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

by Frederick William Headland

(Hydrocyanic acid. Creosote. Aconite. Conium. Colchicum. Tea and Coffee.)

These are medicines which pass into the stomach, and are capable of absorption; which are absorbed, and are proved to act after passage into the blood. From the blood they pass to the nerves and nerve-centres, and on all of them alike exert a depressing influence. Some of them are much more powerful than others. They do not exert any primary stimulant effect, or any action on the intellectual part of the brain. Most of them have special actions and tendencies.

Hydrocyanic acid is a powerful and dangerous medicine. In large doses it very rapidly takes effect, producing convulsions, syncope, and death. In small doses it is anodyne, and antispasmodic. It is considered especially to influence the reflex spinal system, and by this means may allay convulsive cough, and quiet spasmodic movement. It is very useful in Gastrodynia, and appears then to act locally upon the painful and irritable nerves of the stomach.

Creosote stands, as a medicine, between Hydrocyanic acid and Turpentine. It has a double action; being anodyne, like the former; and a mucous stimulant, like the latter. Moreover, it is a true Astringent, which cannot be said of Turpentine. It is not powerful as a Sedative, but its peculiarity of action often renders it useful in Gastrodynia. It is particularly applicable when pain in the stomach is accompanied with a tendency to hæmorrhage, or with a probable relaxation of the mucous coat.

Aconite is a powerful anæsthetic to the superficial sensory nerves. When applied in solution or ointment to the surface of the skin, it produces first some heat and tingling, which is attributable to a derangement of the nervous influence; and this is succeeded by perfect numbness. It is thus a most valuable topical remedy in true irritative Neuralgia. Other Sedatives and Narcotics have the same power as topical anodynes, but not in so marked a degree. In large doses Aconite is a General Sedative; producing tingling of the extremities, vomiting, and syncope; and affecting the brain in various ways, as will be shown by some experiments which I have made upon its action, to be detailed in the fourth chapter. An alkaloid called Aconitina, the most powerful of all known medicines, is the active principle of this drug.

Conium (Hemlock) also owes its properties to the alkaloid Conia. Dr. Christison has made some experiments upon the latter. He found that it produced swiftly-spreading paralysis of the motor nerves; and he considers it to act particularly as a Sedative to the reflex spinal functions. It also paralyzes the sensory nerves, but in a less degree.

Conium is certainly anodyne; and produces often a sedative action on the heart. It would thus appear to be a General Sedative. But in some recorded cases of poisoning by Hemlock, coma has been mentioned as a leading symptom. Were this to be authenticated, and shown to be the invariable result of the action of this medicine in large doses, then it ought certainly to be classed among Narcotics. Dr. Pereira considers it likely that the plant contains more than one active principle. Hemlock has a paralyzing action on the nerves of motion, which is directly the reverse of the stimulating action of Strychnia; and is thus of use in cases of convulsion and spasm. It is also often prescribed as an anodyne.

Conium is further said to have a curious resolvent power over glandular enlargements, and to have thus frequently caused their absorption and disappearance. This action was first noticed and described by Dr. Fothergill. All true resolvents operate by an action in the blood, but it is difficult to conceive how such an action can be exerted by a nerve-medicine. It may possibly act indirectly by quieting the action of the heart, and controlling an irritable state of the nervous system. In the same way Opium often appears to act as a resolvent. And it is certain that Hemlock, when used for this purpose, very often fails altogether. It has been wrongfully extolled as a panacea in Phthisis; but is in fact of no greater use in that disorder than Hyoscyamus, Prussic acid, and other medicines which reduce the pulse. For the patient in this disease is devoured by a continual slow fever, and any thing which tends to lower this fever will serve to prolong his existence. But altogether it must be admitted that considerable mystery attaches to the operation of this medicine.

Colchicum has many different actions. It has an agency in the blood, being Antiarthritic. It is an Eliminative, acting on the liver and bowels. And it is also a General Sedative. To the combination of an eliminative with a sedative or anodyne action, the use of Colchicum in Gout has been, I think, erroneously ascribed. For in fact it seems to act best in this disorder when it causes no purging, and scarcely any action on the nerves. When it has been long used, it causes a great depression of the spirits, like that which may be caused by some undoubted blood-medicines, as Mercury. But it does not affect the understanding, or the special senses. In poisonous doses it depresses the circulation and the nerves generally, but it causes no stupor or insensibility. It is therefore not a Narcotic; but, like other Sedatives, it kills by syncope.

In the behaviour of the system towards Colchicum, Aconite, Digitalis, and other nerve-medicines, there are two peculiarities which are worthy of remark. They are called cumulation and toleration.