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
On the fifth day, sloughing took place; lacerated portions of the lung
and stomach separated, and left a perforation into the latter, “large
enough to admit the whole length of the middle finger into its cavity;
and also a passage into the chest half as large as his fist.” Violent
fever and farther sloughing ensued; and for seventeen days every thing
swallowed passed out through the wound, and the patient was kept alive
chiefly by nourishing injections. By-and-by the fever subsided, the
wound improved in appearance, and after the fourth week the appetite
became good, digestion regular, the evacuations natural, and the health
of the system complete. _The orifice, however, never closed_;
and at every dressing the contents of the stomach flowed out, and its
coats frequently became everted or protruded so far as to equal in
size a hen’s egg, but they were always easily returned. The prefixed
figure exhibits the appearance of the wound after it was healed. The
circumference of the wound EEEL, extended to about twelve inches; and
the opening into the stomach AAA, nearly in its centre, was about two
inches below the left nipple F. The folds of the villous coat are
visible at BC.
Some months after, St Martin suffered extremely from the death and
exfoliation of portions of the injured ribs and their cartilages, and
his life was often in jeopardy; but through the skill and unremitting
care with which he was treated by Dr Beaumont, he ultimately recovered,
and, in April 1823, was going about, doing light work and rapidly
regaining strength.
On 6th June 1823, a year from the date of the accident, the injured
parts were all sound, except the perforation into the stomach, which
was now two and a-half inches in circumference. For some months
thereafter the food could be retained only by constantly wearing a
compress and bandage; but early in winter, a small fold or doubling of
the villous coat began to appear, which gradually increased till it
filled the aperture and acted as _a valve_, so as completely to
prevent any efflux from within, but to admit of being easily pushed
back by the finger from without.
Here, then, was an admirable opportunity for experimenting on the
subject of digestion, and for observing the healthy and undisturbed
operations of nature free from the agony of vivisections, and from the
sources of fallacy inseparable from operating on animals. Dr Beaumont
was sensible of its value, and accordingly pursued his inquiries with
the most praiseworthy perseverance, and disinterestedness. Having been
fortunate enough to obtain a copy of his work, I shall not hesitate to
make free use of its contents.
Public-domain text, read in full here on John Shaqi.
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