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
Whether or not the saline purgatives also inhibit the absorption
of fluid from the intestine cannot be stated with certainty. The
experiments of Wallace and Cushny leave out of account the increased
secretion of fluid into the intestine caused by the purgative, a
process which undoubtedly takes place. Thus in comparing the amount of
NaCl, and the amount of a saline purgative absorbed in a given time
from separate loops under the same conditions, it is not surprising
that the amount of NaCl solution found in the loop after the experiment
is less than the amount of purgative solution left. If the quantities
of the two salts were equal in the beginning and an equal amount were
absorbed, there would still be more fluid left in the loop containing
the purgative on account of the secretion of fluid into the loop which
was caused by the purgative, and not by the NaCl.
With regard to the mode in which the salt must be administered it is
quite clear that it is not necessary to place it in the stomach or the
lumen of the intestine. As shown above, the action is more rapid and
more powerful when the solution is injected into the blood, or applied
locally to the peritoneal surface of the intestine. Nor is the action
due to its being secreted again into the lumen of the intestine,
because the action is almost immediate when the solution is poured on
the outside of the loops, and only takes place after several minutes
when placed in the lumen. If injected into the blood the action is
slower than when the solution is applied to the serous surfaces of the
intestine. In the former case every opportunity would be afforded for
its rapid excretion into the intestine if that were a factor. It is
evident that the solution must be absorbed into the blood and bathe the
tissues just as a solution surrounds a muscle which is immersed in it.
As to the tissues in the intestine which are primarily affected, it
is impossible to make a definite statement. The muscle and glands
cannot be at all separated from the complex nervous mechanism of the
intestine, and it is necessary to take the whole as an organ made up of
many tissues and affected in definite ways by certain solutions.
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