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
So far the conditions of sweating and of diuresis are nearly opposite.
But this is not the case with the medicines which are used to cause
them.
Diluents, and salines soluble in water, form the first group of true
Diaphoretics. Water promotes alike the function of the skin and of the
kidneys; and it is only by a regulation of the circumstances mentioned
above that it can be diverted from the latter towards the former.
Diluent drinks are indispensable adjuncts to a Diaphoretic regimen.
Salines also tend naturally to pass off in the urine, when in small
doses; but when in large amount, by the bowels. A saline, being soluble
in water, cannot pass out except into a fluid secretion; so that a
saline diaphoretic should be given in a moderate dose, and to secure its
action the skin should be kept covered and warm, and the patient in a
recumbent posture. The medicine will then pass off into the liquid
sweat, as it otherwise would have passed into the urine.
Volatile Diaphoretics may increase the cutaneous transpiration, and pass
off by the skin, without the production of sensible liquid sweating. For
being soluble in air, and capable of being carried away by it, they
therefore tend especially to the two aeriform secretions, _i.e._ those
of the lungs and of the cutaneous surface. (_Vide_ pp. 278, 285.)
Ammonia and its various salts are very useful as Diaphoretics. Volatile
oils are less energetic, for they often pass off with such ease as not
sensibly to increase the secretion of the skin.
Some acrid matters, as Guaiacum, Mezereon, and Senega, appear to act
specifically on the function of the skin. So also do certain Narcotics,
among which Opium is conspicuous as the most certain Diaphoretic that we
possess, though its other operations prevent it from being applicable in
all cases.
Antimony, Mercury, and Sulphur, are medicines which appear to a greater
or less degree to increase all the secretions in the body. When given in
the insoluble form, they are reduced by the system to a soluble state.
When Tartar Emetic is given in small doses, its only apparent action is
slightly to increase the perspiration. It is probable that it then
passes out through the glands of the skin. When given in emetic doses,
it may produce sweating indirectly, as mentioned above. Iodine, which
also increases secretion generally, acts sometimes as a Diaphoretic.
Many volatile oils have been detected by their odour in the
perspiration, as those of Garlic, Onion, Asaf[oe]tida, Musk, and
Copaiba. Mercury, Sulphur, and Iodine, have been detected chemically in
it. It has happened, when a course of Mercury has followed the
administration of Sulphur, that parts of the skin have turned black,
from the formation of Sulphuret of Mercury. So it is proved of many of
these Diaphoretics, and thus rendered highly probable of the rest, that
they are true Eliminatives, being themselves excreted by the glands
which they excite to action.
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