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Introduction - Uppsala Monitoring Centre

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diarrhoea…If plentifully prescribed it requires to be well diluted with<br />

small liquor, it will cause a sweat.’ (King, 2001). This kind of mixture<br />

where the active salicylate would have been efficacious in fevers<br />

combined with seemingly irrelevant herbs might cause adverse<br />

interactions. Virginian Snake Root was used for the fever in the<br />

Great Plague of 1665, but it is difficult to find if it had any active<br />

principle. There were several different snake roots: Virginian, Indian<br />

and Chinese.<br />

‘Formulaire pour la préparation et l’emploi de plusieurs nouveaux<br />

médicaments, tels que la noix vomique, les sels de morphine, l’acide<br />

prussique, la strychnine, la veratrine, le sulphate de quinine, la<br />

cinchonine, l’émétine, l’iode, l’iodure de mercure, le cyanure de<br />

potassium, l’huile de croton tiglium, les sels d’or, les sels de platine,<br />

les chlorures de chaux, et de soude, les bicarbonates alcalins, les<br />

pastilles digestive de Vichy, l’écorce de la del racine de Grenadier,<br />

les préparations de phosphore, etc., etc.’ par F. Magendie. Imprint,<br />

Paris: Chez Méquignon-Marvis, 1927. [The formula for the<br />

preparation and the use of several drugs, such as nux vomica,<br />

morphine salts, prussic acid, veratrine, quinine sulphate, cinchona,<br />

emetine, iodine, mercuric iodide, potassium cyanide, croton, tiglium<br />

oil, gold salts, platinum salts, calcium and sodium chloride, the<br />

alkaline bicarbonates, Vichy digestive pastilles, root bark of<br />

pomegranite and phosphorus preparations, etc, etc.]<br />

1828 PCA Louis (1787–1872) of the Charité Hospital, Paris, showed that<br />

when patients were bled for pneumonia that the longer it was<br />

delayed the fewer deaths there were, but there were confounders<br />

and the sample was too small to be valid. (Louis, 1828; Wade, 1970;<br />

Morabia, 2006). He was one of the early enthusiasts for group<br />

comparisons where the subjects were to be taken ‘indiscriminately’,<br />

one group for treatment A and a similar sized group for treatment B.<br />

With groups of 500 he hoped that they would be similar in all other<br />

attributes ‘all things being equal’. He also hoped that the errors in the<br />

two groups would compensate each other (Morabia, 2006). This was<br />

an important step in the history of pharmacoepidemiology. Tröhler<br />

suggests that English physicians used numbers earlier and quoted<br />

John Graunt (1620-1674) who published Bills of Mortality for London<br />

from 1662 and gave rough life expectancies (Tröhler, 1978).<br />

Dr Schabel of Tübingen said, ’I have…long discarded hellebore.’<br />

Friedrich Wohler (1800–1882) synthesised urea, the first synthetic<br />

organic chemical and heralded the birth of the present

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