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
We have just seen that many medicines which are given in the insoluble
form are capable of being dissolved in the fluids of the intestinal
canal. This so much reduces the list of perfectly insoluble medicines,
that it is difficult to find any that come under such a definition. But
Charcoal, the simple metals, woody fibre, and Nitrate of Bismuth, will
serve as examples.
Sulphate of Lead is often quoted as perfectly insoluble; but this is not
the case. It is soluble in a solution of acetate of ammonia. This salt
is contained in the perspiration. Thus the sulphate, when substituted
for the carbonate in some lead works at Paris, proved fatal to the
foreman, who died of colic. M. Flandin found that it poisoned a dog when
rubbed into the skin as ointment. Even some metals may possibly be
brought within the influence of weak acids when in a fine state of
subdivision, as Mercury in blue-pill. Gold in a very fine powder has
been used successfully in syphilis.
Thus the list of insoluble substances is still further reduced. But
there is no doubt that many substances which are slightly soluble in the
intestinal fluids may in great part escape this solution, and pass out
with the fæces just as they went in.
To assert that the particles of an insoluble substance cannot pass
through the homogeneous wall of the capillary or absorbent vessels, is
merely to state what follows from an absolute physical law, and is
generally admitted by physiologists. But even this fundamental datum has
been lately attacked.
Professor [OE]sterlen of Dorpat has been induced to affirm the
possibility of the absorption of insoluble substances, from some
experiments which he has made. Finely-powdered charcoal was administered
to rabbits for some days. They were then killed, and globules of
charcoal, measuring from 1/6000 to 1/3000 of an inch, were found in the
blood of the Portal circulation. (_Zeitschrift für Rationelle Medizin_,
1847.) To obtain these results the microscope was used, a far less
certain test in such matters than chemical analysis. [OE]sterlen
reasonably concludes that, if charcoal can so pass, so also can any
other insoluble substance. The necessity of solution could then at once
be done away with, and the blood continually liable to admixture with
all kinds of heterogeneous and crude materials. [OE]sterlen asserts
further that he has found minute globules of mercury under the skin
after rubbing in mercurial ointment. (_Journal für Praktische Chem._,
No. IX. 1850.) Now, if these things were true, there could be no need to
suppose the solution of insoluble active medicines, for they would be
enabled without difficulty to pass through in an undissolved state.
To test for myself the accuracy of such statements, I have made some
experiments, the object of which is to discover if some of the most
insoluble of our known remedies, which are yet known to obtain entry
somehow into the blood, could do so while yet in the insoluble state.
They are as follow:--
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