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J Neurol ; 251(5): 525-8, 2004 May.
Article in English | MEDLINE | ID: mdl-15164183

ABSTRACT

This paper presents an example of 18(th) century medical thinking. The author, Dr Georg Ernst Stahl (1659-1734) was the founder of the phlogiston theory in the field of chemistry, a medical professor, and a court physician in Saxony and Prussia. His description includes a definition of tremor, the internal and external causes of tremor, the types of tremor, the diagnostic and prognostic signs, and the treatment. From a present (contemporary) point of view, some compounds that were then used in treatment may have had a limited therapeutic effect on some kinds of tremor. Protopin has an anticholinergic and GABA-ergic effect, and rhoeadin (tetrahydrobenzazepin) may have had an effect similar to that of neuroleptics. Nevertheless, it is not clear whether the recommended quantity of these compounds was sufficient for a clinical effect. Most of the prescribed drugs could only have had a placebo effect.


Subject(s)
Tremor/history , Benzophenanthridines , Berberine Alkaloids/history , Berberine Alkaloids/therapeutic use , Cholinergic Antagonists/history , Cholinergic Antagonists/therapeutic use , Germany , History, 18th Century , Humans , Tremor/therapy
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