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
2. _Soluble mineral substances._--Acids, Alkalies, and Salts, may pass
off by any of the fluid secretions. The chief of these secretions are
the sweat, the urine, and the secretion of the bowels. The sweat is only
fluid when the skin is kept covered and very warm. In other cases the
choice lies between the kidneys and the bowels. The kidneys are the
grand purifiers of the blood, so that most of the substances which
stimulate the other glands may occasionally pass off in the urine. And
soluble minerals, which require some amount of water for proper
solution, would tend for this reason towards the most fluid of the
secretions.
But there are some other things which counter-balance this tendency.
The constitution of the urine is such that it cannot safely be disturbed
to a very great extent. If there be much excess in it either of acid or
of alkali, a deposit is occasioned. Dr. Bence Jones found that Sulphuric
acid never passed out in the urine in any quantity. We find too that
when a certain quantity of a saline is administered, too great to pass
off readily by the kidneys, it prefers to act on the bowels. It is more
likely to be diuretic if much diluted with water; but this is not the
only directing cause, for a very large quantity of a saline will prove
purgative even when largely diluted. (_Vide_ Prop. II.) Thus the general
rule is this: soluble minerals are in small doses Diuretic, in large
quantity Purgative. This applies more especially to salts; for mineral
acids act as astringents on the bowels,--and mineral alkalies, being
corrosive, cannot be given in large doses.
3. _Ammonia and volatile oil._--The laws of endosmosis favour the
passage of soluble substances through to a liquid secretion. They are
dissolved and carried away on the other side of the membrane through
which they pass. In the same way it appears that volatile substances may
dissolve in, and be carried away by, air. Thus they have a tendency
towards the aeriform secretions. These are,--the expired air, or the
secretion of the air-cells of the lungs,--and the ordinary cutaneous
transpiration. While passing through the air-cells, these matters
stimulate the secretion of the lining mucous membrane. They cause a
morbid secretion of this surface to be replaced by a more natural one.
Thus Ammonia and volatile oils are Expectorant and Diaphoretic. They may
all pass out in the urine, but do not especially tend to do so, with the
exception of some that are acrid, and approach to the nature of the
resinous group. Turpentine, Juniper, and Copaiba, are Diuretic.
4. _Acrid fixed oils._--Such are Castor and Croton Oils; they are
Purgatives, passing off by the bowels.
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