Erasistratus, however, and Asclepiades reached such heights of wisdom
that they deprived not merely the stomach and the womb of this faculty
but also the bladder by the liver, and the kidneys as well. I have,
however, pointed out in the first book that it is impossible to assign
any other cause for the secretion of urine or bile.[362]
Now, when we find that the uterus, the stomach and the bladder by the
liver carry out attraction and expulsion through one and the same
duct, we need no longer feel surprised that Nature should also
frequently discharge waste-substances into the stomach through the
veins. Still less need we be astonished if a certain amount of the
food should, during long fasts, be drawn back from the liver into the
stomach through the same veins[363] by which it was yielded up to the
liver during absorption of nutriment.[364] To disbelieve such things
would of course be like refusing to believe that purgative drugs draw
their appropriate humours from all over the body by the same stomata
through which absorption previously takes place, and to look for
separate stomata for absorption and purgation respectively. As a
matter of fact one and the same stoma subserves two distinct
faculties, and these exercise their pull at different times in
opposite directions--first it subserves the pull of the liver and,
during catharsis, that of the drug. What is there surprising, then, in
the fact that the veins situated between the liver and the region of
the stomach[365] fulfil a double service or purpose? Thus, when there
is abundance of nutriment contained in the food-canal, it is carried
up to the liver by the veins mentioned; and when the canal is empty
and in need of nutriment, this is again attracted from the liver by
the same veins.
For everything appears to attract from and to go shares with
everything else, and, as the most divine Hippocrates has said, there
would seem to be a consensus in the movements of fluids and
vapours.[366] Thus the stronger draws and the weaker is evacuated.
Now, one part is weaker or stronger than another either absolutely, by
nature, and in all cases, or else it becomes so in such and such a
particular instance. Thus, by nature and in all men alike, the heart
is stronger than the liver at attracting what is serviceable to it and
rejecting what is not so; similarly the liver is stronger than the
intestines and stomach, and the arteries than the veins. In each of us
personally, however, the liver has stronger drawing power at one time,
and the stomach at another. For when there is much nutriment contained
in the alimentary canal and the appetite and craving of the liver is
violent, then the viscus[367] exerts far the strongest traction.
Again, when the liver is full and distended and the stomach empty and
in need, then the force of the traction shifts to the latter.
Public-domain text, read in full here on John Shaqi.
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