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
This proves at least that contact with the mucous surface is not an
essential requisite for the operation of a remedy. We may cause a
medicine to be absorbed by the skin, or inject it directly into an
opened vein. The result of this latter experiment proves not only that
entry into a distant part of the system is sufficient for the action of
a medicine, but that it will operate when introduced into the blood.
Numberless proofs of this affirmation may be adduced. Tartar Emetic
injected into the veins produces vomiting. Croton Oil rubbed on the
surface of the abdomen causes purging. Mercurial ointment applied by
friction to the skin will produce salivation. Extract of Belladonna
applied to the temples causes dilatation of the pupil of the eye; and
tincture of Opium dropped on the eyeball causes the pupil to contract.
Ammonia inhaled as gas into the lungs will relieve fainting in the same
way as when swallowed. The breathing of Prussic acid, causing its vapour
to be applied to the pulmonary surface, is sufficient to kill. Prussic
acid, dropped in a concentrated state into the eye of a dog, causes
speedy death. Solution of Aconitina, applied to the skin, will produce
numbness, and tingling of distant parts. Injection of Nux Vomica, or any
powerful poison, into the veins, is rapidly followed by symptoms of
poisoning, like those which would have followed its introduction into
the stomach.[17] Thus contact with the stomach is not necessary, but
introduction into the system any where is sufficient. But still, may not
the poison in either case act by influencing the nerves? Even when it
has entered the blood, it may not travel along in it, but act in a more
direct way. So in the second part of the proof we must show that a
remedy cannot act by an impression conducted from the surface of the
stomach by means of the nerves.
_The continuity of nerve is not necessary for the propagation of such
effects; but vascular connexion is necessary._
This alone, if established, would be sufficient to prove that a medicine
must be introduced into the circulation, in order to act on distant
parts. When confined to a surface, it can operate on the remote part
only by its contact with the superficial extremities of the nerves. For
vascular connexion to be established, it must first enter the vessels.
Many experiments have been made which demonstrate that the vessels are
the only channel by which medicinal effects can be propagated.
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