Civil War Pharmacy: A History of Drugs, Drug Supply and Provision, and Therapeutics for the Union and Confederacy

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CRC Press, May 24, 2004 - Medical - 358 pages
Examine a previously unexplored aspect of Civil War military medicine!

Here is the first comprehensive examination of pharmaceutical practice and drug provision during the Civil War. While numerous books have recounted the history of medicine in the Civil War, little has been said about the drugs that were used, the people who provided and prepared them, and how they were supplied. This is the first book to provide detailed discussion of the role of pharmacy. Among the topics covered in this essential volume are the duties of medical purveyors, the role of the hospital steward, and the nature and state of medical substances commonly used in the 1860s. This last subject would become a matter of considerable controversy and ultimately cost William Hammond, the brilliant and innovative Surgeon General, his career in the Union Army.

This richly detailed book shows why the South found drug provision especially difficult and describes the valiant efforts of Confederate sympathizers to run the Union blockade in order to smuggle in their precious cargoes. You’ll also learn about the scurrilous privateers who were out to make a personal fortune at the expense of both the Union and the Confederacy. In addition, Civil War Pharmacy illuminates the systematic effort of pharmacists, physicians, and botanists to derive from Southern plants adequate substitutes for foreign substances that were difficult, if not impossible, to obtain in the Confederacy.

In this painstakingly researched yet highly readable book, Michael A. Flannery, co-author of the critically acclaimed America’s Botanico-Medical Movements: Vox Populi, examines all these topics and more. In addition, he assesses the relative successes and failures of the pharmaceutical aspect of health care at the time—successes and failures that affected every man in army camps and in the field.

Civil War Pharmacy: A History of Drugs, Drug Supply and Provision, and Therapeutics for the Union and Confederacy includes photographs, helpful tables and figures, and six appendices that make hard-to-find information easy to access and understand. You’ll find:
  • the Standard Supply Table of Indigenous Remedies (1863)
  • Circular No. 6 from the Surgeon General’s Office (May 4, 1863), calling for the removal of calomel and tartar emetic from the Supply Table
  • instructions on reading and filling a 19th century prescription—with a glossary of Latin phrases and approximate measures, an excerpt from The Hospital Steward’s Manual, and more!
  • a circular from the Confederate Medical Purveyor’s Office
  • a Materia Medica for the South: A list of medicinal substances from Porcher’s Resources of the Southern Fields and Forests
  • common prescriptions of the Civil War period as well as basic syrups of the era with monographs on their principal substances: alcohol, cinchona, hydrargyrum (mercury), opium, and quinine
Packed with more information than can be listed here and, just as importantly, presented in a reader-friendly manner, this is a book that no one interested in Civil War history—or pharmacy history—should be without!

From inside the book

Contents

Civil War Pharmacy and Medicine Comparisons and Contexts
xv
American Pharmacy and Medicine at Midcentury
4
An Overview
13
The Role of Disease
18
The State of Pharmacy in America 1861
21
Community Practice
29
Southern Medicine and Pharmacy
37
Summary
43
Medical Purveyors and Hospital Stewards
169
Administrative Aspects of Supply and Drug Provision
175
Fighting More with Less
183
The Blockade
188
The Supply Table
198
The Laboratories
200
An Appraisal
204
The Materia Medica
207

Angels of Mercy Women and Civil War Pharmacy
45
The United States Sanitary Commission
49
Women in the South
58
An Appraisal
66
The Principals Medical Purveyors and Hospital Stewards
73
Rank and Status of Medical Purveyors and Hospital Stewards
82
The Supplies Drug Distribution and Manufacturing
87
Civilian Suppliers
94
The Laboratories
105
The Medicines A Military Materia Medica and Therapeutics
111
The Substances
114
Prescribing and dispensing in Camp and Hospital
120
Unit and Patient Case Studies
131
The Remedies of Choice Calomel and Quinine
139
The Mastodon Unharnessed
140
Always and Everywhere
152
The Quinine Market
159
Summary
164
Administration
167
Wartime Shortages Take Their Toll
216
An Appraisal
220
The Consciousness of Duty Faithfully Performed An Appraisal of Civil War Pharmacy
227
Conclusion
232
Union and Confederate Standard Supply Tables
235
Circular No 6
253
How to Read and Fill a Civil War Prescription
255
Circular No 3
269
A Materia Medica for the South A Selected List of Medicinal Substances from Porchers Resources of the Southern Fields and Forests
273
Some Common Prescriptions of the Civil War Period Including the Basic Syrups with Monographs on the Principal Substances Alcohol Cinchona Hy...
277
Alcohol
283
Cinchona
285
Opium
286
Quinine and Its Salts
287
Notes
291
Bibliographical Essay
335
Index
345
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