On the mechanism of the physiological action of the cathartics — John Shaqi
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
By this method it was possible to study the influence of the salts
on the two great activities of the intestine, namely, the muscular
movements and the glandular activity. Their action on the secretion
is treated of in a later chapter and can only be mentioned here. The
increase of these two activities by means of a salt is the essential
action of a purgative, and leads, if sufficiently prolonged, to
purgation and to the passage of faeces. This passage of faeces does not
take place so readily when the intestines are exposed and the animal
is under the influence of morphine as it does in a normal animal. The
exposure of the intestine for an hour or more apparently renders this
action difficult, although not uncommonly the actual passage of faeces
is observed under these circumstances. This is always the case with
BaCl_{2}.
In a rabbit with its intestines visible it was found that the injection
of 1-2 c.c. m/8 or m/6 sodium citrate solution into the jugular vein
of a rabbit brings about a very marked increase in the peristaltic
movements, which begins from 1 to 2 minutes after the injection. The
loops are set in active movements and become firm and rounded so that
they seem to occupy a greater volume. The movements consist not only of
swinging pendulum movements, but of real peristaltic waves which cause
the contents of the intestine to move along the gut so that they may
be watched through the thin walls. The morphine narcosis of the animal
does not seem to interfere with this action of the salt.
When these salt solutions are administered subcutaneously they do not
act at once, as in the case of intravenous injections. An interval
of 10 to 15 minutes elapses after the subcutaneous injection before
any influence on the intestine is noticed. The movements then begin
as before, the peristaltic movements and pendulum movements gradually
increasing in force. In addition to the greater time required for the
action of the salt when administered in this way, it is also necessary
to give a larger amount than in intravenous injections; 5-10 c.c. m/8
or m/6 solution of sodium citrate must be introduced subcutaneously in
order to produce increased peristalsis.
If the solution be introduced into the stomach or intestine a similar
increase in peristalsis is brought about, but only after a considerable
interval. Usually no effect is obtained until 10 to 15 minutes after
the injection of the salt into the lumen of the gut. The injection
may be made by piercing the wall of the intestine or stomach with a
hypodermic needle, and forcing the fluid into the lumen. The quantity
of the solution necessary to produce increased peristalsis is about
the same as when introduced subcutaneously. The movements begin not
particularly in the part of the intestine containing the solution, but
simultaneously in all parts.
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