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
We may altogether conclude, that though the actions of many remedies may
be partly elucidated by chemical considerations, it is impossible to
account for the influence of all alike in this way. For at least the
actions of nerve-medicines and of gland-medicines cannot be reasonably
explained on any such hypothesis.
3. The most plausible explanations of the mode of operation of medicines
have been founded on _vital_ or _general_ principles. By _vital_ I mean
that these theories concern actions which could only take place in the
living body. They may be termed _general_ principles, because the
grounds on which they are based are neither mechanical nor chemical, but
something different from both. The term _dynamical_ has sometimes been
applied to an ill-understood vital action of this sort.
Many different ideas have been broached to account thus for the action
of medicines. Some, who have constructed very ingenious and plausible
systems, have explained in different ways the operations of different
groups of medicines. But when others have adopted a single inflexible
hypothesis to account for the action of all alike, this is found, as
might be supposed, to be of a very untenable character. I will now
consider very briefly several such ideas; first, for the sake of
clearness, dividing them into seven sections. I shall explain my meaning
as I proceed. Different writers have supposed that the general
operation of remedies in the cure of disease is conducted in these
various ways.
_a._ By degrees of stimulation.
_b._ By counter-stimulation.
_c._ By opposition.
_d._ By similar agencies.
_e._ By elimination.
_f._ By alterative actions.
_g._ By various counteractions.
_a._ This idea has received the title of the "Brunonian Theory," from
the name of its founder. It was promulgated by the famous Dr. John Brown
at the close of the last century. He considered all diseases to arise
from excessive or diminished "excitement." He was of opinion that all
medicinal agents were stimulants, only that some acted so powerfully as
to produce "indirect debility." These latter were to be used in sthenic,
the others in asthenic disorders. But it is to be urged against this
idea, that many sedatives produce no appreciable degree of "primary
stimulation;" that alterative medicines are neither stimulant nor
depressent; and that the actions of different therapeutic agents,--as,
for example, of Opium, Mercury, and Rhubarb,--differ very much in
quality, and not simply in degree, as Dr. Brown supposed. The principle,
then, cannot be maintained.
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