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
Having ejected from the stomach all the poisonous matter we can by
vomiting, and attempted to decompose what remains, we are to pursue such
measures as may be calculated to prevent the absorption of the poison
into the circulation; it has been already observed that on this account
nauseating emetics should be avoided; the reader is now requested to
refer to our _exposé_ of the celebrated doctrine of _Majendie_, (_page
86_, _note_) and he will see that _Venesection_ proves one of the most
powerful means of exciting the function of absorption; hence in
poisoning by arsenic, such an expedient should never be
recommended,[231] while a particle of that substance remains in the
body; where _Corrosive Sublimate_ has been swallowed, the same
precaution is unnecessary. The last indication which remains to be
fulfilled is—
3. _To anticipate the occurrence of the Consecutive Phœnomena, and to
combat them by appropriate treatment._
This is to be conducted on the general principles of Therapeutics; the
treatment must necessarily vary in each particular case. Where the
exhaustion of nervous energy is to be feared, as after poisoning by
_Prussic Acid_, ammonia, and other diffusible stimulants, together with
external warmth, will furnish the best resource; for the same reason
Venesection should be performed with great caution and judgment after a
narcotic poison. Where, on the other hand, inflammatory action is to be
anticipated, it is unnecessary to detail the plan of treatment which may
be adopted with the greatest chance of success. In cases where the
nervous system is stupified, the symptoms may be combated by vegetable
acids, infusion of coffee, &c. but where it is in a state of
præternatural excitement, recourse must be had to opiates.
ESCHAROTICS:[232]
Substances whose application to the animal solids, erodes, or decomposes
them.
The operation of these bodies may, in general, be considered chemical;
for having destroyed the life of the part to which they are applied,
they cause, as if by a species of resulting affinity, the elements of
the animal matter to enter into a new state of combination; this is well
exemplified in the action of caustic potass, where the nascent elements
thus disengaged by the decomposition of the animal substance, reunite in
proportions to generate an oily matter, which may be observed to form a
film over the ulcerated surface, while the excess of nitrogen and
hydrogen constitute ammonia, which is disengaged during the action of
the caustic; and may be rendered sensible by inverting over the surface,
a small jar moistened with muriatic acid, when the fumes of _Muriate of
Ammonia_ become visible.[233]
Their surgical value consists in their power to remove excrescencies, to
establish an ulcer, or to convert an ulcerated surface into a simple
sore.
IV. OF MECHANICAL REMEDIES.
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