But the ultimate decision of this point must depend on the real effects of antimonial medicines on the human body, which are therefore now to be considered.
_Of the preparations of antimony, and their medical effects._
The limits to which dissertations of this kind ought to be confined will not permit us to enter into a minute detail of the various antimonial preparations which may be found in every dispensatory. Those in most frequent use are calx of antimony, crocus of antimony, antimonial wine, tartar emetic, and kermes mineral.
The virtues of calx of antimony are variously represented by different writers, some ascribing to it the power of an excellent diaphoretic, others asserting that it even proves violently emetic, and others, among whom is the great Boerhaave, declaring it a mere inert earth intirely destitute of all medicinal virtue. The College of Physicians of London, who had formerly directed this preparation, under the title of diaphoretic antimony, thought proper, because of the various opinions concerning its operation, to change its name to that of calx of antimony, till its medicinal qualities should be better ascertained[51].
These different judgments can scarce be supposed to have been delivered by competent judges concerning the same medicine, but may be accounted for from the different manner in which the process for making the calx may have been conducted. The common nitre, with which it is prepared, contains some portion of sea-salt, and when that abounds, the proportion of nitre being less, the calx may prove an active remedy[52].
If it is not sufficiently calcined, or perfectly freed from the reguline parts by washing, such of these as remain, may produce more sensible effects than are to be expected when it is duly prepared, and hence perhaps proceed the contradictory opinions of chymists and physicians concerning this antimonial preparation.
But the assertion of its being a mere inert earth, is not well founded, since a small dose of it sometimes produces violent effects; and it may be reduced by fusion, with inflammable fluxes, into pure regulus. It enters the composition of a medicine described by the judicious Doctor Morton, with which, in three instances, he cured an obstinate intermitting fever. In one case the disease was of two years standing, and in all of them had resisted a diligent and skilful application of the Peruvian bark. But these were the only opportunities he had of trying it; for having never met with any other case in which that excellent febrifuge disappointed his expectation, he deemed it an unpardonable wantonness to use a precarious remedy, while he was possessed of one more certain and efficacious[53]. It is also recommended by Van Swieten in the peripneumony, as a deobstruent and expectorant[54].