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
That Colchicum tends in some way to neutralize in the blood the poison
of Gout, and to a less degree that of Rheumatism also, is generally
admitted, although various theories have been adopted to explain this
action. (_Vide Chap. IV. Art. Colchicum._)
In Oxaluria, the employment of Nitric acid as a remedy was first
recommended by Dr. Prout. Dr. Golding Bird advised the substitution of
Nitro-hydrochloric acid, which has proved to be a most valuable remedy,
not only in this disorder, but also in some cases of lithic deposit. The
Oxalate of Lime rarely occurs alone in the urine; there is generally
along with it some Urate of Ammonia. The causes of the two deposits
appear to be in some way connected. So also are the remedies similar.
Dr. G. Bird has found Colchicum to be of signal service in cases of
lithic deposit in the urine; and has proved the same medicine to be
efficacious in Oxaluria.
I will now attempt to show how the action of these medicines may admit,
on certain grounds, of a chemical explanation. There are very few
Catalytic actions in which such an explanation can be attempted, but a
degree of plausibility appears to attach to the idea in this case,
though it cannot of course be considered to be susceptible of more than
a demonstration of probability.
I have already said that in all the disorders now under consideration
there are certain morbid constituents in the blood which have been
recognised by chemical tests. In Diabetes there is an excess of
grape-sugar formed in the blood, and excreted from it in the urine. In
Rheumatism we have a painful joint affection, attended with a great
development of acid in the system; and this acid, which we have many
reasons for supposing to be lactic acid, is occasionally excreted by the
skin. In Gout we meet with another Arthritic affection, in which there
is urate of soda in the blood, and an excess of uric acid and urea in
the urine. A simple excess of uric acid in this secretion constitutes
Lithiasis. There is an obvious but ill-understood connexion between the
last two disorders, and, indeed, between all those of which we are
treating. In Oxaluria we have an abnormal formation of oxalic acid in
the blood, which is excreted in combination with lime, for which base it
has a great affinity. In oxalic urine there is generally an excess of
urea, as I have found in many cases.
Now it seems to me that all these disorders are capable of being
explained by reference to the series of changes in the blood which are
associated with the respiratory process. (_Vide Liebig's Anim. Chem._,
part i. p. 133; _Dr. B. Jones' Anim. Chem._, pp. 20, 118.)
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