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
From this it follows that the mineral acids, Alum, and the salts of
Iron, are the only astringents of this order which can in all cases be
given internally with advantage. For being comparatively innocuous, they
can be safely prescribed in the quantity required; whereas the other
mineral Astringents are poisonous substances, which cannot be given in
large doses without considerable danger.
Of the mineral acids, Sulphuric acid is the best Astringent. Phosphoric
acid is seldom or never used as an Astringent. We might indeed have
supposed it to be inapplicable, from the fact that it forms soluble
compounds with albumen and fibrine,--instead of coagulating these
substances, like the other mineral acids.
Sulphuric acid is a Restorative Hæmatic; and, when given in small doses,
may remain in the blood, and not pass out through the glands. It acts
first upon the mucous surface of the stomach. When there is a relaxation
of this mucous membrane, as in many cases of atonic dyspepsia, with a
large formation of flatus, and an over-secretion of the gastric fluid,
this acid may be very serviceable. It tends to correct these evils by a
topical action. In cases of Pyrosis, where there is an alkaline reaction
in the vomited fluid, as sometimes occurs, Sulphuric acid is still more
peculiarly applicable, because it further acts chemically in
neutralizing this alkali. When given in large doses, the acid cannot
remain in the system, but must be excreted from it by the glands. In
passing through them it tends to act as an Astringent by corrugating and
diminishing in caliber their minute ducts, and thus decreases the amount
of the secretion. But it does not act on all glands alike. Dr. Bence
Jones has found that it seldom passes out into the urine. It therefore
does not sensibly diminish the secretion of urine. It is probably
excreted partly by the skin, and partly by the bowels; for it diminishes
the amount of the sweat in profuse perspiration, and of the fæces in
diarrh[oe]a. Sulphuric acid is free before entrance into the blood, and
after expulsion from it into the secretions. Thus at these periods it
acts as an Astringent. But while in the blood it combines with the
alkali contained in that fluid, and forms a salt which is not
astringent. So that when it diminishes any secretion, this is nearly
tantamount to a proof that it is actually excreted by the gland which
forms that secretion. It acts on mucous membranes generally, being
probably excreted in small quantities by those which are remote from the
stomach. It is not of use in cases of hæmorrhage, except when the
bleeding takes place from some mucous membrane. It is thus given with
more or less advantage in Hæmatemesis, Hæmoptysis, Melæna, and chronic
Dysentery--_i.e._ in hæmorrhage from the mucous surfaces of the lungs,
stomach, and bowels.
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