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
When there is habitually a deposit in the urine, of lithates, or
phosphates, or other solid matters, the simplest mode of obtaining a
solution of this deposit, and thus preventing dangerous consequences, is
to increase the amount of the fluid part of the secretion. Water is the
best medicine for this purpose, and all Diuretics that are given with
such an object should be freely diluted with water. In Gout and
Rheumatism, remedies of this order may be of service by promoting the
excretion from the blood of the uric or lactic acid formed there. They
may also be used as Eliminatives in fevers and other disorders. In the
strangury which may sometimes follow the application of a blister to the
skin, copious draughts of water are often prescribed with advantage, for
they serve to wash out of the blood the acrid matter which has been
absorbed from the surface.
It is for the second purpose, in cases of dropsy, produced by congestion
of the liver, kidneys, or general circulation, that Diuretics are most
urgently required, but are least efficacious. This congestion or
pressure on the veins diminishes the amount of the secretion of urine,
and by so doing increases itself, and aggravates the effusion and
disorder. The same cause most effectually hinders the action of a
Diuretic. If only we could largely increase the secretion of urine, the
pressure on the venous system would be diminished, and absorption of the
effused fluids might take place. In some cases of dropsy caused by renal
congestion, the attempt is so hopeless that it is better to resort to
Diaphoretics. In obstruction on account of heart disease, or congestion
of the liver, we may sometimes gain our point by combining other
Diuretics with Digitalis or Blue-pill, remedies which tend to remove the
causes by which the diuretic action is hindered. (_Vide_ p. 304.) Even
then we can often produce a much more copious and effectual drain of
fluid from the blood by an action on the bowels, as by a dose of Jalap
or Elaterium. When a Diuretic is required to eliminate fluid from the
system, the dose should not be much diluted with water; this should only
be done when we desire to eliminate solids from the blood. It is often
advisable to combine together a number of different Diuretics, in the
same prescription, so that by their joint but various agencies the
causes which hinder their action may be overcome. The operation of
Diaphoretics is opposed to that of Diuretics, but it is not always so
with purgative medicines. The urine is often increased by the action of
a hydragogue Cathartic; and a combination of Blue-pill and Squill
supplies us with one of the best of known Diuretics. It is applicable in
cardiac dropsy as well as in hepatic cases.
Thus is concluded a brief outline of the actions and uses of the six
orders of Eliminative medicines.
CHAPTER IV.
ON THE ACTION OF SOME OF THE MORE IMPORTANT MEDICINES IN PARTICULAR.
Public-domain text, read in full here on John Shaqi.
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