Manejo del «dolor de piedra» entre los siglos xviii y xix: breve historia de una receta médica del Virreinato en la Nueva Granada / Management of “stone pain” between the 18th and 19th centuries: A brief history of a medical prescription in the Viceroyalty of New Granada

RESUMEN

Introducción: La presencia de cálculos en el tracto urinario es una afección que acompaña al ser humano desde la antigüedad. En la época colonial, esta se denominaba «dolor de piedra» y su manejo no quirúrgico se basaba en el uso de medicinas de origen vegetal, animal o mineral.ObjetivoContextualizar una receta médica que data del siglo xviii en el Nuevo Reino de Granada, utilizada para modular el dolor de piedra. Adicionalmente, analizar sus componentes para evaluar el fundamento de sus posibles efectos fitoterapéuticos sobre la enfermedad y el dolor.Material y métodoBúsqueda documental en el Archivo Histórico Cipriano Rodríguez Santamaría de la Biblioteca Octavio Arizmendi Posada de la Universidad de La Sabana. Se analizó el documento denominado «Receta para el dolor de piedra de la vejiga o riñones». Posteriormente, se realizó una revisión de la literatura científica actual y textos originales, sin límite de tiempo.ResultadosLa transcripción del documento fuente reveló diversos agentes fitoterapéuticos como la Manzanilla (Matricaria recutita), la azucena (Lilium lancifolium), el trébol (Trifolium pratense) y raíces de malva (Malva sylvestris), acompañados para su consumo de gran cantidad de agua. (AU)

ABSTRACT

Introduction: The presence of stones in the urinary tract is a condition that has accompanied humans since ancient times. In colonial times, this condition was known as “stone pain” and its non-surgical management was based on the use of medicines derived from plants, animals and minerals.ObjectiveTo contextualize a medical prescription used to modulate stone pain in the 18th century in the New Kingdom of Granada. Additionally, to analyze its components and evaluate the basis of its possible phytotherapeutic effects on the disease and pain.Material and methodDocument search in the Cipriano Rodríguez Santamaría Historical Archive of the Octavio Arizmendi Posada Library at Universidad de La Sabana. The document entitled “Prescription for bladder or kidney stone pain” was analyzed, and a complementary review of current scientific literature and original texts was performed with no time limits, in order to compare this prescription to related findings in the history of medicine.ResultsThe transcription of the source document revealed several phytotherapeutic agents such as chamomile (Matricaria recutita), lilies (Lilium lancifolium), clover (Trifolium pratense), and mallow roots (Malva sylvestris), accompanied by a large amounts of water.ConclusionsThere is scientific evidence that could explain the anti-inflammatory and antioxidant effects of all plant-derived medicines used in this prescription. Abundant water intake to increase urine volume was an essential part of treatment. However, the lack of more precise data related to the prescription and the evolution of the patients makes it difficult to analyze its therapeutic efficacy. (AU)