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
The hom[oe]opathists would work a strange revolution in the Materia
Medica.[13] Charcoal, Silica, and other substances commonly supposed to
be inert, appear as remedies of wonderful efficacy. It is said that
Belladonna produces a state like scarlatina, and also a condition
resembling hydrophobia, and thus cures both of these disorders. Of these
three propositions it is almost needless to say that all are equally
erroneous. Further, an experimental trial of this principle was made by
Andral on a large number of patients at the Académie in Paris, with the
assistance of the hom[oe]opathists themselves. The medicines were
carefully and fairly administered, but in no one instance were they
successful. (_Medical Gazette_, vol. xv. p. 922.)
_e._ The idea that diseases are to be cured by assisting nature to
eliminate from the system the morbid material, is probably as old as
medicine. It was one of the doctrines of Hippocrates; but long even
before his time it appears to have been inculcated by a certain sect of
old medical writers among the Hindoos. These last were the very earliest
advocates of the humoral pathology. (_Dr. Wise_, _op. cit._ p. 212.) Dr.
Thomas Sydenham, born in 1624, the contemporary of Harvey, and the most
illustrious of the early English exponents of the humoral system, was
probably the first in this country who clearly elaborated this view of
the action of medicines by elimination; which has been more or less
approved, though not so universally applied, by all who have lived since
his time. Agreeing with Stahl in his view of the advantages of the
"expectant" treatment of diseases, he thought it better to rely on the
"vis medicatrix naturæ," than to make rash or violent attempts at a
cure. He maintained that what we call a _disease_ was in fact "no more
than a vigorous effort of nature to throw off the morbific matter, and
thus recover the patient."[14] He proposed, therefore, that our efforts
should be directed to assist nature to procure the evacuation of a
poison, promoting its elimination by acting on the various
secretions--as by purgatives, diaphoretics and such medicines. For he
had noticed that in fevers and febrile disorders the crisis or
turning-point was generally accompanied or preceded by an increase in
one or more of these secretions, and he regarded this as an indication
of the treatment to be pursued in all such cases. "That," said he,
"appears to be the best method of curing acute diseases, which, after
nature has pitched upon a certain kind of evacuation, assists her in
promoting it, and so necessarily contributes to cure the distemper."[15]
He further proposed, that in the treatment of chronic diseases, when
nature herself was slow in procuring this evacuation, we should seek for
_specific_ medicines, by which we might assist her in doing so, and thus
effectually expel the morbific matter. This theory was reasonable and
natural compared to those that followed it; but it was nearly
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