The assistance afforded by the alkalies to
the organism might be capable of another explanation; for example,
that which is ordinarily given. In this case, however, I venture to
offer a reason for the effects of sodium chloride, and of the alkaline
salts of sodium, which is exactly the opposite of that generally
accepted. We were unable to convince ourselves of any succagogue
influence on the part of these salts. Indeed, both on the stomach
and pancreas they proved in our hands to have an inhibitory effect.
In addition to the experiments which I previously brought forward
concerning the relation of alkalies to gastric and pancreatic juice,
I may relate the following observation. A dog which fortunately had
survived the performance, one after the other, of a gastric fistula,
a pancreatic fistula, and an œsophagotomy, received daily during the
course of several weeks an addition of soda to its food. The animal
enjoyed good health and had an excellent appetite. When the first sham
feeding experiment was carried out, the relatively small effect of
this otherwise very active juice-exciting procedure at once struck
us. At the same time we observed that the pieces of flesh which fell
from the upper end of the œsophagus, contrary to the ordinary rule,
were hardly at all insalivated. In this dog, therefore, a greatly
lowered activity of several digestive glands--viz., of the gastric,
pancreatic, and salivary glands--simultaneously existed. With regard
to the salivary glands the circumstance was naturally submitted to
closer investigation. I believe that the inhibitory influence of the
alkalies on the digestive glands, which was here proved experimentally,
may furnish a basis for the following representation of their mode
of action in producing healing effects. Catarrhal affections of
the stomach are characterised by an incessant or very protracted
secretion of slimy, weakly acid gastric juice. Further, in many cases
the affection begins with a hypersecretion, that is an abnormal
excitability, of the secretory apparatus which makes itself evident in
a superfluous and useless flow. The same must be conceived to happen
in disorders of the pancreatic gland; at least such a condition sets
in after operations performed for physiological purposes. It is,
further, justifiable to suppose that, when an affection is once set
up by this or that cause, it may later maintain itself independently;
for continuous activity has undoubtedly a harmful influence on the
glands. The due nourishment, and the restoration of organs after
activity, proceeds best during rest. In the normal course of events,
after a period of active work follows a pause, during which the
latent work of restoration is accomplished. When, therefore, a remedy
effectively restrains the excessive work of a diseased organ, it may
in this way contribute to the removal of the pathological condition,
and thus to a restoration of the normal state. In this consists, in my
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