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Kitty Calash

~ Confessions of a Known Bonnet-Wearer

Kitty Calash

Tag Archives: historic medicine

The Charm of the Third Time

03 Thursday Oct 2019

Posted by kittycalash in Events, History, Living History, Making Things, Reenacting, Research

≈ 3 Comments

Tags

18th century, authenticity, Elizabeth Weed, historic medicine, interpretation, living history, Museum of the American Revolution, Occupied Philadelphia, pharmacy, Philadelphia, recipes, Research

One must keep up with the news (and the competition)

I’d call it “three times a lady,” but truly, I’ve only been a lady in Occupied Philadelphia twice. Last year and this year, I portrayed Elizabeth Weed, a widowed pharmacist living on Front Street in 1777 with her son, George. We don’t know why Elizabeth Weed didn’t leave the city along with nearly half the population. Was she a loyalist? Was her son too ill to travel? Or did she choose to stay to protect her property from the British– or the son of her late husband’s first marriage, who withheld a portion of the estate? Whatever the reason, remain she did, advertising her wares in the October 23 edition of the Pennsylvania Evening Post.

New remedies, new box, new ingredients: refining an idea

Last year, with Drunk Tailor’s assistance, I made a number of remedies using 18th century receipts, with some interesting and sometimes successful results. This year, we improved one– the yellow basilicum ointment– and added some new concoctions. The sulphur ointment for the itch (possibly scabies) worked well on the insect bites I got in the Carpenters Hall forecourt. A charcoal-oyster shell-cinchona bark-benzoin tooth powder was a new addition. I used the clove oil-scented pomatum to achieve the highest hair I’ve managed yet, but the truly satisfying work was recreating multiple recipes actually used by Elizabeth Weed.

As Drunk Tailor notes in his entry on this year’s event, we can never truly enter the 18th century mindset. Recreating the clothes, food, daily rhythms, and medicines help us experience the feel of the past, but we can never truly be those people. If you regularly cook 18th century meals, you’ll experience the palate of the past: aromatic, relying heavily on cloves, nutmeg, cinnamon, and allspice. This same range informs the aroma and flavor of the remedies from cough syrup to tooth powder.

Almost undoubtedly one of the ‘smells like Christmas, tastes like death’ tooth powders. Courtesy Jason R. Wickersty/Museum of the American Revolution

It’s a toss up which is less pleasant to the modern tongue, the Syrup of Balsam or the Syrup for the Flux. Both use the “paregoric elixir,” which some of you may recall from the medicine cabinets of old. Camphorated tincture of opium or anhydrous morphine has been used to treat diarrhea for centuries, and the ingredients for the modern version (anhydrous morphine) is remarkably similar to that for Weed’s paregoric elixir:

Weed’s Paregoric Elixir Anhydrous Morphine (Paregoric)
8 ounces opium Anhydrous Morphine, 2 mg
4 gallons spirits of wine, rectified Alcohol, 45%
1 ounce oil of anise seeds Anise oil
2 ounces Flor. Benzoin Benzoic acid
8 ounces camphor Glycerin
Purified water

There are some differences– most of us don’t want to ingest camphor, and “purified water” isn’t quite a thing in 1777– but the active ingredient makes these essentially the same compound. It’s an essential component of both Syrup of Balsam and Syrup for the Flux, so it had to be made first. Over the course of ten days, the elixir cleared from a yellow-orange slightly opaque liquid to a clear yellow liquid, with white sediment at the bottom of the jar (probably the benzoin).

With that in hand, I was ready to tackle Weed’s most famous (and well-protected) remedy. It appears more than once in the daybook, but both listings use the same ingredients and proportions.

One of the original receipts for the syrup for the (Bloody) Flux. UPenn Ms. Codex 1049

Syrup for the Bloody Flux
1.5 pints, simple syrup or molasses
.5 pint, elixir paregoricum
1 drachm each:
Essence of peppermint
Essence of pennyroyal
Essence of anise seed
Essence of fennel seed
tincture aromatic

“Mix them all together, and stop them up in a bottle for life.” (Or, as the other receipt says, “Mix and Digest.”

The resulting mixture is probably meant to soothe the intestinal cramps (with anise, fennel, and peppermint) while the paregoric relieves the endless diarrhea. Licorice-flavored molasses with a peppermint tingle isn’t unpleasant so much as odd to the modern palate.

Syrup of Balsam defied expectations.

On the right: Syrup of Balsam: -10/10 would not taste again.

Syrup of Balsam
1 pint, simple syrup or molasses
.5 print, elixir parigoric
1 ounce each:
Essence of fennel
Essence of anise seed
Royal Balsam
Tincture of Balsam of Tolu

“These must be mixed together, and then put up for use.”

If I attempt this again– to be fair, I have enough ingredients and more knowledge– I’ll try to get the Balsam of Tolu to dissolve more fully into the main mixture, though I doubt the separation is why the taste is so unforgettable. While it did mellow after several days, the basic flavor remained licorice cough drops dissolved in corn liquor with an afterburn of turpentine. Fortunately, the dosage is not by the spoonful, but rather ten or more drops in a wine glass of water, depending on the constitution of the patient. As a “cure for the whooping cough,” the syrup with fennel and anise was probably intended to soothe the throat, and paregoric might have helped the pain of damaged lungs. Living in the post-DTaP era, I’ve never had whooping cough, or been around anyone who did, so it’s much harder for me to imagine treating it without antibiotics (or simply not getting it).

“No, really, no antibiotics!” Photo by Jason R. Wickersty/Museum of the American Revolution

That was really illuminating to some people: antibiotics weren’t invented until 1928 (in the case of penicillin) and were not available for civilian use until March, 1945. Until then, diseases like strep throat could be fatal. Often, the best medicine in the 18th century was to help a patient be comfortable, and ease their symptoms.

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Ballet Arthritique

28 Tuesday Jan 2014

Posted by kittycalash in Research

≈ 2 Comments

Tags

arthritis, Boston, historic medicine, medicine, newspapers, pain, Research, TJR, total joint replacement

Three men wearing orthopedic apparatus. Etching and engraving by Paul Sandby, 1783. Wellcome Library image L0019751

How was arthritis pain treated in the 18th century? One option was the mustard plaster, which operates on the principle that heat generated by the plaster increases blood flow, which will reduce inflammation. Frankincense supposedly inhibits the production of molecules that cause inflammation and break down cartilage tissue, which leads to joint pain, at least in knees. This level of scientific knowledge wasn’t available to the 18th century physick, but frankincense is an edible aromatic resin with a long history of use in treating ailments including arthritis. At least you (or your breath) would smell good.

The primary ailment treated of was gout, and the remedies above are mostly directed at inflammatory arthritis, the kind where joints grow red and swollen. Think of wealthy, overweight men drinking port with swollen feet propped up on footstools: that’s gout.

Models showing progressive arthritis in a knee, followed by joint replacement.

Then there’s osteoarthritis, or degenerative joint disease, once included in the catchall and obsolete term, rheumatism. This is a different matter, where changing your diet and icing the joint generally won’t bring much relief. When your cartilage is gone, your bones rub together. Osteophystes or bone spurs form is response to damage or inflammation, and cause both pain and noise.
In the pre-joint replacement era, treating this kind of arthritis was treating chronic pain. (In this era, that’s still the case: absent a TJR or resurfacing, all that’s treated is pain. Once the joint is replaced, there’s nothing left to hurt. It’s a neat little trick.)

Providence Gazette and Country Journal, June 16, 1764. V II, Issue 87, page 3

Providence Gazette and Country Journal, June 16, 1764. V II, Issue 87, page 3

In pre-Revolution Boston and Rhode Island, there were various cures advertised promising far more benefit than they were likely to deliver. Phillip Bourne, from Greenwich Hospital in England, promises to “undertake curing any Persons who are afflicted with the Gout and Rheumatic Pains, with the greatest Facility and Safety imaginable.” The caveat about “especially such as have not been visited with those Disorders for more than Seven Years” is particularly nice, since the longer pain persists, the harder it is to treat. He knew his limits, I suppose, if only of his patience, or the amount of time he could safely ‘practice’ in any location.

Boston Gazette, February 14, 1774.

Boston Gazette, February 14, 1774.

Edes and Gill sold Keyser’s Famous Pills, “So well known all over Europe,” and promising much, like Cures for Scorbutic Eruptions, Leprosies, White Swellings, Stiff Joints, Gout and Rheumatic Disorders, etc.” I don’t know about you, but I think I’d prefer to have my scurvy treatments separate from my arthritis treatments.

Ultimately, the best option was probably a crutch or cane, though braces were devised and are still used, along with crutches and canes. All that prevents their use or efficacy is the vanity of the user.

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