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 importance of the nervous agency in effecting digestion has been
denied, because we are not _conscious_ of the presence of food
in the stomach. But in health the want of such consciousness is a
privilege and not a defect; and it has been admirably pointed out by
Dr Southwood Smith,[23] that in possessing, as we do, the distinct
consciousness of a _pleasurable_ feeling in the stomach after
indulging in a suitable meal, we have all that is desirable for either
utility or enjoyment. If we were aware of the presence of every portion
of food which the stomach contains, and of the changes occurring in
each, our attention would be so disagreeably and unprofitably taken up
that we would pray to be delivered from the annoyance. Where, however,
from disease or the food being inappropriate, the stomach is injured
by what is eaten, consciousness then becomes painful for the express
purpose of warning us that mischief has been done, and that we must
take means for its removal. In some kinds of dyspepsia indeed, the
sensibility becomes exalted to an extraordinary degree. Barras who
suffered intensely from this cause, says of himself “the sensibility of
the stomach increased to a surprising extent; instead of organic it
became animal, to use the expression of Bichat. Every thing which took
place in the principal organ of digestion became as palpable to sense
as if it had taken place on the organ of touch, and the presence of
aliment was perceived as clearly as if it been under my hand.”[24]
The nerves of the stomach, it ought to be remarked, have a direct
relation to _undigested_ but _digestible_ substances; or
in other words, undigested food forms their natural and appropriate
stimulus. In consequence of this arrangement, when any body incapable
of digestion is introduced into its cavity, distinct uneasiness is
speedily excited, and an effort is soon made to expel it either
upwards by the mouth or downwards by the bowels. It is in this way
that bile in the stomach excites nausea, and that tartar emetic
produces vomiting. The nerves of the bowels, on the other hand, are
constituted with relation to the presence of _digested food_, and
consequently, when any thing escapes into them from the stomach in an
_undigested_ state, it becomes to them a source of irritative
excitement; and hence the colicky pains and bowel-complaints which
so commonly attend the passage through the intestinal canal of
such undigestible substances as fat, husks of fruits, berries, and
cherry-stones.
* * * * *
Such, then, are the component parts of the stomach, and such the uses
which they individually fulfil; but before we can consider them in
their combined form, there is still another agent, and an important
one in digestion, which has already been repeatedly named, and which,
though not a portion of the stomach, yet plays too conspicuous a part
in its operations not to require some separate notice--the GASTRIC
OR STOMACH JUICE.
Public-domain text, read in full here on John Shaqi.
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