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
It has already been shown, during the consideration of the first
proposition, that medicines which act on distant parts of the body must
be, and are, absorbed before they can so act. This necessity for
absorption has been shown to extend even to medicines which act most
rapidly on the nervous system. If any medicines could produce a distant
effect by a mere contact with the coats of the stomach, such a power
would be ascribed to those stimulants and sedatives which, from the
suddenness of their action, are called diffusible. Such are Hydrocyanic
Acid and Ammonia. Their rapidity of action is to be ascribed to their
volatility, whereby they spread over a large surface, and are almost
_suddenly_ absorbed and transmitted through the blood. But Hydrocyanic
Acid may be absorbed from any surface. It is poisonous when inhaled into
the lungs. It rapidly causes death when dropped into the eye of an
animal. So also the results of the inhalation of ammoniacal gas are the
same as of the ingestion of its solution. I believe that the latter, on
account of its diffusibility and rapid absorption, escapes
neutralization by the stomach acid, and passes into the blood as free
Ammonia.
In the consideration of the first Proposition, I endeavoured to point
out that though the proper action of a medicine could in no case be
conducted, without absorption, from the mucous surface to a distant part
of the system, yet that a remote action of another kind might occur as
the result of a change in the nervous system produced by a powerful
local impression. I stated that the term _Counter-irritation_ was
employed to express this action, the nature of it being but ill
understood. A powerful impression on any surface of the body, external
or internal, seems to be capable of arresting and diverting, as it were,
the attention of the system, and thus, for a time, of checking a morbid
process.
Frictions and Sinapisms act on the skin externally on this principle. So
do Blisters and Issues; but they are not simply counter-irritants, for
they also drain away the serum of the blood. It is not now within my
province to consider such an action on the skin, any further than for
the purpose of stating that similar local impressions on the mucous
surface of the stomach and intestines are capable of operating on the
same principle.
We have then to consider what are the local actions that medicines are
capable of producing on these surfaces.
And first, it must be laid down as a rule, that all medicines, when
given in excess, act as irritants on the stomach and intestines. This is
more especially the case with mineral salts, with the bitter and
astringent principles of vegetables, and with acrid and resinous
matters. By irritating the stomach locally, they cause vomiting; by
causing peristaltic action of the bowels, purging. Some of them are
actually employed to produce these effects, and will be presently
specified.
Public-domain text, read in full here on John Shaqi.
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