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
When rectal infusions of NaCl are not retained it is possible by adding
CaCl_{2} to the solution to stop the movements of the rectum which
cause their expulsion. Enemata of NaCl containing CaCl_{2} are retained
much better than those of pure NaCl.
The marked action of calcium on the kidney suggests that certain
conditions might arise where it could be made use of. In nervous
polyuria it can be given with benefit; and although we know practically
nothing as to the etiology of diabetes insipidus, it is possible that
calcium might be employed with advantage to stop the abnormal flow of
urine.
With regard to general conditions such as the muscular and nervous
irritability accompanying hysterical and neuraesthenic disturbances
little can be said as to the possible value of calcium. Loeb drew
attention to the possibilities of its being of use in these diseases,
but there is not sufficient evidence to make any statement concerning
it. The extreme irritability which is present in some types of insanity
might also be tested in this respect.
Calcium might also be of benefit in asthma where the two distressing
symptoms are spasmodic contractions of the bronchioles and a
hypersecretion from the mucous membrane of the larger and smaller
bronchi. Judging by analogy from the experiments described above,
calcium should not only relieve the muscular contractions but also
inhibit the secretion.
These suggestions are made simply in the hope of stimulating clinical
research in this direction.
Wright has recently stated that calcium relieves urticaria, a
circumstance which he refers to the influence of calcium on the
coagulability of the blood, which he says is diminished in this
condition. It seems more probable from the above experiments that the
calcium inhibits the secretion or passage of fluid from the lymph
vessels to form the vesicles.
CHAPTER XI.
The Action of Purgatives of Vegetable Origin.
This group of purgatives, as far as its general properties are
concerned, is so well described in many text-books that it is
unnecessary here to go into the details of their preparation and the
commoner characteristics of each. Certain points which have come up in
connection with my own experiments, however, may be briefly described
here.
Public-domain text, read in full here on John Shaqi.
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