Charles Hunter (physician)

Charles Hunter MRCS LSA (1835 – 8 August 1878) was a British physician best known for coining the word "hypodermic" and for realising that injections of morphine could relieve pain anywhere in the body, regardless of where the injection was delivered.

Charles Hunter

MRCS LSA
Born1835
London, England
Died8 August 1878 (aged 42–43)
Hastings, England
NationalityBritish
Known forCoining the term "hypodermic" and arguing that injected narcotics had a generalised effect.
Medical career
ProfessionMedical doctor
Institutions
Notable works
  • On the hypodermic administration of remedies in neuralgia and other affections[1]
  • On the speedy relief of pain and other nervous affections, by means of the hypodermic method[2]

Life

Charles Hunter was the only son of surgeon Dr John Charles Hunter of Belgrave Square, London.[3] Hunter qualified as a Member of the Royal College of Surgeons in 1856. He then became House Surgeon at St George's Hospital in London and also worked at the Royal Pimlico Dispensary.[3]

Hypodermic research and debate over injection methods

Hunter was very early in his career when he became interested in using syringes to administer injections of pain relief.[3] In the 1860s, he improved on the design of the syringe that had been invented by Alexander Wood by adding the needle point and lateral opening.[4] He also created a locking mechanism to prevent the needle from becoming detached when the plunger was pushed.[5]

Hunter initially followed Wood's method of using syringes to inject morphine locally, into the area where pain was located. However, when this area became infected for one of his patients, he injected elsewhere and realised that the results were still effective.[6] After conducting tests on animals to establish his findings, Hunter campaigned for the "general therapeutic effect" of what he initially called the "ipodermic" method, later inventing the term "hypodermic".[7] He published his findings in 1865, and popularised the use of the syringe in medical circles by speaking at medical society meetings and publishing papers on the subject of hypodermics.[3][4]

Hunter and Wood then entered into a debate about whose theory was correct.[8] Wood wrote to the Medical Times and Gazette both challenging Hunter's idea that injected drugs could work across the body and also emphasising that he had been the first to look into the effects of injecting. Hunter replied, saying that he had cited Wood and never claimed to have been first, and that his belief in the generalised effect of injected narcotics was correct rather than Wood's belief that morphine only worked locally.[3]

By 1867, the Medical and Chirurgical Society of London appointed a committee to investigate whether injections were best delivered subcutaneously in the area of pain (as Wood insisted), or elsewhere to systemically deliver relief (as Hunter claimed). They emphatically supported Hunter.[6] Francis E. Anstie also recommended Hunter's method, proclaiming that there was absolutely no danger in administering opium hypodermic injection.[9]

Death and legacy

Hunter died on 8 August 1878 in a Hastings vicarage after two months of illness, at the age of 43. His early death and Wood's popularity meant that Hunter's legacy in the history of medicine has not endured particularly well by comparison.[3][10]

Hunter's archive is held at the Wellcome Library in London, with shelfmark MS.6892.[11]

References
  1. Hunter, Charles (1860). On the hypodermic administration of remedies in neuralgia and other affections. Royal College of Surgeons of England. Retrieved 30 November 2018.
  2. Hunter, Charles (1865). On the speedy relief of pain and other nervous affections, by means of the hypodermic method. Royal College of Surgeons of England. Retrieved 30 November 2018.
  3. Brunton, D. (2000). "A Question of Priority: Alexander Wood, Charles Hunter and the Hypodermic Method". Proceedings of the Royal College of Physicians of Edinburgh. 30: 349–351.
  4. Kane, H. H. (1880). The hypodermic injection of morphia: its history, advantages and dangers. The Royal College of Physicians of Edinburgh. pp. 17–19.
  5. Dormandy, Thomas (2012). Opium: Reality's Dark Dream. Yale University Press. pp. 121–122. ISBN 978-0300183658. Retrieved 30 November 2018.
  6. Berridge, Virginia (2013). Demons: Our changing attitudes to alcohol, tobacco, and drugs. OUP Oxford. pp. 112–113. ISBN 9780191668371. Retrieved 30 November 2018.
  7. Boulton, T.B. (1988). "The Development of the Syringe". Proceedings of the History of Anaesthesia Society. 2: 33.
  8. "The history of injecting, and the development of the syringe". Exchange Supplies. Retrieved 30 November 2018.
  9. Davenport-Hines, Richard (2012). The Pursuit of Oblivion: A Social History of Drugs. Orion. p. 1837. ISBN 9781780225425. Retrieved 30 November 2018.
  10. Rayen, Arasu (2011). "Did you know?". Pain News: 23–24.
  11. "Hunter, Charles (1835?-1878), M.R.C.S." Wellcome Library. Wellcome Collection. Retrieved 30 November 2018.

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