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
Whether any precise connexion may exist between these various actions of
Opium, is a difficult thing to determine. It is certain that there are
other Narcotics and Sedatives which are able to relieve pain, but which
neither cause constipation, nor produce cerebral congestion. Purgative
medicines, which open the bowels and diminish cerebral congestion, are
so far opposed to Opium. Those effete matters which it is the function
of the bowels to excrete from the blood, and whose excretion is promoted
by purgative medicines, have an action on the brain which in some degree
resembles that of Opium. Constipation produces drowsiness, and torpor of
the mental faculties. And it is worthy of remark that Opium does not
seem to produce quite its proper effect when combined with a medicine
which causes purging. Thus it is barely possible that the action of
Opium in causing congestion of the brain may be in part referrible to
the influence of those excrementitious matters which it hinders from
passing out through the intestinal glands (p. 291.) But nothing
conclusive is known on the subject.
How, we may ask in the next place, does Opium produce constipation? It
has none of the characters of a general Astringent, and yet there is no
Astringent like it in its action on the bowels. An attempt has been made
to explain it on mechanical grounds. Poisseuille some time ago asserted
that a solution of Morphia prevented the process of endosmosis through a
dead animal membrane. Matteucci and others account for the operation of
Opium on this principle, supposing that by exerting this action on the
living mucous membrane, it is able to prevent the transudation of fluids
from the blood into the cavity of the bowel. But this view seems even
at first sight unsatisfactory. If such a force is really exerted, and
the passage of fluids through a membrane prevented by the action of
Opium, must it not apply to the stomach as well as to the bowel? Why is
Morphia absorbed at all? It should stop the digestive process
altogether. And why is the secretion of the skin increased by Opium,
while that of the bowels is suppressed? (_Vide_ Matteucci's _Lectures_,
p. 74.)
But there is reason to suppose that a serious error of observation has
been made by those who first asserted that a solution of Morphia tended
to arrest the process of endosmosis. Dr. Cogswell has lately made some
careful experiments on the subject, and he finds that a solution of
Muriate of Morphia passes readily through the bladder of an endosmometer
to serum or a heavy saline solution. And when experiments are made on
two other liquids of different density, the addition of Morphia to one
or other of them is found to effect no alteration in the direction or
rapidity of the current.
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