Chapter XIV: Medicines From the Metals 376 (12)

There is nothing to associate this dismal place with the tartar of chemistry, except that in old books it is said that Paracelsus so named the product because it “produces oil, water, tincture, and salt, which burn the patient as Tartarus does.” Paracelsus did not invent the name of tartar; it is found in many alchemical books long before his time. The earliest found use of it is in an alchemical work by Hortulcuus, an English alchemist of the eleventh century.

Paracelsus was writing about “tartarous diseases” (“De Morbis Tartareis”), those, that is, which resulted from the deposit of concretions. Stone, gravel, and gout were among these diseases of tartar, and evidently it was this morbid tartar which he associated with the legendary Tartarus. The word tartar, applied to the deposit from wine, is sometimes supposed to have descended from an Egyptian term, dardarot, meaning an eternal habitation, and etymologists generally prefer it as the origin of the name. If it was, the sense development of the term as applied to the chemical is not clear. The Greek word _tartarizein_, meaning to shiver with cold, does not help much in tracing the history of the word. Another frequently advocated derivation is the Arab, _durd_, dregs, sediment, which it is said was actually applied to the tartar of wine. It appears, too, that the Arabs used this term also as we do to represent the deposit on teeth; they also had a word, _dirad_, to mean a shedding of teeth, and by _darda_ they signified a toothless old woman. Some etymologists consider, however, that the transition from durd to tartar would be most unlikely.

When the alchemists began to experiment with tartar their first process would be to distil it. The residue left in their retorts they called the salt of tartar. They knew this substance under other names, salt of wormwood, for instance, but they did not recognise the identity. By treating tartar with vinegar they produced acetate of potash, which they called regenerated tartar. Oswald Crollius, the compiler of the first European pharmacopœia, gave the name of vitriolated tartar to what we now know as sulphate of potash.

The iatro-chemists of the next century, who obtained it by various methods, gave to sulphate of potash distinct names which show in what esteem it was held. Among other designations it appears as Specificum purgans, Arcanum duplicatum, Nitrum fixum, Panacea holsatica, and Sel de duobus. Glaser, who produced it from sulphur, saltpetre, and urine distilled together, sold it as Sal Polychrest of Glaser.

Cream of tartar was known to the ancients under the name of Fæx Vini, which is the designation for it used by Dioscorides.

The tartar of wine was found to be only soluble in water with difficulty; but if boiled in water a turbid liquor was yielded which in the boiled condition continually threw up a sort of skin or scum. This was taken off with a skimmer and dried; it was naturally called Cream of Tartar.

Paracelsus and other chemists distilled this cream and got an oil from it which they called oil or spirit of tartar. It was chiefly a pyro-tartaric acid with some empyreumatic constituents. It was a thin, light yellow, bitter tasting but rather tart, and pleasant smelling oil, and was credited with remarkable penetrating powers. It was used in disorders of the ligaments, membranes, and tendons. Particularly surprising to them was the fact that the residue of a distinctly acid substance was a strong alkali. This “salt of tartar” was found to yield another oil called oleum tartari per deliquium, or lixivium tartari, which was the name by which it was called in the Pharmacopœia. Salt of tartar and cream of tartar together yielded the tartarum tartarisatus. It was when making this that Seignette produced by accident his double tartrate of potash and soda, now familiarly known as Rochelle salt.

VITRIOL.

Visitando Interiora Terræ Rectificando Invenies Occultum Lapidem Veram Medicinam. (Visiting the interior of the earth you may find, by rectifying the occult stone, the true medicine.) This acrostic is first found in the works attributed to Basil Valentine.

The vitriols enjoyed an enormous reputation in medicine, at least until their chemical composition was definitely explained by Geoffrey in 1728. It was certainly known that the green vitriols contained iron, and they were sometimes named vitriol of Mars; that the blue vitriols contained copper, which obtained for them the designation of vitriol of Venus; and the white was understood to be associated with calamine, though by some it was supposed to be only green vitriol which had been calcined.

The name of vitriol cannot be traced further back than to Albertus Magnus in the thirteenth century. He expressly applies the term to atramentum viride, the Latin name for sulphate of iron. Presumably it was given to the salt on account of its glassy appearance. The alchemists, on distilling these vitriols found that they always yielded a spirit or oil, to which they naturally gave the name of spirit or oil of vitriol.

In Greek the vitriols were called chalcanthon, as they were extracted from brass; the common name in Latin was atramentum sutorium, because they were employed for making leather black. Dioscorides states that this substance is a valuable emetic, should be taken after eating poisonous fungi, and will expel worms. Pliny recommends it for the cure of ulcers, and Galen used it as a collyrium. There was a good deal of confusion between the vitriols and the alums, and the Greek stypteria and the Latin alumens were often an aluminous earth combined with some vitriol. Pliny gives a test for the purity of what he calls alum, which consists in dropping on it some pomegranate juice, when, he says, it should turn black if it is pure. Evidently his alum contained sulphate of iron.

Paracelsus declared that, with proper chemical management, vitriol was capable of furnishing the fourth part of all necessary medicine. It contained in itself the power of curing jaundice, gravel, stone, fevers, worms, and epilepsy.

Mayerne was another strong advocate of the medicinal virtues of vitriol. According to him it possessed the most diverse properties. It was hot and cold, attenuative and incressant, aperitive and astringent, coagulative and dissolvant, corroborative, purgative, and sudorific.

A multitude of medicines were made from the vitriols. A vitriolum camphoratum was included in the P.L. of 1721 by distilling spirit of camphor from calcined vitriol; but Quincy remarks:--“Its intention I am not acquainted with, nor have ever met with it in prescription.” In Dr. Walter Harris’s “Pharmacopœia Anti-Empirica,” 1683, allusion is made to a remedy made by one Bovius, which consisted of spirit of vitriol, and was designed to lie a universal remedy. Added to an infusion of balm, marjoram, and bugloss, it would cure headache and vertigo; with rose water, fevers; with fumitory water, itch; with fennel water it would restore decayed memory; with plantain water it was a remedy against diarrhœa; and with lettuce water it became a narcotic. “A rare fellow,” quaintly comments the doctor. Homberg’s narcotic salt of vitriol was a combination of green vitriol and borax made after a very complicated process. The Gilla Vitrioli was a purified white vitriol used as an emetic. Spiritus Vitrioli dulcis was an imitation of Hoffmann’s Anodyne. This distilled with hartshorn made the Diaphoretic Vitriol.

One of the precious secrets of the alchemists, occasionally sold to kings and wealthy amateurs, was that of converting iron into copper by means of blue vitriol. A strong solution of the salt was prepared, and an iron blade, or any iron instrument, was immersed in it for a certain time. When taken out it appeared to be a blade or instrument of copper. Kunckel was the first chemist to explain the fallacy.

Elixir of Vitriol was devised by Adrian Mynsicht, a famous German physician, in the early part of the seventeenth century. He published an Armamentarium Medico-Chymicum which became very popular. His Elixir (under the name of Elixir Vitrioli Mynsichti) was first given in the P.L. of 1721 as follows:--cinnamon, ginger, cloves, of each 3 drachms: calamus aromaticus, 1 oz.; galangal root, 1½ oz.; sage, mint, of each ½ oz.; cubebs, nutmegs, of each 2 oz.; lign. aloes, lemon peel, of each 1 drachm; candied sugar, 3 oz. Digest in spirit of wine, 1½ lb., and oil of vitriol 1 lb. for twenty days. Then filter.

In the P.L. 1746 the formula was simplified by mixing 4 oz. of oil of vitriol with 1 lb. of Aromatic Tincture, and the title was changed to Elixir Vitrioli Acidum. In the P.L. 1778 there was no Elixir of Vitriol, dilute sulphuric acid taking its place. This was then called Acidum Vitriolicum Dilutum. Under the name of Acidum Sulphuricum Aromaticum, however, an acidulated tincture, flavoured with ginger and cinnamon, was retained, and this, with the synonym of Elixir of Vitriol, is still in the B.P.

Quincy (1724) states that this medicine had lately come greatly in practice, and deservedly. “It mightily strengthens the stomach,” he says, “and does good service in relaxations from debauches and overfeeding.”

The alga “nostoch,” so-called by Paracelsus, who also described it as flos cœlorum, acquired the name of vegetable vitriol, and sometimes spittle of the stars, because it appeared after rains in places where it had not been seen before.

XIV

MEDICINES FROM THE METALS

Metals are all identical in their essence; they only differ by
their form. The form depends on accidental causes which the
artist must seek to discover. The accidents interfere with the
regular combinations of sulphur and mercury; for every metal
is a combination of these two substances. When pure sulphur
meets pure mercury, gold results sooner or later by the action
of nature. Species are immutable and cannot be transformed
from one into the other; but lead, copper, iron, silver, &c.,
are not species. They only appear to be from their diverse
forms.
ALBERTUS MAGNUS:--“De Alchemia.” (About 1250.)

ANTIMONY.

Some of the old writers insisted that antimony (the native sulphide) was used as a medicine by Hippocrates who called it Tetragonon, which simply meant four-cornered, and of which we also know that it was made up with the milk of a woman. The reason which the iatro-chemists gave for believing that this compound was made from antimony was worthy of the age when it was the practice to apply enigmatic names to medicinal substances, a practice, however, quite foreign to Hippocrates. They understood the term to imply four natures or virtues, and they said antimony had four virtues, namely, sudorific, emetic, purgative, and cordial; therefore tetragonon meant antimony.

THE ETYMOLOGY OF ANTIMONY.

The name of this metal is one of the curiosities of philology. The old legend was that Basil Valentine, testing his medicine on some of his brother monks, killed a few of them. “Those who have ears for etymological sounds,” says Paris in “Pharmacologia,” “will instantly recognise the origin of the word antimonachos, or monks-bane.” Another version of the monk story is to the effect that after Basil Valentine had been experimenting with antimony in his laboratory he threw some of his compounds out of the window, and pigs came and ate them. He noticed that after the purgative action had passed off the pigs fattened. On this hint he administered the same antimonial preparation to certain monks who were emaciated by long fasts, and they died through the violence of the remedy.

These stories were probably the invention of some French punster, who worked them into shape out of the French name of the substance, antimoine, which, without the change of a letter, might mean bad for the monk. Littré entirely demolished any possibility of their truth by discovering the name in the writings of the Salernitan physician, Constantine, the African, who lived at the end of the eleventh century, three or four hundred years before the earliest dates suggested for Basil Valentine.

Other suggested derivations have been anti-monos, for the reason that the sulphide was never found alone; anti-menein, in reference to its tonic properties; and anti-minium, because it was used as an eye paint in the place of red lead. These are all guesses unsupported by evidence.

The modern philological theory is that the early Latin stibium and the late Latin antimonium have the same etymological origin. Stibium was the Latinised form of the Greek stimmi. Stimmi declined as stimmid--and this may have found its way into the Arabic through a conjectural isthimmid to the known Arabic name uthmud, which via athmud and athmoud became Latinised again into antimonium.

AL-KOHOL.

The antimony known to the ancients as stibium or stimuli was the native sulphide which Eastern women used for darkening their eyelashes. Probably it was used by Jezebel when, expecting Jehu at Samaria, “she painted her eyes and tired her head.” The Hebrew expression is “she put her eyes in paint,” and the Hebrew word for the paint is Phuph; (2 Kings, c. 9, v. 30). In Ezekiel, c. 23, v. 40, a debauched woman is described who painted her eyes, and in this case the Hebrew word employed is Kohol. The Septuagint translated both Phuph and Kohol by stimmi. The method is still used by Arabic women. They have a little silver or ivory rod which they damp and dip into a finely levigated powder called ismed, and draw this between the eyelids. Karrenhappuch, one of Job’s daughters, meant a vessel of antimony. The writer of the Book of Enoch says that the angel Azazel taught the practice to women before the Flood. He “taught men to make swords, and knives, and shields, and coats of mail, and made known to them metals, and the art of working them; bracelets, and ornaments, and the use of antimony, and the beautifying of the eyebrows, and the most costly and choicest stones, and all colouring tinctures, so that the world was changed.” Some of the early Christian fathers condemned the vanity. “Inunge oculos non stibio diaboli, sed collyrio Christi,” writes Tertullian.

ALCHEMICAL HOPES OF ANTIMONY.

The alchemists and the early chemical physicians had great hopes of antimony. “They tormented it in every possible manner,” says Fourcroy, “in the hope of getting from it a universal remedy.” With it, too, they were convinced that they were coming near to the transmutation of other metals into gold. Noticing how readily it formed alloys with other metals they named it Lupus Metallorum, the Wolf of Metals. Their process for getting the Powder of Projection, as well as can be gathered from their mystic jargon was to first fuse the crude antimony, the sulphide, with iron which withdrew the sulphur from the antimony. The metal thus obtained they called the Martial Regulus of Antimony. Regulus, or little king, implied an impure gold. Combining this with corrosive sublimate and silver, and subliming the mixture they got the lunar butter of antimony. The sublimation had to be repeated eight or ten times, the residue, or fæces, being added to the sublimate every time. At last the sublimed butter of antimony was transferred to an oval glass vessel capable of containing twelve times its quantity, and hermetically sealed. The Philosophic Egg, as the vessel with its contents was called, was then placed in a sand-bath and kept at a moderate heat for several months. When it had become converted into a red powder, the operation was finished. This powder was the Powder of Projection. It was sprinkled on other metals in a state of fusion, mercury being an ingredient of the fused mass, and yellow gold was produced.

ANTIMONIAL COMPOUNDS.

By other processes the early experimenters obtained various other products. By simply heating crude antimony in a crucible they would sometimes get a vitreous substance in consequence of some of the silica of the crucible combining with the antimony. That was their glass of antimony, which was generally an oxide with some sulphide. In other cases the so-called liver of antimony resulted, a compound containing a larger proportion of the sulphide. This they also called crocus metallorum or saffron of the metals, and one or other of these products was originally the basis of antimonial wine.

It was digested with Rhine wine, and the tartar of the wine formed a tartrate of antimony, but, as may be supposed, the composition of the wine was very variable. Emetic tartar was subsequently substituted for the liver.

The crystalline protoxide of antimony obtained by inflaming, volatilising, and condensing the regulus was known as argentine flowers of antimony. The regulus heated with nitric acid yielded a compound of metal with antimonious acid, and was called mineral bezoar; a compound, really a suboxide, got by fusing sulphide of antimony and nitre was called diaphoretic antimony; the chloride, first made by distilling crude antimony (the native sulphide) with corrosive sublimate, yielded the thick soft butter of antimony; the addition of water to this chemical caused the precipitation of a white oxychloride which was long known as Algaroth’s powder, or mercury of life. It contained no mercury, but was the most popular emetic before the introduction of the tartrate. Victor Algarotti, who introduced it, was a physician, of Verona, who died in 1603. It was alleged that he was poisoned by his local rivals in consequence of the success of his remedy. He was also the inventor of a quintessence of gold.

The regulus of antimony in alloy with some tin was used to make the antimony cups from which antimonial wine originated. It was also made into the pilulæ perpetuæ, or everlasting pills, which, passing through the body almost unchanged, were kept as a family remedy and taken again and again. It is probable that the surface of these pills became slightly oxidised, and consequently acquired a medicinal effect.

KERMES MINERAL.

One of the most famous of the antimony compounds was the kermes mineral, which it is understood was invented by Glauber about 1651. He made it by treating a solution of the oxide of antimony with cream of tartar, and then passing a current of sulphuretted hydrogen through the solution. An orange-red powder was obtained, and famous cures were effected by it. Glauber kept his process secret, but a Dr. de Chastenay learnt it after Glauber’s death from one of his pupils and confided it to a surgeon named La Ligerie, who in his turn communicated it to Brother Simon, a Carthusian monk, who at once commenced successfully to treat his brother monks with it, and soon after the Poudre des Chartres was one of the most popular remedies in France for many serious diseases, small-pox, ague, dropsy, syphilis, and many others. In 1720 Louis XIV bought the formula for its preparation for a considerable sum from La Ligerie. It has been agreed by chemists, Berzelius and others, who have studied Kermes Mineral, that it is a mixture of about 40 per cent. or less of oxide of antimony with a hydrated sulphide of the metal, and a small proportion of sulphide of sodium or potassium (according to the method of preparation). It is still official in the Pharmacopœias of the United States and of many Continental countries.

From the solution from which the Kermes had been deposited a further precipitate was obtained by the addition of hydrochloric acid. This, too, was a mixture, consisting of protosulphide and persulphide of antimony with some sulphur. It was the golden sulphuret which in association with calomel became so noted in the form of Plummer’s powder and Plummer’s pills. The powder was at first known as Plummer’s Æthiops Medicinalis.

It would be tedious to go through the multitude of antimonial compounds which have become official, and it would be impossible in any reasonable space even to enumerate the quack medicines with an antimonial base which were so recklessly sold in this and other countries, especially in the earlier half of the seventeenth century. The most important of all the antimonial compounds, or, at least, the one which has maintained the favour of the medical profession in all countries, is, of course, the tartrate of antimony and potassium, emetic tartar.

EMETIC TARTAR.

Adrian Mynsicht, physician to the Duke of Mecklenburg in the early part of the seventeenth century, is generally credited with the invention of emetic tartar. Certainly the earliest known description of it is found in his “Thesaurus Medico-Chymicum,” published in 1631. But Hofer has pointed out that the mixture known as the Earl of Warwick’s Powder, which consisted of scammony, diaphoretic antimony (a binantimoniate of potash) and cream of tartar, which Cornachinus of Pisa described in 1620, was really its forerunner, and he considers that the salt was recognised in medicine before Mynsicht published his description.

Glauber, in 1648, described the process of making Mynsicht’s emetic tartar from cream of tartar and argentine flowers of antimony.

ANTIMONY CONTROVERSY.

No medicine has been more violently attacked or so enthusiastically praised as antimony. The virulent antagonism to it manifested by the Faculty of Physicians of Paris was unquestionably the exciting cause of much of the fame to which it attained. It is generally stated that on the instigation of the Faculty the Parliament of Paris decreed that it should not be employed in medicines at all. This, however, has been proved to be incorrect. Certainly the Faculty in 1566 did, in fact, forbid its own licentiates to use it, and actually expelled one of their most able associates, Turquet de Mayerne, because he had disobeyed their injunction. But M. Teallier has shown by documentary evidence that the decree of the Parliament did not go beyond requiring that antimony should not be supplied for medicinal use except on the order of a qualified physician. The action of the Faculty, although approved for a time, was later almost disregarded, and when the court physicians cured the young king, Louis XIV, in 1657, by the administration of antimony, the defeat of the anti-antimonists was completed. The repeal of the decree against antimonials was dated 1666, just a century after its promulgation.

Louis XIV was taken dangerously ill at Calais, in 1657, when he was 19 years of age. A physician (Voltaire says a quack) of Abbeville had the audacity to treat him by the administration of emetic tartar, and the King himself and his Court were convinced that he owed his life to this remedy. The opponents of antimony were silenced, though they did not yield in their opinion. Gui Patin, who had termed the new medicine “tartre stygiè” (its usual French name was tartre stibié), protested against the attempt to canonise this poison, and asserted that the cure of the king was due to his own excellent constitution.

To illustrate the earnestness, not to say the ferocity, of medical controversy at the beginning of the seventeenth century, the record of the expulsion of Turquet de Mayerne from the College of Physicians of Paris, in 1603, quoted from the minutes of the College and translated by Nedham, may be given. It should be remembered that Turquet was the favourite physician of Henri IV, and, nominally, his offence was that he had published a defence of his friend, Quercetanus, who had prescribed mercurial and antimonial medicines. The minute is in the following terms:--

The College of Physicians in the University of Paris, being
lawfully congregated, having heard the Report made by the
Censor to whom the business of examining the Apology published
under the name of Turquet de Mayerne, was committed, do with
unanimous consent condemn the same as an infamous libel,
stuffed with lying reproaches and impudent calumnies, which
could not have proceeded from any but an unlearned, impudent,
drunken, mad fellow: And do judge the said Turquet to be
unworthy to practise physick in any place because of his
rashness, impudence, and ignorance of true physick: But do
exhort all physicians which practise Physick in any nations or
places whatsoever that they will drive the said Turquet and
such like monsters of men and opinions out of their company
and coasts; and that they will constantly continue in the
doctrine of Hippocrates and Galen. Moreover, they forbid all
men that are of the Society of the Physicians of Paris, that
they do not admit a consultation with Turquet or such like
person. Whosoever shall presume to act contrary shall be
deprived of all honours, emoluments, and privileges of the
University and be expunged out of the regent Physicians.
Dated December 5, 1603.

(From an illustration to a note by Professor Redwood in the
_Pharmaceutical Journal_, July 1, 1858.)
]

ANTIMONY CUPS (POCULA EMETICA)

were in use in the sixteenth and seventeenth centuries, more perhaps in Germany than in this country. The one illustrated is in the Museum of Practical Geology, Jermyn Street. It was bought for a shilling at a sale at Christies’ in 1858, and was described in the catalogue as “An old metal cup, with German inscription and coronet, gilt, in woodcase.” The cups are said to have been made of an alloy of tin and antimony, and wine standing for a time in one of them would become slightly impregnated with emetic tartar, the tartar of the wine acting on the film of oxide of antimony which would form on the inner surface of the cup. How far these cups were used in families does not appear, but it is said they were common in monasteries, and that monks who took too much wine were punished by having to drink some more which had been standing in the poculum emeticum. Dr. Walter Harris, in “Pharmacopœia Anti-Empirica” (1683) refers to the cups, and says, “their day is pretty well over. It is rare to meet with one now.”

It was supposed by the early chemical physicians that antimony imparted emetic properties to wine without any loss of weight. Angelo Sala tells of a German who attained some fame in his time by letting out a piece of glass of antimony on hire. The patient was instructed to immerse this in a cup of wine for three, four, or five hours (according to the strength of the person prescribed for), and then to drink the wine. The practitioner charged a fee of a dozen fresh eggs for the use of his stone, and, as he had hundreds of clients, patients had to wait their turn for their emetic.

BISMUTH.

Bismuth, the metal, was not known to the ancients nor to the Arabs. It was first mentioned under that name by Agricola, in 1546, in “De Natura Fossilium,” and was not then regarded as a distinct body. Agricola considered it to be a form of lead, and other mining chemists believed that it gradually changed into silver. The Magistery (trisnitrate or oxynitrate) was the secret blanc de fard which Lemery sold in large quantities as a cosmetic. He bought the secret from an unknown chemist and made a large fortune out of it. His process was to dissolve one ounce of the metal in two ounces of nitric acid and to pour on the solution five or six pints of water in which one ounce of sea-salt had been dissolved. The sea-salt would yield a proportion of bismuth oxychloride in the precipitate. Lemery made a pomatum, ʒi to the ounce, and a lotion, ʒi to ʒiv of lily water.

Until the latter part of the eighteenth century bismuth salts were regarded as poisonous and were scarcely used in medicine by way of internal administration. Even Odier, of Geneva, to whom we owe the introduction of this medicine in dyspepsia and diarrhœa, prescribed it in 1 grain doses with 10 grains each of magnesia and sugar.

Lemery says the bismuth of his time was a compound made in England from the gross and impure tin found in the English mines. “The workmen mix this tin with equal parts of tartar and saltpetre. This mixture they throw by degrees into crucibles made red hot in a large fire. When this is melted they pour it into greased iron mortars and let it cool. Afterwards they separate the regulus at the bottom from the scoriæ and wash it well. This is the tin-glass, which may be called the regulus of tin.” Pomet says much the same about the composition. He adds, “It is so true that tin-glass is artificial that I have made it myself, and am ready to show it to those who won’t believe me.”

Those writers belonged to the first quarter of the eighteenth century. A quarter of a century later Quincy is telling us that the metal called Bismuth “is composed of tin, tartar, and arsenic, made in the northern parts of Germany, and from thence brought to England.”

Meanwhile Stahl and Dufay had been studying bismuth and had established its character and elementary nature.

Liquor Bismuthi et Ammonii Citratis was introduced into the B.P. 1867, as an imitation of the proprietary Liquor Bismuthi, which Mr. G. F. Schacht, pharmaceutical chemist, of Clifton, had invented a few years previously. It was found that the official preparation differed from the proprietary one in taste and action principally because no attempt had been made to free it from the nitric acid used to dissolve the bismuth. This was corrected in 1885 by a liquor prepared from citrate of bismuth dissolved by solution of ammonia. This method has been further elaborated. Continental physicians have not favoured a solution of bismuth. They consider that the remedial value of bismuth depends on its insolubility; this view now obtains in England also.

Trochisci Bismuthi Compositi of the B.P. 1864, were believed to be intended to imitate the “Heartburn Tablets,” made by Dr. Burt, an eminent medical practitioner of Edinburgh in the early part of the nineteenth century, and sold for him at a guinea a pound. Notwithstanding the price, perhaps because of it, these tablets attained to considerable popularity. It was said that Dr. Burt and his apprentices made all he supplied in his kitchen. Some said that his tablets contained no bismuth, the antacid properties being due entirely to chalk. In 1867 rose-flavour was substituted for cinnamon in the official lozenges, and in 1898 the oxynitrate of bismuth gave place to oxycarbonate.

GOLD.

For gold in physick is a cordiall,
Therefore he loved gold in special.
Chaucer’s _Doctour of Phisike_.

The employment of gold as a remedy is but rarely mentioned in ancient medical literature. Gold leaf was probably used by the Egyptians to cover abrasions of the skin. Pieces of it have been found on mummies apparently so applied. Some of the Arab alchemists, Geber among them, are believed to have made some kind of elixir of life from gold, but their writings are too enigmatical to be trusted. Avicenna mentions gold among blood purifiers, and the gilding of pills originated with the Eastern pharmacists. Probably it was believed that the gold added to the efficacy of the pills. It was not, however, until the period of chemical medicine in Europe that gold attained its special fame.

Arnold of Villa Nova, and Raymond Lully were among the advocates of the medicinal virtues of gold; but in the century before Paracelsus appeared, Brassavolus, Fallopius, and other writers questioned its virtues. With Paracelsus, Quercetanus, Libavius, Crollius, and others of that age, however, gold entered fully into its kingdom. They could hardly exalt it too highly. But it is difficult to ascertain from the writings of this period what the chemical physicians understood by gold.

Paracelsus says it needs much preparation before it can be administered. To make their aurum potabile some of the alchemists professed to separate the salt from the fixed sulphur, which they held was the real principle of gold, its seed, as some of them called it, and to obtain this in such a form that it could be taken in any liquor. The seed of gold was with many of them the universal medicine which would cure all diseases, and prolong life indefinitely. It was the sulphur of the sun with which that body revivifies nature.

Paracelsus prescribed gold for purifying blood, and intimates that it is useful as an antidote in cases of poisoning, and will prevent miscarriages in women. He considered it not so cordial as emeralds, but more so than silver. He also states that if put into the mouth of a newly-born babe it will prevent the devil from acquiring power over the child.

The Archidoxa Medicinæ of Paracelsus, his famous Elixir of Long Life, is believed to have been a compound of gold and corrosive sublimate. He recommended gold especially in diseases connected with the heart, the organ which the sun was supposed to rule. Among the earlier Paracelsians Angelo Sala wrote a treatise on gold, entitled “Chrysologia, seu Examen Auri Chymicum,” Hamburg, 1622. Sachsens prepared a Tinctura Solis secundem secretiorem Paracelsi Mentem preparata. But Thurneyssen, who carried on his quackeries on the largest scale, did the most to push the gold business. His Magistery of the Sun attained to great popularity in Germany, and these and his other preparations, together with the astrological almanacks and talismans which he sold, enabled him to live in great splendour at Frankfort, where he is said to have employed 200 persons in his laboratory. His fame departed, however, and he died in poverty at Cologne, in 1595.

AURUM POTABILE.

Roger Bacon is said to have held that potable gold was the true elixir of life. He told Pope Nicholas IV that an old man in Sicily, ploughing, found one day a golden phial containing a yellow liquid. He thought it was dew, drank in off, and was immediately transformed into a hale, robust, handsome, and highly accomplished youth. He entered into the service of the King of Sicily, and remained at court for the next eighty years.

Francis Anthony was a famous quack in the reigns of Queen Elizabeth and James I. The College of Physicians took proceedings against him several times, fined him and imprisoned him, but aristocratic influences were exerted on his behalf and ultimately the College found it prudent to let him alone. His panacea “Aurum potabile” professed to be a solution of gold, and the wealthy classes of the period had unbounded belief in its wonderful remedial virtues. Some years after the death of Anthony the famous Honourable Robert Boyle (the “Father of philosophy and brother of the Earl of Cork”) in the “Sceptical Chymist” wrote that though he was prejudiced against all such compositions, he had known (and he describes) some such wonderful cures resulting from this aurum potabile that he was compelled to bear testimony to its efficacy. Boyle also states that he had seen in part the preparation of this nostrum. He rather enigmatically reports that there was but a single ingredient associated with the gold, that this came from above, and was reputed to be one of the simplest substances in nature.

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Anthony claimed that his product would cure most diseases; vomitings, fluxes, stoppages, fevers, plague, and palsies were included among the evils which it overcame. Several of the well-known physicians of the time wrote angry pamphlets denouncing Anthony’s pretensions. Dr. Matthew Gwynne’s “Aurum non aurum,” and Dr. Cotta’s “Cotta contra Antonium” were two of the most noted. Of course these gave Anthony opportunities of reply, and largely promoted the business. In one of his later publications Anthony boldly offered to exhibit his process to a committee of proper and unbiassed witnesses with the object of proving that the compound was truly a solution of gold. The challenge appears to have been accepted, and the Master of the Mint, Baron Thomas Knivet, and other experts were present when the test was made. According to Gwynne the result was failure, but I do not find any unprejudiced report of the experiment.

The writer of the life of Anthony in the old “Biographia Britannica,” who is his warm partisan, gives what he declares to have been the genuine formula for the aurum potabile. It had long been in the possession of Anthony’s descendants, he says, and was given to him (the author of the biography) by an eminent chemist. If this is true it is evident that a solution of gold would not have resulted from the process.

This is what the alleged Anthony’s manuscript prescribes:--The object, Anthony says, is to so far open the gold that its sulphur may become active. To open it a liquor and a salt are required, these together forming the menstruum. The liquor was 3 pints of red wine vinegar distilled from a gallon; the salt was block tin burnt to ashes in an iron pan; these to be mixed and distilled again and again. Take one ounce of filed gold, and heat it in a crucible with white salt; take it out and grind the mixture; heat again; wash with water until no taste of salt is left; mix this with the menstruum, one ounce to the pint, digest, and evaporate to the consistence of honey. The Aurum Potabile was made by dissolving this in spirit of wine.

Whatever may have been the opinion of the experts who watched Anthony make his Aurum Potabile, the sale of the panacea was not destroyed, perhaps not injured by the result. Anthony made a handsome fortune out of it and continued to sell it largely until his death in 1623, and according to the authority already quoted, his son John Anthony, who qualified as an M.D. and held the licence of the College, derived a considerable income from the sale of the remedy. Dr. Munk, however, in the “Roll of the College of Physicians” intimates that this gentleman was free from the hereditary stain. “He succeeded to the more reputable part of his father’s practice,” is the pleasant way in which Dr. Munk describes John Anthony, M.D. John, however, wrote the following epitaph on his father:

Though poisonous Envy ever sought to blame
Or hide the fruits of thy Intention;
Yet shall all they commend that high design
Of purest gold to make a Medicine
That feel thy Help by that thy rare Invention.

Glauber (1650) expounds “the true method of making Aurum Potabile,” knowledge of which, he says, was bestowed on him from the highest. “Haply there will be some,” he remarks at the beginning of his treatise on this subject, who will deny “that gold is the Son of the Sun, or a metallic body, fixed and perfect, proceeding from the rays of the Sun; asking how the Solary immaterial rays can be made material and corporeal?” But this only shows how ignorant they are of the generation of metals and minerals. Disposing of such incredulity by a few comments, and referring the sceptics to his treatise De Generatione Metallorum, he deals with several other irrelevant matters, and at last describes his process in prolix and unintelligible terms.

“℞ of living gold one part, and three parts of quick mercury, not of the vulgar, but the philosophical everywhere to be found without charges or labour.” He recommends, but not as essential, the addition to the gold of an equal part of silver. “The mixture of male and female will yield a greater variety of colours, and who knoweth the power of the cordial union of gold and silver?” These metals being mixed in a philosophical vessel will be dissolved by the mercury in a quarter of an hour, acquiring a purple colour. Heating for half an hour, this will be changed to a green. The compound is to be dissolved in water of dew, the solution filtered and abstracted in a glass alembic three times until the greenness turns to a black like ink, “stinking like a carcase.” After standing for forty hours the blackness and stink will depart, leaving a milky white solution. This is to be dried to a white mass, which will change into divers colours, ultimately becoming a finer green than formerly. That green gold is to be dissolved in spirit of wine, to which it will impart a quintessence, red as blood, which is the quickening tincture, a superfluous ashy body being left. After some more distillations and abstractions a strong red solution will be obtained which is capable of being diluted with any liquid and may be kept as a panacea for the most desperate diseases. Next to “the stone” this is the best of all medicines.

The author cautions his readers against the yellow or red waters sold by distillers of wine at a great price as potable gold. Further he explains that the solution of gold made with aqua regia or spirit of salt is of little or no medicinal value, because the Archeus cannot digest it, but can only separate the gold and discharge it in the excrements.

In the “Secrets of Alexis” (John Wight’s translation) a recipe for a potable liquor of gold is given which “conserveth the youth and health of man, and will heal every disease that is thought incurable in the space of seven doses at the furthest.” Gold leaf, lemon juice, honey, common salt, and spirit of wine were to be frequently distilled. “The oftener it is distilled the better it be.”

Kenelm Digby made a tincture of gold thus:--Gold calcined with three salts and ground with flowers of sulphur; burnt in a reverberatory furnace twelve times, and then digested with spirit of wine.

Lemery gives a formula for potable gold, or tincture of gold, or diaphoretic sulphur of gold:--Dissolve any quantity of gold you like in aqua regia; evaporate to dryness, and make a paste of the residue with essence of cannella. Then digest it in spirit. He adds, sarcastically I suppose, “This tincture is a good cordial because of the essence of cannella and the spirit of wine.”

About 1540 Antoine Lecoque, a physician of Paris, acquired considerable reputation for his cures of syphilis by gold. Fallopius, Hoffmann, and Dr. Pitcairn, of Edinburgh, more or less fully adopted his treatment, but the theory gradually dropped out of medical practice. It was revived early in the nineteenth century by Dr. Chrestien, of Montpellier, a physician of considerable reputation, and his ardent advocacy had for a time considerable effect. But subsequent trials in the French hospitals gave negative results.

There were, no doubt, many honest attempts to make aurum potabile, and certainly there were a multitude of frauds palmed off on to a public who had come to believe in the miraculous remedial powers of the precious metal. The following is one of the simplest formulas for extracting the virtue of gold. It is given in “Lewis’s Dispensatory,” 1785, but not with any suggestion of its medicinal value:--One drachm of fine gold was dissolved in 2 ounces of aqua regia. To the solution 1 ounce of essential oil of rosemary was added, and the mixture well shaken. The yellow colour of the acid solution was transferred to the oil, which was decanted off, and diluted with 5 ounces of spirit of wine. The mixture was digested for a month, and then acquired a purple colour. Lewis explains that the oil takes up some of the gold, which, however, is deposited on the sides of the glass, or floats on the surface in the form of a slight film.

AURUM FULMINANS

was described in the works attributed to Basil Valentine, and later by Oswald Crollius. It is sometimes termed Volatile Gold. Valentine explains very clearly the process of making it, that is, by dissolving gold leaf in aqua regia and precipitating the fulminating gold by salt of tartar. By treatment with vinegar or sulphur its explosive properties were to be reduced. It was supposed to possess the medicinal value of gold in a special degree, and was particularly recommended as a diaphoretic. It appears from reports that it occasioned violent diarrhœas, and was, no doubt, often fatal. The so-called Mosaic Gold, which was given as a remedy for convulsions in children, was an amalgam of mercury with tin, ground with sulphur and sal ammoniac.

Hahnemann insisted that gold had great curative powers, and several homœopathic physicians of our time have highly extolled it. Dr. J. C. Burnett, in “Gold as a Remedy,” recommended triturations of gold leaf, one in a million, as a marvellous heart tonic, especially in cases of difficult breathing in old age.

IRON.

Iron was not regarded as of special medicinal value by the ancients. The alleged administration of the rust of iron by Melampus was apparently looked upon as a miracle, and though this instance is often quoted as the earliest record of ferruginous treatment, it does not appear to have been copied. Classical allusions, such as that of the rust of the spear of Telephus being employed to heal the wounds which the weapon had inflicted, which is referred to by Homer, can hardly be treated as evidences of the surgical skill of that period. Iron is not mentioned as a remedial agent by Hippocrates, but Dioscorides refers to its astringent property, and on this account recommends it in uterine hæmorrhage. He states that it will prevent conception; it subsequently acquired the opposite reputation. The same authority, as well as Celsus, Pliny, and others, allude to a practice of quenching a red-hot iron in wine or water in order to produce a remedy for dysentery, weak stomachs, or enlargement of the spleen.

The later Latin physicians made very little use of iron or its compounds. Oribasius and Aetius write of the uses of its oxide outwardly in the treatment of ulcers, and Alexander of Tralles prescribes both an infusion and the metal in substance for a scirrhus of the spleen. He was probably the earliest physician who discovered its value as a deobstruent. Rhazes, the Arab, gave it in substance, and in several combined forms, but Avicenna regarded iron as a dangerous drug, and suggested that, if any had been accidentally taken, some loadstone should be administered to counteract any evil consequences.

Vitriol (sulphate of iron and sulphate of copper) was the iron medicine most in use up to the sixteenth century; but it was not given with the special intention of giving iron. Paracelsus had great faith in the Arcanum Vitrioli, which, indeed, appears to have been sulphur. He also introduced the use of the magnet, but only externally. It was in the century after him that the salts of Mars came into general medical use. In the course of the seventeenth and eighteenth centuries the preparations of iron became very numerous. Iron filings brought into an alcohol, that is very finely powdered, were much employed, sometimes alone and sometimes saccharated, or combined with sugar candy. Crocus martis was the sesquioxide, æthiops martial was the black oxide, and flores martis, made by subliming iron filings and sal ammoniac, yielding an ammoniated chloride of iron, was included in the several British pharmacopœias of the eighteenth century.

The association of iron with Mars probably influenced the early chemical physicians in their adoption of iron salts in anæmic complaints, and as general tonics. The undoubted effect of iron remedies in chlorotic disease was naturally observed, and the reputation of the metal was established for the treatment of this condition long before it was discovered that iron is an invariable constituent of the human body. When this physiological fact came to be recognised it was supposed that the action of iron salts was explained; but, in fact, the investigations of the last century have only tended to make this theory doubtful.

It is known that in health the proportion of iron in the body is fairly constant. An average man’s blood contains about 38 grains, almost all of which is contained in the hæmoglobin. He requires from one to two grains every day to make up for waste, and this he gets in the meat and vegetable food which he absorbs. The vegetables obtain iron from the soil, and animals acquire it from the corn, roots, or grasses which they eat. So far as is known it is from these sources only that human beings assimilate the iron they require. It is very doubtful whether a particle of the iron administered in any of the multitudinous forms which pharmacy provides is retained. A noted modern physiologist, Kletzinsky, says “From all the hundredweights of iron given to anæmics and chlorotics during centuries not a single blood corpuscle has been formed.” For all that there is no medical practitioner of any considerable experience who has not found directly beneficial results follow the administration of these medicines in such cases.

To Sydenham and Willis, two of the most famous physicians of the seventeenth century, the general employment of iron as a medicine may be traced. Sydenham, in his treatise on hysteric diseases, which, he says, are occasioned by the animal spirits being not rightly disposed, and not as some supposed by the corruption of the blood with the menstrual fluid, points out that the treatment must be directed to the strengthening of the blood, for that is the fountain and origin of the spirits. In cachexies, loss of appetite, chlorosis, and in all diseases which we describe as anæmic, he recommends that if the patient is strong enough recourse should be had first to bleeding, this to be followed by a thirty days’ course of chalybeate medicine. Then he describes, much the same as modern treatises do, how rapidly iron quickens the pulses, and freshens the pale countenances. In his experience he has found that it is better to give it in substance than in any of the preparations, “for busy chemists make this as well as other excellent medicines worse rather than better by their perverse and over officious diligence” (Pechey’s translation). He advises 8 grains of steel filings made into two pills with extract of wormwood to be taken early in the morning and at 5 p.m. for thirty days; a draught of wormwood wine to follow each dose. “Next to the steel in substance,” he adds, “I choose the syrup of it prepared with filings of steel or iron infused in cold Rhenish wine till the wine is sufficiently impregnated, and afterwards strained and boiled to the consistence of a syrup with a sufficient quantity of sugar.”

(Originator of Sydenham’s Laudanum.)
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Dr. Willis had a secret preparation of iron of which Dr. Walter Harris, physician in ordinary to Charles II, in “Pharmacologia Anti-Empirica” (1683), writes:--“The best preparation of any that iron can yield us is a secret of Dr. Willis. It has hitherto been a great secret and sold at a great price. It was known as Dr. Willis’s Preparation of Steel.” Dr. Harris thinks it will not be an unacceptable service to the public to communicate this masterpiece of that eminent and ever famous man. “It was no strained stately magistery, no sublimation or salification, no calcined crocus, and no chemical mystery; but an easy and a natural way of opening this hard body that it may open ours.” It was given particularly for the removal of obstructions. The formula was equal parts of iron filings and crude tartar powdered and mixed with water in a damp mass in a glazed earthen vessel. This was to be dried over a slow fire or in the sun; wetted and dried again; and this process repeated four or five times. It might be given in white wine, or made into a syrup, or into pills, electuary, or lozenges. Dr. Willis preferred the crude tartar because the cream of tartar sold by the druggists was generally a cheat, often combined with alum. The crude could be bought at 6d. to 8d. per lb. In the apothecaries’ shops cream of tartar was sold at 3s. to 3s. 6d. per lb.

Quincy (1724), who frequently offers explanations of the exact way in which medicines exercise their remedial power, thus scientifically describes the action of iron in removing obstructions:--“Mechanics teach nothing more plainly than that the momenta of all percussions are as the rectangles under the gravities and celerities of the moving bodies. By how much more gravity then a metalline particle has more than any other particle in the Blood, if their celerities are equal, by so much the greater will the stroke of the metalline particle be against everything that stands in its way than of any other not so heavy; and therefore will any Obstruction in the Glands and Capillaries be sooner removed by such particles than by those which are lighter. This is a way of reasoning that is plain to the meanest Capacity.”

Tartarised iron has always been a favourite form for its administration. The Balls of Mars (boules de Mars, or boules de Nancy), still a popular medicine in France, are a tartarised iron prepared by a complicated process. First, a decoction of vulnerary species is made from 12 parts of water and 2 of the species. This is strained and poured on 12 parts of pure iron filings in powder. The mixture is evaporated to dryness and powdered. On this powder another decoction, 18 of water and 3 of species, is poured, and 12 parts of red tartar added. This compound is evaporated to the consistence of a firm paste, and a third decoction, 35 water and 5 species, is added to 25 of the paste and 25 of red tartar. This is evaporated to the proper consistence to make balls, which are usually about 1 oz. or 2 oz. in weight. They are kept to dry and then wrapped in wrapper. They are taken in doses of 4 to 5 grains much as Blaud’s pills are taken here. Sometimes the balls are dipped in water until a brown colour is imparted to the liquid. This water is also used as an application to bruises.