Opium
Opium is the dried latex obtained from the seed capsules of the opium poppy Papaver somniferum. Approximately 12 percent of opium is made up of the analgesic alkaloid morphine, which is processed chemically to produce heroin and other synthetic opioids for medicinal use and for the illegal drug trade. Opium's main psychoactive alkaloids, primarily morphine, act on μ-opioid receptors, causing analgesia, with long-term use leading to tolerance and dependence. The latex also contains the closely related opiates codeine and thebaine, and non-analgesic alkaloids such as papaverine and noscapine. The traditional, labor-intensive method of obtaining the latex is to scratch the immature seed pods by hand; the latex leaks out and dries to a sticky yellowish residue that is later scraped off and dehydrated.
The English word for opium is borrowed from Latin, which in turn comes from , a diminutive of ὀπός. The word meconium historically referred to related, weaker preparations made from other parts of the opium poppy or different species of poppies. The Mediterranean region holds the earliest archaeological evidence of human use of opium poppies dating back to before 5000 BCE, with cultivation beginning around 3400 BCE in Mesopotamia. Opium was widely used for food, medicine, ritual, and as a painkiller throughout ancient civilizations including Greece, Egypt, and Islamic societies up to medieval times.
The production methods have not significantly changed since ancient times. Through selective breeding of the Papaver somniferum plant, the content of the phenanthrene alkaloids morphine, codeine, and to a lesser extent thebaine has been greatly increased. In modern times, much of the thebaine, which often serves as the raw material for the synthesis for oxycodone, hydrocodone, hydromorphone, and other semisynthetic opiates, originates from extracting Papaver orientale or Papaver bracteatum. In preparation for the Second World War, the U.S. Army contracted farmers in the State of Sinaloa, Mexico, to grow opium crops. This was to provide morphine for injured soldiers. Modern opium production, once widely prohibited, still involves large-scale cultivation—especially in Afghanistan—where it is harvested by scoring poppy pods to collect latex used for both illicit drugs and legal medicines, with recent Taliban-led reductions cutting cultivation in Afghanistan by over 95%.
For the illegal drug trade, the morphine is extracted from the opium latex, reducing the bulk weight by 88%. It is then converted to heroin which is almost twice as potent.
History
The Mediterranean region contains the earliest archeological evidence of human use; the oldest known seeds date back to more than 5000BCE in the Neolithic age with purposes such as food, anaesthetics, and ritual. Evidence from ancient Greece indicates that opium was consumed in several ways, including inhalation of vapors, suppositories, medical poultices, and as a combination with hemlock for suicide. Opium is mentioned in the most important medical texts of the ancient and medieval world, including the Ebers Papyrus and the writings of Dioscorides, Galen, and Avicenna. Widespread medical use of unprocessed opium continued through the American Civil War before giving way to morphine and its successors, which could be injected at a precisely controlled dosage.Ancient use (pre-500 CE)
Opium has been actively collected since approximately 3400BC.At least 17 finds of Papaver somniferum from Neolithic settlements have been reported throughout Switzerland, Germany, and Spain, including the placement of large numbers of poppy seed capsules at a burial site, which has been carbon-14 dated to 4200BCE. Numerous finds of P. somniferum or P. setigerum from Bronze Age and Iron Age settlements have also been reported. The first known cultivation of opium poppies was in Mesopotamia, approximately 3400BCE, by Sumerians, who called the plant hul gil, the "joy plant". Tablets found at Nippur, a Sumerian spiritual center south of Baghdad, described the collection of poppy juice in the morning and its use in production of opium. Cultivation continued in the Middle East by the Assyrians, who also collected poppy juice in the morning after scoring the pods with an iron scoop; they called the juice aratpa-pal, possibly the root of Papaver. Opium production continued under the Babylonians and Egyptians.
Opium was used with poison hemlock to put people quickly and painlessly to death. It was also used in medicine. Spongia somnifera, sponges soaked in opium, were used during surgery. The Egyptians cultivated opium thebaicum in famous poppy fields around 1300BCE. Opium was traded from Egypt by the Phoenicians and Minoans to destinations around the Mediterranean Sea, including Greece, Carthage, and Europe. By 1100BCE, opium was cultivated on Cyprus, where surgical-quality knives were used to score the poppy pods, and opium was cultivated, traded, and smoked. Opium was also mentioned after the Persian conquest of Assyria and Babylonian lands in the.
From the earliest finds, opium has appeared to have ritual significance, and anthropologists have speculated ancient priests may have used the drug as a proof of healing power. In Egypt, the use of opium was generally restricted to priests, magicians, and warriors. Its invention is credited to Thoth, and it was said to have been given by Isis to Ra as treatment for a headache. A figurine of a goddess dated to around 1300 BC from the Minoan period contains three hairpins shaped as poppy capsules, all of which contain slits that suggest the Cretans knew the method of extracting opium. Additionally, her smile and parting lips suggests that she may be in a state induced by the opium. This has influenced some scholars to call her the "goddess of ecstasy".
Further evidence confirms the use of opium in the Mediterranean since the Late Bronze Age due to a number of small lekythi from various places in Crete. These lekythi are supposed to have contained pharmaceutical opium due to the shape of the jars being analogous to those of the poppy head. Additionally, each jar is decorated with vertical stripes that are very similar to the process of cutting into the poppy to extract the sap. There is further evidence for the use of opium during this era due to painted pyxis. These would be decorated with painted poppy capsules and birds holding both poppy capsules and poppy stalks.
Opium's use in the ancient Mediterranean world is well written about, with many authors discussing its uses. In ancient Greece, it was regarded as a magic and poisonous plant that was used in religious ceremonies. Initiates of the cult of Demeter would most likely have taken opium. This is due to the fact that it is said that Demeter ate the opium plant when her daughter, Persephone, was abducted so that she could fall asleep and forget her grief. For the citizens of Mycenea, the opium poppy was an object of worship that was depicted on royal tombs.
Eventually, the Greco-Roman world began to accept opium for its medicinal qualities too. Helen of Sparta is said to have used the "nepenthes drug" which some authors believe to be a concoction containing opium. Within archaeological sites of ancient Sparta, there have been findings of pendants adorned with opium poppy capsules, affirming this belief. In the third century BCE, Theophrastus refers to it and discusses the process of obtaining the sap through crushing it, as the process of incising the poppy was lost until 40 CE. The process was relearned by Scribonius Largus, physician to the Emperor Claudius, who writes about the process of obtaining opium. Both of these authors note that opium induced sleep and numbed pain, disregarding its effects on the brain. However, other writings regard it effects on the mind to be important, such as those from Diagoras of Melos and Erasistratus, who believed that addiction to opium would harm the brain and body, urging others to not use it at all. Hippocrates believed that opium was a natural remedy that could cure certain ailments, but also advocated for its use sparingly. Additionally, certain ancient writers also believed poppy to be an important spice. Both Cato and Plauto wrote about its use as a spice, with archaeological evidence from seed cakes being found in ancient Roman farmhouses supporting these claims.
The Greek gods Hypnos, Nyx, and Thanatos were depicted wreathed in poppies or holding them. Poppies also frequently adorned statues of Apollo, Asclepius, Pluto, Demeter, Aphrodite, Kybele and Isis, symbolizing nocturnal oblivion.
Islamic societies (500–1500 CE)
As the power of the Roman Empire declined, the lands to the south and east of the Mediterranean Sea became incorporated into the Islamic Empires. Some Muslims believe hadiths, such as in Sahih Bukhari, prohibit every intoxicating substance, though the use of intoxicants in medicine has been widely permitted by scholars. Dioscorides' five-volume De Materia Medica, the precursor of pharmacopoeias, remained in use from the 1st to 16th centuries, and described opium and the wide range of its uses prevalent in the ancient world.File:Опиумоеды.jpg|thumb|Opium-eaters by Vasily Vereshchagin depicts an opium den in Turkestan, 1868
Between 400 and 1200 AD, Arab traders introduced opium to China, and to India by 700 AD. The physician Muhammad ibn Zakariya al-Razi of Persian origin maintained a laboratory and school in Baghdad, and was a student and critic of Galen; he made use of opium in anesthesia and recommended its use for the treatment of melancholy in Fi ma-la-yahdara al-tabib, "In the Absence of a Physician", a home medical manual directed toward ordinary citizens for self-treatment if a doctor was not available.
The renowned Andalusian ophthalmologic surgeon Abu al-Qasim al-Zahrawi relied on opium and mandrake as surgical anesthetics and wrote a treatise, al-Tasrif, that influenced medical thought well into the 16th century.
The Persian physician Abū 'Alī al-Husayn ibn Sina described opium as the most powerful of the stupefacients, in comparison to mandrake and other highly effective herbs, in The Canon of Medicine. The text lists medicinal effects of opium, such as analgesia, hypnosis, antitussive effects, gastrointestinal effects, cognitive effects, respiratory depression, neuromuscular disturbances, and sexual dysfunction. It also refers to opium's potential as a poison. Avicenna describes several methods of delivery and recommendations for doses of the drug. This classic text was translated into Latin in 1175 and later into many other languages and remained authoritative until the 19th century. Şerafeddin Sabuncuoğlu used opium in the 14th-century Ottoman Empire to treat migraine headaches, sciatica, and other painful ailments.