On the mechanism of the physiological action of the cathartics — John Shaqi
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
produce, by the local application of a purgative salt to the serous
surface of the intestine, a striking increase in peristalsis, and to
suppress these movements by a similar application of solutions of
calcium, magnesium, or strontium chloride_.
These experiments also seem to decide the question as to whether the
salt solutions act after being absorbed into the blood or only when
placed in the intestine. According to Hay[33] and others, the salt
which is absorbed into the circulation has no effect and the only
action is produced by that which remains in the intestine. This is
obviously not true since the solutions act much more rapidly and more
powerfully when applied to the outside of the intestine, _i.e._, to
the peritoneal surface. No action is observed until after an interval
of 10 to 15 minutes after the salt solution is placed in the lumen of
the intestine, while application of the same solution to the peritoneal
surface causes movements of the intestine within one minute.
FOOTNOTES:
[31] Pohl (Arch. f. exp. Path. u. Pharm., Bd. 34, S. 87) stated that
all sodium and ammonium salts increased the peristalsis when applied to
the peritoneal surface of the intestine.
[32] MACCALLUM, J. B.: Amer. Journ. Physiol., Vol. X, No. V, 1904, p.
259.
[33] _Loc. cit._
CHAPTER IV.
The Production of Increased Secretion of Fluid into the Intestine by
the Saline Purgatives.
One of the most characteristic things to be observed in purgation is
the presence of a greater quantity of fluid in the stools. This varies
in degree with the different drugs, but even with the mild laxatives
the faeces become less solid. With the stronger purgatives they become
quite fluid. Since the earliest attempts to explain the nature of
purgation there has been the question as to the origin of this fluid.
With the discovery of the property of osmosis in salts a new life was
given to this inquiry, and Poiseuille[34] advanced the theory that the
purgative effect of salts was due entirely to their endosmotic power,
the increased fluid of the faeces being caused by the extraction of
fluid from the tissues by the osmotic power of the salt. The same
view was held by Liebig,[35] whose name is commonly associated with
the hypothesis. Rabuteau[36] later on supported this idea and claimed
as proof of it the fact that he was unable to produce purgation by
the intravenous injection of large quantities of sodium sulphate. He
even found that this injection caused constipation, and he concluded
that since sodium sulphate purges when given by mouth there must be
caused a flow of fluid towards the salt in both cases. This osmosis
theory was attacked by Claude Bernard,[37] who pointed out that if
the purgative action of salts were due to their osmotic power, sugar
must also be a strong purgative. He found further that, contrary to
what Rabuteau stated, intravenous injections of sodium sulphate do
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