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
Colchicum has many different actions. It has an agency in the blood,
being Antiarthritic. It is an Eliminative, acting on the liver and
bowels. And it is also a General Sedative. To the combination of an
eliminative with a sedative or anodyne action, the use of Colchicum in
Gout has been, I think, erroneously ascribed. For in fact it seems to
act best in this disorder when it causes no purging, and scarcely any
action on the nerves. When it has been long used, it causes a great
depression of the spirits, like that which may be caused by some
undoubted blood-medicines, as Mercury. But it does not affect the
understanding, or the special senses. In poisonous doses it depresses
the circulation and the nerves generally, but it causes no stupor or
insensibility. It is therefore not a Narcotic; but, like other
Sedatives, it kills by syncope.
In the behaviour of the system towards Colchicum, Aconite, Digitalis,
and other nerve-medicines, there are two peculiarities which are worthy
of remark. They are called _cumulation_ and _toleration_.
Some quantity of the medicine may often be given, in repeated doses for
some time together, without any apparent result. It seems to remain in
the blood, and to become accumulated or stored up there. But all on a
sudden it breaks out, appearing to be discharged on the nerves, and may
produce very dangerous symptoms. This _cumulative_ action is especially
observed of Digitalis, and therefore considerable care is required in
the exhibition of that medicine. This medicine is a Special Sedative,
and will be presently considered as such. In other cases we find that
the nervous system becomes by degrees inured to the effect of a
particular medicine, and suffers less by its presence than it did at
first. This is called _toleration_. It is particularly observed of
Colchicum and of Antimony, and of all medicines which act on the Vagus
nerve so as to cause vomiting.
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