Medicine on the Move: Early Modern Travel and Remedies

As my new project on the history of travel, health risk and preparation begins to get underway, one of the things that I am thinking about is the place of travel within early modern medical remedy culture. What kinds of conditions could befall travellers? What did early modern people think that the processes of travel, and different kinds of transport, could do to their bodies, and what types of remedies were available to deal with them. Research is still at a very early stage, but there are already some interesting hints that remedies were available to treat a variety of travel-related conditions. 

Before the broadening of travel in the 18^th century, many journeys were relatively short, and local. As a great deal of work has shown in recent years, the early modern population was surprisingly mobile. People travelled from parish to parish, and from rural to urban areas as they visited market towns to buy and sell goods. Perhaps the majority of journeys were taken on foot, on horseback or on a cart or, for those with means, in small carriages. By the later eighteenth century, post carriages were also available to private passengers.

William Hogarth, ‘The Stage Coach’ – Image from Wikimedia Commons

But travel of any kind was a risky business. Roads were proverbially poor, often deeply rutted in summer and reduced to a quagmire in winter, making journeys by foot, or by cart or carriage, uncomfortable at best. Falls from horses were common, leading to injury or death, and even a long time in the saddle could be painful. Travel by sea, even over relatively short distances, was fraught with danger, not only from the vagaries of the weather, but also the condition and seaworthiness of the vessel. Such was the discomfort caused by sea travel that sickness on the first journey by sea was regarded as almost inevitable, only abating once the body had become accustomed to the motion of the waves.  With all this in mind, then, what options for treatment could be found in early modern remedy culture?

Travelling of any kind was clearly seen as a tiring and enervating process, and something to which the body needed time to adjust to. Some hints of this process can be found in travel-related terms in dictionaries. The term ‘travel-tainted’ was used by Shakespeare in Henry IV, and was defined by Samuel Johnson as one who was ‘harrassed or fatigued with travel’. To be ‘unwayed’ was to be unused to travel, as opposed to a ‘wayfaring man’ who, according to John Kersey’s 1658 dictionary, was one ‘accustomed to travel in the roads’. The use of the word ‘accustomed’ suggests again a process of acclimatisation. The advice of the Sick Man’s Jewel in 1674 was that ‘such that are weary by travel or labour’ should chew tobacco in the evening, whilst Leonardo Fioravanti recommended the juice of Rose Solis to those ‘who are wearied with travell’.

A Weary Traveller, 1815 – Copyright Wellcome Images

Perhaps unsurprisingly, a variety of remedies can be found to treat sore feet. Robert Turner’s, Botanologia the Brittish physician, or, the nature and vertues of English plants advocated anointing feet with the herbs ‘ladies bedstraw or gallium’ before they undertook a journey. There was even a term for this: to ‘surbate’ was to ‘batter the feet with long travel’! Turner noted that the herb mugwort ‘is excellent good to bathe the surbated Feet of Footmen and Lackies in hot weather’, admirably giving some consideration to footsore servants.

For anyone suffering from pain and discomfort caused travelling by horseback, some potential relief could be found. Andrew Boorde’s 1587, The breuiarie of health contained a remedy for galling or chafing caused by ‘riding upon an evill horse in a naughtie saddle’. His suggestion was to ‘rub, anoint or grease the place aggrieved’ with a tallow candle…perhaps not a situation you would wish to walk in on! If the unfortunate chafed traveller possessed a pair of particularly large buttocks, Boorde suggested that rubbing between the cheeks with olive oil might be a useful expedient. 

It is harder to trace specific conditions relating to coach travel, but the health dangers of being squashed into a confined space, breathing in the noisome air and odours of fellow passengers, whilst simultaneously being joggled, bumped and bounced around for hours, was a well-known hazard – particularly into the eighteenth century. The term ‘coach sick’ appears occasionally and was regarded as occurring from the ‘swimmings in the head’ that could accompany violent motion. Some physicians advocated opening the windows to constantly refresh the air; others suggested opium!

Whilst sea travel was less common outside naval and commercial purposes, medical authors did offer some suggestions for the alleviation of sea sickness. In his 1667 Treasures of Physick, John Tanner viewed sea travel as one of the key ‘external’ causes of vomiting and advocated a range of treatments including laudanum, vegetable and herbal oils and syrups.  As John Moyle noted, in his 1684 Abstract of sea chirurgery, it was not uncommon for the abject misery of constant puking to be accompanied by the discomfort of constipation: he claimed to have ‘known some who in a whole week together have not gone to stool’. Moyle’s solution for those who were ‘sea sick and vomit much’ was a gentle purge or, failing that, a ‘clyster’, or enema.

‘Seasickness’ by G.S. Treagar – Image from Wikimedia Commons

As ever in the early modern medical marketplace, where there was demand there was likely a crafty quack chasing a fast shilling. Travel-related conditions were common amongst the efficacy puffs for proprietary pills and medicines. In 1670 the ‘English Pills for the Scurvy’ claimed to be extremely useful for sea travellers, standing them ‘in great stead in all Sea-sicknesses’, as well as ‘sickly Climates or Seasons; Calentures, Fevers, Fluxes, Poysons, Agues, Surfeits, and the like Scorbutick Diseases, which so commonly afflict such as go to Sea’. John Archer’s ‘Chymical Drops’ were of ‘great use to travellers’ in curing sickness, whilst ‘he that useth [John Headrich’s Traveller’s Salt] on the Sea Vomits not’. There are many more similar examples, and plenty more still to find. 

Health and medicine were, as they still are, then, central to travel. Even the few examples given here are revealing about the supposed effects that travel was seen to have on the body, along with the approaches taken to mitigate them. I am very much looking forward to delving more deeply into the medical history of the travelling body.  

Book Launch day! Introducing ‘Concerning Beards’.

After more than seven years of work, hundreds of sources, and a major research research project, I’m very proud to be able to introduce my new book Concerning Beards: Facial Hair, Health and Practice in England, 1650-1900. It’s a proud day and always a thrill to finally have the first physical copy in my hand…It always seems hard to believe, when writing the very first lines for the first chapter that it will ever add up to a book! In this post I thought it might be nice to say a little about the book, some of its main themes and findings. In the coming weeks I’ll be posting more about some of the fantastic material that I’ve come across through the project. 

At its heart, Concerning Beards is all about the relationship between facial hair, health and medicine between the mid seventeenth and late nineteenth centuries. Why, first, does it have this timespan? First, it spans a period which saw some major changes in fashions and attitudes towards facial hair. In 1650 beards and moustaches were still in fashion, but were in a gradual decline. Towards the end of the seventeenth century, amidst changes in ideas about politeness, sensibility and a more refined model of male appearance, facial hair fell from fashion, and it has been assumed that men were largely clean shaven for the better part of the next 150 years. Then, around 1850, the Victorian ‘beard movement’ saw beards held up as an important, and highly visible, symbol of manliness. The book, therefore, covers a long period in which facial hair was initially in fashion, suffered a long decline, and then came back again with a flourish!

Second, the long timespan covers an interesting period in terms of medicine and the body. In the seventeenth century, and throughout much of the eighteenth, the body was still believed to consist of four humours, which governed health and temperament. Within this system, beard hair was regarded as a type of bodily waste product, or excrement, that was left over from the production of sperm deep within a man’s body. As such, facial hair was seen as internal substance, and one that was firmly linked to male sexuality, virility and physicality. 

Over the course of the eighteenth century, however, beliefs in the humours were being gradually eroded, and older ideas replaced. Facial hair was a part of this and, by the mid eighteenth century, it was more common to find debates about facial hair focussing on things like the structure of beard hairs and how they grew. Increasingly beard hairs were seen as growing on, or just under, the skin, rather than deep in the body. As this happened, the older links between beards and sexual power gradually disappeared.

Over the course of this time period, other things changed. One was certainly who was responsible for shaving. In the early modern period, aside from a few elites who dabbled with wielding a razor, the barber/barber-surgeon was the mainstay of shaving. Barbers were incredibly important figures for men, and their shops were places where men could go to gossip, drink, gamble and play music, as well as have their beards and locks trimmed. 

V0019680 A barber shaving a disgruntled man. Coloured etching after H Credit: Wellcome Library, London. Wellcome Images images@wellcome.ac.uk http://images.wellcome.ac.uk A barber shaving a disgruntled man. Coloured etching after H.W. Bunbury. By: Henry William BunburyPublished: – Copyrighted work available under Creative Commons by-nc 2.0 UK, see http://images.wellcome.ac.uk/indexplus/page/Prices.html

From the later eighteenth century, however, men certainly began to shave themselves more, helped on by the availability of new types of steel razor, and a growing body of advice literature telling them how to do it. In 1745 too, the barbers and surgeons split to form separate companies, which has long been assumed to have sent them into a social spiral. But my book argues that this didn’t actually happen, and that barbers remained hugely important. In fact, even at the height of the ‘beard movement’ when huge numbers of men were wearing full beards, barbers were actually experiencing huge demand from working men, which at times found them having to work through the night to cope with the sea of stubbly faces at their doors.

Another key question that the book addresses is that of the rise of a market for cosmetic shaving products. It argues that, over time, managing facial hair gradually lost its associations with formal medicine and medical practitioners, and became instead part of a new category of personal grooming for men. But even despite this, it still remained (and in fact remains today) closely linked to hygiene and health. 

From the later eighteenth century, a whole new market emerged for shaving soaps, pastes, powders and creams. For the book I surveyed thousands of advertisements, exploring the types of products available, names, prices and also the language used to advertise them. I’ll save the details for a later post, but things like scent, and the language of softness, luxury and sensuousness, raise interesting questions about expectations of manly appearance and behaviours.

Finally, although the book is not centrally about fashions, it does discuss questions of facial hair styles and class. As Joanne Begiato’s recent book on 19^th-century masculinity has argued, the temptation has too often been to separate broad time periods into different ‘types’ of manliness: e.g. the Georgian polite gentleman, the Victorian ‘muscular Christian’ and so on. But how far do those models of manliness reflect men across society and in different locations? In terms of beard fashions, is it safe to assume that, for example, all men in the Georgian period were clean shaven, or that all Victorian men wore prodigious facial hair. The problem lies in how to access the facial hair fashions of the lower orders. 

Image from Pinterest

For the eighteenth century I turned to ‘wanted’ advertisements in newspapers, where runaway apprentices, servants and criminals were commonly placed. Since facial hair was a distinguishing feature, it offers a glimpse of what men looked like, at least at the point at which they had taken to their heels. This study suggested that beards actually were quite rare throughout the eighteenth century, but that whiskers were perhaps much more common. Rather than all being clean shaven, many lower class eighteenth-century men likely had some sort of facial hair. 

For the nineteenth century, though, I was able to turn to actual photographs of lower-class men, through the increasing practice of taking photographs of prisoners. For the book I surveyed hundreds of photographs from gaols around the country, taking note of the style of facial hair, the age of the men, occupation and location. What this revealed was actually quite surprising. At a time when the ‘beard movement’ was at its height, and it has been supposed that the majority of men were wearing huge, full beards, the study of prisoner photographs suggested not only that around a third of men had no facial hair at all, but that the full beard was not the most popular. In fact, remarkably, the vast majority of men in the sample would have needed to keep shaving at least part of their faces. 

Along the way, Concerning Beards covers a wide range of other questions, and has turned up a great deal of interesting titbits! How did apprentice barbers learn to shave, for example, and who taught individual men? What sorts of things did barbers sell in their shops? Why were some men in institutions physically compelled to shave? And why was Tom Tomlinson the barber, completely unsuited to his calling? For the answers to these, please have a wander through the chapters.

So here it is, and I’ve saved the best until last. Thanks to the generosity of the Wellcome Trust, both in funding the project, and funding Open Access, Concerning Beards is completely free to download. Please click the link below to Bloombsury Collections, where you can find all chapters available to download as PDFs.

https://www.bloomsburycollections.com/book/concerning-beards-facial-hair-health-and-practice-in-england-16501900/

Sick Servants in Early Modern Britain

Historians have done lots of work in recent years on health and medical care in the family in early modern Britain. As such we know much more about what life was like for the sick in the early modern home, how patients were cared for and by whom. The family provided ready sources of both physical medicines and care.

The Servant by Wenceslas Hollar (Copyright Shakespeare Folger Digital Images)

The Servant, by Wenceslas Hollar (Copyright Shakespeare Folger Digital Images)

As Mary Fissell and others have argued, the burden of responsibility for looking after the sick often fell on women, and could involve a great deal of extra work, such as in washing, preparing medicines and so on. Other historians, such as Lisa Smith (and me!) have also noted the important role played by men in domestic medicine, noting that men were important gatherers and collectors of remedies, and were sometimes forced into a caring role when their wives fell sick – something that early modern medical literature didn’t necessarily prepare them for.

There is one group of patients, however, who sometimes slip through the net. What happened when servants fell sick? Who cared for, and looked after them? How far did employers pay for their care or treatment? In some ways the question might seem redundant. Servants were considered part of the family unit. When Pepys opened his diary in 1660, he noted “I lived in Axe Yard, having my wife and servant Jane, and no more family than us three”. It’s easy to miss the significance of this; Jane, their servant, was fully part of the Pepys family. As part of the family, therefore, they could surely expect to be looked after.

Nicholas Maes, the Idle Servant – image from Wikimedia Commons

In economic terms it certainly made sense to treat a sick servant, if for no other reason than to return them to productivity as quickly as possible. In large houses or estates, for example, a spate of sickness amongst servants and labourers could be potentially disastrous for productivity. But is there evidence to suggest that care went beyond this purely pragmatic view? Through my work on medicine in early modern Wales, I came across a number of examples.

Surviving records from the account book of William Davies of Clytha, Monmouthshire, certainly suggest that he went beyond the call of duty. In May 1718 he took on a boy, William Prosser, to his service at the wage of two pounds and four shillings per year. Davies was diligent in recording a range of entries concerning his servant. It is clear, for example, that he gave Prosser what might today be regarded as pocket money on occasions. In one instance he recorded giving Prosser 6 shillings to visit Usk Fair. On another occasion he provided 2 shillings for the boy to play cards. He paid for new stockings and the mending of shoes, and allowed Prosser time off to go to Monmouth, and also to visit his sister when she was sick.

Davies, however, also noted occasions when Prosser was himself sick, and the duration. One entry reads “You were sick in Aprill 7 dayes”, and another “you were sick and you lost 11 dayes”. On one level this might be seen as an employer monitoring his servant, and keeping a tally of their sick days…an approach that would not feel unfamiliar in a modern workplace! But, also just like a modern employer, it seems that Davies provided sickpay – “June ye 15^th I gave you one shilling when you were sick’. Was this the norm, or was Prosser simply lucky in having an apparently benevolent employer?

There is other evidence to suggest that some were prepared to allow sick employees to move into their households for treatment. The probate inventory of the Cardiff labourer William Cozens shows that, during his last sickness, he was living in the house of his employer, and receiving care. Note that Cozens was a labourer, and not a domestic servant, suggesting that he ordinarily did not live with the family.

Gentry household accounts certainly suggest that provision of medicines for sick servants was routine. The accounts of Lord Herbert, the 9^th earl of Pembroke, give a running list of the many preparations and remedies ordered from a London apothecary John Jackson. (Between 1744 and 1747 there were a total of 848 different prescriptions!). Amongst the many for Lord Herbert and his wife, were entries for William Colly and Jenny White, both presumably servants, as well as medicines for the ‘coachman’ and ‘housemaid’.

William Hogarth’s servants (Wikimedia Commons)

The coachman at Chirk Castle was another recipient of treatment, involving a ‘botle of physic from Dr Puleston’, and when the ‘boy Thomas was swoll’n under the chin’, an entry in the accounts paid for a man to fetch the apothecary from nearby Wrexham.

R.C. Richardson’s study of servants in early modern England found similar evidence to suggest that employers were usually keen to look after their charges. Those who failed to do so properly were denounced as ‘cursed and hard-hearted persons’ whose threshold the prospective servant should be wary to cross. Preachers, such as William Perkins, considered it the ‘Christian duty’ to care for a servant who ‘In time of his service be sicke’.

Admittedly some were not so sympathetic. Thomas Ffoulkes of Holywell, Flintshire, kept close tabs on his maid, apparently suspicious of her claims to be ill. In January 1724 he noted “My mayd Margarett Jones fell sick this day, and next day, and did not get out of bed. Munday morning, being the 8^th, she went unknown to me to her mother’s and did not returne till Friday”. Ffoulkes’s scathing last line “she went rambling home severall other times” suggested he thought that Margarett was pulling the early modern equivalent of a ‘sickie’!

In general, however, sick servants were the recipients of often quite generous levels of care. On one level, as part of the family this might be expected. But these were also, ultimately, employees, and therefore reliant on the goodwill of their masters and mistresses for this to be provided. It would be interesting to find out more about the changing dynamic, when employees had to provide physical care for their servants. Presuming there were no others available, how must it have felt for the mistress of the house to tend the sickbed of her housemaid? Perhaps the subject for a future post.