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
M. Poisseuille found that the serum of the blood would pass through an
animal membrane to a solution of Sulphate of Soda of greater specific
gravity. He thus concluded that an ordinary saline purgative of greater
specific gravity than serum (1.028) acted by causing the passage of this
serum outwards into the intestine, producing a watery evacuation. The
theory was taken up by Liebig and Matteucci, and by Laveran and Millon.
Dr. Pereira and Dr. Golding Bird have drawn some practical inferences
from it.
It is said that when a saline is absorbed it produces diuresis, and no
purging; that when it purges it is not absorbed; that when given to act
on the kidneys, the solution should be so diluted as to contain less
than five per cent. of the solid; and when administered as a purgative,
the specific gravity should be considerably above 1.028. Now I do not
deny that a weak solution is more likely to pass off by the kidneys, and
a dense one by the bowels; but I consider this due to the fact, that the
kidneys are the proper emunctories of water, and of such matters as are
soluble in it. But I believe that these solutions are equally absorbed,
both heavy and weak, and that the purging or diuretic effect depends
mainly on the quantity of the salt, as the kidneys will not eliminate
beyond a certain amount of it. I must allege, to support this view of
the question, firstly, some arguments _à priori_; and secondly, some
experiments which I have made to satisfy myself. To consider first the
former. Analogy is certainly against this theory. Other purgatives from
the vegetable kingdom produce their effect when injected into the blood,
and are yet often powerfully hydragogue. What effect on the process of
endosmosis can be exerted by Castor or Croton oils, or by calcined
Magnesia? On turning to what we know of the theory of digestive
endosmosis, we find that the solid parts of the food are diluted down so
as to be absorbed, and that the influence of pressure is to be taken
into calculation. It was laid down by the great Boerhaave that a
necessary requisite for the formation and absorption of chyle was the
contractile force of the viscera. (_Van Sweiten's Comment_, vol. i. p.
290.) This, in fact, would press the fluid into the absorbent vessels,
even if against the other endosmotic forces. Further, a fundamental
principle was insisted on by Dutrochet--that even when the liquids on
the two sides varied in density, they would both pass through to each
other, though in different proportions. The ultimate result of this
would be, that a heavy saline solution would be diluted down to the
specific gravity of the serum, and would then pass through. This point I
have illustrated in my first experiment. Thus it seems that my view is
favoured by these physical laws. But even if it were not so, I should
not be inclined to admit that all the endosmotic processes in the living
body were regulated by merely physical tendencies. This cannot be the
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