Medicine in Virginia, 1607-1699Hughes, Thomas Proctor
History
Medicine in Virginia, 1607-1699
Hughes, Thomas Proctor
Medicine -- Virginia; Virginia -- History -- Colonial period, ca. 1600-1775
Englishmen preferred to study medicine abroad--according to a recent
study made by Phyllis Allen and printed in the _Journal of the
History of Medicine and Allied Sciences_--because a better education
could be obtained there in the same number of years. The Doctorate of
Medicine required fourteen years of undergraduate and post-graduate
study at Oxford; the Cambridge requirement was similar. Despite reforms
during the seventeenth century, education at these universities
remained dogmatic and classical. Students usually found their studies
dull and their social life stimulating. The more enterprising students
could find the new ideas of the period in books not required in their
course of study. Cambridge, Oxford, and the Royal College of Physicians
all licensed physicians who had survived their education, met certain
professional requirements, and passed an examination.
That physicians in England did possess a high social status as well as
more extensive formal education is evidenced by a precaution taken by
the Virginia Company, to avoid causing displeasure among men of rank,
in preparing letters patent. The Company requested of the College of
Heralds, in 1609, the setting "in order" of the names of noblemen,
knights, and Doctors of Divinity, Law, and Medicine so that their
"several worths and degrees" might be recognized when their names were
inserted on the patents. Surgeons received no mention.
On the other hand, physicians and surgeons in England might well have
come from similar social backgrounds and even on occasions from the
same families. When there were three or four sons in the family of a
country gentleman, he might have followed the custom of keeping the
eldest at home to manage and eventually inherit the estate. The second,
then, would be sent to one of the universities in order to follow a
profession such as that of physician, lawyer, or clergyman. The third
might be apprenticed to an apothecary, surgeon, or a skilled craftsman.
This practice should be borne in mind when former medical apprentices
are found in high offices in Virginia; their origins were not always
humble.
Although the physician enjoyed the greatest social and professional
prestige, he received the most verbal abuse and criticism. Perhaps the
most damaging and galling satire of the century flowed from the pen of
the French dramatist, Moliere, who had a medical student--not
completely fictitious--swear always to accept the pronouncements of his
oldest physician-colleague, and always to treat by purgation, using
clysters (enemas), phlebotomy (bloodletting), and emetics (vomitives).
These three curative measures followed the best Galenic technique:
releasing corrupting humors from the body. Moliere's _Le Malade
Imaginaire_ confronted the audience with constant purgings and
bleedings, and the caricature was not excessive.
Public-domain text, read in full here on John Shaqi.
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