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
Bile is the first digestive agent with which the food comes in contact
on leaving the stomach and entering the intestines, and immediately on
the acid chyme mixing with the alkaline bile, a white flocculent
emulsion is formed, which emulsion has been described by many writers
as a precipitation of the albuminose (digested albumen). Later {15}
researches by myself and others have, however, shown that it is not the
bile which precipitates the albuminose, but the acid of the chyme,
which in reality sets free certain ingredients of the alkaline bile. In
the majority of cases there is not even a true precipitation, for on
throwing the milky-looking mixture upon a filter, I found that almost
nothing remained behind, and the filtrate was nearly as white as the
original liquid. Further, if the albuminose be separated from the
chyme, and the chyme then brought into contact with the bile, the same
flocculent-looking milkiness still appears. Nay, more, on adding equal
parts of sheep's bile (fresh) to gastric juice drawn from a dog's
stomach in full digestion, the apparent flocculent precipitate still
appeared, although the acidity of the gastric juice remained
unneutralized; and on throwing the whole into a filter, I found that
the liquid that drained through was as milky and flocculent-looking as
the original. The office of bile in the digestive process is neither to
act on the albuminous[5] nor amylaceous portions {16} of our food; its
chief action being to assist in the absorption of fats. When bile is
mixed with neutral fat, little change is observed, but when brought in
contact with the fatty acids, an immediate emulsion takes place. Lenz
and Marcet[6] pointed out how the neutral fats of our food are
transformed into fatty acids during their sojourn in the stomach; and
Bidder and Schmidt[7] illustrated by experiments on dogs the important
part played by the bile in their absorption. A dog, which in its normal
condition absorbed on an average 7 grains of fat for every 2 pounds of
its weight, absorbed only 3, or even as little as 1 grain, after the
bile was prevented entering the intestines, in consequence of a
ligature being applied to the gall-duct.
[Footnote 5: In speaking of the properties of the bile, I may mention
that, although bile has no digestive power (properly speaking) over
albuminous substances, yet, when injected into the subcutaneous
cellular tissue of a healthy animal, it eats its way out through the
skin, just as gastric juice or lactic acid does under similar
circumstances. Even the muscles with which it comes in contact appear
to be eaten away.]
[Footnote 6: _Vide_ a Discourse on the Chemistry of Digestion, by Dr.
Marcet. Journ. of the Chem. Soc., Oct. 1862.]
[Footnote 7: "Die Verdauungssaefte und der Stoffwechsel." Leipzig,
1852.]
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