Philadelphia College of Pharmacy Formulary
As the years went by and therapeutic laissez-faire continued to operate, conditions worsened. By the early 1820's, the old English patent medicines, whether of dwindling British vintage or of burgeoning American manufacture, were as familiar as laudanum or castor oil.
With the demand so extensive and the state of production so chaotic, the officials of the new Philadelphia College of Pharmacy were persuaded that remedial action was mandatory. In May 1822, the Board of Trustees resolved to appoint a 5-man committee "to select from such prescriptions for the preparation of Patent Medicines ..., as may be submitted to them by the members of the College, those which in their opinion, may be deemed most appropriate for the different compositions."
The committee chose for study "eight of the Patent Medicines most in use," and sought to ascertain what ingredients these ancient remedies ought by right to contain. Turning to the original formulas, where these were given in English patent specifications, the pharmacists soon became convinced that the information provided by the original proprietors served "only to mislead."
If the patent specifications were perhaps intentionally confusing, the committee inquired, how could the original formulas really be known? This quest seemed so fruitless that it was not pursued. Instead the pharmacists turned to American experience in making the English medicines. From many members of the College, and from other pharmacists as well, recipes were secured. The result was shocking. Although almost every one came bolstered with the assertion that it was true and genuine, the formulas differed so markedly one from the other, the committee reported, as to make "the task of reformation a very difficult one." Indeed, in some cases, when two recipes bearing the same old English name were compared, they were found to contain not one ingredient in common. In other cases, the proportions of some basic ingredient would vary widely. All the formulas collected for Bateman's Pectoral Drops, for instance, contained opium, but the amount of opium to liquid ingredients in one formula submitted was 1 to 14, while in another it was 1 to 1,000.
Setting forth boldly to strip these English nostrums of "their extravagant pretensions," the committee sought to devise formulas for their composition as simple and inexpensive as possible while yet retaining the "chief compatible virtues" ascribed to them on the traditional wrappers.
Hooper's Female Pills had been from the beginning a cathartic and emmenagogue. However, only aloes was common to all the recipes submitted to the committee. This botanical, which still finds a place in laxative products today, was retained by the committee as the cathartic base, and to it were added "the Extract of Hellebore, the Sulphate of Iron and the Myrrh as the best emmenagogues."
Anderson's Scots Pills had been a "mild" purgative throughout its long career, varying in composition "according to the judgement or fancy of the preparer." Paris, an English physician, had earlier reported that these pills consisted of aloes and jalap; the committee decided on aloes, with small amounts of colocynth and gamboge, as the purgatives of choice.
Of Bateman's Pectoral Drops more divergent versions existed than of any of the others. The committee settled on a formula of opium and camphor, not unlike paragoric in composition, with catachu, anise flavoring, and coloring added. Godfrey's Cordial also featured opium in widely varying amounts. The committee chose a formula which would provide a grain of opium per ounce, to which was added sassafras "as the carminative which has become one of the chief features of the medicine."