Opium.
The ancients recognised two kinds of opium. The superior kind was called opion, and was the juice which exuded from the poppy head while it was growing; and the second quality, which was named meconion, was an extract made from the crushed heads and leaves of the poppy.
It is doubtful whether Hippocrates was acquainted with the juice of the poppy at all. He refers to mecon but he attributes to it a purgative as well as a narcotic power; it is therefore probable that he alludes to some other plant. In any case, he made but very little use of poppy or opium if he used either. Theophrastus certainly knew opium, and Dioscorides distinguishes opion and meconion as explained above. Dioscorides also gives the receipt for the famous Dia-kodion (made from the poppy head), the original of our syrup of poppies. His process was to macerate 120 poppy heads for two days in three sextarii (a sextarius was nearly equal to our Imperial pint) of rain-water. This was boiled, strained, mixed with honey, and boiled down to a suitable consistence.
Probably the shopkeepers and travelling quacks made more use of opium in Rome than the regular physicians. Galen expressly says that he never used the drug except in very urgent cases; but he enthusiastically commends several confections such as theriaca which owed their efficiency to opium more than to any other ingredient. Indeed it may be said that the fame of those compounds was due to opium, and that by them the medicinal employment of the drug was maintained during many centuries.
We know that Paracelsus owed much of his success to the bold way in which he administered opium to his patients; evidence that his contemporaries did not use it to any great extent. His followers were as enthusiastic as himself over the virtues of opium, and before long the most serious practitioners were advocating it, and devising formulas for its suitable administration. Platerus of Basle about 1600 strongly recommended it, and Sylvius (de la Boe) a Dutch physician said that without opium he would not practise. Van Helmont about 1640 used opium so frequently that he was called the Doctor Opiatus. Sydenham about 1680 says, “Among the remedies which it has pleased Almighty God to give to man to relieve his sufferings, none is so universal and so efficacious as opium.” Many other eminent physicians might be cited to the same effect, and some who took an opposite view. Stahl, for instance, wrote a treatise entitled De Imposturis Opii. Hoffmann considered that the use of opium was greatly abused, and he believed his ether would fulfil its purpose in almost all cases.
Quassia
was sent to Linnæus from Surinam in 1763 by C. D. Dallberg, one of his pupils, with the statement that it formed the basis of a secret remedy employed there by a negro slave in endemic malignant fevers. The negro’s name was reported as Quassi, and from this Linnæus invented the name of quassia. This bitter wood was obtained from a shrub growing in Dutch Guiana, but for the English market it was subsequently superseded by the wood of a large tree growing in Jamaica, belonging to the same genus. The earlier product is, however, still used in France and Germany. Ritman, who was in Surinam in 1756, said he had met with the old negro, Quassi, there, and reported that he was almost worshipped by some, while others suspected him of magic. Ritman, however, found him a simple old man skilled in old women’s medicines.
Sarsaparilla.
Sarsaparilla was introduced to Europe early in the sixteenth century, and soon leaped into fame. The great Emperor Charles V, was cured of gout by it, or fancied he was, and this gave it an enormous advertisement. It appeared afterwards that it was really China root, another smilax, that was given to the Emperor, but it was called sarsaparilla, and the western medicine got the glory. Sarsaparilla was vaunted as a cure for syphilis, but physicians were not long in discovering that it was much more effectual whenever it was combined with mercurials. Its advocates insisted that it was a wonderful sudorific, and for many years a “sweating cure” was practised in Denmark and Sweden with apparent success. As a matter of fact sarsaparilla has no sudorific properties whatever; but it was given in long draughts, other more effective medicines were associated with it, and vigorous exercise and heavy blankets were adjuncts of the cure. It is not surprising that a sudorific result ensued.
Other confusions have distinguished the history of this so-called remedy. The species which Linnæus selected as the medicinal sarsaparilla and which he named Smilax sarsaparilla, happens to be about the only one of some two hundred species which has never been employed in medicine at all. It is only found in North America and not further south than Virginia. Jamaica sarsaparilla has the reputation of being the best, and that comes from Central America. The sarsaparilla which actually grows in Jamaica is not valued in European markets. The origin of the name of sarsaparilla is not agreed upon. Some authorities attribute it to sarsa—red, and parilla—a little vine. Littré derives it from zarza—a bramble, and Parilla—a hypothetical Spaniard who helped to introduce it. The native Indians call it salsa, and the French follow this origin and call it salsepareille.