Francis E. Anstie
Encyclopedia
Francis Edmund Anstie was an English doctor, medical author and journalist. He was the first editor of medical journal The Practitioner
The Practitioner
The Practitioner is a medical journal established in 1868 by Macmillan Publishers with Francis Anstie as the editor....

, established in 1868. He is notable for proposing Anstie's limit, an amount of alcohol
Alcohol
In chemistry, an alcohol is an organic compound in which the hydroxy functional group is bound to a carbon atom. In particular, this carbon center should be saturated, having single bonds to three other atoms....

 that could be consumed daily with no ill effects.

Biography

Anstie was born at Devizes
Devizes
Devizes is a market town and civil parish in Wiltshire, England. The town is about southeast of Chippenham and about east of Trowbridge.Devizes serves as a centre for banks, solicitors and shops, with a large open market place where a market is held once a week...

, Wiltshire
Wiltshire
Wiltshire is a ceremonial county in South West England. It is landlocked and borders the counties of Dorset, Somerset, Hampshire, Gloucestershire, Oxfordshire and Berkshire. It contains the unitary authority of Swindon and covers...

 on 11 December 1833, the son of Paul Anstie, a manufacturer belonging to a family long notable for their attachment to liberal
Liberalism
Liberalism is the belief in the importance of liberty and equal rights. Liberals espouse a wide array of views depending on their understanding of these principles, but generally, liberals support ideas such as constitutionalism, liberal democracy, free and fair elections, human rights,...

 principles. He was educated at a private school till the age of sixteen, when he was apprenticed to his cousin, Thomas Anstie, a medical practitioner, with whom he remained three years. In 1853 he entered the medical department of King's College London
King's College London
King's College London is a public research university located in London, United Kingdom and a constituent college of the federal University of London. King's has a claim to being the third oldest university in England, having been founded by King George IV and the Duke of Wellington in 1829, and...

, where his teachers were Sir William Fergusson
Sir William Fergusson, 1st Baronet
Sir William Fergusson, 1st Baronet FRCS FRS was a Scottish surgeon.-Biography:William Fergusson son of James Fergusson of Lochmaben, Dumfriesshire, was born at Prestonpans, East Lothian on 20 March 1808, and was educated first at Lochmaben and afterwards at the high school and University of...

, and especially Dr. R. B. Todd, whose doctrines and practice produced a permanent impression upon Anstie's mind. He became M.R.C.S.
Membership of the Royal College of Surgeons
MRCS is a professional qualification for surgeons in the UK and IrelandIt means Member of the Royal College of Surgeons. In the United Kingdom, doctors who gain this qualification traditionally no longer use the title 'Dr' but start to use the title 'Mr', 'Mrs', 'Miss' or 'Ms'.There are 4 surgical...

 and L.S.A.
Worshipful Society of Apothecaries
The Worshipful Society of Apothecaries of London is one of the Livery Companies of the City of London. Originally, apothecaries were members of the Grocers' Company and before this members of the Guild of Pepperers formed in London in 1180...

 in 1856, was M.B. London in 1857, M.D.
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 1859. He was admitted a member of the College of Physicians
Royal College of Physicians
The Royal College of Physicians of London was founded in 1518 as the College of Physicians by royal charter of King Henry VIII in 1518 - the first medical institution in England to receive a royal charter...

 in 1859, fellow 1865. In 1860 he was elected assistant physician to the Westminster Hospital
Westminster Hospital
Westminster Hospital was a hospital in London, England, founded in 1719. In 1834 a medical school attached to the hospital was formally founded....

, but did not become full physician till 1873. He was lecturer at that school, first on forensic medicine, afterwards for many years on materia medica
Materia medica
Materia medica is a Latin medical term for the body of collected knowledge about the therapeutic properties of any substance used for healing . The term 'materia medica' derived from the title of a work by the Ancient Greek physician Pedanius Dioscorides in the 1st century AD, De materia medica libre...

, and for a short time on medicine
Medicine
Medicine is the science and art of healing. It encompasses a variety of health care practices evolved to maintain and restore health by the prevention and treatment of illness....

. In 1862 Anstie married a daughter of Mr. Wass of Cromford, Derbyshire, whom he left a widow with a son and two daughters.

On his first entrance into professional life Anstie was occupied in administering chloroform
Chloroform
Chloroform is an organic compound with formula CHCl3. It is one of the four chloromethanes. The colorless, sweet-smelling, dense liquid is a trihalomethane, and is considered somewhat hazardous...

 for the operations of Sir William Fergusson; but he soon went into practice as a physician, and became very fully occupied in hospital work and in journalism, being for some years a member of the editorial staff of the The Lancet
The Lancet
The Lancet is a weekly peer-reviewed general medical journal. It is one of the world's best known, oldest, and most respected general medical journals...

; while in the last few years of his life he was beginning to get a good consulting practice. Dr. Anstie's life was cut short by an illness contracted in the course of a sanitary inspection. Some strange cases of fatal disease having occurred in the schools of the Patriotic Fund
Royal Patriotic Fund Corporation
The Royal Patriotic Fund Corporation was a charitable body set up by Royal Warrant in the United Kingdom during the Crimean War. It provided assistance to the widows, orphans and other dependants of members of the armed forces...

 at Wandsworth
Wandsworth
Wandsworth is a district of south London, England, in the London Borough of Wandsworth. It is situated southwest of Charing Cross. The area is identified in the London Plan as one of 35 major centres in Greater London.-Toponymy:...

, Anstie was called in to make an inspection of the buildings and investigate the causes of the epidemic. In making a post-mortem examination he received a slight wound, from the effects of which he died on 12 September 1874.

Theraputics

Dr. Anstie was a skilful physician, an eager investigator, and a vigorous writer. Literary work connected with medicine, in addition to regular journalism, occupied much of his energy during his whole professional life. His activity was mainly directed in three lines—in the advancement of therapeutics
Therapy
This is a list of types of therapy .* Adventure therapy* Animal-assisted therapy* Aquatic therapy* Aromatherapy* Art and dementia* Art therapy* Authentic Movement* Behavioral therapy* Bibliotherapy* Buteyko Method* Chemotherapy...

, in questions of public health
Public health
Public health is "the science and art of preventing disease, prolonging life and promoting health through the organized efforts and informed choices of society, organizations, public and private, communities and individuals" . It is concerned with threats to health based on population health...

, and in the study of nervous diseases. In therapeutics he began with investigating the action of alcohol on the body in health and disease; and in this he was a pupil of Dr. R. B. Todd, one of whose leading principles was the use of stimulants in medicine. After writing scientific and popular papers on the subject (in the London Medical Review, 1862, and the Cornhill Magazine
Cornhill Magazine
The Cornhill Magazine was a Victorian magazine and literary journal named after Cornhill Street in London.Cornhill was founded by George Murray Smith in 1860 and was published until 1975. It was a literary journal with a selection of articles on diverse subjects and serialisations of new novels...

respectively), Anstie brought out in 1864 his important work on Stimulants and Narcotics, containing the result of experiments, observations, and literary research, and these subjects continued to occupy his attention till the last year of his life.

Journalism

In 1868 he became joint-editor (and in the next year sole editor) of The Practitioner, a new journal intended to advance the scientific study of therapeutics. The special character and importance of this journal, which - according to Anstie's Dictionary of National Biography
Dictionary of National Biography
The Dictionary of National Biography is a standard work of reference on notable figures from British history, published from 1885...

 (DNB) entry – has done much to invigorate the study of therapeutics in the UK, were of Anstie's creation.

Public health

In questions of public health Anstie was warmly interested; and he took an important part in initiating two important public reforms. In 1864 certain scandals connected with the administration of the poor-law
English Poor Laws
The English Poor Laws were a system of poor relief which existed in England and Wales that developed out of late-medieval and Tudor-era laws before being codified in 1587–98...

 infirmaries attracted public attention, and induced the proprietors of The Lancet to appoint a commission, consisting of Dr. Anstie, Mr. Ernest Hart, and Dr. Carr, to report on the subject. Anstie took the largest part in examining the London infirmaries, and wrote the report which appeared in The Lancet 1 July 1865. Others followed, and one on the state of Farnham
Farnham
Farnham is a town in Surrey, England, within the Borough of Waverley. The town is situated some 42 miles southwest of London in the extreme west of Surrey, adjacent to the border with Hampshire...

 workhouse
Workhouse
In England and Wales a workhouse, colloquially known as a spike, was a place where those unable to support themselves were offered accommodation and employment...

, published in 1867, led to an inquiry by the Poor Law Board
Poor Law Board
The Poor Law Board was established in the United Kingdom in 1847 as a successor body to the Poor Law Commission overseeing the administration of the 1834 Poor Law Amendment Act...

, which justified the report of The Lancet commissioners. These inquiries may be regarded as the starting-point of the movement of reform of poor-law medical relief. In 1874 Anstie brought before the College of Physicians a motion that the college should petition the prime minister
Prime Minister of the United Kingdom
The Prime Minister of the United Kingdom of Great Britain and Northern Ireland is the Head of Her Majesty's Government in the United Kingdom. The Prime Minister and Cabinet are collectively accountable for their policies and actions to the Sovereign, to Parliament, to their political party and...

 to provide some remedy for the injurious overcrowding of the poor in London, which the introduction of certain railways and improvements had lately aggravated. The petition, being adopted and sent in, was largely influential in inducing the then home secretary
Home Secretary
The Secretary of State for the Home Department, commonly known as the Home Secretary, is the minister in charge of the Home Office of the United Kingdom, and one of the country's four Great Offices of State...

, Mr. Cross
R. A. Cross, 1st Viscount Cross
Richard Assheton Cross, 1st Viscount Cross, GCB, GCSI, PC, FRS , known before his elevation to the peerage as R. A. Cross, was a British statesman and Conservative politician...

, to bring in a bill in parliament which became law as an Act for facilitating the Improvement of the Dwellings of the Working Classes in large Towns. In this momentous question, Anstie deserves honourable mention as a pioneer.

Nervous system

On diseases of the nervous system Anstie wrote several memoirs, and finally in 1871 a book on Neuralgia and the Diseases which resemble it. He also contributed an article on the same subject to Sir John Russell Reynolds's System of Medicine. The views which he expounded in both works were to a large extent original, and doubtless open to criticism; but many of his observations are of permanent value. In 1867 he gave two lectures at the College of Physicians on the sphygmograph
Sphygmograph
The sphygmograph was a mechanical device used to measure blood pressure in the mid-19th century. It was developed in 1854 by German physiologist Karl von Vierordt...

, a mechanical device used to measure blood pressure
Blood pressure
Blood pressure is the pressure exerted by circulating blood upon the walls of blood vessels, and is one of the principal vital signs. When used without further specification, "blood pressure" usually refers to the arterial pressure of the systemic circulation. During each heartbeat, BP varies...

.

The completeness of his scientific work was, according to the DNB, much interfered with by his multifarious occupations and the ceaseless literary activity which circumstances imposed upon him. Though finding little time for elaborate research, he was a zealous advocate of new and more accurate methods, and did much not only to make known the results of investigation, but to stimulate and sustain the scientific movement in medicine.

Anstie's limit

Anstie's limit is an amount of alcohol that Anstie proposed could be consumed daily with no ill effects. It is 1.5 ounces of pure ethanol, equivalent to two and one-half U.S. standard drink
Standard drink
A standard drink is a notional drink that contains a specified amount of pure alcohol. The standard drink is used in many countries to quantify alcohol intake. It is usually re-expressed as a measure of beer, wine, or spirits for convenience. One standard drink always contains the same amount of...

s.

Reputation

At the time of his death Anstie's reputation was rapidly growing, and was as great in America as at home. Offers were made to induce him to accept a professorship and hospital appointment in that country, which family reasons, among others, induced him to decline. In 1874 he took part in the foundation of the Medical School for Women, and acted with great energy as the first dean of the school.

Publications

Besides the works mentioned above, he wrote a very large number of papers and articles, some signed, some anonymous. Among the former were:
  • Anstie, Francis E. Is it food, medicine, or poison. Cornhill Magazine, 1862, 5, 707-716.
  • Anstie, Francis E. Does alcohol act as a food? Cornhill Magazine. 1862, 6, 319-329.
  • Notes on Epidemics, for the use of the Public, 1866. Several medical papers in the Practitioner.
  • Articles in Reynolds's System of Medicine, vol. ii. 1868: Alcoholism, Neuralgia, and Hypochondriasis — the latter jointly with Sir William Gull
  • Reynolds's System of Medicine, vol. iii. 1871: Pleurisy, Pleurodynia, Hydrothorax, Pneumothorax, and Hepatalgia.
  • On the Hereditary Connection between certain Nervous Diseases (Journal of Mental Science
    British Journal of Psychiatry
    The British Journal of Psychiatry is a peer-reviewed medical journal published monthly by the Royal College of Psychiatrists containing original research, systematic reviews, commentaries on contentious articles, short reports, a comprehensive book review section, and a correspondence column...

    , Jan. 1872).
  • Lectures on Diseases of the Nervous System (The Lancet, 1872–73).

External links

  • Publications by Francis E. Anstie at the Internet Archive
    Internet Archive
    The Internet Archive is a non-profit digital library with the stated mission of "universal access to all knowledge". It offers permanent storage and access to collections of digitized materials, including websites, music, moving images, and nearly 3 million public domain books. The Internet Archive...

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