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
1. An increased flow of the salivary secretion. (_Vide_ p. 282.)
2. Vomiting.
3. Delirium, with hallucinations. Impairment of volition; apparent loss
of sensation.
4. Convulsions; paralysis.
5. Breathing difficult and gasping,--gradually ceasing.
6. Death; pupils of the eye are seen to be dilated.
Aconitina has thus a powerful action on the brain, and on the nerves
generally. The flow of saliva seems partly to arise from a paralysis of
the fauces. The animal makes ineffectual attempts to swallow, and
breathes spasmodically. By a small dose the anæsthesia would probably be
produced, without the other effects. On examination of the body after
death the lungs are found to be healthy, but shrunken and bloodless; the
trachea contains much frothy mucus, which may possibly have flowed into
it on account of the palsy of the glottis; the cavities of the heart are
full; the mucous membrane of the stomach pale. It seems then that the
immediate cause of death is paralytic syncope,--a loss of power in the
heart. As the mucous coat of the stomach evinces no trace of congestion,
it is probable that the vomiting is not caused by irritation, but by a
sedative or deranging action on the function of the Vagus nerve. (_Vide_
pp. 242, 245.)
DIGITALIS.
Class II. Div. III. Ord. II. SEDANTIA SPECIFICA.
Class IV. Ord. VI. DIURETICA.
This important medicine has already been prominently noticed as one of
the agents that exert a special sedative and deranging power over the
functions of the Vagus nerve. It will only be necessary now to sum up
shortly the details of its action.
It does not depress nervous force generally. It has no action on the
brain, except as connected with the Vagus nerve. Neither does it affect
the spinal cord, or the nerves of sensation or motion. Its most obvious
action in small doses is to depress the force of the heart. It sometimes
quickens the pulse, but always weakens it, and reduces its rate in the
end. It therefore supplies us with a ready means of weakening the heart,
whenever we desire to do this. In cases of hypertrophy, where the heart
is too strong,--or in aortic aneurism, or active hemorrhage, where a
forcible beat would be dangerous,--Digitalis may be used for this
purpose. But it is especially useful in dropsies; for by its action on
the heart, it diminishes congestion of the venous system, and by thus
removing the pressure from the veins, it favours the absorption of the
fluids effused. It should, however, be avoided in cases where there is
very serious cardiac obstruction, or where the heart is habitually weak,
and there is a natural liability to syncope. For the tendency of the
medicine is to cause death by producing syncope.
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