Principles and illustrations of morbid anatomy; adapted to the elements of M. Andral, and to the Cyclopaedia of practical medicine ... / being a complete series of coloured lithographic drawings from originals by the author; with descriptions and summary allusions to cases, symptoms, treatment, &c. ... By J. Hope.

A line-drawn male nude standing figure with one arm raised to his shoulder, the other down by his side representing an advertisement for a lecture on the possibilities and limitations of naturopathic treatment of HIV and AIDS with Dr. Misha Ruth Cohen, San Francisco, Dr. of Oriental Medicine, Quan Yin Healing Center and Dr. Juliane Sacher, Frankfurt, naturopathic physician with a focus on treating HIV and AIDS; an event organised by Kursiv, an AIDS project for Schwulenberatung on Tuesday, 4 May [1993?]. Photocopy.

Eucomis comosa (Houtt.)H.R.Wehrh. Hyacinthaceae Pineapple flower. From the Greek eu comis meaning 'good hair' referring to the tuft of leaves on top of the flowers. Comosa being Latin for 'with a tuft' referring to the same thing. Used in South African 'muthi' medicine. Enemas of Eucomis autumnalis are used in Africa to treat low backache, to aid postoperative recovery and to speed the healing of fractures. Decoctions are taken for the treatment of everything from hangovers to syphilis. The active ingredients include homisoflavones, which have anti-inflammatory and antispasmodic activity (van Wyk et al, 2000) Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Eucomis comosa (Houtt.)H.R.Wehrh. Hyacinthaceae Pineapple flower. From the Greek eu comis meaning 'good hair' referring to the tuft of leaves on top of the flowers. Comosa being Latin for 'with a tuft' referring to the same thing. Used in South African 'muthi' medicine. Enemas of Eucomis autumnalis are used in Africa to treat low backache, to aid postoperative recovery and to speed the healing of fractures. Decoctions are taken for the treatment of everything from hangovers to syphilis. The active ingredients include homisoflavones, which have anti-inflammatory and antispasmodic activity (van Wyk et al, 2000). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Scutellaria baicalensis Georgi Lamiaceae. Baikal skullcap. Distribution: China. There are several hundred species of Scutellaria, also known as skull caps, so correct identification is important - in particular from Scutellaria lateriflora an American species known as Blue skullcap. The latter is used as an abortifacient and to expel placenta by the Cherokee and for cleaning the throat by the Iroquois (Austin, 2004). Much vaunted as a treatment for rabies with unlikely statistics (1,400 cases cured by one doctor alone). Also as ‘antispasmodic, nervine, [for] chorea, convulsions, tetanus, tremors, delirium tremens, [and as a] diaphoretic and diuretic'. Toxicity symptoms include mental confusion, stupor, headache, vertigo, photophobia, dilated pupils, difficulty in micturition, bradycardia, tremulousness and languor, followed by wakefulness and restlessness (Milspaugh, 1974). Hutchens (1991) reported that it reduces sexual desire and was used for almost every nervous illness. Scutellaria baicalensis contains baicalin, baicalein and wogonin (European Medicines Agency, September 2010). It is used in Traditional Chinese Medicine for treating inflammation, cancer, bacterial and viral infections of the lungs and gut and is one of the '50 Chinese herbs' in the lists of some authors. Scutellaria lateriflora (combined with Verbena officinalis, Passiflora incarnata and the seed of Avena sativa (oats) is licensed for use in Britain as a herbal medicine for temporary relief of mild symptoms of stress such as mild anxiety and to aid sleep, based upon traditional use only. Scutellaria baicalensis is not licensed for use in the UK (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). 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.

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.

Every man his own farrier : Mr. Blaine who has long been known for his important discoveries, his public writings and successful treatment of the diseases of horses and dogs, now offers to the public the following valuable medicines ... sold wholesale and retail by T. Boosey, no.4, Broad Street, near the Royal exchange.

Arctium lappa L. Asteraceae. Greater Burdock. Distribution: Europe to India and Japan. Dioscorides (Beck, 2003) writes: '... helps those who spit blood and who suffer from abscesses ... plastered on it stems the pains around the joints that stem from twistings. The Leaves are applied beneficially on old ulcers.' Culpeper (1650) writes: ‘Burdanae, etc. Of Bur, Clot-Bur or Burdock, ... helps such as spit blood and matter, bruised and mixed salt and applied to the place, helpeth the bitings of mad dogs. It expels wind, easeth pains of the teeth, strengthens the back, helps the running of the reins, and the whites in women, being taken inwardly.’ The roots contain inulin, which is made into a non-digestible sweetener for diabetics. It has a multitude of uses in herbal medicine, in particular it is a component of a compound called ‘essiac’ that has been widely used as a treatment of cancers in the USA, but which is of no proven benefit. The young roots can be eaten raw or cooked. The seeds are hairy and care should be taken when harvesting them as inhaled they are reported as ‘toxic’. The root is licensed for use in Traditional Herbal Medicines in the UK (UK Medicines and Healthcare Products Regulatory Agency (MHRA)). Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Moxa treatment: a young woman kneels and applies moxa (a smouldering blend of medicinal plants) to another's leg. Woodcut by Sukenobu, ca. 1739 (?).

Papaver somniferum L. Papaveraceae Opium Poppy Distribution: Asia minor, but has been dated to 5000BC in Spanish caves. Now grows almost everywhere. The oldest medicine in continuous use, described in the Ebers' papyrus (1550 BC), called Meconium, Laudanum, Paregoric and syrup of poppies. Culpeper (1650) on Meconium '...the juyce of English Poppies boyled till it be thick' and 'I am of the opinion that Opium is nothing else but the juyce of poppies growing in hotter countries, for such Opium as Authors talk of comes from Utopia.[he means an imaginary land, I suspect]’]. He cautions 'Syrups of Poppies provoke sleep, but in that I desire they may be used with a great deal of caution and wariness...' and warns in particular about giving syrup of poppies to children to get them to sleep. The alkaloids in the sap include: Morphine 12% - affects ?-opioid receptors in the brain and causes happiness, sleepiness, pain relief, suppresses cough and causes constipation. Codeine 3% – mild opiate actions – converted to morphine in the body. Papaverine, relaxes smooth muscle spasm in arteries of heart and brain, and also for intestinal spasm, migraine and erectile dysfunction. Not analgesic. Thebaine mildly analgesic, stimulatory, is made into oxycodone and oxymorphone which are analgesics, and naloxone for treatment of opiate overdose – ?-opioid receptor competitive antagonist – it displaces morphine from ?-opioid receptors, and constipation caused by opiates. Protopine – analgesic, antihistamine so relieves pain of inflammation. Noscapine – anti-tussive (anti-cough). In 2006 the world production of opium was 6,610 metric tons, in 1906 it was over 30,000 tons when 25% of Chinese males were regular users. The Opium wars of the end of the 19th century were caused by Britain selling huge quantities of Opium to China to restore the balance of payments deficit. Laudanum: 10mg of morphine (as opium) per ml. Paregoric: camphorated opium tincture. 0.4mg morphine per ml. Gee’s Linctus: up to 60 mg in a bottle. J Collis Browne’s chlorodyne: cannabis, morphine, alcohol etc. Kaolin and Morph. - up to 60 mg in a bottle. Dover’s Powders – contained Ipecacuana and morphine. Heroin is made from morphine, but converted back into morphine in the body (Oakeley, 2012). One gram of poppy seeds contains 0.250mgm of morphine, and while one poppy seed bagel will make a urine test positive for morphine for a week, one would need 30-40 bagels to have any discernible effect. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Papaver somniferum L. Papaveraceae Opium Poppy Distribution: Asia minor, but has been dated to 5000BC in Spanish caves. Now grows almost everywhere. The oldest medicine in continuous use, described in the Ebers' papyrus (1550 BC), called Meconium, Laudanum, Paregoric and syrup of poppies. Culpeper (1650) on Meconium '...the juyce of English Poppies boyled till it be thick' and 'I am of the opinion that Opium is nothing else but the juyce of poppies growing in hotter countries, for such Opium as Authors talk of comes from Utopia [he means an imaginary land, I suspect]’. He cautions 'Syrups of Poppies provoke sleep, but in that I desire they may be used with a great deal of caution and wariness...' and warns in particular about giving syrup of poppies to children to get them to sleep. The alkaloids in the sap include: Morphine 12% - affects ?-opioid receptors in the brain and causes happiness, sleepiness, pain relief, suppresses cough and causes constipation. Codeine 3% – mild opiate actions – converted to morphine in the body. Papaverine, relaxes smooth muscle spasm in arteries of heart and brain, and also for intestinal spasm, migraine and erectile dysfunction. Not analgesic. Thebaine mildly analgesic, stimulatory, is made into oxycodone and oxymorphone which are analgesics, and naloxone for treatment of opiate overdose – ?-opioid receptor competitive antagonist – it displaces morphine from ?-opioid receptors, and reverses the constipation caused by opiates. Protopine – analgesic, antihistamine so relieves pain of inflammation. Noscapine – anti-tussive (anti-cough). In 2006 the world production of opium was 6,610 metric tons, in 1906 it was over 30,000 tons when 25% of Chinese males were regular users. The Opium wars of the end of the 19th century were caused by Britain selling huge quantities of Opium to China to restore the balance of payments deficit. Laudanum: 10mg of morphine (as opium) per ml. Paregoric: camphorated opium tincture. 0.4mg morphine per ml. Gee’s Linctus: up to 60 mg in a bottle. J Collis Browne’s chlorodyne: cannabis, morphine, alcohol etc. Kaolin and Morph. - up to 60 mg in a bottle. Dover’s Powders – contained Ipecacuana and morphine. Heroin is made from morphine, but converted back into morphine in the body (Oakeley, 2012). One gram of poppy seeds contains 0.250mgm of morphine, and while one poppy seed bagel will make a urine test positive for morphine for a week, one would need 30-40 bagels to have any discernible effect. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Colchicum autumnale L., Colchicaceae. Autumn crocus, meadow saffron, naked ladies. Distribution: Europe. Extremely toxic, containing colchicine which is effective in small doses in treating gout. It inhibits mitosis so is of interest in cancer treatment. It is used to treat Familial Mediterranean fever. It induces polyploidy in plant protocorms for the production of tetraploid forms which have bigger flowers and seeds. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Erythrina crista-galli L. Fabaceae. Cockspur coral tree. Distribution: South America. The national tree of Argentina, its flowers are pollinated by perching birds unlike many other species which are pollinated by humming birds. An extract from the bark is used as a powerful soporific, also as a gargle for sore throats and in the treatment of cuts, rheumatism and hepatitis, in Brazil (Mors, 1998). The seed contains the alkaloid beta-erythroidine. Analgesics, antimicrobial and anti inflammatory substances are being sought from the leaves. Curare-like action in rats has been reported from the seeds. 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.

Plumbago auriculata Blume Plumbaginaceae Plumbago, Leadwort. Distribution: South Africa. It is used traditionally to treat warts, broken bones and wounds. It is taken as a snuff for headaches and as an emetic to dispel bad dreams. A stick of the plant is placed in the thatch of huts to ward off lightning.” Iwou (1993) reports other Plumbago species are used to cause skin blistering, treat leprosy, induce blistering, and to treat piles, parasites and to induce abortions. The genus name derives from the Latin for lead, but authors differ as to whether it was used as a treatment of lead poisoning, or that when it was used for eye conditions the skin turned the colour of lead. Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Pulsatilla vulgaris Mill. Ranunculaceae Distribution: Europe. Lindley (1838) and Woodville (1790) knew this as Anemone pulsatilla, the common name being Pasque (Easter) Flower. At the end of the 18th century it was recommended for blindness, cataracts, syphilis, strokes and much more, treatments which, as was clear to physicians at the time, were valueless. Gerard (1633) writes: ‘They serve only for the adorning of gardens and garlands, being floures of great beauty’. It is in the buttercup family, Ranunculaceae, all members of which are poisonous. It was recommended, by mouth, for ‘obstinate case of taenia’ (tapeworms). One hopes it was more toxic to the worm than the patient. Flowers with a central disc and radiating florets were regarded as being good for eye complaints under the Doctrine of Signatures. Porta (1588) writes (translated): ‘Argemone [Papaver argemone], and anemone, have flowers of this shape, from this they cure ulcers and cloudiness of the cornea’. There were occupational diseases even before there were words like pneumoconiosis, and Lindley writes that ‘the powder of the root causes itching of the eyes, colic and vomiting, if in pulverising it the operator do not avoid the fine dust which is driven up.’ Photographed in the Medicinal Garden of the Royal College of Physicians, London.

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.

Pulsatilla vulgaris Mill. Ranunculaceae. Pasque flower. Distribution: Europe. Lindley (1838) and Woodville (1790) knew this as Anemone pulsatilla, the common name being Pasque (Easter) Flower. At the end of the 18th century it was recommended for blindness, cataracts, syphilis, strokes and much more, treatments which, as was clear to physicians at the time, were valueless. Gerard (1633) writes: ‘They serve only for the adorning of gardens and garlands, being floures of great beauty’. It is in the buttercup family, Ranunculaceae, all members of which are poisonous. It was recommended, by mouth, for ‘obstinate case of taenia’ (tapeworms). One hopes it was more toxic to the worm than the patient. Flowers with a central disc and radiating florets were regarded as being good for eye complaints under the Doctrine of Signatures. Porta (1588) writes (translated): ‘Argemone [Papaver argemone], and anemone, have flowers of this shape, from this they cure ulcers and cloudiness of the cornea’. There were occupational diseases even before there were words like pneumoconiosis, and Lindley writes that ‘the powder of the root causes itching of the eyes, colic and vomiting, if in pulverising it the operator do not avoid the fine dust which is driven up.’ Photographed in the Medicinal Garden of the Royal College of Physicians, London.

Pulsatilla vulgaris Mill. Ranunculaceae Pasque flower. Distribution: Europe. Lindley (1838) and Woodville (1790) knew this as Anemone pulsatilla, the common name being Pasque (Easter) Flower. At the end of the 18th century it was recommended for blindness, cataracts, syphilis, strokes and much more, treatments which, as was clear to physicians at the time, were valueless. Gerard (1633) writes: ‘They serve only for the adorning of gardens and garlands, being floures of great beauty’. It is in the buttercup family, Ranunculaceae, all members of which are poisonous. It was recommended, by mouth, for ‘obstinate case of taenia’ (tapeworms). One hopes it was more toxic to the worm than the patient. Flowers with a central disc and radiating florets were regarded as being good for eye complaints under the Doctrine of Signatures. Porta (1588) writes (translated): ‘Argemone [Papaver argemone], and anemone, have flowers of this shape, from this they cure ulcers and cloudiness of the cornea’. There were occupational diseases even before there were words like pneumoconiosis, and Lindley writes that ‘the powder of the root causes itching of the eyes, colic and vomiting, if in pulverising it the operator do not avoid the fine dust which is driven up.’ Photographed in the Medicinal Garden of the Royal College of Physicians, London.

John of Arderne, "use of crutches" 15th C

Primatrice: Reduction of dislocation of thigh. 1544

Physicians offering draughts and medicine, Anglo-Saxon.

Papyrus: commentary on Luxation attributed to Heliodorus

Advertisement for Davenport's specific for gout etc., Derby, Richardson and Son.

A box of Aspro (analgesic and flu remedy) among falling autumn leaves. Colour lithograph after Damour, ca. 1930 (?).

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