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
In treating of the properties of the gastric juice, I shall on all
disputed points give a decided preference to the observations of Dr
Beaumont over those of any other physiologist; because, although a few
cases have occurred, in which, from external wounds, direct access has
been given to the interior of the stomach, and Richerand and others
have availed themselves of the opportunities thus afforded of adding
to our knowledge of the digestive process, still, in most of them
which have been recorded, the patients were a comparatively short time
under observation, and were not sufficiently re-established in health
to admit of either extensive or conclusive experiments being made.
Whereas in the case which Dr Beaumont had the good fortune to meet
with, the patient remained under his eye for several years, and in the
enjoyment of the most robust health; so that ample time and opportunity
were afforded for every variety of experiments which reflection could
suggest, and for their subsequent repetition under such modifications
as seemed to be requisite for clearly distinguishing the accidental
from the constant and essential result. In addition to these reasons,
it ought to be added, in justice to the American physiologist,
that, from the excellent judgment with which he carried on his
investigations, and the scrupulous care with which he announces his
results and separates facts from theory, it is impossible not to place
great confidence both in his personal qualifications as an observer,
and in the general accuracy of his statements. Moreover, as he enjoyed
the rare advantage of _seeing_ what he describes to have taken
place in the stomach during healthy digestion, his evidence comes
before us with the strongest possible claims on our attention.[25]
The first disputed point which is conclusively settled by Dr Beaumont
is, that _the gastric juice does not continue to be secreted between
the intervals of digestion, and does not accumulate to be ready for
acting upon the next meal_. By inducing St Martin to fast for some
hours, and then placing him with the opening in the left side exposed
to a strong light, so as to give a distinct view of the cavity of the
stomach, Dr Beaumont found its only contents to consist of a little
viscid and occasionally slightly acidulated mucus mixed with saliva,
and in no instance did he perceive any accumulation of the proper
gastric juice. The same results had indeed been obtained by Tiedemann
and other physiologists before the publication of Dr Beaumont’s
memoir; but the evidence of the latter is so much more direct and
incontrovertible, that it may justly be regarded as setting the
question for ever at rest.
Having proceeded so far, Dr Beaumont next endeavoured to discover
at what time the gastric juice begins to be poured out, and under
what conditions its secretion is carried on; and here again ocular
inspection afforded him satisfactory results.
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