English apothecary Dalby had introduced his "Carminative" for "all those fatal Disorders in the Bowels of Infants." The committee decided that a grain of opium to the ounce, together with magnesia and three volatile oils, were essential "for this mild carminative and laxative ... for children."
Instead of the complex formula described by Robert Turlington for his Balsam of Life, the committee settled on the official formula of Compound Tincture of Benzoin, with balsam of peru, myrrh, and angelica root added, to produce "an elegant and rich balsamic tincture." On the other hand, the committee adopted "with slight variations, the Linimentum Saponis of the old London Dispensatory" to which they, like Steers, added only ammonia.
The committee found two distinct types of British Oil on the market. One employed oil of turpentine as its basic ingredient, while the other utilized flaxseed oil. The committee decided that both oils, along with several others in lesser quantities, were necessary to produce a medicine "as exhibited in the directions" sold with British Oil. "Oil of Bricks" which apparently was the essential ingredient of the Betton British Oil, was described by the committee as "a nauseous and unskilful preparation, which has long since been banished from the Pharmacopoeias."
Thus the Philadelphia pharmacists devised eight new standardized formulas, aimed at retaining the therapeutic goals of the original patent medicines, while brought abreast of current pharmaceutical knowledge. Recognizing that the labeling had long contained "extravagant pretensions and false assertions," the committee recommended that the wrappers be modified to present only truthful claims. If the College trustees should adopt the changes suggested, the committee concluded optimistically, then "the reputation of the College preparations would soon become widely spread, and we ... should reap the benefit of the examination which has now been made, in an increased public confidence in the Institution and its members; the influence of which would be felt in extending the drug business of our city."[89 ]
The trustees felt this counsel to be wise, and ordered 250 copies of the 12-page pamphlet to be printed. So popular did this first major undertaking of the Philadelphia College prove that in 1833 the formulas were reprinted in the pages of the journal published by the College.[90 ] Again the demand was high, few numbers of the publication were "more sought after," and in 1839 the formulas were printed once again, this time with slight revisions.[91 ]
Thus had the old English patent medicines reached a new point in their American odyssey. They had first crossed the Atlantic to serve the financial interests of the men who promoted them. During the Revolution they had lost their British identity while retaining their British names. The Philadelphia pharmacists, while adopting them and reforming their character, did not seek to monopolize them, as had the original proprietors. They now could work for every man.
English Patent Medicines Go West
The double reprinting of the formulas was one token of the continuing role in American therapy of the old English patent medicines. There were others. In 1829 with the establishment of a school of pharmacy in New York City, the Philadelphia formulas were accepted as standard. The new labels devised by the Philadelphians with their more modest claims of efficacy had a good sale.[92 ] It was doubtless the Philadelphia recipes which went into the Bateman and Turlington and Godfrey vials with which a new druggist should be equipped "at the outset of business," according to a book of practical counsel.[93 ] To local merchants who lacked the knowledge or time to do it themselves, drummers and peddlers vended the medicines already bottled. "Doctor" William Euen of Philadelphia issued a pamphlet in 1840 to introduce his son to "Physicians and Country Merchants." His primary concern was dispensing nostrums bearing his own label, but his son was also prepared to take orders for the old English patent medicines.[94 ] Manufacturers and wholesalers of much better repute were prepared to sell bottles for the same brands, empty or filled.