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
This list of General Stimulants is long, but it might even be further
extended. The majority are produced by the vegetable kingdom. The acrid
principles to which some owe their power are intermediate in nature
between volatile oils and resins. Some of them are volatile, like the
former; others fixed, like the latter. Some of the resinous products
contain also a volatile oil. The principles of Capsicum and Mezereon are
very similar in their chemical nature to the true resins. (_Vide_ page
85.)
These remedies differ very much in power, but their influence is the
same in character. They exalt nervous force in general. They seem to act
on the whole nervous system; but their most obvious action is to
increase the force and frequency of the pulse, and to invigorate the
circulation. They are not, for the most part, very powerful medicines;
and their action is seldom so violent as to be succeeded by much
reaction. They improve digestion for a time, by a stimulation of the
sympathetic nerves of the stomach and other viscera. In large doses they
are irritants, and may impair the digestive powers, and cause headache.
Though possessing no marked stimulant power over the function of mind,
like that of the Inebriant Narcotics, yet they certainly exalt the
activity of the brain, along with the other nervous forces.
Dr. Pereira classes the majority of Stimulants among _Ganglionics_,
considering that they only act on parts supplied by the sympathetic
system of nerves. But this view of their operation appears to me to be
too limited; for all of them seem to have a certain action on the brain.
Thus Ammonia is used in Syncope, a state which no doubt depends upon a
shock received by the brain. And there are several things which show
that it relieves this state more by stimulating the brain than by merely
rousing the heart and vascular system. It is found to be most effectual
when inhaled through the nose; by which means it could easily pass at
once into the cerebral circulation. Dr. Pereira thinks that when
administered in the liquid form it can only pass into the blood as a
salt, being neutralized by the stomach-acid. In this case it could only
act before absorption. But it is probable that it is too diffusible and
too rapidly absorbed to be entirely so neutralized; and besides, its
operation when inhaled is the same as when ingested, which seems to
point to an agency after absorption in the latter case. For when
inhaled, it must be absorbed in the free state. And to suppose that it
acts by stimulating the nerves of the stomach only, is to receive a
thing for which we find no parallel in the action of medicines. (_Vide
Prop. I._)
Ammonia has been used with advantage in the prevention of Epileptic
fits, being given just before their expected occurrence. It could hardly
be of use in this disorder unless it affected the brain.
Other General Stimulants manifest this action on the brain to a greater
or less degree.
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