"Mackintosh offers us a very interesting bottom-up approach to the history of medicines that provides a model for those with the patience and commitment to pull together the diverse sources of empirical data that are available in archives around the world. ... Mackintosh has provided invaluable information about the reality of the medicines business in eighteenth-century Britain." (Jonathan Simon, Metascience, July 29, 2020) "This is an interesting book that explores uncharted waters or, more exactly, looks differently at waters that had previously been analyzed, but in a superficial way. It fills a gap in the history of pharmacy and medicines, between the continuity of ancient and medieval tradition that slowly faded up to the late 16th century and the development of modern chemistry and the industrial revolution, leading to the creation of the pharmaceutical industry." (Alain Touwaide, Doody's Book Reviews, April, 2018)
1. Introduction.- 2. The Status of Patent Medicines.- 3. Constructing the Industry.- 4. Connecting the Country.- 5. Supplying the Consumer.- 6. Persuading the Poorly.- 7. Utilising the Imagination as Therapy.- 8. Harnessing the Potency of Print.- 9. The Legacy of the Patent Medicines Industry.
Alan Mackintosh is Research Fellow in the Centre for the History and Philosophy of Science at the University of Leeds, UK. He is a former Consultant Cardiologist at Leeds Teaching Hospitals, and Clinical Senior Lecturer at the University of Leeds. He is also a Fellow of the Royal College of Physicians of London and of the European Society of Cardiology.
In this book, the ownership, distribution and sale of patent medicines across Georgian England are explored for the first time, transforming our understanding of healthcare provision and the use of the printed word in that era. Patent medicines constituted a national industry which was largely popular, reputable and stable, not the visible manifestation of dishonest quackery as described later by doctors and many historians. Much of the distribution, promotion and sale of patent medicines was centrally controlled with directed advertising, specialisation, fixed prices and national procedures, and for the first time we can see the detailed working of a national market for a class of Georgian consumer goods. Furthermore, contemporaries were aware that changes in the consumers’ ‘imagination’ increased the benefits of patent medicines above the effects of their pharmaceutical components. As the imagination was altered by the printed word, print can be considered as an essential ingredient of patent medicines. This book will challenge the assumptions of all those interested in the medical, business or print history of the period.