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
It is supposed by some that diffusible Stimulants act simply on the
ganglionic system of nerves, being able through them to excite the
functions of the heart, vessels, and glands. But Ammonia is used with
advantage in some cases in which the whole nervous system is implicated
in the disorder. It has been employed in cases of Typhus, of simple
febrile exhaustion, of Hysteria, Epilepsy. In such affections the brain
is at least involved, if not often the chief seat of the disorder.
Spasms and convulsions are due to a general derangement of the nervous
forces, and particularly of the brain, in which these centre and
originate. Stimulants, by exalting the natural functions, counteract and
control this derangement. It is thus that Ammonia and volatile oils are
of use in convulsive disorders; but they are seldom of any permanent
efficacy, as in most cases of Hysteria and Epilepsy there is at the
bottom a blood-disease, of which the spasmodic fits are only the symptom
and outbreak. (_Vide_ p. 176.) So also is there a limit to the
efficiency of Stimulants in such cases as Typhus fever; there is a
certain point of exhaustion beyond which they are of no avail. For I
have attempted to show that though Stimulants are competent to exalt
nervous force, they are unable to supply vital force. A degree of
nervous force is necessary to the continuance of life; but when the
powers of life themselves are ebbing away, it is impossible then to
prolong any further the thread of existence by the exhibition of
stimulant medicines.
The action of Ammonia is directly the reverse of that of Prussic acid,
which is a General Sedative, producing Convulsions and Syncope. Ammonia
is thus used in cases of poisoning by that liquid. (_Vide_ pp. 126, 227,
278, 283, 301.).
STRYCHNIA.
Class II. Div. I. Ord. II. STIMULANTIA SPECIFICA.
Strychnia is the chief alkaloid and active principle of Nux Vomica. This
medicine is comparatively simple in its action. It has no claim to the
title of Sedative, which is sometimes applied to it. It does not affect
the nerves generally. It has no direct action on the brain, but
stimulates chiefly the function of the spinal cord, and its system of
nerves. Of these nerves it affects the motor considerably more than the
sensory branches. Along with the spinal cord, it doubtless also acts
upon that part of the brain which is immediately associated with the
spinal system of nerves. But the function of reflex motion, which is
thought to reside in the spinal cord, is particularly stimulated.
Strychnia is thus an exciter of muscular contraction and of motion;
exalting sensation in a less degree. It has also apparently some action
on part of the ganglionic system of nerves, by which it is enabled to
promote the function of the stomach, and becomes temporarily a tonic
when given in relaxed conditions of that organ. But it does not excite
the action of the heart.
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