We have learned that there is a stomachic digestion and an intestinal
digestion, the former principally for meats, or that class which are
now called nitrogenous foods, while the latter is confined generally
to starches and fats. This physiological fact suggested the idea of
feeding dyspeptics only on such food as is not acted upon in the
stomach, but passes beyond that cavity to become digested in the
small intestines, giving the stomach a rest as it were so that it
may recuperate and gain strength while the system is being fed by
farinaceous aliments. While a superficial glance justified such a
procedure, a moment’s reflection proves it to be a delusion, and
for this reason, that there will be an unavoidable irritation of
the stomach which the journey of the farinaceous material occasions
in its passage through the stomach, and the insufficient nutritive
value of a simple non-nitrogenous diet causes a rapid loss of tissue
and bodily strength; hence this course proved itself impracticable
and was abandoned. Then again the experiment was tried of putting a
certain class of dyspeptics on a purely meat diet; this had one fault
common with the former plan; it was also too one-sided, and the system
suffered for want of fat and starch, and secondly peptones were not
always formed in the stomach from a deficiency of the gastric juice or
an impairment of its quality, so that this method was also abandoned.
Fats belong to the starches and sugars as heat producers; they are
insoluble in water, and by boiling them in caustic alkali they are
decomposed into soap and glycerine. In the cavity of the stomach fats
remain unaltered; the heat of the stomach may melt or liquefy them,
but in no other way are they changed. They are also digested, like the
starches, in the small intestine by the action of the pancreatic juice
which possesses the remarkable property when brought in contact with
fatty or oily matter at the temperature of the body of emulsifying
it, and of converting the fats into a milky, white, opaque looking
fluid, by a minute subdivision of the oily particles. This emulsion of
the fatty and other substances of the food is termed chyle, and as
such, the fatty substances are ready for absorption by the absorbents
of the intestinal tract. Experience teaches that a deficiency of fat
causes scrofulous diseases, and this class of patients have generally a
repugnance for fat; this is another illustration of the unreliability
of patients to choose their own food. Professor John H. Bennet first
pointed out the usefulness of cod liver oil in consumption and other
scrofulous diseases, and directed attention to the value of fat in the
nutrition of the body.