Botanical Origin—Aconitum heterophyllum Wallich, a plant of 1 to 3 feet high with a raceme of large flowers of a dull yellow veined with purple, or altogether blue, and reniform or cordate, obscurely 5-lobed, radical leaves.[65] It grows at elevations of 8000 to 13,000 feet in the temperate regions of the Western Himalaya, as in Simla, Kumaon and Kashmír.
History—We have not met with any ancient account of this drug, which however is stated by O’Shaughnessy[66] to have been long celebrated in Indian medicine as a tonic and aphrodisiac. It has recently attracted some attention on account of its powers as an antiperiodic in fevers, and has been extensively prescribed by European physicians in India.
Description—The tuberous roots of A. heterophyllum are ovoid, oblong, and downward-tapering or obconical; they vary in length from ½ to 1½ inches and in diameter from ³/₁₀ to ⁶/₁₀ of an inch, and weigh from 5 to 45 grains. They are of a light ash colour, wrinkled and marked with scars of rootlets, and have scaly rudiments of leaves at the summit. Internally they are pure white and farinaceous. A transverse section shows a homogeneous tissue with 4 to 7 yellowish vascular bundles. In a longitudinal section these bundles are seen to traverse the root from the scar of the stem to the opposite pointed end, here and there giving off a rootlet. The taste of the root is simply bitter with no acridity.
Microscopic Structure—The tissue is formed of large angular thin-walled cells loaded with starch which is either in the form of isolated or compound granules. The vascular bundles contain numerous spiroid vessels which seen in transverse section appear arranged so as to form about four rays. The outer coat of the root is made up of about six rows of compressed, tabular cells with faintly brownish walls.
Chemical Composition—The root contains Atisine, an amorphous alkaloid of intensely bitter taste discovered by Broughton,[67] who assigns to it the formula C₄₆H₇₄N₂O₅, obtained from concurrent analysis of a platinum salt. The alkaloid is readily soluble in bisulphide of carbon or in benzol, also to some extent in water. It is of decidedly alkaline reaction, devoid of any acridity. Atisine has also been prepared (1877) by Dunin[68] from the root in the laboratory of one of us. We have before us its hydroiodate, forming colourless crystallized scales, which we find to be very sparingly soluble in cold alcohol or water. At boiling temperature the hydroiodate of atisine is readily dissolved; the aqueous solution on cooling yields beautiful crystals. They agree, according to Dunin, with the formula C₄₆H₇₄N₂O₄. HI + OH₂; this chemist has also shown atisine not to be poisonous. The absence in the drug of aconitine is proved by medical experience,[69] and fully confirmed by the absence of any acridity in the root.
Uses—The drug is stated to have proved a valuable remedy in intermittent and other paroxysmal fevers. In ordinary intermittents it may be given in powder in 20-grain doses. As a simple tonic the dose is 5 to 10 grains thrice a day.
Substitutes—The native name Atís applied in India to several other drugs, one of which is an inert tasteless root commonly referred to Asparagus sarmentosus L. In Kunawar the tubers of Aconitum Napellus L. are dug up and eaten as a tonic, the name atís being applied to them as well as to those of A. heterophyllum.[70]
RADIX CIMICIFUGÆ.
Radix Actæa racemosæ; Black Snake-root, Black Cohosh, Bugbane.
Botanical Origin—Cimicifuga racemosa Elliott (Actæa racemosa L.), a perennial herb 3 to 8 feet high, abundant in rich woods in Canada and the United States, extending southward to Florida.[71] It much resembles Actæa spicata L., a plant widely spread over the northern parts of Europe, Asia, and America, occurring also in Britain; but it differs in having an elongated raceme of 3 to 8 inches in length and dry dehiscent capsules. A. spicata has a short raceme and juicy berries, usually red.