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
Potash and its salts have been used in Scurvy by Dr. Garrod, on the
supposition that there is in that disorder a particular deficiency of
Potash in the system. But the fact that Citric acid is at least of equal
utility in the treatment of scorbutic diseases, would seem to be opposed
to such an idea. When given in moderate doses, and not retained in the
system, Potash and its salts pass out into the urine, and act as
Diuretics. (_Vide_ pp. 126, 187, 193, 202, 206.)
QUININE.
Class I. Div. I. Ord. IV. TONICA.
Though the utility of this important remedy is often of a sufficiently
direct and obvious character, its precise mode of action is enveloped in
no small degree of doubt and obscurity. This subject has been discussed
at some length in the article on Tonics.
It appears, from the character and results of its medicinal influence,
that it is exerted primarily in the blood, and not on the nerves. It is
included in the Restorative group of Hæmatics, and the general results
of its action differ widely from those of a Catalytic Hæmatic. It
produces no marked effect upon the system in health. Its operation
consists in the cure of general debility, however produced, and in the
prevention of periodic disorders in the blood. Debility depends on a
want in the blood, and not on any active morbid process; and there are
circumstances which render it likely that Ague may be curable by the
supply of a similar want.
Quinine is also serviceable in Gout, Scrofula, Dyspepsia, and other
disorders; in all of which other medicines, which stimulate the
secretion of the bile, are more or less applicable. Torpidity of the
liver is likewise a usual accompaniment of the various forms of
debility, and occurs in intermittent, remittent, typhoid, and yellow
fevers; in each of which this medicine has been recommended, and used
with advantage. In fact it may be said, that in all diseases in which
Quinine is used there is a failure in the secretion of bile; and in all
diseases in which there is a failure in the secretion of bile, Quinine
is serviceable.
There appears then to be some connexion between these two things.
Certain of the constituents of the bile are formed by the liver out of
the blood, for the purpose, apparently, of being again absorbed at some
part of the surface of the intestinal canal. One of these, Taurine, has
been shown to be chemically analogous to Quinine. Thus it seems to me to
be not improbable that this alkaloid may be of service in these
disorders by supplying the place in the blood of this biliary matter,
which for some reason may be needful in the animal economy, or that it
may actually become changed into the latter while in the system. Were
this proved, its restorative action would be effectually cleared up.
The Disulphate of Quinine (or Quina) is the preparation of the alkaloid
which is most commonly used.
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