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
EXP. 2.--Three drachms of Sulphate of Magnesia (a very mild
purgative dose) were dissolved in ten ounces of water, and thus
administered to a healthy young man. It produced, after some time,
slight purging, and some diuresis. The urine, when tested,
contained only a very little more than the usual quantity of
magnesia. The quantity in the dose was less than five per cent. of
the solution, and thus, according to the endosmotic theory, should
have produced no purging.
EXP. 3.--Six drachms of the same salt were given in eighteen ounces
of water to the same patient. After a few hours, it caused very
copious and long-continued watery purging. The urine did not seem
to be increased, and contained no excess of magnesia. It seemed,
that in spite of the dilution, the quantity of the salt was so
large, that it could not pass off by the kidneys, and so was
eliminated from the blood by the bowels, in the same way as other
purgative medicines. (_Vide_ Chap. IV.)
EXP. 4.--This trial was the reverse of the last. Two scruples of
Acetate of Potash were dissolved in three drachms of water, and
thus administered. The solution then contained about twenty per
cent. of the salt. According to the endosmotic theory, it should
have caused only slight purging, on account of its density. It did
not do so, but produced diuresis. The dose was so small, that after
absorption it was easily eliminated by the kidneys.
These experiments are in favour of my views, and seem, as far as they
go, to cast discredit on the theory of Poisseuille. It will be very easy
to multiply them, so as to place the fact beyond a doubt.[24]
This point being so far settled, and there being no physical reason why
any other soluble mineral substance should not be absorbed--it being,
moreover, proved, by repeated experiments, that they all pass into the
blood, we therefore proceed to the second class of bodies capable of
absorption.
2. Mineral substances soluble in acids.--It is apparent that if any
insoluble substance will admit of easy solution in the fluids of the
stomach and intestines, it may be brought to the condition of a soluble
one and thus absorbed. Now the gastric juice is acid. This secretion has
been variously ascribed to free hydrochloric, acetic, phosphoric, and
lactic acids; also to an acid phosphate or lactate of magnesia. There
seems to be most reason to conclude that it is lactic acid, which would
be easily formed out of the constituents of the food.[25]
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