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Thousands of Americans have become addicted to powerful painkillers such as Oxyxontin (above), a story dramatised in new Netflix series “Painkiller”. China had its own opioid crisis two centuries earlier. Photo: AP
Opinion
Reflections
by Wee Kek Koon
Reflections
by Wee Kek Koon

Painkiller on Netflix is about the US opioid crisis. China had an opioid crisis 200 years ago, triggered by imports of opium from British India

  • Starring Matthew Broderick, new Netflix series Painkiller dramatises the opioid crisis that has devastated the United States in recent years
  • China had an opioid crisis in the early 19th century, thanks to opium imported from British India. The way it was resolved would have far-reaching consequences

I was feeling miserable one day, incapacitated with a bad cold and the attendant headaches and muscle pains. Not being able to get any work done, I turned on Netflix and the first thing that popped up on my feed was, fittingly, the limited series Painkiller.

Before I even realised it, I had finished all six episodes in one sitting.

Painkiller tells an illuminating, albeit dramatised, story about the origin of the opioid crisis in the United States. It focuses on the drug oxycodone, most commonly known as OxyContin or just oxy, which is used medically to treat severe pain.

OxyContin is highly addictive, and it is one of the most commonly abused drugs in America.

OxyContin is highly addictive, and one of the drugs to blame for America’s devastating opioid crisis. Photo: Shutterstock

According to the Centres for Disease Control and Prevention (CDC), the national public health agency of the US, nearly 645,000 people in the country died from an overdose involving any opioid, including prescription and illicit opioids, between 1999 and 2021.

The CDC describes three waves of opioid overdose deaths, the first of which started in the 1990s. This was caused primarily by prescription painkillers such as OxyContin.

John Ales as Gregory Fitzgibbons, a doctor who tries to sound the alarm about OxyContin addiction, in the Netflix miniseries “Painkiller”. Photo: Keri Anderson/Netflix/TNS

The third and latest wave began in 2013, with synthetic opioids such as fentanyl as the leading cause of overdose deaths.

What is meant to be a beneficial invention that provides relief from physical pain has turned into an agent for addictions, broken lives and deaths.

Before the advent of modern medicine in China, acupuncture was one of the methods of pain relief. It remains an alternative way of treating pain worldwide.
Acupuncture is now practised around the world, but it started in ancient China as a means of pain relief. Photo: Shutterstock

Although the practice of poking needles into specific points on the body is based on a system of health and well-being that is entirely different from Western medicine, it has been shown to be effective in treating headaches, menstrual cramps, carpal tunnel syndrome, and other forms of pain.

“Acupuncture points are believed to stimulate the central nervous system,” says the website of Johns Hopkins Medicine. “This, in turn, releases chemicals into the muscles, spinal cord and brain. These biochemical changes may stimulate the body’s natural healing abilities and promote physical and emotional well-being.”

I have tried acupuncture a couple of times for low back pain, and I have to say it worked very well in my case.

Acupuncture’s method of poking needles into specific points on the body is based on a system of health entirely different from Western medicine. Photo: Shutterstock

The Chinese also made pain mitigating potions using ingredients sourced from nature, such as the flowers of Rhododendron molle, the leaves of Cannabis sativa, the roots of wolfsbane, the seeds of the stinking nightshade, and other plants with anaesthetic properties.

These ingredients are listed in Shennong’s Classic of the Materia Medica, believed to have been compiled between 206 BC and AD 220.

The great Chinese physician Hua Tuo (c. 140–208) used a powerful anaesthetic called mafeisan, which might have contained cannabis, for his surgeries.

A portrait of Hua Tuo from the Qing dynasty (1644-1911). Photo: Wikipedia

It is written in the History of the Later Han, which was completed in the 5th century, that he fed patients who required surgery a concoction of mafeisan and wine.

When they were out, he cut their body open to remove from inside whatever that was causing the ailment. When that was done, he stitched up the wound and applied a salve that would heal the wound within a week.

If the surgery was successful, patients usually made a full recovery after a month.

Traditional Chinese medicine for women who ‘don’t have time to boil herbs’

The most infamous analgesic used in China was, of course, opium. While the poppy plant had long been cultivated in China and its derivative mainly used as a painkiller, the import of large quantities of opium from British India around 200 years ago, almost exclusively for recreational use, created an “opioid crisis” in China.

The way in which the crisis was resolved went on to have far-reaching historical and political consequences.

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