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
_Results._--We have data from six dogs with a total of seventy-six
experiments. As shown in Table 4, the administration of secretin causes
an increase in the flow of pancreatic juice, _but_ the administration
of inert substances as extracts of colon, gastric mucosa or muscle
causes a like increase. The activity of the secretin may be reduced to
a low value by exposure to sunlight, or filtering through a Berkefeld
filter, yet the response of the pancreas is not correspondingly
reduced. The secretion that occurs in the control cases, every one
will admit, is but secondary to the production of gastric juice with
its accompanying hydrochloric acid, that is, excited by virtue of the
extractives and water in the preparations. Such, we can prove, is the
only action of secretin. A mixture of gelatin, peptone and salt water,
the chief incidental constituents of a secretin preparation, gives as
striking results as ever obtained from secretin administration. Yet
the objection may be made that the response of the pancreas that is
due to the incidental constituents of secretin is maximal, and that
the secretin consequently has no opportunity to display its particular
potency. But, as inspection of the accompanying tables illustrate,
the administration of hydrochloric acid shows that the response is by
no means maximal. Let us cite a striking experiment. For three hours
before the administration of hydrochloric acid, the secretion in cubic
centimeters was respectively 29.4, 11.75 and 35.4 c.c.; for the three
hours after, respectively 88.0, 49.0 and 40.5 c.c.
[Illustration: Fig. 1.--Tracings (reduced two-thirds) showing failure
of Secretogen, Elixir Secretogen, and Duodenin to stimulate the flow of
pancreatic juice even when administered intravenously in amounts three
times greater than that recommended to be given by mouth. Dog: light
ether anesthesia; cannula in the pancreatic duct; _a_, carotid blood
pressure; _b_, flow of pancreatic juice in drops; _c_, signal showing
where the intravenous injections were made. Tracing A: Reading from
left to right, the five intravenous injections are: (1) three tablets
of Secretogen digested with 15 c.c. 0.4 per cent. hydrochloric acid
and neutralized; (2) three tablets of Secretogen boiled in 15 c.c.
0.4 per cent. hydrochloric acid and neutralized; (3) three tablets of
Secretogen in 15 c.c. 0.9 per cent. sodium chlorid; (4) three tablets
of Secretogen in 15 c.c. of 70 per cent. alcohol; (5) 15 c.c. Elixir
Secretogen. Tracing B: reading from left to right, the four intravenous
injections are: (1) 5 c.c. secretin made fresh from dog’s duodenal
mucosa; (2) three tablets of Duodenin digested in 15 c.c. 0.4 per cent.
hydrochloric acid and neutralized; (3) three tablets of Duodenin boiled
in 15 c.c. 0.4 per cent. hydrochloric acid and neutralized; (4) three
tablets of Duodenin in 15 c.c. sodium chlorid (0.9 per cent.).]
TABLE 5.--SUMMARY OF EXPERIMENTS
Dogs with pancreatic fistula, weight 14 kg. Secretin given by mouth
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