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 in this connection to again note the effect of these
salts on the secretion of urine. It is well known that practically all
of them are diuretics, when introduced with a considerable amount of
fluid. And even when the flow of urine has been greatly increased by
the injection of m/6 NaCl solution, it can be still further augmented
by the addition of, _e.g._, sodium citrate to the injection fluid.
These salts constitute the well known class of saline diuretics. All
salts do not, however, belong to this class, as is often stated.
Calcium chloride, magnesium chloride, and to some extent strontium
chloride exert exactly the opposite effect, inhibiting the action of
the diuretics and diminishing the flow of urine. These salts might
be termed antidiuretics. There is thus an entire analogy between the
action of the saline diuretics on the kidney and that of the saline
purgatives on the intestine, and also the action of calcium and
magnesium is the same in both cases. And the analogy can be traced
farther back to the production and inhibition of muscular twitchings in
voluntary muscles, which was demonstrated by Loeb.
The actual mechanism of the secretion of fluid into the intestine is
difficult to determine. It seems improbable that a change in blood
pressure plays any very important rôle, if indeed it has an influence
at all. There is much evidence to show that many glands consisting
of cells resembling those of the intestine roughly, secrete their
characteristic fluids quite independently of blood pressure. In _Sida
crystallina_, a small fresh-water crustacean, it was found[89] that
if a small quantity of one of the saline purgatives or of BaCl_{2} or
pilocarpine be added to the water in which these crustaceans are lying,
there is not only a rapid increase of intestinal movement and a rapid
evacuation of faeces, but there is also an increased secretion of fluid
into the intestine, so that the whole lumen becomes filled with a pale
greenish fluid. It was pointed out further that in this organism there
is no closed blood vascular system, the blood simply running in wide
channels in more or less definite directions. There can therefore exist
nothing here comparable with the blood pressure of higher animals, and
yet secretion normally takes place without changes in blood pressure.
Further, it can be greatly increased by chemicals without an increase
in blood pressure being possible. A similar secretion without blood
pressure as a causative factor is seen in the skin of the common slug
(Ariolimax). Here the secretion of the skin may be markedly increased
by the injection or local application of a solution of any of the
saline purgatives. This takes place equally well when the heart of the
animal is removed, and also in an isolated portion of the animal, or in
a piece of the skin cut off with the scissors. In these latter cases
there can be no possibility of blood pressure taking a part in the
secretion.
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