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
Though Sulphur seems to act specifically in the treatment of these
disorders, there is another disease of a similar kind which it has been
supposed to cure by a mere external agency. This is Scabies. Some have
fancied that even here it acted specifically, and that this also was a
blood-disease. But Scabies has long been attributed to an external
cause, an insect, or, more correctly, an arachnid, which, by burrowing
in the skin, is thought to produce the vesicular eruption. The Acarus
Scabiei, or Itch insect, was discovered in 1179 by Abenzoar, the
Arabian. In 1687 Dr. Giovanni Bonomo wrote a full account of it in a
letter to Redi of Florence. It is supposed that Sulphur ointments and
Sulphur fumigations have a direct external action in causing the death
of this Acarus, by the bodily transmission of which from one person to
another the contagious nature of the disease is accounted for.
Dr. Billing considers that the confirmation of this discovery has given
the death-blow to an idea which will probably last as long as medicine;
viz., that certain remedies exert a special influence in the cure of
particular diseases. (_Principles of Medicine_, p. 75.) But we must not
deny the existence of special agents, simply because we cannot
understand their operation; for it is apparent in too many instances.
And from the circumstance that Sulphur has proved beneficial when given
internally in Scabies, as well as the fact that this disease has often
an idiopathic origin, I am still disposed to doubt the value of the
inference which is drawn from the discovery of the Acarus, and inclined
to believe that Sulphur may exert an action of a specific kind in this
disease as well as in the others.
Some other internal remedies, and many other external applications, have
been used in Skin diseases; but these that I have mentioned are the only
ones that appear to exert something of a special action in all cases.
Arsenic is perhaps the most universal in its application. It often
happens that when this remedy entirely fails, the eruption is connected
with a constitutional taint of Syphilis. When there is a suspicion of
this, such a remedy as Donovan's solution, containing both Arsenic and
Mercury, is peculiarly applicable, because capable of acting in a double
way. This medicine also contains Iodine; and either this preparation, or
the Iodide of Potassium, should be prescribed when the skin disease
appears to be connected with a strumous diathesis.
As soon as the course of Arsenic is found to produce swelling of the
face, or irritation of the conjunctivæ, symptoms which denote the
saturation of the system with the remedy, its administration should be
suspended for a while.
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