n. a physician. (Derogatory. From butcher.) : The butch at the infirmary was no help at all.
mod. virile and masculine. (In a homosexual context.) : Really, Clare. How butch!
Dictionary of American Slang and Colloquial Expressions by Richard A. Spears.Fourth Edition. Copyright 2007. Published by McGraw Hill.
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Word Origin & History
butch
"tough youth," 1902, first attested in nickname of outlaw George Cassidy, probably an abbreviation of butcher. Sense of "aggressive lesbian" is 1940s.