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
[24] Gaz. Méd. de Paris, 1879.
[25] Action of Medicines, 1867.
[26] Gazette Médicale, 1873.
[27] Journal of Anatomy and Physiology, Vol. XVI, 1882, and XVII, 1883.
[28] Arch. f. exp. Path. u. Pharm., Bd. 3, 1875, p. 215.
[29] MACCALLUM, J. B.: Journal of Exp. Zoology, Vol. I, No. 1, 1904.
Preliminary Report, University of California Publications, Physiology,
Vol. I, No. 10, p. 81, 1904.
[30] Arch. di Fisiologia, 1904, I, 413.
CHAPTER III.
The Local Application of Saline Solutions to the Peritoneal Surfaces of
the Intestine.
In the last chapter it has been shown that the subcutaneous and
intravenous injections of solutions of various saline purgatives
produce a characteristic purgative effect; and that similar injections
of calcium or magnesium chloride inhibit this action and bring the
intestines to rest.
I have found also that solutions of these salts have the same effect
when applied directly to the peritoneal surface of the intestine. Thus
if a solution of sodium citrate or sulphate,[31] for example, be poured
over the intestine those loops which are moistened by the solution will
become active within one minute. After a very short time the remaining
loops are also set in motion. These movements may be entirely inhibited
by pouring on the loops a solution of calcium or magnesium chloride.
The following description of these experiments is taken directly from
my paper which appeared two years ago.[32]
The intestines of a rabbit under the influence of morphine were
exposed. On a small group of coils there were poured 3 c.c. m/6 sodium
citrate solution. Almost immediately (within 1 minute) the loops became
very active. Strong contractions of the muscle coats took place. After
a few minutes the other loops were also set in movement, so that the
whole small intestine showed active peristalsis. The citrate solution
was then washed off by m/6 NaCl solution, and about 3 c.c. m/6 CaCl_{2}
solution poured on the loops. The peristaltic movements were promptly
suppressed, and the intestine remained quiet. By the further addition
of citrate solution, the coils were set in active movement once more,
and by the subsequent application of calcium chloride solution again
inhibited. This was repeated many times (sixteen) and apparently might
have been continued as long as the intestine remained alive.
The same results were obtained by using instead of the sodium citrate
solution, a solution of barium chloride, sodium sulphate, fluoride,
bromide, iodide, phosphate (Na_{3}PO_{4}), oxalate or tartrate. Local
application of solutions of any of these salts produces increased
peristaltic activity. Solutions of sodium chloride have a very slight
action of the same character. On the other hand, the intestinal
movements are equally inhibited by calcium chloride and magnesium
chloride, while strontium chloride has a similar but less powerful
inhibiting action.
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