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
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 some few medicines have a marked local action on the mucous surface
of the stomach and intestines. (_Vide_ Prop. IV.) These, and these only,
may, without passing into the blood, produce on distant parts an action
of this kind by counter-irritation. Thus the operation of an irritant
emetic may be followed by the arrest of some incipient inflammation,
_e.g._ Ophthalmia. This revulsive action, when carried to an extreme, so
powerfully impresses the nervous system, that it puts a stop to all
other actions, and produces Syncope or Death. This extreme action is
called _Shock_. Powerful corrosive poisons may effect this by a sudden
destruction of the mucous surface, operating like a surgical injury. But
such actions, not being the proper and characteristic operations of
medicines, but rather attributable to a change in the relations of the
nervous system, following a local impression, are not to be considered
as exceptions to the above rule, that medicines cannot from the surface
of the stomach or intestines propagate their influence to remote parts.
PROP. II.--_That the great majority of medicines are capable of solution
in the gastric or intestinal secretions, and pass without material
change, by a process of absorption, through the coats of the stomach and
intestines, to enter the capillaries of the Portal system of veins._
It has already been shown of medicines in general, that it is necessary
for them to pass away from the mucous surface into the circulation.
Mention has been made of their discovery in the blood by chemical means;
and as we proceed it will be shown more particularly of different sets
of medicines that each of them has been found in that fluid. Now, to
gain entrance there, the medicine must first pass through the soft
mucous membrane lining the stomach and intestine. This passage is
performed by a process to which the names of _Absorption_ and
_Endosmosis_ have been applied. Immediately outside this membrane, and
between the tubes and cells which are formed by its involution, is a
close net-work of very small veins, having thin and delicate walls. Now
the same forces, whatever they be, which conduct the medicinal solution
through the mucous membrane, cause it to pass on through the fine walls
of these vessels. The two membranes, lying in such juxtaposition, are to
all intents the same as one. Thus the medicine passes into the blood,
and this is the only direct way by which it can gain entrance into it.
These small veins, or capillaries, lead at length to the Mesenteric
veins, which pour into the Portal vein, by which the blood proceeding
from them is conducted into the Liver. The process of Absorption is the
only mode by which remedies can thus enter the blood; we have now to
consider what it is, and to show in what manner and by what agents
different medicines are fitted to undergo it.
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