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
_True Cholagogues._--We are not well informed as to the exact number of
medicines which pass out into the secretion of bile, and act thus on the
true eliminative plan. But there is no medicine which is of such great
and universal utility in all liver diseases as Mercury,--in its various
forms. Mercurials increase more or less all secretions; and even if we
had no direct proof of their action on the liver, we might almost have
affirmed that they especially increased the secretion of bile, from the
obvious way in which bilious symptoms yield to their action. But we have
a direct proof of this. M. Buchheim has made some careful experiments on
a dog. Having given it Mercury, he cut down upon the hepatic duct,
observed and collected the secretion, and subsequently analyzed it. He
found that the bile was increased, and that Mercury was contained in it.
(_Vide_ p. 275.) Certain other purgative medicines are popularly, and
perhaps correctly, esteemed as specific Cholagogues. These are Rhubarb
and Aloes. Taraxacum is also thought to act upon the liver. But of the
true eliminative action of these medicines we have no proof.
It is probable that alkalies and fatty matters may act in certain cases
as true Cholagogues, for they are both contained in the natural
secretion of bile, and therefore likely to pass into it.
In many cases of debility, and even of Scrofula, small doses of Mercury
may act efficiently as tonics, by stimulating the function of the liver,
which in such instances is generally deranged.
ORD. V. DIAPHORETICS.
These are medicines which tend to promote the secretion and exhalation
from the surface of the skin. Of the matters which are given off from
the surface of the body there are three kinds. Water in the state of
insensible vapour, and volatile matters, are continually exhaling from
the skin at all points, and pass unnoticed into the atmosphere around.
The liquid sweat, which in the ordinary state of the body is only given
off in sufficient amount to prevent the skin from becoming over-dry, is
secreted by the sudoriferous glands, whose ducts terminate in large
numbers on the surface at every part. There is in the third place an
oily material, formed for a similar purpose by the sebaceous glands,
which are widely distributed, but fewer in number than the last.
Diaphoretics seem to increase only the first two kinds, viz., the
aeriform transpiration, and the liquid sweat; and they act upon these in
a varying proportion. In the consideration of this order we have not
only to bear in mind the distinction between these two kinds of
diaphoresis, but to note further the important relations existing
between the action of these medicines and the state of the atmosphere,
the condition of the body, and amount of other secretions.
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