Medicine spoons, such as this white example, were used to measure out doses of liquid medicines. The leaf-shaped moulded decoration at the bottom of the handle gives the spoon stability. Medicine spoons were popular during the 1800s and were generally ceramic (like this one) or pewter. Some had a half cover to prevent the medicine spilling over the sides. 

This spoon is in good shape. Some of the gold trimming has wear. This item is old and has been used and is not perfect but in good condition.Please see photos for condition.