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
A large quantity of acid would easily overcome the feeble reaction of
the blood, and thus, by remaining free, Sulphuric and other acids are
enabled to act as astringents on certain of the glands.
Other changes of combination have already been shown to take place
during the process of absorption. Alkalies and their carbonates are more
or less neutralized by the stomach acid. Substances soluble in alkalies
are probably absorbed in such solution. Calomel, Chalk, Magnesia, and
metallic oxides, as well as other insoluble medicines, are taken up in
the soluble form, in which only they are capable of acting. But we are
now concerned with medicines in the blood. And here I must protest
against the idea that all chemical affinities have free play in that
liquid. If it were so, many of our most valuable medicines would be
decomposed and rendered insoluble there. All the mineral salts would be
precipitated by the free Soda in that fluid. Acetate of lead would be
immediately decomposed by sulphates, and Nitrate of Silver precipitated
by chlorides. It is probable that the vital forces, as well as the
viscidity of the plasma, exert a retarding or controlling power over
such chemical tendencies.
Some substances are decomposed while passing out of the body.
Decomposing matters in the intestines and in the saliva, cause the
formation of Sulphuret of Iron, while chaly-beates are taken, which
blackens the fæces; and of Sulphuret of Lead, when lead is taken for
some time, producing the well known blue line on the gums.
_Changes of Reconstruction._--The elements of a body may be disturbed in
the system, and combined together anew, without any material or apparent
alteration of its properties. Probably many changes of this kind occur,
but only some isolated instances have been verified. Thus Tannic acid,
acquiring Oxygen, changes into Gallic. Benzoic and Cinnamic acids are
converted into Hippuric acid, which passes out in the urine. Turpentine
changes into a volatile oil, which communicates to the urine an odour of
violets. Ferridcyanide of Potassium changes in the system into
Ferrocyanide. Some of these changes will be afterwards considered more
at length.
_Changes of decomposition._--By this I mean such a disarrangement of
elements as shall neutralize or reverse the action of a medicine.
There is free Oxygen in the blood, and the most important change to
which all organic substances are liable there is _oxidation_.
This probably occurs in many cases. It always takes place with the
starchy elements of the food, and with those parts of the nitrogenous
tissues that have done their work, and are preparing to be excreted from
the body.
By this oxidation Wöhler has proved that the alkaline salts with
vegetable acids are changed in the blood into alkaline carbonates. From
being first neutral, they become now alkaline in their reaction, and
affect the urine in the same way as free alkalies.
(_Vide Hæmatics, ord. Acida, Alkalia, Tonica, Solventia._)
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