Hence the exact scientific study of therapeutic questions in this
region still belongs to the future. But this does not exclude the
probability that the newer acquirements of physiology may fruitfully
influence the work of the physician. But physiology naturally can make
no pretence to guide the field of medicine, since the knowledge at its
disposal is incomplete and is much more restricted than that of the
broad world of clinical reality. As a recompense for this, however,
physiological knowledge is often able to explain the causation of an
illness and the meaning of empirical curative methods. To employ a
remedy the mode of action of which is not clear is quite a different
thing from knowing precisely what we are doing. In the latter case
the treatment of the diseased organ will be more effective because it
will be better adapted to the special needs of the case. It is thus
that medicine, being daily enriched by new physiological facts, will
at length grow into what it ideally must become; namely, the art of
repairing the damaged machinery of the human body, based upon _exact_
knowledge, or, in other words, applied physiology.
We may now return to our subject. If it be at all admitted that human
instinct is the outcome of an every-day experience, which has led to
the unconscious adoption of the most favourable conditions for life,
it is particularly so with regard to the phenomena of digestion. The
expression that physiology merely confirms the precepts of instinct
is justified here more than anywhere else. It appears to me also
that, in relation to the foregoing facts, instinct has often made
out a brilliant case when brought before the tribunal of physiology.
Perhaps the old and empirical requirement, that food should be eaten
with interest and enjoyment, is the most imperatively emphasised and
strengthened of all. In every land the act of eating is connected
with certain customs designed to distract from the business of daily
life. A suitable time of day is chosen, a company of relatives,
acquaintances, or comrades assemble. Certain preparations are carried
out (in England a change of raiment is usually effected, and often a
blessing is asked upon the meal by the oldest of the family). In the
case of the well-to-do a special room for meals is set apart, musical
and other guests are invited to while away the time at meals--in a
word, everything is directed to take away the thoughts from the cares
of daily life, and to concentrate them on the repast. From this point
of view it is also plain why heated discussions and serious readings
are held to be unsuitable during meal-times. Probably this also
explains the use of alcoholic beverages at meals, for alcohol, even
in the lighter phases of its action, induces a mild narcosis, which
contributes towards distraction from the pressing burden of the daily
work. Naturally this highly developed hygiene of eating is only found
in the intelligent and well-to-do classes, first, because here the
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