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
The chief objects for which I have designed this Fourth Chapter are that
I may be enabled to illustrate some general principles of the action of
medicines which have been laid down in the Propositions, and show in
what manner they are applicable to special cases,--and to enter into
certain details respecting the more important remedies, which have not
been attempted as yet. Of many of these medicines a tolerably full
account has already been given; but they may again be mentioned here for
the purpose of shortly summing up their several actions, and comparing
them one with another.
It often happens that there is more than one point of view from which
the action of a medicine may be regarded. For many medicines are
numbered under several distinct heads, being included in different
groups on account of the several phases of their operation. There are
three stages in the progress of the remedy through the system, at each
of which it may exert a special action. There is a contact with the
surface; a continuance in the system; and a passage out of the system.
In the first place a medicine touches the mucous surface of the
alimentary canal; here some few evidence their action. From this, if in
any way soluble, it passes into the blood. Here it may act on the blood,
being Hæmatic. Or it may employ the blood merely as a means of transit,
and direct itself towards nerve or muscular fibre, being Neurotic or
Astringent. But we have seen that none of these medicines, with the only
exception of Restorative Hæmatics, can remain long in the system. They
must pass out, and the mode of passage is through the glands. Here is a
third opportunity of operation. The medicine may act now as an
Eliminative, increasing the secretion of the gland; or, more rarely, as
a glandular Astringent, because tending to diminish it.
As a general rule, though not in all cases, the most important action of
a medicine is that which it first evidences, the subsequent operations
being secondary, and of less moment. Thus Mercury is, in the first
place, a Catalytic Hæmatic; in the second place, an Eliminative.
Creosote is firstly a general Sedative, secondly an Astringent. Antimony
probably belongs to three out of the four classes, and its second
operation is perhaps the most important. It is a Catalytic, a special
Sedative, and also an Eliminative.
COD-LIVER OIL.
Class I. Div. I. Ord. I. ALIMENTA.
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