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
From these experiments, in which every precaution was taken, it seems
certain that a definite increase in the secretion of fluid into the
intestine follows the administration of barium chloride, and sodium
citrate, the former of which is a saline purgative of a more powerful
type, while the latter is among the milder purgative salts. It is of
especial interest that these salts do not produce the increase of
fluid on account of an irritating effect on the mucous membrane of
the intestine. The action takes place, as shown in the experiments,
when they are introduced subcutaneously or directly applied to the
peritoneal surface of the intestine. Further, the solutions were
practically isosmotic with the blood, and for this reason and from the
fact that they were applied to the peritoneal surface of the intestine
the osmotic pressure of the solution could play no part in causing
fluid to enter the lumen of the gut. Also it is obvious that any
possible effect which the purgatives may have in delaying absorption
from the intestine (Wallace and Cushny) could have nothing to do
with the production of this increased amount of fluid in the loops
experimented with. The fluid produced is clear and either colorless or
slightly yellow. It has an alkaline reaction and is apparently quite
similar to the normal intestinal secretion. I have made no experiments
to determine its powers of digesting and have no data concerning this
point. There are no signs of its being of an inflammatory nature.
Thinking that the manipulation of the intestine and the tying off of
loops might influence the results, I estimated from the examination
of a large number of rabbits of the same size (about 1,200 g. in
weight) the quantity of fluid which is normally found in the small
intestine. It was found that there was hardly ever more than 10 c.c.,
and usually only 5 or 6 c.c. of fluid in addition to a small amount of
semifluid food material. To a rabbit in which the intestines seemed
almost empty, a small dose of barium chloride was given locally by
pouring an m/8 solution on the loops. The characteristic effect of the
barium followed, and after one hour the small intestine was tied off
by ligatures and removed. It was found to contain 22 c.c. of a clear
yellowish fluid. In a second rabbit which received the same treatment
34 c.c. of a similar fluid were found in the small intestine.
As will be shown in a later chapter, a secretion of fluid into the
lumen of isolated loops of intestine removed from the body may be
produced by immersing the loops, with their ends tied, in solutions
of various saline purgatives. In m/8 solutions of NaCl, Na_{2}SO_{4},
and sodium citrate no secretion was obtained in these loops. In m/2
solution of these salts, however, a distinct measurable quantity was
regularly produced; m/8 solutions of NaF brought about a secretion, and
in all solutions containing BaCl_{2} a distinct secretion of fluid was
obtained. This will be described in detail later on.
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