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
Of all the fluid secretions, the secretion of Urine is perhaps the only
important one which cannot cease to be fluid without immediate damage to
the system. The deposit of solid matter from this secretion is
dangerous, because tending to the formation of a solid calculus in the
kidney or the bladder, in neither case easily extracted, and acting like
a foreign body in these sensitive organs. This urine, naturally clear
and limpid, contains in it several substances which are by their nature
insoluble, but are held in solution by certain other materials. But in
some morbid states these latter materials may be wanting, or else the
insoluble bodies may be secreted in such quantity that the solvent
material is unable to hold them in solution. In such instances, these
parts of the urine may either be separated by the kidneys from the blood
in a solid state, or may be deposited from the urine after excretion or
on cooling. They then fall down in a crystalline or finely divided
state, and constitute Urinary Deposits.
Solvents are medicines which are employed to hold these insoluble
substances in solution, where there is not enough of the natural solvent
material in the system. They are medicines which tend, after being
absorbed, to pass out of the blood into the urine. Although we are
ill-informed as to the nature of the ordinary urinary solvents, yet it
is evident that they must be present, because substances which are by
their nature insoluble occur in healthy urine. And it is also evident
that these medicines are able to supply their place; for, after one is
given in a case of urinary deposit, this latter disappears, at the same
time that the solvent remedy may be detected chemically in the urine.
In this, the last order of Restorative Hæmatics, a number of apparently
dissimilar medicines are grouped together, all of which agree in this
point of their action.
The deposits in which solvents are appropriate are termed respectively
Lithic and Phosphatic. Among the first are comprehended Uric acid (also
called Lithic,) Urate of Ammonia, and the more rarely occurring Urate of
Soda. In the second set are comprised the Triple Phosphate of Ammonia
and Magnesia, and the Phosphate of Lime. These deposits are each known
by their peculiar form under the microscope.[35] They may easily be
separated from the urine, when in any amount, and tested chemically. The
Lithic deposits, (_i.e._ Uric acid and Urate of Ammonia,) are entirely
dispelled by a red heat, and are soluble in alkalies. The Phosphatic
deposits leave an earthy residue when heated, and are soluble in acids.
When thus held in solution, the former are precipitated by an acid, the
latter by an alkali, because by such a reagent that solvent is
neutralized in each case.
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