Contamination requires a lead-bearing source and conditions that dissolve it or detach lead-containing particles. Soft, poorly buffered water standing in contact with lead is a classical risk, but neither hardness nor clarity guarantees safety.
The source may be a pipe, cistern, service connection or fitting. Robert Christison's pre-examination experiments addressed the action of different waters on metallic lead: very pure waters, including distilled water or rainwater, could attack it, whereas salts in many natural waters modified the process. This provides a contemporary basis for treating the character of the supply, as well as the material of the cistern or pipe, as important.[ref]
On the Action of Water upon Lead by Robert Christison. 1844, pp.265–276: pure waters, natural waters and the effects of dissolved salts
The dissolving tendency is called plumbosolvency. In modern chemical terms, low pH and low alkalinity can favour the release of lead. Dissolved oxygen supports corrosion of the metal; dissolved carbon dioxide affects both acidity and carbonate chemistry. Carbonate deposits can provide a partly protective surface layer, while conditions favouring their dissolution can increase release. It is therefore misleading to say simply that all carbon dioxide prevents contamination or that all waters containing it dissolve lead to the same degree. Water hardness and alkalinity are related features of many waters but are not interchangeable quantities.[ref]
Long contact, especially stagnation overnight or through disuse, can increase contamination. Warmer conditions, changes in the supply chemistry, disturbance of an old pipe and the condition of accumulated deposits can also matter. Water can carry dissolved lead or particles containing lead; an old apparently coated pipe is not an assurance that release has ceased. Modern supplies may additionally encounter lead-bearing solder or brass, which should be recognized as a present comparison rather than assumed to be the construction of a particular 1864 installation.[ref]
Lead in Drinking Water by the Drinking Water Inspectorate. Factors affecting lead concentration; lead pipes and fittings; standing water and supply condition
A clear appearance and acceptable taste cannot exclude lead. Investigate the actual plumbing materials and analyse appropriately collected samples, recording the period of standing and other conditions instead of inventing a concentration. The most direct way to remove the source is replacement of lead-bearing components; treatment that controls corrosion is chemistry-dependent and is not equivalent to a universal guarantee from a hard-water scale. These considerations answer when contamination is likely without imposing an unsupported period numerical threshold.
The 1864 preparations contain either crude opium or its aqueous Extractum Opii; those quantities must be distinguished from a quantity of isolated morphine. The following are the officinal opium preparations. Ratios for solids mean the mass fraction in the compounded preparation; liquid strengths specify mass per volume or the actual ingredients used.
- Emplastrum Opii: powdered opium in resin plaster: 1 in 10.
- Enema Opii: opium tincture 30 minims with starch decoction 2 fluid ounces. Thus the tincture is 1 volume to 32 volumes of vehicle, before mixing.
- Extractum Opii: aqueous solvent extraction of 1 avoirdupois pound of sliced opium with 6 Imperial pints of distilled water, in three successive portions, followed by evaporation. The prescribed starting quantities do not impose a fixed yield or a universal crude-drug-to-extract potency ratio.
- Extractum Opii Liquidum: Extractum Opii 1 avoirdupois ounce, distilled water 17 fluid ounces, rectified spirit 3 fluid ounces: 1 ounce of extract to the pint of liquid ingredients.
- Linimentum Opii: equal volumes of opium tincture and soap liniment: half the tincture's nominal opium strength.
- Pilula Opii: powdered opium with hard soap: 1 in 5 of the nominal pill ingredients.
- Pilula Plumbi cum Opio: powdered opium with lead acetate and confection of roses: 1 in 8.
- Pulvis Cretae Aromaticus cum Opio: powdered opium with aromatic chalk powder: 1 in 40.
- Pulvis Ipecacuanhae cum Opio: powdered opium with ipecacuanha and potassium sulfate: 1 in 10.
- Pulvis Kino cum Opio: powdered opium with kino and cinnamon: 1 in 20.
[ref]
The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Papaverceae, part 2, British formulas outside the bracketed American additions; underlying revision dated May 1864
- Tinctura Camphorae cum Opio: opium 40 grains to 1 Imperial pint of proof spirit, with benzoic acid, camphor and anise oil: 2 grains of opium per fluid ounce.
- Opium tincture, Tinctura Opii: powdered opium 1½ avoirdupois ounces to 1 Imperial pint of proof spirit. Nominally this is 32.8125 grains per fluid ounce, or approximately 1 grain per 14.63 minims.
- Trochisci Opii: 72 grains of Extractum Opii in 720 lozenges: one tenth of a grain of extract per lozenge.
- Unguentum Gallae cum Opio: powdered opium 32 grains added to 1 avoirdupois ounce of gall ointment. The actual nominal total is grains, giving 32/469.5 by mass, approximately 1 in 14.67; “32 grains to the ounce of ointment taken” is not 32 grains per final ounce.
- Vinum Opii: powdered opium 1½ avoirdupois ounces, sherry 1 Imperial pint: the tincture's nominal opium proportion, in a different solvent. This formula uses crude opium, not Extractum Opii.
[ref]
The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Papaverceae, part 3, British tincture, lozenge, ointment and wine formulas
The arithmetic uses the new avoirdupois ounce of 437.5 grains, not the old apothecaries' ounce of 480 grains. These are historical formulation proportions, not modern assays of morphine delivered after solvent extraction. Confectio Opii was omitted in 1864, and this edition's Vinum Opii contains no spices. The separate morphine hydrochloride preparations—Liquor Morphiae Hydrochloratis, Suppositoria Morphiae, Trochisci Morphiae, and Trochisci Morphiae et Ipecacuanhae—contain an isolated alkaloid salt rather than crude opium. [ref]
The Prescriber's Analysis of the British Pharmacopoeia by John Birkbeck Nevins (1864). pp. 11–12, 39 and 75–76
The seven named mixtures of the 1864 British Pharmacopoeia are Mistura Ammoniaci, Mistura Amygdalae, Mistura Creasoti, Mistura Cretae, Mistura Ferri Composita, Mistura Guaiaci and Mistura Scammonii. Their compositions are as follows; avoirdupois ounces are used for solids and fluid ounces for liquids.
- Mistura Ammoniaci: ammoniacum ¼ avoirdupois ounce, distilled water 8 fluid ounces, rubbed together and strained. Its own gum helps disperse its resin; ammoniacum is not Ammonia. [ref]The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Umbelliferae, part 2, Ammoniacum
- Mistura Amygdalae: compound almond powder 2½ avoirdupois ounces, distilled water 1 Imperial pint. The compound powder is made from sweet almonds 8 parts, sugar 4 parts and gum arabic 1 part by mass. Trituration produces an emulsion. [ref]The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Rosaceae, continued, almond preparations
- Mistura Creasoti: creosote 16 minims, glacial acetic acid 16 minims, Spiritus Juniperi ½ fluid drachm, syrup 1 fluid ounce, distilled water 15 fluid ounces. Here the spirit has the particularly strong 1864 juniper oil content. [ref]The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Hydrocarbons from the destruction of wood by fire, Mistura Creosoti
- Mistura Cretae: prepared chalk and powdered gum arabic, ¼ avoirdupois ounce each; syrup ½ fluid ounce; cinnamon water 7½ fluid ounces. The chalk is suspended, not dissolved. [ref]The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Calcis Carbonas Praecipitata, Creta Praeparata, British mixture
- Mistura Ferri Composita: powdered myrrh 60 grains, potassium carbonate 25 grains, rose water 8 fluid ounces, ferrous sulfate 30 grains, Spiritus Myristicae 1 fluid drachm, sugar 60 grains. Triturate the myrrh with the spirit and potassium carbonate, then add the rose water with sugar, followed by ferrous sulfate; keep the resulting preparation stoppered. Formation of ferrous carbonate and its subsequent oxidation explain why the order and storage matter. [ref]
- Mistura Guaiaci: powdered guaiacum resin ½ avoirdupois ounce, sugar ½ avoirdupois ounce, powdered gum arabic ¼ avoirdupois ounce, cinnamon water 1 Imperial pint. The gum assists dispersion of the poorly water-soluble resin. [ref]The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Zygophyllaceae, resin preparations
- Mistura Scammonii: scammony resin 4 grains with unskimmed milk 2 fluid ounces, triturated into a uniform dispersion. [ref]The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Convolvulaceae, Scammonium, Mistura Scammonii
The category is an official preparation name, not every possible bedside combination of medicines. Camphor water and acacia mucilage are not additional entries under Mistura: the 1864 names are Aqua Camphorae and Mucilago Acaciae. [ref]
The Prescriber's Analysis of the British Pharmacopoeia by John Birkbeck Nevins (1864). pp. 30 and 52–53, mixture names and alterations
The compositions must be specified ingredient by ingredient; the two alkaloidal solutions contain 4 grains per nominal fluid ounce, but one contains a morphine salt and the other strychnine.
Pulvis Jalapae Compositus contains powdered jalap 5 avoirdupois ounces, potassium hydrogen tartrate 9 avoirdupois ounces, and powdered ginger 1 avoirdupois ounce. Thus the mass proportions are 5:9:1, and jalap supplies one third of the powder's mass. This is a compound purgative, not pure jalap resin. [ref]
The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Convolvulaceae, Jalapa, compound powder
Pilula Scillae Composita contains powdered squill 1¼ avoirdupois ounces, powdered ginger, ammoniacum and hard soap 1 avoirdupois ounce each, with treacle 2 avoirdupois ounces, or sufficient to make a pill mass. Using the specified 2 avoirdupois ounces of treacle, the whole is 6¼ avoirdupois ounces and contains one fifth squill by mass. The allowance of sufficient treacle makes consistency a compounding requirement, not a claim that every moist pill batch has an analytically exact 20% squill content. [ref]
The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Liliaceae, British compound squill pill, distinguished from bracketed American formula
Liquor Morphiae Hydrochloratis contains morphine hydrochloride 4 grains, dilute hydrochloric acid 8 minims, rectified spirit 2 fluid drachms and distilled water 6 fluid drachms. Its conventional strength is ½ grain of morphine hydrochloride per fluid drachm, not ½ grain of free morphine. The small quantity of hydrochloric acid maintains an acid solution. [ref]
Liquor Strychniae contains strychnine 4 grains, dilute hydrochloric acid 6 minims, rectified spirit 2 fluid drachms and distilled water 6 fluid drachms. Dissolve the strychnine in the acid mixed with part of the water, using the prescribed assistance of heat, then add the spirit and remaining water. Its conventional strength is ½ grain of strychnine per fluid drachm. Acid promotes solubility by forming a soluble salt of the alkaloid. [ref]
For the last two solutions, the stated historical strengths use the nominal 8 fluid drachms of spirit and water. The extra few minims of dilute acid must still appear in the actual recipe; treating all ingredient volumes as perfectly additive would not give an exact modern analytical concentration.
The 1864 iron list includes metallic, ferrous, ferric and compound preparations; its wet Ferri Peroxidum Hydratum was used historically as an antidote to arsenic poisoning. It must be distinguished from dried Ferri Peroxidum and from later editions' reassignment of similar Latin names.
The officinal articles and preparations are:
- metallic forms: iron wire, Ferrum, and Ferrum Redactum;
- simple salts and oxides: Ferri Arsenias, Ferri Carbonas Saccharata, Ferri Iodidum, Ferri Oxidum Magneticum, Ferri Peroxidum, Ferri Peroxidum Hydratum, Ferri Phosphas, Ferri Sulphas, Ferri Sulphas Exsiccata and Ferri Sulphas Granulata;
- complex salts: Ferri et Ammoniae Citras, Ferri et Quiniae Citras and Ferrum Tartaratum;
- solutions: Liquor Ferri Perchloridi, Liquor Ferri Pernitratis and the preparative Liquor Ferri Persulphatis;
- compounded forms: Mistura Ferri Composita, Pilula Ferri Carbonatis, Pilula Ferri Iodidi, Syrupus Ferri Iodidi, Syrupus Ferri Phosphatis, Tinctura Ferri Perchloridi and Vinum Ferri.
[ref]
The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Iron and successive British iron monographs; Solution of Persulphate of Iron, Appendix A; British compounds distinguished from American additions and older London preparations
[ref]The Prescriber's Analysis of the British Pharmacopoeia by John Birkbeck Nevins (1864). pp. 43–45, iron additions, omissions and names; pp. 55, 63, 67 and 72, compound forms
Prepare the hydrated peroxide by inducing precipitation from the ferric solution with sodium hydroxide, collecting and washing the wet precipitate, and preserving it without drying in a covered vessel. The starting solution is Liquor Ferri Persulphatis, whose “persulphate” here means ferric sulfate, not a modern peroxydisulfate salt. Add the appropriately diluted ferric solution to the alkaline liquor with stirring, allow the precipitate to settle, collect it on a calico filter, and wash with distilled water until the washings no longer give a precipitate with barium chloride. This tests removal of soluble sulfate. The resulting fresh, hydrated material is kept wet; drying gives the separate dried preparation. [ref]
The Essentials of Materia Medica and Therapeutics by Alfred Baring Garrod (1865). Ferri Peroxidum Hydratum; Ferri Peroxidum; Solution of Persulphate of Iron
In modern chemical notation the precipitation can be idealised asThe fresh solid is a hydrated ferric oxide material with variable water content; the equation is not a claim that every pharmaceutical batch is one pure, crystalline iron hydroxide. Its historical use depended on binding dissolved arsenic into less available material in the digestive tract, especially the freshly precipitated, wet state. It was not a universal antidote to every metal or every stage of absorbed arsenic poisoning. Contemporary discussion explicitly identified the new hydrated peroxide as an arsenic antidote. [ref]
The British Pharmacopoeia in Chemical News (1864). 6 February 1864, p. 65, iron preparations and freshly precipitated antidote
[ref]A Manual of Practical Therapeutics by Edward John Waring (1865). §1231, preparation, washings tested with barium chloride, preservation without drying and recent preparation
Modern treatment of significant arsenic poisoning concerns systemic toxicity and may involve specialist-directed chelation therapy; a nineteenth-century ferric paste is not the modern treatment standard. [ref]
Clinician Brief: Arsenic by ATSDR. Patient management, acute exposure and specialist consultation for chelation
Prepare quinine sulfate by acidic extraction of cinchona bark, alkaline precipitation of the quinine base, conversion into the sulfate, and purification by crystallization. “Quinia” is the historical name for quinine.
The 1867 process starts with one pound of yellow cinchona bark in coarse powder, three fluid ounces of hydrochloric acid, four pints of solution of sodium hydroxide, and sufficient distilled water and diluted sulfuric acid. The hydrochloric acid is diluted with ten pints of distilled water. The bark is first moistened with diluted sulfuric acid, macerated for twenty-four hours with occasional stirring, and then exhausted in a percolator with the diluted hydrochloric acid. The historical endpoint is disappearance of the bitter character of the emerging liquid. This describes the period's test, not an instruction to taste an unidentified medicinal material.[ref]
British Pharmacopoeia by the General Medical Council (1867). “Quiniæ sulphas”, pp. 268–269, ingredients and extraction
The soluble alkaloid salts enter the percolate. Adding solution of sodium hydroxide liberates the much less water-soluble quinine base. After settling, the liquid is decanted and the precipitate collected on a filter and washed with cold distilled water until the washings cease to be coloured. The precipitate is then treated warm with distilled water and diluted sulfuric acid, added gradually to obtain a neutral liquid with nearly all the precipitate dissolved. The hot solution is filtered through paper, the filter washed with distilled water, and the filtrate concentrated until a surface film appears. It is then set aside for crystallization; the crystals are dried on filter paper without applied heat. This is a separation of a naturally occurring alkaloid, not a synthesis of the quinine skeleton.
Writing for the quinine base, the central changes are:The successive changes in solubility explain the apparatus: a percolator washes soluble salts out of the powder; a filter retains the liberated base; a heated porcelain vessel dissolves the crude base as its sulfate; cooling then recovers the less soluble crystals. Other cinchona alkaloids can accompany the product, which is why appearance and bitterness are insufficient evidence of purity.
- Appearance and solubility: filiform, silky, white crystals, sparingly soluble in water, with the characteristic bluish appearance of the solution. A little dilute acid increases solubility. The visible blue phenomenon is associated with quinine fluorescence.
- Sulfate identity: barium chloride gives a white precipitate insoluble in nitric acid. The precipitate is barium sulfate.
- Quinine identity: treating the solution first with chlorine water and then with Ammonia gives an emerald-green colour, the thalleioquin test. A positive colour reaction establishes a characteristic chemical response, rather than proving that no other alkaloid is present.
- Strong-acid colour test: dissolution in pure sulfuric acid gives only a faint yellowish tint, with no further colour change on gentle warming. Marked colouring suggests foreign organic matter, such as sucrose or other readily altered material.
- Acid dissolution and liberation of the base: ten grains with ten minims of diluted sulfuric acid and half a fluid ounce of water form a complete solution; Ammonia then gives a white precipitate. Material insoluble under the acid conditions would fail the dissolution requirement.
- Ether separation: the precipitated base must pass into diethyl ether on shaking the whole with half a fluid ounce of diethyl ether, without crystalline matter remaining at the boundary between the two liquid layers. Less ether-soluble cinchona alkaloids, particularly cinchonine, can leave material at this boundary. This is a period screening test, not a modern quantitative determination of every related impurity.
- Water of crystallization: twenty-five grains lose 3.6 grains on drying at , equivalent to . This checks excessive moisture or a materially different degree of hydration.
The historical quantity and endpoint requirements belong to the 1867 monograph.[ref]
British Pharmacopoeia by the General Medical Council (1867). “Quiniæ sulphas”, pp. 268–269, “Characters and Tests”
Its formula represents the then-described heptahydrate; the current “Quinine sulfate” instead specifies a dihydrate and modern tests for related cinchona alkaloids. The modern specification explains that distinction; the exam's historical tests remain those listed above.[ref]International Pharmacopoeia by the World Health Organization. 12th edition, 2024, “Quinine sulfate (Quinini sulfas)”, formula, loss on drying and related cinchona alkaloids