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 majority of medicines that affect the blood permanently belong to
the mineral kingdom, while most of those that powerfully impress the
nerves are derived from vegetables. But to the rule that Hæmatic
medicines are of mineral origin, we have already found one important
exception in the case of Quinine and Tonics. Colchicum appears to be
another instance of the kind. The great and obvious use of this remedy
is that action in the blood which above is classed first, i.e. its
influence in the counteraction of gouty disorders. We have already
considered at some length (p. 200) a number of Antiarthritic medicines
that seem to act in a chemical manner. Colchicum is not one of these. It
is a General Sedative, and a Cathartic; in large doses, an irritant
poison. It seems also to increase the amount of other secretions,
particularly the urine and the bile. But it is used beneficially in
Gout; and it is assumed that in the cure of this disorder it exerts an
action in the blood, inasmuch as its remedial operation appears to be
independent of its nervous and glandular actions. This hæmatic action
must be of the Catalytic kind, and may probably consist in the exertion
of a special influence over the erring assimilative processes, which
tends to resolve them into a right direction.
But it should be observed that at least three other explanations of the
action of this remedy have been proposed, each of which is possessed of
a degree of plausibility.
Some have ascribed its efficacy to the union of a cathartic with a
sedative effect, and have even substituted for it a combination of Opium
with a drastic purgative. Those who adopt this view of its action aver
that Colchicum acts best when it purges freely. But though Purgatives
are often of use in gouty disorders, it is generally found that
Colchicum operates most favourably when given in too small a dose to
produce any purging.
Colchicum stimulates the function of the liver, which is generally
deranged in gouty disorders. Mercury, which also promotes the secretion
of bile, is in this way useful in Gout. It seems that the formation of
this secretion is in some manner essential to the integrity of those
blood-processes which are disturbed in arthritic diseases. It might
therefore be supposed that Colchicum too acted as a Cholagogue. But it
is not clear that it increases the secretion of the bile in any very
marked degree.
Thirdly, it is affirmed by some that this medicine is of use in
eliminating uric acid from the blood, this product being supposed to
accumulate in the system before the paroxysm of Gout. It is said that
under the action of Colchicum the natural amount of this substance in
the urine is much increased. This would be an important fact if it were
certainly proved. But it does not seem to be so; nor is it clearly shown
that the observed increase in uric acid is not a symptom of the
disorder, rather than of the treatment.
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