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
The operation of the law which has thus formed the first object of this
inquiry, will be found, like every other, to have a natural and well
defined limit; it is easy to perceive that by multiplying the number of
ingredients too far, we shall either so increase the quantity and bulk
of the medicine as to render it nauseous and cumbersome, or so reduce
the dose of each constituent as to fritter away the force and energy of
the combination.
The propriety of combining _several_ stimulants, of the diffusible
class, in _one_ formula, has been questioned on different grounds. Dr.
Chapman, in his work on Therapeutics, adduces some arguments on this
point, which, although they fail in establishing his general position,
certainly suggest an important exception to the practice in question;
“by directing,” says he, “stimulating remedies, _separately_, we shall
economise our resources in many lingering diseases.” The justness of
this statement must be admitted to its fullest extent, and practitioners
will, on certain occasions, do well to act in conformity with the views
that suggested it; for instance, in the feeble forms of protracted
fevers, where the indications are to be met with the continued action of
stimulants, it will certainly be salutary to alternate the use of
_camphor_, _ammonia_, and other remedies of a similar nature, in
preference to presenting them all at once in combination, so that the
system may not lose its susceptibility by the continued impression of
the same stimulant; the same motive should induce us, on particular
occasions, to employ in succession different narcotics, for each of them
affects sensibility in its own peculiar manner.[244] The nervous system,
as _Richerand_ has very justly observed, may be compared to a soil, rich
in different juices, and which requires the cultivator to plant the
germs of a diversified vegetation to develope the whole of its
fecundity; to insure a perpetual return, therefore, it will be right to
sow a succession of different seeds. Hoffman also has offered us some
advice upon this subject; he directs us in the treatment of chronic
diseases to suspend the administration of remedies, at intervals, and
afterwards to resume them, lest the system should become _habituated_,
and ultimately _insensible_ to their influence.
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