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
The influence of the intestinal contents upon the movements of the
gut was discussed as long ago as 1750 by Foelix.[10] Among the later
authors to treat of this subject is Bokai. In addition to indigestible
and irritating substances taken in with the food, there are certain
substances ordinarily formed in the intestine by decomposition which
cause peristaltic movements. Among these are CO_{2}, CH_{4}, and
H_{2}S. All of these gases which are more or less constantly formed
help in keeping up the normal movements of the intestine. Certain
faecal constituents have also the same effect. Bokai mentions among
these a number of organic acids--lactic, succinic, butyric, formic,
propionic, acetic, caproic, and caprylic acids. There is no doubt also
that the salts taken in with the food exert a considerable influence.
The intestine is to some extent also under the influence of extrinsic
nerves. As shown by Pflüger,[11] the splanchnic nerves exert an
inhibitory action on the intestine, so that their section causes
intestinal movements and their stimulation brings about a cessation
of peristalsis. This has been ascribed by some authors to the
vasomotor action of the nerves. Concerning the action of the vagus
there has been difference of results. Many experimenters have found
that stimulation of this nerve causes contractions of the intestine.
Others have obtained no results. If, however, the splanchnics be cut
and the inhibitory impulses abolished, stimulation of the vagus gives
constant results consisting of a slight inhibitory action followed by
an increase of the rhythmical contractions of the intestine.
B. _Normal Secretion Into the Intestine._
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