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
Barium chloride is even more poisonous and only the most minute doses
can be given. It is, however, by far the most powerful of all these
purgative salts. Its action is extremely rapid and violent. When given
intravenously it is best to mix it with about five times its volume of
m/6 NaCl solution. Thus 1 c.c. of a mixture of 5 c.c. m/6 NaCl + 1 c.c.
m/6 BaCl_{2} injected into the circulation causes almost immediately
most violent intestinal movements. The loops contract so that they
resemble white firm cords. They rise up from one another so that they
seem to stand erect and the squirming, twisting movements become
extremely active. The intestinal contents are hastened on and can be
watched through the thin walls moving rapidly from loop to loop. The
actual passage of faeces takes place in a very short time. It begins
with solid faecal masses, followed quickly by semifluid faeces. The
quantity passed is sometimes very considerable. As will be shown in a
later chapter, the injection of BaCl_{2} into the blood causes not only
an extensive increase in the peristaltic movements, but brings about
also an increase in the quantity of fluid secreted into the intestine.
The subcutaneous injection of 2-3 c.c. m/6 BaCl_{2} produces in 5-10
minutes an effect quite similar to that described for the intravenous
injection of the salt. A rabbit weighing 1,200-1,500 g. does not,
however, usually recover from a dose greater than 2.5-3 c.c. m/6
BaCl_{2} given subcutaneously, and a smaller quantity is sufficient
to produce purgation. Boehm[28] gives as the lethal dose of BaCl_{2}
when given intravenously for rabbits O.1-0.2 g., for cats 0.03-0.05 g.,
for dogs O.1-0.2 g. When given subcutaneously it is O.12-0.18 g. for
rabbits and cats and O.3 g. for dogs.
When BaCl_{2} is taken into the stomach it is absorbed quite slowly,
but its effects are similar to those described above. Active
peristaltic movements and purgation result, and in many cases vomiting
is seen in dogs.
It is clear from these experiments that all salts do not act equally on
the intestine. Sodium chloride may be introduced in large quantities
into the circulation without causing increased peristalsis or
defaecation. Sodium oxalate and phosphate (Na_{2}HPO_{4}) exert only
a slight action. Sodium phosphate, according to Bunge, increases the
fluid in the intestine. Sodium tartrate produces quite active movements
of the intestine and is considerably stronger in its action than either
the oxalate or phosphate. Sodium citrate and sulphate as described
above are quite constant and vigorous in their action, while barium
chloride is by far the most powerful of all these saline purgatives.
Sodium fluoride also acts very rapidly.
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