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
[23] Such is the case in health, when the muscular pressure of
the intestine must exceed the pressure on the vascular system on the
other side. This latter pressure, when increased, tends to stop or to
reverse the inward current. Thus plethora and fever, diseased
conditions, counteract absorption by causing pressure on the coats of
these capillary vessels. Bleeding,--a drain of fluid caused by an
increased secretion,--or such agents as Tartar Emetic and
Ipecacuanha,--diminish this pressure by weakening the force of the
heart, and thus favour natural absorption.
[24] It is stated by Dr. Carpenter, that if a ligature be
applied below the pylorus of an animal, and Sulphate of Magnesia then
introduced into the stomach, purging is produced. This could only be by
the absorption of the salt, and its subsequent action from within on the
mucous membrane of the bowel below the ligature. This experiment is
unauthenticated, but if verified would certainly be most conclusive in
favour of the view adopted above.
[25] Hydrochloric acid would probably precipitate medicinal
solutions containing silver, and thus render this substance inert when
given internally. Another therapeutic argument against this, as the acid
of the gastric secretion, may be drawn from the fact that the action of
calomel is very different from that of bichloride of mercury,--whereas
this acid would convert the former into the latter.
[26] Liebig (_Animal Chemistry_, Part I. p. 76) states that the
Bile contains Carbonate of Soda. The assertion that the Pancreatic juice
is alkaline must be rested mainly on the authority of M. Bernard.
[27] Occasionally, as in certain cases of Pyrosis, slight
vomiting may take place without any straining effort of this kind, but
apparently from the contraction of the stomach alone.
[28] Pereira's Materia Medica, 2d edit., vol. ii. pp. 1496,
1507, and elsewhere.
[29] Irritant Cathartics, like irritant emetics, may sometimes
affect remote parts on the principle of counter-irritation. Some explain
in this way the use of purgatives in disorders of the brain, but there
are other reasons which serve to account for this still more
satisfactorily. (_Vide Chap. IV., Art. Purgatives._)
[30] The process of cure by _counter-irritation_ may be
ascribed to the _secondary_ action of some medicines. Such an operation
may take place at a distance from the part affected; but it is
attributable to a peculiar affection of the nervous system, and has no
necessary connexion with the primary or proper action of a medicine.
_Vide_ p. 67.
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