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
My own experiments which I have described above support this suggestion
of Loeb’s. In the first place it was found that the subcutaneous
or intravenous injection of one of these salts, especially sodium
citrate, caused muscular twitchings in the living rabbit. This had
already been done by Loeb in the frog. In both cases the injection of
calcium chloride inhibits the twitchings. As shown above, there are
produced in a rabbit by such an injection of a purgative salt not only
muscular twitchings, but also increased peristaltic movements, and an
increased flow of fluid into the intestine. The subsequent injection
of calcium chloride was shown to inhibit both the increased secretion
and the increased movements of the intestine. There thus seems to be a
very distinct analogy between the action of these salts in producing
twitchings in voluntary muscles and the production of their purgative
effect; and a similar analogy between the suppression of the former
and the suppression of the latter by calcium chloride. One is tempted
to suppose that these purgative salts act by removing calcium from
the tissues, as suggested by Loeb, in the production of muscular
twitchings, since they are all calcium precipitants. There is, however,
no direct proof of this, and other saline purgatives such as BaCl_{2}
and Hg_{2}Cl_{2} certainly have an action which is independent of
calcium.
There thus seems to be produced by saline purgatives a condition of
increased irritability in the intestine analogous to the increased
irritability produced in the voluntary muscles. As a result of this
the two main activities of the intestine are increased, namely, the
peristaltic activity and the secretory activity. The action of the
saline purgative, then, as far as we know, consists of two main parts.
The peristaltic movements are greatly increased in rapidity and force,
and the faeces are carried rapidly from the upper to the lower parts of
the intestine. They are thus passed through the large intestine in so
short a time that the fluid they already contain has not time in which
to be reabsorbed, a process which apparently takes place normally in
the large intestine. At the same time there is a much larger quantity
of fluid secreted into the lumen of the intestine than takes place in
the normal animal. The faeces which are thus forced rapidly through the
gut by the increased peristaltic movements are more fluid than normal.
This together with the rapid passage of the faeces accounts for their
fluid character when a saline purgative is given.
Public-domain text, read in full here on John Shaqi.
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