Tag: doctors

  • Discover the History of Apothecary

    Discover the History of Apothecary

    Apothecary or Pharmacist? Around 1260, an “apothecary” was someone who prepared and sold drugs. By 1314, the term “pharmacy” referred to purging with medication. Around 1530, an “apothecary” was often a nun who prepared remedies for the sick in hospices. Then, in 1575, “pharmacy” became the science of remedies and medications. Finally, around 1730, the apothecary’s shop, or pharmacy (both terms were used), was where drugs, remedies, and medications were prepared and stored.

    In the 12th century, medicine and pharmacy were still intertwined and often practiced by religious figures. Care was provided in Hôtel-Dieu hospitals, which had a hospitalization room, a botanical garden, and an apothecary. In 1241, at the request of the Germanic Emperor Frederick II of Hohenstaufen, the Edict of Salerno imposed an oath on all those who wished to manufacture medicines.

    The profession of apothecary was monitored, and the price of remedies was regulated. This edict established a legal separation between doctors and apothecaries. The Edict of Salerno, through its diffusion throughout Christendom, can be considered the birth certificate of the apothecary profession, even though specialists in medication preparation had existed since antiquity.

    When the Apothecary Was Still Just A Learned Grocer…

    Discover the History of Apothecary
    Depiction of a master apothecary teaching his apprentice. Illustration from Medicinarius (1505) by Hieronymus Brunschwig. Image: Wikimedia, Public Domain

    Medieval medical doctrine considered diseases as morbid essences and remedies as antidotes. In the Middle Ages, apothecaries and grocers sold the same types of products: plants, spices, and especially sugar, which was rare and considered more of a remedy than a food.

    Apothecaries therefore belonged to the grocers’ guild. Their training was exclusively practical and focused on learning how to prepare remedies. Master apothecaries were responsible for instructing apprentices, who needed to have a basic knowledge of Latin and grammar to read doctors’ prescriptions. The duration of apprenticeship varied according to local legislation; in Strasbourg, the training of an apothecary’s assistant lasted five years.

    Birth of the Apothecary Profession

    Apothecary guilds were formed in cities, giving rise to the regulated nature of modern pharmacy. In the Kingdom of France, the first apothecary statutes appeared in Montpellier at the end of the 12th century, then in Avignon in 1242, Paris in 1271, and Toulouse in 1309. In 1484, Charles VIII issued an ordinance stating that “henceforth no grocer in our said city of Paris may engage in the business and vocation of apothecary unless the said grocer is himself an apothecary.”

    Many conflicts arose over questions of competence between trades; apothecaries also found themselves in competition with barber-surgeons. By the 16th century, apothecaries, as members of an influential guild and holders of rare and expensive drugs, had become true merchants. The sale of tobacco in powder form was even reserved for apothecaries.

    Apothecary Profession Gains Prestige

    An apothecary in the 15th century
    An apothecary in the 15th century. Image: Wikimedia, Public Domain

    In the 17th century, science progressed, but remedies extracted from the plant, mineral, and animal kingdoms did not necessarily align with advances in pharmacology. The first public school of “pharmacy” dates from 1576, and in 1777, Louis XVI transformed it into the Royal College of Pharmacy. The king definitively separated the professions of apothecary and grocer and recognized pharmacists’ monopoly on the sale of medicines.

    He officialized pharmacy as a medical science, requiring in-depth studies and knowledge. In April 1803, First Consul Napoleon Bonaparte created three pharmacy schools in Paris, Montpellier, and Strasbourg. Each school was required to organize, at its own expense, the teaching of at least four subjects: botany, the history of medicines, pharmacy, and chemistry.

    Military Apothecary

    In the field of medicine and natural sciences, it is important to emphasize the essential role of military pharmacy: the concern for improving survival conditions and providing care to soldiers and sailors contributed to advances in pharmacology. Military pharmacists were involved in all campaigns and expeditions on land and sea. Witnesses to the mass casualties on battlefields and the ravages caused by diseases and malnutrition, they became responsible for the manufacture and distribution of health and hygiene products to the armies.

    The presence of apothecaries associated with the king’s armies is first described in a report by the surgeon and anatomist Ambroise Paré in 1552. Richelieu created the first sedentary hospital for soldiers in Pignerol (in Italy) in 1620, staffed with two apothecaries. They were associated with doctors and surgeons in the military hospitals established by King Louis XIII during the Thirty Years’ War, particularly in Italy in 1629.

    The royal edict of 1674 provided for an apothecary position at the Hôtel des Invalides, which received “all officers and soldiers both crippled and old and decrepit” from Louis XIV’s wars. In the 1740s, the increasing abuses in military hospitals led to the formation of a corps of military apothecaries subordinate to doctors, with one apothecary for every fifty hospitalized soldiers.

    An Illustrious Apothecary: Antoine Parmentier (1737-1813)

    At 20, Antoine Parmentier was already an army pharmacist during the Seven Years’ War (1756-1763). Taken prisoner in Germany, he discovered the nutritional quality of the potato, which was used as food for animals and prisoners. In 1766, Parmentier obtained the position of apothecary at the Royal Hôtel des Invalides and continued his agronomic research on potatoes.

    In 1772, members of the Paris Faculty of Medicine finally declared that potato consumption posed no danger to health. With the support of Louis XVI, Parmentier created a plantation in Neuilly in 1786, and then in Gentilly, where the guards were ordered to let the population “steal” the precious plants, helping to popularize the tuber.

    Parmentier also focused on the preservation of flour, wine, and dairy products. He improved the quality of bread distributed to armies and hospitals by devising a new bread-making method that gave rise to the reputation of French bread.

    He advocated for the preservation of meats by refrigeration and worked on the technique of food canning by boiling, developed by Nicolas Appert in 1810. Parmentier became the first president of the Paris Pharmacy Society and was very attached to his title of pharmacist. He defined his life and work thus: “My research has no other goal than the progress of the art and the general good… I have written to be useful to all.”

  • Why Did Women Doctors Fade Into Oblivion in the Middle Ages?

    Why Did Women Doctors Fade Into Oblivion in the Middle Ages?

    Most of the “witches” persecuted in Europe from the 15th century onwards were in fact midwives and healers, heirs to a long tradition of secular medical practice that was more pragmatic than theoretical.

    But to tell the story of these experts (before they were totally evicted), researchers face several obstacles: information is scarce and disparate, fragmented into many very different sources; biographical sources, for example, but also economic, judicial, and administrative sources. Sometimes only first names or surnames remain, such as those of women inscribed in the Ars Medicina of Florence (a medical treatise), or that of the apothecary nun Giovanna Ginori, recorded in the tax registers of the pharmacy where she worked during the 1560s.

    Nevertheless, this research allows us to better understand how women were gradually excluded from medicine, its practice and studies, by an institutional and hierarchical system totally dominated by men.

    Schola Medica Salernitana

    We must first mention the most famous medical school active at the beginning of the Middle Ages, that of Salerno, the Scola Salernitana. It counted among its ranks several women physicians: Trota (or Trotula), a pioneer in gynecology and surgery, Costanza Calenda, Abella di Castellomata, Francesca di Romano, Toppi Salernitana, Rebecca Guarna and Mercuriade, who are fairly well known, as well as those called the mulieres salernitanae.

    Unlike the women doctors of the School, the mulieres worked at a more empirical level. Their remedies were examined by the School’s doctors, who decided whether or not to accept them, as evidenced by Giovanni Plateario‘s manual Practica Brevis and Bernard de Gordon‘s writings. In Salerno, Christian, Jewish and Muslim scholars crossed paths; different cultures coexisted, making the School an exceptional place, a breeding ground for scientific encounters and influences.

    Women Accused of Practicing Illegally

    However, from 1220 onwards, the situation became complicated because no one could practice medicine without being a graduate of the University of Paris or without having obtained the agreement of the doctors and the chancellor of the University, under pain of excommunication. Let us cite the example of Jacoba Felicie de Alemannia. According to a document produced by the University of Paris in 1322, she treated her patients without “really” knowing medicine, that is, without having received university education, and was liable to excommunication; consequently, she had to pay a fine.

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    The records of the dispute describe the course of a medical examination given by this woman: we learn that she visually analyzed urine, took pulses, palpated the patient’s limbs, and that she treated men. This is one of the rare testimonies that mentions the fact that women also treated men.

    The trial of the young doctor took place during a time when those who were not university graduates were being denounced and condemned. Before her, Clarice of Rouen had been excommunicated for practicing medicine for the same reason – treating men – while other women skilled in medicine were again condemned in 1322: Jeanne the lay sister of Saint-Médicis, Marguerite of Ypres, and the Jewish woman Belota.

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    In 1330, the rabbis of Paris were also accused of illegally practicing the art of medicine, as well as some other “healers” who passed themselves off as experts without being so (according to the authorities): they were taxed as impostors, even if they were competent. In 1325, Pope John XXII, opportunely solicited by the professors of the University of Paris after the Clarice affair, addressed Bishop Stephen of Paris, ordering him to forbid those ignorant of medicine and midwives from practicing medicine in Paris and the surrounding area, insisting that these women practiced sorcery.

    The Formalization of Studies

    The progressive prohibition of the practice of medicine for the female gender took place parallel to the formalization of the canon of studies, the beginning of meticulous control by teaching hierarchies and corporations, increasingly marginalizing women doctors.

    However, they continued to exist and practice — among the Italians, we know of the Florentines Monna Neccia, mentioned in a tax register, the Estimo of 1359, Monna Iacopa, who treated plague victims in 1374, the ten women registered with the corporation of doctors in Florence — the Arte dei Medici e degli Speziali — between 1320 and 1444, or the Siennese Agnese and Mita, paid by the City for their services in 1390, for example.

    However, practicing medicine became very risky for them, with suspicions of witchcraft becoming increasingly heavy.

    Unfortunately, official sources lack data on women doctors, as they practiced in a society where only men accessed the highest positions.

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    Nevertheless, the historical framework that can be reconstructed shows the existence not only of women who were experts and practiced the art of medicine, but also of women doctors who studied, often unofficially — most were educated by their father, brother or husband.

    Women Doctors in Literary Sources

    Non-institutional sources, such as literary texts, are very precious. For example, Boccaccio mentions a woman doctor in the Decameron. The narrator, Dioneo, speaks of a certain Giletta di Nerbona, an intelligent woman doctor who managed to marry the man she loved — Beltramo da Rossiglione — as a reward for having cured the King of France of a chest fistula. Boccaccio has Giletta, who perceives well the sovereign’s lack of confidence in her, as a woman and young woman, say:

    I remind you that I am not a doctor thanks to my science, but with the help of God and thanks to the science of Master Gerardo Nerbonese, who was my father and a famous doctor in his lifetime.

    Boccaccio thus presents us with a woman expert in medicine in a simple and natural way: perhaps this is a sign that he was referring to situations more common and known to his readership than is generally believed. What Giletta says reflects a reality of the time for women who practiced medicine: what she knows, she learned from her father.

    There is particularly a lot of data concerning Jewish women doctors, active particularly in southern Italy and Sicily, who learned the medical art in their families.

    The University of Paris played a very important role in the historical process of standardization and institutionalization of the medical profession. In her article “Women and Health Practices in the Register of Pleadings of the Parliament of Paris, 1364-1427,” Geneviève Dumas clearly showed the importance of Parisian judicial sources from the 14th and 15th centuries, because they contain the memory of women who were condemned for illegally practicing medicine or surgery. Dumas published two trials: the one conducted against Perette la Pétone, a surgeon, and against Jeanne Pouquelin, a barber (barbers were also authorized to perform certain surgical acts).

    As the teaching of medicine at the University of Paris became the only valid training in Europe and the School of Salerno lost influence, women were gradually excluded from these professions.

    The progressive disappearance of women doctors is to be related to ecclesiastical prohibitions, but also to the gradual professionalization of medicine and the creation of increasingly strict institutions such as Universities, Arts and Guilds, founded and controlled by men.

    In Europe, it would take until the mid-19th century for the first graduated women doctors to be able to practice, not without facing sharp criticism.

    What does science owe to Marian Diamond, the woman who dissected Einstein’s brain?