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
Cascara Sagrada is prepared in many ways, but the most favorable
preparation for experiment is the dried extract. This is the dark
yellow powder familiar in commerce. It is found that in shaking
this powder in distilled water it is almost entirely insoluble. The
result is a dirty yellow mixture, the filtrate from which gives an
acid reaction. This suggested neutralizing the mixture or making it
alkaline. A small amount of sodium bicarbonate was added, and the
powder immediately went into solution, producing a clear dark brown
fluid.[92] A similar result was obtained by adding sodium hydrate.
It was found that ¹⁄₂ g. of the dried extract could be dissolved in
25 c.c. m/24 NaHCO_{3}. This solution in NaHCO_{3}, is practically
neutral. If a few drops of dilute H_{2}SO_{4} be added a yellow
precipitate at once appears giving a mixture or suspension similar
to that originally obtained by adding the powder to distilled water.
The addition of NaHCO_{3} will again produce the characteristic dark
brown solution. The extract is much more readily soluble in a stronger
solution of NaHCO_{3}.
The dried extract is thus soluble only in a neutral or alkaline fluid.
It is insoluble in distilled water on account of the free acid which is
present in the powder.
Cascara extract is readily soluble in the intestinal juice of a rabbit,
a characteristic dark brown clear solution being obtained. On the other
hand, it is insoluble in the gastric juice, and an alkaline solution
added to the gastric juice is at once precipitated.
It was found that the intravenous injection of 1 c.c. of a 2% solution
of cascara extract in m/25 NaHCO_{3} produces within a minute very
strong peristaltic movements in the intestine. A similar injection of
the same amount of m/25 NaHCO_{3} alone produces no such result, though
stronger solutions of NaHCO_{3} cause a slight increase in intestinal
movements. It is therefore the cascara in solution which produces these
strong contractions.
A somewhat larger quantity of the cascara solution injected
subcutaneously produces increased peristaltic activity after an
interval of several minutes.
If the cascara solution be applied directly to the serous surfaces
of the intestine, very strong contractions and peristaltic movements
result in 2 or 3 minutes. A solution of m/25 NaHCO_{3} alone produces
very slight movements when applied in this way. These can, however, be
readily distinguished from those produced by cascara. The latter are
much more powerful, are slower in developing, and can be only partially
inhibited by m/6 CaCl_{2}. The movements following the application
of pure NaHCO_{3} solution, however, are weak, they appear almost
immediately, and can be entirely suppressed by the application of m/6
CaCl_{2} solution.
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