botany
The Poison Chronicles: Foxglove – The Killer Cure
Guest Post by Laura Cooper
Foxglove (Digitalis spp) is one of the rare wild plants for which humans found a wide range of uses. It’s most well known as an ornamental plant, but its use in making the heart drugs with a deadly potential (digoxin and digitoxin) comes a close second. For Digitalis, the same cardiac glycosides which strengthen the heart beat and saves a life are the chemicals which can cause death, the epitome of the maxim “the dose makes the poison”.
The Herbarium has a number of specimens of the two Digitalis species most common in the UK, D. purpurea and D. lanata. The photos in the post are all of the Digitalis purpurea from the collection of Charles Bailey. Despite these specimens being over a hundred years old, the flowers still had their scent, though made musty over the years. Though they have both a poisonous and a healing potential, they are very appealing plants.

Digitalis has been used in folk medicine for many centuries for many conditions, but most consistently for dropsy (fluid retention in the tissues). In the 18th century, the medical effects of Digitalis were put under the scientific scrutiny of the pioneering William Withering (1741-1799). Withering was a doctor practicing around Birmingham drawn into botany by the influence of his wife, a botanical artist. He joined the great tradition of botanist-physicians, and was even known as “the English Linnaeus” by publishing works including A Botanical Arrangement of All the Vegetables Naturally Growing in Great Britain in 1776, the first complete Linnaean classification of the flora of Great Britain.

Digitalis came to Withering’s attention in 1775 when he was asked to deduce the recipe of on a family treatment of last resort for dropsy, which was kept secret by “an old woman in Shropshire”. Withering discerned that the active ingredient was Digitalis purpurea. Intrigued, Withering trialed giving extract of Digitalis to patients attending his free clinic, but with little success. However, the news that a colleague had treated dropsy with the root of Digitalis spurred him on to continue experimenting with the plant. He obtained the dried leaves and gave this powder to his patients in an early precursor of the modern clinical trial. He meticulously recorded the progression of 163 patients taking the drug and found that the dried leaves were effective at relieving the symptoms of dropsy, adjusting the dose as the trial went on. The results were published in 1785 (including failures) in An Account of the Foxglove. The book was remarkable for showing Withering’s willingness to investigate folk remedies rather than dismiss them, to publish negative results and detail side effects. Withering presumed that Digitalis acted as a diuretic to rid the tissues of fluid, but this was only a consequence of Digitalis correcting the underlying heart condition that caused the edema.

Today, the semi-synthetic heart drugs digoxin and digitoxin are derived from Digitalis lanata (rather than Digitalis purpurea used by Withering). Digoxin is the more widely prescribed of the drugs, being used to treat atrial fibrillation and occasionally heart failure. The safe dose of digoxin is around 8 to 12 micrograms per kg of body weight. Doses much higher than this causes poisoning involving vomiting, delirium, yellow vision and a disturbed heart rhythm, which can kill. However, as digoxin is administered under a doctor’s supervision, accidental overdose of the drug is rare. But chillingly, the availability of the drug and the subtleness of the symptoms makes it a choice drug for an unforgivable but rare crime, the murder of patients by healthcare workers. The person believed to be the most prolific serial killer in American history is the nurse Charles Cullen, who is suspected to have killed several hundred patients using very high doses of digoxin and insulin. This case shows that supplies of all drugs should be carefully monitored to avoid their abuse.
Poisoning by Digitalis itself do occur, mostly accidentally by uncareful foragers mistaking it for borage or comfrey, but I have found a report of a woman attempting to poison her husband by adding Digitalis purpurea leaves to a salad. Luckily for these people, the strangely bitter leaves cause vomiting, riding some of the material from the body and sending the person to see a doctor. Poisoning by digoxin in any form can be treated by digoxin-specific antibody, a protein which can bind to digoxin and block its effects, but only if it is caught early enough to be effective.
Digitalis is undoubtedly an infamous poisonous plant, but one that has saved many more lives than it has taken, deliberately or accidentally.
The Travelling Botanist: Cinnamon, a spice of many tales
Guest blog by: Sophie Mogg

Cinnamon is a spice that we have all had the opportunity to try, whether in fancy coffees, liqueurs or delicious buns. Whilst the “true” cinnamon species is Cinnamomum verum, the most common source of cinnamon is Cinnamomum cassia. Both species originate in Asia, with C. verum being native to Sri Lanka (formerly known as Ceylon) and C. cassia originating in southern China. In order to distinguish the cinnamon produced by the two species in the spice trade, cinnamon refers to C. verum whilst cassia refers to C. cassia. This is because, C. verum is more expensive of the two due to its sweeter taste and aroma as less than 30% of cinnamon exports come from Sri Lanka.
Cinnamon has been traded for many thousands of years, with the imports into Egypt reported as early as 2000 BCE so it is no surprise that there are countless tales and historical events that surround this spice. From Sieur de Joinville believing cinnamon was fished from the Nile at the end of the world and Herodotus writing about mystical giant birds (such as a phoenix) that used cinnamon sticks to build their nests, the history of cinnamon is rich in legends of its origin as it wasn’t until 1270 that it was mentioned the spice grew in Sri Lanka. However as sweet as this spice may be it also appears to have a bloody history. Aside from the countless wars raged over the right to trade cinnamon, it was also used on the funeral pyre of Poppaea Sabina, the wife of Nero, in 65 AD. It is said that he burned over a years supply as recompense for the part he played in her death.
There are a total of 5 species (C. burmannii, C. cassia, C. citriodorum, C. loureiroi and C. verum) that produce cinnamon however C. verum and C. cassia are where the majority of international commerce is sourced from. Production of cinnamon is fairly straight forward albeit time-consuming. The outer bark of the tree is shaved off exposing the inner bark which is the cinnamon layer. This inner bark is also shaved off and left to dry, naturally curling as it does. By comparison the cinnamon of C. verum has a more delicate flavour than that of C. cassia as well as having thinner bark that is more easy to crush and produces a much more smooth texture.
Cinnamon is prominent in the practice of Ayurveda medicine as well as traditional Chinese medicine, being one of the 50 fundamental herbs. Traditionally it has been used to treat a wide variety of ailments from digestive problems, respiratory problems, arthritis and infections. In traditional Chinese medicine it is believed that cinnamon is able to treat these ailments through it’s ability to balance the Yin and Wei as well being a counterflow for Qi. These terms are aptly explained here for those who are interested. While there is little scientific evidence for the treatment of digestive and respiratory disorders, cinnamon does appear to possess antibacterial, antifungal and antimicrobial properties which may help to fight infections although at this moment in time it is inconclusive in studies trialled on humans. Cinnamon produced from C. cassia coumarin, which thins the blood, can be toxic to the liver in high concentrations so it is advised that only a few grams per day be consumed.
For those avid tea lovers out there I’ve found instructions to brew your own cinnamon tea.
For more information check out the links below
Cinnamomum cassia in Chinese medicine
Rainforest Alliance – Cinnamon farms
Leave a comment below to tell me what you think or what you’d like to see next!