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 the cascara solution is placed in the stomach no movements appear
in the intestine even after 15-30 minutes. The acid of the gastric
juice has evidently precipitated the cascara, which cannot act until
it is passed on into the intestine where it may be dissolved in the
alkaline juice of the intestine. If instead of placing the solution in
the stomach it is injected directly into the small intestine, increased
peristaltic movements begin within 5 minutes. Here it evidently remains
in solution and is absorbed. It is for this reason that in human
beings cascara taken by mouth acts only after several hours. It is
precipitated in the stomach and must reach the intestine before it is
dissolved and absorbed.
In addition to the increased peristaltic activity caused by the
cascara, there seems to be also an increase in the secretion of fluid
into the lumen. One or two hours after the injection 20-30 c.c. fluid
could be collected from the small intestine. Without the purgative it
is rarely possible to obtain more than 5 to 10 c.c.
It was found that calcium chloride has only a very transient effect
in inhibiting the increased movements produced by cascara. For 2 or 3
minutes following the injection of CaCl_{2} the movements were usually
quieted, but they rapidly began again and continued as vigorously as
before.
The behavior of rhubarb is in every way similar to that of cascara. It
is less readily soluble, but the solution acts in a way quite like that
described for cascara.
It is further well known that aloin injected subcutaneously causes
increased peristalsis. A study has recently been made of certain
constituents of the derivatives of the aloes group of purgatives.
Esselmont,[93] following the work of Tschirch,[94] experimented with
a number of substances obtained from these purgatives. Aloëemodin
is present not only in aloes, but also in Cascara sagrada and senna
leaves. A small amount of this substance acts as a purgative.
Alochrysin, aloingrin, barbaloin, all act as purgatives. Chrysophanic
acid, which is found in aloes, rhubarb, and senna is a mild purgative.
It is of interest to note that each of these substances is either a
di-or tri-oxymethylanthrachinon. They owe their purgative action,
according to Tschirch, to their containing the oxymethylanthrachinon
group.
Some experiments[95] which I recently made on a jellyfish (Polyorchis)
with some of the vegetable purgatives are of interest. They were
suggested by the experiments of Loeb[96] on the effect of various
salts on the isolated center of the animal and of a related form
(Gonionemus). When separated from the margins the bell-like centers of
these jellyfish do not beat in pure sea-water. In case of Gonionemus
it was found that the addition of one of a number of salts (calcium
precipitants) caused the center to beat. This group of salts includes
the so-called saline purgatives.
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