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
Water is the simplest and most efficacious of all solvents, and should
in all cases of gravel be very freely administered. Bouchardat has
remarked that great water-drinkers are never afflicted with stone. All
the urinary deposits are, to some extent, soluble in water, although
_comparatively_ insoluble. Whenever the urine is of higher specific
gravity than it should be in health, more water should be drunk. The
average specific gravity of healthy urine is about 1.018.[38]
Acids and Alkalies are most important as solvents. They do not now act
indirectly, as in the case before mentioned, but directly dissolve the
insoluble matter. Acids dissolve a phosphatic, and Alkalies or their
carbonates a lithic deposit, in the body, as well as out of it. Although
the natural solvent may be neither an acid nor an alkali, but something
else different in nature from these, yet any thing that will rightly
dissolve the deposit will be fit to supply its place. Any of the free
Acids may serve to dissolve a precipitated phosphate. Hydrochloric is
perhaps the best of the mineral acids, although Phosphoric has been
recommended on theoretical grounds. Sulphuric is the least efficacious
because it does not always pass out in the urine. (_Vide Chap. IV._)
Sour fruits, as Currants or green Gooseberries, may be useful in
phosphatic cases; but ripe fruits have an opposite tendency. Acidulous
drinks may be recommended, as Cider, Perry, and Rhenish wines. Of the
free alkalies used to dissolve a lithic sediment, Potash is preferable
to Soda, because it forms a more soluble compound with Uric acid. The
Bicarbonates of the fixed alkalies are best, because least irritant.
Bicarbonate of Soda is contained in Vichy water. The soluble Bicarbonate
of Magnesia may be given with advantage. The Carbonate of Lithia has
been recommended by Mr. A. Ure; but it is comparatively insoluble. The
neutral vegetable salts of the alkalies, and sweet fruits which contain
them, are equivalent to the Carbonates, because converted into them in
the system, as has already been shown. They may be pleasantly
administered in the form of effervescing draughts, in the formation of
which the Carbonic acid of an alkaline carbonate is displaced by Citric
or Tartaric acid.
The danger which attends the continual use of acids, or of alkalies,
particularly of the latter, is that their long employment may engender a
condition of an opposite nature to that which they were intended to
alleviate. An acid may at length cause a lithic deposit in the urine;
or, still more frequently, an alkali may produce a phosphatic sediment.
Their administration should therefore be conducted with caution.
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