_Mastication promotes the flow of saliva and the insalivation of the
food._--The more efficiently food is masticated the greater is the
salivary flow, and the more intimately is it mixed with the saliva,
or, as we say, insalivated. The saliva has apparently no effect on
fats; whether it acts on proteids seems more doubtful, though by some
authorities the penetration of these by the alkali of this fluid is
said to aid in their subsequent digestion; on starch, however, the
saliva acts very potently, and hence mastication plays a special
part in promoting the digestion of starchy foods. Indeed, if only
mastication be persisted in long enough, starch may be wholly converted
into maltose within the mouth, and it need scarcely be said that it is
better for the individual himself to manufacture his maltose in this
way than that he should take it ready made for him in the form of one
of the many “malt extracts” on the market. Patients are often forbidden
starchy food, while they are allowed the maltose which they can quite
well manufacture in their own mouths. Provided they be sufficiently
insalivated, there are few starchy foods which are indigestible, not
even excepting the proverbially indigestible new potato. These remarks
are especially applicable to children, as will be more particularly
insisted on later.
_Mastication increases the amount of alkaline saliva passing into the
stomach_, and this not only prolongs the period of starch digestion
within this organ but, by its influence upon the reaction of the
gastric contents, influences all the digestive processes taking place
there. I shall have occasion to point out later that a deficient supply
of alkaline saliva in the stomach predisposes to certain forms of
indigestion.
_Mastication acts reflexly upon the stomach._--It is now known that
the act of mastication influences the stomach reflexly, promoting the
flow of gastric juice and thus preparing the stomach for the entrance
of food into it. If the œsophagus of a dog is cut so as to allow the
swallowed food to escape instead of passing into the stomach, it is
found that the mastication of food causes a considerable flow of
gastric juice. Food introduced into the stomach unaccompanied by
mastication is less effective in promoting the gastric flow. It is
probable that the influence of mastication on the flow of gastric juice
is largely produced through the medium of psychic influences, for the
more efficient the mastication the more is the sense of taste affected.
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