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
Any solid substance which excites the mucous surface of the mouth, as
the natural food,--or even the act of mastication alone,--will suffice
to bring on the secretion of saliva. An irritant substance, as Ginger,
or Pyrethrum, tends especially to cause this secretion when masticated.
Catechu and Betelleaf are chewed for this purpose by the natives of the
East.
Such a stimulation of the salivary glands may be advantageously resorted
to on the counter-irritant principle in obstinate cases of head-ache,
ear-ache, or tooth-ache, or in neuralgic or chronic rheumatic affections
of the face.
When the quantity of the saliva is thus increased, it should not be
rejected, but always swallowed when possible; for this secretion is
apparently useful in the stomach, and in some way essential to the
proper carrying on of the digestive process. The chewing of Tobacco,
Betel, and other substances, is frequently found useful by sailors on
long voyages, and is adopted as a preservative against the dysentery and
diarrh[oe]a with which they are so often affected. This advantage is to
be attributed to the increase in the salivary secretion. On the other
hand, we find that the practice of constant spitting is productive of
very injurious effects; and it is more than possible that the pale
faces, lank figures, and dyspeptic maladies, which are so common among
the American people, may be due in part to the prevalence of this habit
among them.
These topical irritants and masticatories are not true Eliminatives.
There are also some medicines which by another topical action may
occasionally produce salivation. These are Sedatives. Hydrocyanic acid,
Digitalis, and nauseant medicines, may act locally so as to paralyze the
muscular fibres by which the constriction of the salivary ducts is
maintained, and thus allow the secretion to pour out uncontrolled into
the cavity of the mouth.
_True or Eliminant Sialagogues._--These are medicines which are actually
excreted from the blood by the salivary glands, and which increase their
natural secretion while passing through them. Mercury is the most
important of these. When given to a considerable extent, it causes
soreness and redness of the gums, and profuse salivation. It probably
increases the amount of saliva even before this soreness is produced. It
is not given for the purpose of producing salivation, but in cases where
the full action of Mercury is desired this symptom is made use of as a
sign that the medicine has taken full effect upon the system. If we
permit it to be carried to too great an extent, sloughing of the gums
and other dangerous results may be produced.
In some rare cases salivation has followed the administration of Iodine.
It is also not an unfrequent symptom of chronic poisoning by Lead. In
cases of salivation by these Eliminative medicines, the substance which
has caused the increased secretion may be, and has been, discovered in
the saliva by chemical tests. They are therefore true Sialagogues.
Public-domain text, read in full here on John Shaqi.
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