Fluid drachm 2026-10-31
The British pharmaceutical volume of 60 minims; 8 make an Imperial fluid ounce.
The 1864 solid units are the avoirdupois pound, avoirdupois ounce and grain; the liquid units are the Imperial measures. The grain is unchanged, while the old apothecaries' pound and ounce are not the units of the new formulary. [ref]
The relations for solids are
Their approximate French metric equivalents are:
For liquids,
The approximate metric volumes are:
A millilitre is a cubic centimetre, and a litre is a cubic decimetre. These displayed equivalents are rounded; small differences from a period table's last digits reflect rounding and historical calibration conventions. A fluid ounce is a volume and an avoirdupois ounce is a mass. They cannot be interchanged for an arbitrary liquid without its density. Likewise, a drop is not a defined minim: its volume depends on the liquid and the dropper.
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.
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 principal period groups were digitalis preparations, squill, broom, juniper oil, buchu, nitrous ether spirit, and several soluble potassium salts. They were grouped by observed promotion of urine flow, rather than by one common mechanism. The following are historical adult quantities per administration, expressed in the contemporary units; they are not present-day prescriptions.
Other recognised period agents included dandelion and copaiba. The dandelion decoction was given in quantities of 1–2 fluid ounces, its soft extract in quantities of 10–30 grains, and its preserved juice in quantities of ½–2 fluid drachms. Copaiba was given in quantities of 15–30 minims, and copaiba oil in quantities of 5–20 minims. Their historical inclusion does not establish that they are suitable substitutes for current diuretic therapy. [ref]
The distinction between preparations matters more than a single “dose of the plant”: an infusion, tincture, juice and powder have different concentrations. Likewise, a salt's small historical diuretic dose is not its larger purgative dose. A modern explanation also separates a direct effect on renal tubules from improved cardiac output in appropriate heart failure: digitalis preparations cannot be understood simply as agents that make every kidney excrete more water. Modern digoxin is used for selected cardiac indications, rather than as a general treatment for low urine output. [ref]
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]