see that, exactly five minutes after beginning the feeding, the first
drops of juice appear from the stomach, followed by others faster and
faster. I catch a couple of drops on the blue litmus paper, and you see
that they produce bright red specks on the blue sheet. After thirty
minutes' sham feeding we have collected 150 c.c. of juice, which,
without filtering, looks as clear and transparent as water.
We cannot, therefore, possibly doubt that, when the proper stimulus is
used, the gastric glands react to it in a perfectly normal fashion,
furnishing a healthy gastric juice. From this it irrefutably follows
that only one explanation is to be found for the negative result in
the first half of our experiment, viz., that the mucous membrane
of the stomach, so far as secretory activity goes, is perfectly
indifferent to mechanical excitation. And yet this mechanical stimulus
is demonstrated as an exciting agency in the physiological lecture
theatre. I venture to think that this lecture experiment from now
onwards will quit the field, and give place to the one I have just
shown you. This apparently simple experiment of mechanical stimulation
can, however, only be successfully performed when certain very obvious
rules are followed. These, however, physiologists have not observed,
probably on account of a preconceived belief in the effectiveness of
the mechanical stimulus. These rules are two. First, it is necessary
that the stomach should be clean, and that nothing shall gain entry
to it from without. Such conditions were not formerly fulfilled. It
is true the stomach was emptied by removing the stopper from the
fistular cannula, but it was not washed out till an acid reaction
was no longer given, and consequently preformed gastric juice was
left behind between the folds of the mucous membrane. At the same
time saliva from the cavity of the mouth could gain entry, which
quickly became acidified in the incompletely emptied and imperfectly
washed-out organ. It is, therefore, not surprising that the glass
tube, by setting up contractions of the stomach, was the means of
expressing small quantities of acid fluid from the fistula-tube. (The
relationship between mechanical stimulation and the motor functions
of the stomach is not to be confounded with what we are here speaking
of.) That matters are as I state, and that the facts correspond to
the explanation is proved by this; namely, that nobody till now
has obtained genuinely pure gastric juice of an acidity amounting
to 0.5 or 0.6 per cent. It is only necessary to call to mind that
Heidenhain, when determining the acidity of the juice first obtained
from the resected stomach, was placed in no little doubt as to whether
his results (0.5 to 0.6) were correct, and his assistant at the
time (Gscheidlen) was set to verify the correctness of his standard
solutions. The acidity of the “purest” juice known at that time was
scarcely 0.3 per cent. As a further proof that none of the older
Public-domain text, read in full here on John Shaqi.
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