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Introduction - Uppsala Monitoring Centre

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1770 Van Swieten (1700-1772) had 4,880 registered cases of syphilitic<br />

patients treated orally with 0.1% mercuric chloride (corrosive<br />

sublimate).<br />

1771 Albrecht Van Haller (1708-1777) published the ‘Pharmacopoeia<br />

Helvetica’ and wrote on testing new drugs: ‘In the first place the remedy<br />

is to be tried on the healthy without any foreign substances mixed with it.<br />

Having been examined as to its colour and taste, a small dose is taken,<br />

and the attention directed to all effects which thereupon occur: such as<br />

pulse, the temperature, the respiratory, the excretion. Having thereby<br />

adduced their obvious phenomenon is healthy you may pass to<br />

experiments upon the sick body.’ (Earles, 1961).<br />

1773 The journal ‘Medical and Philosophical Commentaries’ launched in<br />

Edinburgh, containing abstracts of books relevant to clinicians. In<br />

1796 it became the ‘Annals of Medicine’ and in 1805 it became the<br />

‘Edinburgh Medical and Surgical Journal’ and later ‘The Edinburgh<br />

Medical Journal’.<br />

‘There is an axiom in physic, which says, that all good medicines are<br />

dangerous: like instruments of surgery, the better they are, the more<br />

easily will they destroy the patient, in the hands of an unskilful<br />

operator.’ (James, 1773).<br />

1774 De Malon in his book ‘Preserver of the blood: or bleeding<br />

demonstrated to be always pernicious, and often mortal’ said<br />

‘Whereas bleeding destroys one fourth of the sick in general’ (p57)<br />

...’and its martyrdom is much the longest in the rolls of physic’ (p61)<br />

‘bleeding is necessary in no kind of disorders, whatever, since we<br />

have instances of all sorts of diseases cured without its aid.’ The tide<br />

is turning against bleeding.<br />

In the Pharmacopoia Reformata the author ‘MS’ said ‘No new<br />

medicine how strongly recommend so be, receive the solemn<br />

sanction of the college (Royal College of Physicians, London) before<br />

its real worth be duly enquired into.’ (Earles, 1961).<br />

1775 Presence of albumin in urine was demonstrated by Cotugno<br />

(Cotugno, 1775; Rayer, 2005).<br />

1775 Thomas Withers of Edinburgh wrote ‘Observations on the misuse of<br />

medicaments’ where he criticizes the abuse of bleeding, emetics,<br />

purging, sudorifics, stimulants, mercury, opium, tea, coffee, and bark.<br />

He mentions only these two drugs.<br />

1776 ‘Histoire des plantes vénéuses de la Suisse’ Contenant leur<br />

description, leurs mauvais effets sur les hommes et sur les animaux,

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