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John S. Sappington (1776-1856) was an American physician known for developing a
quinine Quinine is a medication used to treat malaria and babesiosis. This includes the treatment of malaria due to '' Plasmodium falciparum'' that is resistant to chloroquine when artesunate is not available. While sometimes used for nocturnal leg ...
pill to treat
malarial Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or deat ...
and other fever diseases in the Missouri and Mississippi valleys, where the disease was widespread. He later used the pill to prevent malaria. Because he both manufactured and sold "Dr. Sappington's Anti-Fever Pills", he became wealthy from his bestseller. From Maryland and Tennessee, Sappington settled in Missouri after completing medical training and getting married. He married Jane Breathitt, a sister of future Kentucky governor
John Breathitt John Breathitt (September 9, 1786 – February 21, 1834) was the 11th Governor of Kentucky. He was the first Democrat to hold this office and was the second Kentucky governor to die in office. Shortly after his death, Breathitt County, Kentucky ...
and two other politically connected brothers. As an early pioneer near
Arrow Rock, Missouri Arrow Rock is a village in Saline County, Missouri, United States, located near the Missouri River. The entire village is part of the National Historic Landmark Arrow Rock Historic District, designated by the Department of the Interior, Nationa ...
, Sappington established several businesses to earn money to acquire land. He eventually acquired thousands of acres and became a major planter and slaveholder in the state. In furtherance of his work on treating malarial fever, he wrote ''The Theory and Treatment of Fevers,'' (1844), the first medical book printed in Missouri and among the first books published west of the Mississippi River. He imported
cinchona ''Cinchona'' (pronounced or ) is a genus of flowering plants in the family Rubiaceae containing at least 23 species of trees and shrubs. All are native to the tropical Andean forests of western South America. A few species are reportedly natu ...
bark from
Peru , image_flag = Flag of Peru.svg , image_coat = Escudo nacional del Perú.svg , other_symbol = Great Seal of the State , other_symbol_type = Seal (emblem), National seal , national_motto = "Fi ...
, and manufactured and sold quinine pills to treat malaria and other fevers common to the area. His company was eventually a national one.


Personal life

John Sappington was born in 1776 to Dr. Mark and Rebecca Sappington in Havre de Grace, Maryland. The family moved to
Nashville, Tennessee Nashville is the capital city of the U.S. state of Tennessee and the seat of Davidson County. With a population of 689,447 at the 2020 U.S. census, Nashville is the most populous city in the state, 21st most-populous city in the U.S., and t ...
in 1785, following a paternal brother who had just been appointed as a justice in the new town. John and two of his three brothers all grew up studying medicine under the guidance of their father, learning to become physicians. The third brother became a merchant. Sappington married Jane Breathitt, whom he met in Kentucky. Several of her brothers became politically successful:
John Breathitt John Breathitt (September 9, 1786 – February 21, 1834) was the 11th Governor of Kentucky. He was the first Democrat to hold this office and was the second Kentucky governor to die in office. Shortly after his death, Breathitt County, Kentucky ...
was later the
11th 11 (eleven) is the natural number following 10 and preceding 12. It is the first repdigit. In English, it is the smallest positive integer whose name has three syllables. Name "Eleven" derives from the Old English ', which is first attested i ...
Governor of Kentucky The governor of the Commonwealth of Kentucky is the head of government of Kentucky. Sixty-two men and one woman have served as governor of Kentucky. The governor's term is four years in length; since 1992, incumbents have been able to seek re-el ...
; George Breathitt became the private secretary of President
Andrew Johnson Andrew Johnson (December 29, 1808July 31, 1875) was the 17th president of the United States, serving from 1865 to 1869. He assumed the presidency as he was vice president at the time of the assassination of Abraham Lincoln. Johnson was a D ...
; and James Breathitt, a future
Commonwealth's Attorney In the United States, a district attorney (DA), county attorney, state's attorney, prosecuting attorney, commonwealth's attorney, or state attorney is the chief prosecutor and/or chief law enforcement officer representing a U.S. state in a lo ...
for Kentucky. The young couple settled in nearby
Franklin, Tennessee Franklin is a city in and county seat of Williamson County, Tennessee, United States. About south of Nashville, it is one of the principal cities of the Nashville metropolitan area and Middle Tennessee. As of 2020, its population was 83,454 ...
, also in the Middle District of the state, where Sappington began his independent practice of medicine. While living in Franklin, Sappington became close friends with Thomas Hart Benton, an important political figure who later moved to Missouri. In 1817, following the advice and a substantial loan from Benton, Sappington and his family moved to central Missouri, first settling in Howard County. He used the loan to invest in land in neighboring Saline County, and two years later settled near Arrow Rock and the Missouri River. The couple had a total of nine children together, two boys: Erasmus Darwin (1809-1858) and William B.; and seven girls: including Mary, Lavinia, Jane, Louisa and Elizabeth. The two brothers both married daughters of their maternal uncle
John Breathitt John Breathitt (September 9, 1786 – February 21, 1834) was the 11th Governor of Kentucky. He was the first Democrat to hold this office and was the second Kentucky governor to die in office. Shortly after his death, Breathitt County, Kentucky ...
, a governor of Kentucky, and his wife. At least four of the Sappington daughters married men who became politicians in Missouri; two sons-in-law served as future governors of Missouri.


Career

Initially John Sappington provided medical services, was a financial lender, and imported and exported goods to the Missouri area. By 1824 he established Pearson and Sappington, a store in nearby Jonesborough (now Napton, Missouri), in part supplying traders and emigrants on the Santa Fe Trail, which had a terminus nearby. He established another store in Arrow Rock. In addition to selling goods, they loaned money, processed salt, and also milled lumber. He exported cotton and lumber. These enterprises and his acquisition of large amounts of inexpensive land added to his influence in
Saline County, Missouri Saline County is located along the Missouri River in the U.S. state of Missouri. As of the 2010 census, the population was 23,370. Its county seat is Marshall. The county was established November 25, 1820, and named for the region's salt spr ...
, part of what was known as the Little Dixie area. Most of its early settlers were from Virginia, Kentucky and Tennessee, strongly influencing the culture. Sappington acquired thousands of acres and became a major planter and slaveholder. Once he had achieved financial success, Sappington began to conduct research in his medical practice. He focused on testing ways to use the bark of the cinchona tree from
Peru , image_flag = Flag of Peru.svg , image_coat = Escudo nacional del Perú.svg , other_symbol = Great Seal of the State , other_symbol_type = Seal (emblem), National seal , national_motto = "Fi ...
, the substance used to create quinine. Quinine had been used to treat malaria in South America and Europe since the 17th century, carried to major European cities by Jesuit missionaries from
Lima Lima ( ; ), originally founded as Ciudad de Los Reyes (City of The Kings) is the capital and the largest city of Peru. It is located in the valleys of the Chillón, Rímac and Lurín Rivers, in the desert zone of the central coastal part of t ...
. They had learned of the bark's use to treat fever from the indigenous
Quechua people Quechua people (, ; ) or Quichua people, may refer to any of the aboriginal people of South America who speak the Quechua languages, which originated among the Indigenous people of Peru. Although most Quechua speakers are native to Peru, ther ...
. In that era, quinine powder, which had a bitter taste, was typically mixed with wine or other drink to make it palatable. It became used in Seville, Rome and London, among other places.
Malaria Malaria is a mosquito-borne infectious disease that affects humans and other animals. Malaria causes symptoms that typically include fever, tiredness, vomiting, and headaches. In severe cases, it can cause jaundice, seizures, coma, or deat ...
,
scarlet fever Scarlet fever, also known as Scarlatina, is an infectious disease caused by ''Streptococcus pyogenes'' a Group A streptococcus (GAS). The infection is a type of Group A streptococcal infection (Group A strep). It most commonly affects child ...
,
yellow fever Yellow fever is a viral disease of typically short duration. In most cases, symptoms include fever, chills, loss of appetite, nausea, muscle pains – particularly in the back – and headaches. Symptoms typically improve within five days. In ...
, and
influenza Influenza, commonly known as "the flu", is an infectious disease caused by influenza viruses. Symptoms range from mild to severe and often include fever, runny nose, sore throat, muscle pain, headache, coughing, and fatigue. These symptom ...
, were widespread diseases in the lowlands of the Missouri and Mississippi valleys. Their methods of transmission were not known. But Sappington developed a pill using quinine to treat the associated fevers. Beginning in 1832 he marketed these as "Dr. Sappington's Anti-Fever Pills," an early proprietary/patent medicine. Gradually he also instructed some of his relatives and salesmen to take the pills to prevent malaria. Soon the pills were in demand for treatment of malaria across the country, especially in the South. In addition, traders and emigrants on the Santa Fe Trail, which head was near Arrow Rock, purchased the pills for their long trips south and west. This treatment was considered controversial, as most physicians were still treating malaria by
bloodletting Bloodletting (or blood-letting) is the withdrawal of blood from a patient to prevent or cure illness and disease. Bloodletting, whether by a physician or by leeches, was based on an ancient system of medicine in which blood and other bodily flu ...
the patient and administering calomel."Sappington Papers." Missouri History Museum. http://www.mohistory.org/files/archives_guides/SappingtonPapers.pdf In addition, people had to use the quinine pills at the right dosage to prevent serious side effects. The pill remained in high demand, however, and Sappington increased his wealth by these sales. After Sappington published the formula in his medical treatise, ''Theory and Treatment of Fevers'' (1844), many other physicians began to develop their own anti-malaria pills. His was the first medical book to be printed in Missouri and one of the first books to be published west of the Mississippi. Sappington is often regarded as the first physician in the United States to successfully and effectively use quinine to treat and prevent malaria.


Extended family

Sappington's influence and his wife's connections likely aided the political careers of two of their sons-in-law,
Meredith Miles Marmaduke Meredith Miles Marmaduke (August 28, 1791 – March 26, 1864) was an American politician who served as the 8th governor of Missouri in 1844, to fill out the term of Governor Thomas Reynolds, who had committed suicide. A member of the Demo ...
, who married daughter Lavinia in 1826; and
Claiborne Fox Jackson Claiborne Fox Jackson (April 4, 1806 – December 6, 1862) was an American politician of the Democratic Party in Missouri. He was elected as the 15th Governor of Missouri, serving from January 3, 1861, until July 31, 1861, when he was forc ...
, who in 1831 married Jane Breathitt Sappington (named for her mother). She died a few months later. After serving in the
Black Hawk War The Black Hawk War was a conflict between the United States and Native Americans led by Black Hawk, a Sauk leader. The war erupted after Black Hawk and a group of Sauks, Meskwakis (Fox), and Kickapoos, known as the "British Band", cross ...
, Jackson married her sister Louisa in 1833. He also worked with his father-in-law and one of Louisa's brothers in his quinine business. After Louisa died in 1838, followed by their infant, later that year Jackson married Elizabeth Sappington (named for her maternal grandmother), a third daughter of the family. Jackson was very active in politics in central Missouri, serving for 12 years in the state house. Sappington gave work to both Marmaduke and Jackson early in their careers, in his family businesses. Both men later served as governors of Missouri. One of Marmaduke's sons, John Sappington Marmaduke, also became a politician and was elected in 1884 as governor of Missouri, serving a single two-year term.


References


Further reading

*Morrow, Lynn. “Dr. John Sappington: Southern Patriarch in the New West.” ''Missouri Historical Review,'' Vol 90, no. 1 (October 1995): 38-60.


External links

* * * {{DEFAULTSORT:Sappington, John 1776 births 1856 deaths Physicians from Missouri People from Havre de Grace, Maryland People from Franklin, Tennessee People from Saline County, Missouri Malariologists American inventors