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Introduction - Uppsala Monitoring Centre

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disease of the remedy’, a forerunner of pharmacovigilance (see table<br />

at end of the book).<br />

1811 Hahnemann’s thesis ‘Medical historical dissertation on the Hellebore<br />

veterum of the ancients’ gave the uses as: chronic and hemicranial<br />

headache, mania, melancholy, dropsy without fever, epilepsy,<br />

paralysis, longstanding gout, diseases of joints, inflammation of the<br />

liver, chronic jaundice and odd affections of the trachea.<br />

The ADR of Hellebore album were: vomiting, suffocation, face<br />

swells, tongue protrudes, face excessively red, the voice goes,<br />

delirium, hiccough, cramps (calves, hands and muscles of<br />

mastication), excess weakness, pulse almost extinct, thirst, syncope,<br />

loss of consciousness, loss of vision, stammering, mind deranged,<br />

precordial burning, profuse sweat and sneezing. These are fewer<br />

than he gives in his provings.<br />

A famous English physician, John Coakley Lettsome, (1744–<br />

1815) founded the London Medical Society in 1773. He was the butt<br />

of a poem:<br />

‘Whatever patients come to I<br />

I physics, bleeds and sweats ‘em<br />

If after that they choose to die<br />

What’s that to me, I Lettsom.’<br />

Expelling bad humours still remained a strong philosophy.<br />

1813 ‘De l’influence de l’émétique sur l’homme et les animaux’; mémoire lu<br />

à la première classe de l’Institut de France, le 23 août 1813 et suivi<br />

du rapport fait à la classe (Lecture given by F Magendie) par MM.<br />

Cuvier, Humboldt Pinel et Percy Paris : Crochard, 1813. [The<br />

influence of the emetic on man and the animals; dissertation read to<br />

the first class at the Institute of France the 23 rd August 1813 and<br />

followed with an account made to the class].<br />

Antimony given in large doses: ‘enormous evacuations both up<br />

and down with atrocious pain, convulsions, dyspnoea, haemorrhage,<br />

swelling of the lower abdomen, inflammation, erosion and gangrene<br />

of the stomach and the intestines and which finishes by death<br />

…Devouring heat and wrenching in the region of the epigastrium,<br />

switching from syncope to convulsive agitation followed closely by<br />

violent vomiting of frothy yellow matter and sometimes mixed with<br />

streaks of blood… frequent fainting fits and painful cramps in the<br />

legs.’<br />

1814 ‘Treatise on Gonorrhoea virus and Lues Veneris’ by Benjamin Bell<br />

first reported ‘eczema mercuriale as well as purgation, nausea and

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