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Appendix 4 - Conan Doyle’s Essays and Letters in the Medical Press

Published online by Cambridge University Press:  12 March 2025

Roger Luckhurst
Affiliation:
Birkbeck College, University of London
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Summary

Sir,—Some years ago, a persistent neuralgia led me to use the tincture of gelseminum to a considerable extent. I several times overstepped the maximum doses of the text-books without suffering any ill effects. Having recently had an opportunity of experimenting with a quantity of fresh tincture, I determined to ascertain how far one might go in taking the drug, and what the primary symptoms of an overdose might be. I took each dose about the same hour on successive days, and avoided tobacco or any other agent which might influence the physiological action of the drug. Here are the results as jotted down at the time of the experiment. On Monday and Tuesday, forty and sixty minims produced no effect whatever. On Wednesday, ninety minims were taken at 10.30. At 10.50, on rising from my chair, I became seized with an extreme giddiness and weakness of the limbs, which, however, quickly passed off. There was no nausea or other effect. The pulse was weak but normal. On Thursday, I took 120 minims. The giddiness of yesterday came on in a much milder form. On going out about one o’clock, however, I noticed for the first time that I had a difficulty in accommodating the eye for distant objects. It needed a distinct voluntary effort, and indeed a facial contortion, to do it.

On Friday, 150 minims were taken. As I increased the dose, I found that the more marked physiological symptoms disappeared. To-day, the giddiness was almost gone, but I suffered from a severe frontal headache, with diarrhoea and general lassitude.

On Saturday and Sunday, I took three drachms and 200 minims. The diarrhoea was so persistent and prostrating, that I must stop at 200 minims. I felt great depression and a severe frontal headache. The pulse was still normal, but weak.

From these experiments I would draw the following conclusions.

1. In spite of a case described some time ago in which 75 minims proved fatal, a healthy adult may take as much as 90 minims with perfect immunity.

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Information
Round the Red Lamp
Being Facts and Fancies of Medical Life
, pp. 235 - 263
Publisher: Edinburgh University Press
Print publication year: 2023

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