UWIVtHSIlY OF PITTSBIIHSH UNIVERSITY OF PITTSBURGH Uarlington JVl,eniorial l^ibrary INAUGURAL DISSERTATION EUPATORIUM PERFOLIATUM LINN^US. BY ANDREW ANDERSON, A. B. MEMBER OF THE MEDICAL AND SLUGICAt SOCIETY OF THB UMVEHSITY OF NEVV-YORK. NEW-YORK: PRINTED BY C. S. VAN WINKLE, No. 122 Water-fetieet. 1813. V H AN INAUGURAL DISSERTATIOiN^ ON THE EUPATORIUM PERFOLIATUM : SrEMITTED TO THE PUBLIC EXAMINATION OF THE TRUSTEES OP THE COLLEGE OF PHYSICIANS AND SURGEON*. IN THE STATE OF NEW-YORK, SAMUEL BARD, M. D. PRESIDENT, FOR THE Degree of Doctor of Medicine, On the 4th day of May, 1313. . JAMES ANDERSON, THIS DISSERTATION IS INSCRIBED, AS A TESTIMONY OF FILIAL RESPECT AND GRATITDDE, BY HIS SON. TO / DAVID HOSACK, M. D. F. L. S. LONDON ; Professor of the Theory and Practice of Physic and Clinical Medicine in the University of New-York; Fellow of the American Philosophical Society, and of the College of Physicians at Philadelphia ; Member of the Literary and Philosophical Society of Preston ; Corresponding Member of the Medical Society of London, &c. &c. Sir, I DEDICATE to you this the first fruits of a medi- cal education commenced under your care. If I were indebted to you for none other than the ordinary atten- tions of a preceptor toward his pupil, the obligations thence incurred would not be very great, nor the debt of gratitude perhaps difficult to be discharged. But I feel the case to be very different. Ever since I placed myself under your direction, I have witnessed in you the most anxious endeavours to facilitate my progress in my professional studies, and it would be unjust to pass over in silence the many advantages I have enjoyed in your private medical school. For tiiese, and for other fa- vours, I feel myself greatly indebted, and take the liberty thus publicly to express to you my grateful acknowledgments. A. ANDERSON. TO JOHN W. FRANCIS, M. D. Lecturer on the Institutes of Medicine andthe Materia Medica in the College of Physicians and Siirgeons in the Univer' sity of New-York, Member of the Society for the Promo- tion of Useful Arts in the State if New-York^ &c. Sir, I HAVE prefixed your name to this dedication, be- cause, by your assistance, I have been materially aided in the course of my medical studies. It would be im- proper here to mention the many acts of friendship I have experienced at your hands ; but be assured they have caused the deepest impression on my mind, and that the recollection of them will not readily. 'ie ob- literated. THE AUTHOR. PREFACE. The object of the following Dissertation is to ascer- tain the medical virtues of one of the 'indigenous pro- ductions of this country, and thus to increase the ma- teria medica of the United States. For this purpose the writer made choice of the Eupatorium Perfoli- ATUM, one of the most common of our vegetable pro- ducts, and which for a considerable time has been em- ployed as a domestic remedy in the rnanagement of certain diseases. The subject seemed to divide itself more particularly into three general heads, and accord- ingly it has been considered, first, as to its botanical description ; secondly, as to its character as ascertain- ed by chemical analysis; and, thirdly, as an article of medicine. Under the first head, little more has been said than to offer to the reader a concise botanical ac- count of the plant. As to the second head, with a view of distinctly ascertaining its chemical properties, a se- ries of experiments was instituted. These have been detailed with as much brevity as was thought consistent with perspicuity ; and, with the observations made upon the experiments, the component parts of this vege- table, as far as ascertained by analysis, are given. On this part of his subject, it would be injustice in the 12 PREFACE. writer not to state the obligation he is under to Mr. George Chilton^ of this city, for the many pure and delicate tests with which he furnished him, and by which he was materially aided. In the third division of the subject, the application of the Eupatorium Perfoli- atum as an article of the materia medica is considered* Its utility in this respect, it is hoped, Jias not been ex- aggerated, as nothing has been asserted that experiment did not seem to warrant ; and beside, the opportunities which the writer enjoyed of witnessing its effects in the treatment of various diseases, during his attendance at the Alms-house of this city, fully confirm, in his opi- nion, all that has been said of its medical virtues. New- York, May 3, 1813. A DISSERTATION OV THE EUPATORIUM PERFOLIATUM LINN^US. The genus Eupatorium, according to the artificial system of Linn^us, is arranged under the class syngenesia, order polygamia sequa- lis, and is described in the following manner : Cal. Communis oblongus, subcylindricus : imbricatus : squamis lineari-lanceolatis, erectis, inaequalibus. Cor. Composiia umfoimist tubulosa: Corol- lula. hermaphroditae, aequales. 3 14 DISSERTATION ON THE Propria monopetala, infundibuliformis : Urn,' ho quinquefido, patulo. Stam. Filamenta quinque, capillaria, bre- vissima. Anthera cylindracea, tubulosa. Pist. Germen minimum. Stylus filiformis, longissimus, ad stamina usque bifidus, rec- tus. Stigmata tenuia. Per. nullum. Calyx immutatus. Sem. solitaria, oblonga. Pappus capillaris s. plumosus, longus. Rec. nudum.* In his natural orders, Linnaeus has placed the eupatorium among the composite^ discoi- d(B. In the Ordines Naturales of Mons. Jus- siEU, the eupatorium is arranged in his tenth class, the character of which is dicotyledones monopetalse, coroUse epigynse, antherae con- natse. Order the third corymbiferae. This genus of plants appears to have been known at a very early date. In the writings ^ Genera Plaotarum, No. 1272. KUPATORIUM PERFOLIATUM. 15 ©f AvicENNA, mention is made of the eupato- rium ; but from the imperfect account which he has ojiven, and from the obscurity which pervades the descriptions of the older botani- cal writers, it is impossible to determine its precise character. By some, however, the eupatorium of Avicenna is supposed to be the eupatorium cannabinum of Casper Bauhin. The celebrated Willdenow, in his enumera- tion of the species of this genus of plants, has placed under the name of eupatorium canna- binum, this species of Casper Bauhin, which FuscHius has noticed as the eupatorium adul- terinum. In the Historia Plantarum Univer- salis of John Bauhin we are furnished with a description, at some length, of the eupatorium adulterinum. This species has been consider- ed, by some, as belonging to the genus eupa- torium ; but this arrangement has been reject- ed by Professor Willden©w, Miller enumerates forty-nine species of this genus of plants ; and in the late work of Willdenow seventy-one species are given, of 16 DlSSfiRTATION OlSr THE which sixteen are indigenous to the United States. Persoon, whose enumeration is still more complete, has, in his Synopsis Specierum Plantarum, seventy-five species ; of these, se- venteen are considered as the products of this country. The species to which the writer more particularly intends to confine his atten- tion, on the present occasion, is the eupatori- UM PERFOLIATUM of LiNNiEUS. This species is thus designated : E. Perfoliatum, foliis connato perfoliatis tomentosis. Liuf E. Virginianum. Morris Hist. E. Virginianum. Pluk. Aim. E. Connatum. Mich. Flor. Bor. Amer. This plant is familiarly known throughout the United States, and is distinguished by a great variety of n^mes; such as thorough- wort, Indian-sage, cross-wort, bone-set, vege- table antimony, &c. It is indigenous to this country, and may be found from Canada to the Floridas: it naturally delights in stand- EUPATORIUM PERFOLlAtUM. 17 ing waters and in low marshy situations, and is sometimes seen to flourish near salt water. In the state of New- York it is found very abundantly, and grows from three to six feet in height. Root, horizontal, fibrous, perennial. Stemy upright, hairy. Leaves, opposite, united at their base, ser- rated, glowing narrower at their points, rough, downy underneath, slightly de- current. Foot stalk of the floiversy opposite, axilla- ry, long, hairy. Flowers, compound, terminal, white. Seeds, oblong, feathery. This plant makes its appearance in the neighbourhood of this city in May, it flowers in July, and produces seed in September. The eupatorium perforatum has for some time been well known to possess very active medicinal virtues; though its use has been 18 DISSERTATION ON THE limited principally to the domestic prescrip- tions of families remote from our principal cities. It has long been employed by many of our Indian tribes, as a successful remedy, ill the treatment of intermitting and remitting fevers ; and such is supposed to have been its efficacy in the cure of these diseases, that it acquired the name of ague-weed. It has also been employed in other diseases, in which emetics and sudorifics were indicated ; and in certain preparations, recourse has been occasionally had to it as a tonic. In the treatment of the yellow fever, as it has pre- vailed in different parts of the United States, and in other febrile disorders, its efficacy, as an active sudorific, has been acknowledged by many respectable writers. AVith a view, however, of ascertaining more particularly the peculiar properties of this plant, and its virtues as an article of the materia medica, the following experiments were instituted. Its application in the treatment of diseases, as deduced from these experiments, with the opportunities which the writer has enjoyed EUPATORIUM PERFOLIATUM. 19 of witnessing its effects, will be considered in a subsequent part of this dissertation. EXPERIMENTS. Decoctions were made of the flowers, leaves, and roots: to an ounce of each of these parts of the plant, bruised and put in separate glass vessels, was added one pint of distilled water. After having been subjected to the heat of a sand-bath, and boiled for one hour, it was filtered through paper. The decoction of the leaves had the least colour ; that of the flowers was somewhat darker; that of the roots presented the darkest co- lour. They all exhibited shades of brown. To the taste they were bitter; but this sen- sation was most produced from the leaves, and least from the root. 20 DISSERTATION ON THE EXPERIMENT I. A decoction of the flowers, prepared in the above manner, with an infusion of litmus form- ed a red colour ; a solution of sulphate of iron changed it to a dark green; an infusion of galls formed a very slight precipitate; with mu- riate of tin recently prepared, it caused a pre- cipitate of a brownish yellow colour ; the ni- trate of mercury formed a precipitate ; with muriate of barytes a precipitate was formed ; oxalate of ammonia produced a turbidness, which was followed by a white precipitate ; sulphuric acid formed a precipitate ; a solution of tartarised antimony had no effect ; with pure ammonia it acquired a green colour ; pure pot- ash caused a brownish precipitate ; gelatin produced a trifling precipitate ; a solution of nitrate of silver formed a precipitate ; chromic acid produced a copious olive green precipi- tate ; the acetate of lead caused a light green ; the nitrate of lead induced a slight precipitate ; with the carbonate of potash a precipitate also was formed. teUPAtORlUM PERFOLIATDM. 2] EXPERIMENT II. The following re-agents were then tried with the decoction of the leaves ; An infusion of litmus formed a red colour; with an infusion of galls no precipitate was formed ; muriate of tin caused a brownish yellow precipitate, but not so copious as in the first experiment ; oxa- late of ammonia produced a copious white precipitate; pure potash formed a greenish precipitate ; with gelatin a copious precipitate was induced ; pure nitrate of silver caused a copious whitish precipitate ; the acetate of lead formed a yellowish precipitate; nitrate of lead produced an abundant precipitate. As in the decoction prepared from the flowers, a solution of the sulphate of iron, nitrate of mercury, muriate of barytes, sulphuric acid, tartarised antimony, pure ammonia, chromic acid, carbonate of potash, produced effects similar to those mentioned in experiment the first. 4 22 DISSERTATION ON THE EXPERIMENT III. The deGoction of the root subjected to ex- perimeDt produced the following results : An infusion of litmus induced a red colour ; a so- lution of the sulphate of iron changed it to a green, but not so dark as in the two last expe- riments ; an infusion of galls, like that prepared from the leaves, caused no precipitate ; with muriate of tin, a copious precipitate was form- ed y nitrate of mercury formed a copious white precipitate ; oxalate of ammonia formed a tur- bidness ; pure potash produced a brownish green colour, and in both these respects was similar to those obtained from the flowers. With gelatin no precipitate was evident ; ni- trate of silver caused a copious whitish pre- cipitate, similar to that produced from the de- coction of the leaves; acetate of lead formed a slight greenish precipitate ; nitrate of lead induced quite a copious precipitate : with the muriate of barytes, sulphuric acid, tartarised antimony, pure ammonia, chromic acid, carbo- EUPATORIUM PERFOLIATUM. 23 nate of potash, appearances and precipitates were produced nearly in every respect the same as those related in experiments the first and second. EXPERIMENT IV. A decoction of the flowers prepared as in the former experiments, was evaporated to the consistence of syrup. A portion of very pure alcohol was poured upon it, and after infusing twenty-four hours, was poured off. Fresh alcohol was then added, and this was suffered to stand for twenty-four hours, and again decanted. This process was repeated, until the alcohol exhibited no change of co- lour whatever. After all the alcohol had been decanted and mixed, it appeared of a brown colour, and had a bitter taste. It pro- duced the following results : with an infusion of litmus, it formed a red colour ; with acetate of lead a light green ; no precipitate was caused by tartarised antimony ; barytic water formed a light yellow ; with sulphate of iron 24 DISSERTATION ON THE it produced a green precipitate ; with distilled water no precipitate. EXPERIMENT V. A decoction of the leaves, treated in the same manner as in experiment the fourth, ex- hibited the following appearances: An infu- sion of litmus formed a red colour ; a solution of the acetate of lead formed a copious light green ; with distilled water a precipitate was formed ; carbonate of potash caused a copious brown precipitate ; nitrate of lead produced a copious light green precipitate ; nitrate of mercury induced a copious white precipitate ; barytic water formed a dense copious precipi- tate. The effects produced by tartarised an- timony, and with the sulphate of iron, were in no respects different from those mentioned in the last experiment. EXPERIMENT VI. A decoction of the root was also prepared in the same manner, and the action of the same EUPATORIUM PERFOLIATUM. 25 re-ag;ents was in nowise different from those noticed in experiment the fourth. With the carbonate of potash, however, which was now employed, an ochre yellow was produced. EXPERIMENT VII. The brownish matter, not taken up by the alcohol in the last three experiments, was dis- solved in distilled water in separate vessels ; a portion of a dark brown substance was left from each. These watery solutions, after hav- ing been evaporated to dryness, left a hard brittle extract, of a brown colour, which, upon being re-dissolved, possessed a sweetish taste. EXPERIMENT VIII. A portion of the alcoholic solutions men- tioned in the fourth, fifth, and sixth experi- ments, was evaporated nearly to dryness ; a re- sinous matter was left of a yellowish brown colour, an extremely bitter taste, and com- pletely soluble in warm water. These watery 26 DISSERTATION ON THE solutions were examined, and exhibited the following habitudes, with re-agents. The so- lution obtained from the flowers with car- bonate of potash caused a brown colour; it foniied a precipitate with barytic water ; with an infusion of litmus, a faint red appearance ; both the acetate and nitrate of lead formed a precipitate ; a solution of the sulphate of iron caused a green precipitate ; tartarised an- timony had no effect, nor the nitrate of silver ; gelatin produced no change ; alcohol formed a precipitate ; muriate of tin formed a reddish brown precipitate. EXPERIMENT IX. The solution of the resinous matter obtain- ed from the leaves exhibited the following ap- pearances : With the carbonate of potash it formed a brown precipitate; with barytic wa- ter an abundant precipitate was induced ; with litmus no change was discernible ; the acetate of lead caused an abundant yellowish white precipitate ; with nitrate of lead a precipitate EUPATORIUM PERFOLIATUM. 27 of a whitish yellow colour, and in large quan- tity, was induced ; with a solution of sulphate of iron an abundant dark green precipitate was formed; tartarised antimony formed a greenish brown precipitate; nitrate of silver formed a copious whitish yellow precipitate ; a reddish brown precipitate was readily pro- duced by the muriate of tin. EXPERIMENT X. The solution of the resinous matter obtain- ed from the root was likewise subjected to the . operation of the same re-agents. With carbo- nate of potash no effect was visible ; barytic water formed a slight precipitate : an infusion of litmus, as in the leaves, caused no change : with the acetate of lead a slight precipitate was formed ; nitrate of lead produced scarcely any turbidness ; the sulphate of iron induced a green precipitate ; tartarised antimony had ho effect ; the nitrate of silver formed a trifling- precipitate; no precipitate was visible from gelatin, though readily produced by the action 28 DISSERTATION ON THE of alcohol ; the muriate of tin formed a trifling precipitate. In the following experiments, by means of the cold infusions, which were next instituted, one ounce of the flowers, the same quantity of the leaves, and of the roots, bruised, was put in separate glass vessels, and a pint of dis- tilled water added to each. They were suf- fered to infuse for twenty-four hours, and then filtered through paper. The infusion of the root possessed the darkest colour, that of the leaves was considerably lighter, while that of the flowers was still lighter. In all a bitterish, taste was perceptible. EXPERIMENT XI. An infusion of the flowers, prepared in the manner just mentioned, produced the follow- ing appearances. With re-agents an infusion of litmus formed a red colour; a solution of the sulphate of iron formed a green precipi- tate ; an infusion of galls induced no precipi- fiUPATORlUM PERFOLIATUM. 29 tate; muriate of tin recently prepared caused a precipitate ; nitrate of mercury formed a co- pious white precipitate ; with muriate of ba- rytes a slight turbidness was formed ; oxalate of ammonia likewise caused a precipitate ; by sulphuric acid a slight turbidness was discerni- ble; neither tartarised antimony, nor pure ammonia produced any sensible effect ; with pure potash a greenish brown colour was ef- fected ; gelatin formed no immediate precipi- tate ; a solution of nitrate of silver formed a whitish precipitate ; chromic acid caused a copious precipitate of a greenish brown co- lour; the nitrate of lead formed a very co- pious precipitate ; a solution of the carbonate of potash produced a brown colour- EXPERIMENT XII. An infusion of the leaves produced the following appearances with re-agents. A red colour was induced, by an infusion of litmus; a solution of the sulphate of ii'on formed a 5 30 DISSEKTATION ON THE very dark green precipitate; oxalate of am- monia caused an immediate and copious pre- cipitate; sulphuric acid formed a slight tur- bidness ; pure ammonia foi;'med a greenish colour ; gelatin formed a precipitate ; nitrate of silver formed a very copious precipitate; carbonate of potash formed a brown precipi- tate; with the infusion of galls, muriate of tin, nitrate of mercury, muriate of barytes, tartari- sed antimony, pure potash, chromic acid, and the nitrate of lead, effects similar to those enumerated in experiment the eleventh were produced. EXPERIMENT XIII. With an infusion of the root, prepared after the manner of the two preceding ex- periments, the following effects were pro- duced. With an infusion of litmus, a red colour vi^as formed ; nitrate of mercury form- ed a greyish precipitate ; muriate of barytes formed a precipitate ; oxalate of ammonia formed no precipitate ; pure ammonia caused EUPATORIUM PERFOLIATUM. 3 1 no change; gelatin had no effect; nitrate of silver caused the same change as in experi- ment the eleventh ; nitrate of lead formed a precipitate, though not so copious as with the infusion of the flowers or leaves : neither the carbonate of potash, nor muriate of ammonia produced any sensible alteration. The effects caused by the sulphate of iron, infusion of galls, muriate of tin, sulphuric acid, tartarised antimony, pure potash, and chromic acid, were in no respects different from those already stated in experiment the eleventh. EXPERIMENT XIV. Infusions of the flowers, leaves, and of the root, prepared as in the last three experi- ments, were put in separate retorts and dis- tilled. After nearly one half had come over, the receivers were changed, and the other part in like manner distilled off. The first three portions of the distillation were then examined by a number of re-agents, without the least sensible change being apparent. 32 DISSERTATION ON THE The last three distillations were then exa- mined. That obtained from the infusion of the flowers formed a red colour with the infusion of litmus : with the sulphate of iron no effect was visible, nor with the acetate of lead. I also tried a number of other tests, without producing any particular alteration. EXPERIMENT XV. The product of the distillation from the in- fusion of the leaves exhibited the same appear- ances as in the last experiment, EXPERIMENT XVI. The product of the distillation from the in- fusion of the root occasioned the same appear- ances as in the two last experiments. EXPERIMENT XVII. After the distillation of the infusion of the flowers, of that from the leaves, and also of EUPATORIUM perpoliatum. 33 that from the root, which was continued to dryness, an extract was left in the retorts of a dark colour and of a very bitter taste. Upon the addition of solid caustic soda, fumes resem- bling burning sugar were disengaged, and in a few minutes after the smell of ammonia was very evident. EXPERIMENT XVIII. The flowers, leaves, and roots that were used in the cold watery infusions, after having been repeatedly washed, were put in separate retorts, and a quantity of distilled water add- ed to each. They were placed in a sand bath, and distilled ; after nearly one half had come over, the receivers were removed, and fresh receivers luited to the retorts. The first part of the distillations appeared clear, had no taste, and but very little smell. The follow- ing re-agents had no effect upon them ; viz. the infusion of litmus, a solution of the sul- phate of iron, carbonate of potash, nitrate of silver, and acetate of lead. 34 DISSERTATION ON THE EXPERIMENT XIX. After all the fluid that was left in the re- torts in the last experiment had come over, and the materials were left completely dry, the dis- tilled fluid exhibited a milky appearance, with some films floating in it ; there was scarcely any appearance of oil on the surfaces. It had a vegetable smell : upon being subjected to experiment, with an infusion of litmus, it ac- quired a red colour. Neither a solution of the sulphate of iron, tartarised antimony, carbon- ate of potash, acetate of lead, muriate of mer- cury,' chromic acid, or nitrate of lead, produ- ced any alteration. EXPERIMENT XX. Finding there rvaa- nothing but an acid ob- tained from the distillation of the matei'ials, and suspecting it to be the acetic, I took the product of the distillation made with the leaves, and saturated it with pure potash. Af- EUPATORIUM PERFOLIATUM. 35 ter it was evaporated, a crystalline mass was obtained, upon which sulphuric acid was pour- ed. Fumes like aromatic vinegar arose. EXP miMENT XXI. To the flowers, leaves, and roots that were employed in experiment the eighteenth, a quantity of very pure alcohol was added : they were suffered to infuse for twenty-four hours, and the infusion then decanted. The appearance of the alcoholic infusion of the flowers was of the colour of Madeira wine, and possessed a bitter taste and an aromatic flavour. With the infusion of litmus, it form- ed a red colour ; a solution of sulphate of iron produced a dark green ; barytic water formed a brownish yellow ; nitrate of lead created a slight precipitate; with the acetate of lead it caused a brown precipitate ; carbonate of pot- ash formed a slight brown precipitate; tar- tarised antimony and gelatin had no effect upon it ; distilled water formed a precipitate. 36 DISSERTATION ON THE EXPERIMENT XXII. The alcoholic infusion of the leaves was of a brown colour, and like that obtained from the flowers, was of a bitter taste and aromatic flavour. With re-agents this infusion exhibit- ed the following appearances : carbonate of potash formed a dark brown precipitate ; tartarised antimony produced a brownish precipitate; nitrate of silver caused a light colour; with the acetate of lead an ochre yellow precipitate was formed ; nitrate of mercury occasioned an olive green precipi- tate ; barytic water also formed an olive green ; muriate of mercury caused a slight precipitate ; a light green colour was induced by nitrate of copper ; pure potash created a brown colour ; oxalate of ammonia produced a white precipitate ; with gelatin a precipitate was formed ; a solution of sulphate of iron, litmus, and distilled water, produced effects similar to the same re-agents, in experiment the twenty-first EUPATORIUM PERFOLIATUM. 37 EXPERIMENT XXIII. The alcoholic infusion of the root also ac- quired a dark colour, but did not possess the bitter taste nor aromatic flavour. It produced the following effects : with carbonate of pot- ash a copious dark precipitate was formed; the acetate of lead caused a slight brown precipitate; the infusion of litmus, sulphate of iron, nitrate of lead, barytic water, and tartarised antimony effected changes similar to those detailed in experiment the tw enty- first. EXPERIMENT XXIV. A portion of the alcoholic infusion of expe- riment the twenty-second was distilled. It was of a very clear appearance ; had no aromatic smell nor bitter taste ; an infusion of litmus, a solution of the sulphate of iron, and a num- ber of other re-agents were tried, without producing any change. 6 38 DISSERTATION ON THE EXPERIMENT XXV. A part of the alcoholic infusion of the leaves had recourse to in experiment the twenty-se- cond, was evaporated to dryness. A yellow resin-like thick varnish covered the bottom of the capsule, and was of an extremely bitter taste. Repeated affusions of warm water se- parated a part of it, leaving the remainder of a deep transparent red colour. These watery portions, when added together, were of a yel- low^ colour; on standing they soon became opaque, and deposited the resin which, by means of the heat, they had taken up. EXPERIMENT XXVI. To the leaves that were used in experiment the twenty-first, a quantity of very pure alco- hol was added, and the mass distilled to dry- ness : upon the infusion of litmus being pour- ed upon the product of the distillation, a red colour was formed; a solution of the sulphate EUPATORIUM PERFOLIATUM. 39 of iron, gelatin, and a number of other re- agents were tried, but without causing any evident alteration. OBSERVATIONS THE EXPERIMENTS. From the introductory remarks, preceding the experiments, it will be perceived, that a great part of the virtues of the eupatorium perfoliatum are readily obtained by means of a simple decoction. Were we to judge from the colour produced from a decoction of each part, we might conclude that the root possess- ed the most active properties ; but from the bitter taste, and from other circumstances, hereafter to be mentioned, as deduced from the experiments, it is abundantly evident, that 40 DISSERTATION ON THE they reside in greatest quantity in the leaves, and least in the roots. Experiment the first, with the flowers, proves the presence of a free acid, as is evinced from the infusion of litmus forming a red co- lour. The action of the sulphate of iron may arise from some modification of the gallic acid. Though it is stated, that the infusion of galls formed a very slight precipitate, yet as this efiect was not produced until several hours had elapsed, and as I was imahle to effect the same experiment a second time, either with the flowers or any other part, by means of the same re-agents, no satisfactory conclusion can be deduced as to the presence of cinchonin. The extractive matter was readi- ly evinced, from the brownish precipitation caused by the muriate of tin, and from the precipitate induced by the nitrate of mercu- ry : the extractive principle was also shown by the muriate of barytes. Tlie turbidness produced with the oxalate of ammonia was conjectured to contain linie ; and as, in a ETJPATORIUM PERFOLIATUM. 41 subsequent experiment, we found it in an alcoliolic solution, it is probably united with acetic acid. The sulpliuric acid proved the presence of extract. The effect of the alka- lies proves the presence of extract. The tannin principle was proved by the gelatin. The precipitate formed by the nitrate of sil- ver was ow^inof to extract. The changes pro- duced by chromic acid, and the olive green precipitate formed, may probably be account- ed for by the deoxidation of the acid itself, from the action of extract. The acetate and nitrate of lead also afforded tannin and extract. Tannin was also made evident by the action of the carbonate of potash. From experiments second and third, it was ascertained, that the extractive matter is in less quantity in the leaves than in the flowers, and that it may be obtained abundantly from the roots. More of lime was proved to exist in the leaves, than in either the flowers or roots. Judging from the precipitate formed by pure alkali, there would seem to be little 42 DISSERTATION ON THE difference in the proportion of tannin and of extractive matter in the flowers and roots. Most tannin is also shown to reside in the leaves. From the nitrate of silver we have proof that the extractive* principle resides especially in the root. That the leaves pos- sess the greatest quantity of tannin is like- wise shown from the action of gelatin. The extract obtained after the manner detailed in experiment the fourth, evidently possessed properties similar to those found in the decoction. The free acid was mani- fested by the infusion of litmus, and modified gallic acid by the sulphate of iron. No change being caused by distilled water, the total absence of any resinous material may be inferred. That the leaves possessed more or less resinous matter, was proved by the fifth experiment. The presence of tannin * Though I have here and elsewhere denominated this principle, obtained from the root, the extractive, yet it ap- pears to unite the characters both of extract and gum. EUPATORIUM PERFOLIATUM. 43 and extract is also proved. From the sixth experiment we obtain the same results as in the preceding. The ochre colour which the solution acquired by the carbonate of potash was owing to extractive. Little need be said of experiment the seventh ; it showed the pre- sence of gum united to extract and tannin. From experiment the eighth a principle was obtained which was soluble in alcohol and in water. VAuauELiA, in his examination of the Peruvian bark, also discovered a similar material, which he is inclined to believe a new principle ; he calls it a resiniform matter.* * From the re-agents employed in this experiment, a con- clusion might perhaps be drawn, that this principle approach- ed to the nature of that denominated by Dr. Thomson, in his system of chemistry, artificial tannin, or the second species of bitter principle. Mr. Chenevix procured this principle from a filtered preparation of digested unburned coffee, in water; and, though I had not an opportunity of making use of all the re-agents that he employed in his examination, yet it seems to be highly probable that the eupatoriura contains a material very analagous to that found in coffee. From the experiments of Lagrange, it appears, that a substance 44 DISSERTATION ON THE All the re-aojerits had recourse to in experi- ments the ninth and tenth established the evi- dence of the resiniforni matter of Vauquelin, and that it is to be obtained most abundant- ly from the leaves, and least from the roots. From the effects of tartarised antimony, in experiment the ninth, it would appear to con- tain a principle which Dr. Duncan calls cin- chonin.* similar to this second species of bitter principle exists in the flowers of the arnica montana. Dr. Thomson thinks, that bitter principle, which characterizes the worm- wood, sabine, rue, milfoil, and chamomile, belonj^s to this second species. It will hereafter appear, that the virtues of the eupatorium perfoliatum, as an article of medicine, are very similar to those for which these plants are distinguished; more par- ticularly those of the anthemis nobilis. See Thomson's Chemistry, vol. v. p. 95 : see also experiments on the various species of cinchona, by M. VAvauELiN, in Ni- cholson's Journal, 8vo. vol. 19, p. 204. * See Dr. Duncan's experiments on the Peruv. bark, in Nicholson's Journal, 8vo. vol 6, p. 225. KUPATORIUai PERFOLIATUM. 45 It is scarcely necessary to remark, that the virtues of the eupatoriiim are extracted in a considerable degree by means of the cold wa- tery infusion. From what has been stated, it will be recollected, that the infusion of the root of this plant, like the decoction made of the same part, afforded the darkest colour ; and that while the decoction of the flowers was darker than that made with the leaves, that the infusion of the leaves w^as considera- bly deeper than that prepared from the flowers. Experiment the eleventh was instituted for the purpose of ascertaining how far its active properties were imparted to the cold infusion. The same re-agents as were employed with the decoction were tried with the infusion of the flowers. The results were nearly similar ; the presence of an acid, of tannin, and of extrac- tive matter was proved, though the astringent principle was not so abundant. Experiments twelfth and thirteenth fully evince that in the leaves reside the most active properties of the plant ; the dark green precipitation caused by 7 46 DISSERTATION ON THE sulphate of iron, and the precipitation induced by gelatin, manifested the existence of tannin and modified gallic acid in the leaves, while, with the same re-agents, the root was ascertain- ed to be nearly destitute of it. The oxalate of ammonia, by the immediate and copious preci- pitate which it caused, while it convinced us that the leaves also possessed lime, in no small degree, it rendered it no less certain, in our ex- periments with the root, that from this portion of the plant, this ingredient was not to be ob- tained, at least in any sensible quantity. By the other tests it is also proved, that the vir- tues of the root, while they differ in quality, are also less in quantity. I have stated the results of the simple de- coction, and of the simple infusion. With the view of ascertaining more satisfactorily the properties of the plant, as taken up by this last preparation, I subjected the infusion itself to the process of distillation. After the pro- cess had been continued until nearly one half had come over, upon examination, nothing but EUPATORIUM PERFOLIATUM. 47 pure water was ascertained to be in tlie re- ceiver. The rennaining portion being distilled over into other receivers, I employed the usual re-agents. This last product, obtained from the distilled infusion of the tiowers, showed a free acid; that it was not the gallic acid was certain from the inaction of the sul- phate of iron : of its being the acetic acid, there could be little doubt, both on account of the difficulty with which it was volatilized, and from the result of experiment twentieth. On experiments fifteenth and sixteenth it is unnecessary to make any particular remarks. From experiment the seventeenth, a dry extractive matter, similar to that obtained from the decoction, was produced. From the operation of the caustic soda we infer the existence of azote. Experiments eighteenth and nineteenth tend to corroborate the results of the fourteenth, fifteenth, sixteenth, and twentieth experiments. From the nineteenth experiment acetic acid was produced, which was probably modified by the presence of oil. 48 DISSERTATION ON THE The twenty-first, twenty-second, and twenty- third experiments prove, that pure alcohol extracts all the active principles which exist in the decoction and infusion ; and in addition, also a resinous matter. It will be perceived, that alcohol takes up tannin from the leaves, and that this constituent of the plant is not extracted from the other parts by this men- struum. Experiment the twenty-fourth proves that the acid is not volatilized in the tempera- ture of boiling alcohol. From experiment the twenty-fifth, we have the resin more pure than heretofore, and, comparatively speaking, in liberal quantity. A portion of the resinous matter was dissolved in warm water, and was easily precipitated upon cooling. From the last experiment we learn, that in the distilla- tion of the plant with pure alcohol, the free acid only is extracted. From the experiments which were institu- ted, and the results which I have attempted to deduce from them, it seems to be satisfac- torily proved, that the eupatorium perfoliatum EUPATORIUM PERFOLIATUM. 10 contains, firstly, a free acid ; secondly, tannin ; thirdly, extractive matter; fourthly, a o:umiiiy matter ; fifthly, a resin ; sixthly, azote ; se- venthly, lime, probably the acetate of lime; eis^hthly, gallic acid, probably modified ; ninth- ly, a resiniform matter, soluble in water and in alcohol, and which seems to contain a bitter principle. That the free acid may be obtain- ed from all parts of the plant : that tannin is obtained in much the largest quantity from the leaves, and least from the roots : that the extractive and gummy matter resides chiefly in the roots : that the leaves and flowers also contain a larger proportion of resin than the roots : that azote exists in the flowers, leaves, and roots. I have stated the presence of gallic acid ; whether it depend upon the combination of a free acid with tannin, or whether it is to be ascribed to the existence of extractive mat- ter, an opinion which Dr. Thoimson main- tains, I do not pretend to determine: that lime, a constituent of Peruvian bark, was also 50 DISSERTATION ON THE liberally procured from every portion, though it abounded in the leaves, is also apparent. Hence we are warranted in the conclusion, that this plant possesses active medicinal pro- perties ; that many of them are similar to those which characterize the cinchona officinalis, the anthemis nobilis, and other valuable arti- cles of the materia medica ; but that these vir- tues reside in greatest quantity in the leaves.* As pharmaceutical preparations of this spe- cies of the eupatorium, the following seem to be more particularly deserving of recom- mendation. The decoction of the flowers and of the leaves ; infusions of the same parts ; the leaves in substance, pulverized ; and a tinc- ture of the flowers and of the leaves, prepar- ed with proof spirits. This last form is the most pleasant and convenient, and at the same * A contrary opinion is expressed by Dr. Barton, who maintains, that the floAvers possess the most active proper- ties ; but it is unnecessary to enter into a refutation of thie point after the analysis which has been given. EUPATORIUM PERFOLIATUM. 51 time the most powerful ; for proof spirits was ascertained to be the best menstruum. On the use of the Eupatorium Perfoliatum as an article of the Materia Mcdica. Of the value of the eupatorium perfoliatum, as an article of medicine, there can be no he- sitation to offer an opinion. Though the wri- ter has forborne to institute a comparison be- tween the chemical properties of this plant, as deduced from experiment, and of those which are ascertained to belong to the Peruvian bark, yet the inference can be readily drawn, that, in very many respects, these two products of the vegetable kingdom are exactly similar. Indeed, it may readily be asserted, that, for its active medicinal virtues, particularly as a sudorific and as a tonic, it will not suffer by comparison with any of the articles drawn 52 DISSERTATION ON THE from the vegetable kingdom. Of its modus operandi in the treatment of diseases, it will be unnecessary particularly to dwell; this will be sufficiently well understood in con- nection with the circumstances that will be given when its employment in various disor- ders is considered. Many of the remedies procured from the class of vegetables which, from repeated experience, have been found particularly useful in the treatment of diseases, doubtless produce their salutary effects, by operating in the same manner as this species of the eupatorium. Such may be considered the marubium vulgare, the anthemis nobilis, &;c. From the opportunities which I have enjoy- ed of witnessing the employment of this plant, in different diseases, in the New- York Alms- house and from the observations and experi- ence of several distinguished practitioners, particularly of Dr. Barton and of Dr. Ho- SACK, T am led to believe it an important and efficacious remedy in the treatment of most febrile disorders, particularly in intermitting EUPATORIUM PERFOLIATUM. 53 and remitting fevers, yellow fever, and in other disorders of specific contagion; in many cuta- neous affections, and in diseases of general debility. Let us first consider its use in intermitting and remitting fevers. The great efficacy of eupatorium perfoliatum in this class of diseases has been long known, as the facts communica- ted by Dr. Barton fully prove.* The fol- lowing cases are inserted for the purpose of showing that these diseases may as effectually be cured by this indigenous product of our own country as by the bark of Peru. Perhaps it may be necessary to mention, that its ope- ration depends, in a very great degree, upon the particular form in which it is administer- ed. If it be exhibited as a warm decoction, it often proves emetic, and acts especially upon the skin, in producing diaphoresis : if it be given in the form of a cold infusion or decoc- Collectioos towards a Materia Medica of the United States. 8 54 DISSERTATION ON THE tion, or in substance, it acts as a powerful tonic. In order to evince its tonic effects, it was given in these cases of Intermittent Fever. Case I. Francis C y, born in Ireland, aged forty-nine, was admitted in the New- York Alms house, Oct. 1, 1812: is naturally of a fair complexion ; at present is very much debilitated, and affected with a quartan inter- mittent, which generally attacks him at four o'clock in the morning, and continues until eleven o'clock, a. m. ; complains of considera- ble pain in his extremities ; pulse rather fre- quent ; bowels regular ; tongue furred ; appe- tite very bad. These attacks began eight weeks since, but have always put on the appearance of a regujar quartan, and have varied but little in the time of attack. He was employed on a farm in Westchester, in a marshy situation; has not as yet taken any medicine for his complaint. EUPATORIUM PERFOLIATUM. 55 Ordered, Pulv. ipecac, grs. xv. Tart, antim. grs. ii. M. Oct. 2. The emetic operated very well, and brought a quantity of bilious matter from his stomach, by which he feels somewhat better. Put him upon the use of the Pulv. fol. eupat. perfol. grs. xx. one to be taken every two hours in syrup, during the intermission of the fever. Oct. 4. This day the fever ought to have come on at or about four o'clock : experienced some sen- sations of chilliness, and a slight degree of fever, but these left him in a short time; says the medicine sets well on his stomach : pulse natural ; bowels regular ; tongue a little fur- red ; skin moist : let him continue in the use of the powders. Oct. 7. This morning escaped the paroxysm ; says he feels much better ; ob- serves his urine is increased in quantity: let him continue in the use of the eupatorium. Oct. 10. This morning felt some coldness 56 DISSERTATION ON THE about the time of attack, but no chill or fever ; does not complain of the taste of the powders : let him continue in the use of the medicine. Oct. 11. Does not feel so well this morning, and is at times inclined to vomit : let him increase the dose of his medicine, and take pulv. fol. eupat. perfol. grs. xxv. every two hours. Oct. 13. Had no attack of fever this morning, but as he complains of his bowels being costive, a gentle cathartic was given him. Oct. 16. The purge given operated but once; has not taken any of the powders since the last report; had another attack of fever this morning. The chill came on about eight o'clock, but was very soon checked, by giving a strong decoction of the flowers of the eupatorium : it operated as an emetic, and was followed by a copious secretion from the skin : ordered him to continue in the use of the pow- ders, increasing the dose to sfs. every two hours, while free from fever. Oct. 19. Has not had any fever since the last report ; pulse full ; bowels regular ; skin moist ; EUPATORIUM PERFOLIATUM. 57 tonojue clean ; appetite better : has taken half an ounce of the medicine since the last report : let him continue in the use of the powders. Oct. 22. C y still continues free from fe- vers ; takes at least 3fs. of his powders every two hours: is gaining strength rapidly: let him continue in the use of the eupatorium. Oct. 29. Our patient has not had any fever since the sixteenth instant; has regained his appetite and strength, and wishes to be dis- charged ; accordingly took his discharge from the house this morning. Nov. 18. Accidentally saw our patient; informs me he has not had any return of his disease since. Case TI. Catharine H y, born in New- York, aged thirty-six, is affected with a tertian intermittent, which generally attacks her at eleven o'clock in the evening, and continues with great violence until three or four o'clock in the morning. Pulse natural ; bowels rather alow ; tongue furred ; appetite much impaired. 58 DISSERTATION ON THE The first attack she had, was on the night of the twenty-ninth of Sept. at eleven o'clock. Let a strong decoction of the flowers of the eupatorium be given. Sept. 30. The decoction operated as an emetic, and brought a considerable quantity of half formed bilious matter from her stom- ach : ordered, pulv. fol. eupat. perfol. grs. xx. in syrup, every two hours, while free from fever. Oct. 2. Our patient had another attack of fever last evening ; let her continue in the use of the medicine. Oct. 4. She has escaped from her fever last night, does not complain of the taste of the powders, and has taken them regularly since the last report: pulse natural; bowels regular; skin moist; urine increased in quantity ; appetite better : let her continue in the use of the powders. Oct. 6. Still continues free from fever, since the first instant. Oct. 15. H y still continues free from fever. It is two weeks since she had an attack of the disease. Discharged, cured. EUPATORIUM PERFOLIATUM. 59 Case III. Hannah D n, born in Ireland, aged thirty-six, is affected with a quotidian intermittent. The chill comes on at two o'clock in the afternoon, and continues until eight o'clock in the evening : was attacked on the fourth of October. Pulse full and slow ; bowels costive ; skin cool ; tongue clean ; some pain in the head : says she lived at Poughkeep- sie about three months since, and while there had a disease called spotted fever, of which she was relieved, but was left in a very debili- tated state : she removed to New- York, where she was attacked with a quotidian fever, on the fourth of October. Ordered, Pulv. jalap, comp. jfs- Sub-mur. hydrarg. gi's. vi. M. After the operation of the powder, let her take pulv. fol. eupat. perfol. grs. xx. every two hours. Oct. 6. After the cathartic had operated, she commenced with the powders, taking them as above directed : does not complain of the taste of the medicine ; it sets well on her stomach. Oct. 8. Had another 60 DISSERTATION ON THfe attack of fever on the sixth and seventh; bowels rather loose : let her continue in the use of the medicine, increasing the dose to XXV. grs. Oct. 10. Our patient had another attack of fever on the eighth and on the ninth ; urine increased in quantity ; appetite better. Oct 13. D n has not had any regular attack of fever since the last report, though at times, slight febrile symptoms have affect- ed her : let her continue in the use of the medicine. Oct. 25. It is fifteen days since our patient has had any fever; has not ta- ken any medicine these five days past; feels her strength quite restored, and has a good appetite. Discharged, cured. Case 4. Mary H d, born in Ireland, aged sixty-seven, is very much debilitated, is affected with a quotidian intermittent, which attacks her at ten o'clock in the morning, and continues until about three o'clock in the afternoon ; pulse small and slow, bowels cos- tive, tongue furred, appetite bad. These at- tacks of intermittent began on the tenth of EUPATORIUM PERFOLIATUM. 61 Oct. last. After the operation of a dose of the sulphate of soda ordered the pulv. fol. eupat. perfol. 3fs. one to be taken every two hours in wine, while free from fever. Oct. 12. Yesterday had another attack of fever, the chill was quite severe ; since the last report has taken sijfs. of the eupatorium which sits well on her stomach ; says that im- mediately after taking a powder she feels some moisture on her skin : has some dizziness in her head, yet feels better this morning. The hour has past in which she expected the attack; pulse quicker and fuller, tongue a little fur- red, urine increased in quantity. Oct. 14. H d has not had any regular attack of fever since the last report ; continued to take the powders regularly through the day but omitted them in the night. Oct. 26. H d has not had any fever for fourteen days ; is quite recruited in strength and spirits ; has not taken any medicine since the nineteenth, appe- tite still continues quite good. Discharged, cured. 9 62 DISSERTATION ON THE Case 5. William C g, born in New- York, aged five years, is affected with a quo- tidian intermittent, which generally attacks him between one and two o'clock in the after- noon, and continues until evening. Was first attacked on the seventh of October, and had regular accessions of fever on the seventh, eighth, and ninth. On the tenth gave hun a strong decoction of the flowers of the eupa- torium. October 11. The decoction vomit- ed him very freely, and shortened the chill and fever, by producing perspiration; was ordered the pulv. fol. eupat. perfol. gr. x. eve- ry two hours, while free from fever. Oct. 13, Our patient has not had any fever since the last report ; has taken the powders regularly, and is quite fond of taking them ; pulse rather quick, but full; bowels regular; skin moist; urine increased in quantity; tongue a little furred : let him continue in the use of the me- dicine. Oct. 16. C g still continues free from fever, since the last report : pulse natu- ral ; bowels regular ; skin moist ; tongue clean. Oct. 25. It is now fourteen days since our EUPATORIUM PERFOLIATUM. 63 patient had any fever; has not taken any medicine for six days past. Discharged, cured. Case VI. Sarah and Martha B d, the first aged four, the last two years and six months : they are effected with tertian inter- mittents. The first is attacked about nine o'clock in the morning, and continues until afternoon : tlie last is attacked about the middle of the day, and continues until even- ing: pulse accelerated; bowels loose; tongue furred ; skin dry ; appetite in both very bad. The eldest was first attacked about three weeks since, the youngest about one week; their mother informs me, that the fever was regular as to the time of attack. Oct 22. Ordered, the pulv. fol. eupat. perfol. grs. x. in syrup, to be given to the eldest, every two hours, while free from fever; and pulv. fol. eupat. perfol. grs. vi. for the youngest. Oct. 24. Our patients had each an attack of fever yesterday ; had each taken four powders, and did not complain of the taste of the medicine : 64 DISSERTATION ON THE pulse regular ; bowels still loose ; tongue fur- red ; appetite not very good. INov. 3. The patients have continued taking their medicine until the first instant : the eldest has not had any fever since the twenty-third ; the youngest has not had any since the twenty-fifth of last month : pulse natural ; bowels regular ; tongue clean ; appetite very good ; urine somewhat increased in quantity. Both discharged, cured. To the above cases of intermitting fever* which were distinctly marked, and which were effectually cured by the use of the eupatori- um perfoliatum, given either in decoction or in substance, the writer might have added very many others. But to have done this would have far exceeded the ordinary limits of an inaugural dissertation. In simple intermit- tents, admitting of distinct intermission, it is asserted to have been exhibited with uncom- mon advantage. That such is the fact with regard to the medical properties of this species of the eupatorium was abundantly proved froni the uniform result of almost every case EUPATORIUM PERFOLIATUM. 65 of that type of disease, as it occured in the New- York Alms-house. Perhaps, too, this important fact will be the better kept in mind when I state, that from the very successful administration of this remedy, in this disease, in the year 1812, the practice of depending upon it, to the exclusion of the Peruvian bark and other ordinary remedies, for the cure of intermittents, seemed perfectly justifi- able, and subsequent experience in that ex- tensive charity has fully confirmed all that was anticipated. Remitting Fever. With regard to the treatment of remitting fevers and other disorders of a febrile charac- ter, I am disposed to believe that it will be found an efficacious medicine. In the man- agement of remittents, particularly, many op- portunities occured of testing its value. Asa sudorific it produced the most salutary effects, and in those instances in which tonics were indicated, its administration was attended 66 DISSERTATION ON THE with equal advantage, when had recourse to for that purpose. Many cases mio;ht be here detailed in confirmation of this opinion. A more extensive employment, therefore, of this plant in febrile disorders, than Dr. Barton is disposed to admit, will, I think, be justifiable. Yellow Fever. In the treatment of the yellow fever, as it has prevailed in the United States, and in other diseases of a contagious nature, whether depending upon epidemical causes, or upon the introduction of a specific matter intro- duced into the system, the eupatorium perfo- liatum will be found a powerful remedy. As to the yellow fever, however diversified the opinions which have been entertained of its peculiar nature, and however various the modes of treatment that have been adopt- ed by different physicians, as the disease has appeared in different years, in the various parts of our country, there can be little doubt, that the sudorific method of cure has, upon the EUPATORIUM PERFOLIATUM. 67 whole, been attended with more success than either the blood-letting or mercurial practice. During the prevalence of this epidemic in the city of New-York, in the year 1795, 1797, 1798, and in 1805, great dependence was placed upon those remedies whose operation was more immediately evinced by their action upon the surface of the body : this was parti- cularly the case, in the treatment of this epi- demic, when it prevailed with its greatest mortality in 1798. From the records which exist of that epidemic, it appears, that, by some practitioners, recourse was had chiefly to mer- curial remedies ; that some made liberal use of blood-letting and other active evacuants, while others again placed their chief dependence upon moderate evacuants and sudorifics. But without enlarging upon this point, I shall briefly state the opinions of Dr. Hosack and Dr. Bard, the distinguished President of the College of Physicians and Surgeons. Having had the most extensive opportunities of wit- nessing this disease, and of employing the dif- ferent methods of treatment, they bear the 68 DISSERTATION ON THE most unequivocal testimony in its favour. In the yellow fever of 1798 and 1799, after the necessary evacuations of the first passages had been procured, almost exclusive dependence was placed upon sudorifics.* Of these sudori- fics, the eupatorium, admininistered in the form of decoction, was deservedly considered of great value. Its primary operation was in promoting the cuticular discharges. In Typhoid Peripneumony. The disease, called by some practitioners the petechial or spotted fever, and, by others, the malignant pleurisy or typhoid peripneu- mony, and which, within these few years past, has prevailed to such an extent in different parts of the United States, more especially in the eastern districts, and in the northern and * See Hosack's letter to Dr. Currie, in Dr. Currie's sketch of the yellow fever, as it prevailed ia Philadelphia io 1 799. See also Stevens's letter on the Bone-set, in Mit- CHiLL and Miller's Medical Repository, hexade 2. vol. 1. p. 12. EUPATORIUM PERFOLIATUM. 69 western parts of Nevv-Yort, appears, from an examination of the various accounts that have been published, to have been more successfully treated by the class of remedies denominated sudorifics tlan by any other. The elaborate and able Report published by the Massacbu- seUs Medical Society relative to the petechial fever, as it appeared in 1807 and 1808, is of it- self sufficiently satisfactory on this point.* But we may also add, that a similar opinion is maintained by those who have witnessed this disease, as it has appeared with no less mor- tality in the state of New-York. See the re- spective observations of Dr. Hudson,! of Dr. ]V]ajNN,J of Dr. WiLLiAMSois,^ and of Dr. * IVledical Papers, communicated to the Massachusetts Medical Society, vol. 2. pt. 2. p. 146 — 9. Amer. Med. and Phil. Register, vol 1. p. 240—3. t Remarks on the Epidemic of New-York, in Amer. Med. and Phil. Reg. vol. 3. p. 496. J Observations on the Pneumonia of New- York, in Amer. Med. and Phil. Reg. vol. 3. p. 497. § Remarks on the Malignant Pleurisy of New- York, in Amer. Med. and Phil. Reg. vol. 3. p. 453. 10 70 DISSERTATION ON THE HosACK.* In many cases of this epidemic, which occurred in the city of New- York in the winter of 1812 — 13, after the proper eva- cuants had been employed, in some instances by the lancet, and after the bowels were re- lieved by mild purgative medicine, among the remedies which were had recourse to in order to procure perspiration, such as the infusion of snake root, wine whey, &c. the eupatorium also proved highly serviceable. That a remedy like the eupatorium, possessing such active properties as a sudorific, should prove useful in a disease so generally characterized by symptoms of great debility, can easily be ex- plained, when we revert to its chemical analysis, and consider its tonic, and conse- quently its cordial, properties. * Observations on the Peripneumonia Typhodes of New- York, io Amer. Med. and Phil. Reg. vol. 3. p. 448. EUPATORIUM PERFOLIATUM. 71 Cutaneous Diseases, In many of the diseases arranojed under the class denominated cutaneous,* • whether de- pending upon a peculiar habit of body, or arising from specific morbid matter introduc- ed into the system, we have sufficient evidence to believe that the eupatorium may be em- ployed with great advantage. Its general action upon the secretions, particularly those of the surface of the body and upon the urinary organs, presents sufficient proof, that in those cases in which alteratives are indicated, it will be productive of very salutary effects ; and such indeed was found to be the fact' in the management of a particular and distressing affection of the herpetic kind, w hich was for- merly very common in Virginia, and there known by the name of the James' River ring- worm ; so called because the disease was espe- cially prevalent among the inhabitants who * See Dr. Willan's arrangement of Cutaneous Diseases. 72 DISSERTATION ON THE resided upon the upper streams of James' River. Upon tt)e autliority of Dr. Barton,^ we are informed, tl:at in this affection the eu- patorium perfoliatum was very beneficial. " The patient," says he, "drank a decoction of the plant, and continued the use of it for some time. It sometimes puked, it no doubt purged, and in all probably it operated as a sudorific." In treatment of the influensay or epidemical catarrh which prevailed so gene- rally in the United States, in the year 1807, this vegetable, both in the form of a simple decoction and in that of infusion, proved high- ly serviceable. In the former preparation it was useful from its mild emetic qualities, and from its action upon the skin ; in the L tter its salutary operation was caused by its cordial and tonic properties. In the treatment of other diseases, depending upon epidemical causes, such as measels, scarlatina, small pox, ^c. this plant will also be found deserving of attention. * CoUectioQs towards a Materia Medica. EUPATORIUM PERFOMATUM. l.i Diseases of JJehility. The powerfully tonic effects of this plant have already claimed our attention when con- sidering its chemical analysis, and Ihe obser- vations which were made upon its employ- ment in the treatment of intermittents, and the cases of this disease which were effectually cured by it, present a practical illustration of what wfis at first advanced. That a remedy which in one form can arrest the paroxysms of an intermittent, might in another form possess tonic properties calculated to do much good in disorders arising from general debility, needs no effort of the imagination to conceive. During the writer's attendance in the New- York Alms-house in the year 1812, very libe- ral recourse was had to this remedy in diseases of this kind. The preparation for the most part employed, was an alcoholic tincture of the pulverised leaves and flowers. In general ana- sarcous affections of the extremities, whether occurring as symptomatic of other diseases. 74 DISSERTATION ON THE or depending upon a debilitated habit of body, this remedy in many cases was a convenient and salutary medicine. In ascites, when it may be considered as a disease of debility, that is, when it does not arise from general plethora of the system and fulness of the blood vessels,* the alcoholic tincture may be safely recommended as an excellent tonic ; and it is worthy of remark, that in as much as it pos- sesses, to a considerable degree, in addition to its tonic effects, the properties of a divu-etic, it may be the more advantageously employed in cases of this kind. * This discrimination between the different kinds of drop- sy necessarily leads to the most important practical applica- tion. The eupatorium as a tonic cannot but be pernicious in diseases depending upon a general fulness of the habit. And that dropsy depends, in a majority of cases, upon this cause, is confirmed by the experience of all who have en- jo}ed opportunities of observation in this disease. In- deed, there is as good reason for considering dropsies iu their active and passive stage, as there i§^ for dividing inflammation into acute and chronic. MS. Notes on Ho-* sack's Lectures. EUPATORIUM PERFOLIATUM. 75 I should be wanting in those feelings of re- spect which I ought to cherish toward the university in which I have acquired the ele- ments of my medical education, did I not now, when about to receive its honours, present my grateful acknowledgments to the respective professors of the college, for the liberal aid imparted me by their able lectures during the progress of my medical studies. FINIS.