The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.Various
Science
The American Therapist. Vol. II. No. 7. Jan. 15th, 1894: A Monthly Record of Modern Therapeutics, with Practical Suggestions Relating to the Clinical Applications of Drugs.
Various
Drug utilization -- Periodicals; Drugs -- Periodicals
If it is decided that the drug acts on some part of the intestine to
cause the peristalsis, two methods may be used to determine what part it
acts upon:
1st Method.—After performing tracheotomy, opening abdomen and destroying
abdominal ganglia, place the animal in a tin vat containing warm
physiological solution. The first thing is to find out:—
(1) Whether the cathartic acts reflexly by the irritation of the mucous
membrane being transmitted to Auerbach’s plexus, and from there to the
muscles, or
(2) Whether it acts upon some structure in the intestinal wall after
being absorbed.
_Demonstration._—If it acts reflexly, it will act quicker when injected
into intestinal canal than when injected into mesenteric artery. If it
does not act reflexly, it will act quicker when injected into the
artery.
Next determine where in the intestinal wall the cathartic acts. The
points are:
1st. Stimulation of the muscle.
2d. Depression of the inhibitory motor ganglia.
3d. Stimulation of Auerbach’s ganglia, and,
4th. Stimulation of the motor fibres.
_Demonstration._—If the drug in large dose causes tetanic spasm of the
intestinal muscles, which is not affected by electrical stimulation of
the inhibitory motor nerves, this shows that the drug acts directly on
the muscles. In this way it can be shown how physostigmine acts.
If the drug in large dose increases peristalsis, and electrical
stimulation of inhibitory motor nerves has no effect upon it, this shows
that the drug paralyzes the inhibitory motor nerves. It can be shown
that morphine acts in this way. In fifteen or twenty minutes after
giving a dog a grain of morphine hypodermatically, it usually has one
movement of the bowels. A small dose of morphine constipates, because it
stimulates the inhibitory motor nerves. If the drug increases
peristalsis and stimulation of the inhibitory motor nerves lessens the
peristalsis, this shows that the drug either stimulates Auerbach’s
ganglia, or the ends of the motor nerves. By the method above described
Jacobi has made some very elaborate experiments with morphine, atropine,
muscarine, and physostigmine.
2d Method.—A piece of excised living intestine is placed in a suitable
apparatus to keep it moist and warm, and artificial circulation is
established by a canula in the artery, connected with two flasks, as
seen in the drawing copied from Brunton (Fig. 8), in one of which is
pure blood and in the other the poisoned blood, arranged so that either
can be turned on at will. The peristalsis is recorded by the lever,
shown in the drawing. In this way Ludwig and Salvioli studied the action
of a number of drugs.
[Illustration: From Brunton.]
ACTIONS OF CATHARTICS IN DISEASE.
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