Another point of interest is the increased amount of lactic acid found
in the test meal taken without chewing, represented in column 2. The
coefficient of fermentation which represents the number of milligrams
of lactic acid (as expressed in terms of HCl) found in 100 c.c. of
stomach fluid was more than double that found after the same kind
of test breakfast properly masticated, represented in column 1. The
results of this experiment distinctly associate acid fermentation with
imperfect mastication and imperfect salivary digestion.
Another fact noted in a comparative study of the results of the
analysis of over 5000 stomach fluids, which very strongly confirms
this idea, is that starch conversion is usually complete in cases of
apepsia, while lactic acid is conspicuous by its absence. In nearly all
cases of apepsia which I have encountered, numbering about forty cases
in all, the most delicate tests for lactic acid have failed to show its
presence except in the most minute quantities; in most cases it was
entirely absent.
There are a number of other points of interest in the above table in
addition to those which relate particularly to starch digestion. One of
the most noteworthy of these is the fact that the digestion of albumen
was not unfavourably influenced by the neglect to masticate the food,
the coefficient of digestion, in fact, being raised from .82 to .97.
This coefficient is a qualitative and not a quantitative index. The
higher coefficient indicates a more perfect elaboration of proteids and
a close approach to an absolutely perfect proteid digestion.
Another fact of perhaps even greater interest has relation to the
digestion of albumen when the wheat was eaten raw, in the form of
either flour or wheat. The coefficient of proteid digestion in both
cases, as shown in columns 3 and 4, was 1.00, indicating perfect
elaboration of the albuminoids. From this it appears that raw gluten,
or the proteids of wheat, is digested more perfectly when taken in a
raw state than when cooked, the very opposite of which we have seen
to be true of starch. The digestion of raw starch may take place in
the intestines, by the action of the pancreatic juice, but cannot take
place in the stomach, for the reason that the saliva has not the power
to penetrate the cellulose envelope of the starch granule, and hence
cannot digest raw starch.
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