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  • Article

NHS Blue: the colour of universal healthcare

The 1980s and 1990s saw ideas from the world of business infiltrating the NHS, including the introduction of an internal market, followed by a corporate branding exercise.

  • Article

Revelations of blindness in the Middle Ages

Medieval texts, from Islamic medical treatises to Christian books of miracles, reveal surprisingly varied and complex experiences of blindness. But when medieval scholar Jude Seal experienced visual impairment themselves, they gained an even deeper understanding of the lives they were studying.

  • Article

Fees, funding and the NHS

In the 1950s, dramatic political battles over NHS charges brought down a government. But public confidence in the service still grew.

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The making of ‘Quacks’

How do you create a medical comedy that’s authentic and laugh-out-loud funny?

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  • Dactylorhiza aff fuchsii Druce ex Soo Orchidaceae Common Spotted orchid. Distribution: Ireland to Mongolia. Roots look like a hand. Coles (1657) calls them Palma Christi sive [or] Satyrion (to distinguish it from Ricinus communis which he calls Palma Christi sive Ricinus. This plant is probably his Female Satyrion and another Dactylorhiza, probably one of the English Marsh orchids, is his Male Satyrion Royal, with purple flowers. In common with Orchis he writes 'The full and plump roots of the Satyrium or Orchis, whereof the Electuary Diasatyrium is made, are of mighty efficacy to provoke to venery, which they that have bulbous roots [meaning the testicle shaped roots of Orchis] do by Signature.'. Terrestrial orchids continue, to be harvested by the millions annually in the Middle East for the production of Salep, including Salep ice cream, because of their mythological aphrodisiacal property. 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.
  • Cichorium intybus L., Asteraceae. Chicory, succory. Distribution: Uses: 'Cichory, (or Succory as the vulgar call it) cools and strengthens the liver: so doth Endive' (Culpeper, 1650). The Cichorium sylvestre, Wilde Succorie, of Gerard (1633) and the leaves cooked into a soup for ill people. Linnaeus (1782) reported it was used for Melancholia, Hypochondria, Hectica [fever], haemorrhage and gout. Root contains 20% inulin, a sweetening agent. Dried, roasted and ground up the roots are used as a coffee substitute, best known as Camp coffee (Chicory and Coffee essence). This used to be sold in tall square section bottle with a label showing a circa 1885 army tent with a Sikh soldier standing and serving coffee to a seated officer from the Gordon Highlanders. The bottle on the label has now moved on, and since 2006 it shows the same tent but the Sikh and the Scot are now both seated, drinking Camp coffee together. Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Cynara cardunculus L. Asteraceae. Cardoon, Globe Artichoke, Artechokes, Scolymos cinara, Cynara, Cinara. Distribution: Southern Europe and North Africa. Lyte (1576) writes that Dodoens (1552) could find no medical use for them and Galen (c.200 AD) said they were indigestible unless cooked. However, he relates that other authors recommend that if the flower heads are soaked in strong wine, they 'provoke urine and stir up lust in the body.' More prosaically, the roots boiled in wine and drunk it cause the urine to be 'stinking' and so cures smelly armpits. He adds that it strengthens the stomach so causing women to conceive Male children. He goes on to say that the young shoots boiled in broth also stir up lust in men and women, and more besides. Lyte (1576) was translating, I think with elaborations, from the chapter on Scolymos cinara, Artichaut, in Dodoen's Croydeboeck (1552) as L'Ecluse's French translation, Dodoens Histoire des Plantes (1575) does not mention these latter uses, but Dodoen's own Latin translation, the Pemptades (1583), and Gerard's Herbal (1633) both do so. It is useful in understanding the history of these translations to realise that Gerard uses, almost verbatim, the translation of the 'smelly armpit' paragraph from Lyte. Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Cynara cardunculus L. Asteraceae. Cardoon, Globe Artichoke, Artechokes, Scolymos cinara, Cynara, Cinara. Distribution: Southern Europe and North Africa. Lyte (1576) writes that Dodoens (1552) could find no medical use for them and Galen (c.200 AD) said they were indigestible unless cooked. However he relates that other authors recommend that if the flower heads are soaked in strong wine, they 'provoke urine and stir up lust in the body.' More prosaically, the roots boiled in wine and drunk it cause the urine to be 'stinking' and so cures smelly armpits. He adds that it strengthens the stomach so causing women to conceive Male children. He goes on to say that the young shoots boiled in broth also stir up lust in men and women, and more besides. Lyte (1576) was translating, I think with elaborations, from the chapter on Scolymos cinara, Artichaut, in Dodoen's Croydeboeck (1552) as L'Ecluse's French translation (1575) does not mention these latter uses, but Dodoen's own Latin translation, the Pemptades(1583), and Gerard's (1633) both do so. It is useful in understanding the history of these translations to realise that Gerard uses, almost verbatim, the translation of the 'smelly armpit' paragraph from Lyte. Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • 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.
  • Origanum dictamnus L. Lamiaceae Dittany of Crete, Hop marjoram. Distribution: Crete. Culpeper (1650) writes: ‘... hastens travail [labour] in women, provokes the Terms [menstruation] . See the Leaves.’ Under 'Leaves' he writes: ‘Dictamny, or Dittany of Creet, ... brings away dead children, hastens womens travail, brings away the afterbirth, the very smell of it drives away venomous beasts, so deadly an enemy is it to poison, it’s an admirable remedy against wounds and Gunshot, wounds made with poisoned weapons, draws out splinters, broken bones etc. They say the goats and deers in Creet, being wounded with arrows, eat this herb, which makes the arrows fall out of themselves.' Dioscorides’ Materia Medica (c. 100 AD, trans. Beck, 2005), Pliny the Elder’s Natural History and Theophrastus’s Enquiry into Plants all have this information, as does Vergil’s Aeneid where he recounts how Venus produced it when her son, Aeneas, had received a deadly wound from an arrow, which fell out on its own when the wound was washed with it (Jashemski, 1999). Dioscorides attributes the same property to ‘Tragium’ or ‘Tragion’ which is probably Hypericum hircinum (a St. John’s Wort): ‘Tragium grows in Crete only ... the leaves and the seed and the tear, being laid on with wine doe draw out arrow heads and splinteres and all things fastened within ... They say also that ye wild goats having been shot, and then feeding upon this herb doe cast out ye arrows.’ . It has hairy leaves, in common with many 'vulnaries', and its alleged ability to heal probably has its origin in the ability of platelets to coagulate more easily on the hairs (in the same way that cotton wool is applied to a shaving cut to hasten clotting). Photographed in the Medicinal Garden of the Royal College of Physicians, London.
  • Irish journal of medical science.
  • Irish journal of medical science.
  • Irish journal of medical science.
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