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
One method of testing the basis of Moore’s theory would be by examining
the prosecretin content of the intestine in diabetics. Bainbridge and
Beddard found, in the paper referred to,[66] that from five of the
six cases of diabetics examined postmortem, little or no secretin
could be prepared; but in a subsequent report of seven cases,[71]
they found only one in which the secretin obtained was scanty. The
failure to obtain secretin in some cases they claim is probably due to
the rapid postmortem degeneration of diabetic tissue. Evans,[72] in
Starling’s laboratory, found that in dogs made recently diabetic by
total pancreatectomy, but little secretin could be obtained. Hedon and
Lisbonne,[73] and Pemberton and Sweet[74] report, on the contrary, that
the duodenum of diabetic dogs is rich in prosecretin. Bainbridge and
Beddard,[71] working on a diabetic cat, likewise found prosecretin to
be present in normal quantity.
[71] Bainbridge and Beddard: Biochem. Jour. =3=:82, 1908.
[72] Evan: Jour. Physiol. =44=:461, 1912.
[73] Hedon: Compt. rend. Soc. de biol. =74=:375, 1913.
[74] Pemberton, Ralph, and Sweet, J. E.: Further Studies on the
Influence of the Ductless Glands on the Pancreas, Arch. Int. Med., May,
1910, p. 466.
_Digestive Disturbances._--Secretin for digestive disturbance was first
used in the “acid duodenal medication” of Enriquez.[75] This consisted
in the giving of tartaric acid in thick keratin capsules, the acid not
being liberated until the duodenum was reached, where it provoked the
formation of secretin. “The secretin mechanism,” he says, “is probably
capable of pathologic disturbance as would result, for example, with
diminished acidity of chyme, disturbance of the normal motility of
the stomach or pylorus, or diminished prosecretin in the mucosa. Such
a condition would produce disturbance of the pancreatic, biliary and
intestinal secretions, and interfere with intestinal movements, with
a clinical syndrome of intestinal dyspepsia as a result, among the
chief and most constant symptoms of which would be constipation.”
“The acid duodenal medication” was submitted to wide clinical use,
and very favorable results in certain obstinate cases of constipation
were reported. In regard to “diminished prosecretin in the mucosa,”
Wentworth[76] has claimed that in infantile atrophy such is the
condition, but Sweet and Pemberton[77] have found that the difficulty
of preparing secretin from human duodenums is such as to render
Wentworth’s findings inconclusive.
[75] Enriquez: Bull. du Lab. de biol. Appliq. 2, No. 2-No. 8, 1904.
[76] Wentworth, A. H.: The Cause of Infantile Atrophy, J. A. M. A.,
July 20, 1907, p. 204.
[77] Sweet, J. E., and Pemberton, Ralph: Experimental Observations on
Secretin, Arch. Int. Med., February, 1908, p. 231.
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