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
Glycerophosphates are the salts of glycerophosphoric acid,
H₂[C₃H₅(OH)₂]PO₄. This acid is produced by the interaction of glycerin
and phosphoric acid. In general, only sodium glycerophosphate,
Na₂[C₃H₅(OH)₂]PO₄ + 5-1/2H₂O, and calcium glycerophosphate,
Ca[C₃H₅(OH)₂]PO₄ + H₂O, are used in medicine, though the
glycerophosphates of lithium, potassium, manganese, magnesium, iron,
quinin and strychnin are claimed as constituents of proprietary
preparations. At a time when certain disorders were assumed to be due
to a deficiency of phosphorus in the nerve structure in the body,
glycerophosphates were introduced as “nerve foods” and “tonics” on the
theory that they would be assimilated more readily than hypophosphites
or ordinary phosphates. What led to this assumption was the fact that
the lecithins, which form a part of the nerve structure, were known to
contain the glycerophosphate radical in the molecule. The belief that
inorganic phosphates cannot supply the body’s need of phosphorus is
implied or expressed in most of the “literature” devoted to proprietary
phosphorus preparations.
Thus, Schering and Glatz quote G. Meillière as saying that “the
organism is incapable of assimilating inorganic forms of phosphorus.”
Again, when exploiters of glycerophosphates admit that the body can
synthesize its phosphorus compounds from inorganic phosphates, they
attempt to counterbalance the admission by contending that the use
of organic compounds “spares” the system the necessity of making
such synthesis. This assumption rests on the theory that the organic
phosphorus compounds are absorbed and stored as such.
This theory is contradicted by evidence which has been presented[97]
that the organic phosphorus compounds are split up into inorganic
phosphates before absorption.
[97] McCollum and Hart, Grosser and Husler, Plimmer, and Bayliss and
Plimmer, quoted by Marshall (Note 2).
The Council requested E. K. Marshall, Jr., to review the evidence for
and against the therapeutic value of organic phosphorus compounds.
Marshall’s study[98] brings out the following points:
[98] Marshall, E. K.: The Therapeutic Value of Organic Phosphorus
Compounds, J. A. M. A., Feb. 13, 1915, p. 573.
1. In various tissues of the animal body, enzymes have been found which
hydrolyze complex organic phosphorus compounds so as to liberate the
phosphorus in the form of inorganic phosphates.
2. Metabolism studies of the phosphorus balance with diets containing
inorganic phosphorus compounds, as compared with diets containing
organically bound phosphorus, are somewhat conflicting in their
results. The balance of evidence, however, is in favor of the view that
there is no difference between organically combined phosphorus and
inorganic salts with respect to the phosphorus balance.
3. Experiments indicate that the organism thrives on and supplies its
phosphorus needs quite as well from inorganic phosphorus compounds as
from organically bound phosphorus.
Marshall concludes:
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