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
659. In attempting to pass a long glass thermometer through the
aperture into the pyloric portion of the stomach, during the latter
stages of digestion, a forcible contraction is perceived at the point
of the hour-glass contraction of the stomach, and the bulb is stopped.
In a short time there is a gentle relaxation, when the bulb passes
without difficulty, and appears to be drawn quite forcibly, for three
or four inches, towards the pyloric end. It is then released, and
forced back, or suffered to rise again, at the same time giving to the
tube a circular or rather a spiral motion, and frequently revolving it
quite over. These motions are distinctly indicated and strongly felt
in holding the end of the tube between the thumb and finger; and it
requires a pretty forcible grasp to prevent it from slipping from the
hand, and being drawn suddenly down to the pyloric extremity. When the
tube is left to its own direction at these periods of contraction, it
is drawn in, nearly its whole length, to the depth of ten inches; and
when drawn back requires considerable force, and gives to the fingers
the sensation of a strong suction power, like drawing the piston from
an exhausted tube. This ceases as soon as the relaxation occurs, and
the tube rises again, of its own accord, three or four inches, when the
bulb seems to be obstructed from rising further; but if pulled up an
inch or two through the stricture, it moves freely in all directions
in the cardiac portions, and mostly inclines to the splenic extremity,
though not disposed to make its exit at the aperture. These peculiar
motions and contractions continue until the stomach is perfectly
empty, and not a particle of food or chyme remains, when all becomes
quiescent again.
660. The chambers in which the remaining part of the digestive process
is carried on are much less accessible, and no such favourable
opportunity as that enjoyed by Dr. Beaumont has occurred of rendering
their operations manifest to the eye. Nevertheless, the researches of
physiologists have succeeded in disclosing, with almost equal exactness
and certainty, the successive changes which the food undergoes even in
these more hidden organs, that admit of no exposure during life without
extreme danger.
661. The chyme on passing through the pylorus is received into a
chamber (fig. CLXVII. 3) which forms the first portion of the small
intestines. The small intestines, taken together, constitute a tube
about four times the length of the body. This tube is conical, the
base of the cone being towards the pylorus, and its apex at the valve
of the colon, where the small intestines terminate in the large. From
the pylorus to the valve of the colon the small intestines diminish in
capacity, in thickness, in vascularity, in the size of the villi, and
in the depth and number of the valvulæ conniventes.
[Illustration: Fig. CLXXI.
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