Catharanthus roseus (L.)G.Don Apocynaceae. Madagascar Periwinkle Distribution: Madagascar. It is the source of vincristine and vinblastine, which impair cell multiplication by interfering with microtubule assembly, causing metaphase arrest and are effective medications for leukaemias, lymphomas and some solid tumours. The mortality from childhood leukaemia fell from 100% to 30% once it was introduced - not a drug that could ethically be tested by double-blind trials. These chemicals were initially discovered by investigators in 1958 who were looking for cures for diabetes so tested this plant which was being used in the West Indies to reduce blood sugar levels. There are 70 different alkaloids present in this plant, and some - catharanthine, leurosine sulphate, lochnerine, tetrahydroalstonine, vindoline and vindolinine - lower blood sugar levels. However, the toxicity of this plant is such that this is not a plant to try at home for diabetic management. The vincristine content of the plant is 0.0003%, so two kilograms of leaf are required to produce sufficient vincristine for a single course of treatment for a child (6gm). Fortunately it is a vigorous weed and easy to grow in the tropics. Artificial synthesis has now been achieved. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Pulmonaria officinalis L. Boraginaceae Distribution: Europe. Pulmonaria or Lungwort are names for a lichen and a perennial plant in the Boraginaceae. This is the latter. Lyte (1578) has a woodcut of our plant and also calls it Sage of Jerusalem and says it is of 'no particular use in physicke, but is much used in meates and salads with eggs, as is also Cowslippes and Primroses, whereunto in temperature it is much alike.' He lists and describes the lichen separately. Culpeper (1650) said he found many sorts of lunguewort in perusing Authors ' Pulmonari, arborea and Symphytum maculosum [and the latter is our plant, the others the lichen] and that they 'helpe infirmities of the lungues, as hoarseness, coughs, wheezing, shortnesse of breath etc.' Coles (1657) who espouses the Doctrine of Signatures in a way unrivalled by any other English author, might have been expected to confirm the concept that the mottled leaves looked like the cut surface of a lung which indicates their purpose, but he only mentions the lungwort which is a lichen. However, Porta's beautiful book on the Doctrine, Phytognomica (1588), is clear that the plant called Pulmonaria with hairy leaves like a bugloss, spotted white with purple flowers, commonly called 'cynoglossa' [with a woodcut which could be Pulmonaria officinalis] indicate its use for ulcerated lungs, spitting blood, shortness of breath and asthma equally with the lichen with the same name. Lobel & Pena (1570) call it 'PULMONARIA, masculosa folia Borrago. floribus Primula veris, purpureis [PULMONARIA spotted, Borage-leaved, flowers like Primula veris - Cowslips - purple]' and say that women mix the leaves with a little broth and make it into an omelette for lung disorders and to strengthen the heart.. Lobel (1576) calls it Maculosa Pulmonaria and describes a white flowered form with a good woodcut. Gerard (1633) uses the same woodcut as Lobel and calls it Pulmonatia foliis Echii, Buglosse Cowslips with red flowers, and a woodcut of a narrow leaved plant as Pulmonaria masculosa, Spotted Cowslips of Jerusalem with red, blue and purple flowers and says 'the leaves are used among pot-herbes. The roots are aso thought to be good against the infirmities of ulcers of the lungs...'. Quincy (1718) writes: '... it has a glutinous juice ... and heals ulcers and erosions. It is commended in coughs and spitting of blood but is little used either in the Shop or Prescriptions'. Not used in modern medicine. It is in the family Boraginaceae whose species are often rich in pyrrolizidine alkaloids that cause liver toxicity and liver cancers, but levels in Pulmonaria officinalis may not be significant. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Pulmonaria rubra L. Boraginaceae A red-flowered species, mentioned in 16th and 17th herbals, but with the same properties as officinalis. Distribution: Europe. Pulmonaria or Lungwort are names for a lichen and a perennial plant in the Boraginaceae. This is the latter. Lyte (1578) has a woodcut of our plant and also calls it Sage of Jerusalem and says it is of 'no particular use in physicke, but is much used in meates and salads with eggs, as is also Cowslippes and Primroses, whereunto in temperature it is much alike.' He lists and describes the lichen separately. Culpeper (1650) said he found many sorts of lunguewort in perusing Authors 'Pulmonari, arborea and Symphytum maculosum [and the latter is our plant, the others the lichen] and that they 'helpe infirmities of the lungues, as hoarseness, coughs, wheezing, shortnesse of breath etc.' Coles (1657) who espouses the Doctrine of Signatures in a way unrivalled by any other English author, might have been expected to confirm the concept that the mottled leaves looked like the cut surface of a lung which indicates their purpose, but he only mentions the lungwort which is a lichen. However, Porta's beautiful book on the Doctrine, Phytognomica (1588), is clear that the plant called pulmonaria with hairy leaves like a bugloss, spotted white with purple flowers, commonly called 'cynoglossa' [with a woodcut which could be Pulmonaria officinalis] indicate its use for ulcerated lungs, spitting blood, shortness of breath and asthma equally with the lichen with the same name. Lobel & Pena (1570) call it 'PULMONARIA, masculosa folia Borrago. floribus Primula veris, purpureis[ PULMONARIA spotted, Borage-leaved, flowers like Primula veris - Cowslips - purple] and say that women mix the leaves with a little broth and make it into an omelette for lung disorders and to strengthen the heart. Lobel (1576) calls it Maculosa Pulmonaria and describes a white flowered form, with a good woodcut. Gerard (1633) uses the same woodcut as Lobel and calls it Pulmonatia foliis Echii, Buglosse Cowslips with red flowers, and a woodcut of a narrow leaved plant as Pulmonaria masculosa, Spotted Cowslips of Jerusalem with red, blue and purple flowers and says 'the leaves are used among pot-herbes. The roots are aso thought to be good against the infirmities of ulcers of the lungs...'. Quincy (1718) writes: '... it has a glutinous juice ... and heals ulcers and erosions. It is commended in coughs and spitting of blood but is little used either in the Shop or Prescriptions. Not used in modern medicine. It is in the family Boraginaceae whose species are often rich in pyrrolizidine alkaloids that cause liver toxicity and liver cancers, but levels in Pulmonaria officinalis may not be significant. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Lathyrus vernus (L.)Bernh. Papilionaceae previously Orobus vernus L. (Linnaeus, 1753) Spring vetchling. Distribution: Europe to Siberia. The seeds of several Lathyrus species are toxic, and when eaten cause a condition called lathyrism. The chemical diaminoproprionic acid in the seeds causes paralysis, spinal cord damage, aortic aneurysm, due to poisoning of mitochondria causing cell death. Occurs where food crops are contaminated by Lathyrus plants or where it is eaten as a 'famine food' when no other food is available. It is the Orobus sylvaticus purpureus vernus of Bauhin (1671) and Orobus sylvaticus angustifolius of Parkinson (1640) - who records that country folk had no uses for it. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Plectranthus argentatus S.T.Blake Lamiaceae Silver spurflower. Herbaceous perennial. Distribution: Queensland and New South Wales, Australia. Little is known of its chemical constituents. It does contain many novel diterpenoids in its leaf glands (Alder, A.C. et al, Helvetica Chimica Acta, 2004, 67(6): 1523 – 1530).This genus has had some species from the genus Coleus incorporated into it, and these form a separate clade on phylogenetic analysis. The species in the ‘Coleus’ clade have a higher incidence of medicinal usage, being used to treat digestive, skin, infective and respiratory problems. They contain monoterpenoids, sesquiterpenoids, and diterpenoids. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Trifolium rubens L. Leguminosae. [Note the Family Leguminosae is preferred over Family Fabaceae as the former allows all the legumes to be in one Family and not three - one Family being the current consensus among botanists]. Red Feather Clover. Distribution: Europe. The white clover, Trifolium repens, is listed as a treatment for arthritis by Linnaeus (1782). This and Trifolium pratense, Red Clover, are the ones most used for pastures. All the clovers have root nodules which fix nitrogen from the air into the soil so have an important role in ensuring soil fertility. Trifolium rubens has the same nitrogen fixing ability, and is used as an ornamental garden plant where it still acts to improve fertility. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Veratrum nigrum L. Melanthiaceae Distribution: Europe. Cows do not eat Veratrum species in the meadows, and human poisoning with it caused vomiting and fainting. In the 1850s it was found to reduce the heart's action and slow the pulse (Bentley, 1861, called it an 'arterial sedative'), and in 1859 it was used orally in a woman who was having convulsions due to eclampsia. Dr Paul DeLacy Baker in Alabama treated her with drops of a tincture of V. viride. She recovered. It was used thereafter, as the first choice of treatment, and, when blood pressure monitoring became possible, it was discovered that it worked by reducing the high blood pressure that occurs in eclampsia. By 1947 death rates were reduced from 30% to 5% by its use at the Boston Lying-in Hospital. It works by dilating the arteries in muscles and in the gastrointestinal circulation. A further use of Veratrum species came to light when it was noted that V. californicum - and other species - if eaten by sheep resulted in foetal malformations, in particular only having one eye. The chemical in the plant that was responsible, cyclopamine, was found to act on certain genetic pathways responsible for stem cell division in the regulation of the development of bilateral symmetry in the embryo/foetus. Synthetic analogues have been developed which act on what have come to be called the 'hedgehog signalling pathways' in stem cell division, and these 'Hedgehog inhibitors' are being introduced into medicine for the treatment of various cancers like chondrosarcoma, myelofibrosis, and advanced basal cell carcinoma. The drugs are saridegib, erismodegib and vismodegib. All the early herbals report on its ability to cause vomiting. As a herbal medicine it is Prescription Only, via a registered dentist or physician (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Eranthis hyemalis Salisb. Ranunculaceae Winter Aconite Distribution: Europe. The reason it was called Winter aconite and linked to Aconitum napellus as being just as poisonous is because plants were classified according to leaf shape in the 16th century. L'Obel's Stirpium adversaria nova (1571) and Plantarum seu stirpium historia (1576) (with a full page illustration on page 384 showing Eranthis and Aconitum together) along with the knowledge that related plants have similar medical properties caused the belief that Eranthis are as poisonous as Aconitum. They are both in Ranunculaceae and while Eranthis (like all Ranunculaceae)is toxic if eaten, it does not contain the same chemicals as Aconitum. Caesalpino (Ekphrasis, 1616) pointed out the error in classifying according to leaf shape and recommended flower shape. It contains pharmacologically interesting chemicals such as khellin, also present in Ammi visnaga. This is a vasodilator but quite toxic, but can be converted into khellin analogues such as sodium cromoglicate – used as a prophylaxis against asthma attacks – and amiodarone which has anti-arrhythmia actions so is used for atrial fibrillation and other arrhythmias. It is endangered and protected in the wild (Croatia) because of over-collecting for horticulture. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Eranthis hyemalis Salisb. Ranunculaceae Winter Aconite Distribution: Europe. The reason it was called Winter aconite and linked to Aconitum napellus as being just as poisonous is because plants were classified according to leaf shape in the 16th century. L'Obel's 'Stirpium adversaria nova' published in 1571 and 'Plantarum seu stirpium historia' published 1576 (with a full page illustration on page 384 showing Eranthis and Aconitum together) along with the knowledge that related plants have similar medical properties caused the belief that Eranthis are as poisonous as Aconitum. They are both in Ranunculaceae and while Eranthis (like all Ranunculaceae) is toxic if eaten, it does not contain the same chemicals as Aconitum. Caesalpino (Ekphrasis, 1616) pointed out the error in classifying according to leaf shape and recommended flower shape. It contains pharmacologically interesting chemicals such as khellin, also present in Ammi visnaga. This is a vasodilator but quite toxic, which can be converted into khellin analogues such as sodium cromoglicate – used as a prophylaxis against asthma attacks – and amiodarone which has anti-arrhythmia actions so is used for atrial fibrillation and other arrhythmias. It is endangered and protected in the wild (Croatia) because of over-collecting for horticulture. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Hacquetia epipactis DC Apiaceae. Small herbaceous perennial. No common name except Hacquetia Distribution: Europe. Named for the Austrian physician, Balthasar (or Belsazar) Hacquet (1739/40-1815). He studied medicine in Vienna, was a surgeon in the brutal Seven Years War (1756-1763) – a world-wide war in which up to 1,400,000 people died. Later he was professor at the University of Lemberg (1788-1810). He wrote widely on many scientific disciplines including geology. Parkinson (1640) grouped it with Helleborus and Veratrum, calling it 'Epipactis Matthioli, Matthiolus, his bastard black hellebore' but does not give any uses. It has no medicinal properties. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Achillea millefolium L. Asteraceae. Yarrow or sneezewort, the latter because ground up it made a snuff to induce sneezing. Evergreen, herbaceous perennial. Distribution: Europe, Asia and North America. Dioscorides calls it Achilles’ woundwort, sideritis, writing that the ground-up foliage closes bleeding wounds, relieves inflammation and stops uterine bleeding. Gerard (1633) says that put up one’s nose it causes a nosebleed and so stops migraines. Named for the Greek warrior, Achilles, who used this plant for healing wounds – having been taught its properties by his teacher, Chiron the centaur. Millefolium because of the thousands of fronds that make up the leaf, and which, when applied to a bleeding wound, facilitate coagulation by platelets. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Salvia coahuilensis Fernald Lamiaceae Coahuila Sage. Perennial shrub. Distribution: Mexico. Most of the historical medicinal literature is on common sage, Salvia officinalis. The name Salvia meaning 'healthy'. Elizabeth Blackwell (1737) wrote that it had "... all the noble Properties of the other hot Plants more especially for the Head, Memory, Eyes, and all Paralytical Affections. In short, 'tis a Plant endu'd with so many and wonderful Properties, as that the assiduous use of it is said to render Men Immortal" with which Hans Sloane agreed. Its health giving properties were recorded in the aphorisms of the School of Salerno (fl 9-13th century) - quoted in the Decameron [c.1350, translated: Why should man die when Salvia grows in the Garden']. Some salvias, such as Salvia divinorum contain hallucinogenic compounds. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Atropa belladonna L. Solanaceae. Deadly nightshade. Dwale. Morella, Solatrum, Hound's berries, Uva lupina, Cucubalus, Solanum lethale. Atropa derives from Atropos the oldest of the three Fates of Greek mythology who cut the thread of Life (her sisters Clotho and Lachesis spun and measured the thread, respectively). belladonna, literally, means 'beautiful lady' and was the Italian name for it. Folklore has it that Italian ladies put drops from the plant or the fruits in their eyes to make themselves doe-eyed, myopic and beautiful. However, this is not supported by the 16th and 17th century literature, where no mention is ever made of dilated pupils (or any of the effects of parasympathetic blockade). Tournefort (1719) says 'The Italians named this plant Belladonna, which in their language signifies a beautiful woman, because the ladies use it much in the composition of their Fucus [rouge or deceit or cosmetic] or face paint.' Parkinson says that the Italian ladies use the distilled juice as a fucus '... peradventure [perhaps] to take away their high colour and make them looke paler.' I think it more likely that they absorbed atropine through their skin and were slightly 'stoned' and disinhibited, which made them beautiful ladies in the eyes of Italian males. Distribution: Europe, North Africa, western Asia. Culpeper (1650) writes: 'Solanum. Nightshade: very cold and dry, binding … dangerous given inwardly … outwardly it helps the shingles, St Antonie's Fire [erysipelas] and other hot inflammation.' Most of the 16th, 17th and 18th century herbals recommend it topically for breast cancers. Poisonous plants were regarded as 'cold' plants as an excess of them caused death and the body became cold. They were regarded as opposing the hot humour which kept us warm and alive. Poultices of Belladonna leaves are still recommended for muscle strain in cyclists, by herbalists. Gerard (1633) writes that it: 'causeth sleep, troubleth the mind, bringeth madnesse if a few of the berries be inwardly taken, but if more be taken they also kill...'. He was also aware that the alkaloids could be absorbed through the skin for he notes that a poultice of the leaves applied to the forehead, induces sleep, and relieves headache. The whole plant contains the anticholinergic alkaloid atropine, which blocks the peripheral actions of acetylcholine in the parasympathetic nervous system. Atropine is a racemic mixture of d- and l- hyoscyamine. Atropine, dropped into the eyes, blocks the acetylcholine receptors of the pupil so it no longer constricts on exposure to bright light - so enabling an ophthalmologist to examine the retina with an ophthalmoscope. Atropine speeds up the heart rate, reduces salivation and sweating, reduces gut motility, inhibits the vertigo of sea sickness, and is used to block the acetylcholine receptors to prevent the effects of organophosphorous and other nerve gas poisons. It is still has important uses in medicine. Atropine poisoning takes three or for days to wear off, and the hallucinations experienced by its use are described as unpleasant. We have to be content with 'madness', 'frenzie' and 'idle and vain imaginations' in the early herbals to describe the hallucinations of atropine and related alkaloids as the word 'hallucination' in the sense of a perception for which there is no external stimulus, was not used in English until 1646 (Sir T. Browne, 1646). It is a restricted herbal medicine which can only be sold in premises which are registered pharmacies and by or under the supervision of a pharmacist (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Salvia nemorosa L. Lamiaceae Woodland sage. Balkan clary Distribution: Central Europe, Western Asia. Most of the historical medicinal literature is on common sage, Salvia officinalis. The name Salvia meaning 'healthy'. Elizabeth Blackwell (1737) wrote that it had "... all the noble Properties of the other hot Plants more especially for the Head, Memory, Eyes, and all Paralytical Affections. In short, 'tis a Plant endu'd with so many and wonderful Properties, as that the assiduous use of it is said to render Men Immortal" with which Hans Sloane agreed. Linnaeus (1782) also: 'Timor, Languor, Leucorrhoea, Senectus [fear, tiredness, white vaginal discharge, old age]'. Its health giving and immortality conferring properties were recorded in the aphorisms of the School of Salerno (fl 9-13th century) - quoted in the Decameron [c.1350, translated: Why should man die when Salvia grows in the Garden']. Some salvias, such as Salvia divinorum contain hallucinogenic compounds. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Veratrum album L. Melanthiaceae Distribution: Europe. Cows do not eat Veratrum species in the meadows, and human poisoning with it caused vomiting and fainting. In the 1850s it was found to reduce the heart's action and slow the pulse (Bentley, 1861, called it an 'arterial sedative'), and in 1859 it was used orally in a woman who was having convulsions due to eclampsia. Dr Paul DeLacy Baker in Alabama treated her with drops of a tincture of V. viride. She recovered. It was used thereafter, as the first choice of treatment, and when blood pressure monitoring became possible, it was discovered that it worked by reducing the high blood pressure that occurs in eclampsia. By 1947 death rates were reduced from 30% to 5% by its use at the Boston Lying in Hospital. It works by dilating the arteries in muscles and in the gastrointestinal circulation. A further use of Veratrum species came to light when it was noted that V. californicum -and other species - if eaten by sheep resulted in foetal malformations, in particular only having one eye. The chemical in the plant that was responsible, cyclopamine, was found to act on certain genetic pathways responsible for stem cell division in the regulation of the development of bilateral symmetry in the embryo/foetus. Synthetic analogues have been developed which act on what have come to be called the 'hedgehog signalling pathways' in stem cell division, and these 'Hedgehog inhibitors' are being introduced into medicine for the treatment of various cancers like chondrosarcoma, myelofibrosis, and advanced basal cell carcinoma. The drugs are saridegib, erismodegib and vismodegib. All the early herbals report on its ability to cause vomiting. As a herbal medicine it is Prescription Only, via a registered dentist or physician (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Carthamus tinctorius L. Asteraceae. Safe Flower, False Saffron - Distribution: W. Asia. Dioscorides (in Beck, 2003) notes the seeds as a purgative, but also advises it made up with 30 figs, which must have helped. Gerard (1640) calls it Atractylis flore luteo the yellow distaffe thistle. and follows Dioscorides in its uses, but does get the reader confused with Cnicus benedictus, calling both plants 'wild bastard saffron'. Culpeper makes no mention of it in his early works, but later (1826) have the following: ‘Wild Saffon, or Saf-flower ... accounted a pretty strong cathartic [causing diarrhoea and vomiting], evacuating tough viscid phlegm, both upwards and downwards, and by that means is said to clear the lungs, and help the phthisic [now equated with tuberculosis]. It is likewise serviceable against the jaundice

Zantedeschia aethiopica (L)Spreng. Calla lily, Arum lily. Half hardy annual. Distribution: South Africa. The genus name commemorates Giovanni Zantedeschi (1773-1846) an Italian physician and botanist. Born in Molina he studied medicine in Verona and Padua. He corresponded with the German botanist, Kurt Sprengel, who named the genus Zantedeschia in his honour in 1826, separating it from Calla, where, as C. aethiopica, it had been previously described by Linnaeus. He had broad interests, including the effect of different parts of the spectrum of light on plant growth, reporting in 1843, that red, orange and yellow light are heliotropically inactive. The botanic museum in Molina is dedicated to his memory. Aethiopica, merely means 'African'. The leaves are used as a warm poultice for headaches in ‘muthi’ medicine. It has become an invasive weed in parts of Australia. It was introduced, as a greenhouse plant, to Europe in the mid-17th century, where the long lasting flowers are popular in flower arranging and for weddings and funerals – a curious combination (Oakeley, 2012). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

A sugar cane plant (Saccharum officinarum), its flower and sections of stem, bordered by six scenes illustrating its use by man. Coloured lithograph, c. 1840.

Elizabeth Blackwell, A curious herbal, conta

Beautiful thang / RS Health Ltd.

My own private identity / RS Health Ltd.

Love & courage / RS Health Ltd.

A prostitute wearing a mini skirt and sun glasses holding bank notes with one hand on her hip; a woman lying sick in bed with AIDS; a warning about the dangers of unsafe sex and AIDS by Programa Compañeros. Colour lithograph, ca. 1995.

Two black women hold a washing line to which condoms are pegged; advertising safe sex and AIDS prevention. Lithograph.

Assyro-Babylonian cylinder seals and sketches.

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