The Foundations of Modern Pharmacy in America
Project Page     Introduction       Birth of Pharmacy      Growth of Pharmacy      Foundations of Modern Pharmacy      Conclusion

Nicolas Monardis"Bancoff." the bald man sitting in the car said into the speaker. 

    The man kindly clarified his last name for me by spelling it out.  I turned from the glass drive-through window of Walgreens and walked towards the bins where filled prescriptions waited alphabetically.  I rummaged through the letter b's until I found the name Bancoff.  I took a step back from the shelf and gazed at the rows of drugs and medicines surrounding me.  My boss, Melinda, had happily explained to me the past couple of days the origins of pharmacy in ancient Egypt and how the practice of pharmacy grew and expanded into a profession in Europe during the medieval period, but I still wondered how pharmacy came to America as a practice.  Once again, I felt like my short certification training at tech school had not provided an adequate foundation for my career. 

   
I walked back to the drive - through window and sent over the man's prescription in exchange for his payment.  I keyed in the appropriate numbers on the cash register as Melinda approached me from behind.

    "Melinda?" I questioned.  "So I understand that pharmacy became a more formalized area of practice in Europe, but when did pharmacy develop in America?  I shut the drawer of the register and turned around to face my boss. "My text book in tech school mentioned something like the 'New World medicine also was closely tied to religious thought, and Indian cultures treated their patients with a blend of religious rituals and herbal remedies' (Craig 4).  That was about all it mentioned on the beginnings of pharmacy in America or the New World. It just makes me think of frequent stereotypes of the Indian medicine man and unsterile practices with unchecked infections going rampant without proper treatments.  Yet something tells me after hearing you talk about the history of pharmacy the past couple of days, pharmacy was probably a much more organized and scientific practice than I think in early modern America."

    Melinda grinned at me. She looked around to make sure there were no customers needing to be serviced before launching into her answer. We worked the night shift, however, so few customers came out during this time. "Well, you
are right" she began. "The first traces of written record we have of any kind of medicines in the New World or North America came from Christopher Columbus's voyages. Surgeons or physicians accompanied him on his trips to America.  A man by the name of Doctor Chanca sailed with him on his second voyage and 'wrote, in 1493, a letter to the Chapter of Seville containing a few remarks on drugs' (Kremers 187). It was these voyages of Columbus that allowed the introduction of the New World medicines into other parts of the world. It was a physician named Nicolas Monardes in Spain that wrote the first treatise on American drugs in 1545."

   "So did this guy Nicolas travel himself to the New World to study American drugs?" I asked.

    Melinda shook her head. "No, interestingly, he never traveled to the New World, but rather had seeds and roots of plants mailed to him from America.  He started 'a botanical garden in which he grew and observed many of the new introductions.' (Conrad 306). Nicolas popularized many of the these drugs he grew in Europe and sold them for quite a profit."

    "Thats very interesting" I replied. "So back in America, were the Native Indians the only ones who knew the drugs and how to heal people? Did they always perform rituals and incantations as we often see pictured to us?"

    Melinda laughed.  "Yes, Indians did posses a great deal of medicine knowledge, however they were not the only ones.  Medicine was also used, 'for the first hundred years of colonial America, by three types of individuals: the governors, the churchmen, and the educators.' (Kremers 195). Housewives, too, were often the pharmacists. Many important books were written to help guide these men and women in the New World in how to properly treat diseases and how to use medicines. One of the most influential books was written by Nicholas Culpeper in 1652.  It was called, The English Physician.  In it, he outlines and details various drugs and their uses.  Interestingly, he writes in this book, for example, that apples, 'have a sharp taste, and are good for fainting Stomachs and loos Bellies' (The English Physician).

    I laughed.  "Well, they still do say that an apple a day keeps the doctor away.  I wonder if that saying developed from around that time frame." 

    Melinda shrugged.  "I'm not sure. But these books, along with the early colonist's medicine practices were, of course, strongly influenced by the Native American Indians. Many settlers did seek out Indian doctors for treatment and it was no wonder why.  'The natives initially seemed free of all the dread diseases that afflicted Europeans and their good health was understandably thought to be a product of their special knowledge of indigenous medicinal herbs' (Starr 48).  Their practices were much more sterile and clean than one might be lead to believe.  Of course, there were rituals and religious ceremonies that sometimes accompanied the healing of a sick patient, but not always."

    "So what about the first pharmacies opened in America. Tell me about those." I asked her.
   
    "Well," Melinda replied. "In 1721, 'physician Dr. William Douglas wrote that there were fourteen apothecary shops in Boston' (Kremers 200). Philadelphia also boasted several drugstores. These stores often advertised in the local newspapers. The first real retail pharmacies, however, that led to stores like this Walgreens, did not really open until modern periods, into the nineteenth century.  We can save that for another day. "

    "Wow. Thanks, Melinda, for all the wonderful information. That clarified a lot of things for me about the history of pharmacy."  I turned to help a customer walking up to the counter.  I continued to reflect on how amazing it is to realize that few really understand that modern medicine, which we take for granted every day, traveled
such a long journey beginning with ancient Egypt until finding its way into the Walgreens of America today.
   

Bibliography
Primary Source
Cushing, Harvey/John Hay Whitney Medical Library.  Medical Historical Library. The English Physician - 1652. http://www.med.yale.edu/library/historical/culpeper/culpeper.htm.

Secondary Sources

Conrad, Lawrence I., Michael Neve, Vivian Nutton, Ray Porter, and Andrew Wear. The Western Medical Tradition 800BC - 1800 AD. (New York:Cambridge University Press). 1995.
Craig, Charles R. and Robert E. Stitzell.  Modern Pharmacology with Clinical Applications.  (Philadelphia: Lippincott Williams & Wilkins). 2004
Kremers, Edward and George Urdang. History of Pharmacy.  (Philadelphia: J. B. Lippincott Company). 1951.
Starr, Paul.  The Social Transformation of American Medicine. (New York:Basic Books). 1982.


Image
Portrait of author from Monardes Historia medicinal  (Hunterian Cc.2.16)
Weblink: http://www.superluminal.com/cookbook/gallery_dioscorides_astragalus.html


Author's Note
My first secondary sources, The Western Medical Tradition 800 BC-1800AD., meets the criteria for guideline number three. The source is written by someone who can be named and an author possesses obvious knowledge of the primary source withing it.

My second secondary source, Modern Pharmacology with Clinical Applications, meets the criteria for guideline number three.  The source is written by someone who can be named and author possesses obvious knowledge of the primary source within it. 

My third secondary source,
History of Pharmacy, meets the same criteria as the ones above, guideline number three.  The source is written by someone who can be named and author possesses obvious knowledge of the primary source within it.

My fourth secondary source, The Social Transformation of American Medicine, meets the same criteria as the ones above, guideline number three.  The source is written by someone who can be named and author possesses obvious knowledge of the primary source within it.
 

Sources Use
I used my sources in particular to back up my controversial claim that not all medical practices in early modern times were solely practiced by Native Indians with religious rituals.  I mostly just cited my sources word for word.

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Project Page     Introduction       Birth of Pharmacy      Growth of Pharmacy      Foundations of Modern Pharmacy      Conclusion
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