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Introduction - Uppsala Monitoring Centre

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emarked that it was a violent medicine. Parkinson commended it in<br />

1640. However, this was not the first account of the benefits of<br />

digitalis (see 1765). Withering wrote on the 1 st July 1785 whilst Dr<br />

Simmons of the Westminster General Dispensatory wrote in the<br />

London Medical Journal, Volume 2, on the 11 th March 1785 ‘An<br />

account of the effects of Digitalis Purpura in dropsy’ ‘Without its<br />

seeming to be of much efficacy Digitalis purpura ranks among<br />

poisonous plants, and may, if indiscreetly administered produce<br />

alarming and even fatal effects’, but went on to say his patient<br />

passed 9 pints of urine. A letter from a Dr John Warren in reply said<br />

a trial of the virtues of this medicine about six years ago in a patient<br />

with anasarca 148 , ascites and hydrothorax produced in 36 hours<br />

nearly seven gallons of urine and was perfectly cured, but had a<br />

great deal of nausea and frequent attempts to vomit.<br />

Observations on the use of opium in removing symptoms supposed to<br />

be owing to morbid irritability (1785) by Alexander Grant, Senior<br />

surgeon of His Majesty’s Military Hospitals during the late war in North<br />

America (1779). He used opium in cases of syphilis where mercury<br />

was not working. ‘a tremor, which sometimes came on never obliged<br />

me to decrease the dose unless the bowels were disposed to be<br />

costive…. Except sometimes a giddiness… pulse decreased to<br />

between forty and fifty strokes per minute…. On the second or third day<br />

with some headache… with some diarrhoea. Increased secretion of<br />

saliva is not uncommon as well as urine.’ (Grant, 1785).<br />

First documented medical use of the word ‘placebo’ which means ‘A<br />

common place method or medicine’ in the ‘New Medical Dictionary,<br />

and general repository of physick containing an explanation of the<br />

terms and a description of the various particulars.’ 2 nd edition.<br />

(Motherby, 1785).<br />

1786 An experimental inquiry into the properties of opium, and its effects<br />

on living subjects: with observations on its history, preparations and<br />

uses. Being the disputation which gained the Harveian Prize for ...<br />

1785 by John Leigh, Edinburgh: C. Elliot, 1786. ‘I prevailed on a<br />

healthy man to take 15 drops of it in a short space of time and it<br />

began to operate and brought on such a vomiting as deterred me<br />

from making further experiments of this nature.’ He tried opium in his<br />

own eye and it gave him very severe pain lasting for 5 minutes.<br />

148 Anasarca = generalised massive oedema

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