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
Having previously endeavoured to explain the various modes in which
medicines are absorbed and pass into the blood, and having now defined
the action of some few before absorption, the greater part of our
investigation remains still to be accomplished. The actions of medicines
in the blood, and their various and complicated operations in the cure
of diseases, have to be traced out, and, if possible, accounted for.
The remaining six Propositions concern the behaviour of medicines after
their passage into the blood. The first two of them are comparatively
unimportant. The Fifth is merely an extension of the First
Proposition,--in which the same rule is applied to the blood which was
there proved of a surface,--and indeed follows in part from the latter.
The Sixth Proposition defines three kinds of changes which certain
medicines are liable to undergo during their stay in the system.
PROP. V.--_That the medicine, when in the blood, must permeate the mass
of the circulation, so far as may be required to reach the parts on
which it tends to act._
_That there are two possible exceptions to this rule:_
_a. The production of sensation or pain at a distant point._
_b. The production of muscular contraction at a distant point._
We might already have concluded that, as a general rule, it is
impossible for medicines to exert their primary action on a remote part
by nervous or any other agency, but that they must actually reach the
part which they affect by means of the circulation. The experiments,
already quoted, of Magendie, Blake, Ehbert, and others, show that even
those medicines and poisons which tend most powerfully to influence the
nervous centres, cannot act by nervous connexion, or without being
allowed to pass on in the blood. They must actually reach the brain,
before they can act upon it. The circulation of the blood is
sufficiently quick to allow of this.
The action of nerve-medicines when applied to a part, being similar to
that which follows their absorption, would alone render it highly
probable that in the latter case they reached the part in the blood.
Thus Morphia, Hydrocyanic Acid, Chloroform, and Aconite, benumb the
superficial nerves: Belladonna dilates the pupil; and Strychnia augments
muscular irritability; whether locally applied, or administered through
the stomach.
Neurotic medicines have even been detected after death in the parts and
organs which they influence. Thus Alcohol has been found in the brain,
and Lead in the spinal cord and muscles.
From these various facts we may conclude that however near these
remedies may be brought to that part of the nervous system over which
their power extends, whether it be centre or periphery, they do not in
general affect it, unless they are allowed to reach it.
Public-domain text, read in full here on John Shaqi.
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