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 conformity with this view, Dr Beaumont mentions, that, when St
Martin swallowed a mouthful of any tenacious food after the digestion
of the preceding meal was considerably advanced, he always saw it
first pass towards the great curvature of the stomach, and then
disappear. In a minute or two it re-appeared, more or less broken down,
and _mixed with the general alimentary mass_; and in a short
time longer it was so much changed as entirely to lose its identity.
From these and numerous other facts, Dr Beaumont infers, that “there
is a perfect admixture of the whole ingestæ during the period of
alimentation and chymification;” and that “the whole contents of the
stomach until chymification be nearly complete, exhibit a heterogeneous
mass of solids and fluids--hard and soft, coarse and fine, crude and
chymified--all intimately mixed, and circulating promiscuously through
the gastric cavity, like the mixed contents of a close vessel, gently
agitated or turned in the hand.” (P. 112.) As we proceed we shall meet
with various indirect proofs of these statements being correct.
If Dr Beaumont’s observations on this subject are accurate, we may
expect to find that chymification commences _on the surface of each
individual fragment_ of the food, and is not confined to the outer
surface of the entire alimentary mass, as stated by Dr Philip. Such,
accordingly, is the fact. When Dr Beaumont extracted a portion of the
food through the opening half an hour or an hour after eating, he
invariably found it composed of perfectly formed chyme and particles
of food intimately mixed and blended; and in these experiments every
portion of the aliment was already so completely supplied with gastric
juice, that its chymification proceeded till the whole was digested
with no other aid than that of the requisite heat and agitation.
When a meal is taken before the preceding one is out of the stomach,
digestion is observed to be disturbed. Dr Wilson Philip explains
this by stating, that the newly swallowed food becomes imbedded in,
and occupies the centre of, the older and half-digested mass, where
it remains distinct and untouched till the former meal is entirely
disposed of. A more logical explanation, however, and one more in
harmony with facts, is offered by Dr Beaumont, who ascribes the
disturbed digestion to _the supply of gastric juice having been
entirely taken up by the first meal_, and to the stomach, now
comparatively exhausted, being unable to secrete a fresh supply for the
second--seeing that, in ordinary circumstances, its vessels secrete
only enough to meet the real wants of the system. Dr Beaumont adduces
in confirmation of this view, the fact that many children, and most
cooks, are in the habit of eating _small_ quantities of food
almost every hour or two without their digestion suffering materially,
because then the amount of gastric juice secreted is quite equal to the
chymification of the _whole_ quantity taken.
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