Euphorbia milii Des Moul. Euphorbiaceae. Crown of Thorns - so called because of its very spiny stems. Distribution: Madagascar. The latex contains a copper-containing amine oxidase, a lectin, lipase, peroxidase, and a diamine oxidase. In vitro the latex is synergistic with ketoconazole against Candida albicans (thrush). All Euphorbia have a toxic white latex, and in Europe this has been used as a folk remedy to treat warts. It can cause skin allergies and the smoke from burning them is toxic. the genus named for Euphorbus (fl. circa 10 BC – 20 AD), the Greek physician to the Berber King Juba II (c. 50 BC – 23 AD) of Numidia, Euphorbia milii is one of the tropical spurges, with fierce, cactus-like spines, grown as a house plant. The sap of spurges is used in folk medicine for treating warts (not very effective), and, historically, as a purgative - the word spurge being derived from the French word for purgation. The sap (probably dried) was administered inside a fig because it is so corrosive that it would otherwise burn the mouth and oesophagus – a technique used today, rather more subtly, with ‘enteric coated’ medications. The sap contains a potential anti-leukaemic chemical, lasiodoplin, and is also used in drainage ditches to kill the snails which carry the parasitic trematode which causes fasciolaris. It does not kill the fish. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Iconologia: or, moral emblems .... Wherein are express'd various images of virtues, vices, passions, etc. as design'd by the ancient Egyptians, Greeks, Romans, and modern Italians ... / illustrated with ... humane figures, with their explanations; newly design'd, and engraven ... by I. Fuller ... and other masters. By the care and at the charge of P. Tempest.

Valeriana officinalis L. Valerianaceae Valerianus, Phu, Nardus sylvestris, Setwal. Distribution: Europe. Popular herbalism attributes sedation to Valerian, but this is not mentioned by Coles (1657) or Gerard (1633) or Lobel (1576) or Lyte (1578) or Dioscorides (ex Gunther, 1959) or Fuchs (1553), where he quotes Pliny, Dioscorides and Galen, or Parkinson (1640), or Pomet (1712). The English translation of Tournefort (1719-1730) covers a whole page of the uses of all the different valerians, but never mentions sedation or treating anxiety. Quincy (1718) does not mention it. Because it was used in epilepsy, for which Woodville (1792) says it was useless, Haller, in his Historia stirpium indegenarum Helvetae inchoatae (1768) advocates it for those with irritability of the nervous system, as does Thomson's London Dispensatory (1811) although he lists it as an 'antispasmodic and stimulant' and for inducing menstruation. Lindley (1838) notes (as many did) that the roots smell terrible and that this makes cats excited, and in man, in large doses, induce 'scintillations, agitation and even convulsions' so used in asthenic fever, epilepsy, chorea, hysteria and as an antihelminthic.' Fluckiger & Hanbury (1879) give a wonderful account of the history of its names, but give its use as 'stimulant and antispasmodic' as do Barton & Castle (1877). but by 1936 (Martindale's Extra Pharmacopoeia) its only use was 'Given in hysterical and neurotic conditions as a sedative. Its action has been attributed to its unpleasant smell'. The European Medicines Agency (2006) approves its use as a traditional herbal medicine for mild anxiety and sleeplessness for up to 4 weeks. Despite what is written continuously about its use in ancient Greece and Rome, the only reason for its use has been because it was thought, for a brief while, to be good for epilepsy and therefore might deal with persons of a nervous disposition because of its foul smell. It has been suggested that even its Greek name, 'Phu' came from the expression of disgust which is made when one sniffs an unpleasant odour. For 1,800 years, before the last century, no-one had thought it sedative. 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.

Adonis vernalis L. Ranunculaceae. Pheasant's eye, the golden flowered spring (or vernal) Adonis, is named in memory of Adonis, the Greek god of plants, who disappeared into the earth in the winter and reappeared in the spring. The flowers were said to have sprung from his blood when he was gored to death by a wild boar, but this plant must have been the blood red Adonis aestivalis, the summer Adonis. Distribution: Eurasia to Spain and Sweden. Gerard (1633) recommends it for renal stone and intestinal colic. Lewis & Elvin Lewis (2003) note it is poisonous, containing cardiac glycosides (adonitoxin, cymarin, K-strophanthin) and flavonoids. The UK Medicines and Healthcare Products Regulatory Agency (MHRA)) bans its use for ingestion 'no dose permitted' but allow it to be prescribed by a herbal practitioner on a one-to-one consultation. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Chamaemelum nobile (L.) All. Asteraceae. English, Roman or garden chamomile Distribution: Europe, Mediterranean. Culpeper (1650): “... assuage swellings, inflammations of the bowels, dissolve wind, are profitable given in clysters or drink, to such as are troubled with colic or [renal] stone.” The leaves are pleasantly fragrant, hence its use as a lawn plant, but also in aromatherapy. A ‘tea’ made from the flowers is apparently used to lighten hair colour. Chamomile contains sesquiterpene lactones, and these are known to possess allergenic properties. Hypersensitivity reactions have been reported in this and other members of the Compositae (Asteraceae) and cross sensitivity reactions may occur (Medicines Control Agency, 2002). Analgesic, and used for cramps and spasms (Quincy, 1718). Chamomile tea is used to help sleep, but may cause uterine contractions so avoid in pregnancy (US National Institutes of Health advice). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Acanthus dioscoridis L. Acanthaceae. Distribution: Iran, Iraq, southern Turkey. Herbaceous perennial flowering plant. Named for Pedanius Dioscorides of Anazarbus, 1st century Greek physician and herbalist whose book, De Materia Medica, was the main source of herbal medicinal information for the next 1,600 years. He describes some 500 plants and their medicinal properties. His manuscript was copied and annotated over the centuries, and the earliest Greek text in existence is the illustrated Juliana Anicia Codex dated 512CE (Beck, 2005). The first English translation was made around 1650 by John Goodyear and published by Robert T. Gunther in 1934

Allium schoenoprasum L. Alliaceae. Chives. Bulbour perennial herb. 'schoenoprasm' means 'rush leek' in Greek, referring to the narrow leaves. Distribution: Asia, Europe and North America. Leaves used as a garnish on cooked food and in salads. However like others in Boraginaceae it contains the pyrrolizidine alkaloid cynoglossine which causes liver damage. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

The breviarie of health: vvherin doth folow, remedies for all maner of sicknesses & diseases, the which may be in man or woman / Expressing the obscure termes of Greke, Araby, Latin, Barbary, and English, concerning phisick and chirurgerie. Compyled by Andrew Boord, doctor of phisicke: an English-man. Now newly corrected and amended, with some approued medicines that neuer were in print before this impression, & are aptly placed in their proper chapters, by men skilfull in phisicke and chirurgerie.

Polemonium caeruleum L. Polemoniaceae Jacob's ladder, Greek Valerian. Hardy perennial. Distribution: Temperate Europe. Dioscorides in 70 AD (Beck, 2005), and Lyte (1578) recommended it drunk in wine, for malignant ulcers, dysentery, difficulty in micturition, hip disease. The root was worn round the neck to protect against scorpions, and stopped toothache if chewed. Called Valerian Graeca by Dodoens (1551) and Parkinson (1640), Valeriana peregrina Belgarum by Lobel (1576). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Anemone blanda Schott & Kotschy, Ranunculaceae. Grecian windflower. Genus name may derive from Greek for wind, blanda being Latin for mild or pleasing. Perennial tuberous herb. Distribution SE Europe, Turkey, Lebanon, Syria. Not described until 1854 so no early herbal records under this name. However all species of Ranunculaceae are poisonous, containing protoanemonin, which causes blistering if sap gets on the skin and indigestion if ingested. 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.

Nigella sativa L. Ranunculaceae Love-in-the-mist, Black Cumin, Nutmeg flower, Roman Coriander. Distribution: SW Asia. Culpeper (1650) writes: ‘Nigella seeds, boyled in oil, and the forehead anointed with it, ease pains in the head, take away leprosie, itch, scurf, and helps scald-heads, inwardly taken they expel worms, they provoke urine and the terms, help difficulty of breathing: the smoke of them (being burned) drives away serpents and venomous beasts.’ The seeds are used as a spice, but as might be expected as a member of the family Ranunculaceae, the buttercups, the plant contains a highly poisonous glycoside, in this case called melanthin. The amount of toxicity present in spices is clearly insufficient to cause problems when used as such. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Osmanthus delavayi Franch. Oleaceae Evergreen shrub. Distribution: China. Osmanthus is derived from the Greek for 'fragrant flower', delavayi from its discoverer, the French Missionary with the Missions Étrangères, and plant collector, Pierre Delavay (1834-1895). He sent 200,000 herbarium specimens containing 4000 species including 1,500 new species to Franchet at the Museum of Natural History in Paris. He sent seed of O. delavayi to France (1886), but only one germinated, and all the plants in cultivation until it was recollected 40 years later, arose from this plant (Bretschneider, 1896). The flowers are used to make a tea in China, but the berries (drupes) are not regarded as edible. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Asphodeline lutea Rchb. Yellow asphodel, King's spear, Hastula regia. Hardy rhizomatous perennial. Distribution Mediterranean and Caucasus. It is the flower of the dead, as Homer writes that it carpets an area in the gloomy darkness of the underworld (Hades), in Greek mythology where the souls of the dead are found. However this may be a misinterpretation of the Greek where 'Asphodel' has been read instead of 'ash-filled'. In the etymology of flower names, it is suggested that the yellow 'daffodil' is a corruption of French or Flemish 'de asphodel' (both ex Steve Reece, 2007). An Aristotelian epigram, refers to it growing on tombs: 'On my back I hold mallow and many-rooted asphodel ...' The asphodel was sacred to Persephone, goddess of the underworld, who was seized and wed by Hades, god of the underworld, and taken to his kingdom. Her disappearance brings the winter, and her reappearance each year, the spring. The only reliable source of information about its early medical uses is, probably, Dioscorides although the plant in his De Materia Medica may be A. ramosus or A. albus. He gives its properties as diuretic, induces menses, good for coughs and convulsions, an antidote to snake bite, applied as a poultice for sores of all sorts, and in compounds for eye, ear and tooth pains, and to cure alopecia and vitiligo, but induces diarrhoea and vomiting and is an anti-aphrodisiac. Fuchs (1542), as Ruel’s commentaries (1543) note, makes a big mistake as he has Lilium martagon as his concept of A. luteus. Ruel only illustrates its leaves and roots, calling it Hastula regia (Latin for King’s spear) but Matthiolus's Commentaries (1569 edition) has a reasonable woodcut also as Hastula regia (1569). Dodoen's Cruydeboeck (1556) does not mention or illustrate Asphodelus luteus. L'Escluse's French translation Histoire des Plantes (1557) follows the Cruydeboeck. Dodoen's Latin translation Stirpium Historia Pemptades Sex (1583) adds A. luteus with text and woodcut, with no uses. Henry Lyte's (1578) translation illustrates Asphodelus luteus as Asphodeli tertia species and 'Yellow affodyl' (vide etymology of 'daffodil') and also does not describe any uses for it. Gerard's translation The Herbal (1597 and 1633) continues the muddle and does not give any uses for this plant. Parkinson's comments (1640) on the lack of medicinal properties of asphodels, refer to quite different plants coming from wet areas in Lancashire, Scotland and Norway . He calls them pseudoasphodelus major and minor which he writes are called Asphodelus luteus palustris by Dodoens, and not 'King's Spear' which he illustrates with a good woodcut of A. luteus and calls it Asphodelus luteus minor. Once herbals started to be written in northern Europe, the knowledge of the arid loving, Asphodelus luteus of south east Europe was lost. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Vicia faba L. Fabaceae. Broad beans, Fava bean. Distribution: N. Africa, SW Asia. Culpeper (1650) writes: 'Fabarum. Of Beans. Of Bean Cods (or Pods as we in Sussex call them) being burned, the ashes are a sovereign remedy for aches in the joints, old bruises, gout and sciaticaes.’ The beans are perfectly edible for the majority, but 1% of Caucasians, predominantly among Greeks, Italians and people from the Eastern Mediterranean regions, have a genetic trait in that they lack the ability to produce the enzyme glucose-6-phosphate dehydrogenase. As a consequence, eating broad beans or even inhaling the pollen, causes a severe haemolytic anaemia a few days later. This condition is known as favism. The whole plant, including the beans, contains levodopa, a precursor of dopamine, and some patients with Parkinsonism report symptomatic improvement after commencing on a diet that contains these beans regularly. A case of neuroleptic malignant-like syndrome (fever, rigidity, autonomic instability, altered consciousness, elevated creatine phosphokinase levels) consequent on abrupt discontinuation of a diet containing plenty of broad beans, has been described in a patient with Parkinsonism. This is usually seen when patients abruptly discontinue L-dopa therapy. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Paeonia officinalis L. Paeoniaceae, European Peony, Distribution: Europe. The peony commemorates Paeon, physician to the Gods of ancient Greece (Homer’s Iliad v. 401 and 899, circa 800 BC). Paeon, came to be associated as being Apollo, Greek god of healing, poetry, the sun and much else, and father of Aesculapius/Asclepias. Theophrastus (circa 300 BC), repeated by Pliny, wrote that if a woodpecker saw one collecting peony seed during the day, it would peck out one’s eyes, and (like mandrake) the roots had to be pulled up at night by tying them to the tail of a dog, and one’s ‘fundament might fall out’ [anal prolapse] if one cut the roots with a knife. Theophrastus commented ‘all this, however, I take to be so much fiction, most frivolously invented to puff up their supposed marvellous properties’. Dioscorides (70 AD, tr. Beck, 2003) wrote that 15 of its black seeds, drunk with wine, were good for nightmares, uterine suffocation and uterine pains. Officinalis indicates it was used in the offices, ie the clinics, of the monks in the medieval era. The roots, hung round the neck, were regarded as a cure for epilepsy for nearly two thousand years, and while Galen would have used P. officinalis, Parkinson (1640) recommends the male peony (P. mascula) for this. He also recommends drinking a decoction of the roots. Elizabeth Blackwell’s A Curious Herbal (1737), published by the College of Physicians, explains that it was used to cure febrile fits in children, associated with teething. Although she does not mention it, these stop whatever one does. Parkinson also reports that the seeds are used for snake bite, uterine bleeding, people who have lost the power of speech, nightmares and melancholy. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

M0001935EA: Reproduction of a photograph of a full-length statue of Aesculapius, the Greek god of medicine / M0001935EB: Reproduction of an engraving of a bust of Aesculapius, Greek god of medicine

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