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
Mercurials, being also Cholagogues, are especially useful in bilious
habits. When given to act on the bowels, a Mercurial is generally
conjoined with another purgative, that it may not do damage in the
system by remaining in the blood.
In the second group the great majority of Cathartics are included. They
vary very much in the intensity of their action. Some are mild, and may
be administered in inflammations and fevers, or even in pregnancy, where
a gentle action is required; others are powerful and drastic, and may
cause serious congestion, or even inflammation of the bowel. All the
resins and acrid principles are more or less heating, and should be
administered very carefully in febrile states of the system. Of the
resins, Jalap is comparatively mild, and may be given to children
without risk; while Scammony, Colocynth, and Gamboge are more drastic.
Of the oils, Olive-oil is merely laxative; Castor-oil may be given in
all cases without danger; but Croton oil is a dangerous hydragogue
Cathartic. Of the medicines which owe their efficacy to acrid
principles, there are some which are mild in operation, and whose
principles are soluble in Water. Such are Rhubarb, Aloes, and Senna.
Senna is somewhat irritant. Aloes appears to act on the lower part of
the intestine, and is therefore objectionable in cases of pregnancy or
of uterine disorder. Hellebore is a more powerful acrid, but is now
seldom used. Elaterium is the most potent purgative known. In cases of
dropsy, when all other medicines have failed, one-twelfth of a grain of
this substance has been known to produce a copious evacuation.
Salines, _i.e._ salts of the alkaline and earthy metals, are all more or
less purgative when given under certain conditions. Under other
circumstances they may pass off from the body by the kidneys or the
glands of the skin. The circumstances which determine the excretion of
saline matters appear to be simple in nature. In the common condition of
the body it is not possible for the secretion of the skin to be very
largely increased, or rendered fluid. Suppose, then, a soluble saline,
as the Sulphate of Soda or Magnesia, or Tartarized Soda, to have
obtained entry into the blood, it has the choice of being excreted by
the kidneys or the bowels. The alternative appears to depend mainly upon
the amount of the dose. A small quantity may pass in the urine, and will
not produce purging. But a large quantity cannot so pass; it is excreted
by the glands of the bowels, and acts as a Purgative. It has been
supposed by some that a saline solution proves Purgative or Diuretic
according to the degree of its dilution only. This matter we have
already considered at some length; and the reasons which have induced me
to arrive at a contrary conclusion have been detailed under the head of
Proposition II.
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