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
Such then appears to be the _modus operandi_, and such are the chief
applications, of the remedies belonging to the order of General
Stimulants. Those of the next order exert an action of the same kind,
but their field of operation is on a more confined scale.
ORD. II. SPECIAL STIMULANTS.
(Strychnia; Brucia; Toxicodendron; Ergot of Rye; Borax; Rue.)
These are medicines which pass from the blood to the nerves or
nerve-centres, and act so as to exalt the energy of particular nerves or
sets of nerves. They do not affect the whole nervous system, but they
operate on one set of nerves in the same way that General Stimulants
operate on all, though usually with greater energy.
The causes of such a localized action are hid in obscurity; but it has
already been hinted that they may perhaps be partly accounted for by the
differences in chemical or mechanical structure existing between
different parts of the nervous system.
Strychnia, the alkaloid and chief active principle of Nux Vomica, acts
as a Special Stimulant, chiefly to the spinal cord and the nerves that
proceed from it. Its operation is mainly exerted upon the motor
branches. Thus in large doses it causes a spasmodic and powerful
contraction of the muscles of the trunk, and may even produce death by
rendering respiration impossible. Its action is propagated from a motor
nerve to a muscle, and is kept up for some time. In small doses it is
useful in certain cases of paralysis. Two things are necessary in order
that it may act efficiently. The muscles of the part must be whole and
sound; for if destroyed by excessive atrophy or fatty degeneration, they
cannot be roused by any stimulus. The nerve, too, and the centre from
which it originates, must be sound, or else the medicinal impulse cannot
be conducted along it. These two conditions can only concur in paralysis
from disuse, _i.e._ when the incapacity to move a limb depends merely
upon its having long been in a state of inactivity, but when the lesion
of the centre which caused the paralysis has at length sufficiently
healed, and the nerve is now in a fit state to conduct a motor impulse.
Strychnia has no operation on the intellectual functions; neither does
it act upon the sympathetic nerves of the heart and arteries, so as to
quicken the pulse like ordinary stimulants. It exalts sensibility as
well as irritability, but not so powerfully. It is a special Stimulant
to the motor and sensory nerves throughout the body. Acting upon the
spinal cord, it tends thus to exalt reflex action, which is derived from
that centre. In small doses it appears to promote digestion, and may
perhaps act upon the ganglionic nerves supplied to the stomach.
Brucia, which is the other alkaloid of Nux Vomica,--and the leaves of
the Rhus Toxicodendron,--resemble Strychnia in their action, but are
less powerful.
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