CORNELL UNIVERSITY LIBRARY Cornell University Library RV 8.T48L79 Life and medical discoveries of Samuel T 3 1924 011 815 598 Cornell University Library The original of this book is in the Cornell University Library. There are no known copyright restrictions in the United States on the use of the text. http://www.archive.org/details/cu31924011815598 Bulletin No. n. 1909. Reproduction Series, No. 7. BULLETIN of the LLOYD LIBRARY of BOTANY, PHARMACY and MATERIA MEDICA J. U. & C. G. LLOYD CINCINNATI, OHIO REPRODUCTION SERIES, No. 7. LIFE AND MEDICAL DISCOVERIES of SAMUEL THOMSON, and a history of THE THOMSONIAN MATERIA MEDICA. as shown in " THE NEW GUIDE TO HEALTH," (1835), and the literature of that day. Including Portraits of SAMUEL THOMSON ; Fac-Simile of THOMSON'S " PATENT " to the Practice of Medicine; the famous Letters of Professor Ben- jamin WaTERHOUSE, M. D. ; the celebrated "TRIAL OF DR. FROST," and other features of a remarkable epoch in AMERICAN MEDICAL HISTORY. \^ Copyright secured according to law. [From "The Thodisonian Materia Medica," 1841.] EDITOR'S INTRODUCTION Samuel Thomson. In presenting this Bulletin of the Lloyd Library, the editor finds it necessary to .deviate from the methods adopted in the publications heretofore offered in our Reproduction Series. In the preceding issues, the aim has been to present fac similes of each work, even to the copying of gross errors, and the imitation, as far as possible, of both the type and the manuscript form of the publication. In the present Bulletin such a method is impossible, owing both to the extent and cosmopolitan nature of the publication we are presenting, and to the fact that our aim is to portray the man, and picture conditions of that period, rather than to present in full any one or more of his works. In our opinion, a comprehension of this remarkable man can be accom- plished only by bringing the reader into touch with conspicuous phases of his life and examples of his methods, as well as by a realization of his ideals, as shown by the efforts and the sacrifices he made, in the face of the most pronounced resistance to his processes. This we aim to do in the pages that follow. In our opinion, this Bulletin will give to the reader a fair picture not only of the man before us, but also of the conditions that, at the time mentioned, dominated the disciples of the healing art in America. To this we may add that one can not now easily enter into the problems of that day concerning medicine and the practice of medicine. The passion, the dogmatism, the vituperation of the period, the suppression of free thought and investigation outside authority, is a something that can not now be expressed or readily appreciated. But a touch of it all can be grasped and partly comprehended by noting the evolution that has taken place in the fields of American pharmacy and medicine since the beginning of the last century; by contrasting present conditions with the period typified in the record of Samuel Thomson. The New Guide to Healthj whose title-page is given in fac simile, was first issued by Samuel Thomson in 1822. It passed rapidly through many editions, some of them exceedingly large, but with few changes, other than supplements, as shown in the Additions, reproduced by us, pages 50-54. i EDITOR'S INTRODUCTION That 1835, one-volume edition, in small type set solid, comprised both the Narrathej 228 pages, and the Guide to Healthy the latter con- sisting of a description of diseases and their treatment, 168 pages. The latter section, which was in the outset Thomson's Materia Medica and methods of practice, was afterwards issued in more pretentious form as Thomson's Materia Medica or Botanic Family Physician. It carried a discursive introduction, a work on anatomy, a section on materia medica, and one on botany, as well as one on the theory and practice of medicine according to the Thomsonian methods. A number of editions of this work were issued by Thomson and his agents, until in 1841 appeared the unabridged Thirteenth Edition, issued by his son, John Thomson, the elaboration of which, however, did not altogether meet the approval of the original author. Hence we find, page 831 of the 1841 edition, an editorial note by John Thomson, illustrating the manner in which his father insists upon the work being accompanied by the following qualified statement, in order to show his disapproval of the innovations named. "IMPORTANT NOTICE." "The following objections to the different articles and compounds in this book, were made by Dr. Samuel Thomson, after the work was printed. And in justice to him, and out of respect to his opinion, we insert them here, that every one may know that his opinion is not changed in relation to cathartics, and that what is said upon that subject is done on our own responsibility, and for which Dr. Thomson is not to be held responsible. The following are the objections, viz. All cathartic medicine, of every kind ; also, the compounding of the black salve, on page 734 (for which we have inserted a substitute on page 823) ; borax for sore mouth, page 738; maple charcoal to prevent mortification, on page 727; a paper saturated with salt petre, and burned, to relieve asthma, page 742; Peruvian bark to clean the teeth, page 740; poke root made into ointment for the piles, page 741; sulphate of zinc compounded into poultices for syphilitic ulcers, page 733; burnt alum for dysentery, page 726; tobacco emetic pills, page 700; asafetida for hysteria, page 634; blood root for emetic, page 684; black cohosh to cure rheumatism, and to regulate the monthly turns with females, page 643 ; and, page 695, the injection should be given before steaming. It is to be understood, that he objects to the use of those articles, in every form or shape whatever, except the enemas." JOHN THOMSON (Thomson's Materia Medica or Botanic Family Physician, 1841.) In our reproduction of the text of the New Guide to Health, as given in this Bulletin, pages 3 to 64, no change has been made in state- ment or in text, other than in editorially excising, in blocks, more or less material unnecessary to the presentation of Samuel Thomson's life as written by himself. These excluded fragments are usually accounts of special cases illustrating his methods," or disconnected digressions which EDITOR'S INTRODUCTION may be omitted without in any wise affecting the continuity of the work. In some instances the excluded portions comprise not more than half a page, while in other cases several successive pages are excised. Had the entire text been reproduced, our Bulletin would have been fully twice its present size; but we take it, all the important features concerning the events in Thomson's life, as he has recorded them, are connectedly pre- sented. To this we will add that the headings of the paragraphs are all our own,* One feature in Thomson's life is absolutely ignored in his writings, nor is it, so fiar as we know, elsewhere recorded. On page 51 of this Bulletin is to be found an intimation by him that he was involved by Mr. Locke in the famous Morgan Masonic controversy, then raging in New York. This leads us to state that a share, and possibly no small proportion, of Thomson's troubles, came also from his pronounced po- litical activity, at a time when in American politics no toleration what- ever was exhibited by one party for an adherent of the opposite political faith. We have it in'aletter from the late Alexander Wilder, M. D., to ourselves personally, that Thomson's allegiance to the minority party of that date led to much of his persecution, a fact that Thomson utterly ignores in any print that we have seen from his pen. On page 50 and following, of this Bulletin, subsequent to the Nar- rative and Guide, we introduce the Additions made to that publication in the 1825 edition, and on page 51 the Additions made in 1831, both of which, in connection with the life history of Samuel Thomson, are of exceeding interest. On page 54 we reproduce a Notice, by which he authorized agents to sell his patented rights to the Botanical System of Practice in Medicine, and another from an authorized agent, announcing the right to practice by that authority. Following these are a couple of characteristic reproductions (pages 54, 55) showing the turn of Thom- son's mind for philosophizing over incidents. Pages 56 to 64 present the letters of Professor Benjamin Waterhouse, M. D., to whom the 1841 edition of Thomson's Materia Medica is dedi- cated, these being also published in the 1835 edition of Thomson's Guide to Health. The comments upon these letters, pages 63, 64, are written by the editor of this Bulletin. Page 65 is a reproduction of the title-page of a pamphlet concerning the celebrated Trial of Dr. Frost, from which enough is taken, pages 67-74, to make a lucid account, illustrating the manner in which Thomson's disciples were handled at that time. The introduction to this section, * " Concentrated Principles " (now in process) will, we hope, soon be issued as a companion Bul- letin to this one. In this, the history of the evolution of Thomsonism and Eclecticism is continued and ampliAed. iii EDITOR'S INTRODUCTION page 67, is also from our pen, as well as are the remarks concerning lobelia, page 73, and the closing paragraph, page 74. Pages 75-77 give a list of the authorized Thomsonian remedies, to- gether with an introduction to same (page 75) by ourselves. Following, on page 78, is to be found the advertisement of Dr. John Rose, Editor of the Lobelia Advocate, 1838, as well as an advertisement of the Botanico- Medical College, Cincinnati, Ohio, 1844. Following these, 79-85, come verbatim reproductions of directions for taking the Thomsonian Courses of Medicine. Here we offer a few editorial remarks, and have added (page 85) the remedies recognized under Thomson's famous numbers, I to 6. In pages 86-89, Nathaniel S. Magoon, of Boston, in whose house Thomson spent his last days, describes the death of this remarkable man. We have, in our opinion, made a collaborated record, presenting suc- cinctly to the readers of this Bulletin the life of the man who, in one way or another, exerted a tremendous influence on the American practice of medicine. In this may be included the efforts of antagonists who but for Thomson would not have become conspicuous, or even known, as well as of reformers, to whom Thomson's aggressive methods and Thomson's suggestions proved a stimulus. Out of it all came the kindlier theories that have largely succeeded the heroic age, an era of barbarism, in Ameri- can medicine. And, in our opinion, one and all at the present time can, in charity for all who were involved at that day, and without bitterness towards any one, review this story of the past, crediting those to whom credit is due. John Uri Lloyd. IV NEW GUIDE TO HEALTH; OR Botanic Family Physician. CONTAINING A COMPLETE SYSTEM OF PRACTICE, ON A PLAN ENTIRELY NEW : WITH A DESCRIPTION OF THE VEGETABLES MADE USE OF, AND DIRECTIONS FOR PREPARING AND ADMIN- ISTERING THEM, TO CURE DISEASE. TO WHICH IS PREFIXED, A NARRATIVE OF THE LIFE AND MEDICAL DISCOVERIES OF THE AUTHOR. BY SAMUEL THOMSON. BOSTON: Printed for the Author, and sold by his General Agent, at the Office of the Boston Investigator. J. Q. Adams, Printer. 183S. [Entered according to Act of Congress, in the year 183S, by Samuel Thomson, in the Clerk's Office of the District Court of Massachusetts.] ADVERTISEMENT TO THE PUBLIC The preparing of the following work for the press, has been a task of much difficulty and labor, for to comprise in a short compass, and to convey a correct understanding of the subject, from such a mass of materials as I have been enabled to collect, by thirty years' practice, is a business of no small magnitude. The plan that has been adopted I thought the best to give a correct knowledge of my system of practice; and am confident that the descriptions and directions are sufficiently explained to be understood by all those who take an interest in this important subject. Much more might have been written; but the main object has been to confine it to the practice, and nothing more is stated of the theory than what was necessary to give a general knowledge of the system. . If any errors should be discovered, it is hoped that they will be viewed with candor; for in -first publishing a work, such things are to be expected; but much care has been taken that there should be no error, which would cause any mistake in the practice, or preparing the medicine. Many persons are practising by my system, who are in the habit of pretending that they have made great improvements, and in some instances it is well-known that poisonous drugs have been made use of under the name of my medicine, which has counteracted its operation, and thereby tended to destroy the confidence of the public in my system of practice; this has never been authorized by me. The public are therefore cautioned against such conduct, and all those who are well disposed toward my system, are desired to lend their aid in exposing all such dishonest prac- tices, in order that justice may be done. Those who possess this work, may, by examining it, be able to detect any improper deviations therefrom; and they are assured that any practice which is not conformable to the directions given, and does not agree with the principles herein laid down, is unauthorized by me. [The above is the preface to Thomson's original edition, 1822. — L.] "NARRATIVE OF THE LIFE, &c., OF SAMUEL THOMSON"* Childhood of Samuel Thomson. THERE is nothing, perhaps, more unpleasant than to write one's own life; for in doing it we are obliged to pass over again, as it were, many scenes, which we might wish to have forgotten, and relate many particulars, which, though they may seem very important to ourselves, yet would be very uninteresting to the reader. It is not my intention to attempt to write a history of my life, nor would it be in my power to do it if I had such a wish; but as I have been the greater part of my life engaged in one of the most important pursuits, and which is of more consequence to the great human family, than any other that could be under- taken by man; that of alleviating human misery, by curing all cases of disease by the most simple, safe, and certain method of practice, I think the public will be interested to know something of me, and the reason of my having taken upon myself so important a calling, without being regularly educated to the profession, which is thought by the world to be indispensably necessary; but I shall take the liberty to disagree a little with them in this particular; for, although learning may be a great advantage in acquiring a profession, yet that alone will never make a great man, where there is no natural gift. By giving a short sketch of the early part of my existence, and relating those accidental circumstances that have occurred during my life, and which were prin- cipally the cause of my engaging in the healing art, will enable the public to judge more correctly, whether I have taken that course, in fulfilling my duty in this life, which the God of nature hath pointed out for me. In doing this, I shall endeavor to give a plain and simple narrative of facts as they took place, and relate only those particulars of my life, with such of the cases that have come under my care, as will best convey to the reader, the most correct information of my system of practice in curing disease. I was born February 9, 1769, in the town of Alstead, county of Cheshire, and State of New Hampshire. My father, John Thomson, was born in Northbridge, county of Worcester, and State of Massachusetts; he was twenty-five years old when I was born. My mother's name was Hannah Cobb; she was born in Medway, Mass., and was four years older than my father. I had one sister older than myself, and three brothers and one sister younger, who are all living except my second brother, who died in his fourteenth year. My oldest sister married Samuel Hills, and lives in Surry, New Hampshire, and my two brothers live in Jericho, Vermont. My youngest sister married Waters Mather, and lives in the State of Ohio. That country was a wilderness when I was born; my father had began there about a year before, at which time there was no house within three miles one way, *This is an autobiography. It was many times reprinted, but no account was kept of their number. — L. 3 SAMUEL THOMSON and about one the other; there were no roads, and they had to go by marked trees. The snow was very deep when they moved there, and my mother had to travel over a mile on snow shoes through the woods to get to their habitation. My parents were poor, having nothing to begin the world with; but had to depend upon their labor for support. My father had bought a piece of wild land on credit, and had to pay for it by his labor in what he could make off the land, which caused us great hardships and deprivations for a long time. As soon as I began to form any correct ideas, of things, my mind was much irritated by the impressions made on it by my parents, who, no doubt with very good intentions, filled my young head with all kinds of hob-goblin and witch- stories, which made a very deep impression on my mind, and which were not entirely eradicated for many years. I mention this as a caution to parents, not to tell their children any thing but the truth; for young children naturally believe whatever their parents tell them, and when they frighten them with such stories, for the purpose of making them behave well, it will most generally have a very bad effect; for when they arrive at years of discretion, and find that all those stories are falsehoods, they will naturally form very unfavorable opinions of their parents, whose duty it is to set them better examples. Domestic Medicine In Thomson's Day. When I was between three and four years old, ray father took me out with him to work. The first business I was set to do was to drive the cows to pasture, and watch the geese, with other small chores, which occupation kept me all day in the fields. I was very curious to know the names of all the herbs which I saw growing, and what they were good for; and, to satisfy my curiosity was constantly making inquiries of the persons I happened to be with, for that purpose. All the information I thus obtained, or by my own observation, I carefully laid up in my memory, and never forgot. There was an old lady by the name of Benton lived near us, who used to attend our family when there was any sickness. At that time there was no such thing as a Doctor known among us, there not being any within ten miles. The whole of her practice was with roots and herbs, applied to the patient, or given in hot drinks, to produce sweating; which always answered the purpose. When one thing did not produce the desired effect, she would try something else, till they were relieved. By her attention to the family, and the benefits they received from her skill, we became very much attached to her; and when she used to go out to collect roots and herbs, she would take me with her, and learn me their names, with what they were good for; and 1 used to be very curious in my inquiries, and in tasting every thing that I found. The information I thus obtained at this early age, was afterwards of great use to me. Discovery of Lobelia. Sometime in the summer, after I was four years old, being out in the fields in search of the cows, I discovered a plant which had a singular branch and pods, that I had never before seen, and I had the curiosity to pick some of the pods and chew them; the taste and operation produced was so remarkable, that I never forgot it. I afterwards used to induce other boys to chew it, merely by way of sport, to see them vomit. I tried this herb in this way for nearly twenty years, without knowing any thing of its medical virtues. This plant is what I have called the Emetic Herb, and is the most important article I make use of in my practice. It is very common in most parts of this country, and may be prepared and used SAMUEL THOMSON in almost any manner. It is a certain counter poison, having never been known to fail to counteract the effects of the most deadly poison, even when taken in large quantities for self-destruction. There is no danger to be apprehended from its use, as it is perfectly harmless in its operation, even when a large quantity is taken; it operates as an emetic, cleanses the stomach from all improper aliment, promotes an internal heat, which is immediately felt at the extremities, and produces perspiration. The Lobelia Patent, "My RIgtii to tlie Discovery." The exclusive right of using this plant for medical purposes is secured to me by patent, and my right to the discovery has never been disputed; though the Doctors have done every thing they could to destroy the credit of it, by false state- ments, representing it to be a deadly poison, and at the same time they knew to the contrary, for they have made use of it themselves for several years, and have tried to defraud me of the discovery. I feel perfectly convinced from near forty years' experience of its medical properties, that the discovery is of incalculable importance, and if properly understood by the people will be more useful in curing the diseases incident to this climate, than the drugs and medicines sold by all the apothecaries in the country. Experimentation with Lobelia on Child Friends. The winter I was eight years old, I was very sick with the canker-rash; but was attended by the widow Benton, who cured me by making use of such medicine as our country afforded, and I was in a short time able to be about. After I had got well, my mind was more attentive to the use of roots and herbs as medicine, than ever. I had at that time a very good knowledge of the principal roots and herbs to be found in that part of the country, with their names and medical uses; and the neighbors were in the habit of getting me to go with them to show them such roots and herbs as the doctors ordered to be made use of in sickness, for syrups, &c. and by way of sport they used to call me doctor. While in the field at work I used often to find the herb, which I tasted when four years old, and gave it to those who worked with me, to see them spit and often vomit; but I never observed any bad effect produced by it, which simple experiments eventually led me to observe the value of it in disease. Hope of Becoming a Physician and Subsequent Disappointment. Sometime during the year that I was sixteen years old, I heard my parents say, that as my mind was so much taken up with roots and herbs, they thought it best to send me to live %vith a Doctor Fuller, of Westmoreland, who was called a root doctor. This pleased me very much, and in some measure raised my ambi- tion; but I was soon after disappointed in my hopes, for they said I had not learning enough, and they did not know how to spare me from my work, which depressed my spirits, and was very discouraging to me. I now gave up all hopes of going to any other business, and tried to reconcile myself to spend my days in working on a farm, which made me very unhappy. I had little learning, and was awkward and ignorant of the world, as my father had never given me any chance to go into company, to learn how to behave, which caused me great uneasiness. SAMUEL THOMSON A Wound and Its Results Illustrating the Terrible Methods of Medical Practice, Domestic, Empirical, and Regular at that Date. " My father in dressing my wound had drawn a string through between the heel-cord and the bone, and another between that and the skin ; so that two-thirds of the way round my ancle was hollow." In the year 1788, when I was in my nineteenth year, my father purchased a piece of land on Onion river, in the state of Vermont, and on the 12th day of October, he started from Alstead, and took me with him, to go to work on the land and clear up some of it to build a house on, as it was all covered with wood. In about four days after our arrival, we were enabled to clear a small spot and to build us a camp to live in; we had to do our own cooking and washing; our fare was poor, and we had to work very hard; but we got along tolerably well till the zd of December, when I had the misfortune to cut my ancle very badly, which accident prevented me from doing any labor for a long time, and almost deprived me of life. The wound was a very bad one, as it split the joint and laid the bone entirely bare, so as to lose the juices of my ancle joint to such a degree as to reduce my strength very much. My father sent for a Doctor Cole, of Jericho, who ordered sweet apple-tree bark to be boiled, and the wound to be washed with it, which caused great pain, and made it much worse, so that in eight days my strength was almost exhausted; the flesh on my leg and thigh was mostly gone, and my life was despaired of; the doctor said he could do no more for me ; my father was greatly alarmed about me, and said that if Dr. Kitteridge, of Walpole, could be sent for, he thought he might help me; but I told him it would be in vain to send for him, for I could not live so long as it would take to go after him, without some immediate assistance. He said he did not know what to do; I told him that there was one thing I had thought of which I wished to have tried, if it could be obtained, that I thought would help me. He anxiously inquired what it was, and I told him if he could find some corafrey root, I would try a plaster made of that and turpentine. He immediately went to an old place that was settled before the war, and had the good luck to find some; a plaster was prepared by my directions and applied to my ancle, the side opposite to the wound, and had the desired eflfect; the juices stopped running in about six hours, and I was very much relieved; though the pain continued to be very severe and the inflammation was great; the juices settled between the skin and bone, and caused a suppuration, which broke in about three weeks; during which time I did not have three nights sleep, nor did I eat any thing. This accidental remedy was found through necessity, and was the first time the mother of invention held forth her hand to me. The success which attended this experiment, and the natural turn of my mind to those things, I think was a principal cause of my continuing to practice the healing art to this time. Our stock of provisions being now exhausted, and my wound somewhat better, my father was very anxious to return to Alstead. He asked me if I thought I could bear the journey, if he should place me on a bed laidin a sled. I answered that I was willing to try. He immediately went to work and fixed a sled, and put me in it on a straw bed; and on the first day of January, 1789, we began our journey. There was very little snow, and the road rough, which caused the sled to jolt very much, and my sufferings were great. It was very doubtful with my father, and likewise with me, whether I should live to perform the journey; but we proceeded on, however, without any thing important happening, except wearing out the runners of our sled, and having to make new ones, and accomplished twenty SAMUEL THOMSON miles the first day. At a place where we stopped all night, there was a woman whose situation apppeared to me so much worse than my own, that I felt much encouraged. She had been sick with a fever, and the doctor had given so much poisonous medicine, to break the fever, as he called it, she was left in a most miserable situation. Her side and shoulder were in a putrid state, and in full as bad a condition as my ancle. My father in dressing my wound had drawn a string through between the heel-cord and bone, and another between that and the skin; so that two-thirds of the way round my ancle was hollow. Discouraged to Desperation. Dr. KItterldge Becomes a Good Samaritan. When we got on to the high land there was considerable snow, and we got along much more comfortably. I had to be carried in on the bed and laid by the fire, every night during the journey. The people generally, where we stopped, treated me with kindness, and showed much pity for me in my distressed situation; but they all thought -that I should not live to get through the Journey. The doctors had advised to have my leg cut oflF, as the only means of saving my life, and all those who saw me during our journey, expressed the same opinion; and I think it would have been done had I given my consent; but I positively refused to agree to it, so the plan was given up. I preferred to take my chance with my leg on, to having it taken off ; which resolution I have never repented of, to this day. On arriving in Walpole, my father proceeded immediately to the house of the famous Dr. Kitteridge, to have him dress my wound, and get his opinion of my situation; he not being at home, and it being nearly dark, we concluded to put up for the night, and I was carried in on my bed and laid by the fire. The doctor soon came home, and on entering the room where I was, cried out in a very rough manner, Who have you here? His wife answered, a sick man. The devil, replied he, I want no sick man here. I was much terrified by his coarse manner of speaking, and thought if he was so rough in his conversation, what will he be when he comes to dress my wound ; but I was happily disappointed, for he took off the dressing with great care, and handled me very tenderly. On seeing the strings that were in the wound, he exclaimed, What the devil are these halters here for? My father told him they were put in to keep the sore open. He said he thought the sore open enough now, for it is all rotten. Being anxious to know his opinion of me, my father asked him what he thought of my situation. What do I think? said he, why I think he will die; and then looking very pleasantly at me, said, though I think young man, you will get well first. In the morning he dressed my ancle again, and gave me some salve to use in future; and my father asked him for his bill, which was, I think, for our keeping and his attending me, about fifty cents. A great contrast between this and what is charged at the present time by our regular physicians; for they will hardly look at a person- without making them pay two or three dollars. I have been more particular in describing this interview with Dr. Kitteridge, on account of his extraordinary skill in sur- gery, and the great name he acquired, and justly deserved, among the people throughout the country. His system of practice was peculiarly his own, and all the medicines he used were prepared by himself, from the roots and herbs of our own country. He was a very eccentric character, and uncouth in his manners; but he possessed a good heart, and a benevolent disposition. He was governed in his practice by that great plan which is dictated by nature ; and the uncommon success he met with is evidence enough to satisfy any reasonable mind, of the SAMUEL THOMSON superiority of it over what is the practice of those who become doctors by reading only, with their poisons and their instruments of torture. Empirical Study of Field and Forest Plants. My mind was bent on learning the medical properties of such vegetables as I met with, and was constantly in the habit of tasting every thing of the kind I saw; and having a retentive memory, I have always recollected the taste and use of all that were ever shown me by others, and likewise of all that I discovered myself. This practice of tasting of herbs and roots has been of great advantage to me, as I have always been able to ascertain what is useful for any particular disease, by that means. I was often told that I should poison myself by tasting every thing I saw; but 1 thought I ought to have as much knowledge as a beast, for they possess an instinct to discover what is good for food, and what is necessary for medicine. I had but very little knowledge of disease at this time; but had a great inclination to learn whatever I had an opportunity; and my own experience, which is the best school, had often called my attention to the subject. First Overdose of Lobelia and Its Results. The herb which I had discovered when four years old, I had often met with; but it had never occurred to me that it was of any value, as medicine, until about this time, when mowing in the field with a number of men, one day, I cut a sprig of it, and gave it to the man next to me, who ate it; when he had got to the end of the piece, which was about six rods, he said that he believed what I had given him would kill him, for he never felt so in his life. I looked at him and saw that he was in a most profuse perspiration, being as wet all over as he could be; he trembled very much, and there was no more color in him than a corpse. I told him to go to the spring and drink some water; he attempted to go, and got as far as the wall, but was unable to get over it, and laid down on the ground and vomited several times. He said he thought he threw off his stomach two quarts. I then helped him into the house, and in about two hours he ate a very hearty dinner, and in the afternoon was able to do a good half day's labor. He afterwards told me that he never had anything do him so much good in his life; his appetite was remarkably good, and he felt better than he had for a long time. This circumstance gave me the first idea of the medical virtues of this valuable plant, which I have since found by forty years' experience, in which time I have made use of it in every disease I have met with, to great advantage, that it is a discovery of the greatest importance. First Use of "Steaming" by Thomson. When my second daugher was about two years old she was taken sick, and had what is called the canker-rash. Dr. Bliss, who lived on my farm, was' sent for, and he said she had that disorder as bad as any one he ever saw. He tried his utmost skill to prevent putrefaction, which he feared would take place; but after using every exertion in his power, without doing her any good, he said he could do no more, she must die. She was senseless, and the canker was to be seen in her mouth, nose, and ears, and one of her eyes was covered with it and closed- the other began to swell and turn purple also. I asked the doctor if he could not keep the canker out of this eye; but he said it would be of no use, for she could not live. I told him that if he could do no more, I would try what I 8 SAMUEL THOMSON could do myself. I found that if the canker could not be stopped immediately, she would be blind with both eyes. She was so distressed for breath that she would spring straight up on end in struggling to breathe. I sat myself in a chair, and held her in my lap, and put a blanket round us both; then my wife held a hot spider or shovel between my feet, and I poured on vinegar to raise a steam, and kept it as hot as I found she could bear, changing them as soon as they became cold; and by following this plan for about twenty minutes, she became comfortable and breathed easy. I kept a cloth wet with cold water on her eyes, changing it often, as it grew warm. I followed this plan, steaming her every two hours, for about a week, when she began to gain. Her eyes came open, and the one that was the worst, was completely covered with canker, and was as white as paper. I used a wash of rosemary to take off the canker; and when the scale came off, the sight came out with it; and it entirely perished. The other eye was saved, to the astonishment of all who saw her, particularly the doctor, who used frequently to call to see how she did. He said she was saved entirely by the plan I had pursued, and the great care and attention paid to her. She entirely recovered from the disease, with the exception of the loss of one eye, and has enjoyed good health to this time. This was the first of my finding out the plan of steaming and using cold water. After this I found by experience that by putting a hot stone into a thing of hot water, leaving it partly out of the water, and then pouring vinegar on the stone, was an improvement. Care should be taken not to raise the heat too fast; and I used to put a cloth wet with cold water on the stomach, at the same time giving hot medicine to raise the heat inside; and when they had been steamed in this manner so long as I thought they could bear it, then rub them all over with a cloth wet with spirit, vinegar, or cold water, change their clothes and bed clothes, and then let them go to bed. Beginning of Thomson's Theory, " Food the Fuel that Continues the Fire or Life of IVIan. Maintain the Internal Heat and Restore Perspiration." I had not the most distant idea at this time of ever engaging in the practice of medicine, more than to assist my own family; and little did I think what those severe trials and sufferings I experienced in the cases that have been mentioned, and which I was drove to by necessity, were to bring about. It seemed as a judgment upon me, that either myself or family, or some one living with me, were sick most of the time the doctor lived on my farm, which was about seven years. Since I have had more experience, and become better acquainted with the subject, I am satisfied in my own mind of the cause. When ever any of the family took a cold, the doctor was sent for, who would always either bleed or give physic. Taking away the blood reduces the heat, and gives power to the cold they had taken, which increases the disorder, and the coldness of the stomach causes canker; the physic drives all the determining powers from the surface inwardly, and scatters the canker through the stomach and bowels, which holds the cold inside, and drives the heat on the outside. The consequence is, that perspiration ceases, because internal heat is the sole cause of this important evacuation; and a settled fever takes place, which will continue as long as the cold keeps the upper hand. My experience has taught me that by giving hot medicine, the internal heat was increased, and by applying the steam externally, the natural perspiration was restored; and by giving medicine to clear the stomach and bowels from canker, till the cold is driven out and the heat returns, which is the turn of the fever, they SAMUEL THOMSON will recover the digestive powers, so that food will keep the heat where it naturally belongs, which is the fuel that continues the fire or life of man. Necessity now Compelled a Course of Medication In His Own Home'. At the birth of our third son, my wife was again given over by the midwife. Soon after the child was bom, she was taken with ague fits and cramp in the stomach; she was in great pain, and we were much alarmed at her situation. I pro- posed giving her some medicines, but the midwife was much opposed to it; she said she wished to have a doctor, and the sooner the better. I immediately sent for one, and tried to persuade her to give something which I thought would relieve my wife until the doctor could come; but she objected to it, saying that her case was a very difficult one, and would not allow to be trifled with; she said she was sensible of the dangerous situation my wife was in, for not one out of twenty lived through it, and probably she would not be alive in twenty-four hours from that time. We were thus kept in suspense until the man returned and the doctor could not be found, and there was no other within six miles. I then "came to the determination of hearing to no one's advice any longer, but to pursue my own plan. I told my wife, that as the midwife said she could not live more than twenty-four hours, her life could not be cut short more than that time, therefore there would be no hazard in trying what I could do to relieve her. I gave her some warm medicine to raise the inward heat, and then applied the steam, which was very much opposed by the midwife; but I persisted in it according to the best of my judgment, and relieved her in about one hour, after she had laid in that situation above four hours, without anything being done. The midwife expressed a great deal of astonishment at the success I had met with, and said that I had saved her life, for she was certain that without the means I had used, she could not have lived. She continued to do well, and soon recovered. This makes the fifth time I had applied to the mother of invention for assistance, and in all of them was completely successful. Beginning of Neighborhood Calls In Home Treatment. These things began to be taken some notice of about this time, and caused much conversation in the neighborhood. My assistance was called for by some of the neighbors, and I attended several cases with good success. I had previous to this time, paid some attention to the farrier business, and had been useful in that line. This, however, gave occasion for the ignorant and credulous to ridicule me and laugh at those whom I attended; but these things had little weight with me, for I had no other object in view but to be serviceable to my fellow creatures, and I was too firmly fixed in my determination to pursue that course, which I considered was pointed out as my duty, by the experience and many hard trials I had suffered, to be deterred by the foolish remarks of the envious or malicious part of society. Successfully Treated His Own Family for Measles. Sometime in the month of November, i8oa, my children had the measles, and some of them had them very bad. The want of knowing how to treat them gave me a great deal of trouble, much more than it would at the present time, for experi- ence has taught me that they are very easy to manage. One of the children took the disease and gave it to the rest, and I think we had four down with them at the same time. My third son had the disorder very bad; they would not come out, but turned in, and he became stupid. The canker was much in the throat and mouth,. lO SAMUEL THOMSON and the rosemary would have no effect. Putrid symptoms made their appearance, and I was under the necessity of inventing something for that, and for the canker. I used the steam of vinegar to guard against putrefaction, and gold thread, or yellow root, with red oak acorns pounded and steeped together, for the canker. These had the desired effect ; and by close attention he soon got better. Small Pox "A Looking Glass In which We May See the Nature of Every Other Disease." "The Same Means that will Put Out a Large Fire will Put Out a Candle." This experience enabled me to relieve many others in this disease, and likewise in the canker-rash ; in these two disorders, and the small pox, I found a looking-glass, in which we may see the nature of every other disease. I had the small pox in the year 1798, and examined its symptoms with all the skill I was capable of, to ascer- tain the nature of the disease; and found that it was the highest stage of canker and putrefaction that the human system was capable of receiving; the measles the next, and the canker-rash the third; and other disorders partake more or less of the same, which I am satisfied is a key to the whole; for by knowing how to cure this, is a general rule to know how to cure all other cases; as the same means that will put out a large fire will put out a candle. Comments on Simple Medication Contrasted with " Fashionable Treatment." Soon after my family had got well of the measles, I was sent for to see a woman by the name of Redding, in the neighborhood. She had been for many years afflicted with the cholic, and could get no relief from the doctors. I attended her and found the disorder was caused by canker, and pursued the plan that my former experience had taught me, which relieved her from the pain, and so far removed the cause that she never had another attack of the disease. In this case the cure was so simply and easily performed, that it became a subject of ridicule, for when she was asked about it, she was ashamed to say that I cured her. The popular practice of the physicians had so much influence on the minds of the people, that they thought nothing could be right but what was done by them. I attended in this family for several years, and always answered the desired purpose ; but my practice was so simple, that it was not worthy of notice, and being dissatisfied with the treatment I received, I refused to do any thing more for them. After this they em- ployed the more fashionable practitioners, who were ready enough to make the most of a job, and they had sickness and expense enough to satisfy them, for one of the sons was soon after taken sick and was given over by the doctor, who left him to die; but after he left off giving him medicine he got well of himself, and the doctor not only had the credit of it, but for this job and one other similar, his charges amounted to over one hundred dollars. This satisfied me of the foolishness of the people, whose prejudices are always in favor of any thing that is fashionable, or that is done by those who profess great learning; and prefer long sickness and great expense, if done in this way, to a simple and natural relief, with a trifling expense. A Typical Case. Soon after this, I was called on to attend a Mrs. Wetherbee, in the neighborhood, who had the same disorder (measles). She had been afflicted with the cholic for several years, having periodical turns of it about once a month; had been under the care of a number of doctors, who had used all their skill without affording her II SAMUEL THOMSON any relief, excepting a temporary one by stupefying her with opium and giving physic, which kept her along till nature could wear it off, when she would get a little better for a few days, and then have another turn. After hearing of my curing Mrs. Redding, they sent for me; I gave her my medicine to remove the canker, and steamed her, which gave relief in one hour. She had a very large family to attend to, having thirteen children, and before she had recovered her strength she exposed herself and had another turn; I attended again and relieved her in the same manner as before; but she could not wait till she gained her strength, and exposed herself again as before, took cold and had another turn. Her husband said I only relieved her for the time, but did not remove the cause, and being dissatisfied with what I had done, he sent for a doctor to remove the cause; who carried her through a course of physic, and reduced her so low, that she lingered along for eight weeks, being unable to do any thing the whole time; they then decided that she had the consumption, and gave her over to die. After the doctors had left her in this situa- tion as incurable, she applied again to me; but I declined doing any thing for her, as I knew her case was much more difficult than it was before she applied to the doctor, and if I should fail in curing her, the blame would all be laid to me, or if she got well I should get no credit for it; for which reason I felt very unwilling to do any thing for her. After finishing my forenoon's work, on gmng home to dinner, I found her at my house, waiting for me, and she insisted so much upon my under- taking to cure her, and seemed to have so much faith in my being able to do it, that I at last told her, if she would come to my house and stay with my wife, who was sick at the time, I would do the best I could to cure her. She readily consented, and staid but three days with us; during which time I pursued my usual plan of treat- ment, giving her things to remove the canker, and steaming to produce a natural perspiration ; at the end of the three days she went home, taking with her some medicine, with directions what to do for herself, and in a short time entirely recov- ered her health. Anolher Case In which the Prevailing " Fashionable " Methods of that Date are Described. In about a year after the above case, one of this family, a young man about sixteen years old, was attacked with a fever; the doctor was sent for, who followed the fashionable course of practice, and reduced him with mercury and other poisons, so that he lingered along for three or four months, constantly growing worse, till the doctor said it was a rheumatic fever, and afterwards that he was in a decline. He had taken so much mercury that it had settled in his back and hips, and was so stiff that he could not bring his hands lower than to his knees. By this time, the doctor had given him over as incurable, and he was considered a fit subject for me to undertake with. They applied to me, and I agreed to take him home to my house, and do the best I could to cure him. It was a difficult task, for I had in the first place to bring him back to the same situation he was in when he had the fever, and to destroy the effects of the poison, and regulate the system by steaming, to produce a natural perspiration; by pursuing this plan, and giving such things as I could get to restore the digestive powers, in two months he was completely restored to health; for which I received but five dollars,' and this was more grudgingly paid than if they had given a doctor fifty, without doing any good at all. Thomson Decides to Either Give Up Practice or Make Medicine His Business. I began to be sent for by the people of this part of the country so much, that I found it impossible to attend to my farm and family as I ought; for the case's I had SAMUEL THOMSON attended, I had received very little or nothing, not enough to compensate me for my time; and I found it to be my duty to give up practice altogether, or to make a business of it. I consulted with my wife and asked the advice of my friends, what was best for me to do; they all agreed, that as it seemed to be the natural turn of my mind, if I thought myself capable of such an important undertaking, it would be best to let my own judgment govern me, and to do as I thought best. I maturely weighed the matter in my mind, and viewed it as the greatest trust that any one could engage in. I considered my want of learning and my ignorance of mankind, which almost discouraged me from the undertaking; yet I had a strong inclination for the practice, of which it seemed impossible to divest my mind ; and I had always had a very strong aversion to working on a farm, as every thing of the kind ap- peared to me to be a burthen; the reason of which I could not account for, as I had carried on the business to good advantage, and had as good a farm as any in the neighborhood. I finally concluded to make use of that gift which I thought nature, or the God of nature, had implanted in me; and if I possessed such a gift, I had no need of learning, for no one can learn that gift. I thought of what St. Paul says in his epistle to the Corinthians, concerning the different gifts by the same spirit; one had the gift of prophecy; another, the gift of healing; another, the working of miracles. I am satisfied in my own mind, that every man is made and capacitated for some particular pursuit in life, in which, if he engages, he will be more useful than he would if he happens to be so unfortunate as to follow a calling or profession, that was not congenial to his disposition. This is a very important consideration for parents, not to make their sons learn trades or professions, which are contrary to their inclinations and the natural turn of their minds; for it is certain if they do, they never can be useful or happy in following them. Questions whether He would have been More Useful, With or Without a Systematic Medical Education. I am convinced myself that I possess a gift in healing the sick, because of the extraordinary success I have met with, and the protection and support I have been afforded, against the attacks of all my enemies. Whether I should have been more useful had it been my lot to have had an education, and learned the profession in the fashionable way, is impossible for me to say with certainty; probably I should have been deemed more honorable in the world; but honor obtained by learning, without a natural gift, or capacity, can never, in my opinion, make a man very useful to his fellow-creatures. I wish my readers to understand me, that I do not mean to convey the idea, that learning is not necessary and essential in obtaining a proper knowledge of any profession or art ; but that going to college will make a wise man of a fool, is what I am ready to deny; or that a man cannot be useful and even great in a profession, or in the arts and sciences, without a classical education, is what I think no one will have the hardihood to attempt to support, as it is contrary to rea- son and common sense. We have many examples of some of the greatest philoso- phers, physicians, and divines the world ever knew, who were entirely self-taught; and who have done more honor, and been greater ornaments to society, than a million of those who have nothing to recommend them but having their heads crammed with learning, without sense enough to apply it to any great or useful purpose. SAMUEL THOMSON Arrogance of Those Practicing the " Fashionable " Mode of Disease Treatment. Among the practising physicians, I have found, and I believe it to be a well known fact, that those who are really great in the profession, and have had the most experience, condemn as much as I do, the fashionable mode of practice of the present day, and use very little medical poisons, confining themselves in their treat- ment of patients to simples principally, and the use of such things as will promote digestion and aid nature; and many of them disapprove of bleeding altogether. Those of this description, with whom I have had an opportunity to converse, have treated me with all due attention and civility; have heard me with pleasure, and been ready to allow me credit for my experience, and the discoveries I have made in curing disease. The opposition and abuse that I have met with, have been uniformly from those to whom I think I can with propriety, give the name of quacks, or ignorant pretenders; as all their merit consists in their self-importance and arrogant behaviour towards all those who have not had the advantages of learning, and a degree at college. Contends that His Antagonists were Aggressive because he Cured Cases They could not Relieve. This class comprises a large proportion of the medical faculty throughout our country; they have learned just enough to know how to deceive the people, and keep them in ignorance, by covering their doings under an unknown language to their patients. There can be no good reason given why all the technical terms in medical works are kept in a dead language, except it be to deceive and keep the world ignorant of their doings, that they may the better impose upon the credulity of the people ; for if they were to be written in our own language, everybody would understand them, and judge for themselves; and their poisonous drugs would be thrown into the fire before their patients would take them. The ill-treatment that I have received from them, has been mostly where I have exposed their ignorance, by curing those they had given over to die; in which cases they have shown their malice by circulating all kinds of false and ridiculous reports of me and my practice, in order to destroy my credit with the people. Decides to Formulate and then to Teach His "System" to Others. After I had come to the determination to make a business of the medical prac- tice, I found it necessary to fix upon some system or plan for my future government in the treatment of disease ; for what I had done had been as it were from accident, and the necessity arising out of the particular cases that came under my care, with- out any fixed plan; in which I had been governed by my judgment and the ad- vantages I had received from experience. I deemed it necessary, not only as my own guide, but that whatever discoveries I should make in my practice, they might be so adapted to my plan that my whole system might be easily taught to others and preserved for the benefit of the world. I had no other assistance than my own observations, and the natural reflections of my own mind, unaided by learning or the opinions of others. I took nature for my guide, and experience as my instructor* and after seriously considering every part of the subject, I came to certain con- clusions concerning disease, and the whole animal economy, which more than forty years experience has perfectly satisfied me is the only correct theory. SAMUEL THOMSON Thomson Formulates His " System," In whicli were Devised his Famous Remedies by Number. I found, after maturely considering the subject, that all animal bodies are formed of the four elements, earth, air, fire, and water. Earth and water constitute the solids, and air and fire, or heat, are the cause of life and motion. That cold, or lessening the power of heat, is the cause of all disease; that to restore heat ta its natural state, was the only way by which health could be produced; and that^ after restoring the natural heat, by clearing the system of all obstructions and caus- ing a natural perspiration, the stomach would digest the food taken into it, by which means the whole body is nourished and invigorated, and heat or nature is enabled to hold its supremacy; that the constitutions of all mankind being essentially the same, and differing only in the different temperament of the same materials of which they are composed; it appeared clearly to my mind, that all disease proceeded from one general cause, and might be cured by one general remedy; that a state of per- fect health arises from a due balance or temperature of the four elements; but if it is by any means destroyed, the body is more or less disordered. And when this is the case, there is always an actual diminution or absence of the element of fire> or heat; and in proportion to this diminution or absence, the body is affected by its opposite, which is cold. And I found that all disorders which the human family were afflicted with, however various the symptoms, and different the names by which they are called, arise directly from obstructed perspiration, which is always caused by cold, or want of heat; for if there is a natural heat, it is impossible but that there must be a natural perspiration. No. 1. Seeliing a General Remedy to "Increase the Internal Heat, Remove ail Obstructions of the System, Restore the Digestive Powers of the Stomach, and Produce a Rational Perspiration, Selects Emetic Herb (Lobelia), but it was Found Inadequate. It was Like a "Fire Made of Shavings." Having fixed upon these general principles, as the only solid foundation upon which a correct and true understanding of the subject can be founded, my next business was to ascertain what kinds of medicine and treatment would best answer the purpose in conformity to this universal plan of curing disease; for it must, I think, be certain and self-evident to every one, that whatever will increase the internal heat, remove all obstructions of the system, restore the digestive powers of the stomach, and produce a natural perspiration, is universally applicable in all' cases of disease, and therefore may be considered as a general remedy. No. 1.* The first and most important consideration was to find a medicine that would establish a natural internal heat, so as to give nature its proper command. My emetic herb, (No. i,) I found would effectually cleanse the stomach, and would very effectually aid in raising the heat and promoting perspiration; but would not hold it long enough to effect the desired object, so but that the cold would return again and assume its power. It was like a fire made of shavings; a strong heat for a short time, and then all go out. ♦Thomson's Famous Remedies, by number: No. i, Emetics (Lobelia, typical); No. 2, Stimu- lants (Capsicum, typical); No. 3, Astringents (Bayberry, typical); No. 4, Bitters (Balmony, typical); No. s. Restorative Tonics (Peach, typical); No. 6, Antiseptics (Myrrh, typical). Thomson's Ccm/cund Tincture of Myrrh and Capsicum became celebrated as "Number b." 15 SAMUEL THOMSON No. 2. The Medicine Fixed Upon to Increase the Internal Heat was Capsicum. After much experience and trying every thing within my knowledge, to gain this important point, I fixed upon the medicine which I have called No. a, in my patent, for that purpose ; and after using it for many years, I am perfectly convinced that it is the best thing that can be made use of to hold the heat in the stomach until the system can be cleared of obstructions, so as to produce a natural digestion of the food, which will nourish the body, establish perspiration and restore the health of the patient. I found it to be perfectly safe in all cases, and never knew any bad effects from administering it. No. 3. Bayberry Root, combined with White Pond Lily Root Preferred. In Case the Pond Lily can not be Obtained, Hemlock, Marsh Rosemary, Sumach, Witch Hazel, Red Raspberry Leaves, or Black Cohosh may be Substituted. (Subsequently, these Remedies by Number were Continued to 6. See footnote, page 15.) My next grand object was to get something that would clear the stomach and bowels from canker, which are more or less affected by it in all cases of disease to which the human family are subject. Canker and putrefaction are caused by cold, or want of heat; for whenever any part of the body is so affected by cold as to overpower the natural heat, putrefaction commences, and if not checked by medi- cine, or if the natural constitution is not strong enough to overcome its progress, it will communicate to the blood, when death will end the contest between heat and cold, by deciding in favor of the latter. I have made use of a great many articles, which are useful in removing canker; but ray preparation called No. 3, is the best for that purpose, that has come to my knowledge; though many other things may be made use of to good effect. System of Treatment Summarized. My general plan of treatment has been in all cases of disease, to cleanse the stomach by giving No. i, and produce as great an internal heat as I could, by giving No. 2, and when necessary, made use of steaming, in which I have always found great benefit, especially in fevers; after this, I gave No. 3, to clear off the canker; and in all cases where patients had not previously become so far reduced as to have nothing to build upon, I have been successful in restoring them to health. I found that fever was a disturbed state of the heat, or more properly, that it was caused by the efforts which nature makes to throw off disease, and therefore ought to be aided in its cause, and treated as a friend; and not as an enemy, as is the practice of the physicians. In all cases of disease, I have found that there is more or less fever, according to the state of the system; but that all fevers proceed from the same cause, differing only in the symptoms; and may be managed and brought to a crisis with much less trouble than is generally considered practicable, by in- creasing the internal heat, till the cold is driven out, which is the cause of it. Thus keeping the fountain above the stream, and every thing will take its natural course. After making Reports of a Number of "Cases" Treated, comes an Intimation of Trouble with the " Fashionable Doctors." Notwithstanding this desperate case was cured, to the astonishment of all who witnessed it, the doctors had so much influence over the people, and made so many false statements about it, that I got no credit for the cure. This woman's brother had said that her husband wanted to kill her, or he would not have sent for me. 16 SAMUEL THOMSON Such kind of ingratitude was discouraging to me; but it did not prevent me from persevering in my duty. A short time after the above case happened, that woman's brother, who made the speech about me, was taken very sick, with what was called the yellow fever, and sent for me. I attended him and asked him if he wanted to die. He said no; why do you ask that? I told him, that I should suppose from the speech he made about my being sent for to his sister, that he did, or he would not have sent for me, if he believed his own words. He said he thought differently now. I attended him through the day with ray new practice. To sweat him, I took hemlock boughs, and put a hot stone in the middle of a large bunch of them, wrapping the whole in a cloth, and poured on hot water till I raised a lively steam, and then put one at his feet and another near his body. I gave him medicine to raise the inward heat, and for the canker; after attending him through the day, I went home; and on calling to see him the next morning, found his fever had turned, and he was quite comfortable, so that he was soon about his business. Description of a "Case," chief iy of interest as an iiiustration of the Methods of IVIedication One Hundred Years Ago. I was about this time sent for to see a child in Surry, a neighboring town, which was taken very sick, and was entirely stupid. I told the father of the child that it had the canker, and made use of my common mode of practice for that difficulty. Being sent for to go to Walpole, to see two young men who had been taken the day before with the prevailing fever, I left the child, with directions how to pro- ceed with it. I then started for Walpole, and found the two young men violently attacked with the fever. They had a brother who had been attended by the doctor for above four weeks for the same disease, and was then^just able to sit up. It was thought by all, the two that were attacked last, were as violently taken as the other was; and they expressed a strong wish, that they might be cured without so long a run as their brother had. I was as anxious as they were to have a short job, and exerted all ray powers to relieve them, which I was enabled to do that night, and left them in the morning quite comfortable, so that they were soon able to attend to their work. The brother who had the doctor, was unable to do any thing for several months. The doctor was paid a heavy bill for his visits; but my cure was done so quick, that it was thought not to be worthy of their notice, and I never received a cent from them for my trouble. On returning to the child that I had left the day before, I found that the doctor had been there and told them that I did not know what was the matter with the child; and had persuaded them to give him the care of it. He filled it with mercury and run it down; after having given as much mercury inside as nature could move, and the bowels grew silent, he then rubbed mercurial ointment on the bowels as long as it had any effect; after which he agreed that the child had the canker very badly; but he still persisted in the same course till the child wasted away and died, in about two months after it was first taken sick. After the child was dead, its parents were willing to allow that I understood the disorder best. The doctor got twenty-five dollars for killing the child by inches, and I got nothing. A Journey, during which a Number of "Cases" were Treated. One being of "Cancer" again iilustrates the "Fashlonabie Methods" of Medication In Thomson's Day. After returning home, I was sent for to attend a woman in the neighborhood, who had been under the care of a celebrated doctor, for a cancer in her breast. He had tortured her with his caustics, till her breast was burnt through to the 17 SAMUEL THOMSON bone; and by its corrosive nature, had caused the cords to draw up into knots; he had likewise burnt her leg to the cords. She had been under his care eleven weeks ; until she was much wasted away, and her strength nearly gone. In this situation the doctor was willing to get her off his hands, and wished me to take charge of her. After some hesitation, I consented, and attended her three weeks, in which time I healed up her sores, and cleared her of tlie humor so effectually, that she has ever since enjoyed good health. Illustrative of Thomson's Aggressive Sarcasm. I attended the funeral of a young man, one of his patients, who was sick but twenty-four hours, and but twelve under the operation of his medicine. He was as black as a blackberry, and swelled so as to be difficult to screw down the lid of the coflin; when I went into the room where the corpse was, the doctor followed me, and gave directions to have the coffin secured so as to prevent the corpse from being seen; and then began to insult me, to attract the attention of the people. He said to me, I understand, sir, that you have a patent to cure such disorders as that, pointing to the corpse. I said no, and at the same time intimated what I thought of him. He put on an air of great importance, and said to me, what can you know about medicine? You have no learning; you can not parse one sentence in grammar. I told him I never knew that grammar was made use of as medicine; but if a portion of grammar is so much like the operation of ratsbane, as appears on this corpse, I should never wish to know the use of it. This unexpected appli- cation of the meaning of what he said, displeased the medical gentleman very much; and finding that many of the people present had the same opinion that I had, it irritated him so much, that he threatened to horsewhip me ; but I told him that he might do what he pleased to me, provided he did not poison me with his grammar. He did not attempt to carry his threat into execution, so I have escaped his whip and his poison; but the people were justly punished for their ingratitude and folly, in preferring death and misery, because it was done more fashionably, to a mode of practice by which they might relieve themselves in a simple and safe manner. A Journey to New York to Study Yellow Fever. In the spring of the year 1806, I came to a determination to go to New York, for the purpose of ascertaining the nature of the yellow fever, having been impressed with the idea, that this disease was similar to that which had been prevalent in different parts of the country, only differing in causes which were local. On my arrival, I looked round to find a place to board, and took up my lodgings with a Mr. Kavanagh, an Irishman, and a Roman Catholic. After spending some time in viewing the city, I applied to the Mayor of the city, and to the Board of Health, to ascertain whether I could have an opportunity to try the effect of my medicine and system of practice on the prevailing fever. They told me that I could; but that I could get no pay for it by law. I went to see Doctor Miller, who was then President of the Board of Health, and had some conversation with him upon the subject. He told me the same as the Mayor had, and inquired of me in what manner I expected to give relief; I told him my plan was to cause perspiration. He said if I could cause them to sweat, he thought there was a good chance to effect a cure. SAMUEL THOMSON stricken with Yellow Fever, Thomson Takes a Course In His Own " System." After spending several days in New York, I went to West Chester Creek to procure some medicine. I thought that I was going to have the yellow fever, for I felt all the sjonptoms, as I thought, of that disease ; my strength was nearly gone, my eyes were yellow, and a noise in my head; my tongue was black, and what passed my bowels was like tar. I was among strangers, and had little money; I went to the house of a Quaker woman, and asked to let me stay with her that day; she gave her consent. Had but little medicine with me, and could find nothing that I could relish but salt and vinegar; I used about half a pint of salt; and double that quantity of vinegar, which gave me relief, and I gained so much strength, that the next day I was able to return to the city of New York. On my arrival there, I was so weak that it was with the greatest difficulty I could walk to my boarding house, which was about forty rods from the place where we landed. I immediately took Nos. 2 and 3, steeped, and No. 4; in a short time, I began to have an appetite; the first food that I took was a piece of smoked salmon, and some ripe peach sauce. I soon recovered my strength and was able to be about. This satisfied me that I had formed a correct idea of this fatal disease; that it was the consequence of losing the inward heat of the body, and bringing it to a balance with the surrounding air; and the only method by which a cure can be effected, is by giving such medicine as will increase the fever or inward heat to such a degree as to get the determining power to the surface, by which means perspiration will take place, and which is called the turn of the fever; if this is not accomplished either by medicine, or by nature being sufficient to overcome the disease, mortification will be as certain a consequence as it would be if a person was strangled. The reason why they lose their strength in so short a time, is because it depends wholly upon the power of inward heat; and as much as they lose of that, so much they lose of their strength and activity. An Advocate of Pure and Good Food, thus Anticipating the Government Crusade Nearly a Century Later. I will here make a few remarks upon the food taken into the stomach, which is of the utmost importance to the preservation of health. While I was in New York, I took particular notice of their manner of living; and observed that they subsisted principally upon fresh provisions, more particularly the poorer class of people; who are in the habit in warm weather of going to market at a late hour of the day, and purchasing fresh meat that is almost in a putrid state, having frequently been killed the night previous, and being badly cooked, by taking it into the stomach, will produce certain disease; and I am convinced that this is one of the greatest causes that those fatal epidemics prevail in the hot season, in our large seaports. Mutton and lamb is often drove a great distance from the country, and having been heated and fatigued, then are cooled suddenly, which causes the fat to turn to water; and often when killed, are in almost a putrid state, and the meat is soft and flabby. Such meat as this, when brought into the market on a hot day, will turn green under the kidneys in two or three hours, and taken into the stomach will putrify before it digests, and will communicate the same to the stomach, and the whole body will be so affected by it, as to cause disorders of the worst kind. If people would get into the practice of eating salt provisions in hot weather, and fresh in cold, it would be a very great preventive of disease. One ounce of putrid flesh in the stomach is worse than the effect 19 SAMUEL THOMSON produced by a whole carcass on the air by its effluvia. Much more might be said upon this important subject; but I shall defer it for the present, and shall treat more upon it in another part of the work. It is a subject that has been too much neglected by our health officers in this country. Illustrative of Thomson's Methods of Procuring Remedies. In November, I went to Plum Island to collect medicine; on my way I called on Joseph Hale, Esq., of Pepperell, and engaged him to come down with his wagon in about three weeks, to bring back what medicine I should collect. I went by the way of Newburyport; and after being on the Island three or four days, collected such roots as I wanted and returned to that place. Introducing Dr. French. The Beginning of Thomson's Persecution, or Prosecution, as One Looks at the Matter. While there, being in a store in conversation with some persons, there came in a man from Salisbury mills, by the name of Osgood, who stated that he was very unwell, and that his wife lay at the point of death, with the lung fever; that she had been attended by Dr. French, who had given her over. One of the gentle- men standing by, told him that I was a doctor, and used the medicine of our own country. He asked me if I would go home with him, and see his wife. As I was waiting for Mr. Hale, and had nothing to do, I told him I would, and we imme- diately started in the chaise for his home, which was about six miles. On our arrival, he introduced me to his wife as a doctor who made use of the medicine of our country; and asked her if she was willing that I should undertake to cure her. She said if I thought that I could help her she had no objection. I gave my opinion that I could, and undertook, though with some reluctance, as I was in a strange place, and no one that I knew. I proceeded with her in my usual method of practice, and in about fourteen hours her fever turned, and the next day she was comfortable, and soon got about. This cure caused considerable talk among the people in the neighborhood, who thought very favorably^of me and my practice; but it soon came to the ears of Dr. French, who was very much enraged to think one of his patients, that he had given over, should be cured by one whom he called a quack; and attempted to counteract the public impression in my favor, by circulating a report that the woman was getting better, and sat up the greatest part of the day before I saw her ; but this was denied by the woman's husband, and known by many to be false. While I remained in this place, waiting for Mr. Hale to come down with his wagon to carry home my medicine, I was called on to attend several cases, in all of which I was very successful; most of them were such as had been given over by the doctors. One of them was the case of a young man, who had cut three of his fingers very badly, so as to lay open the joints. Dr. French had attended him three weeks, and they had got so bad that he advised him to have them cut off, as the only alternative. The young man applied to me for advice. I told him if I was in his situation, I should not he willing to have them cut off till I had made some further trial to cure them without. He requested me to undertake to cure him, to which I consented and began by clearing the wound of mercury, by washing it with weak lye; I then put on some drops, and did it up with a bandage, which was kept wet with cold water. While I was dressing the wound, a young man, who was studying with Dr. French, came in and made a great fuss, telling the young man that I was going to spoil his hand. I told him that I was accountable 20 SAMUEL THOMSON for what I was doing, and that if he had any advice to offer I was ready to hear him; but he seemed to have nothing to offer except to find fault, and went off, after saying that Dr. French's bill must be paid very soon. I continued to dress his hand, and in ten days he was well enough to attend to his work, being employed in a nail factory. Soon after, I saw liim there at work, and asked him how his fingers did; he said they were perfectly cured; he wished to know what my bill was for attending him. I asked him what Dr. French had charged, and he said he had sent his bill to his mother, amounting to seventeen dollars; I told him I thought that enough for us both, and I should charge him nothing. After a Number of Journeys, In which his "System " was Used Continually, Thomson again IVIeets Dr. French. After stopping at Pelham three weeks, in which time I had as much practice as I could attend to, I went to Salisbury Mills, where I was very cordially welcomed by all those who had been attended by me the season before. I was called on to practise in this place and Newburyport, and my success was so great that it caused much alarm among the doctors, and a class of the people who were their friends, who did all they could to injure me, and destroy my credit with the people. A considerable part of the patients, who were put under my care, were such as the doctors had given over, and those being cured by me, had a tendency to open the eyes of the people, and give them a correct understanding of the nature of their practice, and convince them that a simple and speedy cure was more for their interest and comfort, than long sickness, pain, and distress; besides having to pay exorbitant doctors' bills, for useless visits and poisonous drugs, which had no other effect than to prolong disease, and destroy the natural constitution of the patient. Among those doctors who seemed so much enraged against me, for no other reason that I could learn, than because I had cured people whom they had given over, and instructed them to assist themselves when sick, without having to apply to them; there was none that made themselves so conspicuous as Dr. French. I had considerable practice in his neighborhood, and was very successful in every case; this seemed to excite his malice against me to the greatest pitch; he made use of every means in his power, and took every opportunity to insult and abuse me both to my face and behind my back. A few of the inhabitants who were his friends, joined with him, and became his instruments to injure me ; but a large proportion of the people were friendly to me, and took great interest in my safety and success. The doctor and his adherents spread all kinds of ridiculous reports concerning me and my practice, giving me the name of the old wizzard; and that my cures were done under the power of witchcraft. This foolish whim was too ridiculous for me to undertake to contradict, and I therefore rather favored it merely for sport; many remarkable circumstances took place tending to strengthen this belief, and some of the silly and weak-minded people really believed that I possessed supernatural powers. This will not appear so strange, when we take into view, that the people generally were ignorant of my system of practice, and when they found that I could cure those diseases that the doctors, in whom they had been in the habit of putting all their confidence, pronounced as incurable; and that I could turn a fever in two days, which would often take them as many months, they were led to believe that there was something super- natural in it. SAMUEL THOMSON Thomson Becomes Aggressively Sarcastic. A man who was one of the friends of Dr. French, and who had been very inimical to me, doing all in his power to injure and ridicule me, sent word one day by a child, that his calf was sick, and he wanted me to come and give it a green powder and a sweat. Knowing that his object was to insult, I returned for answer, that he must send for Dr. French, and if he could not cure it, I would come, for that was the way that I had to practise here. After a Journey, and a Rest at Home, Thomson Again Invades the Territory of Dr. Frenph, who Prepares for Him a Trap. In the year of 1808, I went again to Salisbury, and on my way there, stopped at Pelham, and attended and gave relief in several cases of disease. On my arrival at Salisbury Mills, where I made it my home, I was immediately called on to practise in that place and the adjacent towns. Many came to me from different parts, whose cases were desperate, having been given over by the doctors, such as humors, dropsies, mortifications, fellons, consumptions, &c. Fevers were so quickly cured, and with so little trouble, that many were unwilling to believe they had the disease. My success was so great, that the people generally were satisfied of the superiority of my mode of practice over all others. This created considerable alarm with the doctors, and those who sided with them. Dr. French seemed to be much enraged, and having failed to destroy my credit with the people by false reports, and ridiculous statements of witchcraft, shifted his course of proceeding, and attempted to frighten me by threats, which only tended to show the malice he bore me; for no other reason, that I could conceive of, as I had never spoken to him, than because of my success in relieving those he had given over to die. He would frequently cause me to be sent for in great haste to attend some one in his neighborhood, who was stated to be very sick; but I saw through these tricks, and avoided all their snares. It seemed to be his determination, if he failed in destroying my practice, to destroy me. Being in company one day at Salisbury village, with Mr. Jeremiah Eaton, of Exeter, whose wife was under my care for a dropsical complaint, I was sent for four times to visit a young man at the house of Dr. French; the last time, a man came on horseback in the greatest haste, and insisted that I should go and see him. I asked why Dr. French did not attend him; he answered that he had rather have me. Being convinced, from the appearance of things, that it was an attempt to put some trick upon me, I refused to go, and the man returned. In a short time after, Dr. French came into the village, and Mr. Eaton, who was present when they came after me, asked him what ailed the young man at his house; he said nothing, but that he was as well as anybody. This revealed the whole secret. Mr. Eaton then asked him why he caused me to be sent for so many times, under a false pretence. He said to see if I dared to come into his neighborhood; that he did not care how much I practised on that side of the river; but if I came on his, he would blow my brains out; that I was a murderer, and he could prove it. Mr. Eaton observed that it was a heavy accusation to make against a man, and that he ought to be made to prove his words, or to suffer the consequence; that his wife was under my care and if I was a murderer, he ought to see to it. Dr. French again repeated the words, with many threats against me, and showed the spite and malice of a savage. 22 SAMUEL THOMSON Thomson has Dr. French Arrested, Wins His Case, and Resumes His Practice. Mr. Eaton and others of my friends considered my life in danger; and came immediately to me and related what had been said by the doctor; and advised me to be on my guard. I had to pass his house every day to visit my patients; but did not consider myself safe in going in the night, nor in the day time without some one with me. I continued in this manner for several daj's, and finding his malice towards me to be as great as ever, and still continuing his threats; with the advice of my friends, I was induced to have resort to the law for protection. I went to Newburyport and entered a complaint against him before a magistrate, who granted a warrant, and he was brought before him for a trial. My case was made out by fully proving his words; he asked for an adjournment for three hours to make his defence, which was granted. He then brought forward evidence in support of his character, and proved by them that he had always been a man of his word. The Justice told him that he thought he proved too much, and to his disadvantage, for it had been fully proved that he had made the threats alleged against him, and to prove that he was a man of his word, went to satisfy the court that the complaint was well grounded. He was laid under two hundred dollars bonds to keep the peace and appear at the next court of common pleas. He appeared at the next court, was ordered to pay all the cost, and was discharged from his bail. This was an end of our controversy for that time; but his malice continued against me long after; seeking every means to destroy me and prevent my practising, that he could devise; but proceeded with more caution, which caused me a great deal of trouble and much suffering, as will be hereafter related. I continued to practise in this place, and had as many patients as I could possibly attend upon, notwithstanding the opposition I constantly met with from the doctors and their friends; for with all their arts and falsehoods they were not able to prevent those laboring under complaints, which they had found could not be removed by the fashionable mode of treatment, from applying to me for relief; none of whom but what were either cured or received great relief by the practice. Some of the most extraordinary cases I shall give a particular account of for the information of the reader. Dr. French Seeks Revenge. Previously to my difficulty with Dr. French, as has been before mentioned, Mrs. Eaton and another woman by the name of Lifford, came to me at Salisbury Mills from Exeter. Their complaint was dropsy; and were both desperate cases, having been given over by the doctor who had attended them. Mrs. Eaton was swelled to such a degree, that she could not see her knees as she sat in a chair, and her limbs in proportion. I felt unwilling to undertake with them, as I con- sidered there would be but little chance of a cure ; and declined doing any thing for them, and sent them away, stating that there was no place that they could get boarded. They went away as I supposed to go home; but they soon returned, and said they had found a place where they could stay, and a young woman had agreed to nurse them. I undertook with them very reluctantly; but could not well avoid it. I gave them some medicine, and it operated favorably on both, especially on Mrs. Lifford; then gave strict orders to the nurse, to attend them attentively through the night, and keep up a perspiration; but she almost totally neglected her duty, spending her time with the young people. On visiting them in the morning I was very much hurt to find my directions neglected. Mrs. Lifford 23 SAMUEL THOMSON was quite poorly; and stated to me that the nurse had neglected her, and that she had got her feet out of bed; her perspiration had ceased, and other symptoms appeared unfavorable. I attended upon her through the day and did all I could to relieve her, but could not raise a perspiration again. She continued till the next night about mid- night and died. My hopes of doing her any good were small; but think that if she had not been neglected by the nurse, there might have been some small chance for her, as the first operation of the medicine was so favorable. Her bowels were in a very bad state, and had been almost in a mortified condition for three weeks, and what passed her was by force, and very black. This caused great triumph among my enemies, and Dr. French tried to have a jury on the body; but he could not prevail; for the circumstances were well known to many, and all that knew anything about it, cleared me from all blame. The nurse said that I did all I could, and if there was any blame it ought to fall on her and not on me. So they failed in their attempt to make me out a murderer; but this case was laid up to be brought against me at another time. Thomson Meditates on Contrasts. This shows what may be done by the folly of people, and the malice and wickedness of designing men, who care more for their own interested ends, than for the health and happiness of a whole community. The fashionable educated doctor may lose one-half his patients without being blamed; but if I lose one out of several hundred of the most desperate cases, most of which were given over as incurable, it is called murder. In Dr. Shephard, Thomson at last Finds an Appreciative Physician Observer. As soon as I could get the patients under my care in a situation to leave them, I left Salisbury Mills, and went to Exeter, and commenced practising in my usual way, and was applied to from all parts. I had not so many to attend as I had in some places; but they were all of the most desperate nature, such as had been given over by the doctors, in all of which I met with great success. Many of the cases had been attended by Dr. Shephard; he had attended with me upon his patients at Salisbury; was a very plain, candid sort of a man, and treated me with much civility. I well remember his first speech to me, which was in the following words: "Well, what are you doing here, are you killing or curing the people?" I replied, you must judge about that for yourself. "Well," said he, "I will watch you, not for fear of your doing harm, but for my own information; I wish you well, and will do you all the good I can." I always found him candid and friendly, without any hypocrisy. He once called on me to visit with him one of his patients in the town where he lived, who had the rheumatism in his back and hips. The doctor had attended him about two months, and said he had killed the pain, but his back was stiff, so that he could not bring his hands below his knees. I attended him about forty-eight hours, and then went with him to see the doctor, which was half a mile; the doctor apppeared to be much pleased to see him so well, and have the use of his limbs; for he could stoop and use them as well as he ever could. He said that he was as glad for the young man's sake as though he had cured him himself. He frequently came to see Mrs. Eaton, whom I was attending for the dropsy; and expressed much astonishment at the effect the medicine I gave had in relieving her of a disease which he had considered incurable. At one time when conversing with her upon her situation, and finding 24 SAMUEL THOMSON her so much better, having been reduced in size above fifteen inches, he expressed himself with some warmth on the occasion, saying, that it was what he had never seen or heard of being done before, and what he had considered impossible to be done with medicine. Addressing himself to me with much earnestness, inquired how it was that I did it. I replied, you know doctor that the heat had gone out of the body, and the water had filled it up; and all I had to do was to build fire enough in the body to boil away the water. He burst into a laugh, and said that it was a system very short. Again Illustrating "Fashionable" Medication of that Date, and Thomson's Opinion of Disease. While practising in Exeter, I had many desperate cases from the different parts of the country, and from Portsmouth. One from the latter place I shall mention, being diflferent from what I had before witnessed. A woman applied to me who had the venereal, in consequence, as she stated, of having had a bad hus- band; which I believed to be true. She had been attended by the doctors in Portsmouth for nearly a year, who had filled her with mercury, for the purpose of curing the disorder till the remedy had become much worse than the disease. Her case was alarming, and very difficult; she was brought on a bed, being unable to sit up ; and seemed to be one mass of putrefaction. I proceeded with her in my usual way of treating all cases where the system is greatly disordered, by giving medicine to promote perspiration, steaming to throw out the mercury, and restore the digestive powers ; and in three weeks she returned home entirely cured. Another woman came to me from the same place, who had been sick five years, which had been in consequence of having had the same disease, and the doctors had filled her with mercury to kill the disorder, as they called it, then left her to linger out a miserable existence. When she stated her case to me, I felt very unwilling to undertake with her, apprehending that it would be very uncertain whether a cure could be effected, having been of so long standing; but she insisted upon it so strongly, that I could not put her off. After attending upon her three weeks, how- ever, her health was restored, and she returned home well ; and in less than a year after, she had two children at one birth. She had not had a child for eight years before. This disease is very easily cured in the first stages of it, by a common course of medicine, being nothing more than a high stage of canker seated in the glands of certain parts of the body, and if not cured, communicates to the glands of the throat and other parts; by giving mercury, the whole system is completely disordered, and although the disease may disappear, it is not cured ; and there is more difficulty in getting the mercury out of the body of one in this situation, than to cure a dozen of the disease who have not taken this dangerous poison. The Medical Profession "Alarmed" and for the Second Time Charge Thomson with "Witchcraft." While in Exeter, I had a case of a young man, son of Col. Nathaniel Oilman, who was in a decline. He was about fourteen years old, and had been troubled with bleeding at the nose. They had made use of such powerful astringents, with corrosive sublimate snuffed up his nose, that the blood vessels in that part seemed to be shrunk up, and his flesh much wasted away; I carried him through a course of medicine, and gave an equal circulation of blood through the body, and stopped its course to the head; then raised a natural perspiration, restored the digestive powers, and regulated the system, so as to support the body with food instead of 25 SAMUEL THOMSON medicine. In a short time he recovered his heahh so that he commanded a company of militia at the alarm at Portsmouth, during the late war. My success while at this place, and the many extraordinary cures I performed, gained me great credit among the people; but the medical faculty became much alarmed, and made use of every artifice to prejudice them against me. The foolish stories about witchcraft, which had been made a handle of at Salisbury, were repeated here, with a thousand other ridiculous statements for the purpose of injuring me; but I treated them with contempt, as not worthy of my notice, except in some instances, to amuse myself with the credulity of the ignorant, who were foolish enough to believe such nonsense. Thomson Invades the Territory of Dr. Manasseh Cutler. (See Bulletin, Lloyd Library No. VII, for Portrait and History of Cutler.) Again He Lays Up Trouble for Himself. Some time towards the close of the summer, while I was at Exeter, I was sent for to go to Portsmouth to see a young man by the name of Lebell, who was in a very dangerous situation, supposed by his friends to be in a dying state, having been given over by Drs. Cutler and Pierpont, at ten o'clock that morning. I arrived about two' in the afternoon. He had been attended by the two doctors above named for upwards of a month, to cure the venereal; they had filled him with mercury, so that he had swelled all over with the poison. The doctors pronounced it to be the dropsy. His legs had been scarified to let ofiF the water; the disorder and the mercury had gained the power, and nature had submitted. I at once pronounced it to be a desperate case, and told the French Consul, who had the care of him, that I could give no encouragement that I could do him any good; but he was very solicitous for me to do something for him. I told him the only chance was to raise perspiration, and that twenty-four hours would determine his case; for he would either be better in that time, or be dead. The idea of perspiration caused him to urge me to try; and he said if I could effect it, he would give me one hundred dollars; the doctors had tried for a month, and could not succeed. I gave him some medicine, then put on the clothes by degrees, until he was shielded from the air, and he sweat freely in about an hour. The two doctors were present, and seemed astonished at my success; they walked the room, talked low, then went out. I staid with him till six o'clock, and the symptoms seemed to be favorable; he sweat profusely, and spit much blood. I told the nurse to keep him in the same situation till I returned; went out and was gone ' about an hour, and came back again with Mr. Underwood. When we came into the room, found that the doctors had taken him out of bed and sat him in a chair, and opened the window against him. I told them that their conduct would cause his death, and I would do no more for him; but should give him up as their patient. It appeared to me that they were afraid I should cure him, and thus prove the superiority of my practice over theirs; for they had tried a month to get a perspiration, without success, and I had done it in one hour. The man fainted before I left the room. I went home with Mr. Underwood and staid that night, and left them to pursue their own course; the man died before morning. Instead of getting the hundred dollars, as was agreed, I never got a cent for all my trouble of coming fifteen miles, and returning back again on foot; and besides this loss, afterwards, — when I came to be persecuted by the faculty, — the above ' two doctors gave their depositions against me, in which I was informed they swore that 1 killed this man, notwithstanding they had given him over to die the 26 SAMUEL' THOMSON morning before I saw him, and they had taken him out of my hands, as above stated. On being informed that they were trying to support a complaint against me, 1 got the depositions of Mr. Underwood and others, who were knowing to the facts, to contradict these false statements. On finding that I was determined to oppose them, and prove what they had sworn to be all false, they thought proper to drop the matter; but I was informed they had sworn that my medicine was of a poisonous nature, and if it did not cause the patient to vomit soon after being taken, they would certainly die. It is unnecessary for me to contradict this, for its incorrectness and absurdity is too well known to all who have any knowl- edge of the medicine I use. After a number of Journeys Is Called by a Man Who Heard that he, Thomson, " Sweat His Patients To Death." Description of Treatment. I was frequently in Portsmouth to visit those who had been sent to me to be attended upon at Exeter. Sometime in September in 1808, when there, I was called on to visit Mr. Richard Rice, who was sick with the yellow fever, as it was called. The reason for his sending for me, was in consequence of having heard the reports of the doctors, that I sweat my patients to death. He conceived an idea that if he could sweat, he should be better; but they would not allow him to be kept warm, taking the clothes off of him, and keeping the windows and doors open; no fire was permitted in the room, while he was shivering with the cold. The plan was to kill the fever, and to effect this with more certainty, the doctor had bled him, and told his sister that he had given him as much ratsbane as he dared to give, and if that did not answer he did not know what would. I began to give him medicine a little before night, and in one hour perspira- tion took place. He was so weak that he was unable to help himself. In the morning the doctor proposed to bleed him; but he was dismissed. I was with him till the symptoms were favorable, and then left him in the care of three persons whom I could confide in. After I was gone, Dr. Brackett came into the room where the patient was, in a great rage, saying that they were killing him; for the mortification would soon take place, in consequence of keeping him so warm. He was asked by one of those present, in which case mortification was most likely to take place, when the blood was cold and thick, or warm and thin. He suspected some quibble, and would not give an answer; and it was immaterial which way he answered ; for in either case he had no grounds to support an argument upon, but what might be easily refuted. After he had failed in the interference with those who had the care of the patient, he went to his wife and other relations, and tried to frighten them; but he did not succeed, for they were well satisfied with what was doing. The patient was much out by spells, sometimes imagining himself to be a lump of ice; but my directions were pursued by the person I left in charge of him during the night, keeping up a perspiration, in the morning he was much relieved, and had his right mind. He had no pain except in the lower part of the bowels; to relieve which he was very anxious that I should give him some physic. I opposed this, being confident that it would not do in such putrid cases. He was so urgent, however, I gave him some, which operated very soon; and the consequence was, that it reinforced his disorder, and threw him into the greatest distress. He asked for more physic, but I told him that I would not give him any more, for I was satisfied of the impropriety of giving it in such cases, and I have never given any since. It checked the perspiration, and drew the determining 27 SAMUEL THOMSON powers from the surface inward; so that I had to go through the same process again of raising perspiration, and vomiting, which was much more difficult than at first, and it was with the greatest attention that I was able to keep off the mortification for twelve hours that he was kept back by taking this small dose of physic. I kept up the perspiration through Friday and Saturday, and on Sunday morning when I called to see him, he was up and dressed. On asking how he did, he said as strong as you are, and took me under his arm and carried me across the room. On Monday he was down on the wharf attending to his business. This cure caused considerable talk in the town, and because it was done so quick, the doctors said that there was but little ailed aim, and he would have got well himself if he had taken the physic and been left alone; but those who saw it were convinced to the contrary; others doubted, and said among themselves, how can a man, who has no learning, and never studied physic, know how to cure disease ? Outward and Inward Heat. I continued to practise in Portsmouth and vicinity during this autumn, and while there, was sent for to go to Salisbury, to see a child that had been attended by a woman for several days, who I had given information to, but they said the perspiration would not hold; and they wished for further information. On seeing the child, I at once found that they had kept about an equal balance between the outward and inward heat; when they gave medicine to raise the inward heat and start the determining power to the surface, they at the same time kept the outward heat so high as to counteract it. After explaining to them the difficulty, I raised the child up and poured on to it a pint of cold vinegar, and it immediately revived. Applied no more outward heat, but only to shield it from the air; and gave the warmest medicine inward, on the operation of which, the child grew cold and very much distressed. As soon as the inward heat had gained the full power, and drove the cold out, the circulation became free, and the child was relieved from pain and fell asleep; the next day the heat was as much higher than what was natural, as it had been lower the day before; and when heat had gained the victory over cold, the child gained its strength and was soon about, perfectly recovered. Again Trespasses on Territory of Dr. Frencti, Is Arrested, Fined and Reprimanded. I had not practised in Salisbury before, since I went to Exeter, which was in June, and my returning there seemed to give Dr. French great ofiEence. He had been to see the child mentioned above, and tried to discourage the people from using my medicine; and threatened them that he would have them indicted by the grand jury, if they made use of any without his consent; his threats, however, had very little effect, for the people were well satisfied of the superiority of my practice over his. About this time the bonds for his good behavior were out; I did not appear against him, and when the case was called, the court discharged him and his bail, on his paying the cost. The action was brought on a complaint in behalf of the Commonwealth; but I had caused another action of damage to be brought against him, which was carried to the Supreme Court, and tried at Ipswich the spring following. I employed two lawyers to manage my case, and brought forward two witnesses to prove my declaration, who swore that the de- fendant made the assertion, that I was guilty of murder and he could prove it. His lawyer admitted the fact, but pleaded justification on the part of his client, 28 SAMUEL THOMSON and brought witnesses on the stand to prove that what he had said was true. The young woman who nursed Mrs. Lifford, and by whose neglect she took cold, swore to some of the most ridiculous occurrences concerning the death of that woman, that could be uttered, which were perfectly contradictory to every thing she had before confessed to be the truth. Another young woman, the daughter of a doctor at Deerfield, made a statement, to make it appear that I was the cause of the death of the three children, who died as has been before related. I had no knowledge of ever seeing this woman, and have since ascertained that she was not at the house but once during the sickness, and then did not go into the room where the sick were; and her exaggerated account must have been made up of what she had heard others say. These things were a complete surprise to me, not thinking it possible that people could be induced to make such exaggerated statements under the solemnity of an oath. I could have brought forward abundance of testimony to have con- tradicted the whole evidence against me if there was time, but not expecting that the cause would have taken the course it did, was unprepared. There appeared to be a complete combination of the professional craft against me, of both the p. 163, plate 51. •^■"See note *, p. 21. Plumier was the first to honor living persons by introducing their name into scientific nomenclature. The plan met with much opposition at first because it was liable to be abused, and names of persons •elected, who's scientific labors do not entitle them to this distinction. It has been adopted by many of the most eminent botanists. tfNova Plantarum Americanarum Genera, P. Carolo Plumier, Paris, 1703, p. 21 and plate 31. {{Matthias de Lobet (Matthias de I'Obet as the name is originally spelled) should be classed among the early- English botanists. He was born in 1538 at Lisle in the north of France and was educated at Montpelier in the south, of France, and traveled over Italy, France, Germany, finally settling near London. By profession he was a physi- cian, and at one time he was physician to William, Prince of Orange. His chief reputation, however, is as a botanist this study seeming to occupy most of his time. In 1570 he published at London a small work entitled "Stirpium Adversaria" which professed to investigate the botany and materia medica of the ancie|its, especially of Dioscorides. A second edition of this work in 1605 contained an addition on new remedies, rare plants, etc., and in this work the first glimpse of a natural system of classification can be seen. It was necessarily very crude and imperfect and consisted merely in grouping together such plants as seemed to accord in appearances or habits, without however de- fining the groups, or making any allusion whatever to the system. Some of the groups such as leguminous, grasses etc., are quite natural and have continued to the present day, others, as could be expected, are very incongruous. The work was printed in Latin and on this account was little known to the common people. For the times in which he lived, Lobel was a most learned man in botany and the leader in this science. He ityled himself (on one of his title pages) "botanist to king James I.," which has no doubt been the source of the erroneous statement published in several encyclopoedias that he was "physician to king James I." Lobel died in x6z6, aged 78 years. ggThis genus is Scacvola, established by Linnaeus, and referred to the natural order Goodenovieae. The genus has a cleft corolla tube, similar to Lobelia, which no doubt led Linnaeus to originally place them together but the LOBELIA. 67 Botanical History.— Specific— The original collector of Lobelia inflata is not known, but it was evidently sent to Europe early in the last century. The first authentic mention we can find of it is by Linnaeus (1737)* in his catalogue of the plants in the garden of George ClifTordjt hence, it was evidently in cultivation at that time. It is probable that Tournefort also refers to this plant, (I7l9,)t l"!' we can not say with certainty. Previous to the appearance of Linnaeus'g "Species Plantarum" (1753,) the plant was specified by a number of descriptive adjectives. || Linnasus named it Lobelia inflata from the inflated seed-pods which name it has retained to the present day with the single synonym of Rapuntium inflatum given to it by Miller, but used by no one else. Description of the Drug. — In commerce two products of the plant are found, the entire dried herb and the dried seed. The former only is officinal, but the seed is a distinct article of trade, and very largely used.^ Lobelia Herb. — As found in commerce this drug consists of the stems, leaves, and inflated capsules of Lobelia inflata. Usually the plant is gathered after the lower leaves have changed to brown and often the seeds have fallen from the lower capsules, which are then also brown. The plant is cut off just above the ground and the lower portion of the stem is generally devoid of leaves even in the carefully selected recent drug. Sometimes the plant has been known to ap- pear so abundantly over an old field as to permit of its being mown with a scythe,** then the drug consists of straight, few branched stalks, from six to twenty-four inches long. If culled from moist situations along the banks of streams, the plants are more robust, branched and bushy. Farmers often gather little lots of lobelia and then the entire plant is sold. Root and herb collectors on the contrary understand that the seed commands a fruit is very different, being in Scaevola a fleshy drupe containing a single large seed. Plumier's plate shows quite plainly the nature of the fruit which would exclude his plant from the present genus Lobelia. In thus transferring a generic name from the original species to which it was given, to a family to which it had become attached we find an analagous case in the name Magnolia. (See note,f page 21.) "^Lobelia caule erecto brachiato. foliis ovato-lanceolatis obsolete incisis, capsulis inflatis, — Linnaeus. Hortus Clif- fortianus, 1737, page 500. It is not stated whether the plant was growing in Clifford's garden at that time, or whether it was merely pre- served in his herbarium, as the Hortus Cliffortianus describes both plants of his garden and dried collection. fGeorge Clifford was a wealthy banker, who resided in Amsterdam in Holland at the time of Linnaeus. He was not a close student of natural science, but having a liking in this direction and abundance of means he estab- lished an extensive private garden, obtaining the most rare and expensive exotics. Becoming acquainted with Linnaeus, who was at that time in straitened circumstances, and recognizing his talents, Clifford employed him to study and superintend his garden, giving him a liberal salary. For the first time in his life, Linnaeus had now leisure and means to pursue his studies, unembarrassed with the necessity of struggling for a living and the result was the great systematic works that have made his name famous. For three years Linnaeus remained at Amsterdam and published the Hortus Cliffortianus, ^ magnificent work, enumerating all the plants that were in the garden or collection of his patron. Some idea of the wealth and liberality of George Clifford may be obtained from the fact that this expensive work, of over 500 folio pages and numerous plates, was only distributed gratuitously to his friends and correspondents. A genus of shrubs, Cliffortia, of the Cape of Good Hope, commemorates his name. {"Rapuntium Americanum, Virgae aureae foliis, parvo flore subcaeruleo."— Tournefort, Institutiones Rei Her- bariae, Paris, 1719, p. 163. gSpecies Plantarum, ist edition, 1753, page 931. [Lobelia caule erecto, foliis cvatis subserratis, pedunculo longioribus, capsulis inflata.— Linnaeus, Hortus Upsaliensis, 1745, p. 276. See also note * above. IfThe powdered herb was known to Thomsonians as green lobelia. The powdered seed as brown lobelia. **Prof. A. J. Howe relates to us an instance in which several tons were cut at one time from an old wheat field about a mile from Worcester, Mass., on the road to New Worcester. 68 DRUGS AND MEDICINES OF NORTH AMERICA. better price than the herb) and they thresh out the seed, break or chop up the stalk, and sell the seed separately. Thus it happens that the larger part of the lobelia herb of commerce is devoid of seeds, and is in a broken condition. As a rule, the leaves and capsules are of a green color, the upper capsules being especially verdant. No substitution for Lobelia inflata herb or adulterant is gathered, of which we are aware, nor is any probable. Lobelia cardinalis and Lobelia syphilitica are such different appearing plants they would be easily detected, and the other native and more closely allied species are so small and mostly rare that it would not be profitable to collect them. According to the Pharmacographia the drug used in England is mostly im- ported packed in ounces. * Some writers assert that the root of Lobelia inflata is employed. This is a mistake, and first made by confusing Lobelia syphilitica with this plant. The root of Lobelia syphilitica was employed before Lobelia inflata was known to medicine, but the root of Lobelia inflata has never been used. All parts of Lobelia inflata contain an acrid alkaloid (see Constituents, page 73,) which produces a painful irritation upon inhaling the dust of any portion of the plant. All parts of the herb, and the seed, produce an acrid biting sensation on the tongue, and a sharp tobacco-like impression in the throat and fauces. The milky juice of the green plant is intensely acrid, owing perhaps to the more soluble condition of the alkaloid. This juice is so violent that an amount so small as to refuse to affect a balance sensible to the one-thousandth part of a grain, produces a sharp tingling sensation upon the tip of the tongue. Upon drying, this juice becomes very much modified, but not by the escape of a volatile alkaloid. The first published description of Lobelia inflataf states that the leaves if chewed ' 'produce giddiness and pain of the head, with a trembling agitation of the whole body," and this sentence with little variation has passed through a multitude of works on materia medica.J It has not been our experience to note a giddiness of the head, the sensation with us is simply a tobacco-like irritation until nausea, headache and vomiting occur, and this is the report of others, who we know to be familiar with the drug. Lobelia Seed. — This drug presents a deep brown color in mass. It consists of. minute, almost microscopic seed. Their actual size is about 1-60 of an inch in length by 1-240 of an inch in diameter. The typical seed is oblong, round- ing at the ends, and cylindrical. Sometimes they are nearly round, however. *"The herb found in commerce is in tlie form of rectangular cakes, i to r% inches thick, consisting of the yel- lowish green chopped herb, compressed as it would seem while still moist, and afterwards neatly trimmed. The cakes arrive wrapped in paper, sealed up and bearing the label of some American druggist or herb-grower." — Pharma- cographia, 1879, p. 399. fAccount of Indigenous Vegetables. — Cutler, 1783. {The original description of a drug seems to be authority with many writers who neglect to give proper credi to the real author, and, who seem not to display much personal knowledge of the subject, LOBELIA. . 69 The average number of seeds in a capsule is between 450 and 500. It requires 2500 seed to make one grain in weight.* Upon microscopic examination, each seed is shown to be a beautiful object, bright and glistening, the surface being a corrugated ridge-like network, of which figure 131 is a representation. Lobelia seeds are odorless, but upon handling them a fine dust rises that is very irritating when inhaled. They possess the acridity of the plant in an intensified degree, and were considered by the Thomsonians to possess one-half more strength (emetic) than the powdered leaves. Lobelia seed have never been officinal, but are in good demand in the American drug market, and, extensively em- ployed by Eclectic physicians who consider that the prepara- tions of the seed are more uniform and reliable than those of the herb. Our experience is to the same effect. No adulterations or sophistications are known to us, al- g^^^ ^^ Lobelia inflau. though often fragments of the leaves and capsules are (Magnified.) present, not being separated by sifting through fine enough selves. The com- mercial term for the drug free from this chaff" is " clean lobelia seed." The corrugated surface of the seed is a characteristic of the species of Lobelia, and would serve to individualize them. It would be possible to sub- stitute the seed of other species. Lobelia syphilitica, and perhaps Lobelia cardi- nalis. We made a careful comparison under a microscope of the seed of Lobelia syphilitica and Lobelia inflata and were unable to note any difference either of size or marking. We are not aware that the substitution is ever made by collectors, but it could be done with profit to them as the Lobelia syphilitica produces seed in abundance and is a common plant and easily collected. Fortunately, however, the plants are so different in all appearances that ig- norant collectors have no idea that they are at all similar and the substitution is not suggested to them. Microscopic Structure of Xobelia Inflata. — (Written for this publication by Robt. C. Heflebower, M. D.) — ^Transverse and longitudinal sections of the stem of the plant show first the epidermis. (See fig. 1 32, plate xxxv. and fig. 1 36 following page.) This consists of a single layer of cells, and supports the hairs found upon the surface of the stem. Beneath this layer are several other layers of cells, («. figures 132 and 136,) mostly oval upon transverse, and elongated upon longitudinal section. The cells of this layer are not all closely approx- imated, but there is a small space existing between some of them, whilst others are intimately joined. The latter is usually the case. *Thus, a pound will contain 17,500,000 seed. The business firm with which the writers are connected, pur* chased recently in one lot 2000 pounds of lobelia seed. By our calculation this amount contains the enormous number of 35,000,000,000 individual seed. PLATE XXXV. Fig. 132. Fig. 135. •transverse section of the stem of Lobelia inflata.-*, epidermis;/. TransTerse section of a leaf of Lobelia inflata:-*, cuticle-/ . parenchyma; h, woody portion, containing medullary rays; c. d„„,l cells; ^•, parenchyma. (Magnified 300 diameters.) ' trachea: and lactiferous tubes; d, pith. (Magnified loS diameters.) Fig. 133. Fig. 134. Upper surface of a leaf of Lobelia inflata: — A, unicellular hair; j. Lower surface of a leaf of Lobelia infiata: — A, epidermal cells; j, subsidiary cells at base of hair; ?', chlorophyll granules; «, epider- stomata; h, hair;y, subsidiary cells at base of hair, (Magnified 300 ma) cells. (Magnified 108 diameters.) diameters.) MICROSCOPIC DRAWING OF LOBELIA. LOBELIA. 73 The epidermes of both surfaces of the leaf present cells bounded by ir- regular 'outlines and hair structures. The cells of the upper surface (see figure 133) are larger, and their walls thicker, than those of the under surface. The same is also true of the hairs of this surface.* The under surface (see fig. 134) presents in connection with the simple epidermal hairs and cells, numerous stomata, (see s. fig. 134.) Each stoma is widely elliptical in shape, and con- sists of a pore or longitudinal slit, and the guard or stomatal cells which bound the pore. Outside of the guard cells are several epid- ermal cells surrounding the stoma, the subsidiary cells of the stoma. The base of the hair is likewise surrounded by a similar cluster of cells, the sub- sidiary cells of the hair. A transverse section of a leaf of Lobelia inflata (see fig. 135) presents the epidermis of each surface beneath the cuticle, and the parenchymatous struc- ture between the two epidermal layers. The cells of the paren- chyma are filled to a greater or less extent by chlorophyll granules. Fig. 137. The pollen grains are OVOidal PoUen of Lobelia inflata, (magnified 650 diameters.) in form and resemble a wheat grain, having a longitudinal slit on one side divid- ing the grain into lateral halves. .Constituents. — Lobeline. — The characteristic principle of Lobelia inflata is an acrid, irritating alkaloid, that pervades all parts of the plant; most easily ob- tained from the seed. It is known as lobeline. It exists in combination with an unimportant vegetable acid. If freed while in contact with other constituents of the plant the alkaloid decomposes in a short time. If heat is applied to an aqueous solution of the natural constitu- ents, this decomposition occurs rapidly and the alkaloid soon disappears, f Heat applied even to an alcoholic tincture accomplishes the rapid destruction of the alkaloid. In a recent experiment whereby we evaporated in a close still the alcoholic tincture of fifty pounds of Lobelia seed, and extracted the residue with acid- ^The apparent contradiction to this statement of our figures, number 133 and 134, is from the latter being more highly magnified. fXhis fact was well known to the Thomsonians. They used but little heat, and throughout their literature we find constant reference to the loss of strength by boiling. Indeed, they wisely prefered to give both the herb and seed In substance. Empiricism, demonstrated what chemistry supports. 74 DRUGS AND MEDICINES OF NORTH AMERICA. ulated water, having . neglected to add the acid to the alcohol, most of the lobeline perished. In another experiment, by an oversight, heat was applied to an aqueous solution of the alkaloid, while it was associated with other con- stituents of the plant and the alkaloid entirely disappeared.* History of Lobeline. — Prof. S. Cohoun, i834,t made the first examination of Lobelia inflata. He obtained by means of acidulated alcohol, a colored liquid that he took to be the characteristic principle, which however was simply a crude extract containing a salt of the alkaloid. He described it as follows : "The active principle of this plant is a brown, molasses-like fluid." Prof. Wm. Procter, jr., 1838,! made Lobelia inflata the subject of his thesis. This was the first creditable chemical investigation of the plant. By a number of experiments he fairly demonstrat- ed the presence of a volatile oil destitute of acrimony (exp. 4,) an alkaline body, soluble in ether, (exp. 10 and 11, )§ which is capable of forming salts with acids, (exp. I2.)|| Again, i84l,1f Prof. Procter reconsidered the subject and obtained the alkaloid lobeline as a yel- low, oily liquid, but he states, "if the process of purification were repeated, there is little doubt but that the lobeline would be obtained perfectly colorless." Reinsch, 1843,** obtained a substance that he called lobeliin, but which was not a definite body. W. Bastick, i85i,tt attempted to clear up the lobeline record, but was far from being success- ful, and added little if anything thereto. He obtained Mr. Procter's impure alkaloid by employing Liebig's process for making hyoscyamine. Mayer, i865,tt in considering the "Principal Reactions of the Medicinal Volatile Bases" records the action of lobeline, classing it with the volatile alkaloids known at that day. In our opinion lobeline is not a member of the class (volatile) he investigated. In i87l,§? Enders extracted lobelia with alcohol and distilled the liquid in presence of charcoal, washed the charcoal with water and extracted it with alcohol which yielded warty tufts, slightly soluble in water, brown, acrid, and uncrystallized. Soluble in chloroform and ether. He gave it the name Ij>belacrin, but we find it to contain the substance we designate as inflatin and a little of the alkaloid lobeline. W. D. Richardson, l872,|||| found that upon exposure, lobeline underwent a change whereby it became insoluble in water and refused to form salts, but the nature of the alteration was undecided. Mr. Vi?. H. D. Lewis, 1878, fl[ reviewed the literature on the lobeline subject, and suggested a modification of preceeding processes, whereby he obtained lobeline of a honey-like consistence and light yellow color, but evidently impure, as it had "a somewhat aromatic odor." He decided that lobeline exists in the plant in combination with lobelicacid, and aflixed to this salt the name lobeliate of lobeline, but, this substance, (whatever it may be,) had previously been obtained by Procter. Dr. H. Rosen, 1886,*** obtained lobeline by making a benzin solution from the acrid infusion, and another alkaloid as he thought by after treatment of this liquid with chloroform. He decided *Here again the Thomsonians learned from experience. They used acetic acid to make their most stable preparations. ■fProf. S. Calhoun, M.D., was Professor of Materia Medica in Jefferson Medical College, Philadelphia, at the time he -wrote this paper. ^Am. Journ. Fharm., 1838, p. 98, illustrated. gHe erroneously gives to this a strong odor. The odor was due to impurities. ||In 1840, (Am. Journ. Pharm., p. 280,) Prof. Procter examined Lobelia cardinalis, obtaining an impure alkaloid, of a bitter taste. It formed salts with acids. 1[Am. Journ. Pharm., 1841, p. i. **Pharmacographia, p. 400. ■fj-Pharmaceutical Journ. and Trans., 1851, p. 270. JJProceedings of the American Pharmaceutical Association, 1865, p. 211. ggPharmaceutisher Central-Blatt, No. 31, July 5, 1843. Illnaugural Address, Am. Journ. Pharm., 1872, p. 292. UTTPharm, Journ. and Trans., London, 1878, p. 561. Mr. Lewis was a member of the Pharmacy class of the University of Michigan at the time he wrote the paper. ***An Inaugural Dissertation, University of Dorpat, 1886, communicated to the Am. Journ. Pharm., 1886, p. 392. His paper was on X^helia mcotiantB/blia, but he states, "the same two alkaloids were also obtained from Lobelia inflata. "~ LOBELIA. 75 that the latter alkaloid presented striated prisms. His investigations were evidently performed with small quantities from which possibly he failed to separate impurities. R^sumS. — Thus it is that, although much time and attention have been given to the lobelia constituents, the result is far from satisfactory. In our opinion, the chemistry of the subject is yet obscure. We have followed the various processes and obtained the acrid alkaloid, amorphous, colorless, intensely active, one drop of its solution immediately vomiting a strong man, but we have not crystallized either the pure alkaloid or a salt of it. We obtained crystals from the impure alka- loid lobeline, as others had and for some time accepted that they were the corresponding salts, but further (recent) examinations enabled us to eliminate the crystalline material entirely, leaving the alkaloid as an amorphous product.* That we were for a while deceived is evident, that others may also have been misled is possible. For the present we shall simply call this crystalline substance injlatin,\ and are led to make this introduction before referring to the preparation of lobeline. Pteparation of Lobeline. — Extract the oil from powdered lobelia seed, by means of benzine, and dry the residue. Then acidulate the dry powder with a mixture of acetic acid one part, alcohol nine parts, and pack firmly in a glass percolator. Exhaust with a menstruum made of acetic acid one part, alcohol twenty parts. Evaporate the liquid, and when cold, add water enough to make a thin syrup, and extract the alkaloid from it by means of ether, adding cautiously ammoniaj to slight alkaline reaction. The ethereal liquid is then to be decanted, evaporated in presence of water that has been previously acidulated with acetic acid to excess. The watery layer is cooled, separated from overlying oil, filtered, and again extracted with ether to which ammonia is again cautioiisly added to slight excess. This ethereal liquid will be colorless (if not so repeat the operation) and it contains the alkaloid lobeline. It has been supposed to contain only the alkaloid, but, in addition there is a volatile oil and inflatin. If this ethereal solution is evaporated, a colorless glassy layer remains, of a strong odor, and which turns yellow and even brown upon exposure. It is partly soluble in acidulated water,g yield- ing the alkaloid, mixed with various amounts of the associated impurities. It dissolves in alcohol, ether and chloroform, but only incompletely in benzol and carbon disulphlde. If the ethereal solution is evaporated in contact with acids (excepting acetic acid) an amor- phous layer usually interspersed with crystalline formations remains. These crystals we formerly took to be salts of lobeline, even drawing fig. 138 under the impression that it was a sulphate. If this crystalline layer be extracted with carbon disulphide, |j the crystals disappear^ and the acrid material remains. If now, the residue (a salt of lobeline) be exposed to the dry atmosphere for a few days, it becomes odorless from escape of the volatile oil. Then, it will dissolve in water, especially if slightly acid, and after filtration can be extracted colorless and as we now believe pure, by sulphuric ether in connection with a slight excess of ammonia.** Properties of Lobeline. — Lobeline is alkaline in reaction, colorless, odorless, soluble in alcohol, chloroform, ether, tt benzol, carbon disulphide, and somewhat soluble in water. We have not suc- ^■We simply state that we were misled. The crystals that we obtained were not of lobeline, but an impurity that intimately accompanies it and crystallizes more easily under the influence of acid liquids. Our crystals compare too, with Procter's description. fWe dislike to affix a name to a body that is so obscure in its classification as this now is. We find also that the various forms of the word lobelia is entirely monopolized. Hence, we reluctantly select infiatin for want of a better name. |Some use magnesia, thinking that ammonia decomposes the alkaloid. Any alkali and heat will do so, but dilute ammonia in presence of ether does not alter it in appreciable amounts. Magnesia does not entirely decompose the salt (acetate) and a free alkali is necessary. git does not necessarily follow that because this body was once entirely dissolved in acidulated water, it will completely redissolve after being dried. ||We think that former investigators failed to brake up this mixture by using ether and alcohol only as solvents. These liquids dissolve the entire associated products, and acid water will also do so to an extent, although pure inflatin is insoluble' in water. ^See inflatin, p. 76. wWo make no claim to originality in the method of making lobeline. Our process diff'ers somewhat from others it is true, but, perhaps not materially. The aim is to divest the seeds of their oil, extract the alkaloid in stable con- dition and eliminate impurities without the application of more chemistry than is necessary. ttWittstem la bis Organic Constituents of Plants states that lobeline is insoluble in ether. This is a mistake. 76 DRUGS AND MEDICINES OF NORTH AMERICA. ceeded in crystallizing it. It is not hydroscopic (Wittstein contra.) In pure condition lobeline can be exposed to the air for days, and is probably permanent. We evaporated by exposure, a solution in water rendered strongly alkaline by ammonia,* which changed to yellow, showing some decom- position, but which retained all the sensible properties of the alkaloid, remaining very acrid and being a violent emetic. Lobeline turns red with sulphuric acid, yellow with nitric acid and dissolves colorless in hydro- chloric acid. Heated with sulphuric acid it turns black ; with nitric acid evolves the usual vapors of nitric oxide, with formation of a yellow liquid; and hydrochloric acid evaporates from it un- changed. Salts of lobeline are very soluble in water and those we have examined dissolve in alcohol and ether, but very slightly (excepting the acetate) in carbon disulphide.t From moderately strong aqueous solutions of the salts of lobeline, alkali precipitates the alka- loid, white, flocculant, amorphous and odorless. This precipitate dries to a. glassy layer that will powder white,! t)"' tliis must be cautiously performed as minute amounts of the dust excite violent irritation of the nostrils, air passages and lungs, equal to, if not more intense than veratrine. All the alkaloidal reagents precipitate lobeline from aqueous solution of its salts. We have as yet failed to crystallize salts of pure lobeline, but we think that such a positive alkaloid will furnish crystals under proper conditions. § Lobeline and its salts are among the most powerful of emetics, and extremely small amounts of the solution of the colorless alkaloid, (one drop being placed on the tongue) immediately vomited those to whom we administered it. There was no unpleasant after effect (see medical properties.) In the crude condition, as former investigators have obtained it from ethereal solution (even color" less as we made it) decomposition occurs and it rapidly darkens. R6sum6. — The alkaloid lobeline has evidently been impure as heretofore described, and may not be pure as we obtain it. Others state that it is yellow and has an odor; this certainly is errone- ous for we produced it colorless and odorless. Others have obtained what was considered crystal- line salts ; we also formerly thought this easy, but found the crystalline material to be an impurity, to which we can find no previous reference. It has never been analyzed, but, if our present line of manipulation is successful, further remarks will follow, and a combustion made by recognized authority. Having considered the most prominent constituent of lobelia, we shall now pass to the most characteristic principle which as before stated we have for descriptive purposes designated as inflatin. Inflatin. — This substance exists ready formed in lobelia herb and seed, and may be extracted together with the fixed oil and chlorophyll by means of carbon disulphide. Since the oil passes with the inflatin through most solvents and holds it in solution when the other solvents are evaporated, it is not feasible to separate inflatin from the extracted oil, although, we have obtained it by saponi- fying the oil and separating the soap. Inflatin has certainly been obtained by the investigators who produced crude lobeline, begin- ning with Prof. Procter, but owing to its intimate association with that alkaloid, and with the vola- tile oil of the plant, and to its refusal to crystallize while associated in this manner it has been over- looked. || The glassy layer first obtained in the evaporation of lobeline from the ethereal liquid, if moist- ened with acid solutions will upon drying assume a partly crystalline condition. This led us *It is stated that alkalies destroy lobeline at once. This is incorrect. f This solvent which seems to have been overlooked by others enabled us to purify the crude lobeline as already stated and as further explained under inflatin. JThis differs from statements of others, who describe it as an oily liquid. gSulphate of lobeline is quoted in commerce. We see no reason for presuming that if demanded in quantities it should not be crystallized. We also think that manufacturers who have a demand for the alkaloid should have been able to exclude the crystalline substance that we have found to accompany it. llEven if it has crystallized, the solvents formerly employed redissolve both it and the associated principles* LOBELIA. 77 (see page 75) to conclude that the salt of lobeline had crystallized, and figure 138, as before stated was drawn under the supposition that it was a sulphate of lobeline. These crystals with varying conditions assume different forms, and hence, we were more easily misled when we used the several acids. Preparation of Inflatin. — Evaporate in thin layers the ethereal solution of crude lobeline (obtained by process on P^ge 75) adding hydrochloric acid to slight excess. To the sticky product be- fore completely dry, add a few drops of carbon disulphide,* and after flowing it about decant the solution into a shallow vessel. Repeat the operation with suc- cessive portions of carbon disulphide, and mix the liquids. It is best, if work- ing small amounts, to allow the preceed- ing portion to evaporate each time be- fore adding the other. Fig. 138. The final product will resolve itself Inflatin (at first supposed to be sulphate of lobeline) crystallized from in a few hours into small white warty et erea iquid. aggregations, perhaps (if very impure) imbedded in a viscid, tenacious, more or less yellow semi-liquid. These globules are inflatin, destitute often of crystalline form because of the pressure of the surrounding mediunS. Occasion- ally an isolated globule like a. fig. 139 will resolve itself into a fragment like b. fig. 139, and we have seen these globules under the microscope become crystalline strata withoiit change of shape. Carefully drop carbon disulphide f on this layer and decant it at once into I a clean glass as soon as it has taken up I the globules, which will be before the yellow substance dissolves. As the car- bon disulphide evaporates crystalline nodules will form. The crystals do not form as distinct, however, as if the pro- duct is redissolved in pure benzol and ! evaporated. Thus purified the crystals may ap- pear like figures I40, 141, 142 and 143, | dependent on the rapidity of the evap- oration and depth oi the liquid. Where the liquid is very thin, we ob- serve a display like figure 140 ; if deep they will appear like figure 141 ; if deep enough to permit the typical crystal to Fig. 139. Globules of inflatin; a, the ordinary crude form^ hf same, partly crystalline. 140. Crystals of inflatin from a thin layer of benzol solution. form, they will mostly be diamond shapedf as shown in figure 142. Since we have discovered the characteristics of this material, we have obtained it easily as fol- lows : Abstract the greenish oil from powdered lobelia seed by benzine, stopping the percolation *This leaves the hydrochlorate of lobeline. fThe goniometer must be used to determine their exact crystalline form. They appear to us as our artist re- presents them. 78 DRUGS AND MEDICINES OF NORTH AMERICA. when the percolate ceases to pass of a green color, (this abstracts much inflatin also.) Dry the magma and extract it by means of carbon disulphide. Evaporate the carbon disulphide and cool the re- sidue. It will crystallize to a magma of inflatin and a fixed oil. Place on bibu- lous paper and warm it, the oil is ab- sorbed and the inflatin can be purified by crystallization. Ptoperties of Inflatin. — Inflatin is pure white and from carbon disulphide tends to form nodules of a crystalline structure or in great crystalline plates. The various modifications of the crystals are shown by figures 140, 141, 142 and 143. The typical crystal is diamond shaped and perfectly transparent. Inflatin is odorless, tasteless and re- fases to unite with acids or alkalis. It is insoluble in water or glycerin, but soluble in carbon disulphide, benzol. Fig. 141. chloroform, ether and alcohol in the CrTstals of inSatin from benzol solution. order we have given. Sulphuric acid does not affect it, even the smallest crystals remaining sharp and distinct. Hot sulphuric acid de- composes it with formation of a black liquid. Cold nitric acid has no action upon it, but developes the forms and angles of a crystalline layer under the microscope in magnificent distinctness, the centers of each crystal being pure white, and the ends jet black as shown by figure 143 a, developed from a slide of which 143. i is a part with- out the nitric acid. Upon heating with nitric acid inflatin melts without change of color, and upon evaporation of the acid, and resolution in benzol, crystallizes as before. Upon boiling inflatin with Fehling's solution it turns brown, then black, but does not reduce the copper and does not dissolve. Inflatin melts at 225° F., and at a lower tem- perature cools to a mass of crystalline structure. R6sum6. — From the preliminary examination that we have given this substance, we conclude that it is either a stearoptene or a vegetable wax, probably the former. Perhaps in mechanical suspension it produces the milky juice of the plant, but we did not discover it in time to examine the juice of the herb during its season. It is evidently of no medicinal importance, and, is of inter- est we think simply because of its association with the other constituents of lobelia. Volatile Oil of Lobelia. — Lobelianin. — All parts of the herb of fresh lobelia are pervaded by a volatile oil of a strong pungent odor, but with little taste and no acridity. It was described by Procter, (see p. 74,) 1838, who found that the tincture of lobelia, or the herb, distilled with water gave a distillate of a peculiar odor. Pareira, 1840, gave it the name Lobelianin, and stated that it had an acrid taste, but, Procter, 1842, decided that he was mistaken on this point, and, our in- vestigations support Prof. Procter.* Fig. 142. Crystal of inflatin, typical form. ''We made a careful examination, distilling water from quantities of the herb, both fresh and dry, and we used the utmost care to avoid the passing over of spray with the vapor. The product gave simply- (from the green herb) a volatile oil that could be separated by sulphuric ether, but it does not accumulate in amount sufficient to separate from the distillate unless the temperature be very low. LOBELIA. 79 If a small amount of water be de- stilled from a large quantity of the dry herb, (Pereira and Procter used the dry,) and the destillate be reduced to about the freezing point of water, it deposits groups of transparent cry- stals, which do not redissolve when the water is warmed. Upon dissolv- ing them in appropriate solvents (any of the usual solvents for volatile oils) and evaporating the menstruum, this oil crystallizes in large groups of flat, transparent plates that do not often radiate from a common center. They cover the slide and are nearly parallel connected by oblique plates, but not often in stellar groups, (see fig. 144.) • Upon heating crystals of lobelia- nin* suspended in water it melts at a temperature of 160° F., and if melted on a glass surface it quickly evapor- ates without residue, evolving the Fig lA'i pungency familiar to those who know Crystals of inflatin, t, before; a, after action of nitric acid. the recent distillate. It slowly evaporates upon exposure to the air and disappears. Sulphuric and nitric acids dis- solve it and upon heating a slide of crystals to which a drop of nitric or sulphuric acids had been respectively added, the nitric acid evaporated without apparent change, while the sulphuric acid blackened and evolved empyrematic vapors. It retains its crystalline form in ammonia water and liquor potassa. We could not determine if more than one oil is obtained by the act of distillation, but, it is probable that such is the case. We endeavored to obtain the substance we have called inflatin, by oxidation of this oil, but failed, al- though it is apparent that some con- stitutional difference exists in the volatile oil of fresh lobelia and that of dry. The oil of fresh lobelia did not crystallize in our hands. Has Lobelia a Volatile Alkaloid? — _ S IG. 144. Prof. Procter, 1838,! found that both Crystals of concrete volatile oil of lobelia, from benzol solution. tincture of lobelia and the herb, with water, upon distillation gave a distillate of a peculiar odor, '^Ferbaps this name is inappropriate and should not be applied to a concrete volatile oil. However, it was first giv6n by an authority we all respect and it has precedence. fAmerican Journal of Pharmacy, 1838, p. 104, experiments 4, 5 and 6. 8 80 DRUGS AND MEDICINES OF NORTH AMERICA. but destitute of acrimony. Pereira, 1840,* stated that it had in addition an acrid taste, which Procter, 1842,! decided was a mistake. Bastick, 1851,}; states that "lobeline is volatile." We made a careful examination, distilling water from quantities of the fresh herb. We used the utmost care to avoid the passing of undistilled liquid with the vapor, and failed to obtain either an alkaloid or an acrid distillate.? The product was of strong odor, from it sulphuric ether dis- solved the oil, but there was no trace of acridity or of an alkaloid. Then we used dry fresh lobelia in ten pound lots, with water, aftd with water that was made alkaline with caustic potash. In both cases the distillate was free from acridity and refused to affect any alkaloidal reagent. We made a solution of pure sulphate of lobeline, rendered it alkaline with caustic potash, and distilled it to one-third. The distillate gave evidence of decomposition products, but no lobeline came over.|| We therefore conclude that lobelia does not contain a volatile alkaloid, and that lobeline is not volatile. There is no reason that we can see to suppose that the alkaloid lobeline is chemically re- lated to the alkaloid nicotine. That they have been associated is probably from the unfortunate name for lobelia, Indian tobacco, and the fact that the plants and alkaloids resemble in taste, and that both are emetic. LoBELACRiN, {So CALLED.) — Eaders, iSyijlf obtained a substance that he named lobelacrin. It was produced by exhausting lobelia with alcohol, adding charcoal and distilling. The charcoal was washed with water, treated with boiling alcohol, the alcohol evaporated and the residue extracted with chloroform. Upon evaporation of the chloroform ''warty tufts" of a brown color were obtained. This, Enders named lobelacrin. Lewis considered it per- haps a lobeliate of lobeline. We consider it a mixture of the oil (fixed) of lobelia, the substance that we have called in- flatin, a brown resin, some lobeline and coloring matter. According to our examination, it is really a mixture of such substances as are extracted from lobelia by alcohol, and having refused to dissolve in water are soluble in chloroform. It will be evident to the reader that this process certainly cannot separate the oils, wax and like bodies. That an or- ganic acid is present is also probable. Fixed Oil of Lobelia. — Lobelia seed contains thirty per cent, of non-volatile oily matters. The true fixed oil of lobelia is bland and non-acrid. As usually obtained, even by expression, it is acrid from contaminations. Menstruums that dissolve the oil also dissolve the chlorophyll, hence it has a green color as extracted from powdered seed. Pure fixed oil of lobelia has never been used in medicine and would be of little value. An impure oil is a favorite with Eclectic physicians, who use it alone and associated with other substances. It is a constituent of Compound Stillingia liniment,** an excellent remedy, which in our opinion depends mainly upon this impure oil, which is simply a syrupy extract of lobelia seed, made with stronger alcohol acidulated with acetic acid. Other Constituents of Lobelia. — There is a characteristic brown resin, coloring matters, and the usual constituents of plants. If the resin in alcoholic solution be precipitated by water even in presence of acid water, it carries with it a large amount of lobeline. This we thought to be a dis- tinct alkaloid, but became assured after purification, that it was simply lobeline. tt Commercial History of Lobelia. JJ — Since the day of Thomson, lobelia herb has been an important American drug. Growing abundantly in the East- ern States the first supply came from that section, but collectors in other parts subsequently gave it attention, and in domestic use and otherwise it is now a '^Elements of Materia Medica, vol. ii., 1846, p. 385, (and preceding edition.) f American Journal of Pharmacy, 1842, p. 4. JPhar. Journ. and Trans., 1851, p. 270. gThe herb for these experiments was gathered to order and selected plant by plant. There was no foreign sub- stance present and the lobelia was prime. yThe neck of the retort was plugged near the retort with a strainer of linen to retain the spray. The neck was inclined to throw the condensed liquid back into the retort. Thus only the vapor passed to the condenser. In the large still with the herb, the exit for vapor extended upward 25 feet to the condenser and a spray could not pass over. ^Pharmacographia, p. 400. '^See unofficinal pharmaceutical preparations of lobelia, to follow. ff Many resins have strong affinities for alkaloids and other constituents of plants. They act somewhat like animal charcoal, carrying them from solution and holding them tenaciously. tIThis article should properly follow our description of the drug, p. 67. LOBELIA. 81 drug collected over most of the country in which it abounds. The mountainous part of North Carolina furnishes large amounts. During its early record when Thomsonism made unexpected demands, and collectors were few, the drug occasionally became scarce, or entirely out of market. Thomson was accustomed to warn his followers of this fact and advise them to secure a supply of "No. i,"* the first opportunity. He states that in 1 807 an offer of one thousand dollars per pound would have failed to procure the drug, and that at another season, two dollars an ounce could not pur- chase it. t However, at present, it is plentiful and the steady demand is easily supplied. X Lobelia seed, however, often becomes exhausted and occasionally out of market. After an unusually dry season it is scarce. Two years ago it could not be collected. This year (1886) the market is glutted. The demand is small, and, few dealers care to procure more than is necessary for use in one year. Besides, the general drug trade consumes but little, the demand being almost exclusively from a limited number of specialists, who as a rule obtain their stocks from the collectors and do not depend upon the dealer in drugs. The "Herbalists, "§ of England, now regard lobelia with much favor, as is evidenced by their action in consequence of an endeavor, recently made by the Law and Parliament Committee of the Pharmaceutical Society, to have lobelia placed on the "English Poison Schedule. "|| They state that they use the herb freely, probably some hundreds of pounds yearly. Pharmacopceial History. — The Pharmacopoeia of the Massachusetts Medi- cal Society, 1808, under the name lobelia, recognized "the root" of Lobelia syphilitica. The first edition of the U. S. Pharmacopoeia, 1820, as lobelia intro- duced "the herb" of Lobelia inflata, using as a synonym the common name Indian tobacco. This was accepted by the New York, (1830,) and the Phila- delphia, (1830) editions. In 1840 the term Indian tobacco was dropped and has not since been recorded, although lobelia has been officinal in each success- ive revision. The fact that the Massachusetts Pharmacopoeia recognized the root of Lobe- lia syphilitica, doubtless aided in perpetuating the mistake of so many medical writers who have stated that the root and top of Lobelia inflata is employed in medicine. Every revision of the U. S. Pharmacopoeia has recognized the herb of Lobe- lia inflata as "lobelia" and in no instance has Lobelia syphilitica been accepted or the root of any species of Lobelia recognized. *See note f page 8$. fThomson's Guide and Narrative. {Thomson asserts that an abundant crop one season is followed by failure the next. We have also observed this, but, we find that it is often scarce for a series of seasons, owing to climatic influence probably, and occa- sionally is unusually plentiful. gin the "Year Book and Transactions of the Society of United Medical Herbalists of Great Britain," 1885, wo find 111 members recorded. lEnglish Poison Schedule, see note g p. 88. 82 DRUGS AND MEDICINES OF NORTH AMERICA. Pharmacopceial Preparations. ^The first (1820) edition of the U- S. Pharmacopceia gave a process for making tincture of lobelia, two ounces of the herb to sixteen fluid ounces of diluted alcohol. This proportion was continued through each succeeding revision to 1880, at which time the strength was made two parts of lobelia to ten parts of tincture. Acetum Lobeliae, introduced in i860, was made two parts of lobelia to di- luted acetic acid, enough to produce sixteen fluid ounces, and in 1 880 it was changed, one part of lobelia producing ten parts of the finished vinegar. It will be observed that the strength of the tincture was increased about one-half in 1880, while the strength of the vinegar was decreased nearly forty per cent. We think that they should have been made identical in strength. In 1880 the fluid es^tract of lobelia herb was introduced, diluted alcohol be- ing employed in making it after the usual' process for fluid extracts. Unofficinal Pharmaceutical Preparations. — Scattered throughout medical and pharma- ceutical literature we find many formulas for lobelia preparations. These preparations are still in more or less demand, and occasionally in considerable local use. We reproduce them with as little alteration as possible. The uses and doses are as we find them recorded, and in many cases would be considered inordinate at present. Cataplasma (Poultice) of Lobelia. — Powdered lobelia herb, two ounces; powdered slippery elm, one ounce. Wet with whiskey; apply to rheumatic part. — (Sick Man's Guide, Lukens, p. X15.) This original compound was evidently followed by Prof. King in the following : Cataplasma of Lobelia, — To equal parts by weight of powdered lobelia and elm bark add a sufficient quantity of weak lye to form a cataplasm. Used for painful swellings, inflammation of the breast, stings of insects, etc. — Am. Bisp, Enema of Lobelia. — Take of compound tincture of lobelia and capsicum, half a fluid drachm; water, half a, fluid ounce; mix them together. A relaxant and antispasmodic clyster. Used in convulsions of infants. — Am, Disp. Aqueous Extract of Lobelia inflata. — Lobelia seed, powdered, eight ounces ; diluted alcohol, four pints ; acetic acid, one ounce. Mix the acid and diluted alcohol and percolate the lobelia seed. Then evaporate to a soft extract. — (Prof. W. Procter,) American Journal of Pharmacy, 1842, p. 108, Fluid Extract of Lobelia, Compound. — Blood root, skunk cabbage root, lobelia herb, of each four ounces. Make a fluid extract in the usual manner. An emetic, expectorant and antispasmodic. Used as a substitute for acetated tincture of blood root. Dose, from 10 to 60 minims. — Am. Disp, Lotion of Lobelia, Compound. — Bayberry bark, lobelia herb, yellow dock, of each two drachms; vinegar, one pint; macerate for seven days and filter. Used for local applications in cutaneous diseases, such as erysipelas, in- flammation, etc. — Am. Disp. Liniment of Lobelia. — Stew the seeds of Lobelia inflata in animal oil. This is used to relax rigid muscles and contracted limbs by rubbing it in the skin. — Western Medical Reformer, 1837, p. 206. Liniment of Stillingia, Compound. — Oil of stilUngia, one fluid ounce ; Oil of cajuput, half a fluid ounce ; Oil of lobelia, two fluid drachms; alcohol, two fluid ounces; mix them together. Used in chronic asthma, croup, spasmodic diseases of the throat and lungs. Apply to the parts affected and take a few drops internally on a lump of sugar.— (Am. Disp.) The Lobelia we think is the chief constituent. — L, Lobelia Seed with Sugar. — Powdered lobelia seed, powdered white sugar, of each four parts; rub well together and add one part of nerve powder; two parts of capsicum, and add the mixture to thirty-two parts of number six. — Thomsonian, Materia Medica, 1841, p. 699. Syrup of Lobelia — Vinegar of Lobelia, six fluid ounces; sugar, twelve troy ounces. Dissolve by heat, skim, add a little acetic acid, and strain. — Prof. W. Procter, American Journal of Pharmacy, 1842, p. 109. Oxymel of Lobelia. — Add one part of strained honey to two parts of sour tincture; heat to boiling point, skim, and bottle. — Kost's Domestic Medicine, p. 309. , Syrup of Lobelia, Compound. — Lobelia, four parts; blood root, two parts; macerate in thirty-two parts of vine- gar for one week ; strain with pressure. Pleurisy root, four parts ; Solomon's seal, two parts ; cover with boiling water and keep hot one day, adding water to produce thirty-two parts of infusion. Mix the two liquids, brin^ to a boil and add forty-eight parts of sugar. Relieves cough ; efficient in croup ; used in all cases where it is desirable to increase secretion from the air passages. An excellent diaphoretic, used in all cases of cold*— Domestic Medicine, (Scudder,) p. 230. Syrup, Well's Vegetable.— Onions, sixteen parts; Spikenard, eight parts; Horehound, four parts; Lobelia, two parts; Pleurisy, two parts; Skunk Cabbage, two parts; Water, forty parts. Mix, boil, strain ; evaporate to eight parts. Add thirty-two parts of honey; sixteen parts vinegar, and sixteen parts gin. Dose, one tablespoonfuL — Im- proved System Botanic Medicine, 1832, p. 386. LOBELIA. 83 Pills of Aloes and Lobelia, Compound.-- Extract of boneset, mandrake, ginseng, of each two drachms; aloes, «ight drachms; gamboge, castile soap, of each four drachms; capsicum and lobelia seed, of each one drachm; oil of cloves, two minims; make into a pill mass, and divide into four grain pills. Cathartic. Useful in dyspepsia, consti- pation, jaundice, etc. Dose, from two to four. — Am. Disp. Pills, Emetic. — Extract of peach leaves, poplar or butternut bark, one ounce; capsicum, one teaspoonful; pow- dered lobelia seed, half an ounce; nerve powder, two teaspoonful, and a few drops of oil of peppermint. Mix and make into pills. — (Thomsonian, Materia Medica, 1841, p. 699.) (Very indefinite. — L.) Pills of Lobelia. — Lobelia seeds, capsicum, and scuUcap, each, equal amounts. Make two grain pills. Dose, one to two, every two hours. Three to five at bed time, with composition tea. Uses: coughs, hoarseness, croup, asthma, etc. — Botanic Physician, (Elisha Smith). Powder, Expectorant. — Powdered skunk cabbage root, four ounces; powdered unicorn root, two ounces; pow- dered lobelia seeds, one-half ounce; mix. Dose, half to a teaspoonful. — Improved System Botanic Medicine, 183a, p. 385. Powder of Lobelia, Compound. — Lobelia, six drachms; blood root, and skunk cabbage, of each, three drachms; ipecac, four drachms; capsicum in powder, one drachm; mix them together. Used in all cases where an emetic is in- dicated. It vomits easily and- promptly without causing cramps or excessive prostration. Dose, half a drachm every fifteen minutes in an infusion of boneset, until two drachms have been taken, or the patient vomits. — Am. Disp. Third Preparation. — One ounce of powdered lobelia seed; one ounce of capsicum; one tablespoonful of nerve powder; mix; add to half a pint of Number Six, (No. 6). This is Thomson's great remedy, known also as Rheuma- tism drops and Hot drops. Antispasmodic Tincture.— Tincture lobelia, tincture capsicum, of each, sixteen fluidounces; tincture nervine, twelve fluid ounces. Dose, from half a teaspoonful to a tablespoonful. Used as an antispasmodic, and in large doses as an emetic. — (Improved System of Botanic Medicine, Howard, 1832, p. 379,) This is the original formula from which Prof. King devised: Tincture of Lobelia and Capsicum, Compound. (King's Expectorant.)— Lobelia, capsicum and skunk cabbage, of each, two ounces; diluted alcohol, a sufficient quantity to make two pints of tincture by percolation. This tinc- ture is a powerful antispasmodic and relaxant. Used in cramps, spasms, convulsions, tetanus, etc. Dose, half a tea^ spoonful as the case may require, — Am. Disp. Tincture Lobelia herb. — Bruise fresh lobelia, press firmly into a jar, cover with alcohol, after a few days strain and press. To each quart add one ounce of essence of sassafras. Used as an emetic, and for external application to wounds, bruises, inflammations, ulcers, eruptions, etc. Dose, one to ten tea5poonfuls.^(Improved System Botanic Medicine, 1832, p. 384,) The original tincture of lobelia. Dose, now heroic. Tincture Lobelia seeds, — Digest four and one-half ounces of powdered lobelia seed in a pint of alcohol. — Im- proved System Botanic Medicine, Howard, 1832, p. 379. Tincture of Lobelia, Compound. (King's Expectorant.) — Lobelia, blood root, skunk cabbage, wild ginger and pleurisy root, each in moderately fine powder one part; water, sixteen parts; alcohol, forty-eight parts; make a tinc- ture in the usual manner. An excellent remedy for children and infants. Used as an expectorant, as a nauseant in coughs, asthma and where expectorants are indicated.— Am. Disp, Tincture of Lobelia, Ethereal.— Lobelia herb, five ounces; spirits of sulphuric ether, two pints. Make a tinc- ture by percolation. — Edinburgh Dispensatory, 1848. Tincture of Lobelia and Hydrastis. — Hydrastis, lobelia seed, of each, two parts; diluted alcohol, sixteen parts. Make a tincture by percolation. A valuable local application. — Am. Disp. Tincture of Sanguinaria, Compound. — Blood root, lobelia, skunk cabbage, of each, two parts; distilled vinegar, thirty-two parts; alcohol, two parts. Make two pints of tincture by percolation. Used as an emetic and expectorant. Dose, twenty to sixty drops. — Am. Disp, Tincture of Viburnum Opulus, Compound.— Lobelia seed, skunk cabbage, stramonium seed, capsicum, blood root, of each, one part; diluted alcohol, one hundred and twenty-eight parts. Make a tincture by percolation. Stimulant and antispasmodic. Used in asthma, hysterics and nervous diseases. Dose, twenty to sixty drops. — Am. Disp. Well's Cough Drops. — Tincture lobelia, one ounce; anodyne drops, two ounces; antispasmodic tincture, oad ounce. Dose, half to a teaspoonful. — Improved System Botanic Medicine, 1832, p, 38?. Sour (Acid) Tincture of Lobelia. — Made the same as the ordinary tincture, vinegar being used instead of th« alcoholic menstruum.— (Kost's Domestic Medicine, p. 309.) This is the original of the officinal Vinegar of Lobelia. Medical History. — Several annoying features in connection with the history of this plant are considered by us, and an endeavor is made to study them in chronological order. The first printed record of the emetic properties is by Rev. Manasseh Cut- ler,* who named it emetic weed. ^Account of Indigenous Vegetables.— Am. Acad. Sciences, 1785, p. 484. Manasseh Cutler, LL.D., was born in Killingly, Conn., May 3, 1742. First he engaged in the whaling business, then in merchandise in Edgertown; studied law and was admitted to the bar in 1767; removed to Dedham, studied theology, was licensed in 1770 and ordained minister of Hamilton, September, 1771. He became chaplain of Cou Francis' regiment, September, 1776, fought in the action in Rhode Island, and for his bravery received a present of n 84 DRUGS AND MEDICINES OF NORTH AMERICA. Schoepf, 1787,* next incorrectly ascribed astringent properties to Lobelia inflata and stated that it was used in ophthalmia. He had confused the two species and affixed the properties of Lobelia inflata to Lobelia syphilitica. Then came Samuel Thomson, f who introduced the plant into medicine fine horse. He also studied medicine and other branches of science. He became a member of the Americftn Academy in 1781, contributing a series of scientific papers to its memoirs in 1785; his botanical paper being the first attempt at a scientific description of the plants of New England. In this paper we have the reference to the emetic properties of lobelia, which is the first printed notice of the nature of the plant, but he did not use it in medicine. ' With Dr. Beck he prepared the chapter on trees in Belknap's history of New Hampshire; became a member of the Philosophical Society of Philadelphia, 1784; as agent for the Ohio Company he purchased 1,500,000 acres of land, northwest of the Ohio river, 1787, and started the first emigrants to that section, who settled at Marietta, Ohio, April 7, 1788. He acompanied them in a sulky, returning to New England in 1790. Gen. Washington appointed him Judge of the Supreme Court of Ohio Territory, 1795, which honor he declined. He was member of Congress from 1800 to 1S04. In the prosecution of Samuel Thomson, 1809, Cutler was called as an expert to identify the remedies Thomson used. It was about this time that he (Cutler) became interested in the use of lobelia as a remedy for asthma, (see Thacher's Dispensatory, x8xo,) and there is reason to believe that his attention was drawn to it by Thomson and his followers, as before this Thomson had used the herb in that disease and his followers were numerous throughout all of New England. Cutler died in Hamilton, Mass., July 28, 1823. ^Materia Medica Americana, 1787, p. 128. fSamuel Thomson was born in the town of Alstead, State of New Hampshire, February 9, 1769. His early life was spent in hard labor upon a farm, and his education was limited. He commenced medical experiments when about ten years of age by vomiting his playmates with lobelia, and afterward became as is known, the champion of this herb. He married Susanna Allen, of Surrey, New Hampshire, July 7, X790. His medical investigations commenced in the treatment of his own family, and then he began to gather roots, herbs and barks and to practice empirically in the families of his neighbors. That he also studied the medical literature of his day is evident from his publications, al- though he delighted in believing himself entirely independent, and was very caustic and aggressive towards the Regular Medical Profession. In due course of time, Thomson became known outside his immediate neighborhood. Thus, in 1805, he made a professional trip to Richmond, in z8o6 was called to New York City to use his "treatment" on Yellow Fever, and in 1807 to Vermont. After this he traveled considerably over the New England States, and eventually through the West in the practice of his peculiar theory. During these trips his combative nature led him continually into heated arrangements of members of the Regular Medical Profession, who bitterly denounced his treatment, resulting finally in an open charge of murder against him in x8o8, for ''sweating (see note ^, p. 85} two children to death," and again, in 1809 for killing a certain Captain Trickey, who Thomson declared that he had not treated at all. Finally, in X809, a Dr. French, between whom and Thomson there had long existed an intense animosity, preferred charges, and Thomson was arrested for the wil- ful murder of a young man named Lovel, who had died under his attention. Dr. French charged that he "did kill and murder the said Lovel with lobelia, a deadly poison." Thomson was thrown into prison at Newburyport, Massachussets, November xo, 1809, where he remained suf- fering the severe cold of that country without fire or comfort until December loth, when he was taken to Salem, Mass., for trial, his friends having succeeded in inducing Judge Theophilus Parsons to hold a special session of the court. However, owing to sickness of the Judge, his trial did not occur until December soth. The prosecution seemed to base their charges on the fact that the powder given Lovel was lobelia, a Dr. Howe testifying to that effect. The defense showed, however, that Howe was not acquainted with lobelia, and also that the powder Drs. Howe and French thought to be lobelia was marsh rosemary root. (Thomson asserts that this was what he administered)* Finally the court acquitted Thomson, without, as he claims, an examination of his witnesses. However, Tyng's Re- ports, vol. vi., states that on the claim of ignorance only did the Judge instruct the jury to acquit Thomson, and our viewof the treatment as shown by the report is to the effect that both lobelia and the marsh rosemary were ad- ministered. This was the memorable "Trial of Thomson," but it did not end the assaults of his adverseries. Thomson tn- tered suit for damages against Dr, French, March, 18x0, and failed in his prosecution, loosing much time and more than six hundred dollars of costs. In i8xx a doctor in Eastport, Me., while Thomson was passing his office door, tried to kill him with a scythe, and it seems that even Thomson now became discouraged, for he writes: "I found I had enemies on every hand, and was in danger of falling by some of them. Everything seemed to conspire against me.'' In March, 18x3, he obtained a patent to protect on his system of medicine, known thereafter as "Thom- son's Patent." We find that although Thomson was very bitter regarding the Regular Profession generally, he spoke in the highest terms of Drs. Rush and W. P. C. Barton, of Philadelphia, with whom he had several interviews. Dr, Thomson died in Boston, Mass., X843, after a tedious application of his own medicine, known as Thomson's Course, (see note | p. 85]. We have consumed considerable space in recording the principal points in the life of an exceedingly, energetic LOBELIA. 85 about 1793 under a peculiar system of practice or theory,* in which he used classesf of crude drugs in a system of courses, J lobelia being the first class and and zealous man, who boasted of his illiteracy, never attended a college, or received a lecture in medicine, but who created a lasting excitement in the medical world of America, and who still has many earnest followers under the name Thomsonians, although his methods of treatment are very much modified. His life was marred by sufferings and quarrels. He was in a constant turmoil and fearlessly attacked his op- ponents, however high their positions. Defeat did not dishearten him, success nerved him to greater aggressments. Enemies arose within his camp towards his latter days and he met them as fearlessly as he did the ''Regulars." We cannot, but admire the tenacity with which he adhered to his views and practice. If he had been permitted to re- ceive a thorough education, and had been led to systematize his labors, his indomitable spirit and tenacity of purpose would have doubtless made him conspicuous among the pioneers of America, either within the medical profession or otherwise. It will yet be our duty to review Thomson's Theory in the practice of which it was claimed (1834) that thirty thousand persons were enrolled. They were then generally known as "Lobelia Doctors" "Heaters," "Steamers," and "Sweaters." ^'Samuel Thomson believed, "that all diseases are the effect of one general cause and may be removed by one general remedy, is the foundation upon which I have erected my fabric." This is a positive statement, showing the views he held of the various disease expressions. The reader must not however, infer (as antagonists to Thomson misstated) that by the term "one general medicine" he meant a single drug. Upon the contrary, he used many drugs and he states, "all diseases might be cured by one general remedy or principle, applied in a great many forms as med- icine." Origin of Disease.— "I found that all diseases to which the human family were subject, were, however various the symptoms and different the names by which they were called, produced directly from obstructed peripiration." Cause of Obstructed Perspiration. — "If there is a natural heat, there must be a natural perspiration." Ob- structed perspiration "is always produced by cold or the absence of a suitable degree of natural vitality." Heat is Life. — Arguing from the foregoing, Thomson announced the axiom that has since become attached to his followers: "Heat is life and cold is death." He did not perhaps mean this in a literal sense, but, he believed that a low temperature (cold] caused disease, and that fever a friend was an efl'ect of cold. "The cold causes an ob- struction and fever arises to remove it." This view is not peculiar. Perhaps, the religious of the Sun worshipers may be considered about the same. "Coffinism" of England was similar. Canker.— In all Thomsonian works the name is conspicuous. Dr. Thomson believed that a "white feverish coat" was caused by cold and attached itself to the mucous membranes of the stomach and bowels. This he called canker. **Canker and putrefaction are caused by cold. If this growth of canker is not checked and removed, it will communicate with the blood, when death will end the contest between heat and cold." Dysentery is caused by canker in the bowels. The piles is canker below the reach of medicine in the usual way. What is called bearing down pains in women is from the same cause. Object of Medication. — According to Thomson should be to produce a great internal and external heat to pre- vent the formation of canker and throw it to the stomach, and then to remove it from the stomach by emetics. Astringent in Thomson's opinion, combined with this secretion (bayberry and other like bodies); stimulants promote perspiration (capsicum, steam, etc.); emetics remove the canker from the stomach, f Thomson arranged his remedies into classes and numbered them, often individualizing a drug by making it the conspicuous member of a class. Thus, Emetics made Class No. 1, and lobelia being his great emetic was simply called "No. i." He would say, "then administer No. i." The classes were as follows:— Class No. i, "Emetics, to cleanse the stomach, remove obstructions and pro- mote perspiration," lobelia being typical,— Class No. 2, "Stimulants, to raise and retain the vital heat of the body, and promote free perspiration," capsicum being typical. — Class No. 3, "Astringents, to scour the stomach and bowels and remove the canker," bayberry and composition being typical. — Class No. 4, "Bitters, to restore diges- tion, and correct the morbid secretions of the blood and bile," kydrastis, populus, etc., being typical.— Class No, 5, "Restorative Tonic, compounded to correct digestion, and strengthen the stomach and bowels," wild cherry be- ing typical.— Class No. 6, "Antiseptics, to give tone to the stomach and bowels, and prevent mortification," myrrh and a compound tincture of myrrh being his favorite. The familiar No. 6 of the present day, is modified from Thom- son's formula. The enemies of Thomson have asserted that he first administered No. *, if that failed, used No. 2, and so on until through with the list if the patient still lived. JThe following condensed accounts of the system of Thomson's Courses is taken from the American Vegetable Practice, by Mattson. In Thomson's works the directions are not so explicit as herein given, as it seems that he depended to an extent upon the personal instruction of himself or his agents. Thomson's Course of Medicines.— ist. Give the patient a teacupful of hot bayberry tea, (No. 3,) then an injec- tion of a cup and a half of an infusion of bayberry and a teaspoonful of lobelia. Sometimes the lobelia of this inject- ing fluid is increased and a teaspoonful of capsicum added. and. When the injection has operated, a steam bath is to be applied to the patient and a second teacupful of bay- berry tea. If he does not perspire freely, in ten minutes, give a third teacupful of tea, and add to this last a tea. spoonful of capsicum. In about twenty minutes, remove the patient from the bath, and, into a warm bed (sometimes a cup of ice water was dashed over the person upon removal of sweat bath) with a hot stone to his feet. 86 DRUGS AND MEDICINES OF NORTH AMERICA. his principal remedy. He met the opposition of most Regular physicians, who bitterly decried the indiscriminate use he made of drugs, and he eventually was arrested (1809) and tried for killing a patient with lobelia. This trial brought lobelia before the public, and from that time to the present, lobelia has been in more or less demand and has come into use by all schools of medicine. Ac- counts of its uses and accepted medical properties in the different schools have been written for this work by authorities of these schools. In studying the history of the introduction of lobelia into medicine the following questions have at various times arisen and attracted more or less at- tention and discussion by our medical writers. 1st. Did the North American Indians use Lobelia inflatdf — In our next article on Lobelia syphili- tica it will be seen that Sir William Johnson, preceding 1800, bought a cure for syphilis from the Indians, which turned out to be the root of Lobelia syphilitica. It is asserted in most medical works that the American Indians used Lobelia inflata, but this assertion is not supported by the testimony of any writer we can find who was acquainted with the medicines employed by the In- dians, and the pioneer travelers of America (Shoepf excepted, see p. 84,) failed to refer to the plant. We, therefore, conclude that these writers have confused the Lobelia syphilitica of Johnson with Lobelia inflata. Carver, who spent many years of his life among the Indians, and described the plants, trees and medicines of the tribes among whom he traveled, does not mention it. Lewis and Clark speak of the use of the vapor bath, but do not mention that Lobelia inflata was used by the Indians of the Upper Missouri. Speaking of syphilis among the Indians they say:* "When once a patient is seized, the disorder ends with his life only.'' They state of the Chippewa Indians, (p. 136,) that, "their specifics are the root of the lobelia and that of a species of sumach." It is evident that this is not from observation, as the Chippewas, (also known as the Ojibwas,) were not the Western Indians. They embraced many formidable tribes about the great lakes. Into their country Sir William Johnson extended his treaties, and his statement regarding Lobelia syphilitica, is evidently the source of the statements by Lewis and Clark. The book of the Indians, 1837,! gives no instance of its use by the Indians, or of any other emetic. The paper on "Indian Medicine,"t by Browne, does not refer to any substance that can be identical with lobelia. Major Long, 1819, in his account of the medicines and practice of the Indians of the West, evidently knew nothing of Lobelia inflata. Professor Nuttall informed Dr. Mattson that in his excursions among the Indians he had never known them to use Lobelia inflata. 3rd. Add a heaping teaspoonful of powdered lobelia herb to a cupful of the capsicum and bayberry tea, give at one dose, or, infuse five teaspoonfuls of lobelia in a cup and a half of hot water and take in three doses even if each dose vomits. 4th. After the vomiting ceases, a second steaming is administered, giving the patient a cup of hot ginger or composition tea while in the bath. Then if the patient "has sufficient strength" he may dress, and if not he must be put into a warm bed. This concludes the "course." 5th. Bitters and tonics are then administered. If the malady is not cured the course must be repeated. "Miss B , of Lynn, Mass., took twenty-seven courses for a malignant disease of the stomach." "I knew a gentleman with dropsy to whom a course was administered once a week for nine months," etc. * This severe method of treatment gave rise to the dogeral once applied to Thomsonians: — "1 puke, I purge, I sweat 'em. And if they die, I let 'em." '('The Expedition to the Sources of the Missouri, Lewis &, Clarke, vol. ii., pp. 135 and 136. IBook of the Indians, Boston, S. G. Drake, 1837, A very interesting and unique publication.'-.-Z, ^Indian Medicine, J. M. Browne, in Indian Miscellany, p. 74. (Edited by W. W. Beach, li-jj). LOBELIA. 87 The interesting narratives in "Indian Captivities," contain no record of Lobelia inflata, al- though rich in the experiences of persons, who passed many years among the Indian tribes east of the Mississippi. Samuel Steams, M.D., 1772, in his American Herbal, mentions other species of lobelia, but not Lobelia infiata, and he makes no reference to the Indians using an emetic. Dr. Stearns was a native of Massachusetts and traveled among the Indians of that State with intent to study their remedies, and would not have omitted this plant if it had come under his observation. Neither Schoepf, Barton, nor Rafinesque mentions Lobelia inflata as an Indian remedy from personal experience, and none of these authors would have neglected it, if aware of its being in use. Catlin,* in his explicit descriptions of Indian customs omits it. However, Mattson, 1841, t states that, "There is abundant traditionary evidence that it was used by the Penobscot Indians long before the time of Dr. Samuel Thomson, its reputed discoverer, but with the exception of that tribe, I have not been able to discover by any researches I have made, that the American aborigines had any knowledge of its properties or virtues. "| Mattson, however, neglects to give any positive testimony, or refer to any authority. Dr. G. A. Stockwell, in a very recent article^ omits it, and thus helps to confirm the fact that lobelia was not used by the Indians. Therefore, from authorities quoted, and numbers of other works searched without avail, we conclude that the evidence is altogether against the reiterated assertion that Lobelia infiata is a drug handed down to us from the American Indians. We cannot find proof of a single instance where it was employed by them. If the Penobscot Indians used the plant, as Dr. Mattson believed, (from tradition) it is possible that the adjacent settlers learned of its properties from them, but we would more rationally accept that the early use of Lobelia inflata in domestic medicine was an accidental discovery of the whites. Those were days of heroic remedies ; bleeding, emetics and blisters were the methods of treatment, and it is not to be presumed that so remarkable and common an emetic as lobelia could remain unknown. That Thomson and Cutler learned of its emetic properties by in- dependent personal experience is undeniable we think, Thomson especially insisting that he stumbled upon it. It is a common belief with some persons that the Indians used the lobelia in connection with their "Sweat Baths" to clear their minds, and remove their ailments, but our endeavors to find the authority for such statements have resulted in failure. The "Medicine Men," it is true, pretended sometimes to vomit bones, by which the future was foretold, but, this if not a deception had no con- nection with the medical uses of lobelia, and there is no evidence at our command to support the supposition that the whites learned of its properties from the Indians, or that the Indians used it in medicine. 2nd. Did Samuel Thomson disco/ver the Properties of Lobelia indepently of others? — Thomson asserts that,|| sometime in early life (1773) I discovered a plant which had a singular branch and pods. The taste and operation produced were so remarkable that I never forgot it. I afterwards used to in- duce other boys to chew it, merely for sport to see them vomit. I tried this herb in this way for nearly twenty years without knowing anything of its medical virtues. This plant is what I have called the emetic herb.\ ^Manners, Customs and Condition of the North American Indians, Catlin, vol. i., p. 186. fMattson's American Vegetable Practice. JThomson believed that the reference to the use of lobelia by the Indians was an intentional mistatemcnt in order to rob him of the discovery, he writes : "It is said by Thacher, that it was employed by the aborigines, and by those who deal in Indian remedies ; and Others, who are attempting to rob me of my discovery, affect to believe the same thing ; but this is founded altogether upon conjecture, for they cannot produce a single instance of its having been employed as medicine, until I made use of it. The fact is, it was a new article, wholly unknown to the medical faculty, till I introduced it into use ; and the best evidence of this is, that they are now ignorant of its powers, and all the knowledge they have of it has been ob- tained from my practice. — Thomson's "New Guide to Health," 1822, p. 52. gPopular Science Monthly, "Indian Medicine," G. A. Stockwell, M.D., Sept., 1886, p. 649. INew Guide to Health, p. i6. ITlbid, p. 27. We must not forget that this was written after the trial of Thomson, and then it seems, there was an intense feeling between Thomson and Cutler. 88 DRUGS AND MEDICINES OF NORTH AMERICA. Thus it seems that Thomson understood the emetic nature of Lobelia inflata before 1793, but, he asserts that, "I tried this herb in this way for nearly twenty years without knowing anything of its medical virtues." He further admits this by saying, "It had never occured to me that it was of any value in medicine until about this time (1793). I have since found by twenty year's experience in which time, I have made use of it in every disease I have met with, to great advantage, that it is a discovery of the greatest importance." Thus Thomson admits that he knew nothing of the use of lobelia in medicine preceding 1793, and the first record we have of his making use of it in asthma is in 1807, to wit: "In the fall of 1807, I introduced lobelia, tinctured in spirit, as a remedy in asthma." Mattson, 1841,* states however, that "it was used as a remedy by many people in New Eng- land, long before his (Thomson's) time." He recounts as follows:! "Mr. Phillip Owen, now eighty years old, relates that when a boy he was sent into the field by his mother to collect some lobelia for a child, sick with the quinsy, and that the herb, administered in the usual manner, afforded speedy and entire relief." This would show a use pf it at about 1770. "Mr. William Cobum, who also reached his eightieth year, says that lobelia has been used as a medicine in the state of Maine, both by the people, and the Penobscot Indians, ever since he can remember, which is a period of not less than seventy years." This also carries us back to 1770. Dr. John A. Hyde, of Freeport, Maine, a very old physician states that, the people in that vicinity were in the habit of using lobelia under the name colic weed, when he first settled in the town, which was about fifty years ago. He says they employed it in various complaints, but parti- cularly in colic, and considered it perfectly safe and harmless.'' This carries the use back to 1790, and antedates Thomson again. Dr. E. Harlow, of New Lebanon, Conn., writes under date of May 15, 1835, to a gentleman in Boston: "I commenced the vegetable or botanic practice of medicine about 1796, under the in- struction of Dr. Root, of Canaan, Conn., who was esteemed as an able botanic physician. He made use of lobelia under the name Indian tobacco, and taught me the use of it ; and from that period to the present, I have continued to employ it in my practice. I may also state that Dr. Forbes, of Lebanon, used it when I was a boy, and from that circumstance it received the name of "Forbes weed." And lastly, "Doctress Charity Shaw Long, of Albany, N. Y., secured a patent for the use of Lobelia inflata, in 1812, which was one year in advance of Thomson's patent." Thus from evidence that is entitled to credence it seems that lobelia was somewhat known as a domestic medicine, when Thomson was one year old, and there is little doubt that its use in house- hold practice long antedated any positive information that can be found in print at this late day. Nevertheless, Thomson introduced it to medicine, and none will dispute that Samuel Thomson made lobelia a familiar name to hundreds of thousands of Americans ; that he made it notorious none can deny. Whether the domestic uses of lobelia (by a few persons) could have served to give Thomson a start with his "Practice" is a question of little moment. He distinctly asserts that such was not the case, and that he discovered and introduced lobelia independently of all others. In our opinion his statement is entitled to credence. He was intensely enthusiastic on the lobelia subject, and when writers on medicine ignored his claims, to give credit to Cutler and Drury, he considered it an act of injustice, and he expresses himself on the subject as follows : "They cannot produce a single instance of its having been employed as a medicine till I made use of it." This tendency to neglect him, and, as he believed to persecute him for opinions sake, finally in- duced Thomson to seek Government protection, both for legal and monetary considerations, result- ing in "Thomson's Patent." Is Lobelia a Poison ?—A recent endeavor has been made in England to place lobelia on the "Poison Schedule",? and in studying the record we find that in several instances legal steps have *The American VegetEible Practice, Mattson, vol. i. f Mattson and Thomson were at first friends, but afterward were enemies. It seems to us that Mattson makes it a point to show that Thomson was not first to use lobelia. ^Thomson's Mat. Med. and Anat., X3th edition, p. 585. JEnglish Poison Schedule, (1868). This is an English law, designed to protect the public against intentional and accidental poisoning. Among the omissions are such energetic bodies as sulphuric, nitric and hydrochloric acids. LOBELIA. 89 been taken to punish persons, who, it was claimed had destroyed life by the injudicious use of this drug. The trials of Dr. Thomson* and Dr. Frostt have attracted the most attention. In reviewing the cases we find few convictions resulted, and, even then the sentences were light. It seems to us that the prosecution failed because as a rule the evidence did not show that lobelia was really a poison. The members of the Regular Medical Profession were usually the ag- gressors and seemed anxious to convict, but evidently had at that time but little personal acquaint- ance with the drug. Their statements in court were usually based upon the papers in Thacher's and Cox's Dispensatories, whereas, the Thomsonians would produce abundance of testimony to show that lobelia in immense doses, far beyond the amounts named as poisonous by the prosecution was continually taken without fatal effects. They would bring as witnesses those who had taken the drug, and they evidently impressed the court with the fact that the Thomsonians were more familiar with lobelia, than were the members of the Regular Medical Profession. There was another factor in this case, that we cannot underestimate. The cry of oppression and persecutions was raised and the sympathies of many people enlisted in behalf of the Thom- sonians from this stand. The Thomsonians of that day were not altogether uneducated as some now suppose. Upon the contrary, we find that many highly cultivated persons adopted their methods and bought the "right." Prof. Benj. Watterhouse, (Professor of Theory and Practice of Medicine in Harvard,) was zealous, also Prof. TuUy, of Yale, and throughout New England Thomson num- bered his followers by thousands, from among the best informed families. Thus it is, that Thom- sonism did not meet the popular disfavor that it held with the Medical profession. To sum up we may be pardoned for observing. We believe that lobelia is not an active poison, but that injudicious use might result fatally, as is true of other moderately energetic remedies. No doubt more fatal effects would result from its use if it were not so violently emetic that the effect of a poisonous dose of the drug is first to expel it from the stomach. The physiological investigations of Prof. Roberts Bartholow following, show conclusively that the alkaloid lobeline is poisonous and will produce death in animals. The Actions and Uses of Hydrobromate of Lobeline. — (Written for this publication by Prof. Roberts Bartholow, M. D., LL. D., Professor of Materia Medica, General Therapeutics and Hygiene, in the Jefferson Medical College, of Philadelphia.) — Preliminary, — ^This research consists, for the most part, of my own experiments and observations. Facts obtained from other sources have been adopted when my own experiences were in harmony with them. The preparations used were furnished me by Prof. J. U. Lloyd, whose name is a (the English Journals often give records of death by them). We presume that the commerce of that country would render it useless to attempt to control these substances. Ergot and oil of savin are listed, and it seems that to these should be added oil of cedar, oil of tanzy, oil of pennyroyal, and perhaps gossypium bark, if the unborn are to be considered. Oxalic acid is named, but binoxalate of potassium (a common drug here) omitted. These and other fea- tures seem to us to indicate that the list should be revised, and certainly twenty years in our country would demand a revision. In the recent excitement in England over a death after taking lobelia, many writers urged that lobelia be placed on the poison schedule. In our opinion, this could not be consistantly accomplished without adding ipecac, turpeths mineral, and perhaps other like substances. Doubtless, English pharmacists generally agree that a careful revision of their poison schedule is desirable, but, we doubt if it will ever be possible to include all moderately energetic drugs that by abuse may produce death, as is perhaps true of lobelia. In our country lobelia is not considered to our knowledge in any list of poisons. Our hillsides are covered with the herb, its properties are well known, and it is never used as a poison by those inclined to produce death, but is freely employed as an emetic by country people. *See note f p. 84. fDr. R. K. Frost, of New York City, was arrested and tried December 13, 1837, for killing Mr. T. G. French by putting "him into a vapor bath" and administering "poisonous concoctions of lobelia" and "giving deleterious herbs which no reasonable man would administer to a dog." This trial, next to that of Thomson, exhibited the in- tensity of feeling that existed at that time, and from over the entire country it attracted the attention of persons who were the least interested in medicine. It lasted ten days and the jury returned a verdict of "guilty of manslaughter in the fourth degree," and recommended the accused to the mercy of the court. He was sentenced to three months imprisonment. The history of this trial was issued in pamphlet form (104 pp.) and used by the Thomsonians over the country to show that they were persecuted. 90 DRUGS AND MEDICINES OF NORTH AMERICA. sufficient guarantee of their genuineness. They consisted of one per cent., and one-tenth per cent, solutions of the hydrobromate of lobeline. The investiga- tion includes the physiological and clinical actions of this remedy. General Result of the Action in Cold and Warm-blooded Animals. — Given in sufficient quantity, an increasing failure of muscular power, staggering and in- coordination, retching and salivation, are observed in from five to fifteen or twenty minutes after it is administered. First occurring in the hind extremities the evidences of muscular paresis, then extend to the fore members. The frog be- comes less and less able to jump and to turn over from a position on the back, and the rabbit yields in the hind legs, reels, and at length can no longer control these members, and the forearms and arms soon after are disabled in the same manner; sensibility and the brain functions remain unimpaired. Before the paralysis has become complete, if the amount given has not been too large, the receptivity and response to peripheral impressions is for a short period somewhat more ready, and this is, more especially true of frogs. The respiratory function is embarrassed in proportion to the general paralyzing action. After a period of rather slower respiration it becomes quicker and increasingly shallow and labor- ious. With the lessening supply of oxygen, carbonic acid narcosis comes on, and death ensues with complete muscular resolution and without convulsions in frogs, and usually with clonic convulsions in rabbits the failure of respiration being the immediate cause. Action on Nerve and Muscle. — When the sciatic nerve is isolated, the limb ligatured, and a merely paralyzing dose is administered, the nerve when excited by a faradic current at the earliest period of the action responds feebly, for the muscles of the limb below the ligature contract but slightly. When the paraly- sis is complete at length the strongest excitation of the nerve causes no response in any degree of muscular contraction. When this occurs the muscles are found to be readily excitable on direct electrical stimulation. It follows hence that lobeline destroys the excitability ot the motor nerve endings, and does not impair the contractility of muscle. There is a stage in the action of small doses, however, when the irritability of motor nerve and muscle is actually heightened: when the paralyzing effect is just begininning to manifest itself after the administration of one minim of the one per cent, solution, a slight tap on the skin of the back causes an immediate response in general muscular movement of a tetanic character. From this it must be concluded that when the first impression of lobeline is making, the ner- vous tissue is irritated by the medicament, but as the action continues and in- creases, the irritation is succeeded by loss of function. Furthermore, when the effect of lobeline in small quantity is such as to cause general muscular contrac- tions on irritation of the skin (heightened cutaneous reflex) it is obvious that the physiological effect is not limited to the motor-nerve endings, but includes the spinal cord as well. It may be suggested, that the paralyzers, whose action is first felt by the intra-muscular nerve elements really act through the spinal LOBELIA. 91 cord and not as is now supposed on the nerve endings only at the be- ginning. Sensibility remains unimpaired, certainly, up to the period of the cessation of all muscular contractility, for the corneal and other reflexes are preserved un- til then. When the action of lobeline has attained its maximum, the paralysis is complete, and there is no response to any form of irritation. Effects on the Circulation and Respiration. — When the fullest effect of lobeline is attained in the frog, if the chest be opened the heart will be found still in action at about 28 per minute, but the contractions are not energetic, although rhythmical. If the medulla be previously divided, the heart will be found at a standstill, its cavities distended. If in action, electrical stimulation increases it; if at rest, a strong faradic current will start the auricle in active movement, and the ventricle in feeble and irregular contractions chiefly of the basic por- tion. The most important of the effects of lobeline on the heart, is its action on the vagus. At first, and with a small dose, the vagus is briefly stimulated, then depressed in function, but, it is completely paralyzed at the period of maximum effect, and no strength of current will then stop the heart. With a minute dose, the effect first produced is irritation of the vagus, with slowing of the heart, but as the effect deepens, the heart grows more rapid with lessening of the inhibi- tion. It is probable that every first dose given, causes some slowing of the heart's movements, but this effect is so transient and slight that it escapes de- tection. With the decline in the inhibition there ensues increased action of the heart and lowering of the vascular tension. The body temperature rises some- what pari passu with the increased rapidity of the circulation. As the re- spiratory muscles fail in power, the breathing becomes more and more labored, panting and shallow. The oxygenation of the blood is progressively diminished carbonic acid accumulates, the lips are cyanosed, and stupor is succeeded ultimately by coma. Up to this point the mental processes are not disord- ered, and the sensibility remains unimpaired. Therapeutical Applications of Lobeline. — ^To avoid all subjects of controversy, I confine my observations to facts personally ascertained, and give the results of my own therapeutical uses of this remedy: Having ascertained that lobeline possesses the power to lessen the reflex action of the spinal centres, I have administered it in those maladies character- ized by irritability or exaltation of this function. In epilepsy it appears to be a most promising remedy if right conditions exist. It is the less useful, the more decidedly the convulsive seizures approach the epileptiform character ; and it is more effective, the nearer the cases are to the true or essential type. The bromides may be quite successful in arresting convulsions due to coarse lesions of the brain, although not acting on the structural changes in any way. Now lobeline does not act favorably in such conditions. In nocturnal epilepsy, which, as is now well known, does not usually yield 92 DRUGS AND MEDICINES OF NORTH AMERICA. to the bromides, and in the cases not arising from an obvious peripheral irritation or accompanied by a defined aura, in the pale-anaemic and lymphathic type of subject, the best results obtafnable from this remedy may be expected. As, however, definite conclusions can be formed only after sufficient length of ob- servations the real value of the hydrobromate of lobeline must be ascertained by comparative trials through several years. Now, it can be asserted merely that this remedy promises well. More definite results can be given from the administration of lobeline in cer- tain neuroses of the respiratory organs, as asthma, whooping-cough, pseudo- angina pectoris, in the spasmodic cough of emphysema, the cough of habit, renal and other reflex asthmas. Somewhat more specific statements can be made as respects its utility in all these cases. In that form of asthma, which is merely a functional disorder, the best re- sults may be expected from it. The dose at the outset should be about 1-60 grain, and this can be repeated in a half hour when the attack is acute and severe, and afterwards /n> re nata. When the attacks are recurring and persist- ent, the lobeline should be given three times a day from i-6oth to i-30th grain, in persons having the ordinary susceptibility to its action, and i-20th grain in those with less. When desirable or circumstances require, it may be combined with morphine, or cocaine, or both. The asthmatic seizures which attend em- physema are often quite promptly relieved by it. When in the course of chronic bronchitis, the mucous membrane furnishes but little secretion and the cough is dry and harrassing, lobeline acts very efficiently. It has also ap- peared to do great good in cases of pseudo-angina pectoris, with weak action of the heart and embarrassed respiration. By lowering the vascular tension and lessening the work of the heart by relaxing the inhibition, the pulmonary circulation is carried on with greater ease, and hence the distress of breathing subsides. There is here, as I conceive, a most important sphere of usefulness — for this morbid complexus is by no means uncommon, and we have not many agents capable of affording the direct relief given by lobeline. The Homceopathic Uses of Lobelia Inflata. — (Written for this publica- tion by Prof. Edwin M. Hale, M. D. , Emeritus Professor Materia Medica and Therapeutics in the Chicago Homceopathic College). — I consider that the sphere of action of this species lies midway between tobacco and veratrum album, or their active principles, nicotine and veratrine. It acts upon the motor- nervous system and upon the respiratory centre in the medulla. The nauseous effects of this drug are far more intense then tobacco, and this is the principal reason why it is not used for the same purpose as tobacco. An- other reason is that the system does not tolerate the drug, as it does tobacco. I have, however, seen habitues of lobelia, who, from taking it for asthma and dyspepsia, came to tolerate it to a degree which seemed surprising. Lobelia inflata was first introduced into our school in this country at the same time and in the same manner as the Lobelia syphilitica, (1838). In 1841 it was in- LOBELIA. 93 troduced into homoeopathic practice in Europe by Dr. A. Arac, of Leipsic, in the 15th volume of "Hygiea." Since that time it has been used to a considerable extent in our practice, but although a powerful drug, its curative sphere is limited. We find it useful principally in asthmatic affections. It is useful in two varieties, namely, the nervous, which arises from paresis of the respiratory centre, and the catarrhal or "humid asthma." In the first, it is strictly homoeo- pathic, and has been found curative in very minute doses. In the latter, when the mucus rales are loud, and the sense of suffocation is due to a mechanical obstruction by the mucus, and the coincident spasm of the bronchi, larger doses must be used, for this condition is similar to the secondary effects of the drug. I have seen almost magical relief follow doses of 3i repeated every hour, without nausea or vomiting follow its use. Permanent cures of asthma of many years, have been made by larger doses. Sometimes these large doses (half an ounce) have not caused vomiting. At other times smaller doses vomit violently, leaving the patient much prostrated, but with disappearance of the asthma. I have cured asthmatic attacks by small doses of veratrum, when lobelia seemed indicated but had failed. In some cases of asthma, the patient complains of a "dreadful sinking sensation" in the epigastrum with violent distreping efforts at inspiration. This is a clear indication for the use of lobelia, and it will promptly relieve such cases in doses of l-io or i-ioo of a drop frequently repeated. In cough, lobelia is very useful. The cough, may be caused by accumulation of mucus in the pharynx or bronchi, or a tickling in the larynx, or it may be "croupy," or attended by dyspnoea. In purely nervous coughs, like whooping cough, or from irritation of the laryngeal nerves, motor and sensory. In spas- modic croup, it is a prompt and excellent specific, and I have found it useful in carpo-pedal spasms, attended by laryngismus. In some gastric disorders, lobelia does excellent service. In the so-called nervous dyspepsia, when the patient complains that nausea, oppression of the stomach, and dyspnoea follow each meal, when there is constant "faintness" at the stomach, as bad after meals as before eating, lobelia in doses of a drop of the one-tenth dilution before and after eating has a very happy effect. This "faintness" at the pit of the stomach is an unfailing guide to its use. It is caused by a paresis of the sympathetic nerve; other drugs cause this symp- tom; ignatia, cimicifuga, digitatis, and veratrum, all cause it by their depres- sing action on the same system of nerves. The primary effect of lobelia on the heart is to paralize its motor nerves, like tobacco or aconite, hence it is a prom- inent remedy in primary cardiac weakness and irritation. The "sinking faint- ness" at the epigastrum is here the symptom most complained of. Small doses must be used to combat this condition. Some patients will bear doses of one or two drops of the tincture, others are made worse by it, and only find relief from the second or third dilutions. 94 DRUGS AND MEDICINES OF NORTH AMERICA. The secondary or reactionary effects of lobelia, is to cause violent spasmodic palpitations, or symptoms closely resembling angina pectoris. In such cases I have found quick and good results from J to lo drops of the tincture. Primarily, lobelia paralyzes the various sphincter muscles, and can be used in physiological doses, for spasmodic retention of urine, or faeces, or rigidity of the OS and perineum. Its use in labor in facilitating the expulsion of the foetus is as old as the aborigines. It has been adopted by midwives and many physicians. I have seen a rigid and undilatable os rapidly give way after a sin- gle dose of 20 drops. It will allay and regulate those violent pains in the loins during labor, which seem to arise from the rigidity of the genital passages. In dysmenorhoea, due to this same cause, small doses give prompt relief. In this respect it resembles gelsemium and belladonna. In hysteria, lobelia is frequently indicated. The case of spasm of the larynx reported by Dr. Knowles, of Avoca, Iowa, in my "Therapeutics of New Reme- dies," is an apt example of a manifestion of hysteria, rapidly cured by this re- medy. I have controlled the most violent hysterical convulsions by injecting into the rectum a teaspoonful of the tincture. In gall stone or renal colic, in incarcerated hernia and in spasmodic gastralgia, lobelia often relieves promptly. This may be said to be antipathic, but I do not believe it. The secondary effect of all paralyzants is spasm and convulsions. Lobelia is as homoeopathic to spasm, as to paralysis. Medical Uses of Lobelia in the Eclectic School. — (Written for this publication by Prof John M. Scudder, M. D., Professor of the Practice of Medicine in the Eclectic Medical Institute, Cincinnati). — We use lobelia for its emetic, its relaxant and its stimulant influence. It is 3 fair example of the com- mon fact that the action of a drug depends upon its dose. Emesis may be called its poisonous action, and stimulation its medicinal action. In poisonous doses the drug would prove fatal to life were it not that it is expelled from the stomach and exhausts itself in the act of emesis. Without discussing the advantages of thorough emesis, as compared with other treatment, it may be remarked that the indications and contra-indications for emetics are as distinct as for other remedies. If the patient has full tissues, full pulse, full tongue, heavily coated at base, with sense of fullness and oppres- sion in the epigastrium, lobeUa will act kindly. Conversely if the the tissues are contracted, the pulse small or hard, and the tongue contracted and red, an emetic should not be used. In the early part of the century lobelia in substance (usually the powdered seed) was given as an emetic. From this use came the extreme prostration, with cold clammy perspiration and enfeebled respiration and circulation, a con. dition known as the "alarming symptoms." There is no doubt, but that lobelia has occasionally caused death, but this result has been rare as compared with the large number of cases in which the drug has been used. LOBELIA. 95 It was not long before it was determined that an acid preparation of lobelia acted more kindly than the crude article, or indeed any other preparation. The acetous tincture was easily and cheaply prepared by simply macerating the herb and seed with vinegar, and whether as an emetic or a nauseant expectorant its influence was certain and kindly. The relaxant influence of lobelia was twofold, as it was exerted on the voluntary and involuntary muscles. For the first, it was the result of more or less profound nausea, induced by large doses just short of emesis. This effect was frequently called "antispasmodic," and was that desired in infantile convul- sions, puerperal convulsions, hysteria, tetanus and some cases of asthma. This protracted nausea was also thought necessary to the establishment of mucous secretion from bronchial tubes, the so-called expectorant action. Its action on the involuntary muscular fiber was not dependant upon nausea. Probably its best and most certain action was in cases of difficult labor from rigidity of the os uteri. In this case an alcoholic tincture from the seed was employed, twenty drops being added to two ounces of water, a teaspoonful was given every fifteen minutes until dilatation was accomplished. With a full and oppressed pulse and a sense of oppression in the chest lobelia is one of our most certain remedies. The small doses (tincture of the seed) not nauseant, gives relief and a better circulation of blood. In neuralgia of the heart, and in angina pectoris, no remedy that I have used gives such prompt relief. Frequently a single dose of ten or fifteen drops of a tincture of the seed will give almost immediate relief. Before the use of belladonna to remove congestion of the brain (patient being comatose) nothing was deemed so certain as a lobelia emetic. In the eruptive fevers with tardy appearance or retrocession of the eruption, nothing was so ef- fective in relieving the nervous system and bringing the eruption to the surface as a lobelia emetic properly given. When remedies are used in combination it is almost impossible to determine the action of a single agent. Thus many compounds containing lobelia have been highly commended, and have done good service, but what part should properly be credited to this agent we cannot say. Among these combinations none has acquired a greater reputation than the compound stillingia liniment, composed of oils of lobelia, stillingia and cajuput, with alcohol. * This has cer- tainly a wonderful action in croup, and I have satisfied myself by experiment that a principal action is from the oil of lobelia. Pharmaceutical and Medical References to Lobelia. 1785. — Indigfcnous Vegetables, Cutler, p. 484, from Am. Journal Science and Arts. 1787. — Materia Medica Americana, David Schoepf, Er- langer, (Germany,) p. 128. 179s.— Medical Botany, Woodville, Vol. II., p. 249. (Lo- belia syphilitica). 1793. — Domestic Medicine, William Buchan, Edinburgh, p. 513- 1798. — Collections for a Materia Medica of the United States, B, S. Barton, part first, (3rd edition, xSlo) p. 36. *See formulu, p. 82.— i. 9 96 DRUGS AND MEDICINES OF NORTH AMERICA. i8d8. — The Pharmacopoeia of the Massachusetts Medical Society, Boston^ 1808. 1810. — The American New Dispensatory, Thacher, p. 146, (and other editions). i8n. — The American Lexicon, (Author not named) New York. This is simply an imitation of Quincy; this paper being: copied verbatum. 1817. — Therapeutics and Materia Medica, Chapman, p. 272, (and other editions). 18 17.— Vegetable Materia Medica, W, P. C, Barton, Vol. I., p. 181. 1818. — The American Dispensatory, Coxe, p. 329, (and other editions). 1820. — The House Surgeon and Physician, Hand. 1820. — Pharmacopoeia of the United States, p. 40. 1820, — Medical Dictionary, Hooper, (and other editions), i&cz. — A Supplement to the Pharmacopoeia, London, P- 73- 1822. — Materia Medica and Therapeutics, Eberle, Vol, L, p. 63. 1826. — A Materia Medica of the United States, Zollickof- fer, pp. 155, 167, 194, 198, 209, 2i4. 1828. — Materia Medica and Pharmacy, Murray, p. 183, (and other editions). 1829. — Manual of Materia Medica and Pharmacy, Ed- wards & Vavasseur, pp. 262, 362. 1830, — The Botanic Physician, Smith, p. 475, 1830. — Introduction to the Natural System of Botany, Lindley, p. 187. 1830. — Pharmacoposia of the United States, Philadelphia, P- 15- 1830. — Pharmacopoeia of the United States, New York, p. 43- 1832. — An Improved System, of Botanic Medicine, How- ard, Vol. II., p. 337, (and other editions). 1833. — A Narrative of the Life and Medical Discoveries of Samuel Thomson, (various references). 1833. — Prodome of a work to aid the teaching of the Vegetable Materia Medica, W. P. C. Barton, p. 60. 1833. — New Guide to Health, Samuel Thomson, p. 46, (various other references). This is the tenth edition. The copyright was obtained in 1822. 1833, — American Journal of Pharmacy, p. 282. 1833. — United States Dispensatory, (and subsequent editions). 1833. — The American Practice of Medicine, Beach, Vol. III., p. 120. 1833. — The Eclectic and Medical Botanist, (a Journal printed in Columbus, Ohio,) p. 340. 1833. — The Thomsonian Recorder, Vol. I., pp. 254, 516. 1834- — American Journal of Pharmacy, p.'30o. 1834, — The Thomsonian Recorder, Vol. II., pp. 119, 199, 200. 1834. — Medical Botany, Sanborn, p. 105. 1835. — The Thomsonian Recorder, pp. 3, 4, 91, 150, 155, 177, 209, 253, 283, 284, 288, 318, 380, 412, 414. 1836. — General Therapeutics, Dunglison, pp. 229, 230, (and other editions). 1836. — The Thomsonian Recorder, pp. 145, 205, 247, 283, 359» 405. 1836. — The Western Medical Reformer, pp. 104, 207, 374. 1837. — The Thomsonian Recorder, pp. 192, 199, 252, 392, 315, 330* 334# 384* 388, 402- 1837 The Western Medical Reformer, pp. 126, 189. 1838. — American Journal of Pharmacy, p. 98. 1838.— The Botanico-Medical Reformer, pp. 26, 61, 72, 80, 100, 102, iiS, 128, 134, 138, 142, 163, 189, 2o6, 211, 227, 234, 236, 238, 299, 305, 400. 1838. — The Southern Botanic Journal, pp. 36, 77, 153, 248, z53» 354- 1839.— Lobelia Advocate and Thomsonian Medical Re- corder, by Rev. John Rose.* 1840.— Pharmacopoeia of the United States, pp. 25, 214. 1840.— American Journal of Pharmacy, p. 280. 1840.— Pharmacopee Uuiverselle, Jourdan, p. 802. 1840, Elements of Materia Medica, Pereira, Vol. II., p. 385. 1841.— The Thomsonian Materia Medica, Thomson, p. 581. 1841. — American Journal of Pharmacy, p. i. 1841 The Botanico-Medical Reformer, p. 168. 1841. — New Remedies, Dunglison. 1841.— American Vegetable Practice, Mattson, Vol. I., pp. 160 to 174, 312, 317, 404. The Botanico-Medical Reformer, pp. 47, 198, 203. I77» 1842.- 1842. — American Journal of Pharmacy, p. 4. 1842. — A Treatise of the Materia Medica and Therapeu- tics, Eberle, pp. 67. 1842.— Botanic Theory and Practice of Medicine, Worthy, p. 594, 611, 620, 627, 1843.— Pharmaceutisher Central-Blatt, No. 31, July sth. 1843.— General Therapeutics and Materia Medica, Dunglison, Vol. I., p. 121 ; Vol, II., p. 197. 1843. — American Journal of Pharmacy, p. 108, 1844. — The Sick Man's Friend, Sanborn, pp. 96, 243. 1844. — Medicines, Their Uses and Mode of Administra- tion, Neligan, p. 215. 1844. — Botanico-Medical Recorder, pp. 252, 237, 372. 1845.— Botanico-Medical Recorder, p. 162. 1845. — The Practice of Medicine on Thomsonian Princi- ples, Comfort, p. 441. 1845. — Elements of Materia Medica and Therapeutics, Harrison, Vol. II., p. 447. 1846. — The Medical Formulary, Ellis, p. 46. 1S46. — Botanico-Medical Recorder, p. 74, 77, 259. 1847, — Materia Medica and Therapeutics, Royle, (by Car- son,) p. 456. 1847. — Family Flora and Materia Medica Botanica, Good, plate 27. 1847. — Botanico-Medical Reference Book, Biggs, pp. 500, 586, 588. 1847. — The American Practice, Beach, (and other edi- tions,) p. 661. 1847 — .Medical Botany, Griffith, p. 418. 1848. — Medicinal Plants of New York, Lee, p. 35. 1848. — Mayne's Dispensatory and Formulary, pp. 56, 159, 204, 1848. — Medicinal Plants of South Carolina, p. 785. 1849. — Elements of Materia Medica and Therapeutics, Kost, pp. 78 to 86, 198, 227, 487. 1850. — Pharmacopoeia of the United States, pp. 29, 250. 1850. — Pharmaceutical Journal and Transactions, (VoL X.) p. 270. *This unique publication was issued monthly in the interest of the lobelia practice, during the year 1839. It was not supported, and only one volume appeared. We are indebted to Dr. Charles Rose for the volume complete, probably the only copy in existence. In its front is bound the, "Trial of Dr. Frost." We do not refer to pages in this work, its title showing that the entire subject is connected with lobelia. LOBELIA. 97 1850.— The Physio-MedicRl Recorder and Surgical Jour- nal, p. 183. 1850. — Medicinal Plants of the United States, Clapp, (Am. Med. Report,) pp. 807 to 809. 1851. — Pharmaceutical Journal and Transactions, pp. 270, S6i. 1852. — The Eclectic Dispensatory, King and Newton, p. 246. 1853. — Principles of Scientific Botany, Bickley, p. 175. 1854, — Eclectic Medical Journal, Cincinnati, p. 312. 1854, — An Improved System of Botanic Medicine, How- ard, pp. 328 to 338. 1854. — The Elements of Materia Medica or Therapeutics, Pereira, (Carson's edition,) Vol. 11., p. 583 to 587, 1855.— The Middle States Medical Reformer, pp. i to 4, 44. 1857. — Druggist's Circular, p. 158. 1857, — Materia Medica and Therapeutics,Mitchell, p. 567, 1859. — Domestic Medicine, Kost, pp. 307, 362, 366, 380, 383, 437. i860.— Pharmacopoeia of the United States, pp. 34, 331, 1861.— Book of Formulae, Tilden & Co., p. 73. 1864. — Therapeutics and Materia Medica, Stille, p. 280. 1864. — Eclectic Medical Journal, Cincinnati, p. 14X. 1865. — American Journal of Pharmacy, p. 211. 1865. — Proceedings American Pharmaceutical Associa- tion, p. 211, 1866.— American Eclectic Materia Medica and Therapeu- tics, Jones & Scudder, pp. 13, 112, 113, 235, 675. 1867. — Eclectic Medical Journal, Cincinnati, p. 269, 1869. — Eclectic Medical Journal, Cincinnati, p. 237. 1870. — Pharmacopoeia of the United States, pp. 36, 63, 313. 1870. — Eclectic Medical Journal, Cincinnati, pp. 206, 400, 44S» 476. 1871. — Botanical Survey of Louisiana, Featherman, p. 96. 1871.— Eclectic Medical Journal, Cincinnati, pp. 10, 145. 1872. — American Journal of Pharmacy, p. 293. 1872. — Pharmacopoea Homoeopathica Polyglottica, pp. 106, 190. 1872, — Druggist's Circular, p. 160. 1873. — Dictionary of Pharmaceutical Science, Swenngen, p. 253- 1873.— Druggist's Circular, p. 56, 1874.- 1875.- 187s.- 1875.- 1875.- 1875.- 1876.- 1876.- 1876.- 1877.- 1877.- 1877.- 1877.- 1877.- 1877.- 1877.-: 1878.- 1878.. 1878,- 1878.- 1878.- 1878.- 1879.- 1879.- z8So.- 1880.- 1880.- 1882.- 1882.- 1884,- 1885.- 1886.- -Eclectic Medical Journal, Cincinnati, p. 46. -Hale's New Remedies, Vol, II,, p. 416. -On Poisons, Taylor, p. 735. -American Journal of Pharmacy, p. 127. -Boston Medical and Surgical Journal, Feb. 4th. ■Druggists Circular, p. tt. ■New Remedies, Wm. Wood & Co, •Eclectic Medical Journal, p. 125. ■Journal of Materia Medica, Bates & Tilden, p. 103. ■Encyclopaedia of Pure Materia Medica, Allen, VoL V. p. 6ii. ■American Journal of Pharmacy, p. 588. -The Pocket Formulary, Beasley, p. 237. ■Pharmaceutical Journal and Transactions, p. 958, ■New Remedies, "Wm. Wood & Co., p. 366, ■The New Materia Medica and Therapeutics, Goss, pp. 17, 31. ■Eclectic Medical Journal, Cincinnati, pp. 290, 578, 579* -American Journal of Pharmacy, p. 254. -Eclectic Medical Journal, Cincinnati, p. 78, -Pharmaceutical Journal and Transactions, Lon- don, p. 561. -Organic Constituents of Plants, Wittstein, p. 122. -Dispensatory and Pharmacopceia of North America and Great Britain, Buchanan & Siggins, pp. 194, 196. 574* -New Remedies, Wm. Wood & Co., pp. 21, 84. -Pharmacographia, Fluckiger & Hanbury, p. 400. -National Dispensatory, (and subsequent editions,) p. 859. -Pharmacopoea Homoeopathica, Polyglotta, p. 222. -Pharmacopoeia of the United States, pp. 8, 131, 311, 349- ■Therapeutic Gazette, pp. 34, 94. -New Remedies, Wm. Wood & Co., p. 240. -Druggist's Circular, p. 158. -Plant Analysis, Dragendorff, (Greenish's Transla- tion,) pp. 50, 202. ■Materia Medica and Therapeutics, Bartholow, p. 583. ■American Journal of Pharmacy, p. 392. We do not consider it necessary to mention all the works that refer to this plant and its compounds. Since 1809 medical publications of every description have continually mentioned the plant, and medical references are in- numerable. In order to arrive at a correct understanding of the subject, we made comparative studies of the record as found in the preceding works, and have found other publications to present no additional facts. We may safely say that the lobelia history can be as intelligently studied in these as by the aid of additional numberless works tiiat mention the plant. 98 DRUGS AND MEDICINES OF NORTH AMERICA. LOBELIA SYPHILITICA. Fig. 138. A flower of Lobelia syphilitic^, (Natural size]. have the same general BLUE LOBELIA. Part Used. — ^The entire flowering plant* Lobelia syphilitica, Linnaus. Natural Order, Campanulacese, Tribe Lobelieae. Botanical Description. — Blue Lobelia is generally found in damp, low grounds, wet meadows, and especially near streams. The stem is usually un- branched and grows erect from one to two feet high. It is angular below and smooth for the most part, or with a few scattered hairs. It has numerous horizontal leaves and late in summer a terminal showy sptke-like raceme of large blue flowers. The leaves are ovate-lanceolate, tapering to both ends, sessile or the lower with a margined petiole, and are three to five inches long, veiny, soft, dark green above, and lighter beneath. The margins are irregularly, erosely serrate. The leaves are very numerous, and as they are gradually shorter from the bottom up they give the plant a pyramidal aspect. The flowers appear the later part of August, lasting till frost. They structures as those of Lobelia inflata, the same characteristic corolla tube, but are much larger, being about one inch long. They are borne on short thick hairy peduncles in a terminal raceme. The flowers are subtended at their base with leafy bracts which are large and leaf-like below and smaller above. The bracts have margins ciliate with white hairs, and when the plant is just beginning to develope its inflorescence, these bracts form a dense, roseate, terminal cluster, the numer- ous marginal hairs giving it a glandular appearance. The calyx segments are five and are triangular, and have recurved margins which are prolonged at of Lobelia syphilitica; a, front thc basc forming an ear-Ukc appendage at each (under) view of a column; 3 side J^„ jg betwecn the Segments. f The segments are View of same; r, pistil, stamens being *-' o r o removed. (Enlarged). about threc-quartcrs the length of the corolla tube. The corolla tube is from one-half to three-quarters of an inch long, split to the base on the upper side, and prominently five pliate beneath, the interior angles *The Homoeopaths who are the only school of medicine that use the plant employ a tincture of the entire plant. When introduced into medicine the root was the part employed. j-These ear-like appendages are not found on all species of Lobelia and form an artificial means of dividing the genus. A B Fig. 139. The stamenate and pistillate columns PLATE XXXVI. LOBELIA SYPHILITICA. (FLOWEBINQ SPIKE, NATUBAL BIZB.) LOBELIA SYPHILITICA. 101 being of a brigMer (almost white) color. The three lobes forming the lower lip of the corolla are reflexed, broadly triangular and subequal. The five stamens are united together around the pistil, forming a column about the length of the corolla and protruding through its slit. This column is three-sided at the base and curved downward at the summit as shown in figure 139, p. 98. The five united anthers are not equal, the lower two being slightly- shorter and tipped with a cottony tuft ; they are of deep purple color and open with shallow slits down the back. The pistil is enclosed in the tube formed by the stamens. This is a provision of nature that insures cross-fertilization. When the flower first opens and the stamens shed their pollen, ^the stigma is completely enclosed by the anthers and thus is prevented from receiving any of the pollen ; afterwards when the pollen has been scattered, the style elongates, pushing the stigma a line or two beyond the tube, and is then fertilized by pollen from other flowers, mostly through the agency of bees and other insects. Blue Lobelia is a very showy plant when in bloom, the deep blue color of the large flowers making it conspicuous. This color is well preserved when the plant is pressed carefully with frequent change to dry papers, but fades out in course of several months from the dried specimens. Sometimes, very rarely however, albinos are found with pure white flowers.* After blooming the corollas do not fall off", but turn brown, wither up, and remain attached to the ripening seed-pods. Common Names. — ^The most common name and the one most generally used for this plant is Blue Lobelia. While there are other species of Lobelia with blue flowers, (in fact all but a few have this color), still, the flowers of this plant are so much larger, conspicuous and brighter blue than any other, the name properly belongs to it. In most books it is called Blue Cardinal flower, some- times incorrectly abbreviated to Blue Cardinal, but in our opinion the name is not appropriate. Cardinal flower is a name applied to Lobelia cardinalis, not from any resemblance of form to a Cardinal's cap, but from the bright scarlet color of its flowers. Lobelia cardinalis, the first species introduced into Europe was very properly called Cardinal flower ("Cardinale couleur de feu" — Tour- nefort, 17 19), and when a second species, but with blue flowers was introduced, it was quite naturally called Blue Cardinal flower. We think that this is con- tradictory, the name Cardinal as applied to the flower refers exclusively to the color, and it is manifestly wrong to speak of Blue Cardinal in the same sense. It is said that among the more ignorant classes who used this plant in do- mestic practice, it was known as High Belia, the supposition being that as the other kind {Lobelia inflatd) was called Low Belia this must be the High Belia. Botanical History. — This plant was in cultivation in England as early as 1665, as it was mentioned in Rea's Flora published in London in that year, and it was cultivated in France no doubt a number of years earlier, it being mentioned by Lobelius in iS9i-t *Thes= were noticed and described as a distinct species as early as 1680 by Morrison. Tournefort, 1719, calls them by the common name "Cardinale blanche." They are according to our observation of a rare occurrence. Al- though the plant is a common one around Cincinnati, we have seen but a single albino. This was growing in a patch of the ordinary blue flowers, and it -va^ipnre while without a trace of coloring. tLobelius Icones Stirpium, Antwerp, 1591, mentioned under the name Trachflium Americanum, flore ca- 102 DRUGS AND MEDICINES OF NORTH AMERICA. In most early works it was described under the generic name Rapunculus.* When Linnaeus was preparing his Species Plantarum, Peter Kalmf had just returned (1751) from America with won- derful accounts of the virtues of tliis plant as a. certain cure for syphilis, J (see Medical History,) and Linnaeus gave the name syphilitica as the specific name for the plant.? Although its reputation as a cure for this disease has long been disproved, still the name re- mains, and probably always will, a monument of an early error. It has never had but one synonym, Rapuntium syphiliticum, by Miller. Description OF THE Drug. — All parts of Lobelia syphilitica are devoid of prominent characteristics. The plant is insipid and herb-like, the fresh root has simply a turnip-like taste. The root is the portion that was directed to be used when the plant was introduced, but at present no portion of the plant is an article of commerce. According to Rafinesque|| it was once analyzed in France, but the result did not show it to contain a characteristic constituent. We did not consider it necessary to make any investigation. Lobelia syphilitica has never been officinal, but was recognized by the Phar- macopoeia of the Massachusetts Medical Society, 1808. It is not found in com- merce and is not used in domestic medicine. Medical History. — We have stated above that Peter Kalm in his travels through North America was informed by Sir William Johnson1[ that the Indians used this plant to cure ruleo. (Linnseus' citation to this in Species Plantarum, and and later editions, [not ist,] is "Rob. ic.*' and Barton copies the error). *Rapunculus Americanus, flore dilute casruleo. — Dodart, Memoires pour servir a I'Histoire des Plantes, Paris, 1676, p. 297. Same — Tournefort, Institutiones Rei Herbari^e, Paris, 1719, p. 163. Rapunculus galeatus Virginianus, flore violaceo majore. — Morison, Plantarum Historia universalis, Oxoniensis, 1680, vol. ii., p. 466. f Peter Kalm was a Swedish naturalist who traveled three years in the northeastern portion of this country from the fall of 1747 to the spring of 1751. He was a pupil of Linnaeus, and it was at his advice that the journey was made. On return to Sweden he wrote a detailed account of his travels, which was published in three volumes in 1753, 1756 and 1761, and was translated into German, French and English, the latter translation by J. R. Forster was printed in London in 1770-71. It was Kalm who furnished the most of the specimens of North American plants described in the Species Plantarum of Linnaeus. These plants are marked with the letter K, in the Linnaean herbarium, and constitute the greater part of the plants from this country that are in the collection. When Kalm was in this country he learned from Sir William Johnson of the reputation of Lobelia syphilitica among the Indians for the cure of syphilis, and on his return wrote an account which was published in Latin. IKalm published his account in the Act. Acad. Scient. Holmen, under the title ''Lobelia ut efficax remedium contra luem venereum, a Petro Kalmio descripta." And another account in Latin was written in 1756, by Peter Engstroem, a pupil of Linnaeus, and published in the Amcenitates Academicas, vol. iv., p. 524. gSpecies Plantarum, Linnaeus. 1753, page 931. Described in the Class "Syngenesia Monogamia" and with the following specific description. "Lobelia caule erecto, foliis ovato-lanceolatis crenatis, calycum sinubus reflexis." IIMedical Flora of the United States, vol. ii., p. 25. 1[Sir William Johnson was born in Smithtown, Ireland, 1715. In 1738 he came to America and located in the south side of Mohawk Valley, about twenty-four miles from Schenectady, N. Y., and embarked in traffic with the Indians whose friendship he managed to secure. He learned their language, studied their customs and won their confidence. He possessed greater influence over them than any other white man, and was adopted into the Mohawk tribe and chosen sachem. In the French war, 1743 to 1748, he was the sole superintendent of the Indians of the frontier; occupied positions of trust in Colonial affairs and embarked with the Indian allies in the wars between Eng- land and France. He engaged in the capture of Fort Niagara, 1759, where he had command after Prideaux was killed, and he assisted in the capture of Montreal, 1760. For his service he was awarded a good salary by George II., a baronetcy and $25,000 by Parliament, and a tract of 100,000 acres of land, north of the Mohawk, known as "Kingsland" or the "Royal Grant." This tract of land is now in Herkimer Co., N. Y. He published a paper on "Customs, Manners and Languages of the Indians, (Phil. Trans. Nov. 1772, p. 141). In 1774 he died. At some period of his life, (date unknown to us, but before 1751 as he communicated it to Kalm) he purchased from the Indians (or a trader) an asserted remedy for syphilis, which proved to be a species of Lobalia, and the plant was exported to Europe to cure that disease. From thil nason the plant received its name Lobelia syphilitica. In this LOBELIA SYPHILITICA. 103 syphilis,* and upon his return to Europe, published an account of it. This introduced the drug to Europe, and it came into immediate demand, and it was illustrated in Woodville's Medical Botany, which was published in the beginning of this century. We cannot find that Johnson made any written reference to the drug, and we have searched his manuscripts upon file in Albany, which comprise a voluminous correspondence on all matters connected with Indian life on the frontier.t We cannot find a reference in European literature to any statement beside that of Kalm and we therefore conclude that this information derived personally by Kalm, introduced the plant. Schoepf, 1787, t mentioned Lobelia syphilitica, but erroneously described to it, nauseating, ca- thartic and emetic properties, stating that it is acrid, milky, and used in syphilis. He confused the sensible properties of Lobelia inflata, with which he was evidently familiar, with the reputed medi- cal properties of Lobelia syphilitica. Thus, his statements regarding the uses of Lobelia syphi- litica agreed with Kalm, but there is no evidence to show that he did not derive his information from Kalm's writings. From the return of Kalm (1751) to Europe, until the introduction of Lobelia inflata by Thom- son,? the drug known as lobelia was the root of Lobelia syphilitica. This is shown by the ft,ct that the decoctions were freely administered, which could not have been the case with a violent emetic like Lobelia inflata. Thus, we quote from Buchan, 1793. || "The patient takes a. large draught of the decoction early in the morning and continues to use it for his ordinary drink through the day." This name lobelia, led subsequent writers (after Lobelia inflata appeared) to confuse the two plants, and the result is sometimes evidenced at present. Statements have been made to the effect that Lobelia syphilitica has diuretic properties, but Prof. W. P. C. Barton, 1802,^ found that the plant then used by the settlers under the name lobelia was Liatris spicata. Thatcher, 1810,** states on Pearson's word that Lobelia syphilitica has cathartic properties, but it is questionable as to the drug employed. Rafinesque, 1830, tt accepts that Lobelia syphilitica is a potent drug, but his views were framed from previous statements. Investigations in Europe demonstrated that Lobelia syphilitica was of no value in the treatment of syphilis and it eventually became obsolete. Neither, the Regular, nor the Eclectic sections of American practitioners of medicine employ it at all, and that it is but little employed in Homoeopathy is evident from the following article : The Homceopathic Uses of Lobelia Syphilitica. — (Written for this pub- lication by Edwin M. Hale, M.D., Emeritus Professor of Materia Medica and Therapeutics in the Chicago Homceopathic College.) — This plant was intro- duced into our practice by the late Dr. Hering. His provings and observations were published in the Trans. Amer. Horn. Institute. Drs. Jeanes, Williamson and Neidhard, only the latter now living, con- tributed their experience with this drug. Dr. Jeanes reports a cure of "melan- cholia" in a woman. He supposed the spleen was affected, for she had "pains under the short ribs of the left side, from front to back." These symptoms are connection we are led to say upon information received from a gentleman, familiar in the neighborhood of "Johnson's Castle," New York, that by tradition the moral standing of Sir William Johnson was not of the highest, and that possibly he may have had use for the plant himself. *Johnson purchased the information from the Indians and its announcement was considered of the greatest importance by the medical world. He was imposed upon, however, and it seems strange that a man so versed in In- dian customs should have been thus deceived. fThese manuscripts in the State's Dep't Albany show the interest and influence Johnson possessed in early Colonial affairs. His aid was solicited by those high in power and he must have had the unbounded confidence of the Indians. ^Materia Medica Americana, p. 128. gSee medical history of Lobelia inflata, p. 83. IDomestic Medicine, William Buchan, Edinburgh, p. 513. f Collections for a Vegetable Materia Medica, part and, p. 37. **American New Dispensatory, p. 149. ttMedical Flora of the United States, vol. ii., p. =5. 104 DRUGS AND MEDICINES OF NORTH AMERICA. in its provings, and nearly identical symptoms have often been cured by cimi- cifuga. Dr. Neidhard reported a cough of four weeks duration, day and night, with "dryness of the back part of the throat." He also cured cases appearing to be a species of spinal irritation with sciatica. Many of its symptoms remind one strongly of cimicifuga, but its chief sphere of action seems to be upon the mucous surfaces of the upper respiratory tract. It causes catarrhal headache, acute nasal catarrh, and much irritation with dryness of the throat. The posterior nares, palate, eyes, nose and mouth are all irritated, much as in hay fever. I would advise it in such cases, and in epidemic influenza, especially in the young. Catarrhal conditions caused by this species, it continued, would readily run into humid asthma. Rafinesque asserts that its properties are similar to Lobelia inflata, but milder. It resembles arsenious iodide, sticta, hepar sulphur, cistus and cimi- cifuga. Our tincture is made from the leaves. LOBELIA CARDINALIS. CARDINAL FLOWER. Parts Used. — The entire plant. Lobelia cardinalis, LinncBus. Natural Order, Campanulaceae, Tribe Lobelieae. Botanical Description. — There is no difficulty in recognizing this plant without a detailed botanical description. Having the peculiar flower structure of the Lobelia genus (described on page 64) it is at once known by its bright scarlet flowers, so brilliant indeed as to attract immediate attention from anyone who sees it in bloom. In this country we have but two red flowered species of this genus. Lobelia cardinalis, which is common over most of the territory east of the Mississippi, and Lobelia splendens, very similar in appearances, but confined to the extreme southwest near the Mexican border, and hence, not liable to be confused. In size, habit and general appearances, the plant resembles Lobelia syphili- tica, (described and illustrated on page 98,) but strongly distinguished from it by the color. The flowers of the Lobelia cardinalis are more slender, the column longer, and the calyx destitute of the reflexed auricles between the segments. Over the greater portion of this country, the two species Lobelia cardinalis and Lobelia syphilitica are all of the genus that have large ^"^- '4°- enough flowers, (over an inch long) to attract Flower of Lobelia cardinalis. *^ ^ , tii i_i (Natural size.) attention; the former havmg red, the latter blue flowers, they are readily distinguished from each other and from all other species. The peculiar bright red color of the large flowers of Lobelia cardinalis is so bright as to pale almost any comparison we can make. No colored illustra- LOBELIA CARDINALIS. 105 tion we have ever seen of the plant does it justice, and the usual fault of colored work is the over-coloring of plants. When the plant is dried carefully the color is preserved as bright as when fresh, and it is very permanent, remaining a beau- tiful herbarium specimen for a number of years. As so much space haa been given in this work describing the botanical characters of Lobelia inflata and Lobelia syphilitica, we do not deem it neces- sary to give a further description of this plant. ' Botanical History. — The richness of coloring of the bright scarlet flbwers of this plant at- tracted the attention of early settlers and travelei's, and it was sent to Europe very soon after the discovery of this country. It was first sent to France by the French settlers in America. Over 250 years ago, (1629,) Parkinson* described and figured it from plants in cultivation in his garden at London and informs us that he received it from France.f He states, "it groweth neere the river of Canada, where the French plantation in America is seated." It soon became common in cultivation in Europe, especially in botanical gardens, and is mentioned in most of the earliest works on American plants.J In the very early works it was described under the generic name Trachelium or later Rapuncu- lus, (see generic history of lobelia, p. 66,) and it was called "Planta Cardinalis," Cardinal plant, by the earliest French. Parkinson, the first to describe it, calls it, "the rich, crimson Cardinal's flower," stating, "this hath his name in the title, as it is called in France from whence I received plants for my garden with the Latin name; but I have given it in English." Toumefort (17 19) says, "Cardinale, couleur de feu" (Cardinal flower, color of fire). The name is in allusion to the bright, scarlet color of the flowers, which are the same hue as the scarlet hat worn by a cardinal, and not from the shape of the flower. Linnseus adopted this for the specific name of the plant, calling it Lobelia cardinalis by which name it has always been described with the single synonym of Rapuntium cardinalis by Miller. Medical History and Properties. — Schcepf, 1785,2 first referred to this plant, describing it as milky and acrid, and posessing properties similar to those of Lobelia syphilitica. It is evident that he knew but little of it. Barton, 1802, || refers to the Cherokee Indians using an infusion 01 Lobelia cardinalis, and the powder of the plant, for worms. This is agreed to by Rafinesque, 1830, 1[ who also makes very brief mention of the drug. These statements have furnished the foundation for subsequent writers to class the plant with anthelmintics, as is usually done. However, the Indians made but little use of it, if any, prefering spigelia, and even Prof. Barton gives but little attention to the drug. The plain facts are that absolutely nothing is known regarding the medical action of the plant. *John Parkinson was an apothecary of London in the sixteenth century when botany was in its infancy. He wrote two very extensive works, which remain to this day as monuments of his preseverance and labor ; the first, Paradisi in Sole Paradisus Terrestris, a description of the different species and varieties of plants in cultivation in English gardens and the first work describing and figuring these plants ; the second, Theatrum Botanicum> a de- scription of all the then known plants of the world, about 3S00. fParadisi in sole Paradisus terrestris, John Parkinson, London, 1629, page 356 and plate 355. Described under the name ''Trachelium Americarum, fiore ruberrimo, sive Planta Cardinalis." 11629. — Parkinson Paradisi, p. 356. — Trachelium Americarum flore ruberrimo, sive Planta Cardinalis. 1718. — Ruppius, Flora Jenensis, p. 201. — Cardinalis rivini. 1644. — Columna, Notis et Additionibus ad Rerum Medicarum, Recho. — Rapuntium maximum coccineo spicato flore, 1719.— Toumefort, Institutiones Rei Herbariae, p. 163. — Same. 1680. — Morison, Historia Plantarum, part i, page 466.— Rapuntium galeatum, virginianum seu americanum, coccines flore majore. i-jyj, — Linnseus, Hortus Cliffortianus, p. 426. — Lobelia caule erecto, foliis lanceolatis obsolete serratis, racemn terminatrici. 1739. — Gronovius, Flora Virginica, p. 134. — Same. 1740. — Royen, Flora Leydensis, p. 241.— Lobelia caule erecto, foliis lanceolatis serratis, spica terminate. 1748. — Linnseus, Hortus Upsaliensis, p. 276. — Same. gMateria Medica Americana, p. 128. llCoUections for a Materia Medica, part jst, p. 40, and part 2nd, p. xiv. f Medical Flora of the United States, vol. ii., p. 26. 106 DRUGS AND MEDICINES OI NORTH AMERICA. Constituents. — Prof. William Procter, Jr., 1839,* made an analysis of Lobelia cardinalis, ob- taining an alkaloidal-like body as follows. The herb was dried, macerated with water that had been acidulated with acetic acid, the watery product neutralized with magnesia and then exhausted with sulphuric ether. The ethereal solution was evaporated, yielding an aromatic-like oily thick liquid of a brown color. It was soluble in turpentine, ether, and alcohol; was of alkaline reaction, neutralized acids, and formed crystalline salts with acids. Its taste was bitter and acrid. This body was doubtless a mixture of an alkaloid with impurities dissolved by the ether. There has been no subsequent analysis. Lobelia cardinalis is not a commercial drug and is not used in medicine. LOBELIA HYPODERMICALLY. (Discovery of Dr. E. Jentzsch, of Chicago, Illinois. J History. — At the meeting of the Illinois Eclectic Association, 1908, Dr. E. Jentzsch of Chicago, read a paper entitled, ' ' Lobelia ; A Vegetable Antitoxin. ' ' This was of such exceptional importance, by reason of the history of Lobelia, as well as the statement of the physician, as to have led Dr. Jentzsch, before the Society, to fortify his paper by a personal injection of the Specific Medicine Lobelia, into his own circulation, in order to illustrate that it is safe hypodermically. Following this, at the meeting of the National Eclectic Medical Association, in Kansas City, June, 1908, Dr. Jentzsch again contributed a paper on the subject of Lobelia, a Vege- table Antitoxin, and again, before the Society, he injected the remedy into his own veins, in order to quiet apprehensions concerning its possible energetic nature, when used subcutane- ously. The original paper of Dr. Jentzsch is of interest in connection with this subject, as mark- ing the introduction of a new epoch in the use of Lobelia. Our Bulletin would not be com- plete without the original article of Dr. Jentzsch, which we therefore present, verbatim. LOBELIA; A VEGETABLE ANTITOXIN.* THE APPLICATION OF THIS REMEDY IN THE TREATMENT OF DIPTHERIA. A paper read at the Chicago meeting of the Illinois State Eclectic Medical Society, igoS. BY E. JENTZSCH, M. D., CHICAGO, ILLINOIS. The title of this paper reveals to some extent my intention, which is a desire to inform you of my experience with Lobelia as a vegetable antitoxin in diphtheria. I will confine my- self entirely to the therapeutic discussion of the disease mentioned, basing my contentions on personal experience and observations, which extend over a period of nearly four years in about 150 cases of diphtheria, with not a single death. Right here let me tell you that I have no longing for notoriety nor a desire to reap finan- cial benefit from this. It is merely an effort to reduce, nay, even to abolish, the high death- rate which regularly prevails from this disease. The remedy has proven itself so universally reliable in my hands that I have no doubt that what I claim can be accomplished by you as well. HOW I CAME TO USE LOBELIA IN DIPHTHERIA. You may be interested to know how I came to use it. There are two vital points which are responsible. First, my studying eclectic therapeutics ; second, J:he desperate condition of my own child who was then about three years old, due to diphtheria. *The preparation used by Dr. Jentzsch was an alcoholic preparation of Lobelia Seed, 240 grains to the fluid ounce. LOBELIA To save time and trusting that you will credit me with sufficient competency in my voca- tion, I will say that my boy was stricken with a fulminating case of naso-pharyngeal diphtheria. The serum antitoxin was exhibited promptly in sufficiently large doses and repeated, but with no other result except that the child passed from an active sthenic condition, with dyspnea, into a passive collapse, with apnea. This I had witnessed before and knew it to be fatal with certainty. Instantly I recalled the writings of the great Scudder, where he extols Lo- belia as a life-saver. Thereupon I filled full my hypodermic syringe with the Lobelia and gave the child the entire dose subcutaneously. Strange to say, I gave it with a confidence altogether out of pro- portion to the circumstances. However, the result proved this to be justified, for the patient responded immediately in a marvelous manner. All the fatal symptoms gave way to those of returning health, the patient passing from a death-struggle into a peaceful slumber, from which he awoke after three hours, somewhat weak. Another dose was given, which was followed by a still more pronounced reaction for the better. The patient from that time continued to convalesce and, with the exception of a postdiphtheria pharyngeal paralysis, made a rapid recovery, the paralysis yielding to another dose of the same remedy. LATER EXPERIENCE WITH LOBELIA. This happened nearly four years ago, and since then I have repeated in many cases the phenomenal experience with this remedy. At first I used the serum and the vegetable anti- toxin in conjunction. But gradually I realized that the latter was entirely reliable, doing even better without the serum, so that now I can tell you with absolute certainty that the vegetable antitoxin is in every respect far superior to the serum for the reason that it is more reliable because it acts quicker and with a much greater certainty than the serum and, secondly, it prevents, arrests and cures the disease promptly, irrespective of what other treatment is instituted. It makes no difference whether it is the first or the sixth day of the existence of the dis- ease, with the exception that in the longer-standing cases the treatment must be repeated more often — every two to three hours, until the desired result is obtained. I note that Dr. Walls of our City Health Department recommends a repetition of the serum every twelve hours in very bad cases, but it has been my experience that this is a slow and unsatisfactory method and usually of no avail. The vegetable antitoxin (Lobelia^ produces no symptoms whatever except those of returning health. It is therefore preferable to the serum when we consider the unpleasant symptoms which are often produced by the latter and which Dr. Walls takes great pains to pronounce harmless, although he aptly describes them as distressing (and which are known as the serum disease). WHY THE REMEDY IS EFFECTIVE. The use of the vegetable antitoxin is consistent with our motto, " Vires Vitales Sustinan- dae." It strengthens all the vital functions, notably the circulation. It does not dispel the symptoms of the disease at the expense of the patient' s strength. It creates no other disease but simply cures the patient, all of which can not be claimed for the serum. Another feature of the Lobelia is that it is so cheap that the cost need not be considered ; besides it is more uniform in quality, does not readily decompose, is easily carried around, and may be given by the doctor with as little ado as a hypodermic injection of morphine. It is safe as well as harmless on account of its nature and origin. 138 LOBELIA What I have told you, Fellow Members, is true. I have found it to be so not in a few instances, but in many. However, I want you to convince yourselves and for that reason have given you a demonstration of the benignness of the drug. I have preached of this before to societies and individual doctors and have found two principal arguments against its use : first, that it is a highly dangerous drug. How well founded this is you may judge by the demonstration I have given. The drug when so given is absolutely harmless. 1 have given in this manner a half-dram dose to an iufant but a few minutes old as a means of resuscitation, with success. Let there be no more fear of this remedy. The second assertion is that the serum antitoxin gives satisfactory results. Let me quote here the official statistics of the 1906 report published by the Chicago Health Department, which gives 547 deaths out of a little over 5,000 reported cases of diphtheria. This is an aver- age throughout the year of 10 per cent — ten fatal cases out of every one hundred reported. RESULTS AS COMPARED WITH THE ANTITOXIN TREATMENT The vegetable antitoxin, in my hands, has transformed diphtheria, an otherwise danger- ous and malignant disease, into a benign and harmless affection, the proof of which I have been and am willing to demonstrate to any doctor anywhere and on any case of diphtheria. MY METHOD OF TREATING DIPHTHERIA. In conlusion, let me give you a concise description of my method of treating diph- theria. In any case where there is the least suspicion of diphtheria I give a half-dram dose of the Lobelia hypodermically, and repeat in from two to twelve hours, once or oftener, as indi- cated, until reaction sets in, which means a return to health. The drug may be used as it is or it may be filtered through ordinary filtering paper ; the latter method I have adopted. For those who can gargle I give a half-dram of argyrol in six ounces of water. This I have found to be most effectual from a bacteriological standpoint, as well as the most soothing to a sore throat. Systematic remedies I give according to specific indications. A prescription most often used by me is : Aconite,* gtt. 1-4; Belladonna, gtt. 1-6; Phytolacca, gtt. 10 ; Sarracenia, drs. 2; water, q. s. ad. ozs. 4. Directions: One teaspoonful'every two or three hours. By experience I have found the hypodermic injection best borne by the patient when in- jected anywhere on the trunk, abdominal parietes, the back and thighs. As to my theory about the action of this remedy it is briefly stated. I consider it fully the peer of all stimulants of the vascular system, not only in diphtheria, but in any infectious disease, equalizing, so to speak, disturbed circulation. If there is high pressure it acts as a sedative, and if there is low blood-pressure it stimulates, but in any case its secondary action is that of a cardiac tonic. When used as here described Lobelia is a prompt and most reliable remedy in apoplexy, epilepsy or any condition where the cerebral circulation is disturbed. In collapse due to anesthesia it is unsurpassed ; likewise in pneumonia. In diphtheria I believe it has a specific antitoxin property. This, Fellow Members, is my case. I hope I have made my purpose clear, and I thank you sincerely for your kind attention. * These were alcoholic preparations representing one grain of the drug to each minim. TABLE OF CONTENTS. Page Portrait of Samuel Thomson Frontispiece Editor's Introduction i-iv Fac-Simile of Title Page to Thomson's Guide to Health i Original Preface to First Edition of Guide to Health , 2 Thomson's "Narrative and Life," embracing the following subjects: Early Life of Thomson, and Discovery of " Emetic Herb," 3-S Medical Practice in 1788. A Wound and its Results 6-7 First Overdose of Lobelia and its Results 8 First Use of ' ' Steaming," by Thomson 8 Beginning of Thomson's Neighborhood Practice lo Typical Cases of Thomsonian Treatment I I-I2 Thomson decides to make Medicine a Business, and to Teach his "System" to Others 13-14 " Thomsonian Remedies," by Numbers, I to VI 15-16 Methods of Regular Physicians of That Date 17-18 Thomson Studies Yellow Fever, and Contracts Disease 18-19 Controversies with Dr. French 20-24 Thomson charged with " Witchcraft," by Profession 25 Cases Illustrating Thomson' s Method of Treatment 27 Arrested and Fined Through Influence of Dr. French 28 Treatment and Death of Ixjvett. Beginning of Thomson' s Persecution 29-30 Arrest, Trial and Acquittal of Thomson 31—38 Dungeon in Newburyport Jail, and Treatment of Prisoners 32-34 Suit for Damages against Dr. French 38-41 Beginning of American " Patent " Medicines 37 and 43 Interviews "with Drs. Barton and Rush 44-4S Financial Difficulties of Thomson 4S-46 Formation of " Friendly Botanic Societies," 46 Disputes between Thomson and his Agents 47-53 Reproduction of Official Appointment of One of Thomson's Agents 54 Professor Benjamin Waterhouse's Letters on — Who Discovered and Introduced Lobe- lia ; The Thomsonian Crusade ; Definition of Quackery, etc 56-64 "Trial of Dr. Frost," with original title page 65-74 The Thomsonian Remedies and Courses of Medication 7S-8S Official Account of the Illness and Death of Samuel Thomson 86-89 Fac-Simile of Thomson's "Patent," facing page 90 Introduction by John Uri Lloyd of the general subject of Lobelia, its History, Con- stituents, Pharmaceutical Preparations, etc 91 Illustration of Lobelia Inflata, natural size 92 Fac-Simile Reproduction (with original paging), of Article (44 pages) on Lobelia in Drugs and Medicines of North America, 1886 63-106 Hypodermic Lobelia, as Introduced by Dr. P^. Jentzsch '37—139 Table of Contents 140 140