On chloroform and other anæsthetics: their action and administrationSnow, John
History
On chloroform and other anæsthetics: their action and administration
Snow, John
Anesthetics; Chloroform; Snow, John, 1813-1858
The reason, no doubt, was that the statement these passages contain was
looked upon as a vulgar error of the period, which had imposed on the
credulity of the authors. Dr. Woodville,[9] speaking of the use of
mandragora by the ancients, says, “They employed it principally in
continued watchings, and in those more painful and obstinate affections
which were found to resist less powerful medicines.” He gives, in a foot
note, a reference to the place in Dioscorides from which the passages
above quoted are taken, and had he believed in the performance of
operations without pain, we may conclude he would not have passed over
so important a fact in silence.
With the knowledge we at present possess, however, a different view must
be taken of the subject; and it must at least be allowed that the
statements of the ancients had some foundation in truth. This is
rendered more certain by the circumstance that atropa mandragora belongs
to the same genus as belladonna, which has a greater power in annulling
the common sensibility than any plant in present use, unless it be
aconite. The loss of reason, described by Dioscorides as caused by
mandragora, is a striking symptom of poisoning by the class of plants
(the solanaceæ) to which it belongs. It appears from some remarks of
Aretæus[10] and Cælius Aurelianus[11] that people were in the habit of
taking mandragora as an inebriating agent in the time of the ancients,
as an allied plant, the datura, is used at present by the natives of
India. This practice would lead to a correct knowledge of the quantity
which might be taken with impunity.
The mandrake is scarcely used in medicine at present, but its narcotic
properties are well established. Hoffberg[12] administered the root in
doses of three grains in some cases of gout, with the effect of
relieving the pain.
Cases of poisoning by belladonna end, with very few exceptions, in
recovery, however large the dose, and however alarming the symptoms may
be; and, taking all the above circumstances into account, it is
probable, that after ascertaining the right quantity to be administered
for the purpose, this medicine or mandragora might be used, with
considerable success, and no great danger, to prevent the pain of
operations, if chemistry had not supplied us with agents much more
convenient.
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