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American Materia Medica, Therapeutics and Pharmacognosy

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It is especially valuable in chronic irritation <strong>and</strong> inflammation of the<br />

mucous membranes; <strong>and</strong> on the urinary passages it has been shown to<br />

possess specific powers, as in dysuria from stricture, <strong>and</strong> in gleet <strong>and</strong><br />

chronic gonorrhea.<br />

It also acts as a tonic upon the reproductive function, <strong>and</strong> is a very<br />

positive remedy in nymphomania <strong>and</strong> satyriasis.<br />

It may be given as a tonic in cases of weak digestion, <strong>and</strong> to promote the<br />

appetite in general debility, <strong>and</strong> in convalescence from fevers.<br />

COCA. Erythroxylon coca.<br />

CONSTITUENTS—<br />

Cocaine, cinnamyl-cocaine, truxil-cocaine, hygrine.<br />

PREPARATIONS—<br />

Extractum Cocae Fluidum, Fluid Extract of Coca. Dose, from onehalf<br />

to one dram.<br />

Specific Medicine Coca. Dose, from one-half to one dram.<br />

Physiological Action—The natives of South America <strong>and</strong> laborers in that<br />

country use coca, chewing the leaves, much as tobacco is used in other<br />

parts of the world. It abolishes the sensation of hunger for a time. This<br />

may in part be accounted for by its producing anesthesia of the nerves of<br />

the stomach. It does not take the place of food. It increases the powers of<br />

endurance <strong>and</strong> confers a singular immunity from the suffering incident<br />

to privation <strong>and</strong> excessive physical exertion. These effects are accounted<br />

for, in part at least, by the anesthetic effect of cocaine, which is its<br />

principal constituent. In large doses it increases the animal heat <strong>and</strong><br />

quickens the pulse <strong>and</strong> respiration. By increasing the dose the nervous<br />

system is excited, with increase of desire for muscular exertion; while in<br />

poisonous doses it causes delirium, hallucinations <strong>and</strong> congestion of the<br />

brain. The general effect of coca is to stimulate the nervous system <strong>and</strong><br />

retard retrograde metamorphosis. The prolonged use of the drug causes a<br />

degeneration of the nervous system characteristic of narcotics, though<br />

when used in moderation this effect is not observed.<br />

The influence of coca on the native habitue of the tropics, <strong>and</strong> its<br />

influence upon the civilized inhabitants of the temperate zones are very<br />

Ellingwood’s <strong>American</strong> <strong>Materia</strong> <strong>Medica</strong>, <strong>Therapeutics</strong> <strong>and</strong> <strong>Pharmacognosy</strong> - Page 206

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