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
3. On general or vital principles.
1. Mechanical theories of the action of medicines were greatly in vogue
during the seventeenth and eighteenth centuries. There is a tendency in
the human mind to explain every thing; and it was only natural for men
who knew little of chemistry or of physiology to resort to the science
of physics, which they could comprehend, in attempting the explanation
of observed phenomena.
John Locke, in his essay concerning the Human Understanding, published
in 1689, gave it as his opinion, that the shapes of the minute particles
of medicines were sufficient to account for their several operations.
"Did we know," said he, "the mechanical affections of the particles of
rhubarb, hemlock, opium, and a man, as a watchmaker does those of a
watch, whereby it performs its operations, and of a file, which, by
rubbing on them, will alter the figure of any of the wheels, we should
be able to tell beforehand that rhubarb will purge, hemlock kill, and
opium make a man sleep." This idea did not originate with the great
metaphysician. The first rudiments are to be found in the doctrines of
the _Methodic Sect_ among the Romans, a medical branch of the Epicurean
school. They held that diseases depended either on constriction or
relaxation of the tissues, and that medicines operated by mechanically
affecting these conditions.
The simple and philosophical statement of Locke was not improved by the
various applications which were subsequently made of it. At the early
part of the eighteenth century these ideas derived great support from
the principles inculcated by Dr. Herman Boerhaave, the learned physician
of Leyden. He likewise supposed that many diseases of the solid parts
were to be attributed to a weakness or laxity of the animal fibres, and
were to be cured by external or internal agents, which should act
mechanically on those fibres so as to increase their tenacity. Also,
that disorders of the fluids often depended on their being too viscid,
and that this condition might be improved by agents which should
attenuate this viscidity. Dr. Archibald Pitcairn, a Scotchman, the
immediate predecessor and contemporary of Boerhaave, was elected to the
Chair of Physic in Leyden in 1691, and was also an able exponent of the
mathematical theories. But he applied to physiology those ideas which
were employed by the other to throw light upon physic; if that may be
called _light_ which was at least an improvement on the ignorance which
preceded it.[8] He explained the digestive process by the mechanical
trituration to which the food was subjected in the stomach; and
accounted for secretion by supposing the existence in glands of vascular
pores of different sizes, which intercepted certain particles of the
blood; actually giving for the process a mathematical formula. He was a
vehement opponent of those who based their theories on the then youthful
science of chemistry, who, having scarce yet shaken off from them the
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