely walked with a limp for the rest of his life.

There were any number of conditions that could hamper daily life, from skin conditions, lumps and excrescences, to painful and debilitating illnesses, from gout to cancer. With medical treatment for these conditions largely ineffective (at least in biomedical terms), the sick and afflicted were essentially left to shift for themselves. But evidence also suggests that, rather than simply giving up and taking to their beds, many people lived remarkably ‘normal’ lives in the face of seemingly insurmountable physical difficulties. In fact, the resilience of ‘disabled’ people through history is often remarkable.

There are accounts of people, for example who, despite their conditions, endeavoured to carry on regardless, even in the face of severe illness. An entry in Philip Henry’s diary in February 1680 records that he preached twice one Sunday despite the fact that he ‘quakt of ye ague from 8. to 11’ and could not eat or drink in-between. In September 1661, he went to Chester where he developed severe ‘cold and tooth-ake” but still managed to “assisted in study, blessed bee God’. His daughter, also a diarist, noted in one 1692 entry that her elderly father ‘notwithstanding his illness…went on Sabbath June 12, limping to the pulpit’, clearly still intent on carrying out his ministerial duties.

But others in his community displayed a similar stoicism. Henry recorded, for example, the case of Matthew Jenkyn, a local conformist minister who, suffering from ‘a pining sickness…preacht to the very last, being carry’d in a chaiyr from his house to the pulpit’. It was not only religious figures who were keen to defer their opportunity to submit to sickness, perhaps even viewing the adoption of a sick role as inviting misfortune in the same vein as superstitions regarding the making of wills. In 1728, for example, Thomas Edwards, a bailiff from Llanfechell on Anglesey, was ‘indisposed…tho’ getts up every day, yet can hardly crawl from his room to the house & back agen immediately upon the bed’. Despite his obvious pain, Edwards clearly felt obligated to continue his duties and not withdraw from public life.

By the latter half of the eighteenth century, a raft of popular accounts attested to the often astonishing abilities of severely impaired or disabled people. In the 1720s and 30s, one Matthew Buchinger, the “famous little man” of 29 inches high, and born without hands, feet or thighs, made a living by performing a range of tricks and acts including writing, painting and playing musical instruments.  Thomas Pinington could reputedly shave himself despite having no hands, feet or legs, as could John Sear of London. William Kingston of Somerset had no arms, but instead used his feet for everything from shaving to boxing. Handling a lethally sharp blade without injuring oneself was difficult enough, and demonstrating the ability to do so with severe impairments required astonishing dexterity. Perhaps the emphasis upon shaving in accounts of such men as Sear and Kingston was a deliberate tactic given its potential danger, and introduce a frisson of danger, but the overall picture was one of surprise, and even admiration, at the dexterity and capability of such men.

Matthew Buchinger. (For a great blog post on Buchinger, see http://modernconjurer.blogspot.co.uk/2010/04/little-man-of-nuremburg-matthew.html)

The figure of the doddering, elderly fool was a comic staple in early modern Britain as elsewhere, and people expected that age brought loss of facility. Even for the elderly, however,  it was often remarked upon how much they were able to do, rather than how little. Consider the ‘old grandfather’ of the Reverend Arthur Charlett of Oxford in 1716, who noted that the old man could still “shave without spectacles, crack nuts and make his bed” despite his advanced years.

 Such examples remind us that the terminology of ‘disability’ is often unhelpful. Firstly, in contemporary times, it is an often unhelpful and even patronising term. The problem lies in finding something neutral or, perhaps better still, removing the distinction. Secondly, however, such terminologies shift over time. People have understood physical impairment, sickness and deformity differently over time, and it is a mistake to back-project current ideas onto our forebears, or to assume a common experience. As these examples show, living with an impaired body, or an acute medical condition, certainly bore its own troubles, but sufferers adapted and, in many cases, lived normal lives.

By way of conclusion, I heartily recommend a new book, Disability in Eighteenth-Century England (London: Routledge, 2012) on this subject by my friend, and former PhD supervisor, Dr David Turner of Swansea University. Many of the themes and issues I’ve raised here are covered in far more detail in his book and other recent articles for History and Policy. http://www.historyandpolicy.org/papers/policy-paper-130.html

What is a ‘remedy collection’?: Recording medical information in the 17th century

What exactly is a ‘recipe collection’? The most obvious answer is something like the example shown below, a formal ‘receptaria’ book of medical receipts and remedies. In the early modern period, and across Europe, these types of collections were fairly common, and especially in wealthier households. These were often carefully constructed documents, containing indices and sometimes containing groups of remedies according to various types of remedy, or parts of the body. In many ways these were the high-end of domestic medicine.

But were such formal collections necessarily representative? In other words, did everyone (or at least everyone capable of writing remedies down) collect their medical information this way? No. As a great deal of recent work by historians is revealing, the committal of recipes to paper was often a much more haphazard, and far less regimented, process.

For a start, paper was an expensive commodity in the early modern period. It could often be bought easily enough; apothecaries often sold reams or ells of paper, as did other retailers from merchants to haberdashers. But it was nonetheless quite costly. Unlike today, where scribble pads and notebooks can be bought for pennies, the buying of paper, or a bound book of notepaper, would have been something out of the ordinary, especially for those on low incomes.

Firstly, the recording of remedies was an expedient and often pragmatic process.  Remedies usually spread firstly by word of mouth, with people passing on their favourite receipts to friends, neighbours and acquaintances. As Adam Fox’s work on early modern oral culture has shown (Oral and Literate Culture in England, 1500-1700 (Oxford: Clarendon, 2000)) people had a strong ability to commit information to memory, and this made sense at a time when the majority of the population couldn’t read or write. Nevertheless, for those wishing to record the remedy accurately for future use, there was a need to do so quickly, and often using whatever was to hand.

As such, many ‘remedy collections’ are little more than assemblages of roughly scribbled notes, sometimes on torn bits of paper, sometimes on the back of unrelated documents, and sometimes even including a variety of other information on the same page. In fact, the very survival of many remedies is probably attributable to the fact that they have been incorporated into other, non-medical, documents.

Nevertheless, the recording of remedies in certain types of document was often a more deliberate decision. In Wales, for example, there were several instances of medical remedies being written on notepaper purloined from a church. In one sense this was pragmatic and reflected the simple availability (and probably abundance) of paper, given the needs of the church to keep records. But some were written inside church documents. In parish registers, for example, it was not uncommon to find receipts. A common example was that of a ‘receipt for the biteinge of a mad dogge”, often originally attributed to the register of Cathorp Church in Lincolnshire, but which seemed to move around the country. An example of the remedy, occurring in the Monmouthshire church of Llantillio Pertholey, can be seen here: http://www.peoplescollectionwales.co.uk/Item/7637-a-recipe-to-cure-the-bite-of-a-mad-dog-llanti

In another sense, though, putting remedies in amongst religious verses, as often occurred in commonplace books and notebooks, was a way of allying the remedy to the power of religion. If it was next to God’s word on paper, perhaps it would have more power?

Above all, for the remedy to be of any use, it had to be easy to find when needed. Some, for example, kept remedies within the pages of their business ledgers. Here, the regimented layout perhaps suited ease of future reference. But perhaps most common was to keep remedies within the pages of personal sources. Many diarists noted down examples of favoured remedies, especially when they had suffered from an ailment and attributed their recovery to the taking of a particular remedy.

Commonplace books, notebooks and copy books were also common places for the jotting down of useful information, and could be easily referred to if needed. It was not uncommon to put remedies within pages of miscellany, including accounts, quotes, poetry and family records, locating it firmly within the context of ‘useful’ information. Many literate families also kept letters. Health was a regular topic of conversation amongst letter writers, and it was common to fire off a few missives seeking potential remedies from within one’s social network. When a reply duly came, here was a ready-made receipt that could be kept without needing to write it down again. Prescriptions and directions from practitioners might be especially prized as they represented a virtual consultation, specially tailored to the recipient’s humoral constitution.

One often-overlooked method, however, were medical almanacs. It’s worth looking at a typical example of how these sources could be used. Cardiff Public Library MS 1.475 is a small memoranda book dating to around 1708, and seemingly originating from London, with the names John and Elizabeth Price prominent. A little list of family notes inside the front cover reveal a touching and tragic tale.

“February 10th 1708/9

Married then to the pretty, the charming Mrs Elizabeth Price by the Rev’d Dr Typing of Camberwell.

My daughter Anne was born the 17 of April 1712 about twenty min(utes) after eight in the morning and baptised the 1. of May

She was a very beautifull, lovely child but God was pleased to take it May 3. 1712”

Much of the document, however, is actually drawn on the reverse side of copies of almanacks. These were part-astrological, part-magical and part-news documents which contained everything from prognostications and predictions to religious dates, weather information and medicine. The first almanac in this document is ‘Merlinus Liberatus, being an alamanack for the year of our Blessed Saviour’s Incarnation, 1708…by John Partridge, student in Physick and Astrology at the Blue Ball in Salisbury Street in the Strand, London”. Partridge was clearly an entrepreneur; the very next page of his almanck is dedicated to ‘Partridges Purging Pills, useful in all cases where purging is required”!

A second almanac pasted into the book is “The Country Physician; or a choice collection of physic fitted for vulgar use: Containing 1) a collection of choice medicaments of all kinds, Galenical and Chymical, excerpted out of the most approved authors 2) Historical observations of famous cures collected out of the works of several modern Physicians 3) A Cabinet of specific, select and practical chymical preparations in two parts, made use of by the Author, by W. Salmon M.D”

This sort of document was a cheap means of buying a ready-made remedy collection, complete with the latest thinking and couched in terms of the layman. There were many self-help volumes of family physick available, but these cheaper almanac and chapbook style documents were easier to read and easier to keep. It is also clear that the spaces on the back of pages were useful places to note down other remedies as they accrued.

For example, the Prices noted down a number of receipts on the back pages, including a receipt “To prevent a return of the ague”, another for the “dead palsy”, including mistletoe, oak and saffron, and another for “flushings in the face”.  Here, then, the printed and the written remedy intertwined to become a completely distinct and individual family collection. In many ways this was as formal a collection as a ‘receptaria’, and probably included many of the same sorts of remedies, but in a different form.

The recording of remedies, and the idea of a ‘remedy collection’, therefore, shouldn’t necessarily be limited to a single, formalised and regimented document. These were organic documents, sometimes constructed carefully, but often just growing as collections of rough notes. Remedies might be deliberately placed within documents, or they might be the result of a roughly-scribbled note. Equally, people might keep ready printed or written remedies, and simply add their own notes as required. In this sense, there is no single ‘remedy collection’ document; instead, there are a myriad different ways in which people collected remedies.

Concocting Recipes: The early modern medical home.

It has long been argued that the early modern home was a medical hub. And, in many ways, so it was. Sickness was first and last a domestic experience. It was almost always treated in the home and, given the range of potential conditions, the presence of one or more sick members of the family was doubtless a fairly regular occurrence.

In the main, it was women who were expected to take responsibility for medicating the household.  Women were assumed to be natural carers, and also to have acquired some skill in the preparation of medical recipes, and their application, by the time they reached the age of consent to marry. There were books dedicated to schooling literate women in the art of physick, many including what was effectively a ‘starter’s collection’ of remedies to enable them to treat a large number of common conditions. Indeed, medicine was part of the wider role of ‘housewife’, and ‘huswifery’ meant looking after the inhabitants, as well as maintaining the living space.

The role of men in household medicine is far less defined. There were, for example, no books specifically written to help men cope in the case of domestic illness. And yet they clearly did cope. Diaries, such as those by Phillip Henry of Broad Oak in Flintshire, and Robert Bulkeley of Dronwy, Anglesey, both note sickness episodes of their wives, and suggest that they played a part in caring for them. It is also clear that men played a part in the acquisition of ingredients, often keeping records of where they found herbs for sale cheaply, or which apothecary they regularly purchased from. In this sense, medicine still fitted in to the patriarchal male family role, since it involved a broader input into the physical care and support of the family.

One question that remains largely unresolved, however, is that of how well equipped the early modern home was to cope with sickness. The contents of domestic recipe books suggest not only that a very broad range of skills were needed to be able to concoct remedies, but also that a range of equipment would also be necessary. How well equipped were ‘ordinary’ homes to meet these needs?

One body of sources that lets us peer back inside the early modern home are probate records. When a person died, the probate process often required a list of their household contents to be made to allow their estate to be valued. For the study of the material culture of this period, these sources are incredibly valuable. They are, however, often frustratingly vague, and all depends on the diligence of the individual surveyor. For example, a detailed record might list every individual possession, room by room, including furniture, ornaments, valuables, but also sometimes even book titles and foodstuffs held in storage. Much depended on the intrinsic value of the goods; if they had a resale value, they might be worth including. In less detailed inventories, however, a whole room might be listed under a single entry, with a generic term like ‘household stuff’.

In terms of medical items, this causes a problem. Things like herbs and, perhaps, individual jars of ointments or medicines were too impermanent to list, so don’t appear in the inventories of ‘ordinary’ households and very seldom even in elite household inventories. Equally, finding any equipment that can be definitely be classified as ‘medical’ is problematic, since many had dual usage. Nevertheless, it is still worth speculating based on available evidence, to see if any hints about the material culture of domestic medicine can be gleaned from these sources.

Whilst writing my PhD thesis, to try and address this question, I looked at over 1300 inventories from 82 parishes in the county of Glamorgan in South Wales. I decided to look for two items of equipment in particular – the pestle and mortar, and the brewing still. Many seventeenth- and eighteenth-century self-help books extolled the virtues of a well equipped kitchen. For the seventeenth-century medical writer Thomas Brugis, top of the list of items desirous for those people wishing ‘to compound medicine themselves’ were ‘a great mortar of marble and another of brasse’. A long list of other items were included, from ‘copper pannes to make decoctions’, ‘glasses for cordiall powders’ and a range of medical implements. The popular medical author Gervase Markham, also entreated his idealised English housewife to ‘furnish herself of very good stills, for the distillation of all kinds of waters…for the health of her household’, and the emphasis all round lay firmly with a well-equipped kitchen, able to minister autonomously to sick family members within a household.#

As a baseline test, over 91% of the inventories contained at least one item of kitchen equipment, including pots, pans, crocks and so on. Overall, the suggestion was that the vast majority of homes had at least the ability to concoct basic remedies. As Elaine Leong has recently noted, for example, boiling was needed in around 20-30% of early modern remedies.

But what of more specialised equipment? The results were interesting. Out of 1248 inventories, only 148 (11%) had listed a pestle and mortar. Before 1635, there were no occurrences whatsoever, and a peak of ownership didn’t seem to occur until the early eighteenth century. Whilst this figure of 11% should definitely be taken as a bare minimum to allow for inevitable under-recording, this still seems surprisingly low. What was also clear, though, was that the item was more common in better-off households, and also in urban areas. The pestle and mortar would have been a basic utensil for grinding herbs and spices into powder. Whilst not owning one certainly can’t be used as evidence to say that a home wasn’t ‘medical’, its lack of appearance is still noteworthy.

Turning to the ‘still’ or ‘limbeck’ the results were even more striking. A still was a multi-purpose item, which could be used for home brewing, as well as the distillation and fermentation of substances for medical recipes. It has recently been calculated that around 10% of remedies required a still in this period. Despite this, the Glamorgan inventories yielded a total of only 41 references in 1248 inventories, giving an average of less than 3%. Here again, ownership was general limited to wealthier households.

[A full statistical analysis, including comparisons with other Welsh counties was included but, for the sake of brevity, it’s not detailed here. See Alun Withey, Health, Medicine and the Family in Wales, 1600-1750 (Swansea University, Phd Thesis, 2009)]

It is also worth noting (albeit perhaps unsurprisingly as noted earlier) that no inventories contained any reference to medical remedies, ingredients or substances, and only a bare few contained items which could be construed as ‘medical’, such as a blood dish in one home, and a ‘nurseing chayre’ in another.

What do these results tell us? They certainly don’t tell us that early modern homes did not manufacture their own medicines, nor that they were incapable of doing so. Even the most basic of utensils could be used in this process, and the majority of homes possessed these.

They also don’t reveal much physical evidence of medicine, such as a ‘storehouse’ of remedies or ingredients, but this is, in many ways, entirely logical. Medicine was transitory and pragmatic. Recipes were often concocted as and when needed. Some, like ointments, could last for years and be kept, but many were too impermanent to keep. Also, just because they weren’t listed, doesn’t mean they weren’t there. Whilst some historians are beginning to question the extent to which each household physically grew its own herbs, it’s plausible that many did.

But what is also interesting is the availability of ingredients for remedies in even the smallest rural shops. People could purchase exotic herbs and spices from their village shop, as well as compound remedies such as plague water and Venice Treacle. It is entirely possible that the extent to which domestic production was intertwined with the medical marketplace has yet to be appreciated.

In any case, there is a need for more studies into the material culture of early modern domestic medicine. If the early modern home was indeed a medical hub, a wider study should give us a broader understanding not only of what medicines people used in their homes, but how they made them.

Unpacking the ‘eccentric’ in popular memory: Local characters of old Cardiff.

Disclaimer!: This is not a fully-formed argument, just some thoughts about the ‘eccentric’ in reminiscences of childhood and popular memory. I’d be interested in hearing what others think.

I’ve been reading the ‘Cardiff Borough Records’ – a magisterial five-volume set of miscellany relating to Cardiff from Norman times through until the early twentieth century. It is fascinating. There is everything from court cases to inquests, slander suits to land rents and tithes. For a good Cardiff boy like myself, I find the references to land parcels very interesting in, say, the fourteenth century, which still have echoes in areas and street names to this day. There are, for example, several references to the ‘Weddle’ or “Weddal fields”. Wedal Road is now a busy conduit not far from the University of Wales hospital. But I digress…

One section that stands out for me is the ‘Reminiscences of Old Cardiff’, which contains a brief but fantastic list of ‘eccentric old characters of Cardiff’. These include ‘Pegg the Wash’, an apparently feisty and pugnacious old washerwoman, whose habit was to chase children away from her house with a stick, perhaps peppering her imprecations with a good Welsh oath or two.

“Dammy Sammy” was an apparently well-known schoolmaster, whose sobriquet relates to his colourful choice of language in front of his young charges. A dwarf sweet-seller, known as ‘cough candy’ took advantage of his appearance and, in fact, seems to have augmented it by using his top hat as an advertising hoarding, pasting shop adverts and flyers onto it. The list goes on, but also noteworthy is ‘Hairy Mick’, the lamplighter!

What, though, stands out about these reminiscences? For me, it is the fact that all of these figures involve, or have relevance, for children. They were clearly denizens of a childish world – larger-than-life characters who left an indelible mark on the memory.

Memory, and reminiscence, is an odd thing, especially in terms of using and interpreting these characters in context of, say, social conditions.  How can we separate the ‘truth’ (if such a thing exists) from misty-eyed, if not evocative, depictions of ‘characters’. It is an interesting question. History is full of ‘characters’. If we think of history taught in schools, it is most often done in terms of a cast of individuals (Henry VIII, Hitler et al) and set-piece historical events.

And yet there is a remarkable constant throughout history and human nature, in our ability to identify and remember people who, for one reason or another, were somehow different. I can illustrate this from my own memory. When I was little, there was an unfortunate character who frequented a main street nearby, and who would suddenly leap out and shout at the traffic, sometimes even accompanied by violent gestures and karate actions. A certain mythology built up around him; it was popularly supposed that his wife and children were killed in an accident, thus affecting his mind and causing his behaviour. Whilst it’s certainly possible, it is interesting that no hard evidence really exists; people simply ‘know’.

In his excellent study of the history of folklore in London, Steve Roud makes this important point relating to the endurance of certain types of popular myths – things that are still ongoing today. Aside from more obvious ones such as empty properties gaining a reputation for being haunted, or patches of waste land being attributed to plague pits, he also notes the spread of often baseless rumours, which are then taken as truth. One such is the belief that a certain portion of land or building can never be developed as it was, at some stage, ‘given to the people’. There is one of these on my doorstep; the Caerphilly Miner’s Hospital has long been said by locals to be the property of the people of Caerphilly. Unfortunately, this hasn’t stopped it from recent closure…and redevelopment! A mythology of the individual, perhaps especially when that individual is located within the context of childhood memory,  fits well into this type of folklore.

How could we interpret characters like ‘Dammy Sammy’? As a medical historian, I am loath to engage in ‘retro-diagnosis’ since it’s obviously possible that he just had a foul mouth! But it’s also plausible that a pathological condition, say Tourette’s syndrome, certainly unknown and undiagnosed at the time, might explain spontaneous expletives. If so, a historian of nineteenth-century attitudes towards such conditions might find a useful case study. In a sense, it is not the character himself, but the reason why (s)he stood out that renders them interesting.

Let’s speculate further. Was ‘Peg the Washerwoman’ simply a bad-tempered old woman? Highly likely. But dementia, or perhaps an underlying psychological or sociopathic condition might explain a fear of strangers and a desire to drive them away. Historians of witchcraft have long highlighted the fact that ‘difference’ was often a crucial deciding factor in suspicions of witchcraft. Old women, especially those at the margins of society, were vulnerable.

The point is that we sometimes need to look beyond the simple description or reminiscence and try and unpack the social context of the ‘other’ in society. That the names of these characters – and their apparent ‘eccentricities’ – have survived or achieved notoriety, whilst many others have not, tells us something of how difference was perceived in past societies.

The mystery of ‘Sansom Jones’ – the phantom Welsh doctor

“This book I had from — a resident of this parish (Bettws in Monmouthshire), who swears it was the book of Sansom Jones a physician of this county, some two hundred years ago”.

This note, dated around the early twentieth century, appears in the front cover of an intriguing manuscript – Cardiff public library MS 2.126. Since I first came across the document in 2005, it has fascinated me as it represents something of a mystery. It is, or at least appears to be, a remedy collection dating to around the early seventeenth century. It looks and feels ‘right’. The palaeography is consistent with a document of that age. The layout is what you’d expect from an early modern receipt book and the remedies are neatly written and ordered. And yet it is one of the most frustrating sources I have ever looked at.

It should be a fascinating view into the medical world of that most rare of creatures – the early modern Welsh doctor. We even have his name – relatively unusual for sources of this type. Except, so far, “Sansom Jones” has eluded every attempt I have made to find out more about him…or even to establish whether he even existed. He highlights one of the big problems for historians in trying to piece together individual lives through scattered documents. We have a few pieces of the jigsaw, but not the final picture. It also raises the danger in assuming that documents in local or county archives are necessarily from their own area.

Let’s start at the beginning of the ‘Jones’ document. The first couple of pages are interesting. The book begins with a list of standard apothecary measures – a common enough inclusion, especially if this were the book of a practitioner. Lists of scruples, drachms and other measures were necessary and useful in compounding the correct measures and dosages of remedies. But then the plot thickens, and the name ‘Bethia Marsh’ is written in bold script, suggesting authorship or ownership; more about that later. But also prominently written is the following heading:

Noblest teaching of urine to know the proffices thereof for the nature of man and woman which is known through urines. Through which urines the sicknesses of men are knowne, translated out of lattine (sic) into English. By mee Alexander Spraggot. 1569. May ixiiii”.

So the plot thickens. Here we appear to have the title page of a published book by the eponymous Mr Spraggot. We have an exact date and so, at least, a starting point. Looking at the book as a whole, it does ‘feel’ very much like a published work. It is very neatly set out and has, quite unusually, a complete alphabetical index at its end.

There is a section on uroscopy (the diagnosis of medical conditions by the appearance, smell and taste of human urine), followed by some general notes on life and health. These include “To knowe life or death/tokens of death”, “A treatise of Hypocras”, with astrological notes on sickness and other general observations including notes on why students are unhealthy – essentially because they spent so much time in motionless reading! The rest of the volume is given over to medical remedies, generally set out in order of different parts of the body.

For headaches, for example, there are remedies for “headach proceeding of a cold cause”, “headache proceeding of heate”, “for the mygrim or rigrim” and so on. Several pages deal with purges for various conditions, including “melancholie”, “palsey” and also specific diets, e.g. for the “rhewme”. There are sections on obstetrics and childbirth as well as conditions relating to both men and women. Given the standard practice of using animal, plant, and any number of other materials (!) in remedies of this time, there is ample evidence of a full range, and nothing out of the ordinary.

In many ways, there is much to support a theory of this as being the book of a practitioner; it contains just the sort of useful information that a practitioner might rely upon in his daily work. There is little evidence to suggest attributions in the book. In ‘domestic’ remedy collections (i.e. those used in families) it is common to find recipes gifted from others – e.g. my aunt’s remedy for a cold, Mrs x’s receipt for the gout, and so on. But this book has none, suggesting a more formal purpose. The fact that it is written in fair hand also supports a deliberate and disciplined document.

But if we look deeper at the document, what else might it reveal? Firstly, who was Alexander Spraggot? Did he indeed write a book called ‘noblest teachings of urine’, or might this be an unpublished manuscript from 1569? The answer to the latter is no. In terms of the date, I was partly lucky, since the paper was watermarked…but even this is slightly mysterious. Having sent a copy of the watermark to a colleague who specialises in this area, the watermark turned out to be from an unusual source for an early modern Welsh document…it was from Russia. Not only this, it dated no earlier than the mid seventeenth century, meaning that, at the very least, any copy from Spraggot’s original must have been done nearly a century later.

Searching under the name Alexander Spraggot reveals few likely candidates. Perhaps the most likely seems to be ‘Alexandrus Spraggot’, appointed the vicar of Martocke church in Somerset in 1564 – not a great distance from South Wales. But did Spraggot ever author a work of this name? Not as far as I can tell. There are no records in the British Library of a book by this title or author, so here the trail runs cold.

So what of the second name mentioned in the book – Bethia Marsh? Here again, I’ve drawn something of a blank. A lady of this name was born near Salem, Massachusetts in 1650 – roughly around the date of the creation of the book (or at least its paper), making her an unlikely candidate. The name isn’t especially Welsh either. One possibility is that Bethia was, at some point, the owner of this book which, after all, contained a large number of useful remedies. It was common for people to write their names in such books to assert ownership, and also for remedy collections to move across families as they were gifted, especially to newlyweds.

What, finally, of Sansom Jones, the mysterious Welsh practitioner of Bettws, south Wales? Is there anything to suggest that he was the true owner of the book? Sadly not. Having looked for the relatively unusual name of Sansom in likely parish records, I can find no trace…so far. He was not, at least as far as the records suggest, a licensed physician. His name doesn’t appear on any list of known doctors, nor does he appear to have been apprenticed or trained. None of this, of course, means that he never existed. He could, as many Welsh practitioners did, have simply carried on his medical practice to the local population unhindered by the need to obtain a licence, being so far from the centre in London. With such an indistinct date, he might have been of a later time period, with a misjudged attribution by the note writer. Another possibility is that he was actually from a different ‘Bettws’ than the one in Glamorganshire; there are several across Wales.

And so the search continues. As I turn my attentions back to Welsh medical practice (after a hiatus studying shaving and rupture trusses in the eighteenth century) the need to find out more about the daily life and work of Welsh doctors will again become paramount. If Sansom Jones was there, and if this was indeed his book, I want to find him, as ownership of these types of documents does much to provide an alternative to depictions of Welsh doctors as obsessed with folklore and magic.

p.s. If anyone can shed any light on any of this, I’d be very grateful.

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