Jaundice: Its Pathology and Treatment: With the Application of Physiological Chemistry to the Detection and Treatment of Diseases of the Liver and Pancreas — John Shaqi
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
It is, in fact, not at all difficult to prove that the liver
manufactures certain biliary constituents, while it merely excretes
others. Thus, for example, the two substances glycocholic and
taurocholic acids are never to be found either in the blood, tissues,
or fluids of the healthy organism, with the single exception of those
of the liver and gall-bladder; and after extirpation of the liver
neither acid is to be found in the body at all. On the other hand, such
substances as cholesterine and biliverdine, are not peculiar to the
liver or its secretion, but are the products of several organs, and are
always to be detected in the blood, independently of the presence or
absence of the liver. These facts, therefore, clearly show that the
liver {12} is both a formative and excretive organ to some, and an
excretive only to others, of the biliary constituents.
Lastly, the general opinion is that the secretion intermits, and, like
the gastric, and pancreatic juices, bile is only formed during
digestion. Were it so, however, where would be the necessity for a
gall-bladder? Is it not to store up the secretion formed in the
intervals of digestion, and to retain it until it is required? No doubt
there are several animals, such as the horse, and the deer, that
possess no gall-bladders; but there is undoubtedly in them some special
arrangement of the digestive apparatus, rendering the presence of a
gall-bladder unnecessary. In fact, it is easily shown that the biliary
secretion in ordinary cases is continuous; for if in an animal
possessing a gall-bladder a biliary fistula be established, and the
secretion of bile carefully watched, it will be found that at no period
of the day does it entirely intermit, although it is more active at one
time than at another, the minimum of its activity being during
sleep--the maximum during active digestion. The absolute quantity of
bile secreted in the twenty-four hours is tolerably uniform, although
the daily amount is slightly influenced by the kind of food.[3]
[Footnote 3: Arnold found that dogs secreted more bile on a bread, than
on an animal diet. "Zur Physiologie der Galle," Mannheim, 1854.]
{13} IS BILE ESSENTIAL TO LIFE?
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