Chronicles of Pharmacy, Vol. 1 (of 2)Wootton, A. C.
History
Chronicles of Pharmacy, Vol. 1 (of 2)
Wootton, A. C.
Pharmacy -- History
In 1769 Alphonse Leroy, of Paris, reported a curious experience. He was
sent for to a patient apparently on the point of death from phthisis.
Seeing that the case was hopeless, he prepared and administered a
placebo of sugared water. Calling the next day, Leroy found his patient
somewhat revived, and on examining the sugar which he had used for
his solution, he found that some phosphorus had been kept in it for
a long time. The patient was much too far gone to recover, but she
survived for fifteen days, and Leroy attributed this amelioration to
the phosphorised water which he had accidentally given her.
Gahn discovered phosphorus in the bones in 1768, and in 1779 another
German chemist named Hensing ascertained its presence in a fatty matter
which he extracted from the brain. Medical theories were naturally
based on these observations. Couerbe, a French chemist quoted by Dr.
Churchill, wrote thus in 1830:
“The want of phosphorus in the brain would reduce man to
the sad condition of the brute; an excess of this element
irritates the nervous system, excites the individual, and
throws him into that terrible state of disturbance called
madness, or mental alienation; a moderate proportion gives
rise to the sublimest ideas, and produces that admirable
harmony which spiritualists call the soul.”
British practitioners took but very little notice of phosphorus as a
remedy in the first century of its career, although it remained for a
large part of that period an English product.
It is rather curious, too, that neither in this country nor on the
Continent did it get into the hands of the empirics, as mercury,
antimony, and other dangerous drugs did. It may be supposed that it
was not so much the danger that checked them as the pharmaceutical
difficulties in the way of preparing suitable medicines. The earliest
preparations of phosphorus, such as Kunckel’s pills, were a combination
of it in a free state with conserve of roses. This method was gradually
abandoned on account of the difficulty of subdividing the phosphorus
so perfectly that the dose could be measured accurately. But as Dr.
Ashburton Thompson remarks,[3] “although it is not so specifically
mentioned, the uncertainty of action which imperfectly divided
phosphorus exhibits” had something to do with the rejection of the old
formulas. That is putting it very gently. The three-grain doses must
have killed more people than they cured. The author just quoted says
that in the early days “the dose employed seldom fell below 3 grains,
while it occasionally rose as high as 12 grains.” Even Leroy, he adds,
instituted his experiments by taking a bolus of 3 grains, and he did
not seriously suffer from it. The recommended dose has been regularly
declining. In 1855 Dr. Hughes Bennett gave it at one-fortieth to
one-eighth of a grain. The Pharmacopœia now prescribes one-hundredth to
one-twentieth of a grain.
THE HYPOPHOSPHITES.
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