The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and SurgeryVarious
Science
The American Practitioner and News. Vol. XXV. No. 3. Feb. 1, 1898: A Semi-Monthly Journal of Medicine and Surgery
Various
Medicine -- Periodicals
Until quite recently the practitioner was compelled to rely for this
purpose upon the various malt extracts upon the market, the diastatic
power of which was so feeble that the service they rendered was but
slight. What was needed, and for which many of the most patient
investigators were searching, was a diastase which would do for the
starchy elements of the food what pepsin does for the proteids. The
digestion of food in man has been the subject of much patient and
methodical study and investigation during the last two decades, notably
by Ewald, Kellogg, Hayem, and Winter, and others, resulting in the
placing of the therapeutics of disordered digestion upon an exact
scientific basis. It is not, however, necessary for the purposes of this
paper to go very deeply into the minutæ; a superficial survey will
suffice.
Digestion begins in the mouth with the act of mastication, the presence
of food in the mouth, or even the thought of it, acting upon the
salivary glands to produce a free flow of saliva, which, being
thoroughly incorporated with the food by the act of mastication, exerts
its peculiar influence upon the starchy constituents, converting them
into dextrose, maltose, etc. This amylolytic action lasts but a short
while, the ptyalin of the saliva being active only in neutral or
slightly alkaline media; consequently when the food reaches the stomach
and peptic digestion begins, its effect ceases.
The saccharification of the starchy elements of the food before reaching
the stomach serves to separate or disentangle them, as it were, from the
proteids, and deliver the latter to the stomach in the condition most
favorable to the action of the gastric ferment or pepsin.
The stomach, after a variable length of time, during which the peptic
ferments accomplish their allotted task more or less thoroughly and
completely, delivers the resultant mass over to the small intestine,
where the secretions from the pancreas, liver, and intestinal glands, by
finishing the transformation of the starch begun before the stomach was
reached, emulsifying the fatty constituents, etc., complete the complex
work of digestion.
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