THE COLLEGE OF PHYSICIANS, WARWICK LANE
But this would not suit the game of the physicians. "A proposal was started by a committee of the college that the college should furnish the medicines of the poor, and perfect alone that charity which the apothecaries refused to concur in; and, after divers methods ineffectually tried, and much time wasted in endeavouring to bring the apothecaries to terms of reason in relation to the poor, an instrument was subscribed by divers charitably-disposed members of the college, now in numbers about fifty, wherein they obliged themselves to pay ten pounds apiece towards the preparing and delivering medicines at their intrinsic value."
Such was the version of the affair given by the college apologists. The plan was acted upon, and a dispensary was eventually established (some nine years after the vote of 1687) at the College of Physicians, Warwick Lane, where medicines were vended to the poor at cost price. This measure of the college was impolitic and unjustifiable. It was unjust to that important division of the trade who were ready to vend the medicines at rates to be paid by the college authorities, for it took altogether out of their hands the small amount of profit which they, as dealers, could have realised on those terms. It was also an eminently unwise course. The College sank to the level of the Apothecaries' Hall, becoming an emporium for the sale of medicines. It was all very well to say that no profit was made on such sale, the censorious world would not believe it. The apothecaries and their friends denied that such was the fact, and vowed that the benevolent dispensarians were bent only on underselling and ruining them.
OUTER COURT OF LA BELLE SAUVAGE IN 1828, FROM AN ORIGINAL DRAWING IN MR. GARDNER'S COLLECTION
Again, the movement introduced dissensions within the walls of the college. Many of the first physicians, with the conservatism of success, did not care to offend the apothecaries, who were continually calling them in and paying them fees. They therefore joined in the cry against the dispensary. The profession was split up into two parties—Dispensarians and Anti-Dispensarians. The apothecaries combined, and agreed not to recommend the Dispensarians. The Anti-Dispensarians repaid this ill service by refusing to meet Dispensarians in consultation. Sir Thomas Millington, the President of the College, Hans Sloane, John Woodward, Sir Edmund King, and Sir Samuel Garth, were amongst the latter. Of these the last named was the man who rendered the most efficient service to his party. For a time Garth's great poem, "The Dispensary," covered the apothecaries and Anti-Dispensarians with ridicule. It rapidly passed through numerous editions. To say that of all the books, pamphlets, and broadsheets thrown out by the combatants on both sides, it is by far the one of the greatest merit, would be scant justice, when it might almost be said that it is the only one of them that can now be read by a gentleman without a sense of annoyance and disgust. There is no point of view from which the medical profession appears in a more humiliating and contemptible light than that which the literature of this memorable squabble presents to the student. Charges of ignorance, dishonesty, and extortion were preferred on both sides. And the Dispensarian physicians did not hesitate to taunt their brethren of the opposite camp with playing corruptly into the hands of the apothecaries—prescribing enormous and unnecessary quantities of medicine, so that the drug-vendors might make heavy bills, and, as a consequence, recommend in all directions such complacent superiors to be called in. Garth's, unfair and violent though it is, nowhere offends against decency. As a work of art it cannot be ranked high, and is now deservedly forgotten, although it has many good lines and some felicitous satire. Garth lived to see the apothecaries gradually emancipate themselves from the ignominious regulations to which they consented when their vocation was first separated from the grocery trade. Four years after his death they obtained legal acknowledgment of their right to dispense and sell medicines without the prescription of a physician; and six years later the law again decided in their favour with regard to the physicians' right of examining and condemning their drugs. In 1721, Mr. Rose, an apothecary, on being prosecuted by the college for prescribing as well as compounding medicines, carried the matter into the House of Lords, and obtained a favourable decision; and from 1727, in which year Mr. Goodwin, an apothecary, obtained in a court of law a considerable sum for an illegal seizure of his wares (by Drs. Arbuthnot, Bale, and Levit), the physicians may be said to have discontinued to exercise their privileges of inspection.
In his elaborate poem Garth cruelly caricatures the apothecaries of his day:—
"Long has he been of that amphibious fry,
Bold to prescribe, and busy to apply;
His shop the gazing vulgar's eyes employs,
With foreign trinkets and domestic toys.
Here mummies lay, most reverently stale,
And there the tortoise hung her coat of mail;
Not far from some huge shark's devouring head
The flying-fish their finny pinions spread.
Aloft in rows large poppy-heads were strung,
And near, a scaly alligator hung.
In this place drugs in musty heaps decay'd,
In that dried bladders and false teeth were laid.
"An inner room receives the num'rous shoals
Of such as pay to be reputed fools;
Globes stand by globes, volumes on volumes lie,
And planetary schemes amuse the eye.
The sage in velvet chair here lolls at ease,
To promise future health for present fees;
Then, as from tripod, solemn shams reveals,
And what the stars know nothing of foretells.
Our manufactures now they merely sell,
And their true value treacherously tell;
Nay, they discover, too, their spite is such,
That health, than crowns more valued, cost not much;
Whilst we must steer our conduct by these rules,
To cheat as tradesmen, or to starve as fools."
Before finally leaving Blackfriars, let us gather up a few reminiscences of the King's and Queen's printers who here first worked their inky presses.