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
My own experiments have given quite uniform results, so much so that
the production of increased peristalsis in rabbits by the intravenous
injection of one of the saline purgatives has come to be a class
experiment with the students in the medical school here. The increased
secretion into the intestine produced by the same means requires
greater care in protecting the loops from loss of heat and moisture.
For any one to convince himself that a salt may act as a purgative
when injected subcutaneously or intravenously it is only necessary to
introduce a small amount of BaCl_{2} into the blood or under the skin
of a rabbit. The evacuation of large quantities of semifluid faeces
and the violent intestinal movements leave no room for doubt as to the
action of the salt. The fact that the intravenous and subcutaneous
administration of this salt as a purgative by veterinarians is in
general use should be sufficient proof.
The milder salts such as sodium citrate and sulphate must, as stated
above, be given in larger quantities, and a more prolonged action is
necessary.
As will be described in detail in the next chapter, the application of
solutions of these salts, isosmotic with the blood, to the peritoneal
surfaces of the intestine cause not only increased peristalsis and
increased secretion of fluid into the intestine but also bring about an
evacuation of faeces. This fact alone proves that it is not necessary
to introduce the purgative salt into the stomach or intestine. The
action on the intestine in this case takes place more rapidly than in
any other method of administration. The solution seems to be directly
absorbed through the peritoneal covering and to come into contact with
the muscles and glands, and perhaps the nerves of the intestine. These
tissues are immediately set into activity.
In the intravenous or subcutaneous injections of the salts it is
necessary to mention a peculiarity of magnesium sulphate. This salt of
course acts as a purgative because it is a sulphate and not on account
of the presence of magnesium. As shown later on, magnesium chloride has
an effect quite opposite to this. In injecting MgSO_{4} into the blood
the greatest care must be taken because of its peculiarly poisonous
nature when rapidly absorbed. Rabbits frequently die suddenly from an
injection of a relatively small quantity. This fact has been mentioned
by a number of authors, and is repeated here only as a warning against
its too rapid injection, possibly in human beings.
It may be mentioned here also that Bottazzi[30] has found that the
intravenous injection of an extract of the small intestine containing
secretin causes not only a well marked increase in the secretion of
fluid into the intestine, but also produces increased peristaltic
activity. It at the same time increases the pancreatic secretion.
FOOTNOTES:
[22] Leçons sur les effets des substances toxiques et médicamenteuses,
Paris, 1857.
[23] Arch. f. physiol. Heilkunde, 1854.
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