Rhases quotes several Arabian and Indian authorities on Myrobalans. The Citrine or Yellow, according to Badigorias (Pythagoras?), is cholagogue, and the Black stomachic. The other authorities quoted by him agree in generally holding that myrobalans are cholagogue and stomachic, and that they are useful in hemorrhoids and palpitation of the heart. Sarac, the Indian, recommends them as purgative and stomachic medicines in mental diseases, hemorrhoids, headache, dropsy, and diseases of the spleen. They all seem to be agreed in holding that myrobalans are possessed of a purgative power compounded with astringency. (Contin. l. ult. i, 473.) In his other works he recommends myrobalans for purging yellow bile, and melancholy or black bile, and also as astringents. (Divis. i, 144, and Ad Mansor. viii, 54.) In the latter work he says, that in order to purge, the proper dose of citrine myrobalans is from ten to twenty drachms. Avicenna describes four species of myrobalans, namely, the Citrine, unripe, the black Indian, the Kebulic, and the Chinese, meaning by the last, we suppose, the Emblic, or fruit of the Emblica officinalis. He describes minutely their specific differences, and states of their general virtues as medicines, that they are cold in the first degree and dry in the second; that they all extinguish yellow bile, and are useful in bilious complaints; that the black brightens the colour, and all kinds are useful in leprosy. He recommends them in diseases of the eyes, and in those of the chest accompanied with palpitation and sorrow. He also states several minute distinctions among them as to medicinal powers, which we do not think it necessary to enter upon. (ii, 2, 449.) Serapion writes very elaborately on myrobalans, of which he describes four species, the Citrine, the Black or Indian, the Kebulic, and the Chinese citrine (Emblic?). The authorities quoted by him are generally agreed, that myrobalans possess astringency with bitterness, purge bile and whet the stomach; are cordial, and prove useful in melancholy, &c. Sarac, the Indian, as quoted by him, maintains of myrobalans, that they are hot and astringent, and at the same time eccoprotic, that they strengthen the senses and the nerves, are useful in leprosy, colic, old hemorrhoids, vertigo, and dropsy, and that they induce nausea and vomiting. Honain gives minute directions for the preparation of them, but these we shall not enter upon. Some apothecaries, he says, fall into the mistake of selling Kebulic myrobalans of a black colour for the true black kind. For the true black myrobalans, he says, are brought from India, whereas of the Kebulic, some are yellow and others black according to the time of their growth at which they are gathered from the trees. He gives very minute directions for administering them with other substances, such as prunes, Sebesten plums, jujubes, and the like; but as most of these substances are not now much known, it would not be interesting to most readers to learn his remarks on this subject. (De Simpl. 107.) Mesue also gives a very elaborate and circumstantial account of myrobalans, which our necessary limits prevent us from giving at full length. He ranks them with the Blessed Medicines (medicinis benedictis); for, he adds, in loosening the bowels, they do not weaken but strengthen the stomach, heart, liver, and the whole body. The only bad effect, he says, which they ever produce, is obstruction. Their operation, he adds, is wonderfully increased by combining them with scammony. He says, of all the kinds, that they are cold in the first degree and dry in the second. His directions for correcting any bad effects from the use of them, and for increasing their operation, are most circumstantial, and bespeak an intimate acquaintance with the subject. He eulogises them in the strongest terms, declaring that they restore youth, improve the complexion, the breath, and the perspiration, impart joy and hilarity, strengthen the stomach, heart, and liver, are useful in palpitations, cleanse the stomach, are useful in hemorrhoids, extinguish heat in cholera, and this more especially the citrine. He also speaks favorably of them in a prescribed preparation for complaints of the eyes, and for tertian and bilious fevers. The Kebulic, he says, are phlegmagogue, and especially the prepared kinds; they improve the sight, cleanse and comfort the stomach, and are useful in dropsy and chronic fevers. The Black bring away black and adust bile, are useful in melancholy and palpitations, clear the colour, cure leprosy, remove sadness, and are beneficial in quartans. The dose from two to five drachms. (De Simpl. ii.) He treats separately of the Emblic and Belleric, but we need not enter upon his account of them. And here we would refer our readers to Costa’s commentary on this part of Mesue, as containing all the interesting information which can be gleaned from ancient authors on the subject of myrobalans. For the other Arabians, see Haly Abbas (Pract. ii, 54); Averrhoes (Collig. v, 42); Ebn Baithar (pluries); and Avenzoar (Antidot.) None of these supply much that is important after what we have given from the other authorities. Of the Greek writers on medicine, Actuarius is the only one that gives any distinct account of myrobalans, and he professes to derive his information from “the wise barbarian doctors,” meaning the Arabians. He first describes the Citrine, the Kebulic, and the Black or Indian, and represents them as possessing purgative powers, combined with some astringency and tonicity. Besides these three kinds he mentions, as possessing purgative powers of a like nature, two medicines, which he calls empelilez and empletze, by which he no doubt meant Emblic and Belleric. (Meth. Med. v, 8.) The five kinds of myrobalans, namely, the Citrine, the Kebulic, the Indian, the Belleric, and the Emblic, occur in one of the antidotes of Nicolas Myrepsus, who recommends them in various remittent and intermittent fevers. (i, 24.) Myrobalans have always been much esteemed by the Hindoo physicians. See the Susruta, and Wise’s Book on Hindoo Medicine (pluries.)
Manna.
Though the Arabians would certainly appear to have been the first to introduce the substance now used medicinally under this name, it is impossible to believe that the Greeks and Romans can have been wholly unacquainted with it. It, we need scarcely inform our professional readers, is procured principally from the Ornus Europæa or flowering ash, either by incision, or the puncture of an insect. The ancients, however, applied this term to a variety of the thus, as we have stated in the preceding commentary on this section, and also to the honey-dew described in [Vol. I, pp. 178, 179] of this work. We have further mentioned under the head of [Elæomeli], that it probably was some species of manna. Altogether then the term we are now considering is often a puzzle in reading the works of the ancient authorities. See further Ainslie (Mat. Ind. i, 209); Sprengel (R. H. H.); Pereira (M. M. 928); Lindley (Veg. Kingd. 547, 617, 737, 341, 342.) Even the Arabians, who appear to have been perfectly well acquainted with its medicinal properties, confound it with the honey-dew, and seem to say that it falls from heaven upon the trees. Serapion describes it by the name of Tereniaben or mel roris, and says it falls from above upon certain trees, and resembles granulated honey. Its virtues he states, upon the authority of Isaac ebn Amram, to consist in opening the bowels, and moistening the chest, and he adds that it suits with persons of a hot temperament, especially when dissolved in water of jujubes, or of prunes. His other authorities recommend it in the same complaints, and also in the inflammation of ardent fevers and for quenching thirst. The dose is said to be from ten to twenty drachms. (De Simpl. 10.) We may mention that Serapion and all the other authorities mention that manna is found most abundantly on thorns. Avicenna’s account of this subject is so like to that of Serapion that it would be superfluous to give any abstract of it. (ii, 2, 694.) Rhases also gives nearly the same description of manna upon the authority of Abinerog, Mesaurice, Mesue, and Chuz. (Contin. l. ult. i, 711.) All these authorities represent it as being a gentle purgative and expectorant, and as being useful in acute and intermittent fevers. In another of his works (Ad Mansor. ix, 14), treating of hoarseness and coryza, he prescribes an expectorant decoction, one of the ingredients of which is “manna, quam aërium appellant.” In his chapter on angina (ix, 51) he prescribes a laxative medicine containing tamarinds, cassia fistula, and “manna quam veteres mel aërium appellant.” Mesue gives an elaborate account of the origin, characters, temperament, and virtues of manna, which is well worth consulting, although it contains nothing of any great importance in addition to what is stated above on the authority of Serapion, Avicenna, and Rhases. He would appear moreover to confound the manna thuris with the manna of the ash. Like the other authorities, he holds manna to be a gentle cholagogue, and says it softens the throat, the chest, the bowels, and quenches thirst. The dose from six to fifteen drachms. (De Simpl. 8.) We have not found anything further of interest in the works of Averrhoes, Haly Abbas, and Ebn Baithar. The last of these says the Ros Melleus is a substance which falls upon trees in Chorasan; that it is useful in ardent fevers, moistens the chest, proves more detergent than sugar, cools thirst, improves the memory, purges yellow bile, &c. He evidently alludes to the true manna of the ash. Actuarius mentions cassia fistula and manna as two purgative medicines which may be safely given to children and pregnant women. (Meth. Med. v.)
Turpeth.
There can be no doubt that it is the Convolvulus Turpethum. Rhases recommends turpeth for purging crude and recrementitious humours from the knees and other joints. His two authorities, Mesue the elder, and Chuz, give it the same character. (Contin. l. ult. i, 729.) Avicenna, after describing it, represents it as being efficacious in diseases of the nerves and joints, as being phlegmagogue, and if mixed with ginger, as bringing away crude humours. (ii, 2, 701.) Serapion confounds it with the tripolium of Dioscorides and Galen, as we have stated under [that head]. Upon the authority of Aben Mesuai he assigns it the property of purging viscid phlegm, but says that it brings on mental depression by its horrid taste, and, therefore, it ought not to be taken alone. Other Arabian authorities, quoted by him, give it the same character. He describes the medicine very minutely, and the marks by which we may determine whether it be sound or not. The dose is from one to two drachms. (De Simpl. 337.) Haly Abbas treats of it in his chapter on purgatives, but confines himself principally to a description of the medicine itself. (Pract. ii, 2, 557.) The ancient author who has treated most fully of turpeth, is Mesue the younger in his work ‘De Simpl.’ (11.) He gives a circumstantial description of it, and full directions for correcting its bad qualities by mixing it with other substances, such as scammony, dates, ginger, almonds, &c. He recommends it principally as a phlegmagogue, and an evacuant of gross humours in diseases of the joints, and as a preservative from leprosy and other diseases of the skin. It has been much disputed whether or not the turpeth of Mesue be the same as that of the other Arabians. (See his Commentators l. c.) We see little reason for questioning their identity. We have not found anything additional of much interest in the great work of Ebn Baithar under this head. The turpeth of Actuarius is the root of the pityusa, that is to say of the Euphorbia pityusa. (Meth. Med. v, 9.) Dr. Ainslie, treating of the Convolvulus turpethum, says: “Our present article had long a place in the Mat. Med., but of late years has fallen into disuse. Alston (M. M. ii, 530) speaks of turpeth as being a strong resinous cathartic, recommended in his days in gout, dropsy, and leprosy.” (Mat. Ind. ii, 384.) It is still known in the shops as a rough purgative. See Gray (Suppl. to Pharm.) We are satisfied that it was not known to the Greeks before the Arabian period, that it was neither the Tripolium, as we have already stated, nor yet the Alypias, as some have supposed. It has been long used as a purgative medicine by the Hindoo physicians. See Wise (Hindoo Med. 145.)
Dende.
Serapion gives a very lengthened account of the Dend hayse, and describes two species of it. He speaks of part of it being poisonous, and states that it purges strongly, and induces tenesmus. A person who has taken of it is directed to vomit, to take butter and milk in drink with astringents of a demulcent nature, such as purslane, gum Arabic, &c. He mentions that it is a medicinal herb much used in India and Babylonia, along with other purgatives, but he adds that it induces great debility in that hot and dry country, whereas in Yemen, where the heat is attended with great rains, no class of medicines answer so well as that which possesses astringent and laxative powers combined, such as turpeth, myrobalans, manna, and the like. But dend, he says, answers only in cold countries like Seni (China?). When it brought on hypercatharsis, he says, he directed his patient to sit in a cold hip-bath, and to get cold water dashed over his body. (De Simpl. 388.) Avicenna’s description of dende is mostly taken from Serapion. He directs it to be administered only in a cold country, and along with substances calculated to restrain its violent operations, such as starch and saffron. He says it purges humours and phlegm from the joints. (ii, 2, 215.) We have not been able to discover any traces of it in the works of Haly Abbas, Rhases, Mesue, nor Averrhoes. Ebn Baithar, however, treats of it fully. He says, or at least his German translator makes him say, that it is the Ricinus, and not an Euphorbia, as some had supposed. He gives a minute description of three kinds—the Chinese, the Indian, and the Arboreus; and of these the first is said to be the best and strongest in its purgative operation. It is said to be hot, sharp, and oily, and to purge the body effectually, especially the humours in the joints. It is not given, he says, in hot countries, such as Irak, the sea-coast, the land of Egypt, and Yemen, because fluxes in these countries are common, and owing to the relaxation of the body, it cannot bear this violent medicine. One of his authorities, Honain, wisely remarks that in all hot countries severe medicines ought to be avoided. Minute directions are given for counteracting its deleterious effects. It is said to act as a hot drastic purgative, and to excoriate the intestines. Its bad effects are best counteracted by an emetic, butter, gum lac, and other demulcents. We used to think there could be little or no doubt but that Sprengel was right in referring it to the strychnos colubrinus; but of late, certain authorities, for whom we feel much respect, have held it to be the Croton Tiglium. See Royle (Antiq. Hind. Med. 36; Mat. Med. 552); Pereira (739); and Sontheimer apud Ebn Baithar. We still think that the lignum colubrinum is at least as applicable to the dende. It has been used medicinally in modern times. See Hill (Mat. Med. 693); Gray (Pharmacop. 58); and Pereira (922.) Pereira mentions that he had analysed it, and found that it contains nearly the same ingredients as St. Ignatius’ Bean. Dr. Lindley calls the tree, which furnishes the lignum colubrinum, the Strychnos ligustrina, and mentions of it that it had been used in paralysis of the extremities, and as an anthelminthic. (Veg. Kingd. 603.) Dr. Royle mentions (M. M. l. c.) that when in India the seeds of the croton tiglium were given him as the dund of the Arabians. Is it not more probable that they were merely meant as the succedaneum of the dende?
Fel.
Serapion treats of this substance under the same head with two others, bel and sel. The bel has never been well ascertained, but Sprengel and Ainslie are agreed that the sel is the Ægle marmelos, on which see Lindley (Veg. Kingd. 458.) And now with regard to the Fel, Serapion describes it as a fruit having an external covering like a filbert, containing a grain like that of the larger pine, its colour being intermediate between yellow and white, and it, he adds, is the part which is administered. He says it relieves the inflation of hemorrhoids. (c. 261.) Avicenna gives exactly the same account of Fael, which in the glossarium is described as being “radix seu fructus nenufaris Indi.” He calls it a well-known Indian medicine, useful in relaxation of the nerves, and in inflation of hemorrhoids. He says his virtues are like those of the apples of mandragora. (ii, 2, 251.) Rhases, in like manner, says briefly of Fel that it is a well-known Indian medicine, having powers like those of mandragora. (Contin. l. ult. i, 298.) Dr. Ainslie writes of it thus: “The croton nuts were known to the Arabian physicians by the name of fell (Serapion 261), and were formerly brought to England under the name of Molucca grains.” (Mat. Ind. 106.) Sprengel also in his R. H. H. refers the Fel to the Croton Tiglium. Dr. Hill says of the Molucca grains: “The grana tiglia are of the ricinus kind; they are the nucula cathartica quarta Moluccana purgatoria,” &c. See further [p. 540], and Geoffroy (iii. 5, 30.) Certainly it appears to us that the medicinal virtues of the Fel, as given above by Serapion, Rhases, and Avicenna, do not agree well with the known powers of the croton tiglium. We cannot, however, pretend to determine what substance the Fel was.