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 iron needed for the making of hæmoglobin is obtained both from meat
and vegetables. The constituents of an ordinary diet provide from 2 to
3 centigrammes of iron a day. The whole of the blood contains about
4·5 grammes. When corpuscles are being destroyed in the spleen, the
iron which their pigment contains is largely reabsorbed and rendered
available for further use. The iron in a mixed diet is more than
sufficient to counterbalance any loss. Milk contains extremely little
iron. Before birth the liver and spleen accumulate a store of iron
which lasts until the end of the nursing period, unless this be unduly
prolonged. If it be prolonged, the child is apt to become anæmic.
Iron has been administered in the treatment of anæmia ever since its
presence in the red clot of blood was recognized a hundred and fifty
years ago. Physicians are agreed that in the anæmia of young people it
is of value; but observations made with a view to obtaining definite
data as to the increase in number of blood-corpuscles which results
from the administration of iron, without any other alteration in the
diet or the habits of the patient, have not given accordant results.
Some observers have obtained an increase with organic compounds of
iron, others with inorganic compounds; some are in favour of small
doses, others of very large ones. As in the treatment by drugs of
other abnormal conditions, it is difficult to isolate the effect of
the drug from the effects of improvements in the general regimen. Yet
physicians agree that iron accentuates the beneficial effects of fresh
air and improved diet.
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