Pharmacologia: Fourth American, from the Seventh London EditionParis, John Ayrton
Science
Pharmacologia: Fourth American, from the Seventh London Edition
Paris, John Ayrton
Pharmacognosy; Pharmacology; Pharmacy
The diet of a sick person ought never to _combine too much nutriment in
too small a space_;[258] when so given it will even in health be
followed by _fermentation_ instead of _digestion_; and although we may
admit the expediency of that domestic maxim, “_a little and often_,” yet
this is to be received with limitation; no one, for instance, who
possesses any philosophical knowledge, will adapt his practice to the
notions of Sir William Temple, who asserted that “the stomach of a
valetudinarian was like a school-boy, always doing mischief when
unemployed,” and that we should therefore not allow it any interval of
repose: to this I answer, that the conversion of aliment into blood is
effected by a series of elaborate processes, several of which are only
perfectly performed during the quiescence of the rest: it would seem,
for instance, that the process of _chylification_ is incompatible with
that by which the first changes are produced in the stomach; this is
evident from the well-known fact, that our appetite for food ceases when
the former process commences, although the repast should, at the time,
have been insufficient to satisfy the craving of nature; whereas, in
diseases of imperfect, or depraved digestion, as in _Diabetes_, _Tabes
Mesenterica_, &c. we find that the appetite for food is never satisfied
by the most nutritive meals. It merits notice also, that whenever the
stomach be called into action during the assimilating stages of
digestion, the process will, in weak persons, be much disturbed, if not
entirely suspended. These views have long since confirmed me in the
propriety of treating mesenteric affections in a manner very different
from that which is generally pursued; and I may add that the result has
been very satisfactory. The plan to which I allude, consists in
enforcing longer intervals between each meal, which should be scanty,
and in quantity short of what the appetite may require; in this way are
the unwilling absorbents induced to perform their duties with greater
promptitude and activity; but it is a practice which, from the extreme
anxiety of friends and relatives, the feelings of craving and hunger
expressed by the patient, and the mistaken but universal prejudice
respecting diet, it is always painful to propose, and generally
impossible to enforce; where, however, circumstances have given a full
and unreserved controul, the advantage of the plan has been most
decisive.
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