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
907. The second function performed by the liver is that of excretion.
The excrementitious matter eliminated from the blood by the liver is
contained in its peculiar secretion, the bile. The bile consists of
two portions, an assimilative part which combines chemically with the
chyle, purifying and exalting its nature; and an excrementitious part
which combines with the residue of the aliment.
908. The excrementitious part of the bile contains a large proportion
of carbon and hydrogen. Carbon and hydrogen abound in venous blood;
venous blood in large quantity is sent to the liver to afford the
materials for the secretion of bile; consequently, the more copious
the secretion of bile the greater the quantity of carbon and hydrogen
abstracted from venous blood. It follows that, by this elimination of
carbon and hydrogen from the blood, the liver is auxiliary, as an
organ of excretion, to the skin and the lungs.
909. But it is well worthy of remark, that although the liver at all
times assists the skin and the lungs in carrying on the process of
excretion, it does this most especially under circumstances which
necessarily enfeeble the action of the cutaneous and pulmonary organs.
910. Less carbon is expelled from the lungs in summer than in winter;
at a high than at a low temperature; consequently by a long-continued
exposure to intense heat, as in the hot months of summer, and still
more by a continual residence in a warm climate, an accumulation of
carbon in the blood is favoured. A part of this excess is removed by
the increased exhalation from the skin. The skin, however, is the
chief outlet, not for carbon, but for hydrogen; and accordingly by the
increased perspiration hydrogen is largely removed. Hydrogen and carbon
compose fat. The deposition of fat, could it go on to the requisite
extent, would afford an adequate consumption for the superabundant
carbon; but the formation of fat is prevented by the dissipation of the
hydrogen. Under such circumstances, when the lungs cannot carry off the
requisite quantity of carbon, nor the adipose tissue compensate for its
diminished activity by the deposition of fat, the liver, taking on an
increased action, secretes an extraordinary quantity of bile. In this
manner the superfluous carbon, instead of being removed in the ordinary
mode, by the pulmonary artery through the lungs, under the form of
carbonic acid gas, is excreted by the vena portæ, through the liver,
under the form of bile, while the superabundant hydrogen is removed by
the increased quantity of perspiration; and thus the accumulation of
these inflammable matters in the system is effectually prevented.
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