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 is easier to find fault than to teach. After pointing out the
shortcomings of some who have preceded me, I find myself necessitated in
the third chapter to state my own conclusions as to the _modus operandi_
of medicines.
Let us consider, as it were, the history of a remedy from the beginning
to the end of its course. It is already "introduced into the
stomach"--we must commence with it there. Now it does not remain there.
It cannot act from the surface of the stomach through the medium of the
nervous system.
In the _First Proposition_ it is affirmed that it must obtain entry into
the fluids of the body--pass, that is, from the intestinal canal into
the system at large--before its action can begin. There are four proofs
of this. It is shown that when introduced at another part of the body a
medicine acts in the same way as when placed in the stomach. It is found
by direct experiment that a poison will not act through the medium of
nerves only, but that its passage in the blood is required. Thirdly, the
course of the circulation is quick enough for the most rapid poison or
medicine to pass quite round the body from the veins of the stomach
before it begins to operate. The last and most conclusive argument to
show that medicines pass out of the stomach into the system, is that
they have actually been detected by chemists, not only in the blood, but
in the secretions formed from the blood. Remedies, then, pass from the
stomach into the blood and fluids. How do they do so?
In the _Second Proposition_ it is laid down that all those which are
soluble in water, or in the secretions of the stomach or intestines,
pass through the coats of these organs into the interior of the
capillary veins which surround them. It has already been shown that most
medicines pass through in some way; we shall now have to learn how they
pass, and what special arrangements are made for the passage of
substances differing in nature. By the physical process of absorption a
liquid may pass through the animal membranes, from the interior of the
stomach or intestine to the interior of the small vein which lies close
outside it. In examining the laws by which this process is conducted, we
shall find that all the requirements are present in these parts,
provided only that the substance to be absorbed shall be first in some
way dissolved, and reduced to the liquid state. In the stomach there is,
in contact with the substance just introduced, a thin watery secretion
containing acid and a matter called pepsin: this is the gastric juice. A
large number of medicines are soluble in water. They are dissolved in
this fluid. Some others are soluble in dilute acid. These too are
dissolved here. Albumen, and matters like it, are reduced to solution by
the aid of the pepsin, which is the principle of digestion. But there
are some few mineral bodies, and many vegetable substances, as fats and
resins, which cannot be thus dissolved by the juice of the stomach. They
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