{"id":8024,"date":"2023-01-11T18:30:20","date_gmt":"2023-01-11T18:30:20","guid":{"rendered":"https:\/\/blogs.lshtm.ac.uk\/library\/?p=8024"},"modified":"2023-06-12T16:51:18","modified_gmt":"2023-06-12T16:51:18","slug":"the-pamphlet-collection-defeating-the-nostrum-evil","status":"publish","type":"post","link":"https:\/\/blogs.lshtm.ac.uk\/library\/2023\/01\/11\/the-pamphlet-collection-defeating-the-nostrum-evil\/","title":{"rendered":"Pamphlet Collection: Defeating The Nostrum Evil"},"content":{"rendered":"<p>It\u2019s often very peaceful up in the gallery of the main Reading Room. There isn\u2019t any space for desks, just a narrow walkway allowing you to browse the shelves. That means you can pass by a lot of shelving on your way to find a volume, giving ample opportunity for an odd title or shelf mark to catch your eye. That\u2019s what happened to me with these two otherwise unassuming-looking orange bound volumes \u2013 the titles, embossed in gold, inform the reader that they contain \u201cPamphlets on the Nostrum Evil.\u201d Suitably intrigued, I picked them up to investigate&#8230;&nbsp;<\/p>\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/nostrum-evil-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"768\" height=\"1024\" src=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/nostrum-evil-768x1024.jpg\" alt=\"Photograph of the spines of the two volumes of &quot;American Medical Association: Pamphlets on the Nostrum Evil&quot; in place on the shelves.\" class=\"wp-image-8025\" srcset=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/nostrum-evil-768x1024.jpg 768w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/nostrum-evil-225x300.jpg 225w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/nostrum-evil-1152x1536.jpg 1152w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/nostrum-evil-1536x2048.jpg 1536w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/nostrum-evil-scaled.jpg 1920w\" sizes=\"auto, (max-width: 768px) 100vw, 768px\" \/><\/a><\/figure>\n<p>It turns out that this is a series of pamphlets published in the early 1920s by the Journal of the American Medical Association (amusingly enough, by their \u201cPropaganda Department\u201d) in Chicago. They try to inform a general reader about an astounding variety of quack cures and remedies: these are the so-called \u201cnostra\u201d.&nbsp;You can find them at shelfmarks <strong>RC.AE 1922-4 and RC.AE 1923, <\/strong>and catalogue entries for volumes <a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/1g4gmr9\/alma991000828449503736\" target=\"_blank\" rel=\"noreferrer noopener\">1<\/a> and <a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/1g4gmr9\/alma991000828449403736\" target=\"_blank\" rel=\"noreferrer noopener\">2<\/a> are on Discover.&nbsp;<\/p>\n<h2 class=\"wp-block-heading\">Nostra: a brief history<\/h2>\n<p>Though fake cures are regrettably still everywhere, the term <em>nostrum <\/em>is now rather out of fashion. Derived directly from the Latin adjective <em>noster<\/em>, it would translate literally as \u201cour thing,\u201d denoting the exclusivity of the medicine to its seller. According to <a href=\"https:\/\/www.merriam-webster.com\/dictionary\/nostrum\" target=\"_blank\" rel=\"noreferrer noopener\">Merriam-Webster&#8217;s dictionary<\/a>, its first recorded use in writing in this context comes from 1602. This reference is most likely to a book by Francis Herring, a British physician, entitled <em>The anatomyes of the true physition, and counterfeit mounte-banke wherein both of them, are graphically described, and set out in their right, and orient colours<\/em>. In a lengthy description of the different traits of a fake doctor (or, in his words a \u201ccounterfeite Mounte-Banke\u201d), Herring asserts:&nbsp;<\/p>\n<blockquote class=\"wp-block-quote is-layout-flow wp-block-quote-is-layout-flow\">\n<p><em>\u201cThe greater Part of these Study, and that seriously, the Art of Sophistry, Cousening, and plaine Cony-catching, aduauncing, and setting to sale with Great applause and Concourse, their wit\u2223lesse <\/em><strong><em>Nostrums<\/em><\/strong><em>, which they haue patched together by the marring of two or three good Medicines, to make a third worst of all, feeding the Common People with Toyes, Trifles, Bables, Nut-shels, plaine Chaffe in stead of Wheate&#8230;\u201d<\/em>&nbsp;<\/p>\n<p><cite>Herring, F. (1602). The anatomyes of the true physition&#8230; p. 15.<\/cite><\/p><\/blockquote>\n<p>A transcription of Herring\u2019s work is available online on the <a href=\"https:\/\/quod.lib.umich.edu\/e\/eebo2\/A08437.0001.001\/1:6?rgn=div1;view=fulltext\" target=\"_blank\" rel=\"noreferrer noopener\">University of Michigan\u2019s website<\/a> and makes for fascinating reading. This paragraph suggests that the association between nostra and unscrupulous doctors already existed in the 1600s. It also suggests that people were already lying about qualifications and the efficacy of medicines, and that others were already calling them out on it.<\/p>\n<h2 class=\"wp-block-heading\">Patent medicines and accusations of quackery<\/h2>\n<p>Our pamphlets, published three hundred and twenty years and an ocean away, use the word <em>nostrum <\/em>because of the precipitous rise of patent medicines in the UK and the USA. Indeed, the name \u201cpatent medicine\u201d itself derives from the claims made in advertising to royal endorsement (i.e., \u201cletters patent\u201d)&nbsp;in the 18<sup>th<\/sup> century. Patent medicines were widespread and heavily advertised in the USA during the 19<sup>th<\/sup> century, as shown in a <a href=\"https:\/\/americanhistory.si.edu\/collections\/object-groups\/balm-of-america-patent-medicine-collection\/history\" target=\"_blank\" rel=\"noreferrer noopener\">blogpost<\/a> on the Smithsonian\u2019s collection. <\/p>\n<p>The early 20<sup>th<\/sup> century brought a flurry of works challenging various patent medicines&#8217; efficacy and legality. As a matter of fact, these works use the word nostrum liberally. The earliest contender was<em> <\/em><a href=\"https:\/\/en.wikisource.org\/wiki\/The_Great_American_Fraud\" target=\"_blank\" rel=\"noreferrer noopener\"><em>The Great American Fraud<\/em><\/a> (1906) by Samuel Hopkins Adams, originally published in <em>Collier\u2019s Weekly<\/em>. In fact, this publication had an enormous influence on American legislation on the sale of medicines. Adams\u2019 work, according to Bryan Denham (2020), is &#8220;widely regarded as a central force behind passage of the Pure Food and Drug Act of 1906.\u201d This federal law required manufacturers to name and give quantities of any addictive ingredients, as well as banning the sale of misbranded or adulterated products. Another later example is Morris Fishbein\u2019s <a href=\"https:\/\/archive.org\/details\/1932FishbeinFadsAndQuackeryInHealing\/\" target=\"_blank\" rel=\"noreferrer noopener\"><em>Fads and Quackery in Healing<\/em><\/a> (1932). <\/p>\n<h2 class=\"wp-block-heading\">&#8220;Pamphlets on the Nostrum Evil&#8221;<\/h2>\n<p>There was therefore growing interest among doctors in using&nbsp;print publishing against those they felt were misusing it. This is the context into which we should set our <em>Pamphlets on the Nostrum Evil<\/em>. In general, books and pamphlets on patent medicine are shelved under shelfmark <strong>RC <\/strong>along with books on the pharmaceutical industry.&nbsp;<\/p>\n<p>The pamphlets are divided by subject matter, covering (in vol. 1) &nbsp;<\/p>\n<ul class=\"wp-block-list\">\n<li>Alcohol, tobacco, and drug habit cures.&nbsp;<\/li>\n<li>Cancer \u201ccures\u201d and \u201ctreatments\u201d.&nbsp;<\/li>\n<li>Consumption cures, cough remedies, etc.&nbsp;<\/li>\n<li>Cosmetic nostrums and allied preparations.&nbsp;<\/li>\n<li>\u201cDeafness cures\u201d.&nbsp;<\/li>\n<li>Epilepsy \u201ccures\u201d and \u201ctreatments\u201d.&nbsp;<\/li>\n<li>\u201cFemale weakness cures\u201d.&nbsp;<\/li>\n<li>Mechanical nostrums and quackery of the drugless type.&nbsp;<\/li>\n<li>Medical institutes (4<sup>th<\/sup> ed.).&nbsp;<\/li>\n<li>Medical mail-order concerns.&nbsp;<\/li>\n<\/ul>\n<p>In Vol. 2:&nbsp;<\/p>\n<ul class=\"wp-block-list\">\n<li>\u201cMen\u2019s specialists\u201d.&nbsp;<\/li>\n<li>Mineral waters.&nbsp;<\/li>\n<li>Miscellaneous nostrums (3<sup>rd<\/sup> ed.).&nbsp;<\/li>\n<li>Miscellaneous \u201cspecialists\u201d.&nbsp;<\/li>\n<li>Nostrums for kidney disease and diabetes.&nbsp;<\/li>\n<li>Obesity cures.&nbsp;<\/li>\n<li>\u201cPatent medicines\u201d.&nbsp;<\/li>\n<li>Some quasi-medical institutions.&nbsp;<\/li>\n<\/ul>\n<p>The articles in these pamphlets are engagingly written. They appeal not only to a reader\u2019s sense of outrage but also to their sense of humour. What&#8217;s more, they ridicule the claims made and offer detailed investigations into products and businesses. They also make considerable effort to reproduce some of the offending advertisements to better debunk them.<\/p>\n<h2 class=\"wp-block-heading\">&#8220;Men&#8217;s Specialists&#8221;<\/h2>\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/men-come-to-us-p29.jpg\"><img decoding=\"async\" src=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/men-come-to-us-p29-895x1024.jpg\" alt=\"A reproduced doctor's advertisement, reading &quot;Transcription: &quot;Men, Come to Us and avoid dangerous or uncertain treatment. Private consultation for all diseases-skin or blood diseases, bladder trouble, kidney weakness, rupture, varicose veins, catarrh, nervousness, stomach and liver diseases. Men: Young men and middle-aged men who have injured themselves, with weak backs, sunken cheeks, hollow eyes. We cure cheaply. Blood diseases. Ulcers in mouth, sore gums, falling hair, swellings, copper-colored spots, eruptions, boils. Our treatment is better than Hot Springs. Call and investigate, free. Enlarged Veins. Produce heavy sensations in the groin and back. They often impair the general health and often cause much worry. Are You Nervous and despondent; debilitated; tired mornings; no ambition; lifeless; easily fatigued; excitable and irritable; eyes sunken, red and blurred; pimples; restless; bone pains; sore throat. You Run No Risk - We Will Treat You Free. If you call now, before March 1st, we will give you one free week of treatment free, if you desire, to prove that we can cure you. Did you ever receive or hear of a fairer offer? If you cannot call, write for 242-page medical adviser, sent. Out-of-Town Men Visiting the City: Consult us at once upon arrival and maybe you can be cured before returning home. Many cases can be cured in one or two more visits, continuing treatment when at home. Consultation and advice free.&quot;\" class=\"wp-image-8026\" \/><\/a><figcaption class=\"wp-element-caption\"> From <em>&#8220;Men\u2019s specialists&#8221;: Some Quacks and Their Methods<\/em>. Propaganda Department of the Journal of the American Medical Association, 1920,&nbsp;p. 29.<\/figcaption><\/figure>\n<p>For example, the article on \u201cMen\u2019s Specialists\u201d reprints articles from the Chicago Tribune in 1913, investigating five self-titled specialists in \u201cmen\u2019s diseases.\u201d Over nearly one hundred pages, detailed accusations are laid out, reporting patient experiences. Additionally, undercover investigators attended the practices and provided reports. Accusations varied from spurious diagnoses (especially of syphilis) to theft, \u201cseduction,\u201d and medical malpractice resulting in&nbsp;death. In similar fashion and reflecting this variety, the reporting ranges in tone between comic and deadly serious. The contrast in tones is often palpable, as in this argument between an investigated doctor and reporters over his advertising copy:&nbsp;<\/p>\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-argument.png\"><img loading=\"lazy\" decoding=\"async\" width=\"941\" height=\"466\" src=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-argument.png\" alt=\"&quot;Dr. Walter Austin Code admitted that he is the physician who diagnoesd a healthy Tribune reporter as a symphilitic not long ago. He admitted that the published report of the consultation was a fair one. He was worried only about the possible use of his name in connection with this &quot;mess.&quot; He pleaded extenuating circumstances for his diagnosis, designated the other advertising physicians as crooks, and warned the Tribune against believing their protestations of innocence. &quot;I run the place,&quot; he said, &quot;My brother is an assistant. My brother studied under Dr. Ehrlich in Germany.&quot; &quot;Why do you have the picture of Dr. Ehrlich on your advertisement?&quot; &quot;That isn't a picture of Dr. Ehrlich, but a picture of me,&quot; said the doctor. Read &quot;Ads&quot; Carefully, He Says. &quot;Why, then, is the picture so placed that Dr. Ehrlich's name, the only one in the advertisement, seems to be the caption under the picture?&quot; &quot;You should read advertisements carefully,&quot; said Dr. Code.\" class=\"wp-image-8028\" srcset=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-argument.png 941w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-argument-300x149.png 300w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-argument-768x380.png 768w\" sizes=\"auto, (max-width: 941px) 100vw, 941px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>&#8220;Men\u2019s specialists&#8221;: Some Quacks and Their Methods<\/em>. Propaganda Department of the Journal of the American Medical Association, 1920,&nbsp;p. 6.<\/figcaption><\/figure>\n<p>The advertisement in question:<\/p>\n<figure class=\"wp-block-image size-full\"><a href=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-ad.png\"><img loading=\"lazy\" decoding=\"async\" width=\"790\" height=\"763\" src=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-ad.png\" alt=\"Reproduction of an advertisement by Code. A line-drawn portrait of a bearded man is placed underneath the headline &quot;Prof. Ehrlich's 914 or improved 606,&quot; giving the impression that Ehrlich is involved in the business.\" class=\"wp-image-8029\" srcset=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-ad.png 790w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-ad-300x290.png 300w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/ehrlich-ad-768x742.png 768w\" sizes=\"auto, (max-width: 790px) 100vw, 790px\" \/><\/a><figcaption class=\"wp-element-caption\">As promised by the discussion above, the placement of the portrait does make it look like it&#8217;s of Ehrlich. <em>&#8220;Men\u2019s specialists&#8221;: Some Quacks and Their Methods<\/em>. Propaganda Department of the Journal of the American Medical Association, 1920, p. 5.&nbsp;<\/figcaption><\/figure>\n<p>Sometimes, the interventions described sound just plain bizarre as well as dangerous, as with this headline:&nbsp;<\/p>\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/cocain-in-eye-Copy.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"174\" src=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/cocain-in-eye-Copy-1024x174.jpg\" alt=\"Text from another report, reading: Puts Cocain in Eye. &quot;He put that man on the table and dropped a 4 per cent. solution of cocain in the man's eye. The man saw immediately, but I knew that the cocain had almost paralysed the optic nerve. I thought that the man stood a good chance of going blind. I went to Sweizenthall and remonstrated.\" class=\"wp-image-8030\" srcset=\"https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/cocain-in-eye-Copy-1024x174.jpg 1024w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/cocain-in-eye-Copy-300x51.jpg 300w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/cocain-in-eye-Copy-768x130.jpg 768w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/cocain-in-eye-Copy-1536x260.jpg 1536w, https:\/\/blogs.lshtm.ac.uk\/library\/files\/2023\/01\/cocain-in-eye-Copy.jpg 1912w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a><figcaption class=\"wp-element-caption\"><em>&#8220;Men\u2019s specialists&#8221;: Some Quacks and Their Methods<\/em>. Propaganda Department of the Journal of the American Medical Association, 1920, p. 29.&nbsp;<\/figcaption><\/figure>\n<p>None of the language or methods will seem unusual to any reader who\u2019s watched a modern-day scam unravel and get picked apart online. That is perhaps what makes it so interesting. In any case, these debunking attempts have fittingly survived the scammers they sought to unmask.&nbsp;What&#8217;s more, they provide evidence for the gradual development and refinement of drug testing, verification, and government oversight in the USA. The greater ease with which information could spread in the age of advertising meant more and more people could be exposed to dangerous pseudoscience. However, that same speed of communication also helped those who sought to counteract the danger, helping to improve public literacy and knowledge of medicine. <\/p>\n<h2 class=\"wp-block-heading\">References and further reading<\/h2>\n<p>Denham, B. (2020). <a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/3d7t3g\/cdi_proquest_journals_2405145684\" target=\"_blank\" rel=\"noreferrer noopener\">Magazine Journalism in the Golden Age of Muckraking: Patent-Medicine Exposures Before and After the Pure Food and Drug Act of 1906<\/a>. <em>Journalism &amp; Communication Monographs<\/em>, <em>22<\/em>(2), 100\u2013159. <a href=\"https:\/\/doi.org\/10.1177\/1522637920914979\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1177\/1522637920914979<\/a>&nbsp;<\/p>\n<p>Marcellus, Jane. \u201c<a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/3d7t3g\/cdi_proquest_journals_195374645\">Nervous Women and Noble Savages: The Romanticized \u2018Other\u2019 in Nineteenth-Century US Patent Medicine Advertising<\/a>.\u201d <em>Journal of popular culture<\/em> 41, no. 5 (2008): 784\u2013808. <a href=\"https:\/\/doi.org\/10.1111\/j.1540-5931.2008.00549.x\">https:\/\/doi.org\/10.1111\/j.1540-5931.2008.00549.x<\/a><\/p>\n<p>Siff, Stephen, and Sarah Brady Siff. \u201c<a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/3d7t3g\/cdi_proquest_journals_2405145924\">Muckrakers and Other Manufacturers of Public Opinion on Drugs and Alcohol<\/a>.\u201d J<em>ournalism &amp; communication monographs<\/em> 22, no. 2 (2020): 164\u2013168. <a href=\"https:\/\/doi.org\/10.1177\/1522637920914981\">https:\/\/doi.org\/10.1177\/1522637920914981<\/a><\/p>\n<p>Teal, Adrian. \u201c<a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/3d7t3g\/cdi_proquest_miscellaneous_1499118996\">Quacks and Hacks: Georgian Medicine and the Power of Advertising<\/a>.\u201d<em> The Lancet (British edition)<\/em> 383, no. 9915 (2014): 404\u2013405. <a href=\"https:\/\/doi.org\/10.1016\/S0140-6736(14)60141-0\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/doi.org\/10.1016\/S0140-6736(14)60141-0<\/a><\/p>\n<p>Torbenson, Michael, and Jonathon Erlen. \u201c<a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/3d7t3g\/cdi_proquest_miscellaneous_70712637\">A Quantitative Profile of the Patent Medicine Industry in Baltimore from 1863 to 1930<\/a>.\u201d <em>Pharmacy in history<\/em> 49, no. 1 (2007): 15\u201327.<\/p>\n<p>Valuck, R. J,, S. Poirier, and R. G. Mrtek. \u201c<a href=\"https:\/\/discover.lshtm.ac.uk\/permalink\/44HYG_INST\/3d7t3g\/cdi_proquest_miscellaneous_75542637\">Patent Medicine Muckraking: Influences on American Pharmacy, Social Reform, and Foreign Authors<\/a>.\u201d <em>Pharmacy in history<\/em> 34, no. 4 (1992): 183\u2013192.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>It\u2019s often very peaceful up in the gallery of the main Reading Room. There isn\u2019t&#8230;<\/p>\n","protected":false},"author":890,"featured_media":8045,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7575],"tags":[18903,81885,64724,64714,81886],"class_list":["post-8024","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-books","tag-library","tag-nostrum","tag-pamphlet-collection","tag-pamphlets","tag-patent-medicine","odd"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Pamphlet Collection: Defeating The Nostrum Evil<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/blogs.lshtm.ac.uk\/library\/2023\/01\/11\/the-pamphlet-collection-defeating-the-nostrum-evil\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pamphlet Collection: Defeating The Nostrum Evil\" \/>\n<meta property=\"og:description\" content=\"It\u2019s often very peaceful up in the gallery of the main Reading Room. 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