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 stated above, it was shown by Claude Bernard and by Pflüger that
section of the spinal cord below the phrenic nerve, or section of
the splanchnic nerves, causes a marked increase in the intestinal
movements, and also an increase in the amount of fluid secreted
(Moreau). These movements continue in loops isolated and removed from
the body and placed in m/6 NaCl, LiCl, Na_{2}SO_{4}, sodium citrate,
etc., for varying periods of time. They continue far longer in NaCl
than in any other solution. Calcium chloride inhibits these movements,
as is the case also with magnesium chloride. It was found,[61] however,
in making these experiments with isolated loops removed from the body,
that with certain mixtures of NaCl or LiCl with CaCl_{2} or MgCl_{2},
movements began after 20 or 25 minutes of a character differing
entirely from the movements seen in pure NaCl. An idea of this
phenomenon may be gained from the following description of experiments.
A word may be first said with regard to the methods used in these
experiments. In rabbits anaesthetized as usual, the abdomen was opened
and a loop 30-40 cm. in length isolated by ligatures. By means of a
needle and thread the blood vessels supplying the loop were carefully
tied and the loop rapidly excised. It was then cut into a number of
pieces, usually four, which were transferred with as little handling
as possible to the beakers containing the solutions to be tested.
These beakers were kept in a water bath at 39.5° C. It is desirable in
these experiments to use loops which contain no faeces, since unknown
substances in the faeces might go into solution and disguise the action
of the salt being tested. For this reason the upper part of the small
intestine was principally used since in the rabbit it is usually empty
or can be readily emptied. In each set of experiments the loops must
all come from the same rabbit, for there exist considerable differences
in irritability in different animals. On account of these differences
it is necessary to have control experiments in the case of each rabbit.
Loops also which have been unduly exposed to the air cannot be used.
It is of great importance to keep the solutions at a constant body
temperature.
_(a) LiCl and CaCl_{2}._ A loop of intestine removed from the body and
placed in an m/6 LiCl solution at body temperature usually exhibits
only slight movements, which soon cease. This seems to vary somewhat
with different rabbits. In some cases the loop shows no movements at
all, while in other instances it moves regularly for half a minute
and then comes to rest in the solution. These movements are quiet and
regular and resemble those described in loops immersed in m/6 NaCl
solution. When a loop has ceased to move it does not become active
again. In exceptional cases these movements may last 5-10 minutes, but
rarely longer. The LiCl solution seems less favorable for the long
duration of the movements than the NaCl.
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