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
The liver (LLLL, p. 171) is a very large glandular body lying under
the short ribs of the right side, immediately below the diaphragm or
midriff, to which it is attached by strong ligamentary bands, which
sustain its weight and keep it in its place. Its office is to secrete
the bile, but it differs in one important particular from every other
secreting organ. Its secretion is derived, not, as in other instances,
from the arterial or nutritive blood, but from the _venous_ or
exhausted blood, which is collected from all the abdominal organs, and
transmitted through it for this purpose on its way back to the heart.
From this peculiarity, it is legitimately enough inferred that the
liver serves the double purpose of providing a fluid indispensable
for chylification and the proper action of the bowels as organs of
excretion, and also of separating from the venous blood useless or
spent materials, which require to be thrown out of the system. The
influence of the bile as a stimulant to the bowels is proved by the
fact that costiveness ensues when it is deficient in quantity, and an
opposite condition when the secretion is redundant, as during the heat
of autumn.
_Bile_ is a bitter, viscid, greenish-yellow fluid, the taste
and general appearance of which are familiar to most people, and the
office of which in the animal economy must be one of no small moment,
if it be justly chargeable with even a tenth part of the catalogue of
human ills which are laid to its account. Its secretion seems to go on
continuously; but the quantity produced depends much on the amount of
venous blood which is circulating through the liver at the time. Hence,
in health, it is always greatest soon after a meal; because, as we have
already seen, the supply of blood in both the arteries and the veins
connected with digestion is then at its maximum.
But as the secretion of the bile is constantly going on, and its
presence in the duodenum is required only when the latter contains
chyme, a contrivance becomes requisite for storing it up in the
interval, to be ready for use when wanted. This is effected by the
small shut sac or bag G, named the _gall_ (or bile) _bladder_, which
adheres to the lower surface of the liver, and is always most full
after a fast of some duration. The bile contained in the gall-bladder
is generally more viscid, dark, and bitter, than that which proceeds
directly from the liver--apparently from the absorption of its more
fluid parts. It is in this bag that _gall-stones_, as they are called,
are sometimes formed, and it is their passage through the narrow tube
in which it terminates that causes the acute pain so often complained
of in that affliction.
Public-domain text, read in full here on John Shaqi.
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