Hygienic Physiology : with Special Reference to the Use of Alcoholic Drinks and Narcotics

Part 13

Chapter 133,783 wordsPublic domain

IV. ABSORPTION is performed in two ways, by the _veins_, and the _lacteals_. (1.) The veins in the stomach [Footnote: The veins and the lacteals are separated from the food by a thin, moist membrane, through the pores of which the fluid food rapidly passes, in accordance with a beautiful law ("Popular Physics," p. 53) called the _Osmose_ of liquids. If two liquids of different densities are separated by an animal membrane, they will mix with considerable force. There is a similar law regulating the interchange of gases through a porous partition, in obedience to which the carbonic acid of the blood, and the oxygen of the lungs, are exchanged through the thin membrane of the air cells.] immediately begin to take up the water, salt, grape sugar, and other substances that need no special preparation. The starch and the albuminous bodies are also absorbed as they are properly digested, and this process continues along the whole length of the alimentary canal. In the small intestine, there is a multitude of tiny projections (_villi_) from the folds of the mucous membrane, more than seven thousand to the square inch, giving it a soft, velvety look. These little rootlets, reaching out into the milky fluid, drink into their minute blood vessels the nutritious part of every sort of food. (2.)The lacteals [Footnote: From _lac_, milk, because of the milky look given to their contents by the chyle.] (p. 126), a set of vessels starting in the villi side by side with the veins, absorb the principal part of the fat. They convey the chyle through the lymphatics and the thoracic duct (Fig. 43) to the veins, and so within the sweep of the circulation.

The Portal Vein [Footnote: So named because it enters the liver by a sort of gateway.] carries to the liver the food absorbed by the veins of the stomach and the villi of the intestines. On the way, it is greatly modified by the action of the blood itself. In the cells of the liver, it undergoes as mysterious a process as that performed by the lymphatic glands, and is then cast into the circulation. [Footnote: In these cells, the sugar is changed into a kind of starch called _glycogen_. This is insoluble, and so is stored up in the liver, and even in the substance of the muscles, until it is needed by the body, when it is once more converted into soluble sugar and taken up by the circulation. The liver also changes the waste and surplus albuminous matter into bile, and into urea and uric acid--the forms in which nitrogenized waste is excreted by the kidneys.] The food, potent with force, is now buried in that river of life from which the body springs momentarily afresh.

THE COMPLEXITY of the process of digestion, as compared with the simplicity of respiration and circulation, is very marked. The mechanical operation of mastication; the lubrication of the food by mucus; the provision for the security of the respiratory organs; the grasping by the muscles of the throat; the churning movement of the stomach; the guardianship of the pylorus; the timely introduction by safe and protected channels of the saliva, the gastric juice, the bile, the pancreatic juice, and the intestinal fluids, each with its special adaptation; the curious peristaltic motion of the intestines; the twofold absorption by the veins and the lacteals; the final transformation in the lymphatics, the portal vein, and the liver,--all these present a complexity of detail, the necessity of which can be explained only when we reflect upon the variety of the substances we use for food, and the importance of its thorough preparation before it is allowed to enter the blood.

THE LENGTH OF TIME REQUIRED for digesting a full meal is from two to four hours. It varies with the kind of food, state of the system, perfection of mastication, etc. In the celebrated observations made upon Alexis St. Martin [Footnote: In 1822, Alexis St. Martin, a Canadian in the employ of the American Fur Company, was accidentally shot in the left side. Two years after, the wound was entirely healed, leaving, however, an opening about two and a half inches in circumference into the stomach. Through this the mucous membrane protruded, forming a kind of valve which prevented the discharge of food, but could be readily depressed by the finger, thus exposing the interior. For several years he was under the care of Dr. Beaumont, a skillful physician, who experimented upon him by giving various kinds of food, and watching their digestion through this opening. By means of these observations, and others performed on Katherine Kutt, a woman who had a similar aperture in the stomach, we have very important information as to the digestibility of different kinds of food.] by Dr. Beaumont, his stomach was found empty in two and a half hours after a meal of roast turkey, potatoes, and bread. Pigs' feet and boiled rice were disposed of in an hour. Fresh, sweet apples took one and a half hours; boiled milk, two hours; and unboiled, a quarter of an hour longer. In eggs, which occupied the same time, the case was reversed,--raw ones being digested sooner than cooked. Roast beef and mutton required three and three and a quarter hours respectively; veal, salt beef, and broiled chicken remained for four hours; and roast pork enjoyed the bad preeminence of needing five and a quarter hours.

VALUE OF THE DIFFERENT KINDS OF FOOD.--_Beef_ and _Mutton_ possess the greatest nutritive value of any of the meats. _Lamb_ is less strengthening, but more delicate. Like the young of all animals, it should be thoroughly cooked, and at a high temperature, properly to develop its delicious flavor. _Pork_ has much carbon. It sometimes contains a parasite called trichina, which may be transferred to the human system, producing disease and often death. The only preventive is thorough cooking. _Fish_ is more watery than flesh, and many find it difficult of digestion. Like meat, it loses its mineral constituents and natural juices when salted, and is much less nourishing. Oysters are highly nutritious, but are more easily assimilated when raw than when cooked. _Milk_ is a model food, as it contains albumen, starch, fat, and mineral matter. No other single substance can sustain life for so long a time. _Cheese_ is very nourishing--one pound being equal in value to two of meat, but it is not adapted to a weak stomach. (See p. 322.) _Eggs_ are most easily digested when the white is barely coagulated and the yolk is unchanged. _Bread_ [Footnote: Very fresh bread, warm biscuit, etc., are condensed by mastication into a pasty mass that is not easily penetrated by the gastric juice, and hence they are not healthful. In Germany bread is not allowed to be sold at the baker's till it is twenty-four hours old--a wise provision for those who have not strength to resist temptation. This rule of eating may well be adopted by every one who cares more for his health than for a gratification of his appetite.] should be made of unbolted flour. The bran of wheat furnishes the mineral matter we need in our bones and teeth, gives the bulk so essential to the proper distension of the organs, and by its roughness gently stimulates them to action. _Corn_ is rich in fat. It contains, however, more indigestible matter than any other grain, except oats, and is less nutritious than wheat. [Footnote: Persons unaccustomed to the use of corn find it liable to produce derangement of the digestive organs. This was made fearfully apparent in the prisons of Andersonville during the late civil war. The vegetable food of the Federal prisoners had hitherto been chiefly wheat bread and potatoes--the corn bread so extensively used at the South being quite new to most of them as a constant article of diet. It soon became not only loathsome, but productive of serious diseases. On the other hand, it was the principal article in the rations of the Confederate soldiers, to whom habit made it a nutritious and wholesome form of food, as was shown by their endurance.--FLINT, _Physiology of Man_, Vol. II, page 41.] The _Potato_ is two thirds water,--the rest being mainly starch. _Ripe Fruits_, and those vegetables usually eaten raw, dilute the more concentrated food, and also supply the blood with acids, which are cooling in summer, and useful, perhaps, in assimilation.

THE STIMULANTS.--_Coffee_ is about half nitrogen, and the rest fatty, saccharine, and mineral substances. It is, therefore, of much nutritive value, especially when taken with milk and sugar. Its peculiar stimulating property is due to a principle called _caffeine_. Its aroma is developed by browning, but destroyed by burning. No other substance so soon relieves the sense of fatigue. [Footnote: In the late civil war, the first desire of the soldiers upon halting after a wearisome march, was to make a cup of coffee. This was taken without milk, and often without sugar, yet was always welcome.] Taken in moderation, it clears the intellect, tranquilizes the nerves, and usually leaves no unpleasant reaction. It serves also as a kind of negative food, since it retards the process of waste.

In some cases, however, it produces a rush of blood to the head, and should be at once discarded. At the close of a full meal it hinders digestion, and at night produces wakefulness. In youth, when the vital powers are strong, and the functions of nature prompt in rallying from fatigue, it is not needed, and may be injurious in stimulating a sensitive organization.

_Tea_ possesses an active principle called _theine_. When used moderately, its effects are similar to those of coffee, except that it exerts an astringent action. It contains tannin, which, if the tea is strong, coagulates the albumen of the food--_tans_ it--and thus delays digestion. In excess, tea causes nervous tremor, disturbed sleep, palpitation of the heart, and indigestion. [Footnote: Tea and coffee should be made with, boiling water, but should not be boiled afterward. During the "steeping" process, so customary in this country, the volatile aroma is lost and a bitter principle extracted. In both England and China it is usual to infuse tea directly in the urn from which it is to be drawn. The tannin in tea is shown when a drop falls on a knife blade. The black spot is a tannate of iron--a compound of the acid in the tea and the metal.] (See p. 322.)

_Chocolate_ contains much fat, and also nitrogenous matter resembling albumen. Its active principle, _theobromine_, [Footnote: It is said that Linnæus, the great botanist, was so fond of chocolate that he named the cocoa tree "Theobroma," the food of the gods.] has some of the properties of caffeine and theine.

THE COOKING OF FOOD breaks the little cells, and softens the fibers of which it is composed. In broiling or roasting meat, it should be exposed to a strong heat at once, in order to coagulate the albumen upon the outside, and thus prevent the escape of the nutritious juices. The cooking may then be finished at a lower temperature. The same principle applies to boiling meat. In making soups, on the contrary, the heat should be applied slowly, and should reach the boiling point for only a few moments at the close. This prevents the coagulation of the albumen. Frying is an unhealthful mode of cooking food, as thereby the fat becomes partially disorganized.

RAPID EATING produces many evil results. 1. There is not enough saliva mixed with the food; 2. The coarse pieces resist the action of the digestive fluids; 3. The food is washed down with drinks that dilute the gastric juice, and hinder its work; 4. We do not appreciate the quantity we eat until the stomach is overloaded; 5. Failing to get the taste of our food, we think it insipid, and hence use condiments that overstimulate the digestive organs. In these various ways the appetite becomes depraved, the stomach vexed, the system overworked, and the foundation of dyspepsia is laid. [Footnote: When one is compelled to eat in a hurry, as at a railway station, he would do well to confine himself principally to meat; and to dilute this concentrated food with fruit, crackers, etc., taken afterward more leisurely.] (See p. 324.)

THE QUANTITY AND QUALITY OF FOOD required vary with the age and habits of each individual. The diet of a child [Footnote: In youth, repair exceeds waste; hence the body grows rapidly, and the form is plump. In middle life, repair and waste equal each other, and growth ceases. In old age, waste exceeds repair; hence the powers are enfeebled and the skin lies in wrinkles on the shrunken form.] should be largely vegetable, and more abundant than that of an aged person. A sedentary occupation necessitates less food than an outdoor life. One accustomed to manual labor, on entering school, should practice self-denial until his system becomes fitted to the new order of things. He should not, however, fall into the opposite error. We read of great men who have lived on bread and water, and the conscientious student sometimes thinks that, to be great, he, too, must starve himself. [Footnote: As Dr. Holland well remarks, the dispensation of sawdust has passed away. If we desire a horse to win the race, we must give him plenty of oats.] On the contrary, many of the greatest workers are the greatest eaters. A powerful engine needs a corresponding furnace. Only, we should be careful not to use more fuel than is needed to run the machine. (See p. 325.)

The season should modify our diet. In winter, we need highly carbonaceous food, plenty of meat, fat, etc.; but in summer we should temper the heat in our corporeal stoves with fruits and vegetables.

The climate also has its necessities. The inhabitants of the frigid north have an almost insatiable longing for fat. [Footnote: Dr. Hayes, the arctic explorer, says, that the daily ration of the Esquimaux was from twelve to fifteen pounds of meat, one third being fat. On one occasion, he saw a man eat ten pounds of walrus flesh and blubber at a single meal. The low temperature had a remarkable effect on the members of his own party, and some of them were in the habit of drinking the contents of the oil kettle with evident relish. Other travelers narrate the most incredible stories of the voracity of the inhabitants of arctic regions. Saritcheff, a Russian admiral, tells of a man who in his presence ate, at a meal, a mess of twenty-eight pounds of boiled rice and butter, although he had already partaken of his breakfast. Captain Cochrane further adds, in narrating this statement, that he has himself seen three of the savages consume a reindeer at a sitting.] Thus, in 1812, when the Allies entered Paris, the Cossacks drank all the oil from the lamps, and left the streets in darkness. In tropical regions, a low, unstimulating diet of fruits forms the chief dependence. [Footnote: A natural appetite for a particular kind of food is an expression not only of desire, but of fitness. Thus the craving of childhood for sugar indicates a need of the system. It is questionable how far it is proper to force or persuade one to eat that which he disrelishes, or his stomach loathes. Life within is linked with life without. Each organ requires its peculiar nutriment, and there is often a peculiar influence demanded of which we can have no notice except by natural instinct. Yet, as we are creatures of habit and impulse, we need common sense and good judgment to correct the too often wayward promptings of an artificial craving.]

WHEN FOOD SHOULD BE TAKEN.--On taking food, the blood sets at once to the alimentary canal, and the energies are fixed upon the proper performance of this work. We should not, therefore, undertake hard study, labor, or exercise directly after a hearty meal. We should give the stomach at least half an hour. He who toils with brain or muscle, and thus centers the blood in any particular organ, before eating should allow time for the circulation to become equalized. There should be an interval of four to five hours between our regular meals, and there should be no lunching between times. With young children, where the vital processes are more rapid, less time may intervene. As a general rule, nothing should be eaten within two or three hours of retiring. (See p 336.)

HOW FOOD SHOULD BE TAKEN.--A good laugh is the best of sauces. The mealtime should be the happiest hour of the day. Care and grief are the bitter foes of digestion. A cheerful face and a light heart are friends to long life, and nowhere do they serve us better than at the table. God designed that we should enjoy eating, and that, having stopped before satiety was reached, we should have the satisfaction always attendant on a good work well done.

NEED OF VARIETY.--Careful investigations have shown that any one kind of food, however nutritious in itself, fails after a time to preserve the highest working power of the body. Our appetite palls when we confine our diet to a regular routine. Nature demands variety, and she has furnished the means of gratifying it. [Footnote: She opens her hand, and pours forth to man the treasures of every land and every sea, because she would give to him a wide and vigorous life, participant of all variety. For him the cornfields wave their golden grain--wheat, rye, oats, maize, or rice, each different, but alike sufficing. Freely for him the palm, the date, the banana, the breadfruit tree, the pine, spread out a harvest on the air; and pleasant apple, plum, or peach solicit his ready hand. Beneath his foot lie stored the starch of the potato, the gluten of the turnip, the sugar of the beet; while all the intermediate space is rich with juicy herbs.

Nature bids him eat and be merry; adding to his feast the solid flesh of bird, and beast, and fish, prepared as victims for the sacrifice: firm muscle to make strong the arm of toil, in the industrious temperate zone; and massive ribs of fat to kindle inward fires for the sad dwellers under arctic skies.--_Health and its Conditions_.--HINTON.]

THE WONDERS OF DIGESTION.--We can understand much of the process of digestion. We can look into the stomach and trace its various steps. Indeed, the chemist can reproduce in his laboratory many of the operations; "a step further," as Fontenelle has said, "and he would surprise nature in the very act." Just here, when he seems so successful, he is compelled to pause. At the threshold of life the wisest physiologist reverently admires, wonders, and worships.

How strange is this transformation of food to flesh! We make a meal of meat, vegetables, and drink. Ground by the teeth, mixed by the stomach, dissolved by the digestive fluids, it is swept through the body. Each organ, as it passes, snatches its particular food. Within the cells of the tissues [Footnote: As the body is composed of individual organs, and each organ of separate tissues, so each tissue is made up of minute cells. Each cell is a little world by itself, too small to be seen by the naked eye, but open to the microscope. It has its own form and constitution as much as a special organ in the body. It absorbs from the blood such food as suits its purposes. Moreover, the number of cells in an organ is as constant as the number of organs. As the organs expand with the growth of the body, so the cells of each tissue enlarge, but shrink again with age and the decline of life. Life begins and ends in a cell.--See _Appletons' Cyclopedia_, Art. "Absorption."] it is transformed into the soft, sensitive brain, or the hard, callous bone; into briny tears, or bland saliva, or acrid perspiration; bile for digestion, oil for the hair, nails for the fingers, and flesh for the cheek.

Within us is an Almighty Architect, who superintends a thousand builders, which make in a way past all human comprehension, here a fiber of a muscle, there a filament of a nerve; here constructing a bone, there uniting a tendon,--fashioning each with scrupulous care and unerring nicety. [Footnote: See COOKE'S _Religion and Chemistry_, page 236.] So, without sound of builder or stroke of hammer, goes up, day by day, the body--the glorious temple of the soul.

DISEASES ETC.--1. _Dyspepsia_, or indigestion of food, is generally caused by an overtaxing of the digestive organs. Too much food is used, and the entire system is burdened by the excess. Meals are taken at irregular hours, when the fluids are not ready. A hearty supper is eaten when the body, wearied with the day's labor, demands rest. The appetite craves no food when the digestion is enfeebled, but stimulants and condiments excite it, and the unwilling organs are oppressed by that which they can not properly manage.

Strong tea, alcoholic drinks, and tobacco derange the alimentary function.

Too great variety of dishes, rich food, tempting flavors,--all lead to an overloading of the stomach. This patient, long-suffering member at last wears out. Pain, discomfort, diseases of the digestive organs, and insufficient nutrition are the penalties of violated laws. (See p. 328.)

2. _The Mumps_ are an inflammation of the parotid and submaxillary glands (see p. 159). The disease is generally epidemic, and is believed to be contagious; the patient should therefore be carefully secluded for the sake of others as well as himself. The swelling may be allowed to take its course. Relief from pain is often experienced by applying flannels wrung out of hot water. Great care should be used not to check the inflammation, and, on first going out after recovery, not to take cold.

ALCOHOLIC DRINKS AND NARCOTICS.

1. ALCOHOL (Continued from p. 147).

RELATION OF ALCOHOL TO THE DIGESTIVE ORGANS.--_Is Alcohol a Food?_ To answer this question, let us make a comparison. If you receive into your stomach a piece of bread or beef, Nature welcomes its presence. The juices of the system at once take hold of it, dissolve it, and transform it for the uses of the body. A million tiny fingers (lacteals and veins) reach out to grasp it, work it over, and carry it into the circulation. The blood bears it onward wherever it is needed to mend or to build "The house you live in." Soon, it is no longer bread or beef; it is flesh on your arm; its chemical energy is imparted to you, and it becomes your strength.