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
Such are the objects which are to be attained by combining several
substances in one _Formula_, and such the laws by which these
compositions are to be regulated; but unless a physician can
satisfactorily trace the operation of each element in his prescription
to the accomplishment of one or more of the objects which I have
enumerated, SIMPLICITY should be regarded by him as the greatest
desideratum. I was once told by a practitioner in the country that the
quantity, or rather complexity of the medicines which he gave his
patients, for there never was any deficiency in the former, was always
increased in a ratio with the obscurity of their cases; “if,” said he,
“I fire a great profusion of shot, it is very extraordinary if some do
not hit the mark.” Sir Gilbert Blane[275] has given us a similar
anecdote; “a practitioner being asked by his patient why he put so many
ingredients into his prescription, is said to have answered more
facetiously than philosophically, _in order that the disease may take
which it likes best_.” A patient in the hands of such a practitioner has
not a much better chance than the Chinese Mandarin who, upon being
attacked with any disorder, calls in twelve or more physicians, and
swallows in one mixture all the potions which each separately
prescribes!
Let not the young practitioner however be so deceived; he should
remember that unless he be well acquainted with the mutual actions which
bodies exert upon each other, and upon the living system, it may be laid
down as an axiom, that _in proportion as he complicates a medicine, he
does but multiply the chances of its failure_. SUPERFLUA NUNQUAM NON
NOCENT: let him cherish this maxim in his remembrance, and in forming
compounds, always discard from them every element which has not its mode
of action clearly defined, and as thoroughly understood.
The perfection of a Medicinal Prescription may be defined by three
words; it should be PRECISE (in its _directions_,) CONCISE (in its
_construction_,) DECISIVE (in its _operation_.) It should carry upon its
very face an air of energy and decision, and speak intelligibly the
indications which it is to fulfil. It may be laid down as a position
which is not in much danger of being controverted, that _where the
intention of a medicinal compound is obscure, its operation will be
imbecile_.
A Medicinal Formula has been divided into four constituent parts, a
division which will be found to admit of useful application to practice,
in as much as it was evidently suggested with a view of accomplishing
the more prominent objects which have been related in the preceding
pages; or, in the language of Asclepiades, of enabling the BASIS to
operate “CITO,” “TUTO,” et “JUCUNDE.” Quickly, Safely, and
Pleasantly—thus
I. THE BASIS, or Principal Medicine.
(_curare._)
II. THE ADJUVANS; that which assists and promotes its operation.
(“_Cito._”)
Public-domain text, read in full here on John Shaqi.
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