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Thoughts On Coca, Cannabis, Opium & Tobacco – Gifts Of The Great Spirit


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Coca Leaf & Muscle Energy

Because I have received such interesting feedback on a recent blog post on the possibilities of Coca Leaf as a treatment ME/CFS, I thought that I would post Chapter 12 of “The History of Coca” by W. Golden Mortimer, MD (1901). Anyone interested in the role of fatigue, nutrition, metabolic waste in the blood, and the therapeutic role of Coca Leaf that was fully known in the 1800s and yet which has been completely ignored in the search for treatments and even cures for a range of muscular & neurological conditions will probably find this information – at a minimum – interesting.

 It will also be interesting to critics of one of today’s medical fads – the imposition of progressively strenuous exercise on people with CFS, ME/CFS, MS and other conditions – that Dr. Mortimer writing in 1901 is saying exactly the same thing – PET (Progressive Exercise Therapy) is potentially dangerous. I had a football coach in high school whose only response to an injury was to tell the player to “Jog it off.” I remember getting seriously crunched in practice and then, on Ole’ Coach’s orders, doing a couple of laps with what turned out to be a broken collarbone. Finally I fainted at which point ole’ coach finally decided to have an assistant toss me in a car and drive me to a hospital.

Somehow I think the spirit of “Ole Coach” lives on in a lot of doctors.

 The section of this Chapter that deals with the balancing, restorative impact of Coca on body proteins is equally fascinating. It is highly suggestive of potentially safe and effective pathways to addressing some severe diseases involving protein metabolism gone awry. Alzheimer’s perhaps?

 Finally, I hope you will find it as fascinating as I did to read Dr. Mortimer’s discussion of metabolic waste in the blood and Coca Leaf’s role in cleansing the blood of this toxicity

 This entire book, and several others that are equally well-written and revealing, are available along with a large hyperlinked bibliography that will take you to original 18th-19th Century source material, in my ebook “The Coca Leaf Papers”.  (And don’t forget that you can request a free copy of this book on the “Request A Free Copy” page of this blog.

Figure 5

CHAPTER XII   INFLUENCE OF COCA UPON MUSCULAR ENERGY

“Leaves of wond’rous nourishment.

Whose Juice Succ’d in, and to the Stomach tak’n

Long Hunger and long Labour can sustain;

From which our faint and weary Bodies find

More Succor, more they cheer the drooping Mind,

Than can your Bacchus and your Ceres joined.”   – Cowley.

There has been no period since the command was given Adam in the garden of Eden, when physical exertion was not essential to existence. The ancient philosophers instilled the doctrine that a sound mind is only possible in a sound body, and so Homer pictured Achilles as eating his own heart in distress because he might not fight. Idleness has been so recognized as a common precursor of discontent and melancholia, that when the children of Israel murmured against Pharaoh their tasks were wisely doubled to prevent retrospection. Occupation is not only essential to prosperity, but is morally and physically conducive to health and longevity and a rest is best attained not by total cessation, but by a change of employment. I believe it was Hammond who advised a wealthy neurasthenic to collect used corks, with the result that the patient became so interested in this unique occupation that his brooding was soon forgotten, while he became an expert in old stoppers.

With a popular regard for the benefits of appropriate exercise, the matter of athletics has been greatly overdone, and has often resulted in injury instead of the anticipated good. The early Greeks, who elaborated every form of gymnastics, only undertook the severe strain incidental to their games after a suitable preparatory period. They were encouraged to these performances – which were instituted in honor of the gods or deified heroes – through the idea that they were sacred, and in fulfillment of this the exercises always began with a sacrifice, and concluded in the same religious manner. In the period of Caesar, a victory in the Olympic games was considered such a triumph that honors were not only extended to the victor, but to his relatives and even to his place of birth. There was, however, no impromptu emulation permitted in these contests, but those who desired to compete were obliged to submit themselves for preparatory practice at least ten months before the exercises began.

Wherever there is an incentive for supremacy, there is a possibility of overstrain, and Hippocrates cautioned the athlete against the possible error of immoderate exercise. Galen foreshadowed the modem wear and tear theorists when he asserted: “much exercise and weariness consumes the spirits and substances.” Sustained and straining effort in any direction, whether it be mental or physical, cannot be continued without a following train of troubles. When any function of the body is put in action there is a chemical change within the tissues which gives rise to the energy set free, and before new power may be had the substance which affords this energy must be rebuilt. While this is true of all the tissues of the body, owing to the greater bulk of the muscular system the changes are apparently more active in this organism. Incessant activity often prevents an adequate opportunity for repair.

We have seen that the Incas, during the period when  their young men were preparing for knighthood, devoted the greatest attention to athletic training. It was only when the young nobles had proved themselves worthy, by appropriate exhibition of their powers of endurance, that they were presented with the chuspa in which to carry the Coca leaves, and the poporo to contain the lime to be employed in preparing the Coca for mastication. These decorations were thereafter worn through life as emblems of ennoblement, and buried with the mummied body, the Coca affording support on the journey to the unknown. The ancient philosophers were quite as ignorant of the exact changes which induced the transformation of energy displayed in muscular activity as were the Incas, or as are the modem Andeans regarding the true workings of Coca in its yield of force.

Mind, Muscle, Energy & Nutrition

The muscular system comprises two varieties of muscles. One of these acts under mental influence, while the other acts independent of the will, while the heart – which is essentially a muscle – partakes of qualities in both of these varieties. The voluntary muscles are chiefly attached to the bony framework, and are concerned in bodily movements, while the involuntary muscles enter into the formation of the blood vessels, the lymphatics and the walls of various structures, as the air passages, the alimentary canal and other important organs, as well as forming parts of the skin and mucous membranes.

The framework muscles are supported by thin sheaths of tissue, which in their interior divide by numerous ramifications and separate the contained muscular substance into bundles. These are still further divided into little fibres, each ultimate fibre being enveloped with a close network of minute blood vessels. These vessels afford an ample means for bringing nutriment to the muscle substance, as well as for carrying away the waste products which are constantly being formed, even in the state commonly regarded as absolute rest. The importance of this hurrying stream of nutriment, and waste elimination to the muscular organism, may be inferred from the estimate that one-fourth of the entire blood of the body is  contained in the muscles.

When the little muscle fibres are examined under the microscope, they are seen to be made up of alternating lines which appear as light and dark striations. The darker of these lines, when viewed in transverse section, is found composed of little polygonal compartments. Within these divisions is contained a semi-fluid material which has been demonstrated to be the contractile element of the muscle substance.

The ancients presumed the muscles acted by some pulling influence exerted through the nerves. Harmonious nerve action is essential to every movement, yet muscle substance has been shown to have an inherent property of contractility quite independent of nerve influence. The chief nerves controlling the movements of the muscular system have their origin in the brain and spinal cord. These each consist of fibres conveying sensation and fibres which control motion. These latter end in expansions on the surface of the muscle in intimate contact with the contractile element, the function of which it regulates through the reflex influence of the sensory nerves. In other words a stimulation of the sensory nerves excites the motor nerves to cause muscular activity.

Each fibre is not continuous through the entire length of muscle structure, but the tapering end of one fibre is united to the body of its neighbor by a cement-like substance to form a bundle which constitutes the muscle proper. These bundles taper, or are expanded, as the case may be, to a dense fibrous tissue for attachment to different portions of the movable framework of the body. When a muscle acts, each of its  individual fibres shortens through some chemical influence of the contractile element. The combined action of the fibres exerts a pull toward either end of the muscle, which occasions movement of the less fixed portion of the framework to which the muscle is attached.

The involuntary muscles have not definite tendons like the voluntary muscles, and their microscopical structure is also different, their fibres being smaller and instead of being cross-striped they are marked longitudinally. In their arrangement the fibres are so interlaced that by their contraction they lessen the capacity of the vessels or organs in the walls of which they are located.

The property of contraction is inherent in the muscle itself, and continues even after its nerve supply has been cut off. For this experiment in the laboratory, curare is employed; this paralyzes the nerve filaments deep down in the muscle substance yet leaves the muscle intact. Under these conditions though contraction will not be produced when the nerve is stimulated, movement will follow when stimulus is  directly applied to the muscle substance. It is presumed that this inherent property is generated by some substance brought in the blood, which induces a chemical change in the contractile element and liberates the energy displayed as muscular movement. This change is influenced by temperature, and by the presence or absence of waste material in the muscle structure or in the circulation. Whatever this explosive substance may be, it is presumed to be built up in the muscle structure from some carbohydrate material – possibly glycogen – under the influence of a nitrogenous substance. For, as Foster has said: “The whole secret of life may almost be said to be wrapped up in the occult properties of certain nitrogen compounds.” Hermann named this hypothetical substance inogen. During a muscle contraction it is inferred this carbohydrate splits into carbonic acid, sarcolactic acid and some nitrogenous material which may be myosin or a substance akin to it, the acids being carried off in the blood stream, while the proteid substance remains in the muscle to be again elaborated into the inogen energy yielding material.  Helmholtz calculated that in the human body one-fifth the energy of the material consumed goes out as work, thus contrasting favorably with the steam engine, in which it hardly ever amounts to more than one-tenth.

The Key Role Of Nitrogen

According to the theory of Liebig the nitrogenous food is utilized in the building up of proteid tissues, and the non-nitrogenous food is exclusively devoted to heat producing  purposes, being directly oxidized in the blood, while its excess is stored as fat. In accordance with this theory, muscular exercise increases the waste of muscle substance, while the wear and tear is estimated by the amount of urea excreted.  Originally this idea was generally accepted, but was attacked from many sources when it was found that facts of subsequent research did not coincide. Troube suggested in opposition that muscle and nerve tissue is not destroyed by exercise, but that force is contributed to these tissues through the oxidation of non-nitrogenous substances of which the muscle and nerve were simply mediums of expression.

Following the idea of Liebig, that work results in wear and tear of the tissues, there should be an increased output of nitrogen during exertion, but many observers in trying to harmonize results with this view have found little increase of  urea – which practically represents all the nitrogen passed out of the body – while a decided increase of urea is found from the consumption of nitrogenous foods. Among the more noted experiments which controverted the theory that the nitrogenous waste represented the relative expenditure  of energy is that of Dr. Fick, Professor of Physiology, and Dr. Wislicenus, Professor of Chemistry, both of the University of Zurich. They ascended the Faulhom, two thousand metres high (6,561 feet) for the purpose of determining the resultant wear and tear upon the nitrogenous tissues from a known amount of exercise. To accurately determine this, they limited their diet to non-nitrogenous materials, taking starch, fat and a little sugar, with beer, wine and tea as beverages. For seventeen hours before the ascent they limited themselves to non-nitrogenous food, and their first examinations were made eleven hours before their start. The ascent was completed in eight hours, and after a rest of six hours they ate an ordinary meal, which included meat. The urine secreted was examined to estimate the nitrogen excreted for each  hour’s work, which showed the following results :   Nitrogen excreted per hour.  [Estimated in grammes.]  Before work: Fick – 0.63, Wislicenus – 0.61;  During Work: Fick – 0.41, Wislicenus – 0.39;  After work: Fick – 0.40, Wislicenus – 0.40; During The Night: Fick – 0.45, Wislicenus – 0.51.

This indicates that the amount of nitrogen excreted was in relation to the food eaten and not to the work done, less relative nitrogen being passed in the “work” and “after work” periods when on a non-nitrogenous diet than during the period when nitrogenous food was eaten. The calculations were based on the amount of work which the oxidation of muscular substance containing fifteen percent, of nitrogen would produce as determined from the excreted urea. The result showed this inadequate to have enabled the experimenters to perform the task which they did, Fick’s work exceeding the theoretical amount by one-half, while that done by Wislicenus was in excess by more than three-fourths the theoretical amount, without in either case considering the necessary work of the various vital processes. These facts led many experimenters to further investigation, and resulted in a decided reaction from Liebig’s rigid theory, which had been accepted more literally than that physiologist intended. Instead of regarding the decomposition of proteids as the sole source of  muscular energy, the carbohydrates were now looked upon as  a formative element for generating force, because during muscular activity the glycogen stored in muscle disappears, to accumulate again during rest.

Pflüger, one of the most eminent of modem physiologists, in attempting to harmonize the theory of Liebig, experimented with a dog, which he kept upon an exclusive meat diet free from fat, and made him perform hard labor several times a day for weeks, during which the animal showed: “Very extraordinary strength and elasticity in all his movements.” In this experiment he wished to show that all the energy produced during hard work was from the transformation of proteid. To further show whether proteid simply was compensatory, he gave a mixed diet, and this led him to the conclusion that in a diet composed of proteid, carbohydrates and fats the quantity of the two latter substances destroyed in metabolism depends wholly upon the fact whether much or little proteid be fed. His conclusions are that: “In general the quantity of carbohydrates and fat that undergoes destruction is smaller the greater the income of proteid.” This may be regarded as the accepted view of modem physiologists with this qualification, that proteids must be built up from carbohydrates under a nitrogenous stimulus, just as we have seen is the process in plant structure.

The Impact Of Coca On Body Proteins

It has already been pointed out that the nitrogenous Coca has a direct bearing upon the structure of tissue through a possible quality of elaborating the carbohydrates of the protoplasm into proteids. Since the muscles form the largest bulk of tissues in the body in which chemical changes are constantly going on, it may be inferred how important is this upbuilding of the complex substance by which muscle activity  is produced. The action of Coca on yeast as well as penicillium and other low organisms indicates its peculiar activity upon protoplasm. The experiments of Huxley and Martin long since showed that penicillium can build itself up out of ammonium tartrate and inorganic salts, and can by a decomposition of itself give rise to fats and other bodies, and we have every reason, says Foster, to suppose this constructive power belongs naturally to all native protoplasm wherever found. At the same time we see, even in the case of penicillium, it is of advantage to offer to the protoplasm as food, substances which are on their way to become protoplasm, which thus saves the organism much constructive labor. “It is not unreasonable, even if opposed to established ideas, to suppose that the animal protoplasm is as constructive as the vegetable protoplasm, the difference between the two being that the former, unlike the latter, is as destructive as it is constructive, and therefore requires to be continually fed with ready constructed material.”

In further support of the influence of Coca upon the formation of proteid it may be again emphasized that the nitrogen found in the urea is not a measure of the proteid transformation of the body. This conclusion would be justified if it were known that all nitrogenous cleavage products of the proteid molecule without exception leave the body. But  there is no ground for such belief. On the contrary, there is no fact known to contradict the idea that nitrogenous cleavage products of the proteid molecule can rebuild themselves synthetically again into proteid with the aid of new non-nitrogenous groups of atoms. This latter possibility has been overlooked, and in consequence views have arisen, especially in relation to muscle metabolism, which though bearing the stamp of improbability have been accepted and handed down, but which recently have been criticized by Pflüger.

Urea – The Toxic Waste Of Nitrogenous Protein Metabolism 

Just where urea is manufactured in the organism is not definitely known. It is presumed that kreatin, xanthin and other nitrogenous extractives which are found in the circulation resulting from tissue activity may be converted either by the blood or by the epithelium of the kidneys, and discharged as urea. In certain kidney diseases it is known that these waste products are retained in the circulation, “with consequent symptoms of poisoning. In addition to this it has been found that an increase of nitrogenous food rapidly augments this excretion, the products of intestinal digestion, the leucin and lyrosin, being carried to the liver and converted by the liver cells to urea, and this organ is considered at least the chief  organ of urea formation.

It has been found that in functional derangements of the liver, when the normal urea formation is interfered with, there is imperfect oxidation of the products which should be eliminated as urea, and a deposit of lithates occurs in the urine as a signal of imperfect oxidation. This also may follow excessive exercise. In serious organic diseases the urea excretion may cease entirely, being replaced by the less oxidized leucin and tyrosin, M. Genevdix, from observations of his own and those of Charcot, Bouchardat and others, concludes that disorders of the liver which do not seriously implicate the secreting structure of that tissue increase the amount of urea excreted, while graver disorders diminish it very considerably.” A Belgian physician, Doctor Rommelaere, maintains that diagnosis of cancer of the stomach may be made when the urea excretion falls and continues below ten grammes a day for several consecutive days.

The average excretion of urea is sixteen grains an hour, the excretion fluctuating between thirteen and twenty-five grains, being greater soon after eating, and much less during the early morning hours. Uric acid, which is probably a less advanced form of oxidation, being present in the relation to urea as one to thirty-five, its relation to body weight being three and a half grains per pound; thus when urea excretion  equals thirty-five grains for each ten pounds of body weight, there is commonly present one grain of uric acid. The effect of these waste products in the tissues is to so impede the functions of the cells as to occasion symptoms of depression and fatigue, whether this be manifested by irritability, drowsiness or profound muscular tiredness. There is a loading up – not necessarily within the cells of the tissues, but in the blood stream which supplies these – of excreta which vitiates the proper pabulum of the protoplasm, and a period of rest is absolutely necessary to enable the tissues to get rid of this matter before a healthful condition may be resumed.

Origins & Mechanisms Of Physical Fatigue

All the symptoms of fatigue are due to the effort of the tissues at repair. There is an increase of respiration to bring the necessary increase of oxygen demanded, and accompanying this respiratory effort there is a frequency of the heart beat, while the body becomes cool because its heat is lessened through the evaporation of perspiration. In protracted fatigue there may be a rise of temperature due to irritation by  the increased force of the blood stream, occasioning sleeplessness, while the digestive functions are interfered with because of the excessive demands of other organs on the blood stimulus.

In over-exertion, where there is actual loss of proteid tissue, the effects of prostration and tiredness may not be experienced immediately, but only after several days. Similar symptoms to these accompany the infectious diseases when the blood is loaded with the products formed by invading bacteria. Again they are manifest when the organism is poisoned through toxic products of indigestion. These may be simply the products of proteid decomposition – leucomaines as they are termed, or they may be ptomaines produced by the activity of  certain micro-organisms which affect the body through the toxic principles which they elaborate. Some of these are excessively poisonous in minute doses, and are chiefly developed  in such articles of food as milk, ice cream, cheese, sausage and canned fish. It has been inferred that the muscles may also produce toxins which by their presence give rise to poisonous symptoms.

From whatever source they may have been derived, waste products in the blood impede the action of all the tissues of the body. This influence is well shown in the laboratory upon a prepared muscle, the contractions being recorded by a series of curves upon a suitable machine. Following stimulation there is a short interval known as the latent period, and then contraction is indicated by a rising curve commencing rapidly and proceeding more slowly to a maximum height, and as the muscle returns to its normal condition there is a descending curve, at first sudden and then more gradual. After repeated shocks of stimulation these curves become less marked, until the contractions record almost a continuous line – a condition which is termed muscular tetanus.

Such tired muscle has a longer latent period than a fresh one, and a stronger stimulation is necessary to produce contractions equal to those at the beginning of experimentation.  Bernard experimented with blue bottle flies – rausca vomitoria, and found that the muscle of fatigued flies compared with that of flies at rest showed microscopical distinction, the contractile disks of the tired muscle being almost obliterated,  while the capacity of such a muscle for taking a stain for microscopic examination evidenced an important difference over that of normal muscle, the whole contents of the segments staining uniformly, indicating that extraordinary exertion had used up the muscular substance more rapidly than it was repaired.

Ranke found that by washing out a fatigued muscle with common salt solution, though it added no new factor of energy, it freed the tissue from poisonous excreta and enabled it to again perform work. To confirm this a watery extract of fatigued muscle, when injected into fresh muscle, occasioned it to lose its working capacity. Mosso has also shown by experiments on the dog the presence of these fatigue substances. When the blood of a tired dog was injected into a dog which had been at rest all the phenomena of fatigue were manifest, but when the blood injected was from a normally resting dog no such symptoms were induced. This physiologist has shown that in man small doses of cocaine remove  the fatigue sense and raise muscular ability above normal.

Dr. Alexander Haig, of London, attributes all the symptoms of depression and fatigue as due to the presence of uric acid in the blood, which he regards as the particular poison of the excreta. Uric acid, he claims, obstructs the capillaries throughout the entire body, the consequent deficient circulation preventing a proper metabolism by retarding the removal of waste products.

The relative excretion of waste is influenced not only by the routine of living, but by changes in the weather, tiredness being more easily produced in warm than in cold weather because of the increased elimination of acids by perspiration raising the alkalinity of the blood and permitting the passage of an excess of uric acid from the tissues into the blood. With this excess there is a diminished excretion of urea accompanied by the symptoms of fatigue. Exercise when excessive increases the formation of urea, which may at first be carried off in a free blood stream, but when the flow in the capillaries is diminished through the presence of uric acid in excess, the urea excretion is retarded and fatigue is manifest.

Cocaine, it is found, will free the blood of uric acid and abolish all the symptoms of fatigue both of mind and body, doing this by raising the acidity of the blood and so directly counteracting the effect of exercise by preventing the blood becoming a solvent for uric acid. The effect of he pure blood is to produce a free circulation with increased metabolism in the muscles and nerve centres. When the blood is loaded with excreta the circulation is retarded and there is high blood pressure, which may ultimately result in dilatation  of the heart.

The long train of troubles which may follow retention of waste have been found to be worse during the morning hours when the acid tide of the urine is lowest. These conditions are all relieved under the influence of Coca, a knowledge of which has been gleaned from its empirical use. As an instance of this, a lady suffering from a severe influenza accompanied with rheumatism, was induced to try a grog of Vin  Mariani – as advocated by Dr. Cyrus Edson in the treatment of La Grippe, and much to her surprise found that she was not only cured of her cold, but entirely relieved from the symptoms of her rheumatism as well, despite a preformed prejudice against Coca in any form. Acting upon this suggestive hint, I have found that alternate doses of Coca and the salicylates constitute an admirable treatment for rheumatism.

Coca Leaf & The Elimination Of Physical Fatigue

The influence of Coca in banishing the effects of extreme fatigue is well illustrated in an account of its use communicated to me by Dr. Frank L. James, Editor of the National Druggist, St. Louis. While a student at Munich he experimented with the use of Coca upon himself at the request of Professor Liebig, whose pupil he was. On one occasion, when exceedingly tired both physically and mentally, he was  induced to try chewing Coca after the proper Peruvian fashion with a little llipta. Before commencing this experiment he was hungry, but too tired to eat and too hungry to sleep. In a few moments after beginning to chew hunger gave place to a sense of warmth in the stomach, while all physical weariness disappeared, though mentally he was still somewhat tired and disinclined to read or study, though this condition soon passed away, giving rise to an absolute eagerness to be at some sort of exercise. These sensations lasted altogether for probably three hours, gradually passing off after the first hour, leaving the subject none the worse for his experience and able to eat a hearty dinner the same evening.

Some years afterward, while practicing in the South, this gentleman returned from a thirty-six hours’ ride so tired as to necessitate being helped off the horse and up-stairs to his  room. While preparing for bed his eyes fell upon a package of Coca leaves which he had recently received by way of San Francisco, and the idea immediately occurred to him to repeat the experiment of his student days. In the course of a quarter of an hour – following the chewing of probably a drachm of Coca leaves – he felt so refreshed and recuperated that he was able to go out and visit patients about the town to whom he had previously sent word that he was too tired to call on them that night. In describing the result, Dr. James said: “I was not very hungry at the time before taking the Coca, but all sense of the necessity or of a desire for food  vanished with the weariness.”

Professor Novy, of the University of Michigan, is referred to by one of his former classmates as having formed one of a group of experimenters upon the use of Coca leaves. The influence being tested during a walk of twenty-four miles, taken one afternoon without any other nourishment but water and Coca. Over four miles an hour was averaged, and although unaccustomed to such long walks or vigorous exercise, no special muscular fatigue was experienced by four of the party who chewed the leaves almost constantly during the journey. No change was noted in the urine and no depression was experienced the next day. One who did not chew Coca, but was addicted to alcohol and chewed tobacco constantly, was somewhat more fatigued than the others, and suffered considerably from soreness of the muscles on the following day.

The experience of Sir Robert Christison, of Edinburgh, with the use of Coca upon himself and several of his students, is full of interest because of his extended experiments and the high rank of the investigator. Two of his students, unaccustomed to exercise during five months, walked some sixteen miles without having eaten any food since breakfast. On their return they each took two drachms of Coca made into an infusion, to which was added five grains of carbonate of soda, in imitation of the Peruvian method of adding an alkali. All sense of hunger and fatigue soon left, and after an hours walk they returned to enjoy an excellent dinner, after which they felt alert during the evening, and their night’s sleep was sound and refreshing. One of these students felt a slight sensation of giddiness after drinking the infusion, but the  other experienced no unpleasant symptoms. Ten students, under similar conditions, walked varying distances, from twenty to thirty miles, over a hilly road. Two of these were unable to remark any effects from the use of Coca, several felt decided relief from fatigue, while four experienced complete relief, and one of these had walked thirty miles without any food. Professor Christison, though seventy-eight years  of age and unaccustomed to vigorous exercise, subsequently experimented on himself by chewing Coca leaves with and without llipta, some of which had been forwarded to him from Peru. He first determined the effect of profound fatigue by walking fifteen miles on two occasions without taking food or drink. On his return his pulse, which was normally sixty-two at rest, was one hundred and ten on his arrival home, and two hours later was ninety. He was unfit for mental work in the evening, though he slept soundly all night, but the next morning was not inclined for active exercise. Then, under similar conditions, he walked sixteen miles, in three stages of four, six, and six miles, with one interval of half an hour, and two intervals of an hour and a half. During the last forty-five minutes of his second rest he chewed eighty grains of Coca, reserving forty grains for use during the last stage, even swallowing some of the fibre. He felt sufficiently tired to look forward to the end of his journey with reluctance, and did not observe any particular effect from the Coca until he got out of doors and put on his usual pace, of which he said: “At once I was surprised to find that all sense of weariness had entirely fled and that I could proceed not only with ease, but even with elasticity. I got over the six miles in an hour and a half without difficulty, and  found it easy when done to get up a four and a half mile pace and to ascend quickly two steps at a time to my dressing room, two floors up-stairs; in short, I had no sense of fatigue or any other uneasiness whatsoever.”

During this walk he perspired profusely. On reaching home his pulse was ninety, and in two hours it had fallen to seventy-two, showing that the heart and circulation had been strengthened under the influence of Coca. The urine solids were the same as during the walk without Coca. In describing this walk, he said: “On arrival home before dinner, I felt neither hunger nor thirst, after complete abstinence from food and drink of every kind for nine hours, but upon dinner appearing in half an hour, ample justice was done to it.”  After a sound sleep through the night he woke refreshed and free from all sense of fatigue. An influence of Coca not anticipated was the relief of a tenderness of his eyes, which during some years had rendered continuous reading a painful effort. In another trial at mountain climbing, he ascended Ben Vorlich, on Loch Earn, 3,224 feet above the sea. The climb was along a rugged foot path, then through a short heather and deep grass, and the final dome of seven hundred feet rise was among blocks and slabs of mica-slate. The ascent was made in two and a half hours, the last three hundred feet requiring considerable determination.

His companions enjoyed a luncheon, but Sir Robert contented himself chewing two-thirds of a drachm of Coca, and after a rest of three-quarters of an hour was ready for the descent. Although this was looked forward to with no little distrust, he found upon rising that all fatigue was gone, and he journeyed with the same ease with which he had enjoyed mountain rambles in his youth. The experimenter was neither weary, hungry nor thirsty, and felt as though he could easily have walked four miles to his home. After a hearty dinner, followed by a busy evening, he slept soundly during the night and woke refreshed in the morning, ready for another days exercise. During the trip he took neither food nor drink of any kind except chewing sixty grains of Coca leaves. Eight days after this experiment was repeated, using ninety grains of Coca. The weather had changed and the temperature was forty-four degrees at the top of the mountain and a chilly breeze provoked the desire to descend. While resting sixty grains of Coca was chewed. The descent was made without halt in an hour and a quarter, and followed by a walk of two miles over a level road to meet his carriage. He then felt slightly tired, because three hours had elapsed since he had chewed Coca.

In summing up his experience Professor Christison says: “I feel that without details the general results which may now be summarized would scarcely carry conviction with them. They are the following: The chewing of Coca not only removes extreme fatigue, but prevents it. Hunger and thirst are suspended, but eventually appetite and digestion are unaffected. No injury whatever is sustained at the time or subsequently in occasional trials.” From sixty to ninety grains are sufficient for one trial, but some persons either require more or are constitutionally proof against the restorative action of Coca. From his observations there was no effect on the mental faculties except to prevent the dullness and drowsiness which follow great bodily fatigue.

Coca Leaf & Muscle Foods

It is a matter of much interest to determine just what food is appropriate to generate muscle or to stimulate the tissues for work. As the capacity of an organ is in proportion to its bulk  – under proper conditions – it seems essential that proteids should be eaten in order to create the muscle substances of which they form so great a part; but as has been repeatedly indicated, no one variety of food makes that same variety of  tissue. All conversion in the body is due to a chemical change within the cell of the tissue; the food taken in is broken down by the digestive processes, and after assimilation is doled out according to the particular requirements of the individual parts of a normal organism.

The muscles are not set at work from the immediate intake of food, but are rendered capable for action by a chemical conversion of the material already stored up in the tissues, which is elaborated into energy as it may be required. It would seem as though this fact had not been carefully considered when calculating the effect of any diet upon muscular exertion during a brief period. The capacity of the body for work is due to the integrity of its tissue and the ability to draw suitable supplies from these stored substances. It is the appropriate conversion of this stored-up material which constitutes energy in a capable being rather than a mere automatism. Without this power of conversion the human organism would simply be clogged up by an accumulation of fuel which would impede rather than create activity. The body should not be regarded as a machine constituted with certain working parts which are gradually worn out through the so often expressed “wear and tear.” The facts long since have proved that life is a succession of deaths. The  highest type of physical life is that which is capable of  the greatest activity, creating useful energy and properly eliminating the waste matters resulting from the chemical changes from this conversion. Indeed, one of the gravest problems in the maintenance of a healthful activity is the one of excretion. To the retention of waste products in the blood or tissues a whole train of ills, both physical and mental, is unquestionably due, whether this poison be uric acid or not.

Preoccupied humanity seems constantly seeking some medicinal measure toward buoyancy and vigor rather than regarding the rational effects of appropriate eating and proper exercise. The success of many patent nostrums is chiefly based upon the fact of the necessity for elimination, and a good diuretic or laxative disguised as a panacea for all ills often produces the required result. As to the proper food  essential to promote the greatest energy there have been many conflicting conclusions drawn from the known physiological facts. On the one side it has been asserted that all energy is induced from nitrogenous substances, while on the other side equally competent observers have asserted that the non-nitrogenous substances are alone used; yet all the evidence points to the fact that the constructive metabolism in animals is paralleled by similar processes in plant life, in which it has been shown that carbohydrates are built up into proteids, while these latter are also broken down into carbohydrates, and each of these may be converted again and again under the appropriate stimulus of  the other substance. We know that starch, which is the representative of the carbohydrate class, is converted into glucose and carried to the liver to be stored up as the animal starch –  glycogen – and as the various tissues of the body are called into activity this stored-up material is hurried to them in a soluble form to be utilized by the cell in the production of energy. When meat is eaten – which is the representative type of the nitrogenous class – its proteid material is changed into a soluble peptone, and this, carried to the liver, is converted into glycogen, which indicates, as has been proven by experiment, that either class of food substance is capable of maintaining the functions of the body so long as the chemical elements comprising the food taken be appropriate. While the meat eater and the vegetarian are each right, they are equally both wrong when advocating an exclusiveness in either dietary. The fact is, as will be shown in the chapter upon dietetics, it is purely an individual matter as to what particular food may be best. It all depends upon the body, or the machine – as you will – as to what substance each particular organism shall have the privilege of converting into energy.

While the body may be supported on either class of foodstuffs for a time, a man would surely starve as quick on a purely nitrogenous dietary as he would upon one purely non-nitrogenous. It will be recalled that the experiment of Fick and Wislicenus was conducted upon a food, the solid portion of which was carbohydrate, but with this tea was drunk as a beverage. Tea loaded with Xanthin would afford sufficient  of the nitrogenous element to convert the stored-up carbohydrates to action, but as Haig and Morton have both shown, tea contains so much of an equivalent to uric acid that it could not long be relied upon as an energy exciter, for while the tissue might be stimulated for a time, waste matter would soon be augmented in the blood. Coca, as we have seen, has the quality of freeing the blood from waste material, and yet  possesses sufficient nitrogenous quality to convert the stored- up carbohydrates into tissue and energy. The Andeans are a race small of stature and of low muscular development. The average American or European could easily tire a native Indian in a day’s travel, but while the former continuing on an ordinary diet would soon become stiff, the Indian sustained by Coca remains fit and active, and is apparently fresh and ready after a hard day’s jaunt. It seems probable that this condition is occasioned through the converting influence of  the nitrogenous Coca acting upon the stored-up carbohydrates of the Andean’s accustomed dietary. Thus while promoting metabolism and increasing energy the blood current is at the same time kept free.

The custom of the Andean to measure distances by the cocada has already been referred to; it is the length of time that the influence of a chew of Coca will carry him – equal to a period of some forty minutes – and during which he will  cover nearly two miles on a level ground or a mile and a quarter up hill. Taking the suggestion from this a preparation of Coca made in Paris known as ‘Velo-Coca,” is purposely intended for the use of bicyclists, a given dose of which is calculated to sustain the rider through forty kilometres –  twenty-five miles. The advantage of Coca in long distance contests has long been known to certain professionals, who have endeavored to keep their use of this force sustainer a  secret.

Some years ago the members of the Toronto La Crosse Club experimented with Coca, and during the season when that club held the championship of the world Coca was used in all its important matches. The Toronto Club was composed of men accustomed to sedentary work, while some of the opposing players were sturdy men accustomed to out of door exercise. The games were all very severely contested, and some were played in the hottest weather of one summer; on one occasion the thermometer registered 110oF. in the sun. The more stalwart appearing men, however, were so far used up before the match was completed that they could hardly be encouraged to finish the concluding game, While the Coca chewers were as elastic and apparently as free from fatigue as at the commencement of the play. At the beginning of the game each player was given from one drachm to a drachm and a half of leaves, and this amount, without lime or any other addition, was chewed in small portions during the game. The first influence experienced was a dryness of the throat, which, when relieved by gargling with water, was not again noticed, while a sense of invigoration and an increase of muscular force was soon experienced, and this continued through the game, so that fatigue was resisted. The pulse was increased in frequency and perspiration was excited, but no mental symptoms were induced excepting an exhilaration of spirits, which was  not followed by any after effects.

Coca Leaf & Healthy Blood Circulation

As has been shown, fatigue and its ills is occasioned by a diminution of the elements necessary to activity as well as to an excess of waste materials in the blood. This latter cause alone explains many problems dependent upon this condition which are commonly assigned to other causes. Under this hypothesis it is easy to appreciate not only the cause of muscle fatigue, but the irritability from nerve tiredness as well as  the restlessness in wasting disease. When the tissues are not supplied with a blood stream that is pure and uncontaminated they cannot respond healthfully. A blood current already overburdened with waste can neither stimulate to activity nor carry off the burden of excreta.

The power of Coca to relieve the circulation, and so bring about a condition indicating a free blood stream, has been emphasized by a host of observers. Speaking of the action of but one of its alkaloids, Dr. Haig says: “Some have asserted that it is oblivion men seek for when they take opium, cocaine, etc., I believe this to be a great error. Give me an eternity of oblivion and I would exchange it for one hour with  my cerebral circulation quite free from uric acid, and opium or cocaine will free it for me. When the blood stream is free the pulse tension is reduced, the rate is quickened, and the increased flow alters the mental condition as if by magic; ideas flash through the brain; everything is remembered.”

Hitherto the usual explanation that has been advanced as to the influence of Coca – when any influence has been accorded – has been its stimulant action upon the nerves. In view of the facts set forth in this research such a theory seems inadequate. I have endeavored to show by a succession of facts and many examples, that the sustaining influence of Coca in fatigue, as well as its curative power in so many diseased conditions, as to render it a seeming panacea, is largely due to a direct action upon the cells of the tissues, as well as through the property which Coca has of freeing the blood from waste. This influence may chiefly be upon the brain or upon the muscular structure, in accordance with the relative  proportion of the associate principles present in the Coca leaf employed. Under this hypothesis, based upon physiological research as well as upon the theory of the formation of proteid in plants and in animals. Coca not only stimulates the cells to activity and so sets free energy, but may build up new  tissue through exciting the protoplasm to appropriate conversion. Such an hypothesis is certainly plausible when we consider the action of amides and other nitrogenous elements in plant structure. This is again emphasized by its harmony with recent theories of Pflüger regarding the building up of proteid tissue in the animal organism. So much testimony points to this conclusion that in the entire absence of other  scientific explanation this is certainly worthy of serious consideration. The facts of which will be more specifically elaborated in the chapter on physiology.


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Essential Coca Leaf Medicines

This will be the final post in the “Dr. Tibbles Coca Leaf Herbal Remedies” series. In this post I’ll present some of Dr. Tibbles’ core herbal remedies, those that are mentioned frequently in association with other specific remedies for specific illnesses. It is very interesting how Coca Leaf is integrated into these medicines, no doubt accounting for much of the success Dr. Tibbles apparently had in treating patients over a long career. It is also interesting to note that many of these medicines did not use Coca Leaf – which gives one even greater confidence that the good doctor knew what he was doing.

NEUTRALIZING MIXTURE AND SOOTHING SYRUP

Rp.

Rhubarb Root, bruised 1 ounce

Cinnamon Bark, bruised 1 ounce

Boil in one quart of water for twenty minutes, strain on to the following:

Coca Leaf 2/4 ounce

Peppermint Herb 1 ounce

Bicarbonate of Potash 3/4 ounce

Let them stand for half an hour; gently press out the liquid, strain & add a little water until the whole bulk of liquid measures one quart, then add one and a half pound of lump sugar, gently heat over a fire, do not boil; strain, cool, and bottle.

Dose

Half a teaspoonful to one tablespoonful in a little warm or cold infusion of Pennyroyal, or of water, every three or four hours.

Valuable in Constipation, Indigestion, Cholera, Sickness, &c, and for diseases of children.

PAIN KILLER.

Rp.

Soothing Syrup 8 ounces

Brain Feeder 2 1/2 ounces

Sweet Spirit of Nitre 1 ounce

Tincture of Pleurisy 1 ounce

Tincture of Sculcap 1/2 ounce – mix.

Dose

Two teaspoonsful to one tablespoonful to be taken in a little water three or four times a day. Half quantity for children. A most excellent remedy for pain of every description, fainting, palpitation of the heart, inflammations, suppression of urine, and kidney affections, headache, &c, &c.

RESTORATIVE DROPS.

Rp.

Brain Feeder 3 ounces

Compound Essence of Cocaine 1 ounce

Glycerine Extract of Coca ½ ounce

Bicarbonate of Potash 2 drams

Dissolve one pound of Lump Sugar in a quart of boiling water, strain, when cold add the above ingredients, mix.

Dose

A wineglassful as required. This is truly a pick-me-up for all sufferers from nervous depression, debility, indigestion, brain exhaustion, caused either by excess of physical or mental exertion. This mixture possesses wonderful sustaining powers and a dose of it should be taken by all individuals, every two hours, before and during their work. It is not to be equaled in all cases of debility of body or mind. Be sure that the bowels are regulated by taking occasional doses of the Chionanthus Liver Pills. We advise all sufferers to try it.

SUMMER BEVERAGE.

Rp.

Agrimony 2 ounces

Boil in one gallon of water for fifteen minutes, strain; add sufficient water to make up for what has evaporated; add half a pound of sugar, simmer gently for a few minutes, take off the scum; strain; add one ounce of Cream of Tartar and two ounces of Compound Essence of Cocaine. Drink ad libitum. The above forms a most pleasant and refreshing summer beverage.

A TONIC FOR NEURALGIA, TIC, AND ALL PAINFUL NERVOUS AFFECTIONS.

Rp.

Brain Feeder 2 ounces

Compound Essence of Cocaine 1 ounce

Tincture of Sculcap 1 ounce

Fluid Extract of Motherwort 1 ounce

Tincture of Gelsemin 1/2 ounce

Bicarbonate of Potash 2 drams mix.

Dose. — One teaspoonful to be taken in sweetened water every two or three hours. It is also an excellent remedy applied externally, by rubbing the parts with a little of the mixture.

APERIENT MIXTURE.

Rp.

Powdered Rhubarb 1 dram

Magnesia ½ dram

Bicarbonate of Potash ½ dram

Aromatic Spirits of Ammonia 1 dram

Dill Water, sweetened well with sugar 4 ounces

Mix well.

Dose

One teaspoonful to one tablespoonful (according to age) to be taken twice or three times a day. Shaking the bottle before each dose is poured out.

APERIENT PILLS.

Rp.

Rhubarb, in Powder 5 drams

Aloes, Barbadoes, Powdered 1 dram

Gum Myrrh, Powdered 1 dram

Castile Soap, shavings 30 grains

Extract of Hyoscyamus 1 dram

Extract of Camomile 1 dram

Mix well, and roll into 140 pills taken as required.

COMPOSITION POWDER

Rp.

Bayberry Bark, powdered 6 ounces

Curcuma, powdered 9 ounces

Ginger, powdered 6 ounces

Pleurisy Root, powdered 2 drams

Allspice 2 ½ ounces

Cayenne, powdered ½ ounce

Mix

EMETIC POWDER.

Rp.

Ipecacuanha Powder 1 dram

Lobelia Powder 1 dram

Blood Root Powder ½ dram

Mix.

Dose

A quarter or half a teaspoonful, repeated every twenty minutes if required. During the action give plenty of the Compound Essence of Cocaine in warm sweetened water. This Powder is admissible in all cases where an emetic is indicated: in croup, chronic affections of the chest, liver, stomach, or in febrile diseases.

PULMONARY SYRUP.

Rp.

Pleurisy Root, bruised 1 ounce

Spikenard Root, bruised 1 ounce

Boil in one quart of water for twenty minutes, then pour the boiling liquid onto

Boneset 1 ounce

Coca Leaf 1 ounce

Cherry Bark coarse powder  2 ounces

Composition Powder 1/4 ounce

Let them stand for one hour, stirring occasionally, then strain, and add Decoction of Slippery Elm, sufficient to make one quart of mixture.

To the mixture add two pounds of lump sugar; simmer gently for fire minutes; when cold add

Tincture of Lobelia 2 ounces

Essence of Spearmint 1/4 ounce

mix

Dose

One teaspoonful to one tablespoonful (according to age) to be taken every three hours or as required. This is an excellent remedy in coughs, tightness of the chest, difficulty of breathing, asthma, &c, &c.

ALTERATIVE MIXTURE.

Rp.

Yellow Dock Root 1 ounce

Prickley Ash Bark 1 ounce

Tag Alder Bark 2 ounces

Boil in one quart of water down to one and a half pint, pour the boiling liquid on to the following ingredients:

Coca Leaf 1 ounce

Queen’s Delight, powdered 1/2 ounce

Powdered Rhubarb 1/2 ounce

Composition Powder 1 teaspoonful

Let them stand together for one hour, strain.

Dose

One or two tablespoonsful to be taken three times a day. This is an excellent remedy in all impurities of the blood: boils, ulcers, cancers, venereal diseases, scrofula, skin diseases, &c ,&c.

IRRITATING PLASTER.

Rp.

Burgundy Pitch 3 ounces

White Turpentine (Gum Thus.) 2 ounces

Melt and then add 6 ounces of good Tar, mix, strain while hot, then add of blood root, poke root, lobelia, all in powder, of each one and a half ounce; mix well.

Directions: Spread a little on a piece of soft leather, and apply over the affected part. Keep on as long as can be borne. This plaster brings out on the skin small pustules or eruptions, and causes a slight discharge. It is an excellent application in all cases where counter-irritation is required, as in the case of severe internal inflammations.

OINTMENT.

Rp.

Marshmallow tops, green and bruised 8 oz.

Simmer, in 8 ounces of Olive Oil, for half an hour, press out the fluid portion, strain, and add of

Spermaceti 2 1/2 ounces

White Wax 1 ounce

Dissolve by the aid of gentle heat; when dissolved remove to a cool place, and stir constantly until quite set. This is an excellent simple ointment for all kinds of cutaneous eruptions.

POULTICE NO. 1.

Rp.

Crushed Linseed 2 ounces

Ginger, in powder 1/2 ounce

Lobelia Herb, powdered 1/2 ounce

Mix together, and pour on sufficient boiling water to make a poultice of convenient consistence. This is a very good and beneficial poultice in removing all internal inflammatory affections: such as bronchitis, inflammation of the throat, lungs, bowels, stomach, bladder, pleurisy, &c.

POULTICE no. 2.

Rp.

Slippery Elm Bark Powder – a sufficient quantity

Mix with a little hot water or milk so as to make a poultice. This poultice will be found to exceed every other in point of efficacy. It is capable of very extensive application for both external and internal inflammations. It is useful in inflammation of the breast, felons, white swellings, wounds, sores, boils, ulcers, gatherings, &c, &c.

DECOCTION OF PLEURISY ROOT.

Rp.

Pleurisy Root, bruised 1 ounce

Water 1 ½ pint

Boil gently, until the whole bulk of liquid is reduced to one pint.

Dose

One teaspoonful to two tablespoonsful to be taken as often as may be required. It forms a convenient vehicle for the administration of other medicines. This is excellent, when taken in conjunction with the Brain Feeder, for all kinds of fever, colds, coughs, &c.

INFUSION OF SLIPPERY ELM.

Rp.

Slippery Elm Bark, sliced thin 1/4 ounce

Boiling water 1 pint

Place in a covered vessel and let them stand for one hour; strain. It is very useful in inflammation of the stomach, bowels, eyes, &c. and is a very valuable medicine in dysentry, diarrhoea, and bowel complaints generally. Drink freely.

DECOCTION OF MARSH MALLOW ROOTS.

Rp.

Marsh Mallow Root, in slices 1 ounce

Water 1 1/2 pint

Boil it fifteen minutes, let cool, strain. Drink freely. It is a good substitute for Infusion of Slippery Elm Bark, and may be used in all cases where that infusion is indicated. We may also add that it is of great value in inflammation of the bladder or kidneys.

INFUSION OF GOLDEN SEAL.

Rp.

Golden Seal, in powder 1 ounce

Boiling water 1 pint Let it stand for half an hour; strain.

Dose

One teaspoonful to two tablespoonsful three or four times a day. This is of great service in chronic derangement of the liver and stomach, and is invaluable as a tonic during convalescence from exhausting diseases, such as bilious and typhoid fever, inflammation of the stomach, diarrhoea, dysentery, &c.

INFUSION OF SNAKE ROOT

Rp.

Snake Root (Aristolochia Serpentaria) , bruised, 1 ounce

Boiling water 1 pint

Infuse for two hours in a covered vessel, strain.

Dose

One or two tablespoonsful three or four times a day.

DECOCTION OF RASPBERRY LEAF. (Raspberry Leaf Tea.)

Rp.

Raspberry Leaf 1 ounce

Water 1 ½  pint Boil for twenty minutes; strain. Drink freely. This decoction is valuable in diarrhoea, dysentery, and hemorrhage of the stomach and bowels. It is also much used by females.

SYRUP OF BLACKBERRY ROOT

Rp.

Blackberry Root Bark  2 ounces

White Sugar 4 ounces

Brandy 1 ounce

Water 1 quart

Boil the root in a quart of water, down to ten ounces, strain, add the sugar, and when quite cold add the brandy.

Dose

Two teaspoonsful to one tablespoonful three times a day, This is very valuable in chronic bowel complaints.

ANTI-CHOLERA DROPS.

Rp.

Coca Leaf  3 ounces

Angelica Root Powder  2 ounces.

Cranesbill Root Powder 2 ounces

Gum Myrrh Powder 1 ounce

Bayberry Bark Powder  2 ounces

Camphor 1/2 ounce.

Cayenne 1/2 ounce.

Spirits of wine .3  pint

Macerate for 21 days, with occasional agitation; filter.

Dose

One, two, or three teaspoonsful, in a little water, every 30 or 60 minutes. For cholera, diarrhoea, cramp, &e.; and for flooding in females no remedy has been more successful.

ERYSIPELAS MIXTURE

Rp.

Yarrow Flowers 1 ounce

Elder Flowers 2 ounces.

Boiling Water 1 1/2 pint.

Let them stand for one hour; strain.

Dose

Two teaspoonsful to two tablespoonsful to be taken every two hours. A never failing remedy in all cases of erysipelas, inflammations, &c.

MIXTURE FOR CHRONIC RHEUMATISM

Rp.

Tincture of American Valerian 1 ounce

Tincture of Black Cohosh 1 ounce

Tincture of Prickly Ash 1 ounce

Glycerine Extract of Coca Leaf 1 ounce.

Mix

Dose. — One teaspoonful every three or four hours, as required. Valuable in all cases of chronic rheumatism, lumbago, sciatica, &c.

WASH FOR INFLAMED EYES.

Rose water 1 ounce

Tincture of Golden Seal 1 dram.

Laudanum 1 dram. Mix Wash the eyes with a small portion of the mixture, twice or thrice, daily.

DIURETIC PILL

Rp.

Solidified Copaiba 1 ounce

Alcoholic Extract of Cubebs ½ ounce

American Mandrake Powder ½ ounce.

Oil of Juniper 30 drops.

Mix. Roll into about 300 pills.

Dose

One or two, three or four times a day. This pill invariably cures or affords relief in all diseases of the kidneys or bladder. For chronic affections of the bladder, kidneys, urethra, and also in gravel, gonorrhoea, gleet, and fluor-albus, it is superior to any similar preparation.

CANCER PLASTER.

Rp.

Extract of Poke Root 1 ounce

Extract of Red Oak Bark 1 1/2  ounce.

Extract of Clover Heads 1 ounce.

Mix. Spread on leather as required. An excellent external application for cancers; to be used in conjunction with the alterative mixture.

INVALID’S FOOD.

Rp.

Finely Powdered Sugar 8 ounces

Slippery Elm Bark Powder  4 ounces

Fine Oatmeal  8 ounces

Rice Flour 8 ounces.

Cinnamon Powder  1 dram.

Mix well, until they are thoroughly incorporated. Take one or two teaspoonsful and mix with about 4 ounces of boiling water; stir briskly while preparing. This is an excellent preparation for invalids, whether adults or children, and may be taken with advantage at any time.

CATTLE POWDER.

Rp.

Angelica Root Powder 8 ounces

Bayberries Powder 6 ounces

Lobelia Herb Powder 5 ounces

Ginger Root Powder 5 ounces

Gum Myrrh Powder 3 ounces

Sulphite of Soda 3 ounces

Cayenne Powder 2 ounces

Dose

For a horse: Two ounces in a pint of warm gruel. Cows the same. Calves: Half an ounce. Sheep the same. Lambs a quarter of an ounce. To be repeated as required. Wrap up in rugs so as to sweat. Regulate the bowels by giving Castor Oil. Stock keepers should never be without this preparation, it is invaluable ill all kinds of ailments of cattle.

 


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Coca Leaf In Space

Hello NASA:

Figure 9

You have spent tens of billions of dollars on technologies designed to deal with several basic human needs during space travel – the need for food, water, and physical energy, as well as the need to maintain alertness and mental clarity. You have also discovered that zero gravity imposes serious physical penalties on Astronauts, including loss of bone mass.

In addition, having to carry food and water along on extended missions is a significant financial cost – every pound of food and water launched for the earth-orbiting Space Shuttle costs around $10,000 – for a trip to the moon or Mars the net costs of provisioning food and water for the mission would increase significantly. If chewing few grams of Coca Leaf a day could cut hundreds of pounds off of the food and water requirements of Astronauts by increasing their metabolic efficiency, not by starving or dehydrating them, and could also in the process enhance their performance and well-being – what is the downside?

We know that NASA uses a large number of pharmaceuticals designed by Pig Pharma and sold to the space program as supposedly effective treatments for the health risks faced by Astronauts – and we know for a fact that these very expensive drugs are at best limited in their effectiveness, and that their use carries serious risks. Why would NASA not even consider the potential benefits of chewing Coca Leaf as a natural and effective replacement for some of these potentially dangerous and largely ineffective “medicines? Why would NASA not “do the math” and refer to the voluminous scientific and medical data from the 1800’s that makes it clear that Coca Leaf alone could make a huge contribution to Astronaut success and well-being during extended space exploration? The only possible reason is a combination of ignorance and politics – always lethal.

So, NASA, why don’t you at least consider the potential benefits to both Astronauts and to the Space Budget of including a couple of pounds of fresh Coca Leaf with every mission into space. Even a cursory glance at the scientific and medical literature of the 1800’s would show you that there is incontrovertible evidence that chewing small amounts of Coca Leaf decreases the need for food and water while maintaining high levels of physical and mental energy. It also enables much more efficient use of oxygen – a critical point in space travel. Imagine the impact on Astronauts working outside the spacecraft in a space suit with a limited oxygen supply if their efficiency in the use of available oxygen could be increased by 10%.

Coca Leaf also has very positive effects on metabolism, digestion, blood circulation, eyesight, heart muscle condition and – who knows – maybe even bone mass loss, although that was never mentioned in the literature from the 1800’s, probably because it was an unknown condition. However, Coca Leaf poultices were used with salutary effect as a treatment for broken bones, so who knows – it would not be a difficult thing to investigate.

In the 1800s the crews of sailing ships faced many dangers quite similar to those faced by today’s Astronauts. Imagine, for example, the array of dilemmas that faced shipwrecked sailors, cast ashore without tools, provisions, food or water in circumstances where these essentials might be available in only limited supply. In a world without communications they would be cut off from all hope of rescue until, by chance, a ship happened to come close enough to spot them, and then of course – how are they going to signal that ship? Build a signal fire, of course. But with what?

Physicians of those days knew the dangers faced by sailors and those who also knew the benefits of Coca Leaf saw the connection clearly.

(from) Erythroxylon Coca: By W.S. Searle, MD 1881

“From what has been said of the nature and effects of Coca it will be seen that I do not regard this plant in the light of a drug, any more, at least, than coffee, tea, or tobacco can be so termed. Nor, indeed, is it as susceptible of application as a drug as those substances even; since its effects upon the body are marked by much less disturbance than those of any of them. To be of value as a drug, a substance must have pathogenetic power. It is, then, not as a drug that we should regard Coca, though its sphere in medical practice is destined to be a very wide, and an immensely important one. Its place is that of a food, or, if you please, supplemental or adjunct to food. Its economic uses in the community will be of a high grade, and its employment in the army, navy, and merchant marine will be still higher. It will sustain the life of many an exhausted soldier and ship-wrecked sailor. Had our army at Gettysburg been supplied with it, Lee and his troops need never have been allowed to re-cross the Potomac. A bale of it should form part of the supply of every ship, since, in case of shipwreck, it would sustain life much longer than a corresponding amount of food.”

Dr. Searles was mirroring the findings of Dr. Benjamin Gibbs, M.D. (Surgeon U. S. N.) in his “Report on Coca; Sanitary and Medical Report” written for the U. S. Navy and published in Washington, DC in 1875. In his report, Dr. Gibbs recommended to the Navy and to Congress that every military force from every branch should have a substantial supply of Coca Leaf available for use by soldiers and sailors in the event of stress, fatigue, injury, prolonged combat, long sea voyages, loss of food or water rations, and instances of shipwreck or siege.

Oh, and NASA, if you are thinking that addicted Astronauts might be a publicity nightmare, well, that’s not a problem as long as you do your homework. That same 19th Century scientific and medical literature makes it crystal clear – to coin a phrase – that there is not the slightest chance of addiction in a person who chews moderate amounts of fresh Coca Leaf daily. You should be able to verify this with a few simple trials.

So NASA – considering the potential benefits of Coca leaf in space travel, are you able to think outside the box enough to give this proposal serious consideration? It certainly wouldn’t be difficult to investigate, and I’m sure that the Government of Peru would be happy to supply you with all the fresh, top quality Coca Leaf you needed through their official Coca Leaf products organization Enaco.

And while we’re at it NASA, do you still adhere to this statement by your former Administrator?

“NASA has always been, is, and will continue to be committed to open scientific and technical inquiry and dialogue with the public.”

“Statement On Scientific Openness” by
NASA Administrator Michael Griffin 2006


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Mama Coca Murdered In The Name Of Jesus

Editor’s Note: Many readers of this blog will already be familiar with the atrocities committed by the Spanish during their conquest of Mexico. The collusion of the Catholic Church in these atrocities is also well-documented, as is the barbaric behavior of both the Conquistadors and the Priests toward the conquered Mexicans. Anyone not fully familiar with this part of the story of how the cockroaches of Europe spread their diseased minds and greedy doctrines throughout the “New World” can do no better than to read “The Journals Of Bernal Diaz”, whose chronicles of the Cortez conquest of Mexico are among the few reasonably accurate descriptions we have from that awful period. Click here for Volume #1, and Click here for Volume #2

However, as grossly cruel and barbaric as the Spanish conquest of Mexico undoubtedly was, and as complicit as the Catholic Church and its corrupt priesthood was in the slaughter and exploitation, the suffering inflicted upon Mexico was nothing compared with that inflicted on Peru, and the diseased and evil soul of the Priesthood displayed in Mexico was multiplied many times over with the Inca in Peru. Whereas in Mexico the priests of the Church followed behind the Conquistadors and exploited the chaos that they created, in Peru the priesthood initiated and energetically led the bloodshed and exploitation. The Conquistadors themselves were the original “Gang Who Couldn’t Shoot Straight”, evil little clowns and drunkards pretending to be soldiers. In a long and shameful history, the satanic behavior and deliberately genocidal policies of the Church in Peru mark a disgusting low point in the annals of this criminal institution whose impact has persisted to this day.

The following relatively brief excerpts from Dr. Mortimer’s 1901 “History Of Coca” will, I hope, whet the appetite of readers of this blog to pursue the story by going to the dozens of original source materials that are hyperlinked in the bibliography that is offered inThe Coca leaf Papers”. Within these original source materials you’ll find historically accurate and detailed accounts of the generations-long exploitation of the indigenous people of the Andes, which continues to a large extent even today through a feudal land-ownership and class system that has given rise, in recent times, to revolutionary movements such as El Sendaro Luminoso – The Shining Path. The fact that this revolutionary movement, like all others in Latin America, has been compromised and undercut by the Great Satan to the North through the use of mercenaries and paid assassins should not and does not take away from its historical legitimacy as a protest against exploitation and cruelty.

What follows is a brief description of the origins of the centuries of the suffering that continues to this day, and that drives the bravest among the indigenous peoples of the Andes to continue to resist by all means possible the evil and corruption that was brought to their lands so many centuries ago.

This Post Excerpted from “The History of Coca”, Chapter Three, by Dr. William Mortimer, MD (1901)

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Mama Coca And the First Inca Survey Her Domain

We Come In Peace

In November, 1532, hearing that Atahualpa, with his army, was in the neighboring mountains, Pizarro crossed the desert of Sechura, and a sort of triumphal march was continued toward the interior directly to the Inca’s camp. As his troops passed on, the natives were baptized into the church, and assumed solemn vows which they could not understand, but it was sufficient that they had accepted the faith. Atahualpa learning of Pizarro’s approach – presumably supposed that so small a body could only be coming upon friendly terms – so sent a messenger with greetings to inform him that the Inca would on the following day visit him in person. In the meantime the freedom of Caxamarca was extended to the invaders, and the use of the public buildings was offered for the  troops.

Pizarro concealed his forces while awaiting the sovereign, who was borne in great state upon the royal litter, was clothed in Incan splendor, a chuspa of Coca hung at his side, golden sandals were upon his feet, and his head bore the stately insignia of power – the llauta and borla of scarlet fringe, with the royal feathers of the sacred bird. He was accompanied by a numerous retinue of nobles of his court and thousands of followers.

Friar Vicente de Valverde, the ecclesiastical head of the Spaniards, acted as spokesman, and explained through his interpreters that their little band had visited this far-off land for the sake of establishing the true religion and converting the natives. He beseeched the Inca to at once acknowledge the faith and allegiance to the king, Charles the Fifth.  Authority for all this he attempted to show in a Bible which he offered to Atahualpa, but the latter, saying he recognized no other king than himself, indignantly threw the book to the ground, which the vengeful friar seemed to recognize as an  affront sufficient to provoke hostilities, for he shouted, “Fall on! I absolve you”, when at once the most terrible onslaught upon the unsuspecting Incas was commenced. The Spanish officers being mounted, were enabled to do some frightful work, while the troops, armed with death-dealing arquebuses, literally vomited fire upon the natives, who were massacred by thousands, while not one of the invading party was injured save Pizarro, who received a slight wound from his own men while shielding the Inca, who was taken prisoner. The monarch was at first treated with courtesy, and permitted to retain his people about him. Pizarro, ever awake to some politic move, hinted upon the advisability of adjusting the affairs of the brothers amicably, but the imprisoned chief, not realizing his own danger, became alarmed at such a suggestion, and secretly dispatched orders to assassinate Huascar, who was then a prisoner in Atahualpa’s army. Nor had his brother received very courteous treatment at the hands of the rival forces, for they put a rope around his neck and called him Coca hachu – Coca chewer – besides offering him many other  affronts, while they gave him Chillea – Bacchaus scandeus – leaves to eat instead of Coca. This so outraged Huascar that he raised his eyes to heaven and cried: “O Lord and Creator, how is it possible ? Why hast thou sent me these burdens and troubles?”

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In The Name Of The “True Religion”, The Spanish Slaughter The Welcoming Inca Royalty

Now commenced the downfall of the Empire of the Incas. Atahualpa, chafing under restraint, suggested paying for his ransom with as much gold as the room in which he was imprisoned would hold; and as that space was seventeen feet broad by twenty-two feet long, and was to be filled to a height of nine feet, the Spaniards were only too ready to agree to his proposition. But even their most sordid expectations had not pictured the vast store of riches which, at the command of the Inca, was at once brought to them from all sections of the country. It literally poured in a golden stream of vases, vessels, utensils, ornaments, the golden Coca shrubs from the temples, immense plaques, and golden animals, and statues of life-size, and in nuggets and golden dust. All this did not seem enough to satisfy the greed of the conqueror. Instead of freeing Atahualpa, who had shown too keen a wit to be permitted at liberty, it was decided to make away with him. He was charged with the murder of his brother, and after a hasty trial was condemned to death. In August, 1533, after receiving the last rites of the Church, he was executed in the square of Caxamarca by the garrote, as a distinctive torture to being burned alive in consideration for his having at the last moment submitted to baptism. The following day, amidst the most impressive solemnity, the service for the dead being performed by Father Valverde, the body of the Incan sovereign was buried, Pizarro and his principal cavaliers assuming mourning as hypocritical emblems of their grief at the loss of this mighty lord. The greatest lawlessness now commenced, and booty was free among the Spaniards. Villages were destroyed, houses were ransacked, and the gorgeous temples and palaces were plundered.

Pizarro advanced rapidly to Cuzco, but little of its golden splendor was now left. The cupidity of the invaders had over-leaped itself, for as the Peruvians saw that the sole desire of the Spanish was for gold, they secreted the beautifully wrought golden emblems of Coca and other elaborate workings of the precious metal, together with the sacred vessels and the venerated bodies of the Incas which had been set up in the Temple of the Sun. From that day to this these treasures have never been fully recovered, although some years later Polo Ondegardo, while Corregidor of Cuzco, found five mummies in a tomb in the mountains, three of them men and two women. These were said to be the bodies of the Incas  Viracocha, Tupac Inca Yupanqui, and Huaynia Ccapac, together with Mama Runtu, the queen of the first named, and Ccoya Mama Ocllo, mother of the last. Each of the bodies was well preserved, even the hair with the eyebrows and lashes remaining, while the peculiar wrappings and the sacred llauta about the forehead, betokened their rank. These bodies were conveyed to Lima, where they were buried with appropriate rites in the courtyard of the hospital of San Andres.

Pearls Cast Among Swine

When the first vast treasure of capture was divided among the officers and followers of the conquerors, each of the invaders was allotted a fortune, and Hernando Pizarro was dispatched to Spain with the royal fifth. The amount taken to the Crown proved sufficient to establish this new country in the name of the king, who magnanimously divided it into New Castile in the north, which was assigned to Pizarro, and New Toledo south of that, which was given to the control of Almagro. So bloated were the Spaniards with their newly acquired riches that the most ordinary commodities were paid for in fabulous sums, and many anecdotes are related of this prodigality of wealth. The men fell into riotous living, spent their days in lawlessness and their nights in gambling, the stakes at these bouts often being for whole fortunes. In one  of these orgies the massive emblem of the Sun, taken from the Temple at Cuzco, was staked and lost at a single throw by the cavalier to whom it had fallen in the division of the spoils, from which an after allusion of arrant profligacy was referred to as: “He gambles away the sun in a night.”

It is recorded that when Atahualpa was imprisoned one of the priests wrote the name of God at his request upon the Inca’s finger nail. This he showed to several of the guards, who, upon their pronouncing the name correctly, it excited his admiration and astonishment that characters so unintelligible to him could be read by the Spaniards. On showing the name to Pizarro – who could neither read nor write – he remained silent, and by thus displaying his ignorance provoked a contempt which his prisoner could not well conceal. It has been asserted that it was through pique at this incident that determined an approval to the Inca’s death.

The Empire of the Incas being now without a chief, fell into confusion, and the governors of the several provinces each set up an independence, which Pizarro was quick to appreciate would be more difficult to overthrow than to conquer the country under one revered ruler whom he might influence through  stratagem. He therefore determined to install Manco, the legitimate brother of Huascar, who had already placed himself under his protection, and he was established as the successor and sovereign Inca amidst all the ancient splendor and formality that such an occasion might demand. So much harmony had been occasioned by this shrewd course that it now seemed as though the whole country might proclaim allegiance to Pizarro’s guardianship, but the avarice of the invaders had not yet been appeased by the gold they had received. Their persistent search for treasure, which did not respect even the sacred buildings and palaces, proved to the Indians the new religion was not one of peace, but rather suggested they were to be reduced from their former freedom and happy state to become the mere slaves of a body of tyrants. A succession of internal wars now commenced, and the Incas, led by Manco,  took a final stand at Cuzco, which they battled so nobly to defend that for a time it seemed the Spaniards must be routed, but the ultimate result was the complete overthrow of the Incan Empire, and Manco, chagrined and humiliated by his defeat, escaped to the mountains near Vilcabamba, where he maintained a sort of regal independence with a few loyal followers, until his death in 1544. After the overthrow of Cuzco,  Pizarro, desiring a location near the coast in easier communication with Panama, established the seat of his government on the river Rimac, and the new capital was named Ciudad de  Los Reyes – City of the Kings – in honor of the sovereigns of  Spain, the modern name, Lima, being a corruption of Rimac.

And here the conqueror, enthroned in power, took to him Añas, the daughter of Atahualpa, by whom he had a son – Francisco, who became a schoolmate of the Incan historian, Garcilasso de la Vega, but died young in Spain. As though to unite his name more profoundly with the Incan race, Pizarro took also the sister of Huascar, who bore him two children, a son, who died young, and a daughter, Francisca, who  in after years married his brother, Hernando, in Spain. As if by marriage and intermarriage the invaders might atone for the destruction of a mighty race.

For a complete historical narrative of this disgraceful period in the European conquest of the “New World” please seeThe Coca Leaf Papers“. 


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Coca Leaf As A Potential Treatment For Deadly Forms Of Fatigue

One of the friends of this blog has an illness that this person, out of a personal sense of privacy and reserve, doesn’t ever identify in her blog, but which I have reason to believe is Myalgic Encephalomyelitis/Chronic Fatigue Syndrome (ME/CFS). After reading the Twitter feed from one of her recent messages I discovered that a lot of her interactions were with bloggers who had this terrible condition, which I was not previously aware of. (Twitter is such a gossip!) I will respect her privacy completely, but after reading about this disease I am moved to make this post.

Reading the commentary on ME/CFS set me thinking how many times in the Coca Leaf source literature from the 18th-19th centuries the beneficial effects of Coca Leaf on fatigue is mentioned. Not just in terms of Incas being able to carry heavy loads over the Andes with little food or water, and not just in terms of re-invigorating people after strenuous exercise.

These source materials talk of the wide-ranging effects of Coca Leaf on blood, nervous system, muscle, digestion, and brain function – and this made me think. Why aren’t the multitudes of caring, dedicated scientists and physicians who are researching ME/CFS investigating the possibility the something as simple as Coca Leaf tea might – just possibly – make a difference for the people who, currently, have so little hope of successful treatment?

Of course the answer is – because Coca Leaf has been effectively excluded from consciousness by a calculated conspiracy extending over decades, and it would never enter the minds of even these dedicated healers to ever consider for a brief moment that Coca Leaf might hold at least a small key to amelioration of this terrible source of suffering and death.

If you, as I was, are unaware of the scope of this problem there is a widely recommended Canadian document that you can read to inform yourself: Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: A Clinical Case Definition and Guidelines for Medical Practitioners.

This is a disease that affects a huge number of people, according to this document:  “Epidemiological studies indicate a wide range of prevalence. However, in a large American sample of more than 28,000 adults, 422 per 100,000 had ME/CFS, suggesting that between 125,000 and 150,000 adult Canadians suffer from ME/CFS. (This also translates to 1,266,000 people in the US.) It is more prevalent than lung cancer and AIDS. This illness affects all age groups, including children, all racial/ethnic groups, and all socioeconomic strata. There is a higher prevalence in females.” I would challenge you to reflect on how many of the diagnostic criteria for ME/CFS,  shown below, a disease that was unknown in the 18th and 19th centuries, are nevertheless remarkably similar to the conditions that physicians in those times treated successfully with simple Coca Leaf preparations. This isn’t to say that Coca Leaf is the answer here – but there are enough such ‘coincidences’ to surely merit investigation.

So, with that said, let me present just a small sampling of the findings of the physicians of the 18th-19th centuries regarding Coca Leaf and Fatigue – deadly fatigue in the case of ME/CFS. A search of my collection of these writings in “The Coca Leaf Papers” reveals hundreds of similar observations. (And just in case anyone thinks I am touting my book at the expense of suffering people let me point out that if you want to verify this for yourself without having to buy my book you can do so simply by asking for a free copy here on my blog.)

Oh – and, dear reader, if you don’t already realize it, I am not an adherent of the 21st Century rule-of-thumb that readers can’t handle more than a paragraph or two at a time, and won’t read plain text unless there are lots of pretty pictures. If you’re looking for a quick skim with lots of pictures you are definitely in the wrong place. Otherwise – welcome to the blog!

Coca Leaf & Healthy Blood Circulation

History Of Coca, Dr. Mortimer – Chapter 8

As has been shown, fatigue and its ills are occasioned by a diminution of the elements necessary to activity as well as to an excess of waste materials in the blood. This latter cause alone explains many problems dependent upon this condition which are commonly assigned to other causes. Under this hypothesis it is easy to appreciate not only the cause of muscle fatigue, but the irritability from nerve tiredness as well as the restlessness in wasting disease. When the tissues are not supplied with a blood stream that is pure and uncontaminated they cannot respond healthfully. A blood current already overburdened with waste can neither stimulate to activity nor carry off the burden of excreta.

The power of Coca to relieve the circulation, and so bring about a condition indicating a free blood stream, has been emphasized by a host of observers. Speaking of the action of but one of its alkaloids, Dr. Haig says: “Some have asserted that it is oblivion men seek for when they take opium, cocaine, etc., I believe this to be a great error. Give me an eternity of oblivion and I would exchange it for one hour with my cerebral circulation quite free from uric acid, and opium or cocaine will free it for me. When the blood stream is free the pulse tension is reduced, the rate is quickened, and the increased flow alters the mental condition as if by magic; ideas flash through the brain; everything is remembered.”

Hitherto the usual explanation that has been advanced as to the influence of Coca – when any influence has been accorded – has been its stimulant action upon the nerves. In view of the facts set forth in this research such a theory seems inadequate. I have endeavored to show by a succession of facts and many examples, that the sustaining influence of Coca in fatigue, as well as its curative power in so many diseased conditions, as to render it a seeming panacea, is largely due to a direct action upon the cells of the tissues, as well as through the property which Coca has of freeing the blood from waste. This influence may chiefly be upon the brain or upon the muscular structure, in accordance with the relative  proportion of the associate principles present in the Coca leaf employed. Under this hypothesis, based upon physiological research as well as upon the theory of the formation of proteid in plants and in animals. Coca not only stimulates the cells to activity and so sets free energy, but may build up new tissue through exciting the protoplasm to appropriate conversion. Such an hypothesis is certainly plausible when we consider the action of amides and other nitrogenous elements in plant structure. This is again emphasized by its harmony with recent theories of Pflüger regarding the building up of proteid tissue in the animal organism. So much testimony points to this conclusion that in the entire absence of other scientific explanation this is certainly worthy of serious consideration.

Modern Civilization – A Bad Case Of Nerves

History Of Coca, Dr. Mortimer, Chapter Nine

Among the annoyances incidental to a modem civilization are those troubles produced from a possible nervous perversion, engendered through overtaxing the powers mentally or physically in the modem whirl and bustle of a busy life. We  all realize the effects of muscular fatigue, but few seem to appreciate the extreme tiredness which is possible to the nervous system of the purely sedentary worker. This may manifest itself in the mildest form as a mere irritability or restlessness, or more profoundly as peevishness and even despondency.

It is not as easy to demonstrate nerve fatigue in the laboratory as it is to show the fatigue of muscle, yet there can be no doubt that similar factors are at work to induce either. It is known that all the activity of the tissues, of whatever kind, is due to a chemical conversion of the substance contained in the minute cells which go to complete the organism. Fatigue results from the retention of products of waste in the blood  which normally should be excreted. As a result the tissues are not properly nourished by a purified circulation for their work, and exhaustion is a consequence, whether the structure under this influence be muscle or nerve.

When we learn that Coca relieves muscular fatigue, mental depression or nervous fatigue, that it calms to refreshing sleep or stimulates to wakefulness and activity, that it allays hunger or induces appetite as the case may be, we can only harmonize such seemingly opposite applications through appreciating that this influence is extended to the tissues through the fluid which supplies them with nourishment. We have already seen that the blood is so speedily purified under the action of Coca that the circulation may at once return an appropriate pabulum to all the cells of the body and so may promote in them a normally healthful action.

The brain may be broadly considered as made up of cells and nerve fibres. The outer portion, which is termed the cortex, consists of many convolutions which through this arrangement affords a greater superficial area for the brain cells. These cells are located in layers over the surface, as well as arranged in groups at the base of the brain and in the medulla and spinal cord. The convolutions are merely rudimentary in animals and are poorly developed in the lower orders of the human race and in the uneducated. By intellectual development these are increased in a manner quite analogous to that in which muscle is increased by exercise. Gross bulk of brain substance does not necessarily indicate giant intellect, but merely the structure for such possible development.

The brain practically attains its greatest size in early childhood, at least this is the period of its most active increase, and remembering the law that the part of the body which is subject to the greatest physiological growth is most liable to disease, it will keep before us the fact that children are particularly susceptible to disorders of the brain and nervous system. In childhood the tendency should be to restrain these  organs, which are already too alert, from an undue excitement. From birth an education of the individual cells of this intellectual centre should be carefully conducted. A refinement of nerve tissue progressing by easy gradations until strength and power shall be secured. It is through this alone that man may be raised superior to the beast or savage. Not only present enjoyments but future comforts and realizations are so absolutely dependent upon this that even “Spiritual life can only reach the human form by and through the brain  cell.”

Quite as important as the brain in maintaining mental stability is the action of the sympathetic nerve in controlling physical well being, while both brain and sympathetic nerve must act together to sustain the organism in true harmony. The sympathetic nerve runs on either side and in front of the spinal column as a double chain of little brains. From these centers not only the great organs are supplied, but also the coats of the blood vessels, through which association a controlling influence is maintained over the entire organism. Along its route these nerves are intimately connected with branch nerve fibres from the brain and spinal cord. Through groups of fibres sent to the heart, to the stomach and to the organs of the pelvis the functions of either one of these may be influenced in sympathy from the derangement of some other organ far distant, the workings of which are not directly associated, but the action of which is affected by a reflection of the troubles elsewhere. This reflex effect between distant parts of the body is analogous to the switching on of a branch telegraph loop to the main line to carry news to points with which it was not directly connected.

So intimate is the relation of this regulating nerve with the various functions of the body that it is possible for these to be seriously interfered with through action of the sympathetic on the blood vessels, by which the tension of their walls is altered and the circulation is accordingly hastened or retarded. Common examples of this effect are seen when the emotions are excited and occasion the capillary vessels to contract as in pallor, or, when these are suddenly dilated, to cause blushing. The idea that the emotions have their seat in the heart because of this influence of the blood vessels in occasioning an irregularity of its action has led to an erroneous and sentimental regard for that organ.

This intricate nervous development suggests the extreme importance of a well trained organization as a factor toward  preventing that broad class of cases which are grouped under the generic title of neurasthenia. In this condition – rather  than disease – a similar restlessness and over-sensitiveness is  present as in profound fatigue. In chronic illness the same symptoms are seen, but when these are complained of without any characteristic signs of disease the indications point to nerve irritability through imperfect elimination of tissue waste. If with this excess of waste materials in the blood there be associated a defective will, then the influence on the sympathetic nerve must be pronounced. Either cause may unbalance the circulation through the arterial system and so disarrange various functions of the body, while a low power of resistance intensifies the mental disability. It is remarkable that these sufferers are at first rarely treated appropriately, but are often impatiently urged to exert will power. While it is undoubtedly true, as so aptly phrased by Shakespeare: “There is no condition, be it good or ill, but thinking makes it so,” will power must emanate from a primary store of bodily health.

The greatest factor, however, must be derived through the guidance of the emotions, particularly during the formative period of development. An early education of the will should form a basis for mental control. In this will be found a prominent factor in the production of future happiness, as well as a means of support in many a physical ailment, and even a source of contentment in hopeless disease. But as has  already been indicated, the greatest benefit can only result  from a healthful working of the entire organism. That there shall be a sound mind in a sound body is an old adage, and recently the great universities have appreciated this sufficiently to officially recognize physical training as an important  part of a collegiate education.

Neurasthesia – The Language Of Diagnosis

History of Coca, Dr. Mortimer, Chapter 8

Whether the title neurasthenia be scientifically correct for the peculiar train of symptoms which go to make up the complainings of the victims of over-nervous irritability, it has served since the classification of some thirty years ago to enable the acute medical examiner to group the particular sufferers from this morbid condition. As defined by Dr. Beard, neurasthenia is: “A chronic functional disease of the nervous  system, the basis of which is the impoverishment of nervous force; deficiency of reserve, with liability to quick exhaustion, and the necessity for frequent supplies of force. Hence the lack of inhibitory or controlling powers, both physical and mental, the feebleness and instability of nerve action, and the  excessive sensitiveness and irritability, local and general, and the vast variety of symptoms, direct and reflex.”

The condition may be summed up as one of nervelessness, or a weakness of irritability akin to the symptoms which indicate profound fatigue. A host of modem physiologists regard fatigue as due to some poison in the blood. If we accept this theory founded upon chemical facts which may be clearly  demonstrated by experiment, there is ample means for explaining the multiplicity of nervous symptoms as resulting from this cause alone. Waste matters in the circulation by clogging the capillaries prevent the venous blood from being appropriately purified. The nerve centers do not receive suitable stimulus for repair, and the increased irritability occasions an excessive waste which still further impedes the  circulation. Functional changes must necessarily result in the heart, kidneys, liver and the brain from this continued irritation.

The subjective symptoms of neurasthenia are not so much engendered by a weakness of the nervous system, nor any lack of susceptibility of the nervous protoplasm to respond to irritation, as through excessive irritability, which renders the organism over-sensitive to normal and healthful stimulus. It is a condition which may be allied to the harp, so strung up as to permit the slightest breath to set its strings in a discordant  hum. Often the subjects of this form of trouble are found among those who are in the prime of activity, in early adult life, when the various forces for the production of energy are being vigorously employed.

As it is that part of the body which is most active at any one period of life – particularly of growth – that is most liable to disease, so during the different epochs of pubescence, adolescence, and the early marital life in either sex, the symptoms of neurasthenia may be exhibited. These symptoms are particularly manifest when there has been at these periods a condition of overstrain, associated with malnutrition. Among all possible causes my experience has been that the genetic factor, through repeated explosive shocks upon the nervous system, is pre-eminent in the production of neurasthenic symptoms in those already overworked or suffering from imperfect nutrition.

Neurotics are prone to excesses as well as to extremes in any particular line. They are the class to which habits cling and “habit drugs” belong, and the apparent candor of their sufferings might often lead the sympathetic, unwary listener astray. In such subjects these habits and excesses should be regarded rather as symptoms than the underlying cause of the condition. If this fact were more generally thought upon we should hear less of those who have been wrecked by alcohol or opium. Indeed it is a fact that a perfectly healthy man rarely becomes a morphinist, cannabist, etc., but that such individuals are without exception neuropathic.

The numerous symptoms which go to make up the condition of nervous prostration have only been made prominent through the push for supremacy, and even for maintenance, in the various specialisms of life. While the causes always have existed, modem civilization has greatly exaggerated them, and the present dwellers in cities are consequently eminently of the nervous type. The sufferers are not all from one class, but are numbered among the high, the low, the rich and the poor, though the symptoms may be varied in accordance with the cultivation and environment of the patient.  What the poor Andean Indian, working laboriously for days on scanty food, might regard as the ban of some “spirit of the mountain” cast upon him for presuming to invade some hallowed precinct and as a charm against which he chews the sacred Coca, the used up subject of protracted social functions considers in a different light. But the symptoms and conditions are similar, whether occasioned from over-indulgence and overwork, because of exalted ambition or from enforced labor associated with hygienic errors.

The title neurasthenia has been made responsible for a multitude of evils, quite as bad as has that of “malaria” or “biliousness.” While the group of subjective symptoms which Beard classed under this head has been expanded to embrace about every condition generated from nervous irritability, it remained for the classic guidance of Charcot to accentuate the importance of a certain few symptoms into what he styled  “the stigma of neurasthenia,” in an effort to combine these as an exact disease.

It is very different whether we consider this classic form or the commonly accepted type. On the one hand there may be mere nervous irritability, while on the other this is accentuated until it approaches the border line of psychical aberration. The more grave condition has been traced from a neurotic heredity or degeneracy, while the simpler application is made to embrace all forms of mental worry, from a mere nervous headache to some pronounced phobia, or dread. The two types, however, often intermingle on the threshold of some severe nervous affection, with hypochondriacal, epileptic or paralytic symptoms, or even insanity.

The popular idea of nervous debility held by the laity as well as by the general practitioner in medicine is not the serious disorder of the alienist any more nearly than is a “fit of  the blues” – which, since the days of Burtons Anatomy of Melancholy has been attributed to “biliousness” – is true melancholia. The two terms are used by the unknowing or the unthinking ones as interchangeable, the one being a simple temporary mental despondency, which may arise from any one of many causes, while the more serious ailment manifests this condition profoundly and characteristically all the time.

Charcot claimed that neurasthenia was entitled to a definite place in mental pathology, because the disease as witnessed by him maintains its identity under varying circumstances of origin. He believed the condition to be essentially distinct from hysteria, although it might be associated with that disease, and so present a complex hystero-neurasthenia –  a combination which was also described by Beard. That is,  the patient may exhibit only neurasthenic symptoms, or united with these the symptoms may be of positive hysteria.

Levillain has, with many other authors, described two varieties of neurasthenia – that from heredity and the acquired. The two forms differ not only in their progress, but in their response to treatment. Among the peculiar train of symptoms commonly seen in this disorder are curious feelings of morbid fear or dread experienced by its subjects. This is similar to the hallucinations which the Germans term “zwangsvorstellungen” and “zwangshandlungen,” and which others have given a long list of terrible names. Agoraphobia is a dread of open spaces, anthropophobia is a fear of society,  the antithesis of which is monophobia – the fear of being alone. Then there is pantophobia, a fear of everything, and a culmination which must be the last straw – phobophobia, a  fear of being afraid. The French term this condition ”peurs maladies.” “Folie de doute” is the name given by Le Grande du Saulle to a condition of chronic uncertainty when there is a morbid doubt about everything.

Hereditary neurasthenia, it is asserted, may develop in those whose parents were distinctly nervous, even though the usual determining cause may not be present. Among predisposing causes, over-excitation including all forms of over-strain, whether sudden or gradual, is predominant, while the condition is not markedly influenced by alcohol or narcotics. The essential symptoms which Charcot described as the stigmata of the disease are: (1) Headache of a special  kind; (2) Digestive troubles; (3) Incapacity for work; (4)  Loss or diminution of sexual desire; (5) Muscular lassitude, marked by easily induced fatigue, and painful stiffness; (6) Spinal pain; (7) Insomnia; (8) Hypochondriacal views of  life. Other symptoms which may appear are vertigo, cardialgia simulating angina pectoris, palpitation of the heart, feelings of faintness, and irritable pulse; but these may not be constant. The muscle weakness, with an indescribable irritability expressive of fatigue, Charcot considered so prominent a symptom that he reserved for it the term “amyosthenia” The headache is of a peculiar character, suggestive of a weight or constriction over the back of the head or vertex, and sometimes over the whole cranium, described as the “neurasthenic  helmet.” In some cases this sense of pressure may be hemi-cranial. The insomnia, or troubled sleep, so annoying in pronounced cases, is a very important symptom. The backache may be limited to the sacral region, or to the neck, or may at times be in the coccyx, and is commonly aggravated by pressure. The digestive symptoms are of a general nervous type.  With these there is incapacity for mental work, and particularly a lack of concentration of thought.

From the classic grouping it will be seen that it is often difficult to draw the line between actual organic nerve trouble and neurasthenia. Perhaps the usual type, as seen by the general practitioner, presents a nerve depression – an inability of the organism to speedily repair itself after some call for unusual strain, while the two most prominent factors of this condition are sleeplessness and mal-assimilation. Under such  influences it is easy to understand that the symptoms presented may be manifest as cerebral, spinal, genital, chlorotic, vascular, cardiac, or gastric, while there may be an especial indication pointing toward the liver. It is quite plausible, as Boix has shown, to have a “nervous dyshepatia” as well as a nervous dyspepsia, due to defective innervation.

It should be understood that the vast array of symptoms which go to make up the condition known as neurasthenia are largely those of reflex irritation, an irritation which may arise from any part of the organism and be transmitted through the sympathetic, and acting chiefly upon the blood vessels through  the vaso-motor nerves. It is because of this reflex nature of the symptoms that the condition is often confounded with other diseases, and the sufferer may go the round of the various specialists, and receive “local treatment” for conditions which are erroneously considered to be the chief cause of trouble. What the oculist regards as occasioned from eye strain the rhinologist may look for in the nose. If the patient be a woman, the gynaecologist locates the concentration of troubles in predominant functions. On the other hand, the genito-urinary expert has predetermined that in any nervous man the seat of ills is the prostate gland. It is, therefore, a very common occurrence to find that patients who are nervously irritable have become in themselves multiple specialists. Through constantly going the rounds in search of relief they become familiar with various local conditions, which may give rise to similar symptoms to those they suffer.

These subjects, as a class, are acute and quick; they belong to the clever people, and they are either all elation and prone to overdo or way down “the blues.” It is not surprising then that they soon become familiar with the various remedial efforts toward relieving their symptoms. They not only know in advance what their medical advisers may suggest, but are often prepared to offer a long series of protests against each particular effort toward aiding them to recover from their deplorable condition. If to such a patient, complaining of insomnia, the physician suggests sulphonal – that drug keeps them awake. Then ensues a hasty enumeration of the several hypnotics they have employed, while they recount wherein each had proved in their case an utter failure. If the symptoms complained of are pronouncedly about the head, they know all about refraction, astigmatism, and the cutting of eye muscles, or they have had their turbinated bodies taken out, or hypertrophied tissue removed from nose or throat, their ears inflated, or they have inhaled and been sprayed to an alarming extent. If by chance the stomach but manifests a twinge of protest, then that poor organ has been dieted and washed, both gavage and lavage – ad nauseam. Thus these patients are commonly treated through all the operative procedures until it is no wonder they should finally become nervous wrecks, ultimately going about from one resort to another, unable to find relief, unable even to find what they deem a competent trained nurse to cater to their imaginings, while a kindly disposed helpmate dances attendance upon their peevish whims.

Frequently these cases are subjects of plethoric prosperity, who, if not constitutionally weak, have had no education in self-control. They have spoiled themselves by fretting, and are being more rapidly ruined by petting; the very kindness and consideration that is bestowed upon them at home only adds fuel to their weakness. Often an entire change of environment affords the best condition for the treatment of such cases, such as the rest cure of Weir Mitchell, or one of the German watering establishments, where the regimen is rigid and exact. They must be coerced into recovery or else they will go through the balance of life a nuisance alike to themselves as well as to those who would wish to be their friends.  Examples of this condition are legion, and the complainings are as multiple and varied as the ideas of man.

There are instance of self-control when sufferings are held in check while continuing at work. Some of the ablest men in the world’s history have been those of weak nervous organization. “Wise judges are we of each other,” says Bulwer. Often those whom we look upon as of indomitable will may suffer keenly from some seemingly trivial nervous symptom. A few years ago a prominent justice, who though outwardly was the very picture of health, assured me he suffered more keenly than the abject criminals brought before him, and was literally a coward from nervous dread. He came a long distance for consultation. Possibly it was a satisfaction to get out of his immediate environment and relate his sufferings to one who could listen patiently with a wish to guide him understandingly. Being a popular politician, he was often called upon to make speeches at the most inopportune times – for him, and he seriously proposed to give up a life position because he felt he could not stand the nervous strain.

This is but one example of many similar cases occurring among professional men, with mental faculties constantly at full tension. Whenever there is a lull in their work their thoughts revert to themselves, and the symptoms of an over-tired nervous organism are magnified into some serious physical ailment. These are the cases that maintain the advertising quacks. They wish to be treated confidentially because they would not have their friends know for the world that they are ailing in any particular. They, who are seemingly so strong, would feel humiliated to recount a tale of personal weakness even to a medical man. It can readily be appreciated how necessary it is that a physician shall listen attentively to the story these patients tell, and advise with them openly and candidly as to the plan of treatment, which primarily must consist in some better means of living rather than a dependence upon medication alone. An interchange of confidence between patient and physician, while always advisable, is more necessary in these particular cases than in any other in the entire field of practice of medicine. There must be faith, and in this much I am an advocate of the faith cure. Indeed, faith is necessary in every walk of life. A chimney may blow off the roof, one may fall on a slippery pavement, a horse may run away, a bridge might fall, a boat might sink, and a hundred and one possibilities might occur to the nervously imaginative. Fear often becomes so exaggerated in the minds of these weak patients that they finally become too timid to attempt anything serious. Such a subject must be assured why and how he is to get well. I once had a patient who would be excited to an indescribable dread if, when walking in the street, he met a truck having any part of the load projecting, such as a chair leg or plank. To avoid  it he felt compelled by some uncontrollable influence to turn off into a side street. In another case – a young man, could never go into the society of women, and actually avoided meeting them as much as possible in the street because of an expressed fear that he “must punch them.” These were cases of simple neurasthenia, which appropriate hygienic measures, combined with the administration of Coca – a remedy which the homoeopaths have long associated as a specific in cases of timidity and bashfulness – completely cured.

The numerous examples which Kraft-Ebing relates of the “Jack the Ripper” order belong to this same class. The complainings of these patients should not be treated flippantly, for the subjects are earnest in their endeavor to find relief from a form of suffering which, while not actually painful, is profoundly humiliating and mentally agonizing. It can be well understood how readily such cases might adopt a drug habit in an unguided effort to find some means of relief.

There is a tendency in the human mind which is overweighted to seek support in unburdening a portion of trouble by recounting mental sufferings, whether of illness or not, to another. The celebrated actor, Mr. Frank Drew, related to me a curious example illustrating this, which occurred to him on a recent visit to England. He was dining alone in a restaurant, when a gentleman approached with the remark : “I trust you will not mind if I take a seat at your table?”  “Not at all,” replied the actor; “I shall enjoy company.”

The two fell into a casual chat, which was resolved into the stranger telling a long and intricate story regarding a purely personal matter, of no interest to an outsider, yet which was patiently listened to without interruption to the end. Then, as though having unburdened himself of a weight of woe, he arose, saying:

“You will excuse my having troubled you with this story, but really it has been a great source of comfort to me to have found some one to whom I could tell it. Knowing that we are absolute strangers, and shall never meet again, I have not hesitated to talk freely to you.” On the assurance of a hearty sympathy, and that the secret should remain inviolate, they parted, neither expecting to ever see the other. But it so chanced, in the littleness of this world, that the following night brought them together again at a dinner party, where they were introduced under embarrassing recollections.

Not long since, a physician told me of an incident bearing upon this same tendency, which had occurred to him. One day at the close of his office hours he was preparing to leave for some outside work, when a lady was ushered into the consulting room, and instead of relating any physical ailment, entered into a long story of family history, which was listened to attentively, in expectation that it was to lead up to the real cause of her visit.

After this story was completed, the relator asked what she was indebted for the consultation, to which the physician, conscious of his hurry and delay, said in a perfunctory way: “Five dollars.” “Five dollars? Why, I should think that was altogether too little for having taken up so much of your time.” “Well, then, I will say ten dollars,” said the doctor, treating the whole matter very much as a joke. But the sincerity was shown by the willingness with which the fee was extended with the query: “When shall I come again?”  “Say in two weeks,” said the consultant smilingly. “Two weeks! Hadn’t I better see you in one week?” “Very well, make it one week.” And so for several weeks in succession this patient returned and continued to revert to this same story, each time leaving well satisfied after having deposited the customary ten-dollar fee. A case of insanity! Oh, no, merely an over troubled mind which, without apparent physical ailing, had sought relief of mental worries from a physician, who undoubtedly prevented more serious trouble and effected a cure simply through being a good listener. While such instances are not rare in the routine of any practitioner, they seem almost incredible.

I was recently talking with a leading laryngologist, whose practice is in Philadelphia, upon this same line of thought, when he related an anecdote which had occurred in his own practice. He had gone to Paris for a short visit and had left instructions that his assistant would continue his practice.  One day he was visited at his hotel in Paris by one of his Philadelphia patients, who, entering in the most casual way, said: “Doctor, I have a little trouble with my throat I would like to have you look at to-day.” The physician, being really surprised to see his patient thus unexpectedly so far from home, asked him how long he had been in Paris and how long he proposed to remain, and was the more astonished at the  reply: “Oh, I just ran over to have my throat treated, and shall take the steamer back to-morrow.”

These examples, while in a measure indicating the smallness of the world, illustrate the fact that patients recognize and require the personal factor in the treatment of their troubles. An element of confidence is established, not necessarily in consequence of any superior preliminary qualifications on the part of the medical man, but because perhaps he has applied his knowledge understandingly.

Dr. Tuke has written scientifically and very entertainingly regarding the subtle relations existing between mind and body – a subject which surely has a very important bearing upon the entire range of functional nervous troubles. The mind has an extraordinary influence, even in health, in causing disorders of imagination, sensation and also of organic functions. An outgrowth from this – a going off as it were on a tangent – leads to various beliefs in phenomena of a superstitious nature and forms a fertile field for the growth of unfortunate methods of treatment; unfortunate because disappointment must follow after the loss of valuable time in experimenting. In this connection I recall a remark made at an alumni dinner by the late Dr. John Hall in speaking of the so-called Christian science: “There is no Christianity in it, and it is not at all scientific.”

It is a well-known fact to the physiologist that the mind may excite or depress the various nerve centres, and through these occasion functional changes in muscles or nerves. I hope it has been conclusively shown that this is the underlying factor occasioning many of the numerous subjective symptoms among that immense class known as neurasthenics. When the famous Dr. John Hunter’s attention was drawn to the phenomenon of animal magnetism – which was exciting  the scientific world more than a century ago, he recognized the possible influence of expectancy upon the imagination, and in his lectures said: “I am confident that I can fix my attention to any part until I have a sensation in that part.” It is because this possibility of the influence of the will is overlooked that greater success is not more commonly met with in the treatment of functional nerve troubles. Mr. Braid emphasized this fact when he said: “The oftener patients are hypnotized from association of ideas and habit, the more susceptible they become, and in this way they are liable to be affected entirely through the imagination. Thus, if they consider or imagine there is something doing, although they do not see it, from which they are to be affected, they will become affected; but, on the contrary, the most expert hypnotist in the world may exert all his endeavors in vain if the party does not expect it,  and mentally and bodily comply, and thus yield to it.” A trite application of this thought is the example of the patient who felt “better” as soon as the clinical thermometer had been  placed under his tongue.

Coca Leaf & Disorders Of The Mind and Nervous System

History of Coca, Dr. Mortimer, Chapter Ten

In the answers received to my inquiry in this research regarding therapeutic application, fully one-half of those who went at all into detail advocated the use of Coca for cases of neurasthenia, and for the various symptoms of nerve and muscle depression grouped under that title. The whole train of ills resulting from debility, exhaustion, overwork, or overstrain of nerve or mind, recalls the early designation given to the classification of this long group of symptoms by some of the European physicians as “the American disease,” the derangement of an overworked and overhurrying people. The general advocacy of Coca for this condition indicates that the causes which tend to produce such derangement are not only important problems to the general practitioner throughout our country, but must be predominant factors wherever there is an impulse to supremacy. It makes little difference under just what name the symptoms may be treated so long as the patient shall be relieved of suffering.

There is a general idea in the minds of the laity which, unhappily, is also shared by some physicians, that to name a disease is far more important than its treatment. I well recall, when attending lectures upon medicine, how eager the first year students were to make notes of the various remedies which each lecturer might advocate for different conditions.  It is a difficult task to fill such a therapeutic notebook, but far more difficult to find an appropriate application for the prescriptions suggested. Diseases are of necessity broadly taught in types, and treatment is wholly a result of judgment on the part of the individual practitioner. When a physician has advanced far enough in his struggles in medicine to realize how few specifics there are, he surely broadens himself by cutting loose from the narrow channels of thought he had originally traced in his early student days.

Dr. Tibbles, Brain Exhaustion, Chapter 8

Clements R. Markham in his “Travels in Peru and India” bears out fully the statements of Garcilasso de la Vega, Bias Valera, and Von Tschudi. This gentleman had charge of Government expeditions to Peruvian territories in order to procure cinchona plants for transportation to India, and while there, in forest districts around Bolivia, had ample opportunities of obtaining information respecting the influence of Erythroxylon coca upon the native Indians and likewise upon himself. He says the properties of Erythoxylon coca are such as to enable a greater amount of fatigue to be borne with less nourishment (in the form of ordinary food,) and to prevent difficult breathing in the ascent of steep mountainsides; that, although when used to excess it is prejudicial to health, yet “of all the narcotics used by man, it is the least injurious and most soothing and invigorating.” He frequently chewed it, and, besides imparting an agreeable soothing feeling, found he could endure long abstinence from food with less inconvenience than he otherwise would have felt; and further, that he was enabled by it to ascend precipitous mountain-sides with feelings of lightness and elasticity, and without shortness of breath. “It enabled him to ascend the mighty passes of the Andes with ease and comfort. It is a stomachic, soothing, nutritive.”

Beniley says “The Peruvian Indians have always ascribed to the coca the most extraordinary virtues. Thus they believe that it lessens the desire and the necessity for ordinary food; and, in fact, that it may be considered as almost a substitute for food.” Dr. Bennet of Edinburgh, in the British Medical Journal, publishes an elaborate investigation of the properties of the Coca leaf; his conclusions are that coca has a marked effect in diminishing the waste of the tissues, conferring thereby the power of sustaining prolonged exertion, also that it possesses the power of regulating the temperature of the body. Prescot treats Coca as an article possessing so invigorating a quality that with a small quantity of it in his pouch and a handful of roasted maize, the Peruvian Indian of our time performs his wearisome journeys day after day without fatigue. The Indian miners are furnished by their employers with little food but as much coca leaves as they want, some Indians consuming as much as a pound a week of it, and they work twenty to thirty hours at a stretch without sleep. Wittingham gave an account of two men who had been buried in a mine for eleven days before they could be got out, and they lived all that time on a few coca leaves they happened to have with them.

Dr. TibblesPhysiological Action and Medicinal Uses Of Coca Leaf

Mental labour is frequently productive of such arterial tension – an exhausted Brain, whereby its influence over the heart’s action is diminished, will give rise to it; the diminution of nervous influence over the excretory organs whereby an increased amount of urea is produced and collected in the blood will give rise to it; as will also abnormal nutrition during exertion. These variations are abnormal and give rise to ill effects. In extremely low tension of the arterial and capillary vessels, the increased supply of blood to the muscles causes anemia of (being a deficiency of supply of blood to) the brain, and there is produced a feeling of fatigue, giddiness, or fainting. In this condition there is abnormal rise in the internal temperature. On the other hand, if the arterial tension be increased, then the strain will fall upon the heart, which will become overtaxed, dilated, and in some cases entire failure will be produced, either by over-distention and paralysis, or, by gradually increasing signs of dilatation, producing breathlessness, a sensation of lightness in the head, coldness of the extremities, pallor of face, anxious expression, and the temperature is abnormally decreased. These are the results of discordant action of the circulatory system, produced by exertion or excitement.

It may be asked, what has all this to do with the action of coca-leaf? Well, it is found by experiment that coca-leaf regulates the action of the heart and circulatory system and thereby nearly altogether preventing such results as above recorded as the consequence of muscular exertion or mental excitement. I, myself, have made experimental walks and performed other forms of exertion, physical and mental, and during which I have observed various functional differences, and of these observed experiments many might be quoted, but let my own observations be exemplified by the following:

My pulse, normally are 70 per minute, and at the end of a sharp walk of two hours’ duration, had risen to 92 pulsations per minute, and did not subside until after a period of six hours had elapsed. A walk performed under like conditions of distance, speed, and with like dietary as before, but during which twenty-five drops of a concentrated preparation, representing twenty-five grains of coca-leaf, was twice taken; the first dose before starting and the second at the end of the first hour. At the end of this walk the pulse beat eighty-four per minute, and, in less than two and a half hours, subsided to a normal condition.

Coca Leaf & The Elimination Of Physical Fatigue

History of Coca, Dr. Mortimer, Chapter 8

The influence of Coca in banishing the effects of extreme fatigue is well illustrated in an account of its use communicated to me by Dr. Frank L. James, Editor of the National Druggist, St. Louis. While a student at Munich he experimented with the use of Coca upon himself at the request of Professor Liebig, whose pupil he was. On one occasion, when exceedingly tired both physically and mentally, he was  induced to try chewing Coca after the proper Peruvian fashion with a little llipta. Before commencing this experiment he was hungry, but too tired to eat and too hungry to sleep. In a few moments after beginning to chew hunger gave place to a sense of warmth in the stomach, while all physical weariness disappeared, though mentally he was still somewhat tired and disinclined to read or study, though this condition soon passed away, giving rise to an absolute eagerness to be at some sort of exercise. These sensations lasted altogether for probably three hours, gradually passing off after the first hour, leaving the subject none the worse for his experience and able to eat a hearty dinner the same evening.

Some years afterward, while practicing in the South, this gentleman returned from a thirty-six hours’ ride so tired as to necessitate being helped off the horse and up-stairs to his  room. While preparing for bed his eyes fell upon a package of Coca leaves which he had recently received by way of San Francisco, and the idea immediately occurred to him to repeat the experiment of his student days. In the course of a quarter of an hour – following the chewing of probably a drachm of Coca leaves – he felt so refreshed and recuperated that he was able to go out and visit patients about the town to whom he had previously sent word that he was too tired to call on them that night. In describing the result, Dr. James said: “I was not very hungry at the time before taking the Coca, but all sense of the necessity or of a desire for food  vanished with the weariness.”

Professor Novy, of the University of Michigan, is referred to by one of his former classmates as having formed one of a group of experimenters upon the use of Coca leaves. The influence being tested during a walk of twenty-four miles, taken one afternoon without any other nourishment but water and Coca. Over four miles an hour was averaged, and although unaccustomed to such long walks or vigorous exercise, no special muscular fatigue was experienced by four of the party who chewed the leaves almost constantly during the journey. No change was noted in the urine and no depression was experienced the next day. One who did not chew Coca, but was addicted to alcohol and chewed tobacco constantly, was somewhat more fatigued than the others, and suffered considerably from soreness of the muscles on the following day.

The experience of Sir Robert Christison, of Edinburgh, with the use of Coca upon himself and several of his students, is full of interest because of his extended experiments and the high rank of the investigator. Two of his students, unaccustomed to exercise during five months, walked some sixteen miles without having eaten any food since breakfast. On their return they each took two drachms of Coca made into an infusion, to which was added five grains of carbonate of soda, in imitation of the Peruvian method of adding an alkali. All sense of hunger and fatigue soon left, and after an hours walk they returned to enjoy an excellent dinner, after which they felt alert during the evening, and their night’s sleep was sound and refreshing. One of these students felt a slight sensation of giddiness after drinking the infusion, but the other experienced no unpleasant symptoms. Ten students, under similar conditions, walked varying distances, from twenty to thirty miles, over a hilly road. Two of these were unable to remark any effects from the use of Coca, several felt decided relief from fatigue, while four experienced complete relief, and one of these had walked thirty miles without any food. Professor Christison, though seventy-eight years  of age and unaccustomed to vigorous exercise, subsequently experimented on himself by chewing Coca leaves with and without llipta, some of which had been forwarded to him from Peru. He first determined the effect of profound fatigue by walking fifteen miles on two occasions without taking food or drink. On his return his pulse, which was normally sixty-two at rest, was one hundred and ten on his arrival home, and two hours later was ninety. He was unfit for mental work in the evening, though he slept soundly all night, but the next morning was not inclined for active exercise. Then, under similar conditions, he walked sixteen miles, in three stages of four, six, and six miles, with one interval of half an hour, and two intervals of an hour and a half. During the last forty-five minutes of his second rest he chewed eighty grains of Coca, reserving forty grains for use during the last stage, even swallowing some of the fibre. He felt sufficiently tired to look forward to the end of his journey with reluctance, and did not observe any particular effect from the Coca until he got out of doors and put on his usual pace, of which he said: “At once I was surprised to find that all sense of weariness had entirely fled and that I could proceed not only with ease, but even with elasticity. I got over the six miles in an hour and a half without difficulty, and found it easy when done to get up a four and a half mile pace and to ascend quickly two steps at a time to my dressing room, two floors up-stairs; in short, I had no sense of fatigue or any other uneasiness whatsoever.”

During this walk he perspired profusely. On reaching home his pulse was ninety, and in two hours it had fallen to seventy-two, showing that the heart and circulation had been strengthened under the influence of Coca. The urine solids were the same as during the walk without Coca. In describing this walk, he said: “On arrival home before dinner, I felt neither hunger nor thirst, after complete abstinence from food and drink of every kind for nine hours, but upon dinner appearing in half an hour, ample justice was done to it.”  After a sound sleep through the night he woke refreshed and free from all sense of fatigue. An influence of Coca not anticipated was the relief of a tenderness of his eyes, which during some years had rendered continuous reading a painful effort. In another trial at mountain climbing, he ascended Ben Vorlich, on Loch Earn, 3,224 feet above the sea. The climb was along a rugged foot path, then through a short heather and deep grass, and the final dome of seven hundred feet rise was among blocks and slabs of mica-slate. The ascent was made in two and a half hours, the last three hundred feet requiring considerable determination.

His companions enjoyed a luncheon, but Sir Robert contented himself chewing two-thirds of a drachm of Coca, and after a rest of three-quarters of an hour was ready for the descent. Although this was looked forward to with no little distrust, he found upon rising that all fatigue was gone, and he journeyed with the same ease with which he had enjoyed mountain rambles in his youth. The experimenter was neither weary, hungry nor thirsty, and felt as though he could easily have walked four miles to his home. After a hearty dinner, followed by a busy evening, he slept soundly during the night and woke refreshed in the morning, ready for another days exercise. During the trip he took neither food nor drink of any kind except chewing sixty grains of Coca leaves. Eight days after this experiment was repeated, using ninety grains of Coca. The weather had changed and the temperature was forty-four degrees at the top of the mountain and a chilly breeze provoked the desire to descend. While resting sixty grains of Coca was chewed. The descent was made without halt in an hour and a quarter, and followed by a walk of two miles over a level road to meet his carriage. He then felt slightly tired, because three hours had elapsed since he had chewed Coca.

In summing up his experience Professor Christison says: “I feel that without details the general results which may now be summarized would scarcely carry conviction with them. They are the following: The chewing of Coca not only removes extreme fatigue, but prevents it. Hunger and thirst are suspended, but eventually appetite and digestion are unaffected. No injury whatever is sustained at the time or subsequently in occasional trials.” From sixty to ninety grains are sufficient for one trial, but some persons either require more or are constitutionally proof against the restorative action of Coca. From his observations there was no effect on the mental faculties except to prevent the dullness and drowsiness which follow great bodily fatigue.

 


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Healing With Coca Leaf: Part Two

This series of posts – this is the second – will consist of a sampling of the Coca Leaf-based remedies for a wide range of diseases and conditions explained by Dr. William Tibbles, MD in his remarkable bookCoca Erythroxylon: A Treatise On Brain Exhaustionin 1876.

ASTHMA

This is a chronic spasmodic affection of the air passages of the lungs, which comes on by paroxysms, usually at night, accompanied by difficult and short respiration, wheezing, tightness across the chest, cough, etc.

Symptoms

There is great tightness of the chest, and intense difficulty of breathing, with a loud wheezing noise and dry cough; the patient lays hold of anything near him so that all the muscles of inspiration may be brought into action; face pallid; perspiration rolls down the brow; pulse, small and weak; and the patient in the paroxysm, appears to be on the verge of suffocation.

Causes

This affection is decidedly nervous in its origin, dependent upon muscular contraction of the fibres of the bronchial tubes; the seat of the irritation may be in the pulmonary nerves, or in the medulla oblongata, or it may be due to irritation of the gastric portion of the pneumogastric nerve. The exciting causes may be stated to be, sudden changes of temperature; disorders of the digestive organs; certain effluvia; long continued nervous depression; gout, etc.

Treatment

The sponge bath should be daily used. Give alternate doses of the Brain Feeder and Cherry Bark Cough Balsam in one tablespoonful of the following mixture:

Pleurisy Boot, one ounce

Boil in one and a half pint of water, ten minutes,

Pour on to three quarters of an ounce of Black Cohosh Powder,

Let them stand twenty minutes, strain, and bottle for use.

An emetic powder may be given once a week, before and during its action drinking freely of the Compound Essence of Cocaine in warm sweetened water.

2. Let the above general directions be minutely followed out, and then, with the administration of the following mixture, a cure will be speedily obtained.

Rp.

Coca Leaf 1/2 ounce.

Lobelia Powder ½  dram.

Black Cohosh Powder 1/2 ounce.

Composition Powder 1 teaspoonful

Pour on the above one pint of boiling water, let them stand for twenty minutes, strain, add a little sugar, and bottle for use.

Dose

Two tablespoonsful to be taken three times a day. Keep the bowels in a regular condition. Let the feet be kept perfectly dry, and avoid exposure to cold.

COUGHS

Coughs are generally the result of improperly treated or neglected colds; when they do occur they should never be slighted, but promptly and effectually met and removed, if allowed to continue, a cough may become a serious precursor of that terrible disease – Consumption.

Common Cough is the one we shall treat of here, others, such as whooping, and consumptive coughs will be considered in their respective places.

Treatment

Give a vapour bath twice a week; apply hot bottles to the feet; use all means to promote and equalize the circulation of the blood. And, as the cough is the result of deficiency of nerve force, all means, medicinally, must be used to raise the vital power of the patient. Give a dose of the Brain Feeder twice a day; and likewise a dose of the Cherry Bark Balsam twice a day in decoction of Yarrow and Pleurisy Root; keep the temperature of the room as equable as possible.

Let the patient have a sponge bath every morning on rising from bed. The patient should drink freely of the Compound Essence of Cocaine, and take two or three of the Chionanthus Liver Pills daily. If the patient be under twelve years of age give, as a medicine, doses of the Child’s Restorer in marjoram tea, and the Cherry Bark Balsam twice a day. He should have warm baths on going to bed; and in the morning cold sponge baths.

Or the treatment (medicinal) of a common cough may consist of the following:

Rp.

Pleurisy Root bruised … 1 ounce.

Liquorice Root bruised … ¾ ounce

Boil in one and a half pint of water for five minutes, then add

Slippery Elm bark 1 ounce.

Boil again for ten minutes, then strain the boiling liquid on to the following ingredients:

Coca Leaf 1/2 ounce.

Lobelia Herb powder … 1/2 teaspoonful.

Composition powder … 1/2 teaspoonful.

Let them stand 15 or 20 minutes, strain, bottle.

Dose

For a child, one to two teaspoonsful according to age; for an adult, one to two tablespoonsful to be taken every two, three, or four hours, according to the severity of the complaint.

Perseverance with the above medicine, together with careful attention to the general directions laid down will, in all cases, speedily result in the desired end – the cure.

HOOPING COUGH

This is a contagious and infectious disease, characterized by a peculiar cough – termed a hoop – occurring in fits, usually terminated by vomiting. It is caused primarily by the action of a specific poison on the system of nerves presiding over the functions of respiration. It is a disease of childhood and most frequently occurs between the ages of four months and six years.

Symptoms

The patient is usually attacked with fits of violent, rapid, interrupted coughing, alternating with long- drawn, shrill, crowing inspirations; the seizure usually ending with the expectoration of a thick, glairy mucus, or in actual vomiting. During the fits the features become red, or bluish, the eyes start, and the child appears to be threatened with instant suffocation. It is a disease which generally runs a certain course, and rarely attacks the same person twice; it may coexist with other diseases, such as small-pox, measles, etc., but it also sometimes disappears on the appearance of an eruptive disease. Treatment. Many cases of hooping cough are so mild as to need no other treatment than hygienic care, and a proper regard to the temperature of the room the child occupies in the cold seasons of the year.

In children over three years of age the disease is usually slight and regular. The following medicine is excellent in all cases of hooping cough;

Rp

Pleurisy Root, bruised … 1 ounce.

Boil in half a pint of water for ten minutes,

Pour the boiling liquid on to Black Cohosh powder … 1 ounce.

Let it stand until cold, strain, and

Add two tablespoonsful of the Cherry Bark Cough Balsam; mix well.

Dose

Half a teaspoonful to two teaspoonsful to be taken every two or three hours. The quantity regulated according to age.

A strong tea of red clover heads and leaves is a good thing in severe cases of hooping cough.

Where the little patient is emaciated, friction over the whole surface of the body with warm olive oil will be found to aid in the support of the body.

In winter the child should be kept in an equable temperature, but with free ventilation; its diet, milk and bread, raw eggs, ripe fruit; no sugar if the patient has been weaned; if it is still at the breast the mother must live on good nourishing diet. Olive oil will be found an excellent aperient for children suffering from this disease.

Or, following the general directions, give the patient doses of the following mixture:

Rp.

Coca Leaf 1/4 ounce.

Clover Leaf and Heads 2 ounces,

Black Cohosh Powder ¼ ounce

Pour on to these ingredients half a pint of boiling soft water, let them stand for twenty minutes, strain, add a little sugar if necessary

Dose: One to three teaspoonsful, according to age, to to be taken every three hours.

CROUP

This disease is confined to childhood. It is one of the most alarming diseases to which children are subject, being sudden in its attack, and rapid in its results.

Causes

The application of cold is an exciting cause, and, as a consequence, it occurs more frequently during the winter months; damp, changeable atmosphere ; insufficient clothing; epidemic miasma.

Symptoms

It is ushered in, usually at night, by a loud ringing and hoarseness of the voice, sometimes a rattling in the throat during sleep is heard. Afterward the breathing becomes rapid and difficult, and the voice husky or absent, and the breath as if passing through a narrow tube, and in speaking or coughing it acquires a shrill and peculiar sound, similar to the crowing of the cock. Quick pulse, thirst, hot and dry skin. The cough is dry, but after a time a viscid matter is brought up, and in some cases flakes or tubes of false membrane, with efforts often so distressing as to threaten suffocation.

The inflammation is peculiar, as depending on plasticity of the blood. The difficulty of breathing arises from the formation of a false membrane in the larynx, or from spasm.

Treatment

Promptness and decision are always necessary to successfully treat this disease, delay or inattention may result in a fatal termination.

When the symptoms commence, give, as soon as possible, closes of the following mixture:

Rp.

Blood Root, in powder 1/4 ounce.

Pour on this half a pint of boiling water, let it stand for ten minutes, strain

Add two teaspoonsful of Compound Essence of Cocaine. Keep it warm.

Let the patient drink one or two teaspoonsful every twenty minutes.

Apply externally, to the throat a flannel wrung out of the following mixture:

Hot Vinegar 4 ounces

Compound Essence of Cocaine one tablespoonful, mix, keep it warm

Change the flannels every five or eight minutes. Continue this treatment until the urgent symptoms are somewhat abated, the medicine may then be given at longer intervals.

If the disease is very severe give an emetic powder. Let the patient drink freely of the Compound Essence of Cocaine in warm sweetened water.

Or, let the following treatment be carried out.

Rp.

Lobelia and Blood Root, in powder, of each 1 teaspoonful.

Composition Powder … half a teaspoonful.

Pour on the above half a pint of boiling water, let them stand for ten or fifteen minutes, strain, slightly sweeten, keep warm.

Dose

One to three teaspoonsful every twenty minutes until the more urgent symptoms are abated.

Prepare the following mixture and apply externally: Cayenne Pepper, one teaspoonful, boiling Vinegar, half a pint, salt, a tablespoonful, mix; keep warm, and apply cloths wrung out of it to the throat. Foot baths are useful. The patient may drink infusion of Coca Leaf with advantage.


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Healing With Coca Leaf – Part One

The next few posts will consist of a sampling of the Coca Leaf-based remedies for a wide range of diseases and conditions explained by Dr. William Tibbles, MD in his remarkable book Coca Erythroxylon: A Treatise On Brain Exhaustion” in 1776.

 The remedies in this and other upcoming posts are taken from Part Two of Dr. Tibbles book; Part One, his actual treatise on Brain Exhaustion, is included in the original source materials for my eBookThe Coca Leaf Papers”.  

Dr. Tibbles’ observations, diagnoses, and prescriptions for treatment are noteworthy for several reasons. First, he was writing before the role of bacteria and viruses in causing disease and death was even suspected, and well before the discovery of antibiotics. This alone makes his emphasis on such things as sickroom sanitation and hygienic wound care a perspective centuries before its time. In the time period when Dr. Tibbles wrote, for example, surgeons routinely re-used their saws and scalpels on one patient after another without cleaning them, much less sterilizing them, and hand-washing was for sissies.

 And of course even today CDC estimates that 781,000 hospital-acquired infections are caused largely by failure to follow such simple hygienic procedures. ( CDC. National and State Healthcare-associated Infections Progress Report. Centers for Disease Control and Prevention; Mar 2014)  

 Another thing that makes Dr. Tibbles’ observations quite remarkable is his almost universal inclusion of some form of Coca leaf in all of his remedies – whether a simple hot water extract of Coca Leaf, or a more complex “Compound Of Essence Of Coca Leaf”. You will see as you browse the next few posts that Dr. Tibbles employed wide-ranging combinations of traditional herbal medicines in specific ways for each kind of disease or condition that he was treating. Many modern herbalists will recognize these medicinal herbs as being still among the most powerful in our natural apothecary.

 In many of his remedies Dr. Tibbles also includes compounds like “Aperient Pills” and “Composition Powder” that he gives the recipes for in an appendix to his book. 

My intent in posting these Coca Leaf-based herbal remedies and – as Dr. Tibbles sometimes asserts – cures for everything from the common cold to cancerous lesions, is to demonstrate that as long ago as the time of the American Revolution doctors understood the role of Coca Leaf in effectively treating and curing disease. Some may snicker at some of Dr. Tibbles’ observations as being quaint, but that would be simple intellectual snobbery. When one considers that this Doctor was writing in an age when nobody on earth had a clue regarding, for example, the causes of infection, and one sees that even though he knew nothing of these causes he nevertheless emphasized care and treatment practices that address these unknown causes directly and effectively, one must treat what he writes with the greatest respect.

 Finally, the reader will note that in many of his remedies Dr. Tibbles includes as part of the treatment one or more of his proprietary “treatments” such as his often-mentioned “Brain Feeder”. He doesn’t reveal what these potions are, and in the back of his book he includes descriptions of their benefits in sometimes rather lurid prose – clearly wanting the reader to rush out and buy his products. I hope that we can all forgive the good Doctor for this bit of entrepreneurial spirit, because the fact is that Doctors in his time were rarely paid for their services, and of course there was no such thing as insurance, so Doctors had to figure out how to make a living. The fact that so many quacks and charlatans touted completely useless “snake oil” medicines during these times should not detract from the sincere efforts of a talented physician to offer sick people proprietary remedies that he clearly believed, through his own experience, were safe and effective working in combination with his published Coca Leaf-based remedies.

INFLAMMATIONS

Inflammation is a process into which many morbid changes enter; changes in nervous force and influence; changes in condition of the blood vessels; changes in the condition of the blood; and changes in the nutrition of the part. The symptoms generally characteristic of inflammation are: varying degrees of pain, swelling, heat, and redness, a tendency to the effusion of serum, from the blood vessels, which speedily assumes the form of coagulated lymph or pus.

Theory of Inflammation; In inflammation there is a series of progressive changes of organic structure; two conditions are necessary for the production of this, as all other diseases viz., a predisposition to the disease in an organ, and, second, an exciting cause.

The predisposed organ is attacked by some exciting cause, and the first thing which takes place is to telegraph, as it were, to the brain for more force with which to combat the foe, a reply is immediately sent with more force, and a quickened movement of the blood in the minute capillaries takes place, owing to the greater influence of the brain and nervous system whereby the capillaries become contracted; this continues until either the nervous force has overcome the exciting cause and an equilibrium regained, or until the power of the nerve is overcome or suspended.

Then a second process commences, the contraction of the muscles being superseded by a state of relaxation – and an opposite or dilated condition of the capillaries is observed — the blood is retarded, and in some it stops entirely, owing to the removal of the nervous influence whereby the contractibility of the coats of the capillaries is entirely destroyed for the time, whereas all round the part the blood is quickly circulating in tortuous and distended vessels, and still further off it moves quickly, but through less distended vessels. And as a consequence of this diminished nervous influence and stagnant state of the blood in the affected part, decomposition of the blood takes place and, as a further consequence, the nutrition of the part is retarded, and, if a reaction does not take place, decomposition of the tissues of the organ commences, purulent matter is formed, or, in other cases, actual mortification or death of the part may result.

COLDS – INFLUENZA

The old saying that “Colds are the foundation of all other diseases” is true to a large extent. Dr. G. Gregory, says “Cold is the most important of all the existing causes of internal inflammation. There is scarcely any form of it which does not occasionally owe its origin to cold; and many inflammatory affections …. have no other cause of the smallest practical importance.”

A cold is a form of disease which is generally treated lightly, indeed with much too little gravity. It is frequently allowed to proceed unchecked until it takes such firm hold of the attacked individual as to become a serious affection and the precursor of other and more grave diseases, and this it does simply because it is an effect, which, if its progress is not prevented soon resolves itself into actual inflammation – either general or local.

Symptoms

A cold commences with aching of the limbs, then we have, as an accompaniment, weight and pain in the head, oppression of the chest and slight difficulty of breathing ; a sense of fullness and stopping, or continual running of the nose ; watery and inflamed eyes ; soreness of the throat; cough; cold shiverings succeeded by flushes of heat. When the symptoms are very severe with greatly increased flow of secretion from the nose and lungs, hoarseness and soreness of the throat and lungs, we then term the complaint Influenza.

Causes

The chief causes are obstructed perspiration caused by the application of cold to the body, such as that occasioned by sudden departure from an over heated room into a cold atmosphere; sitting on the ground, damp, etc. In either case the exposure to the exciting cause gives an individual a cold by the action on the nervous system. The impression made on the extremities of the sentient nerves of the skin is conveyed to the nerve centres, and these so influence the nerves which govern the walls of the blood-vessels that the would-be intruder is warded off so long as the local force is able to withstand the external force. If the external force is the greater, then, the blood-vessels of the skin are partially paralyzed and we have set up a condition of congestion — the blood circulates only very imperfectly in the skin, and hence the deeper seated blood vessels are over- loaded and distended – which condition, if active remedial means are not used, soon progresses to actual inflammation.

Treatment

When there is reason to suspect an attack of cold, the first thing that should be done is to take one teaspoonful of the Compound Essence of Cocaine in half a tumbler-glass of hot sweetened water, and two or three Chionanthus Virginica Liver Pills. Then have a vapour bath, or, if this is inconvenient, put the feet into water, as hot as can comfortably be borne, in which is mixed one tablespoonful of ground ginger and one tablespoonful of mustard; this will tend to equalize the circulation of the blood.

Now go to bed and drink of the following mixture:

Rp.

Pennyroyal Herb … 1 oz.

Boiling water 1 pint. Let it stand 20 minutes; strain, then add

Essence of Cocaine 1 tablespoon full.

Brain Feeder 1 tablespoonful.

Sweeten with treacle.

Dose

Two tablespoonsful every half hour.

Continue the administration until free perspiration is induced, which keep up for several hours. As a general medicine let the patient take doses of the Brain Feeder, repeated three or four times a day; the Compound Essence of Cocaine in milk as a diet drink.

Sponge the body well each morning, after which rub the body with a rough towel. Regulate the bowels with the Chionanthus Liver Pills. If there is much cough take occasional doses of the Cherry Bark Cough Balsam.

Let me here say, that, to ministers and others who are compelled to speak in over-heated rooms, and then enter into an atmosphere which is cold and damp, the Compound Essence of Cocaine is an invaluable preventative against colds, sore throats, &c, when taken on lump sugar. The lump of sugar is soaked with the Essence and put into the mouth just before leaving the room. Many have proved it.

If the patient is under seven years of age, then the treatment should consist of alternate doses of the Child’s Restorer and Cherry Bark Cough Balsam in the infusion of Pennyroyal. The occasional use of hot water baths to promote perspiration. The bowels to be regulated by occasional doses of the Aperient mixture.

Those who prefer to make up their own medicines may, with great advantage, pursue the general course laid down as above. The medicine should consist of repeated doses of the following mixture:

Rp.

Yarrow 3/4 ounce.

Pleurisy Root, bruised ¾ Ounce

Boil in one and a half pint of water for ten minutes; remove from the fire and pour the boiling liquid on to the following:

Coca Leaf 1/2 ounce.

Composition Powder ¾ ounce

Let them stand for half an hour, strain, and sweeten with 4 ounces of treacle. Dose: Two tablespoonsful every half an hour until perspiration is thoroughly induced. The dose may then be given every three hours.

Regulate the bowels with occasional doses of the aperient mixture.

INFLAMMATION OF THE LUNGS, BRONCHITIS, AND PLEURISY

These three diseases are so nearly allied that we shall treat of them collectively. In inflammation of the lungs, or pneumonia, the cellular tissue or substance of one or both of the lungs is inflamed; in bronchitis the inflammation is seated in the bronchial tubes or air passages; and in pleurisy the lining membrane which covers the lungs, called the pleura, is the seat of inflammation.

Symptoms

These diseases generally set in with a chill or shivering fit, followed by an intense feeling of heat ; there is afterwards, tightness of the chest; lassitude; pain in the limbs; thirst; hot and dry skin; tongue furred, white; little or no appetite; bowels usually confined; urine, thick and scanty.

The following are the distinctive symptoms of these diseases:

 Inflammation of the Lungs

The patient generally lies on his back, has a frequent, harsh, and grating cough; rapid and difficult breathing. During the height of the disease the respirations may reach 40 per minute; the cough is attended with a scanty, tenacious, rusty-coloured, or bloody expectoration, which is got up with difficulty; pulse, quick and soft; occasionally there is delirium at night, and a dull pain is felt on inspiration.

Bronchitis

The patient complains more or less of fever, a dull oppressive pain, or soreness of the chest. The cough is loose, deep, and diffused; expectoration copious, at first glairy, or frothy, and almost transparent, but afterwards it is opaque.

Pleurisy

An attack of this disease manifests itself by the appearance of sharp pains in the side, increased by breathing or coughing; the patient generally lies on the unaffected side; cough, hard, dry, and short, but no rusty-coloured expectoration; pulse, quick and often hard.

Causes

The exciting causes of these inflammatory affections may be stated as being generally one or more of the following: Sudden transition from heat to cold, or anything that obstructs the free circulation of the blood in the skin, such as sleeping in damp places, wet clothes, undue heat, violent exercise, local congestion, blows, an altered condition of the blood, &c.

The development of one of the forms more than another – of inflammation of the lung substance, of the bronchial tubes, or of the Pleura – depends solely upon the predisposition of the individual attacked.

Treatment

When the disease occurs in a mild form in adults, then bathe the feet well in hot mustard and water for fifteen or twenty minutes, dry them well; and afterwards keep them well warmed by a fire, or, if necessary, let the patient go to bed, put to the feet a bottle of hot water, around which is wrapped a wet vinegar cloth; during the foot-bath, give the patient a strong dose of the Compound Essence of Cocaine.

When in bed give the patient doses of the following

Rp.

Pleurisy Root, bruised 1 ounce

Boil in one and a half pint of soft water for 15 minutes.

Strain, sweeten slightly, and then add two tablespoonsful of Brain Feeder and one tablespoonful of Compound Essence of Cocaine.

Dose

Two tablespoonsful every hour until the patient is somewhat easier; then give the closes at intervals of two or three hours. Each close should be given warm. If the cough is troublesome, give, every three hours, a dose of the Cherry Bark Cough Balsam, in a little of the above mixture, warm. Regulate the bowels with the Chionanthus Liver Pills.

If the patient is an infant – that is under 7 years of age – then the treatment may be as follows:

Let the feet be occasionally bathed in warm water in which has been thrown a little soda. Keep the bowels regular by the administration, now and then, of doses of the aperient mixture.

Give the following medicine:

Take of Pleurisy Root, bruised, half an ounce; boil in three-quarters of a pint of water for ten minutes; pour the boiling liquid on to half an ounce of Pennyroyal Herb, let it stand for ten or fifteen minutes, strain, and add a small quantity of sugar.

Dose

One to two teaspoonsful every hour or two, according to age and the severity of the complaint. Give a dose (size according to age) of the Cherry Bark Cough Balsam in a little of the above infusion, warm, every three or four hours. Apply warmth to the body. If the above treatment is carried out there is no doubt the little sufferer will be speedily brought round.

If the case is severe an emetic powder may be given, the patient drinking freely of the Compound Essence of Cocaine before and during its action. The inhalation of the vapour of vinegar; or of the steam from a hot infusion of herbs. The application of a poultice to the chest, is also valuable. Be sure that the bowels are not allowed to become costive.

2. Or, following the above general course, the medicinal treatment may consist of the administration of repeated doses of the following mixture :

Rp.

Liquorice Root, bruised 1 ounce

Pleurisy Root, bruised 1 ounce

Boil in one and a half pint of water for ten minutes; while still hot pour on to the following :

Coca Leaf 1 ounce

Boneset 1 ounce

Composition Powder a teaspoonful

Let them stand 15 or 20 minutes; strain.

Dose

One teaspoonful to two tablespoonsful every one or two hours, according to the age of the patient and severity of the disease.

Regulate the bowels by the use of the Aperient mixture. In the first instance use all reasonable means to induce perspiration.

If the patient is an infant, omit the Composition Powder in the above recipe. Under all circumstances the diet should be of a light and nourishing character, consisting chiefly of mucilaginous drinks, as barley-water, &c, &c.

Milk and a little of the Compound Essence of Cocaine is very valuable as a diet drink in inflammatory diseases.

Editor’s Note: In the next post, which will follow in a few days, we’ll look at how Dr. Tibbles suggests treating a number of very serious diseases including Asthma and Consumption (Tuberculosis).