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
A Diuretic effect is very frequently occasioned by substances which act
on the stomach and _primæ viæ_, producing a peculiar state of these
organs, which _sympathetically_ affects the whole body, and more
particularly the absorbent system, and the vessels concerned in the
secretion of urine from the blood. As this primary influence upon the
stomach, and the effects to which it gives rise in remote parts, are
very different in their character, according to the nature of the remedy
employed, and the state of the system at the time of its administration;
the present attempt to investigate and generalize these relations, and
to adopt them as the basis of a classification, may ultimately lead the
practitioner to some distinctions of practical utility.
1. _By diminishing Arterial Action, and increasing that of Absorption._
It would appear that the action of the vessels employed in the
circulation of the blood, and the energy of the absorbents are, to a
certain extent, antagonist powers; the experiments of Majendie
demonstrate that the absorption of a poisonous substance is retarded by
a plethoric, and accelerated by a depleted state of the sanguineous
system; the fact is practically established by numerous phenomena in
pathology. Dr. Blackall has very satisfactorily shewn the existence
which subsists between increased arterial action and diminished
absorption. Hence it follows that remedies capable of controlling the
circulation may affect the activity of absorption, increase diuresis,
and cure dropsy; in this manner the _Digitalis Purpurea_ acts as a
sorbefacient, and it may be remarked that it seldom or never produces
its diuretic effects, without a concomitant reduction of the frequency
of the pulse; its power too appears only when it is administered in
dropsy; in a state of health it will reduce the pulse, but not increase
the discharge of urine. Tobacco has also somewhat analogous powers in
promoting absorption, and its operation is accompanied with a
corresponding depression of vascular action. Venesection, upon the same
principle, may occasion, in certain cases of dropsy, a discharge of the
accumulated fluid.
2. _By increasing the tone of the Body in general, and that of the
Absorbent System in particular._
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