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
Viewed, then, in its proper light, appetite is to be regarded as kindly
implanted in our nature for the express end of proportioning the supply
of nourishment to the wants of the system; and if ever it misleads us,
the fault is not in its unfitness for its object, but in the artificial
training which it receives at our own hands, and in our habitual
neglect of its dictates. When we attend to its real indications, we eat
moderately, and at such intervals of time as the previous exercise and
other circumstances render necessary; and in so doing, we reap a reward
in the daily enjoyment of the pleasure which attends the gratification
of healthy appetite. But if we err, either by neglecting the timely
warning which it gives, or by eating more than the system requires,
mischief is sure to follow. In the former case, waste continues to
make progress till the body becomes exhausted; and in almost exact
proportion do the cravings of appetite become more and more intense,
till they pass into those of uncontrollable _hunger_, which
overthrows all obstacles, and seeks gratification at the risk of
life itself. In the latter case, indigestion, gloomy depression, and
repletion with its concomitant evils, make their appearance, and either
embitter or cut short existence.
Mischief sometimes arises also from people not being sufficiently aware
that, in common with other sensations, appetite may be so far deranged
by disease as to give very incorrect and unnatural indications. It
often happens, for example, that a patient shivers and complains of
cold, when we know by the thermometer that the heat of the skin is
really above instead of below the natural standard. In like manner,
in some morbid states of the nervous system a craving is often felt
which impels the patient to eat, but which is not true hunger; and
here food, if taken, is digested with great difficulty. Occasionally,
on the other hand, no desire for food is experienced when the system
really needs it, and when it would be digested with ease if introduced
into the stomach. Esquirol alludes to cases of this description, and
I have met with similar examples. Voison also mentions, that, in the
Hospital of Incurables in Paris, there are some idiots so low in the
scale of intelligence, as to make no attempt to take the food which
is placed before them, although they eat and digest readily when fed
by others. Sometimes, again, appetite is depraved in quality, and the
patient desiderates the most nauseous and repulsive kinds of food,
such as earth, chalk, coals, or excrement. There are states, too, in
which the appetite is prodigiously increased, and the patient consumes
incredible quantities of food,--which, however, are very imperfectly
digested. Charles Domery, for instance, when a French prisoner at
Liverpool, consumed, in one day, four pounds of cow’s udder and ten
pounds of raw beef, with two pounds of tallow candles and five bottles
of porter; and although allowed the daily rations of ten men he was
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