Broussais’ theories and the leech fever

Before the change in medical trends caused by the popularisation of Broussais’ theories, popular beliefs and traditional medicine in Spanish rural areas often recommended the use of leeches as one of the most helpful resources to cure many diseases. This use was explained by the abundance of leeches, their low price and the fact that their collection was sustainably managed.Footnote ²⁴ Thus, prior to the dissemination of Broussais’ theories,Footnote ²⁵ the consumption of leeches in Spain was localised. Leeches were harvested in rivers, lagoons and ponds, and distributed in the closest urban centres, where their price remained stable: ‘In Madrid, during the first fifteen years of this century [the price was] eight to ten reales per hundred,’Footnote ²⁶ with an upward swing though, for the general hospital of this city paid as much as fourteen reales per hundred.Footnote ²⁷ In rural areas, in contrast, the price was two to three reales per hundred.Footnote ²⁸ The same was true for France; in fact, the French production of leeches at the time was enough to meet the domestic consumption and even export the surplus.Footnote ²⁹ Likewise, French prices, though oscillating between fifteen and sixty francs per thousand, remained mostly stable.Footnote ³⁰

Given the growing French demand and the exhaustion of the production areas in France, the 1820s represented a turning point, especially after French traders began searching for this precious product in foreign markets.Footnote ³¹ Their interest in this singular medical supply fostered a rapid and intensive search across Spain, which, thanks to proximity and the consolidated of trade relations, especially since the accession of the Bourbon dynasty to the Spanish throne in 1700, involved lower transport costs than those derived from the collection of leeches in more distant territories. From then on, French traders intensified their presence and activity in those Spanish areas where this invertebrate was more abundant. As a result of this process, during the first years of the studied period, copious numbers of leeches were transported to Paris and other large cities in France, including Marseille and Bordeaux. To make this possible, the development of a commercial network capable of managing all phases of the process became necessary. The facilities required to harvest the resource were built in production areas.Footnote ³² Jourdier explains in detail the process of creating areas for the production of leeches by adapting natural swamps or building artificial swamps to favour the reproduction and growth of leeches.Footnote ³³ Specific technological innovations were introduced in these production processes, such as the Borne and Doctor Sauvé boxes used for breeding this invertebrate.Footnote ³⁴

In addition, new transport systems were created to guarantee the animals’ survival until they reached the centres of consumption.Footnote ³⁵ As refers to the care of leeches outside their natural habitat, the procedure most often used in Spain was to put them into large containers where a base of clay had been laid.Footnote ³⁶

There were three major routes for the transport of these annelids to France by land and by sea.Footnote ³⁷ Leeches travelled to France from the northwest of Spain (Galicia, León, or Salamanca) through Bayonne; from the Mediterranean coast through Perpignan; and from Aragón and other surrounding areas through the Bagnères de Luchon mountain pass.Footnote ³⁸ The importance of these commercial routes is confirmed by the fact that Spain and Portugal were the largest exporters of leeches to France,Footnote ³⁹ followed by Greece, Italy, and Algeria, which also occupied a prominent place in commercial statistics.Footnote ⁴⁰

The importance of this commercial flow motivated the Spanish Government’s decision to approve a specific legislation on the export of leeches. The first regulatory initiative was launched during the boom of the leech trade, when the French commercial networks were already fully established. The first legislation on the export of medicinal leeches was officially approved in January 1827. The regulation, which followed the guidelines established by the Junta de Aranceles (Tariff Board) in April 1826, allowed the export of leeches at ten reales per pound.Footnote ⁴¹ As evidence of the French monopsony power in the international trade of Spanish leeches, we can mention that only in the ports and customs of Vitoria, Orduña (Bilbao), Agreda (Soria), Canfranc (Huesca), and La Junquera (Girona), which was closest to the French border, was a verification by the central administration required.Footnote ⁴² Figure 1 shows the location of various places that were relevant to the Spanish–French leech trade. To the customs control and exit points, we have added the most important reception centres upon arrival in France (Bayonne, Perpignan, and Luchon). One of the main production areas (the Antela lagoon) is also mentioned.

Figure 1. Geographical location of important areas for the Spanish–French leech trade.

Source: Prepared by the authors.

It is nevertheless clear that, before the regulation was approved, the situation was already difficult in the main distribution areas. In effect, the search, collection, and transport of leeches to France was a very rapid process that had negative consequences for the resource. This circumstance was well described in French documents, which underlined the high harvesting intensity and its impact on reserves. For instance, the Parisian trader Joseph Martin mentioned that, between 1824 and 1828, ‘two years were enough to deplete the ponds of these last two provinces (Valencia and Aragon)’, and ‘four years for the imports from Spain to be almost nil’.Footnote ⁴³ Around the same time, Alphonse Chevalier wrote that the wetlands in Spain, which had previously supplied leeches for French consumption, were almost depleted ‘given the lack of intelligence with which the harvest is carried out in ponds and lagoons’.Footnote ⁴⁴ As proof of the relevance of leech trade, we can mention that, in 1826, Spain’s total leech exports produced revenues of 1.9 million reales. This figure is extremely significant, especially when compared with those obtained by other flagship products in Spain, such as citrus fruits, the exports of which amounted to 3.6 million reales. Footnote ⁴⁵

Therefore, it is not surprising that Spanish documents of this period refer to the damage that was being done to the populations of leeches in the country. The first claims against excess exports and depletion of the natural resource can be found in the descriptions that the Diccionario geográfico–estadístico de España y Portugal, directed by Sebastián Miñano, made of Spanish economic activities between 1826 and 1829, the period during which the ten volumes of the work were published. This source depicts the problems associated with the lack of regulation and the great imbalance between local collectors and leech traders who profited from selling these animals for medical use.

For instance, the description of Cantalejo (Segovia) published in the above–mentioned dictionary says of the local lagoons:

In the entry on Solsona (Lleida), the dictionary also describes the interest of France in this trade: ‘in which many French citizens participate, who in the last few years have paid leech finders around 100 duros per day’.Footnote ⁴⁷ These testimonies evidence the tense relationship between the local population and foreign traders at the time of greatest shortage of the resource. The occurrence of violent events in relation to the harvesting of leeches to be exported to France is also confirmed. Thus, the French newspaper Journal du Cher published how, in the fall of 1825, a French collector was captured by four Spaniards, who tied him to a tree and applied to him the animals he had collected, which caused his death.Footnote ⁴⁸

These statements are consistent with the existing statistical information. More specifically, in 1827, which is the first year for which leech trade data are available, more than 2.1 million specimens were exported from Spain to France.Footnote ⁴⁹ And the amount could be higher, because there was an illegal trade flow that bypassed customs and therefore went unrecorded in the official accounts.Footnote ⁵⁰

In fact, when we observe the evolution of the export of leeches from Spain to France ( Figure 2 ), we can see that, in the years before 1827, the harvesting and transport of leeches to France was already notable. Even if it continued until the end of the 1820s, this trend slowed dramatically at the beginning of the 1830s. For instance, a report of the Sociedad Económica Matritense indicated that:

Figure 2. Evolution of leech exports from Spain to France (1827–1856).

Source: Prepared by the authors on the basis of the Administration des Douanes (1827–1856).

In this sense, the generalized perception that the resource was being overexploited led to the establishment of the first restrictions to the collection of leeches in the region of Galicia, only some months after the passing of the export regulation. In the northwest of the Iberian peninsula, the place of reference for the harvesting of leeches was the lagoon of Antela, in the Galician province of Ourense.Footnote ⁵² In this territory, a factory had been established for the collection and export of leeches to France, which yielded ‘the French so much profit as the export of tuna fish from the tuna nets of Conil’,Footnote ⁵³ and was considered to be beneficial for both the local population and the Government ‘given the export tariffs the trade generated’.Footnote ⁵⁴

Thus, while the Government responded to private demands to make greater profits from a trade with France on which it had not yet legislated, some protectionist measures were implemented in Galicia for the purpose of preserving this medical resource. In particular, the request of the Subdelegación de Medicina, Cirujía y Farmacia (Subdelegation of Medicine, Surgery and Pharmacy) of Santiago de Compostela to set a limit to the harvesting of leeches during a two-year period motivated the passing of a Royal OrderFootnote ⁵⁵ that imposed a closed season in Galician territory by forbidding the collection of leeches during the months of March, April, and May, which is their breeding period. The arguments put forward for this regulation, which became a reference for similar measures implemented by the Government of Sardinia,Footnote ⁵⁶ were ‘the shortage and high price’ of leeches in this territory and the fact that ‘only there the resource has become scarce’.Footnote ⁵⁷ The prohibition was discussed in the French press, which explained that, even if this two-year suspension of the export of leeches was also initially requested by other Spanish territories, it was finally concluded that the most affected area was Galicia, and the closed season was ultimately established only there and only during the spring months.Footnote ⁵⁸

Another element of the discussion on the impact of the collection and export of this animal resource for medical purposes was related to local and national economic flows. As may be deduced from the above-mentioned events, in a scarcely regulated context where foreign agents were in control, the economic impact of this trade at both the local and the national level was not very significant, especially when compared with the profits earned by the traders. In fact, the data show a great difference between the price at the place of collection in Spain and the sale price in France. In the area of Antela, for instance, at the beginning of the studied period, ‘leeches were bought by French citizens by the lagoon at four reales per pound (which comprised thirty to forty dozens). Today (1831), they usually pay twenty reales per pound, while in Bayonne they sell them for three, four or more francs per dozen’.Footnote ⁵⁹ Seoane also pointed to a significant increase in domestic prices, something expected given the spectacular growth of the demand and the shortage of the resource.Footnote ⁶⁰ In 1839, the price in Madrid had risen to seventy to one hundred reales per hundred, between six and ten times the price of twenty years earlier, when trade relations with France were established – similar data to that provided by the Sociedad Económica Matritense.Footnote ⁶¹ We must consider that the revenue generated by the leech trade gains importance against the backdrop of Spain’s demographic and economic situation. Most of the Spanish population lived in rural areas,Footnote ⁶² and the level of industrialization was low,Footnote ⁶³ as was the per capita gross domestic product.Footnote ⁶⁴

The consequences of the intensive harvesting of leeches during this period were soon noticeable. A change in demand for medicinal leeches caused the ecological degradation of the resource through increased harvesting. This overexploitation took place as the activity became economically interesting in rural areas. Natural breeding areas suffered a significant reduction that worried the local population, as evidenced by various testimonies. Likewise, the declining quality of the leeches used for therapeutic procedures was also denounced. Leeches were classified according to their quality,Footnote ⁶⁵ and the increase in demand led to a reduction in the availability of those considered to be of better quality and to the development of fraudulent practices. Leeches that had not reached their adult size or were smaller than recommended were used; the best specimens were mixed with those of worse quality; and subspecies that had been previously banned for causing skin eruptions (erysipelas)Footnote ⁶⁶ were employed, with harmful consequences. Chevalier mentioned multiple attempts to cheat and reuse leeches,Footnote ⁶⁷ describing cases of traders who were imprisoned in France for mixing leeches with other non-recommended species or selling bloated leeches.Footnote ⁶⁸ This circumstance made it necessary to look for systems to avoid deception, as observed in the bidding terms and conditions for public tenders, which described the animals in great detail:

The difficulties increased as Broussais’ theories spread and France became the heart of the European leech market between 1825 and 1832; this country imported more than 265 million specimens ( Figure 3 ). The situation was further aggravated by the progressive increase in the use of leeches in other countries, such as the United Kingdom, as these invertebrates gradually became a professional medical asset.Footnote ⁷⁰ Figure 3 shows how, during the 1840s, the total number of leeches imported to France started to decline (red line), while the relative weight of Spanish leeches reached its peak (vertical bars).

Figure 3. Evolution of leech imports by France and percentage of leeches from Spain over the total (1825–1856).

Source: Prepared by the authors on the basis of the Administration des Douanes (1825–1856).

In effect, from the beginning of the period until the early 1830s, the European leech market underwent a revolution. The upward import trend evidenced the problem that the industry faced in France: breeding areas showed signs of depletion,Footnote ⁷¹ supply had diminished, quality had declined, and prices had risen. The same dynamic was observed in Spain, which triggered the first demands for market regulation or even a full ban on leech exports.

In brief, the changes in French medicine introduced during the 1820s soon began to affect other territories, because they implied the use of leeches, the collection of which totally depended on international trade already around the middle years of that decade.Footnote ⁷² As said before, this led to the unbridled overexploitation of the resource and the near extinction of the European autochthonous populations.Footnote ⁷³ In Spain, due to the lack of regulation and control over the excessive pressure on leech collection during the first phases of the boom, this circumstance was perceived as a great problem.

From leech fever to commercial dependence

Despite the significant size of the market, from 1832 onwards there was a significant deceleration of French demand for leeches ( Figure 3 ), as well as a considerable reduction of Spanish exports to France ( Figure 2 ). The first trend is clearly related to the declining popularity of Broussais’ theories after the cholera epidemic of 1832.Footnote ⁷⁴ In fact, 1835 and 1836 were crucial to put an end to the scientific–medical debate.Footnote ⁷⁵ The sociopolitical context resulted from the 1830 revolution, the increasing availability of statistics that refuted those theories, and the development of new clinical and therapeutic systems based on empirical observation and cellular behaviour curtailed the influence of hirudotherapy.

The second trend can very well be associated with a series of variables. The depletion of the natural resource (as Nicolas Guibourt in 1835,Footnote ⁷⁶ and the Sociedad Económica Matritense in 1836, described Spanish breeding areas: ‘In the year of 1836, the natural leech breeding areas in Galicia, Asturias, Castilla la Vieja and Alto Aragón had suffered such severe decadence that those engaged in the business found it difficult to collect any significant amount of leeches’Footnote ⁷⁷), political awareness of the relevance of the resource, as will be explained below, or the gradual increase of the domestic demand for leeches that led to the reversal of the Spanish–French trade balance, for the first time, during the second half of the 1830s ( Figure 4 ) may all explain the situation.

Figure 4. Trade Balance of the leech trade between Spain and France.

Source: Prepared by the authors on the basis of the Administration des Douanes (1825–1856).

Scientific literature states that, after 1832, Broussais’ theories had stopped being the main clinical doctrine,Footnote ⁷⁸ but it is true that trade statistics, accounting data, documents, and testimonies of this period do not corroborate this thesis. In other words, even if the scientific debate on the efficacy of hirudotherapy as described by Broussais had been superseded, leech application did not decline in medical practice during the following decades. It is enough to observe the figures reached by the Spanish–French leech trade in the 1840s to see that, even if leeches had lost their popularity, they were still a widespread medical resource ( Figure 2 ). So much so that, in the summer of 1838, the Spanish government received a new formal request, this time from the Valencia city council, to implement a protectionist economic policy to restrain international leech trade. Informed of the difficulties that the sector was undergoing, the Government created a commission to respond to the request. The Junta de Farmacia (Pharmacy Board), the Junta Auxiliar Consultiva de Gobernación (Auxiliary Advisory Governance Board), the Junta Directiva de Salud Militar (Military Healthcare Management Board), the Junta de Aranceles, and the Sociedad Económica Matritense were all members of the commission created for this purpose.Footnote ⁷⁹ As a result of this process, a committee of the Sociedad Económica Matritense demanded the adoption of ‘efficient dispositions to avoid the lack of leeches, which is clearly felt as a result of the exports made during the last 18 years’.Footnote ⁸⁰

This institution considered that the only possibility of recovering the resource was to forbid its export, although it was still to be decided whether the prohibition should be partial or complete. They argued that a full ban would allow natural breeding areas to restore and reach levels in place prior to the boom. This measure would also contribute to readjusting prices.Footnote ⁸¹ However, the committee was aware of the damage it would cause to the industry developed from this activity based on breeding farms recently installed in the peninsula, as well as of the impossibility of eradicating smuggling or hiring pharmaceutical inspectors to control leech sizes and weights because of the high cost it would entail.

After analysing all options, it was concluded that the most balanced measure was to temporarily limit exports and regulate the collection and trade of leeches. In accordance with the work entrusted to it by its bylaws since its 1775 constitution – which proved its interest in the development of the industry and trades, as well as in the dissemination of the values of the Enlightenment and the scientific and technological advances of industrialization – the Sociedad Económica Matritense had justified the need to implement measures concerning hirudiculture as early as the 1820s, when the upward spiralling of the leech market, encouraged by French exports and the rise of prices, was already evident.Footnote ⁸² Thus, it pointed to the possibility of having to import leeches in the future, following the increase in their use, thus anticipating a trend that, as shown by the statistics, had timidly emerged in the mid-1830s and would manifest itself more intensely after 1850 ( Figure 4 ).

The Government, in turn, acknowledged the need to gather data on the production, consumption, and trade of leeches. To carry out this research, a Royal Order was published on March 12, asking all provincial governors to send information on the state of natural breeding areas and breeding farms at short notice. It also requested detailed data on leech collection, destination of the specimens collected, sale prices, and initiatives to promote both the natural and the artificial breeding areas.Footnote ⁸³

The information and the data obtained from the Junta de Farmacia, the Junta Auxiliar Consultiva de Gobernación, the Junta Directiva de Salud Militar, the Junta de Aranceles, the Sociedad Económica Matritense, and the provinces proved the rise in prices ‘to an exorbitant level’;Footnote ⁸⁴ there had been decrease in leech reserves and a reduction, though qualified as nonsignificant,Footnote ⁸⁵ of revenues from tariffs, which only amounted to 106,510 reales between 1827 and 1839. As if these arguments were not enough to adopt protectionist measures, the First Carlist War (1833–1840) provided the ultimate reason for the Spanish Government to react, fearing a shortage of leeches in military hospitals, ‘where their absence jeopardizes the life of courageous warriors who have shed their blood for a just cause’Footnote ⁸⁶. Thus, in July 1839 the Government informed the Dirección General de Aduanas (General Directorate for Customs) of the express prohibition of exporting leeches from the territory of Spain and its adjacent islands.Footnote ⁸⁷

However, the prohibition only remained in place between 1839 and 1840, and even during this period French customs statistics recorded the import of 61,400 specimens from Spain. The two countries vigorously resumed their trade relations in 1841. In fact, the available statistics show, from that year onwards, a notable increase in leech exports from Spain to France, a trend that continued during the subsequent decade, with 1842 as the year in which a maximum of 2.6 million leeches exported to France was reached.Footnote ⁸⁸

During the 1840s, with the intensification of leech harvesting and new tensions on the resource imposed by the market, the references to bad management and overexploitation, especially on the part of French traders and distributors, multiplied across the country. Thus, in the Diccionario geográfico–estadístico–histórico de España y sus posesiones de ultramar (1845–1850), promoted by the minister of Finance, Pascual Madoz, several entries denounced the situation. In Aldea de San Miguel (Valladolid), for instance, there was evidence of how in the last few years ‘great use’ had been made of a water deposit because of the abundance of leeches, and of how, for this reason, ‘its stock has been destroyed’.Footnote ⁸⁹ In Cabestany (Lleida), it was reported that ‘at the beginning of this century, many top-quality leeches (were bred here); now they are entirely gone’.Footnote ⁹⁰ The same happened in Xinzo de Limia, near the lagoon of Antela (Ourense), where leeches were not collected anymore ‘in the same amount as in the past’,Footnote ⁹¹ or in Moncortes (Lleida), where the French had ‘made them disappear for the most part’.Footnote ⁹² Something similar occurred in Miño de Medinaceli (Soria), where people regretted the reduction in the population of leeches: ‘in the large lagoon where top-quality leeches bred, although the amount has been greatly reduced by the massive harvesting carried out by the French for the benefit of their country’.Footnote ⁹³ A claim that is repeated in the description of a lagoon near the city of Soria reads: ‘abundant in fine leeches…although their number has considerably diminished after the intensive harvesting carried out for the benefit of the neighbouring kingdom of France’.Footnote ⁹⁴

However, from the 1850s onwards, the Spanish–French trade balance was reversed, and Spain became a loss-making country, compared with France ( Figure 4 ). In fact, between 1850 and 1856, the total number of leeches imported by France amounted to 63.5 million, from which hardly more than half a million came from Spain ( Figure 2 and Figure 3 ). In contrast, during the second half of the century the number of specimens imported from France started to grow, reaching 650,000 in 1853, while only 17,000 specimens were exported, and the balance was negative thenceforward.

This took place in a context where the Spanish demand for leeches seemed to increase. The medical use of leeches had transcended the traditions of the popular classes and was now common to all social strata. Various bidding procedures were published in the Gaceta de Madrid, providing information on the main areas of demand for medicinal leeches, including civilian and military hospitals, prisons, charity and philanthropy centres, emergency shelters, etc. For instance, the Junta Provincial de Beneficencia (Provincial Charity Board) tendered the provision of 400,000 leeches for the annual consumption of the provincial hospital of Valencia in 1866.Footnote ⁹⁵ On the other hand, the Junta Consultiva de la Armada (Navy Advisory Board) also called a tender for the supply of leeches and containers to Spanish warships.Footnote ⁹⁶ The terms and specifications of biddings for different supplies for prisons also included these animals as a necessary input among others requested by nursing and medicine departments.Footnote ⁹⁷ Something similar happened with the provision of annelids to the provincial charity centres or emergency shelters,Footnote ⁹⁸ for which specific tenders were called. For instance, the auctions conducted by the Junta Provincial de Beneficencia in 1854 and 1867 prove that the consumption of leeches in the provincial charity facilities of Madrid amounted to 54,000 specimens per year.Footnote ⁹⁹ As proved by public tender documents, the consumption of leeches for medicinal purposes in Spain continued to be relatively high until the 1860s. This trend is explained by the delayed dissemination and generalization of new scientific knowledge, which consigned the use of this medical resource to the past.Footnote ¹⁰⁰

In summary, the use of leeches in medical establishments and charity centres was common at the end of the period of analysis. Against the opinion of the medical literature, which indicates that clinical trials conducted during the cholera epidemic of 1832 in France had put a stop to the use of leeches as the optimal therapy,Footnote ¹⁰¹ Z. Manget – the main doctor working in the charity centres of Paris – pointed to the opposite. In fact, in July 1855, based on the experience acquired during the various cholera epidemics recorded between 1849 and 1855, Manget published a series of instructions where he still recommended the application of ‘twelve to 15 (sic) leeches’ when the first symptoms of the disease appeared (prodromic period), as well as to control secondary reactions such as brain, lung, or intestinal congestion.Footnote ¹⁰² The leaflet – published under the title Sencillo formulario para el uso de las hermanas de la Caridad y de las personas encargadas momentáneamente de asistir a los coléricos (Simple questionnaire for the use of the Sisters of Charity and the persons momentarily responsible for looking after cholera patients) – was directly sent to the president of the Spanish Council of Ministers, General Espartero, to be translated and fully published in the Gaceta de Madrid. Footnote ¹⁰³ In other words, even though from the second third of the 19^th century scientific, research works alerted against the use of leeches to cure all kinds of diseases or discomforts, French and Spanish public institutions were still recommending it, thus contributing to the continuous dissemination of this practice and to the increase in demand for these animals in the market.

From commercial dependence to technological response

The above-described overexploitation of the resource, together with the increase in domestic demand, motivated the search for technological solutions to increase the productive capacity of natural breeding areas. Thus, the public administration promoted the construction of breeding farms, which was not easy, considering the numerous technical difficulties. In fact, during the 19^th century, there was a widely spread belief that hirudiculture could never be a successful venture. There are many French and Spanish testimonies describing the challenges of breeding leeches in captivity:

This task involved an additional problem, that of the numeric concentration of leeches favouring the attacks of natural enemies: shrews, hedgehogs, water–rats, and various waterbirds.Footnote ¹⁰⁵ Furthermore, the literature of that period refers to predator attacks that actually stopped production. For instance, 200,000 leeches were eaten by a flock of birds near Paris.Footnote ¹⁰⁶ Adversities such as bad weather conditions, high construction, feed and conservation costs, or possible external attacks explain the obstacles faced by the industry. However, these problems were insufficient in the face of the incentives offered by the high prices of leeches on the international market.

In summary, despite the difficulties (ie, shortage of the resource, high demand for it, and intense international trade), hirudiculture, as it initially emerged in France and was promoted by Broussais’ theories,Footnote ¹⁰⁷ also appeared as an interesting business opportunity in Spain. Blanco Fernández provided some data supporting this argument when he wrote ‘(the business) will always multiply by seven and a half every real invested per year. Thus, in a speculative investment of 2,000 rs (reales), the profit will be 15,000 rs’.Footnote ¹⁰⁸ It was therefore only natural for the press to publicise, as early as in 1830, this type of initiative. For instance, it publicised that of a trader from Württemberg who built a large pond to provide leeches to everyone in town, hoping his project would be replicated by other landowners in the area. These controlled production activities provided considerable revenues to the entrepreneur and stimulated the supply of leeches in a context of overexploitation and rising demand.Footnote ¹⁰⁹

With the same purpose of promoting leech breeding initiatives, some institutions called for improvement of the reproduction of these invertebrates, as did the Sociedad Económica de Amigos del País de Valencia (Economic Society of Friends of the Country of Valencia) when, in 1846, it created an award for those who ‘use a wetland area exclusively for the breeding of leeches, of the best kind deemed to inhabit the surroundings of the Júcar river and the Albufera region, and prove to have obtained 1,000 of those in the course of three years, or earlier if possible’.Footnote ¹¹⁰ Likewise, the Sociedad Económica de Amigos del País de Jerez de la Frontera (Economic Society of Friends of the Country of Jerez de la Frontera), in the province of Cádiz, held an exhibition on a private initiative that claimed to have produced leeches in an artificial breeding area, something evidenced by a laying of eggs from which 80 to 100 specimens were born.Footnote ¹¹¹

This interest was also encouraged by the official provincial gazettes, which also disseminated knowledge on leech breeding. An interest example is found in the Boletín Oficial de la Provincia de Ourense (Official Journal of the Province of Ourense), which devoted four pages to review the work by Augusto Jourdier La pisciculture et la production des sangsues, published in 1858 and recently translated into Spanish.Footnote ¹¹² Moreover, the journal affirmed that Spain was dependent on foreign exports when it would actually be much easier and less costly to breed and multiply the population of leeches in our country. To illustrate this, the most relevant sections of the above-mentioned book, concerning the choice of the soil, feed, and hygiene to be provided, the best environments for reproduction, or the greatest challenges encountered, were quoted. The invitation of the journal was very clear:

In the public interest, the need to advance this industry through the construction of new facilities was shown. The very translation of the work by Jourdier (1858), together with the public administration’s publication of other training materials on leech breeding, such as those written by Blanco Fernández upon proposal of the Real Consejo de Agricultura, Industria y Comercio, show the general interest in advancing knowledge concerning this industry and in supporting the increase of its production capacity.Footnote ¹¹⁴ In the French-led context characterised by the search for technological solutions, a new production system was actually developed in Spain by González de Soto, the Spanish royal counsellor for Agriculture.Footnote ¹¹⁵ All these sources indicate that the level of knowledge about the life cycle and characteristics of leeches during the high-demand period was high. In this sense, the fact that knowledge was available on the hermaphrodite nature of these animals and on their reproduction process facilitated the development of new technological solutions.Footnote ¹¹⁶

With the same spirit, in October 1853. the Gaceta de Madrid announced ‘a wonderful discovery that, if true, as we expect it to be, is called to be of great service to the human species’. A French farmer had ‘very successfully’ found a way to multiply the population of medicinal leeches by feeding the babies with living animals.Footnote ¹¹⁷ This article was interesting also because it described the situation of the industry in Spain during the second half of the 19^th century and how it had negatively evolved within a short period of time:

During the 1870s the search for solutions accelerated, albeit without relevant results. New initiatives kept emerging for the purpose of promoting artificial breeding. In 1861, the establishment of a breeding farm near the city of Avila, which used the water of the river Grajal, was authorized.Footnote ¹¹⁹ A similar experience to the one reported in the town of Aluche (Madrid) in 1863 ensued, in which a large breeding farm was to be built using ‘a procedure as yet unknown’ in Spain.Footnote ¹²⁰ At the beginning of the 1860s, a patent for a breeding and species improvement system by Augusto de Saint Phar, a resident of the town of Marseille,Footnote ¹²¹ was also approved. This patent, with a duration of fifteen years, was granted for the preparation of special meadows irrigated with living and flowing water in which to carry out selective breeding of leeches from crossbreeds of different species, which would be fed ‘daily with blood of all kinds of livestock grazing in those same meadows’.Footnote ¹²²

Unfortunately, these initiatives – which were exclusively meant to guarantee the supply of this medical resource – were implemented during the last quarter of the 19^th century. This was too late, because the decline in the use of leeches for medicinal purposes was by then increasingly evident. From then until now, the application of leeches, though not infrequent, has been marginal.

With the passage of time, scientific advances made it possible, as from 1884, to study in laboratories the medical properties that made the application of those annelids suitable for therapeutical procedures. They also enabled the isolation and use of the anaesthetic, anticoagulant, vasodilator, and antimicrobial substances that leeches generated, without the need to actually place leeches on patients.Footnote ¹²³ From then onwards, research works, their applications, and possibilities have multipliedFootnote ¹²⁴ from different perspectives,Footnote ¹²⁵ leaving direct use as an ever-decreasing residual practice.Footnote ¹²⁶

In brief, the leech fever that spread across Europe during the 1820s, with its epicentre in France, lost momentum as the turn of century approached, until it almost disappeared from regular medical practice, putting an end to the significant trade relations that developed between European countries over several decades.