Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and PancreasHarley, George
Science
Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas
Harley, George
Jaundice
Secondly,--Two peculiar substances, named respectively, glycocholic,
and taurocholic acid--the former yielding, when in combination with
soda, a crystallizable, the latter a non-crystallizable salt.
Taurocholic differs still further from glycocholic acid, in containing
a large percentage of sulphur, {9} and being, under the influence of
hydrochloric acid, convertible into taurine, a beautiful white
crystalline substance.
[Illustration: FIG. 2. Taurocholate of soda is found in the form of
fatty-looking globules of various sizes. They differ from fat and oil
globules, however, in being soluble in water, and insoluble in alcohol
and ether.]
Thirdly,--Cholesterine, a crystalline, fatty matter, not, however,
peculiar to bile, but found in various tissues, and secretions of the
body.
[Illustration: FIG. 3. Cholesterine crystals appear in the form of fine
transparent four-sided plates of various sizes and shapes. The crystals
are freely soluble in hot alcohol, from which they are re-deposited on
cooling.]
{10} Fourthly,--A brown resinous substance resembling, in appearance
and consistence, shoemaker's wax.
Fifthly,--Among the constituents of the bile, I may mention sugar, for
both in the normal bile of man, and of the lower animals, the ox, and
the dog, I have detected that substance. On one occasion, I even found
torulæ in the bile twenty-four hours after its removal from the
gall-bladder of a healthy dog.
Sixthly, and lastly,--a quantity of inorganic matter, consisting
chiefly of soda, potash, and iron.
The specific gravity of bile fluctuates, of course, with the percentage
of solid matter it contains. From my own observations, I consider that
healthy human bile has an average specific gravity of 1020, and
contains about six per cent. of solid matter, five per cent. of which
is organic, and one per cent. inorganic substance. When fresh, bile is
almost neutral; but it rapidly undergoes decomposition, and becomes
alkaline.
In colour, human bile is usually of a brownish yellow hue; the colour,
however, varies with its degree of concentration, the kind of food
taken, and the state of the system. As regards the effect of food, if
we may be allowed to form an opinion from experiments on dogs, it may
be said that, as a {11} rule, animal food tends to give bile a yellow,
vegetable food a green, tint.
Next, as regards the manner in which bile is secreted. For a long time
it was thought, and, indeed, some people still think, that bile exists
pre-formed in the blood, and that the liver only excretes it, as the
kidneys excrete the urinary ingredients. Another class, running to the
opposite extreme, believe that the liver is not merely the excretive,
but also the formative organ of the bile. It appears to me, however,
that neither of these extreme views is correct, and that the truth lies
between the two.
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