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
still not satisfied. Baron Percy speaks of another man, who ate
twenty-four pounds of beef in as many hours, and thought nothing of
swallowing a dinner prepared for fifteen German boors. I once attended
a patient who was afflicted with a similar inordinate craving, and
whose only pleasure was in eating. In such cases no restraint except
actual coercion is sufficient to prevent indulgence; but the craving
itself is as much the product of disease as the shivering in the
beginning of fever, and can no more be removed by reasoning than the
sensation of cold can be removed by telling a patient that his skin is
thermometrically warm. But these, being cases of disease, do not in any
degree militate against the accuracy of the exposition above given of
the healthy uses of appetite.
The general considerations which I have just submitted to the reader
on the subject of appetite for food, apply so closely to the sensation
of _Thirst_, that to enter into any detail concerning the latter
would be little else but to be guilty of repetition. I shall therefore
limit myself to a very few remarks.
Thirst is generally said to have its seat in the back of the mouth
and throat; but the condition of these parts is merely a local
accompaniment of a want experienced by the whole frame, and perceived
by the nervous system. Local applications, accordingly, go but a short
way in giving relief, while the introduction of fluids by any other
channel--by immersion in a bath, by injection into the veins, or
through an external opening into the stomach--is sufficient to quench
thirst without the liquid ever touching the throat. The affection of
that part, therefore, is merely a result of the state of the system,
and not itself the cause of thirst.
Thirst, or a desire for liquids, is experienced in its greatest
intensity when the secretion and exhalation of the animal fluids is
most active; and it is consequently most urgent in summer, in warm
climates, and in persons engaged in severe exertion, particularly
if exposed at the same time to a heated atmosphere. Blacksmiths,
glass-blowers, engineers, and others, whose employment exposes them
to the heat of furnaces, and in whom perspiration is excessive, are
accordingly almost constantly under the influence of thirst; whereas
those who are employed in professions requiring only moderate exertion
in a temperate atmosphere, and in whom the fluid secretions are very
moderate, rarely experience the sensation in an urgent degree. For the
same reason great loss of blood induces excessive and intolerable
thirst; and hence, in the battle-field, the generous self-denial of him
who passed the cup to his wounded neighbour, without stopping even to
moisten his own lips, cannot be too highly appreciated.
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