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
Digitalis is especially useful in dropsies which result from an
obstruction to the cardiac circulation. By subduing the action of the
heart, it relieves that congestion of the vascular system which is the
cause of the effusion of serum. But it is also a Diuretic; and may thus
too relieve the loaded vessels by carrying off in the urine some of the
water of the blood.
Such is an outline of the action of Special Sedatives to the Vagus
nerve. It is not clear whether they affect that nerve at its origin in
the brain, or whether they act the extremities of its filaments.
These Sedatives do not act directly upon the brain itself. But
indirectly they may affect it, when given in large doses. For by
depressing the action of the heart they cut off the natural supply of
blood to the brain, and may, by so doing, produce delirium and
convulsions. They tend obviously to kill by syncope. Some medicines may
cause syncope by an action upon the brain. General Sedatives may do so;
but it does not appear that the medicines of this order ever act in this
way.
Some other medicines rest very closely upon the confines of this order.
Squill is the chief of these. It is not quite clear whether Squill
should be regarded as a Special Sedative, or considered simply as an
irritant Emetic and Eliminative. It is a valuable Expectorant. It is
also a Diuretic; and from the analogy of its operation to that of
Digitalis (_vide supra_,) and because it appears to be a specific
Emetic, it is most probably a true Neurotic.
But we must not confound with Neurotics those medicines which exert a
slow operation in the blood which results at length in a nervous
affection. This may take place, to a greater or less degree, with all
Catalytic Hæmatics. Lead, which is anti-convulsive and astringent,
approaches nearest of all to the recognised nerve-medicines. After
existing for some time in the blood, it produces local palsy,
particularly of the muscles about the wrist; and it sometimes affects
the sensory nerves, causing sharp shooting pains in the limbs. These
nervous symptoms are caused by the accumulation in the system of the
poison of lead, and the deterioration of the blood which is thereby
produced. In the case of the palsy, we cannot certainly say whether
these causes operate first upon the motor nerves, or upon the muscles
themselves.
Lead certainly has some tendency to affect the brain. All kinds of brain
disorders may occur in cases of chronic lead-poisoning. The metal has
been found in the brain after death; but it also exists at the same time
in other parts of the body. In cases of Lead-colic there is generally a
paralysis of the muscular fibre of a certain portion of the intestine.
The pain of the disorder is caused by an irritation of the nerves of the
part.
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