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
but by increasing its proportion of _Tartaric Acid_, we convert it into
a _super-tartrate_ or “_Cream of Tartar_,” which is a substance
characterized by a comparative degree of insolubility, and a
correspondent change is produced in the medicinal activity of the salt;
its purgative effects are considerably diminished, whilst its diuretic
powers are rendered more considerable. We may even extend this
experiment by adding to the _Cream of Tartar_, _Boracic Acid_, a
substance capable of increasing to a certain extent its solubility, when
we shall again find that its purgative properties are strengthened in an
equal proportion.
It has been observed that a mixture of different saline cathartics is
more efficient than an equivalent dose of any single one, a fact which
is strikingly exemplified in the prompt and active operation of
Cheltenham Salts, in comparatively small doses, as well as in that of
sea water. I submit whether this may not in some degree depend upon
increased solubility; for it is a law well known to the chemist, that
_when water has ceased to act upon a salt_, _in consequence of its
having obtained the term of saturation, the solution may still take up
another salt of a different kind_. I apprehend that an advantageous
application of this law might be frequently made in practice, and the
energies of a remedy thereby considerably extended.[267]
Where the active principle of a cathartic is not sufficiently soluble,
it is apt to vex and irritate the bowels, producing tormina instead of
exciting a free and copious excretion; hence the reason why the
operation of resinous purgatives is so commonly attended with griping,
and why relief may be obtained by combining them with _neutral salts_.
Thus also _Senna_, whose virtues reside in extractive matter, is apt by
decoction, or long exposure to the air, to act with griping, in
consequence of the extractive matter becoming by oxidation, resinous and
comparatively insoluble: this effect is best counteracted by the
addition of _soluble Tartar_, that will quicken its action, or by an
alkaline salt that will increase its solubility.
It appears then to be established as a pharmaceutical maxim, that _the
intensity and even specific action of a purgative medicine may be
modified or completely changed_, _by changing the degree of solubility
possessed by the principles in which its activity resides_.
The application of this principle is highly important in practice,
directing us in the choice of the different purgatives, according to the
objects which we may wish to fulfil by them, and pointing out safe and
easy methods by which we may increase, diminish, retard, or accelerate
their operation; it thus enables us to construct new and powerful
combinations, by imparting to established remedies fresh activity, or by
mitigating the acrimony and violence of arrangements in other respects
efficacious and eligible.
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