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GELSEMIUM , a See also:drug consisting of the See also:root of Gelsemium nitidum, a clinging See also:shrub of the natural See also:order Loganiaceae, having a milky juice, opposite, lanceolate shining leaves, and axillary clusters of from one to five large, See also:funnel-shaped, very fragrant yellow See also:flowers, whose perfume has been compared with that of the wallflower. The See also:fruit is composed of two separable jointedpods, containing numerous See also:flat-winged seeds. The See also:stem often runs underground for a considerable distance, and indiscriminately with the root it is used in See also:medicine. The plant is a native of the See also:United States, growing on See also:rich See also:clay See also:soil by the See also:side of streams near the See also:coast, from See also:Virginia to the See also:south of See also:Florida. In the United States it is commonly known as the See also:wild, yellow or Carolina jessamine, although in no way related to the true jessamines, which belong to the order Oleaceae. It was first described in 164o by See also: The See also:British See also:Pharmacopoeia contains a See also:tincture of gelsemium, the dose of which is from five to fifteen minims. The drug is essentially a See also:nerve See also:poison. It has no See also:action, on the skin and no marked action on the alimentary or circulatory systems. Its action on the cerebrum is slight, consciousness being retained even after toxic doses, but there may be headache and giddiness. The drug rapidly causes failure of See also:vision, diplopia, ptosis or falling of the upper eyelid, See also:dilatation of the See also:pupil, and a lowering of the See also:intra-ocular tension. This last action is doubtful. The symptoms appear to be due to a See also:paralysis of the motor cells that See also:control the See also:internal and See also:external ocular muscles. The most marked action of the drug is upon the anterior cornua of See also:grey See also:matter in the See also:spinal See also:cord. It can be shown by a See also:process of experimental exclusion that to an See also:arrest of See also:function of these cells is due the paralysis of all the voluntary muscles of the See also:body that follows the See also:administration of gelsemium or gelsemine. Just before See also:death the sensory See also:part of the spinal cord is also paralysed, See also:general See also:anaesthesia resulting. The drug kills by its action on the See also:respiratory centre in the medulla oblongata. Shortly after the administration of even a moderate dose the respiration is slowed and is ultimately arrested, this being the 'cause of death. In cases of poisoning the essential treatment is artificial respiration, which may be aided by the subcutaneous See also:exhibition of See also:strychnine. Though the drug is still widely used, the rational indications for its employment are singularly rare and uncertain. The conditions in which it is most frequently employed are See also:convulsions, See also:bronchitis, severe and purposeless coughing, myalgia or See also:muscular See also:pain, See also:neuralgia and various vague forms of pain. Additional information and CommentsThere are no comments yet for this article.
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