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
M. Magendie introduced some Woorara poison into the limb of a dog, which
was only connected with the trunk by means of quills uniting the divided
ends of the main vessels. It rapidly took effect. Having divided all the
nerves and lymphatics in the intestine of another dog, he introduced
into it some Nux Vomica, beyond the division. It quickly acted, and must
again have done so through the vessels. Sir B. Brodie cut all the nerves
of the anterior extremity of a rabbit, near the axilla, and then
introduced Woorara into the foot. It rapidly acted.[18] Thus we see that
vascular connexion is sufficient, and that nervous connexion is not
necessary. By other similar trials it is found that vascular connexion
is absolutely necessary, for when it is interrupted, the action cannot
be propagated along a nerve. If, on introducing poison into an
extremity, a cord be tightened round the limb above it so as to
intercept the flow of blood, no effect is produced. It takes effect
after the ligature is relaxed. Sir B. Brodie introduced Woorara into the
leg of a dog, which was connected with the trunk only by means of the
principal nerve, carefully dissected out. No effect followed. M. Ehbert
found that poison would not act when applied to an amputated limb
connected with the trunk by a nerve only. Thus vascular connexion is
necessary; whereas continuity of nerve is not necessary, neither is it
sufficient by itself.[19] Woorara poison is a substance which acts with
great rapidity on the nervous system; and if its action cannot be
propagated by means of the nerves, _à fortiori_ would it seem that
slower poisons must act through the circulation. But, granting that it
has been shown that introduction into the stomach is not necessary for
the action of a medicine, and that when in the stomach medicines do not
act by influencing the nerves, still it may be objected that the rule
cannot possibly be universal. It may be urged that some poisons and
medicines, as Hydrocyanic acid and Ammonia, act with such great
rapidity, that we can only suppose their influence to be transmitted
directly along a nerve-fibre to the nervous centre, because the process
of passage in the blood to this distant part would be far too slow. This
argument requires us to prove a third thing.
_The circulation of the blood is sufficiently quick to account even for
the operation of those poisons which act most rapidly by influencing the
nerve-centres._
There is no poison whatever which acts so quickly on distant parts that
the circulation cannot previously have had time to conduct it to them.
By means of an instrument invented by M. Poisseuille, Dr. Blake found
that a chemical substance traversed the whole circulation of a dog in
nine seconds, and of a horse in twenty seconds.[20] The results of
Hering were similar. M. Volkmann, in the tenth chapter of his work on
Hæmadynamics, states, as the result of several experiments, that the
whole circulation in an adult man occupies exactly 65.76 seconds.
Public-domain text, read in full here on John Shaqi.
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 — John Shaqi
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