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
On the mucous surface of the small intestines are a number of small
projections, called Villi. Within these are the origins of the Lacteals,
a peculiar set of Lymphatic vessels, which are engaged in the absorption
of chyle. This chyle is a thick fluid which is formed by the meeting of
the Bile and Pancreatic juice with that part of the digested food which
passes into the Duodenum. It is generally white, from the presence of
fat. Now these lacteal vessels are no doubt absorbent, but are they ever
engaged in the absorption of medicinal solutions? It seems that they are
not in ordinary cases at all concerned in this; for three chief reasons.
In the first place it appears from the researches of Bernard and others
that the lacteal system is a special arrangement for the absorption of
fatty substances, and that other matters, such as albuminous compounds,
pass generally into the veins, and thence to the liver. Besides, it
seems that these lacteal absorbents are only in action during the
digestion of food, when the epithelium on the surface of each villus
becomes loosened, in order to allow to the chyle an easier access to the
lacteal within it.[21] So that it is likely that a small portion of a
fluid or soluble substance would be insufficient to rouse them to
action. And, inthe third place, direct experiments of a decisive kind
have been made on this point. Magendie has found that the ligature of
the lacteal trunks does not prevent the occurrence of poisoning from
agents introduced into the bowels. And Tiedemann and Gmelin have
carefully sought in the chyle for a number of different medicines
administered to animals in their food, and have been unable to detect
any of them there. So that, with the exception perhaps of fats and fixed
oils, we may reasonably conclude that no medicinal substances pass into
the system through the lacteals, but that all are absorbed by the veins
or capillary vessels.[22]
It seems probable that the Bile and Pancreatic juice may be engaged in
reducing to a soluble state certain medicines that are insoluble in the
Gastric secretion, and may thus procure the absorption of these
substances by the veins of the intestinal canal.
Having briefly considered the secretions which meet the medicine on its
first entrance into the system, we are next to inquire into the manner
in which this medicine gains admission into the blood. In the first
place, it must be in a fluid state, or it cannot be absorbed at all. It
will be most convenient to consider afterwards how different remedies
are to be reduced to this condition.
Now the force or process by which fluids are enabled to pass and repass
through an animal membrane, has been named by Dutrochet _Endosmose_ and
_Exosmose_, according as the current tends inwards or outwards.
Public-domain text, read in full here on John Shaqi.
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