Visual motif: Shows a young girl, dressed for winter, outside during a snowstorm. Patent medicines are compounds promoted and sold as medical cures that do not work as promoted. "Patent medicine" is a misnomer since in most cases, although products might be trademarked, they are not patented. The promotion of patent medicines was one of the first major products highlighted by the advertising industry, and many advertising and sales techniques were pioneered by patent medicine promoters. Some makers promised narcotic free concoctions because, even though consumption of opiates were commonplace, there were still warnings, in newspapers and novels, about their effects. Consumers were easily duped by a dose of "vegetable compound" because it did not contain alcohol, morphine or cocaine.