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
There are four rules which it is safe to follow in the administration
of Chloroform; not to go on when there is stertorous breathing; not to
administer it when there exists any serious disease of the heart or
lungs; not to undertake under its influence an extensive operation on
the mouth or jaws; and so to arrange the process as that the vapour
shall be freely diluted with air. If the third rule be neglected, the
blood may flow into the windpipe and cause suffocation, for the patient
is deprived of the power of swallowing. The dilution with air is
necessary, not only to moderate the action of the remedy, but that the
necessary vital function of respiration may not be interfered with. It
is also well known that it is convenient to administer Chloroform on an
empty stomach, or it will be likely to produce vomiting.
Though Chloroform rarely fails to annihilate pain, and thus greatly to
diminish the terror of the patient, it will not prevent him from
sometimes dying of the shock of a serious operation. An extensive injury
to the body will suffice to produce a prejudicial effect upon the heart
and nervous system, which is independent of the feeling of pain, and may
occur without moral suffering.
Chloroform is employed by some to relieve the pain of parturition. It is
not found to interrupt the action of the uterus.
But, with this exception, it is a general muscular relaxer and
paralyzer, and may thus be inhaled before an attempt to reduce an old
dislocation, or to restore a hernia of long standing. It is more
efficient in such cases than either Opium or Tartar Emetic, and produces
less distress than the latter. For the same operation it is sometimes
employed in spasmodic disorders. It has even been known to arrest the
paroxysm of that most incurable of all disorders, Tetanus. I have known
it to do great service both in Epilepsy and in Hysteria, when ordered to
be inhaled regularly twice a day. It has been highly recommended by some
who have tried it in Delirium tremens. (_Vide_ p. 237.)
OPIUM.
Class II. Div. II. Ord. II. NARCOTICA SOMNIFERA.
Class IV. Ord. V. DIAPHORETICA.
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