{"id":34488,"date":"2015-06-19T16:46:51","date_gmt":"2015-06-19T15:46:51","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=34488"},"modified":"2015-06-19T16:46:51","modified_gmt":"2015-06-19T15:46:51","slug":"jeffrey-aronson-when-i-use-a-word-the-story-of-ough","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/19\/jeffrey-aronson-when-i-use-a-word-the-story-of-ough\/","title":{"rendered":"Jeffrey Aronson: When I use a word . . . The story of ough"},"content":{"rendered":"<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-32935\" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg\" alt=\"jeffrey_aronson\" width=\"155\" height=\"209\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson-223x300.jpg 223w, https:\/\/blogs.bmj.com\/bmj\/files\/2014\/12\/jeffrey_aronson.jpg 446w\" sizes=\"auto, (max-width: 155px) 100vw, 155px\" \/><\/a>Violet Elizabeth\u2019s \u201ccroth-word puthle,\u201d composed for William to solve in Richmal Crompton\u2019s <em>William\u2014In Trouble<\/em> (picture further below), contains two three lettered words crossing at the centre letters. The first clue is \u201cWot you hav dropps of\u201d and the answer, of course, is \u201cCOF.\u201d Violet Elizabeth can\u2019t have been the only child to have been troubled by the spelling of words that end in -ough, and one suspects that not a few foreigners have been puzzled too.<\/p>\n<p>The allograph (grapheme variant) &lt;gh&gt; is one of seven that can represent the phoneme \/f\/, the <a href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/12\/jeffrey-aronson-when-i-use-a-word-medical-logos\">others<\/a> being &lt;f&gt; and &lt;F&gt;, &lt;ff&gt; and &lt;Ff&gt;, &lt;ph&gt; and &lt;Ph&gt;. But the pronunciation of &lt;gh&gt; depends on its origin. In some loan words, Ghon tubercles (Czech) and Malpighian corpuscles (Italian) for instance, it is pronounced like a hard <em>g<\/em>. And in the name of the town Keighley it is pronounced <em>th<\/em>. But most of the time it isn\u2019t pronounced at all.<!--more--><\/p>\n<p>To understand &lt;gh&gt; we have to start with the velar fricative phoneme represented by the grapheme &lt;x&gt;, which is pronounced like the <em>ch<\/em> in loch. In Middle English it was represented by the letter <em>h<\/em> (<a href=\"http:\/\/www.independent.co.uk\/arts-entertainment\/books\/news\/listen-beowulf-opening-line-misinterpreted-for-200-years-8921027.html\">hwaet!<\/a>), but this was later replaced by <em>ch<\/em>. This form persists, for example, in Scots words such as bricht and sicht, and we see it in the name of the Swedish bacteriologist <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/18143039\">\u00d6rjan Ouchterlony<\/a>, who invented the agar gel double immunodiffusion technique for identifying antibodies and antigens, such as immunoglobulins. In English the <em>ch<\/em> became <em>gh<\/em>, and the sound disappeared, especially after the vowel sounds i (Bright\u2019s disease), ai (straight), ei (overweight), au (daughter), and ou (see below). In the M\u2019Naghten Rule the gh is also silent, but the more usual spelling of the name would be McNaughten, which means son of Neachdainn, an old Celtic name.<\/p>\n<p>The pronunciation of -ough is highly varied. First, there are seven standard British English pronunciations, in five of which the <em>gh<\/em> is silent:<br \/>\nAw, as in bought, brought, and fought.<br \/>\nOh, as in dough, furlough, and though.<br \/>\nOo, as in brougham and through.<br \/>\nAow, as in bough, drought, and plough.<br \/>\nUh, as in borough and thorough.<br \/>\nOff, as in cough and trough.<br \/>\nUff, as in enough, rough, and tough.<\/p>\n<p>Some of these can be pronounced in more than one way. Slough (sluff) is dead tissue in a wound, slough (sloh or slaow) is a marsh, and Slough (slaow) is the English town on which John Betjeman wanted friendly bombs to fall.<\/p>\n<p>Then there are two Scots and Irish pronunciations: Ohh as in loch (for example,\u00a0hough, lough, and ough) and Oohh, as in sough and through-stane.<\/p>\n<p>Finally, there are rare words in which -ough is an alternative spelling: Ug, as in oughly (= ugly, used by Milton in <em>Comus<\/em>); Og, as in shough (= shock); and Ok, as in hough (= hock). The -og and -ok pronunciations arise because the English have difficulty in pronouncing \u201cohh.\u201d For example, for Bach they say \u201cBahk\u201d or \u201cBark\u201d, although they may just be deriding Dr Edward Bach\u2019s flower essences, which disappointingly <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20734279\">lack efficacy<\/a>.<\/p>\n<p>That makes 12 pronunciations in all, and there is a thirteenth: <em>up<\/em>, which comes from a misspelling\u2014hiccough\u2014even though a hiccup is no kind of cough.<\/p>\n<p><a href=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/aronson_william.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft wp-image-34490 \" src=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/aronson_william-200x300.png\" alt=\"aronson_william\" width=\"177\" height=\"266\" srcset=\"https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/aronson_william-200x300.png 200w, https:\/\/blogs.bmj.com\/bmj\/files\/2015\/06\/aronson_william.png 325w\" sizes=\"auto, (max-width: 177px) 100vw, 177px\" \/><\/a>What was in Violet Elizabeth\u2019s cough drops? The William books first appeared in the 1920s, and we can find out what contemporary cough drops contained by consulting the BMA\u2019s publication <em><a href=\"http:\/\/www.bmj.com\/content\/339\/bmj.b5415\">Secret Remedies<\/a><\/em> (1909). Reichel\u2019s Cough Drops, for instance, smelled and tasted of arnica, pimpinella, and anise. Dr Lauser\u2019s Cough Drops, a liquid formulation, contained, not what it said on the bottle, but liquorice, senna, aniseed, and ammonium chloride. Beecham\u2019s Cough Pills had similar contents plus a small amount of morphine, and Keating\u2019s Cough Lozenges contained morphine, liquorice, and ipecacuanha. Ough!<\/p>\n<p>And the other clue in Violet Elizabeth\u2019s puzzle? \u201cThe oppossit of cat.\u201d No prizes.<\/p>\n<p><em><strong>Jeffrey Aronson<\/strong> is a clinical pharmacologist, working in the Centre for Evidence Based Medicine in Oxford&#8217;s Nuffield Department of Primary Care Health Sciences. He is also president emeritus of the British Pharmacological Society.<\/em><\/p>\n<p>Competing interests:\u00a0None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Violet Elizabeth\u2019s \u201ccroth-word puthle,\u201d composed for William to solve in Richmal Crompton\u2019s William\u2014In Trouble (picture further below), contains two three lettered words crossing at the centre letters. The first clue [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2015\/06\/19\/jeffrey-aronson-when-i-use-a-word-the-story-of-ough\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5762],"tags":[],"class_list":["post-34488","post","type-post","status-publish","format-standard","hentry","category-jeff-aronsons-words"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Jeffrey Aronson: When I use a word . . . 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