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
But the therapeutical utility of Cathartics extends beyond the mere
feculent evacuations which they may occasion. In consequence of the
stimulating action which some of them exert upon the exhalent vessels,
they abstract a considerable portion of fluid from the general current
of the circulation, and are, on that account, beneficial as
_Anti-phlogistics_. For the same reason they may act as powerful
promoters of absorption, for there exists an established relation
between the powers of exhalation and absorption, so that when the action
of one is increased, that of the other is augmented.
Certain Purgatives, as I have just stated, exert their influence upon
the neighbouring organs, and are calculated not only to remove alvine
_sordes_, but to detach and eliminate foul congestions from the biliary
ducts and pores.
With such facts before us, it is impossible to concede to the opinion of
Dr. Hamilton,[155] that the different species of purgative medicines _do
not possess distinct powers over the different species of matter to be
evacuated_; on the contrary, there is reason for reviving the ancient
theory, too inconsiderately abandoned, and which acknowledged these
different distinctions in the operations of cathartic medicines, under
the appropriate names of _Hydragogues_, _Cholagogues_, &c.
The importance of cathartic medicines having been shewn, and the
distinctions in their modes of operation established, it only remains to
say a few words upon the subject of their abuse. All the remedies of
this class, but more especially those of considerable power, require
caution in their administration, even in those diseases where they are
indicated by peculiar symptoms, especially if there be any tendency to
inflammation, or to extreme debility, although this latter symptom is
often rather apparent than real, and is at once removed by the brisk
operation upon the bowels; during pregnancy and immediately after
delivery, and during the flow of the menses, the prudent practitioner
will use a discretionary caution in their exhibition. The too frequent
use of these medicines will induce marasmus, and render the bowels so
morbidly irritable, that purging is easily excited by the ordinary
stimulus of our aliments; while in some habits the contrary obtains, and
the resource to which the valetudinarian flies for relief only increases
the torpor of the intestines, and confirms his costiveness.
The mode of adapting, combining, and administering Cathartics, will
present subjects for our future consideration.
EMMENAGOGUES:
Medicines which are capable of producing the Menstrual discharge.
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