History of smoking
The history of smoking dates back to as early as 5026 BC in shamanistic rituals. With the arrivals of the Europeans in the 16th century, the consumption, cultivation, and trading of tobacco quickly spread. With the modernization of farm equipment and manufacturing bore the cigarette following reconstruction in the United States. This method of consumption quickly expanded the scope of consumption, which grew until the scientific controversies of the 1960s, and condemnation in the 1980s.
Cannabis was common in the Middle East before the arrival of tobacco, and is known to have existed in at least 2000 BC. Early consumption of cannabis was a common social activity involving the type of water pipe called a hookah.
Previously eaten for its medicinal properties, opium smoking became widespread during the 19th century from British trade with China. This spawned the many infamous Opium dens. In the latter half of the century, opium smoking became popular in the artistic communities of Europe. While Opium dens continued to exist throughout the world, the trend among the Europeans abated during the first World War, and among the Chinese during the cultural revolution.
Modernization of cigarette consumption and increased life expectancy during the 1920s made adverse health effects more noticeable. In 1929, Fritz Lickint of Dresden, Germany, published formal statistical evidence of a lung cancer–tobacco link, which subsequently led a strong anti-smoking movement in Nazi Germany. The subject remained largely taboo until 1954 with the British Doctors Study, and in 1964 United States Surgeon General's report. Tobacco became stigmatized, which led to the largest civil settlement in United States history, the Tobacco Master Settlement (MSA).
- 1 Early usages
- 2 Popularization of smokes
- 3 Opium
- 4 Social stigma
- 5 Other substances
- 6 See also
- 7 References
Smoking has been practiced in one form or another since ancient times. Tobacco and various hallucinogenic drugs were smoked all over the Americas as early as 5000 BC in shamanistic rituals and originated in the Peruvian and Ecuadorian Andes. Many ancient civilizations, such as the Babylonians, Indians and Chinese, burnt incense as a part of religious rituals, as did the Israelites and the later Catholic and Orthodox Christian churches.
In Ancient Greece, smoke was used as healing practice and the Oracle of Delphi made prophecies while intoxicated by inhaling natural gases from a natural bore hole. The Greek historian Herodotos also wrote that the Scythians used cannabis for ritual mourning purposes and, to some degree, pleasure. He describes how Scythians burned hemp seed (IV, 75):
|“||At once it begins to smoke, giving off a vapour unsurpassed by any vapour-bath one could find in Greece. The Scythians enjoy it so much that they howl with pleasure.||”|
James L. Butrica criticized this view, emphasizing that the term "ἀγάμενοι" should be translated as "astounded" or "in mourning", as this is "closer to what one might expect in a ritual connected with death". This type of ritual has been confirmed as a result of archeological discoveries.
Smoking in the Americas probably originated in the incense-burning ceremonies of shamans, and was later adopted for pleasure or as a social tool. The Maya employed it in classical times (at least from the 10th century) and the Aztecs included it in their mythology. The Aztec goddess Cihuacoahuatl had a body consisting of tobacco, and the priests that performed human sacrifices wore tobacco gourds as symbols of divinity. Even today certain Tzeltal Maya sacrifice 13 calabashes of tobacco at New Year. The smoking of tobacco and various other hallucinogenic drugs was used to achieve trances and to come into contact with the spirit world. Reports from the first European explorers and conquistadors to reach the Americas tell of rituals where native priests smoked themselves into such high degrees of intoxication that it is unlikely that the rituals were limited to just tobacco. No concrete evidence of exactly what they smoked exists, but the most probable theory is that the tobacco was much stronger, consumed in extreme amounts, or was mixed with other, unknown psychoactive drugs.
In North America the most common form of smoking was in pipes, which today are best known as the peace pipes offered both to other tribes and later European settlers as a gesture of goodwill and diplomacy. In the Caribbean, Mexico and Central and South America, early forms of cigarettes include smoking reeds or cigars were the most common smoking tools. Only in modern times has the use of pipes become fairly widespread. Smoking is depicted in engravings and on various types of pottery as early as the 9th century, but it is not known whether it was limited to just the upper class and priests.
By the time Europeans arrived in the Americas in the late 15th century there was widespread use of tobacco smoking as a recreational activity. At the banquets of Aztec nobles, the meal would commence by passing out fragrant flowers and smoking tubes for the dinner guests. At the end of the feast, which would last all night, the remaining flowers, smoking tubes and food would be given as a kind of alms to old and poor people who had been invited to witness the social occasion, or it would be rewarded to the servants.
Popularization of smokes
A Frenchman named Jean Nicot (from whose name the word nicotine derives) introduced tobacco to France in 1560. From there, it spread to England. The first report of a smoking Englishman is of a sailor in Bristol in 1556, seen "emitting smoke from his nostrils." Like tea, coffee and opium, tobacco was just one of many intoxicants originally used as a form of medicine.
Early modern European medical science was still to a great extent based on humorism, the idea that everything had a specific humoral nature that varied between hot and cold, dry and moist. Tobacco was often seen as something that was beneficial in its heating and drying properties and was assigned an endless list of beneficial properties. The concept of ingesting substances in the form of smoke was also entirely new and was met with both astonishment and great skepticism by Europeans.
The debate raged among priests, scientists and laymen whether tobacco was a bane or boon and both sides had powerful supporters. The English king James I was one of the first outspoken skeptics and wrote A Counterblaste to Tobacco, an unforgiving literary assault on what he believed was a menace to society. Though rife with, at times, irrelevant and partial arguments, it did address some of the health issues and pointed out the peculiar fact that tobacco was frequently assigned conflicting, and at times almost miraculous, properties:
|“||It makes a man sober that was drunke. It refreshes a weary man, and yet makes a man hungry. Being taken when they goe to bed, it makes one sleepe soundly, and yet being taken when a man is sleepie and drowsie, it will, as they say, awake his braine, and quicken his understanding. As for curing of the Pockes, it serves for that use but among the pockie Indian slaves. Here in England it is refined, and will not deigne to cure heere any other than cleanly and gentlemanly diseases.||”|
Cannabis smoking in India has been known since at least 2000 BC and is first mentioned in the Atharvaveda, which dates back a few hundred years BC. Fumigation (dhupa) and fire offerings (homa) are prescribed in the Ayurveda for medical purposes and have been practiced for at least 3,000 years while smoking, dhumrapana (literally "drinking smoke"), has been practiced for at least 2,000 years.
Fumigation and fire offerings have been performed with various substances, including clarified butter (ghee), fish offal, dried snake skins, and various pastes molded around incense sticks and lit to spread the smoke over wide areas. The practice of inhaling smoke was employed as a remedy for many different ailments. It was not limited to just cannabis, but various plants and medicinal concoctions recommended to promote general health were also used.
Before modern times, smoking was done with pipes with stems of various lengths, or chillums. Today dhumapana has been replaced almost entirely by cigarette smoking, but both dhupa and homa are still practiced. Beedi, a type of handrolled herbal cigarette consisting of cloves, ground betel nut, and tobacco, usually with rather low proportion of tobacco, are a modern descendant of the historical dhumapana.
In Indonesia, a specific type of cigarette that includes cloves called kretek was invented in the early 1880s as a way of delivering the therapeutic properties of clove oil, or eugenol, to the lungs. It quickly became a popular cough remedy, and in the early 20th century kretek, producers began to market pre-rolled clove cigarettes. In the 1960s and 70s, kretek took on the form of a national symbol, with tax breaks compared to "white" cigarettes and the production began to shift from traditional hand-rolling to machine-rolling.
The industrial method passed the hand-rolled type in numbers in the mid-1980s and today kretek dominates up to 90% of the Indonesian cigarette market. The production is one of the largest sources of income for the Indonesian government and the production, which is spread out on some 500 independent manufacturers, employs some 180,000 people directly and over 10 million indirectly.
The Middle East
Cannabis smoking was common in the Middle East before the arrival of tobacco, and, early on, was a common social activity centered around the type of water pipe called a hookah. As today, the pipes often had several tubes to accommodate multiple smokers, or smokers would pass the nozzle around in the many smoking houses that functioned as social hubs in major centers of Muslim culture like Istanbul, Baghdad, and Cairo. Smoking, especially after the introduction of tobacco, was an essential component of Muslim society and culture and became integrated with important traditions like weddings, funerals and was expressed in architecture, clothing, literature and poetry.
There is reference to tobacco in Persian poem dating from before 1536, but because of the lack of any corroborating sources, the authenticity of the source has been questioned. The next reliable eyewitness account of tobacco smoking is by a Spanish envoy in 1617, but by this time the practice was already deeply engrained in Persian society.
The water pipe called qalyan (or hookah) most likely originated in India, but in Safavid dynasty Persia became a refined smoking tool. The pipes of the rich were made of finely crafted glass and precious metals while common people used coconuts with bamboo tubing, and these were used to smoke cannabis before the arrival of tobacco.
The two substances in combination became very popular and were also smoked in normal "dry" pipes. The water pipe, however, remained the most common smoking tool until the introduction of the cigarette in the 20th century. Foreign visitors to the region often remarked that smoking was immensely popular among Persians. On Ramadan, the Muslim period of fasting when no food is eaten while the sun is up, among the first thing many Persians did after sunset was light their pipes.
Both sexes smoked, but for women it was a private affair enjoyed in the seclusion of private homes. In the 19th century Iran was one of the world's largest tobacco exporters, and the habit had by then become a national Iranian trait.
After the European discovery of the Americas, tobacco spread to Asia—first via Spanish and Portuguese sailors, and later by the Dutch and English. Spain and Portugal were active in Central and South America, where cigarettes and cigars were the smoking tools of choice, and their sailors smoked mostly cigars. The English and Dutch had contact with the pipe smoking natives of North America, and adopted the habit. While the southern Europeans began smoking earlier, it was the long-stemmed pipes of the northerners that became popular in East and Southeast Asia. Tobacco smoking arrived through expatriates in the Philippines and was introduced as early as the 1570s.
By the early 17th century the kiseru, a long-stemmed Japanese pipe inspired by Dutch clay pipes, was common enough to be mentioned in Buddhist text books for children. The practice of tobacco smoking evolved as a part of the Japanese tea ceremony by employing many of the traditional object used to burn incense for tobacco smoking. The kō-bon (the incense tray) became the tabako-bon, the incense burner evolved into a pot for tobacco embers and the incense pot became an ash tray.
During the Edo period, weapons were frequently used as objects of ostentation, indicating wealth and social status. Since only samurai were allowed to carry weapons, an elaborate kiseru slung from the waist served a similar purpose. After the Meiji restoration and abolishing of the caste system, many craftsmen who previously decorated swords switched to designing kiserus and buckles for tobacco pouches. Though mass-production of cigarettes began in the late 19th century, not until after World War II did the kiseru go of out style and become an object of tradition and relative obscurity.
Cannabis smoking was introduced to Sub-Saharan Africa through Ethiopia and the east African coast by either Indian or Arab traders in the 13th century or earlier and spread on the same trade routes as those that carried coffee, which originated in the highlands of Ethiopia. It was smoked in calabash water pipes with terra cotta smoking bowls, apparently an Ethiopian invention later conveyed to eastern, southern, and central Africa.
Around 1600, French merchants introduced tobacco in what is now Gambia and Senegal. At the same time, caravans from Morocco brought tobacco to the area around Timbuktu, and the Portuguese brought the commodity (and the plant) to southern Africa. This established the popularity of tobacco throughout all of Africa by the 1650s. Imported tobacco and tobacco pipes became prized and valuable trading goods and were both quickly absorbed into African cultural traditions, rituals, and politics. The practice spawned a rich artistic tradition of decorated pipes of wood, ceramics, and eventually metal in an endless variety of themes and motifs of all shapes and sizes.
Tobacco and cannabis were used, much like elsewhere in the world, to confirm social relations, but also created entirely new ones. In what is today Congo, a society called Bena Diemba ("People of Cannabis") was organized in the late 19th century in Lubuko ("The Land of Friendship").
The Bena Diemba were collectivist pacifists that rejected alcohol and herbal medicines in favor of cannabis. Certain other herbs have been and still are smoked by certain African communities. Tabwa shamans smoke lubowe (Amaranthus dubius), a plant said to help shamans see invisible spirit sorcerers, even though there are no reports of the substance being hallucinogenic.
Some groups, such as the Fang of Gabon consume eboga (Tabernanthe iboga), a mind-altering drug in religious rituals. In modern Africa, smoking is, in most areas, considered an expression of modernity, and many of the strong adverse opinions that prevail in the West receive less attention.
In the 19th century, smoking opium became common. Previously it had only been eaten, and then primarily for its medical properties. A massive increase in opium smoking in China was more or less directly instigated by the British trade deficit with Qing dynasty China. As a way to amend this problem, the British began exporting large amounts of opium grown in the Indian colonies.
The social problems and the large net loss of currency led to several Chinese attempts to stop the imports, which eventually culminated in the First and Second Opium Wars. Opium smoking later spread with Chinese immigrants and spawned many infamous opium dens in China towns around South and Southeast Asia and Europe.
In the latter half of the 19th century, opium smoking became popular in the artistic community in Europe, especially Paris in artists' neighborhoods such as and Montparnasse and Montmartre being virtual opium capitals. While opium dens that catered primarily to emigrant Chinese continued to exist in China Towns around the world, the trend among the European artists largely abated after the outbreak of World War I.
Ever since smoking was introduced outside of the Americas, there has been much vehement opposition to it. Arguments ranged from socio-economic, with tobacco called a usurper of good farm land—to purely moralistic, where many religiously devout individuals saw tobacco as another form of immoral intoxication. Many arguments were presented to the effect that smoking was harmful, and even if the critics were in the end right about many of their claims, the complaints were usually not based on scientific arguments, and if they were, these often relied on humorism and other pre-modern scientific methods.
Dr Eleazar Duncon, 1606, wrote  that tobacco "...is so hurtful and dangerous to youth that it might have the pernicious nation expressed in the name, and that it were as well known by the name of Youths-bane as by the name of tobacco."
Early 17th century descriptive notices of various characteristic types and fashions of men portray tobacconists and smokers as individuals who suffer from false self-images and mistaken illusions about the properties of tobacco taking. Though physicians such as Benjamin Rush claimed tobacco use (including smoking) negatively impacted health as far back as 1798, not until the early 20th century did researchers begin to conduct serious medical studies.
Nascent political resistance
The late-19th century invention of automated cigarette-making machinery in the American South made possible mass production of cigarettes at low cost, and cigarettes became elegant and fashionable among society men as the Victorian era gave way to the Edwardian. In 1912, American Dr. Isaac Adler was the first to strongly suggest that lung cancer is related to smoking.
With the postwar rise in cigarette smoking, however, the significant increase in lung cancer promoted nascent investigations into the link between smoking and cancer. In 1929, Fritz Lickint of Dresden, Germany, published a formal statistical evidence of a lung cancer–tobacco link, based on a study that showed lung cancer sufferers were likely to be smokers. Lickint also argued that tobacco use was the best way to explain the fact that lung cancer struck men four or five times more often than women (since women smoked much less).
In Germany, anti-smoking groups, often associated with anti-liquor groups, these groups first published advocacy against the consumption of tobacco in the journal Der Tabakgegner (The Tobacco Opponent), by the Bohemian organization between 1912 and 1932. The Deutsche Tabakgegner (German Tobacco Opponents) was published in Dresden from 1919 to 1935, and was the second journal on this subject.
After Adolf Hitler rose to power during the great depression, he condemned his earlier smoking habit as a waste of money. In later years, Hitler viewed smoking as "decadent" and "the wrath of the Red Man against the White Man, vengeance for having been given hard liquor," lamenting that "...so many excellent men have been lost to tobacco poisoning."
Nazi reproductive policy likewise strengthened the anti-smoking movement. Women who smoked were considered vulnerable to premature aging and loss of physical attractiveness—unsuitable to be wives and mothers in a German family. Werner Huttig of the Nazi Party's Rassenpolitisches Amt (Office of Racial Politics) said that a smoking mother's breast milk contained nicotine, a claim modern research has verified. Nazi political resistance to smoking, however, did not cross enemy lines.
A true breakthrough came in 1948, when the British epidemiologist Richard Doll published the first major studies that proved that smoking could cause serious health damage. While some physicians in the United States once pitched cigarettes as health-improving products, some commentators now argue that it is unethical for physicians, as role models, to smoke at all.
In 1950, Richard Doll published research in the British Medical Journal that showed a close link between smoking and lung cancer. Four years later, in 1954 the British Doctors Study, a study of some 40 thousand doctors over 20 years, confirmed the suggestion, based on which the government issued advice that smoking and lung cancer rates were related. The British Doctors Study lasted till 2001, with result published every ten years and final results published in 2004 by Doll and Richard Peto. Much early research was also done by Dr. Ochsner. Reader's Digest magazine for many years published frequent anti-smoking articles.
In 1964 the United States Surgeon General's Report on Smoking and Health began the font, suggesting a link between smoking and cancer. This eventually led to bans on certain advertising, and requirements for warning labels on tobacco products.
Since the 1990s, smoking defense groups have reacted against legislation in some countries with increased taxes, restrictions on where to smoke, and anti-smoking campaigns. These groups feel that new regulations and the general atmosphere are oppressive, and stigmatization placed on them is excessive. Some smoking defense groups are independent, while others are funded by tobacco companies.
In the early 1980s, the majority of cocaine shipped to the United States that arrived at Miami came through the Bahamas. However, overproduction of cocaine powder in those islands drove the price down by as much as 80 percent. Confronted with falling profits for their illegal product, drug dealers decided to convert the powder to crack, a solid, smokable form of cocaine, that they could sell in smaller quantities to more people. It was cheap, simple to produce, ready to use, and highly profitable. As early as 1980, reports of crack appeared in Los Angeles, San Diego, Houston, and the Caribbean.
This growth in popularity abated in the late 1990s. Described by a criminologist Alfred Blumstein this change was resulted from four factors: tighter gun restrictions in areas where crack cocaine is prevalent, a shrinking market and its institutionalization, the robustness of the economy, and the availability of jobs.
- See Gately; Wilbert
- Sander L. Gilman and Zhou Xun, "Introduction" in Smoke, p. 12
- Butrica, James L. (2002). "The Medical Use of Cannabis Among the Greeks and Romans". Journal of Cannabis Therapeutics 2 (2): 54-55. doi:10.1300/J175v02n02_04.
- Artamonov, M. I. (1965). "Frozen tombs of the Scythians". Scientific American 212 (5): 100-09. doi:10.1038/scientificamerican0565-100.
- Robicsek (1978), p. 30
- Francis Robicsek, "Ritual Smoking in Central America" in Smoke, p. 33
- Francis Robicsek, "Ritual Smoking in Central America" in Smoke, p. 35
- Coe, pp. 74–81
- Lloyd & Mitchinson
- Tanya Pollard, "The Pleasures and Perils of Smoking in Early Modern England" in Smoke, p. 38
- James I, A Counterblaste to Tobacco
- Marihuana and medicine, p. 3
- P. Ram Manohar, "Smoking and Ayurvedic Medicine in India" in Smoke, pp. 68–75
- Website of US Embassy in Jakarta, JUNE 3, 1999: WHERE THERE'S SMOKE, THERE'S KRETEK: THE CIGARETTE INDUSTRY IN INDONESIA. Accessed July 20, 2007.
- Mark Hanusz, "A Century of Kretek" in Smoke, pp. 140–143
- Sander L. Gilman and Zhou Xun, "Introduction" in Smoke, p. 20–21
- Rudi Mathee, "Tobacco in Iran" in Smoke, pp. 58–67
- Barnabas Tatsuya Suzuki, "Tobacco Culture in Japan" in Smoke, pp. 76–83
- Timon Screech, "Tobacco in Edo Period Japan" in Smoke, pp. 92-99
- Phillips, pp. 303–319
- Allen F. Roberts, "Smoking in Sub-Saharan Africa" in Smoke, pp. 53–54
- Allen F. Roberts, "Smoking in Sub-Saharan Africa" in Smoke, pp. 46–57
- Jos Ten Berge, "The Belle Epoque of Opium"in Smoke, p. 114
- In a letter discovered in c.2009 by Royal College of Physicians of Edinburgh (RCPE) librarians, http://scotlandonsunday.scotsman.com/uk/Doctor39s-400yearold-letter-strikes-chord.5662844.jp
- 17th century books of characters. See Halliwell
- Goldberg, p. 147
- Isaac Adler. "Primary Malignant Growth of the Lung and Bronchi". (1912) New York, Longmans, Green. pp. 3-12. Reprinted (1980) by A Cancer Journal for Clinicians
- Witschi (November 2001). "A Short History of Lung Cancer". Toxicol Sci 64 (1): 4–6. doi:10.1093/toxsci/64.1.4. PMID 11606795.
- Adler I. Primary malignant growths of the lungs and bronchi. New York: Longmans, Green; 1912., cited in Spiro SG, Silvestri GA (September 1, 2005). "One hundred years of lung cancer.". Am J Respir Crit Care Med 172 (5): 523–529. doi:10.1164/rccm.200504-531OE. PMID 15961694.
- Commentary: Schairer and Schoniger's forgotten tobacco epidemiology and the Nazi quest for racial purity - Proctor 30 (1): 31 - International Journal of Epidemiology
- Proctor 1999, p. 178
- Proctor 1999, p. 177
- Proctor 1999, p. 219
- Clark, Briggs & Cooke 2005, p. 1374
- Proctor 1999, p. 173
- Proctor 1999, p. 187
- Anders Dahlström, Christina Ebersjö, Bo Lundell (August 2008). "Nicotine in breast milk influences heart rate variability in the infant". Acta Pædiatrica 97 (8): 1075–1079. doi:10.1111/j.1651-2227.2008.00785.x. PMID 18498428. Retrieved 2008-11-15.
- Sander L. Gilman and Zhou Xun, "Introduction" in Smoke, p. 25
- JM Appel. Smoke and Mirrors: One Case for Ethical Obligations of the Physician as Public Role Model Cambridge Quarterly of Healthcare Ethics, Volume 18, Issue 01, January 2009, pp 95-100.
- Doll, Rich; and Hilly, A. Bradford (September 30, 1950). "Smoking and carcinoma of the lung. Preliminary report". British Medical Journal 2 (4682): 739–48. doi:10.1136/bmj.2.4682.739. PMC 2038856. PMID 14772469.
- Doll Richard, Bradford Hilly A (June 26, 1954). "The mortality of doctors in relation to their smoking habits. A preliminary report". British Medical Journal 1 (4877): 1451–55. doi:10.1136/bmj.1.4877.1451. PMC 2085438. PMID 13160495.
- Doll R, Peto R, Boreham J, Sutherland I (2004). "Mortality in relation to smoking: 50 years' observation on male British doctors.". BMJ (Clinical research ed.) 328 (7455): 1519. doi:10.1136/bmj.38142.554479.AE. PMC 437139. PMID 15213107.
- http://web.archive.org/web/20091027005941/http://geocities.com/~msrc/ Minnesota FORCES - example of independent smoker's rights group
- https://mysmokersrights.rjrt.com/SGRHome.jsp R.J. Reynolds smoker's rights organization - example of tobacco company funded group
- "DEA History Book, 1876 - 1990 (drug usage & enforcement), US Department of Justice, 1991, USDoJ.gov webpage: DoJ-DEA-History-1985-1990.
- Ashes to Ashes: The History of Smoking and Health (1998) edited by S. Lock, L.A. Reynolds and E.M. Tansey 2nd ed. Rodopi. ISBN 90-420-0396-0
- Coe, Sophie D. (1994) America's first cuisines ISBN 0-292-71159-X
- Gately, Iain (2003) Tobacco: A Cultural History of How an Exotic Plant Seduced Civilization ISBN 0-8021-3960-4
- Goldberg, Ray (2005) Drugs Across the Spectrum. 5th ed. Thomson Brooks/Cole. ISBN 0-495-01345-5
- Greaves, Lorraine (2002) High Culture: Reflections on Addiction and Modernity. edited by Anna Alexander and Mark S. Roberts. State University of New York Press. ISBN 0-7914-5553-X
- James I of England, A Counterblaste to Tobacco
- Lloyd, J & Mitchinson, J: "The Book of General Ignorance". Faber & Faber, 2006
- Marihuana and Medicine (1999), editor: Gabriel Nahas ISBN 0-89603-593-X
- Phillips, J. E. (1983). "African Smoking and Pipes". The Journal of African History 24 (3): 302–319. doi:10.1017/s0021853700022039. JSTOR 181897.
- Robicsek, Francis (1978) The Smoking Gods: Tobacco in Maya Art, History, and Religion ISBN 0-8061-1511-4
- Smoke: A Global History of Smoking (2004) edited by Sander L. Gilman and Zhou Xun ISBN 1-86189-200-4
- Wilbert, Johannes (1993) Tobacco and Shamanism in South America ISBN 0-300-05790-3
- Proctor, Robert (1999). "The Nazi War on Cancer". Princeton University Press. ISBN 0-691-07051-2..
- Clark, George Norman; Briggs, Asa; Cooke, A. M. (2005). "A History of the Royal College of Physicians of London". Oxford University Press. ISBN 0-19-925334-X..