[圣诞特辑] Toxicological analysis of George’s marvellous medicine: literature review [乔治的神奇魔药的毒理学分析：文献综述]

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BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m4467 (Published 10 December 2020)
Cite this as: BMJ 2020;371:m4467

Authors
Graham Johnson, Patrick Davies

Abstract
Objective To analyse the therapeutic effects and toxicity of the eponymous concoction described in Roald Dahl’s book George’s Marvellous Medicine.

Design Literature review.

Setting Two literature loving households in England.

Participants George Kranky and grandma Kranky.

Main outcome measures Clinical and toxic effects of the individual ingredients checked against those listed in ToxBase, the National Poisons Information Service’s poisons database.

Results The medicine contained 34 ingredients. The most common toxic effect identified on ToxBase was nausea and vomiting (16 ingredients, 47%). Potentially life threatening effects were associated with 13 (38%) ingredients, including depression of the central nervous system, kidney injury, convulsions, cardiac toxicity, and mucosal erosion. The effects described in the book were accurate initially but then diverted from the most likely clinical outcome (death).

Conclusions Although Dahl ought to be applauded for his initial accuracy about the toxicology of the ingredients in George’s marvellous medicine, the overall effect would be fatal catastrophic physiological collapse. Scientific exploration and experimentation should be encouraged in children, although any medicinal ingredients need to be checked for potential toxicity before being administered—to grandmas or anyone else.