Pharmacologia: Fourth American, from the Seventh London EditionParis, John Ayrton
Science
Pharmacologia: Fourth American, from the Seventh London Edition
Paris, John Ayrton
Pharmacognosy; Pharmacology; Pharmacy
Murray very justly remarks, no proof of such an hypothesis, and it seems
scarcely probable that any substance should act as a stimulant on these
vessels, without at the same time stimulating the mobile fibres of the
intestines. _Mercurial Purgatives_ appear to possess, in an eminent
degree, the power of exciting the functions of the liver, and of thereby
occasioning an influx of bile into the intestines. From the indications
which cathartics are capable of fulfilling, their utility in many
diseases must be apparent; the extent of their importance and value
were, however, never justly appreciated until the valuable publication
of Dr. Hamilton on this subject, in which the author has pointed out
with more precision than any preceding writers had done, the therapeutic
principles which should regulate their administration. His practice has
clearly proved that a state of bowels may exist in many diseases, giving
rise to a retention of feculent matter, which will not be obviated by
the occasional administration of a purgative, but which requires a
continuation of the alvine stimulant, until the healthy action of the
bowels is re-established. Since this view of the subject has been
adopted, numerous diseases have received alleviation from the use of
purgatives that were formerly treated with a different class of
remedies, and which were not supposed to have any connection with the
state of the alvine evacuations; thus in fever, the peristaltic motion
of the intestines is diminished, and their feculent contents are unduly
retained, and perhaps, in part, absorbed, becoming of course a source of
morbid irritation; this fact has long been understood, and the practice
of administering cathartic medicines under such circumstances has been
very generally adopted; but until the publication of Dr. Hamilton,
physicians were not aware of the necessity of carrying the plan to an
extent beyond that of merely emptying the _primæ viæ_, and they did not
continue the free use of these remedies through the whole progress of
the disease.
Cathartics are essentially serviceable also in several diseases of the
class NEUROSES, which are generally intimately connected with a morbid
condition of the alimentary passages; _Chorea_ and _Hysteria_ have been
very successfully treated in this manner. The diseases incident to
puberty in both sexes are also best relieved by a course of purgative
medicines, and their effects in _Chlorosis_ have conferred upon many of
them the specific title of EMMENAGOGUES.
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