Active components

The active components of gelsemium are the alkaloids, which are present in a concentration of about 0.5%. These consist primarily of gelsemine (a highly toxic compound related to strychnine), with lesser amounts of related compounds (gelsemicine, gelsedine, etc). Other compounds found in the plant include scopoletin (also called gelsemic acid), a small amount of volatile oil, fatty acid and tannins.^[4]

Gelsemium has been shown to contain methoxyindoles.^[5][6]

Medicinal uses

As late as 1906, a drug called Gelsemium, made from the rhizome and rootlets of Gelsemium sempervirens, was used in the treatment of facial and other neuralgias. It also proved valuable in some cases of malarial fever, and was occasionally used as a cardiac depressant and in spasmodic affections, but was inferior for this purpose to other remedies.^[7]

Arthur Conan Doyle's experiment

Sir Arthur Conan Doyle, writer of the Sherlock Holmes stories, once administered himself a small amount of gelsemium and kept increasing the amount every day until he could no longer stand the ill effects. In a letter written by him to the British Medical Journal on 20 September 1879, he described that he had persistent diarrhea, severe frontal headache, and great depression, and therefore stopped his self-experimentation at 200 minims.^[15][16][17]

A rare case of Gelsemium addiction

In his classic early 20th century work on psychotropic drugs Phantastica, German pharmacologist Louis Lewin recounts the seemingly unique case of a person who became addicted (in a manner far more often associated with opiates) to a Gelsemium preparation:

during a severe attack of rheumatism a man took a large quantity of an alcoholic tincture of Gelsemium sempervirens a plant which is liable to act on the brain and the medulla oblongata. Noticing an appreciable result he continued to take it, and finally became a slave to the drug. He gradually augmented the quantity, and reached 30 gr. of the tincture in one dose. Slowly he became pale, agitated, and discontented. He wasted away. Hallucination set in, and his state grew worse until disorders of the intelligence appeared. As he continued to increase the doses he fell into idiocy and died in a state of mental confusion.^[18]