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
904. The lacteals, it has been shown (835. 1.), are special organs
appropriated to the performance of a specific function, that of
absorbing chyle. To fit them for this office, they are endowed with an
elective power, by virtue of which they select, from the alimentary
mass, that portion of it only which is converted into chyle; in
a natural and healthy state they would appear to be incapable of
absorbing any other substance excepting pure chyle. But in the
digestive organs there is always present much nutritive matter not
yet converted into proper chyle, and with this matter there are mixed
foreign substances not strictly alimentary. These unassimilated matters
and foreign substances, absorbed by the capillary veins or by the
absorbent vessels, or by both, are conveyed directly into the vena
portæ, by which vessel they are transmitted to the liver, where they
undergo a true and proper digestion. After undergoing this digestion
in the liver, they are sent by a short course to the heart, and thence
to the lungs, where they are assimilated into, or at least commingled
with, arterial blood, and, with arterial blood, are transmitted to the
system. The substances subjected to this hepatic digestion, which is
as real as that effected in the stomach and duodenum, do not appear
to enter the lacteals at all; they have therefore a shorter course
to traverse, and probably a proportionately less elaborate process
to undergo, before their transmission to the lungs and their final
entrance into the arterial system.
905. What the particular substances are for which this slighter
digestive process suffices is not known with certainty. There is,
however, reason to suppose that they consist chiefly of liquids, while
there is direct evidence that vinous and spirituous liquids enter
the system through this shorter course; since these fluids are often
abundantly manifest in the blood of the vena portæ, when not the
slightest trace of them can be detected in the lacteal vessels.
906. According to this view, the liver is a second digestive
apparatus, completing what the first commences, or effecting what
that is incapable of accomplishing; and this view assigns the reason
why certain fluids taken into the stomach sometimes appear in the
secretions and excretions with such astonishing rapidity; why the liver
so constantly becomes diseased when highly stimulating substances, not
properly alimentary, are mixed with the food, and more especially when
ardent spirits or the stronger wines are largely and habitually taken;
why the sympathy is so intimate and intense between the stomach and
the liver and the liver and the stomach, both in health and disease;
why in the ascending animal series the liver so soon appears after
the stomach, and why the magnitude of the organ and the elaborateness
of its structure progressively increase with the extension of the
digestive apparatus and the corresponding complexity of the general
organization.
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