How is it, then, that the tendency of a vacuum to become refilled is
unable to afford nourishment to one in such a condition? Because its
rule is that only so much of the contiguous matter should succeed as
has flowed away. Now this is sufficient for nourishment in the case
of those who are in good condition, for, in them, what is
_presented_[228] must be equal to what has flowed away. But in the
case of those who are very emaciated and who need a great restoration
of nutrition, unless what was presented were many times greater than
what has been emptied out, they would never be able to regain their
original habit. It is clear, therefore, that these parts will have to
exert a greater amount of _attraction_, in so far as their
requirements are greater. And I fail to understand how Erasistratus
does not perceive that here again he is putting the cart before the
horse. Because, in the case of the sick, there must be a large amount
of _presentation_[228] in order to feed them up, he argues that the
factor of "refilling"[227] must play an equally large part. And how
could much _presentation_ take place if it were not preceded by an
abundant _delivery_[229] of nutriment? And if he calls the conveyance
of food through the veins delivery, and its assumption by each of
these simple and visible nerves and arteries not delivery but
_distribution_,[230] as some people have thought fit to name it, and
then ascribes conveyance through the veins to the principle of
vacuum-refilling alone, let him explain to us the assumption of food
by the hypothetical elements.[231] For it has been shown that at least
in relation to these there is no question of the refilling of a vacuum
being in operation, and especially where the parts are very
attenuated. It is worth while listening to what Erasistratus says
about these cases in the second book of his "General Principles": "In
the ultimate simple [vessels], which are thin and narrow, presentation
takes place from the adjacent vessels, the nutriment being attracted
through the sides of the vessels and deposited in the empty spaces
left by the matter which has been carried away." Now, in this
statement firstly I admit and accept the words "through the sides."
For, if the simple nerve were actually to take in the food through its
mouth, it could not distribute it through its whole substance; for the
mouth is dedicated to the psychic pneuma.[232] It can, however, take
it in through its sides from the adjacent simple vein. Secondly, I
also accept in Erasistratus's statement the expression which precedes
"through the sides." What does this say? "The nutriment being
attracted through the sides of the vessels." Now I, too, agree that it
is attracted, but it has been previously shown that this is not
through the tendency of evacuated matter to be replaced.
VI
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