Secret remedies : $b What they cost and what they containBritish Medical Association
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Secret remedies : $b What they cost and what they contain
British Medical Association
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I want, if possible, the patient to use his own
endeavours to try and keep off alcohol during the first
few days of treatment; if this cannot be done, then the
treatment must be commenced when the patient is not
drinking, in order to give the medicine a better hold
on the system. The dislike for alcohol, which we claim,
does not come on all at once.
The eight days’ treatment is enough to show you that
it will do good, but not sufficient in this case to
effect a permanent cure. I would advise the patient to
continue for at least a month to six weeks.
This is somewhat widely at variance with the statements quoted above.
“You continue to take your daily modicum of alcohol” and “you will be a
free man within a week.”
The one guinea “treatment” consisted of 2⅙ fluid ounces of a liquid of
the nature of a vegetable fluid extract.
The directions were:
Half a teaspoonful to be taken in a little water every
four hours during the day at 10, 2, 6, and 10 o’c.
Analysis showed this to contain 29·3 per cent. by volume of alcohol
and 2·3 per cent. of alkaloid, which consisted principally of quinine.
The liquid agreed generally with a diluted liquid extract of cinchona;
the amount of alkaloid was just under half what is contained in the
official liquid extract of cinchona. Treatment with suitable solvents
extracted a trace of a non-alkaloidal bitter substance resembling the
bitter substances obtainable from quassia, chiretta, &c.; a preparation
of chiretta appeared to be the more probable. No strychnine was
present, and no evidence was obtained of any other ingredient.
SOME OTHER DRUG CURES FOR INEBRIETY.
A somewhat frequent constituent of preparations for the treatment of
inebriety is atropine, while other preparations contain one or more
of the alkaloids belonging to the same group, usually known as the
solanaceous alkaloids from the fact that they are all derived from
plants of the nat. ord. _Solanaceae_. These alkaloids closely resemble
each other in their chemical nature and in their pharmacological
properties; the principal members of the group are:
Atropine, C₁₇H₂₃NO₃; obtained chiefly from _Atropa
belladonna_ (deadly nightshade) and _Scopola
carniolica_.
Hyoscyamine, C₁₇H₂₃NO₃, obtained chiefly from
_Hyoscyamus niger_ (henbane) and _Scopola_
species.
Hyoscine, or scopolamine, C₁₇H₂₁NO₄, obtained chiefly
from _Scopola_ species, _Hyoscyamus niger_,
and _Datura alba_.
The two following were originally described as separate substances, but
have more recently been shown to consist of mixtures:
Duboisine, obtained from _Duboisia myoporoides_,
consists chiefly of hyoscyamine and hyoscine.
Daturine, from _Datura stramonium_ (thornapple)
consists chiefly of hyoscyamine, with a variable
proportion of atropine.
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