We have already said that most of the therapeutic, toxic, and caustic
actions of an electrolyte are due to ionic action, and the substances can
therefore have no toxic action unless they are dissociated. Many of the
solvents employed in medicine, such as alcohol, glycerine, vaseline, and
chloroform dissolve the electrolytes but do not dissociate them into ions,
and these solutions therefore do not conduct electricity. Such solutions
have no therapeutic action. With the absence of dissociation all the ionic
toxic and caustic effects also disappear entirely, and only re-appear as
the water of the tissue is able slowly to effect the necessary
dissociation.
Carbolic acid dissolved in glycerine is hardly caustic and but very
slightly toxic. We have met with several instances in which a tablespoonful
of carbolized glycerine, in equal parts, has been swallowed without any ill
effect, either caustic or toxic, whereas the same dose dissolved in water
would have been fatal. This absence of dissociation has enabled the surgeon
Menciere to inject carbolic and glycerine in equal proportions into the
larger joints, the part being subsequently washed out with pure alcohol.
Thus by employing vaseline, oil, or glycerine as a solvent, and avoiding
the access of water, we are able to use electrolytic antiseptics in very
concentrated form. Their action is brought out very slowly, as the water of
the organism effects the necessary dissociation of the electrolyte. {34}
Since all chemical, toxic, and therapeutic actions are ionic, they are
proportional to the degree of ionic concentration, _i.e._ to the number of
ions in a given volume. The only point of importance, that which determines
their activity, whether chemical or therapeutic, is the degree of
ionization or dissociation. For example, all acids have the same cation
H^+. They have all identical properties, but they differ widely in the
intensity of their action. There are weak acids such as acetic acid, and
strong acids like sulphuric acid. The stronger acids are those which are
more thoroughly dissociated, and in which the ion H^+ is very concentrated;
whereas the feeble acids are but slightly dissociated, so that the ion H^+
is less concentrated.
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