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Hi again – I wrapped up the excavations during the second week of September, and am now back in Berkeley, busily processing all of the artifacts with a great team of undergraduates. In the meantime, the intact medicine bottle with embossed information we found this summer has been studied by Dr. Joe Nickell, and I’ve posted his research report below – it’s fascinating!
The Elusive
“Dr. Sage”
Forerunner of Dr. Pierce,
“Prince of Quacks”
A curious little bottle came my way after it was discovered in the summer of 2008 during an archaeological excavation in the yard of the historic Matilda Joslyn Gage home at Fayetteville, New York. (Gage, 1836–1898, was a prominent suffragette and the mother-in-law of The Wizard of Oz author, L. Frank Baum.) My colleague, Tom Flynn, learned of the find and—given my knowledge of old bottles (Nickell 1990, 35–57), including patent-medicine bottles (Nickell 2001; 2006)—suggested I be sent the artifact for examination. It would present many mysteries, which I would attempt to solve with the dogged assistance of another colleague, Timothy Binga, Director of the Center for Inquiries Libraries in Amherst, New York.
Mystery Bottle
The bottle is typical of those used for nostrums in the second half of the nineteenth century. Made of common aqua glass, it has a rectangular body and measures only about 5.5 cm. high by 3.2 cm. wide, by 1.7 cm. deep (about 23/16 3 11/4 3 11/16). Neither free-blown nor made by bottle machine, it was blown in a two-piece, post-bottom-plate mold, and its neck and lip were subsequently finished by hand while an assistant held the bottle, not with a pontil (a rod stuck to the bottom by a blob of molten glass), but with a snap-case (a mechanical grasping device).
It would have borne no paper label since each of its sides has an indented panel with vertical embossing: “Dr SAGE’S// CATARRH/REMEDY//BUFFALO// Dr SAGE/&CO/BUFFALO/N.Y.” (see Figure 1). After being filled with the medicine for “catarrh,” the bottle would have been stoppered by a cork.
“Dr. Sage” bottles were plentiful. However, this particular one—indicating sole manufacture by “Dr. Sage & Co.”—is quite rare, only the second one I have come across. Later “Dr. Sage” bottles identify a “Dr. Pierce” as proprietor (Kendrick 1971, 133; Fike 2006, 210). This was R.V. Pierce, M.D., who will be discussed presently.
Catarrh Remedy
Nostrums like Dr. Sage’s Catarrh Remedy were known as “patent medicines,” but that term was usually a misnomer. Few of the ready-made medicines were actually patented, which required disclosure of their ingredients (Nickell 2001, 164), so there was endless speculation about the touted secret formulas of such concoctions. “Dr. Sage’s Catarrh Remedy” was no exception. Various alleged formulations were published, including one by John Harvey Kellogg (1891, 376)—supposedly from Dr. Sage himself—that consisted of “Powdered hydrastis Canadensis 1 oz., powdered borax 10 gr., salt 10 gr., ferro-cyanuret of iron sufficient to color.”
While the alleged Sage formula given by Kellogg can be questioned, an actual analysis of Pierce’s Dr. Sage catarrh nostrum was made in 1916. It revealed: “Common salt 86.7%; water 1.7%; organic matter 11.6%; phenol, camphor, hydrastis, sulfates and a trace of iron present” (“Proprietary” 2008). The ingredients were obviously compounded and sold as a dry powder. Accompanying directions apparently called for mixing with water, whereupon the medicine could “be poured into the hollow of the hand, and snuffed up the nostrils” (Pierce 1888, 487). Salt water is still so recommended by many doctors to clear plugged nostrils and to use as a gargle for sore throat (Tkac 1991, 162, 551–552), and camphor and phenol are still major ingredients in many over-the-counter preparations (Tkac 1991, 168, 547).
Common to both the Kellogg recipe and the 1916 list of ingredients was Hydrastis canadensis, an herb known as Goldenseal. This is a wild, perennial plant of mountainous North American woodlands whose yellow root has long been reputed to have medicinal value, being used by Native Americans such as the Iroquois and Cherokee (Bratman 2000, 96; Chevallier 1996, 103). It was also one of the herbal remedies offered for sale by the religious Society of Shakers, who “became the first people in the United States to produce herbs on a scale large enough to supply the pharmaceutical market” (Miller 1998, 2–3). In the early 1800s, Goldenseal became so in demand that the wild plant was nearly rendered extinct (Bratman 2000, 96).
Goldenseal is still reputed to have astringent and antibacterial effects on the body’s mucous membranes (Chevallier 1996, 103; Balch 2002, 76; Smith 2008, 41–42), indeed to be useful in relieving “all catarrhal conditions, especially those of sinuses” (Naturopathic 1995, 105), as well as sore throat (Montgillion 2002, 25), and other conditions.
Enter Dr. Pierce
An early advertisement in the April 29, 1869, Auburn Democrat (Auburn, New York), announces “Dr. Sage has discovered a perfect specific for Catarrh, ‘Cold in the Head,’ Dizziness, Tainted Breath and Catarrh Headache. The proprietor, Dr. R.V. Pierce, of Buffalo, N.Y., offers $500 for a case of Catarrh that he cannot cure….” This appears to be the first nostrum sold by Pierce, who later mentions it in his book, The People’s Common Sense Medical Adviser in Plain English; or Medicine Simplified (1888).
Ray Vaughn Pierce, M.D. (1840–1914) graduated in 18651 from the Eclectic Medical College in Cincinnati. (Eclectic medicine emphasized the use of botanicals and other substances along with physical therapy.) The following year he sported another diploma from the Philadelphia University of Medicine and Surgery (whose charter was repealed in 1872 for selling bogus degrees) (Lynnette 1996, 73). Pierce went into practice in Titusville, Pennsylvania, then in 1867 moved to Buffalo, New York, where he eventually operated a large medical establishment. He dabbled in Republican politics, becoming in turn a state senator and a U.S. congressman for one term each, and had various business interests.
His burgeoning medical business—which involved running an Invalid’s Hotel and Surgical Institute and selling various cure-alls—made him a wealthy man. It also eventually earned him the title, “Prince of Quacks” (Hirsch 2004; Holbrook 1959, 167–173). His multi-story World’s Dispensary building contained his medicine and bottling works as well as his own printing and binding enterprise (Pierce 1888, 979–982). Everywhere, barns were emblazoned with ads for Dr. Pierce’s Golden Medical Discovery or Dr. Pierce’s Favorite Prescription.
However, when the federal Pure Food and Drug Act became law on January 1, 1907, nostrum peddlers like Dr. Pierce were put on notice. For example, in 1909 the Colorado Department of Health analyzed Pierce’s Electro-Magnetic Cream Lotion, concluding it was misbranded since it neither contained cream, produced electricity, nor possessed any magnetic characteristics (Hirsch 2004, 16). (After his death in 1914, Dr. Pierce was succeeded by his son, Dr. V[alentine] Mott Pierce, until the business was discontinued in 1941.)
Enigma of “Dr. Sage”
As Dr. R. Vaughn Pierce was famous in his day, “Dr. Sage” was equally obscure. However, Tim Binga and I went in search of the elusive physician, one or both of us researching at the Buffalo and Erie County Historical Society, the public library, and the Erie County Clerk’s office as well as Tim utilizing various online resources.
A search through annual editions of Thomas’ Buffalo City Directory failed to show any Dr. Sage for the 1860s. The 1861–1867 directories do list a “Sage & Tucker, druggists” (William S. Sage and John H. Tucker at 232 Main). The 1868 volume lists Tucker solely (at 269 Main) and provides a new entry, “Sage & Co. patent medicines, 303 Clinton.” Also newly listed is “Pierce, R. Vaughn, M.D.” with a house address at 321 Main.
These entries could suggest that “Doctor” Sage was William S. Sage (who would soon return to the family enterprise of Sage & Sons, Lithographers, as superintendent). But it is also possible that “Dr. Sage & Co.” of 303 Clinton Street2 was purely a front for Dr. Pierce, of whom it would later be said in a biographical sketch in The Buffalo Times: “In 1867, he came to Buffalo and opened an unpretending office on Clinton Street, for the practice of medicine” (qtd. in Pierce 1888, 979–980).
Further searching was revealing. An online newspaper archive yielded what is surely among the earliest mentions of Dr. Sage & Co. of Buffalo, an advertisement in a February 11, 1868, Pennsylvania paper, the Titusville Morning Herald. The ad made no mention of Dr. Pierce, yet informed that the product was sold by (among others) Titusville druggists Thompson and Hilton. That is significant because—as shown by an earlier issue of the Herald (September 26, 1866)—“R. Vaughn Pierce, M.D.,” a “Physician, Surgeon and Occulist,” had his “Office over Thompson & Hilton’s Drug Store….”
That same ad claimed: “Dr. Sage, who is a graduate of one of the first Medical Colleges in the land, has been a practicing physician and surgeon for the past twenty years.” Moreover, “He was a great sufferer for many years from Chronic Catarrh, until he succeeded in discovering this remedy which effected a PERFECT AND RADICAL CURE in his own, and subsequently in hundreds of other cases of that distressing malady.” Note that—here, as forever elsewhere—“Dr. Sage” gets no first name or even initial, no place of residence, no identifiable medical school name, or indeed anything that could identify him as a real person. Yet, is claimed as the very embodiment of the biblical directive, “Physician heal thyself” (Luke 4:23).
Certainly, as we have seen, there was no Dr. Sage living in Buffalo during the one-to-two-year period that “Dr. Sage & Co.” or “Sage & Co. patent medicines” operated there. Instead, it appears he was nothing more than the alter ego of “The Prince of Quacks.”
Acknowledgments
In addition to those mentioned in the text, I am grateful to Sally Roesch Wagner and Kim Christensen for sharing this enigma with me. I also want to thank the helpful staff members of the institutions mentioned, especially Cynthia Van Ness and—Sara Lawrence—of the Buffalo and Erie Co. Historical Society for many helpful suggestions.
Notes
1.This is the date on Pierce’s diploma which is in the collection of the Buffalo and Erie Co. Historical Society; Pierce’s book (1888, 979) indicates he graduated in 1862.
2. This appears to be an erroneous address: The Atlas of the City of Buffalo (Philadelphia: G.M. Hopkins & Co., 1872) shows the area was a park with no building numbered 303.
References
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Chevallier, Andrew. 1996. The Encyclopedia of Medicinal Plants. New York: DK Publishing.
Fike, Richard E. 2000. The Bottle Book: A Comprehensive Guide to Historic Embossed Medicine Bottles. Caldwell, New Jersey: The Blackburn Press.
Hirsch, Dick. 2004. The emperor of elixir. Western New York Heritage. Spring: 10–16.
Holbrook, Stewart H. 1959. The remarkable doctors Pierce, chap. 3 of The Golden Age of Quackery. New York: Macmillan, 167–173.
Kellogg, John Harvey. 1891. The Household Monitor of Health. Battlecreek, Michigan: Good Health Publishing.
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Lynnette, E. Leidy. 1996. R.V. Pierce and the Invalids’ Hotel: Mechanical Progress and the Business of Medicine, in Sentz 1996, 71–92.
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———. 2001. In search of ‘snake oil,’ chp. 25 of Real-Life X-Files: Investigating the Paranormal. Lexington, Ky.: University Press of Kentucky, 164–169.
———. 2006. Snake oil: A guide for connoisseurs. Skeptical Briefs, 16:3 (September), 7–8.
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Sage’s catarrh remedy. 2008. Available online at http://www.homemedicine.ca/HomeRemedies/Sages-Catarrh-Remedy.html; accessed September 2, 2008.
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