Scientific American Supplement No. 822, October 3, 1891Various
Science
Scientific American Supplement No. 822, October 3, 1891
Various
Science -- Periodicals
To merely facilitate the introduction of medicinal agents into the
system by way of the air passages, in the form of gases, medicated or
non-medicated, has heretofore constituted the principal motive among
physicians for invoking the aid of compressed air. The experiments of
Paul Bert with nitrous oxide and oxygen gas, performed over fourteen
years ago, and the more recent proposals of See, are illustrations in
point.
The objects of which I have been in search are quite different from
the foregoing, and have reference not to the introduction of the
remedy, but to the enhancement of its effects after exhibition. Let me
be more explicit on this point, by stating at once that, in
contradistinction to my predecessors, I shall endeavor to show that by
far the most useful service derivable from compressed air is found in
its ability to enhance and perpetuate the effects of soluble remedies
(introduced hypodermically, by the mouth, or otherwise) upon the
internal organs, and more especially upon the cerebro-spinal axis.
Some chemical affinity between the remedy employed and the protoplasm
of the nerve cell is, of course, assumed to exist; and it is with the
enhancement of this affinity--this bond of union between the medicinal
solution and the nervous element--that we shall chiefly concern
ourselves in the following discussion.
By way of introduction, I may recall the fact that my attention was
directed several years since to the advisability of devising some
means by the aid of which medicinal substances, and more especially
anaesthetics, might be made to localize, intensify, and perpetuate
their action upon the peripheral nerves. The simple problem in
physiology and mechanics involved in this question I was fortunate
enough to solve quite a long time ago; and I must confess that in the
retrospect these undertakings in themselves do not seem to me of great
magnitude, though in their practical application their significance
appears more considerable. Herein lies, it may be, the explanation of
the interest which these studies excited in the profession at the time
of their publication. These things are, however, a part of medical
history; and I merely refer to them at this time because they have led
me to resume the solution of a far greater problem--that of
intensifying, perpetuating, and (to some extent at least) localizing
the effects of remedies upon the brain and spinal cord. I speak of
resuming these studies because, as far back as 1880 and 1882, I made
some attempts--albeit rather abortive--in the same direction.
Public-domain text, read in full here on John Shaqi.
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