It is, therefore, in every way desirable to prescribe meat juice,
strong broth, or meat extract to people who have no appetite. The same
applies also to forced feeding, for instance, of the insane. It is true
that the method of introduction in this case necessarily secures the
presence of a chemical excitant, since the food can only be introduced
in a fluid form. In any case the addition of meat extract would be very
useful. If one arranged the ordinary fluid foods in descending order,
according to the influence of the chemical excitants, the following
would be the series: first, the preparations of the flesh, such as meat
juice and the like; secondly, milk; thirdly, water.
The usual termination of the repast is also, from the physiological
standpoint, easy to be understood. The chief meal is generally ended
with something sweet, and everybody knows that sweets are pleasant.
The meaning of this is easy to guess. The repast, begun with pleasure,
consequent on the pressing need for food, must also, notwithstanding
the stilling of hunger, be terminated with an agreeable sensation. At
the same time the digestive canal must not be burdened with work at
this stage; it is only the gustatory nerves which should be agreeably
excited. After thus dealing in general with the usual arrangement of
our meals, we may now speak of some special points.
Above all comes the acid reaction of the food. It is apparent that
acidity enjoys a special preference in the human taste. We use quite
a number of acid substances. Thus, for example, one of the commonest
seasoning substances is vinegar, which figures in a number of sauces
and such like. Further, many kinds of wine have a somewhat acid
taste. In Russia, _kwas_, especially in the acid form, is consumed in
great quantities. Moreover, acid fruits and green vegetables are used
as food, and they are either of themselves acid, or made so in the
preparation. In medicine this instinct is likewise often made use of,
and acid solutions, especially of hydrochloric and phosphoric acids,
are prescribed in digestive disturbances. Finally, Nature itself
constantly endeavours to prepare lactic acid in the stomach in addition
to the hydrochloric acid. The former arises from the food introduced,
and is consequently always present. These facts are all physiologically
comprehensible when we know that an acid reaction is not only necessary
for an efficient action of the peptic ferment, but is at the same time
the strongest excitant of the pancreatic gland. It is even conceivable
that in certain cases the whole digestion may depend upon the
stimulating properties of acids, since the pancreatic juice exerts a
ferment action upon all the constituents of the food. In this way acids
may either assist digestion in the stomach where too little gastric
juice is present, or bring about vicarious digestion by the pancreas
where it is wholly absent. It is easy, therefore, to understand why the
Russian peasant enjoys his _kwas_ with bread.
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