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
Another important principle, which Dr Beaumont conceives to be
established by his numerous experiments, and which forced itself upon
him by degrees, is, that in health THE GASTRIC SECRETION ALWAYS
BEARS A DIRECT RELATION TO THE QUANTITY OF ALIMENT NATURALLY REQUIRED
BY THE SYSTEM; so that, if more than this be taken, there will
necessarily be too small a supply of the juice for the digestion of
the whole. The principle here laid down is in perfect harmony with the
sympathy which we have seen to exist between the stomach and the rest
of the body, and therefore not only is highly probable in itself, but,
if sound, will prove a most valuable guide in the practical regulation
of diet. The number of phenomena which it explains, and its general
applicability to daily use, afford no small presumption of its truth.
When, for example, we eat more than the wants of the system require,
indigestion will follow, because there will be more food in the stomach
than what the quantity of gastric juice provided is able to dissolve;
the proportion of the juice secreted being in relation, not to what we
eat, but to the actual wants of the system, which, in the case supposed
we have greatly exceeded. Here a remarkable harmony will be perceived
between the quantity of the secretion and the true indications and uses
of appetite as a guide to diet, explained in a preceding chapter (p.
21).
The gastric secretion, and the appearance of the villous coat, undergo
great modifications during disease, and on this subject also Dr
Beaumont’s observations are highly valuable; because, instead of merely
inferring, as others are obliged to do, he enjoyed the privilege of
SEEING with his eyes what was actually going on. In the course
of his attendance on St Martin, he found that, whenever a feverish
state was induced, whether from obstructed perspiration, from undue
excitement by stimulating liquors, from overloading the stomach, or
from fear, anger, or other mental emotion depressing or disturbing
the nervous system, _the villous coat became sometimes red and dry,
and at other times pale and moist, and lost altogether its smooth
and healthy appearance_. As a necessary consequence, the usual
secretions became vitiated, impaired, or entirely suppressed; and the
follicles from which, in health, the mucus which protects the tender
surface of the villous coat is poured out, became flat and flaccid, and
no longer yielded their usual bland secretion. The nervous and vascular
papillæ, thus deprived of their defensive shield, were then subjected
to undue irritation. When these diseased appearances were considerable,
the system sympathized, and dryness of the mouth, thirst, quickened
pulse, and other symptoms, shewed themselves; and NO GASTRIC JUICE
COULD BE PROCURED OR EXTRACTED EVEN ON THE APPLICATION OF THE USUAL
STIMULUS OF FOOD.
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