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
It has been a subject of popular inquiry, how far the habitual use of
Snuff may prove beneficial or injurious; and whether the habit, when
once fully established, can be discontinued with impunity? It may be
remarked that Snuff, by habitual use, soon ceases to produce the effect
of an Errhine, for which reason its discontinuance cannot, generally, be
regarded as likely to be attended with any danger; in those cases,
however, in which the discharge is perpetuated, a contrary judgment
should be pronounced, for all artificial discharges become
constitutional by long continuance, and can therefore be seldom checked
with impunity. Dr. Cullen states, from experience, that “whenever the
nasal discharge has been considerable, the laying aside the custom of
taking snuff has been productive of evil.”
EPISPASTICS. _Vesicatories._ _Blisters._
External applications to the skin, which produce a serous or puriform
discharge, by previously exciting a high state of inflammation.
When these agents act so mildly as merely to excite inflammation,
without occasioning the effusion of serum, they are denominated
RUBEFACIENTS.
Various substances have at different times, been proposed for the
accomplishment of this object,—such as _Nitric Acid_, _Boiling Water_,
_Strong Acetic Acid_, _Tartarized Antimony_, &c. It is, however,
generally admitted, that no substance ever employed equals in efficacy,
or certainty, the _Cantharis Vesicatoria_, the common blistering, or
Spanish fly; and whose effects may serve to illustrate the _modus
operandi_ of this class of remedies.
By the application of a _Blister_, the extreme blood vessels are excited
into increased action, by which inflammation is occasioned, and the
exhalants made to pour out a thin serous fluid which separates the
cuticle from the true skin, and forms a vesicle or blister.
From this simple view of the subject it will appear evident, that
blisters may produce their salutary effects by several different modes
of operation; by a just estimate of which the practitioner will be
enabled to reconcile the discordant opinions which have been delivered
upon the subject, and to employ these agents with greater satisfaction
and advantage.
Blisters may act—
1. AS DERIVATIVES, i. e. _by producing a derivation of the circulation
from the inflamed and engorged vessels of the neighbouring organs
to the blistered surface_. This mode of operation was long
overlooked by the physicians, who ascribed all the beneficial
effects of a blister to the evacuation which it produced, while
the humoral pathologist, moreover, considered the matter so
discharged to be of a morbific nature. That such agents owe their
salutary tendency to causes independent of their powers as
evacuants, is at once rendered evident by the relief which they
afford, when used only as Rubefacients.
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