Gunn J A
Proc R Soc Med. 1928 Nov;22(1):27-33. doi: 10.1177/003591572802200117.
An attempt is made to systematize our knowledge of certain drugs which are supposed to exercise a direct or indirect stimulating action on the heart. The actions on the circulation of strychnine, alcohol, camphor, adrenaline and pituitrin, which have been taken as representative examples, are briefly reviewed, with the object of separating out points in their actions in regard to which clinicians and pharmacologists are in general agreement, and of suggesting explanations for some of the dissensions that remain. The suggestion is made that much of the prevailing confusion in regard to the actions and uses of such drugs is due to the fact that we have as yet no sufficiently accurate classification either of "cardiac stimulants" or of "cardiac failures," wherefore it is difficult to bring a disorder and its remedy into proper alignment.
本文试图对某些据信能对心脏产生直接或间接刺激作用的药物知识进行系统化整理。文中简要回顾了士的宁、酒精、樟脑、肾上腺素和垂体后叶素对循环系统的作用,这些药物被视为代表性实例,目的是梳理出临床医生和药理学家在其作用方面普遍达成共识的要点,并对仍存在的一些分歧提出解释。有人认为,对于此类药物的作用和用途,目前普遍存在的许多困惑是由于我们尚未对“心脏兴奋剂”或“心力衰竭”进行足够准确的分类,因此难以使病症及其治疗方法恰当匹配。