cover image Frontier Medicine: From the Atlantic to the Pacific, 1492–1941

Frontier Medicine: From the Atlantic to the Pacific, 1492–1941

David Dary, . . Knopf, $30 (381pp) ISBN 978-0-307-26345-2

Scurvy, contaminated water and challenging environments were among the medical problems faced by frontier settlers, who resorted to the rough-and-ready treatments of herbal and traditional medicines, quack concoctions and whatever worked. This is the story prolific western writer Dary (The Oregon Trail ) provides in a deeply researched, anecdotal history. Fourteen chapters range from “Indian Medicine” and “In Western Towns” to “Quacks” and “Midwives and Women Doctors.” A skilled storyteller, Dary fills each chapter with tales of doctors (not always well trained) and patients, colorful events, important discoveries and a seemingly endless pharmacopeia of herbal recipes and drugs, beliefs and often gruesome medical procedures. Dary agrees with today's experts that doctors in that era who practiced “heroic medicine”—bleeding, purging, administering emetics and toxic metals such as mercury and arsenic—did more harm than good. Fortunately, even quacks were too expensive for most settlers, who preferred home remedies. Dary argues that traditional Native American treatments were less harmful and probably more effective. Readers looking for a more insightful history of medicine should choose one by Roy Porter, but this collection of stories of frontier healers will satisfy many readers. 81 illus. (Nov. 10)