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Holistic Terpenes & Healing Forests: The Science Behind The Entourage Effect

Sanrakuso at Kansho-in Temple

Are you as tired as I am of smug drug warriors who have all the research dollars locked up and then sneer that the Cannabis community can’t prove what we all know to be true because there isn’t any research? Well, now maybe there is – at least a little.

I’ll wait for others to voice their thoughts, but I’m thinking the research we’ll cover in this post means no more “You can’t prove it” bullshit about the Cannabis Entourage Effect from Pig Pharma & their federal shills.

The studies cited throughout this blog post reference terpenes and other phytochemicals found in the natural emissions and vapors of “Forest Bath” environments and prove their wide-ranging efficacy as inhaled and absorbed therapeutic & healing agents.

(Please see my previous post for a full discussion of “Forest Bathing” and Cannabis.)

The “Forest Bath” research also shows clearly that the healing potential of this class of phytochemicals is far from fully understood.

These same “Forest Bath” terpenes and other phytochemicals, exactly the same ones, are found in Cannabis emissions and vapors, in almost the same proportions, and they vary among Cannabis strains the same way that emissions from tree species vary among Healing Forests.

Hundreds of peer-reviewed scientific and medical research studies support the therapeutic validity of the ancient practice of Forest Bathing. Perhaps this same body of science, properly interpreted, would allow the Cannabis community to checkmate the anti-Cannabis propagandists and their scientific pretensions with some solid, relevant data. The planet is tight.

A Little Background

The totality of “Forest Bath” research provides precisely the range of scientific experimental evidence needed to validate ancient Cannabis wisdom and provide strong data-based support for the healing powers of the Cannabis “Entourage Effect”.

South Korean scientists and public health researchers have documented a wide range of positive health benefits from exposure to terpenes in the air of coniferous forests. They have established that variations among the emitted terpenes of different species of trees create highly diverse, differently beneficial micro-environments.

South Korean, Japanese & Taiwanese healing forests are all well mapped – this tall forested mountain valley for asthma; that craggy seaside forest for dermatitis. These healing forests have been well-known for hundreds of generations, and thousands of ancient shrines celebrate the spiritual qualities & health benefits of forested environments throughout Northeast Asia. Legends are filled with heroes suffering grievous battle wounds going alone into the forests and emerging weeks later miraculously healed.

Forest Bath research shows that the dominant terpenes in the air of the most highly-rated “healthy forests” are the same terpenes, primarily a-pinene, myrcene, linalool, and d-limonene, that dominate and differentiate the aromas, tastes and effects of various Cannabis strains.

Because inhaling both Forest terpenes and Cannabis terpenes involves inhaling virtually the same phytochemical mix, “Forest Bath” research pretty well refutes those smug anti-Cannabis arguments against the “Entourage Effect” that boil down to “You can’t prove it because there’s no research”.

Until now, we’ve been limited to a justifiably angry “Of course there isn’t any research you assholes – you’ll have anyone who tries to do the damn research arrested!” Which of course immediately provokes: “Well, that Cannabis certainly does make you people touchy,” followed by further self-satisfied smirks.  

Maybe Forest Bath research changes the balance of smirk-entitlement.

Forest Bath research provides a thoroughly validated database in support of the health benefits of inhaling the precise aerosolized natural terpenes involved in the Cannabis “Entourage Effect”, clearly establishing the link between inhaling a natural blend of specific aerosolized or vaporized terpenes and associated phytochemicals and obtaining cumulative, lasting, measurable health benefits..

Some of the research references that follow this introduction focus on studying the biological activity of a single terpene in a laboratory environment, such as a-pinene’s effect on cardiac cell inflammation in vitro, while others focus on measuring variables like blood pressure in people exposed to natural forest environments under experimental conditions. Taken as a whole they form a good platform for launching further Cannabis “Entourage Effect” research even in the presence of the Federal war on Citizens.

Note of caution in applying Forest Bath research to Cannabis:

When we’re looking at the science behind “Forest Bathing” to inform our understanding of inhaling/ingesting Cannabis terpenes, it’s important to differentiate between the terpene/phytochemical content of the smoke stream of combusted Cannabis and the terpene/phytochemical content of the vapors emitted under various conditions by the whole, non-combusted but “vaporized” Cannabis flower.

A combustion smoke stream contains both the byproducts of combustion itself, including particles of toxic soot, and vaporized organic compounds including THC and all the cannabinoids, terpenoids, flavonoids and other phytochemicals. These compounds are heated to the point of “boiling off” the plant materials ahead of advancing combustion, and those that are especially vulnerable to heat are partially degraded by that process.

On the other hand, dry distillation of Cannabis flowers, also called vaporizing, does not create combustion byproducts in the vapor stream – no toxic soot- because the heating process leading to the change of state from resin to vapor is non-destructive. Nothing burns. The terpene profile in a vapor stream is close to the natural profile of the terpenes in the whole flower before vaporizing occurs because even the most heat-sensitive Cannabis flower phytochemicals survive well-calibrated vaporizing, while far fewer survive even the gentlest combustion.

That difference may be medically significant. It seems likely that the “Forest Bath” science applies directly to an “Entourage Effect” from vaporized Cannabis flowers but somewhat less to combusted flowers.

In other words, inhaling Cannabis vapor is more like taking a pleasant walk through a forest, and inhaling Cannabis smoke is more like being in front of a nice campfire. Both excellent experiences; each very different.

So I’m suggesting that “Entourage Effect” discussions focus more on the health and sensual benefits of inhaling the natural emissions and vapors of Cannabis, as well as ingestion of the natural Cannabis flower by other means, and maybe focus a little less on inhaling Cannabis smoke which has the same toxic effects as inhaling any smoke regardless of benefits, and can’t be dismissed as a serious health hazard.

The following “Forest Bath” research literature citations, all from peer-reviewed scientific journals, are all curated in the US National Institutes of Health “PubMed” database. This provenance means that anti-Cannabis “scientists” cannot challenge the validity of the large body of “Forest Bath” research, nor its applicability to Cannabis and the “Entourage Effect”.

So, if you want to dig deeper into the science, here are the results of the “Forest Bathing” literature research brilliantly elucidated by the Korean Society of Toxicology team. I’ve added revised PubMed links to the original citations and edited a bit for clarity where I thought it was needed:

Therapeutic Potential Of Inhaled Conifer Forest Terpenes

Pinene

“ α-Pinene, found in oils of coniferous trees and rosemary, showed anti-inflammatory activity by decreasing the activity of mitogen-activated protein kinases (MAPKs), expression of nuclear factor kappa B (NF-κB), and production of interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α) and nitric oxide (NO) in lipopolysaccharide (LPS)-induced macrophages (link to original research).”

“In ovalbumin-sensitized mouse model of allergic rhinitis, pretreatment with α-pinene decreased clinical symptoms and levels of immunoglobulin E and IL-4 (link to original research).”

“In human chondrocytes, α-pinene inhibited IL-1β-induced inflammation pathway by suppressing NF-κB, c-Jun N-terminal kinase (JNK) activation, and expression of iNOS and matrix metalloproteinases (MMP)-1 and -13, suggesting its role as an anti-osteoarthritic agent (link to original research).”

“Strong anti-inflammatory activity was observed when α-pinene was used in combination with two active ingredients of frankincense, linalool and 1-octanol (link to original research).”

“The Anti-tumor effects of pinenes are well established on tumor lymphocytes as well as tumor cell lines (link to original research).”

“Matsuo et al. (link to original research) identified proapoptotic and anti-metastatic activities of α-pinene in a melanoma model.”

“Later, it was revealed in human hepatoma Bel-7402 cells that the proapoptotic effect of α-pinene is associated with induction of G2/M cell cycle arrest (link to original research).”

“In addition, α-pinene triggers oxidative stress signaling pathways in A549 and HepG2 cells (link to original research).”

“Kusuhara et al. (link to original research) reported that mice kept in a setting enriched with α-pinene showed reduction in melanoma sizes, while in vitro treatment of melanoma cells with α-pinene had no inhibitory effect on cell proliferation, suggesting that the in vivo result may not be due to a direct effect of α-pinene.”

“Investigation of β-pinene also revealed its cytotoxic activity against cancer and normal cell lines with a more pronounced effect on neoplastic cells in the majority of cases, showing acceptable chemotherapeutic potency (citation #1,citation #2).”

“α-pinene and 1, 8-cineole also exert neuroprotective effects by regulating gene expression. They protected PC12 cells against oxidative stress-induced apoptosis through ROS scavenging and induction of nuclear Nrf2 factor followed by enhanced expression of antioxidant enzymes including catalase, superoxide dismutase, glutathione peroxidase, glutathione reductase, and HO-1 (link to original research).”

Myrcene

“Myrcene, the acyclic monoterpene, also exhibits significant antiproliferative and cytotoxic effects in various tumor cell lines such as MCF-7 (breast carcinoma), HeLa (human cervical carcinoma), A549 (human lung carcinoma), HT-29 (human colon adenocarcinoma), P388 (leukemia), and Vero (monkey kidney) as well as mouse macrophages (citation #1,citation #2).”

“Essential oil from Vepris macrophylla demonstrated a strong cytotoxic effect, suggesting that the effect may be attributed to the presence of specific components, among which is myrcene (link to original research).”

Linalool

“Treatment with linalool, a natural compound found in essential oils of aromatic plants, inhibited cigarette smoke-induced acute lung inflammation by inhibiting infiltration of inflammatory cells and production of TNF-α, IL-6, IL-1β, IL-8, and monocyte chemoattractant protein – 1 (MCP-1), as well as NF-κB activation (link to original research).”

“In another lung injury model, linalool attenuated lung histopathologic changes in LPS-induced mice. In in vitro experiments, linalool reduced production of TNF-α and IL-6 and blocked phosphorylation of IκBα protein, p38, and JNK in LPS-stimulated RAW 264.7 macrophages (link to original research).”

“Similarly, linalool inhibited production of TNF-α, IL-1β, NO, and PGE2 in LPS-stimulated microglia cells (link to original research).”

“Li et al. (link to original research) showed that the anti-inflammatory effect of linalool is involved in activation of Nrf2/heme oxygenase-1 (HO-1) signaling pathway.”

“Frankincense oil extract, which contains linalool, exhibited anti-inflammatory and analgesic effects in a xylene-induced ear edema model and a formalin-inflamed hind paw model by inhibiting COX-2 (link to original research).”

Limonene

“The anti-tumorigenic activity of d-limonene is well-established. Numerous studies have demonstrated the protective effects of d-limonene against chemical-induced tumors in various tissue types such as breast, intestine, pancreas, liver, and colon (citation #1citation #2).”

 “Another naturally occurring monoterpene d-limonene was reported to reduce allergic lung inflammation in mice probably via its antioxidant properties (link to original research).”

“It also reduced carrageenan-induced inflammation by reducing cell migration, cytokine production, and protein extravasation (link to original research).”

“Similar to α-pinene, d-limonene exerted an anti-osteoarthritic effect by inhibiting IL-1β-induced NO production in human chondrocytes (link to original research).”

“d-Limonene treatment reduced doxorubicin-induced production of two proinflammatory cytokines, TNF-α and prostaglandin E-2 (PGE2) (link to original research).”

 “Lu et al. (link to original research) revealed that d-limonene could inhibit the proliferation of human gastric cancer cells by inducing apoptosis.”

“Later, it was demonstrated that apoptosis of tumor cells by d-limonene could be mediated by the mitochondrial death pathway via activated caspases and PARP cleavage as well as by the suppression of the PI3K/Akt pathway (citation #1,citation #2).”

Cymene

“Monoterpene p-cymene treatment reduced elastase-induced lung emphysema and inflammation in mice. It reduced the alveolar enlargement, number of macrophages, and levels of proinflammatory cytokines such as IL-1β, IL-6, IL-8, and IL-17 in bronchoalveolar lavage fluid (BALF) (link to original research).”

“Similarly, p-cymene showed a protective effect in a mouse model of LPS-induced acute lung injury by reducing the number of inflammatory cells in the BALF and expression of NF-κB in the lungs (link to original research) and by reducing production of proinflammatory cytokines and infiltration of inflammatory cells (link to original research).”

“Mechanistically, p-cymene blocks NF-κB and MAPK signaling pathways. It has been reported that p-cymene reduces production of TNF-α, IL-6, and IL-β in LPS-treated RAW 264.7 macrophages. In C57BL/6 mice, TNF-α and IL-1β were downregulated and IL-10 was upregulated by p-cymene treatment. It also inhibited LPS-induced activation of ERK 1/2, p38, JNK, and IκBα (citation #1,citation #2).”

“p-Cymene has been reported to have cytotoxic effects on tumor cell lines (link to original research).”

“Recently, Li et al. (link to original research) evaluated beneficial effects of p-cymene on in vitro TPA-augmented invasiveness of HT-1080 cells, and found that it inhibits MMP-9 expression, but enhances TIMP-1 production along with the suppression of ERK1/2 and p38 MAPK signal pathways in tumor cells, suggesting that p-cymene is an effective candidate for the prevention of tumor invasion and metastasis.”

Terpinene

“The monoterpene γ-terpinene, present in the essential oil of many plants including Eucalyptus, reduced the acute inflammatory response. It reduced carrageenan-induced paw edema, migration of neutrophil into lung tissue, and IL-1β and TNF-α production and inhibited fluid extravasation (link to original research).”

“Terpinene-containing essential oil from Liquidambar formosana leaves reduced inflammatory response in LPS-stimulated mouse macrophages by reducing reactive oxygen species (ROS), JNK, ERK, p38 MAP kinase, and NF-κB (link to original research).”

“Another terpinene-containing essential oil from Citrus unshiu flower or fingered citron (C. medica L. var. sarcodactylis) reduced LPS-stimulated PGE2 and NO production in RAW 264.7 cells. Furthermore, production of inflammatory cytokines, such as IL-1β, TNF-α, and IL-6, was also reduced in macrophages (citation #1,citation #2).”

Boneol

“Borneol, a bicyclic monoterpene present in Artemisia, Blumea, and Kaempferia, has been used in traditional medicine. Borneol alleviated acute lung inflammation by reducing inflammatory infiltration, histopathological changes, and cytokine production in LPS-stimulated mice. It suppressed phosphorylation of NF-κB, IκBα, p38, JNK, and ERK (link to original research).”

“Oral administration and intrathecal injection of borneol showed antihyperalgesic effects on inflammatory pain in complete Freund’s adjuvant-induced hypersensitive animal models by enhancing GABAAR (Gamma-Aminobutyric Acid Type A Receptor)-mediated GABAergic transmission (link to original research).”

“Borneol inhibited migration of leukocytes into the peritoneal cavity in carrageenan-stimulated mice, suggesting its anti-inflammatory function (link to original research).”

“In addition, borneol inhibited TRPA1, a cation channel that is involved in inflammation and noxious-pain sensing, suggesting that its use as an anti-inflammatory agent for neuropathic-pain and trigeminal neuralgia (link to original research).”

“Previous studies showed that borneol has free radical scavenging activity (link to original research) and is a major component of essential oil of SuHeXiang Wan (link to original research) whose neuroprotective function has been reported in in vivo and in vitro models of Alzheimer’s disease (AD) (citation #1,citation #2).”

“Moreover, a recent study showed that borneol exerts a neuroprotective effect against β-amyloid (Aβ) cytotoxicity via upregulation of nuclear translocation of Nrf2 and expression of Bcl-2 (link to original research).”

“In addition, treatment with isoborneol, a monoterpenoid alcohol, significantly reduced 6-hydroxydopamine-induced ROS generation and cell death in human neuroblastoma SH-SY5Y cells, suggesting that isoborneol may be a potential therapeutic agent for treatment of neurodegenerative diseases associated with oxidative stress (link to original research).”

Caryophyllene

“α-Caryophyllene, known as humulene, is a naturally occurring monocyclic sesquiterpene. BCP, an isomer of α-caryophyllene, has been identified as an active component of an essential oil mixture that not only prevents solid tumor growth and proliferation of cancer cell lines but also inhibits lymph node metastasis of melanoma cells in high-fat diet-induced obese mice (citation #1,citation #2).”

“Sarvmeili et al. (link to original research) reported that Pinus eldarica essential oil, of which BCP was the major component, exerts cytotoxic effects on HeLa and MCF-7 cell lines.”

“β-caryophyllene (BCP) was reported to protect against neuroinflammation in a rat model of Parkinson’s disease (PD) by attenuating production of proinflammatory cytokines and inflammatory mediators such as COX-2 and iNOS (link to original research).”

“Chronic treatment with BCP attenuated alcohol-induced liver injury and inflammation by reducing the proinflammatory phenotypic switch of hepatic macrophages and neutrophil infiltration. The beneficial effects of BCP on liver injury are mediated by cannabinoid 2 (CB2) receptor activation (link to link to original research).”

“Prolonged administration of BCP reduced proinflammatory cytokines in pancreatic tissue of streptozotocin-induced diabetic rats (link to original research).”

“BCP reduced expression of Toll-like receptor 4 and macrophage inflammatory protein-2, and phosphorylation of ERK, p38, JNK, and NF-κB in D-galactosamine and LPS-induced liver injury mouse model (link to original research).”

“BCP has antioxidant effects (link to original research), and functions as a regulator of several neuronal receptors and shows various pharmacological activities including neuroprotection (link to original research).”

“Neuroprotective effects of BCP have been reported in both AD and PD animal models. Oral treatment with BCP prevented AD-like phenotype such as cognitive impairment and activation of inflammation through CB2 receptor activation and the PPARγ pathway (link to original research).”

RESEARCH BIBLIOGRAPHY: THE ROLE OF FOREST BATH TERPENES IN HUMAN HEALTH

No more “You can’t prove it” bullshit. The studies cited throughout this post reference terpenes and other phytochemicals found in natural emissions and vapors of “Forest Bath” environments. These same terpenes and other phytochemicals, exactly the same, are found in Cannabis emissions and vapors, in almost the same proportions, and vary between Cannabis strains the same way that emissions from tree species vary among Healing Forests. I hope that the connection between hundreds of peer-reviewed scientific and medical research studies that support the ancient practice of Forest Bathing and their direct applicability to the  Entourage Effect will allow the Cannabis community to finally checkmate the anti-Cannabis propagandists and their scientific pretensions.

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Withholding The Cannabis Chorea Cure = Pig Pharma Profits

What if there was a natural medicine that could not only control Huntington’s Chorea, as well as chorea stemming from other non-genetic diseases and conditions, but quite possibly cure it?

What if instead of having to take a medicine that may force you to think about suicide, you could take the extract of a simple flower and re-discover how good life is without chorea?

What if the medical profession published numerous medical journal articles about this natural medicine 150 or so years ago, when it was a standard successful treatment for chorea?

And finally, what if for the last 80 years or so the combined power of the US government and Pig Pharma corporations had made possession of this natural medicine grounds for slamming you in prison for a long, long time? That would be – let’s see, what’s the opposite of “Awesome”?

Huntington’s disease is a neurodegenerative disease and most common inherited cause of chorea. Other non-inherited causes of chorea are show in the graphic above.

Chorea is characterized by brief, semi-directed, irregular movements that are not repetitive or rhythmic, but appear to flow from one muscle to the next. When chorea is serious, slight movements will become thrashing motions.

The characteristic movements of chorea often include twisting and writhing. Walking may become difficult because of uncontrollable body postures and leg movements.

Unlike ataxia, which affects the quality of voluntary movements, or Parkinsonism, which is a inhibition of voluntary movements, the movements of chorea occur involuntarily, without any conscious effort to move a limb, an extremity (hands or feet), the head or neck, or any other part of the body. Because all movements associated with chorea are involuntary, it is classified as a hyperkinetic movement disorder.

The only answers that Pig Pharma has for Chorea are treatments, not cures. One of the most commonly prescribed “medicines” is tetrabenazine. Among the risks associated with tetrabenazine’s use are: sedation, fatigue, insomnia, akathisia, anxiety and nausea. Oh, and also tetrabenazine increases the risk of depression and suicidal thoughts and behavior in people afflicted with Huntington’s disease. So it doesn’t cure you, but it may make you decide to kill yourself. Nice drug. All the other Pig Pharma answers to Huntington’s Disease pose similar risks and do not cure Chorea.

In fairness, it is important to point out that one of the following reported cases of someone with chorea who was healed by Cannabis, was a young girl who had suffered from a bout of rheumatic fever a month prior to the onset of Chorea. It is well-established (in 2018) that one type of Chorea, Sydenham’s chorea, occurs as a complication of streptococcal infection, and that twenty percent of children and adolescents with rheumatic fever who are left untreated with antibiotics develop Sydenham’s chorea as a complication. So it is possible, even likely, that what Dr. Douglas is describing is a strep infection leading to Chorea – in other words, a sub-set of Chorea. However, since Cannabis is not an antibiotic, it seems unlikely that in this case being described its beneficial use in the treatment of Chorea would be confined to this single sub-set of the disease. Plus the instance of this young girl is only one of many Cannabis chorea cures that are described in this medical journal article from 1869.

Fortunately for people suffering from Huntington’s today, in most places Cannabis is available for self-treatment, and in the more advanced states there are even physicians who have bothered to learn and build on what their colleagues discovered 150 years ago, ignoring the poisons being pushed by Pig Pharma.

Here is one example of what has been known and withheld from those who suffer for eight generations. The research isn’t perfect, and the doctor is very much trapped in many of the false assumptions of his day, but he is clear on one thing – Cannabis is a powerful natural medicine that is safe and effective for treating neurological diseases like Chorea.

FROM THE EDINBURGH MEDICAL JOURNAL FOR MARCH 1869.

By Dr. Douglas F.R.G.P.E.

Vice-President of the Medico-Chirurgical Society of Edinburgh

February 4th, 1869

THE USE OF INDIAN HEMP IN CHOREA

The value of Indian hemp as a therapeutic agent is well established, but a singular difficulty has been experienced in securing for it the confidence to which it is evidently entitled. Without attempting to explain or to excuse this difficulty, I propose to illustrate what appears to me one of its most useful applications.

The negative virtues of the drug are amongst its chief merits. Dr. Russell Reynolds, who writes one of the most recent, and one of the best expositions of the value of this remedy, tells us, as the result of a manifestly practical and thoughtful experience, that it is a soporific, anodyne and antispasmodic; and that it relieves pain and spasm: that it does not leave behind it headache nor vertigo; nor does it impair the appetite nor confine the bowels. These important virtues accord with anything I have seen of its action; nor have I met with any annoyance in practice from its peculiar action on the emotional or intellectual state of the sick. We are apt to be deterred from the use of a remedy by such pictures of its more peculiar actions, as are given of the abuse of the drug in countries where it is resorted to as a means of intoxication, and of its action in the cases of patients who under its use became tortured by ocular illusions and spectres of horrible form.

I do not doubt that such effects result from the use of the drug; but, in prescribing it, I have not met with them, and I am disposed to think that they are to be avoided even more certainly than we can guard against the unpleasant effects of opium.

As in the case of other useful drugs, the contradictory and extreme views of the efficacy and certainty of its therapeutic action, urged by writers of high authority, have retarded confidence in cannabis Indica; and indeed its applications to disease seem scarcely to have been investigated with the reliance which its demonstrated energy would justify. It is now many years since Dr. Dominic Corrigan published a series of cases which underwent cure in the course of four or five weeks, mainly by the use of the cannabis Indica, in doses of five minims of the tincture, increased to twenty-five: one of the cases, being of ten years standing, was cured in a month. (Archives of Medicine. Edited by Lionel S. Beale, M.B. Vol. ii. London Medical Times, 1845.)

One cannot resist the impression that other elements in the treatment, besides the administration of the cannabis, had need to be taken into account in the explanation of such cures; and moreover, before the actual value of the drug in such cases can be determined, a minute statement of the clinical and pathological relations of each case would be required i.e., how far the case might be one of chorea arising in connexion with rheumatism, struma, cerebral or spinal disease, or in connexion with some more temporary source of irritation in the system, as from derangement of the digestive or of the generative or other functions.

Again, we find Dr. Wilks of Guy’s Hospital arguing that, because fifty remedies have been found to cure such a disease as chorea, it may be safely left to itself. Accordingly, Dr. Wilks, admitting the usefulness of Dr. Hughes favourite and useful remedy, rhubarb steeped in port wine, prescribes to his patients the syrup of orange, that students may witness the spontaneous cure of the disease; and his patients, like Dr Corrigan’s, left the hospital cured in about a month.

Nevertheless, whatever preference we may have for a medicine expectant, that permits the sick to recover, over the heroic measures, whose advocates claim to have cured the patients who escape out of their hands, thoughtful practitioners will not be prevented from inquiring into the nature and the extent of special therapeutic actions by the scepticism of doubters nor by the rash generalizations of hasty observers.

Jane Williamson, aged 13, was admitted into the Chalmers Hospital under my care on the 15th of October last. She had the look of previously good health, and she was well nourished, but not robust. At the date of her admission, she presented the awkward gesture and the grimace of established chorea, though not severe in its degree. Temperature was natural; pulse 90, rather small; there was slight rheumatic pain of the knees and elbows, and an excited state of the heart’s action. The urine was loaded with lithates, it was normal in density, about 30 oz. in twenty-four hours. The bowels were easily regulated.

The treatment, in the first instance, consisted in the administration of a solution of the acetate of potash, with infusion of digitalis, and four minims of Fowler’s solution thrice a day.

The history of her previous illness given by herself and her friends was that, about a month previously, she was taken with a not intense attack of rheumatic fever. She suffered a good deal from the state of the larger joints; no symptom of cardiac inflammation appeared to have existed, but, for about a fortnight preceding her admission, she presented choreal action, gradually increasing indegree and affecting the extremities and face. . .

During the days immediately succeeding her admission, a rapid change occurred in the degree of the choreal movements, and in the state of the heart’s action. The latter became so disturbed, feeble, and excited, with feeble arterial pulse, as to cause serious anxiety for the safety of the patient, and at the same time the choreic agitation increased with such violent restlessness and 1 oiling in bed that excoriation occurred over the sacrum and both nates, while contortion of the features and tossing of the extremities, especially when their movement was attempted, continued excessive, the articular effects of rheumatism decreased, temperature became more natural, and urine healthy, but the bowels became torpid. The arsenic was persevered with, and a few 30-grain doses of bromide of potassium were given. Each dose was followed by a short period of quiescence, but, on the 20th, the excitement of the heart’s action became so alarming that 25-minim doses of tincture of Indian hemp were administered, followed by apparently marked, but only transient abatement of the spasmodic movement, which, as Dr. Hogg, the resident physician, reported, seemed to recur subsequently with increased and distressing severity.

On the following day, that is, the sixth of her residence in the Hospital, her condition seemed desperate, chiefly on account of the protracted and uncontrollable hurry of the heart’s action. She was ordered to have six minims of the tincture of cannabis every hour, the arsenic and other remedies being intermitted. The bowels were now well regulated, the excoriations of the back and nates had increased so as to form superficial sloughs of considerable extent, the pulse was small and so rapid as not to be counted, and the heart’s action was still feeble, rapid, and disturbed. She had four ounces of brandy per day. On the following day, having had twenty doses of the tincture, there was marked and increasing improvement. The violence of the tossing and rolling had diminished materially, though still it was necessary to have her secured in bed to prevent her falling or rolling over. From this time till the 15th day of her residence in the hospital, the tincture was administered from hour to hour, and she continued to make daily and progressive improvement. At that date (the 28th) she had been free of all the more violent spasmodic movements for two days and the heart’s action was quiet, pulse about 80, appetite good, bowels regular. She still presented a degree of the peculiar grimace, with awkwardness in protruding the tongue and in movement of the arms and hands. There was great mental lethargy, with languor and exhaustion, which made it impossible for her to be out of bed.

The tincture of hemp was now discontinued, and arsenical solution in four-minim doses resumed.

The subsequent progress of the case, though tedious, and so far disappointing, may be told in a few sentences. On the 1st of November, and on several occasions during the rest of that month, there occurred a renewal of the choreal state, which had not indeed absolutely disappeared, though it was often so trivial and even absent as to encourage the hope of an early recovery. Arsenic was perseveringly employed, with a carefully-regulated diet and general management, but on each occasion, of which three were noted, when an exacerbation of the choreic condition arose, a marked abatement of the muscular action resulted from the administration of small and hourly-repeated doses of tincture of hemp, relief sometimes arising so speedily as within six or eight hours. On one occasion the improvement was not decided for three or four days.

In the beginning of December, rheumatic symptoms recurred with slight febrile action and articular pains and renewal of choreic agitation. At the same time, marked excitement of the heart’s action was renewed, and now, for the first time, a faint soft diastolic murmur, indicative of aortic regurgitation, was with difficulty perceived. A weak solution of acetate and nitrate of potash was administered, and grain doses of opium four or five times in twenty-four hours. Pain arid fever abated, but not the spasmodic movement, and on the third day afterwards six-minim doses of tincture of hemp were given every two hours, followed by an immediate decrease of the chorea, which at once declined to its slightest degree in two or three days.

The patient now presented more marked indications of returning health. The state of mental lethargy into which she had early lapsed was now passing off; her appetite was revived, and on the 20th December she was able to be out of bed and to walk with assistance. Small doses of the iodide of potassium with the infusion of quassia were given, and improvement went on uninterruptedly; she did not, however, cast off the choreic jerk and awkwardness till the second week of January 1869. She has since had a very comfortable convalescence, but the diastolic murmur noted above continues strongly developed.

In the remarks I have to offer on this case, I confine myself to the points which illustrate the value and application of cannabis Indica in the treatment of choreal spasm. It is well said by Dr. Hughes, that each case of chorea, like each case of every other disease, should be separately studied; and though it may be regarded as one of a class, should still be viewed as a distinct individual of the class. In the case of my patient, the general characteristics of the attack point it out as an example of a large class of cases in which acute rheumatism constitutes the primary and originating source of chorea, while its special features simply declare the degree of chorea, with its repeated recurrences, and the unusual violence of agitation, to have been more than ordinarily severe, without any such personal or inherited constitutional peculiarity as exists in certain forms of this and of other nervous diseases.

Connected with the severity of the chorea, an inquiry of some difficulty arises out of the condition of the heart, particularly its disturbed action in the early stage, and the endocarditic lesion which occurred later, and which declared its presence only with the renewed rheumatic attack in the beginning of December. At the time of her admission and subsequently, notwithstanding the extra-ordinary hurry of the heart’s action, I persuaded myself that there was no organic nor inflammatory lesion, and I came to the conclusion that the severity of the choreic state had extended to the heart. The evidences of endocarditis subsequently developed cast doubt on my view of the previously choreic state of the heart; and there does not appear to be any means of solving the question beyond the opinion of those who saw the patient.

It certainly seems unlikely that endocarditis capable of causing such extreme disturbance of the heart’s action should have existed, unaccompanied from the outset by other indications of its presence.

This point possesses some interest in connexion with the view advanced by Dr. Russell Reynolds, that Indian hemp has been of no service in those affections of mind, sensation, or motility, which are simply functional in their character, or, at all events, have no established morbid anatomy. On the other hand, that it has afforded notable relief in cases where organic disease existed.

I do not agree with this view, but it would be beside my object to discuss it here. On the supposition, however, that the view is a sound one, it suggests that, in my patient, the organic lesion had originated in the heart at an early stage of the attack, and, consequently, the beneficial effects of the cannabis were so readily exerted. On the whole, the conclusion is a fair one, that endocarditis was present earlier than appeared; though still, I cling to the view that the disturbed action was, in the first instance, functional and choreic.

The practical interest of my case, however, consists in the illustration it affords of the special use and application of cannabis in the treatment of choreal spasm, and of the mode in which the remedy may be administered in many cases, if not in all. I have already remarked on the mistake, as it seems to me, of looking for general curative results in this or in any disease from the mere general application of special therapeutic observation or experience.

I think the cases and cures of chorea by tincture of hemp reported, to whlch I have referred, illustrate the fallacy of such reasonings; but, on the other hand, the case of my patient suggests that there is a special, and perhaps a frequently useful, application of the drug in such circumstances. The impression which the case leaves on my mind is, that cannabis has a peculiar value and power in controlling the irregular movements of chorea, which ever and again are terribly distressing, and possibly even dangerous, to the patient; and it would be of no small moment to determine the extent and limit of its influence, and to ascertain whether or not choreic action, even in slighter cases, might not be moderated by this remedy.

The result of repeated trial in my patient seems to show, on the one hand, that the violence of choreal action was speedily moderated; and the protracted duration of the case, on the other hand, makes it sufficiently evident that the virtue of the remedy did not reach farther in the direction of removal and radical cure of the disease. This points to an important question in the treatment of chorea, which has been mooted by many writers on the subject, viz., how far the chorea is to be dealt with as an independent condition, and how far its treatment and removal will be best achieved by the treatment of the diseased state out of which it has sprung?

I think that systematic writers and clinical lecturers have dealt with the subject of chorea too much as an independent disease, and that the late Dr. Babington, of London, in his justly-admired paper on chorea, indicated a sound and philosophic principle, when he advised that when the disease has arisen by metastasis of rheumatism, it should be treated in the same way as pericarditis is treated.

Recognising, then, the principle that our chief aim in the treatment is to combat the constitutional state, or the local disease in connexion with which the chorea has arisen, I conclude farther, from the case I have read, that an important aim must sometimes, if not at all times, be to allay the severity of the choreal state by the use of cannabis, or by other means. On this point, I cannot resist quoting from M. Trousseau his earnest utterances in the behalf of tartar emetic as a means of subduing the violence of choreal agitation: “Unfortunately,”says that learned physician, “there are cases in which the convulsive agitation is of such violence that all known means are without avail, and the physician too often sees poor young girls perish miserably, the skin rubbed and deeply ulcerated by incessant friction, that no appliance can obviate.

But surely, in such circumstances, cannabis Indica is a far more appropriate remedy than tartar emetic, affording, as M. Trousseau adds, “if  though only in exceptional cases, a chance of success where  we appeared impotent.”

The limit of the therapeutic action of cannabis Indica in these cases is incidentally indicated, with a thoroughly practical wisdom, by Dr Williams and by Dr Walshe. So long ago as in 1843, Dr Williams is reported to have said, in the course of a discussion, that he had found it “ relieves chorea during its exhibition, but without radical effect on the disease.”

In 1849, Dr Walshe, in a clinical lecture, says: “Not only was its sedative effect marked in degree, but it was almost immediate in point of time, leaving no doubt on my mind as to the reality of its influence.”

The recurrent attacks of chorea in the case of my patient afforded the means of direct illustration of the efficacy of the drug in subduing the choreal state. for repeatedly the same result was witnessed in the speedy and more or less complete subsidence of the agitation under the use of the remedy, and the decided effect produced on the heart’s action tends to confirm me in the impression that the disturbed state of that organ was largely choreal.

As to the mode of administering the remedy, small and frequent doses proved both safe and effective, and great advantage appeared to arise from increasing the frequency of the dose rather than its amount. Believing, as I do, that cannabis Indica is a remedial agent of value in many and various maladies, I am prepared to recommend this mode of seeking its effects by frequent rather than by larger doses at longer intervals. Such a mode of prescribing it has not been usual; but I find, quoted from an American source, the account of a case of hiccup treated in this way by eight-drop doses of a fluid extract, administered hour by hour, in which recovery from an attack that had defied treatment for five days took place in a few hours.

I have brought this case under the notice of the Medico-Chirurgical Society, not on account of any novelty in its history, nor on account of any conclusions it very positively points to, but simply to bring anew to the light of day an important therapeutic fact, which seemed like to be buried in the pages of undisturbed magazines, and which, probably, has an important application, not only to distressing and dangerous cases of chorea, but even to slight and ordinary cases, as well as to cases of other spasmodic diseases, such as hiccup, irritable heart, asthma, tetanus, and the like.

If you would like to have a copy of this 1869 article by Dr. Douglas as a PDF file please email me with your request.

 


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Cannabis And The Broken US Health Care System

nofearxWith the ever-present exposure we all get to the modern health care system it’s easy to forget that all this technology is relatively new. Until a few years ago almost all Americans who could do so dealt with disease, illness, injury, impairment and old age in the context of a family and a community of friends and neighbors.

This isn’t a “good old days” fantasy about how things were always better in small-town America where everybody pulled together and cared about each other. In years past there were lots of people without friends or family who suffered and died alone – that’s one of the origins of the centralized health care delivery system, the urgent social need to care for the millions of people, many of them immigrants, who lay sick and dying alone in the city streets of the last centuries. Centralized health care institutions grew out of this core failure of the industrializing American system, when the very closeness of family and community which enfolded those in need was not available so many, for whom there was no alternative but the brutal poorhouse or dying alone in the streets.

But there were also tens of thousands of smaller cities, towns, villages and rural communities where few lay alone, whether sick or injured, where aging people were passed from family member to family member if need be, but were kept, and where the medical profession was an enormously useful adjunct to the family-based health care delivery system but was not the primary caregiver. These days are recalled as quaint by some modern docs who chuckle about the days of house calls, though many doctors still wish that they could make a decent living doing just that.

We live now in an age when care has become interpreted as technical intervention alone. When a person becomes seriously sick or gets badly injured or simply old and frail they are often removed from their family in a manner that brooks no interference. Medical emergencies convey license upon lifesavers who rush you to the central facility where you are handed over to technical specialists, who then take charge as you are transformed into a “case” or “patient”.

Your family or friends, if you have any, are reduced to huddling in a waiting room where they are visited from time to time and provided reassurance that you are in good hands and everything possible is being done.

If and when the emergency subsides you are then passed on to other specialists who apply whatever medical technologies they are familiar with and choose to use in the name of standard medical practice. Their choice of technology and strategy is determined by many considerations, and their motives are usually the highest, but their methods are not to be questioned, and there is literally no room for family or friends to function in the role of caregivers. They can come during visiting hours, and that’s it, because the institution is in total charge of care-taking, and their version of care-taking is how its going to be.

If the institution and the specialists can’t fix the problem you will be designated incurable and sent somewhere called a home, but probably not a home with your family in it, for long-term care. You generally won’t go with your family because they “aren’t able to take care of you”, meaning that there is no system to provide the resources that would enable them to take care of you at home. The systems that exist to provide and allocate society’s health care resources choose to allocate those resources to taking care of you in institutions which they administer and from which they profit, not to home-based alternatives which, while better and more cost effective for you, do not benefit them. They’re not evil, just doing what comes naturally, which means surviving at all cost.

If you recover you are released which means you are free to go, after dealing with the bill of course. You walk out to rejoin your family, if you are very fortunate, and maybe on the ride home in the car someone will ask you – ” So, how do you feel?”  Well of course you feel “fine”, and that’s about it. Everybody goes home and goes on with their lives until the next time they crash or drop or break or pass out and then it all begins all over again.

But are you healed by all this? Your disease certainly seems to have passed, your bones mended, your new organ functions perfectly, your heart beats. But what about how vulnerable, how violated, how isolated you feel even behind the pills you are given to “make you feel better”?

Given the institutional cultures of the current health care system, there is no “feeling better”.  The isolation and emotional and spiritual deprivation of the severely ill or merely very old person grows until death by loneliness becomes inevitable.

This is the precise point at which families of sick and elderly people ought to begin taking Cannabis seriously, because this marvelous little flower has the capacity, when given with loving hands to a sick or just plain old and worn out person, to not only treat but even to heal, and most certainly to make a difficult life more bearable. There is so much more to say about the Cannabis option, and I will be posting some of my thoughts on this in coming weeks and months.

But for the moment I simply want to say to all those who have already discovered the healing properties of this little flower of the Gods that you are on the right path, and my hope is that if there are others who you care for and love that you will be able to help them walk this same path to a better world. With no fear.


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Have Yourself A Fine, Dizzy Day!

Magic carpet w_guyGetting dizzy by spinning around and around until we all fall down is great fun for almost everybody when we are children.  As babies we get bounced and then spun around by loving adults, and we all laugh and have great fun, and we find ways to spin ourselves into dizziness whenever possible thereafter. Our playgrounds are full of great ways to get dizzy. We spin and drop and then watch the sky go round and round.

And then at some point in life we discover that sexual orgasm is the best way EVER to get dizzy! It starts with masturbation and proceeds in numerous directions. We all try to have sex as much as possible in order to get dizzy in different, exciting ways. Sexual dizziness is where we are at our most inventive.

Life is full of ways to get dizzy, and people have long ago found all of them. Religious rituals are a fave. Occasionally a new way to get dizzy comes along, and it is popular for a while. Dance crazes always incorporate new movements that make you dizzy in fun, different ways. Long before Rock ‘n Roll became White kids music it was how Black people talked about getting dizzy from sex. That’s why those gyrating Elvis hips stirred the beast in so many super-straight White folks.

Although none of the ways of getting dizzy last, while it does last being dizzy is fun. Unless it’s something disgusting like head in the toilet drunk dizzy …  but let’s all just forget about  the nasty stuff and think nice dizzy, fun dizzy, non-barfing dizzy.

My point – almost everyone, as a child, learns to love being dizzy. But then most children grow up adhering closely to sanctioned form of dizziness, and as adults we often deny that dizziness is what we’re seeking. “I just like a little taste of (wine, beer, margaritas). And I only drink with meals.” Sure. And by the way kids, you can’t get dizzy this way until you are mature and responsible adults. If you do, you’ll be punished.

There are many substances are adored by many around the world and hated by others because they create pleasurable states of dizziness. Cannabis. Opium. Cocaine. Meth. Alcohol. Some kinds of pleasure states are sanctioned by authorities, and some are banned. Some will cost you your life.

Who these authorities are, and where their authority comes from isn’t ever really clear, but they always seem to have the means to enforce their ban on whatever way of getting dizzy offends them. And of course they have their own, exclusive ways of getting dizzy – torturing prisoners, droning weddings, stealing elections, humiliating helpless victims. On and on, endlessly.

Doing evil shit that you get away because you have power and wealth with is a MAJOR dizzy. Making others suffer is very dizzying for plenty of people.

Still, we all know, even the anti-dizziness enforcers secretly know, that getting dizzy using simple, traditional methods like sex and drugs is and always will be one of the most personal, most delightful human experiences.

Which is why so many of us love Cannabis Flowers- because they are a very, very nice Dizzy. And those pretty little flowers can also be a very potent dizzy. And unlike alcohol drinkers, no Cannabis smoker pretends that getting high is secondary to the taste or aroma. And very few wind up with their heads in the toilet.

Sooooo, although anyone prone to falling down and going boom who still wants to get dizzy with Cannabis or anything else needs to find somewhere safe while they make themselves nice and dizzy, anyone who can still Boogie on while dizzy is free to go and have yourselves a very fine Dizzy day.

It’s just so human to enjoy being dizzy and high, isn’t it?

 


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Why Do So Many Seniors Fear Cannabis?

nofearxPeople in the Cannabis business know that people over 65 are perhaps the largest untapped market for their Cannabis goods and services, and the resistance of many of these Seniors is legendary, even in states where Cannabis is legal for all of their medical, spiritual, creative, and sensual needs. All over the US adults are trying to convince their aging parents to try Cannabis for some of the simple but terrible ills that plague their lives, but without success. It’s fear that is holding them back, and they have been made afraid deliberately.

Whether you’re in the Cannabis business, or you’re a concerned son or daughter, or maybe both, here’s why I think it is going to be hard to reach many of these older people with conventional thinking. Please leave a comment or send me an email with your thoughts and experiences.

People in their late 40s/early 50’s today were toddlers just as the War On Drugs machine went into action. People who are in their 60s/70s today were those kid’s parents. They suffered the WOD propaganda machine running full bore through their psyche.

The War On Drugs worked through the schools by design, so parents and children in the 1970s were continuously subjected to the best behavior modification and propaganda techniques that tax money could buy, which continues quite pathetically today. And speaking of schools, who can forget Nancy Reagan and her screeching “Just Say No” contribution to the WOD of the 1980s. Those poor kids! Those poor parents!

The fear messages proved so effective in the 70s that they have been continually updated decade by decade ever since. Who can forget Crack in the Ghettos? Meth in the Hollers? And now, ta da, Heroin In The Burbs!

But wait! There’s something brand new that will really scare the shit out of you if drugs in the streets don’t do the job. Now we’re giving you Terrorism and Security to worry about. So just like parents in the 70s and 80s and onward permitted – no, insisted – on body searches and blood tests for drugs to keep their kids safe, they are now insisting on total surveillance of every school, to keep the kids safe.

Is the War on Terror any different than the War On Drugs? Well, the actual number of kids per year being killed by strangers, much less terrorists, in schools around the country has never ever been even close to the number of kids killed at home, nor in car wrecks. But using exactly the same “Assassin of Youth” fear tactics that proved so successful in terrorizing people for the War On Drugs, the War On Terror now has bombers and shooters lurking everywhere, and enough crazies are rising to the occasion, that American parents are in full-on fear. They are demanding universal surveillance and armed police in every school. And who can deny them – obviously America is under attack from obscure outside forces who will stop at nothing to destroy the American way of life. So giving up huge chunks of the American way of life in order to protect it from terrorists has once again been sold to the gullible public. And of course American entrepreneurs are ready and able to rise to the challenge of providing 100% security for everyone, and especially for the children.

So, with all this manipulation at every level for decades of their lives, is it any wonder that so many Seniors are, shall we say, leery of Cannabis?

Their raw numbers are huge, any way you cut it. Even segments of the potential, but non-responsive over-65 market for Cannabis products & services are huge. 43 million people live at home with full-time caretakers. That’s some 86 million people in 43 million households living with intense health issues hands-on, day after day.

Many of the things making life most difficult for these 43 million old, sick people and their 43 million caregivers, could be alleviated and even cured in some cases by judicious use of the right Cannabis strains, whether used as beverages, tonics, and foods or as medications, but often best taken by a puff or two of a beautiful Cannabis flower.

My wife and I cared for both our Mothers Laurie and Elizabeth for many years in our home, and we held Elizabeth’s hands when she died. I was also a single parent of a toddler son for years, so I understand what it takes to give care to another person. But I also had to learn to respect the personhood that remains strong even in someone who is growing older and sicker and further from life day after day, over many years, and not to make them feel helpless with my caregiving. Caregiving can be easily consumed with tasks that must be performed by all caregivers, many of them associated with small breakdowns of the body. For so many millions of older people at least some of these little but vastly debilitating health issues like sleep, appetite and mood, don’t have to happen as long as the caregivers, and those cared for, are able to understand the truth about Cannabis as a natural medicine, and equally important, if they understand the healing power of sensual pleasure and how this aspect of Cannabis can give crucially important parts of life back to them. Too many younger people simply assume that old, sick people have forgotten about, and don’t need, sensual pleasures in their lives.

So why don’t Seniors accept what Cannabis can offer them? Why are people over 65 the age group that is most resistant to using Cannabis for healing medicine, let alone for healing pleasure.

We all also know that almost all people over 65 have some level of daily pain, some trouble sleeping, some gut issues, and other conditions that copious amounts of pharmaceuticals aren’t helping, and in the Cannabis industry we know that the right strain of Cannabis used in the right way could treat and even help heal older people suffering in these ways.

The really short answer is – fear. But that fear is many-sided, and can’t be dismissed, or made illegitimate, or over-ridden, or even reasoned with or cleverly avoided by Cannabis growers and manufacturers that want to reach a nice-sized segment of these 100 Million and more fearful Seniors.

As we all know fear gets expressed in a lot of ways, but here are some of the most common ways that millions of Seniors express their fear of Cannabis.

My doctor will think I’m crazy for asking and might turn me in

The federal government still forbids it

It is against my religious beliefs. God forbids it

I don’t know anything about medical marijuana and I don’t want to look foolish

I’m afraid I’ll become addicted

My doctor will find out when they test my blood

I’m afraid I’ll fall

Only addicts and criminals use marijuana

I’m not convinced about marijuana’s medical usefulness

Each of these fears, and all the others so carefully planted and nurtured over decades, can best be addressed with love, compassion and careful questioning and listening. If you are in the Cannabis business, you will have to also address fears like these effectively in order to be successful with seniors. That will also require love, compassion and careful listening on the part of your company if you want to understand and address the largely unrecognized needs of this diverse, suffering group of people.

But if an older person who you love lives near you, and you live where medical Cannabis is legal, and if they are resistant, why not spend a little extra time thinking about why they are fearful. As you know, older people express fear in different ways. Think of what you can do to help them overcome that fear, which only they can do for themselves but which is a lot easier if you have someone you love helping and caring. It may be that one of the finest gifts you can offer to an older person you love would be to help them decide to bring pure, natural Cannabis Flowers into their life, to share a place alongside aspirin in the medicine chest and organic Tea in the pantry.

Some effective pain relief, at least a little better appetite, a little better sleep for sure, more fun listening to music, and more vivid dreams and memories.

From a simple flower? A gift.


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Curing Drug Addiction With Coca Leaf & Cannabis

Wow – talk about an apparent contradiction in terms! Hot water or alcohol (red wine) extracts of Erythroxylon Coca, the Coca plant, along with simple alcohol tinctures or oil extracts of Cannabis, as safe and effective cures ( note – that’s “cures”, not “treatments”) for addiction to Alcohol, Heroin, Morphine, Nicotine, Cocaine, and Amphetamine. Does not compute – right?

Well, hold on there just a minute podner – I have some news for you. Actually I’m not sure that I should be calling information from the 1700s & 1800s ‘news’, but the fact is that thousands of doctors in the US and Europe in the 1700/1800s considered Coca Leaf tea and tonics as highly effective cures for Opium, Nicotine and Alcohol addictions, and later on for Morphine, Heroin and Cocaine addictions, enabling addicts to complete withdrawal programs with very little suffering and to successfully stay clean afterwards. And as pointed out in several of the physicians quoted below, when extract of Coca Leaf was not quite sufficient, adding extract of Cannabis to the treatment virtually guaranteed success.

I can hear the snorts of disbelief from here. Cure drug addiction with a drug – sure. But hold on again just a minute – what about Methadone beloved of contemporary opiate addiction docs? What about all the pharma-technology being used by all those thousands of (highly profitable and minimally effective) drug treatment centers? What about will-power, prayer, and 12 steps?

All good and useful – for some. No doubt. But what about all the people who are not and can not be helped rid themselves of chemical dependence using these “modern” approaches?

And remember – we’re not talking about replacing heroin or morphine injection, or alcohol slurping, or a three-pack-a-day cigarette habit with snorting a line of Cocaine or, worse, firing up a crack pipe. By the late 1800s doctors realized that white powder (pharmaceutical) Cocaine could be just as much of a drug problem as the fruit of the poppy or the vine. Ample evidence exists from the 1860s to the present day that Cocaine is only minimally useful as a medicine and is one of the more dangerous recreational drugs, so we are definitely not talking here about the use of Cocaine as a treatment modality.

We are talking about using the whole, natural leaf of the divine plant of the Andes as a simple tea, or in many cases as a wine extract of the whole leaf – as in the widely used and justly famous “Vin Mariani”. And in fact doctors in the 19th Century used Coca leaf tea quite successfully to treat Cocaine addiction too – which it turns out was very common among physicians who, of course, were first in line to discover that a little tweak up the nose at the end of a hard day made everything seem OK. For a while.

I don’t mean to be flip about physician addiction. It was a terrible and increasingly pervasive problem in the 1900s and today it has grown like a cancer that seems to prey on the most compassionate and caring of physicians – the ones who feel their patients’ pain and suffering most acutely. And of course Pig Pharma is right there with a huge selection of readily available drugs for these physicians to use to, first, deal with the pain and ultimately to become addicted and to descend into the kind of despair from which there is often no exit (that they can see).

If you want to learn more about this tragic problem and the efforts being made to help addicted and suicidal physicians check the link to the DisruptedPhysician blog in the links section of this blog. In fact I am so blown away by this blog that I’ve decided that it makes powerful sense to include addicted physicians in my “Coca Road – Journey To Natural Healing™” project – they would certainly benefit as much from a month of Coca Leaf therapy in the mountains of Peru as anyone suffering from any of the conditions/diseases that originally inspired this project.

But, back to the reductionist approach of Pig Pharma to natural medicines. Before Pig Pharma brought its scientific reductionism onto the natural medicine scene, Opium was just Opium and Coca Leaf was just Coca Leaf. Yes Opium could become a habit, but when you read the medical and scientific literature of the 17th-19th centuries most doctors knew how to deal with that addiction. Not surprisingly, as you will read later in this post, one of the most effective ways they had to deal with both Opium, Alcohol and Nicotine addiction was – wait for it – Coca Leaf extract and in stubborn cases, Cannabis extract (which was called Cannabis Indica at the time). And it is a rock-solid fact that nobody, ever, anywhere in the scientific and medical record became addicted to either Coca Leaf or Cannabis although, as I just said, there were plenty of people, both physicians and laymen, who were able to safely and effectively withdraw from Opium, Morphine, Nicotine, Heroin and Alcohol addiction with the help of these pure, natural medicines.

Once Pig Pharma turned its reductionist lenses onto the Opium Poppy and Coca Leaf – voila – the world was gifted (sic) with Morphine, Heroin, Nicotine, Cocaine, Amphetamines, and all the poisonous variants of these scientific (and commercial) wonders.

Let me explain what I mean by scientific reductionism. Let’s start with the naturally-occurring Coca plant as it grows wild and cultivated in the Andes. Scientific Reductionism is not content with saying “Well, here is a plant whose leaves have been healing people and improving the quality of their lives for thousands of years. What a wonderful discovery.” Scientific Reductionism instead says “Wow, look at what this plant can do! There must be some single active principle that is responsible for the plant’s almost magical powers. If we can isolate and extract that active principle then there’s no need to go through the messy (and expensive) process of growing the plant – we can just figure out how to make that active principle in our laboratories and then we can patent it and get enormously rich. And even better, we’ll use our political, economic and military power to make sure that the indigenous people who have used this plant with respect and moderation for thousands of years don’t have access to the natural plant so then they’ll have to buy exclusively from us or from our very close friends the drug cartels!”

So if you’ve read this far you might be intrigued by what these 19th Century doctors learned about using Coca Leaf tea as a withdrawal support for addicts, supported if called for by the use of extract of Cannabis, and why they considered this a superior approach to anything else available at the time. (Or since, I would add.)

Obviously in this post I can’t cover all of the 19th Century medical literature on this subject, so I’ll just offer you a few selections, most taken from the original source materials that I have compiled in my new 700+ page eBook “The Coca Leaf Papers”.

Several others are from 19th Century narcotic addiction literature which, while it can be rather steamy, also occasionally discussed the extreme difference – night and day really – between synthesized pharmaceutical cocaine and the pure natural leaf of the Coca plant. In “Coca leaf Papers” you’ll find an extensive bibliography with hyperlinks to dozens of original sources, many of which will offer you detailed insight into how these doctors of long ago managed to accomplish with simple Coca Leaf teas and tonics what industrial-scale anti-addiction programs of today largely fail to do – permanently cure opiate and alcohol addiction.

Of course it is important to note that today’s drug problems are far more complicated that those faced in the 1800s – thanks in no small part to the antics of the corporate and government anti-drug bureaucracies and their partners-in-crime, Pig Pharma. (Not a typo.) It is no accident that legally prescribed pharmaceuticals are a major cause of drug death today, along with the toxic products of the ever-inventive street chemists serving the demands of brain-fried addicts. However, as I read the findings of these pioneering doctors, it seems pretty clear to me that the same Coca Leaf cure that worked with alcohol and opiates in the 1800s would probably work pretty well with the speed freaks of today. But, of course, nobody really knows because Coca Leaf is illegal and so it can’t actually be tested to see if it would succeed where all the modern medical ‘cures’ somehow only seem to make the dispensers more wealthy while leaving the addicts to gradually expire in a pool of their own body fluids.

From “The History of Coca” by Dr. William Golden Mortimer, 1901
Excerpt from Chapter XIV “The Physiology Of Coca”

Coca & The Curing Of Drug Addiction

“Prominent in the application of Coca is its antagonism to the alcohol and opium habit. Freud, of Vienna, considers that Coca not only allays the craving for morphine, but that relapses do not occur. Coca certainly will check the muscle racking pains incidental to abandonment of opium by an habitué, and its use is well indicated in the condition following the abuse of alcohol when the stomach can not digest food. It not only allays the necessity for food, but removes the distressing nervous phenomena. Dr. Bauduy, of St. Louis, early called the attention of the American Neurological Association to the efficiency of Coca in the treatment of melancholia, and the benefit of Coca in a long list of nervous or nerveless conditions has been extolled by a host of physicians.”

(From) Erythroxylon Coca: By W.S. Searle, MD
New York, 1881

Coca Leaf & Opiate Addiction

“Perhaps one of the most valuable as well as wonderful properties of Coca is the facility with which it meets and extinguishes the craving for opium in the victims to that fearful habit. Professor Palmer, of the University of Louisville, Kentucky, has an article upon this subject in the Louisville Medical Journal, for 1880, and he therein narrates three cases in which he found the Coca a complete and easy substitute for the opium or morphine which had been habitually taken. One sufferer had been in the habit of taking thirty grains of morphine daily, and yet abandoned that drug wholly, and at once, and without the slightest difficulty, by resorting to the fluid extract of Coca whenever the craving attacked him.”

“Nor can this be considered simply an exchange of masters, since the uniform testimony of even those who have used Coca for a long time, and continuously, is that abstention from its employment is perfectly easy, and is not accompanied by any feelings of distress or uneasiness whatever.”

“Were Coca of no other use than this it would be a boon to afflicted humanity such as no one who has not been bound hand and foot in the slavery of opium can appreciate.”

From “Coca And Its Therapeutic Applications” by Angelo Mariani (1890)
Excerpt from Chapter V

Dr. Villeneuve, among other cases of morphinomania conquered by the combined use of the pate and the Vin Mariani, communicated to us in 1884 the following observation: “M. X , barrister, 32 years of age, five years ago began to use morphine preparations as a remedy against a very alarming chronic bronchitis and granulations in the throat, which were irritated constantly by cigarette smoking.”

“The patient at first only used morphine, but his physicians committed the imprudence of treating him by hypodermic injection. A notable change for the better was produced during the first month, but, unfortunately, abuse succeeded promptly the use of the medicament – so much so that when I commenced to treat the patient, he was taking daily from 1 gramme 50 centigrammes to 1 gramme 80 centigrammes of morphine hypodermically. When he was four hours without his dose there appeared insomnia, hallucinations and delirium; constipation lasting sometimes for fifteen days, which brought on in the spring a very alarming perityphlitis, jerking of the muscles, sudden frights, dyspepsia, and at last frightful congestion of the face whenever he drank a drop of wine or brandy.”

“After a month’s treatment I had succeeded in reducing the daily doses without causing alarming symptoms; the physiological functions seemed to awaken again. However, the congestion and especially the dyspepsia was very grave, and the cough which had been suppressed by morphine returned. It was then that I treated my patient with phosphate of lime, the pate and the Vin Mariani. Lacking his habitual stimulant, he was plunged in a semi-coma from which he could not always be relieved with weaker daily doses of morphine.”

“The danger I feared most was a relapse of bronchitis, and that the cough and expectoration might end fatally. But in about a week, during which he took ten doses of Pate de Coca daily, the cough became less fatiguing and disappeared entirely in about twenty days. The patient then commenced to take small doses of Vin Mariani (two Madeira-glasses a day). At first congestion appeared, but little by little, as digestion became more easy, my patient, who on account of his profound anӕmia could not tolerate any table wines, took at first a small glass, then two, then three glasses at a meal. Now he can go and take his dinner in town, which he had not been able to do for three years; he regained his former vigor, is able to undertake anew his occupations, and has entirely given up his morphine habit.”

From “The Treatment of Opium Addiction”
J.B. Mattison MD, NY 1885

“Should there be minor discomfort, one-half-ounce doses of fld. ext. coca, every second hour, have a good effect. Cases occasionally require nothing else. If, however, as usually occurs, despite the coca, the characteristic restlessness sets in, we give full doses of fluid extract of cannabis indica, and repeat it every hour, second hour, or less often, as may be required. When the disquiet is not marked, this will control.”

“Having thus crossed the opiate Rubicon, treatment relates, largely, to the debility and insomnia. For the former, of internal tonic-stimulants, coca leads the list.”

“On the discovery of cocaine, it was thought its use, hypodermically, might prove of value in the treatment of this disorder, and, on asserted foreign authority, somewhat extravagant claims. Statements were made of its merit in this regard; but repeated trials by the writer have failed to prove them, and, in his opinion, it is much inferior to a reliable fluid extract of coca.”

From: “The Modern Treatment of Alcoholism and Drug Narcotism”
C.A. McBride, MD, New York 1910

Cocaine is an alkaloid obtained from the coca leaves. The leaves themselves have a very
stimulating effect upon those who use them. The Indians of South America are known to chew coca leaves in order to enable them to carry heavy burdens over long distances and to climb mountains without undue fatigue. When taken in this form, the habit does not seem to be contracted in the same way as when the alkaloid cocaine is taken by itself. We ourselves have tested its use in connection with our army in order to ascertain whether our men could stand a more fatiguing march by its use than otherwise. For some reason or another we have not heard any- thing further of its use in that direction.

Athletes at one time were accustomed to chew the leaves before entering upon some strenuous competition. To a great extent I believe that that has also dropped out of fashion, but it is said that in some of the recent Marathon races a well-known athlete used these leaves to sustain his strength during the contest. That he came in fresher than most of his competitors might be accounted for in this way.

There are several preparations upon the market containing an extract of the leaves and sold as tonics. The general public will be well advised to take none of these preparations without first consulting their doctor.

From “The Opium Habit And Alcoholism, Including Their Therapeutic Indications”
(by) Dr. Fred Heman Hubbard 1881

Case No. 2. Mrs. Julia L., 31 years old,, 5 years married. The incentive inducing her to take the drug, was association with a sister who was an opium eater.

She possessed a delicate organization, with hysterical tendencies, enjoying, however, apparently good health before forming the habit, although her immediate friends supposed her to be consumptive. Seeing her sister take the drug, she would occasionally indulge, and being frail and easily influenced, soon formed the habit.

Patient No. 2 on coming under our observation, was consuming twelve grains of morphia per day. When she was fatigued by over-exertion, the dose was increased; the morphia supporting her during such emergencies, as the power to undergo physical endurance under its action is wonderful. While prostrating in the end, its direct effects are to sustain the system.

Our patient’s natural tendencies rendered her susceptible to the pestiferous effects of the poison, so that she early foil under its influence and was reduced to a skeleton. In appearance her skin was dark and jaundiced, indicating a degeneration of the nutritive constituents of the blood; the hair and nails ceased to grow, the latter becoming brittle, showing a suspension of their nutrition.

As is usual with opium eaters, anorexia and constipation aggravated her case. She had not menstruated since forming the habit, and had imagined herself to be with child for some months. During the tenth month of the practice, her family were horrified by her having a
hemorrhage, apparently from the lungs. It did not suggest itself to them that the habit was the exciting cause of the suppressed menses and its vicarious elimination from the system, by hemorrhage. Her strength failed progressively from this time, the hemorrhages recurring, with some degree of regularity, every three or four months. She was given up as irrevocably doomed to slow consumption, a weak, hacking cough giving color to the supposition.

We considered her case a desperate one and so informed her family. She insisted, however, upon being treated, if only that she might die free from the monster, opium.
In order to decrease her consumption of morphia slowly, we prescribed:

Cannabis Indica, 3 v.
Belladonna Tr ? vi.
Glycerine, ; xv.
Alcohol, § xx.

Salt Baths were ordered to be taken three times a week; the diet to include a liberal allowance of fruit and vegetables and a lemon or orange was ordered to be taken
before breakfast and on retiring. If the bowels in these cases do not respond to a fruit diet, it is necessary to facilitate their action every other day by an enema, consisting of one ounce of castor oil. As there was general poverty of the nerve centres in this case, we ordered syrup of bypophosphites, taken alternately every other week, with the following:

IJ. Iodide Lime, gr. x.
Phosphate Iron, 3 i-
Quinia, 3 i-
Lactopeptine, 3 ii-
Syrup simple, 3 v.

M. Sig. Teaspoonful at nine, three and nine o’clock.

During the subsequent forty days this patient’s improvement was phenomenal, and was accompanied by a ravenous appetite. She gained flesh at the rate of three pounds per week. Her bowels did not, however, relax, or show any disposition to regulate themselves, displaying an atonic condition, which it was absolutely necessary to overcome before a cure could be effected. On the thirty- fifth day of treatment she had a hemorrhage, more profuse than usual, succeeded by hemoptysis for three days.

The lime, iron and quinia were discontinued, and the following pill was given: —

r£. Ferri sul. gr. xv.
Colocynth, ext. gr. x.
Henbane, ext. gr. iv.
Leptandrin, gr. lii.
Podophyllin, gr. li.
Aloes, gr. iv.
Capsicum, gr. v.

M. Pills xxv. Sig. One pill after meals.

Some years previous to forming the habit, the patient had suffered dysmenorrhcea and leucorrhcea, receiving treatment at that time for ulceration of the os-uten An examination displayed a congested and thickened os with two or three cicatrixes, the results of former ulceration. On the seventieth day of treatment, she experienced for the first time expulsive pains, severe in character accompanied with backache and followed by leucorrhcea. Warm injections of castile soap water, preceded an injection of tea twice the strength of that commonly used at the table, and as warm as was consistent with comfort. The next morning we ordered the castile soap water repeated, using the following as a final vaginal injection.

5- Glycerine, iii.
Carbolic acid, 3 ii.
Camphor aqua, 3 i.
Aqua, 3 x.
This, in a measure, controlled the symptoms, but we were hastily called three days afterwards, and found the patient suffering general prostration. The bowels had not acted for three days, the movements excited by injections were unsatisfactory, giving no relief. Anorexia being complete, the sight or smell of food induced nausea.

With our present experience we would not pursue the course resorted to in her case, where the bowels were unrelaxed. As it was, the prescriptions Nos. 1 and 2 were stopped and baths ordered. Electricity was applied with sponges over the abdominal viscera and rectum, exciting a passage, which was, however, scant, and forced, and not sufficient to relieve the system. Calomel of the tenth trituration, with full doses of podophyllin, was administered during the evening. At four o’clock the following morning, we were called and informed by the messenger that our patient was dead, having breathed her last a few moments before. She was indeed dead to all appearances, being in hysterical catalepsy, with no appreciable action of the heart or respiratory muscles.

She had suffered greatly during the night, vomiting incessantly, with no action upon the part of the bowels. We administered, hypodermically, one-half grain of morphia, when a little cold water sprinkled in the face excited reflex centric spinal action and revived her.

This instance only confirmed the conviction that it is impossible to cure the opium habit, and bridge the patient over the crisis, without having the bowels freely relaxed.

The condition unmistakably indicates – and the indication should not be misinterpreted – a state of the nerves’ periphery, which affects the system at large by a reflex action, showing that nature is oppressed by some obstacle which precludes the possibility of an immediate cure. The indications are broadly presented, demanding that no further effort be made to reduce the dose. The patient should be put on the smallest amount of opium consistent with a quiescent state of the nerves, and means should be taken to build up the general health by the judicious administration of tonics, to excite deposits of nutritive principles that give tone and strength to the nervous system.

A rule, scrupulously to be observed, is not to allow the patient to advance into the crisis until the bowels have freely relaxed, involving the entire canal. The crisis is a condition following the withdrawal of the last infinitesimal amount of opium. In preparation for it, patients may be kept as near the verge as the physician wishes, and they will improve, it being only a question of time when their improvement will revivify theantonic nerves.

The activity of the nerves’ periphery, presiding over the abdominal viscery, will be a true criterion of their condition throughout the system and a signal for the treatment to be resumed in safety, with victory near at hand. Drastic cathartics will not facilitate the action of the bowels, as paralyzed nerves recognize no such master.

We kept our patient on a small quantity of opium, slowly reducing that amount every third day, allowing the system time to recuperate. We prescribed the following:

IJ. Morphia, 3 ii.
Alcohol, 5 v.
Glycerine, 3 vi.
Aqua, I vii

M. Sig. Teaspoonful after meals.

Bottle No. 2 contained :

B/. Cannabis Indica, 3 vi.
Belladonna Tr. § iii.
Alcohol, 3 iv.
Ginger Tr. 3 v.
Gentian comp. Tr. 3 vi.
Syrup Ferri Iodide, 3 iv.

M. sig. Every third day replace what is taken from

No. 1, with the above.

“We directed the patient’s husband to inform us at once when her bowels fully relaxed. Thirty-seven days afterwards our presence was requested ; we found her greatly improved in every respect, presenting quite a natural appearance, her bowels having relaxed the previous night, moving twelve times before morning, with accompanying expulsive pains and profuse vaginal secretions, her catamenia appearing for the first time in three years. The attendants kept the first large discharge for our inspection, as it excited their curiosity by its peculiarity of character. It consisted of a mass of black coagulated matter, thickly studded with fibrinous laminae, or flakes, emitting a putrid odor; also a mass of remarkably bard scybala, baving stamped on their surface the imprint of numerous crescentic folds from the columnar epithelium, showing that it must have remained impact in one spot for some time. The relief experienced by the patient was complete, although she was exhausted. Prescriptions Nos. 1 and 2 were stopped and the patient was given one grain of quinia every hour, with instructions to chew coca leaves, retaining the juice extracted, which enabled her to pass safely through the crisis, without suffering nervous irritability. Within five days she was doing housework.”

“A letter from her brother, who is also a physician, written two years later, gives a glowing account of her perfect health, hemorrhages and other phthisical symptoms having disappeared, menstrual functions being normal, while her former frail state was entirely gone and replaced by robust health.”

Editor’s Conclusion

I have a wide range of friends and colleagues in and outside of the medical and scientific communities, and I am always impressed by the range of reactions that they have to information from their long-ago peers – the doctors and scientists of the 18th & 19th Centuries. On any given subject their opinions generally fall on a normal curve.

On one tail of the normal curve are those who, while not doubting the sincerity of these long-dead writers, simply don’t see how the knowledge that they gathered during their lifetimes of research and practice could possibly be relevant today. There is simply no arguing with these people – one can usually spot them because of how fond they are of using the royal “We” when talking about the medical approach they are taking, e.g. “We believe that this treatment will be best for you…”

On the other tail of the normal curve are those who feel that for all the advances in medical hardware technology, bio-technology, diagnostic and imaging technology etc – they feel that these old-time doctors who had only their hands, eyes, ears, nose, and a lifetime of being intimately involved with their patients, must have had a set of sense-based tools that modern physicians simply don’t have. As an example I have one doctor friend who tells me, and I completely believe her, that she can smell certain kinds of cancer long before it is detectable by technology. Well, it is well-known that there are dogs that can do this – so why not humans? And of course there are many, many doctors who turn to the ancient herbal remedies and give them a chance to do their healing work long before they are forced to use the toxic tools of Pig Pharma.

And then there are all those physicians and practitioners who fall under the great central bell of the curve. They don’t think much about the knowledge of the past, but they don’t discredit it either. The problem that this group has is that the knowledge of the past is almost totally lost to both them and to society. Physicians don’t encounter it in their medical training, and scientists only encounter it as a vague set of building blocks upon which modern medicine and technology has been erected (unless they are those rare birds who actually study the history of science and medicine).

In this blog I am working to discover and bring forth lost knowledge for the potential benefit of those doctors and scientists who dwell in the progressive forward tail of the curve and all those moderate souls who are positioned under the great center of the curve. I try not to speak for the voices of the past but to recover them and give them a venue where their knowledge is available to be re-discovered, by doctors and scientists certainly but more importantly by intelligent people from all walks of life who are seeking to understand the great secrets of living long, and well, and in the full vigor and creative energy that is life at its best.

Those who have ears, let them hear; those who have eyes, let them see.