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
Aconite is a powerful anæsthetic to the superficial sensory nerves. When
applied in solution or ointment to the surface of the skin, it produces
first some heat and tingling, which is attributable to a derangement of
the nervous influence; and this is succeeded by perfect numbness. It is
thus a most valuable topical remedy in true irritative Neuralgia. Other
Sedatives and Narcotics have the same power as topical anodynes, but not
in so marked a degree. In large doses Aconite is a General Sedative;
producing tingling of the extremities, vomiting, and syncope; and
affecting the brain in various ways, as will be shown by some
experiments which I have made upon its action, to be detailed in the
fourth chapter. An alkaloid called Aconitina, the most powerful of all
known medicines, is the active principle of this drug.
Conium (Hemlock) also owes its properties to the alkaloid Conia. Dr.
Christison has made some experiments upon the latter. He found that it
produced swiftly-spreading paralysis of the motor nerves; and he
considers it to act particularly as a Sedative to the reflex spinal
functions. It also paralyzes the sensory nerves, but in a less degree.
Conium is certainly anodyne; and produces often a sedative action on the
heart. It would thus appear to be a General Sedative. But in some
recorded cases of poisoning by Hemlock, coma has been mentioned as a
leading symptom. Were this to be authenticated, and shown to be the
invariable result of the action of this medicine in large doses, then it
ought certainly to be classed among Narcotics. Dr. Pereira considers it
likely that the plant contains more than one active principle. Hemlock
has a paralyzing action on the nerves of motion, which is directly the
reverse of the stimulating action of Strychnia; and is thus of use in
cases of convulsion and spasm. It is also often prescribed as an
anodyne.
Conium is further said to have a curious resolvent power over glandular
enlargements, and to have thus frequently caused their absorption and
disappearance. This action was first noticed and described by Dr.
Fothergill. All true resolvents operate by an action in the blood, but
it is difficult to conceive how such an action can be exerted by a
nerve-medicine. It may possibly act indirectly by quieting the action of
the heart, and controlling an irritable state of the nervous system. In
the same way Opium often appears to act as a resolvent. And it is
certain that Hemlock, when used for this purpose, very often fails
altogether. It has been wrongfully extolled as a panacea in Phthisis;
but is in fact of no greater use in that disorder than Hyoscyamus,
Prussic acid, and other medicines which reduce the pulse. For the
patient in this disease is devoured by a continual slow fever, and any
thing which tends to lower this fever will serve to prolong his
existence. But altogether it must be admitted that considerable mystery
attaches to the operation of this medicine.
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