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
ultimate action in health, would be quite inappropriate in an
arrangement like mine, which has to do with their influence in the cure
of diseases. For our object in making use of such agents is not to
impoverish the blood, but to obtain such a manifestation of their power
as shall suffice to neutralize the noxious agent, and no more.
Dr. A. Billing (_Principles of Medicine, 5th edit._ pp. 70-75) considers
that Mercury, Arsenic, Colchicum, and all the medicines which have been
called Specifics, are not in fact so, but that they are capable of
subduing different kinds of inflammation by causing contraction of the
dilated capillary vessels. This explanation has certainly the charm of
simplicity, but not, in my opinion, the merit of truth. Dr. Billing
supports his argument by instancing the number of remedies that have
been used in Syphilis, and considers that they must all operate in a
similar way, both in this and in other disorders. Yet are all these
medicines of use or advantage in Ague, in Lepra, in Chorea, and in
Scrofula? But why is it not so, if all act in the same way? Their
several actions should exhibit no difference in kind, but only in
degree. It is the opinion of the same able authority that Mercury and
Iodine diminish morbid growths by starving them; that they cut off the
supply of blood by contracting the capillaries in the same way as in
other cases. But why then can we not thus remove a fatty tumour, a true
exostosis, or a malignant growth? We are seldom able by such means to
reduce the size of a tumour, unless it depends on a blood-disorder, as
Syphilis or Scrofula. The wide distinctions and the shades of difference
which exist between the operations of these several medicines are surely
too many and too serious to allow us to account for them all by one
explanation.
But we may put aside general arguments, and appeal to facts. In the
first place, it is very far from being proved that in all these
disorders the capillary vessels are dilated. But let us even admit that
it is so proved, and we are not then nearer to the establishment of the
above hypothesis. For is the action of any medicinal agent on the
capillaries constant in character?
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