INTRODUCTION.

The Foxglove is a plant sufficiently common in this island, and as we

have but one species, and that so generally known, I should have

thought it superfluous either to figure or describe it; had I not more

than once seen the leaves of Mullein[1] gathered for those of

Foxglove. On the continent of Europe too, other species are found, and

I have been informed that our species is very rare in some parts of

Germany, existing only by means of cultivation, in gardens.

[Footnote 1: Verbascum of Linnaeus.]

Our plant is the _Digitalis purpurea_[2] of Linnaeus. It belongs to the

2d order of the 14th class, or the DIDYNAMIA ANGIOSPERMIA. The

_essential characters_ of the genus are, _Cup with 5 divisions.

Blossom bell-shaped, bulging. Capsule egg-shaped, 2-celled._--LINN.

[Footnote 2: The trivial name _purpurea_ is not a very happy

one, for the blossoms though generally purple, are sometimes

of a pure white.]

DIGITA'LIS _purpu'rea_. Little leaves of the empalement egg-shaped,

sharp. Blossoms blunt; the upper lip entire. LINN.

REFERENCES TO FIGURES. These are disposed in the order of comparative

excellence.

_Rivini monopet. 104.

Flora danica, 74, parts of fructification.

Tournefort Institutiones. 73, A, E, L, M.

Fuchsii Hist. Plant. 893, copied in

Tragi stirp. histor. 889.

J. Bauhini histor. Vol. ii. 812. 3, and

Lonicera 74, 1.

Blackwell. auct. 16.

Dodonoei pempt. stirp. hist. 169, reprinted in

Gerard emacul. 790, 1, and copied in

Parkinson Theatr. botanic. 653, 1.

Gerard, first edition, 646, 1.

Histor. Oxon. Morison. V. 8, row 1. 1.

Flor. danic. 74, the reduced figure._

_Blossom._ The bellying part on the inside sprinkled with spots like

little eyes. _Leaves_ wrinkled. LINN.

BLOSSOM. Rather tubular than bell-shaped, bulging on the under side,

purple; the narrow tubular part at the base, white. _Upper lip_

sometimes slightly cloven.

CHIVES. _Threads_ crooked, white. _Tips_ yellow.

POINTAL. _Seed-bud_ greenish. _Honey-cup_ at its base more yellow.

_Summit_ cloven.

S. VESS. _Capsule_ not quite so long as the cup.

ROOT. Knotty and fibrous.

STEM. About 4 feet high; obscurely angular; leafy.

LEAVES. Slightly but irregularly serrated, wrinkled; dark green above,

paler underneath. _Lower leaves_ egg-shaped; upper leaves

spear-shaped. _Leaf-stalks_ fleshy; bordered.

FLOWERS. Numerous, mostly growing from one side of the stem and

hanging down one over another. _Floral-leaves_ sitting, taper-pointed.

The numerous purple blossoms hanging down, mottled within; as wide and

nearly half as long as the finger of a common-sized glove, are

sufficient marks whereby the most ignorant may distinguish this from

every other British plant; and the leaves ought not to be gathered for

use but when the plant is in blossom.

PLACE. Dry, gravelly or sandy soils; particularly on sloping ground.

It is a biennial, and flowers from the middle of _June_ to the end of

_July_.

I have not observed that any of our cattle eat it. The root, the stem,

the leaves, and the flowers have a bitter herbaceous taste, but I

don't perceive that nauseous bitter which has been attributed to it.

* * * * *

This plant ranks amongst the LURIDAE, one of the Linnaean orders in a

natural system. It has for congenera, NICOTIANA, ATROPA, HYOSCYAMUS,

DATURA, SOLANUM, &c. so that from the knowledge we possess of the

virtues of those plants, and reasoning from botanical analogy, we

might be led to guess at something of its properties.

I intended in this place to have traced the history of its effects in

diseases from the time of Fuchsius, who first describes it, but I have

been anticipated in this intention by my very valuable friend, Dr.

Stokes of Stourbridge, who has lately sent me the following

HISTORICAL VIEW of the Properties of Digitalis.

FUCHSIUS in his _hist. stirp._ 1542, is the first author who notices

it. From him it receives its name of DIGITALIS, in allusion to the

German name of _Fingerhut_, which signifies a finger-stall, from the

blossoms resembling the finger of a glove.

SENSIBLE QUALITIES. Leaves bitterish, very nauseous. LEWIS _Mat. med._

i. 342.

SENSIBLE EFFECTS. Some persons, soon after eating of a kind of

omalade, into which the leaves of this, with those of several other

plants, had entered as an ingredient, found themselves much

indisposed, and were presently after attacked with vomitings. DODONAEUS

_pempt._ 170.

It is a medicine which is proper only for strong constitutions, as it

purges very violently, and excites excessive vomitings. RAY. _hist._

767.

BOERHAAVE judges it to be of a poisonous nature, _hist. plant._ but

DR. ALSTON ranks it among those indigenous vegetables, "which, though

now disregarded, are medicines of great virtue, and scarcely inferior

to any that the Indies afford." LEWIS _Mat. med._ i. _p._ 343.

Six or seven spoonfuls of the decoction produce nausea and vomiting,

and purge; not without some marks of a deleterious quality. HALLER

_hist. n._ 330 from _Aerial Infl. p._ 49, 50.

The following is an abridged ACCOUNT

of its EFFECTS upon TURKEYS.

M. SALERNE, a physician at Orleans, having heard that several turkey

pouts had been killed by being fed with Foxglove leaves, instead of

mullein, he gave some of the same leaves to a large vigorous turkey.

The bird was so much affected that he could not stand upon his legs,

he appeared drunk, and his excrements became reddish. Good nourishment

restored him to health in eight days.

Being then determined to push the experiment further, he chopped some

more leaves, mixed them with bran, and gave them to a vigorous turkey

cock which weighed seven pounds. This bird soon appeared drooping and

melancholy; his feathers stared, his neck became pale and retracted.

The leaves were given him for four days, during which time he took

about half a handful. These leaves had been gathered about eight days,

and the winter was far advanced. The excrements, which are naturally

green and well formed, became, from the first, liquid and reddish,

like those of a dysenteric patient.

The animal refusing to eat any more of this mixture which had done him

so much mischief, I was obliged to feed him with bran and water only;

but notwithstanding this, he continued drooping, and without appetite.

At times he was seized with convulsions, so strong as to throw him

down; in the intervals he walked as if drunk; he did not attempt to

perch, he uttered plaintive cries. At length he refused all

nourishment. On the fifth or sixth day the excrements became as white

as chalk; afterwards yellow, greenish, and black. On the eighteenth

day he died, greatly reduced in flesh, for he now weighed only three

pounds.

On opening him we found the heart, the lungs, the liver, and

gall-bladder shrunk and dried up; the stomach was quite empty, but not

deprived of its villous coat. _Hist. de l'Academ._ 1748. _p._ 84.

EPILEPSY.--"It hath beene of later experience found also to be

effectual against the falling sicknesse, that divers have been cured

thereby; for after the taking of the _Decoct. manipulor. ii. c.

polypod. quercin. contus. [Symbol: ounce]iv. in cerevisia_, they that

have been troubled with it twenty-six years, and have fallen once in a

weeke, or two or three times in a moneth, have not fallen once in

fourteen or fifteen moneths, that is until the writing hereof."

_Parkinson_, _p._ 654.

SCROPHULA.--"The herb bruised, or the juice made up into an ointment,

and applied to the place, hath been found by late experience to be

availeable for the King's Evill." PARK. p. 654.

Several hereditary instances of this disease said to have been cured

by it. AEREAL INFLUENCES, _p._ 49, 50, quoted by HALLER, _hist. n._

330.

A man with _scrophulous ulcers_ in various parts of the body, and

which in the right leg were so virulent that its amputation was

proposed, cured by _succ. express. cochl. i. bis intra xiv. dies, in

1/2 pintae cerevisiae calidae_.

The leaves remaining after the pressing out of the juice, were applied

every day to the ulcers. _Pract. ess. p._ 40. quoted by MURRAY

_apparat. medicam. i. p._ 491.

A young woman with a _scrophulous tumour of the eye_, a remarkable

_swelling of the upper lip, and painful tumours of the joints of the

fingers_, much relieved; but the medicine was left off, on account of

its violent effects on the constitution. _Ib. p._ 42 quoted as above.

A man with _scrophulous tumour of the right elbow_, attended for three

years _with excruciating pains_, was nearly cured by four doses of the

juice taken once a month. _Ib. p._ 43. as above.

The physicians and surgeons of the Worcester Infirmary have employed

it in ointments and poultices with remarkable efficacy. _Ib. p._ 44.

It was recommended to them by Dr. Baylies of Evesham, now of Berlin,

as a remedy for this disease. Dr. Wall gave it a tryal, as well

externally as internally, but their experiments did not lead them to

observe any other properties in it, than those of a highly nauseating

medicine and drastic purgative.

WOUNDS. In considerable estimation for the healing all kinds of

wounds, _Lobel. adv._ 245.

Principally of use in ulcers, which discharge considerably, being of

little advantage in such as are dry. HULSE, in R. hist. 768.

DOCTOR BAYLIES, physician to his Prussian Majesty, informed me, when

at Berlin, that he employed it with great success in caries, and

obstinate sore legs.

DYSPNOEA _Pituitosa_ Sauvages i. 657.--"Boiled in water, or wine,

and drunken doth cut and consume the thicke toughnesse of grosse, and

slimie flegme, and naughtie humours. The same, or boiled with honied

water or sugar, doth scoure and clense the brest, ripeneth and

bringeth foorth tough and clammie flegme. It openeth also the stoppage

of the liver spleene and milt, and of the inwarde parts." GERARDE

hist. ed. I p. 647.

"Whensoever there is need of a rarefying or extenuating of tough

flegme or viscous humours troubling the chest,--the decoction or juice

hereof made up with sugar or honey is availeable, as also to clense

and purge the body both upwards and downwards sometimes, of tough

flegme, and clammy humours, notwithstanding that these qualities are

found to bee in it, there are but few physitions in our times that put

it to these uses, but it is in a manner wholly neglected."

PARKINSON, p. 654.

Previous to the year 1777, you informed me of the great success you

had met with in curing dropsies by means of the fol. Digitalis, which

you then considered as a more certain diuretic than any you had ever

tried. Some time afterwards, Mr. Russel, surgeon, of Worcester, having

heard of the success which had attended some cases in which you had

given it, requested me to obtain for him any information you might be

inclined to communicate respecting its use. In consequence of this

application, you wrote to me in the following terms.[3]

[Footnote 3: See the extract from this letter at page 5.]

In a letter which I received from you in London, dated _September_ 29,

1778, you write as follows:--"I wish it was as easy to write upon the

Digitalis--I despair of pleasing myself or instructing others, in a

subject so difficult. It is much easier to write upon a disease than

upon a remedy. The former is in the hands of nature, and a faithful

observer, with an eye of tolerable judgment, cannot fail to delineate

a likeness. The latter will ever be subject to the whims, the

inaccuracies, and the blunders of mankind."--

In my notes I find the following memorandum--"_February_ 20th, 1779,

gave an account of Doctor Withering's practice, with the precautions

necessary to its success, to the Medical Society at Edinburgh."--In

the course of that year, the Digitalis was prescribed in the Edinburgh

Infirmary, by Dr. Hope, and in the following year, whilst I was Clerk

to Dr. Home, as Clinical Professor, I had a favourable opportunity of

observing its sensible effects.

In one case in which it was given properly at first, the urine began

to flow freely on the second day. On the third, the swellings began to

subside. The dose was then increased more than _quadruple_ in the

twenty-four hours. On the fifth day sickness came on, and much

purging, but the urine still increased though the pulse sunk to 50. On

the 7th day, a _quadruple_ dose of the infusion was ordered to be

taken every third hour, so as to bring on nausea again. The pulse fell

to forty-four, and at length to thirty-five in a minute. The patient

gradually sunk and died on the sixteenth day; but previous to her

death, for two or three days, her pulse rose to near one hundred.--It

is needless to observe to you, how widely the treatment of this case

differed from the method which you have found so successful.

An Account of the Foxglove and some of its Medical Uses With Practical Remarks on Dropsy and Other Diseases · 第 5 / 251 题