With the establishment of mental effect upon the secretion of juice the
influence of condiments enters upon a new phase. The conclusion had
already been empirically arrived at that it was not alone sufficient
for the food to be composed exclusively of nutrient substances, but
that it should also be tasty. Now, however, we know why this is so.
For this reason the physician, who has often to express an opinion
upon the suitability of the dietaries of different persons, or even
of whole communities, should constantly bear in mind the question of
psychic secretion; that is to say, he should inquire after and learn
how the food has been eaten, whether with or without enjoyment. But how
often do the people who have charge of the commissariat pay attention
solely to the nutritive value of the food, or place a higher value on
everything else than taste? We must, further, in the interest of the
public weal, direct attention especially to the feeding of children.
If this or that inclination of the taste ultimately determines the
relation of grown-up individuals towards food, a matter with which
the commencing phase of digestion is closely linked, it would seem
undesirable to habituate children solely to a nicety and uniformity of
gustatory sensations. Such might effect their capabilities of adapting
themselves to other conditions in after life.
The question of the therapeutic influence of the so-called bitters,
it appears to me, bears the closest connection with that of appetite.
After a long period of high repute these substances have been almost
expelled from the list of pharmaceutic remedies. When tested in
the laboratory, they were unable to justify their old and valued
reputation; when directly introduced into the stomach, many of them
were unable to produce a flow of gastric juice. Consequently, in the
eyes of the clinician, they became greatly discredited, so that many
were quite ready to discard their use altogether. Obviously, the simple
conclusion was drawn that a weak digestion could only be assisted by
a remedy which directly excites secretory activity. In this, however,
it was forgotten that the conditions of the experiment possibly had
not corresponded with the actual state of affairs. The whole question
of the therapeutic importance of the bitters, however, acquires a
different significance when we link it with another question, such, for
instance, as how do bitters affect the appetite? It is the universal
opinion of the earlier and later physicians that bitters increase
the appetite, and if this be so everything is said. They are, in
consequence, real secretory stimulants, since the appetite, as has many
times been repeated in these lectures, is the strongest of all stimuli
to the digestive glands. It is, however, not by any means strange
that this had not previously been observed in the laboratory. The
substances were either introduced directly into the stomachs of normal
dogs or else injected into the circulation.
Public-domain text, read in full here on John Shaqi.
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