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
As I have already shown, the action of a saline purgative on the
intestine consists of two parts, the increase of the peristaltic
activity and the increase of the amount of fluid secreted into the
lumen; or, in other words, the action on the muscle and the action on
the glandular tissue. In the experiments just described it is clear
that these two separate actions exist side by side. For example, m/8
solutions of sodium chloride, citrate, or sulphate cause well marked
peristaltic movements or allow these to continue, while no secretion
of fluid takes place. Stronger solutions of these salts, on the other
hand, such as m/2 produce a distinct secretion. Thus a concentration
of a salt which is sufficient to produce muscular activity may not
be sufficient to affect the glandular tissues. One is tempted to
conclude that in the intestine it requires a stronger stimulus to
produce secretory activity than it does to cause muscular movements.
It is possible that this is true, but the anatomical relations also
must be taken into consideration. The muscle coats lie immediately
under the thin peritoneal layer through which the salts are absorbed;
and it seems probable that in the experiments described the solutions
reached the muscle more easily and rapidly than they could the
glandular tissue which is situated on the other side of the muscular
and submucous layers. Further, it must be noticed that the movements
seen in m/8 NaCl may be merely the continuation of those caused by
separation of the loop from the central nervous system.
The amount of fluid which may be secreted by a loop of intestine
isolated from the body is limited by the absence of the blood supply.
The loop, as shown above, secretes a certain amount of fluid in the
first 10 or 20 minutes. If it is then emptied, usually no more fluid
appears. The quantity secreted depends on the amount of fluid contained
in the intestinal walls at the time of its removal from the body. No
fluid passes from the solution in which the loop is suspended into the
lumen of the loop; no current is established through the walls from the
outside inwards. It seems possible to supply the stimulus for secretion
in the solution in which the loop is suspended; but it is not possible
in this way to renew the fluid which the glands have secreted into the
lumen. This can apparently be done only through the blood vessels.
FOOTNOTES:
[60] MACCALLUM, J. B.: University of California Publications,
Physiology, Vol. I, 1904, p. 115.
CHAPTER VII.
The Action on the Intestine of Solutions Containing Two Salts.
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