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
_Sulphate of Magnesia_ does not readily produce any diuresis, because it
operates upon the bowels, but the experiments of Vitet and Bracy Clarke
have shewn, that if this saline compound be administered to the horse
whose bowels are not easily affected by purgatives, it acts powerfully
upon the kidneys;[159] and I will take occasion in this place to observe
that, on account of the inirritability of the bowels of the horse,
diuretic medicines are more certain in their operation, than in the
human subject; a fact which, in itself, shews the importance of
attending to the state of the bowels, during a course of those diuretics
which require to be absorbed before they can produce their specific
effects.
Equally necessary is it to attend to the state of the vessels of the
skin, for if during the administration of a Diuretic, these vessels be
excited by external warmth, its action may be diverted from the urinary
organs to the exhalants on the surface, and occasion diaphoresis; but if
the surface of the body be kept cool, this diversion will not occur: so
greatly indeed does cooling the surface determine to the kidneys, that
the usual diaphoretic medicines may, by an attention to this
circumstance, be converted into powerful diuretics.
C. II. MEDICINES WHICH ACT _Primarily_ ON THE ABSORBENTS, AND
_Secondarily_ ON THE KIDNEYS.
It has been shewn, in the former division, that by increasing the action
of the kidneys, we diminish the quantity of water in the blood, and
consequently occasion an extraordinary action of the absorbents to
supply the deficiency, whence dropsical accumulations disappear; it
remains to be stated that an operation, which may be considered the
converse of the one just described, is not unfrequently established: the
absorbent vessels, in this case, are first roused to extraordinary
action, and the blood therefore becomes surcharged with serous matter,
in consequence of which the kidneys are stimulated, and it is eliminated
through the urinary passages: so that in the former case the absorbent
may be said to be called into action by the kidneys, while in the
latter, the kidneys are obviously subservient to the increased energy of
the absorbent system. The preparations of Mercury are perhaps the only
medicinal bodies which we can strictly consider as specific stimulants
to the absorbent system; and of their power in directly acting upon
these organs there are such ample proofs, that it is unnecessary to
adduce any additional evidence upon the subject. In instances of
increased absorption from the agency of other medicines, the effect must
be considered as rather arising from their _secondary_ than primary
operations; the most important of which will constitute objects of
inquiry in the succeeding divisions of the subject.
C. III. MEDICINES WHICH ACT _Primarily_ ON THE STOMACH OR SYSTEM, AND
_Secondarily_ ON THE URINARY ORGANS.
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