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
Thiry in a series of experiments was unable to produce increased
secretion of fluid from a Thiry-Vella fistula by the introduction of
sulphate of magnesia. He therefore concludes that the action of saline
cathartics is due solely to an increase in peristaltic activity.
Radziejewski[83] held a similar theory and made many experiments in
an attempt to prove that an increase in peristaltic activity was the
main result of the administration of a saline purgative. In connection
with this it may be noted that van Braam-Houckgeest[84] concluded from
his experiments that saline purgatives do not increase the peristaltic
activity of the intestine. It is difficult to imagine how these results
could be obtained.
Hay[85] quotes Aubert, Buchheim, and Wagner as holding the theory
that in addition to causing an increased peristalsis, the salt is
slowly absorbed, and tends to prevent the absorption of fluid from the
intestine. This theory was held also by Schmiedeberg,[86] who claimed
that the purgative salts were absorbed with difficulty and reached the
lower parts of the intestine unchanged. In the large intestine the
salts, according to this hypothesis, prevent the faeces from becoming
compact by inhibiting the absorption of water from the lumen. This
explanation of the action of cathartic salts has been widely accepted
and has been supported by Wallace and Cushny,[87] who claim in addition
that the salts of acids which form insoluble compounds with calcium
are especially active in inhibiting the absorption of fluids from the
intestine.
Loeb in studying the action of salts in the production of muscular
twitchings in voluntary muscles, and of hypersensitiveness of the skin
and nervous elements, recognized the fact that the salts which had
these actions included those commonly known as saline purgatives. He
says in this connection: “I will not deny the effect of these salts
upon the phenomena of absorption of water from the intestine, but it
is obvious from our experiments that the same salts must increase the
irritability of the nerves and muscles of the intestine, and that this
must facilitate the production of peristaltic motions, possibly through
the mechanical or contact stimuli of the faeces upon the nerve endings
or the muscular wall of the intestine.”[88]
Public-domain text, read in full here on John Shaqi.
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