The Propaganda for Reform in Proprietary Medicines, Vol. 2 of 2Council on Pharmacy and Chemistry (American Medical Association)
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The Propaganda for Reform in Proprietary Medicines, Vol. 2 of 2
Council on Pharmacy and Chemistry (American Medical Association)
Patent medicines
The introduction of hypophosphites into medicine was due to an
erroneous and now discarded theory as to the cause of tuberculosis of
which one Dr. J. F. Churchill of London, and later of Paris, was the
promulgator and propagandist.[92] This theory was that the so-called
“tuberculosis diathesis” was due to a deficiency of phosphorus in
the blood. Believing that the hypophosphites, while nontoxic, were
capable of further oxidation in the organism, Churchill recommended
them as the best means of supplying the supposedly lacking phosphorus.
It is now known that tuberculosis is not due to a deficiency of
phosphorus. Of more importance is the fact, now known, that little
phosphorus, if any, is assimilated from the hypophosphites--far
less than from phosphorus compounds of ordinary food.[93] There is
no justification for giving hypophosphites for the sake of their
phosphorus content. For various reasons, however--partly from force of
habit and partly because of the power of advertising--many physicians
still prescribe hypophosphite preparations, and consequently, they
are still included in the Pharmacopeia and in textbooks on materia
medica and therapeutics. They are put out in the form of “specialties”
and of proprietary preparations, and are lauded extravagantly by the
manufacturers of the latter.
[92] Churchill, J. F.: De la cause immédiate et du traitement
spécifique de la phthisie pulmonaire et des maladies tuberculeuses,
Paris, 1858.
[93] The Hypophosphite Fallacy, J. A. M. A., April 25, 1914, p. 1346.
Although the overwhelming weight of evidence was against the
probability that the hypophosphite preparations are of value as
therapeutic agents, the Council thought it well to investigate the
subject. Dr. W. McKim Marriott of Baltimore was therefore requested to
review the evidence for and against the therapeutic usefulness of the
hypophosphites and to conduct such experiments as seemed necessary. His
report has already appeared in The Journal.[94]
[94] Marriott, W. McKim: The Therapeutic Value of the Hypophosphites,
J. A. M. A., Feb. 12, 1916, p. 486.
Dr. Marriott found that nine observers (Paquelin and Joly, Vermeulen,
Boddaert, Massol and Gamel, Panzer, Delaini and Berg), who endeavored
to test the alleged utilization of the hypophosphites in the organism,
reported that there is complete, or practically complete, elimination
of hypophosphites in the urine, with little or no effect on the body.
Only one experimenter (Patta) claimed that a considerable amount
of ingested hypophosphite was retained in the body; however, he
used a method now known to be inaccurate and made obvious errors in
calculation, so that his conclusions were unwarranted.
Since the evidence was even to this extent contradictory, Marriott
performed a series of experiments. The methods of this study and
details of results are described in his paper, in which he also
discusses the experiments of some other observers. Marriott writes:
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