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
Quina may be taken as the type of the whole order. It is the most
powerful; and the others all more or less resemble it. Perhaps Cusparia
bark comes nearest to the Cinchona alkaloids in its anti-periodic
action. It is worthy of remark, that some common bitters which owe their
efficacy, not to alkaloids, but to neutral principles, as Quassia,
Calumba, and Gentian, possess the least control over periodic
affections.
There can be no doubt that these active principles are all absorbed, and
pass into the blood. They may easily be dissolved out of the vegetable
which contains them, if not by simple water, at all events by such an
acid liquid as we find in the stomach. We possess positive proof of
absorption in the case of Quina, which has been detected by Tiedemann
and Gmelin in the blood of a patient to whom it was administered.
Having them now in the blood, we arrive at the first question. Do Quina
and other vegetable Tonics act on the blood or on the nerves? This has
been answered at once by many writers, as if it were a thing of great
simplicity. But it does not seem to be so. Tonics, as we know, have the
power of communicating health and strength in debility produced by
various causes, and also of arresting the progress of intermittent
fever. Do they effect these things by bettering the condition of the
blood, and, from it, that of the system at large, or do they at once,
and in the first place, influence the nervous system? This is an
important question, and it has been variously answered.
Dr. Pereira, in his classification of medicines, ranks them among
_Cinetics_ ([Greek: kineô], to move,) which are defined to be medicines
exerting a power over the motor system of nerves, and through them on
the muscles. But in a subsequent account of Quina, he states that its
action is quite inexplicable, and that its use in Ague must be ranked
with some other special and ill-understood actions, as that of Mercury
in Syphilis, or of Arsenic in Lepra.
Dr. Neligan, (in his work _On Medicines,_) lays it down that Tonics act
as stimulants when given to a healthy man. Dr. Pereira, on the contrary,
states what is more consonant with general experience, _i.e._ that a
moderate dose of a tonic has little or no effect on a man in perfect
health. Dr. Neligan admits that their action is permanent, and produced
slowly; he also declines any explanation of the action of Quina and
others in Ague, calling them specifics.
Some other authors have been still more decided in classing Tonics with
nerve-medicines. Dr. Guy, (in his edition of _Dr. Hooper's Physician's
Vade Mecum_,) considers that Stimulants and Tonics should rightly be
classed together, for that Stimulants act as Tonics to the weak, and
Tonics as Stimulants to the strong.
Public-domain text, read in full here on John Shaqi.
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