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 just possible that the presence in the blood of this bile-product,
the supply of which has been cut off by the hepatic disease, might have
prevented the continual action of the Ague-poison.
There is another fact which gives additional probability to such an
idea. Another remedy of a different kind has been used in all the
diseases in which Quina is admissible, proving in some cases superior,
and in other instances second only to it in its beneficial action. This
is Mercury; used in remittent and yellow fevers; of the first importance
in dysentery; employed by Dr. Baillie in Ague, and pronounced by him to
be in some cases superior even to Quina. In small doses it is frequently
of use in cases of debility and scrofula. And Mercury is a Cholagogue;
_i.e._ an agent which is known to have the effect of promoting the
secretory function of the liver. Thus we may conceive that Mercury, not
given in excess, or to salivation, may operate in a different way to
produce the same end as Quina. One explanation would suffice for both.
If this connexion between Tonics and the Bile were actually established,
then we should be enabled to explain a matter which would otherwise seem
difficult to understand,--how it is that small doses of Mercury may
sometimes act as Tonics, though we know that the ultimate action of this
medicine, like that of other Catalytics, is to deteriorate the blood.
Even in scrofulous and enfeebled cases, small doses of blue pill or of
Calomel are often signally useful; and not prejudicial, as is sometimes
stated by those who confound their application with that of Mercury
given in salivating doses. Under such a course, when judiciously
enforced, we may see the dilated pupil contract to its normal size, and
the pale enervated countenance become rosy and lively; and feel the weak
compressible pulse to become hard and firm. Perhaps Mercury in such a
case may be indirectly tonic, by restoring to the blood the natural
tonic principle of the bile.
It will be conceded that it is a great merit in a theory, when it
succeeds in explaining at the same time a number of different things in
a plausible way. It seems that this hypothesis of the connexion of
Tonics with Taurine, or some such element of the Bile, is capable of so
doing. I am very far from asserting that it is proved, or from supposing
that it is at all likely to be so in the present state of our knowledge
of the subject; but I think that if not evidently true, it appears at
least reasonable. And it may be observed, that even should this idea be
completely overthrown, which is neither impossible nor unlikely, there
would still seem to be left ample evidence to prove that Quina and other
vegetable bitters act on the blood on the restorative principle,--though
in what exact way is uncertain.
ORD. V. CHALYBEATES.
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