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
Chloroform, or Terchloride of Formyle, is a volatile liquid which is
analogous to Ether and Alcohol both in nature and medicinal action, but
very different in chemical construction.
Ether = C_{4}H_{5}, O.
Alcohol = C_{4}H_{5}, O+HO.
Chloroform = C_{2}H, Cl_{3}.
A solution of Chloroform in spirit, sold under the names _Terchloride of
Carbon_ and _Chloric ether_, is in very general use, and is employed in
very much the same cases as Nitric ether, being in the first place
stimulant, and subsequently anodyne, soporific, and diaphoretic.
Chloroform is physiologically an Inebriant. But it is for certain
peculiar actions that are coincident with, or immediately follow, this
production of inebriation, that it has been so widely and so
successfully employed in medicine since its recent discovery. Its two
important operations are its anæsthetic effect on sensory nerves, and
its paralyzing influence on muscle.
With regard first to the general selection of anæsthetic or anodyne
remedies, it is to be observed that there are four distinct kinds of
Pain, which differ very much in the treatment required. (1.) Firstly,
there is _inflammatory_ pain, caused by an active disease. It is
aggravated by pressure; and it has a local cause. For this Opium is the
best Neurotic remedy, but it should not be used without an attempt being
previously or at the same time made to subdue the active inflammation.
(2.) _Irritative_ pain is different. It depends merely on nervous
irritation. It also has a local origin; but it is relieved, instead of
being aggravated, by a pressure or friction. Such is the pain produced
by lead-colic, or by the passage of a gallstone or renal calculus. The
pain of Neuralgia is generally of the irritative kind. So is that of
Gastrodynia. So also the pain artificially inflicted by the knife in
surgical operations. For irritative pain on the surface Aconite is most
efficacious. Belladonna comes next to it. In Gastrodynia Hydrocyanic
Acid is to be preferred. But to counteract the pain of a surgical
operation we require a medicine which shall be capable of producing a
powerful effect on the whole system at once. Such medicines are Ether
and Chloroform. It is found most convenient to bring the patient under
their influence by causing him to inhale the vapour into his lungs.
Being absorbed by the pulmonary mucous surface, and passing directly
into the circulation, the medicine thus takes effect rapidly. There is
no time for the volatile liquid to be excreted from the blood, so that
the ulterior effect of the anæsthetic cannot be escaped. The third and
most important advantage of this mode of administering Chloroform is
that by it we are enabled to regulate with exactness the degree of its
action, which is a dangerous one, and to stop it when it has gone far
enough. When introduced by inhalation into the general circulation,
Chloroform acts upon the brain and sensory nerves throughout the body,
Public-domain text, read in full here on John Shaqi.
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