MEDICAL QUACKERY Investigator 26, 1992 September) _______________________________________________________ ![]()
INTRODUCTION The Vitamin Connection purports to be "Australia's Monthly Guide to Better Health". However, in the May 1991 edition it was suggested that artificial light rather than sunlight is the major cause of skin cancer: "Contrary to conventional wisdom, it would appear that the ability of the body to defend itself against melanoma depends upon sufficient exposure to natural sunlight, and that our ever increasing exposure to artificial light may have more to do with the incidence of melanoma than has been supposed."Such a claim could be dangerous stuff if followed since, scientifically speaking, the reverse is the case. A heading in Reader's Digest (1990 November) said: “Suntans Can Kill You". The article summarised medical conclusions concerning skin cancer, premature aging, eye damage and "crippled immune system". The message of science is that you should protect yourself with SPF15 sunscreens, shade, and clothing as appropriate. Non-scientific/unsubstantiated medical advice is nothing new. Throughout
history the
reliance on quackery
and nonsense rather than science is more of a rule rather than the
exception.
Let's take a brief look.
A BRIEF LOOK Hippocrates (460-375 BC), the "Father of Medicine", established medicine on a semi-scientific basis. Concerning epilepsy, for example, he denounced "witch doctors, faith healers, quacks and charlatans" and argued: "I do not believe that the 'Sacred Disease' is any more divine or sacred than any other disease but, on the contrary, has specific characteristics and a definite cause."However, Hippocrates believed that the primary cause of disease was disharmony in the "four humours" or liquids of the body – blood, phlegm, yellow bile and black bile. He also considered that astrology could help with diagnosis. In ancient Egypt doctors had to follow the sacred medical writings attributed to Thoth the medical god. If the writings were followed and the patient died the doctor was not blamed. Second-century Christians often believed that God's Spirit gave the power to heal and not medical studies. Christian students of Galen (130-201 AD), the famous Greek physician, were excommunicated for studying "pagan medicine". This attitude had a revival in the Herbert Armstrong (1892-1986) cult of the 20th century! During the plagues of the Middle Ages people often crowded into churches and prayed to God to halt the disaster. Crowding, we now know, would have spread the infection! On one occasion the Lord Mayor of London blamed an epidemic on cats and dogs and started a campaign to destroy them. We now know that the real plague carriers were fleas which lived on rats. With less dogs and cats to kill the rats the plague spread! Blood-letting was advocated by Hippocrates, Galen and William Harvey (1578-1657) and continued until about 1860. Blood-letting, practised by barbers as well as doctors, was used to treat a vast range of diseases. Harvey, for example, wrote: "Daily experience satisfies us that blood-letting has a most salutory effect in many diseases."The first American president, George Washington (1732-1799), was subjected to four bleedings involving removal of up to four pounds weight of blood during his final illness. (JAMA 1971) Doubtless many people survived both their blood-letting and the illness which led them to try it. However, they survived because they were particularly robust. Removal of blood puts added stress on the body and was therefore a murderous form of treatment! The 19th
century fad of
Phrenology comes
closer to psychology than medicine. Phrenologists analysed character
and
brain function from bumps on the skull. It was a pseudoscience – now
discarded.
___________________________________________________ The Investigator Magazine version of this article had some reproduced ads and extracts from newspapers which are here summarized: The Advertiser (SA) 1992 June 10
OINTMENTS, PILLS and FOODS Quack medicines and fantastic claims for certain foods abound in the 19th and 20th centuries. "Poor Man's Friend" was an ointment sold in white earthenware pots. It was a miracle cure for headache, bruises, gout, etc. The main ingredients were lard and sulphur. A snakebite cure in the book The Golden Treasure (1915 Koolinda Press Adelaide) was: "Cut a chicken, or cat or any other live animal open, and take half and apply to the spot. In half an hour apply the other half to the place. Give all the whisky that can go into the body: three pints or more. Then after the poison has passed off, drink an ounce of sweet oil every day for six days."Linus Pauling (b. 1901) advocated vitamin C for keeping cancer, colds and other diseases at bay. Pauling now has prostate cancer but reasoned: "It may be that my vitamin C put the cancer off 20 years." Most experts think the theory unproven. A study of 11,348 adults aged 25-74 from 1971 to 1984 by James Enstrom, however, seemingly showed that 300mg - 400mg daily of vitamin C may extend life by six years by lowering the chances of heart disease and cancer. Recently an Australian Celery Committee claimed celery protected "against colon, rectal and-stomach cancers, and also was effective in treating high-blood pressure, arthritis, vertigo…cholesterol…conjuctivitis, blood in the urine and carbuncles." The chairwoman of the Australian Nutrition Foundation responded: "these claims are in the area of magic rather than science." (The Advertiser 1992 June 10) Some more
summaries of
xeroxed items that
accompanied the Investigator article: The World's News 1910 October 15 ADVERTISEMENTS Next I'll comment briefly on some of the ads and press reports reprinted with this article: The "£100 REWARD" ad appeared in Pall Mall Gazette of 1891 November 13. A Mrs Carlill used the “Smoke Ball" as directed and caught influenza, which it supposedly protected against. She took the Company to court and won and collected the £100! Offers to make
your
breasts (if you're a
woman) bigger or firmer by applying an emulsion are suspect. The book Breast
Care (1983) says:
"There are no proven methods to create larger breasts, as some advertisements may claim.” Over-the-counter
products
which allegedly restore
hair-loss are misleading and are now banned. Some former alleged
hair-growth
promoters are now sold as "tonics".
To relate tobacco to sport and thus imply that smoking is good for you is becoming illegal. The Marlboro man, Wayne McLaren, died of lung cancer. The reproduced ad which says "Tobacco Kills" (in 1910!) must have been a lucky guess since science didn't support it until about 1940. Some tobacco companies denied the evidence a further fifty years – but that's because they found it profitable to help people get sick and die. In 1981 studies by Professor Trichopoulos of the University of Athens showed that even passive smoking (inhaling smoke which smokers have exhaled) can cause lung cancer. The "FLESH-FOOD" and "Fatcure" ads balance each other nicely since if you overdo one then you can remedy it with the other! Even nowadays only about 2% of overweight people who respond to weight-loss ads keep it off permanently. There are tablets now which suppress appetite, but nothing yet which: "would burn up my horrible mass of unwanted fat." The "Fountain of Youth" has been sought for centuries. According to the Bible death is the "last enemy" and will be conquered when Jesus returns. (1 Corinthians 15; Romans 5:12-14) In this instance the Bible so far is unrefuted. Will genetic engineering succeed where foods and fountains have failed? Some people claim that Noah and Methuselah lived long life spans because a water canopy in the sky screened out cosmic rays. Such a canopy has never been confirmed by science. Potentially, however, we could test the idea by comparing the longevity of submarine crews and crews of surface ships. Varicose veins
are
"veins which have become
dilated, lengthened or twisted" when the walls weaken or the one-way
valves
fail. Modern treatments are: 1 Preventative by exercise; And just for the record: Massage does not break up fatty tissue; eating of carrots does not improve eyesight; an apple a day does not keep the doctor away; sexual fondling does not cause breast cancer; mosquito bites are not known to transmit AIDS; going barefoot does not cure colds; and stimulating the ear with acupuncture does not suppress appetite – an ear infection is more likely. Furthermore, according to the Arthritis Foundation of Australia:
PROGRESS IN BRITAIN In 1832 a group of British physicians formed the Provincial Medical and Surgical Association to promote respect for medical science. In 1855 it was renamed British Medical Association. In 1900 about 18,000 medical practitioners were members. The Provincial Medical and Surgical Journal of 1840 became the British Medical Journal in 1857. The Association has long struggled to outlaw quackery in medicine, stop charlatans attending the sick, and expose worthless medicines. It opposed homeopaths, mesmerists and sellers of "secret" remedies. Some medicines last century allegedly cured almost everything. "Du Barry's Delicious Health-Restoring Revalenta Aribica", for example, restored: "perfect digestion, strong nerves, sound lungs, healthy liver, refreshing sleep, functional regularity, and energy to the most disordered or enfeebled, removing speedily and effectually indigestion (dyspepsia), habitual constipation, diarrhoea, haemorrhoids, liver complaints, flatulancy, nervousness, biliousness, fevers, sore throats, catarrhs, colds, influenza, noises in the head and ears, rheumatism, gout, impurities, eruptions, hysteria, neuralgia, irritability, sleeplessness, acidity, palpitation, heartburn, headache, debility, dropsy, cramps spasms, nausea and sickness, sinking fits, coughs, asthma, bronchitis, incipient consumption, scrofula, tightness of the chest... "In 1880 the production of patent medicines supported about 19,000 employees. Payment of government stamp duty gave such medicines a bogus respectability. Starting in 1904 the British Medical Journal reported on alleged cures for baldness, catarrh, colds, deafness, diabetes, eczema, gout, kidney problems, obesity, piles, rheumatism, neuralgia, etc. In many cases alleged "medicines" with a penny's worth of ingredients such as soap and ginger were selling for twenty or more times their production costs. In 1908 the British Medical Association published the book Secret Remedies What they Cost and what they Contain. In 1911 the Association got the wording of the government stamp altered to read in large letters "No Government Guarantee". A government committee to investigate patent medicines in 1912-1914 found: "many secret remedies making grossly exaggerated claims of efficacy; causing injury by leading sick persons to delay in securing medical treatment; containing in disguise large proportions of alcohol; professing to cure diseases incurable by medication; or essentially and deliberately fraudulent."In 1917 the Venereal Diseases Act banned ads of cures for gonorrhoea and VD. The Cancer Act of 1939 prohibited alleged cancer cures and the Pharmacy and Medicines Act of 1941 banned ads for cures of Bright's disease, cataract, diabetes, epilepsy, fits, glaucoma, paralysis and tuberculosis. (Bartrip 1990) Through
all this the
patent medicine industry
of Britain kept flourishing with sales in 1936 of £15 million and
ads costing £2 1/2 million.
Prescribing
excessive numbers of tablets may be a modern form
of medical quackery.
In a two-year period this person received two buckets-full more than she swallowed. CONCLUSION
Quackery in medicine is still with us and includes regular attempts to resurrect dubious remedies and claims. The British Medical Association sought a divide between qualified practitioners guided by scientific findings and incompetents seeking quick profits. Yet, one could argue that established medicine killed more people than the quacks! Quack remedies rarely killed or directly harmed. Indeed they often provided reassurance which itself may be conducive to healing. Scientifically
tested
medicines, however,
provide not only reassurance but non psychological physiological
benefits
as well. Quackery would, unless suppressed, continue on and on because
of the financial rewards to the quacks. Medical science in contrast is
self-correcting so that even profitable treatments get withdrawn when
newer
research shows them to be useless or harmful.
REFERENCES Bartrip P 1990. Quacks
and Cash; History
Today; September pp. 45-51
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