Coca and its Therapeutic Application, Third EditionMariani, Angelo
History
Coca and its Therapeutic Application, Third Edition
Mariani, Angelo
Coca -- Therapeutic use; Cocaine
Prof. Grasset, of Montpelier, almost at the same time as Vulpian,
observed the same effects of Cocaine, but a greater persistency in the
phenomena of insensibility following the intravenous injection of the
solution of hydrochloride of Cocaine.
At about that time, Dr. Laborde, of the Académie de Médecine, treated
still more deeply of the action of Cocaine in three successive notes to
the Société de Biologie (Nov. 22d and 29th and Dec. 27th, 1884). This
learned physiologist studied the analgesic action generally resulting
from subcutaneous injections of 0.03 of hydrochloride of Cocaine, in
three doses, in the guinea-pig. He saw it at the same time produce a
general hyper-excitability which irresistibly forced the animal to
move, and even produced epileptic convulsions; the general analgesic
state lasted for more than forty-eight hours.
M. Laborde, in attributing the secondary peripheric analgesia of
intravenous or subcutaneous injections of hydrochlorate of Cocaine to
the cerebral insusceptibility to pain, unconsciously made Cocaine a
general anæsthetic.
Prof. Arloing (1885, _Mémoire Soc. Biologie_) has undertaken many
experiments for demonstrating that Cocaine is not a general anæsthetic.
In his experiments, the learned physiologist of Lyons confirmed the
results obtained by Vulpian as to the modifications occasioned by
Cocaine of the arterial pressure; he saw, like his predecessors,
the excito-medullary and convulsary effect of large doses of
Cocaine and the increase of the salivary secretion, and in regard
to its cerebro-spinal effect, he compared it to strychnine. General
analgesia did not occur except from fatal doses or when accompanied by
convulsions. The hydrochlorate of Cocaine, according to M. Arloing,
produces and can produce nothing but local anæsthesia by temporarily
changing the physical properties of the protoplasm of the terminal and
fibrillary nervous elements easily accessible to medicinal agents in
the cornea and mucous surfaces.
We will presently show that the several learned men who have been
engaged in investigating the mechanism of action of the active
principles of Coca were by no means in accord as regards the _modus
agendi_ of Cocaine in the production of local anæsthesia.
While M. Dujardin-Beaumetz likens the local anæsthetic action of
Cocaine to that of cold, and while M. Laborde considers that it
produces a diminished blood supply by the vaso-constrictor action of
the great sympathetic nervous system, M. Arloing, on the contrary,
explains it by a local action on the nervous protoplasm.
Moreover, in 1886, Schilling, a supporter of the vascular theory,
advised inhalations of nine drops of nitrite of amyl, in three doses,
inhalations which caused dilatation of the vessels, to revive patients
poisoned with injections of Cocaine hydrochlorate.
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