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An In-Depth History of Silver
Medical Uses of Colloidal Silver Through the Ages
By Eric J. Rentz, DO, MSc
Since ancient times silver has been highly regarded as a versatile
healing tool. In ancient Greece, Rome, Phoenicia, and Macedonia, silver
was used extensively to control infections and spoilage. Hippocrates,
the "Father of Medicine," taught that silver healed wounds
and controlled disease. Around 400 BC, he listed as a singular treatment
for ulcers "the flowers of silver alone, in the finest powder." Herodotus
describes how the King of Persia carried with him boiled water in silver
flagons to prevent sickness. In 69 BC, silver nitrate was described
in the contemporary pharmacopoeia.
The popularity of medicinal silver especially arose
throughout the Middle East from 702 AD through 980 AD, where it was widely used
and greatly esteemed for blood purification, heart conditions, and
controlling halitosis.
Paracelsus (circa 1520 AD) extensively used silver medicinally, and later
Caradanus, Pareus, and Sala also used it. Angelus Sala
used silver nitrate to successfully treat chorea, tabes dorsalis (syphilis),
and undoubtedly epilepsy.
These crude and inferior forms of silver
were reported by Sala to rarely cause the bluish skin discoloration
(Argyria) due to overuse. It is widely thought that during the Middle
Ages, silver utensils and goblets contributed a bluish hue to the skin tone
of the upper class, resulting in the term "bluebloods." Plausibly,
"born
with a silver spoon in his mouth" was coined during that time
for the same reason, as an attribute for describing the good fortune
of being healthy more than being wealthy. Bluebloods were noted to
have been afforded a measure of protection from the rampant plagues
common to Europe in those centuries.
During the wars with Napoleon, the armies of Tsar Alexander used water
casks lined with silver to clean drinking water from rivers and streams. This practice by the Imperial Russian army was continued through World
War I, and by some units in the Soviet Army in World War II.
Raulin recorded the first description of the water cleansing effect
by silver in 1869. He observed that Aspergillus niger could
not grow in silver vessels.
Modern Research using the Scientific Method
In 1861, Thomas Graham found that certain solutions would pass through
a membrane, and others would not. He found a stable, intermediate state
of matter and was able to describe it. Graham’s discovery was
that substances could enter a solution in such a manner that they exhibit
characteristics that are quite different from those of a true solution. He applied the term
"colloidal" (from kolla =
glue) to this intermediate state, because glue, gelatin, and related substances
were the most obvious to him as being in this unique state.
The Swiss botanist Von Nageli recorded one of the amazing discoveries
of the nineteenth century in 1869. Von Nageli coined the term oligodynamic to
describe the microbiocidal properties of a metal hydrosol (e.g. copper,
silver, and tin) at minute concentrations. In 1884, Crede introduced
the use of 1 percent silver nitrate for the prevention of ophthalmia neonatorum. By 1897, silver nitrate began to be used in America to prevent blindness
in newborns, and it is still used today. By 1910, Henry Crookes had documented
that certain metals, when in a colloidal state, had strong germicidal
action but were harmless to human beings. The oligodynamic concept
has motivated the development of many antimicrobial processes and products.
One of the water purification developments that took place in 1928
was the development of katadyn silver, described as a porous
metallic, spongy mesh that attempts to maximize surface area. This
silver meshwork also contains a small quantity of gold or palladium. Katadyn silver has been used inside flasks, storage containers, and
with water filters.
During the last century, advances in pharmacological manufacturing
methods sought to harness this time-valued strategy that is expressed in nearly
all silver formulations. Early manufacturing methods rarely created
high-quality, homogenous, oligodynamic Ag+. Nevertheless, more than
96 different silver medicinals (many used intravenously) were in use
prior to 1939, as documented by The Council on Pharmacy and Chemistry
of the American Medical Association.
A project begun at the State University of New York by Robert Becker
and associates involved a silver nylon product in the early 1970s. This project was originally instigated in order to find an electromagnetic
shield. Instead, it led to the revolutionary discoveries by Becker
of silver’s unique antimicrobial properties, and his discovery
that silver ions could induce fibrocytes to dedifferentiate into stem
cells and back again. One of Becker’s research associates, A.
Bart Flick, continued work in this area for professional and commercial
applications. As a result, Flick has filed patents in 1994, 1996, and
2000 for silver-based wound dressings that are far superior to anything
that has ever been available before. He has also obtained approval
for these dressing from the US Food and Drug Administration. Because
of the success of these silver dressings, many other medical product
manufacturers have filed for their own parallel products.
Note: More information is available from the US FDA on Silverlon® or
the company that manufactures this wound dressing product.
In the early 1970s, silver topical salves such as silver sulfadiazine
provided superior control and prophylaxis in severe burn cases. Today,
multiple-drug-resistant (MDR) microbes are challenging this formulation’s
effectiveness, but we shall review how state-of-the-art silver protocols
and formulations offer superior protection against microbial strategies
for acquiring resistance.
To date, absolute microbial resistance to medicinal silver has not
been scientifically established. Several studies indicated that some
bacterial species have physiological mechanisms that circumnavigate
silver’s toxicity. Although it is clear that some pathogens have
mechanisms to survive exposure to silver, these mechanisms are limited
when compared to higher life forms. Herein lie all the clues necessary
to identify strategic silver therapeusis that pathogens are unlikely
to survive.
It is probable that pathogens lack sufficient defense mechanisms to
circumvent the toxic effects of silver ions when oligodynamic
silver is delivered in sufficient, physiologically compatible quantities. In fact, the
"apparent" resistance of microbes to silver
was mistakenly made by many who failed to notice and identify: (a)
insufficient oligodynamic Ag+ particle concentrations, (b) inadequate
protocols, or (c) improper procedures. Reports that multiple-drug-resistant
(MDR) pathogens (i.e. MRSA and Acinetobacter spp.) were truly resistant
to silver proved to be erroneous. Grier stated, "Some so-called
Ag+ resistant microorganisms may result from an apparent neutralization
of the metal’s inhibitory action or other assay artifacts. These
include the presence of chelators such as serial amino acids,
constituents of hard water, different buffers, light, incubation
temperature, and particularly, soluble components of trypticase soy agar
(TSA) and tryptose glucose extract agar (TGE)."
With the advent of antibiotic therapy, medicinal silver products fell
largely into disuse (circa 1940–1945), with the notable exceptions
of topical silver salves and neonatal eye drop preparations. These
salves advanced the science of "silver salt-derived" Ag+ delivery and effectiveness in the mid-1960s. Then, during
the mid-1970s, several papers were published that utilized electrically
activated silver probes as delivery systems for targeted oligodynamic
Ag+ strategies. The interest in such strategies continues to grow
to the present, with high efficacy being obtained for viral vectors
such as HIV, and resistant bone and dental infection.
Sufficient defense capacity to mitigate morbidity clearly exists in
higher organisms, including humans (with the exception of medically
benign Argyria). Zhao and Stevens state that, "With the rise
of antibiotic-resistant bacteria, silver is re-emerging as a modern
medicine, because all pathogenic organisms have failed to develop an
immunity to it (Ag+)."
In Vitro Studies
The medical literature of the early 20th Century regarding silver
provides an important cautionary lesson from the past. Previous scientists
who were either supporters or detractors of silver medicinals typically
expressed equivocal knowledge and misapplied context because they failed
to recognize silver speciation. This fault undermined their
definitive knowledge about silver. Correct and in-context discernment
of silver's Therapeutic Threshold remains illusive to most investigators
even today. This "in the box" perception about silver will continue
to lose its limitations as the technology continues to prove itself "outside
of that box" in the coming decades.
Definition of Speciation:
Speciation refers to the chemical form or compound in which an
element occurs in both non-living and living systems. It may
also refer to the quantitative distribution of an element. The
chemical species are specific forms of an element defined as to
isotopic composition, electronic or oxidation state, and/or complex
or molecular structure.
Clinical reports on silver medicinals began to flood into the various
medical journals worldwide at the start of the last century. Initially,
the Journal of the American Medical Association took a negative position. But within 11 years, a true revolution in medical practice with silver
medicinals occurred that did not subside until the U.S. government’s
purchase of the patent rights to penicillin (circa 1940). Throughout
this time period (1920 through 1942), JAMA articles were replete
with oral (per os) and intravenous clinical reports of the efficacy
and side effects of silver medicinals. In tandem with research in America,
Great Britain published prominently in such respected journals as The
Lancet and the British Medical Journal.
Perhaps the first definitive attempt to comprehensively evaluate the
efficacy and variety of silver medicinals was published by the Department
of Pharmacology of the Medical School of Western Reserve University,
Cleveland, circa 1923. In terms of efficacy, this landmark study arguably
established "silver nitrate" as the benchmark for all silver
medicinals. Unfortunately, the excitement this study produced simultaneously
placed at risk subgroups of patients susceptible to symptoms of Argyria. Had the technology then existed to create vast surface areas with
"pure
hydrosols of oligodynamic Ag+," not only would such products
have revealed their greater potency over that of silver nitrate, but
also, argyric thresholds would have been nearly impossible to attain
during any course of therapy.
Oligodynamic (picoscale) surface area
enables maximal exposure of silver particles in the least amount of
volume, thus achieving potency several orders of magnitude over suspensions
of much higher-ppm (parts per million) silver speciations (which necessarily manifest
inferior surface area exposures). In other words, technology today
can produce smaller quantities of silver that are vastly more potent
than was ever historically possible. The result is a dramatic elucidation
of the Therapeutic Index, resulting in unprecedented safety, efficacy,
and dimension to protocol parameters.
For example, beginning in 1970 at the University of Wisconsin under
contract from NASA to determine the biocidal effects of silver, researchers
were able to determine that lethal effects of silver ions could be
reliably reproduced at concentrations of only 250 ppb when exposed
to infectious agents over two hours or less in vitro. These
researchers even found that even 50 ppb over four hours or less achieved
a significant biocidal effect. The university study with laboratory-produced
silver ions worked extremely well, although the extinction times were
long. Follow-on investigations of these early silver medicinals failed
to exert adequate lethal effects upon antibiotic resistant infectious
organisms. However, as technology advanced, these highly resistant
organisms were again found to succumb to the lethal effects of new
silver medicinals. Additionally, extinction times proved to be dramatically
lessening.
In Vivo Studies
At the height of the popularity of colloidal silver (from 1900 through 1940), a fair estimate
of humans given intravenous silver medicinals worldwide exceeded several
million. The sheer scale of its utilization defined and confirmed silver
medicinals as effective anti-microbials.
During my training as a medical student, I had an opportunity to witness
several of my elder attending physicians using various silver formulas
in their clinical practices. It was fascinating to me that silver medicinals
were widely used by one generation of clinicians, yet this therapeutic
approach simply ended by my generation. Why? In terms of safety and
efficacy, was there a justification for abandonment of this approach?
One recent and noteworthy in vivo study published in the
Journal of Clinical Ultrasound (2000) reported on a protocol involving
puncture, aspiration, injection, and re-aspiration (PAIR) with silver
nitrate directly into hepatic hydatid cysts with beneficial long-term
results. Other preliminary evidence in vivo suggests
that Hepatitis-C virus (HCV), HIV, and other viral vectors, as
well as in vitro studies on herpes and the worst bacterial
scourges (i.e., antibiotic-resistant disease vectors) may become events
of the past via the judicious and strategic use of a state-of-the-art
silver medicinal and delivery system.
Antimicrobial coatings for the inside and outside of medical catheters
using silver have been developed for latex, polyurethane, and Teflon
devices. These silver coatings are very effective at blocking bacteria
such as E. coli and S. aureus from entering the body along a catheter
pathway.
At the present time, in vivo studies concerning the efficacy
of oral (per os) and intravenous use of state-of-the-art picoscale
oligodynamic Ag+ are just beginning. Given the high-technology-formulated
silver product now available, this promises to be an exciting time. Concerning inferior-grade silver [salt] medicinals, or
"large-particle-size (0.1 micron or larger)" colloidal silver
preparations, it may be said that unless educational initiatives are
undertaken, history is apt to repeat itself, and needless iatrogenic
events with such products will gestate a new wave of preventable argyric
cases.
Thomas Graham was a physical chemist honored as the founder of colloid
chemistry. He is known for contributions to diffusion phenomena in
liquids leading to the colloidal state; he coined the terms "colloid" and
"dialysis." Graham
also contributed to the understanding of gas diffusion, including the
law that the velocities of gases are inversely proportional to the
square roots of their densities.
Since a colloidal solution is not a true solution, it is preferably
termed a sol. Hence the term being used for today's
high-quality nanotechnology preparations: silver hydrosol.
Jump to our product
information below the references.
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