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
This may be termed an error in the _Mechanism_ of the Prescription, and
has been generally regarded as being more inconvenient than dangerous,
more fatal to the credit of the Prescriber than to the case of the
Patient: the observations however which are offered in this work,
especially under the article _Pilulæ_, must satisfy the practitioner
that this error is more mischievous in its effects than has been usually
supposed; it is so palpable and self-evident in its nature, that it will
be unnecessary to illustrate it by more than one or two examples.
_Calomel_, for instance, has been ordered in an aqueous vehicle, and
certain _resinous tinctures_ have been directed in draughts, without the
necessary intervention of mucilage; so again, an intermixture of
substances has been formerly ordered in powder that possess the perverse
property of becoming liquid by triture (see _Pulveres_), and bodies have
been prescribed in the form of pills, whose consistence[277] renders it
impossible that they should preserve the globular form; or else they
have been so hard and insoluble, that they might be fired through a deal
board.[278] In the London Pharmacopœia of 1809, an error of this kind
unfortunately passed without correction with regard to the Formula for
preparing the _Syrup of Senna_.
II.—_Substances are added together which mutually decompose each other,
whence their original virtues are changed, or destroyed._
This is a more serious, but not a less frequent source of error; it has
been already shewn in this Analysis (IV. B) that the judicious and
scientific application of chemical science has furnished new and endless
resources to the physician, by exalting the efficacy and correcting the
acrimony of established remedies, or by combining inert substances so as
to create new and powerful medicines. With equal truth and confidence it
may be asserted, that the abuse of these means not only destroys the
virtues of the most valuable articles in the _Materia Medica_, but that
the mildest remedy may be thus converted into an instrument of torture,
and even of death. In a lecture delivered at Apothecaries’ Hall, Mr.
Brande stated that he had seen a prescription in which the _blue_, or
mercurial pill, was ordered in conjunction with nitric acid, and that
the patient was brought to “death’s door” from the formation of _nitrate
of mercury_ in his stomach! I have myself lately seen a _Recipe_,
professing to afford a preparation similar to the “_Black Drop_,” and
which directed a mixture of a _Tincture of Opium_, made with rectified
spirit, with _Nitric Acid_; in this case, it may be very safely inferred
that the author was not only ignorant of the chemical habitudes of these
bodies, but that he never performed the experiment in question, or he
would have learnt from dire experience, that in consequence of the rapid
evolution of _nitric ether_, the contents of the phial will explode with
violence, to the imminent hazard of the operator’s eye-sight. During the
Public-domain text, read in full here on John Shaqi.
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