Cinchona for quinine production. While ultimately successful in their primary aim, these expeditions also identified new species of plants and created a new chapter in international relations between the United States and other nations in the Americas. Francesco Torti used the response of fevers to treatment with cinchona as a system of classification of fevers or a means for diagnosis. The use of cinchona in the effective treatment of malaria brought an end to treatment by bloodletting and long-held ideas of humorism from Galen. For his part in obtaining and helping the establishment of cinchona in British India Clements Markham was
Bark bread known from the 1890s, and in Finland "pettuleipä" (literally "pinewood-bark bread") was produced as ersatz bread during the Finnish Civil War of 1918. Finger sized twigs and branches were collected from deciduous trees and shrubs, and the bark split and the inner bark (the phloem and sometimes the vascular cambium) collected while still fresh. The yellow or green inner bark (depending on tree species) was dried over open fire, in an oven or dried in the sun for a few days. A mortar or mill was used to grind the bark to a fine powder to add to the flour.