[10]. All these in their usual doses do not increase the natural heat; but they induce costiveness, and deep coloured urine with earthy sediment.
In greater doses they invert the motions of the stomach and lacteals; and hence vomit or purge, as carduus benedictus, rhubarb. They promote perspiration, if the skin be kept warm; as camomile tea, and testaceous powders, have been used as sudorifics.
The preparations of antimony vomit, purge, or sweat, either according to the quantity exhibited, or as a part of what is given is evacuated. Thus a quarter of a grain of emetic tartar (if well prepared) will promote a diaphoresis, if the skin be kept warm; half a grain will procure a stool or two first, and sweating afterwards; and a grain will generally vomit, and then purge, and lastly sweat the patient. In less quantity it is probable, that this medicine acts like other metallic salts, as steel, zinc, or copper in small doses; that is, that it strengthens the system by its stimulus. As camomile or rhubarb in different doses vomit, or purge, or act as stimulants so as to strengthen the system.
[II]. Observations on the Sorbentia.
[I]. [1]. As there is great difference in the apparent structure of the various glands, and of the fluids which they select from the blood, these glands must possess different kinds of irritability, and are therefore stimulated into stronger or unnatural actions by different articles of the materia medica, as shewn in the secernentia. Now as the absorbent vessels are likewise glands, and drink up or select different fluids, as chyle, water, mucus, with a part of every different secretion, as a part of the bile, a part of the saliva, a part of the urine, &c. it appears, that these absorbent vessels must likewise possess different kinds of irritability, and in consequence must require different articles of the materia medica to excite them into unusual action. This part of the subject has been so little attended to, that the candid reader will find in this article a great deal to excuse.
It was observed, that some of the secernentia did in a less degree increase absorption, from the combination of different properties in the same vegetable body; for the same reason some of the class of sorbentia produce secretion in a less degree, as those bitters which have also an aroma in their composition; these are known from their increasing the heat of the system above its usual degree.
It must also be noted, that the actions of every part of the absorbent system are so associated with each other, that the drugs which stimulate one branch increase the action of the whole; and the torpor or quiescence of one branch weakens the exertions of the whole; or when one branch is excited into stronger action, some other branch has its actions weakened or inverted. Yet though peculiar branches of the absorbent system are stimulated into action by peculiar substances, there are other substances which seem to stimulate the whole system, and that without immediately increasing any of the secretions; as those bitters which possess no aromatic scent, at the head of which stands the famed Peruvian bark, or cinchona.
[2]. Cutaneous absorption. I have heard of some experiments, in which the body was kept cold, and was thought to absorb more moisture from the atmosphere than at any other time. This however cannot be determined by statical experiments; as the capillary vessels, which secrete the perspirable matter, must at the same time have been benumbed by the cold; and from their inaction there could not have been the usual waste of the weight of the body; and as all other muscular exertions are best performed, when the body possesses its usual degree of warmth, it is conclusive, that the absorbent system should likewise do its office best, when it is not benumbed by external cold.
The austere acids, as of vitriol, lemon-juice, juice of crabs and sloes, strengthen digestion, and prevent that propensity to sweat so usual to weak convalescents, and diminish the colliquative sweats in hectic fevers; all which are owing to their increasing the action of the external and internal cutaneous absorption. Hence vitriolic acid is given in the small-pox to prevent the too hasty or too copious eruption, which it effects, by increasing the cutaneous absorption. Vinegar, from the quantity of alcohol which it contains, exerts a contrary effect to that here described, and belongs to the incitantia; as an ounce of it promotes sweat, and a flushing of the skin; at the same time externally it acts as a venous absorbent, as the lips become pale by moistening them with it. And it is said, when taken internally in great and continued quantity, to induce paleness of the skin, and softness of the bones.
The sweet vegetable acids, as of several ripe fruits, are among the torpentia; as they are less stimulating than the general food of this climate, and are hence used in inflammatory diseases.