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
These divisions are again subdivided with great minuteness, according to
their supposed operation. And yet it will be seen that, in spite of the
hard names, there is an admirable simplicity in this arrangement. So
many and so various are the statements made, and so plausible the
theories involved, that I cannot accord to it here a fair consideration.
I must object to it, however, that there is too much generalization,
and, what is more important, that many medicines may cure diseases
without necessarily causing either excitation or depression or acting
distinctly by revulsion. The only principles of action admitted here are
these three, the same which are adopted by the disciples of Broussais.
To suppose that medicines acting on the glands are only of use as
revulsives, that they have no influence on the blood, and are never
engaged in purging the system of peccant or morbid matter, is surely
incorrect in theory. Medicines of the first class, when given in proper
dose and in fit cases, are not engaged in _destroying_ organization, nor
is it invariably the case that such remedies as Mercury, Acids, and
Alkalies act even as depressents, when given in moderation.
Further, the lines of distinction are too arbitrary, and drawn with too
much precision. The variations in the actions of different medicines are
too many and too great to be thus easily accounted for, and we do not
know enough about many of them to be able to define their operation so
exactly. And there is no explanation at all given here of the special
tendencies of some remedies, by which we are enabled to cure a great
number of disorders.
_g._ The Hippocratic maxim was a step towards a correct solution of the
therapeutical operations of remedial agents. The humoral theory of
Sydenham, and the threefold action supposed by Broussais, were further
advances in the right direction. But these views were all too confined.
Correct as far as they extended, they did not embrace the whole range of
the subject; for it is impossible to explain by any one of them the
operations of all medicines.
Biassed by the satisfactory observation which he had made of the _modus
operandi_ of particular medicines, and misled by the insufficiency of
his knowledge, each of these writers was tempted to apply the view which
was applicable to a certain set to all remedies alike. Once persuaded of
its sufficiency, he easily found arguments by which to fortify both
himself and others against any subsequent objections.
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