A third Universal Medicine was Hughes's Powder, sold by him at 10 s. the Grain, and 3 l. 10 s. the Dose, made doubtless of Gold and Quicksilver. The tast and weight of it manifestly discover the former to be an ingredient into it, and the effect, viz. Salivation proves the latter to be part of the compound. Besides I have made of these two dissolved, and digested in their peculiar Menstruums, in no long space of time, a Medicine that had the same effect with his, and in the same Dose, and having a View of his Cabinet left after his Death, containing a large quantity of the said Powder (being all he left behind him) there was found crude Gold, and Quicksilver in the same Cabinet. Now these three Notorious Universal Medicines were put to sale by most ignorant persons. Add hereunto the forementioned Mr. De-laun's Pill, whereof I shall say nothing, being mentioned under the Name of the Pilule ex duobus, in the London Dispensitory, though some make them of the Extract of Coloquintida. The last of any Fame with us, were Dr. Goddard's Drops, a good Medicine, but not so universal, and superlative as he would have made the World believe, and was nothing else but what some Physicians many years since enjoyed. I well remember that in the late troubles, a Person then in great Authority, having cryed up this above all the Medicines in the World, a round wager was offered, that the Doctor should not distinguish his own from two others that should be brought him, both which were but Spirit of Harts-horn. But the wager would not be accepted of. Furthermore, that this Medicine of his was Spirit of Harts-horn, some relations plainly argue; One whereof was the following.
A certain person in Norfolk having sent for as much as came to a 11 l. and dying upon the 2d. dose of it, and by accident most part of the remainder being spilt; there comes in a friend to the House, of some skill, who supposing it to be Spirit of Harts-horn, told the Widow he would endeavour to gain back the money for her. And thereupon went to a Chymist, and bought as much of the said Spirit, as would make up the quantity purchased of Dr. Goddard, who after Tryal of it by smell, and tast, acknowledged it to be his, and honestly payed back the sum 'twas first sold for; which I think few of the Mountebanks do. Sure I am that a Quack sold 21 Pills for 20 l. whereof the Patient took 4 at two doses, to the great hazard of his life, who then repairing to me for my advice, I by Tryal of one of them found them to be Mercurial, and wished him to return them back, but the Quack would not give him 10 s. for the 16 remaining.
The inference and sum of what hath been said, is to shew briefly by what Artifices people are deceived in their Healths, and Purses, and how easily the ignorant are couzened, and such practices used, that Physicians, men of honesty and repute, would be ashamed to own, and must by using them in a short time be ruined and discredited. And such Cheats as these, the College of Physicians are bound by the Laws of the Land to decry, and punish (though by so doing it hath often incurred the censure and clamor of the vulgar) Besides the Statute of the 14th. and 15th. of Henry the Eighth injoyns us to it, declaring that 'tis good for the Common-wealth of this Realm, and therefore expedient, and necessary to provide that no person of the College of Physicians (for all practisers then were of the said body) be suffered to exercise, and practise Physic, but only those persons that be profound, sad, and discreet, groundly learned, and deeply studyed in Physic. Now certain it is, that none of the said body did or dare use any of the forementioned frauds and deceits, but will constantly indeavour (since 'tis impossible but there will be Cheatees; (according to the old Proverb, Populus vult decipi, The People will be deceived) to abridge the number of the Cheaters, who answer to the former part of the Proverb, Decipiatur, Let them be couzened.
I shall end this discourse by returning from my digression to the Apothecaries, who may and do use some of the tricks before-mentioned, and shall here briefly recite some great advantages they have, and make use of above Physicians. One is, that they live in this City 7 or 8 years as Apprentices, as also by their retail Trade, and by living in open Shops, by frequent converse with their fellow Citizens, whether in Commerce or Offices, by many friendly and Neighbourly mutual kindnesses and actions, wherein they spend their whole lives, and are never diverted by studies, and ingenuity from their proposed way of gain, by all which means they get into a fixed familiarity and good opinion with their Neighbours, and a large acquaintance in the World. Now for their skill, besides what hath been before-mentioned, and common to them with the Mountebank, viz. Vapouring and braging of their skill, and decrying Physicians, by talking above the Capacity of those they converse with, who therefore take all they say to be authentick, though never so absurd, and trivial, and many times to set off themselves they will venture to speak Latine commonly as false as the matter, although some of them at Coffee-Houses, and in other mixt Companies, by venturing so boldly have been met with and baffled, and made to depart thence with shame and discredit enough, which their friends and acquaintance take little notice of. Add hereunto their exposing to view their Compositions of Treacle, Mithridate, Diascordium and Alkermes, which all their friends, and neighbours one time or another must see; (being set off by some very curiously) and seeing cannot but admire the great charge, art, and labour of the Apothecary, and perhaps hear his learned Lecture upon them, whereby they imply their great skill, knowledg in the virtues of these ingredients, and consequently an ability to practise with them; all which are below the dignity of a Physician; and therefore a long time is necessary for him to gain acquaintance, wanting the fore-mentioned opportunities the Apothecaries enjoy. Lastly, Their painted Pots and Glasses, with false Titles on them, more win the vulgar then a Physicians Library of far greater value.
As to their incapacity for Practice, 'tis manifest by their education, and ignorance of all those things which are required in an able Physician, viz. the knowledg of Arts and Languages; by the former whereof men learn the way and rules of observing, and improvements to be made thereon; by the latter, what the learned searchers of Nature have in all Ages taken notice of, necessary, and little enough in an Art so difficult as that of Physic. They are wholy ignorant also of all Philosophy, and the very Elements of the Art, and therefore unskillful in knowing diseases; and more surely their causes, whereto respect is to be had, as well as to the diseases, to which, fit remedies are to be applyed. For want of Anatomy know neither the part affected, nor how 'tis affected; much lets any thing of Chirurgical directions. And through their ignorance in Philosophy, and Arts, they have not skill enough to advise a diet sutable to diseases; a thing most necessary, as well in curing diseases as in preserving of health, and which requires a great insight into the nature of things; nor the true grounds and reasons of compounding, practising their way rather by rote then by rule; with better reason may a Brick-layer or Carpenter pretend to be a Mathematical, or a Common Fidler to be a Musick Reader in the Universities, or Gresham-College, since both these have the practical part of those Sciences, which Apothecaries have not in Physic, in the least measure.
And to conceal their mis-actings, they generally do all by word of mouth, and not enter their prescriptions into their Books, being haply ashamed any knowing men should discover their sins of omission, as dangerous many times in point of life and health, as those of their commission. Whereas Physicians Bills are on the File, or registred in Order in their own Books, which is their justification from all misrepresentations.
Again, they sufficiently confess their ignorance, by calling in Physicians when their own, or any of their relations healths are concerned, and the same all people acknowledge, when they are in distress and danger. And very few understanding persons, and none that are learned and knowing, will trust them at all. But I shall refer the Reader to the forementioned Writer against the Apothecaries, viz. Dr. Daniel Coxe, who permitted me to name him here; by whom this and many other things here but briefly touched, are judiciously handled, and more largely.
And as for their skill in practice, we daily see their gross errours and omissions, being called where they have given Medicines. I shall instance only in one that hapned at the writing hereof; viz. that an Apothecary gave strong Purging Pills on the Fit day of a gentle Quartan Ague, which turned it into a violent Fever, to the great hazard of the Patients life.
And at how easie rate they practise, many of their Bills brought and complained of to our College, (in some whereof I have seen Fees set down for Visits) witness, wherein upon a slight disease 5 l. hath been demanded for four days practice. And I have heard one of them brag, that he commonly had from 20 to 100 l. besides presents, for cure of a Clap (as they call it) which might have been more speedily and securely performed for a manifold lesser sum.
I now come to answer some slight objections; as first, that Physicians are unskillful in the Art of making Medicines; but sure those that thus object cannot deny them that ability which Ladies, and almost all ordinary women have; viz. of distilling of waters of all sorts, making of Syrups, Conserves, Preserves, Powders, Trochiscs, Electuaries (and what not) and as many think, more cleanly and neatly then the Apothecaries; and some of them Ointments, and Plasters, in which two lyes their main skill. Some whereof, to those that understand not the way of dissolution of bodies, and the nature of their mixture may be difficult. Yet this defect they may supply by lessening the number of ingredients, and may perform more with 2, or 3 Simples, then with the larger Compositions, as 'tis manifest in the use of Galbanum alone, now used and found better then Emplastrum Hystericum, consisting of 21 ingredients.