The History of the Medical Department of Transylvania UniversityPeter, Robert
History
The History of the Medical Department of Transylvania University
Peter, Robert
Medicine -- Kentucky; Medicine -- Kentucky -- History; Transylvania University. Medical Department
Calomel is well known to be practically insoluble in pure water at the
common temperature. It is decomposed to a certain extent by the action
of light, or by a moderate heat in the presence of water, and
especially by the aid of acids of various kinds, and by certain salts
such as alkaline and other soluble chlorides--especially potassium,
sodium, and ammonium chlorides.
In all these cases of partial decomposition some of the mercurous
chloride--the calomel--is changed into soluble mercuric chloride and
metallic mercury. This decomposition is supposed to result from the
action of the alkaline chlorides and the chloro-hydric and other acids
of the gastric juice when calomel is taken into the stomach under
ordinary circumstances. It is believed that the activity of the
calomel depends mainly on the amount of this decomposition which takes
place in the body.
Especially does this partial decomposition of calomel into corrosive
sublimate occur, to a great extent, when it is mixed in water with
sal-ammoniac (ammonium chloride), as has been experienced in cases of
poisoning by the administration of even moderate doses of calomel
which had been mixed with this salt. In an experiment by the present
writer in which three tenths of a gram of calomel and one and two
tenths of a gram of sal-ammoniac with ten grams of water were allowed
to react at the common temperature for twenty-four hours, as much as
0.019 of a gram of corrosive sublimate was found.
No doubt these facts throw much light on the very irregular action of
calomel in different persons and under various conditions, in doses
which may be very small or very large. We can easily understand how,
when the stomach secretes no gastric juice and when the salts of the
blood have been greatly reduced in quantity by watery purging as in
cholera, the calomel may pass through the alimentary canal unchanged,
insoluble and inactive, or exert a doubtful topical action only.
The present writer's own experience--when he was a medical student,
and when fully impressed by the sincere and logical teachings of
Doctor Cooke, who, however halting and hesitating may have been his
manner or unadorned his style of lecturing, always commanded the fixed
attention and highest respect of his pupils--soon opened his eyes to
the faults in the theory of the professor.
Public-domain text, read in full here on John Shaqi.
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