The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of manSmith, Southwood
Science
The Philosophy of Health; Volume 2 (of 2): or, an exposition of the physical and mental constitution of man
Smith, Southwood
Hygiene; Physiology
633. First, the intestine called duodenum, the organ immediately
continuous with the stomach, contracts. The contraction of the duodenum
is propagated to the pyloric end of the stomach. By the contraction
of this portion of the stomach, the chyme is carried backwards from
the pyloric into the cardiac extremity, where it does not remain,
but quickly flows back again into the pyloric extremity, which is
now expanded to receive it. Soon the pyloric extremity begins again
to contract; but now the contraction, the reverse of the former,
is in the direction of the duodenum; in consequence of which, the
chyme is propelled towards the pylorus. The pylorus, obedient to the
demand of the chyme, relaxes, opens, and affords to the fluid a free
passage into the duodenum. As soon as the whole of the duly prepared
chyme has passed out of the stomach, the pylorus closes, and remains
closed, until two or three ounces more are accumulated, when the same
succession of motions are renewed with the same result; and again cease
to be again renewed, as long as the process of chymification goes on.
634. When the stomach contains a large quantity of food, these
motions are limited to the parts of the organ nearest the pylorus; as
it becomes empty, they extend further along the stomach, until the
great extremity itself is involved in them. These motions are always
strongest towards the end of chymification.
635. The stomach during chymification is a closed chamber; its cardiac
orifice is shut by the valved entrance of the esophagus, and its
pyloric orifice by the contraction of the pylorus.
636. The rapidity with which the process of chymification is carried
on is different according to the digestibility of the food, the bulk
of the morsels swallowed, the quantity received by the stomach, the
constitution of the individual, the state of the health, and above
all, the class of the animal, for it is widely different in different
classes. In the human stomach in about five hours after an ordinary
meal the whole of the food is probably converted into chyme.
637. The great agent in performing the process of chymification is the
gastric juice. The evidence of this is complete; for,
1. As soon as the food enters the stomach a large quantity of blood is
determined to the arteries, which secrete the gastric juice (627); and
this fluid continues to be poured into the stomach in great abundance
during the whole time the process goes on.
2. The solvent power of this fluid is demonstrated by the fact that it
sometimes dissolves the stomach itself, when death takes place suddenly
during the act of digestion in a sound and vigorous state of the
digestive organs.
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