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
It is interesting to note in connection with these experiments the
secretion of sugar into the stomach which followed the intravenous
infusion of NaCl solution. Ordinarily in the normal rabbit only a very
small quantity of fluid can be obtained from the stomach. This was
not found in my experiments to contain sugar. In one case after the
infusion of 470 c.c. NaCl solution the stomach contained about 40 c.c.
of fluid. In a second instance 32.8 c.c. of fluid were secreted by the
stomach during 2 hours and 30 minutes, during which time 390 c.c. NaCl
solution were injected. In both these experiments sugar, which was not
present in the beginning, appeared in considerable quantities after the
infusion had continued for a little time. Thus the stomach excretes
sugar under circumstances similar to those under which it is excreted
by the intestine. Claude Bernard[75] describes the presence of sugar in
the gastric contents of diabetic patients. He quotes McGregor as having
made the observation by causing patients to vomit. On examination of
the gastric contents sugar was demonstrated. It seems possible that in
this case the food might have contained a reducing substance.
Thus a study of the effect of saline infusions on the intestine leads
us to the idea of the alimentary canal as in some sense a subsidiary
excretory organ. In addition to its other better known functions, the
intestine can to some extent take on some of the functions of the
kidney. As shown above, it not only tends to eliminate an excess of
fluid forced into the circulation, but also excretes urea and uric
acid. Further, under circumstances which cause glycosuria, sugar is
also excreted by the intestine.
FOOTNOTES:
[62] Arch. de physiol. norm. et path., 4 e série, 2, 1888, p. 93; 5 e
série, 1, 1889, p. 253.
[63] Arch. für exp. Path. u. Pharm., Bd. XXXVI, S. 293, 1895.
[64] Arch. für exp. Path. u. Pharm., Bd. XLII, S. 250, 1899.
[65] MACCALLUM, J. B.: University of California Publications,
Physiology, Vol. I, 1904, p. 125.
[66] Leçons sur les propriétés physiologiques et les altérations
pathologiques des liquides de l’organisme, II Tome, Paris, 1859.
Deuxième Leçon.
[67] Archiv für die gesammte Physiologie, Bd. 61, 1895, p. 378.
[68] _Loc. cit._
[69] Chemische Centralblatt, Leipzig, Bd. II, 1895, S. 310.
[70] BOCK and HOFFMANN: Arch. für Anat., Physiol. und wissenschaftl.
Med. (Reichert und DuBois-Reymond), p. 550, 1871.
[71] KÜLZ: C. Eckhard’s Beiträge, Bd. 6, S. 117, 1872. (Quoted by
Pflüger, Arch. für die gesammte Physiologie, Bd. 96, 1903, S. 313.)
[72] M. H. FISCHER: University of California Publications, Physiology,
Vol. I, pp. 77 and 87, 1904.
[73] LOEB, J.: Festschrift für Fick, 1899; Pflüger’s Archiv, 1902, XCI,
p. 248.
[74] MACCALLUM, J. B.: University of California Publications,
Physiology, Vol. I, 1904, p. 125.
[75] Leçons sur les propriétés physiologiques des liquides de
l’organisme, T. II, 1859, p. 74.
CHAPTER IX.
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