Observations on antimony: Read before the Medical Society of London, and published at their request — John Stuart Mill — John Shaqi
Observations on antimony: Read before the Medical Society of London, and published at their request
John Stuart Mill · en
The opinions of different authors on this subject have not been more
various than those of the same person at different times. In the year
1737 Dr. Huxham asserts, without reserve, that no medicine is more safe
or more efficacious than Vinum Benedictum, which, from a supposition
of its possessing all the powers of this mineral, he calls essence of
antimony[65]. But after almost twenty years further experience, he
declares, whoever would give antimony with safety and success, should be
well acquainted with its analysis and component principles, and should
know what different combinations, preparations, and doses, will effect,
otherwise it may prove a poison instead of a remedy[66].
From what has already been advanced, it will not be difficult to account
for these contradictory reports. Different specimens of antimony when dug
out of the mines are not made up of the same component parts; and it is
so changed by fusion, that different pieces of the same lump are not of
equal virtue[67]. There are few antimonial preparations which may not
be made by various processes, none of which can be conducted with such
accuracy as uniformly to produce a medicine of invariable strength, and
their operation is rendered yet more precarious by their combination with
a variety of humours, food, drink and medicines in the stomach.
But since no judgment can be formed from the opposite and contradictory
opinions of others, it may now be proper to mention the result of my own
experience and observation. In one instance, I have seen a dangerous
pleuritic fever, of seven days standing, accompanied with an incessant
cough, a hard, full, quick pulse, laborious breathing, and violent pain
in the breast, perfectly cured in a few hours by the use of antimonial
wine[68].
A dropsy of two years standing, occasioned by a tedious remitting fever,
and accompanied with an obstruction in the liver, which had withstood
the diligent application of a variety of medicines, under the direction
of several skilful practitioners, was cured in a few days by a medicine
which owed its efficacy to tartar emetic[69].
An obstinate dysentery, which had long resisted many other methods of
cure, was perfectly removed by two doses of the vitrum antimonii ceratum.
Encouraged by these signal instances of the efficacy of antimonial
medicines, and by the universal prejudice in their favour, I have used
them in many thousand cases, but never, even in slighter diseases with
the same success. When given with much attention and caution, they have
generally failed where milder medicines have proved effectual, and in
some instances they have been prejudicial.
In a recent dropsy and visceral obstructions occasioned by a remitting
fever, tartar emetic was prescribed not only without success, but with
an apparent aggravation of the symptoms, which were afterwards perfectly
removed by the use of Peruvian bark, snake-root and rhubarb[70].