The People's Common Sense Medical Adviser in Plain English: or, Medicine Simplified, 54th ed., One Million, Six Hundred; and Fifty Thousand — John Stuart Mill — John Shaqi
The People's Common Sense Medical Adviser in Plain English: or, Medicine Simplified, 54th ed., One Million, Six Hundred; and Fifty Thousand
John Stuart Mill · en
PANCREATIC JUICE. This is a colorless fluid, secreted in a lobular gland
which is situated behind the stomach, and runs transversely from the
spleen across the vertebral column to the duodenum. The most important
constituent of the pancreatic juice is an organic substance, termed
_pancreatin_.
THE BILE. The blood which is collected by the veins of the stomach,
pancreas, spleen, and intestines, is discharged into a large trunk
called the portal vein, which enters the liver. This organ also receives
arterial blood from a vessel called the _hepatic artery_, which is given
off from the aorta below the diaphragm. If the branches of the portal
vein and hepatic artery be traced into the substance of the liver, they
will be found to accompany one another, and to subdivide, becoming
smaller and smaller. Finally, the portal vein and hepatic artery will be
found to terminate in capillaries which permeate the smallest
perceptible subdivisions of the liver substance, which are polygonal
masses of not more than one-tenth of an inch in diameter, called the
_lobules_. Every lobule rests upon one of the ramifications of a great
vessel termed the _hepatic vein_, which empties into the inferior vena
cava. There is also a vessel termed the _hepatic duct_ leading from the
liver, the minute subdivisions of which penetrate every portion of the
substance of that organ. Connected with the hepatic duct, is the duct of
a large oval sac, called the _gall-bladder_.
Each lobule of the liver is composed of minute cellular bodies known as
the _hepatic cells_. It is supposed that in these cells the blood is
deprived of certain materials which are converted into bile. This
secretion is a glutinous fluid, varying in color from a dark golden
brown to a bright yellow, has a specific gravity ranging from 1018 to
1036, and a slightly alkaline reaction. When agitated, it has a frothy
appearance. Physiologists have experienced much difficulty in studying
the character of this secretion from the instability of its constituents
when subjected to chemical examination.
[Illustration: Fig. 52.
Section of the Liver, showing the
ramifications of the portal vein. 1. Twig
of portal vein. 2, 2', 2", 2"'. Interlobular
vein. 3, 3', 3", Lobules.]