Category Archives: health

Ancient medicine

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We know the Ancient Greeks had medicine. Examples of the diseases that afflict us now, such as cancer and TB, and diseases we have managed to conquer such as smallpox, are found in their writings.

What do we know of medicine in Bronze Age Crete? Not very much. We know they used herbal remedies. An examination of Egyptian dynasties contemporary with Crete suggest other possible medical treatments. Papyri and scenes inscribed on walls depict medical instruments. The purpose of some of them, however, are still a mystery. Instruments from later dynasties have been found as well.

Papyri, and clay tablets from Mesopotamia, show that a huge feature in medicine was divine intervention. Prayer and animal sacrifice, which we know were also employed in Bronze Age Crete, were important features. Amulets, to keep demons and bad outcomes at bay, were commonly used. Astral medicine, i.e. using the stars to predict the best time for the best outcomes, was also very important. The zodiacal calendar was used to predict the most propitious times for medical treatments.

I want to add that seers were used to predict the best times for all important activities. The flights of birds was one method. The sacrifice of a sheep and the reading of the organs was another.

Our current medical system certainly has flaws. I am very glad, though, that a surgery appointment does not depend on how a flock of birds fly through the sky!

Epidemics – measles

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I felt I had to include measles as one of the epidemics that use to ravage human populations. In fact, the measles had a significant outbreak in the United States just last year, in 2019.

Now commonly thought of as a childhood disease, measles is highly contagious. Nine out of ten people who are exposed will contract the disease. It is airborne and is spread by infected droplets from coughs or sneezes. Although not as lethal as smallpox (the subject of my next post), it can cause death and/or blindness.

Contracting the disease usually confers lifelong immunity.

The most obvious symptom is a red rash that begins on the abdomen. It is flat red spot that I can tell you from personal experience itches like crazy. Now there is an effective vaccine to prevent the illness.

Like many of the diseases that afflict humans (including Ebola and the coronaviruses), measles mutated from rinderpest and jumped to humans. Unlike TB or smallpox, which both have a long human history, measles is fairly recent. One source lists the first recorded mention of measles as 500 AD.

Next up: smallpox.

Epidemics – Tuberculosis

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In my Will Rees mysteries, he meets people who are ill with tuberculosis several times. The frequency of deaths from this disease in my fiction in not an accident. It was a pandemic that still has not been eradicated. In 2017, there were more than 10 million cases of active TB which resulted in 1.6 million deaths; it is therefore the number one cause of death from an infectious disease. Most of these deaths, and most of the new infections, occur in the developing world.

I was mostly familiar with TB as ‘consumption’, a disease that afflicted Victorian poets. Although TB was common in both the poets, the upper classes and the slum-dwellers, it was not a new disease during Victorian times. It has been around for millennia. Bison remains from 17,000 years ago display the effects of the disease.  (No one is sure if TB jumped to humans from the bovine like smallpox or whether it developed independently.) TB scars have been found on Neolithic skeletons and on the spines of Egyptian mummies.

So, it has been around a very long time. Despite that, it was not identified as a single disease until 1820 and the bacillus that caused it was not discovered until 1882 (by Robert Koch. He received the Nobel prize but failed to recognize that one of the transmissions of TB was via infected milk.)

Before the advent of antibiotics, and even with the best care in the sanatoriums set up for this purpose, 50% of the patients died within five years. In 1815, one in four died of the illness in England.

Antibiotics beat back the disease, but new drug resistant strains raise the possibility of a new epidemic. Even now, in modern times, about one quarter of the world’s population is infected with TB.

Epidemics – Yellow Fever

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ellow fever

Yellow fever is a viral disease spread by an infected female mosquito. It began in Africa and was transported to the New World via the slave trade. Because it was so prevalent in Africa, many Africans had some immunity to it. But so many white men died in what is now Nigeria, it was called ‘white man’s grave.’

In most cases, symptoms include the usual: fever, chills, loss of appetite, muscle pains particularly in the back, and headaches, exactly like other diseases such as the flu. Symptoms typically improve within five days. In about 15% of people, within a day of improving the fever comes back, abdominal pain occurs, and liverdamage causes jaundice. Because of this, yellow fever has been nicknamed Yellow Jack and Bronze John. Death occurs in up to half of those who get severe disease. A vaccine exists for yellow fever and some countries require it before travel.

 Although yellow fever is most prevalent in tropical-like climates, major epidemics have occurred in Africa, Europe and the Americas.  New York City had an outbreak in 1668 and other cities such as Philadelphia and Baltimore had outbreaks in 1669. All three saw other occurrences in the 18th and 19th centuries. In 1793, Philadelphia, which was then the capital of the country saw an epidemic. Several thousand people died. (The government at that time fled the city.)  Dr. Benjamin Rush gained fame during this disaster. A great book to read about this episode in Laurie Halse Anderson’s Fever 1793.

Since the disease traveled along steamboat routes, New Orleans suffered many major epidemics during the 19th centuries, causing 100,000 – 150,000 deaths in total. It was greatly feared and the wealthy abandoned the city to summer homes to escape the disease. The more things change, the more they remain the same. Barbara Hambly’s Benjamin January series refers to Yellow fever throughout.

Epidemics -The Black Death

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Black

Although the Bubonic Plague was known prior to the outbreak in the Middle Ages, literature and art fully illustrates the effects of the global epidemic that hit Europe in 1347. The primary host for Yserina Pestis is rats. Climate change on the steppes sent the rats into populated area with the infected fleas. Even then, when travel was difficult, people traded with one another. The disease went westward along the Silk Road and onto the ships of the Italian merchants. From there, the disease traveled to Genoa, Italy and Europe at large.

In the epidemic of the fourteenth century, it is estimated 100 million people died. The population did not rebound to previous levels for 200 years. Entire villages disappeared as every single inhabitant perished. Waves of infection continued until the 1800s.

There were three forms of the disease. The type that created the swollen lymph nodes (buboes) and the pneumonic had a fatality rate of about 90 to 95%. The septicemia form was always fatal.

There were a number of consequences of the dramatic drop in population. Rapid reforestation led to a change in the climate with some historians tying the Little Ice Age to it. Another was the change in the society. With so few laborers, the survivors were able to fight for, and receive, higher wages. (The primary sources are almost funny as the nobles complain about the exorbitant wages being demanded. And this new class (the beginning of the middle class of tradesman and craft workers, actually had the temerity to wear gold and fur and ‘ape their betters.’

The plague is still around and every now and then a case pops up in the Desert Southwest. Antibiotics has changed the world, however. A bacterial disease, it falls to our new medicine. I shudder to imagine what might happen should Yserina Pestis become resistant.

Goodreads Giveaway

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A Circle of Dead Girls was just formally released on March 3rd. (I say formally because Amazon had it in mid-February.)

Death in the Great Dismal will come out October 7.

These titles are eight and nine, respectively.

Since it has been many years since the publication of the first three in the Will Rees saga, (and also because with people kept at home because of the corona virus – COVID-19, they have more time to read) I am offering a Goodreads giveaway of A Simple Murder:

Yes, I will be giving away three books to three lucky winners. Go to Goodreads to sign on.

Shakers and Herbs – Part 3 – Marketing and Sales

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Although Waterlviet (just outside of Albany) was the Shakers’ first home, the herb business there began after the business in New Lebanon, New York – now known as Mount Lebanon.  The community began with a few farms and later expanded to become the largest, most prosperous and most influential. It was considered the most ordered and became the Central Ministry.

Until 1821 only wild herbs were gathered but they were gathered in such enormous quantities that many disappeared and quite a few are on the endangered list. In January of that year they began selling herbs to the World, i.e. to people outside the community. After that they began planting physic gardens.

Waterlviet began selling in 1827 and by 1830 had produced a printed catalog.

The Mount Lebanon catalog soon followed, along with Sabbathday Lake (established in 1794 and the last of the Eastern communities to be established), and the New Hampshire,  the Connecticut and finally the Western communities in Ohio and Kentucky. By 1840 the catalogs were four pages long.

But how did they market? We know they did so (and very successfully too). The market they were entering was sated with exotic elixers and medicines and wild promises to cure every malady.

First, their herbs were marketed as pure and, as their reputation for purity of medicinal herbs grew, the business expanded. (Competitors began advertising their herbs as ‘Shaker’ seeds and herbs.

The catalogs, as mentioned above, became larger and with more material and information in each new edition. Like marketers today, they began offering discounts. An account book from the late 1830s offers a discount of 25% for 25 dollars purchased.

They direct marketed to physicians and included samples.

Their ‘territory’, if you will, was world-wide. They imported coriander to sell and by the mid-1800’s were shipping to London, England and San Francisco. They had a busy river trade up and down the major rivers, the Red River, the Ohio River and the Mississippi peddling brooms, straw hats, socks and jeans as well as seeds and herbs.

After the Civil War, and especially toward the early 1900s, the Shaker membership declined. The herb business also began slipping and many of the business were closed. The Sabbathday Lake herb industry was closed in 1911. Some of the others hung on a little longer. The Sabbathday Lake community is unique in that the herb industry was reestablished in 1960 and I was able to purchase a packet of lavender, packed in Sabbathday Lake, in a gift shop attached to the ruins of the community in Albany.

And most people know the Shakers only for their furniture!

The Shakers and Herbs – Part 2 – Medicinal Weeds

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Many of the plants we despise as weeds actually have qualities that render them useful as medicines, dye plants or more. Take the humble dandelion, for example. First of all, it is not native to North America but was brought over by the first colonists. The leaves are edible and I’m sure most people have heard of dandelion wine. Using it as a dye produces a reddish color. I’ve also read, although never tried it, that if a woman who believes she might be pregnant urinates on the leaves and they change color, she will know she is expecting.

Medicinally, the dandelion is recommended for diseases of the liver, constipation and uterine obstructions. It should be collected when the plant is young. A freshly dried root can be used as a tonic for stomach troubles.

Broadleaf dock root, a common visitor in my yard, can be used as a purge and a tonic. The Shakers shipped great quantities of this root. In 1889, some forty four thousand pounds was shipped to one firm in Lowell Mass from Enfield, New Hampshire. Since at that time the root was selling for about 50 cents a pound, the community must have made quite a bit.

Skunk cabbage was another plant used successively as a treatment. A stimulant, the root was used for nervous irritability (not sure what this means) and whooping cough, asthma, chronic rheumatism and spasms.

Burdock leaves were used as a cooling poultice.

I’m sure you get the idea. Some of the other weeds they harvested and sold are: Butternut bark (the hulls of the nuts make a yellowish gray dye), elder flowers (tasty as well as medicinal), Yarrow, hoarhown, bugle, crosswort (or boneset) and many more.

They also made combinations as lozenges and syrups. Their cough medicine included wild cherry bark, seneca snakeroot with rhubarb and a tiny amount of morphine. (The Shakers also grew the opium poppy and sold the raw opium at tremendous prices.) Another popular offering was Tamar laxative. Among other ingredients it included Tamarind, prunes, fruit of cassia and sugar. The resulting paste was dried and cut into lozenges.

Interestingly, they also sold concentrated sarsaparilla syrup. Sarsaparilla is also known as wild licorice.

Although the Shakers were a religious community, they were also canny – but honest – businessmen and women. Next up, the marketing and selling of the herbs.

The Shakers and Herbs, Part One

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The Shakers arrived in the New World in 1774. Like most of the new colonists, they brought some herbal knowledge with them. Yarrow, boneset, dandelion (which is not native to North America) are some of the plants brought over from Britain. Although there were doctors, most of a family’s medical needs were served by a wife or mother, midwife – not the doctor. But I digress.

Again like many of the new colonists, the Shakers drew upon the knowledge of the local tribes to learn about the herbs in the woods. At first, the Shakers wanted the herbs to treat the illnesses in their own community. Later, they planted physic gardens to meet their needs. As farmers everywhere do, if they grew a surplus, they sold it. This was the beginning of a thriving  and very profitable business.

Although Watervliet was the first Shaker community, (just outside of Albany several of the old fields now lie under the Albany airport), the Central Ministry was located at New Lebanon in New York (west of Albany.) The herbal trade began here and soon spread to several other communities, Canterbury, NH and Union Village near Lebanon, Ohio among them. AS we all know, the health business is rife with quackery, The snake oil salesman is a caricature of reality for our early history. The Shakers, despite the fact they were considered religious oddities (almost cultists) brought herbal medicines to respectability.

It was also incredibly lucrative. At its height, the business grossed $150,000 annually. This in a time when an experienced carpenter might make four shillings a week. In today’s money, that $150,000 a year would be worth upwards of 2 million.

The Shakers, by the way, kept meticulous records. Besides commercial transactions , they carefully documented what herb was shipped where and what it cost, they kept records of every aspect of Shaker life. The health of every individual was of prime importance. In fact, the Millennial Laws decreed that “As the natural body is prone to sickness and disease, it is proper that there should be suitable persons appointed to attend to necessary duties in administering aid to those in need.” In health care, as in so many other practices, the Shakers were well in advance of the society that surrounded them.

A quick review of the records pertaining to the deaths of these community members and in an age when the life span was between 40 and fifty, it is not surprising to find Shakers passing away at 87, 88 and even 101.

I based my primary Shaker community Zion on Sabbathday Lake which is located in Alfred, Maine. It is still home to the last remaining Shakers. (Three at last count. When I first began my research several years ago there were ten.) A visit to any of the gift shops in what were once thriving Shaker communities reveals packets of herbs for purchase, all packed at Sabbathday Lake. The remaining Shakers continue to labor exactly as they always have done.

Next: a review of some of the less common herbs used and sold by the Shakers.

Folk Medicine

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Herbal remedies are certainly part of folk medicine. Tonics were a regular part of the health regimen and reading the ingredients explains why. Willow and poplar bark, spearmint, wormwood and ginseng – all used in various ways now.

But there is a lot more to it. Beech leaves (astringent and used for skin injuries) might be boiled down into a poultice, but other parts might be added to the remedies. For example, regular nose bleeds might be treated by a mixture of alum, red bath root and blood root mixed together into a powder that can be inhaled. The blood root and the red bath root symbolize the blood. Many folk medicine relied on both sympathetic and contagious magic. So a knife might be placed under an expectant mother to cut the pain of childbirth.

Or, in contagious magic, items that were in contact with the body would have special powers. Sailors relied on the caul (the membrane covering a new baby) as protection against drowning. A sore throat would be cured by applying camphor to a sock (that had been work on the right foot) and wearing it around the neck. While we still use the camphor, we no longer expect it to be smeared over a dirty sock.

Incantations or blessings were also said over the cure or affected person.

To us, folk medicine is suspect, partly because of some of the farm ingredients. Cow manure might be used as a poultice of sheep manure strained with cider and drunk. Ugh. Croup might be cured with a spoonful of skunk oil.

There were also people reputed to have special powers. Blood stoppers were credited with the power to stop bleeding (kind of like the dowsers who find water.) Some of them could find lost things. The seventh son was especially powerful.

Modern medicine has moved away from most of these old remedies although faith healing is still practiced in certain sects. However, progress to current medicine has a down side. We have lost touch with nature and the natural remedies found in herbs and tree bark.

Next up: The Shakers and Herbs.