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The front cover of the 1904 "Favorite Medical Receipt Book and Home Doctor" includes colorful floral designs mixed with mortar pestle depictions that frame the title.
Front cover of the 1904 Favorite Medical Receipt Book and Home Doctor.

Historical Home Health Manuals: A Doctor in a Book

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This post was written by Ashley Fielder, the Science Section’s librarian for medicine and life sciences.

This blog post and the selected historical health home manuals are provided for educational purposes only and do not constitute professional medical advice. Those seeking medical advice should consult with their healthcare provider.

Today, when we get sick, we have doctors’ offices, hospitals, and urgent care centers at our immediate disposal, but our predecessors were far more limited in the medical services available to them. In most cases they relied on the determination of those willing to help and the knowledge contained within the pages of their home health manuals. These manuals gained popularity in the United States during the 19th century and played an important role in medical care up until the early 20th century.

Title page from a 1863 home health manual that reads "Gunn's New domestic physician, or, Home book of health : a complete guide for families, giving many valuable suggestions for avoiding disease and prolonging life, and pointing out in familiar language the causes, symptoms, treatment and cure of the diseases incident to men, women and children : with the simplest and best remedies, also, describing minutely the properties and uses of hundreds of well-known medicinal plants / by John C. Gunn ; with supplementary treatises on anatomy, physiology, and hygiene and on nursing the sick, and the management of the sick room, with hints on the drainage of premises, the proper ventilation of dwellings..."
Title page of Gunn’s New Domestic Physician, or, Home Book of Health (1863)

Historically, most people resorted to home health manuals for basic medical care, as it was often difficult to reach a doctor or hospital with conventional transportation, and personal treatment was too expensive for the average person. When a family member showed a rash or had a bad cough, the women of the house would pull out their home health manual and see what they could do to ease their loved ones’ suffering. Doctors, either individually or in groups, would write these manuals, which would cover a broad range of topics, like illnesses, first aid, anatomy, herbal remedies, and medical recipes.

Illnesses

Home health manuals would typically begin with sections on illnesses that the average person might encounter, ranging from the flu to cholera. Each illness was covered in depth, explaining not just the range of symptoms that could appear and in what order, but also treatment options, like hot compresses or fresh air. The manual would also include a brief history of the disease, including past outbreaks, and make a recommendation on whether quarantine was needed to protect the household. Lastly, it would include lists and recipes for remedies, both homemade and those likely to be available at local shops. Many of these remedies, such as infusions of charcoal and sulfur for cholera, or powdered opium mixed with brandy for every ache and pain, would seem unlikely options, to those familiar with the remedies found at our local drugstores today.

A black and white portrait called the invalid that includes a girl on a chair resting her head on a pillow. An adult women is holding her hand, while a young boy is sitting next to the chair with an open book in his lap.
The invalid, from Gunn’s New Domestic Physician, 1863: p. 409.

First Aid

Families often needed emergency care instructions for treating a wide range of daily injuries, such as how to apply salves and change dressings for burns, or how to make compression splints for injured ankles. First aid sections in home manuals often provided step by step diagrams and materials lists that would enable an individual to care for the injured and prevent further injury or infection.

Anatomy

Many of manuals would contain basic drawings of human anatomy, from bone structure and circulatory infrastructure to organ location. The reader could turn to a specific part of the book, such as a page on the lower back, and use the information provided to make an educated guess at what may have been the cause of any pain. They could then determine if they could try to help the person at home or if they needed to seek out a medical professional.

Drawing of the front view of organs in the chest and abdomen with a list of the figures represented in the image. Illustration was published in Gunn's New Domestic Physician, 1893
Front view of organs in the chest and abdomen from Gunn’s New Domestic Physician, 1863: p. 993

Herbal Remedies

Many families had herb gardens growing along with their vegetables, not only to flavor their food but for use in the brewing of restorative teas and the making of poultices for wounds. Manuals would often recommend these home-grown items in for use in treatments, but they also listed many common ingredients that could be readily found in nature. People would often forage for wild plants, roots, and bark that they could use when making medicines at home.

Illustration of the plantago major plant. It has large broad leaves and unbranched spikes.
Illustration of Plantago major from Gunn’s New Domestic Physician, 1863:. Plantago major, or plantain, has multiple medicinal properties such as wound healing and may decrease inflammation.

Medical Recipes

Most health manuals contained a medical recipe section with instructions for brewing common cures, as well as new creations by the authors of the books themselves. Some of these old remedies, such as peppermint tea for an upset stomach, are still viable treatments even today; however, in modern times many of these recipes have been proven not to work. In fact, some could even worsen symptoms or create secondary issues that made people far sicker than they originally were.

The Library has numerous examples of 19th and early 20th centuries home health manuals, and some of these works are available digitally. The list below provides a sampling of titles with a link to a digital copies.

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