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Introduction - Uppsala Monitoring Centre

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The UK House of Commons Select Committee on Adulteration of<br />

Food, Drinks and Drugs discussed adulteration of chloroform, opium,<br />

scammony, etc. (Abraham, 1995).<br />

1857 Claude Bernard wrote ‘Leçons sur les effets des substances toxique<br />

et médicamenteuses’ [Lessons on the effects of toxic and medical<br />

substances] in which he dealt with sulfocyanine de potassium<br />

(KCNS), oxide de carbone (CO) and curare. He tried the latter on<br />

rabbits, frogs and dogs, but said that it was innocuous by mouth<br />

(Bernard, 1857). Claude Bernard and Francois Magendie made<br />

great advances in the science of clinical pharmacology. Apparently<br />

early in his life he took a job with a pharmacist who had a ‘Theriac<br />

jar’ and whenever a drug fell into disuse it was added to the ‘Theriac<br />

jar’. The latter retained its therapeutic properties despite its ever<br />

changing contents.<br />

‘Notwithstanding the extreme subtlety of the aether, it is perfectly<br />

innocent and safe to take, as it contains nothing that is acrimonious<br />

or corrosive; so that it may be given even to the youngest children<br />

without hesitation. It neither purges nor vomits; nor does it increase<br />

any of the sensible evacuations, except that of urine, and sometimes<br />

that of sweat, if taken when in be; To apply it externally, you must<br />

procure a bit of linen rag, of such a dimension as to be conveniently<br />

covered by the palm of the hand; moisten this rag with a little of the<br />

aether as it lies upon your palm, and instantly apply it to the part<br />

affected, pressing it very close, so as to prevent the escape of its<br />

fumes, for two or three minutes. The general dose for a grown<br />

person is a common tea spoonful; and the best vehicle to take it in is<br />

a draught of cold water. If it be only stirred, in the water with the<br />

spoon, and the mixture drank immediately it strikes the nostrils by its<br />

volatility.’ (http://www.gutenberg.net) Title: An Account of the<br />

Extraordinary Medicinal Fluid, called Aether. (Matthew Turner;<br />

Crockett, 1857).<br />

1858 John Snow pointed out in ‘Chloroform and other anaesthetics’ that ‘in<br />

recorded cases of fatal inhalation of chloroform none of them have<br />

taken place in a gradual manner, but that in all cases the fatal<br />

symptoms, if not the actual death, have come on very suddenly.’ ...<br />

‘Occasional sequelae of the inhalation of Chloroform: sickness,<br />

faintness, depression (more in the feeble and disabled), hysteria,<br />

death coming on very suddenly.’<br />

‘The Dispensatory of the United States of America’ by George Wood<br />

and Frankilin Bache, 11th edition 1858, 1st edition 1833.

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