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
m/6 NaCl injected
Time intravenously Urine
10:15
10:20 10 c.c. 2 c.c.
10:25 20 c.c. 4 c.c.
10:30 20 c.c. 6 c.c.
10:35 10 c.c. 7.5 c.c.
10:40 10 c.c. 8.0 c.c.
10:45 10 c.c. 8.2 c.c.
10:50 10 c.c. 7.9 c.c.
10:56 Injected 2 c.c. ¹⁄₂₀% saponin in m/6 NaCl
11:00 10 c.c. 10.5 c.c.
11:05 10 c.c. 11.0 c.c.
11:10 10 c.c. 11.0 c.c.
11:15 10 c.c. 11.0 c.c.
11:16 Injected 1 c.c. ¹⁄₂₀% saponin
11:20 10 c.c. 12.2 c.c.
11:25 10 c.c. 13.2 c.c.
11:30 10 c.c. 12.0 c.c.
11:35 10 c.c. 12.5 c.c.
It is possible that it is by no means a coincidence that these
substances which are powerful haemolytics act also as diuretics; and
that CaCl_{2} and MgCl_{2}, which inhibit the secretion of urine, also
to some extent inhibit the haemolytic action. It is difficult to say by
what process the haemoglobin is liberated from the red blood corpuscle,
as indeed it is difficult to state definitely how fluid passes from
the blood into the urine. It is sufficient to call attention to the
fact that the liberation of haemoglobin and the flow of urine may be
to some extent controlled by the same conditions. If the haemolytics
such as saponin cause haemolysis by increasing the permeability of
the membranes of the red blood corpuscles, it seems possible that the
diuretic effect of these substances may be due to a similar process
in the kidney. If this be true, changes in permeability must play
an important part in the action of these diuretics. And it is not
impossible that the inhibition of the haemolytic action of saponin,
etc., as well as the inhibition of the flow of urine by CaCl_{2} and
MgCl_{2}, may be due to a decreased permeability of the red blood
corpuscle on the one hand, and of the kidney cells on the other.
With these numerous experiments with calcium and magnesium it is
still impossible to make a general statement as to the nature of
their action. Since the chemical conditions existing in the tissues
of animals and of various parts of animals are largely a matter of
conjecture, we cannot predict how these substances will act; nor can
we say that because calcium, for example, has a certain action in one
animal or on one organ it will necessarily have the same action in
other animals or in other organs.
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