The Propaganda for Reform in Proprietary Medicines, Vol. 2 of 2Council on Pharmacy and Chemistry (American Medical Association)
Science
The Propaganda for Reform in Proprietary Medicines, Vol. 2 of 2
Council on Pharmacy and Chemistry (American Medical Association)
Patent medicines
_Preparation._--All of the more dissociated acids liberate secretin
from intestinal mucosa on boiling. Their action is dependent on
the degree of dissociation,[39] carbonic and boric acids being
inactive.[40] Secretin can also be prepared with strong soaps (from
10 to 30 per cent. sodium oleate), alcohol (70 per cent.,[41] 0.6 per
cent. sodium chlorid[36]). The acid and soap in the duodenum produce
secretion; there is no necessary correspondence between the action of a
substance in the intestine and that obtained by injection after boiling
mucosa with it. The sodium chlorid, bile, maltose and glucose produce
some secretion by the latter method yet none by the former.[36] On the
other hand, ether, chloral and oil of mustard excite secretion when
in the intestine, but no secretin can be prepared from boiled mucosa
by their action. The irritation of the lining cell has produced the
necessary hydrolysis.[38] In well-controlled experiments, Wertheimer
and LePage[42] found that after the introduction of acid, secretion is
secreted into the lumen of the intestine. Matuso[36] confirmed their
results, and found this a satisfactory method for the preparation of
secretin. It is said that secretin can be obtained by merely boiling
the mucosa with water, but the results are inconstant.[43]
[39] Frouin and Lalou: Compt. rend. Soc. de biol., =71=:189, 1911.
[40] Camus: Compt. rend. Soc. de biol., 1902, =54=:442, 1902.
[41] Fleig: Jour. de physiol. et de path. gén. =6=:32, 50, 1904.
[42] Wertheimer and LePage: Jour. de physiol. et de path. gén. =4=:1061,
1070, 1902.
[43] Stepp: Jour. Physiol. =43=:441, 1912.
_Action._--Secretin is an excitant not only of the pancreatic juice
but also of the liver and the intestinal mucosa. The flow of bile is
markedly accelerated (Henri and Portier,[44] Enriquez and Hallion[45]),
likewise that of succus entericus (Delezenne and Frouin,[46] Bottazzi
and Gabrielli[47]), and intestinal peristalsis is stimulated (Enriquez
and Hallion,[48] Falloise[49]). Injections of secretin produce a marked
vasodilatation, but the secretory effect is independent of the blood
pressure changes. The pancreas is not readily fatigued by secretin.
Bayliss and Starling[50] have obtained undiminished flow after eight
hours of continuous injection. Our experience confirms this result.
Also, equal doses of secretin give corresponding results at various
intervals. Moreover, anesthesia does not affect the flow. Secretin
is unrecoverable from the glands even after two hours of continuous
injection.[51] The juice obtained by secretin has been subject to many
studies.[52] It is of high alkalinity (about seventh normal), contains
all the pancreatic ferments, and corresponds in all respects to the
juice obtained in digestion from permanent pancreatic fistulas.[53]
[44] Henri and Portier: Compt. rend. Soc. de biol. =54=:620, 1902.
[45] Enriquez and Hallion: Presse méd. =1=:105, 1903.
[46] Delezenne and Frouin: Compt. rend. Soc. de biol. =56=:319, 1904.
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