Concerning an Organic Base in Cbcaby W.Coca, which consists <strong>of</strong> the leaves <strong>of</strong> Erythroxylonspecies, has been in general use in Peru and other SouthAmerican countries ever since ancient times. The Indianschew it mixed with powdered chalk or ash, and this customhas made the coca bush an integral part <strong>of</strong> their culture.The most wonderful tales are told about the physiologicalconsequences <strong>of</strong> its use. (*) See for example J.J. v.Tschudi's Peru, Vol II, p. 299) Enjoyed in moderation itacts as a stimulant able to substitute for food for long* Fran the Reports <strong>of</strong> the G. A. Uhiversitat and theImperial Acadeny <strong>of</strong> Science in Gottingen, 21 March, 1860.The article was signed 'W 1 , for Friedrich Woehler(1800-1882), to whom Niemann was an assistant. It isclear from the text that Niemann was the first to observeand record the local anesthetic property <strong>of</strong> cocaine.He was also the first among the several outstandinginvestigators <strong>of</strong> cocaine - Schr<strong>of</strong>f, Bennett, von Anrep,Hammond, Freud - who failed to appreciate the enormousimportance <strong>of</strong> that property, until the fact dawned onCarl Koller. Koller was the one who, in 1884, realizedand demon-strated the ability <strong>of</strong> cocaine to producesurgical local anesthesia. This landmark in humanity'slong struggle against pain was one <strong>of</strong> the most importantmedical discoveries <strong>of</strong> the nineteenth century, or anycentury, and missed winning the Nobel Prize only becauseit was made a little too soon, and too convincingly(Liljestrand, G.: Acta physiol. scand. Suppl 299, 1967,p.5).tTranslated from Ueber eine organische Base in der Coca.Justus Liebig's Annalen der Chemie, 114:213-217, 1860.
periods and capable <strong>of</strong> making the severest exertionsupportable. Its abuse, however, like that <strong>of</strong> morphine,<strong>of</strong>ten becomes a vice which, in those passionate cocachewers, the Goqueros, produces all the effects <strong>of</strong> narcoticpoisons, an intoxication marked by visions, prematureageing, apathy and imbecility. These peculiar effectssuggest the presence in this plant <strong>of</strong> a specific organiccompound that constitutes the effective principle and which,in all probability, belongs to the class <strong>of</strong> organic bases.Indeed, several investigations into the active componenthave already been performed, though none has yet led to apositive result, perhaps because <strong>of</strong> an insufficient quantity<strong>of</strong> leaves or because <strong>of</strong> their deterioration with age,A chemist in La Paz, Bolivia, claims to have isolated acrystalline base; investigation <strong>of</strong> a sample <strong>of</strong> this supposedbase which I obtained from Mr, v, Tfechudi quickly convincedme that it consisted <strong>of</strong> nothing but plaster <strong>of</strong> paris).It became possible to avoid these particular difficultiesthrough the generosity <strong>of</strong> my friend W. Haidinger in Vienna,who enabled me to procure a large quantity <strong>of</strong> fresh cocaleaves. He arranged for Dr. Scherzer to bring them fromLima in the course <strong>of</strong> the well known expedition <strong>of</strong> theAustrian frigate Novara,Being preoccupied by other matters, I was not able toundertake the intended study myself, I delegated it toone <strong>of</strong> the assistants in this laboratory, Mr, Niemann, whoperformed it with great skill and extreme perseverance. Hesucceeded in isolating from coca a characteristic specificcrystallisable organic base, which, in accordance withaccepted rules <strong>of</strong> nomenclature, may be termed cocaine.The work is still far from complete: although theexistence and specificity <strong>of</strong> cocaine have been established,its compositional formula has not yet been definitelyascertained, and no investigation has yet been performed todetermine whether it produces the physiological actions <strong>of</strong>coca, nor whether a suspected new tannic acid is present inother parts <strong>of</strong> the plant.After many fruitless attempts Mr. Niemann found thatthe most effective procedure for isolating cocaine was thefollowing. The coca leaved were cut into small pieces anddigested for several days in 85 per cent alcohol acidified
- Page 1 and 2: The History of AnesthesiologyReDnnt
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The operation ended, 20 minutes aft
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intravenous metal cannula - I use m
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and then, before removing the tourn
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CARL KOLLER AND COCAINEBY HORTENSE
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CARL ROLLER AND COCAINE 311chance t
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CARL ROLLER AND COCAINE 313Mill. Th
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CARL ROLLER AND COCAINE 315Freud or
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CARL ROLLER AND COCAINE 317cause I
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CARL ROLLER AND COCAINE 319Wagner v
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CARL ROLLER AND COCAINE 321painful
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CARL ROLLER AND COCAINE 323intoxica
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CARL ROLLER AND COCAINE 325the sign
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CARL ROLLER AND COCAINE 327spirit,
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CARL ROLLER AND COCAINE 329Freud an
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CARL ROLLER AND COCAINE 331father w
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CARL ROLLER AND COCAINE 335Record (
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CARL ROLLER AND COCAINE 337sources,
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CARL ROLLER AND COCAINE 339study by
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CARL ROLLER AND COCAINE 341It is no
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CARL ROLLER AND COCAINE343'Priority
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CARL ROLLER AND COCAINE 345Like his
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CARL ROLLER AND COCAINE 347The cold
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CARL ROLLER AND COCAINE 349are both
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CARL ROLLER AND COCAINE 351was a Je
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CARL ROLLER AND COCAINE 353ters, tr
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CARL ROLLER AND COCAINE 355Time is
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CARL ROLLER AND COCAINE 357for anot
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CARL ROLLER AND COCAINE 359Vienna,
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CARL ROLLER AND COCAINE 361My wife
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CARL ROLLER AND COCAINE 363against
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CARL ROLLER AND COCAINE 365portance
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CARL ROLLER AND COCAINE 367the issu
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CARL ROLLER AND COCAINE 369Tanganyi
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CARL ROLLER AND COCAINE 37120. : Hi
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CARL ROLLER AND COCAINE 373in der Z