As it was a common occurrence for patients to apply at the apothecary’s for a physician, the former either recommended the applicant to one who favored him, or else prescribed for the patient himself. The promulgation of this fact was the declaration of war with the old physicians, who heretofore had done their best to keep down the apothecaries. The former threatened punishment, as provided by law; the latter retaliated, by refusing to call them in to consult on difficult cases. “Starving graduates of Oxford and Cambridge, with the certificate of the college in their pockets, were imbittered by having to trudge along on foot and see the mean ‘medicine mixers,’ who had scarce scholarship enough to construe a prescription, dashing by in their carriages.”
The war progressed,—Physician vs. Apothecary,—and the rabble joined. Education sided with the physicians, interest sided with the apothecaries.
“So modern ’pothecaries taught the art,
By doctors’ bills, to play the doctors’ part;
Bold in the practice of mistaken rules,
Prescribe, apply, and call their masters fools.”
To circumvent the apothecaries, a dispensary was established in the College of Physicians, where prescriptions were dispensed at cost. While this proceeding served to lessen the apothecary’s income for a time, it could not greatly benefit the prescribing physician. The former might parallel his case with Iago, and say of the physician, he
“Robs me of that which not enriches him,
And makes me poor indeed.”
Physicians were divided into two classes,—Dispensarians and Anti-dispensarians. Charges of ignorance, extortion, and of double-dealing were preferred on both sides. The dispensary doctors charged their opponents with playing into the hands of the apothecaries by prescribing enormous doses, often changing their prescriptions uselessly to increase the druggists’ revenues and their own percentage! On the other hand, the dispensarians were accused of charging a double profit on prescriptions whenever the ignorance of the patient, respecting the value of drugs, would admit of the extortion.
Had the physicians been united, the apothecaries would have had to succumb; but a divided house must fall, and the apothecaries won the day.
A London apothecary, having been prosecuted by the college for prescribing for a patient without a regular physician’s advice, carried the case up to the House of Lords, where he obtained a verdict in his favor; and another apothecary, Mr. Goodwin, whose goods had been seized by some dispensary doctors, having obtained a large sum for damages, which being considered test cases, the doctors from this time (about 1725) discontinued the exercise of their authority over the apothecaries.
Thus emancipated from the supervision of the physicians, the apothecaries began to feel their own importance, and most of them prescribed boldly for patients, without consulting a doctor. The ignorance of many of them was only equalled by their impudence. It is not unusual, at the present day, for not only apothecaries, but their most ignorant clerks, to prescribe for persons, strangers perhaps, who call to inquire for a physician; and cases, too, where the utmost skill and experience are required.
The following amusing anecdote is sufficiently in accordance with facts within our own knowledge to be true, notwithstanding its seeming improbability:—