A London surgeon, Dr. P. Coltheart, writing in 1727, asserted that English practitioners of that time were the peers of any in Europe. He complained, however, of the multitude of ignorant quacks, who were allowed a free hand in the practice of their pretended art, to the detriment of the community.
The spectacle of such a gallant array of charlatans, recruited from the ranks of illiterate tramps and vagrants, the very scum of society, yet thriving by reason of the popular credulity, certainly warranted the scathing arraignment of these interlopers by reputable physicians, who thus found a vent for their righteous indignation, although they were powerless to impede thereby the strong tide of imposture.
How often it happened, wrote William Connor Sydney, in "England and the English in the Eighteenth Century," that a bricklayer (who chanced to be the seventh son of his father), or a sharp-witted cobbler, picked up an antiquated collection of medieval recipes, and perused it in his leisure hours! Then, dispensing with his trowel or awl, he devoted himself to the sale of pellets, lotions and gargles, possessing marvellous virtues!
Here is a copy of an advertisement which appeared in an early number of the London "Spectator":
Loss of Memory or Forgetfulness certainly cured by a grateful electuary, peculiarly adapted for that end. It strikes at the primary source, which few apprehend, of Forgetfulness, makes the head clear and easy, the spirits free, active and undisturbed; corroborates and revives all the noble faculties of the soul, such as thought, judgment, apprehensions, reason and memory, which last in particular it so strengthens as to render that faculty exceeding quick and good beyond imagination, thereby enabling those whose memory was almost totally lost, to remember the minutest circumstances of their affairs, etc; to a wonder. Price 2s. 6d a pot. Sold only at Mr. Payne's, at the Angel and Crown, in St. Paul's Church-Yard, with directions.
William Smith, in his "History of the Province of New York from its First Discovery to the Year 1722" (London, 1757), wrote as follows:
The History of our Diseases belongs to a Profession with which I am very little acquainted. Few physicians amongst us are eminent for their skill. Quacks abound like Locusts in Egypt, and too many have recommended themselves to a full Practice and profitable subsistence. This is the less to be wondered at, as the Profession is under no Kind of Regulation. Loud as the call is, to our Shame be it remembered, we have no Law to protect the Lives of the King's Subjects from the Malpractice of Pretenders. Any man at his Pleasure sets up for Physician, Apothecary and Chirurgeon. No candidates are either examined or licensed, or even sworn to fair practice. In 1753 the City of New York alone boasted the Honour of having forty Gentlemen of that Faculty.
A contributor to the Cincinnati "Lancet and Observer," October, 1861, moralized on this subject in a somewhat pessimistic vein.
To see an ignorant, boastful quack petted, caressed and patronized by people of culture and refinement, wrote he, such as members of the learned professions, statesmen, philosophers, shrewd merchants and bankers, as well as by worthy mechanics and trusting farmers, is enough to make one ponder whether after all it is worth while to devote money, time and talents in acquiring a thorough knowledge of professional duties. . . . However natural such a method of reasoning, it will not influence the sober mens conscia recti of the trained physician.