The accomplisht physician, the honest apothecary, and the skilful chyrurgeon detecting their necessary connexion and dependence on each other : withall a discovery of the frauds of the quacking empirick, the praescribing surgeon, and the practicing apothecary Merret, Christopher, 1614-1695. 1670 Approx. 139 KB of XML-encoded text transcribed from 53 1-bit group-IV TIFF page images. Text Creation Partnership, Ann Arbor, MI ; Oxford (UK) : 2004-03 (EEBO-TCP Phase 1). A50694 Wing M1835 ESTC R26201 09386596 ocm 09386596 42929 This keyboarded and encoded edition of the work described above is co-owned by the institutions providing financial support to the Early English Books Online Text Creation Partnership. This Phase I text is available for reuse, according to the terms of Creative Commons 0 1.0 Universal . The text can be copied, modified, distributed and performed, even for commercial purposes, all without asking permission. Early English books online. (EEBO-TCP ; phase 1, no. A50694) Transcribed from: (Early English Books Online ; image set 42929) Images scanned from microfilm: (Early English books, 1641-1700 ; 1312:14) The accomplisht physician, the honest apothecary, and the skilful chyrurgeon detecting their necessary connexion and dependence on each other : withall a discovery of the frauds of the quacking empirick, the praescribing surgeon, and the practicing apothecary Merret, Christopher, 1614-1695. Harvey, Gideon, 1640?-1700? [5], 95 p. [s.n.], London : 1670. Attributed by Wing and NUC pre-l956 imprints to Christopher Merret, and to Gideon Harvey by the Brit. Mus. cat. Caption and running title: The accomplisht physician and the honest apothecary. "A lash for Lex talionis, or, A just repraehension of the practising apothecary": (p. 91-95) Reproduction of original in the British Library. Created by converting TCP files to TEI P5 using tcp2tei.xsl, TEI @ Oxford. 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Pharmacists -- Great Britain -- Early works to 1800. 2003-10 TCP Assigned for keying and markup 2003-11 Apex CoVantage Keyed and coded from ProQuest page images 2003-12 Rina Kor Sampled and proofread 2003-12 Rina Kor Text and markup reviewed and edited 2004-02 pfs Batch review (QC) and XML conversion THE ACCOMPLISHT PHYSICIAN , THE HONEST APOTHECARY , AND THE SKILFUL CHYRURGEON , DETECTING Their necessary Connexion , and dependance on each other . WITHALL A DISCOVERY Of the Frauds of the QUACKING EMPIRICK , THE PRAESCRIBING SURGEON , AND THE PRACTICING APOTHECARY , WHEREUNTO IS ADDED The Physicians Circuit , The History of Physick ; And a Lash for Lex Talionis . Homine semidocto quid iniquius ? London , Printed , and are to be Sold in Little-Britain . 1670. THE PREFACE TO THE VULGAR READER . READER , TO those whom Nature hath raised out of a refined mould , and are by their Education sublimed to a higher sphaere , as the Gentry and Literate Persons of England , this Discourse is no wise directed , unless accidentally by a superficial view , they should give themselves the divertisement of admiring the folly , indiscretion , and fond passion of the Uulgar , whom moving erratically in a lower region , is the proper task of these Sheets , to reduce to a more certain and less planetary motion . As the Art of Physick through its excellency hath ever dignified Physicians to that Degree , as to appear most acceptable to Kings , Princes , and all others of the highest ranck ; so likewise have Physicians retributed a just gratitude to their Art , by super adding to it that lustre and splendor , derived from their most succesful Cures and excellent Practice , and particularly from that so famed Aesculapian College of London , and other Doctors of Physick , who by their Study and Experience , through Travel have of right merited that title : These and their Art have of late years been rendred subject to the same fate Religion and the Law not long before , of being subverted by the ignorance and ambiiton of such whose brain is as subject to vapors , as the climat wherein they live , being all manner of wayes ignorant of the delicious fruits of life , that are reaped from a constancy in their Church-worship , their subjection to Government , and in their due Veneration of Learning . Their ignorance is discernable in their sensless liberality , of conferring the honour and title of Doctor upon every Quack , Empirick , Surgeon , Apothecary , and almost every one that carries but the scent of Mithridate about him ; and the Ambition of these is no less ridiculous in receiving that mock-title . However since it is their vulgar humour so to do , I have for their better understanding corresponded with it so far , as to continue the same titles of Physician , Doctor , Church-yard and Hackney Physician applied to the same parties , viz. to Quacks , Empiricks , Praescribing Surgeons , and Practising Apothecaries , for the most part meaning no other but such , unless where for distinction the Reader will occur with the addition of Accomplisht . My name I have purposely concealed , because from this small labour I promise my self no other advantage , than a complacency in my own sentiment , of having performed a duty , that Noble Art , and it 's most Ingenious Artists , require from all , that have received a benefit from it and them , in defending its honour and eminency from the abuse and violation of such mean and pitiful animals , as are aboue mentioned . And among that fry , none arrogate a greater sharp in the practice of Physick , than the praescribing Surgeons , who seem to be enfranchised in it , since now a dayes Physicians take so little inspection into their boutchery , and inhumane practice , which because I shall not much insist upon in the ensuing Discourse ; I will insert an instance or two here : One I knew , that against a Diarrhoea or loosness , gave the Patient two drams of Diapalma Plaster made up in Pills , for several dayes , which through the quantity of lythargir it contain'd , gradually poyson'd the party . Another presented his Patient with half an ounce of Mercurius Dulcis a day , for ten dayes together , which absolutely destroyed the tone of the stomach , subverted the temperament of the brain , and at last rendred him paralytick . A third upon the exhibition of red Praecipitate ill praepared & worse applied , after innumerable stools praecipitated the Patient into his Coffin ; this and many other disasters were the consequence of a huge Army-Bone-Setter's practice ; who for his Prophanations , and Atheistical opinions is the Monstrum horrendum of all men ; & for his extream illiterature is the only he , I should admire , that through his impertinent and fastidious boldness did arrive to the least repute , were it not his attendance on a great person had given a seeming appearance of his bungling skill . After all this , I must in short acquaint you with the remainder of my scope , chiefly ayming to distinguish those Praescribing Surgeons , and Practising Apothecaries , by their dangerous and fraudulent practice , from skilful Chirurgeons and Honest Apothecaries ; for both which I have not only a due respect and esteem , but shall hereby endeavor to convince all accomplisht Physicians of the necessity of their employments , and dependance on their Art , making it my only request , not to take amis , what may be expressed in Drollery or earnest against those of their fraternity , that are no less injurious to the Noble Practice of Physick , than the necessary Employ of Skilful Surgeons and Honest Apothecaries . My vulgar Reader I hope will not be offended with my franck humour of having objected their fickle-headed inconstancy , which quality being set aside , it may without partiality be asserted , they are a people , whom for their more than ordinary endowments of Mind , singular Valour and address in their Arms , Nature particularly hath distinguisht from all other Nations of the Continent , by seating them in a most beautiful Island , and putting in their hands the Scale of Iustice , to compose or decide the Disputes of all Foreign Princes by their invincible Power at Sea and Land. The Accomplisht Physician , AND The Honest Apothecary . TO discommend what so many are fond of , is a character no wayes obliging ; and therefore discovering the familiar cheats and impostures of those , whom our vulgar doth so passionately affect , must necessarily prove a work of very slender merit . However , since I do not compute the vain applauses of a credulous rabble the just price of my labours , nor dread the venomous darts of those I make the subject of my discourse , but chiefly rendring my self to that vertue , whereby men are spirited to work a publick good to their private disadvantage , shall now open to your sight , the skulls of such as are commonly intrusted with your health , where you may behold the wheels of their brain , framing subtil practices , to drain your dropsical purses , and play the fool with your consumptive bodies . § But that all this should be transacted with a delight to the Patient , may seem no less than a riddle , though easily resolved ; for as in cheating there is a Bonum utile , so in being cheated there is a Bonum jucundum , the Impostor usually impressing an expectation more pleasant than ordinary on his Patients fancy , which doth not a little tickle his dull spleen . This confirms the truth of the Motto , Vúlgús vúlt decipi , The vulgar will needs be cheated ; a saying that 's more applicable to the commonalty of this Horizon , than of any other in Europe . For that once a a Heel-maker , should arrive to an Estate of many thousands , by selling Barley water with a few drops of Spirit of Salt in it , were in no other City possible , than on Tower-Wharf in London ; or that a rational people should permit their purses to be gelded , and their bodies anatomized alive by a huddle of Empiricks , as that Hatband-maker , once of Moorfields ; the Gunsmith in Barbacan ; that old doating piece of Nonsense in Southwark ; besides many more , not worth the value of my Inck and Paper , can only be reported of our English : Or that not long since , a French Mountebank Doctor , ( who for many years in his own Countrey , could scarce counterpoise his ordinary expences , with the fruits of his practice , ) should in less time than the common life of a Physician , extract a mass of two hundred thousand Iacobus's out of the Mines of English Church-yards , is an Argument for other Nations , to accuse us of an extream wantonness in our pockets . But I must praetermit illustrating that Subject , not being embarqued in a design of reproving , but informing my vulgar Reader . § The Law looks very grim upon Gipsies for cheating young folks , though of a very small part of their money , by conjecturing at their Fortunes , which possibly may oft correspond with the purpose of their praediction , though other times may vary : But vulgar Physicians , and those of no indifferent report , do not only conjecture grosly at the Diseases of their Patients , but also most times make a shameful difference between their conjectures , and the state and event of those Diseases , whereby the party is defrauded of a great part of his mony , and like a fool his expectation frustrated . Here may be demanded , which of these is the greatest cheat ; the Gipsie , who for a trifle it may be a Beggers Alms , gives his Auditor a divertisement of a pleasant discourse , leaving him withall to a free election of crediting what he pleases , or the vulgar Hackney Physician , who imposes an obligation on his Patient , to believe his impertinent sentiment of his infirmity , and for so doing is satisfied with no less than a whole gripe of Half Crowns ? Certainly , where there is a due propo●tion observed between the recompence and the merit , that cannot be comprehended within the circumference of a cheat , and therefore one might justly aver an indemnity in the Gipsies penny , though no small cheat in the vulgar Empiricks Iacobus . § But to prevent your censuring me , overbalanced with a prejudice to those , that so much abuse that noble Profession ; I 'le conduct you into their usual road and method , of examining their Patients , and making inquiry into their Diseases , wherewith being acquainted , you may ( though of never so unpolisht a skull ) as readily pronounce a Verdict , as the best Lye-a-bed till noon . § This knack doth chiefly consist in three notions , viz. First , that a Patients grievance is either a discernable evident disease , which his own confession makes known to you , what it is ; or Secondly an inward pain ; or Thirdly , one of these two Endemick Diseases , a Scurvy , or Consumption , or a third , the Pox. This is their Theory , which is so deep engrafted on their Dura Mater , and may be acquired with less industry , than fourteen years study at one of our Universities ; for so much time is requisite to make a man grow up to a Doctor , the formality whereof in most places consists in , Accipiamús pecuniam et dimittamús asinúm . § Next I 'l inform you in the application and uses of these three Notions . If a sick man makes his address to a Vulgar Physician , he demands his complaint ; T'other replies , he is troubled either with a Vomiting , Loosness , Want of Stomach , Cough , Bad digesture , Difficulty of breathing or Phtisick , Faintness , Jaundise , Green-sickness , Dropsie , Gout , Convulsion-fits , Palsie , Dizziness or Swimming in the brain ; Vomiting , Coughing , or Spitting of Blood , an Ague , a Continual great heat or Fever . These are all evident Diseases the party himself expresses he is troubled with . But his sickness not being an evident Disease , which he himself can explain , the Vulgar Doctor concludes it must be either an inward pain , or an Endemick disease . The Patient then making complaint of an inward pain , to his old trade of guessing t'other goes , inquiring-first in what part ; if he answers , he feels a pain in the right side under the short Ribs , he tells him it 's an Obstruction or stoppage in the Liver ; if in the left side in the opposite part , then it 's a stoppage of the Spleen ; if in the belly , it may be he calls it a Colick , or wind in the Guts ; if in the back or loins he perswades him , it 's Gravel , Stone , or some other Obstruction in the Kidneyes ; if a stitch in the Breast , he terms it a wind , or sometimes a Bastard , or other times a true Pleurisie . § Lastly , if the party be reduced to a very poor and lean carcass , by reason of a long taedious Cough , Spitting of blood , or want of stomach , or Feebleness , or almost any other disease or pain , then be sure , he tells him , he is in a Consumption , or at least falling into one . But being troubled with several diseases and pains at once , as running pains , saintness , want of stomach , change of complexion , so as to look a little yellowish , duskish or greenish ; then t'other whispers him , he is troubled with the Scurvy . If diseased with ulcers or running sores , red , yellow , blew , or dark spots , pimples , or botches in the face , arms , legs , or any other part of the body , that 's determined to be the Scurvy likewise , supposing the party to be a sober discreet person ; but if appearing inclined to wantonness , by reason of his youth or sly countenance , then the forementioned disease is to be called the Pox. In most diseases of women they accuse the Mother . In children their guess seems far more fallible ; for a child within the six Months being taken ill , restless , and froward , if there appear no evident disease , he ever affirms it 's troubled with gripes ; upon which he prognosticates , that not speedily being remedied , the child will fall into Convulsion fits ; but this not hapning according to his praediction , to prevent the forfeiture of his skill and repute , endeavors to possess the Mother and rest of the Gossips , it had inward fits . The child being past six Moneths , and falling indisposed , then instead of gripes , it 's discomposed by breeding of teeth . But having bred all his teeth , and being surprised with any kind of illness , the vulgar Doctor avouches , it 's troubled with Worms . In short , take away these three words , Obstruction , Consumption , and Scurvy , and there will remain three dumb Doctors , the Hackney-Physician , The Prescribing Surgeon , and the Practising Apothecary . § Hitherto we have only discovered to you the ordinary Physicians conjecturing compass , whereby he steers his course to arrive to the knowledg of his Patients diseases ; there yet remains we should unlockt'other ventricle of his Brain , to behold the subtlety of his fancy , in groaping at the causes of diseases , which though the Poet declares , ( foelix qui potuit rerum cognoscere causas , ) to be cloathed with the darkest clouds , yet he by vertue of this following principle , aims at this mark immediately , viz. That most diseasés are caused by Choler , Phlegm , Melancholy , or Abundance of blood . Of these , two are supposed to be hot , namely Choler and Abundance of blood ; and the other two cold , to wit Phlegm and Melancholy , and consequently causes of hot and cold diseases . These four universals being reduced to two general Categories under the notion of hot and cold , any one having but the sense of distinguishing Winter from Summer , may in the time of an Hixius Doxius instantly appoint a cause for almost every disease . So that a Patient discovering his trouble , it may be a Want of Stomach , Bad digesture , Fainting , Cough , Difficulty of breathing , Giddiness , Palsie , &c. his Vulgar Physician has no more to do , but takes him by the fist , to feel whether he be hot or cold ; if he finds him cold , then summons in his cold causes , Phlegm and Melancholy , which ready and quick pronouncing of the cause upon a meer touch doth almost stupefie our Patient through admiration of this Aesculapian Oracle , hitting him in the right vein to a hairs breadth ; for quoth he , Indeed Mr. Doctor , I think you understand my distemper exceedingly well , and have infallibly found out the cause , for every Morning assoon as I awake , I spit such a deal of Phlegm , and moreover I must confess my self to be extreamly given to Melancholy . This jumping in Opinions between them , makes Mr. Doctor swell with the expectation of a large fee , which the Patient most freely forces upon him , and so the fool and his mony are soon parted . Now it 's two to one but both are disappointed , the one in his unexperienced Judgment , t'other in his fond belief ; for state the case , the disease takes its growth from choler or abundance of blood , or any other internal cause , there is scarse one in a hundred of those that are indisposed , who is not subject to hauk and spit in the morning , and being reduced to weakness by reason of his trouble , must necessarily be heavy in the passions of his mind , and incident into Melancholy thoughts through the memory of his mortality , occasioned by this infirmity . So that seldom mirth and chearfulness are housed in indisposed bodies , because they are deficient of that abundance of light and clear spirits , required to produce ' em . No wonder the vulgar is so opiniater in the affair of their temperament , when belaboured with a disease , since in their healthful state it 's impossible for a Physician to ingage their opinions otherwise , then to believe themselves to be Phlegmatick and Melancholy . My self have oft been praesent at the demands of a censure upon the temperament of several , whom some the infallible rules of Art did adjudg Sanguin , others Cholerick , &c. to this they would ever reply , they found themselves Phlegmatick and Melancholly ; for every morning they spitted up such a great quantity of thick clotted flegm , that they must needs thence infer their bodies to be Phlegmatick ; And Melancholy they were assured did possess 'em , for ( say they ) though for the most part in company they appeared chearful and pleasant ; yet being alone they were subject to lapse into Melancholy . To this reply was return'd , that all men , especially those that are accustomed to Suppers , were subject to hawk and spit flegm at their awaking , by reason of the vapors , ( occasioned through the heat of the Body , drawing inwards to the center , and melting the Phlegmatick and soluble humors of the Body , ) the Stomach and Bowels do transmit to the Brain , during their sleep , which as soon as the spirits are Ioosned , ( for through sleep they are tyed and lockt up , ) and begin to move , are praecipitated and distil down to the Palat , which to the Brain performs the office , the Neck doth to the Head of an Alembick ; and indeed the Brain and its hollownesses being placed a top of the pipes of the Body , is not unlike an Alembick head , for attracting and distilling moist humors . § To return to the point of declaring , how the vulgar strives even with violence to be cheated , not in their Purses only , but in their fancy and Opinion ; And in this particular our Women are so violently eager , that if the vulgar Physician can but make a true sound upon the Treble of their Fancy , will produce such a harmony , as shall sound his praise through City and Countrey ; and without these Female Instruments or She Trumpets , it 's almost impossible for a Vulgarist to arrive to a famous report , who having once by his Tongue harmony inchanted the women , doth by the same cheat subject the Opinions of men to his advantage , women generally usurping and impropriating the affair of their Husbands health to their own management ; for if a man chance to be surprized with sickness , he praesently asks his Wife , what Doctor he shall send to , who instantly gives her direction to him , that had her by the Nose last . In this piece of subtilty our Doctor shews himself no less cunning than the Serpent in Genesis , who to cheat Adam thought it expedient first to deceive Eve. § Now without any further praeamble , I must tell you the humour , many a sick woman delights to be coaksed in by the ordinary Physician , viz. she loves to be told , she is very Melancholy , though of never so merry a composure , and in that part of the Letany , Mr. Doctor is a perfect Reader : For a Woman making complaint she is troubled with Drowsiness , want of Stomach ; Cough , or almost any distemper , he answers her she is in an ill State , and troubled with great and dangerous Diseases , and all engendred by Melancholy ; and then tells her once over again , she is very Melancholy , and saith he probably occasioned by course Treats at home , or some unkindness of Friends , which makes the poor Heart put finger in her eye , and force a deep sigh or two , and all this possibly for being denyed a Tankerd on Bartholomew Fair , or a new Gown on May Day , which being refresh'd in her memory , doth certainly assure her , the impression of that Melancholy to be the original of her trouble , though some moneths or years past , especially since her Physician discovers to her as much , and for so doing admires him no less , intending withall to give an ample Testimony to the world of her Doctor 's great Skil : But this is not all , he pursues his business , looking into her Eyes , where spying a small wrinckle or two in the inward or lesser angle , he tells her , she hath had a child or two , namely a Boy or Girl , according to the place of the foresaid wrinkle in the right or left inward angle ; Thence perswades her , that at her last lying in , her Midwife did not perform her office skilfully , or did not lay her well , whereby she received a great deal of praejudice , as Cold , wrenching , or displacing of the Matrix , &c. which instance squaring so exactly with the praemeditated sense & opinion of his she Patient , ( most Women though never so well accommodated in their Labour , being prone to call the behaviour of their Midwife in question , ) he hath now produced a far greater confidence than before ; and last of all to compleat his work now at the Exit of his gulled Patient , of rendring her thoughts , opinion , and confidence vassals to his service , fame , and advantage , makes one overture more of a great cause of some of her symptoms , declaring to her , she is much subject to Fits of the Mother , occasioning a choaking in her throat ; and herein they also jump in their Sentiments , scarce one Woman in a hundred but one time or other is assaulted by those uterin steems , especially upon a tempest of any of her Passions of fright , fret , anger , love , &c. § If I have hitherto reproach'd the vulgar Physician for executing his employ with so little Ingenuity , far greater reason may move me to condemn the Water-Gazer , who by the streams of the Urin praetends to gratifie his Patients nice curiosity of being resolved , what was , what is , and what Disease is to come ; and what is more , some by their great cunning aiming to discover as much by the Urinal , as the Astrologer by the Globe . The fame unto which the English Doctor , still residing at Leyden , had promoted himself , by his most wonderful sagacity in Urins , is not unworthy of your note , hundreds or rather thousands repairing to this stupendious Oracle , to have the state of their Bodies described by their Urin. But when I relate to you the first means , that gave birth to our Countrey-man's repute , I shall soon remove your passion of admiring him . Upon his arrival at the place forementioned , he had in his company a bold fellow , that haunted the most noted Taverns and Tap-houses , where by way of discourse divulged the good fortune that was hapned to the Town , by the arrival of an English Doctor , whose great Learning and particular Skil in Urins would soon render him famous to all the Inhabitants ; this being pronounced with a confidence suitable to the subject , occasioned three sick Scholars , ( two Hecticks and one Hydropical , ) then present , to make tryal of the truth of his words the next morning , agreeing to mix all their Urines in one Urinal , and to commit the carriage of it to him , that was Dropsical . In the interim Mr. Doctor is advertis'd of it by his Companion , which made him so skilful , that when the Hydropical Scholar praesented him with the Urinal , to know the state of his diseased Body , he soon gravely replyed , that he observed three Urins in this one Urinal , whereof the two lowermost parts of the Urin appeared to him to be Consumptive , and the third that floated a top Dropsical , withall that their condition was desperate , and at the expiration of six moneths , they should be all lodged in their graves . This admirable dexterity of discerning Diseases by the Urinal , was soon proclaimed by the Scholars themselves , who all having finish'd the course of their lives within the time praefix'd , proved an undoubted argument of his unparalel parts in the Art of Physick , which immediately procured him an incredible concourse of people for many years together . § That the effects of confoederacy in promoting a Physician to a popular vogue , are as powerful as sinister and dis-ingenious , may evidently be deduced not only from this Narrative , but from the common design of vulgar Empiricks , who to raise their fame as high as a Pyramid , send forth several Moúthers , to Moúthe in all publick places , Taverns , Coffee and Ale-houses , their vast abilities , expecting with that bate to hook in as many Patients as will swallow it . Others are no less skilled , in counterfeiting their great practice , by causing their Apothecary , or others , to call 'em out of the Church at an Afternoon Sermon , to hasten post to a suborn'd Patient , to the intent , that the world be advertis'd of the weighty business this Doctor is concern'd in . Neither do I tell you a new thing , that some few years past , a little prating Empirick , by insinuating into the speaking men and holders forth of Conventicles , had inticed a far greater imploy , there his real capacity in Physick could praetend to , but being now well mounted on Horseback , turns his Tayle to those , that had so long held the Stirrup to him . Others by their Equipage , Eminent houses , and occasioning one and the same Patient to repair needlesly to them twenty or thirty times , manifest a decoy even taken notice of by the vulgar . These few most disingenious wayes , I do here purposely bring on the board , omitting many others , to convince the publick , that the onely means for a Physician to advance himself honourably to practice , is by discovering his real abilities , in curing Diseases by quick , certain , and pleasant Medicines , & therefore nothing should render his parts more suspicious , than by attempting their discovery , by such fallacious and ignoble devices ; for certainly the conclusion is most Sophistical , that because this Doctor is drawn in his Coach , t'other rides on Horseback , or another hath a Lacquey at 's heels , therefore he must be excellently qualified in his Profession . But Vulgús vúlt decipi . § If now I describe by way of advice to those that are entring upon the Study of this Divine Art , the method of attaining to a point of excellency in it , that may serve our vulgar for a better rule , to distinguish their attainments by the course they have passed through ; first , it 's most necessarily requisite , our young Student should be perfectly instructed in the Latin and Greek Tongues , being the universal keys to unlock all those Arts and Sciences , and no less a grace to the future Physician . 'T is in this particular many of our Embryonated Physicians , that have of late years Transported themselves to Leyden & Utrick , to purchase a degree , have been found very defective , insomuch that I have heard the Professors condemn several of them , for their shameful imperfection in that , which is so great an adornment , and of so absolute an use in the Study of Physick . Neither can less be suspected of some of the more aged vulgar Physicians , making choice to manage their consultations in the vulgar Tongue . Secondly , being thus qualified for a Student , he ought to apply himself close to the Study of Philosophy , for which Oxford and Cambridge may justly challenge a praeeminence above other Universities . Here it 's our Student learns to speak like a Scholar , and is informed in the principles of Nature , and the constitution of natural bodies , and so receiving a rough draught in his mind , is to be accomplish'd by that excellent Science of humane Bodies . But because according to the first Aphorism of the first Master Hippocrates , Art is long , and Life is short , he ought to ingage his Diligence , to absolve his Philosophical course in two years at longest , and in the interim for his Recreation and Divertisements enter himself Scholar to the Gardener of the Physick Garden , to be acquainted with the foetures of Plants ; but particularly with those , that are familiarly praescribed by Practitioners , to praevent being out-witted by the Herb-women in the Markets , and to enable him to give a better answer , than it is storied once a Physician did , who having praescribed Maiden-hair in his Bill , the Apothecary asked him which sort he meant , t'other replyed , some of the Locks of a Virgin. Thirdly , supposing our Student to have made a sufficient progress in Philosophy , may now pass to Leyden , and enter himself into a Collegium Anatomicum , Anatomy being the basis and foundation , whereon that weighty structure of Physick is to be raised ; and unless he acquires a more than ordinary knowledge and dexterity in this , will certainly be deceived in the expectation , of ever arriving to the honour , of being justly termed an Accomplish'd Physician . A proficiency in that part fits him for a Collegium Medicum Institutionum , and afterwards for a Collegium Practicum , and then it 's requisite he should embrace the opportunity of visiting the Sick in the Hospital , twice a week with the Physick Professor , where he shall hear him examine those Patients , with all the exactness imaginable , and point at every Disease and its Symptoms as it were with his finger , and afterwards propose several cases upon those distempers , demanding from every young Student his Opinion , and his grounds and reasons for it ; withall requiring of him , what course of Physick ought to be praescribed . This is the only way for a young Physician to attain to a habit of knowing Diseases , when he seeth them , and a confident method of ouring those , that may repair to him , without running the hazzard of being censured by the Apothecaries , or derided by 'em for his Bills , as too many are , that at Oxford and Cambridge have only imbided a part of Senuert's Institutions , and overlook'd Riverius his Practice , and thence attaining to an imperfect and unhappy Skill , by enlarging the Church-yards in the City or Countrey ; but what is more , he shall escape the danger , a young Student I formerly knew in Oxford praecipitated himself into , by imagining every Disease he read , was his own ▪ I must likewise advise our Student to take his Lodgings there at an able Apothecaries house , to contract the knowledge of Drugs , and of praeparing , dispensing , and mixing them into Compositions , and then by means of his other qualifications , may boldly praetend to direct , inform , correct , and reprove those Apothecaries , which the chance of his Practice shall conduct him to ; for it would be adjudged ridiculous , should a Physician undertake to reprehend , and afterward bend his force , to suppress and decry Apothecaries , privately or publickly , without having first acquired a particular experience in their Art. Here it is again , the vulgar Physician is wrapt up in a cloud , and the Apothecaries dance round him ; he praescribes Medicines he never saw , they praepare them according to their own will and pleasure . Whether you would not attribute a great honour to a certain vulgar Physician , whom the Commonalty of this City did embrace as their Minion , for his great abilities in Physick ; he entring a Druggist's Shop in Cheap-side , spyed a great piece of a remarkable white light spongy Drug , took it in his hand , and inquired what it was ; to whom the Druggist said , do you not know it Mr. Doctor ? who replyed , No ; Why , said the other , it 's that you have praescribed a thousand times in your Bills , and you praescribed it to me but the other day ; Pray what is 't then ; said the Doctor ? t'other answered him , Sir , it 's Agarick ; Agarick , quoth the Doctor , is this Agarick ? O wonderful ? § Neither is it over those alone the Physician justly claims a super-intendence , but over Chyrurgeons likewise ; and therefore in this his course of Study , would contribute to his future qualification , in sojourning a year with an experienced Manual Operator , without any hinderance to his other affair , and there by an Ocular inspection , and handling of all his Instruments , demanding their names , uses , and manner of using , withall by insinuations to visit his Chyrurgical Patients , and see him dress them , would render his Study in Chyrurgery so plain and easie , which otherwise might be thought difficult , that it should enable him to give Laws to Chyrurgeons also , especially to those that execute their office with that rashness , indiscretion , and dishonesty , as I once was told a Chyrurgeon did , who being met by a friend upon the street , was inquired of , whether he was going in so great hast ? T'other made answer , to get a brave Gelding out of a Gentleman's Leg ; which being but superficially hurt , he to accomplish his design , did by sharp gnawing Oyntments and Plaisters purposely widen the Wound , until at length by his tampering , a Gangraene happened , and thereupon his Leg was taken off below the knee , which soon after put a period to his life . To this may be subjoyned another gross error , Fabricius Hildanus ( if I mistake not ) makes mention of , and committed by a Chyrurgeon , that was called to remove a hard tumor in the Belly , which by the application of an Emollient Cataplasm , being brought to softness , he judged it ripe and fit for opening , & accordingly made a deep Incision into the Tumor , whereout in stead of Matter , there gush'd some softned Excrements , the whole business being nothing but a stoppage and swelling of the Guts through the Ordure that was hardned ; which a Laxative Glyster would have removed in an instant . No less mistake , and in the same case of the stoppage of the Guts , with some small Inflammation , was committed the other day by a French Chyrurgeon , who learnedly praescribed a Glyster of eight or ten Ounces of Spirits of Wine , with four or five Ounces of Oyl of Turpentine , which render'd the Inflammation Mortal ; and so the Brewer , for that was his Vocation , though a young man , was by those fatal hot Liquors that were infused into his Guts , removed out of this world , who in my opinion in the beginning of this accident , did not appear with the least Character that might praesage his death . § These two years having given occasion to our Student to acquire a System and a brief compraehension of the Theory of Physick , and of the Practice likewise ; nothing more remains , than to amplifie his commenced Knowledge and Experience by his further Travails , to which end takes his Journey to Paris , to be acquainted with the most famed Physicians , and informed in their way of Practice , by surveying their praescripts at the most frequented Apothecaries , to visit for a year every day the Hospitals of L' Hostel Dieú , and La Charité ; in which latter it's customary for any three or four young Physicians , to examine and overlook the new entred Patients , to name their Distempers among themselves , and propose their Cures , for to compare afterwards their opinions with the Physicians , that are appointed for the Hospital ; It is here , where twice a Week he may see Mounsieur Ianot ( if living , for it 's above sixteen years since I saw him ) the most reputed Chyrurgeon of this Age , perform the most difficult Operations of Chyrurgery , as Trypaning , Amputating , Cuting of the Stone , Tapping of the Belly and Breast , with the greatest dexterity imaginable . Here he may also observe Wounds and Ulcers cured by vertue of those famed Waters , viz. The White water , and the Yellow water ▪ the former being Aqua calcis , the latter the same with an addition of Sublimate . § The Art of praeparing Medicines Chymically , having merited a great esteem for its stupendious and admirable effects in the most despair'd Diseases , shews a necessity of being instructed in it , and therefore a Student may for the price of three Pistols , purchase a most exact Skil in it , of one Mounsieur Barlet , if surviving . § Having attain'd his Scope in this place , his curiosity ought to direct him to Monpelier , where he will meet with a concourse of the greatests Proficients in Physick of Europe , converse with the Professors and Physicians of the place , and out of 'em all extract choice Observations , Secrets , and most subtil Opinions upon several Diseases , which design can scarce be compassed in less than another year . Now we must suppose our Student to merit the title of an able experienced Physician , and raised far above those vulgar ones , that never felt the cold beyond the Chimneys of their homes . He is now render'd capable of understanding the greatest mysteries , and most acute opinions in Physick , which he is chiefly to expect from those reputed Professors of the Albó at Padua , where he is likewise to continue his diligence in visiting the famed Hospital of San Lorenzo , and observe the Italian method , of curing Diseases by alterative Broaths , without Purging or Bleeding , that Climat seldom suffering Plethories in those dry Bodies : he cannot but be wonderfully pleased with the variety and excellent order of the plants of their Physick-garden , by them called Horto di Semplici . Neither will he receive less satisfaction from the curious and most dexterous dissections , performed by the artificial hand of the Anatomy Professor . Having made his abode here six months , may justly aspire to a degree of Doctor in Physick , which the fame of the place should perswade him to take here , being the Imperial University for Physick of all others in the world , and where Physicians do pass a very exact Scrutiny , and severe Test. Hence may Transport himself to Bolongne , and in three months time add to his improvements , what is possible by the advantage of the Hospital , and the Professors . Last of all in imitation of the diligent Bee , sucking Honey out of all sweet Flowers , our Doctor must not neglect to extract something , that his knowledge did not partake of before , out of the Eminentest Practitioners at Rome , examine the chief Apothecaries Files , and still frequent those three renown'd Hospitals of San Spirito in the Vatican , San Giovanni Laterano on the Mount Celio , and that of San Giacomo di Augusta in the Valley Martia , besides many others ; as that of San Tomaso , San Ludovico , Santa Maria della Consolatione , Sant ' Antonio , Sant ' Andrea , &c. § As a Picture is raised to the highest point of admiration by the variety of excellent colours ; so the Intellectuals of a Physician are incomparably adorned with the addition of those various accomplishments , his Travails through several Countreys afford . Wherefore ought not to content himself , with the sole improvement of his profession , for so vast an expense , trouble , and passing through so many dangers , but like an expert Chymist , draw essences of all discourses , the ingenuity of those Travailers from other parts of the world do offer . There should not a particular thing of note in any City escape his view , especially at Rome , where six months is too small a space to examine all those Holy Relicts , and antiquities , though employed to a full advantage , without losing a day . The same movement should also incite him to visit the renown'd City of Naples , and take a Survey of the antiquities and wonders of Nature about Puzzuolo . Having thus in all particulars satisfied his curiosity , may consult about the most advantageous way homewards , which is to Embark in a Felouck to Legorn , to observe the excellent contrivance of this so famed Sea port ; not omitting to admire enough that incomparable piece of Art of the four Slaves in Brass , that are placed at the Fountain near the inner mole . Hence may pass to Pisa to behold the Pendent Steeple , and thence to Lucca , where he cannot but estrange how so small a Common-wealth doth secure it self from the violation of so powerful Neighbours . Being return'd the same way to Legorn , takes the opportunity of a Felouk to Genoa , thence by Land to Milan , where he must not forget to see the finest Hospital of the Universe , and the invincible Citadel , which the world hath so much discours'd of . Hence passes the Alps and that stupendious Mount St. Godart to Altorf and Lucern , both Popish Cantons , and thence to Bazil the chief of the Protestant Cantons , resolving not to leave this City without admiring the great Masterpiece of Holbeens Dance of the Dead . Here he is to purchase a Boat for two Crowns to carry him down the River Rhine to Strasburg , where being arrived , gives the Boat to him that guided it thither for his pains ; besides the handsomness of this old City , that inimitable piece of Clock-work in the great Church , and the height and artifice of the Steeple ; there is little else worth your note , except a Monastery , where you may taste Wine of a hundred and fourscore , and another sort of two hundred years old , contained in Hogsheads , that for the truth of the business , have the Magistrates Seal upon them . Hence by Boat or Coach passes to Heydelberg , the chief Residence of the Prince Elector Palatin , for his great wisdom , prudence , and conduct the most admired by the whole Empire ; neither is it without reason , that so many are by their curiosity conducted hither , to observe the splendor , government , and wonderful order of this Court ; and to please themselves with the sight of his Highnesses Guards of Cavalry , who have the repute for the best managers of Horses , and the best Disciplin'd in their Arms beyond any in France ; And his Guards of Blew Coats far to out-do the Low-Countrey Souldiers in their Exercises . The English Gentlemen ow the greatest honour to this Prince , for that honourable and particular reception they have in his Court. The Castle for its scituation and Structure merits your view , whence you are not like to return , without having tasted of the Liquor , that 's drawn out of the great Tun of Heydelberg . Hence by Boat descends the Necker to Manheim , a very compleat little Town , and thence down the Rhine to Worms , the ancientest City of the Empire , and so to Mentz , the Staple for all Rhenish Wines , where the Inhabitants will tell you of a Perpetuum Mobile , a Clock that went exact for seven years together , without being wound or drawn up , which by the Death of the Inventor is left unrepair'd . Thence to Bachrach , a Garrison Town rendering obedience to the Prince Palatin , and noted for the production of those small Rhenish Wines , which being exalted with an Artificial flavor , ( as the vulgar improperly calleth it , ) please our English palats , beyond the other sorts , though the least in esteem among the Germans and other exact discerners , because they are fired Wines , ( as they term 'em ) that is , not being endowed with a sufficient quantity of Spirits , and strength , to put themselves into a Natural fret , ( as all other Wines do ) are forced into one by kindling a fire round the Vessels that contain them , whereby also are render'd subject to be pall'd in a short time . Rinckhow , Oppenheym , Mosel , Necker , Franckoner , Stinkerd , Bleykerd , and Hochmer Wines , in taste and wholsomness excel all others , and are called Rhenish Wines , not from their growth upon the Borders of the Rhine , but from their Transportation down that River . Cobelents , Andernach , and Collen are the next Towns. Thence by Land to Brussel , Gaunt , Ostend , Nieuport , Dunkirk , Gravelin , and Calis , and thence to the place his inclinations for his future settlement may praefer ; where by his vast experience and knowledge being rendred conspicuous in the secure and certain method of his Cures , will soon give occasion to the vulgar , to discern the difference between him & the ordinary Church-yard Physicians , who by their sordid deports , and dangerous practice , make it their business to ease the blind people of the weight in their Pockets , and plunge 'em into worse Diseases ; and therefore of all Cities none can esteem it self more happy than this of London , for being graced with so great a number of accomplish'd Physicians , many of whom have contributed their parts to the repute and fame of their Countrey , by their accurate and learned Pens , so much admired by other Nations , and their Writings honoured by frequent impressions . It is the singular respect and esteem I ever had for them , that at present hath animated me to render the vulgar sensible of the excellency of their accomplishments , to whom they one a particular honour for their readiness , in employing what their great Expences , Travails , and indefatigable Study have gained , in the assistance and relief of their languishing Bodies against Death and its causes . Neither is it that onely should give them so great a share in your opinions , but the splendor and eminency their Art and Profession is invested with , since Princes can for a time wave the important affairs of their Throne , to admire the least part of it , in beholding the wonders of Nature-in Spagyrical praeparations and Chymical transmutations ; And what is more ! Since the great King of Heaven and Earth , Christ , to promote his glory and honour , assumed the Profession of a Physician , in curing Lunaticks , Blind , Lame , and all other Diseases : Wherefore if hence only the descent of the Nobility of the Art of Physick be derived , it 's an invincible argument , that none should dare to assume it , but persons signally qualified , inferring it to be no less sin , than a great crime in those Empiricks and Apothecaries , that praesume & incroach upon it , to the hazzard of peoples lives , and guilt of the punishment , the Law of God and Man imposes upon wilful Murder . But then should all those that have too early been abandon'd to their Graves , return to demand justice for the poysonous Pills and infected Potions , what would the survivers in case of a Colick do for such , as Secundum Artem should handle the Glyster-pipe ? And should they in earnest for this be summoned before a Bar , they would wittily plead , there can be no Murder without a praemeditated malice , which though their Pills were guilty of , their intention was sincere , and therefore the inditement lyeth only against the Pill , and not the Practising Apothecary ; so that only he may kill by Law. My scope hitherto hath directed me to undeceive the Hoodwinckt vulgar ; which so far I have performed , as the Theory of Church-yard Physicians tends to , in their gross and groundless conjectures at their Diseases , wherein a mistake threats no less danger than a Pilot is apprehensive of upon an erroneous discovery of his port , in which case he may easier escape perishing upon a Rock or Shelve , than a Patient upon a conjectural error of his Doctor , and I must tell you , that it is in no wise rare , if his compass of conjecture exposed to your reading fol. 7. misleads him eleven times in twelve , being far easier to guess at a cast of a Dye , where you have only five to one odds . And as for the Practising Apothecary , that lump of confident ignorance , who followeth only the shadow of Physicians , if his gaping conjecture hits but one distemper in twenty , swells in his own conceit , though he sends the remaining nineteen with a Letter to St. Peter . Can you but admire with me here at the wisdom of Nature , refusing to repose that secret treasure of knowledge in such hollow Skuls . But if you could engage your self to an intent mind , to observe with what prudence and discretion , the Accomplisht Physician applyes his profound remarques of Anatomy , and Diagnostick or discerning Rules of Physick , to the infallible discovery of your Diseases , you will with me conclude the Grounds , Rules , and Maximes of the Art of Physick to be most certain , evident , and demonstrable , beyond the least suspicion of a conjecture in it , and withall attribute to it an eminency above all Arts and Sciences , whose subject is lock'd up from our external senses , as the internal constitution of the Body of man is . § By the thred of my discourse I am now arrived , to display the practical errors , which do more immediately Operate for the benefit of the Clerk and the Grave-maker . It 's an ill fate you will say , that attends a man , when he is surprized with a Disease , whose dangerous Symptoms look grinning and daring upon the Hackney Physician , and he standing amazed , and pusillanimous , forsakes Nature in her encounter with the Distemper , where for want of a seasonable relief , is compelled to yield . This was the case , lately a Countrey Gentleman was unfortunate in , who being strong and Plethorick , by riding Post happened to melt the grosser part of his humours , which through obstructing the Nerves that move the Tongue , suddenly deprived him of his Speech , ( a Symptom called an Aphonia ) and proving an extream amazement to a Vulgar Physician , who not being sufficiently qualified in experience , gave his Opinion , it was a Surfet , which was only to be committed to nature ; But the next morning being usher'd in with an universal deprivement of all his senses and motion , termed a Catalepsis , spur'd his Friends to implore the aid of another , who at first sight readily discovering the Disease ( which his experience confirmed to him , had few Ounces of Blood been extracted but one day before out of the Jugulars , would certainly have been removed ) told them , the error of omission could in no manner be rectifyed , since death in few hours would be ready to take possession . § This preceding error relating to a Disease less frequent , doth not occasion so many deplorable effects , as those that are committed in Distempers , that are more ordinary , as continual Feavers , which are oft engendred by a Surfet , an ancient Norman word , signifying an over-doing ; but particularly implying an over-eating , or over-drinking . This gluttonous English Distemper I look upon , to import a greater danger , for being so ill handled by the Hackney Physician , who besides bleeding , omitting to Purge the Bowels and Glanduls about the Guts , of those malignant excrementicious humours , their continual cramming engenders , causes that ebullition of the Blood ( which in the beginning was moderate ) to exaestuate and fret to that degree of malignity , which through that error praecipitates thousands every year to their Tombs . These humours that thus lurk about the Guts , and kindle so malignant a heat , are not capable of being concocted , for they are essentially against Nature , and already separated , and therefore ought especially in the beginning , to be evacuated by such Purgers , as are least inflaming , and least disturb the Blood , whereby they may certainly , if making choice of a cooling Purgative , praevent a malignity in bodies that are so crammed . Neither can this be performed by Glysters , since their force is limitted by the Valve of the Colon. And yet greater may the error be adjudged , when upon neglect of a sutable Purge , sweating and drying Powders are praescribed , which force and disperse those malignant and dormant excrements into the Vessels , and worst of all is the error , when those poysonous Vesicatories are applyed , to attract malignant Excrements from the center into the Arteries , that escaped the force of the sudorifick Powders . Have I not been an eye-witness , that a Patient in the declination of his Feaver , and in a mending condition , had a Vesicatory applyed to the Nape of the Neck , by the impertinent advice of a Church-yard Physician , which some few hours after , render'd him Phrentick , and not long after Speechless . Brevity obliges me to omit many instances of accidents , and of death it self , occasioned by those venomous Spanish flyes . Neither can I forget how four Hackney Physicians lately consulted in a slight distemper of a Tradesman , whose complaint was a difficulty of Urin and a Vomiting , accompanied with a small heat ; this at the beginning was taken for a malignant Feaver , and for Cure bleeding and sweating was advised , by which latter his Urin was totally suppressed , through depriving the Blood of its Serum ; the Vomiting increased , and the heat in effect turned into a malignant Feaver , with an appearance of red Spots , and at that very instant gave direction for Bleeding , the bad effect whereof was soon discovered by his untimely death . To shew the error of this course , I need only say , I have seen this very Distemper ten and ten times removed at the beginning , with one dose or two at most of Salt of Vitriol . § How Bleeding , that noble and great Remedy , is abused by our Hackneys , is taken notice of even by the Vulgar , whose experience ( for reason in Physick they do not praetend to ) tells them , it 's death in the Measles and Small Pox in our Climat , especially to great persons . § It 's a pleasant speculation for those that know better , to observe the practice of the Hackneys in the Countrey , how they Vomit their Patients with Crocus , and scowr them with Ialap , drench 'em with Water-cresses and Brook lime , and feed 'em with Nettle Pottage to the crop , terming all Diseases , except Feavers and Agues , the Scurvy . § But let me not be deficient in mentioning our Groaping Doctors , who praetend it 's difficult to discern a Disease in a man without groaping his Sides , and 's Belly ; and impossible to discover the fits in a Woman without feeling , much less to Cure her ; Whick knack is taught 'em by the Physicians of Paris . § And was it not a Skilful praescription of a Countrey Doctor , who was sent for forty miles off , to consult with one of the eminentest Physicians of London , to praescribe three Drams of Laudanum opiatum , for one Dose , in the absence of the other , who fortunately giving the Patient a visit before the Bill was carried to the Apothecary , modestly to cover the shame of the former , ( who was far sent for , and like to have been dear bought , ) slipt the Bill into his Pocket , and left another in stead , directing only a just Dose of three Grains , which having for that night eased the patient of his pains by a moderate slumber , and not answered the expectation of the Countrey-man in a deeper sleep ; he next morning did not fail giving the Apothecary a check for not obeying his orders , and therefore commanded him home , to make up a Dose of one Dram and thirty Grains , which was but the half of what he used to ordain for his Patients in the Countrey ; but the honest Apothecary had more wit , than to be one of his accessaries , well knowing , such a quantity was enough to cast him and six more into a dead sleep ; nothing ever wrought so much upon my curiosity , as to be informed , what number the Burials of March and April amount to in the Parish , where this famous Church-yard-man keeps his residence . § This ungrateful task doth more tire me , than had I imployed six times the Paper in recording the excellent methods the Accomplisht Physicians praescribe to their Patients , how expertly they take their advantage of the Disease at certain times and seasons , in giving Medicines to conquer it , when the Patient is strongest , and the Disease weakest ; How they accommodate to every particular Distemper , Constitution , Age , and Sex , a particular Remedy ; alter , increase , and lessen it according to every emergent occasion ; how they praeinform the Patient of every critical and counter natural change , of every danger and of every step the Disease makes , following its tract to the very innermost part of the Body , and never cease pursuing , till they have rescued their Patients from all assaults and dangers of their intestin enemy . § It 's time I should pass to the second part of my discourse , where I meet with a subject , which I can intitle nothing but the 〈◊〉 and froth of Physick , a term the Practising Apothecary will not judge misapplyed , since it 's that he offers his Patient in exchange for good metal . But I shall forego my aim , if I proceed on my way , without first halting a little at the Original of the word and meaning of Apothecary , which from 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 & 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 a Box , denotes it to be a word , imposed anciently upon Druggists , whose multitude of Boxes placed in order in their Shops , and containing all sorts of Drugs , gave occasion to that denomination , and for that reason is improperly transferred upon such , whose office is only conversant about praeparing of Drugs and Simples , thence more appositely termed Pharmacopaei , or Makers up of Medicines , and Pharmacopolae , or Sellers of praepared Medicines , whom in their late budding and growth some very accomplisht persons have look'd upon as poysonous Weeds , started up to choak the sweet Flower of their Practice , and consequently so planted into Families , as not easily to be rooted out by their Manifesto's , requiring for their further illustration a brief deduction of their first rise , and upon what score those Makers up of Medicines were assumed into the drudgery of Physick . § You must note Physick to have had the same beginning with all other vast Arts and Sciences , from confused notions and experiments , which upon their more certain confirmation , were thought fit to be recorded in the Temple of Apollo , whither people in case of sickness took their recourse , to make choice of what came nearest to their purpose , but missing of that , necessity obliged them to expose their sick before their houses , to move those that passed by , if any of 'em had been troubled with the same Distemper , to divulge their Remedies , which afterwards were to be added to the forementioned Records . Time having collected a multiplicity of all sorts of Medicines , invited a great number of Philosophers to that Temple , whose eminent parts did enable them , to make better use of those observations than the Vulgar , and by degrees digest them into order , and thence framing general rules , soon acquired a habit of knowing and curing most Diseases , which gave occasion to the people , to make use of 'em as Physicians ; and such were Pythagoras , Empedocles , and Democritus , which latter had the honour of being Master to Hippocrates , a Disciple who afterwards proved the greatest and only Master in Physick , of all those that had gone before him , or since to this day have come after him . The method then in use to train up youth to this Profession , was , to place them Apprentices with able Physicians , who adjudged it necessary , to take their beginning from Chyrurgery , the subject whereof being external Diseases , as Wounds , Swellings , Members out of Joynt , and others that were visible , proved more facil and easie to their immature capacities , and wherein they might suddenly be rendred serviceable to their Masters , in easing them of the trouble of dressing , clensing stinking Ulcers , and applying Oyntments and Plaisters , a nauseous employ , which they ever endevoured to abandon to their Scholars with what expedition was possible . This as it was the easiest , so it was the first and ancientest part of Physick , and from which those that exercised it , were anciently not called Chyrurgeons , but Physicians , though they attempted no other Diseases , but such as were external , according to which sense Aesculapius , the first Physician or Inventor of Physick , and his Sons Podalyrius & Machaon , are by History asserted , to have undertaken only those , that wanted external help , internal Diseases being in those dayes unknown , and by temperance in their dyet wholly debarred ; and if accidentally an internal Distemper did surprize them , they applyed a general Remedy ( knowing no other ) of poysoning or killing themselves with a Dagger or Sword , thereby choosing rather to dye once and finish their misery , than to survive to be objects of peoples pity , or to endure the shock of death by every pain or languor , especially since the sage judgments of that age , did esteem it a signal vertue , to despise and scorn the vain world , by hurrying out of it in a fury , a Maxim most of the Philosophers were very eminent in observing ; and was likewise extended to Children , that brought any Diseases , external or internal , with them into the world , their cure being performed immediately , by strangling or drowning them . Neither was this Art of external Physick of a short continuance ; Pliny writing , that six hundred years after the building of Rome , the Romans entertained Chyrurgical Physicians from Peloponesus . Idleness and gluttony at length exchanged their ease into a Disease , which soon put them upon necessity of experimenting such Remedies , as might reestablish them into that healthful condition , exercise in War and temperance in Dyet had for so many ages praeserved their Ancestors in . § Upon a competent improvement of their Scholars in this external practice of Physick , and their deserving deportment , they thought them worthy of giving them entrance into their Closet , to be instructed in such matters , as the most retired places of their Cabinets contained , which were their Remedies and Medicines , and the manner of praeparing them . A jealous lover could not contrive the sole impropriation of his beautiful Mistress with greater study , than they the sole possession of their Medicines , these through their commonness losing as much of their value and esteem , as the other by being known to more than one . Pachius a Roman Physician of great fame in the Reign of Tyberius , ( as Scribonius largus libr. de Compos Med. Cap. 23. writeth , ) made great gains of his Medicine , named by himself Hiera . Pach. for its frequent successes in the most difficult Diseases , but he whilest he lived , would not impart the composition to any . But after his death he bequeathed it to Tyberius Caesar in a Book written to him , which before could not be drawn from him upon any score , though all means were used to know what it was , for he did praepare it , when he had lock'd himself up , and would not commit it to any of his Servants , for he would cause many more things to be beaten than it contained , purposely to deceive his people . Here is to be observed , that for its great effects he imposed the name of Hiera upon it , or the Holy Medicine , which being once made publick , and the ingredients known , was deserted naked of its vertues , ceasing to perform those wonderful Cures , which whilest it was by the Inventor reserved secret it did ; as if the Divine Power finding it self abused in its bounty , of having bestowed a secret Treasure on a Physician , did withdraw it self , upon the contempt of imparting it to the Vulgar . For , that God is the first and chief Physician , hath been the constant faith of all Ages , and that Physicians were the Sons of the Gods , was commendably asserted by Galen , and therefore it was truly spoken , that Medicines were the hand of God , thence meriting only such names , as related to their Divine Original ; thus a certain Antidote was called 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 Aequal to God , another 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 given by God , another Divine ; several compositions had the inscription of 〈◊〉 〈◊〉 〈◊〉 〈◊〉 〈◊〉 , or Sacred . § Upon this so true and undoubted a consideration , I need not pry for a cause of those frequent and ever constant unfortunate events , that accompany the Medicines of most of our Practising Apothecaries , unless as they seem to own , the Trivnal Deity should now neglect to punish with shame and disaster , such as with polluted hands do offer to defile those Sacred means , which it hath intended for its glory , the contrary whereof is sufficiently attested by him in the Strand , who with three doses of Mercurius Dulcis , given against the Worms to three Children , did the same day worm 'em all out of their lives : And by him in the — who upon the exhibition of twenty Grains of Extractum Rudij , sent a Gentleman a hundred and nineteen times to his Close Stool , and the next day to his perpetual Mansion ; but I am confident , without any praemeditated malice , since he was extreamly surprized , that so small and unproportionate a dose should prove so cruel to his Customers Guts , not having the grace to call to mind , it was the abuse of that excellent Medicine , in misapplying it to the Disease . A farther testimony was given by another in the Old Baily , praesenting his Customer ( or Patient as they use to term him , for this intruth was one ) with a Collyrium , or Eye-water , to eat away a Pearl in his Eye , which through its gnawing quality occasioning a great pain , did attract such a quantity of humours , as caused a perfect Suffusion , and an incurable blindness in both Eyes , an application that could not promiss better success , upon the neglect of Bleeding and Purging , both implying a necessity of being praemised before the use of any painful Medicine , to drayn the body of those humours , which otherwise the smart and pain would attract to the part affected . The error was of no less importance , when in a great loosness or Diarrhaea , an Apothecary with Crocus Martis and Opium suddenly putting a stop to the Flux , impelled the Chanal of those hot impetuous humours into the Veins and Arteries , where by moving the Blood into a Tempest , occasioned a mortal malignant Feaver in one of his chief Customers . And at this praesent day nothing is more capable of fermenting the Choler of a certain wealthy Merchant , than the name of an Apothecary , a practical one having by impertinent repetitions perswaded him , his wife upon the swelling and pitting of her Legs , ( a symptom common to Women with Child ) and the swelling of her Belly , was certainly Dropsical , which as it was occasioned by a stoppage only particular to Women , was only to be remedied by removing it , and opening the passages ; and to that purpose did four times a day ply her with his Electuarium e tribus , as he called it , which was Powder of Steel , Antimony Diaphor . and barren Savin powder'd , all mixt with Honey into an Electuary , the force whereof did in a few dayes answer his intention of opening the passages , and expelling an Embryon , or a perfect Conception , upon which the Purgamenta were driven down with so rapid a violence , that the Matrix was left dry , exanguious , thick , and corrugated , without the least hopes of ever Conceiving again ; you may conjecture , what an insupportable grief this moved in one , who setting aside the confluence of all external circumstances fortune had heaped upon him , could have nothing more contributed to his entire felicity in a most beautiful Lady , and her amiable deports , than the addition of issue , of which until then the space of six years had not given the least appearance . Fatal likewise was the miscarriage of a Scrivener , who being discommoded by a very acute pain and inflammation in his Ear , applyed a repellent Medicine of Rags dipped in Aq. Sperm . ran . and Ol. Ros. advised to him by a Practical man , which forcing the Inflammation to the Brain , immediately occasioned a Phrensie , and not long after a Corps . These few Tragical Narratives selected out of a hundred or more , I have here exposed to your view , which may suffice for the repraesentation of their dangerous practice ; How ineffectual , costly , and defrauding their general practise is , I shall in its proper Paragraph give you a breviat of . § Time perswades my return to the place whence I deviated , to continuate the ancient manner of educating a young Physician , who though render'd serviceable to his Master , having acquired the knowledge of his Medicines and their praeparations , yet remain'd as little capable of using them , as the Instrument-Smith a Razor , or Lancet ; and therefore bended his endevours to arrive to the Art of discerning every Disease by its signs , and making observations upon the Prognosticks , all critical and praeternatural changes , the Dose , Constitution , and all other circumstances of giving those Medicines , which he did gradually accomplish by his sedulous attendance on his Master , and his practical Discourses and Lectures from him on every Patient he visited . Lastly , upon his attainment to a degree of perfection in the Art , discovered to his Master by his private examination , all the Physicians and Commonalty of the place were summon'd to be praesent at the taking of his Oath in the publick Physick School , which served in lieu of making him free to Practice , or taking of his degree . The Oath was as followeth . I Swear by a Apollo the Physician and b Aesculapius , and by c Hygea , and d Panacea , and I do call to witness all the Gods , and likewise all the Goddesses , that according to my power and judgment I will intirely keep this Oath and this Covenant . That I will esteem my Master that taught me this Art instead of my Parents , give him his Dyet , and with a thankful Spirit impart to him whatever he wants ; and those that are born of him , I will esteem them as my male Brethren , and teach them this Art if they will learn it without hire or agreement . I will make partakers of the teaching , hearing , and of all the whole Discipline my own and my Masters Sons , and the rest of the Disciples , if they were bound before by Writing , and were obliged by the Physicians Oath , no others besides . I will according to my capacity and judgment , praescribe a manner of Dyet sutable to the Sick , free from all hurt and injury . Neither will I through any bodies intercession offer Poyson to any , neither will I give counsel for any such thing . Neither will I give a Woman a Pessarie to destroy her Conception . Moreover I will exercise my Art , and lead the rest of my life chastly and holily . Neither will I cut those that are troubled with the Stone , but give them over to Artists , that profess this Art. And whatever houses I shall come into , I will enter for the benefit of the Sick ; and I will abstain from doing any voluntary injury , from all corruption , and chiefly from that which is Venereal , whether I should happen to have in Cure the Bodies either of Women , or of Men , or of Free-born men , or Servants . And whatever I should chance to see or hear in Curing , or to know in the common life of men , if it be better not to utter it , I will conceal , and keep by me as secrets . That as I entirely keep , and do not confound this Oath , it may happen to me to enjoy my Life and my Art happily , and celebrate my glory among all men to all perpetuity ; but if transgressing and forswearing , that the contrary may happen . § Between these bounds of secrecy , veneration , honesty , and gratitude the Art was for many hundred years maintained ; for in the time of Galen , and many Ages after him , Medicines for their greater secresie were us'd to be praepared , and composed by Physicians , as you may read libr. de virt . Centaur . where it 's observable , their men were wont to carry their Physick ready praepared in Boxes after them , which they themselves according to the exigency of the case did dispense . This custome was continued , until Wars ceasing , people began to be as intent upon the propagation of mankind , as the cruelty of the former Martial ages had been upon its destruction , whence the world growing numerous , and through idleness , and want of those diversions of their Military Employ , addicting themselves to Gluttony , Drunkenness , and Whoredom , did contract so great a number of all inward Diseases , that their multiplicity imposed a necessity upon Physicians , ( being unable to attend them all as formerly ) to dismember their Art into three parts , whereof two were servil , namely Chyrurgery , and Pharmacy , and the other Imperial and Applicative , or Methodical . The servil parts being committed to such as are now called Chyrurgeons and Apothecaries , the former were employed in applying external Medicines to external Diseases ; the latter in praeparing all ordinary internal and external Medicines , according to the exactest praescription and direction of the Physicians , whose Servants were ordered to fetch the praescribed Medicines at the Apothecaries , and thence to conveigh them to their Patients , by which means the Apothecary was kept in ignorance , as to the application and use of the said Medicines , not being suffered to be acquainted with the Patients , or their Diseases , to praevent their insinuations into their acquaintance , which otherwise might endanger the diverting their said Patients to other Physicians , or at least their praesuming themselves to venture at their Distempers . Neither were the Physicians Servants in the least probability of undermining or imitating their Masters in their practice , not knowing the Medicines or Praescriptions . Besides all this , those Remedies , from which the chief efficacy and operation against the Disease was expected , still remained secret with the Physicians , who thought it no trouble to praepare them with their own hands . Thus you may remark , the Physicians necessary jealousie of their underlings , and their small pains , proved the sole means of impropriating the practice of their Art to themselves , and yet by the advantage of their Apothecaries and Chyrurgeons , were capacitated to visit and cure ten times greater number of Sick than before , which in a short time improved their fame & estate to a vast treasure ; whence it was well rhimed , Dat Galenus opes , dat Iustinianus honores . But at length their honour & vast riches in the eye of Apothecaries and Chyrurgeons , proved seeds sown in their minds , that budded into ambition of becoming Masters , and into covetousness of aequaling them in wealth , both which they thought themselves capable of aspiring to , by an empirical skil , the neglect and sloth of their Masters had given them occasion to attain , since they did begin not to scruple , to make them Porters of their Medicines to their Patients , and to intrust them with the praeparation of their greatest secrets . This trust they soon betrayed , for having insinuated into a familiar acquaintance with their Masters Patients , it was a task in no wise difficult to perswade them , that those that had made , and dispensed the Medicines , were as able to apply 'em to the like Distempers , as they that had praescribed them , who had either forgot , or were wholly ignorant how to praepare them ; so that now they were as good as arrived to a copartnership with their Masters , in reputation and title , both being called Doctors alike , and there being no other difference between them ; than that the Master Doctor , comes at the Heels of his Man Doctor , to take in hand the work which he or his Brother Doctor , ( the Chyrurgeon ) had either spoiled , or could no further go on with it ; this is e'en like Tom went to Market , and Tom met with Tom. A very fine case the Art of Physick and its Professors are reduced to ; and that not only of late dayes , but of almost seven hundred years , for before that time Apothecaries had scarce a being , only there were those , whom they called Seplasiarij , from their selling of Oyntments on the Market of Capua , named Seplasia ; Aromatarij , and Speciarij , or such as sold Drugs and Spices . Though I must confess Apothecaries may offer a just objection , in praetending to a far greater antiquity , since the original and necessity of their employ was derived from the Aegyptian Bird Isis , spouting Sea-water into its Breech for a Glyster . § As things in motion pass their seasons of growth , heighth , and declination , so the Art of Physick having passed the two former , is now in its declination exposed to be reduced to the extreamest contempt , scorn , and almost a total abolishment by the praesumptuous arrogance of every one , who upon a long course of Physick to remedy his Infirmity , having gained a familiarity with the use and names of those numerous Medicines , advised to him by some Practical Apothecary , or Praescribing Chyrurgeon , at his recovery concludes himself as capable of practising as either of them . Upon such an occasion as is here instanced , the Heel-maker , the Hatband-maker , the Gunsmith , that doating old piece in Southwark , the Woman at Hamstead , and many others fell to Quack , and to Practice , and by the addition of some small help of a book of Receits , have advanced themselves in fame and credit , among our capricious Vulgar , beyond any of their Practical or Praescribing Masters . But all this notwithstanding , since the Art of Physick partakes in vicissitude with those things , that from the lowest ebb have flow'd back to their greatest height , it 's an argument she is not seated beyond the hope of being restored to her greatest lustre , and flourishing splendor , as formerly she was , when Physicians were courted and reverenced by multitudes of Sick , and attended with a train of their own Servants , their Apothecaries and Chyrurgeons all diligently expecting their commands , to a tittle and every the least circumstance executing their duty , and concurring with the people , in calling them , for the wonders they did , Tutelar Gods. Whence I conclude the Trade of an Apothecary and the Vocation of a Chyrurgeon to be of absolute necessity ; for its impossible any Physician of moderate practice , can afford himself the time of visiting his Patients , ( which in this City do oft happen to live dispersed , and very remote from one another , ) and afterwards repair to his Study , and take their particular cases into a more deliberate and serious consideration , than the talking noise of Visiters , Nurse , and others about the Sick will permit ; unless as too many are , he is accustomed to make use of the Empiricks Conjecturing Compass , and so slubber over the Disease ; not being sensible all this while , it is the life of a man hung to a thread , depends on his care , which by the least of his mistakes or neglects will certainly snap in pieces ; whereby God is robbed of the Glory , which would have been due to him by his cure , the Prince deprived of one of his Subjects , it may be main a pillar of his Throne , Wife and Children by the loss of Husband and Father reduced to beggery , and possibly to Whoredom or Theft for a livelyhood , Creditors are necessitated to a Bankrupt for the death of their Debtor ; all which important and weighty consequences are to be placed to the account of Debet of the Physician . That besides these parts of his duty devouring a very great share of his time , there should be a remainder sufficient for him with his own hands to praepare all the Medicines , the Diseases of his Patients shall require , is not to be imagined ; for supposing the number of his Patients not to exceed three or four , their Diseases in one or other to be complicated or double , as a Pleurisie complicated with any other inflammation , or obstruction of the Kidneys , Guts , Bladder , &c. Which former by its self presses for the praeparation of a Julep , a Linctius , a Glyster or two , a Cordial , a Cataplasm , a Sudorifick Antipleuritick , an Hypnotick , &c. In summa eight or ten taedious Medicines are to be made up in one day for one single Patient , it may be as many more for a second , third and fourth ; so here are about forty Medicines to be praepared , carried away , and applyed all in one afternoon , a task that more probably ought to employ three or four than one ; But what if a Physician receives into cure thirty or forty , as in Spring and Fall many do , to expect from his hands the praeparation of the sixteenth part of the Medicines , were most absurd . So that necessarily from this self-praeparing of ordinary Remedies , would issue a neglect and omission of many requisite Medicines , and in want of some proper ones , the substituting of improper , and consequently this reformation must infer a greater number of inconveniences , than the praesent practice is subject to . Moreover that a Physician should consume the better part of his time in this so servil and drudging employ , were to slight the Imperial and Commanding part of Physick , to lose the honour and respect due to him from those his Underlings and others , and absolutely to turn a pure Empirick , by minding the praeparation and application of his Medicines more , than the Theoretick and Methodical Science of Physick ; which ought to be praeserved and improved by his continuated Study , wherein he must now be exposed to a perpetual disturbance by the noise of the Mortar , and have his spirits dampt by the unpleasant steems of Glysters , Oyntments , and Plaisters , and necessitated to convert his house , which the honour of his Profession requires neat and splendid , into a Hogsty . How this greasie , stinking Glyster-Pipe and Plaister-Box Doctor can be endured in the praesence of some delicate tendersented Ladies , that are his Patients , you may justly admire , when upon his feeling of their pulse with his unctuous fist , they shall apprehend themselves to stink of Threacle and Mithridate all the day after . But setting aside the fore-mentioned reasons , and allowing the necessity and decency of reducing those two parts of praescribing and praeparing Medicines into one body again , the Physician having onely the possession of the better part , must go backwards to learn the worser from the Druggist and Apothecary ; to wit from the former , the knowledge , choice , and prices of all his Drugs , wherein he must run the hazard of being cheated by him , in buying Quid pro Quo , a rotten Drug for a sound one , and paying a double rate more than the value of the commodity , which may happen for three or four times at least , until he hath Purchased a competent craft for buying and selling . From the latter his quondam servant the Apothecary , he must be instructed in all the Artifices and dexterous wayes of praeparing Simples , mixing and dispensing them into compositions , of dissolving Gums , expressing of Oyls , and Juyces , praeserving and candying of Flowrs , Herbs , Stalks , and Rinds ; powdering and rasping of Woods and Barks ; rubbing the posteriora secundum artem for to apply Leeches , besides a hundred other particularities ▪ knacks , and ornaments , as gilding of Electuaries , Bolusses , and Pills , and standing in a handsom decent posture at the Mortar , and with a Bonne grace to found a March , or Chyme a Tune with the Pestil , as he is pulverising , thereby to awake peoples drowsie eyes , and make 'em look up to see what Trade lives there ; and lastly of tying up Gallipots and Viols , with old Taffety , rangeing of 'em in order on the Stall , to give passers by a nota benè of the great Trading of that Shop ; in fine , seven years is no more than a just space , to conquer the difficulties of their mysterious Trade , which not considering the loss of time , how much it may contribute to the further adornment of the Accomplisht Physicians , I refer to better concocted Judgments . § In the next place let 's ponder , whether it consists with the Maximes of Policy to extirpate and subvert their Corporation , though supposing the better half of 'em to be such as I have termed Practical men , and to whose ill conduct in their practice the Bills of Mortality may owe the greater half of the number of Burials . At praesent the Countrey being so much depopulated by Plague and Wars , the supposition may merit some consideration , however the advantages their continuance imports to the publick seem to overbalance the Scales . 1. The number of their Trade aequaling , if not exceeding any other , implyes so many Families , whose necessities of Victuals and Clothes occasion a considerable Trade . 2. Druggists , Chymists , Merchants of Drugs , Seamen that Transport the Drugs , Seedsmen , Herb-women , Gardiners , Labourers , and many others having so great a dependance on Apothecaries , would all by their extirpation sustain a damage of that importance , as should disenable them of contributing so considerably to the common Trade of necessaries , as such a vast number of Families require . 3. By the ruine of all those Trades and Families , it 's certain the King would take a share in the damage , losing so valuable a Custom as that of Drugs , and in time of War , and other occasions , by the impair of his Subsidies and Taxes , which the consequence of so great a proportion of Subjects ruinated in their Vocation must necessarily produce . 4. Churches have been lay'd even with their foundation by the late dreadful Fire , and therefore through the zeal of our times it 's ordained , they shall be again raised to their former structure by a Revennue from the Fire , coals ; but this sufficeing only for the outside , the inside , as Pews , Benches , and Pulpits , is to be built by the product of purchases of Graves , which if Apothecaries be suppress'd , and practice wholly left to Physicians , will come in but slow , and therefore for the quickning of that great work , they ought to be encouraged . 5. The antiquity of this so necessary Trade compraehending some hundreds of years , pleads strongly for the right of their continuance . 6. Humane policy cannot conceal its jealousie in a point so essential as the life of man , and therefore it 's but just , it should require some small counterpoise , to balance and justifie the actions of Physicians , when quaestion'd in the death of any , which the Apothecary is ever ready to do , by shewing the praescriptions , and averring the excellency of the Medicines . Moreover Physicians are mortal men , and may ( and oft have ) in a debauch'd humour praescribe improper Medicines , and most improportionate Doses , which an Apothecary by the experience of his Trade may discover , and repair for a rectification to the Physician next morning , when the cloud is over with him . And what is yet more , the Apothecary may inform the Physician , though praescribing according to the exactest rules of Art , the Dose of his praescription to be too large for the particular constitution of a Patient , which his former experience of him confirms , that the sixteenth part of it will work most strongly with him ; and I must tell you , some lives have been saved by these kind of admonitions , and yet no dishonour to the Physician . The onely objection against the inference of these politick reasons , is deduced from the authority of Plato , asserting that it is a sign of an ill govern'd Commonwealth , where there are a great number of Physicians . § To rommage into the very bottom of this controversie , let 's suppose the praemisses insufficient for an inference , and enquire whether it were possible , to give them a lift out of their Quacking , or rather out of their honester Calling of praeparing Medicines . I say no , for considering their great number , wherein they exceed Physicians ; their being more popular among the Vulgar than they ; the daily obligation they impose upon most Trades , by buying their necessaries of them , or otherwayes imploying them , all whom the duty of retaliation and gratitude perswades to make use of Apothecaries in their way ; the multitude of their Relations and Kindred , that out of impulse of nature , more than reason , will endeavour to promote their interest ; it 's an argument to convince me , that the Physicians addresses to the Vulgar by their manifesto's , will prove insignificant , well knowing that Judges so ignorant as they , will rather incline to the ignorant party ; and therefore to praevent their putting on Plush Jackets , to appear as like Physicians , as the Monkey did a Lawyer , when he had got's Masters Cap on , and so to Quack openly , it will prove of greater concern to reduce them to their duty , by the course I shall describe anon , than to labour their suppression in vain . § Hitherto I have entertained my Reader with a discourse of the whole intrigue in the Trade of Apothecaries , my own curiosity I will praefer next , in amusing at the grounds and reasons , why Apothecaries in most Kingdoms do generally Quack and Aemulate Physicians in their practice , rather than subject themselves to the just Laws of Physick , which in most Commonwealths they are the most inviolable observers of . It is not the Witchcraft of money or promises , can prevail with an Apothecary in Flanders , Holland , or any of the Imperial Cities of Germany , to hazard his reputation , or disturb his Conscience , by giving to any the most harmless of Purges , without a Bill from a lawful Physician ; whereas in France scarce any Apothecary but will praesume to advise Glysters , purging potions , and Ptisan , which latter he hath alwayes ready , and sells it by the quart . The cause of this difference is to be discovered in the people , the Apothecaries , and the Physicians . The Commonalty in a Commonwealth are universally more industrious , saving , and thrifty , giving an undeniable reason for it , that they are obliged so to be , to provide for sickness and poverty ; at which time namely of sickness , the meanest Tradesman or Labourer is as willing to shew his gratitude to the Physician , for the praeservation of his life ( which he puts a greater value upon , than to intrust with an Apothecary ) as the best of the Magistrates . On the other hand in a Kingdom the popularity is more profuse and Prodigal , by reason there being a great concourse of people and principally of Nobility and Gentry of great Estates , occasioning an universal Trade , extended to the meanest , makes money easier to come by ; whence the Vulgar spending it as easie , in case of sickness , find themselves destitute of a capacity to satisfie a Physician honorably , and therefore are forced to apply themselves to Empiricks , or Practising Apothecaries , where they may have advice and Physick at the same charge . The difference between the Physician of a Kingdom , and a Commonwealth , is , that the former respecting the support of his honour and ease , judges his merits by far to exceed the latter , who imagines himself well satisfied with the value of a shilling for each visit , and for that reason is upon the least occasion sent for ; whence it happens , his visits sometimes are so multiplyed , that I have known several to have made fourscore and a hundred visits a day . § Once more I must disgust your Palat , with the relation of the nauseous , ineffectual , and fraudulent practice of Apothecaries , who with their ends of Latine , choaking terms , and stifling phrases , strive to confound and amaze the simple vulgar . If you are not too melancholy , you may smile at this Story , a Practical Apothecary coming to see his Customer , a Cobler , that lay indisposed of a Colick , observed him to crack a fart , ( for so it is expressed in the Original , ) upon which saith the Apothecary , Sir , that 's nothing but the Tonitruation of flatuosities in your Intestines ; this was no sooner out of his mouth , but the Cobler crackt another , and replyed to his Doctor , Sir that 's nothing but your Hob-gobling notes thundering winds out of my Guts , which litteral return of his terms of Art in plain English , though by chance , obliged the Apothecary to this expression , I beg you pardon Sir , I suppose you have studied the Art of Physick , as well as my self , and want not my help ; and so away went Don Ieronimo di Capo di Bove . After this give me leave to be serious , in examining their general practice in all Diseases . Suppose your self to be troubled with any Distemper , it matters not which , for all is one to him you are to send to ; upon his arrival he feels your Pulse , and with a fixt eye on your countenance , tells you , your spirits are low , and therefore it 's high time for a Cordial ; the next interrogatory he puts gravely to you is , when was you at Stool Sir ? If not to day , he promises to send you a Laxative Glyster by and by ; and if you complain you have a Loosness , then instead of one Laxative , he will send you two healing Glysters . If besides you intimate a pain in your Stomach , Back and Sides , then responding to each pain you shall have a Stomach Plaister , another for the right side , a third for the left , and a fourth for the Back ; and so you are like to be well patch'd , and fortified round your middle . Now before we go farther , let 's compute the charge of this first day . Here is a Cordial composed by the direction of some old dusty Bill on his File , out of two or three musty Waters , ( especially if it be towards the latter end of the year , and that his Glasses have been stopt with corks ) viz. It may be a Citron , a Borrage , and a Baum Water , all very full of Spirits ; if River Water may be so accounted ; to these is to be added one Ounce of that miraculous Threacle Water , then to be dissolved a Dram of Confectio Alkermes , and one Ounce of nauseous Syrup of Gillyflowers ; this being well shaked in the Viol , you shall spy a great quantity of Gold swiming in leaves up and down , for which your Conscience would be burdened , should you give him less than five shillings ; for from the meanest Tradesman he expects without the least abatement , three and six pence , the ordinary and general price of all Cordials , though consisting only of two Ounces of Baume Water , and half an Ounce of Syrup of Gillyflowers . Your Glyster shall be praepared out of two or three handfuls of Mallow leaves , and one Ounce of common Fennil seeds , boyl'd in water to a pint , which strained shall be thickned with the Common Electuary Lenitive , Rape Oyle and Brown Sugar , and so seasoned with Salt. This shall be conveighed into your Guts by the young Doctor his man , through an engin he carries commonly about him , and makes him smell so wholsom , for which piece of service , if you praesent your Engeneer below half a Crown , he will think himself worse dealt with than those , who empty your necessary Closets in the night . The Master places to account for the Gut-Medicine , ( though it were no more than water and salt , ) and for the use of his man , which he calls Porteridge , eight Groats ; Item , for a Stomachick , Hepatick , Splenetick , and a Nephritick Plaister , for each half a Crown . What the total of this dayes Physick amounts to , you may reckon . The next afternoon or evening , returns the Apothecary himself , to give you a visit , ( for should he appear in the morning , it would argue he had little to do , ) and finding upon examination , you are rather worse than better , by reason those Plaisters caused a melting of the gross humours about the Bowels , and dissolved them into winds and vapours , which fuming to the head , occasion a great Headach , dulness and drowsiness , and part of 'em being dispersed through the Guts and Belly discommode you with a Colick , a swelling of your Belly , and an universal pain or lassitude in all your Limbs ; thus you see , one day makes work for another ; however he hath the wit to assure you , they are signs of the Operation of yesterdayes means , beginning to move and dissolve the humours , which successful work is to be promoted by a Cordial Apozem , the repetition of a Carminative Glyster , another Cordial to take by Spoonfuls , and because your sleep hath been interrupted by the unquietness of swelling humours , he will endeavour to procure you for this next night a Truce with your Disease , by an Hypnotick potion , that shall occasion rest . Neither will he give you other cause than to imagine him a most careful man , and so circumspect , that scarce a Symptom shall escape his particular regard , and therefore to remove your Headach by retracting the humours ▪ or rather as you are like to discern best by attracting humours and vapours , he will order his young Mercury to apply a Vesicatory to the nape of your Neck , and with a warm hand to besmear your Belly and all your Joints , with a good comfortable Oyntment , for to appease your pains The Cordial Apozem is a Decoction , that shall derive its vertue from two or three unsavory Roots , as many Herbs and Seeds , with a little Syrup of Gillyflowers , for three or four times taking , which because you shall not undervalue by having it brought to you all in one Glass , you shall have it sent you in so many Viols & Draughts , & for every one of 'em shall be placed three shillings to your account , which is five parts more than the whcle stands him in ; for the Cordial potion as much , for the Hypnotick potion the same price , for your Carminative Glyster no less , and for the Epispastick Plaister a shilling . Thus with the increase of your Disease you may perceive the increase of your Bill , and therefore it 's no improper observation , that the Apothecaries Practice follows the course of the Moon . The third day producing an addition of new Symptoms , and an augmentation of the old ones , the Patient stands in need of new comfort from his Apothecary , who tells him , that nature begins now to work more strong , and therefore all things goes well , ( and never ill ; ) but because nature requires all possible assistance from Cordials and small evacuations , he must expect the same Cordials over again , but with the addition of greater ingredients , it may be Magistery of Pearl , or Oriental Bezoar in Powder , the former being oft times but Mother of Pearl dissolved in distilled Vinegar , the latter a cheat the Armenians put upon the Christians , by ramming Pebbles down a Goats throat , afterwards killing him , and extracting the stones before witness out of his Maw , which they sell for those rare Bezoars , whereof the quantity of fifteen Grains I have known , hath been taken by a Child of a year old , that lay ill of the Small Pox , without the least effect of sweat or any expulsion through the Pores . And besides the repetition of a Glyster , and the renewing of your Plaisters , for the profit of your Physician you must be perswaded , to accept of a comforting Electuary for the Stomach , to promote digestion ; of a Collution to wash the slime and filth from your Tongue , and to secure your Gums from the Scurvy ; of a Melilot Plaister to apply to the Blister was drawn , the night before ; of some Spirits of Salt to drop into your Beer at Meals , of three Pills of Ruffi to be swallowed down that night , and three next morning , which possibly may pleasure you with three Stools ; but are to be computed as 2 Doses , each at a Shilling ; the Spirit of Salt a Crown the Ounce ; for the Stomach Electuary as much , for the Glyster as before ; for your Cordial in relation to the Pearl and Bezoar , their weight in Gold , which is two pence a Grain , the greatest cheat of my whole discourse ; for dressing of your Blister a shilling ; for the Plaister as formerly . Here I praesume that candour in you , as not to believe me so disingenious , as to take the advantage of Apothecaries , in producing any other than the best methods of their practice , and that which savours the least of their frauds , for in comparison with others , ( though these are very palpable , in regard there is not a valuable consideration respected , or a proportionable Quid pro Quo , ) they are such as may be judged passable , yet when you are to reflect upon the total , that shall arrise out the Arithmetical progression of charge , of a fortnights Physick , modestly computed at fifteen Shillings a day , without the inclusion of what you please to praesent him for his care , trouble , and attendance , I will not harbour so ill an opinion of him , or give so rigid a censure , as your self shall upon the following Oration , your Glysterpipe-Doctor delivers to you with a Melancholy accent , in these terms ; Sir , I have made use of my best Skil and Indeavours , I have been an Apothecary this twenty years and upwards , and have seen the best Practice of our best London Physicians , my Master was such a one , Mr. — one of the ablest Apothecaries of the City , I have given you the best Cordials that can be praescribed , 't is at your instance I did it , I can do no more , and indeed it is more properly the work of a Physician , your case is dangerous , and I think if you sent for such a one , Dr — he is a very pretty man ; if you please I will get him to come down . Now Sir , how beats your Pulse ? the loss of the money your Bill imports , adds to your pains , through the remembrance it is due to one , that hath fooled you out of it , and deserved it no other way , than by adding wings to your gross humours , that before lay dormant , and now fly rampant up and down , raking and raging , which had you not been penny wise and pound foolish , you would have praevented , by sending for a Physician , who for the small merit of a City fee , ( for which you might also have expected two visits ) would have struck at the root of your Distemper , without tampering at its Symptoms , or Branches , and by vertue of one Medicine restor'd you to your former condition of health , from which you are now so remote ; being necessitated , considering your doubtful state , to be at the charge of a Physician or two , to whom upon examination of what hath been done before , the Apothecary shall humbly declare , he hath given you nothing but Cordials , which word Cordial , he supposes to be a sufficient protection for this erroneous practice ; and I must tell you , that had his cordial method been continued in a Feaver , or any other acute Distemper , for eight or ten dayes , your Heirs would have been particularly obliged to him , for giving you a Cordial remove out of your possession , and that through omission of those two great Remedies , Purging and Bleeding , the exact use whereof , in respect of time , quantity , and other circumstances , can onely be determined by Accomplisht Physicians . § I should accuse my self of partiality , did I conceal , what may be pleaded for their Practice . Many a substantial Citizen may have the fortune of a Servant taken Sick in his house , who should he upon every flight accident of that nature fling away ( as he calls it ) ten shillings on a Physician , might justly be esteemed an ill manager of his concerns , when an Apothecary at a venture by giving a Vomit , Purge , or Glyster , may for the charge of a shilling or eighteen pence remove the Distemper , which that now and then he performs with success , is universally known and taken notice of , and therefore in such cases , is so commonly sent for , or else could not judge any man so little commiserating the condition of his Servant , as to expose his life to a certain danger . Besides the Apothecary finds himself more galiard and confident in this his practice on inferiours ; for if they miscarry , he excuses whatsoever error he hath committed , by asserting , he was importuned or rather forced to it by their Master . On the other hand , should an Apothecary being thus called in to a sick Servant , or a mean Tradesman , whose condition by reason of his charge of Family and Children is little better , refuse this assistance , disobliges the Master , loses the practice of his Family , or turns away his Patient , who shall immediately send to the next , that shall most willingly embrace the employ ; whence may be observed , the one necessarily spurs on the other to practice . A third import greater than any of the former is , that Physicians all , or most , being tyed to particular Apothecaries , praescribe their Bills in terms so obscure , that they force all chance Patients to repair to their own Apothecaries , praetending a particular secret , which onely they have the key to unlock ; whereas in effect it 's no other than the commonest of Medicines , disguised under an unusual name , on design to direct you to an Apothecary , between whom and the Physician there is a private compact of going snips , out of the most unreasonable rates of the said Medicines , wherein if you seek a redress , by shewing the Bill to the Doctor , he shall most religiously aver , it 's the cheapest he ever red . The consequence hereof as to your particular is a double fraud ; and as to Apothecaries in general , their number bearing the proportion of at least ten parts to one of noted Physicians , to whom allowing each his Covenant Apothecary , who constituting but one part of the ten , the remaining nine parts of the number are compelled either to sit still , or to Quack for a Livelyhood ; at or least eight of 'em , for we 'll suppose one part of the nine in a possibility , of acquiring competent estates , in a way more honest , than that of the Covenanteers , by their wholesale Trade , of fitting Chyrurgeons Chests for Sea , and supplying Countrey Apothecaries with Compositions . Lastly , all Accomplisht Physicians are likewise exposed to manifest injuries from those Covenant Apothecaries , who being sent for by Patients , after a short essay of a Cordial , will overpower them by perswasions to call in a Doctor , who shall be no other than his Covenant Physician , by which means the former Physician , that by his extraordinary care and Skil had obliged the Family before , shall be passed by , and lose the practice of that Patient . And should it happen , the sence of gratitude of the forementioned Patient , should engage him to continue the use of his former Physician , yet this Covenant Apothecary shall privately cavil at every Bill , and impute the appearance of every new small pain or symptom , ( which necessarily in the course of a Disease will happen ) to his ill address in the Art of Physick , and shall not give over , before he hath introduced his Covenanteer , whose authority in the fraud of a Physick Bill , he supposes to be most necessary . § But since I have omitted nothing , relating to the concern of their practice , I will not be defective in proposing what may tend to the interest of their so unreasonable profit , as people judge . The necessity of their Neighborhood to you , to be at hand on all important occasions , is an argument , they pay great Rents in many places , to the satisfaction whereof , and the support of their Families , it is not the profit commonly allowed over and above what commodities stand Retailers in at the Merchants or wholesale men , will plentifully suffice , so that it 's no more than reason , they should be considered in the Rates and Prices of their Medicines , for the Mysterie , pains , and Art of praeparing them , and afterwards conveying them to your house , where their time in waiting on you , and answering many of your impertinent quaestions , or running to and fro for you to the Doctors , and oft being called by you out of their beds in the night , ought I judge likewise to be taken notice of . Secondly , all Honest Apothecaries at the years end rid their Shops of two thirds of their decayed Compositions , and rotten Simples , which at their seasons they are obliged to praepare a fresh , and keep them ready for your use , if unhappily your Disease should require any of 'em ; whence it appears the greatest justice , you should be charged for Medicines , that are purposely so praepared and reserved for you though never praescribed , in the higher Rates and Prices of such , you at any time have occasion for . Thirdly , An Apothecary being obliged to repair to a Physicians Covenant Apothecary , to purchase his Phantastical Nostrum at the unreasonable rate he is pleased to value it at , doth not a little inflame the reckoning . Fourthly , The unskilful Physician praescribing an Ounce of Pearl in a Cordial Emulsion , puts the Patients Purse into a Disease , and gives him but little ease . Moreover to praescribe Bees praepared in the Winter , or four or five Ounces of Peach Kernels in the Spring , or to ordain a restorative Electuary out of Parats tongues , and Hawks livers , as a most egregious Physician of our Town did , is an argument , you need not to stair if your Bill amounts to pounds sterling . And when your glorious Physician hath markt you down an Apozem of a yard and half long , I would not have you dispute with your Apothecary , for demanding more than what 's usual for one , that contains but a simple or two , which possibly shall operate more effectually , and the Physician will know more certainly , which of the Simples did the feat , whereas in a great composition it 's impossible to determinate which of 'em contributed most to the Cure. § These defects and abuses in the practice of Physick in relation to their prices , chiefly depend on the great bulk of the London Dispensatory , being overburdned with at least two thirds , though considering the time it was framed in , might well have vyed with any of its cotemporaries , for excellent and select Compositions . But the experience of our so wonderfully improved age declares , most methods of Physick can more commodiously be performed with a less than one third of its Contents . To what purpose so many scores of Syrups , which upon their unavoidable fermentation through the heat of the Summer , undergo a dissipation of the imbibed or infused vertues of Simples , differing afterwards in nothing from nauseous Molasses ? so great a number of distilled Waters seems rather intended for pomp , than the absolute necessity of such Phlegmatick and insiped Liquors , as most of 'em are . Aqua Gilberti , and Cordialis frigida Saxoniae , are through the addition of Coral , Pearl , Bezoar , and precious Stones , considerably advanced in price , but not the least particle in vertue , accusing the Inventors of a defect in experimental knowledge , which would have discovered to them , there had been nothing so Volatil or Salin in those forementioned Stones and Pearl , that such weak Menstruums were capable of extracting . And he that revises the Composition of Confectio Hamech , will conclude it a very senseless one , for being render'd so adstrictive , by that great proportion of Myrobalaas . Mithridate and Threacle if ever they had been causes of those great effects former ages adscribed to them , would certainly be promoted to higher vertues , were they corrected by the substracting many of their poysonous and hurtful ingredients . Neither could I ever give my self a satisfactory reason , why those ancient and pure Empirical Compositions , whereof Mesues was so diligent a Collector , were recommended by those learned Physicians to their Apothecaries , without reducing their Empirical and senseless multitude of ingredients to a less and more rational number , in the Compositions of Species Confect . Liber Pulvis Bezoard . Magistr . Diarrhod . Abbat . and of many others ; Likewise the Chymical praeparations described in the latter end of the said Pharmapoea , are as mean , as they are defective ; Antimonium Diaphoreticum is not so much fixt , but oft moves Vomits ; the like effect may be imputed to their Bezoardicum Minerale . Their Mercurius vitae proves for the most part Convulsive towards the latter part of the operation ; their Oleum Vitrioli too corrosive , and not at all volatil ; their Turbith Mineral is as churlish , as it is a crude and barren praeparation . The body of the Chalybs praep . not being sufficiently opened by distill'd Vinegar , doth not answer the Physicians expectation in obstinate obstructions . Their Magisterium Coral . and Perlar. differ little from chalk in powder , or lime well washt . In fine , nothing is more worthy of the consideration of those so eminently Accomplisht Physicians of the College , than the reformation of their Pharmacopoea , the correcting of its Compositions , in retrenching the number of the ingredients , and reducing the body of the whole into a far less number of Simple Waters , Syrups , Electuaries , Powders , Compound Purgatives , Oyntments and Plaisters , whereby they will singularly pleasure Honest Apothecaries , in detracting so considerably from that needless and almost endless pains and trouble , the praesent Dispensatory injoyns , and save them the labour of running to one another to borrow Medicines ; and lastly , since by this small determinate number of Simples and Compounds little or nothing will remain to be flung away at the years end , they may afford their Medicines two thirds cheaper , and yet be no less Gainers , and for this the publick will in gratitude become their aequal Debtors with Apothecaries . § To this praeceding Catalogue of clamourous abuses of Practising Apothecaries , I will annex such others , as the immoderate thirst of lucre , and the sweet ease of laziness , do tempt them to ; and therefore if in the praeparation of prolix compositions , as of Syr. Arthem . Syr. Chamaepit . Mithridate and others , they omit half a score Simples or more , and supply the defect of 'em by a double proportion of others , you may judg , they intend nothing but the contracting their business , and the humouring their inclination to idleness . And if in the Species of Diamoschu they omit the Mosck , in Pulv. e Chel . Cancror . the Bezoar , in Pulv. Cardiac . Magistr . the Ambergrise and Leaf Gold , in Pulv. Bez. Mag. the Unicorns horn , and the Pearl , you may imagine they design a double profit ; the one by saving those dear Ingredients , and the other , by charging the said Medicines at as high a rate to the Patients Bill , as if they had been added in their full proportion . Secondly , At the Druggists there being two sorts of all Drugs , the one good , sound and dear , the other though of the same kind , course , almost rotten and very cheap ; we may be jealous , that those who aim at an Aldermanship by a quick step , do for the most part make use of the latter sort of Drugs in all their Compositions , and in the praeparations of the praescripts of Physicians ; whose Bills its most certain are by some Apothecaries unfaithfully dispensed , by adding a less quantity of the Ingredients , or such as will prove ineffectual , on design either to protract the course of Physick , or to defame the Physician . Thirdly , the humour of a Tradesman to play the Gentleman is too visible in many Apothecaries , who pass their time either Physician like in visiting Patients , or rendring themselves to the recreations of the times , wherein they are plentifully supported by the revenue of their Shop , which their men manage according to the idleness and negligence Servants are all addicted to in the absence of their Masters ; whence supposing a praescription to be erroneously or dangerously praepared , and the Patient upon the taking of it surprized with urgent symptoms , or yeild to his last fate , it shall not be divulged to you , the man that made up the Medicine was a raw Apprentice , or had been drinking Drunk , whil'st the Master was breathing his Nag in Hide-Park , in all which transaction , it 's the Physician that must father the ill success . § Were you here to pass your sentiment on the praemisses , you would conclude I had spoken for and against the Apothecaries , which how far I seem to have written for them , it 's time I should resolve you . First , in answer to what I objected seemingly on the behalf of the reasonableness of their Practice . Our most perfect English Law imposes death upon those who exact money ( though out of a necessity for a Livelyhood ) from any , by threatning their lives , if so , what can we suppose a greater argument against Apothecaries , that exact great Sums in their long Bills for Medicines , which beyond threatning , have artificially taken away their lives ? for it 's observable our Law is so intent in the praeserving of the life of every ( though the meanest ) of the Kings Subjects , that if a proof be pursued , that the untimely death of any person was caused by an error in Physick , administred by one that had no legal warrant for it , the crime is severely punish'd with a Rope . § But since the condition of inferiour Tradesmen and Servants will not admit of great expences in Physicians fees , besides large prices for Medicines , the Honourable College of Physicians would singularly acquit their duty to the publick , in praeventing their rash inconsiderate humour of running to Mountebanks , Empiricks , or practising Apothecaries for cheapness ( so seeming , ) by appointing every three or four years one or two Junior Physicians in every Ward , whose visiting Fee they should be obliged by Oath , shall not exceed a shilling , and their Chamber Fee six pence , by which means many lives might be praeserved , the young Physician gain considerably enough by the frequency of Patients and the multitude of Visits , and very much improve his experience . Likewise there ought a Pharmacopoea Pauperum to be annex'd to the other , which consisting in cheap , few , and effectual Medicines , and praepared by two or three Apothecaries , authorized for that purpose in every respective Ward , and every Medicine reasonably rated by the Physician at the end of his praescription , it would certainly praevent the ruine of many mean Families in case of a great Sickness , which oft cannot stand them in less than twenty or thirty pounds , at the rate Physick is practised now . § Physicians of late have made some sputter about the dishonesty , stubborness , and incapacity of Apothecaries in their Trade , but seeking redress among incompetent Judges , the vulgar , mistook their case , and so must begin again . The Carrier in the Fable complaining to Iupiter , his Ass was sullen and wo'd not go the way he wo'd have him ; Iupiter return'd no other answer , than that he had given him hands ; implying he might make use of 'em in taking the Ass by the Haltar , and driving him on with a Battoon . The Moral applyed to this affair can give no offence , since Fables never created exceptions . So then the College of Physicians having the means in their own hands , which their Charter and several acts of Parliament had conferred on them , may without much difficulty arrive to the end of their design , by summoning the chief of their Corporation before them , and offering whether they will accept of an Oath , to be taken every seven years or oftner , ( to put them in mind of their duty , ) in this form , or any other they shall think fit . They shall swear they will praepare the Medicines and Compositions of their Dispensatory faithfully without altering or substituting Quid pro Quo , or omitting or adding any Simples , which they engage shall be the sound and good ; and that they will praepare and dispense the praescriptions of Physicians exactly without the least alteration , omission or addition , without cavilling , deriding , or reviling any thing therein contain'd . That they shall not sell their Medicines at higher prices than the College shall think fit to tax or rate them . That they shall not praesume to give a Vomit or Purge , without a Bill from a Legal Physician . That they shall not give a Patient more than one Cordial or Glyster on an urgent occasion , which may satisfie the Patients impatiency , until a Physician be sent for , provided alwayes , that this shall not extend to hinder them from selling Mithridate , Threacle , Simple Waters , Syrups , or any thing else a Customer will buy of ' em . That they shall not feel Pulses , examine Patients , puzzle or fright them to cause them to send for another . That they shall dispense Laudanum , Mercurius vitae , and some other weighty Medicines with their own hands . That they shall give Physicians a due respect and honour , oppose the frauds and insinuations of Empiricks and Practising Apothecaries . That they shall not keep any Medicine in their Shops longer , than the College praescribes a time for their continuing good and sound . That they shall not sell Sublimate , Praecipitate , Arsenick or any other sort of quick poyson to any inferiour or unknown Customer . That they shall conceal the Diseases of Patients , or whatever other secrets are committed to them in the Cure. That they shall likewise keep secret such praescripts of the Physicians as they shall enjoyn them to . That they shall not publickly or privately advise or sell any Medicine that may occasion Women to miscarriages , or kill their Conception . That they shall discover the frauds and errors committed by Practising Apothecaries , if suspected to have caused the untimely death of any . That they shall not let Blood , dress Ulcers , or invade any part of the Skilful Chyrurgeons employ . Besides what else is convenient to be added . An Oath being no more than necessary in a Trade , where frauds and abuses are so practicable , I am confident no Honest Apothecary can or will refuse it , since containing no particular , that cuts off from the priviledge or full extent of his Trade . Those whom the honesty of their intentions shall perswade their submission to these rules , may be distinguish'd from others , by being called College Apothecaries , to whom it 's likewise most just , the Physicians shall ingage upon the reputation of their Profession , not to praepare any Medicines , but such as are very difficult , requiring art and care , and whereon the weight and principal efficacy of Curing great Diseases doth depend , but that they shall send these also to be dispensed by them , and consequently shall leave off praescribing of Nostrums that were used to be praepared by their Covenant Apothecaries . Moreover that they shall not divert any Patient from his Apothecary , or in the least hint at his incapacity , to cause any suspicion or praejudice in the Patient ; that they shall ever refuse to make use of a Practising or any other than a College Apothecary , but indeavour the suppression of all such and Empiricks , for their mutual interest and advantage , and ever be obliged to give a good Character of them in particular . That they will tax and rate their compositions and praescriptions conscienciously , and with a particular regard had to their Rents , charge of Servants , loss of time , and all other necessary circumstances . That they shall not Usurp any Authority or Majestical command over them , other than of praescribing , directing , and informing what 's necessary for the good of the Patient and their Customer , and consequently esteem 'em as free Tradesmen . § But if it shall be made to appear , a College Apothecary hath in any particular , broken his Oath , he shall be expelled and extermined as a perjured person , out of the College Practice , without the least hope of ever being received in again . Likewise a Collegiate Physician being found peccant , ought to be degraded of the honour , of being a member of so honourable a Society . § The irregularity of the Practice of Physick being in a great measure to be imputed to the perverse qualities of some of themselves , the Collegiate Physicians ought to pass an ingagement , They shall depose all envy and malice , by desisting to decry or depress one another by clandestin sinister reflexions , but on the contrary , rather aiming at that part of a Gentleman , to give a generous Character of one another . That they shall not undertake the Cure of any Patient , who hath made use of another , before the former Physician is dismissed with his due satisfaction . That if two or more are called to a consultation , they shall go out together , and no single one tarry behind , to insinuate into the opinion of the Patient or his Friends . That all consultations shall be made in a room private to themselves , and all their particular judgments shall be left wholly to be approved and decided by the Physician that was first called , who ought likewise to praescribe only . That being called , where an Empirick or Practising Apothecary hath by an irregular method brought the Patient into a manifest danger , and an irrecoverable condition , he shall be obliged to acquaint the College with it . By a line of impartiality I have drawn this tract , not being conscious of any pique I have to any party therein mentioned , and for that reason can assert , I have produced what may be urged for Physician and Apothecary , to the least circumstance , and have likewise annex'd a way for accommodation between 'em , but how well or how ill I leave to the Reader ; and so farewell . Sunt bona mixta malis , sunt mala mixta bonis . FINIS . A LASH for LEX TALIONIS ; OR , A just Repraehension of the Practising Apothecary . THis preceding discourse was almost finish'd in the Impression , when I chanced to spy somewhat new , prickt up against a post in a Ballad-sellers Stall , at first appearing like some strange News from Tripoly , but upon a nearer approach , observed a very worthy person Dr. Merret named i' th' Title of Lex Talionis , and in the ensuing page ▪ Dr. Goddart , both very Accomplisht and Eminently Learned in their Profession ; also a third , Dr. Daniel Cox , a person as ingenious as learned . These to whom the generality of judicious men dedicate a character more ample , than my narrow bounds will permit to express , were assaulted in their honour and reputation by a clandestin scurrilous Cabal of four or five Practising Apothecaries , raking up in the Libel forementioned all the filth and dirt the Sinck of their imagination stunk of , but with no other success than the bespattering of themselves , and defiling their own Nest. The provocation for this was no more than what passers by give to those snarling Animals , that bark at 'em , because they are none of the house ; it being the sentiment of those Learned men in their Treatises , that the people were extreamly imposed upon by some fraudulent Apothecaries , whom they endeavoured to divert from their impious practice by a threat , they would attempt the praeparation of their own Medicines , which the urgent occasion of a sickly season , and many inconveniences attending a private Pharmacy might easily praevail with them , to render back to those , whose establish'd employment it had been for some ages . This was the opinion of all sober and honest Apothecaries , with a censure , that the foresaid Pamphlet was Indited by some Hermaphrodite Apothecary-Doctor to deserve a small piece , or to raise himself by causing a division between Physicians and Apothecaries ; these latter detesting those scandalous reflexions on the whole Corporation of Physicians , and others in particular by inserting their names , a sort of impudence not common in a civilized Government , and what is more , of givng the Lye to a Gentleman , which the Lex Talionis of all Nations recompenses with a Bastonade . But give Diabolus his due , the particular naming of persons being left out , it might pass for a piece of Bouffonerie , the chief Author being fitter sor a — — — on the little Theatre of a Bartholomew Booth , than — sure he would have bursted had he not gi'n vent to his witty Hogshead , that was thus upon the fret ; and when he has been well rackt till the Lees drop into his Breeches , his manners will shew more fine . However I 'le pass one hours time to give an essay , how facil it is to retort , but without reverberating heat : ( fol. 7. Lex Talionis ) That the young Physician must be lodged gratis in the Apothecaries house , and attended on by the Servants , and by the Mistriss into the bargain ; a filthy Bird that befowls his own nest . Cancaro ! What 's his meaning ? confesses , he holds his Trade by a contented tenure in Capite ; or by giving Purges at 's house , when the sign is in Capricorn , and for that reason the English Mounsieur comes not thither , without muzling his Nose under his Cloak . But the Gentleman has forgot to tell you , his Trade is the onely means the Physician has to shab off his Tympany-Cousin to the young Apothecary , in hopes of his Practice for her Portion , urgente necessitate , Po for that . sol . 24. The Apothecaries having a laudable custom once a year ( and oftner too ) as many as please , to go Herbarizing ( don 't say Simpling ) in Guttur-lane , where any not knowing may be instructed by those , who well understand , and are learned ; — O Learned Herbwomen ! ( fol. 25. ) he recites a fictitious story of a Carrot top ; A most praegnant invention of his Carrot-pa●e imagination . ( fol. 2. ) for Certes sayes he , an incomparable Gallus , whither his Brother Apothecary was carried the last Sessions in the little Coach ( fol. 17. ) with two Wheels , up Holborn and — such another his Glyster-pipeship may keep in Time , for it would be too pedantick for our age to say the Apothecary goeth to his Countrey house . fol. 17. Of late times there being more ( Doctors ) Knighted , than known in so short a time . If this be the contest , as many of you shall be exalted to a Knighthood o' th' burning Pestil , with the figure Ch. in the record of your Manual ; but that wil spoil your Palmestry I doubt . ( fol. 2. ) But Domine , was it salva conscientia , ( fol. 25. ) when for a truth one of your small Brethren in the Margin of 's Bill , put down Item for Item and Item of Pulvis ad Anginam , being nothing but Album Graecum , each paper at half a Crown ; for forty papers justo five pounds for White Dogs — and what you please besides for Tobith and 's little Cur ? Hush hush , all comes out ; 't is not forgotten the poor Lady in — march'd off of an Ala mode , she had got by taking some Pills Mr. Nameless had roul'd between 's Teeth , to make 'em take gilt the better . Hereafter pray leave off that trick . ' Tseems Mr. Nameless had been basely paid for 's Glyster ; And how deservedly then the Bon Droll stiles 'em ( fol. 19. ) a Society , generally ( none excepted ? ) very honest and sober men , Oiboh ! Pray do n't go by t' Artichoak Leaden — str . Pils , Potions , and Quack-advice you may have , and after that a long Arithmetical Scrowl , little shorter than a Shentlemans Genealogy : This his Jong Picaro shall humbly present to you , and if you bid 'um send Ursus major , and you will pay his B●ll ; expect not a Farthing abatement from the favour of a Quantum meruit ; for here 's a plain Assumpsit ; if you understand not this Knack , the Iereboams shall make you — Probatum est ; for it 's on Record more then once in several of the Courts . ( fol. 17. ) The Battle is to the strong ; but they are strong , so● they ne'r break ; and how can they ? three Patients i' th' Spring makes their Pot boil all the year . It 's well put in , a word of the battle ; for generally they go armed with the Ivory pocket Pistol , & the Box of gilt Bullets ; and Auri sacra fames , the good Old Cause , even it 's that they fight for . ( Fol. 18. ) Their canting and formally praying over their Patients , &c. this is granted was the practice of three noted Physicians , and they got well by it , What then ? Hast thou not heard of a Precious Brother of thine , who like a little Stone-horse mounted the great Tub , and with a sence of feeling , how heartily did he recommend his precious Elizir vitae to dis dear Sisters , and so powerfully did press it home to 'em ; and at length O how fervently did they embrace it ! All had been well , and they had still continued in the same perswasion , had not that wretch Brother Nameless held forth his poysonous Box of Ointment , almost to the utter destruction of their sweet enjoyment , and their comfortable fellowship ; But how precious an Antidote was Mercurius Dulcis then , to rebuke that evil spirit Lust and Conven tickling had let in among ' em ? Nemo omnibus horis sapit , may as well be verified of this Apothecary as any other , when he bought dryed Eels for Vipers , to make Trochisci , for his Venice Threacle , an Admirable Antidote ! ( fol. 9. ) for doubtless ( says he ) the discreet Apothecary being learned , may make a far abler Physician than he an Ahothecary ; for it 's but joyning the Theory of Physick with his Practick , and he may be compleat ; what ? a compleat Mountebank ! conceditur ; but quomodo pulvis signior Apothecary , the joyning of the Theory with the Practick ? possibly the joyning of Culpepper with the Glysterpipe ; or Poor Robin's Almanack with the Pestil and Mortar ; seriouslr a very compleat Physician . Complamatum est ; and from that rule ( fol. 12 ) all Fools or Physiciaus indeed , or both , if he 'll accept on 't : ( fol. 25. ) for ex quovis ligno non fit Mercurius , i. e. ex quovis wooden Apothecary non fit Medicus . But whence had your Worship all those ends of Latin ? sure th' are the parings of some University Cobler ; for confident I am the learn'd Author's Gotham assistants are scarce guilty of knowing the first letter of the Greek I' th' title , though it proved their neck Verse ( fol 25. ) the Apothecary if he would understand the practice ( a contradiction now confessing their ignorance i' th' Practick ) and Theory of Physick , or any question that can be asked , ( what turn Astrologer too ! ) let him buy Frambesarius , the best piece ever Duns studied to answer's Quodlibets ; that 's th' use on 't . Though when he trug'd to Cambridg for a degree of Blockhead in Physick , Don Quixot falter'd most abominably , being better vers'd in Priscian than Galen . Quot sunt partes Medicinae ? Answer'd quinque . Primo , to perswade a Customer in health he 's sick . Secundo , to give him a Pill that shall make him sick . Tertio , to ●amp him up with Cordials . Quarto , to make im believe he 's well , though now sick indeed . Quinto , to present ' im with a long Bill ; if trap be the word go on and prosper . ( fol. 26. ) he comments on an ingenious book de Fermentatione , like an Asinus ad byram ; as if the learned Author had not been able to explain's own thoughts , nevertheless runs on mistaking the thing all along . But my friend , when you have thorowly perused the Praxis Riverli ( fol. 26. ) and Primroses Enchridium , still it will be but Simia est simia , etiamsi aurea gestet insignia , in English a debauch'd Apothecary . Neither will your Asinary canting on the fermentation ( fol. 27. ) for a specimen of their wonderful pretended progress in Physick , excuse 'em from being — in print ; ( fol. 25. ) Let but a rational learned Apothecary , &c. Guarda la gamba ! A rational learned swabber in Physick , a Pot-carry ! and why may not a Rational learned Chimney-sweeper add but somewhat of the Theory ( verba codicis ) to his former observations , be better fitted for practice , and I would sooner engage him than many a Pot-carry . I mar'l tro ' your Worship forgets they have travelled too as well as Physicians ; 't is confessed they have ; but 't was on Balaam's Ass , from the Village of Ignorance , through the Town of Cheat'em in Long-bill-shire , till they came to the strong Castle of Impudence . Passe par la stil , but in your Travels , have a care of the little Coach , they make an ugly halt by the way , unless the Coachman will ingage to bring you back , and yet ▪ t would be dangerous to take's word . Pray good folks , a word of advice ; leave off this rambling , off with your travelling garb , the Plush Jacket , and the broad brim'd Hat , 't is but Vulpes sub pelle Leonis , and on with your blew Aprons again , the Musick of the Pestil and Mortar will sound pleasanter than the Passing Bell ; for Pot-carry is but quasi to the Pit-carry , and your Practicing quasi Prating . Now let 's Blazon the Primitive of your derived so eminent Profession , as he call's it . Apothecary Pot-carry , Pot-carry Pit-carry , Pit-carry Picaro . O Picaro , art thou the Father of so eminent a Generation ! then may I say with the Author in the farewell of his Prologue ; From a Picaro-Pit-carry-Apothecary Libera me Domine . FINIS . Notes, typically marginal, from the original text Notes for div A50694-e340 a An Egyptian , and the first Inventor of Physick . b The Son of Apollo begotten upon Coronis the daughter of Phlegia . c The two eldest daughters of Aesculapius . d The two eldest daughters of Aesculapius .