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Introduction - Uppsala Monitoring Centre

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Dose<br />

filthy; and much more after a berry of a bright shining black colour,<br />

and of such great beauty, as it were able to allure any such to eat<br />

thereof.’ He also said, ‘This kind of nightshade causes sleep,<br />

troubles the mind, brings madness if a few of the berries be inwardly<br />

taken, but if more be given they also kill and bring present death.’<br />

Opium: ‘It mitigates all kinds of pains: but it leaves behind it<br />

oftentimes a mischief worse than the disease itself, and that hard to<br />

be cured, as a dead palsy and such like.’<br />

Henbane (Hyoscyamus niger): ‘The leaves, seed, and juice taken<br />

inwardly cause unquiet sleep, like unto the sleep of drunkenness,<br />

which continues long and is deadly to the party... To wash the feet in<br />

a decoction of Henbane causes sleep, or given in a clyster it does<br />

the same; and as also the often smelling of the flowers.’<br />

1599 King James VI of Scotland issued a charter making provisions for the<br />

supervision of the sales of drug and poisons. The first inspector<br />

appointed was William Spang, who was responsible for approving<br />

‘droggis’ (drugs) offered for sale in the city of Glasgow. Letter of Gift by<br />

King James VI under his Privy Seal, whereby he granted full power to<br />

the chirurgians and professors of medicine within the city of Glasgow to<br />

examine all persons practising chirurgery, and to license such as<br />

should be found duly qualified; prohibiting such as do not hold the<br />

license of a university in which medicine is taught, or a license from the<br />

chirurgians of Glasgow, from practising in the city; prohibiting the sale<br />

of drugs in the city, except such as is sighted by the chirurgians, and<br />

prohibiting the sale of rat poison except by the apothecaries, who<br />

should be caution for the persons to whom the same was sold.<br />

Holyrood, 29 November 1599. (Acts of the Parliaments of Scotland,<br />

vol. viii, p. 184) (City of Glasgow, 1897).<br />

It was difficult to use the correct dose with herbs since there were several factors<br />

which were unknown: there were several varieties of many herbs, their active<br />

principles were not known, the active principles depended on when they were<br />

harvested, where they were grown and which part of the plant was used. Then the<br />

conditions of storage might affect the active principle. Where mixtures were used<br />

there could be problems of interactions between the ingredients. Since many<br />

mixtures contained powdered leaves, stalks and roots there was the possibility that<br />

one ingredient would come to the surface and another to the bottom. One of the<br />

purposes of the herbals, dispensatories and pharmacopoeias was to standardise<br />

their usage. The only safe way was to titrate the dose (Huxtable, 1990). When the<br />

margin between the therapeutic dose and the toxic dose is narrow it is said to have

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