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
From some experiments detailed in a paper read before the Académie
Française in 1848, he concluded that the liver was capable of actually
producing sugar and fat out of Proteine compounds. For he found sugar to
exist in the substance of the liver when none was to be detected in the
blood of the Portal vein which proceeds to it. His results have been
mainly confirmed by M. Lehmann. M. Bernard states further, that the
action of the liver is in some way essential to the assimilation of
saccharine matters; for he has found that when sugar is injected into
the veins beyond the liver, it passes out unaltered in the urine.
Thus the process of assimilation, whether of albuminous or of saccharine
matters, is not so easy and so simple a thing as might at first be
imagined. The study of this process is of great importance; and it
appears to afford us a clue to the causation of certain disorders of the
blood, of which I shall have to speak hereafter.
Upon the regulation of diet, one of the most important of the duties
that devolve upon the medical man, it is not my purpose to make more
than a few observations.
All kinds of food are less required by the system in inflammatory and
febrile disorders; and should then be administered sparingly, or wholly
denied, according to the severity of the case. But in Typhus fever long
abstinence would be dangerous; the patient is in peril from extreme
weakness and inanition, and, being often totally unconscious of his
natural wants, requires to be carefully sustained by constant and small
increments of animal and farinaceous food.
Water may be given largely whenever we wish to increase the amount of
any of the fluid secretions; as the urine, to render less likely the
deposition of gravel; or the perspiration, when it is desirable to
promote it in fevers or other disorders.
Albuminous food is always necessary in health, and is contained not only
in the flesh of animals, but in vegetable substances in their natural
condition. It is recommended to restrict it in the management of gouty
or plethoric patients. On the other hand, animal is more easily digested
than vegetable food in many cases of dyspepsia.
In Diabetes mellitus, when a large quantity of sugar is excreted in the
urine, it is a common practice to confine the patient to a diet of meat
and gluten bread. This latter is a tough horny material, prepared from
flour from which the starch has been separated by washing. It is thought
that if no starch be given, no sugar can be formed; but it is found
that, though both the amount of urine and the quantity of sugar in it
are diminished by this plan, yet the latter does not wholly disappear.
This may be easily accounted for, if we admit that sugar may be formed
from albumen. Water should be given sparingly in this disease; for the
more a patient drinks, the more urine he passes, and all of the same
high specific gravity.
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