same veins by which absorption took place.
Frequently also in disease Nature purges the animal through these same
veins--although in this case the discharge is not sanguineous, but
corresponds to the humour which is at fault. Thus in _cholera_ the
entire body is evacuated by way of the veins leading to the intestines
and stomach.
To imagine that matter of different kinds is carried in one direction
only would characterise a man who was entirely ignorant of all the
natural faculties, and particularly of the eliminative faculty, which
is the opposite of the attractive. For opposite movements of matter,
active and passive, must necessarily follow opposite faculties; that
is to say, every part, after it has attracted its special nutrient
juice and has retained and taken the benefit of it hastens to get rid
of all the surplusage as quickly and effectively as possible, and this
it does in accordance with the mechanical tendency of this surplus
matter.[369]
Hence the stomach clears away by vomiting those superfluities which
come to the surface of its contents,[370] whilst the sediment it
clears away by diarrhoea. And when the animal becomes sick, this means
that the stomach is striving to be evacuated by vomiting. And the
expulsive faculty has in it so violent and forcible an element that in
cases of _ileus_ [volvulus], when the lower exit is completely closed,
vomiting of faeces occurs; yet such surplus matter could not be
emitted from the mouth without having first traversed the whole of the
small intestine, the jejunum, the pylorus, the stomach, and the
oesophagus. What is there to wonder at, then, if something should also
be transferred from the extreme skin-surface and so reach the
intestines and stomach? This also was pointed out to us by
Hippocrates, who maintained that not merely pneuma or excess-matter,
but actual nutriment is brought down from the outer surface to the
original place from which it was taken up. For the slightest
mechanical movements[371] determine this expulsive faculty, which
apparently acts through the transverse fibres, and which is very
rapidly transmitted from the source of motion to the opposite
extremities. It is, therefore, neither unlikely nor impossible that,
when the part adjoining the skin becomes suddenly oppressed by an
unwonted cold, it should at once be weakened and should find that the
liquid previously deposited beside it without discomfort had now
become more of a burden than a source of nutrition, and should
therefore strive to put it away. Finally, seeing that the passage
outwards was shut off by the condensation [of tissue], it would turn
to the remaining exit and would thus forcibly expel all the
waste-matter at once into the adjacent part; this would do the same to
the part following it; and the process would not cease until the
transference finally terminated at the inner ends of the veins.[372]
Public-domain text, read in full here on John Shaqi.
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