GENTLEMEN,--On the last occasion we made ourselves acquainted with
the first normal impulse which, in the natural course of events,
calls into activity the innervation apparatus of the gastric glands.
This impulse is a mental one, and consists in a passionate longing
for food, that which in every-day life, and in the practice of the
physician, is called “appetite,” and which everybody, both medical
and lay, endeavours carefully to promote. We may now venture to say
explicitly, APPETITE IS JUICE, a fact which at once displays the
pre-eminent importance of the sensation. Medical science endeavours to
assist the debilitated stomach by introducing the active constituent of
gastric juice--pepsin--from without, or by prescribing other remedies
believed to promote its secretion. It is, however, of interest to
follow our experimental investigation still farther. What position is
to be assigned to the “psychic” or “appetite-juice”[30] in the course
of normal gastric digestion? Is any definite _rôle_ to be attributed
to it? What course does gastric digestion take when it is absent?
Fortunately to all these important questions satisfactory answers are
forthcoming by experiment. We have only to regret that these answers
come so late.
Let us recall to memory how the secretion of gastric juice proceeded
after feeding with flesh or bread in the case of our dog with the
isolated miniature stomach. The following are the quantities and
digestive capabilities of the first two hourly portions of juice after
the administration of 200 grams of flesh or bread (experiments by Dr.
Chigin):
═════╤═══════════════════╦═══════════════════
│ Flesh. ║ Bread.
Hour.├————————-┬————————-╫—————————┬—————————
│Quantity │Digestive║Quantity │Digestive
│of juice.│ power. ║of juice.│ power.
—————┼————————-┼————————-╫————————-┼—————————
1st │12.4 c.c.│ 5.43 mm.║13.4 c.c.│ 5.37 mm.
2nd │13.5 ” │ 3.63 ” ║ 7.4 ” │ 6.50 ”
————-┴—————————┴————————-╨—————————┴—————————
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