On the mechanism of the physiological action of the catharticsMacCallum, John Bruce
Science
On the mechanism of the physiological action of the cathartics
MacCallum, John Bruce
Laxatives -- Physiological effect
The amount of sodium citrate, sulphate, or tartrate necessary to
produce purgation is about the same in each case: 10 c.c. m/6 solution
injected subcutaneously, followed 10 minutes later by a second
injection of 5 c.c. of this solution and 10 minutes after this by a
third similar injection, usually produces well marked passages of
faeces. Sometimes the result is obtained with a single injection,
but a prolonged action of the salt seems to be more favorable. With
sodium fluoride and barium chloride much smaller doses are necessary.
Sodium fluoride is more poisonous than the citrate or sulphate, but
if injected slowly as much as 10 c.c. m/6 solution can be safely
introduced under the skin. This produces in a little over an hour well
marked purgation, usually with the passage of soft or semifluid faeces.
Barium chloride is a well known saline purgative among veterinary
surgeons, who always administer it intravenously or subcutaneously.
In order to purge a horse weighing 1,000 pounds, O.75 g. BaCl_{2} is
usually given subcutaneously. Its action is very constant. When given
to rabbits I have found that 2 c.c. m/6 solution BaCl_{2}, injected
under the skin always produces a well marked purgative action with
the passage of large quantities of semifluid faeces. When injected
intravenously it is better to mix the BaCl_{2} with about five times
its volume of m/6 NaCl. The injection of 1 c.c. of a mixture of 1 c.c.
m/6 BaCl_{2} + 5 c.c. m/6 NaCl produces purgation and a passage of
semifluid faeces. This action is much more rapid than with NaF.
These experiments demonstrate the fact that the intravenous or
subcutaneous injection of saline purgatives do produce purgation and
an actual passage of faeces. In order, however, to study the action of
the salts more minutely another method was resorted to, namely, that
of opening the abdomen and directly observing the loops of intestine.
In a large number of experiments it is not difficult to become quite
familiar with the movements normally present, and with the disturbances
produced by such external influences as cooling, drying, etc. These
influences can by proper precautions be practically eliminated.
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