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 testing those salts with which it was necessary to use dilutions
greater than m/8, the dilution was made with a neutral fluid consisting
of sodium chloride and magnesium chloride. It was found that m/6 NaCl
solution increased to a very slight extent the peristaltic movements.
By adding to 10 c.c. m/6 NaCl, 0.5 c.c. m/6 MgCl_{2}, a fluid was
obtained which had apparently neither stimulating nor inhibiting
effects. In addition to solutions made up by dilution with this neutral
fluid, others were used in which the salt solutions were diluted with
distilled water. Practically the same results were obtained in both
cases. It was found that 1 c.c. m/320 BaCl_{2} solution applied locally
to the intestine is sufficient to cause strong peristaltic movements in
a rabbit. This quantity contains about 0.00076 gm. barium chloride.
In the case of sodium citrate, the concentration must be considerably
greater. No solution of this salt more dilute than m/80 is active in a
rabbit. Of all the purgative salts, barium chloride is by far the most
powerful. If a drop of m/8 BaCl_{2} be placed on the serous surface of
an intestinal loop, or if a small area be moistened with this solution
by means of a camel’s hair brush, the muscle beneath the moistened
area will almost immediately contract so that a ring-like constriction
of the intestine is formed. This often is so sharply marked that it
suggests the effect produced by tying a ligature around the intestine.
This constriction remains for a few moments, and then gradually moves
along the loop in the direction of the normal peristalsis. If the
solution be injected into the muscle of the intestine at any point
with a hypodermic needle, a similar sharp constriction takes place. If
also a few drops be injected directly into a branch of the superior
mesenteric artery, all that part of the loop supplied by the arterial
branch will contract violently. These statements are true also in the
case of sodium citrate, fluoride, sulphate, etc.; the action of these
salts, however, is less powerful.
It must be added here also that the actual passage of faeces may be
produced within an hour by the application of the purgative salts to
the serous surfaces of the intestine. This takes place most quickly
with barium chloride. It is possible to observe directly through the
semi-transparent walls of the intestine the rapid passage of faecal
masses from one loop to another.
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