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 class of ANTISPASMODICS may likewise embrace remedies of the most
opposite tendency, for spasm may occur under the most opposite
circumstances—in an extreme condition of weakness, as in nervous
affections, and in an highly excited state, as in cholic, &c.; it is
hardly necessary, therefore, to point out the mischief that must arise
from the fortuitous and indiscriminate admixture of the individual
substances which are thus unavoidably arranged in the same artificial
classification. _Bark_ and _Steel_ are also too often considered as
equivalent _Tonics_; in Dropsy, says Dr. Blackall, it is far otherwise,
the former being infinitely to be preferred after the dropsy of young
persons, of acute disease, and of sound stamina; the latter being suited
to a vitiated rather than to a feeble habit, and indicated more by a
pale sallow complexion, and a want of red colour in the blood, as shewn
by the paleness of the lips, than by any other signs. Need we then
adduce farther illustrations of the obvious but important fact, that the
terms employed to denote the different classes of remedies are
frequently but relative ones, expressive of effects which are produced
only in reference to a particular state of the living body? and as this
necessarily varies in different states of health and disease, it follows
that medicines are convertible agents, and that when we attempt to
institute general rules respecting their administration, without taking
into consideration the constitution and circumstances of the patient
upon whom they are to operate, we shall generally be disappointed in the
result. We may say of medicines what Van Swieten said of diet, “to
assert that such, or such a thing be wholesome, without a knowledge of
the condition of the person for whom it is intended, is like a sailor
pronouncing the wind to be fair without knowing to what port the vessel
is bound.” Boerhaave was so fully impressed with this truth that he
exclaimed, “_nullum ego cognosco remedium, nisi quod tempestivo usu fiat
tale_.”
Although medicines which produce the same ultimate effects by modes of
operation obviously different, cannot be considered SIMILAR, in the
sense affixed to the term in the present section, yet if these different
modes of operation be not physiologically incompatible with each other,
the union of such remedies may not only be admissible, but even useful;
and it will, accordingly, constitute an object of inquiry in a
succeeding section. (III. A.)
C.—_By combining the Basis with Substances of a_ DIFFERENT NATURE, _and
which do not exert any Chemical influence upon it, but are found, by
experience, to be capable of rendering the Stomach, or System, or any
particular organ, more susceptible of its action_.
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