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
All the varieties in action of Sedative medicines may be accounted for
by considering that they may either derange or destroy the nervous
forces. In the case of each set of nerves in the body we may distinguish
an action of derangement, and an action of destruction, both producible
by Sedative medicines. Thus by an action on the motor nerves of the
cerebro-spinal system, convulsions or paralysis may be produced. By an
influence on the nerves of sensation; pain, or anæsthesia. By an
affection of the organic nerves of the heart, or of the brain which
controls them; palpitation, or syncope. By an action on the nerves of
the lungs; cough, or apn[oe]a. By the exertion of a sedative power over
those of the stomach, nausea may result, or vomiting. These various
symptoms are all brought about by Sedative medicines, but in each case
the first effect is referrible to a derangement, the second to a loss of
nervous power. In every instance there is an impairment of natural
nervous force.
Narcotics act on the mind. They cause death, with stupor or delirium.
Sedatives act on the organic function of the brain, which is necessary
to life, but they do not affect the mind. In poisonous doses, they kill
by producing syncope, which is a suspension of the action of the heart.
Hydrocyanic acid causes at the same time convulsions. These convulsions
appear to be caused by a derangement of the nervous polarity of the
spinal cord; and not by a stimulation of this centre, as the tonic spasm
of Strychnia. (_Vide_ page 232.)
Sedatives are divided into two orders, according to the extent of their
action; in the same way as Stimulants have been divided.
SEDANTIA.
Ord. 1. Sedantia Generalia.
Ord. 2. Sedantia Specifica.
General Sedatives have a direct action upon all the nerves and
nerve-centres in the body, the result of which is a diminution of
nervous force.
Special Sedatives exert the same depressing action upon particular
nerves only. Like the order of Special Stimulants, they are peculiar
and exceptional agents. All those with which we are acquainted appear to
direct their action to the branches of the Vagus nerve.
It is among General Sedatives that the types or representatives of this
division are to be found. The definition of this order does not admit of
so great a variety in action as must be allowed to Narcotics. A
Stimulant medicine simply exalts or increases nervous force; and a
Sedative simply depresses the same. But a Narcotic first does one thing
and then the other; and according to the degrees of these two actions,
so do some Narcotics resemble Stimulants, and others approach very
nearly to Sedatives. But we have seen that Narcotics have also a
peculiar and mysterious action on the mind, which action is of three
separate kinds. And the same three orders which are named according to
their respective actions on the mind, are found to coincide with three
stages of transition from the action of a Stimulant to that of a
Sedative medicine.
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