The physiology of digestion considered with relation to the principles of dieteticsCombe, Andrew
Science
The physiology of digestion considered with relation to the principles of dietetics
Combe, Andrew
Diet; Digestion
Every body knows as a fact that bad air is hurtful, and that wasting
disease of the lungs is attended with rapid loss of flesh and strength;
but the manner in which these effects are produced is not so familiarly
known. Yet, in a practical point of view, a knowledge of the principle
is highly important. Properly considered, _respiration is in reality
the completion of digestion_. The stomach may convert the food
into chyme, the small intestines may convert the chyme into chyle,
and the absorbents may take up the latter and duly convey it into the
circulating system; but unless it undergo the necessary change in the
air-cells of the lungs it will not constitute good blood or afford
due nourishment to the body. Hence it is that those among the working
classes who are much confined in an impure and insalubrious atmosphere,
even when plentifully supplied with food, are generally thin and
ill-nourished; and hence those who, along with good digestion, have
small narrow chests and very limited respiration, are commonly found to
be constitutionally lean,--while those who, along with good digestion,
have amply developed lungs and free and powerful respiration, are at
the same time remarkable for proportional vigour of nutrition and
stoutness of body. It is on this account that in chronic pulmonary
disease recovery is always to be distrusted, unless, along with the
disappearance of the prominent symptoms, restoration of the lost flesh
occurs. If nutrition remains impaired, however great the relief may be
in other respects, there is reason to believe that the lungs are still
so extensively diseased as to injure their functions, and that, on the
application of any fresh exciting cause, the dormant mischief will
resume its activity. In such cases, when stomachic digestion is sound,
a full diet generally over-stimulates the system, by pouring into the
blood more chyle than the lungs are able to assimilate; in consequence
of which it is diffused over the whole body in an imperfect state of
preparation.
The mucous membrane is, like the skin, well provided with
_nerves_, and has a mode of sensation peculiar to itself. Every
villous point indeed has a nervous fibre ramified on it, to give it
the necessary sensibility to its own stimuli. It is true we are not
conscious in health of the impressions made on the intestinal nerves;
but this, as already shewn in describing the stomach, is a privilege
and not a defect. They recognise their appropriate stimuli, and cause
the necessary actions to follow without requiring aid from the will.
But when they meet with substances which ought not to be there, such
as pieces of undigested food, or foreign bodies which have no natural
relation to their constitution, they immediately indicate uneasiness,
and excite the muscular contractions to rid them of the offending cause.
Public-domain text, read in full here on John Shaqi.
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