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
The action of the sodium citrate, sulphate, fluoride, etc., when
applied locally, may be inhibited by the administration of an
approximately equal quantity of calcium or magnesium chloride of
the same concentration. The counteraction of the effect of barium
chloride, however, requires a much greater concentration of calcium.
Using equal quantities of the two salts, the action of the barium is
usually not inhibited, a fact which I have previously stated. With
greater concentrations of the calcium chloride, the antagonistic
action, however, is clear. This is shown in the following experiment:
Applied locally to the intestine of a rabbit 1 c.c. m/320 BaCl_{2}
solution caused active peristaltic movements. The application of 1
c.c. m/320 CaCl_{2} solution exercised no inhibiting effect whatever.
The same quantity of m/40 CaCl_{2} was then poured on the loops, and
a slight but distinct quieting of the loops took place. The addition
of 1 c.c. m/6 CaCl_{2} caused the loops to become entirely motionless.
After waiting a considerable time, 1 c.c. m/8 BaCl_{2} was poured
on the intestine. Immediately violent peristaltic movements took
place. Several c.c. m/6 CaCl_{2} exercised practically no inhibiting
influence; while 2 c.c. ⁵⁄₈m CaCl_{2} solution suppressed the movements
entirely for a short time.
The question concerning the exact seat of action of the purgative
salts remains still unanswered. Whether, upon being absorbed into the
blood, they act on the central nervous system is not known. There is
no evidence to show that this is the case. It seems certain, on the
other hand, from the experiments here described, that they undoubtedly
have a peripheral action either on the peripheral nervous mechanism or
on the muscle cells themselves. It is impossible to prove that there
is no action on the central nervous system, and at present it seems
impossible to prove whether the peripheral action is directly on the
nerves or on the muscles. The existence in the walls of the intestine
of the ganglionic plexuses of Auerbach and Meissner must be taken
into consideration; and with the methods available there seems to be
no way of distinguishing the action on these plexuses and the direct
action on the muscle cells. The ultimate effect is on the muscles and
glands; and the fact that an entirely local ring-shaped constriction
can be brought about by the local application of a drop of one of the
salt solutions to the surface of the intestine would seem to indicate
that only a small group of the circular muscle fibres themselves is
affected. The fact that the nerve plexuses form a continuous network,
and are intimately related in their various parts, would suggest that
the occurrence of an action on these plexuses confined to so small an
area is improbable. The discussion of the exact location of the action
is, however, of relatively little importance, as compared with the
main facts shown by these experiments, namely, that _it is possible to
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