A handbook of invalid cooking : $b for the use of nurses in training, nurses in private practice, and others who care for the sickBoland, Mary A.
Science
A handbook of invalid cooking : $b for the use of nurses in training, nurses in private practice, and others who care for the sick
Boland, Mary A.
Cooking for the sick
=Definition.= Digestion is the breaking up, changing, and
liquefying of the food in the various chambers of the alimentary
canal designed for that purpose. The mechanical breaking up is done
principally by the teeth in the mouth, the chemical changes and
liquefying by the various digestive fluids.[19]
=Digestive Fluids.= The digestive fluids are true secretions. Each
is formed from the blood by a special gland for the purpose which
never does anything else; they do not exist in the blood as such.
Their flow is intermittent, taking place only when they are needed.
The liver, however, is an exception to all the others. It is both
secretory and excretory, and bile is formed all the time, but is
most abundant during digestion.[20]
=Saliva.= The fluid which is mixed with the food in the mouth
is secreted by a considerable number and variety of glands, the
principal of which are the parotid, submaxillary, and sublingual.
Smaller glands in the roof and sides of the mouth, in the tongue,
and in the mucous membrane of the pharynx contribute to the
production of saliva, the digestive fluid of the mouth. The flow
from the parotid gland is greatest. The flow from all the glands is
greatly increased when food is taken, especially if it be of good
flavor. Sometimes the amount is increased by smell alone, as when a
nice steak is cooking, or a savory soup, and sometimes the saliva
is made copious by thought, as when we remember the taste of dishes
eaten in the past, and we say, "It makes the mouth water just to
think of them."
=Amount of Saliva.= According to Dalton the amount of saliva
secreted every twenty-four hours is 42½ oz. Its reaction is almost
constantly alkaline. It is composed of water, organic matter, and
various mineral salts. Ptyalin is its active principle, and is
called by some authors _animal diastase_, or starch converter.
=Gastric Juice.= Gastric juice is the digestive fluid of the
stomach. It is acid. Its flow is intermittent, occurring only at
times of digestion. Its active principle is pepsin.
It is worthy of notice here that the character of the digestive
fluids when food is taken is different from what it is when the
organs are at rest. For instance, the gastric juice which flows
in abundance under the stimulus of food, is not like the fluid
secreted when the stomach is collapsed and empty.
=Pancreatic Juice.= Pancreatic juice is the digestive juice of the
pancreas, and is poured into the small intestine a short distance
below the pyloric opening. Its reaction is alkaline. Its flow is
entirely suspended during the intervals of digestion.
=Bile.= Bile, the fourth in order of the digestive liquids, is the
secretion of the largest gland of the body--the liver. It is poured
into the small intestine by a duct which empties side by side with
the duct from the pancreas. The flow of bile is constant, but is
greatest during digestion.
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