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‘Pearls’ of the nineteenth-century: from therapeutic actors to global commodities medicinal leeches in the Ottoman Empire

Published online by Cambridge University Press:  01 August 2023

Büşra Arabacı*
Affiliation:
PhD student, Department of History, Hacettepe University, Beytepe-Çankaya, 06100 Ankara, Turkey
*
Corresponding author. Email: busra-arabaci@hacettepe.edu.tr
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Abstract

Nineteenth-century physicians increasingly favoured leeching – the placing of a live leech onto a patient’s skin to stimulate or limit blood flow – as a cure for numerous ailments. As conviction in their therapeutic properties spread, leech therapy dominated European medicine; France imported over fifty million leeches in one year. Demand soon outpaced supply, spawning a lucrative global trade. Over-collection and farming eventually destroyed leech habitats, wreaked environmental havoc and forced European merchants to seek new supply sources. Vast colonies of leeches were found to inhabit the immense wetlands of the Ottoman Empire, which soon became a major exporter of medicinal leeches. Following the Treaty of Balta Liman (1838), the Ottoman state moved to exert control over the lucrative trade, imposing a tax on leech gathering and contracting with tax-farmers (mültezim) to collect the taxes. British diplomats, merchants and other stakeholders protested the imposition of the tax, as had previously happened with the commodification of wildlife; their pursuit of profit led collectors and farmers to over-gather leeches, with catastrophic consequences. By the end of the century, so great had their worth climbed that the leech population faced extinction. This paper situates medicinal leeches as therapeutic actors of history and adopts an interscale approach in formulating the human-leech interaction. It offers a substantive contribution to the history of medicine, in revealing the centrality of leeches to the rise of modern medicine and global trade, but also by making visible their role in shaping imperial diplomacy and worldwide economic markets.

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Articles
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.
Copyright
© The Author(s), 2023. Published by Cambridge University Press
Figure 0

Table 1. A leech-centred timeline

Figure 1

Table 2. Leech export rates in the Ottoman Empire, presented to the Ministry of Foreign Affairs in 1852 by Mr Eduard Rusuvich

Figure 2

Table 3. Medicinal leech prices in different countries in the nineteenth century

Figure 3

Table 4. Real and estimated values of profit of the treasury calculated by Mr Rusuvich, BOA, HR.TO 417/19, 21 Jumada al-Awwal 1268 [13 March 1852] and BOA, C.ML. 91/4109, 5 Safar 1269 [18 November 1852].