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
666. It has been stated (473, 1.) that the fluid secreted by the liver,
unlike that formed by any other organ of the body, is elaborated from
venous blood, derived from the veins of the digestive organs, and
that these veins uniting together, form a common trunk called the
vena portæ, which penetrates the liver and ramifies through it in the
manner of an artery. Galen long ago compared this venous system to a
tree whose roots are dispersed in the abdomen, and its branches spread
out through the liver. Two comparatively small arteries, called the
hepatic, nourish the liver; the ultimate divisions of these arteries
likewise terminate in the vena portæ. The ultimate branches of the
vena portæ terminate partly in a system of veins, called the hepatic,
which like ordinary veins return the blood to the right side of the
heart; and partly in a system of tubes, termed the biliary ducts,
which contain the fluid secreted by the capillary branches of the vena
portæ. This fluid is the bile. The biliary ducts uniting from all
parts of the liver by innumerable branches, at length form a single
trunk termed the hepatic duct (fig. CLXVII. 9), which carries the bile
partly to the gall bladder (fig. CLXVII. 8) by a duct called the
cystic (fig. CLXVII. 10), and partly to the duodenum (fig. CLXVII. 3)
by a duct named the choledoch (fig. CLXVII. 6), a common trunk formed
by the union of the cystic with the hepatic (fig. CLXVII. 10 and 9).
The choledoch duct opens into the duodenum at the same point as the
pancreatic (fig. CLXVII. 7), and generally by a common orifice.
667. The duodenum, on receiving the chyme from the stomach, transmits
it slowly along its surface. The kind of motion by which the chyme is
borne along the surface of the duodenum is perfectly analogous to that
by which it is transmitted from the stomach to the duodenum, irregular,
sometimes in one direction, and sometimes in another, at one time
commencing in one part of the organ, at another time in another, always
slow, but ultimately progressive.
668. As the chyme slowly advances through the upper part of the
duodenum, the biliary and the pancreatic juices slowly distil into
the lower portion of the organ. The bile is seen to exude from the
choledoch duct, not continually, but at intervals, a drop appearing at
the orifice, and diffusing itself over the neighbouring surface, about
twice in a minute, while the flow of the pancreatic juice is still
slower.
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