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
To any one making these experiments there can be no doubt that the
increased peristalsis is the direct result of the injection of the
salt. It can be readily proven in the following way: As will be shown
in a later chapter, the peristalsis and secretion caused by the saline
purgatives can be inhibited by the administration of calcium or
magnesium chloride. If now in a rabbit in which the intestine has been
set into active motion by the intravenous injection of sodium citrate,
a small quantity of m/6 CaCl_{2} be administered intravenously, all
of these movements cease within a minute or two. A second injection
of a slightly greater quantity of m/6 sodium citrate will overcome
this action and cause active peristalsis to begin again. These actions
cannot be due to anything but the solutions introduced.
It is evident also in watching the action of these salts that they
produce increased peristalsis much more rapidly and powerfully when
introduced intravenously than when placed in the lumen of the stomach
or intestine. A much smaller dose also is required to produce this
effect. They therefore cannot act because of their presence in the
lumen of the gut, or because of their being subsequently secreted into
the lumen. When introduced into the stomach or intestine they must
first be absorbed into the blood before they can reach the muscular and
glandular tissues upon which they act. They therefore act more slowly
and only in larger quantities when administered in this way.
Experiments similar to the above were made with a number of salts,
including sodium sulphate, fluoride, tartrate, phosphate and oxalate,
barium chloride, and magnesium sulphate. It was found that intravenous
and subcutaneous injections of all of these were active in producing a
greater or less increase in peristalsis. Sodium sulphate acted in this
respect very much as sodium citrate did. The latter, however, tended
to produce muscular twitchings in the voluntary muscles, a phenomenon
which will be spoken of later. Sodium sulphate on the other hand could
be introduced into the blood in relatively large quantities without
producing any evil effects. The action of sodium sulphate on the
intestine was found to be somewhat less than that of sodium citrate;
but almost constantly 2-3 c.c. m/6 Na_{2}SO_{4} injected into the
marginal vein of the ear caused a marked increase in the peristaltic
movements of the intestine. I cannot at all agree with Hay and earlier
writers who affirm that sodium sulphate injected intravenously produces
no purgative effect. In all my experiments I have found it to have a
very definite effect when introduced in this manner, and I can only
attribute their results to the concentrated solutions used, or to other
unfavorable conditions.
The injection of solutions of sodium fluoride produces very active
movements, although only small quantities can be administered on
account of its poisonous nature.
Public-domain text, read in full here on John Shaqi.
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