Coca and its Therapeutic Application, Third EditionMariani, Angelo
History
Coca and its Therapeutic Application, Third Edition
Mariani, Angelo
Coca -- Therapeutic use; Cocaine
In France enthusiasm was not less strong, nor less prompt, all those
whom this discovery interested undertook a series of experiments with
Cocaine[11].
Among the first experimenters we must mention specially, Prof. Panas,
Prof. Vulpian, Prof. Dujardin-Beaumetz, Dr. Terrier, Dr. Trousseau, Dr.
Dehenne.
Prof. Panas reports in a communication made by him to the Académie de
Médecine[12] what he has observed.
He states, besides, that in nearly all respects his personal
investigations are confirmatory of those made by Köller.
About five minutes after a few drops of a solution of hydrochloride of
Cocaine composed of 0.5 gramme of that salt to a gramme of distilled
water have been instilled into the eye, anæsthesia of the conjunctival
mucous membrane of the cornea begins to manifest itself and reaches the
deep parts in about fifteen or twenty minutes if the instillations are
repeated every five minutes.
At the same time there is a certain amount of mydriasis, but this
is less pronounced than that produced by atropine. This pupillary
dilatation, which is more perceptible in young subjects and not in
glaucomatous states, lasts, at least, for twenty-four hours. With that
occurs a slight paralysis of the ciliary muscle.
"On account of this," says Professor Panas, "Cocaine should be placed
among the slightly mydriatic substances of which the passing effect
might be utilized for ophthalmoscopic explorations of the fundus of the
eye, under the same head as, and better than, homatropine."
According to M. Dujardin-Beaumetz, Cocaine not only deadens
sensibility, but it can further be utilized with morphinomaniacs as
a substitute for morphine without presenting the objections of the
latter substance; and he adds that subcutaneous injections made with
this alkaloid are not irritating (_Bulletin de l'Académie de Médecine_,
session of the 18th of November, 1884).
Prof. Vulpian, at the outset, communicated to the Académie des
Sciences the results of his interesting physiological researches with
the chlorhydrate of Cocaine.
M. Vulpian, after observing similar anæsthetic and analgesic effects
on the eye in animals as already shown in man, resulting from an
instillation between the eyelids of a few drops of solution of
hydrochlorate of Cocaine, and also perceiving under these conditions
the mydriatic action of the salt, noticed a protrusion of the ocular
globe when he injected 0.10 centigramme of hydrochloride of Cocaine
of a one to one hundred aqueous solution into the saphenous vein of
a non-curarized dog, and that it occurred almost immediately after
throwing the liquid into the vessel. Instantly the eyelids were seen to
separate and the pupillary orifice to enlarge. "This," says he, "is an
effect which exactly recalls the results of faradization of the upper
extremity of the cervical sympathetic nerve cut transversely."
Complete anæsthesia of the two transparent corneæ existed in this case.
Public-domain text, read in full here on John Shaqi.
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