,,observations ,,on ,,antimony1 ,read before the ,,medical ,,society of ,,london1 ,and published at their ,request1 ,,by ,,john ,,millar1 ,m4 ,d4 ,,london3 ,printed for ,j4 ,,johnson1 ,no4 #gb1 ,st4 ,paul's ,church-yard1 and ,d4 ,,wilson and ,g4 ,,nicol in the ,strand1 ,,mdcclxxiv4 ,,to ,,the ,,members ,,of ,,the ,,medical ,,society ,,of ,,london4 ,,gentlemen1 ,the following observations having been honoured with your approbation1 are now published at your request1 and presented to you as a testimony of the author's respectful regard4 ,candour requires him to acknowledge that some gentlemen of the ,society were averse to the publication1 judging that the free censure of popular opinions would rather provoke resentment than produce reformation4 ,not deterred from his purpose1 he has availed himself of their friendly cautions to obviate some objections which may be made to the design4 ,the account of the earlier chymists may1 on a superficial view1 appear superfluous2 but it was thought necessary to illustrate the ,medical ,history of ,antimony1 and to shew how little credit is due to those writers whose exaggerated praises of that medicine have contributed so much to mislead and abuse mankind4 ,it may be objected that the author has not himself assayed the antimonial ores1 nor repeated the chymical processes4 ,but by drawing the chymical and mineralogical materials from other sources1 all imputation of prejudice or partiality1 on his part1 is prevented1 since he appeals to the testimony of the patrons of antimony themselves1 for the authenticity of the facts by which some of their opinions are subverted4 ,i am1 ,,gentlemen1 ,your most obedient1 and most humble servant1 ,,john ,,millar4 ,pall ,mall1 ,april #b1 #aggd4 ,,the ,,contents4 ,,introduction ,page #a ,,section ,i4 ,some ,account of the earlier ,chymists1 and of their opinions concerning ,antimony #d ,,section ,,ii4 ,of the ,natural ,history of ,antimony #ac ,,section ,,iii4 ,of the ,chymical ,properties and ,analysis of ,antimony #bg ,,section ,,iv4 ,of the ,antimonial ,preparations and their ,medical ,effects #dh ,,section ,v4 ,of the ,secret ,antimonial ,medicines1 and particularly of the ,fever-,powder #ga ,,observations ,,on ,,antimony4 ,,introduction4 ,read #ast and #aeth ,febry4 #aggd4 ,remedies have often acquired reputation without sufficient evidence of their innocence and efficacy4 ,some have been introduced by an injudicious application of the theory of the schools1 others by rash and precipitate conclusions drawn from partial experiment1 and many by a refined species of imposition on the credulity of mankind1 veiled under the specious pretence of strict morality1 extensive benevolence1 and disinterested love of science4 ,it is not surprising that a steady exertion of these arts should prevail1 when we consider that physicians1 whose duty it is intelligently to examine these boasted remedies1 and if frivolous or dangerous1 to expose and resist the patrons of them1 have too often contributed to establish the deceit4 ,some are borne along by the torrent of vulgar prejudice2 while others stand aloof beholding1 with indignant pride1 the triumph of imposture2 and many judging a compliance with popular prejudices their surest and safest course1 unite in supporting error and imposition1 and in confirming the most pernicious practices4 ,thus is the publick confidence betrayed1 the art of physick brought into contempt1 bold and extravagant assertions gain ground1 and dangerous remedies are established4 ,the common interest calls us to expose these intrigues1 since men do not knowingly sacrifice life and health1 but are unwarily misled by misrepresentation4 ,let us therefore unite in promoting a safe and effectual practice1 and in repelling the common enemies of science and of mankind4 ,among the delusions of the present age1 one of the most dangerous is the universal belief of the perfect innocence and superlative efficacy of antimony4 ,the extensive use of this mineral demands our particular attention1 since it not only obtains among regular physicians1 but has been generally adopted in domestic practice4 ,but if its reputation shall appear to have been raised by falsehood or misrepresentation1 it becomes us to resist that tyrannical fashion by which it hath been established4 ,,section ,i4 ,some ,account of the ancient ,chymists1 and of their opinions concerning ,antimony4 ,antimony was originally used by the ,chymists1 who1 as they pretended to preternatural illumination1 affected to conceal from the vulgar and profane1 the sacred mysteries of the adepts1 who arrogantly stiled themselves the favourites of ,heaven4 ,an exact chronological account is not to be expected in an art which took its rise among illiterate ,miners1 and in the most superstitious country in the world4 ,how long it was cultivated by the lower set of people1 with whom it originated1 is uncertain2 but ,trismegistus1 having1 as is believed1 first treated it in a scientifical manner1 has been honoured by his successors as the ,inventor and founder of the art4 ,he is stiled a philosopher1 a priest and a ,king1 is said to have been instructed in all manner of learning1 to have been the ,inventor of medicine among the ,egyptians1 and to have lived about fifteen hundred years before the christian ra1 or according to some about the time of ,moses4 ,chymistry1 among the ,egyptians1 was joined to the magic art1 it passed1 thus corrupted1 from them to the ,arabians1 where it was rendered still more unintelligible2 and1 in the course of the pilgrimages1 and warlike expeditions to the holy land1 it was imported into ,europe1 during the dark ages of ignorance1 where it was still further vitiated by those impostors who scrupled not to corrupt the christian doctrines1 and to pervert a religion1 instituted to promote the happiness of mankind1 to the purpose of oppressing them1 by erecting1 under the pretence of obedience to its precepts1 a temporal and spiritual dominion over all whom they could intimidate or deceive4 ,in these rude times1 when the nations of ,europe were overwhelmed with ignorance and slavery1 it was not to be expected that ,chymistry could be much reformed4 ,the little learning of that age was confined to the ecclesiastical orders1 who avowedly reprobated all knowledge which was not derived from divine illumination4 ,hence we find the chymical writers of that period boasting of their weakness1 yielding up all confidence in their faculties1 glorying in what they termed poverty of spirit1 which was a state of absolute quietism1 and betaking themselves to the invocation of supernatural assistance1 on which they depended for that information which had been wisely placed within the reach of their natural capacity4 ,an implicit submission to these monkish tenets was1 however1 strictly enforced1 and all who presumed to depart from them1 called forth the severest censures of the catholic church4 ,but1 even in those times of ignorance an ecclesiastic arose worthy of a better age and happier fate4 ,roger ,bacon1 undaunted by the terrors of the church1 boldly attempted to stem the torrent of superstition1 and recal the world to truth and sound philosophy4 ,such of his writings as yet remain1 are composed in a rational1 manly stile1 void of hypocrisy and dissimulation4 ,he leads us to examine the works of nature and of art1 chastly distinguishing those from the sacred truths of revelation1 and clearly demonstrating their united operations to be far more wonderful than the pretended miracles of those who boasted of supernatural assistance1 whom he justly censures as amusing the ignorant with the fumes of drunkenness1 or the ravings of a distempered brain4 ,the age in which he lived was too much depressed to be roused by his vigorous efforts2 and his laudable attempts to emancipate the christian world from that slavish ignorance in which it was held1 were1 for very obvious reasons1 severely censured by the ,roman church3 he was arraigned1 condemned1 and cast into prison1 where he was exhausted by a tedious confinement and severe penance#a1 and soon after fell a victim to the vengeance of his enemies4 ,the papal tyranny having thus prevailed against the strenuous efforts of this rational and intelligent philosopher1 it was easy1 under the pretence of exalted devotion1 to suppress more feeble attempts toward improvement and reformation4 ,but those high pretensions to extraordinary sanctity have been so often used as a cloak1 by men of an intriguing spirit1 that they are now justly deemed suspicious2 and we need only look into the lives and writings of the ecclesiastical chymists to be convinced that they were assumed by them1 to cover their ignorance1 ambition1 and dissolute manners4 ,an overweening conceit of their own opinions1 and an arrogant contempt for those of others1 is1 notwithstanding all their pretensions to humility and self-denial1 the genuine characteristic of those hypocritical writers4 ,thus we find them extolling themselves to the disparagement of all mankind4 ,ye doctors of physick and surgery1 says ,basil ,valentine1 come to me1 a religious person1 and servant of ,god1 ,i will shew you what ye have never seen1 ,i will make manifest to you the way of health and salvation1 which you have not yet known4#b ,in delivering their chymical processes1 an invocation of ,god is the first precept1 and they1 then1 proceed in the name of the ,lord4 ,but not content with having magnified themselves beyond their equals1 they address their disciples in the stile and manner of the founder of the christian religion3 ,i warn you1 says the same ecclesiastical chymist1 my disciple and apostle1 if you would imitate me1 you must take up your cross1 and suffer as ,i have suffered1 and learn to bear persecution as ,i also have done#c3 and having thus made themselves equal with ,god1 they proceeded to disclaim all dependance on the supreme ,being1 declaring1 in their pride1 that1 if ,god would not assist them1 they would rather consult the ,devil than the works of former writers#d4 ,but if the chymists were more intitled to our confidence2 the extravagant praises which they bestow on antimony1 would justly render their evidence suspected4 ,not content with attributing to it an infallible efficacy in the cure of diseases1 they assert its influence over the temper and disposition of the mind1 and seriously affirm that it disposes to probity and chastity4 ,notwithstanding these miraculous effects they scruple not to own that1 in its original state1 it is of a poisonous nature2 but they pretend that they can easily convert the most noxious substances into salutary medicines1 and the mildest nourishment into deadly poison2 and thus is antimony rendered an infallible cure for all diseases1 and honey destructive to the human race#e4 ,the writings of modern physicians are indeed free from those gross absurdities2 yet the high character given1 even by them1 to antimonial medicines1 so greatly exceeds all bounds of probability1 that we shall be justified in witholding our assent1 till it is supported by proofs bearing some proportion to the boldness of their assertions4 ,by the study of mathematics a habit of accuracy and precision is acquired1 and it may be suspected that chymistry leads to credulity2 or else1 some of the modern chymists1 after the example of their predecessors1 have craftily obtained wealth and fame1 by the most criminal practices4 ,upon the whole1 the evidence1 as well ancient as modern1 concerning the superlative efficacy of antimony is to be suspected1 and it is necessary impartially to enquire into its natural history1 chymical analysis1 and medical effects4 ,,section ,,ii4 ,of the ,natural ,history of ,antimony4 ,antimony is of different kinds3 by some it is described a blackish mineral substance staining the hands1 full of long1 shining needle-like stri1 hard1 brittle1 and considerably heavy4 ,it is found in different parts of ,europe1 as ,bohemia1 ,saxony1 ,transylvania1 ,hungary1 ,france1 and ,england1 commonly in mines1 intermixed with earth and stones4 ,sometimes it is blended with the richer ores of silver1 which renders the extraction of that metal difficult1 volatilising a part of the silver1 or1 in the language of the miners1 robbing the ore#f4 ,the ,hungarian and ,transylvanian1 of which little or none comes to us1 is esteemed much the best for medicinal use4 ,the ,english seems of all others the least proper for that purpose1 frequently containing a portion of lead#g1 which is not separable by any of the common methods of purification1 or else the ,english miners are unacquainted with the method of purifying it in foreign countries4 ,the celebrated ,dr4 ,hunter has in his museum1 eighteen curious specimens of antimony1 very different from each other3 some are covered with a white calcareous crust2 some1 in external appearance1 resemble cobalt#h2 others the lead ores2 and others1 those of arsenic2 some are almost perfectly black2 some have red stri1 interspersed throughout the ore1 and others shining spicul like polished steel4 ,but as they have not yet been assayed1 no very probable conjecture can be formed concerning their component parts1 nor of the proportion they bear to each other4 ,chymists have not been sufficiently accurate in pointing out the signs by which the purity of this mineral is to be distinguished4 ,basil ,valentine says1 it is of two kinds which are very different1 one is beautiful and possessed of some of the properties of gold4 ,the other has more of sulphur and not so much affinity to gold1 it is distinguished by beautiful1 white shining stri4 ,the one is much to be preferred to the other for the purpose of the medicine as well as alchymy#i4 ,some direct antimony to be tried by rubbing the powder with a strong dog's tooth upon yellow paper1 where1 if it leaves a red spot it is pure4 ,others order a tincture to be made with spirit of vinegar and evaporated on an iron plate1 and if it leaves a red powder it is reputed good4 ,it is also said to be good1 when it is not spongy1 but heavy1 and when it evaporates by a strong heat#aj4 ,the earlier chymical writers who praise it highly1 scruple not to own that it is1 in its natural state1 a virulent poison4 ,basil ,valentine1 its greatest advocate1 though he admits that it is given by farmers to their cattle1 when they intend to make them fat and smooth2 yet declares it to be truly poisonous1 and strictly prohibits the use of it unprepared4 ,paracelsus1 as well as ,glauber1#aa recommends it as an external application in the cure of cancers1 judging it superior even to arsenic in all corroding diseases1 and expresses his ardent wishes that it should be substituted in place of all other remedies1 that the reproach of the chirurgical art might be removed1 and our humanity might not be offended with such numbers of maimed and mutilated objects#ab4 ,he highly extols its preparations1 and attributes to some of them the power of giving the bloom of youth to decrepit old age1 but strictly prohibits its internal use unprepared1 and treats particularly of the baneful influence of the crude mineral1 in his book on the diseases occasioned by working in mines and in metals4 ,some later writers are silent concerning its noxious qualities1 and others positively assert1 that antimony1 in its crude state1 is not a poison1 but if given from four grains to half a drachm1 an excellent resolvent and purifier of the blood4 ,dr4 ,james in the universal ,english ,dispensatory says1 it is astonishing that so many physicians1 and some of them men of learning1 should so strenuously oppose the introduction of antimony into medicine1 and without any manner of evidence or experience1 treat it as a deleterious poison4 ,for it appears that antimony reduced to powder is neither emetic nor cathartic3 though1 if given in large quantities1 it may perhaps1 by its weight1 gently loosen the belly2 and so far is it from being deleterious1 that it is an excellent alterative in the mange of horses1 and a salutary medicine in some diseases of men as well as cattle4 ,it is therefore astonishing that any instances should occur of patients who have been deserted by physicians1 and afterwards found a remedy in antimony1 administered by quacks1 who do not so much as pretend to any degree of medicinal knowledge4 ,but the arguments drawn from the example of giving antimony in large quantities to horses1 do not prove its innocence in the human body4 ,the crocus metallorum is used by farriers to the quantity of an ounce or two in the day1 yet a few grains of this preparation produce in men the most violent and dangerous effects4 ,the authority of ,basil ,valentine1 which is brought to prove the innocence of crude antimony is also directly perverted1 and the story of his having introduced it into medicine from an accidental observation of its effects upon swine1 is no where to be found in the ,triumphal ,chariot of ,antimony4 ,basil ,valentine1 to whom1 says the same author1 we are obliged for discovering the medical uses of antimony1 first using it internally1 and enriching medicine with many of its preparations1 having thrown away some antimony which he had used in the fusion of metals1 and observing some swine1 who had accidentally eaten it1 to purge considerably1 and afterwards become sleek and fat1 took the hint of trying what it would do in human bodies4 ,but this matter is very differently represented by ,basil ,valentine himself4 ,let mankind1 says he1 be instructed1 that antimony not only purifies and refines gold1 and frees it from all metals and every foreign matter1 but accomplishes the same in men and cattle by its innate virtue4 ,i shall explain this by a rude experiment4 ,if a farmer should set apart any animal1 a hog for instance1 to be fed1 let him give the animal half a drachm of antimony1 for two or three days1 mixed with his food1 so that he may be purged1 by which he will not only acquire an appetite and become sooner fat2 but if he labours under any disease the antimony will expel it#ac4 ,but ,i would not advise any person to give crude antimony to the human race1 as a medicine1 for he that would use it with safety and success1 must first know the method of preparing it1 in which the greatest part of the mystery consists2 and an imprudent physician1 who gives it without this necessary knowledge1 will do more hurt than good#ad4 ,this is not taking a hint from the effects of antimony on swine1 but a direction to give it to those animals when they are to be made fat4 ,it is the more necessary to point out this mistake1 since ,basil ,valentine is quoted by this author1 as having maintained the safety and efficacy of crude antimony1 though he constantly asserts it1 in its natural state1 to be virulent and poisonous4 ,i shall be the first1 says he1 to protest and exclaim against those1 who1 being ignorant of the method of preparation1 give poisons to mankind1 for mercury1 orpiment1 and antimony are poisonous1 and will ever remain so1 unless they are fitly prepared#ae3 and again1 ,if antimony is given without being prepared1 it will quickly kill the patient#af4 ,hence it appears1 though he highly extols the preparations of antimony1 yet he not only exclaims against using it in its crude state1 but ranks it with orpiment1 and declares it poisonous4 ,it may indeed be suspected that the writers of that age went to the opposite extreme1 too easily admitting the poisonous quality of these minerals1 which were the subject of their ,chymical operations1 the more illustriously to display1 among the ignorant laity1 the supernatural powers of their mystical art4 ,yet this difference of opinion1 between the earlier and some of the later writers1 may be otherwise accounted for1 from the present mode of purifying that mineral before it comes into the hands of the ,chymists4 ,it is not improbable it may have been formerly sent to them without any preparation1 but it is now separated from its natural impurities at the mines1 by fusion in an earthen pot1 whose bottom is perforated with a number of holes1 the fusible antimony passing through1 whilst the infusible substances remain behind4 ,the melting vessel is let into another pot1 sunk into the ground1 which serves as a receiver4 ,this last is of a conical figure1 and such is the shape of the loaves of antimony met with in the shops#ag4 ,but some of the modern chymists assert that1 if crude antimony is reduced to so fine a powder that the shining spicul cannot be seen1 its operation is similar to mild kermes mineral#ah1 and ,doctor ,james#ai1 and the author of the ,new ,dispensatory#bj1 the greatest advocates for its perfect innocence1 admit1 that when acid1 alcaline or oleaginous food have been taken liberally1 it has proved violently emetic4 ,it may therefore be fairly concluded1 even on their authority1 that the crude mineral contains such active particles as may1 by accident or mismanagement be rendered extremely virulent4 ,the best modern authors on mineralogy who have carefully examined the antimonial ores1 in their natural state1 affirm that all of them are arsenical2 and some of them were found in ,carls ort1 in the mine of ,salberg1 about the end of the last century1 so similar to arsenical ores as to be preserved in cabinets1 as specimens of arsenical pyrites1 their real nature remaining undiscovered1 till it was explained in the year #agdh1 by ,mr4 ,van ,swob master of the mines1 in a treatise communicated to the royal academy of sciences at ,stockholm#ba4 ,antimony also frequently contains a portion of lead#bb1 the poisonous qualities of which have been clearly demonstrated by the learned ,doctor ,baker in his elaborate critical dissertations on that subject1 published in the transactions of the college of physicians of ,london1 and by the ingenious ,doctor ,percival in his observations and experiments on the poison of lead4 ,,section ,,iii4 ,of the ,chymical ,properties and ,analysis of ,antimony4 ,it appears from ,dioscorides1 ,pliny and ,galen1 that in their time antimony was not chymically examined1 nor used internally though they recommend it as an external application4 ,it is not surprising that modern chymists should differ concerning its constituent parts1 since they cannot be separated without losing something in the operation4 ,their proportions are also various in different specimens of the crude mineral1 a pound of some yielding ten or eleven ounces of regulus1 whilst others scarce afford eight ounces#bc4 ,but whatever may be their opinion concerning the effects of crude antimony1 they are almost unanimous in affirming1 that it contains a portion of arsenic1 which by different management1 may be either converted into an efficacious remedy or a deadly poison4#bd ,it is a fact1 says ,hoffman1 proved beyond all doubt among the chymists1 that antimony is composed of sulphur and a mercurial or arsenical substance#be4 ,the same is asserted by ,stahl4 ,antimony1 says he1 consists of two or three mineral substances1 sulphur1 a portion of arsenic1 and an imperfect metallic matter4 ,that arsenic enters its composition is proved by the red tinge of sulphur of antimony2 its great power of vomiting1 and that sickness of stomach and faintness with which its operation is attended2 by the resemblance of glass of antimony1 to the saturnine arsenical glass2 by its solution in aquaregia1 and many other appearances4 ,but it is particularly demonstrated1 by the purity of antimony1 which is regenerated from regulus and pure sulphur1 which is much finer and milder than vulgar or native antimony#bf4 ,the author of the ,new ,dispensatory1 however1 in opposition to these weighty authorities1 and to the concurring testimony of almost all the chymists1 affirms1 that this opinion1 however plausible1 does not seem to have any just foundation4 ,nothing arsenical1 he says1 has ever been separated from pure antimony4 ,the most violent antimonial preparations are rendered inactive by means which do not lessen the poisonous quality of arsenic1 and the most inactive are rendered virulent by operations in which arsenic would either be dissipated1 or its violence abated#bg4 ,this opinion1 contradicted by the general voice of mineralogical and chymical writers1 since it is not supported by more convincing proofs1 should not have been published in a book intended for the use of every pupil in pharmacy2 if the prevailing opinion of the poisonous quality of antimony should be erroneous1 it cannot affect the lives of mankind1 but if it is well founded1 what words can express the dangerous tendency of a false doctrine so universally propagated6 ,he has not indeed treated this subject with his usual accuracy1 for with ,hoffman and other celebrated chymists1 he elsewhere compares antimony to arsenic1 as well with respect to its virulence1 as the means of correcting it3 ,orpiment1 says he1 from which a perfect arsenic is obtainable in notable quantity1 is when it participates more largely of sulphur1 almost perfectly innocent2 and sulphur1 which restrains the power of the antimonial semimetal1 remarkably abates the virulence of this poisonous mineral also#bh4 ,poppius affirms1 that an impure1 bituminous and arsenical sulphur1 noxious to the eyes1 nose1 and lungs1 with a blue flame and arsenical smell1 which cannot be endured without danger1 is raised during the calcination or sublimation of antimony#bi4 ,glauber also directs antimonial cups to be made for the purpose of communicating an emetic quality to acid liquors1 which according to him produce the same effects as those prepared from orpiment#cj2 ,boerhaave asserts that antimony seems to be of the same nature with arsenic#ca2 ,macquer informs us1 that some of the antimonial ores contain a portion of the same poisonous mineral#cb2 and ,cronstedt affirms that all of them are arsenical#cc4 ,unless therefore those modern chymists1 who assert the perfect innocence of antimony1 expect from us that implicit confidence which their predecessors1 who held a very different opinion1 rigorously exacted1 it cannot1 on their authority1 be admitted that it does not contain arsenic4 ,wonderful as the works are which they have atchieved1 many secrets of nature have escaped their researches1 which may hereafter be discovered1 and many will1 undoubtedly1 elude all human investigation4 ,nor is more credit due to those who assert that all arsenical particles are volatilised1 and carried off by the force of fire2 the crocus1 regulus and glass of antimony containing such subtil virulent particles as must for ever escape observation1 since without losing in any degree their specific gravity1 they impart1 almost inexhaustibly1 an emetic power to wine and other liquors1 and the operation of these essences of antimony1 as they have been emphatically called1 is similar to those of arsenic4#cd ,but although1 in opposition to the testimony of the best chymical writers1 it should be granted that there is no arsenic in antimony1 it cannot be affirmed1 that it does not contain poison1 since by unfolding its texture by the force or fire1 it is rendered highly virulent2 and by the addition of various substances1 in the stomach1 it becomes violently emetic#ce4 ,by those who assert the perfect innocence of antimony1 and extol its virtues1 orpiment is allowed to be a poisonous substance1 and giving it as a medicine1 is declared a practice too dangerous to be followed#cf1 yet it is ranked by ,hoffman with antimony4 ,it ought to be remarked1 says he1 that orpiment was known to the ancient philosophers and physicians1 and universally deemed a poison1 and to this day is sold for arsenic4 ,yet it does not1 when taken internally1 give any molestation1 either by vomiting or purging1 and may be given1 in a large quantity1 to dogs1 without hurting them4 ,but if it is exposed to the fire1 then1 indeed1 it acquires a poisonous quality1 as is also the case with antimony1 which1 though in its natural crude state1 it is rather a medicine than a poison1 yet when melted by fire it exerts a violent emetic power#cg4 ,crude white arsenic1 the most virulent poison of that tribe1 is not always baneful#ch4 ,it is now more than twenty years since it was taken in large quantity by four persons1 on whom it had no other effect than1 what is usually produced by antimonial preparations1 to excite violent vomiting4 ,all of them were lately1 and1 ,i believe1 are still in perfect health4 ,to this ,i was an eyewitness1 and took large lumps of white arsenic out of the pot in which their victuals were prepared4 ,it happened at ,kelso1 in the shire of ,roxburgh1 and is well known in that country4 ,i was a few years afterwards1 desired to visit a gentleman in ,northumberland1 who had taken white arsenic3 it operated in the same manner1 and for several years after this accident he continued in his usual health4 ,thus far does arsenic resemble antimony1 but their affinity is still more strongly asserted by ,hoffman4 ,while1 says he1 the sulphureous part of antimony is intimately combined with the arsenical or reguline#ci2 it cannot exert its violence4 ,for mineral poisons cannot act or become noxious1 till the poisonous parts are freed from their union with those which correct their virulence4 ,but that mineral sulphur has a power of correcting poison1 is clearly proved by that experiment which shews1 that arsenic1 the greatest poison1 being melted on a slow fire1 with an equal portion of mineral sulphur1 is converted into a mass1 almost void of virulence2 and if regulus of antimony is fused with an equal portion of the same sulphur1 it immediately loses its drastic power#dj4 ,this theory probably introduced an arsenical medicine into practice at ,berlin1 where ,hoffman1 who was physician to the king of ,prussia1 resided4 ,newman1 professor of chymistry and director of the ,royal ,elaboratory and ,dispensatory in that city1 observes1 that chymistry is capable of converting sundry poisons into remedies2 thus the virulent antimonial regulus is changed1 by that art1 into the mild diaphoretic antimony2 and some have been hence induced to imagine1 that arsenic might also be corrected and rendered safe1 and have even ventured to put so dangerous a speculation in practice4 ,a preparation of arsenic with nitre has been actually sold at ,berlin1 and in other places1 under the title of a specific febrifuge#da4 ,there is1 in many instances1 a strong analogy not only between antimony and orpiment1 but the more virulent poison of white arsenic2 and those who have been bold enough to use that poisonous mineral as a medicine1 have found1 in its preparations1 a more certain and efficacious remedy than in those of antimony4 ,the illustrious ,stahl gives some account of a famous fever powder1 which obtained great reputation in ,germany1 and was used by most of the nobility in his neighbourhood4 ,this celebrated chymist does not deny its great efficacy1 but1 alarmed by a suspicion of poison in its composition1 earnestly declaims against its use3 it was at length acknowledged to be a preparation of white arsenic#db4 ,the same fever-powder1 or a similar preparation1 was used1 with great success1 by the ,german ,physicians and ,surgeons1 in the late ,flanders war4 ,it was also introduced among the ,english1 but the late ,mr4 ,pringle1 ,inspector ,general of the ,british hospitals in ,flanders1 on whose authority this fact is related1 alarmed at the danger and uncertainty of this remedy1 ordered all the preparations of it to be destroyed4 ,this gentleman acknowledged it had proved successful1 but dropsies and visceral obstructions1 which sometimes followed the fevers in which it was given1 were1 perhaps unjustly1 ascribed to its use4 ,some account of an arsenical fever-powder is given by ,doctor ,werlhoff1 late physician to his ,britannic ,majesty at ,hanover4 ,he mentions its being recommended from successful experience by ,michael ,friccius#dc1 who had used some drachms of it1 and by ,sleuogtius#dd1 who had given it with safety in fifty cases1 but1 notwithstanding these and many other recommendations1 he expressly condemns this dangerous remedy#de4 ,lemery also affirms1 that many diseases have been cured by giving four grains of white arsenic in a large quantity of water4 ,it operates1 according to this intelligent chymist1 by vomiting1 in the same manner as antimony4 ,but he highly disapproves of using it as an internal remedy#df4 ,poisons having been lately strongly recommended for the cure of many obstinate diseases1 and generally adopted in practice1 the dread of them1 wisely implanted in our nature1 is in a great measure banished2 and such is the influence of novelty and fashion1 and so much has prejudice prevailed1 that one of the most eminent physicians in ,europe has been disgraced for exposing a practice fraught with danger1 and supported by misrepresentation#dg4 ,but though the strong proofs of the poison of antimony1 drawn from its natural history and chymical analysis1 should be rejected by prejudice or scepticism1 yet the easy transition of this mineral1 by the simplest processes and slightest accidents1 from a salutary medicine to a deadly poison1 has not yet1 been seriously denied4 ,it is found by chymists generally to contain mercury1 arsenic1 lead1 sulphur1 and sometimes copper1 silver1 and other metals#dh4 ,when it is melted by fire1 or deflagrated with half its weight of nitre1 it becomes a poison4 ,but if antimony1 or its regulus1 is mixed with an equal portion of common salt1 and calcined with a gentle heat1 stirring it constantly1 and afterwards washing it with pure water1 it becomes a gentle diaphoretic4 ,the mildest preparation of antimony2 its white calx1 which may be safely taken to the quantity of some drachms1 if melted with an equal portion of nitre1 a little powder of charcoal1 and a small quantity of animal fat1 is immediately rendered poisonous4 ,if antimony is melted with a fourth part of salt of tartar1 a salutary medicine is obtained2 but if the same process is performed with two or three times that quantity of the salt1 so nice is the management of this wonderful mineral1 in place of a medicine it becomes a poison#di ,when antimony is combined with other medicines1 as it frequently is by practical physicians1 unless the composition is directed with chymical skill1 it may be so changed1 or1 in the language of the chymists1 decomposed1 as totally to alter its usual qualities4 ,by marine acids the activity of antimonials is increased1 and they are rendered corrosive1 or virulently emetic and purgative2 but by the addition of the nitrous acid this virulence is diminished or destroyed1 and they become mild diaphoretics#ej4 ,such being the uncertainty and variety in the operation of antimonial preparations1 it cannot be improper1 since they are now in common family use1 to lay before the public the objections against the general application of them1 which arise from the accurate observations of the best chymists1 and most experienced physicians2 since it is not improbable1 that many who deal them out with a liberal hand1 and with the most charitable and benevolent intentions1 would dread the danger of a drug1 which though published as an infallible remedy1 may1 without great skill and precision in the direction of it1 in place of a remedy become a poison4 ,but the ultimate decision of this point must depend on the real effects of antimonial medicines on the human body1 which are therefore now to be considered4 ,,section ,,iv4 ,of the preparations of antimony1 and their medical effects4 ,the limits to which dissertations of this kind ought to be confined will not permit us to enter into a minute detail of the various antimonial preparations which may be found in every dispensatory4 ,those in most frequent use are calx of antimony1 crocus of antimony1 antimonial wine1 tartar emetic1 and kermes mineral4 ,the virtues of calx of antimony are variously represented by different writers1 some ascribing to it the power of an excellent diaphoretic1 others asserting that it even proves violently emetic1 and others1 among whom is the great ,boerhaave1 declaring it a mere inert earth intirely destitute of all medicinal virtue4 ,the ,college of ,physicians of ,london1 who had formerly directed this preparation1 under the title of diaphoretic antimony1 thought proper1 because of the various opinions concerning its operation1 to change its name to that of calx of antimony1 till its medicinal qualities should be better ascertained#ea4 ,these different judgments can scarce be supposed to have been delivered by competent judges concerning the same medicine1 but may be accounted for from the different manner in which the process for making the calx may have been conducted4 ,the common nitre1 with which it is prepared1 contains some portion of sea-salt1 and when that abounds1 the proportion of nitre being less1 the calx may prove an active remedy#eb4 ,if it is not sufficiently calcined1 or perfectly freed from the reguline parts by washing1 such of these as remain1 may produce more sensible effects than are to be expected when it is duly prepared1 and hence perhaps proceed the contradictory opinions of chymists and physicians concerning this antimonial preparation4 ,but the assertion of its being a mere inert earth1 is not well founded1 since a small dose of it sometimes produces violent effects2 and it may be reduced by fusion1 with inflammable fluxes1 into pure regulus4 ,it enters the composition of a medicine described by the judicious ,doctor ,morton1 with which1 in three instances1 he cured an obstinate intermitting fever4 ,in one case the disease was of two years standing1 and in all of them had resisted a diligent and skilful application of the ,peruvian bark4 ,but these were the only opportunities he had of trying it2 for having never met with any other case in which that excellent febrifuge disappointed his expectation1 he deemed it an unpardonable wantonness to use a precarious remedy1 while he was possessed of one more certain and efficacious#ec4 ,it is also recommended by ,van ,swieten in the peripneumony1 as a deobstruent and expectorant#ed4 ,crocus of antimony is made by deflagrating equal parts of antimony and nitre3 it operates as a violent emetic when given from two to six grains4 ,a preparation of this kind1 recommended to the ,london ,college of ,physicians by one of their own members1 under the title of milder crocus of antimony1 as a medicine of mild operation and eminently efficacious1 was inserted in their ,dispensatory2 but the committee appointed to review and correct it having had some comparative trials reported to them of this and the common crocus1 which rendered them dubious of their effects1 were induced to leave the matter to be further examined#ee4 ,it is seldom prescribed3 but an extraordinary cure is said to have been performed by the milk of an ass that had drank water in which it was accidently infused#ef2 and from such an improbable story1 an eminent physician was induced to use the milk of a goat which drank the same kind of water4 ,antimonial wine was formerly ordered1 in the ,london ,dispensatory1 to be made1 by infusing an ounce of powdered glass of antimony in two pints of claret2 and is commended by ,salmon1 as a strong vomit1 under the name of vinum rubellum4 ,the vinum benedictum is made by infusing an ounce of crocus metallorum in a pint and an half of ,spanish white wine4 ,a third form is1 to digest two ounces of regulus of antimony in three pints of white wine4 ,this last preparation is declared by ,salmon to be an excellent medicine in fevers and agues1 and in obstructions of the bowels1 emptying them of all evil humours4 ,it perfectly cures the falling-sickness1 convulsions1 cramps1 gout1 sciatica and almost all other disorders4 ,another tincture of antimony is directed by the same author1 and is said1 on account of its many virtues1 to be a gift sent from ,god4 ,it cures the plague and all pestilential fevers4 ,a tincture of antimony is also directed by ,basil ,valentine1 eight drops of which are said to be a remedy for all diseases4 ,the simple infusion of crocus1 glass1 or regulus of antimony in wine1 if not more efficacious1 is at least less dangerous than those preparations which are made by more elaborate chymical processes1 since the accuracy and attention of those who prescribe it1 will not so readily be defeated by the carelessness or ignorance of an operative chymist4 ,but though it may be given with greater safety than other antimonials1 yet the extravagant encomiums bestowed upon it are contradicted by the testimony of the faithful1 attentive and judicious ,sydenham4 ,that candid physician expresses his wishes1 that instead of the infusion of crocus of antimony1 we had safer vomits sufficiently efficacious4 ,when called to infants1 and observing a vomit indicated1 whereby they might have been preserved from danger1 he durst not give this infusion for fear of bad consequences4 ,he was cautious of giving it1 even to grown people1 though1 when plentifully diluted1 he found no ill effect from it2 but he positively declares that1 in a continued fever1 it is by no means safe to give it to children under the age of fourteen2 and expects no other benefit from it1 than what might be obtained by milder emetics#eg4 ,but the obsolete opinions of the universal efficacy of antimonial wine1 although expressly contradicted by the chaster judgement of ,sydenham1 were again revived in their full force by ,dr4 ,huxham4 ,in the year #agcg he recommended the vinum benedictum1 in a manner that might rather have been expected from the mystical chymists1 in times of ignorance and superstition1 than from an able and experienced physician1 in a liberal and enlightened age#eh4 ,as he had obtained much influence and authority in his profession1 his earnest recommendation could not fail widely to extend the use of this medicine in regular practice2 and when further experience induced him to speak of it in more moderate terms1 and physicians to look out for less precarious remedies1 a new and infallible antimonial medicine1 known by the name of the fever-powder1 was published1 which brought us again back to the abuse of antimonial preparations1 which had already been often exploded4 ,that which next became fashionable1 as having the greatest supposed resemblance1 in its operation1 to the celebrated fever-powder1 was tartar emetic4 ,it is prepared by boiling equal quantities of washed crocus of antimony and crystals of tartar in water4 ,this1 as being soluble in liquids1 is said to be less precarious in its effects than the other solid preparations2 yet the strength of it greatly depends upon the manner of conducting the process1 for some of the tartar1 in the ordinary method1 will be apt to shoot by itself1 retaining little of the crocus4 ,some have therefore advised1 as soon as the solution is filtered1 to carry the evaporation much further than is usually done1 if not to the total exhalation of the liquor#ei4 ,its effects1 however1 are uncertain1 six or eight grains sometimes proving a mild emetic2 though in other cases1 ,i have seen half a grain operate so severely as to bring on violent convulsions1 and ,newman has known three or four grains prove mortal4 ,fatal consequences have also happened from want of attention to the different methods of preparing this medicine4 ,a ,dutch physician1 being accustomed to an emetic tartar made with salt of tartar1 which was given in doses of ten1 twelve1 or fifteen grains1 prescribed a like dose from a ,german shop1 by which the patient vomited to death#fj4 ,kermes mineral1 a preparation similar to golden sulphur of antimony1 has been vended as a quack medicine in ,france and ,germany1 under the title of ,mineral ,centaury1 ,kermes or ,alkermes ,mineral1 or ,poudre des ,chartreu1 and in ,england by that of ,wilson's ,panaca1 and ,russel's ,powder4 ,the king of ,france was at length persuaded by ,m4 ,dodart1 his first physician1 to purchase it from ,m4 ,la ,ligerie1 a surgeon at ,paris1 and it was made publick in the year #agbj3 but1 like all other catholicons1 has lost its consequence since the secret has been divulged1 and the medicine found to be a well-known preparation described by ,glauber1#fa and the elder ,lemery4#fb ,how long this medicine was used by the mystical chymists cannot be known1 since they seldom communicated any of their processes excepting for a valuable consideration1 and under the strictest obligation to secresy4 ,but ,cristopher ,farnner1 who was a humble retainer of ,glauber's1 on the small stock of chymical knowledge which he had gleaned from him and from a servant whom he seduced to betray his master and discover his secrets1 attempted to become his rival1 and set the process for making the golden sulphur of antimony to sale1 at the price of thirty rixdollars4 ,glauber1 incensed at his treachery1 published his own improved method of preparing this medicine1 which he calls a ,panacea of common antimony1 and it has since under different names1 and with some variation1 been transcribed into most of the chymical books#fc4 ,according to ,geoffroy1 as well as the earlier chymists1 it was esteemed an universal medicine4 ,it sometimes vomits1 often purges1 and generally operates by sweat and urine2 in a word1 says this celebrated writer1 it promotes the feveral evacutions1 according to the different channels by which nature may be disposed to throw of the vitiated humours4 ,it is recommended in the small-pox and measles1 in obstinate autumnal intermittents1 in spitting of blood1 and other pulmonary complaints1 in chronic diseases arising from obstructions in the bowels1 in dropsies and in the bloody-flux4 ,it is made by boiling antimony repeatedly in water1 with a certain proportion of alcaline salt1 and owes its virtues to a portion of regulus being rendered soluble in water#fd4 ,but this manner of preparing it is condemned by ,hoffman2 who affirms1 that the reguline or arsenical parts are not sufficiently sheathed by the sulphureous1 as appears from many circumstances which he mentions1 but especially from its violent emetic quality4 ,he recommends a different process1 by which he supposes the sulphur to be so blended with the reguline1 or arsenical particles as to render it a mild and effectual diaphoretic4 ,the fate of antimony and its preparations has been as various as the reports concerning their efficacy are contradictory4 ,they have been ranked among the wonders of the world1 and their virtues extolled beyond all probability4 ,they have again been proscribed as baneful1 and prohibited under the severest penalties4 ,those who used antimony in ,rome were sent to the gallies4 ,it was prohibited in ,france by an edict of parliament in #aeff2 and in #afji a physician was expelled the faculty of ,paris for prescribing it4 ,the edict was repealed in #afej1 and it was again received into the number of purgatives2 but this having been found inconvenient or dangerous1 its general use was prohibited by a new edict in #affh1 and it was only permitted to be prescribed by ,doctors of the faculty4 ,the opinions of different authors on this subject have not been more various than those of the same person at different times4 ,in the year #agcg ,dr4 ,huxham asserts1 without reserve1 that no medicine is more safe or more efficacious than ,vinum ,benedictum1 which1 from a supposition of its possessing all the powers of this mineral1 he calls essence of antimony#fe4 ,but after almost twenty years further experience1 he declares1 whoever would give antimony with safety and success1 should be well acquainted with its analysis and component principles1 and should know what different combinations1 preparations1 and doses1 will effect1 otherwise it may prove a poison instead of a remedy#ff4 ,from what has already been advanced1 it will not be difficult to account for these contradictory reports4 ,different specimens of antimony when dug out of the mines are not made up of the same component parts2 and it is so changed by fusion1 that different pieces of the same lump are not of equal virtue#fg4 ,there are few antimonial preparations which may not be made by various processes1 none of which can be conducted with such accuracy as uniformly to produce a medicine of invariable strength1 and their operation is rendered yet more precarious by their combination with a variety of humours1 food1 drink and medicines in the stomach4 ,but since no judgment can be formed from the opposite and contradictory opinions of others1 it may now be proper to mention the result of my own experience and observation4 ,in one instance1 ,i have seen a dangerous pleuritic fever1 of seven days standing1 accompanied with an incessant cough1 a hard1 full1 quick pulse1 laborious breathing1 and violent pain in the breast1 perfectly cured in a few hours by the use of antimonial wine#fh4 ,a dropsy of two years standing1 occasioned by a tedious remitting fever1 and accompanied with an obstruction in the liver1 which had withstood the diligent application of a variety of medicines1 under the direction of several skilful practitioners1 was cured in a few days by a medicine which owed its efficacy to tartar emetic#fi4 ,an obstinate dysentery1 which had long resisted many other methods of cure1 was perfectly removed by two doses of the vitrum antimonii ceratum4 ,encouraged by these signal instances of the efficacy of antimonial medicines1 and by the universal prejudice in their favour1 ,i have used them in many thousand cases1 but never1 even in slighter diseases with the same success4 ,when given with much attention and caution1 they have generally failed where milder medicines have proved effectual1 and in some instances they have been prejudicial4 ,in a recent dropsy and visceral obstructions occasioned by a remitting fever1 tartar emetic was prescribed not only without success1 but with an apparent aggravation of the symptoms1 which were afterwards perfectly removed by the use of ,peruvian bark1 snake-root and rhubarb#gj4 ,i have been desired to visit children and some grown persons in fevers1 attended with convulsions1 which were1 with good reason1 attributed to the misapplication of antimonials1 and in one case an imprudent use of them was judged to be the cause of death4 ,though it is asserted that antimonial preparations may be so directed as to vomit1 purge1 or sweat according to the intention of the prescriber1 yet those who have had much experience will not obstinately defend the assertion1 since nothing perhaps is more difficult than to foretel their effects when administered alone4 ,if they are combined with other medicines their operation may be more certainly directed1 since by opium they may be determined to the skin1 by senna or manna they may be carried off by the intestines1 and by an addition of ipecacuan or oxymel of squills they may be rendered emetic4 ,but much prudence and skill are requisite in conducting the operation of these compound medicines4 ,for tho' no danger were to be apprehended from joining antimonials with emetics or purgatives1 yet1 by unskilful combinations1 the peculiar efficacy of antimony may be destroyed2 and by opiates those virulent particles may be retained1 and prove noxious1 which would have been carried off1 without any other inconvenience than what might arise from the violence of their operation4 ,upon the whole1 the evidence in favour of antimony and its preparations is too slight to justify the exaggerated encomiums with which it has been extolled3 it contains in its crude state1 and in all its preparations1 such virulent particles as may1 by slight accidents1 become poisonous in the stomach3 well-attested instances of remarkable cures performed by it are few2 cases in which it has failed or been prejudicial1 numerous2 the reports of chymists and physicians concerning it are various and contradictory2 its effects are precarious1 and more skill1 experience and attention requisite to conduct its operation than are to be expected among the generality1 even of regular practitioners#ga4 ,it is therefore very improper for common use2 and as there is no certain rule to direct the management of it1 every physician must form his judgment by comparing his own observations with the opposite and contradictory assertions of others4 ,it would be imprudent to reprobate a medicine which1 in some instances1 has certainly performed such cures as are seldom obtained by milder methods4 ,no bounds are to be fixed to discreet and experienced practitioners1 who1 on mature deliberation1 may determine the propriety of hazarding1 in particular circumstances1 a violent and precarious remedy1 and can conduct its operation with skill and sagacity4 ,yet the present indiscriminate use of antimony1 which is now grown up into a fashion too formidable to be attacked with much hope of success1 must1 after a candid and impartial examination1 be condemned as pernicious4 ,,section ,v4 ,of the ,secret ,antimonial ,medicines1 and particularly of the fever-powder4 ,if the difficulty of conducting the operation of antimony1 renders the general application of it1 in regular practice1 dangerous1 it must1 as a secret remedy1 in the hands of those who have no medicinal skill1 be still more pernicious4 ,but as some secrets1 now1 universally extolled1 are avowed1 by their proprietors1 to be preparations of antimony1 let us next proceed to examine their claim to the high character which they have obtained4 ,for this purpose the fever-powder may be selected1 since if the impropriety and danger of its general use should be demonstrated1 the arguments in favour of less celebrated secrets will not require a serious refutation4 ,unpleasing as the task may be1 and however odious1 to some1 it may render the man who undertakes it1 yet the great importance of life and health requires1 that the precepts of the most illustrious physicians should not pass without examination1 nor secret and mysterious remedies be adopted with implicit faith4 ,the devout solemnity with which the fever-powder is ushered into the world1 the exorcisms against detractors and malicious persecutors1 and the invocation of ,god to support his own work1 being in the usual stile of the mystical chymists1 require no comment4 ,as there may be some1 says the ,inventor1 whose lucrative views may tempt them to persecute me1 and the method ,i propose1 with all the detraction and falsehood which may be expected from self-interest and unprovoked revenge1 these ,i shall advise to save themselves a good deal of unnecessary trouble1 and to let it alone2 for if it be of men it will come to nought1 but if it be of ,god ye cannot overthrow it#gb4 ,when magical chymistry and superstition reigned over the dark ages of ignorance1 this charm would have secured it from all enquiry4 ,but as the sober light of religion and philosophy hath now illuminated the world1 and displayed the absurdity of that servile bondage which obstructed all improvement1 we may1 notwithstanding this solemn prohibition1 with candor and modesty1 proceed to examine the real merit of this boasted arcanum4 ,the process for making it has been carefully concealed1 while its being an antimonial preparation1 hath1 with industry and ostentation1 been universally published4 ,from the view which has already been given of the natural history of antimony1 its analysis and chymical properties1 its preparations and their medical effects1 it has1 ,i think1 been clearly proved1 that however efficacious it may have been in particular circumstances1 and under judicious management1 yet there is not1 in unskilful hands1 a medicine more dangerous and destructive4 ,by a judicious regulation of the doses of different preparations of antimony1 by guarding against the pernicious effects which might arise from the virulent particles which it contains1 by directing such food1 drink1 and medicines as may promote its salutary operation1 and prohibiting those by which it might be rendered noxious2 skilful and experienced physicians have been able1 in singular instances1 to render it a safe and efficacious remedy3 but when it has been accidentally or imprudently given in too large doses#gc1 or joined with such food or medicines as excite its poisonous qualities#gd1 it has not only proved too violent in its operations1 but has been productive of fatal consequences4 ,had1 therefore1 the ,inventor discovered a method of divesting this ,proteus-like mineral of all pernicious qualities1 and rendering it a medicine invariably safe and efficacious1 however combined with other remedies1 or mixed with a variety of humours1 food1 and drink in the stomach1 his powder would have been more proper for common use1 and might have been trusted1 in unskilful hands1 with less danger1 than other antimonial preparations4 ,but it does not in this respect lay any claim to superiority4 ,supposing1 says the ,inventor1 physicians perfectly well skilled in the preparation and uses of it1 that knowledge will inform them1 that nothing can be added to it that will in any degree increase its virtues2 or rather that no addition can be made to it that will not diminish them#ge4 ,by this frank declaration we understand that the fever-powder retains the mutability of antimony1 and is1 from slight accidents1 changed from a salutary medicine to a noxious substance2 and hence proceeds the ,inventor's anxiety to prevent improper combinations4 ,but the dread of dangerous consequences1 or some other cause1 has led him unwarily and inconsistently to depreciate his powder1 and reduce it below all other antimonial preparations2 for though by certain additions the virtues of antimony may be diminished1 yet by others they may be improved2 and this1 it is probable1 from the known properties of that mineral1 will also hold with the fever-powder1 although the contrary is here expressly asserted4 ,but1 lest the assertion should give unfavourable impressions1 it is immediately retracted2 and we are told that1 occasion may sometimes occur of employing1 advantageously1 a regimen1 or even medicine1 when judgment directs and integrity presides#gf4 and again3 ,it sometimes happens1 when little or no putrid bile is contained in the stomach1 bowels1 c4 c4 that the powder1 though given in the largest doses1 will have no sensible operation of any kind whatever4 ,in these cases half1 or a whole paper should be repeated every four or six hours4 ,but on those occasions1 it will be proper to procure two stools in twenty four hours1 either by a clyster1 which is the most easy way1 or by giving1 with every dose of the powder1 from five to ten grains of rhubarb#gg4 ,but in some constitutions where a putrid bile has very much abounded1 and for this reason the stimulus of the medicine1 added to that of the bile1 has been apt to operate more than was sufficient1 it has been necessary to reduce the dose so low as two or three grains#gh3 and thus1 after a series of contradictions1 the fever-powder1 as might have been expected1 is declared to require the addition of other medicines1 and to be as uncertain in its operation as other antimonials4 ,these contradictions are suspicious1 but if the efficacy of the medicine is confirmed by authentic facts1 the ,inventor may still be intitled to our confidence2 and for this purpose some cases are related in which it was successfully used3 the first is that of ,mrs4 ,morton1 on which it is remarked1 that many gentlewomen were present during her whole disorder1 saw her take the medicine1 observed the effects1 and are ready to give their testimony to the truth of what has been asserted4 ,from what has been advanced on this subject1 it clearly appears1 that the operation of antimony is precarious1 and its effects uncertain4 ,not only the most skilful physicians have given various and contradictory opinions concerning it1 but the judgment of the same person has varied at different times#gi3 it is not therefore to be expected1 that a fact1 which has not yet been agreed upon by the most intelligent and attentive practitioners1 should be ascertained by these charitable gentlewomen1 who1 however sincere and humane their intentions might be1 cannot be supposed to have any pretensions to that critical and discriminating skill which is necessary to determine a question so intricate4 ,the ,inventor therefore1 in offering to the publick a proof so incompetent1 must have relied on that credulity which1 though generally abused1 is still continued4 ,but though the cases had been attested by competent judges1 yet the inferences in favour of the powder are not warranted by the circumstances related4 ,thus ,mr4 ,french of ,st4 ,albans street1 late ,surgeon of his ,majesty's ship the ,levant1 8having given tartar emetic and other medicines unsuccessfully1 prescribed the powder on the fourth day of the fever3 it was continued on the fifth1 and on the evening of that day1 the fever being entirely removed1 on account of the lowness and weakness of the patient1 a drachm of bark was given every hour in a glass of ,madeira#hj40 ,the misrepresentation1 in this case1 is evident1 since the cure must be attributed1 by candid and intelligent judges1 not to the powder1 but to the bark and ,madeira2 and the slovenliness of the deception is an insult to the credulity of the publick1 as this is perhaps the only instance in which it has been pretended1 on account of lowness and weakness1 to give every hour a drachm of bark in a glass of ,madeira4 ,these are not the only circumstances in which the evidence is deceitful2 successful cases are industriously published1 while those ending fatally are carefully concealed4 ,the medicine is frequently given in slight disorders which could not1 even by improper management1 be rendered dangerous1 and when the sick recover1 its praise is loudly proclaimed4 ,those who use it often become insensibly interested in advancing its reputation1 and are not only incompetent judges1 but partial in their testimony4 ,thus some who1 with horror and remorse have applied for assistance1 accusing themselves of murder1 and vowing1 for ever1 to renounce quackery1 have afterwards triumphed and assumed the credit of cures of which they had absolutely despaired1 though the sick were1 by other means1 rescued from the danger incurred by the severe operation of this violent remedy2 while others1 shocked by the fatal consequences of their facility and misplaced confidence1 wish to banish it for ever from their remembrance4 ,the cases must therefore be dismissed as insufficient to justify the claim of infallibility to this antimonial preparation4 ,a proof of its salutary influence is attempted to be drawn from the bills of mortality4 ,fewer having1 on an average1 died in the space of thirteen years1 from the year one thousand seven hundred and fifty1 to the year one thousand seven hundred and sixty-three1 than in the preceding thirteen years2 this decrease in the funerals amounting to sixty-two thousand1 two-hundred and sixty-six1 is attributed to the fever-powder#ha4 ,it might with some plausibility be objected1 that the bills of mortality being collected from the reports of incompetent judges1 cannot be admitted as proper evidence of the fact2 but as no extraordinary skill seems necessary for the employment1 and as the bills cannot be supposed to be made up with any partial intention1 this argument must be admitted2 and if the deaths1 by fevers1 shall be found to have decreased1 in so great proportion1 since the powder has been in general use1 its reputation will be established by the most desirable evidence4 ,in collecting this proof1 the whole circle of disorders1 accidents and casualties has been calculated1 though the powder was then only recommended for fevers4 ,it has1 indeed1 been since extended to other diseases1 but our examination shall be restricted to fevers1 during the period to which the ,inventor refers4 ,though some of the cases which he relates happened in the year one thousand seven hundred and forty-one1 yet the medicine was not much known till one thousand seven hundred and fifty1 the ra from which its auspicious influence on the bills of mortality is dated4 ,but antimonial medicines were more in fashion before the powder came into general use1 than at any future time4 ,dr4 ,huxham having1 in the year one thousand seven hundred and thirty-seven1 recommended1 in the highest strain of panegyric1 the vinum benedictum1 it was universally adopted1 though expressly condemned by the ,inventor of the fever-powder4 ,great numbers1 says he1 of those whose employment it is to attend the sick1 cunningly exhibited to their patients something1 which they asserted was like the fever-powder1 and would do as well4 ,i leave it to the relations of those who took the something1 to judge the consequence1 for ,i suppose few or none of them who were thus treated survive#hb4 ,the something1 it is well known1 was essence of antimony or tartar emetic1 medicines under the direction of prudent practitioners1 similar in their operation and in their effects1 not only to each other1 but also to the fever-powder2 and though the ,inventor has perhaps too much indulged his indignation against his competitors in the antimonial trade1 yet his general position1 concerning the fatal consequences of the universal administration of antimonial medicines1 is well supported by the evidence to which he has appealed1 the bills of mortality having greatly increased during the prevalence of that practice4 ,the numbers of those who died of fevers from the year one thousand seven hundred and thirty-eight1 to one thousand seven hundred and fifty1 including a series of thirteen years1 is fifty-five thousand four hundred and ninety1 and those in a like series of years1 immediately succeeding1 is thirty-six thousand three hundred and seventy-two2 consequently nineteen thousand one hundred and eighteen fewer have died in the latter than in the former period1 and this has1 with some appearance of justice1 been urged as a proof of the efficacy of the fever-powder4 ,but if this decrease in the funerals were actually owing to that medicine1 it should have been still more observable in the last ten years1 when the powder has been more universally used4 ,but1 in that period1 thirty-five thousand four hundred and ninety-four have died1 and consequently1 the number of deaths1 by fevers1 have increased eight thousand seven hundred and eighty2 and if inflammation1 rash1 and sore-throat1 which were included in the former calculations1 are added1 the number will amount1 nearly1 to ten thousand1 and therefore1 on an average1 one thousand1 or near one-third more have died1 of fevers1 every year1 in the last ten years1 while the medicine has been universally used1 than in the thirteen immediately preceding4 ,the proof1 therefore1 from the bills of mortality is fatal to the fame of the fever-powder1 and the decrease in the funerals during the thirteen years to which the ,inventor appeals for the success of his antimonial powder1 must be attributed to the desertion of the antimonial practice1 and not to its prevalence4 ,but an appeal to the sum-total of the funerals1 to prove the efficacy of the fever-powder1 is unfair and inconclusive1 since a great number of deaths happen from disorders1 accidents and casualties with which it cannot possibly have any connection4 ,that it might have a fair trial1 our calculation has been restricted to fevers2 and if the other diseases1 in which it is recommended1 had been included1 the evidence would have been still more unfavourable4 ,another argument in favour of the powder is1 if it had not been attended with general success1 it could not1 amidst the opposition of ,physicians1 have grown into reputation4 ,but transitions1 from the highest approbation of antimony1 to the absolute condemnation of it1 have been so frequent1 and are so familiar to those acquainted with its history1 that no conclusion can be drawn from its casual reputation1 or transitory condemnation2 and since1 in the course of our enquiry1 no advantage has been taken of the penal laws enacted against its use1 nor of the public edicts by which it has been prohibited1 neither can any concession be made on account of the transient applause1 artfully1 obtained to some of its preparations4 ,as to the opposition of physicians1 the ,inventor1 indeed1 that the prophecy with which he set out might be fulfilled#hc1 complains1 that all laws human and divine1 have been trampled upon in opposing him2 that he has been persecuted with malice1 rancour1 virulence1 detraction and unprovoked revenge1 and that his enemies have not only sacrificed candour1 honour1 truth and reputation1 but even the lives committed to their care1 in order to discredit his boasted arcanum#hd4 ,were we not witnesses of his triumph1 we should naturally conclude that he had suffered as a martyr in the cause of truth and humanity4 ,yet we find1 in his ,dissertation1 many cases in which the powder was given under the sanction of eminent physicians1 and these1 too1 produced by the author1 in proof of its efficacy2 though by his own account of the medicine1 it is of all others the most improper to be used without an accurate knowledge of its composition1 and cannot therefore be prescribed by physicians on any justifiable principles2 although they may1 from facility or complaisance1 yield to the importunity and prejudice of the sick or their relations1 and assent1 even against their better judgement1 to its administration4 ,when the fever-powder is given1 says the ,inventor1 no other medicine should be taken either with it1 or during the course of it4 ,for want of this caution many have perished4 ,for it may be depended upon1 that in the state of credit in which it has at present the honour of standing amongst many of the medicinal worthies1 nothing is meant by any addition1 but to counteract or discredit the powder at the expence of the patient's life4 ,it is usual for them to say1 that they are acquainted with the preparation of the medicine1 or that they cannot use a medicine that they do not know1 just as either favours the present intention and purpose4 ,now let us suppose they do not know it1 which is very true2 by what conjuration1 magic1 or inspiration are they taught a method of improving1 by adding something to a medicine1 of which they are so totally ignorant1 that they choose to suffer their friends to perish rather than employ it#he4 ,it may be left to the ,author to explain how those physicians1 who do not use the powder1 kill their friends1 by adding something to counteract or discredit it1 while from his own declaration1 we may fairly conclude that those who do use it1 must1 in his opinion1 be destitute either of judgment or integrity4 ,for supposing them1 says he1 perfectly well skilled in the preparation and uses of it1 their behaviour is1 for this very reason1 abundantly more infamous4 ,for the same knowledge would inform them1 that no addition can be made to it that will not diminish its virtues#hf4 ,but so far is this heinous charge of committing murder to discredit the powder from being supported by any shadow of proof1 that physicians1 on the contrary1 have been complaisant to excess1 or culpably indolent1 in suffering the many misrepresentations concerning this medicine to pass uncensured and unexposed2 and those who1 from the most laudable principles1 have refused to adopt it1 are wanting to themselves1 to their profession1 and to the public1 in neglecting to explain the honourable principles on which they have acted2 while others from different motives1 which they can best justify to themselves1 have acquired fame and fortune by a studied compliance with the popular prejudices in favour of this fashionable remedy4 ,in the course of more than twenty years practice1 though ,i have never prescribed this medicine1 yet1 ,i have not1 after fairly declaring my opinion1 opposed its being given1 when desired by the sick or their relations2 and as the cure1 where ,i have been concerned1 has been wholly committed to it1 without the addition of any medicine1 or even regimen1 excepting what is prescribed in the printed directions1 or what the ,inventor himself has ordered1 some fair opportunities have occurred of observing its effects1 to which1 and to every other information that could be obtained1 with a mind open to conviction1 ,i have carefully attended4 ,but in this1 as in all our former researches1 the evidence has been unfavourable to the fame of the powder4 ,in some instances it has occasioned fainting1 convulsions1 and other violent symptoms1 which terrified those who gave it4 ,in all which ,i have seen1 it has proved unsuccessful1 though1 in some cases the cure has afterwards been accomplished by safer methods2 and in those where it was too late to use other remedies1 the sick have died1 although it was probable they might have recovered by a different management1 which has succeeded in similar instances1 but from an abused and misplaced confidence1 has too often been set aside to make way for this favourite medicine4 ,an argument still remains in favour of the powder drawn from the credit due to its ,inventor4 ,if that is impeached by what has already been advanced1 it is only by the force of the evidence1 since all personal application has been avoided4 ,but as the reputation of the medicine is chiefly supported by an implicit confidence in the ,inventor1 it is necessary1 however unpleasing1 that this should also be considered4 ,when our assent is demanded1 on the credibility of the relator1 to any fact which we are not permitted to examine1 we can only judge of its probability from his known accuracy and ability4 ,several specimens of these have occurred in the course of our enquiry4 ,quotations have been misrepresented#hg4 ,authorities misapplied#hh4 ,evidence produced which establishes facts1 directly opposite to those in support of which it is perverted#hi4 ,palpable contradictions have been pointed out#ij2 and an air of mystery and devotion detected1 the tendency of which1 when joined to a train of suspicious circumstances1 cannot be mistaken#ia4 ,but the inaccuracy betrayed in the directions given with the powder1 is sufficient to put us on our guard4 ,the best general and plain direction1 we are told1 is to repeat half a paper1 or ten grains and a half of the powder once in six hours#ib1 but in ,south ,america they seldom give less than twenty1 which the ,inventor thinks right#ic1 yet when it fell under the direction of the navy-surgeons1 the general rule which was avowedly intended1 and is still continued1 for the common people1 was found to be fraught with danger1 and the ,inventor admits that it has been necessary to reduce the dose so low as two or three grains#id1 thereby acknowledging the best plain general direction1 to be a very improper one for the common people1 since no good reason can be assigned1 why ten or twenty-one grains should be given by those who have no medical skill1 though it is judged necessary to warn others1 who may be supposed capable of conducting its operation1 and detecting and counteracting its pernicious effects1 of the necessity of reducing it1 in some cases1 to two or three grains4 ,the only solution of this parodox1 is1 there is one faith for the learned1 and another for the unlearned4 ,but not to insist on the contradictions abounding in this dissertation1 one more only shall be mentioned4 ,no addition1 it has been said1 can be made to this medicine1 by which its virtues will not be diminished1 and that assertion has again been retracted2 but as one affirmation is as good as another1 that there may be no doubt which is to be credited1 the ,inventor being extremely cautious of leading any one into error in an affair of so much importance as is that of life1 thinks it imprudent to neglect repeated bleeding1 purges1 clysters1 and all other assistances which the art of medicine can afford#ie1 and is obliged to own1 that1 as he esteemed life too sacred to be hazarded for the sake of an experiment1 he had never neglected to call in all other medical aids to his assistance when he thought the case required them1 and believed they would of service#if4 ,but though he is extremely cautious1 and though life is too sacred to be hazarded1 yet the experiment of using the powder without any addition or aid1 is still to be tried throughout the whole ,british dominions1 and in other parts of the world1 where our commerce has conveyed it#ig1 excepting by the ,inventor and the ,navy ,surgeons1 who being persons versed in practice will readily distinguish when the rules laid down are punctually to be followed and when not#ih4 ,the real motives assigned for these contradictions and this mysterious conduct1 waving whatever artifices might be employed by way of palliation or disguise1 are represented without reserve1 and with that sincerity which will stand the strictest scrutiny4 ,the ,inventor was very cautious of divulging a medicine of such vast importance1 because if it failed of success1 it would subject him to infinite reproach4 ,he was so ignorant as to expect assistance and applause from every one concerned in any branch of physic1 not considering that a miliary or nervous fever of twenty days continuance1 was attended with greater emoluments than one that terminated in two or three4 ,but he had soon an opportunity of discovering his error1 for some became his avowed enemies1 without the least pretence to any provocation2 whilst others1 with the countenance of friendship1 pointed a dagger to his breast#ii1 and therefore1 after a contest between simplicity and caution1 ignorance and shrewdness1 the unsuspecting ,inventor thought it time prudently to consult his own interest1 and the advancement of his private fortune1 by securing to himself the exclusive privilege1 and putting it out of the power of others to disguise1 misrepresent1 deny1 or forge facts#ajj4 ,thus1 from the parade1 ostentation1 and mysterious secrecy1 with which this medicine has been published1 from its resemblance to the ,berlin specific febrifuge1 from its being prepared from an arsenical mineral1 and easily converted into a noxious substance2 from the difficulty of ascertaining the dose1 and conducting its operation1 and from the necessity of calling in other medical aids to its assistance2 from the incompetency of the generality of the witnesses in its favour2 from the unfair conclusions drawn from their testimony2 from the dangerous symptoms and fatal consequences1 which have followed its administration2 from the inaccuracy and inconsistency of its ,inventor2 and from the increase of the bills of mortality during its general use1 it appears1 not only1 that no proof of its salutary efficacy has been produced1 but that many circumstances and facts1 which have been perverted to that purpose1 concur to demonstrate its general and indiscriminate application to be highly dangerous to mankind1 to whom1 to borrow the language of the ,inventor1 it is not material1 whether they lose their lives by ignorance1 mistake1 or design4 ,,footnotes #a ,prelati enim1 et fratres1 me jejuniis macerantes tuto custodiebant1 nec aliquem ad me venire voluerant1 veriti ne scripta mea1 aliis quam summo pontifici et sibi ipsis pervenirent4 ,epistola ,rogeri ,bacon ad ,clement4 ,,iv4 #b ,triumphal ,chariot of ,antimony4 #c ,id4 p4 #c1 and p4 #aah4 #d ,paracelsus4 #e ,triumphal ,chariot of ,antimony1 p4 #ic4 #f ,poppius's ,basilica ,antimonii1 ,newman's ,chemistry1 c4 c4 #g ,new ,dispensatory1 p4 #ba4 #h ,dr4 ,james describes cobalt1 from which the most virulent kind of arsenic is extracted1 a ponderous1 hard1 fossil substance1 almost black1 not unlike antimony4 ,universal ,english ,dispensatory1 p4 #bhh4 #i ,triumphal ,chariot of ,antimony1 p4 #cg4 #aj ,see ,schroder's ,pharmacopia1 ,poppius's ,basilica ,antimonii4 #aa ,philosophical ,furnaces1 book i4 and ii4 and ,mineral ,work1 part first4 #ab ,ninth chapter of the first book of ,surgery4 #ac ,triumphal ,chariot of ,antimony1 p4 #ahg4 #ad ,triumphal ,chariot of ,antimony1 p4 #ahh and #ahi4 #ae ,triumphal ,chariot of ,antimony1 p4 #fd4 #af ,ibid4 p4 #di4 #ag ,lemery ,cours de ,chymie1 p4 #bhc4 ,geoffrey's ,treatise of the ,materia ,medica1 tom4 i4 p4 #da4 ,poppius ,basil4 cap4 #h4 p4 #baf1 ,newman's ,chymistry1 ,new ,dispensatory1 c4 #ah ,geoffroy ,memoires de l',academie des ,sciences #agce4 #ai ,dr4 ,james's ,dispensatory1 page #bhb4 #bj ,new ,dispensatory1 page #bcf4 #ba ,cronstedt's ,essay toward a ,system of ,mineralogy1 translated by ,da ,costa1 ,sect4 #ace4 p4 #bbc4 ,london #aggb4 #bb ,see p4 #ad4 ,cronstedt's ,essay1 sect4 #bcf1 and the ,new ,dispensatory4 #bc ,newman's ,chymistry1 ,new ,dispensatory1 c4 #bd ,cronstedt's ,essay toward a ,system of ,mineralogy1 p4 #bbc1 #bbd4 ,stahl on the ,arsenical ,substance of ,antimony4 ,hoffman of the wonderful1 virulent and medical powers of ,antimony1 and the easy transition from one to the other4 #be ,id4 ,ibid4 #bf ,stahl's ,chymico-,physico-,medical ,works1 page #dhh-eia4 ,on the arsenenical substance of antimony4 #bg ,new ,dispensatory1 page #cdc4 #bh ,new ,dispensatory1 p4 #he and #hf4 #bi ,basilica ,antimonii1 in the ,appendix to ,hartman's ,chymistry1 p4 #hif4 #cj ,see the fifth part of the ,philosophical ,furnaces4 #ca ,vol4 ,i4 ,of the ,theory of ,chymistry1 p4 #ca1 of sulphureous semi-metals4 #cb ,chymical ,dictionary on the ,ores of ,antimony4 #cc ,cronstedt's ,essay toward a ,system of ,mineralogy1 translated by ,da ,costa4 ,london1 #aggb4 #cd ,compare ,glauber's account of the effect of orpiment cups1 in page #ca1 with that of essence of antimony in the fourth section4 #ce ,mais quelquefois il se 7antimoine7 rencontre avec des sels acides qui l'ouvrent1 7dans l'estomach1 et dans les intestines7 luy donnent une nouvelle fermentation1 et lui sont produire des super-purgations incommodes4 ,trate de l'antimoine1 par ,m4 ,nicholas ,lemery1 p4 #g4 #cf ,dr4 ,james's1 in his ,dispensatory1 page #bhe4 #cg ,observationes ,physico-,chymic1 p4 #bcc4 #ch ,we are told by ,newman1 that the utmost caution is necessary to avoid the fumes of arsenic1 and that it is on account of the danger arising from them that this mineral has been so little examined by the chymists2 but according to ,dr4 ,percival's late observations1 they seem to have been mistaken4 ,i have1 says he1 some doubt1 whether the vapours of arsenic be so poisonous as is commonly supposed1 and if the candid reader will excuse the digression1 ,i will lay before him my reasons for it4 ,to solder works of silver filligree1 and other delicate manufactures of that kind1 a composition is used of which arsenic is the principal ingredient4 ,the solder is melted by the flame of a lamp1 directed by a blow-pipe2 and this operation cannot be performed with due accuracy1 but in a close room4 ,the greatest part of the arsenic is evaporated by the blast and flames1 and some part also of the rest of the solder4 ,the workmen must constantly breath these vapors1 because there is little or no current of air to carry them into the chimney4 ,yet the men appear to enjoy as good health1 and to live as long as other artists who pursue their business in close rooms1 and use lamps4 ,amongst other examples of the truth of this observation1 ,i saw one lately at the manufactory at ,soho1 near ,birmingham3 a man1 aged upwards of fifty years1 who has soldered silver filigree more than five and thirty years1 and has regularly passed from eight to twelve hours daily in his occupation1 and is at present fat1 strong1 active1 chearful1 and of a complexion by no means sickly4 ,neither he1 nor his brother artists1 use any means to counteract the effects of their trade4 ,dr4 ,percival's ,observations and ,experiments on the ,poison of ,lead1 p4 #ge1 #gf1 and #gg1 ,london1 #aggd4 #ci ,the word reguline signifies royal1 and has been applied by chymists to the harder or more fixed parts of minerals or metals4 ,hoffman uses reguline and arsenical indifferently when applied to antimony2 and ,carthusier asserts that the intimate union of the reguline part with the arsenical principle of antimony1 is the cause of its being caustic1 drastic1 emetic1 and virulent4 ,la parte reguline est etroitement unie au principe arsenical1 qu'elle est par elle-meme caustique drastique1 emetique1 et virulente4 ,matiere ,medicalle1 tom4 ii4 sect4 xv4 chap4 v4 ,de l'antimoine crud4 ,a ,paris1 #agfe4 #dj ,observationes ,physico-,chymic1 p4 #bea #beb4 #da ,newman1 p4 #adf4 #db ,opuscula ,chymico-,physico-,medica1 p4 #dcd-dda4 #dc ,in a treatise on the medical virtues of poisons1 published in #agjb4 #dd ,in an inaugural speech printed in #agjj4 ,this and the last quoted author ,i have not seen4 #de ,observations1 on fevers1 p4 #db1 and #bjd1 published at ,hanover in #agde4 #df ,cours de ,chemie1 p4 #cgd4 #dg ,this matter is explained in a letter from ,doctor ,de ,haen1 of ,vienna1 to a physician in ,england4 ,i have1 says this celebrated physician1 made many experiments with hemlock1 in consequence of an order from high authority3 the result was1 that not one of one hundred and twenty patients was cured or relieved by it2 many grew worse1 and seven unhappy women1 with cancers in their breasts1 perished in my hands1 some of whom might have been saved by the knife4 ,how did ,i intreat those to whom it belonged to use more precaution1 or at least to suspend publishing in praise of poisons1 till repeated trials had been made by several hands1 lest the public faith should be abused1 and the author rendered ridiculous in the face of the universe4 ,but my remonstrances were fruitless1 and1 to my great concern1 my best friend abruptly fell out with me1 and ,i have incurred the disgrace of the best of sovereigns4 ,since ,i have spoke my sentiments freely1 ,i am looked upon as the chief of heretics1 as an enemy of the public and of the author's reputation2 and for this reason ,i have been unhappily disgraced1 and defamatory libels1 of the most virulent kind1 have been printed against me4 ,i expect yet more terrible storms2 however1 ,i adore that ,providence which directs all for his glory and my good1 from whom ,i should deserve a disgrace infinitely more fearful than that which ,i now suffer1 if for the sake of transitory glory1 perishable treasures1 or tranquillity of life1 that may be taken from me in this world1 ,i should become a confederate with those who have thus infamously abused the publick confidence1 to the disgrace of physick4 ,see ,medical ,museum1 vol4 ,,iii4 ,london1 #agfd4 #dh ,cronstedt1 ,hoffman1 ,stahl1 c4 c4 #di ,see ,hoffman's ,physico-,chymical ,observations4 ,of the wonderful1 virulent and medical powers of antimony1 and by what means the one may easily be changed into the other4 #ej ,newman1 p4 #acc4 ,new ,dispensatory1 p4 #cdc4 ,geoffroy ,tractatus de ,materia ,medica1 tom4 ,i4 p4 #bcd-bci4 #ea ,see a narrative of the proceedings of the committee appointed by the ,college of ,physicians to review their ,pharmacopia4 p4 #fd4 #eb ,new ,dispensatory1 page #cdg4 #ec ,see ,morton's ,treatise of ,acute ,diseases1 printed at ,geneva1 #agbg4 #ed ,see ,baron ,van ,swieten's ,commentaries on ,boerhaave's ,aphorisms1 ,vol4 ,,ii4 p4 #gig4 #ee ,see the narrative of the proceedings of the committee appointed by the ,college of ,physicians to review their ,pharmacopia4 #ef ,medical ,museum1 ,vol4 ,,iii4 p4 #ecj4 ,london1 #agfd4 #eg ,sydenhami ,opera1 p4 #fg4 ,lipsi1 #afie4 #eh ,observations made at ,plymouth1 on the weather and prevailing diseases from the year one thousand seven hundred and twenty-eight1 to one thousand seven hundred and thirty-seven1 p4 #adj1 c4 #ei ,newman1 page #acg4 #fj ,newman's ,chymistry1 p4 #acg4 #fa ,geoffroy's ,treatise on the ,materia ,medica1 tom4 i4 p4 #bbe1 and ,glauber's ,apology against the lying calumnies of ,christopher ,farnner4 #fb ,histoire de l',academie ,royalle des ,sciences1 pour l'anne #agbj1 and ,lemery1 ,trate de l',antimoine4 #fc ,see the apology of ,john ,rudolph ,glauber1 against the lying calumnies of ,cristopher ,farnner4 #fd ,geoffroy's ,treatise of the ,materia ,medica1 tom4 i p4 #bbe4 #fe ,observationes de ,aere et ,morbis ,epidemicis ab anno #agbh1 ad finem anni #agcg1 ,plymuthi fact1 p4 #adj1 #ada1 #adb4 ,london4 #ageb4 #ff ,medical and ,chymical ,observations on ,antimony1 p4 #f and #ge4 ,london4 #agef4 #fg ,new ,dispensatory1 p4 #cea4 #fh ,observations on the prevailing ,diseases of ,great ,britain1 part i4 chap4 iv4 case #b;d1 p4 #cd4 #fi ,ibid4 part #b;d1 chap4 x4 p4 #cje4 #gj ,observations on the ,diseases of ,great ,britain1 part i4 chap4 iii4 case x1 p4 #ajf4 #ga ,see p4 #di-ff4 #gb ,dissertation on ,fevers1 p4 #f4 ,london1 #aggj4 #gc ,see p4 #eg and #eh4 #gd ,see p4 #bd1 #de and #df4 #ge ,introduction to the ,dissertation on ,fevers1 p4 #aj4 #gf ,introduction to the ,dissertation on fevers1 p4 #aa4 #gg ,dissertation1 p4 #he4 #gh ,dissertation on ,fevers1 p4 #ia4 ,ibid4 p4 #g4 #gi ,see p4 #fb and #fc4 #hj ,addenda to the ,dissertation4 #ha ,introduction to the ,dissertation1 page #d4 #hb ,introduction to the ,dissertation1 page #d4 #hc ,see page #gb4 #hd ,introduction to the ,dissertation on ,fevers1 pages #ast1 #b;d1 and #ajth4 #he ,introduction to the ,dissertation on ,fevers1 pages #i1 #aj4 #hf ,introduction to the ,dissertation on ,fevers1 page #aj4 #hg ,see page #ah-bb4 #hh ,ibid4 #hi ,ibid4 and page #gi1 #hj1 #hf1 and #hg4 #ij ,page #ge-gh4 #ia ,see page #gb1 and #gc4 #ib ,dissertation on ,fevers1 p4 #hd4 #ic ,ibid4 p4 #ha4 #id ,ibid4 p4 #ia4 #ie ,dissertation on ,fevers1 p4 #gf4 #if ,dissertation on ,fevers1 p4 #gj4 #ig ,introduction to the ,dissertation on ,fevers1 p4 #a4 #ih ,dissertation on ,fevers1 p4 #ij4 #ii ,dissertation on ,fevers1 p4 #gb4 #ajj ,dissertation1 p4 #gb4 ,,advertisement4 ,the ,medical ,society of ,london1 have resolved to give an honorary ,gold ,medal to the ,author of the best ,dissertation on fevers4 ,gentlemen who become candidates are desired to attend to the following regulations4 ,dissertations on this subject are to be delivered to the ,secretary in ,crane ,court1 on or before the third ,tuesday of ,april1 #agge1 written in a fair hand1 and in the ,english or ,latin language1 and along with each a packet 7sealed up7 containing the name of the ,author1 and his place of residence1 some motto or device being written on the outside of the packet1 and at the beginning or end of the ,dissertation4 ,it is resolved that the medal shall be publickly adjudged on the fifth day of ,june1 #agge1 after which all the papers1 excepting that which obtains the honorary reward1 shall be returned with the packets unopened1 so that all the names excepting that of the successful candidate shall be concealed4 ,n4 ,b4 ,no ,member of the ,society will be admitted a ,candidate for the ,medal4 99 99 99 99 99 ,the ,medical ,society1 being instituted for the improvement of medicine in all its branches1 will be obliged to all who shall contribute toward the execution of their extensive design4 ,papers intended for them may be directed to their ,secretary in ,crane ,court1 ,fleet ,street1 or to any of the ,members4 99 99 99 99 99 ,,books printed for ,j4 ,,johnson1 ,no4 #gb1 ,st4 ,paul's ,church-yard2 and ,d4 ,,wilson1 and ,g4 ,,nicol1 opposite to ,york ,buildings1 in the ,strand4 ,i4 ,observations on the prevailing ,diseases in ,great ,britain4 ,together with a ,review of the ,history of those of former ,periods1 and in other ,countries4 ,by ,john ,millar1 ,m4 ,d4 ,price #abs4 in ,boards4 ,,ii4 ,a ,discourse on the best ,means of promoting ,medical ,enquiries1 delivered before the ,medical ,society at their annual ,meeting1 on ,tuesday the #ahth ,jan4 #aggd4 and published at their ,request4 ,by ,james ,sims1 ,m4 ,d4