: Medicina Flagellata; Or The Doctor Scarify'd by Anonymous - Hygiene; Quacks and quackery; Plague Early works to 1800; Medicine Practice Early works to 1800

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WITH An ESSAY on HEALTH, Or the POWER of a REGIMEN.

To which is added,

PREFACE

Quod Verum atque decens, curo, & rogo, & omnis in hoc sum.

Or if he has found out any more effectual Medicines, or more compendious or grateful Methods of Cure, or would imitate the applauded Practice of some few of the most eminent of that Profession, whose Prescriptions were only to assist, not to overload, or suppress Nature; this is too bold a Stroke, a too dangerous Reform in Physick; he must previously consider, that the Number of Apothecaries are increas'd, and that their Dependance lieth more on the Quantities of Medicines in suitable Proportions, and notwithstanding a generous and liberal Education, by which he has learn'd to explode the malevolent and useless Practice, from a great many Prescriptions that are now in vogue; he must not dare to refute them, he must obey that great Principle of Nature, to preserve himself; he must conform to the Manners of the Age, and the general Practice; he must dispence with his not knowing whether the Medicines are made up according to his Prescription; he must wink at the Design, Ignorance, Carelessness, or Unfaithfulness of the Apothecary; whom he must not any ways disgust, tho' he in Revenge, as well in executing his own Interest, may make his Dose up with worm-eaten superannuated Drugs, wherewith most of 'em are well stor'd, which will not work according to the Physician's Promise, and the Patient's Expectation: The Apothecary who here outwits the Doctor, and assumes the Character, is here ready at hand to tell his Patient that this was no ways accommodated to his Temper; nay, perhaps, he presages to him that it will not work sufficiently, by which he obtains a Reputation of a Person more judicious than the Physician making way for his own Advantage, by telling the Patient that he will prepare a Purge that shall work more effectually than the former: This you need not doubt is the same the Physician before prescrib'd, but assuredly made up of better Drugs, and so the Apothecary executes his Design, which is to exclude the Physician, and prefer himself.

But least you should think me overbalanc'd with a Prejudice to those that so much abuse that noble Profession, I'll conduct you into their usual Road and Method of examining their Patients, and making Enquiry into their Diseases, wherewith being acquainted, you may, without any farther Conviction, pronounce a Verdict.

Neither is it over these alone the Physician claims a Superintendance, but over Chirurgeons likewise; and therefore in this his Course of Study, would contribute to his future Qualifications, in sojourning a Year with some experienc'd manual Operator, without a Hindrance to his other Affair, and there by an ocular Inspection, and handling of his Instruments, demanding their Names, Uses, and Manner of using, withal by Insinuations to visit the Chirurgical Patients, and see him dress them, would render his Study in Chirurgery, so plain and easy, which otherwise might be thought difficult, that it should enable him to give Laws to Chirurgeons also, especially to those that execute their Office with that Rashness, Indiscretion and Dishonesty as I have sometime discover'd amongst them.

The Art of preparing Medicines chymically, having merited a great Esteem for its stupendious and admirable Effects in the most despair'd Diseases, shews a Necessity of being instructed in it, in which he can not fail of prying into, in the Course of his Travels.

Upon a competent Improvement of their Scholars in this external Practice of Physick, and their deserving Deportment, they thought them worthy of giving them Entrance into their Closets, to be instructed in such Matters as the most retir'd Places of their Cabinets contained; which were their Remedies and Medicines, and the Manner of preparing them: And then bending his Endeavours to arrive to the Art of discerning the Disease by its Signs, and making Observations upon the Prognosticks, all critical and preternatural Changes: The Dose, Constitution, and all other Circumstances of giving the Medicines which he did gradually accomplish, by his sedulous Attendance on his Master, and his practical Discourses and Lectures from him on every Patient he visited: Lastly, upon his Attainment to a Degree of Perfection in the Art, discovered by his Master by his private Examination, all the Physicians and Commonalty of the Place were summoned to be present at the taking of his Oath in the publick Physick-School, which served in lieu of making Free to Practise, or taking his Degree; the Form of which, as remarkable as it is ancient, the Oath was as followeth.

The servile Part being now committed to such as are now called Surgeons and Apothecaries, the former were employed in applying external Medicines to external Diseases; the latter in preparing all ordinary internal and external Medicines, according to the Prescription and Directions of the Physicians, whose Servants were ordered to fetch the prescrib'd Medicines at the Apothecaries, and thence to convey them to their Patients; by which Means the Apothecary was kept in Ignorance: As to the Application and Use of the said Medicines, not being suffered to be acquainted with the Patients or their Diseases, to prevent their Insinuation into their Acquaintance, which otherwise might endanger the diverting the said Patients to other Physicians, or at least their presuming themselves to venture at their Distempers. Neither were the Physicians Servants in the least Probability of undermining or imitating their Masters in the Practice, not knowing their Medicines or Prescriptions. Besides all this, those Remedies from which the chief Efficacy and Operation against the Disease was expected, still remain'd secret with the Physicians, who thought it no Trouble to prepare them with their own Hands. Thus you may remark the Physician's necessary Jealousy of their Underlings, and their small Pains prov'd the sole Means of impropriating their Art to themselves: And yet by the Advantage of their Chirurgeons and Apothecaries, were capacitated to visit and cure ten times greater Numbers of Sick than before; which in a short Time improved their Fame and Estate to a vast Treasure, whence it was well rhimed,

Another thing of great Blame with the Apothecaries is, their enhancing the Prices of Medicines so much above what they might in Reason expect; about which the Physician must no ways concern himself, because it has a bad Influence on him, as on the Account of his Patient; though certainly, if the Apothecaries were more modest in the prising of their Physick, the Patient would be more liberal to the Physician: Whereas on the contrary, the Apothecary holds them at such unreasonable Rates, that in most Courses of Physick he gains more than the Doctor, how deservedly let others determine, though in my Opinion, were their Pay proportion'd to their Care and Honesty, I doubt they would gain little besides Shame and Reproaches: But their Bills must be paid without Abatement; and with how much Regret they are discharg'd, I shall refer it to those who have suffered by them. Now several Things contribute to, or are the occasional Causes of this Universal Grievance. The Physician's Silence, and the Number, Pride, or Covetousness of the Apothecaries, and that Prices are not set upon their Medicines: the Apothecaries being reduc'd into a Company, were at first few; and therefore having full Employment, could afford their Medicines at moderate Prices; but being since that time increased to a great Number, each Person bringing up two or three, or more, that Imployment which was before in a few Hands, became more dispers'd, so that very small Portion thereof falls to the Share of some, and indeed very few of them have more than they can manage. Now the Sick must maintain all these, for although there be no occasion for a sixth Part, yet they must all live handsomely; to supply which Expence, they have no other Way than to exalt the Prices of their Medicines, and still the less they are employ'd, the higher they must prize them, otherwise they could not possibly subsist, unless they became Physicians, and prescribe as well as prepare; to which Practices they are not only propense, but more arrogantly assume, which is no less fatal to their Patients, than by the impudent Prescription of your common Quacksalver, Emperic, or Mountebank.

Now each of those singly will require a great deal of Pains, Expence and Time to be attained; and yet all these and much more that can be in short summed up, ought to be done and in some measure accomplished, before a Man can be rightly and duly qualified even to begin Practice.

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