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
In all relaxed conditions of the general system, the amount of the
perspiration is apt to be increased. This is especially evident in the
weakness which follows a paroxysm of simple fever. The force of the
heart is weakened, the tone of the capillaries impaired,--and by these
conditions absorption is favoured, and the amount of fluid in the blood
increased. At the same time the muscular system is relaxed, and the
sudoriferous ducts being thrown open by the diminished contraction of
the involuntary fibre that surrounds them, the excretion of the sweat is
favoured, and the watery parts of the blood are poured out through the
skin. This general relaxation precedes and follows the act of vomiting,
as induced by a dose of Tartar Emetic or Ipecacuanha. Thus these
medicines act indirectly as Diaphoretics, when given in emetic doses.
_True Diaphoretics._--The following groups of medicines may be briefly
noticed as tending to act as Eliminatives on the glands of the skin.
Five divisions may be made:--1. Salines and diluents, under certain
conditions; 2. Volatile substances which are soluble in air, as Ammonia,
volatile oils, and Alcohol; 3. Certain acrid matters, as Guaiacum; 4.
Certain Narcotics, as Opium and Camphor; 5. Antimony, Mercury, and
Sulphur.
These Diaphoretics are all more or less uncertain in their action, as we
have seen to be the case with Expectorants. There are two causes of this
uncertainty. In the first place, the secretion of sweat, like that of
the lungs, cannot be considered as a common emunctory. There are hardly
any solid matters in it which are not also contained in the urine, and
commonly excreted by the kidneys. It is only in special cases, or when
there is a fault in the normal formation of urine, that the skin is
called upon to eliminate materials from the blood.
In the second place, there are certain atmospheric and other conditions
which promote the secretion of sweat, and certain others of an opposite
nature which tend to retard it, and to divert into another channel the
aqueous materials which should pass into it. With regard to the state of
the atmosphere, warmth favours diaphoresis, cold repels it. Warm dry
air, especially when in motion, promotes the aeriform transpiration, by
favouring evaporation. Moist air, which hinders evaporation, promotes
liquid sweating. Very active exercise, with the surface warmly clad,
produces liquid perspiration. Moderate exercise, with a cool surface,
favours diuresis. The recumbent posture, and sleep, promote diaphoresis;
the erect posture and wakefulness, diuresis. Thus when it is required to
produce sweating, the patient is ordered to lie in bed, to be covered
warmly, and to compose himself to sleep. Any thing which keeps the
surface of the skin unnaturally warm, as a hot-air or hot-vapour
bath,--or thick flannel clothing, which is a non-conductor of
heat,--tends powerfully to cause diaphoresis. So does friction, which
stimulates and dilates the external capillaries.
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