Blue mass (also known as blue pill or pilula hydrargyri) was the name of a mercury-based medical treatment for syphilis common from the 17th to the 19th centuries. The oldest formula is ascribed to famous corsair Hayreddin Barbarossa, in a letter to Francis I of France.Frazer, William. Elements of Materia Medica. Dublin, 1851, p. 173.
The Edinburgh New Dispensatory (1789) instructs the making as follows: "Pilula ex Hydrargyro London (Quicksilver-pills). Take of Purified quicksilver, Extract of liquorice, having the consistence of honey, of each two drams, Liquorice, finally powdered, one dram. Rub the quicksilver with the extract of liquorice until the globules disappear; then, add the liquorice-powder, mix them together."
A combination of blue mass and a mixture called the common black draught was a standard cure for constipation in early 19th century England and elsewhere. It was particularly valued on of the Royal Navy, where and officers were constrained to eat rock-hard Corned beef and Salt pork, old stale biscuits (hardtack), and very little fruit, dietary fiber, or other fresh food once they were at sea for an extended period.
It was a compounding, compounded by pharmacists themselves based on their own recipes or on one of several widespread recipes. It was sold in the form of blue or gray pills, or syrup. Its name probably derives from the use of blue dye or blue chalk (used as a buffer) in some formulations.
The ingredients of blue mass varied, as each pharmacy prepared it himself, but they all included mercury in elemental or compound form (often as mercury chloride, also known as calomel). One recipe of the period for blue mass syrup included: King's American Dispensatory, 1898.
Blue pills were produced by substituting milk sugar and rose oil for the glycerol and rose honey. Pills contained one grain (64.8 milligrams) of mercury.
In 2001, a study led by renowned public-health investigator Norbert Hirschhorn recreated a typical formulation, concluding that the quantity of blue mass that Lincoln likely took would have delivered "a daily dose of mercury exceeding the current Environmental Protection Agency safety standard by nearly 9000 times," which may have adversely affected his health.
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