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
ORD. II. EXPECTORANTS.
This term, when taken in its widest sense, is applied to all medicines
that cause the evacuation of mucus from the secreting surface of the
respiratory tubes and cavities. They help the natural process of
Expectoration.
Many medicines are capable of acting indirectly as Expectorants. Any
thing which causes cough, as an irritant gas, will do it. So will any
thing that thins the mucus when thick and viscid,--_e.g._ the
inspiration of the vapour of hot water. Special Sedatives, which control
the function of the Vagus nerve, are especially notable as indirect
Expectorants. Such are Antimony and Ipecacuanha. By diminishing the
morbid irritability of the pulmonary surface, they prevent the continued
secretion of mucus. By allaying a spasm of the small bronchial tubes,
and controlling the nervous sensation of want of breath, they may
promote the evacuation of that which is already secreted.
Opium and Stramonium, classed among Narcotics, depress the function of
this nerve as well as the nervous forces generally. So do other
medicines similar to them. Opium in small doses allays irritability and
diminishes spasm, and is then an indirect Expectorant; but in large
doses it acts so powerfully as to render respiration difficult and
expectoration impossible. Its use therefore demands great caution.
_True Expectorants._--The action of Antimony and Ipecacuanha upon the
secretion of bronchial mucus is of so specific a character as to render
it highly probable that these medicines add to their neurotic influence
a true eliminative agency. We are as yet unable to decide whether or not
they are ever secreted by these mucous glands, because not only is the
analysis of the mucus a matter of difficulty, but hitherto no
investigation of the matter has been made. Squill also is probably an
Eliminative Expectorant.
Many of the true Expectorants are volatile and odorous in nature. All
excreted substances have to pass by an endosmotic process through a thin
animal membrane. And it is necessary before they can pass, that there
should be on the other side of this membrane something which is capable
of dissolving them. Diuretics are soluble in water, and they pass
through into a watery fluid. But these Expectorants, whether they pass
through the mucous glands, or immediately through the thin wall of the
lung-cell, are brought directly into contact with air. And in this air
these volatile matters are soluble, and are carried away by it.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account