The Story of London

by Henry B. Wheatley

Dr. J. W. Tripe, in 1881, took as the subject of his inaugural address on assuming the presidential chair of the Society of Medical Officers of Health: ‘The Sanitary Condition and Laws of Mediæval London.’ Referring to this, a writer in the Medical Times and Gazette says: ‘His description of the streets and houses of Old London, and of the habits of our forefathers, though most graphic, was not new ... but few, we think, have any idea of the antiquity of Sanitary, Nuisance Removal and River Conservancy Acts, and Dr. Tripe has therefore done well to again set forth the accounts of them that have been exhumed from the records of the city. Rude as they may seem to modern notions, they ought to have sufficed for the prevention of the epidemics which from time to time decimated the population, if they had not, like so many more recent enactments, been in advance of the age, and consequently remained for the most part dead letters.’[128]

Before entering into particulars as to means taken for the protection of the city from disease, and as to those upon whom the duty was laid of carrying them out, it will be necessary to make a few remarks upon the healing art in the Middle Ages.

It may be presumed that at all times large numbers suffered from illnesses and required medical aid, yet little has come down to us relating to the treatment adopted by the doctors. Unfortunately the medical men of the Middle Ages do not appear to have trusted to themselves or to their own practical knowledge. Instead they put their whole trust in the little they knew of Greek practice which they learnt from the Arabs. So that, even when writing on cases that came under their own observation, they give but slight information respecting the clinical treatment they adopted, and were afraid to express an opinion without the authority of a great name.

Dr. Norman Moore says: ‘The basis of medicine is the patient.’[129] This being so, as the patient always exists the medicine man must always have been required.

Those whose duty it was to combat disease among the Saxons seem to have been of little account, if we are to judge from the Rev. Oswald Cockayn’s collection of Leechdoms, Wort-cunning and Star Craft of Early England, published in the Master of the Rolls’ Series (1864); and Dr. J.F.Payne’s Fitzpatrick Lectures on the History of Medicine, 1903.

The Saxon leech received a professional education, and was often learned although he did not advance knowledge. He seems to have placed more reliance upon charms and magic than upon any sensible treatment. He compounded recipes of the most incongruous character, and paid special attention to the use of herbs, but few instances of cures performed by him are recorded.

It is not until after the Conquest that we are able to find the first signs of the noble profession of to-day.

It is said that mediæval medicine first began to emerge from obscurity in the thirteenth and fourteenth centuries. The Jews and the clergy were among the first to practise medicine. A noted Jewish physician is recorded by William of Newburgh as practising at King’s Lynn at the end of the twelfth century, but shortly afterwards the Jews were driven out of the country, and we hear no more of them except of an occasional physician who managed to escape the general outlawry of his nation. The clergy also in course of time largely gave over their noble attempts to heal their fellow-citizens, and a medical profession was gradually formed.

John of Salisbury (d. 1180), the friend and counsellor of Thomas à Becket, who is called by Bishop Stubbs ‘the central figure of English learning for thirty years,’ and may therefore be considered to some extent as an authority on the subject, had a very poor opinion of the medical profession of his day, and rated its members roundly for their ignorance and incompetence. He affirmed that they had two maxims which they never violated—‘Never mind the poor; never refuse money from the rich.’

There was no school of anatomy or surgery throughout England in the age of Chaucer and Wyclyf, but the medical schools of Salerno, Naples and Montpellier were attended by Englishmen. St. Luke is usually considered as the patron saint of the medical profession, but in the Middle Ages he was to a great extent dispossessed by St. Cosmas and St. Damian,[130] two brothers, who practised as physicians in Cilicia, and were martyred in the early part of the fourth century. These were the patron saints of the Company of Barber Surgeons, but the Fellowship of Surgeons, whose history has been written by Mr. D’Arcy Power,[131] kept St. Luke’s Day as well as that of St. Cosmas and St. Damian.