| The Particular Organs of the Body may be excited into action, through four distinct and different modes of communication. | ||||
|---|---|---|---|---|
| I. | By the actual contact of the appropriate remedy. | |||
| 1. | Conveyed by absorption, WITHOUT DECOMPOSITION. | |||
| Internally. | a. | through the branches of the Thoracic duct. | ||
| b. | through the branches of the Vena Portarum.[[132]] | |||
| Externally. | c. | through the branches of divided blood-vessels. | ||
| d. | through the branches of Lymphatics.[[133]] | |||
| 2. | Conveyed by absorption, WITH DECOMPOSITION, by which one or more of its constituents are developed, and pass into the circulating current. | |||
| II. | By an impulse conveyed through the instrumentality of the nerves. | |||
| III. | By the sympathetic control exerted by the stomach on distant parts. | |||
| IV. | By the operation of contiguous sympathy, or of that which is excited by the mere proximity and continuity of parts. | |||
And it is important to observe, that these are frequently antagonist operations, and consequently, that remedies, although they should occasion the same apparent effects, unless they act through the same medium, are not SIMILAR agents, but on the contrary, are generally medicinally incompatible with each other; for an illustration of this truth, the practitioner may refer to the observations which I have offered under the history of diuretics.
The difficulty of justly appreciating these phenomena, in every instance, has furnished a powerful objection against the validity of any classification of medicinal substances which is founded on their supposed modes of operation; and it must be acknowledged that, if we are unable to assign to remedies their primary action, or to distinguish this from their more obvious, though perhaps secondary effects, we shall frequently be compelled to place similar medicines under opposite heads, and to include those of very dissimilar characters under the same artificial division; an error which has contributed more generally to embarrass and misguide our practice than any other therapeutical fallacy, and it was the conviction of this truth which induced me to introduce the present chapter, and to impress the importance of its subject upon the attention of my practical readers.
It is probable that, in philosophical strictness, no two medicines in our Materia Medica are perfectly similar, although they recede from each other by such insensible shades of gradation that we may with practical advantage admit their parallelism; at the same time, it must be ever kept in remembrance, that those Medicines only are practically similar, whose operations have been found by experience to continue similar under every condition of the human body; and which, moreover, owe such similarity to modes of operation which are compatible with each other, and consonant with the general indications of cure.
The importance of admitting this proposition will be frequently illustrated in the sequel; and it may be observed in this place, that every classification in which it is not recognised as a leading principle, must be as imperfect in its execution, as it will be unjust and erroneous in its views.
Before I proceed to any farther discussion upon the present subject, it will be necessary to offer a synoptical view of an arrangement of medicinal bodies founded upon the basis of their operations, in order that I may be better enabled to illustrate the observations which it is my intention to introduce: for this purpose I shall present the reader with three different classifications of this kind; the first being that proposed by Dr. Cullen,[[134]] and which is now admitted to rest on principles nearly altogether false, but the investigation of which will afford many useful lessons of practical importance; the second classification is by Dr. Young;[[135]] and the third is that proposed by Dr. Murray,[[136]] which, from its simplicity and strict conformity with the views I intend to offer, will be adopted as being the most eligible for the occasion.
CULLEN’S ARRANGEMENT OF THE MATERIA MEDICA.
| Medicamenta agunt in | ||||
| Solida. | Simplicia. | |||
| Astringentia. | ||||
| Tonica. | ||||
| Emollientia. | ||||
| Erodentia. | ||||
| Viva. | ||||
| Stimulantia. | ||||
| Sedantia. | ||||
| Narcotica. | ||||
| Refrigerantia. | ||||
| Antispasmodica. | ||||
| Fluida. | Immutantia. | |||
| Fluiditatem. | ||||
| Attenuantia. | ||||
| Inspissantia. | ||||
| Misturam. | ||||
| Acrimoniam Corrigentia. | ||||
| In Genere. | ||||
| Demulcentia. | ||||
| In Specie. | ||||
| Ant-acida. | ||||
| Ant-alkalina. | ||||
| Antiseptica. | ||||
| Evacuantia. | ||||
| Errhina. | ||||
| Sialogoga. | ||||
| Expectorantia. | ||||
| Emetica. | ||||
| Cathartica. | ||||
| Diuretica. | ||||
| Diaphoretica. | ||||
| Menagoga. | ||||
CLASSIFICATION OF THE MATERIA MEDICA
BY Dr. YOUNG.
| I. | Chemical Agents. | ||
| 1. | Caustics. | ||
| 2. | Antiseptics. | ||
| 3. | Antidotes. | ||
| 4. | Demulcents. | ||
| 5. | Diluents. | ||
| II. | Vital Agents. | ||
| A. Supporting Strength. | |||
| 1. | Nutrients. | ||
| B. Causing Action. | |||
| Partial & Transient. | 1. | Expergefacients. | |
| 2. | Excitants. | ||
| 3. | Calefacients. | ||
| 4. | Sudorifics. | ||
| 5. | Errhines. | ||
| 6. | Sialogogues. | ||
| 7. | Expectorants. | ||
| 8. | Stomachics. | ||
| 9. | Emetics. | ||
| 10. | Cathartics. | ||
| 11. | Chologogues. | ||
| 12. | Hydrogogues. | ||
| 13. | Simply Propellents. | ||
| 14. | Anthelmintics. | ||
| 15. | Diuretics. | ||
| 16. | Carminatives. | ||
| 17. | Emmenagogues. | ||
| 18. | Epispastics. | ||
| 19. | Suppuratories. | ||
| 20. | Sorbefacients. | ||
| 21. | Astringents. | ||
| Permanent. | Tonics. | ||
| C. Diminishing Action or Sensation. | |||
| Primarily | 1. | Narcotics. | |
| 2. | Sedatives. | ||
| 3. | Nauseants. | ||
| 4. | Diaphoretics. | ||
| Secondarily | Exhaurients. | ||
| III. | Insensible Agents. | ||
| Specifics. | |||