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
Thus, from these four considerations, we are strictly justified in
concluding that a medicine must pass from the stomach into the blood
before its action can be manifested. This action cannot then be
conducted from the surface of the stomach through the agency of the
nerves. Some experiments made by Dr. Garrod and others on the action of
animal charcoal as an antidote, furnish again an additional confirmation
of this fact. He finds that if a sufficient quantity of this absorbing
agent be introduced into the stomach before time has been allowed for
the passage of a medicine through the mucous membrane, then even such
powerful nerve-medicines as Morphia and Strychnia, in very large doses,
are prevented from taking effect. Yet before the contact of the charcoal
they would have had time to act through the nerves, had they been
capable of any such action.
In the fifth Proposition the rule here laid down will have to be further
extended. It will be shown that medicines, having already passed into
the blood, must travel along in it so far as to reach the part of the
system on which they act.
Before concluding this question, a few remarks must be made on a subject
which will be again referred to in the discussion of the Fourth
Proposition.
The proper and peculiar action of a medicine, by which I mean that
action on the system which is immediately recognised as distinct from
that of any other agent, cannot be exerted on distant parts from the
stomach-surface, but requires the passage of the medicine into the
circulation. But can any other action on distant parts be produced by
the remedy while in the stomach? This is a different question, and must
be answered in the affirmative. Suppose a Cantharides plaster be applied
to the surface of the chest in a case of Pericarditis, so as to redden
or blister the skin, absorption of the fluid in the pericardium may
follow this application. But any other irritant would have done this. It
is not the proper or peculiar action of Cantharides, but an operation of
the nervous system which follows the local change. Such agents are said
to act by _Counter-irritation_ or _Revulsion_, because it appears that,
as a consequence of their action, the attention of the nervous system
may be drawn off from a morbid process going on at some other part of
the body. But it is only a consequence, and not a direct operation. Such
an effect is no more the action of Cantharides than the healthy
functions following recovery from sickness can be ascribed to the remedy
which has cured the latter.
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