Process of Assimilation in the plant; in the animal—Digestive
apparatus in the lower classes of animals; in
the higher classes; in man—Digestive processes—Prehension,
Mastication, Insalivation, Deglutition, Chymification,
Chylification, Absorption, Fecation—Structure
and action of the organs by which these operations
are performed—Ultimate results—Powers by which
those results are accomplished—Two kinds of digestion,
a lower and a higher; the former preparatory to the
latter.
548. Digestion is the function by which the
aliment is converted into nutriment. No food
can nourish until it be converted into a fluid analogous
in chemical composition to that of the body
by which it is assimilated. The conversion of
the crude aliment into such a fluid is effected by
a vital power peculiar to living beings, by which
they subvert the constitution of other organized
bodies, and cause them to assume their own.
They accomplish this change by the agency of
certain secretions which they elaborate in their
own organs, and which they add to the substances
they receive as aliment. By the action of these
secretions, the chemical composition of the aliment
is brought into a close affinity to that of the
body which it nourishes.
549. This change in the chemical composition
of the aliment, by means of fluids secreted by the
living bodies which receive it, is manifest in the
plant as well as in the animal. The sap, as it
issues from the root, is a colourless and limpid
fluid; it has a specific gravity a little greater than
that of water; it has a sweetish taste; it contains
an acid which is sometimes free, and is either the
carbonic or the acetic; but more commonly it is
combined with lime or potass. To this crude
sap, in this the first stage of its formation, vegetable
secretions, sugar and mucus, assimilative
substances, are superadded, probably by the fibres
of the root.
550. As the sap ascends in the stalk, a greater
quantity and a greater number of these vegetable
secretions are poured into it. In the ratio of its
elevation it acquires sugar, mucus, albumen, and
an azotized substance analogous to gluten. By
the admixture of these assimilative secretions,
the crude sap is progressively assimilated nearer
and nearer to the chemical composition of the
proper nutritive fluid of the plant. Thus prepared,
the sap passes to the leaf, in the upper
surface of which it undergoes a process analogous
to that of digestion in the animal (315), and is
converted into proper nutrient matter.
551. The plant can only take up, by absorption,
liquid food; it never receives solid substances
as aliment: it therefore needs no apparatus
for the division, solution, and fluidification
of its food; its sole work of assimilation consists
in changing the innate affinities of liquid aliment.
But animals which live on vegetable and animal
substances have to modify, by their digestive
juices, the affinities of organic solids: hence assimilation
in the animal must necessarily be a more
complex operation than it is in the plant.
552. Fixed immovably to the soil by its roots,
the nutritive apparatus of the plant is always in
contact with its food, which is slowly but unceasingly
absorbed according to the wants of
its system. But the animal endowed with the
faculty of locomotion receives its aliment into the
interior of its body, that it may transport its food
along with it in all its changes of place; and
that, as in the plant, its food may be always in
contact with its nutritive apparatus. The interior
nutrition of the animal and the convergence of its
nutritive apparatus to the centre of its system,
and the exterior nutrition of the plant and the
divergence of its nutritive apparatus to the peripheral
extremity of its body, are differences in
their mode of nutrition, connected with essential
differences in the mode of life peculiar to the two
beings.
553. Plant-like animals have a plant-like
mode of nutrition. The transition from the one
class to the other is so gradual as to be almost insensible.
Fixed to the same spot in the ocean as
the tree to the land, the nutritive surface of the
poriferous animal is always in contact with the
water, as the soil is with the external surface of
the plant. The cellular substance of which the
bag of the poriferous animal is composed is permeated
in all directions by ramifying and anastomosing
canals, which, beginning by minute pores
placed on the external surface, terminate in larger
orifices, termed vents, which are fecal openings.
These internal canals are incessantly traversed by
streams of water, which enter through the minute,
and are discharged through the larger orifices.
By these currents the nutrient matter contained
in the water is conveyed to every part of the body,
and the streams that issue from the fecal orifices
abound with minute flocculent particles, the residue
of the digested matter. No separate part of
the body is appropriated to the function of digestion
any more than in the plant; there is
merely a general absorbent surface; the water is
to this animal what the soil is to the plant; its
whole surface is a root; every point of that surface
is constantly in contact with its food, and
every point is absorbent.
554. In the class above the porifera, the margins
of the superficial pores are merely lengthened
out into minute sacs, irritable and sentient, surrounded
with vibratile cilia (342). These sacs,
which are termed polypi, are so many little stomachs,
which select, seize, and digest the food
brought to them in the currents of water created
by the action of the cilia (344).
Fig. CXLVIII.—
Hydra Viridis.
1. The Hydra with its tentacula expanded. 2. The tentacula.
3. The body of the Hydra. 4. Disc for attachment.
5. The Hydra in the act of creeping. 6. The
Hydra with an animalcule in its digestive cavity.
555. The fresh-water polype, the little hydra
(fig. CXLVIII. 1), is one of these minute sacs detached
and endowed with the power of locomotion
(fig. CXLVIII. 5), a sentient, self-moving digestive
bag. Capable of swallowing animals many times
its own size, as the red-blooded worm, this little
creature stretches its whole body like a thin
elastic membrane over its prey, so as completely
to alter its own shape, and the membranous substance
of which it is composed becoming transparent
by the distention, allows the subsequent
process to be distinctly seen. The red fluid of
the worm, as the process of digestion advances, is
slowly diffused over every part of the internal surface
of the polype. The whole internal surface of
this minute self-moving bag is digestive; a true
and proper stomach (fig. CXLVIII. 6). By dexterous
manipulation, this internal surface may be
rendered external, and the animal turned completely
inside out. Then the external begins to
perform the office of the internal surface, carrying
on the function of digestion, just as well as that
which was primitively formed for it; while the
originally digestive becomes the generative surface,
for the creature buds from this surface, now
the outer one; a striking and instructive illustration
of the analogy between the external covering
of the animal body or the skin, and its internal
lining, or the mucous surface.
Group of Monades; the dark spots in the interior of their
bodies representing their digestive sacs.
556. In the monades (fig. CXLIX.), and in all
the lower animalcules, the digestive apparatus,
instead of forming the entire internal surface of
the body, consists of numerous sacs, which constitute
so many separate stomachs, whence the
name of the class, polygastrica. When empty,
or when filled with water, these digestive
sacs cannot be distinguished from the common
cellular tissue of the body; but on feeding the
animals with coloured organic matter, minutely
diffused in water, the coloured particles readily
enter the digestive sacs, and render apparent their
form and arrangement. In the minutest animal
hitherto appreciable, the monas termo, the 2000th
part of a line in diameter, four rounded sacs have
been seen filled with coloured particles (fig. CXLIX.).
Each of these sacs, about the 6000th part of a
line in diameter, opens by a narrow neck into a
funnel-shaped mouth, surrounded with a single
row of long vibratite cilia, by the action of which
the floating organic particles are brought within
the reach of the mouth. In general, even in this
class, an alimentary canal traverses the whole
extent of the body, into which all the different
stomachs open. Sometimes numerous branches
proceed from the main trunks of the alimentary
canal, bearing the nutritive matter to the different
parts of the body (fig. CL. 2). Often, in order to
extend the digestive surface, the alimentary canal
is produced, forming rounded enlargements called
cœcal appendages, all of which act as so many
additional stomachs (fig. CLI. 3). In some individuals,
observed under favourable circumstances,
nearly 200 of these cœcal stomachs, filled with
coloured matter, have been counted, and there may
have been many more unseen, because empty and
collapsed. In the lowest tribes of this class there
is but one orifice to the alimentary canal, the
oral; the food entering, and the fecal matter
passing out of the system by the same aperture;
but in the higher orders there is both an oral and
an anal orifice, and the mouth and the anus are
placed at opposite extremities of the body, as in
the higher animals.
Fig. CL.—
Fasciola Hepatica.
1. Mouth. 2. Alimentary tubes. 3. Sucker.
Fig. CLI.—
Aphrodita Aculeata.
1. Proboscis in a retracted state. 2. Interior of digestive
cavity. 3, 3. Cœcal appendages opening into it.
557. Up to this point in the animal series the
digestive sacs and the alimentary canal are merely
cavities formed in the common cellular tissue of
the body, without any lining membrane, without
teeth, or without any instruments for dividing
and preparing the aliment, and without a single
gland, as far as has been ascertained, to assist the
digestive process. All the assimilative functions,
the respiratory as well as the digestive, appear to
be performed by this single surface. But in the
ascending scale not only is an apparatus appropriated
to digestion, perfectly distinct from that
assigned to respiration, but even the stomach
and the alimentary canal are separate organs, distinguished
from each other, both in structure and
function. Still higher in the scale new organs are
successively added, as the process becomes more
complex and refined, in order to assist the main
operations carried on in particular parts of the apparatus;
and as that apparatus approaches its highest
degree of perfection, not only do the several parts
of which it is composed increase in number and
complexity, but each part becomes more and more
isolated from the rest, a specific office being
assigned to each in the division of labour that is
made. Viewing, however, the digestive apparatus
as a whole, whether simple or complex, whether
consisting of a single uninterrupted surface, or
divided into many separate portions, its nature is
universally and invariably the same, and from the
monad to man is endowed with analogous vital
energies.
558. Comparative anatomy, which has succeeded
in tracing through the different classes,
orders, genera, and countless tribes of animals, the
modifications in form and structure of the digestive
apparatus, has shown that those modifications
are invariably in strict adaptation to the kind of
food on which the apparatus is destined to act
and to the extent of the elaboration requisite to
convert crude aliment into proper animal substance.
To trace this adaptation through the
rising and ever-varying series, is a most interesting
and instructive study, not only exhibiting, in
the very organs that elaborate its food, the physical
and even the mental qualities assigned by
the hand of nature to each individual, but oftentimes
shedding a clear and bright light on the
complex structures of the highest and most perfect
organization. Striking and beautiful illustrations
are afforded by these investigations of the
principle formerly insisted on (vol. i. chap. i.
p. 28, 3), that the communication of the higher
faculties exalts the apparatus even of the very
lowest processes, that the latter may work in harmony
with the former. In conformity with this
principle, as the nobler endowments exalt the
animal in the scale of organization, so even its
very digestive apparatus becomes extended, isolated,
complex and refined.
559. The highest and most perfect form of
the digestive apparatus is that which is disposed
in a series of chambers in free communication
with each other. In these chambers the food
undergoes a succession of changes, by which it is
progressively assimilated to the nature of animal
substance. This assimilation, however, is never
effected by the sole agency of the chambers themselves;
it is accomplished, to a great extent, by
the influence of special organs placed in the
neighbourhood of the digestive chambers. In the
lowest animal there is but one substance and
one surface for every function; in the highest,
even for the performance of the lowest function,
there is the combination of many substances which
are arranged in complex modes.
560. In man, the digestive chambers are five;
the auxiliary organs are many.
The first of these chambers is the cavity called
the mouth; the second is the bag termed the
pharynx; the pharynx communicates by the
esophagus with the third chamber, the stomach;
the fourth chamber consists of the convoluted
tubes named the small intestines, and the fifth
consists of the larger tubes, denominated the
large intestines. The assistant organs are, first,
numerous appendages to the mouth, namely, the
tongue, the teeth, the salivary glands, and the
muscles that work the jaws; and, secondly, certain
appendages to the small intestines, namely,
the pancreas, the liver, the mesenteric glands, and
the lacteal vessels.
561. By the mouth the food is softened and
reduced to a pulp; by the tongue, materially aided
by the soft palate, this pulp, when duly prepared,
is transmitted to the pharynx; received by the
pharynx, it is sent on to the esophagus; by the
esophagus, it is conveyed to the stomach; in the
stomach, it is converted into a peculiar substance
called chyme; the chyme, passing from the stomach
into the first portion of the small intestines,
is there converted into the substance called chyle;
the chyle, carried slowly along the remaining portion
of the small intestines, is successively absorbed
by the lacteals; by the lacteals, it is conveyed
through the mesenteric glands to the thoracic duct,
and by the thoracic duct it is poured into the
venous blood close to the heart. By the large
intestines the refuse matter is conveyed out of the
system.
562. The function of digestion consists, then,
of the following processes:—
1. Prehension. 2. Mastication. 3. Insalivation.
4. Deglutition. 5. Chymification. 6. Chylification.
7. Absorption. 8. Fecation.
563. Prehension is the reception of the aliment;
mastication is the mechanical comminution
of it; insalivation is the admixture of it with certain
juices poured into the mouth; deglutition is
the transmission of it, when duly moistened and
divided, into the stomach; chymification is the
conversion of it into chyme; chylification is the
conversion of the chyme into chyle; absorption is
the assumption of the chyle by the lacteals and
the transmission of it into the blood, and fecation
is the separation and discharge of the refuse
matter. Each part of this extended apparatus is
modified in structure so as specially to fit it for
the performance of the office which is appropriated
to it.
564. The mouth is not merely the opening
between the two lips, but consists of an oval chamber,
bounded above by the upper jaw and the
palate; below by the tongue and the lower jaw;
laterally by the cheeks; behind by the soft palate;
and before by the lips.
565. The upper and lower jaw, the palate
bones, and the teeth, constitute the hard or the
bony parts of the mouth. The soft parts consist
of the lips, the cheeks, the soft palate, the tongue,
and the mucous membrane which lines the whole.
566. The lips and cheeks are composed principally
of muscles, covered on the outside by the
skin, and lined on the inside by the mucous membrane
of the mouth. In the interspaces between
the muscles is disposed a quantity of fat, which
gives form to the face, facilitates the movements
of the muscles, and protects the glands, blood-vessels,
and nerves, with which all these organs
are most abundantly supplied.
567. The roof of the mouth, called the palate,
consists partly of bony and partly of membranous
substance. The bony part of the palate forms an
arch in the upper jaw, the position of which in the
erect posture is horizontal: the membranous part
of the palate consists of the mucous membrane of
the mouth, which affords a covering to the bony
part of the palate.
Fig. CLII.—
View of the Mouth, showing particularly the
Soft Palate, Tonsils, and Tongue.
1. Anterior arch of the soft palate. 2. Posterior arch. 3.
Tonsils or amygdalæ. 4. Uvula. 5. Communication between
the mouth and pharynx. 6. The tongue. 7. Anterior
or nervous papillæ. 8 and 9. The upper and lower
turbinated bones dividing the nostrils into (10) chambers.
Fig. CLIII.—
A side view of the Mouth, Pharynx, Nose, &c.
1. Mouth. 2. Tongue. 3. Section of the lower jaw. 4.
Submaxillary gland. 5. Sublingual gland. 6. Hyoid
bone. 7. Thyroid cartilage. 8. Thyroid gland. 9. Trachea.
10. Interior of the pharynx. 11. Section of the soft
palate. 12. The esophagus. 13. The interior of the nose.
14. The two spongy bones dividing it into three chambers.
15. The posterior communication with the upper part of
the pharynx.
Fig. CLIV.—
Posterior view of the Nose, Mouth, Larynx,
and Pharynx laid open.
1. Posterior openings of the nose, communicating with the
upper part of the pharynx. 2. Posterior surface of the
soft palate. 3. The uvula. 4. Back part of the mouth
communicating with the pharynx. 5. The tonsils. 6. Back
part or root of the tongue. 7. Posterior surface of the epiglottis.
8. The larynx. 9. The opening of the larynx into
the pharynx. 10. Cut edges of the pharynx. 11. Esophagus,
the continuation of the pharynx. 12. The Trachea,
continuation of the larynx. 13. Muscles acting on
the pharynx.
568. From the posterior part of the bony arch
of the palate is suspended, transversely, a moveable
partition, called the soft palate (fig. CLII. 1 and 2),
which is composed of muscular fibres enclosed in
the mucous membranes of the mouth. No less
than ten distinct muscles enter into the composition
of the soft palate. These muscles are disposed
in such a manner that they render the
organ capable of descending and of applying itself
against the tongue (fig. CLII. 6), so as completely
to close the passage between the mouth and the
pharynx (figs. CLII. 5, and CLIV. 1), and of ascending
and carrying itself obliquely backwards towards
the posterior wall of the pharynx, so as
completely to close the passage between the
pharynx and the nose (fig. CLIV. 2, 1); hence
this moveable partition performs the office of a
double valve, closing the passage from the mouth
to the pharynx, and from the pharynx to the nose.
569. From the centre of the soft palate hangs
pendulous the conical-shaped body called the
uvula (fig. CLII. 4), which consists of a small
muscle enveloped in the mucous membrane of the
mouth. The uvula assists in completing the valve
formed by the soft palate (fig. CLIV. 2, 3); it is
also an important organ in the modulation of the
voice. When destroyed by disease, both the deglutition
of the food and the sound of the voice
become imperfect.
570. The lateral edges of the soft palate separate
into two layers, which enclose between
them the bodies called the tonsils (fig. CLII. 3),
two glands commonly about the size of an almond.
These organs co-operate with other glands in
secreting the fluids of the mouth.
571. The tongue (figs. CLII. 6, and CLIII. 2)
is composed of six distinct muscles enveloped in
the mucous membrane of the mouth. The fibres
of these muscles are so interwoven with each
other as to form an intricate net-work; and their
number, arrangement, and exquisite organization
render the organ capable of executing a surprising
variety of movements with the most perfect
precision, and with a velocity of which the mind
can scarcely form a conception: some of these
movements being requisite to bring the aliment
under the operation of mastication, and others to
produce articulate speech.
572. The tongue divided into base, apex, and
dorsum, is supported by a bone called the hyoid
bone (os hyoides) (figs. CXXXVI. 1, and CLIII. 6),
which, unlike any other bone of the body, is
placed at a distance from the general skeleton,
and completely imbedded in muscles. This singularly
posted and delicately constructed bone is
not only connected with the tongue, but with
many other highly important muscles, to which it
affords a support and a lever.
573. Each jaw is provided with sixteen teeth
(fig. CLV.), arranged with perfect uniformity,
eight on each side of each jaw (fig. CLV.); those
of the one side exactly corresponding with those
of the other (fig. CLV.). The teeth, from the differences
they present in their size, form, mode of
connection with the jaw, and use, are divided into
four classes, namely, on each side of each jaw,
two incisors (figs. CLVI. and CLVII. 1, 2); one
cuspid (figs. CLVI. and CLVII. 3); two bicuspid
(figs. CLVI. and CLVII. 4, 5); and three molars
(figs. CLVI. and CLVII. 6, 7, 8).
A lateral view of the whole series of the teeth, in situ,
showing the relative situation of those of the upper with
those of the lower jaw. This figure and the following
figures to 159, are copied from Mr. T. Bell’s scientific and
instructive work on the Anatomy, Physiology, and Diseases
of the Teeth.
574. The incisor, or cutting teeth, are situated
in the front of the jaw; that directly in the centre
is called the central; and the next to it the lateral
incisor (fig. CLV.). Their office, as their name
imports, is to cut the food, which they do, on the
principle of shears or scissors.
575. Standing next to the lateral incisor is the
cuspid, canine, or eye-tooth (figs. CLV. , CLVI. , and
CLVII. ). It is the longest of all the teeth. Its
office is to tear such parts of the food as are too
hard to be readily divided by the incisors.
576. Next the cuspid are the bicuspid, two on
each side (fig. CLV., CLVII. ), so named from their
being provided with two distinct prominences or
points. Their office is to tear tough substances
preparatory to their trituration by the next set.
Front or external view of the upper teeth. 1. The central
incisor. 2. The lateral incisor. 3. The cuspid. 4. The
first bicuspid. 5. The second bicuspid. 6. The first
molar. 7. The second molar. 8. The third molar, or dens
sapientiæ.
577. The molars, or the grinders, three on
each side (fig. CLVI. and CLVII. ), provided with
four or five prominences on the grinding surface,
with corresponding depressions, which are so
arranged that the elevations of those of the upper
are adapted to the concavities of those of the lower
jaw, and the contrary.
Front view of the lower teeth. 1. The central incisor.
2. The lateral incisor. 3. The cuspid. 4. The first bicuspid.
5. The second bicuspid. 6. The first molar.
7. The second molar. 8. The third molar, or dens sapientiæ.
578. From the incisor to the molar teeth there
is a regular gradation in size, form, and use, the
cuspid holding a middle place between the incisor
and the bicuspid, and the bicuspid being in
every respect intermediate between the cuspid and
the molar. Thus the incisor are adapted only for
cutting, the cuspid for tearing, the bicuspid partly
for tearing and partly for grinding, and the molar
solely for grinding. The incisor has only a single
root, which is nearly round, and quite simple (fig.
CLVII. 1, 2); the cuspid has only a single root, but
this is flattened and partially grooved (fig. CLVII.
3); even the bicuspid has only a single root, but
this is commonly divided at its extremity, and is
always so much grooved as to have the appearance
of two fangs partially united, the body having
two points instead of one, thus approaching it to
the form of the molar (fig. CLVII. 4, 5); and
these last have always two, sometimes three, occasionally
four roots, and their body is greatly increased
in size, and has a complete grinding surface
(fig. CLVII. 6, 7, 8).
579. In some animals whose food and habits
require the utmost extension of the office of a particular
class of teeth, a corresponding development
of that class takes place. Thus in the carnivora,
as is strikingly seen in the tiger and the polar
bear, the cuspid or canine teeth are prodigiously
elongated and strengthened, in order to enable
them to seize their food, and to tear it in pieces.
On the other hand, in the rodentia, or gnawing
animals, as in the beaver, the incisors are exceedingly
elongated; while in the graminivora, and
especially in the ruminantia, the molar teeth are
by far the most developed. In each case the
other kinds of teeth are of little comparative importance;
sometimes they are even altogether
wanting. Thus the shark has only one kind of
tooth, the incisor; but of these there are several
rows, and all of them the creature has the power
of erecting at will.
580. So intimately are these organs connected
with the kind of food by which life is sustained,
and the kind of food with the general habits of
the animal, that an anatomist can tell the structure
of the digestive organs, the kind of nervous
system, the physical and even the mental endowments;
that is, the exact point in the scale of organization
to which the animal belongs, merely by
the inspection of the teeth.
581. In man, the several classes of the teeth
are so similarly developed, so perfectly equalized,
and so identically constructed, that they may be
considered as the true type from which all the
other forms are deviations.
582. For the accomplishment of their office the
teeth must be endowed with prodigious strength:
for the fulfilment of purposes immediately connected
with the apparatus of digestion, it is necessary
that they should be placed in the neighbourhood
of exceedingly soft, delicate, irritable, and
sentient organs. That they may possess the requisite
degree of strength, they are constructed
chiefly of bone, the hardest organized substance.
Bone, though not as sensible as some other parts
of the body, is nevertheless sentient. The employment
of a sensitive body in the office of
breaking down the hard substances used as food
would be to change the act of eating from a
pleasurable into a painful operation. It has been
shown (vol. i. p. 84) that provision is made for
supplying to the animal a never-failing source of
enjoyment in the annexation of pleasurable sensations
with the act of eating, and that, taking
the whole of life into account, the sum of enjoyment
secured by this provision is incalculable.
But all this enjoyment might have been lost,
might even have been changed into positive pain,
nay, must have been changed into pain, but for
adjustments numerous, minute, delicate, and, at
first view, incompatible.
583. Had a highly-organized and sensitive
body been made the instrument of cutting, tearing,
and breaking down the food, every tooth, every
time it comes in contact with the food, would produce
the exquisite pain now occasionally experienced
when a tooth is inflamed. Yet a body
wholly inorganic and therefore insensible, could
not perform the office of the instrument; first,
because a dead body cannot be placed in contact
with living parts without producing irritation, disease,
and consequently pain; and, secondly, because
such a body being incapable of any process
of nutrition, must speedily be worn away by friction,
and there could be no possibility of repairing
or of replacing it. The instrument in question,
then, must possess hardness, durability, and, to a
certain extent, insensibility; yet it must be capable
of forming an intimate union with sentient and
vital organs, must be capable of becoming a constituent
part of the living system.
584. To communicate to it the requisite degree
of hardness, the hard substance forming its
basis is rendered so much harder than common
bone that some physiologists have even doubted
whether it be bone, whether it really possess a
true organic structure. That there is no ground
for such doubt the evidence is complete. For,
1. The tooth, like bone in general, is composed
partly of an earthy and partly of an animal substance;
the earthy part being completely removable
by maceration in an acid, and the animal
portion by incineration, the tooth under each
process retaining exactly its original form.
2. The root of the tooth is covered externally
by periosteum; its internal cavity is lined
by a vascular and nervous membrane, and both
structures are intimately connected with the substance
of the tooth. If these membranes really
distribute their blood-vessels and nerves to the
substance of the tooth, which there is no reason to
doubt, the analogy is identical between the structure
of the teeth and that of bone.
3. Though the blood-vessels of the teeth are so
minute that they do not, under ordinary circumstances,
admit the red particles of the blood, and
though no colouring matter hitherto employed in
artificial injections has been able, on account of its
grossness, to penetrate the dental vessels, yet disease
sometimes accomplishes what art is incapable of
effecting. In jaundice the bony substance of the
teeth is occasionally tinged with a bright yellow
colour; and in persons who have perished by a
violent death, in whom the circulation has been
suddenly arrested, it is of a deep red colour.
Moreover, when the dentist files a tooth, no pain
is produced until the file reaches the bony substance;
but the instant it begins to act upon this
part of the tooth, the sensation becomes sufficiently
acute.
585. These facts demonstrate that the bony
matter of the tooth, though modified to fit the instrument
for its office, is still a true and proper
organized substance.
586. Each tooth is divided into body, neck,
and root (fig. CLVIII. 1, 2, 3). The body is that
part of the tooth which is above the gum, the root
that part which is below the gum, and the neck
that part where the body and the root unite (fig.
CLVIII. ). The body, the essential part, is the tooth
properly so called, the part which performs the
whole work for which the instrument is constructed,
to the production and support of which
all the other parts are subservient.
Views of different kinds of teeth, showing their anatomical
division into, 1. The body or crown. 2. The fang or
root. 3. The neck.
Fig. CLIX.—Sections of Teeth, exhibiting their Structure.
1. The bony substance. 2. The enamel. 3. The internal
cavity. 4. The foramen, or hole at the extremity of the
root.
587. When a vertical section is made in the
tooth, it is found to contain a cavity of considerable
size (fig. CLIX, 3), termed the dental cavity,
which, large in the body of the tooth, gradually
diminishes through the whole length of the root
(fig. CLIX. 3). The dental cavity is lined throughout
with a thin, delicate, and vascular membrane,
continued from that which lines the jaw. It contains
a pulpy substance. This pulp, highly vascular
and exquisitely sensible, is composed almost
entirely of blood-vessels and nerves, and is the
source whence the bony part of the tooth derives
its vitality, sensibility, and nutriment. The blood-vessels
and nerves that compose the pulp enter
the dental cavity through a minute hole at the
extremity of the root (fig. CLIX. 4). The membrane
which lines the dental cavity is likewise
continued over the external surface of the root, so
as to afford it a complete envelope.
588. Provision having been thus made for the
organization of the tooth, for the support of its
vitality, and for its connexion with the living
system, over all that portion of it which is above
the gum, and which constitutes the essential part
of the instrument, there is poured a dense, hard,
inorganic, insensible, all but indestructible substance,
termed enamel (fig. CLIX. 2); a substance
inorganic, composed of earthy salts, principally
phosphate of lime with a slight trace of animal
matter: a substance of exceeding density, of a
milky-white colour, semi-transparent, and consisting
of minute fibrous crystals. The manner in
which this inorganic matter is arranged about the
body of the tooth is worthy of notice. The crystals
are disposed in radii springing from the centre of the
tooth (fig. CLX. 3); so that the extremities of the
crystals form the external surface of the tooth,
while the internal extremities are in contact with
the bony substance (fig. CLX. 3). By this arrangement
a two-fold advantage is obtained; the enamel
is less apt to be worn down by friction, and is less
liable to accidental fracture.
Magnified section of a tooth, to illustrate the arrangement
of the fibrous crystals composing the enamel. 1. Cavity
of the tooth. 2. Bony substance. 3. Enamel, showing
the crystals disposed in radii.
589. In this manner an instrument is constructed
possessing the requisite hardness, durability,
and insensibility; yet organized, alive, as
truly an integrant portion of the living system as
the eye or the heart.
590. No less care is indicated in fixing than
in constructing the instrument. It is held in its
situation not by one expedient, but by many.
1. All along the margin of both jaws is placed
a bony arch, pierced with holes, which constitute
the sockets, called alveoli, for the teeth (fig.
CLXI. ). Each socket or alveolus is distinct,
there being one alveolus for each tooth (fig.
CLXI. ). The adaptation of the root to the
alveolus is so exact, and the adhesion so close,
that each root is fixed in its alveolus just as a nail
is fixed when driven into a board.
Upper jaw, showing the alveoli.
2. The roots of the tooth, when there are more
than one, deviate from a straight line (fig. CLVI.
6, 7, 8); and this deviation from parallelism, on
an obvious mechanical principle, adds to the firmness
of the connexion.
3. Adherent by one edge to the bony arch of
the jaw, and by the other to the neck of the tooth,
is a peculiar substance, dense, firm, membranous,
called the gum, less hard than cartilage, but much
harder than skin, or common membrane; abounding
with blood-vessels, yet but little sensible; constructed
for the express purpose of assisting to fix
the teeth in their situation.
4. The dense and firm membrane covering the
bony arch of the jaw is continued into each
alveolus which it lines; from the bottom of the
alveolus this membrane is reflected over the root
of the tooth, which it completely invests as far as
the neck, where it terminates, and where the
enamel begins: this membrane, like a tense and
strong band, powerfully assists in fixing the
tooth.
5. Lastly, the vessels and nerves which enter
at the extremity of the root, like so many strings,
assist in tying it down; hence, when in the progress
of age, all the other fastenings are removed,
these strings hold the teeth so firmly to the bottom
of the socket, that their removal always requires
considerable force.
591. But a dense substance like enamel, acting
with force against so hard a substance as bone,
would produce a jar which, propagated along the
bones of the face and skull to the brain, would
severely injure that tender organ, and effectually
interfere with the comfort of eating.
592. This evil is guarded against,
1. By the structure of the alveoli (fig. CLXII.),
which are composed not of dense and compact, but
of loose and spongy bone (fig. CLXII.). This cancellated
arrangement of the osseous fibres is admirably
adapted for absorbing vibrations and preventing
their propagation (90).
2. By the membrane which lines the socket.
3. By the membrane which covers the root of
the tooth; and,
4. By the gum.
View of the upper and lower teeth in the alveoli; the
external alveolar plate being cut away to show the
cancellated structure of the alveoli, and the articulation
of the teeth.
These membranous substances, even more than
the cancellated structure of the alveoli, absorb
vibrations and counteract the communication of a
shock to the bones of the face and head when the
teeth act forcibly on hard materials; so many
and such nice adjustments go to secure enjoyment,
nay to prevent exquisite pain, in the simple operation
of bringing the teeth into contact in the act
of eating.
1. The temporal muscle. 2. Its insertion passing beneath.
3. The zygoma. 4. The masseter muscle, its anterior
portion reflected to show the insertion of the temporal.
The action of these powerful muscles is to pull the lower
jaw upwards with great force against the upper jaw, and
at the same time to draw it a little forwards or backwards,
according to the direction of the fibres of the muscles.
593. The teeth in mastication are passive
instruments put in motion by the jaws. The
upper jaw is fixed, the lower only is movable.
The lower jaw is capable of four different motions;
depression, elevation, a motion forwards and backwards,
and partial rotation. These simple motions
are capable, by combination, of producing various
compound motions. Numerous muscles, some of
them endowed with prodigious power, are so disposed
and combined as to be able, at the command
of volition, to produce any of these motions that
may be required, simple or compound.
Fig. CLXIV.—
Muscles of the Jaw.
1. Portion of the zygomatic process of the temporal bone.
2. Ascending plate of the lower jaw removed to expose,
3. External pterygoid, and, 4. Internal pterygoid muscles.
The action of these muscles is to raise the lower jaw, and
to pull it obliquely towards the opposite side. When both
muscles act together, they bring the lower jaw forwards,
so as to make the fore-teeth project beyond those of the
upper jaw.
594. By the combination, succession, alternation,
and repetition of these motions, the lower
is made to produce upon the upper jaw all the
variety of pressure necessary for the mastication of
the food. In this process the muscles of the
tongue perform scarcely a less important part than
the muscles of the lower jaw. Some of its muscular
fibres shorten the tongue, some give it
breadth, others render it concave, and others
convex: so ample is the provision for moving this
organ to different parts of the mouth and fauces,
whether to bruise the softer parts of the aliment
against the palate, to mix it with the saliva, or to
place it under the pressure of the teeth.
595. By the combined action of the muscles
of the lower jaw and tongue, and that of the teeth,
the food is bruised, cut, torn, and divided into
minute fragments. This operation is of so much
importance that the whole process of digestion is
imperfect without it. It is proved by direct experiment
that the stomach acts upon the aliment
with a facility in some degree proportionate to the
perfection with which it is masticated. If an
animal swallow morsels of food of different bulks,
and the stomach be examined after a given time,
digestion is found to be the most advanced in the
smallest pieces, which are often completely softened,
while the larger are scarcely acted upon
at all.
596. At the same time that, by the operation
of mastication, the aliment undergoes mechanical
division, it imbibes a quantity of fluid derived from
various sources.
1. From the membrane which lines the internal
surface of the mouth, and which affords a covering
to all the parts contained in it.
2. From numerous minute glands placed in
clusters about the cheeks, gums, lips, palate, and
tongue. Each of these glands is furnished with
its own little duct, which, piercing the mucous
membrane, opens into the cavity of the mouth.
From these glands is derived the fluid with which
the interior of the mouth is lubricated. It consists
of a glutinous, adhesive, transparent fluid, of a
light grey tint, salt taste, and slightly alkaline
nature, termed mucus.
Fig. CLXV.—
View of the Parotid Gland with the Muscles
of the Face.
1. Parotid gland. 2. Parotid duct. 3. Masseter muscle.
4. Buccinator. 5. Triangularis, or depressor of the angle
of the mouth. 6. Depressor of the lower lip. 7. Orbicularis,
or circular muscle of the mouth. 8. Great zygomatic, or the distorter of the mouth, as in laughing. 9. Elevator
of the angle of the mouth. 10. Elevator of the upper lip,
and wing of the nose. 11. Compressor of the cartilage of
the nose. 12. Orbicularis, or circular muscle of the eyelids.
13. Occipito frontalis; elevator of the eyelids;
motor of the scalp, &c., an important muscle of expression.
14. Tendinous portion of the occipito frontalis. 15. Elevator
of the ear.
3. From six large glands placed symmetrically,
three on each side, termed the salivary glands,
namely, the parotid (fig. CLXV. 1), situated before
the ear; the submaxillary (fig. CLIII. 4), situated
beneath the lower jaw; and the sublingual (fig.
CLIII. 5), situated immediately under the tongue.
Each of these glands is provided with a duct
(figs. CLXV. 2, and cliii. 4, 5), by which it pours
the fluid it elaborates, called saliva, into the
mouth.
597. The other fluids of the mouth are always
mixed with the saliva, and are all commonly included
under that name. The secretion of these
fluids is unceasing, and they pass into the stomach
by successive acts of deglutition at nearly regular
intervals; so that the stomach, after it has been
some time without food, contains a considerable
quantity of these fluids. But they are chiefly
needed during the operation of mastication, and
two provisions are made for securing their flow in
the greatest abundance at that time.
598. First, the situation of the glands is such
that they are all exposed to the action of the
muscles of mastication (figs. CLXIII. and CLXIV. ),
by which action the glands are excited, a large
quantity of blood is determined to them, and the
quantity of fluid they secrete is proportionate to
the quantity of blood they receive. Secondly, the
glands are placed under the influence of the mind,
so that the very thought, and still more the taste,
of grateful food, acting upon them as an additional
stimulus, causes an additional secretion.
The quantity of fluid formed from these different
sources, and mixed with the food during the mastication
of an ordinary meal, is estimated at half
a pint. It must commonly be more than this,
because, in a case described by Dr. Gairdner, of
Edinburgh, in which the esophagus had been cut
through, it was observed that from six to eight
ounces of saliva were discharged during a meal,
which consisted merely of broth injected through
the divided esophagus into the stomach.
599. Saliva is a frothy, watery fluid, in its
healthy state nearly insipid, and of a slightly
alkaline nature. It is composed of water, a peculiar
animal substance called salivary matter,
mucus, osmazome, a little albumen, and several
salts. It produces important changes on the food.
By the water, and the salts contained in it, it
softens and dissolves the food; and thus, while it
renders it easier to be swallowed, it prepares it for
the subsequent changes it is to undergo. To this
latter object, the assimilation of the food, it seems
to communicate the first tendency by the azotized
substances, the salivary, and the albuminous
matter which it adds to it. From this, the commencement
of the assimilative process to its completion,
animalized substances are successively
added to the food which have the property of converting
the food more and more into the nature of
animal substance.
600. Comminuted by the teeth, and softened
by the saliva, the food is reduced to a pulp. In
this pulp there is a complete admixture of all the
alimentary substances with the assimilative matter
secreted from the blood, into the nature of which
it is to be ultimately changed. The mass is at
the same time brought to the temperature of the
blood.
601. As long as the operations of mastication
and insalivation go on, the mouth forms a closed
cavity from which the food cannot escape; for the
lips enclose it before, the cheeks at the sides, the
tongue below, and the soft palate behind, the inferior
edge of which being applied in close and firm
contact with the base of the tongue, prevents
all communication between the mouth and the
pharynx.
602. When, by mastication, the food is sufficiently
divided, and by insalivation softened and
animalized to fit it for the future changes it is to
undergo, it is collected by the tongue, and carried
by that organ to the back part of the mouth. The
soft palate (fig. CLII. 1), obedient to the stimulus
of the duly prepared food, rises the instant it is
touched by it, and affords it a free passage to the
pharynx (figs. CLIII. . 10, and CLIV. . 10).
603. The pharynx (fig. CLIII. 10), a muscular
bag, immediately continuous with the mouth
(fig. CLIII. 1), is a vestibule into which open
several highly important organs. Before is the
entrance to the windpipe, termed the glottis (fig.
CLIV. 9), leading directly to the larynx (fig. CLIV. 8);
at the sides are the mouths of two ducts, termed
the Eustachian tubes, which lead to the internal
part of the organ of hearing; above are two entrances
to the nose (fig. CLIV. 1); and below is the
passage to the stomach (fig. CLIII. 12).
604. Were the food to enter the Eustachian
tubes or the nose, it would occasion great inconvenience;
were it to enter the glottis, it would
cause death. It is prevented from entering the
Eustachian tubes and the nose by the soft palate
(fig. CLII. 1 and 2), which by the very act of
rising to afford an opening from the mouth to the
pharynx, is carried over the other apertures so as
completely to close them. By the varied direction
of the muscular fibres which enter into the composition
of this organ, it is enabled to execute the
different and even opposite motions required in
the performance of its important office.
605. The food is prevented from entering the
glottis partly by a cartilaginous valve (fig. CLIV. 7),
termed the epiglottis, placed immediately above
the glottis, and attached to the root of the tongue
(fig. CLIV. 6). In delivering the food to the
pharynx the tongue passes backwards (fig. CLIV. 6).
In passing backwards it pushes in the same direction
the epiglottis which is attached to it, and so
necessarily carries it over the glottis, completely
closing the aperture (fig. CLIV. 9). At the same
time the opening is still more securely closed by
the glottis itself, in consequence of the powerful
and simultaneous contraction of the muscles that
act upon it in the production of the voice. It is
proved, by direct experiment, that the spontaneous
closure of the glottis is a more powerful agent in
excluding the food from the larynx even than the
depression of the epiglottis; but both organs
concur in producing the same result; and a
double security is provided against an event which
would be fatal.
606. It is deeply interesting to observe the
part performed in these operations by sensation
and volition, and the boundary at which their influence
terminates and consciousness itself is lost.
Mastication, a voluntary operation, carried on by
voluntary muscles, at the command of the will, is
attended with consciousness, always in the state of
health of a pleasurable nature. To communicate
this consciousness, the tongue, the palate, the lips,
the cheeks, the soft palate, and even the pharynx,
are supplied with a prodigious number of sentient
nerves. The tongue especially, one of the most
active agents in the operation, is supplied with no
less than six nerves derived from three different
sources. These nerves, spread out upon this
organ, give to its upper surface a complete covering,
and some of them terminate in sentient extremities
visible to the naked eye. These sentient
extremities, with which every point of the upper
surface, but more especially the apex, is studded,
constitute the bodies termed papillæ, the immediate
and special seat of the sense of taste. This sense
is also diffused, though in a less exquisite degree,
over the whole internal surface of the mouth.
Close to the sense of taste is placed the seat of the
kindred sense of smell. The business of both
these senses is with the qualities of the food.
Mastication at once brings out the qualities of the
food and puts the food in contact with the organs
that are to take cognizance of it. Mastication, a
rough operation, capable of being accomplished
only by powerful instruments which act with force,
is carried on in the very same spot with sensation,
an exquisitely delicate operation, having its seat
in soft and tender structures, with which the appropriate
objects are brought into contact only with
the gentlest impulse. The agents of the coarse
and the delicate, the forcible and the gentle
operations are in close contact, yet they work
together not only without obstruction, but with the
most perfect subserviency and co-operation.
607. The movements of mastication are produced,
and, until they have accomplished the
objects of the operation, are repeated by successive
acts of volition. To induce these acts, grateful
sensations are excited by the contact of the food
with the sentient nerves so liberally distributed
over almost the whole of the apparatus. To the
provision thus made for the production of pleasurable
sensation, is superadded the necessity of
direct and constant attention to the pleasure included
in the gratification of the taste. It is justly
observed by Dr. A. Combe, that without some
degree of attention to the process of eating, and
some distinct perception of its gratefulness, the
food cannot be duly digested. When the mind is
so absorbed as to be wholly unconscious of it, or
even indifferent to it, the food is swallowed without
mastication; then it lies in the stomach for hours
together without being acted upon by the gastric
juice, and if this be done often, the stomach
becomes so much disordered as to lose its power of
digestion, and death is the inevitable result: so
that not only is pleasurable sensation annexed to
the reception of food, but the direct and continuous
consciousness of that pleasurable sensation
during the act of eating is made one of the
conditions of the due performance of the digestive
function.
608. With the operation of mastication and
one part of the process of deglutition, immediately
to be noticed, the agency of volition and sensation
cease. Beyond this the function of digestion is
wholly an organic process. In addition to the
reasons assigned (vol. i. p. 55) why all the organic
processes are placed alike beyond the cognizance
of sense and the control of the will, there is this
special reason why, in the function of digestion,
they cease at the exact boundary assigned them.
609. Every time the act of deglutition is performed
the openings to the windpipe and to the
nose are closed, so that during this operation all
access of air to the lungs is stopped, consequently
it is necessary that the passage of the food through
the pharynx should be rapid. Mastication, a
voluntary process, may be performed slowly or
rapidly, perfectly or imperfectly, without serious
mischief; but life depends on the passage of the
food through the pharynx with extreme rapidity
and with the nicest precision. It is therefore
taken out of the province of volition and entrusted
to organs which belong to the organic life, organs
which carry on their operations with the steadiness,
constancy, and exactness of bodies whose
motions are determined by a physical law.
610. No sooner does the duly-prepared food
touch the soft palate than the whole apparatus of
deglutition is instantly in motion. This movable
partition suddenly rises to afford to the food a free
passage to the pharynx. The pharynx itself, at
the same instant, rises to receive the morsel thrust
towards it by the pressure of the tongue; and one
muscle, the stylo-pharyngeus, which concurs in
producing this movement, seems specially intended,
in addition, to expand the pharynx. Three
muscles throw their fibres around the pharynx,
termed its upper, middle, and lower constrictors,
which, the moment the morsel reaches the pharynx,
contract upon it, and embrace it firmly. At
the same instant the larynx, closing its aperture,
springs forward towards the base of the tongue,
under which it is in a manner concealed, the
additional shield of the epiglottis being simultaneously
thrown over the glottis. By this movement
of the larynx, upwards and forwards, the
course of the morsel across the dangerous passage
is shortened. All these motions take place with
such rapidity that Boerhaave said the action is
convulsive. And now the food, firmly pressed by
the pharynx, cannot return to the mouth, for the
root of the tongue is there stopping up the passage;
it cannot enter the Eustachian tubes or the
nose, for the soft palate is there closing the apertures;
it cannot enter the larynx, for a double
guard is placed upon the glottis securing its firm
closure. The food can advance in one direction
only, the direction required, that which leads to
the esophagus. Well, therefore, on the contemplation
of these complex structures and the
consent and harmony with which they act, might
Paley say,
“In no apparatus put together by art
do I know such multifarious uses so aptly contrived
as in the natural organization of the human
mouth and its appendages. In this small cavity
we have teeth of different shape; first, for cutting;
secondly, for grinding; muscles most artificially
disposed for carrying on the compound
motions of the lower jaw by which the mill is
worked; fountains of saliva springing up in different
parts of the cavity for the moistening of the
food while the mastication is going on; glands to
feed the fountains; a muscular contrivance in the
back part of the cavity for the guiding of the prepared
aliment into its passage towards the stomach,
and for carrying it along that passage. In the
mean time, and within the same cavity, is going
on other business wholly different, that of respiration
and of speech. In addition, therefore, to
all that has been mentioned, we have a passage
opened from this same cavity of the mouth into
the lungs for the admission of air, for the admission
of air exclusively of every other substance;
we have muscles, some in the larynx, and, without
number, in the tongue, for the purpose of modulating
that air in its passage, with a variety, a
compass, and a precision of which no other musical
instrument is capable; and, lastly, we have a
specific contrivance for dividing the pneumatic
part from the mechanical, and for preventing
one set of functions from interfering with the other.
The mouth, with all these intentions to serve, is a
single cavity; is one machine, with its parts
neither crowded nor confined, and each unembarrassed
by the rest.” It should be added, the
mouth is also the immediate seat of one of the
senses, and is in intimate communication with a
second sense; both these senses are always excited
while the principal business performed by
the machine is carried on, and are necessarily
excited by the very working of the machine, and
the sensations induced in the natural and sound
state of the apparatus are invariably pleasurable.
611. The food is delivered by the pharynx to
the esophagus (fig. CLIII. 12), a tube composed
partly of membrane and partly of muscle. Its
muscular fibres consist of a double layer, an external
and an internal layer; the external has a
longitudinal direction; the internal describes portions
of a circle around the tube. By the contraction
of the longitudinal fibres the length, and by
the contraction of the circular fibres, the diameter
of the tube is diminished. Cellular membrane
envelops these layers of fibres externally, and
mucous membrane covers them internally. When
the tube is contracted, the mucous membrane is
disposed in folds, which disappear when it is
dilated, and these folds allow of the expansion of
the tube without injury to the delicate tissue that
lines it. The food passes slowly along the esophagus
urged towards the stomach, not by its own
gravity, but by a force exerted upon it by the
tube itself, chiefly by the contraction of its circular
fibres. Delivered at length to the stomach,
the food is incapable of returning into the esophagus
in consequence of the oblique direction in
which the esophagus enters the stomach, the
obliquity of its entrance serving the office of a
valve.
Fig. CLXVI.—
View of the Stomach with its Muscular
Coats displayed.
1. The esophagus terminating in the stomach. 2. The
cardiac orifice. 3. The pylorus. 4. The commencement of
the duodenum. 5. The large curvature of the stomach.
6. The small curvature. 7. The large extremity. 8. The
small extremity. 9. The longitudinal muscular fibres.
10. The circular muscular fibres.
612. The stomach is a bag of an irregular
oval shape (fig CLXVI.), capable, in the adult,
of containing about three pints. It is placed transversely
across the upper part of the abdomen
(fig. LX. 7). It occupies the whole epigastric
(fig. CV. 3), and the greater part of the left
hypochondriac regions (fig. CVII. 3). Above, it
is in contact with the diaphragm, the arch of
which extends over it (fig. LX. 7, b); below with
the intestines (fig. LX. 8, 9), on the right side
with the liver (fig. LX. 6), and on the left side
with the spleen (fig. CLXVIII. 5).
Fig. CLXVII.
Internal View of the Stomach and Duodenum.
1. Mucous membrane, forming the rugæ. 2. Pyloric
orifice opening into the duodenum. 3. Duodenum. 4. Interior
of the duodenum, showing the valvulæ conniventes.
5. Termination of, 6. The biliary or choledoch duct.
7. Pancreatic duct, terminating at the same point as the
choledoch duct. 8. Gall-bladder removed from the liver.
9. Hepatic duct proceeding from the liver. 10. Cystic
duct proceeding from the gall-bladder, forming by its
union with the hepatic, a common trunk, the choledoch.
613. Into the left extremity, which is much
larger and considerably higher than the right
(fig. CLXVI. 7), the esophagus opens by an aperture
called the cardiac orifice (fig. CLXVI. 2). At
the right extremity, a second aperture called the
pyloric orifice (fig. CLXVII. 2), leads into the first
intestine.
614. Between the cardiac and the pyloric
orifices are two curvatures, one above, called the
smaller (fig. CLXVI. 6), the other below, termed
the larger curvature (fig. CLXVI. 5).
615. Like the esophagus, the stomach is composed
of two layers of muscular fibres, the external
longitudinal (fig. CLXVI. 9), the internal circular
(fig. CLXVI. 10). By the contraction of the first
the extent of the stomach, from extremity to extremity,
is diminished, or the organ is shortened;
by the contraction of the second the extent of the
stomach, from curvature to curvature, is diminished,
or the organ is narrowed. During digestion,
by the contraction of these muscular
fibres, the capacity of the stomach is changed
alternately in both directions, whence a gentle
motion is communicated to the aliment, which is
thus brought in succession under the influence of
the agent that acts upon it.
616. A thin but strong membrane, derived
from the peritoneum, the membrane that lines the
general cavity of the abdomen, forms the external
tunic of the stomach; hence its outer covering is
called the peritoneal coat.
617. The inner or mucous coat (fig. CLXVII. 1),
a direct continuation of the lining membrane of
the esophagus, is sometimes called also villous, on
account of the minute bodies termed villi, with
which every point of its internal surface is studded.
It is these villi which give to this surface its
pilous or velvety appearance,
Fig. CLXVIII.—
View of the Vascular connexion between
the Stomach, Liver, Spleen, and Pancreas.
1. Stomach raised to exhibit its posterior surface. 2. Pylorus.
3. Duodenum. 4. Pancreas. 5. Spleen. 6. Undersurface
of the liver. 7. Gall-bladder, in connexion with the
liver. 8. Large vessels proceeding from. 9. A common
trunk to supply the liver, gall-bladder, stomach, duodenum,
pancreas, and spleen.
618. The mucous coat is far more extensive
than the other two, in consequence of its being
plaited into a number of folds (fig. CLXVII. 1),
termed rugæ, which are so disposed as to present
the appearance of a net-work. The object of the
rugæ is to enlarge the space for the expansion of
blood-vessels and nerves, and to admit of the
occasional distension of the organ without injury
to the delicate tissues of which it is composed.
619. Immediately beneath the mucous coat are
the mucous follicles which secrete the mucous
fluid by which the inner surface of the organ is
defended. These glandular bodies are extremely
numerous, and vary considerably in diameter.
The largest are towards the great extremity, the
smaller towards the pylorus.
620. Altogether different from the mucous
secretion is another fluid, which also flows from the
mucous surface, termed the gastric or the digestive
juice, from its being the principal agent in the digestive
process. By some anatomists the gastric juice
is supposed to be secreted by minute glands placed
between the mucous and the muscular coats, provided
with ducts which pierce the mucous coat, and
which bear their fluid into the stomach precisely
as the salivary glands carry the saliva into the
mouth. It is certain that this is the case with
some animals, as in certain birds, the ostrich for
example, in which glands of considerable magnitude,
with ducts large enough to be visible, are
seen to pour the digestive fluid into the stomach.
But as no such glands have been discovered in the
human stomach, it is generally conceived that in
man the gastric juice is secreted by minute arteries
expanded upon the villi.
621. All around the pyloric orifice (fig. CLXVII. 2)
is placed a thick, strong, and circular muscle
(fig. CLXVII. 2), termed, from its office, pylorus.
It is about four times the thickness of the muscular
coat of the stomach, and presents the appearance
of a prominent and even projecting band (fig.
CLXVII. 2). From the frequent action of its
fibres, the pylorus often looks as if a piece of packthread
had been tied around it (fig. CLXVI. 3). Its
office is, by the contraction of its fibres, to guard
and close the opening from the stomach until the
aliment has been duly acted upon by the digestive
fluid.
View of the stomach, showing the number and magnitude
of its blood-vessels, and the mode of their distribution.
622. The quantity of blood sent to the stomach
is greater than is spent upon any other organ except
the brain. The vessels of the stomach (fig.
CLXIX.) form two distinct layers, of which the
external is distributed to the peritoneal and muscular
coats, while the internal, after ramifying on
the fine cellular tissue which unites the muscular
and mucous tunics, penetrates the mucous coat, and
is spent upon the villi, where it forms an exquisitely-delicate
net-work. There is, moreover, an
intimate vascular connexion between the spleen,
pancreas and liver, and the stomach (fig. CLXVIII. 8,
9). The arteries which supply all these organs spring
from a common trunk, and there is the freest communication
between them by anastomosing branches.
Fig. CLXX.—
View of the Organic Nerves of the Stomach.
1. Under surface of the liver turned up, to bring into
view the anterior surface of the stomach. 2. Gall bladder.
3. Organic nerves enveloping the trunks of the blood-vessels.
4. Pyloric extremity of the stomach and commencement
of the duodenum. 5. Contracted portion of
the pylorus. 6. Situation of the hour-glass contraction
of the stomach, here imperfectly represented. 7. Omentum.
623. Equally abundant is its supply of nerves,
some of which are derived from the organic or
non-sentient system, and others from the animal
or sentient system. The organic nerves are
spread out in countless numbers upon the great
trunks of the arteries, so as to give them a complete
envelope (fig. CLXX. 3); these nerves, never
quitting the arteries, accompany them in all their
ramifications, and the fibril of the nerve is ultimately
lost upon the capillary termination of the
artery. It is by these organic nerves that the
stomach is enabled to perform its organic functions,
which, for the reason assigned (vol. i. p. 82),
is placed beyond volition, and is without consciousness.
By the nerves derived from the
sentient system which mingle with the organic
(fig. XVI.), the function of nutrition is brought
into relation with the percipient mind, and is
made part of our sentient nature. By the commixture
of these two sets of nerves, derived from
these two portions of the nervous system, though
we have no direct consciousness of the digestive
process—consciousness ceasing precisely at the
point where the agency of volition stops (vol. i. p.
82, et seq.), yet pleasurable sensation results from
the due performance of the function. Hence the
feeling of buoyancy, exhilaration, and vigour, the
pleasurable consciousness to which we give the
name of health, when the action of the stomach is
sound: hence the depression, listlessness, and
debility, the painful consciousness which we call
disease, when the action of the stomach is unsound:
hence, too, the influence of the mental
state over the organic process; the rapidity and
perfection with which the stomach works when
the mind is happy—when the repast is but the
occasion and accompaniment of the feast of reason
and the flow of soul; the slowness and imperfection
with which the stomach works when the
mind is harassed with care struggling against
adverse events; or is in sorrow and without hope;
when the friend that sat by our side, and with
whom we were wont to take sweet counsel, is
gone, and therefore gone that which made it life
to live.
624. Renovation is the primary and essential
office of the stomach, and its organic nerves enable
it to supply the ever-recurring wants of the
system. Gratification of appetite is a secondary
and subordinate office of the stomach, and its
sentient nerves enable it to produce the state of
pleasurable consciousness when its organic function
is duly performed. By the double office thus
assigned it, the stomach is rendered what Mr.
Hunter named it, the centre of sympathies.
625. From the whole length of the great arch
of the stomach, and partly also from the commencement
of the duodenum (fig. CLXX.), the
peritoneal coat of the stomach is produced, forming
a thin, delicate membranous bag, called the
omentum, or cawl (fig. CLXX. 7). The omentum
extends from the great arch of the stomach to below
the umbilicus, and completely covers a large
portion of the anterior surface of the abdominal
viscera (fig. CLXX. 7). Between the two fine
membranous layers of which it is composed is
contained a quantity of fat, of which substance it
serves as a reservoir, and by the transudation of
which it appears to lubricate the intestines, and
to assist in preventing their accretion.
626. The food, on reaching the stomach, does
not occupy indifferently any portion of it, but is
arranged in a peculiar manner always in one and
the same part. If the stomach be observed in a
living animal, or be inspected soon after death, it
is seen that about a third of its length towards the
pylorus is divided from the rest by the contraction
of the circular fibre called the hour-glass contraction
(fig. CLXX. 6). The stomach is thus divided
into a cardiac and a pyloric portion (fig.
CLXX. 6). The food, when first received by the
stomach, is always deposited in the cardiac portion,
and is there arranged in a definite manner.
The food first taken is placed outermost,
that is, nearest the surface of the stomach; the
portion next taken is placed interior to the first,
and so on in succession, until the food last taken
occupies the centre of the mass. When new food
is received before the old is completely digested,
the two kinds are kept distinct, the new being
always found in the centre of the old.
627. Soon after the food has been thus arranged,
a remarkable change takes place in the mucous
membrane of the stomach. The blood-vessels
become loaded with blood; its villi enlarge,
and its cryptæ, the minute cells between the
rugæ, overflow with fluid. This fluid is the
gastric juice, which is secreted by the arterial
capillaries now turgid with blood. The abundance
of the secretion, which progressively increases
as the digestion advances, is in proportion
to the indigestibility of the food, and the quietude
of the body after the repast.
628. In the food itself no change is manifest for
some time; but at length that portion of it which
is in immediate contact with the surface of the
stomach begins to be slightly softened. This
softening slowly but progressively increases until
the texture of the food, whatever it may have
been, is gradually lost; and ultimately the most
solid portions of it are completely dissolved.
629. When a portion of food thus acted on is
examined, it presents the appearance of having
been corroded by a chemical agent. The white
of a hard-boiled egg looks exactly as if it had
been plunged in vinegar or in a solution of potass.
The softened layer, as soon as the softening is
sufficiently advanced, is, by the action of the
muscular coat of the stomach, detached, carried
towards the pylorus, and ultimately transmitted
to the duodenum; then another portion of the
harder and undigested food is brought into immediate
contact with the stomach, becomes softened
in its turn, and is in like manner detached; and
this process goes on until the whole is dissolved.
630. The solvent power exerted by the gastric
juice is most apparent when the stomach of an
animal is examined three or four hours after food
has been freely taken. At this period the portion
of the food first in contact with the stomach is
wholly dissolved and detached; the portion subsequently
brought into contact with the stomach
is in the process of solution, while the central
part remains very little changed.
631. The dissolved and detached portion of the
food, from every part of the stomach flows slowly
but steadily beyond the hour-glass contraction,
or towards the pyloric extremity (626), in
which not a particle of recent or undissolved food
is ever allowed to remain. The fluid, which thus
accumulates in this portion of the stomach, is a
new product, in which the sensible properties of
the food, whatever may have been the variety of
substances taken at the meal, are lost. This new
product, which is termed chyme, is an homogeneous
fluid, pultaceous, greyish, insipid, of a faint sweetish
taste, and slightly acid.
632. As soon as the chyme, by its gradual accumulation
in the pyloric extremity amounts to about
two or three ounces, the following phenomena
take place.
633. First, the intestine called duodenum, the
organ immediately continuous with the stomach,
contracts. The contraction of the duodenum is
propagated to the pyloric end of the stomach. By
the contraction of this portion of the stomach, the
chyme is carried backwards from the pyloric into
the cardiac extremity, where it does not remain,
but quickly flows back again into the pyloric extremity,
which is now expanded to receive it.
Soon the pyloric extremity begins again to contract;
but now the contraction, the reverse of the
former, is in the direction of the duodenum; in
consequence of which, the chyme is propelled
towards the pylorus. The pylorus, obedient to
the demand of the chyme, relaxes, opens, and
affords to the fluid a free passage into the duodenum.
As soon as the whole of the duly prepared
chyme has passed out of the stomach, the pylorus
closes, and remains closed, until two or three
ounces more are accumulated, when the same succession
of motions are renewed with the same result;
and again cease to be again renewed, as
long as the process of chymification goes on.
634. When the stomach contains a large quantity
of food, these motions are limited to the parts
of the organ nearest the pylorus; as it becomes
empty, they extend further along the stomach,
until the great extremity itself is involved in them.
These motions are always strongest towards the
end of chymification.
635. The stomach during chymification is a
closed chamber; its cardiac orifice is shut by the
valved entrance of the esophagus, and its pyloric
orifice by the contraction of the pylorus.
636. The rapidity with which the process of
chymification is carried on is different according
to the digestibility of the food, the bulk of the
morsels swallowed, the quantity received by the
stomach, the constitution of the individual, the
state of the health, and above all, the class of the
animal, for it is widely different in different classes.
In the human stomach in about five hours after
an ordinary meal the whole of the food is probably
converted into chyme.
637. The great agent in performing the process
of chymification is the gastric juice. The
evidence of this is complete; for,
1. As soon as the food enters the stomach a
large quantity of blood is determined to the
arteries, which secrete the gastric juice (627);
and this fluid continues to be poured into the stomach
in great abundance during the whole time
the process goes on.
2. The solvent power of this fluid is demonstrated
by the fact that it sometimes dissolves the
stomach itself, when death takes place suddenly
during the act of digestion in a sound and vigorous
state of the digestive organs.
3. On introducing into the stomach alimentary
substances inclosed in metallic balls perforated
with holes, or in pieces of porous cloth, it is found,
on removing these bodies from the stomach, after a
certain time, that the alimentary substances contained
in them are as completely digested as if
they had been in actual contact with the surface
of the stomach; the metallic ball and the cloth
remaining wholly unchanged. This experiment,
which has been often performed with the same
uniform result, was the first that led to the discovery
of the true nature of the digestive process.
4. Though it be impossible to imitate out of the
stomach all the circumstances under which the food
is placed within it, yet, on procuring gastric juice
from the stomachs of various animals, and mixing
it with different alimentary substances, it is found
not only to dissolve them, but to convert them into
a pultaceous mass, closely resembling chyme.
Gastric juice thus procured was put into a glass
tube with boiled beef, which had been masticated;
the tube was then hermetically sealed, and exposed
near the fire to a uniform heat: by the side
of this tube was placed another, containing the
same quantity of flesh immersed in water. In
twelve hours, the flesh in the tube containing
the gastric juice began to lose its fibrous
structure; in thirty-five hours it had nearly lost
its consistence, being reduced to a soft homogeneous
pultaceous mass. It experienced no further
change during the two following days. On
the other hand, the flesh that had been immersed
in water was putrid in sixteen hours.
638. Since alimentary substances under the
action of the stomach present precisely the
appearance exhibited by bodies exposed to the
influence of chemical agents, it appears that the
gastric juice not only dissolves the food, but
dissolves it by a chemical agency. Its action
bears no proportion to the mechanical texture of
bodies, nor to any of their physical properties. It
acts upon the densest membrane, dissolves even
bone itself; and yet produces no effect on other
substances of the most tender and delicate texture.
On the skin of fruit, on the finest fibre of flax and
cotton, it is incapable of making the slightest
impression. In this selection of substances it
perfectly resembles a chemical agent acting by
chemical affinity. On certain substances its
action is unquestionably of a chemical nature. It
occasions the coagulation of albuminous fluids; it
prevents the accession of putrefaction; it stops
the process after it has commenced. From the
whole, it follows that the food in the stomach is
converted into chyme by the agency of a fluid
secreted by the inner surface of the stomach, and
that this change is effected by a proper chemical
action.
639. It had been long ascertained that the
gastric juice contains an uncombined acid, and that
if carbonate of lime be placed in a tube and introduced
into the stomach, the carbonate is dissolved
just as if it were put into weak vinegar. Several
years ago, it was discovered by Dr. Prout that this
free acid is muriatic acid. Some time after the publication
of Dr. Prout’s experiments, Chevreul and
Leuret and Lassaigne in France obtained different
results; but Tiedemann and Gmelin, professors in
the university of Heidelberg, in an extended series
of experiments, arrived at precisely the same conclusion
as the English physiologist, and apparently
without any previous knowledge of the researches
of the latter. Tiedemann and Gmelin state, as
the result of their experiments, that the clear ropy
fluid, or the gastric juice obtained from the stomach
some time after it had been without food, is nearly
or entirely destitute of acidity; that the presence
of food, or indeed of any stimulus to the mucous
membrane, causes the gastric juice to become distinctly
acid; that this acidity increases according
to the indigestibility of the food; that the quantity
of acid poured out is very copious; that it consists
partly of muriatic and partly of acetic acid; and that
both these acids are efficient agents in the process of
digestion. Dr. Prout, who had also recognised the
presence of acetic acid, is of opinion that its
formation is an accidental occurrence not necessary
to digestion nor conducive to it; but is either
derived from the aliment, or is the result of irritation
or disease. He contends that the muriatic
acid is the efficient digestive agent.
640. The still more recent experiments of Braconnot
appear to have set this matter at rest, and
to have proved, beyond all controversy, that the
stomach, when stimulated by the presence of food or
other foreign agents, possesses the power of secreting
free muriatic acid in great quantity; and that it is
by this acid that the solution of the food is effected.
It is even found that muriatic acid is capable of
digesting alimentary substances out of the body.
It had been long known, that if meat and gastric
juice be inclosed in a tube and kept at the temperature
of the human body, a product is obtained
closely resembling chyme (637.4). M. Blondelot,
a physician at Nancy, has recently shown
that the same result may be obtained by the
digestion of the muscular fibre, in dilute muriatic
acid. In both cases the muscular fibre retains its
form and its original fibrous texture; but on the
slightest motion it divides into an insoluble mass,
perfectly homogeneous and similar to the chyme
of the stomach;5 a very close approximation to
the actual digestive process, more especially when
it is considered that it is not possible to imitate
out of the stomach several circumstances materially
influencing chemical action under which the
food is placed within the stomach.
641. Muriatic acid, the chemical agent by
which the stomach dissolves the food, is probably
obtained from the muriate of soda (common salt)
contained in the blood. The soda, the basis of the
salt, would appear to be retained in the blood, to
preserve the alkaline condition essential to the
maintenance of the sound constitution of the blood,
while the muriatic acid, disengaged from the soda
in the process of secretion, is poured into the
stomach to act upon the food.
642. A remarkable confirmation of the correctness
of the general conclusions to which observation
and experiment had thus enabled physiologists to
arrive, is afforded by the case of a young soldier
in the American army, of the name of Alexis St.
Martin, who received a wound on the left side by
the accidental discharge of a musket. The charge,
which consisted of duck shot, and which was received
at the distance of one yard from the
muzzle of the gun, entered the side posteriorly in
an oblique direction, forward and inward; blew
off the integument and muscles to the size of a
man’s hand; fractured and carried away the
anterior half of the sixth rib; fractured the fifth
rib; lacerated the lower portion of the left lobe of
the lungs; lacerated the diaphragm, and perforated
the stomach.
643. Violent fever and extensive sloughing of
the parts injured ensued, and the life of the young
man was often in jeopardy, but he ultimately
recovered. At the distance of about a year from
the date of the accident, the injured parts had all
become sound, with the exception of the perforation
into the stomach, which never closed, but
left an aperture permanently open, two inches
and a half in circumference. This aperture was
situated about three inches to the left of the
cardia, near the left superior termination of the
great curvature. For some time the food could
be retained only by constantly wearing a compress
and bandage; but at length a small fold of
the mucous coat of the stomach appeared, which
increased until it completely filled the aperture
and acted as a valve, so as effectually to prevent
any efflux from within, while it admitted of being
easily pushed back by the finger from without:
when the stomach was nearly empty, it was easy
to examine its cavity to the depth of five or six
inches by artificial distension; but, when entirely
empty, the stomach was always contracted on
itself, and the valve generally forced through the
orifice, together with a portion of the mucous
membrane equal in bulk to a hen’s egg.
644. It chanced that the admirable opportunity
thus afforded of bringing the process of digestion,
as far as it is carried on in the stomach, under the
cognizance of sense, occurred to an observant
and philosophical mind, and it was not lost.6
The following are some of the curious and instructive
phenomena observed.
645. The inner coat of the stomach, in its
natural and healthy state, is of a light or pale pink
colour, varying in its hues according to its full, or
empty state. It is of a soft or velvet-like appearance
(617), and is constantly covered with a very
thin transparent, viscid mucus, lining the whole
interior of the organ (619).
646. Immediately beneath the mucous coat
appear small spheroidal, or oval-shaped glandular
bodies, from which the mucous fluid appears to
be secreted (619).
647. By applying aliment or other irritants to
the internal coat of the stomach, and observing the
effect through a magnifying glass, innumerable
minute lucid points, and very fine nervous or vascular
papillæ are seen arising from the villous
membrane, and protruding through the mucous
coat, from which distils a pure, limpid, colourless,
slightly viscid fluid (620). This fluid, thus excited,
is invariably distinctly acid (639, et seq.).
The mucus of the stomach is less fluid, more viscid
or albuminous, semi-opaque, sometimes a little
saltish, and does not possess the slightest character
of acidity (619). On applying the tongue to the
mucous coat of the stomach in its empty, un-irritated
state, no acid taste can be perceived.
When food or other irritants have been applied
to the villous membrane and the gastric papillæ
excited, the acid taste is immediately perceptible.
The invariable effect of applying aliment to the internal,
but exposed part of the gastric membrane, is
the exudation of the solvent fluid from the papillæ.
Though the aperture of these vessels cannot be
seen even with the assistance of the best microscopes,
yet the points from which the fluid issues
are clearly indicated by the gradual appearance of
innumerable very fine lucid specks rising through
the transparent mucous coat, and seeming to
burst and discharge themselves upon the very
points of the papillæ, diffusing a limpid thin fluid
over the whole interior gastric surface.
648. The fluid so discharged is absorbed by the
aliment in contact; or collects in small drops, and
trickles down the sides of the stomach to the more
depending parts, and there mingles with the food,
or whatever else may be contained in the gastric
cavity. This fluid, the efficient cause of digestion,
the true gastric juice is secreted only when
it is needed; it is not accumulated in the intervals
of digestion, to be ready for the next meal; it
is seldom if ever discharged from its proper secreting
vessels, except when excited by the natural
stimulus of aliment, the mechanical irritation of
tubes, or other excitants. When aliment is received,
the juice is given out in exact proportion
to its requirements for solution, except when more
food has been taken than is necessary for the
wants of the system.
649. On collecting this fluid, which it was
easy to obtain, it was found to be transparent, inodorous,
saltish, and acidulous to the taste; it
consisted of water, containing free muriatic and
acetic acids, phosphates and muriates, with bases
of potass, soda, magnesia, and lime, together with
an animal matter soluble in cold, but insoluble in
hot water.
650. When a portion of liquid aliment, as a
few spoonsful of soup, were introduced into the
stomach at the external orifice, the rugæ (fig.
CLXVII . 1) immediately closed gently upon it;
gradually diffused it through the gastric cavity, and
prevented the entrance of a second quantity till this
diffusion was effected; then relaxation again took
place, and admitted of a further supply. When
solid food was introduced in the same manner,
either in large pieces or finely divided, the same
gentle contraction and grasping motions were
excited, and continued from fifty to eighty seconds,
so as to prevent more from being introduced,
without considerable force till the contraction was
at an end.
651. When the position of the body was such
that the cardiac portion of the stomach was brought
into view, and a morsel of food was swallowed in
the natural mode, a similar contraction of the
stomach, and closing of its fibres upon the bolus
was invariably observed to take place; and till
this was over, a second morsel could not be
received without a considerable effort. Hence,
in addition to the other purposes accomplished
by mastication, insalivation, and deglutition,
it is probable that these operations answer the
further use of duly regulating the time for the admission
of successive portions of the food into the
stomach.7
652. On watching the phenomena that take
place on the contact of a portion of food with the
stomach, the circumstances described (627) are
seen; the change in the mucous coat from a pale
pink to a deep red colour, in consequence of the
enlargement of the blood-vessels and their admission
of a greatly increased number of red particles;
the undulating motion of the stomach, in consequence
of the contraction of its muscular fibres,
excited by the stimulus of food; the distillation
of the gastric juice from the enlarged and excited
papillæ; the continuous flow of this fluid until the
complete solution of the food, when food is present;
and, on the contrary, the cessation of this
discharge in a short time when it is produced by a
mechanical irritant, as the bulb of a thermometer,
although at first the gastric juice distil from the
papillæ, from the contact of such an irritant, just
as when excited by the contact of food.
653. On collecting the gastric juice and placing
it in contact with an alimentary substance out of
the stomach, its solution takes place more slowly,
but not less completely, than when retained in the
stomach. An ounce of this fluid was placed in a vial
with a piece of boiled, recently salted beef, weighing
three drachms; the vial was then tightly corked,
and immersed in water, raised to the temperature
of 100°, previously ascertained to be the ordinary
heat of the stomach. In forty minutes the process
of solution had commenced on the surface of the
beef. In fifty minutes the texture of the beef
began to loosen and separate. In sixty minutes
an opaque and cloudy fluid was formed. In one
hour and a half the muscular fibres hung loose
and unconnected, and floated about in shreds in
the more fluid matter. In three hours the muscular
fibres had diminished about one half. In
five hours only a few remained undissolved. In
seven hours the muscular texture was no longer
apparent; and in nine hours the solution was
completed.
654. At the commencement of this experiment
a piece of the same beef of equal weight and size
was suspended within the stomach by means of
a string. On examining this portion of beef at
the end of half an hour, it was found to present
precisely the same appearance as the piece in the
vial; but on the removal of the string at the end
of an hour and a half the beef had been completely
dissolved, and had disappeared, making a
difference of result in point of time of nearly seven
hours. In both, the solution began on the surface,
and agitation accelerated its progress by removing
the external coating of chyme as fast as it was
formed.
655. An ordinary dinner having been taken,
consisting of boiled salted beef, bread, potatoes,
and turnips, with a gill of pure water for drink, a
portion of the contents of the stomach was drawn off
into an open mouthed vial, twenty minutes after
the meal. The vial was placed in a water-bath,
maintained steadily at a temperature of 100°. It
was continued in this temperature for five hours.
At the end of that time the whole contents of the
vial were dissolved. On comparing the solution
with an equal quantity of chyme taken from the
stomach, little difference could be distinguished
between the two fluids, excepting that it was manifest
that the digestive process had proceeded somewhat
more rapidly in, than out of the stomach.
The food, in this experiment, after having remained
in contact with the stomach for the space of
twenty minutes, had imbibed a sufficient quantity
of gastric juice to complete its solution.
656. Fifteen minutes after half a pint of milk had
been introduced into the stomach, it presented the
appearance of a fine loosely-coagulated substance
mixed with a semi-transparent whey-coloured fluid.
A drachm of warm gastric juice poured into two
drachms of milk at a temperature of 100°, produced
a precisely similar appearance in twenty
minutes. In another experiment, when four
ounces of bread were given with a pint of milk,
the milk was coagulated and the bread reduced to
a soft pulp in thirty minutes, and the whole was
completely digested in two hours.
657. When the albumen or white of two eggs
was swallowed on an empty stomach, small white
flakes began to be seen in about ten or fifteen
minutes, and the mixture soon assumed an opaque
whitish appearance. In an hour and a half the
whole had disappeared. Two drachms of albumen
mixed with two of gastric juice out of the stomach
underwent precisely the same changes, but in a
somewhat longer time.
658. Dr. Beaumont’s observations are adverse
to the opinion, founded on numerous experiments,
that the food is arranged in the stomach in a definite
manner, and that a distinct line of separation
exists between old and new food (626). In
the human stomach, according to the subject of
these experiments, the ordinary course and direction
of the food are first from right to left along
the small arch, and thence through the large curvature
from left to right. The bolus as it enters the
cardia turns to the left, passes the aperture, descends
into the splenic extremity, and follows the
great curvature towards the pyloric end. It
then returns in the course of the smaller curvature,
makes its appearance again at the aperture,
in its descent into the great curvature, to perform
similar revolutions. These revolutions are completed
in from one to three minutes. They are
probably induced in a great measure by the circular
or transverse muscles of the stomach
(615), as is indicated by the spiral motion of the
stem of the thermometer, both in descending to the
pyloric portion, and in ascending to the splenic.
These motions are slower at first than after chymification
has considerably advanced. 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 closed vessel,
gently agitated or turned in the hand.
659. In attempting to pass a long glass thermometer
through the aperture into the pyloric portion
of the stomach, during the latter stages of digestion,
a forcible contraction is perceived at the point of
the hour-glass contraction of the stomach, and the
bulb is stopped. In a short time there is a
gentle relaxation, when the bulb passes without
difficulty, and appears to be drawn quite forcibly,
for three or four inches, towards the pyloric end.
It is then released, and forced back, or suffered to
rise again, at the same time giving to the tube a
circular or rather a spiral motion, and frequently
revolving it quite over. These motions are distinctly
indicated and strongly felt in holding the end of
the tube between the thumb and finger; and it
requires a pretty forcible grasp to prevent it from
slipping from the hand, and being drawn suddenly
down to the pyloric extremity. When the tube is
left to its own direction at these periods of contraction,
it is drawn in, nearly its whole length, to
the depth of ten inches; and when drawn back
requires considerable force, and gives to the fingers
the sensation of a strong suction power, like drawing
the piston from an exhausted tube. This
ceases as soon as the relaxation occurs, and the
tube rises again, of its own accord, three or four
inches, when the bulb seems to be obstructed from
rising further; but if pulled up an inch or two
through the stricture, it moves freely in all directions
in the cardiac portions, and mostly inclines
to the splenic extremity, though not disposed to
make its exit at the aperture. These peculiar motions
and contractions continue until the stomach
is perfectly empty, and not a particle of food or
chyme remains, when all becomes quiescent again.
660. The chambers in which the remaining part
of the digestive process is carried on are much
less accessible, and no such favourable opportunity
as that enjoyed by Dr. Beaumont has occurred of
rendering their operations manifest to the eye.
Nevertheless, the researches of physiologists have
succeeded in disclosing, with almost equal exactness
and certainty, the successive changes which
the food undergoes even in these more hidden
organs, that admit of no exposure during life
without extreme danger.
661. The chyme on passing through the pylorus
is received into a chamber (fig. CLXVII. 3) which
forms the first portion of the small intestines.
The small intestines, taken together, constitute a
tube about four times the length of the body. This
tube is conical, the base of the cone being towards
the pylorus, and its apex at the valve of the
colon, where the small intestines terminate in the
large. From the pylorus to the valve of the colon
the small intestines diminish in capacity, in thickness,
in vascularity, in the size of the villi, and in
the depth and number of the valvulæ conniventes.
1. Esophagus. 2. Stomach. 3. Liver raised, showing the
under surface. 4. Duodenum. 5. Small intestines, consisting
of—6. Jejunum and ilium. 7. Colon. 8. Urinary
bladder. 9. Gall bladder. 10. Abdominal muscles divided
and reflected.
662. The first portion of the small intestine is
termed the duodenum (fig. CLXVII. 3). It is about
twelve inches in length, and, unlike the stomach,
which is capable of considerable motion, it is
closely tied down to the back by the peritoneum,
which imperfectly covers it. The rest of the
small intestine is divided into two portions—the
upper two-fifths of which are termed jejunum,
and the three lower ilium.
663. The duodenum, the chamber which receives
the chyme from the pylorus, is a second
stomach, which carries on the process commenced
in the first. It is assisted in the performance of
its function by two organs of considerable magnitude,
the pancreas and the liver.
664. The pancreas is a conglomerate gland
(fig. CLXXII. 5), of an elongated form, placed in
the epigastric region, lying transversely across it,
immediately behind the stomach (fig. CLXXII. 1),
and resting upon the spinal column (fig. CLXXII.
5). Its right extremity is attached to the duodenum
(fig. CLXXII. 9), and its left to the spleen
(fig. CLXXII. 4). In external appearance it resembles
the salivary glands, but it is of much
larger size, and its weight, from four to six ounces,
is three times greater than that of all the salivary
glands together. It secretes a peculiar fluid
called the pancreatic juice, which is carried into
the duodenum by a tube named the pancreatic
duct (fig. CLXVII. 7), which opens into the duodenum
about four or five inches from its pyloric
end (fig. CLXVII. 2).
1. Stomach raised. 2. Under surface of liver. 3. Gall
bladder. 4. Spleen. 5. Pancreas. 6. Kidneys. 7. Ureters.
8. Urinary bladder. 9. Portion of intestine called
duodenum. 10. Portion of intestine called rectum.
11. Aorta.
665. The liver, the largest and heaviest gland
in the body, weighing about four pounds, is placed
chiefly in the right hypochondriac region (fig.
CLXXI. 3); but a portion of it extends transversely
across the epigastric, into the left hypochondriac
region (figs. CV. and CVII. 3). Its upper surface
is in contact with the diaphragm (fig. LX. 6, b);
its under surface with the pyloric extremity of the
stomach (fig. LX. 7), and its margin can be felt
under the edges of the ribs of the right side.
666. It has been stated (473, 1.) that the fluid
secreted by the liver, unlike that formed by any
other organ of the body, is elaborated from
venous blood, derived from the veins of the digestive
organs, and that these veins uniting together,
form a common trunk called the vena portæ,
which penetrates the liver and ramifies through
it in the manner of an artery. Galen long ago
compared this venous system to a tree whose roots
are dispersed in the abdomen, and its branches
spread out through the liver. Two comparatively
small arteries, called the hepatic, nourish the
liver; the ultimate divisions of these arteries likewise
terminate in the vena portæ. The ultimate
branches of the vena portæ terminate partly in a
system of veins, called the hepatic, which like
ordinary veins return the blood to the right side
of the heart; and partly in a system of tubes,
termed the biliary ducts, which contain the fluid
secreted by the capillary branches of the vena
portæ. This fluid is the bile. The biliary ducts
uniting from all parts of the liver by innumerable
branches, at length form a single trunk termed
the hepatic duct (fig. CLXVII. 9), which carries
the bile partly to the gall bladder (fig. CLXVII. 8)
by a duct called the cystic (fig. CLXVII. 10), and
partly to the duodenum (fig. CLXVII. 3) by a duct
named the choledoch (fig. CLXVII. 6), a common
trunk formed by the union of the cystic with the
hepatic (fig. CLXVII. 10 and 9). The choledoch
duct opens into the duodenum at the same point
as the pancreatic (fig. CLXVII. 7), and generally
by a common orifice.
667. The duodenum, on receiving the chyme from
the stomach, transmits it slowly along its surface.
The kind of motion by which the chyme is borne
along the surface of the duodenum is perfectly
analogous to that by which it is transmitted from
the stomach to the duodenum, irregular, sometimes
in one direction, and sometimes in another,
at one time commencing in one part of the organ,
at another time in another, always slow, but ultimately
progressive.
668. As the chyme slowly advances through the
upper part of the duodenum, the biliary and the
pancreatic juices slowly distil into the lower
portion of the organ. The bile is seen to exude
from the choledoch duct, not continually, but at
intervals, a drop appearing at the orifice, and diffusing
itself over the neighbouring surface, about
twice in a minute, while the flow of the pancreatic
juice is still slower.
669. No appreciable change takes place in the
chyme until it reaches the orifice of the choledoch
duct; but as soon as it comes in contact with this
portion of the duodenum, the chyme suddenly loses
its own sensible properties, and acquires those of
the bile, especially its colour and bitterness. But
these properties are not long retained; a spontaneous
change soon takes place in the compound.
It separates into a white fluid and into a yellow pulp.
The white fluid is the nutritive part of the aliment;
the yellow pulp is the excrementitious matter.
670. This white fluid, the proper product of the
digestive process, as far as it has yet advanced, is
called chyle. If any portion of oil or fat have
been contained in the food, the chyle is of a milk-white
colour; if not, it is nearly transparent. It
is of the consistence of cream, and it bears a close
resemblance to cream in its sensible properties.
It differs from chyme in being of a whiter colour,
more pellucid, and of a thicker consistence: it
differs also in its chemical nature, for, whereas
chyme is acid, chyle is alkaline.
671. Three fluids are mixed with the chyme in
the duodenum, each of which contributes to the conversion
of the chyme into chyle. First, the secretion
of the duodenum itself, a solvent analogous
to the gastric juice. Secondly, the secretion of the
pancreas, a watery fluid holding in solution
highly important principles, namely, a large
quantity of albumen, a matter resembling casein,
osmazome, and different salts. Thirdly, the secretion
of the liver, a compound fluid, consisting of
water, mucus, and several peculiar animal matters,
namely, resin, cholesterine, picromel, cholic acid, a
colouring matter, probably salivary matter, osmazome,
casein, and many salts.
672. There cannot be a question that the secretion
of the duodenum has a solvent power over the
chyme analogous to that of the gastric juice. Some
physiologists indeed maintain that the juice poured
out from the inner surface of the duodenum is as
powerful a solvent as the gastric juice. It is
certain that substances which have escaped chymification
in the stomach undergo that process in
the duodenum, and that there is the closest analogy
between the action of the duodenum on the chyme
and that of the stomach on the crude food.
673. The pancreatic secretion adds to the
chyme richly azotized animal substances, albumen,
casein, osmazome (671), by which it is brought
nearer the chemical composition of the blood, and
prepared for its complete assimilation into it.
The first addition of such assimilative matter, it
has been shown, is communicated by the salivary
glands, but far more important additions are now
supplied from the pancreas. Hence the larger size
of the pancreas and the more copious secretion of
the pancreatic fluid, in herbivorous than in carnivorous
animals; hence the change produced in
the size of the pancreas by a long continued change
in the habits of an animal; hence the smaller size
of the pancreas in the wild cat, which lives wholly
on animal food, than in the domestic cat, which
lives partly on animal and partly on vegetable
food.
674. The bile, the most complex secretion in the
body, accomplishes manifold purposes.
1. Like the pancreatic secretion, it communicates
to the chyle richly azotized animal substances,
picromel, osmazome, and cholic acid (671); by
the combination of which with the chyme, it is
brought still nearer the chemical composition of
the blood. These principles are manifestly united
with the chylous portion of the chyme, since they
are not discoverable in its excrementitious matter.
2. Bile has the property of dissolving fat; consequently,
when oily or fatty matters are contained
in the food, it powerfully assists in converting
these substances into chyle.
3. The excrementitious portion of the bile is
highly stimulant. The contact of its bitter resin
with the mucous membrane of the intestines
excites the secretion of that membrane; hence the
extreme dryness of the excrementitious matter
when the choledoch duct of an animal has been
tied; and hence the same dryness of this matter in
jaundice, when the bile, instead of being conveyed
by its appropriate duct into the duodenum, is taken
up by the absorbents, poured into the blood, and
distributed over the system.
4. The bitter resin of the bile stimulates to contraction
the fibres of the muscular tunic of the intestines:
by the contraction of these fibres the excrementitious
matter is conveyed in due time out of
the body; hence the constipated state of the
bowels invariably induced when the secretion of
the bile is deficient, or when its natural course
into the intestines is obstructed.
5. The excrementitious portion of the bile exerts
an antiseptic influence over the excrementitious
portion of the food during its passage through
the intestines. In animals in which the choledoch
duct has been tied, the excrementitious portion of
the food is invariably found much further advanced
in decay than in the natural state. This is also
uniformly the case in the human body in proportion
as the secretion of the bile is deficient, or its
passage to the intestine is obstructed.
675. Such appear to be the real purposes accomplished
by the bile in the process of digestion.
Several uses have been assigned to it, in promoting
this process, which it does not serve. Seeing
the instantaneous change wrought in the chyme on
its contact with the bile, it was reasonable to suppose
that the main use of the bile was to convert
chyme into chyle, a purpose apparently of sufficient
importance to account for the immense size of the
gland constructed for its elaboration. The soundness
of this conclusion appeared to be established
by direct experiment. Mr. Brodie placed a
ligature around the choledoch duct of an animal:
after the operation the animal ate as usual: on
killing the animal some time after it had taken a
meal, and examining the body immediately after
death, it was clear that chymification had gone on in
the stomach just as when the choledoch duct was
sound, but no chyle appeared to be contained
either in the intestines or in the lacteals. In the
lacteals there was found only a transparent fluid,
which was supposed to consist of lymph and of the
watery portion of the chyme. Mr. Brodie’s experiments
seemed to be confirmed by those of Mr.
Mayo, who arrived at the conclusion, that when
the choledoch duct is tied, and the animal is examined
at various intervals after eating, no trace
whatever of chyle is discoverable in the lacteal
vessels. But these experimentalists inferred that
no chyle existed in the intestines or lacteals,
because there was present no fluid of a milk-white
colour, a colour not essential to chyle, but dependent
on the accident of oily or fatty matter
having formed a portion of the food. These
experiments have been repeated in Germany by
Tiedemann and Gmelin, and in France by Leuret
and Lassaigne, who have invariably found, after
tying the choledoch duct, nearly the same chylous
principles, with the exception of those derived
from the bile, as in animals perfectly sound; and
the English physiologists have since admitted that
their German and French colaborateurs have
arrived at conclusions more correct than their own.
676. The bile consists then of two different portions;
a highly animalized portion, which combines
with the chyme and exalts its nature by approximating
it to the condition of the blood; and an excrementitious
portion, which, after accomplishing
certain specific uses, is carried out of the system
with the undigested matter of the food. The excrementitious
portion of the bile, namely, the resin, the
fat, the colouring principle, the mucus, the salts,
constitute by far the largest portion of it. These
constituents of the bile for the most part contain
a very large proportion of carbon and hydrogen,
and the reasons have been already fully stated
(473, et seq.) which favour the conclusion that the
elimination of these substances under the form of
bile is one most important mode of maintaining
the purity of the blood, and that the liver is thus a
proper respiratory organ, truly auxiliary to the
lungs. It is a beautiful arrangement, and like one
of the adjustments of nature, that the bile, the
formation of which abstracts from the blood so
large a portion of carbon and hydrogen as to maintain
the purity of the circulating mass and to
counteract its putrescent tendency, acts on the
excrementitious portion of the food, always highly
putrescent, as a direct and powerful antiseptic;
that the very matter which is eliminated on
account of the putrid taint it communicates to
the blood, on its passage out of the body, stops
the putrefaction of the substances which have
been ministering to the replenishment of the
blood.
677. The chyle, thick, glutinous, and adhesive,
attaches itself with some degree of tenacity to the
mucous surface of the duodenum. Nevertheless,
by the successive contractions of the muscular
fibres of the duodenum the fluid is slowly but
progressively propelled forwards. The separation
of the excrementitious matter becomes more complete,
and consequently the chyle more pure as it
advances, until, having traversed the course of the
duodenum, it enters the second portion of the small
intestines, the jejunum.
678. The jejunum, so called because it is commonly
found empty, and the ilium, named from
the number of its convolutions, on account of
their great length, are provided with a distinct
membrane to support them, and to retain them in
their situation, termed the mesentery.
679. The mesentery is a broad membrane composed
of two layers of peritoneum. Between these
two layers, at one extremity of the duplicature, is
placed the intestines, while the other extremity is
attached to the spinal column. The mesentery being
much shorter than the intestines, the intestines
are gathered or puckered upon the membrane, by
which beautiful mechanical contrivance they are
held in firm and close contact with each other, yet
their convolutions cannot be entangled, nor can
they be shaken from their place by the sudden
and often violent movements of the body. It
sometimes happens, in consequence of disease, that
the convolutions of the intestines are glued together
by the effusion of lymph, and then the most trifling
causes are capable of producing the severest
symptoms of obstruction in the bowels.
680. The internal surface of the small intestines
is distinguished,
1. By the number of the mucous glands, which
may be seen by a magnifying glass to consist
partly of a prodigious number of the minutest
follicles, not collected in groups, but equally scattered
throughout; and partly of glands of a larger
dimension, disposed in groups at particular parts
of the canal.
2. By the increase in the number and size of
the villi, of which there are about four thousand
to the surface of a square inch. Like those of
the stomach, the villi of the small intestine are
composed of arteries, veins, nerves, and mucous
ducts; but to the villi of the small intestine, in
length about one-fourth of a line, there is added a
new vessel, the absorbent of the chyle, the lacteal
(figs. 175 and 176), so named from the milk-like
chylous fluid which it contains.
3. By the great extension of the mucous coat
obtained by the disposition of the membrane into
the folds called valvulæ conniventes (fig. CLXXIII.).
These folds, which rarely extend through the whole
circle of the intestine, are often joined by communicating
folds (fig. CLXXIII.). The folds are broadest
in the middle, and narrowest at the extremities
(fig. CLXXIII.). In general, they are about a line
and a half broad. One edge of the fold is loose,
but the other is fixed to the intestine (fig. CLXXIII.).
The office of these folds is, first, without increasing
space, to extend surface for the distribution
of the villi; and, secondly, to retard the
flow of the chyle, by opposing to its descent valves
so constructed and disposed as, without arresting
its progress, to moderate and regulate its course,
in order that time may be allowed for its absorption.
Internal view of a portion of the jejunum, showing the
arrangement of the mucous membrane into valvulæ conniventes.
Fig. CLXXIV.—
View of the Outer Coats of the Small
Intestine.
1. Peritoneal coat reflected off. 2. Muscular Coat consisting
of—a. longitudinal fibres. b. Circular fibres.
681. The onward flow of the chyle through
the course of the small intestines is effected by the
action of the double layer of muscular fibres, the
circular and the longitudinal fasciculi which
compose its muscular coat (fig. CLXXIV.). The
disposition of the muscular fibres of the alimentary
canal in general, and of this part of it in
particular, deserves special notice. The ordinary
arrangement and action of muscular fibres would
not have produced in this case the kind and degree
of motion required. The muscular fibres
that compose the ventricles of the heart are so
accumulated and disposed, that their contraction
originates, and communicates energetic impulse.
The muscles of the arm are so accumulated and
disposed that their contraction originates the like
energetic impulse. Muscles so accumulated in
the alimentary canal would have produced motion,
indeed, but motion not only not accomplishing the
end in view, but directly defeating it. In order
to obtain the kind and degree of motion in this
case required, the firm and thick muscle is attenuated
into minute, delicate, and thready fibres, not
concentrated in a bulky mass, so as to obtain by
their accumulation a great degree of force; but
spread out in such a manner as to form a thin and
almost transparent coat. The tender fibres composing
this delicate coat, by their contraction,
produce two alternate, gentle, almost constant
motions, called the peristaltic, from its resemblance
to the motion of the earth-worm, and the
antiperistaltic. By the peristaltic action motion
is begun at once in several parts of the canal.
Whenever the chyle is applied in a certain quantity
to any part of the intestines, that part contracts,
and makes a firm point, towards which the portions
both above and below are drawn, by means of
the longitudinal fibres which shorten the canal, and
at the same time dilate the under part. By the
antiperistaltic action, which is the exact reverse
of the former, the chyle is turned over and over,
and exposed to the orifices of the lacteal vessels;
while, by the motion of the chyle forwards and
backwards, and backwards and forwards, produced
by these two actions constantly alternating with
each other, its slow, gentle, but ultimately progressive
course is secured.
682. The chyle thus gently moved along the extended
surface of the jejunum and ilium, and still
in its course acted upon in some degree by the
secretions poured out upon the mucous membrane,
successively disappears, until at the termination
of the ilium (fig. CLXXI. 5) there is scarcely any
portion of it to be perceived. It is taken up by
the vessels termed lacteals.
683. The lacteal vessels (figs. 175 and 176),
take their origin on the surface of the villi, by
open mouths, too minute to be visible to the naked
eye, but distinguishable under the microscope.
These minute, pellucid tubes, wholly countless in
number, are composed of membranous coats so
thin and transparent that the milky colour of their
contents, from which they derive their name, is
visible through them, and yet they are firm and
strong. They present a jointed appearance (figs.
CLXXVI. 4, and CLXXVII. 7). Each joint denotes
the situation of the valves with which they are provided,
and which are placed at regular distances
along their entire course (fig. CXCII. 1 and 2).
These valves, which are generally placed in pairs
(fig. CXCII. 2), consist of a delicate fold of membrane
of a semilunar form, one edge of which
is fixed to the side of the vessel, while the other
lies loose across its cavity (fig. CXCII. 2). So firm
is this membrane, and so accurately does it perform
the office of a valve, that even after death it
is capable of supporting a column of mercury of
considerable weight without giving way, and of
preventing a retrograde course of the fluid. The
lacteals are nourished by blood-vessels, and animated
by nerves, and it is conceived that they
must be provided with muscular fibres, or some
analogous tissue, for they are obviously contractile,
and it is by this contractile power that their contents
are moved. The delicacy and transparency
of the vessels, however, render it impossible to distinguish
the different tissues which compose their
walls.
View of the inner surface of the ilium as it appears some
hours after a meal. 1. The smaller branches of the lacteals,
turgid with chyle, covering the surface of the intestine.
2. Larger branches of the lacteals formed by the
union of the smaller branches.
Fig. CLXXVI.
View of the course of the Lacteals.
1. The aorta. 2. Thoracic duct. 3. External surface of
a portion of small intestine. 4. Lacteals appearing on the
external surface of the intestine after having perforated all
its coats. 5. Mesenteric glands of the first order. 6. Mesenteric
glands of the second order. 7. Receptacle for the
chyle. 8. Lymphatic vessels terminating in the receptacle
of the chyle, or commencement of the thoracic duct.
684. If the mucous coat of the small intestines be
examined some hours after a meal, the lacteals are
seen turgid with chyle, covering its entire surface
(fig. CLXXV. 1). These vessels, which are sometimes
of such magnitude and in such numbers as
entirely to conceal the ramifications of the blood-vessels,
unite freely with each other, and form a
net-work, from the meshes of which proceed
branches which, successively uniting, form branches
of a larger size (fig. CLXXV. 2). These larger
branches perforate the mucous coat and pass for
some way between the mucous and the muscular
tunics: at length they perforate both the muscular
and the peritoneal coats, when, from having been
on the inside of the intestine, they get on the outside
of it (fig. CLXXVI. 3, 4), and are included, like
the intestine itself, between the layers of the mesentery.
All the different sets of lacteals converging
and uniting together, form an exceedingly complicated
plexus of vessels within the fold of the
mesentery. Radiating from this plexus, the lacteals
advance forwards until they reach the glands, called,
from their being placed between the fold of the
mesentery, the mesenteric (figs. CLXXVI. 5 and 6,
and clxxvii. 2 and 3); rounded, oval, pale-coloured
bodies, consisting of two sets, arranged
in a double row (figs. CLXXVI. 5 and 6, and
CLXXVII. 2 and 3); the set nearest the intestine
(fig. CLXXVII. 2) being considerably smaller than
the succeeding set (fig. CLXXVII. 3).
View of the course of the Thoracic Duct from its origin to
its termination. 1. Lacteal vessels emerging from the
mucous surface of the intestines. 2. First order of
mesenteric glands. 3. Second order of mesenteric glands.
4. The great trunks of the lacteals emerging from the mesenteric
glands, and pouring their contents into—5. The
receptacle of the chyle. 6. The great trunks of the lymphatic
or general absorbent system terminating in the
receptacle of the chyle. 7. The thoracic duct. 8. Termination
of the thoracic duct at—9. The angle formed by
the union of the internal jugular vein with the subclavian
vein.
685. On reaching the first series of glands (fig.
clxxvii. 2), the lacteals penetrate the substance
of the gland, in the interior of which they communicate
with each other so freely, and form such innumerable
windings, that the gland seems to consist
of a congeries of convoluted lacteals. Emerging
from the first series of glands, the lacteals proceed
on their course to the second series (fig., CLXXVII. 3),
which they penetrate, and in the interior of which
they present the same convoluted appearance as
in the first set. On passing out of this second
series of glands, the lacteals unite together, and
compose successively larger and larger branches,
until at length they form two or three trunks
(fig. CLXXVII. 4), which terminate in the small
oval sac (fig. CLXXVII. 5), termed the receptacle
of the chyle (receptaculum chyli).
686. In this oval sac or receptacle of the chyle
(fig. CLXXVII. 5), which rests upon the second or
the first lumbar vertebra, also terminate the trunks
of the general absorbent vessels of the system
(fig. clxxvii. 6), called from the lymph or the
pellucid fluid which they contain, lymphatics, as
the lacteals are named from the lactitious or milky
appearance of their contents.
687. The receptacle of the chyle produced
forms the thoracic duct (fig. CLXXVII. 7), a canal
about three lines in diameter. This tube rests
upon the spinal column, ascends on the right side
of the aorta, passes through the aortic opening
in the diaphragm (fig. CXXXIV. 9, 10), and
enters into the chest. Here it forms a transparent
tube about the size of a crow-quill; it
rests upon the bodies of the dorsal vertebræ; it
continues to ascend still on the right side of the
aorta, until it reaches the sixth or fifth dorsal
vertebra, when changing its direction, it passes
obliquely over to the left side (fig. CLXXVII. 7).
From this point it continues its course upwards,
on the left side of the neck, as high as the sixth
cervical vertebra; when suddenly turning forwards
and a little downwards, it terminates its
course in the angle formed by the union of the internal
jugular with the subclavian vein (fig.
CLXXVII. 8, 9). At its termination in these great
venous trunks are placed two valves, which prevent
alike the return of the chyle, and the entrance
of the blood into the duct (fig. CLXXVIII.).
Fig. CLXXVIII.—
Valve at the termination of the Thoracic
Duct.
1. The Thoracic Duct. 2. Lymphatics entering the duct.
3. The vein laid open, showing the valve at the termination
of the duct. 4. The left internal jugular vein. 5. The
left subclavian vein. 6. The vein called innominata.
formed by the union of the internal jugular and subclavian
veins. 7. The right jugular vein. 8. The right subclavian
vein. 9. The superior cava formed by the union of
the veins above. 10. The inferior cava formed by the
union of the veins below. 11. The two venæ cavæ passing
to the right auricle of the heart. 12. The heart. 13. The
pulmonary artery dividing into right and left branches.
14. The aorta.
688. This account of the course of the thoracic
duct is a description of the course of the chyle.
Performing a double, circuitous, and slow circulation
through the minute convoluted tubes of which
the double series of mesenteric glands are composed,
the chyle, in its receptaculum, is mixed
with the contents of the lymphatic vessels, lymph
(fig. CLXXVII. 6, 5), that is, organic matter brought
from every surface and tissue of the body. Both
fluids, chyle and lymph, mixed and mingled, flow
together into the thoracic duct, by which in the
course traced (687) they are poured into the
blood, just as the venous torrent is rushing to
the heart (fig. CLXXVIII. 6, 9, 11).
689. Thus, the final product of digestion, the
chyle; particles of organized matter, the lymph;
and venous blood, that is, blood which has already
circulated through the system commingled, flow
together to the right heart, by which it is transmitted
to the lungs, where all these different fluids
are converted into one substance, arterial blood, to
be by the left heart sent out to the system for its
support.
690. While these processes are going on, another
and a very important function is performed by the
remaining portion of the alimentary canal. It is
the office of this part of the apparatus to carry out
of the body that portion of the aliment which is
incapable of being converted into chyle. The preparation
of the excrementitious part of the aliment
for its expulsion constitutes the process of fecation.
The organs in which this process is carried on, and
by which the excrementitious matter, when duly
prepared for its removal, is conveyed from the body,
are the large intestines.
691. The large intestines (fig. CLXXIX.) consist
of the cæcum, the colon and the rectum (fig.
CLXXIX. ). The cæcum varies in length from two
inches to six; the colon is about five feet in
length, and the rectum is about eight inches.
692. The ilium opens into the cæcum (fig.
CLXXIX. 8, 10), just as the esophagus opens into
the stomach. At this point the ilium is elongated,
forming two concentric folds which join at their
horns, and between the folds are placed a number
of muscular fibres. In this manner is constructed
a valve, which is termed the valve of the colon.
It is placed in a transverse direction across the
intestine, and its action as a valve is very complete.
It admits of the free passage of the contents
of the small intestines into the large, but it
prevents the return of any portion of the contents
of the latter into the former.
Fig. CLXXIX.—
View of the Abdominal Portion of the
Digestive Organs.
1. Esophagus. 2. Stomach. 3. Spleen. 4. Liver. 5. Gall-bladder
with its ducts. 6. Pancreas with its duct. 7. Duodenum.
8. Small intestines. 9. Large intestines dividing
into—10. Cæcum. 11. Ascending colon. 12. Arch of the
colon. 13. Descending colon. 14. Sigmoid flexure here
imperfectly represented. 15. Rectum.
Portion of the large intestine, showing the arrangement of
the muscular fibres. 1. The longitudinal fibres collected
into bands, and forming larger fasciculi. 2. The circular
fibres arranged as in the other intestines.
693. The colon is distinguished by its capacious
size, its great length, and its longitudinal bands,
which consist of strong muscular fasciculi (fig.
CLXXIX. 11). It is divided into an ascending portion
which occupies the right iliac and hypochondriac
regions (fig. CLXXIX. 11); the transverse portion,
called its arch, which is placed directly across the
epigastric region (fig. CLXXIX. 12), a descending
portion which occupies the left hypochondriac
region (fig. CLXXIX. 13), and a fourth portion,
which being curved somewhat like the italic letter
S, is called the sigmoid flexure, which occupies the
left iliac region (fig. CLXXIX. 14). The sigmoid
flexure terminates in the last portion of the alimentary
canal, called the rectum (fig. CLXXIX. 15),
which is placed in the hollow of the sacrum, and
which follows the curvature of that bone (fig.
XLV. 5). The circular fibres of the rectum are
accumulated at the termination of the bowel to
form the internal sphincter of the anus. External
to this is placed another set of fibres, which constitute
the external sphincter.
694. The mucous membrane of the large intestines
is disposed differently from that of the small intestines,
and the mucous membrane of the colon still
differently from that of the rectum. In the colon
the mucous membrane, instead of being disposed
in the form of valvulæ conniventes, is so arranged
as to divide its whole surface into minute apartments
or cells by which the descent of the fecal
matter is retarded still more than the descent of the
chyle by the valvulæ conniventes. Some particles
of chyle do, however, continue to be separated
from the fecal matter, even in the large intestines;
and in order that nothing may be lost, a few valvulæ
conniventes, with their lacteals, appear here
also, while the cells of the colon, by retarding the
descent of the fecal matter, allow time for the
more complete separation and absorption of the
chylous particles.
695. In the rectum the mucous membrane is
plaited into large transverse folds, which disappear
as the fecal matter descends into the bowel, accumulates
in it, and distends it; an arrangement
which gives to this portion of the intestine its
power of distension, so closely connected with our
convenience and comfort.
696. As soon as that portion of the alimentary
matter which is transmitted to the large intestines
reaches the colon it ceases to be alkaline, the distinctive
character of the contents of the small
intestines, and becomes acid, just as the whole
alimentary mass is acid at the commencement of
digestion in the stomach. It acquires albumen;
its gases are no longer the same, for whereas pure
hydrogen is contained in the small intestines,
none is ever found in the large, but in the place of
it, carbureted and sulphureted hydrogen; and now
for the first time it receives its peculiar odour.
As it continues to descend, its fluid parts are progressively
absorbed, so that it becomes more and
more solid, until it reaches the rectum, when it is
almost dry. Here the accumulation of it goes on
to a considerable extent, the peristaltic action at
first excited by the distension of the rectum being,
it would appear, counteracted by the contraction
of the external sphincter of the anus. When, however,
the distension of the bowel reaches a certain
point, it produces a sensation which leads to the
desire to expel its contents. The bowel is now
thrown into action by an effort of the will, and
that action is powerfully assisted by the descent of
the diaphragm and the contraction of the abdominal
muscles, actions also induced by an effort
of the will. Thus the action of the first part of
the digestive apparatus, that which is connected
with the reception and partly with the deglutition
of the food, is attended with consciousness, and is
placed under the control of the will; the main
portion of the digestive apparatus, that in which
the essential part of the digestive process is carried
on, is without consciousness, and is placed beyond
the influence of volition; the last portion of the
digestive apparatus, that connected with the expulsion
of the non-nutrient portion of the aliment,
again acquires sensibility and consciousness, and
is placed under the control of the will. The
striking differences in the arrangement of the muscular
fibres in these different parts of the apparatus,
in accordance with the widely different function
performed by them; the powerful muscles
connected with the prehension, mastication and
deglutition of the food; the delicate and transparent
tissue of fibres forming the muscular coat of
the stomach and small intestines; the increase in
the number and strength of the fibres of the large
intestines, and the prodigious accession to them in
the rectum, are adjustments not only exquisite and
admirable in their own nature, but so indispensable
to our well-being and comfort, that were the
appropriate action of either to be suspended but
for a short period, life would be extinguished, or
if it could be protracted, it would be changed into
a state of unbearable torment.
697. From the preceding account of the structure
and action of the apparatus of digestion, on a comparison
of all the phenomena, it appears that the
successive stages of the process are marked by the
progressive approximation of the food to the
nature of the blood. The main constituents, of the
blood are albumen, fibrin, an oily principle, and red
particles. Even in the chyme there are traces of
albumen, with globules, not indeed to be compared
in number with the red particles of the blood,
smaller in size, and without colour, but still of an
analogous nature. In the chyle of the duodenum
the quantity of albumen is larger, there are traces
of fibrin, and of an oily matter, and the number of
the globules is increased. In the chyle, after its
exit from the mesenteric glands, the albumen, the
fibrin, the oil, the globules, and more especially
the two first and the last, are greatly increased.
But in the chyle when it reaches the thoracic duct,
these principles are so augmented, concentrated,
and approximated to the state in which they
exist in the blood, that the chyle is now capable
of undergoing the characteristic process of the
blood; for as the blood, when drawn from a vein,
undergoes spontaneous coagulation, so the chyle,
when drawn from the thoracic duct, separates into
three parts; a solid substance or clot, which
remains at the bottom of the vessel; a fluid
which surrounds the clot; and a thin layer of
matter, which is spread over the surface of the
fluid. The solid substance is analogous to the
fibrin, and the fluid to the serum of the blood;
while the layer of matter which is spread over the
fluid is of an oily nature: moreover, the chyle, when
in contact with the air, quickly changes to a red
colour, and abounds with minute particles of
various sizes, but the largest of which is not yet
equal to the diameter of the red particles of the
blood.
698. The changes wrought upon the food, by
which it is thus approximated to the chemical composition
of the blood, are effected, as has been
shown, partly by the gastric and intestinal juices,
and partly by matters combined with the food
highly animalized in their own nature, and endowed
with assimilative properties, as the salivary
secretion mixed with the food during mastication;
the pancreatic and biliary secretions mixed with
the food during the conversion of the chyme into
chyle; and the mesenteric secretions mixed with
the elaborated chyle of the mesenteric glands, and
lastly, organized particles which have already
formed a part of the living structures of the body
mixed with the chyle under the form of lymph in
the thoracic duct.
699. The lymph, until lately regarded as excrementitious,
is really highly animalized, partly
combined with the chyle as its last and highest
assimilative matter; whence the compound formed
by the admixture of chyle and lymph is far more
proximate to the blood than the purest and most
concentrated chyle; and partly returning with the
chyle to the lungs, to receive there a second depuration,
and thereby a higher elaboration.
700. There is evidence that there is a series of
organs specially provided for the elaboration of
the lymph no less than of the chyle. There are
organs manifestly connected with the digestive
apparatus, to which physiologists have found it
extremely difficult to assign a specific office. These
organs have a structure in some essential points
alike; that structure is strikingly analogous to
the organization of glands: like glands, they
receive a prodigious quantity of arterial blood, and
are supplied with a proportionate number of
organic nerves; yet they are without an excretory
duct. The organs in question are the bodies
called the renal capsules, placed above the kidneys;
the thyroid and thymus glands situated in the neck,
and the spleen in close connexion with the stomach.
701. These organs, however analogous in structure
to glands, cannot, it has been argued, be
secreting organs, because they are destitute of an excretory
duct, do not manifestly form from the blood
any peculiar secretion, or, if they do, since there are
no means of detecting where it is conveyed, it is
impossible to understand how it is appropriated.
But if these organs collect, concentrate, and elaborate
lymph, preparatory to its admixture with the
chyle and to its being sent a second time into the
blood to undergo a second process of depuration,
they perform the function of glands; and their
want of an excretory duct, which has hitherto
rendered their office so obscure, is accounted
for; they do not need distinct tubes for the
transmission of any product of secretion; the
lymphatic vessels which proceed from them and
which convey the fluid they elaborate into the
receptacle of the chyle, are their excretory ducts.
That one of these organs, the spleen, is specially
connected with the elaboration of the lymph, is
manifest, both from its chemical nature and
from the remarkable change which takes place
in the chyle the moment the lymph from the
spleen is mixed with it. Tiedemann and Gmelin
state, as the uniform result of their observations
and experiments, that the quantity of fibrin contained
in the chyle is greatly increased, and that
it actually acquires red particles as soon as the
lymph from the spleen is mixed with it, and that
the lymph from the spleen superabounds both
with fibrin and with red particles. That the
organs just enumerated, with the spleen, perform
a similar function, is inferred from their being, like
it, of a glandular structure, and without any
excretory duct. If the spleen be really one of a
circle of organs appropriated to a function such as
is here supposed, a purpose is assigned to it adequate
to its rank in the scale of organization;
inferior to few, if its importance be estimated by
the quantity of arterial blood with which it is
supplied; yet this is the organ for which Paley
could find no better use than that of serving for
package.
702. But in whatever mode the lymph be elaborated,
it is certain that it consists of matter highly
animalized, and that its most important principles,
its albumen, its fibrin, its globules, and even its
salts, are in a chemical condition closely resembling
that in which they exist in the blood.
703. It will appear hereafter that all the proximate
principles of which the body is composed are
reducible by analysis to three, namely, sugar, oil,
and albumen: of these, sugar and oil are the least,
and albumen the most highly organized. Every
alimentary substance must contain at least one
of these proximate principles, and in the various
articles which compose an ordinary meal always
two, and often all three, are afforded in abundance.
From the phenomena which have been stated, it is
clear that the digestive organs, in acting on these
principles, exert the following powers.
1. A solvent power. The first action of the
stomach on the alimentary substances presented
to it is to reduce them to a fluid state. No substance
is nutritious which is not a fluid, or
capable of being reduced to a fluid. The stomach
reduces alimentary substances to a fluid state by
combining them with water. Water enters into
the composition of organized bodies in two states,
as an essential and as an accidental element. A
quantity of water is contained in sugar when reduced
to its dryest state; this water cannot be
dissipated without the decomposition of the sugar;
it is therefore an essential constituent of the compound.
Water is combined with sugar in its moist
state: of this water much may be removed without
destroying the essential properties of the sugar:
this part of the water is therefore said to be an
accidental constituent of the sugar. In most cases
organized bodies contain water in both these
forms; and though it is commonly impossible to
discriminate between the water that is essential
and that which is accidental, yet the mode of
union among the elements of bodies in these two
states of their combination with water are essentially
different. The stomach has the power of combining
water with alimentary substances in both
these forms. Thus fluid albumen, or white of egg,
presented to the stomach is immediately coagulated
or converted into a solid. Soon this solid begins
to be softened, and the softening goes on until it is
again reduced to a fluid. What was fluid albumen
in the white of egg is now fluid albumen in
chyme; but the albumen has undergone a remarkable
change. Out of the stomach the albumen of
the egg may be converted by heat into a firm solid;
but the albumen of the chyme is capable of being
converted only into a loose and tender solid. In
passing from its state in the egg to its state in the
chyme, the albumen has combined with a portion
of water which has entered as an essential ingredient
into its composition. By this combination
the compound is reduced from what may be called
a strong to a weak state. This is the first action
exerted by the stomach on most alimentary substances.
They are changed from a concentrated to
a diluted, from a strong to a weak state: the power
by which the stomach effects this change is called
its reducing power, and the agent by which it
accomplishes it is the gastric juice; the essential
ingredient of which has been shown to be muriatic
acid, or chlorine (639, et seq.). The muriatic
acid obtained from the common salt of the blood
is poured in the form of gastric juice into the stomach,
dissolves the food, combines it with water,
reduces it from a concentrated solid to a dilute
fluid; and thus brings it into the condition proper
for the subsequent part of the process.
2. A converting power. Since whatever be
the varieties of food, the chyme invariably forms a
homogeneous fluid, the stomach must be endowed
with the power of transforming the simple alimentary
principles into one another; the saccharine
into the oily, and the oily into the albuminous.
The transformation of the saccharine into the
oleaginous principle is traceable out of the body in
the conversion of sugar into alcohol, which is
essentially an oil. That the same transformation
takes place within the body is indubitable. The
oleagenous and the albuminous principles are
already so nearly allied in nature to animal substance
that they do not need to undergo any essential
change in their composition.
3. A completing power. When the alimentary
substances have been reduced and formed into
chyme, when the chyme has been converted into
chyle, and when the chyle absorbed by the lacteals
is transmitted to the mesenteric glands, it undergoes
during its passage through these organs a process
the direct reverse of that to which it is subjected in the
stomach; for whereas it is the office of the stomach
to combine the alimentary substances with water,
it is one office of the mesenteric glands to remove
the superfluous water of the chyle; to abstract
whatever particles of matter may be contained in
the compound which are not indispensable to it,
and to concentrate its essential constituents; and
consequently these organs exert on the digested
aliment a completing, in contradistinction to a
reducing power.
4. A vitalizing power. When sugar is converted
into oil, when oil is converted into albumen,
when albumen, by the successive processes
to which it is subjected is completed, that is,
when the alimentary substances are made to
approximate in the closest possible degree to the
nature of animal substance, they must undergo
a still further change, more wonderful than any of
the preceding, and far more inscrutible; they
must be endowed with vitality; must be changed
from dead into living matter. Living substance
only is capable of forming a constituent part of
living substance. The ultimate action of the
digestive organs is the communication of life to
the food, to which last and crowning process
the reducing, converting, and completing processes
are merely subordinate and preparatory.
Of the agency by which this process is effected we
are wholly ignorant; we know that it goes on;
but the mode in which it is accomplished is veiled
in inscrutable darkness.
704. Blood is alive; blood is formed from the
food; life is communicated to the food before it is
mixed with the blood. The blood is essentially albumen,
which it contains in the form of albumen properly
so called, in that of fibrin, and in that of red
particles. In the thoracic duct the strong albumen
of the lymph is mixed with the weaker albumen of
the chyle. At the point where the thoracic duct
terminates in the venous system, lymph and chyle
are mixed with venous blood, and all commingled
are borne directly to the lungs. There the carbon
with which the venous blood is loaded is expelled
in the form of carbonic acid gas; the particles of
the lymph undergo some, as yet, unknown change,
exalting their organization; and the water hitherto
held in chemical union with the weak albumen of
the chyle, is separated and carried out of the system
together with the carbonic acid gas in the
form of aqueous vapour. By this removal of its
aqueous particles the ultimate completion is given
to the digested aliment; and the weak and delicate
albumen of the chyle is converted into the
strong and firm albumen of the blood.
705. It has been stated (539), that though
gelatin enters abundantly into the composition of
many tissues of the body, and performs most important
uses in the economy, it is never found in
the blood; that it is formed from the albumen of
the blood by a reducing process, in consequence
of which carbon is evolved, which unites with the
free oxygen of the blood, forming carbonic acid,
thus conducing, among other purposes, to the
production of animal heat. It is equally remarkable,
that though the lymphatics or absorbents
arise in countless numbers from every tissue of
the body, and are endowed with the power of
taking up every constituent particle of every
organ, solid as well as fluid, yet gelatin is never
found in the lymphatic vessels. The lymphatics
contain only albumen in a form far more proximate
to the blood than that of the chyle; consequently,
before the gelatin of the body is taken up
by the lymphatics, it must be reconverted into
albumen; that is, the absorbed gelatin must
undergo a process analogous to that which gelatin
and other matters undergo in the stomach and
duodenum; it follows that the digestive process is
not confined to the stomach and duodenum, but
is carried on at every point of the body. Hence
there are two processes of digestion, a crude and a
refined process. The crude process is carried on in
the stomach and duodenum, in which dead animal
matter is converted into living substance, as yet,
however, possessing only the lowest kind of vitality.
The capillary arteries receiving the substance thus
prepared for them, build it up into structure perhaps
the lowest and coarsest, the least organized,
and capable of performing only the inferior functions.
706. Capillary arteries in countless numbers
terminate in the tissues in membraneless canals
(304 and 310). Particles of the blood are seen to
quit the arterial stream and to enter into the tissues,
becoming a component part of them: other particles
are seen to quit the tissues and to enter the current
of the blood. The latter are probably organic
particles, to which a certain degree of elaboration
has been already given, now transmitted to the
capillary veins, to be carried back to the lungs to
undergo there a further depuration, fitting them
on their return to the system for a higher organization.
707. Thus the lymphatic vessels, analogous in
so many other respects to the veins, are probably
similar to them in this also—that they take up from
the tissues particles already organized, in order to
submit them to processes which communicate to
them a progressively higher organization. The
notion that the contents of the lymphatics consist
of worn-out particles, capable of accomplishing no
further purpose in the economy, is not tenable:—
1. Because it is not analogous to the ordinary
operations of nature to mix wholly excrementitious
matter with a substance for the production, elaboration,
and perfection of which, she has constructed
such an expensive apparatus.
2. Because, on the other hand, the admixture
of matter already highly animalized with matter,
as yet but imperfectly animalized, exalts the
nature of the latter, and is conducive to its complete
animalization.
3. Because the lymph, almost wholly albuminous,
is already closely allied in nature to the
blood; it is, therefore, reasonable to infer, that it
is matter passing through an advancing stage of
purification and exaltation.
4. Because this plan of progressive organization
is in harmony with the ordinary operations of
nature, in which there is traceable a successive
ascent from the low to the high, the former being
preparatory and necessary to the latter. The
tender and delicate organs of animal life, the brain,
the nerves, the apparatus of sense, the muscles,
inasmuch as they perform the highest functions,
probably require to be constructed of a more highly
organized material, for the production of which
the matter primarily derived from crude aliment
is subjected to different processes, rising one above
the other in delicacy and refinement; by each of
which it is made successively more and more
perfect, until it acquires the highest qualities of
living substance, and is capable of becoming the
instrument of performing its most exalted functions.