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
Now a poison that operated by nervous connexion would probably operate
directly when it touched the stomach. This is not the case even with
Hydrocyanic acid. This, the most sudden of all poisons, before it takes
effect, allows sufficient time to elapse for the blood to conduct it to
the brain. Blake made an interesting experiment upon it. He placed some
on the tongue of a dog, having first fitted a tube into the larynx, so
as to prevent the vapour from passing into the lungs. The effect did not
commence until sixteen seconds had elapsed, and forty-five were required
for its completion. This allowed of time for absorption.
Thus it is proved that poisons act when introduced into the system at
any point; that vascular connexion is required for this action; and that
the rapidity of the circulation is in all cases quick enough to account
for it.
But this last is only a proof of _possibility_, and does not by itself
show that a substance may not nevertheless act through the nerves. And
to the experiments on nervous connexion some may object that no
conclusions on this point can be drawn from trials made on isolated and
exposed nerves. So we may imagine a person to be still incredulous as to
the truth of the Proposition, that medicines must pass into the blood
before they can act. But a fourth consideration will suffice to bring
this probability as close as possible to a certainty.
_The great majority of medicines have been detected in the blood, and
found in the secretions formed out of it._
Having tried to prove that they must pass into the blood, if we find
that they actually do so, we shall establish a stronger case. Isolated
observations on this subject have been frequently made. Thus in 1847 Mr.
Allen detected Daturia in the urine of a man poisoned by Stramonium. In
1824 M. Runge had discovered in the same way the principles of Henbane
and Belladonna. M. Ragsky has lately detected Chloroform in the blood.
(_Journal für Prakt. Chem. 1849._) Dr. Golding Bird observes that
Indigo, when given for Epilepsy, has turned the urine blue; that
Logwood also passes into it, and causes it to give a dark precipitate
with solutions containing iron; and that during a course of Copaiba or
Cubebs, a resin may be precipitated from it on the addition of Nitric
Acid. If a medicine cannot be proved to pass into the blood or
secretions, we cannot so certainly affirm that it does not act through
the nerves. But the experiments of Tiedemann and Gmelin, and since then
of Wöhler, have definitively settled this point. The former two have
found the great majority of mineral, and many vegetable substances, in
the blood of animals to which they had been administered.
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