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
For the purpose of acting upon the liver and bowels, Mercurials are
frequently used in disordered digestion and cases of hepatic
derangement. In Intermittent disorders, debility, Gout, Rheumatism, and
Scrofula, small doses of Mercury are often of service. I have
endeavoured to show (p. 143) that in these cases they may prove
indirectly tonic, by restoring to the system some of the wanting
elements of bile, which are normally secreted by the liver for the
purpose of being reabsorbed into the system.
In incipient and chronic cases of Scrofula, consumption, and mesenteric
disease, it is possible that Mercurials may act yet in another way. They
no doubt stimulate the formation of the Pancreatic secretion, which is
similar in nature to the saliva. By doing so they may assist the
absorption of the fatty matters of the food in the case of thin and
emaciated subjects, in whom it is probable that the function of this
gland is frequently impaired. (_Vide_ p. 313.)
Mercury assists the operation of all other medicines which act upon the
secretions. In cases of hepatic dropsy it helps the action of Diuretics,
and tends to remove the cause of the congestion, by stimulating the
function of the liver.
The blood-operation of Mercury, by which it is enabled to counteract
morbid processes, is involved in considerable obscurity. The same must
be said of all Catalytic medicines (_Vide_ p. 179.) Dr. Billing
(_Principles of Medicine_, p. 73) is of opinion that Mercury acts by
contracting the capillary vessels. I have already stated my reasons for
dissenting from this notion. (p. 163.) The same author denies the
specific action of Mercury in Syphilis. But if we only admit that there
is no other medicine that will cure primary Syphilis so well as Mercury,
we cannot then surely deny that its action in that disorder is of a
special nature. He considers it to be neither stimulant nor
sedative,--but tonic. (_Op. cit._ p. 101.) No one of these terms appears
to me to be strictly applicable, but perhaps the last is the best of the
three.
Some have, without sufficient reason, assumed Calomel to be a Sedative
when given in large doses. To act in this way, very large doses have
been recommended and given in fever and malignant cholera. Calomel is
naturally an insoluble substance; and in these cases the function of
absorption is at the very lowest ebb; so that it is probable that the
large doses are often left unabsorbed, and pass out of the bowels very
much as they entered, producing scarcely any more effect than so much
chalk mixture. (_Vide_ pp. 88, 143, 163, 168, 185, 188, 203, 286, 295,
308.)
IODINE.
Class I. Div. II. Ord. II. ANTISYPHILITICA.
Class I. Div. II. Ord. III. ANTISCROFULOSA.
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