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
These facts, if correctly observed, are of extreme importance; and
from the care with which Dr Beaumont pursued his investigations, and
their accordance with the facts recorded by preceding physiologists,
I do not think their general accuracy can be called in question. The
dry irritated appearance of the villous coat, and the absence of the
healthy gastric secretion in the febrile state, not only explain at
once the want of appetite, nausea, and uneasiness generally felt in
the region of the stomach, but shew the folly of attempting to sustain
strength, by forcing the patient to eat when food cannot be digested,
and when Nature instinctively refuses to receive it.
* * * * *
Before dismissing this part of the subject, it may be remarked, that
the alleged sympathy of the stomach with the wants of the body has
been denied, because the sense of hunger disappears the moment food
is swallowed, or the stomach is distended even with clay or saw-dust,
although the actual wants of the system cannot by possibility have
been supplied in either case. But these facts seem to me rather to
justify the inference that a sympathy does exist. Hunger ceases when
_food_ is taken, simply because _now_ the condition of the
stomach is in the desired relation to the state of the body, and
the nerves consequently feel and transmit this impression to the
more distant parts. In the other case, again, it ceases because the
stomach cannot at first distinguish what is food from what is not;
and, therefore, when distended, expresses content, because it feels
satisfied that it has been honestly dealt with, and got what it
wanted. But whenever it discovers the cheat, which it does in no long
time, hunger returns, and can be properly appeased only by digestible
substances. Dr Beaumont indeed expressly mentions, that, although the
gastric secretion _commences_ the moment any indigestible body
touches the mucous surface of the stomach, it invariably _ceases_
soon after discovering that the substance is one over which it has no
power,--thus strongly confirming the existence of the sympathy. Here
it may be also proper to observe, that from the frequent and pointed
references which I have made to the results obtained by Dr Beaumont,
some of my readers have imagined that I claimed for him the merit
of the original discovery of all the truths which his experiments
tend to establish. Nothing, however, was farther from my intention,
and accordingly on page 87 I speak distinctly of his having eagerly
embraced the opportunity afforded him of “_testing the prevailing
doctrines_” on digestion; and on page 93 and other places I state
that the same results had _previously_ been arrived at by
Tiedemann and other observers, but that the evidence in their favour
adduced by Dr Beaumont was “more direct and incontrovertible,” and
therefore more conclusive than their’s,--a position wholly at variance
with any claim of _discovery_ on his part. Indeed, the utter
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