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Health and Healing in the Ministry of John Wesley
John Wesley and the Methodist movement which he founded became widely known primarily for their evangelical zeal and mission. Less well known, though possibly equally important, was their influence and effect on health care in the Eighteenth Century. This paper examines Wesley’s interest and involvement in the health care provision of his day and seeks to Dr.aw out lessons for today’s Church in this particular area of ministry and mission. It Dr.aws on The Works of the Rev. John Wesley, A.M. 1./ as the prime source of reference – and in so doing seeks to achieve the additional outcome of affirming the value of the Works as a source of inspiration and encouragement for the Church in its ministry
and mission for the Twenty-first Century.
Wesley’s interest in health care was rooted in his academic
studies,2./ however his inspiration for
action grew out of his concern for the plight of the poor,
Wesley was one of the first not only to see the poor as recipients
of alms and objects of charitable care, but also to set forth the genuinely
Christian duty to eliminate their wretchedness ….. Wesley undertook various
measures to relieve the poor – some independently, some in concert with other
groups such as the religious societies, and some of his own design.3./
Aware that, in his day (long before the establishment of a
national Health Service provided free at the point of delivery) the poor could
not afford to be ill, Wesley had a compassionate concern to adDr.ess and eradicate the ills of society which bred
poverty,
unemployment and ill health.4./ The magnitude of his corrective influence in such issues
is attested to by Robert Wearmouth,
John Wesley had a great influence in the land, greater than most
men, and his words and declarations, both written and spoken,
could not have fallen on stony ground. The facts are that a number of people
were spurred to activity to do something for the
welfare of the poor and helpless, and to endeavor to amend the conditions of
the laboring classes.5./
The urge to provide for the relief and health care of the poor was
motivated by Wesley’s awareness of the inadequate number of medical
practitioners in his day; a concern about the generally low standard of medical
practice which was available; and a realization that 1 much of the disease
which required urgent attention occurred as a consequence of people’s ignorance about health matters and was exaggerated by the dirt and
squalor amid which many lived.6./
Wesley became a Dr.iving
force for the improvement of social conditions in Eighteenth Century England, worthy of being ranked alongside such people as
William Wilberforce.7./,8./ Like Wilberforce, Wesley was
marked out by the way in which challenging words were matched with encouragement
to action. Methodists were urged to do what they could to improve the
conditions and therefore the health of others. Corporate ventures to relieve
the poor were initiated, such as the practice described by Stuart Andrews,
Collections for poor relief were taken up in Methodist classes,
and in
and this was later enlarged until in 1772 the borrowing limit was
set at £5. In 1741 a group of volunteers in
It was this concern for the needs of the poor which led to the
many practical outcomes of Wesley’s interest in medicine and physic. While the
collection and distribution of monies for the relief
of the poor were part of Methodism from the earliest days of the movement, what
soon became apparent was the impossibility of responding satisfactorily to the
needs encountered. Sick visitors were appointed to
extend this work10./,
but this simply led to yet more needs emerging. Wesley enquired what help and
support was available from the local hospitals and
when his researches found little was on offer,
At length I thought of a kind of desperate expedient. “I will
prepare and give them physic myself” ……I took into my assistance an apothecary
and an experienced surgeon; resolving, at the same time, not to go out of my
depth, but to leave all difficult and complicated cases to such Physicians as
the patients should choose. I gave notice of this to the society;
telling them that all who were ill with chronic distempers (for I did not care
to venture upon acute) might, if they pleased, come to me at such time, and I
would give them the best advice I could, and the best medicines I had.11./
While many influential people were moved to give generously to
charitable causes associated with the needs of the poor, what helped mark out
Wesley was his commitment to discovering people’s real needs through personal
contact,
Wesley wanted to see with his own eyes what they needed and he
demanded that those active in the social work of his fellowship must deliver
help to the poor, not merely send it. 12./
So, based on known need, in 1746 he founded a dispensary for the
poor of
I mentioned to the society my design of giving physic to the poor.
About thirty came the next day, and in three weeks about three hundred. This we
continued for several years, till, the number of patients still increasing, the
expense was greater than we could bear: meantime, through the blessing of
God, many who had been ill for months or years, were restored to
perfect health.13./
This has been claimed to be the first free medical dispensary in
England.14./ Its continuing
impact was to be significant in terms both of numbers treated and the apparent
success rate,
I appointed to speak with those who had applied to us on a
physical account. I found there had been about six hundred in about six months.
More than three hundred of these came twice or thrice, and we saw no more of
them. About twenty of those who had constantly attended did not seem to be
either better or worse. Above two hundred were sensibly better; and fifty-one
thoroughly cured. The entire expense, from the beginning to
this time, was about thirty pounds.15./,16./
WESLEY AND THE WORLD OF 18TH CENTURY
In terms of the practical help and medical support offered, Wesley
was wise enough to accept there were limits to what could be effectively
delivered through the dispensary work, and by him and
his fellow workers and so they treated only chronic cases referring acute ones
to licensed physicians.17./, 18./ This practice of referral
is illustrated, for example, by the occasion when he conferred with Dr.
Whitehead concerning the condition of his niece Sally19./; in his affirming the work of Dr. Andrew Wilson who
effectively treats ‘a young woman in such terrible fits as I scarce ever saw
before’ 20./; and when
Wesley called in Dr. Whitehead for his own medical needs. The latter’s efforts
led to the following commendation from Wesley,
Of such a one I would boldly say, with the son of Sirach, “Honour
the Physician, for God hath appointed him.”’21./
He enjoyed a wide circle of medical contacts who included Dr. John
Jones,22./ and the Scottish
triumvirate of Drs. James Hamilton, James Gregory and Alexander Munro whom he
consulted among other things concerning his own health.23./
While the eighteenth century might be called ‘The Golden Age of
Quacks’24./ it was possible
to distinguish three principal types of serious medical practitioners: those
physicians who had earned medical degrees at university medical schools (and of
whom there were far too few to meet the needs of an ever growing population),
apothecaries, who were less experienced, learning by apprenticeship to the
physicians25./; and those,
among whom Wesley may be classified, eminent and educated people (in practice,
predominantly gentry and clergy) whose commitment was primarily to tried and
tested remedies.26./ It was
Wesley’s keen interest in traditional and contemporary cures for ailments,
allied to his anxieties about the availability of medical treatment for the
poor, which led him, in 1747, to publish Primitive
Physic, or an Easy and Natural Method of Curing Most Diseases.27./ The book was essentially a
manual of self help for those who could not afford a physician. Its
prescription of some 80028 remedies (or ‘receipts’ as Wesley termed
them) for the treatment of various ailments brought past and current approaches
to curative care together. Some of the remedies seem ridiculous to a
twenty-first century mind, e.g. the use of forge water to improve eyesight, but
as Marty writes,
While we may chuckle at some of the Wesleyan nostrums and bizarre medical theories, they were not far off the mark of the
best scientific efforts of his time.29./
Indeed many of Wesley’s suggestions derived from respected
physicians, apothecaries, and standard medical books of his day.30./ A. W. Hill points out that among the known
remedies of the day rarely could better options be found to
compete with those offered in Primitive Physic.31./ What tended to work against
Wesley was his own open-mindedness and willingness to consider any remedy that
proved to be efficacious. So, e.g., he allowed himself to be influenced by
traditional herbal medicine as a consequence of his time in North America.32./ For this in particular, he
was pilloried by Dr. William Hawes, physician to the London Dispensary. However,
Hawes’ attack was exceptional and did not come until 1776, 29 years after Primitive
Physic was first published. Tyerman suggests the publication of Hawes’
pamphlet ‘An Examination of Rev. Mr. John Wesley’s Primitive Physick’
was more influenced by the former’s membership of the Humane Society than any
medical scruples he might have had. Despite Hawes, the impact and popularity of
Primitive Physic spoke for itself: it ran to thirty-two editions,
being regularly updated and revised, some remedies being removed, others added.33./ Wesley did not allow
himself to be intimidated by the medical world of his day. He was more than
ready to challenge the practices of his contemporaries in the field of
medicine. He was passionately concerned about the willingness of many
eighteenth century physicians to devote themselves to following new and
fashionable theories about illness rather than using tried and tested remedies.
Such concern was one of the chief inspirations behind the publishing of Primitive
Physic34./ and is evidenced
both by his choice of sub-title for that publication -‘an Easy and Natural
Method of Curing Most Diseases,’ - and in one of his Journal entries when
on a visit to Ireland, All the time I could spare was taken up by poor
patients. I generally asked, ‘What remedies have you used?’ and was not a
little surprised. What has fashion to do with physic? Why (in
On another occasion he can be found criticizing the published work
of the Irish physician and chemist Dr. David MacBride,
I went down to
His keen interest in contemporary medicine and its development
meant he sought to keep abreast of current thinking and writing, so, e.g., In
this journey I read a volume of the “Medical Essays,” lately published at
Wesley enthusiastically promoted new ideas which could be shown to
produce successful medical outcomes. This is well illustrated by his
fascination with the use of electricity for medical purposes. He put together a
compendium of what was already known on the subject and in 1760 published, The Desideratum: or, electricity made plain
and useful. He explaining how he had collected together ‘the sum of all
that has hitherto been published on this curious and important subject’,
having been impressed by the results of some one thousand experiments38./ with the effecting of cures
for a variety of disorders.39./
Preventive care was recognized by Wesley as being a key to better
general health. This led to him holding and sharing some very down to earth
views on such matters as the need for regular bowel movement40./ and the amount of sleep one
should or should not have. Too much sleep, he insisted, soddens and parboils
the flesh and sows the seeds of numerous diseases ... it weakens the
understanding ... [and] the memory.41./
So, too he was concerned that, ‘Everyone that would preserve
health should be as clean and sweet as possible in their houses, clothes and
furniture.’ To sound diet, plentiful exercise and regular hours of sleep, ‘Tender
persons,’ he added, ‘ought constantly to go to bed about 9 and rise at
four or five.’ He promoted the need for ‘cold bathing’ which was
recognized as ‘of great advantage to health’.42./ While Wesley was adamant that the ultimate state of an
individual’s health lay with God,
he also believed that one carried a personal responsibility for
doing all that was possible to promote one’s own health. On his 71st birthday, he
reflected on his own regime, How is this, that I find just the same strength
as I did thirty years ago? That my sight is considerably better now, and my
nerves firmer, than they were
then? That I have none of the infirmities of old age, and have
lost several I had in my youth? The grand cause is, the good pleasure of God, who
doeth whatsoever pleaseth Him.
1. My constantly rising
at four, for about fifty years.
2. My generally preaching
at five in the morning; one of the most healthy exercises in the world.
3. My never traveling
less, by sea or land, than four thousand five hundred miles in a year. 43./
A keen appreciation is evidenced in Wesley’s writings of the ways
by which mental or spiritual dis-ease can potentially affect the body,
something very much in accord with the present-day understanding of
psychosomatic illnesses. In his introduction to Primitive Physic,
Wesley writes,
1. The passions have a
greater influence on health than most people are aware of
2. All violent and sudden
passions dispose to, or actually throw people into, acute diseases.
3. The slow and lasting
passions, such as grief and hopeless love, bring on chronical diseases.
4. Till the passion
which caused the disease is calmed, medicine is applied in vain.44./
His approach was radical in his own time, Wesley’s view of
health and disease was essentially theological. The most enlightened physicians
of his time placed the vis medicatrix naturae
centrally in their therapy, and used such methods as they thought
would assist and not hinder her healing power. Wesley was not content to think
in terms of nature’s healing, but looked beyond to the Author of nature, deeming him to be
wholly desirous for the good of his creatures.45./
For him, religion and health went hand in hand: his concern for
the physical well being of the underprivileged was part of his wider concern
for their mental and spiritual welfare. Such thinking arose out of his belief
that the individual must be treated as a whole person, based on the idea that
the inter-action of the body and the soul was extremely relevant. He was very
much ahead of his age in this respect.46./
His ‘Visitors’ were instructed when visiting the sick to inquire about the
needs of both body and spirit.47./
And, he firmly believed that ‘God has more than one way of healing either the body or
the soul.’48./ On one occasion he deals
with a woman with stomach pains whose real trouble was an unresolved fretting
over the death of her son.49./
Wesley was all too aware that the conditions under which people lived had a
significant effect on their physical well-being. For the poor this was often
detrimentally so. Wesley’s concern led him to enquire if those who were ill
were warm enough, well-fed, and clean.50./
In
On the matter of prayer and spiritual healing Wesley held very
firm views. In his sermon, The Nature of Enthusiasm,53./ he spoke out against those who claimed to possess
healing gifts but misused them to the detriment of those who received their
ministry. However, he also acknowledged some did possess healing gifts. While
he did not consider this to be so for himself, he prayed for the good health of
others and himself, even if the source of the illness or ailment appeared to be
natural or organic; he recognized the possibility of supernatural cures; and he
affirmed his belief that healing could be either natural or supernatural,
deriving potentially from both medication and prayer.54./ In correspondence with the Revd. Dr. Conyers Middleton,
who insisted no miracles had been wrought either by Christ or the apostles of
the Early Church, Wesley argued the contrary case.55./ However, he also insisted that God was the source of
all healing activity.56./ The
Middleton correspondence offers a detailed view of Wesley’s understanding of
healing activity in the Early Church.57./
Wesley believed in and practiced the use of prayers for healing, on behalf of
others and for himself, I was obliged to lie down for most of the day, being
easy only in that posture. At the Love feast which followed (the service)
beside the pain in my back and head, the fever still continued upon me. Just as
I began to pray, I was seized with such a cough that I could hardly speak. At
the same time came strongly to my mind, “These signs shall follow them that believe”
(a reference to healing power found in Mark xvi). I called on Jesus aloud to
“Increase my faith” and “to confirm the word of his Grace”. While 1 was
speaking the pain vanished away, the fever left me, my bodily strength returned
and for many weeks I felt neither weakness nor pain.58./ While Wesley
never sets prayer over and against medicine, where the latter was
seen to have failed he was not afraid to invoke God’s support in prayer. Two
illustrations follow. Firstly from 1741, I went out in a coach as far as the
school in Kingwood; where one of the mistresses lay (as was believed) near
death, having found no help from all the medicines she had taken. We determined
to try one remedy more; so we poured out our souls in prayer to God. From that hour she began
to recover strength, and in a few days was out of danger.59./
And then in the following summer,
The same blessing from God we found in the evening, while I was
showing how he justifies the ungodly. Among the hearers was one, who, some time
before, had been deeply convinced of her ungodliness; in so much that she cried
out, day and night, “Lord, save, or I perish!” All the neighbours agreeing that
she was stark mad, her husband put her into a Physician’s hands, who blooded
her largely, gave her a strong vomit, and laid on several blisters. But all
this proving without success, she was, in a short time, judged to be incurable.
He thought however, he would speak to one person more, who had done much good
in the neighbourhood. When Mrs. Johnson came, she soon saw the nature of the
disease, having herself gone through the same. She ordered all the medicines to
be thrown away, and exhorted the patient to look unto Jesus; which this evening
she was enabled to do by faith; and he healed the broken in heart.60./ This second reference
serves to illustrate Wesley’s attitude to mental health issues. Evidently the
prescribed medicines were not effective. Without any attempt at the dramatic, prayer is
invoked.61./
WESLEY’S OWN EXPERIENCE OF HEALING
Wesley pursued his intensely comprehensive and practical healing
ministry despite, certainly in his middle years, suffering continued
ill-health.62./ It was only
in his later years that he was more robust in himself.63./ One may speculate that few others, then or now, would
pursue such a work which brings no direct benefit to themselves.
Such is the nature of John Wesley. He pursued a practical
ministry, the nature of which was both dynamic and in advance of the thinking
of his day. A number of themes emerge from this study which offer topics for
contemporary reflection, as to how the Christian Church of today may deliver a
ministry of health and healing. Wesley’s approach has been shown to involve and
knowing the importance of:
1_ Getting alongside
people and identifying their real needs
3_ Working in partnership
with, rather than in opposition to, other health-care practitioners
4_ Knowing the limits of
one’s own talents and abilities, and the point at which one should hand over
patient responsibility to someone else
5_ Appreciating the role
of prayer
6_ Putting prayerful
concern into action
7_ Attempting to
understand the medical world of the day
8_ Striving for as wide
an access to medical services and resources as is possible
This incident also offers a good example of the focus
of 18th Century Medicine
on expelling toxic substances (by blood letting, inducing vomiting, etc) from
the body as the key to therapeutic success. For further examples, see Works,
vol. I p406– Journal 25 December 1742 and vol. IV p496 – Journal 7th
October 1790.
1_ Being open to
traditional and complimentary medicinal treatments
2_ Offering a prophetic
voice in the face of perceived deficiencies in the provision of medication and
the delivery of medical care
3_ Recognizing the
importance of preventive health-care and encouraging its promotion
4_ Challenging people to
accept a measure of responsibility for their own health-care
5_ A recognition of
psychosomatic influences in some incidents of physical illness
6_ A perception of the
importance of ‘whole-person’
The
This paper was first presented at ‘A Global Consultation on
the impact of the Works of John Wesley in Spanish translation’ held at
1./ References in this paper are to The Works of the
Rev. John Wesley, A.M., Fifth Edition 15 vols. (
1861), hereafter
identified by the abbreviation, Works. Reference is also made
from time to time to the
edition of Wesley’s Works
published by Abingdon Press and Oxford University Press. These latter
references are distinguished by being given in full detail.
2./ John Wesley went to
(Works, vol.
VIII pp.248-268) where he writes of his long time study of anatomy and physic.
3./ M. Marquardt, John
Wesley’s Social Ethics, (English translation – Abingdon Press,
4./ L. Tyerman,
vol. 3, pp. 130-134.
5./ R. F. Wearmouth, The Social and Political Influence of Methodism
in the Twentieth Century, (Epworth
6./ A. Wesley Hill, John Wesley among the physicians
- a Study of 18th Century Medicine, (Epworth Press, London 1958), pp. 2-4.
7./ H. A. L. Fisher, A
History of
8./ P. Garlick,
Man’s Search for Health, (City? Publisher? Year?) p. 204f.
9./ S. AnDr.ews,
Methodism and Society, (Publisher?
10./ Works vol.
VIII p.263 - A Plain Account.
11./ Works vol.
VIII p.264 - A Plain Account.
13./ Works, vol.
II p39 – Journal 4th December 1746. for Wesley,
‘perfect health’ equated to being physically sound see, e.g. Works, vol.
I p346 – Journal 5th November 1741 and vol. II p93 – Journal
15th April 1748.
14./ See, e.g., P. Garlick,
p. 205; also, The Works of John Wesley, ed. W. R. Ward and R. P. Heitzenrater, vol 20
15./ Works, vol.
II p59 – Journal 6th June 1747.
16./ Wesley offers the
following example of successful treatment using a tried and tested remedy, Many
came: (And so every Friday since:) Among the rest was one William Kirkman, a weaver, near Old Nichol-street. I asked him,
“What complaint have you?” “O Sir,” said he, “a cough, a
very sore cough. I can get no rest day nor night.” I
asked, “How long have you had it?” He replied, “About threescore years: It
began when I was eleven years old.” I was nothing glad that this man should
come first, fearing
our not curing him might discourage others. However, I looked up to God, and
said, “Take this three or four times a day. If it does
you no good, it will do you no harm.” He took it two or three days. His cough
was cured, and has not returned to this day. (Works,
vol. VIII p364- A Plain Account).
17./ C. E. Vulliamy, John Wesley (Epworth Press, London 1954) p. 184.
18./ J. Wesley, The Letters of the Revd John Wesley, MA., edited by John Telford, 8 vols.,
(Epworth Press,
20./ Works, vol.
IV p143 – Journal 24th January 1779.
21./ Works, vol.
IV p351– Journal 3rd October 1786.
22./ One of Wesley’s closest
associates for some 20 years from 1746, whose many and varied responsibilities
within the Methodist movement included serving as the first headmaster of
23./ J W Hill pp44-46 and Works,
vol. III p463 – Journal 18th May 1772.
24./ The title of a chapter in N. Duin
and J. Sutcliffe, A History of Medicine, (Simon and Schuster, 1992) pp.42-44.
25./ In 1748 an Apothecaries
Act was passed to regulate their activities.
26./ See J. G. Gadsby, Rev John Wesley MA: Holistic Healing,
Electrotherapy and Complementary Medicine
(Teamprint, Leicester 1996) pp13-17 for a discussion on
Wesley’s place in 18th Century medical practice.
27./ All quotations in this
paper are taken from the 24th Edition ( ??????? ). Hereafter abbreviated to Primitive
Physic.
28./ The first edition of Primitive
Physic included 725 remedies for 243 ailments. The corresponding
figures for the final 32nd edition were 900+ and 288.
29./ E. Brooks Holifield, Health and Medicine in the Methodist Tradition
(Crossroad, New York 1986) p.xi.
31./ A. Wesley Hill, pp.
121-122.
32./ Works, vol.
XIV p309 - Primitive Physic.
33./ Works vol.
XIV p316-317. See Proceedings of the Wesley Historical Society vol. XLV
(1985-86) p7, for
a listing of the various
editions of Primitive Physic.
34./ Primitive Physic,
ppiii-x.
35./ Works, vol.
III p499 – Journal 14th June 1773.
36./ Works, vol.
IV p108 – Journal 18th August 1777.
37./ Works, vol.
III p476 – Journal 23rd July 1772. See further, (i) Works,
vol. III p474 – Journal 26th June 1772, where Wesley discusses current views as
to the treatment of hyDr.ocele; (ii) Primitive
Physic, pviii where he affirms his support for
the work of Drs. Sydenham,
38./ L. Tyerman,
vol. 2, p.389.
39./ Works, vol.
II p388-389 - Journal 9th November 1756.
40./ Letters,
vol. VI, p. 185.
43./ Works, vol.
IV p21 – Journal 28th June 1774.
47./ Works, vol.
VIII p263 A Plain Account.
48./ Works, vol.
III p463 – Journal 18th May 1772.
49./ E. Brooks Holifield, pp. 20-21.
50./ Works, vol.
VII p117-127 – Sermon XCVVIII ‘On visiting the sick’.
51./ Works, vol.
VIII p265 A Plain Account.
52./ Works, vol.
III p397– Journal 8th May 1770.
53./ Works, vol.
V pp467-468 - Sermon XXXVII ‘The Nature of Enthusiasm’.
54./ F. Brooks Holifield, pp. 28, 36-37.
56./ Works, vol.
VIII p.264 A Plain Account [paraXII.5].
58./ Works, vol. I p310 – Journal 8th May 1741.
59./ Works, vol.
I p347 – Journal 20th November 1741.
60./ Works, vol.
I pp380-381 – Journal 17th June 1742.
61./ See also, Works, vol.
I p273 – Journal 23rd May 1740.
62./ Works, vol.
II p307 – Journal 22nd and 26th October 1753.
63./ Works, vol.
IV p282 –Journal 28th June 1784 and vol. IV p336 – Journal 28th June 1786.