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
In addition to their action on the intestine and in some cases the
kidney and salivary gland, these salts produce an interesting condition
of the voluntary muscles. As mentioned above, Loeb was able to produce
muscular twitchings in the muscle of a frog by immersing the muscle in
solutions of these various salts. He also produced muscular twitching
in a living frog by injecting sodium citrate into the dorsal lymph
sacs. I have found that a subcutaneous injection of 10 c.c. m/1 sodium
citrate produces in a rabbit well marked twitchings of the muscles all
over the body. These are very noticeable in the gluteal region. They
begin almost immediately in the neighborhood of the injection, but
only after an interval of 20 to 25 minutes on the opposite side of the
body. If the animal be placed on the floor it moves with a peculiar
incoördinated gait. The hind legs are dragged and very little headway
is made. If the rabbit be held up by the ears, the feet tremble, and if
touched the legs jerk away violently and usually become rigid. There
are sometimes tetanus-like contractions of the limbs, and occasionally
general convulsions of greater or less severity. In one rabbit I gave
daily injections of 5 c.c. m/1 sodium citrate subcutaneously throughout
one month. For some time after the injections had been discontinued
the hypersensitiveness seemed to persist. It seemed possible from this
that a chronic state of increased irritability might be produced.
No conclusion, however, can be drawn from this one experiment since
the irritation caused by the repeated injections might have had some
influence. It is a subject which is of interest for further experiment,
on account of the similarity such a chronic condition bears to the
various chronic hypersensitive conditions found in human beings.
In looking over the experiments made by various investigators on this
subject it will be noticed that their results are inconstant and
contradictory. This can only be the result of imperfect technique and
unfavorable conditions, or of the adoption of a criterion of the action
of the salt, which is uncertain. As mentioned above, the solutions used
in many cases were not at all those most favorable for introduction
into the blood. The very concentrated solutions used by Hay rendered
the conditions obviously unfavorable. If in addition to watching for
the actual passage of faeces these experimenters had observed the
intestines directly the results would of necessity have been more
uniform.
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