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 first four of these concern the general conduct of medicines after
their introduction into the stomach, and before their passage into the
blood. Some broad rules are laid down by which the course which they
take must be determined. The action of some few on the mucous membrane
is also defined.
The remaining six propositions treat of the subsequent behaviour of
those medicines which pass into the blood and fluids of the body. Of
these, the fifth specifies their general course. The sixth states that
they may undergo certain changes in the system. And the concluding four
treat of the various modes in which these agents may operate in the cure
of disease.
The first proposition lays down the great fundamental rule of the action
of medicines through the medium of the blood and fluids.
PROP. I.--_That the great majority of medicines must obtain entry into
the blood, or internal fluids of the body, before their action can be
manifested._
This is to say, that the mere contact of a medicine with the stomach is
not in general sufficient for the production of its peculiar action. It
will be seen that the only apparent exception to this rule consists of
agents having a mere local action on the mucous membrane, for which
simple contact is all that is required.
Even when acting on any part of the system removed from this mucous
surface, as when applied to the skin, it is necessary that the medicine
pass away from it to enter the blood or internal fluids. In the great
majority of instances it enters the blood directly. But we know that it
would be sufficient for its operation if it were to enter through the
chyle, or into the serous fluid which exists in the interstices of the
tissues throughout the body. For by these it might at length be
conducted to distant parts. This is what is meant by _internal fluids_.
We are not just now concerned with the way in which this passage into
the blood and fluids is obtained. It is by the process of absorption.
The question of passage by absorption is treated in the second and third
propositions. What we have now to decide is, whether a medicine acts by
mere contact with the stomach, its influence being propagated to distant
parts by means of the nerves; or by passage thence into the system,
acting through the medium of the blood and fluids. I affirm that it
operates in this latter way; and this is to be proved by four
considerations, which we will consider in succession.
_A medicine introduced into the system elsewhere acts in the same way as
when introduced into the stomach._
Public-domain text, read in full here on John Shaqi.
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