The Action of Medicines in the System: Or, on the mode in which therapeutic agents introduced into the stomach produce their peculiar effects on the animal economyHeadland, Frederick William
Science
The Action of Medicines in the System: Or, on the mode in which therapeutic agents introduced into the stomach produce their peculiar effects on the animal economy
Headland, Frederick William
Therapeutics
From some morbid condition of the system, it happens that these
insoluble constituents of the urine are secreted in absolute excess,--in
a larger quantity than in health. Now the system labours to excrete
them in solution, even when in excess; and often succeeds in doing so.
But frequently this cannot be done, it being impossible for a sufficient
quantity of the solvent material to be formed out of the blood. There is
then a deposit in the urine.
We have seen that when such matters are deposited because in relative
excess, the only fit mode of treatment consists in the administration of
an acid or an alkali, which shall neutralize the morbid reaction of the
blood. Such a case is rare; but these cases of absolute excess are much
more common. There are two ways in which we may treat them; we may adopt
either curative or palliative remedies. We may aim at the cause of the
disease, which is generally in the blood. An absolute excess of Lithates
may be caused by dyspepsia, or by a gouty disorder. This is most surely
controlled by a Catalytic medicine. (_Vide Antiarthritics._) An absolute
excess of Phosphates may be caused by an organic derangement of the
nervous centres, when it is very difficult to cure; or it may simply be
due to great nervous excitement, hard study, or melancholia. Such cases
should be distinguished from a mere alkaline condition of the urine,
without absolute excess of Phosphates, and may often be cured by
attention to the disturbed nervous functions.
Such a curative course of treatment aims at the primary cause of the
deposit; but when we are unsuccessful in our attempt to control this, or
when the excess of solid matter is so great as to be positively
dangerous, we are then driven to have recourse to palliative remedies.
These are Solvents; medicines which pass into the blood, combine there
with the peccant matters, pass out with them into the urinary secretion,
and hold them there securely in solution. Such an agent may often be
advantageously combined with the Catalytic remedy, which tends to cure
the systemic disorder. It is a blood-medicine. Its action is so far
permanent, that it effects its object definitely, dissolving and
carrying away a certain portion of insoluble matter. But as it also
passes out itself, it requires to be frequently repeated, because the
deposit continues to be formed, and requires each time a fresh portion
of solvent. It obviously acts on the Restorative principle. The deposit
should be excreted in a dissolved state, but is not. The remedy
therefore supplies a want.
Public-domain text, read in full here on John Shaqi.
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