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
As to the first condition, it is probable that the aliment or medicine
which is digested, however solid and dense, may be diluted down by the
gastric juice until the solution is of less specific gravity than the
serum of the blood. With the second law we are not so much concerned, as
the medicine after solution has generally no repulsion for the animal
membrane. So also with the third, as the serum of the blood mixes
readily with all watery fluids. The fourth, viz. the condition of
motion, is of great importance; for by it the motion of the contents of
the capillary vessels will tend powerfully to determine the passage
through of the liquid on the other side. Fifthly, the influence of
pressure on endosmosis is one which is certainly exerted in the case of
the stomach and intestines, which are muscular, and during the process
of digestion contract on their contents with considerable force. This
contraction, together with the circulation of the blood in the
capillaries, would doubtless be sufficient to determine the passage of
the digested matters inwards, even in opposition to the first law.[23]
Under the first proposition I have shown that the majority of medicines
are absorbed into the system. It is now seen where and how they are
absorbed. But it still remains to be seen what particular substances or
classes of medicaments are thus taken into the blood, and whether while
so passing they undergo any modifications.
The following, then, are the chief classes which I believe to undergo
solution and absorption in the intestinal canal. They comprise the great
majority of all substances used either as food or medicine:--
1. Mineral substances soluble in water.
2. Mineral substances soluble in acids.
3. Mineral substances soluble in alkalies.
4. Vegetable products soluble in water.
5. Animal and vegetable substances rendered soluble by
the gastric juice.
6. Fatty and resinous substances soluble in alkali.
1. All soluble mineral substances--acids, alkalies, salts, and soluble
compounds of the earths and metals--are absorbed in the stomach and
intestines. The conditions and the process of absorption have been
already stated. When solid they are first dissolved, when in a dense
solution diluted down by the gastric fluid before they are absorbed.
Thin watery liquids are quickly taken up. Motion on one side, and
pressure on the other, hasten the process. I am not inclined to make any
exception to this rule. This leads me to make some remarks on _the
Endosmotic theory of the action of saline purgatives_.
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