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 loop which had thus been emptied and returned to moist warm
surroundings was left 10 minutes and the normal secretion allowed to
collect, and at the end of that period the loop was again emptied with
as little exposure as possible and the fluid measured. The cannula
was then clamped off and the secretion allowed to gather for a second
10 minutes. This again was drawn off and measured. The quantity
secreted was usually fairly constant and quite small, the manipulation
undoubtedly increasing it somewhat. When the normal secretion was
obtained the purgative salt in an isotonic solution was administered
either subcutaneously, intravenously, or locally. The secretion was
again allowed to collect, and was drained off and measured after 10
minutes. This was repeated several times and the amounts compared with
what was taken as the normal secretion. When the solution was applied
locally, a method which is perhaps the most satisfactory, it was
allowed to drop on the loops from a pipette, care being taken to have
it at body temperature and as nearly as possible isosmotic with the
blood. In each case special care was taken to have no interval between
the emptying of the loop and the beginning of the succeeding period of
10 minutes. In other words, the loop was always entirely empty at the
beginning of each period.
The results of a few of these experiments may be seen in the following
reports:--
1. Rabbit. Loop 30 cm. long, upper part of small intestine.
Loop contained in beginning[48] 5.0 c.c.
Fluid removed after 1st 10 minutes 0.2 c.c.
Fluid removed after 2d 10 minutes 0.5 c.c.
2 c.c. m/8 BaCl_{2}, injected subcutaneously.
Fluid removed after 1st 10 minutes following injection 4.0 c.c.
Fluid removed after 2d 10 minutes following injection 3.4 c.c.
Fluid removed after 3d 10 minutes following injection 3.0 c.c.
In this rabbit the increased secretion of fluid was accompanied by
extremely active peristaltic movements. The faeces could be seen
passing along the loops of the lower part of the intestine with great
rapidity. Within 30 minutes after the administration of the salt, the
passage of faeces to the outside began. This continued for some time,
the faeces becoming constantly softer, until finally they were almost
entirely unformed.
As shown by this experiment, and also by the following ones, the action
of barium chloride persists for a considerable length of time. The
action of sodium citrate is more transitory.
2. Rabbit. Loop 25 cm. long.
Loop contained in beginning 3.0 c.c. fluid deeply bile stained
After 1st 10 minutes 1.0 c.c. fluid deeply bile stained
After 2d 10 minutes 0.8 c.c. fluid somewhat lighter in color
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