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 operation in the blood is naturally slower than the action on nerve,
and is therefore less marked, and less immediately applicable. Antimony
deteriorates and impoverishes the blood in very much the same way as
Mercury, and, if given in small and carefully regulated doses, is simply
a mild Antiphlogistic and Eliminative. It tends to increase all
secretions, but particularly the exhalation from the skin and lungs,
independently of the production of nausea (p. 324,) a symptom which is
not brought on by a small dose. It is probable that a diaphoretic dose
of Tartar Emetic is actually eliminated from the skin and mucous
membranes. Antimony is appropriate as a Diaphoretic in high fevers, and
in cases where Opium could hardly be used. But Opium is preferable in
cases where there is gastric irritation, and a weak compressible pulse.
The action by virtue of which Antimony has gained its high reputation
as a medicine is of a different kind. By an influence on a part of the
nervous system, apparently the Vagus nerve, it produces first the state
called nausea, and afterwards vomiting. The most important symptom in
this nausea, and in the state of system which succeeds the vomiting, and
continues for some time after it, is a depression of the action of the
heart. At the same time the muscular system is relaxed, and the
breathing is rendered slower.
This nausea is not produced to any extent by a mere irritant Emetic,
such as Sulphate of Zinc, which acts externally and takes effect
immediately. The Antimonial cannot act so quickly; part of it must first
be absorbed, so that it may reach the nerve. We know that it does not
act by outward irritation, from the fact that if the solution be
injected into the veins at any part of the body, it will equally produce
nausea and vomiting. Antimony has no direct action upon the brain; it
affects only a part of the nervous system. In the nausea we recognise a
sedative action upon the nerves of the heart; and in the slow breathing
a similar action upon the nerves of the lungs. But it may be objected
that the production of vomiting is not a sedative action, for we know
that the same symptom may be caused by a mere external stimulant. And
yet there are several reasons which have induced me to conclude that
this also is a sedative action. It would be inconsistent to suppose that
Antimony could be a Sedative in producing nausea, and a Stimulant in
causing vomiting. We have already noticed that a Sedative medicine may
affect nervous force in either of two ways; it may derange it, or it may
depress it. (p. 243.) That influence which causes the contraction of the
stomach to commence at the pylorus, and to result in the expulsion of
its contents upwards along the [oe]sophagus, is obviously explained by
an action of derangement, for it is an exact reversal of the natural
state of things. (p. 92.) But the effects of derangement are often very
similar to those of excitation. Thus convulsions of the muscular system
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