The Body at Work: A Treatise on the Principles of PhysiologyHill, Alex
Science
The Body at Work: A Treatise on the Principles of Physiology
Hill, Alex
Physiology
The absorption of water is checked by the ingestion of extremely
soluble salts, such as sulphate of magnesia, the heavy molecule of
which diffuses with difficulty. We attribute the fact that sulphate of
magnesia remains in the intestine, and prevents water from diffusing
out of it, to its slowness in passing through a membrane, because
this is what would happen in dialysis;[2] but we must remember that
the living wall of the intestine is not a membrane. The cells which
line the intestine take up substances far less easily diffusible than
the sulphate of magnesia which they refuse. Nevertheless, speaking
generally, it is the less diffusible salts which act as aperients, the
more diffusible which are absorbed. The forward passage of the contents
of the alimentary canal is hastened by castor-oil. The peristalsis of
the intestines is stimulated by certain drugs, such as jalap or the
burnt products of tobacco. Another class of drugs, of which aloes is
an example, increases the secretion of the intestines, small or large.
Certain purgatives, such as calomel, podophyllin, etc., used to be
regarded as cholagogues. It was supposed that they increased the flow
of bile. This is an error. Their action is complicated, but it affects
chiefly the peristalsis of the intestine. The poor misunderstood liver
still suffers from the libels of primitive medical science. It is
the most innocent of organs, in no way responsible for derangements
of digestion. It carries out its functions without haste and without
delay. With the possible exception of salicylate of soda, no drug is
known which can stimulate it to a more rapid output of bile.
=Absorption.=—All the cells which line the alimentary canal are
capable of absorbing food, if it is presented to them in a suitable
form. In a suitable form means, speaking generally, in a diffusible
condition, although it must not be supposed that the epithelial cells
are incapable, under certain circumstances, of taking up non-diffusible
substances, just as a unicellular organism—an amœba—can take in
food. If soluble proteins, such as white of egg or acid-albumin, are
injected into the large intestine, a very considerable proportion
of the substance so injected is absorbed. It is possible, indeed,
to supply in this way the whole of the nitrogenous food needed by
the system, none entering by the mouth. If milk is injected, a
certain amount of the fat also is retained. It can be shown that such
absorption takes place when no digestion of the food occurs in the
colon. The food is taken up by the epithelial cells in the form in
which it is injected.
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