_Pharmacology._--Of arsenic and its compounds, arsenious acid (dose
1/60-1/15 gr.) and its preparation liquor arsenicalis, Fowler's solution
(dose 2-8 [minim]), are in very common use. The iodide of arsenic (dose
1/20-1/5 gr.) is one of the ingredients of Donovan's solution (see
MERCURY); and iron arsenate (dose 1/16-1/4 gr. in a pill), a mixture of
ferrous and ferric arsenates with some iron oxide, is of great use in
certain cases. Sodium arsenate (1/40-1/10 gr.) is somewhat less commonly
prescribed, though all the compounds of this metal have great value in
experienced hands.
Externally, arsenious acid is a powerful caustic when applied to raw
surfaces, though it has no action on the unbroken skin. Internally,
unless the dose be extremely small, all preparations are severe
gastro-intestinal irritants. This effect is the same however the drug be
administered, as, even after subcutaneous injection, the arsenic is
excreted into the stomach after absorption, and thus sets up gastritis
in its passage through the mucous membrane. In minute doses it is a
gastric stimulant, promoting the flow of gastric juice. It is quickly
absorbed into the blood, where its presence can be demonstrated
especially in the white blood corpuscles. In certain forms of anaemia it
increases the number of the red corpuscles and also their haemoglobin
content. None of these known effects of arsenic is sufficient to account
for the profound change that a course of the drug will often produce in
the condition of a patient. It has some power of affecting the general
metabolism, but no wholly satisfactory explanation is forthcoming.
According to Binz and Schultz its power is due to the fact that it is an
oxygen-carrier, arsenious acid withdrawing oxygen from the protoplasm to
form arsenic acid, which subsequently yields up its oxygen again. It is
thus vaguely called an alterative, since the patient recovers under its
use. It is eliminated chiefly by the urine, and to a less extent by the
alimentary canal, sweat, saliva, bile, milk, tears, hair, &c., but it is
also stored up in the body mainly in the liver and kidneys.
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