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
cause purgation and bring it about more rapidly and powerfully than
when the salt is taken by mouth. It was further shown by Aubert[38]
that the purgative effect of various salts is not at all proportional
to their endosmotic power nor to their concentration. Headland,[39]
assuming without experiment that purgative salts act when introduced
into the circulation, advanced the hypothesis that when they are given
by mouth they are first absorbed into the blood and are later excreted
by the intestine. In thus passing through the intestine he supposed
that they stimulated the glands to secrete. Brieger,[40] using the
method introduced by Colin and Moreau, obtained what he considered
an increased secretion into the intestine. Isolating a loop of the
intestine, he introduced into it a strong solution of MgSO_{4}. The
loop became in a short time filled with a clear yellow alkaline fluid.
This he believed was due partly to the water attracting power of the
salt, and partly to the production of a real secretion. Vulpian[41]
believed that the fluid was due to an inflammatory irritation. Hay[42]
made experiments similar to those of Brieger, and found that the
introduction into a loop of 10% Na_{2}SO_{4}, caused a considerable
increase in the secretion, although no secretion was obtained by a 1-5%
solution. Schmiedeberg[43] explained the presence of a greater quantity
of fluid in the stools following the administration of the purgative
by the supposition that the purgative salts on reaching the large
intestine prevent the absorption of water. He states that these salts
are themselves absorbed with difficulty and hence reach the lower part
of the intestine unchanged. A similar hypothesis is advanced by Wallace
and Cushny.[44] They stated that the absorption of fluid was inhibited
especially by those salts which form insoluble compounds with calcium.
These authors, however, did not take into account the possibility of
the secretion of fluid into the intestine being increased by these
salts. Hence their method of determining the difference in absorption
of the various solutions is open to criticism, since it will be shown
in this chapter that some if not all of these purgative salts cause a
very definite increase in the intestinal fluid. The absorption of fluid
may indeed be diminished by these salts, but it is difficult to say in
the experiments of Wallace and Cushny how much of the fluid remaining
in the loops is due to inhibited absorption, and how much has been
actually secreted by the intestine.
The experiments of Brieger[45] and Hay[46] in the production of
increased secretion are quite unsatisfactory on account of the great
concentration of the solutions used. Their results may well be ascribed
to the local irritating effect of the strong solution, since they did
not obtain an increased secretion with weaker solutions.
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