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BURLINGTON: CHAUNCEY GOODRICH. •#■ '1847. %- fe^*^ ..l;- W,''' At i f t ' ■ Sttlii^ Meoidtof to Mt wf CoacMi ta thi yMivlMS, Bv Q^fJiroi^ 900PKI0H, » U.^ 0M.*» oAw flT tli9 Piftfkt Cout of tte Dbtiiot of Yomont. .U. •Hfmvr^'- -fyl -jif :§■ »j,.^ * Ki* H i 1» ^i -,-#^ #>* ^)^ ^ Ni 5-^ J, «". 4r p*qii%mpj|PVi^" '■'i.. ' f lif jpp ^M TO JOSEPH LOVELL, M. D. STTRGEON GENERAL OP THE UNITED STATES' ARMY, Whose merit justly entileis him to the rank which he hdlds/ And whose zeal ift thS cause of Medical Scf^cie is equalled only by his ability to promote it, 1 As a tribute of respect for his public and private virtues, And as a feeble acknowledgment for a long tried and unvarying friendship. This work is respectfully dedicated, by THE AUTHOR. r* •W*' * s. K% «' '^ft,.,r r'^TS^''?Ti ^HP^ /.omtS) which haye^hoen . ubjects of dii^ptat^, and to throw veiycQqaiderable, light upon others in relation to which Qiir views ^ero formerly v^gqe und confused)" and *iii^— **— IMP— — |P— »^ * Ihfote tbe tH>H( WM pabtliJil^il in Oreat Britiin! pnK^AHAL tb Tito «k6dMb KDition. of adTanbffig huftttk' ktibwl^|i6, bf tinf^ing the pa- tient, at hidavy ex|wnse, to lire with him foir several feari, and be^ttotfthe subject of niiiherotiB aiid care^ly condiietod exp^imientB. Ofthei^esultib thuk obtained, I hUre hot scrupled to ibt&keiHe'Mst and hiOst ^mple use; both because tfady illnstrate utmost ev^ry point of importance connected with digestion, and because, from Dr. Beaumont's \irork being still indceessible to the Brit- ish reader, it is a bare act of justice towards him^ and also the best way of fulfilling the objects he had in view, to make its contents known as' wide as possible ; for, whenever they are known, they will be aclrnowledged to- redound to his- crisdit, and not I9SS as.a man than as a philosopher."' In the prosecution of his work, Dr. Combe has quoted nearly 50 pages of Dr. Beaumont's work. After giving a briof history of the case, he says, on page •91, ^'Dr. Beaumont was sensible of iid xralu^, (the opportunity of experimenting)^ arid al^cordih^Iy pursued! his inquiries with a zeal, perseverance and dis-^ interestedness, I ghly creditable 1(6 i.ts character, both as a manand asaphilosophfer.'* Again/oit^ag^ 93. "It ought to be added^ in justicO tO tho AmeWcati physiolo- gial, that, from the excellent judgfuent^'witfi Vhicli he' carded on his investigationis, and thJ scnipuloUs care*^ with whith hc^announces hl^ rfestilts, aii(^ separates facts from thecHfyi it is'imposSiWo nttt tbli^ce great'confidence bd^ln kis^ personal qu«ilificat!mis IS ah obderver^ ailtd^ im the general accuracy of his statements. Moreo^r, as he enjoyed 'the rire advantage of Ismw^ What he de- scribfes'to ha!v^ t^.kenrplace hi the stoniiich'dttrin^ healttiy dJc^istS^ hts'evidetlii^ coioi^ before us #ith the strong^ estpO^ibte clap^vOfl^^ouif atti^ntioi^^^^ After giving a somewhat detailecl account ol^ these experiments, Dr. d'li ".M %^ 5«^*^' ^TW^iW'^ '^^ •^; "^.'^^N^lf^'riUPPv^ lif ^n**!: >" 'A 8 PREFACE TO THE SECOND BDITIOM . Combe says, page 1S9, " Such then are the phenomena and conditions of healthy digestion, and such is the "8*^^ ^^OTiVfS'^ l^W,,lWl^^^^^^ ^pnbliqitionof the Amencan physlolb j^ist." It must be gratifying to the author to know that his work has been republished in Great Britain, Prance and Gwwany ; a^ that it)ias .been extensively , read ^d quoted, apdi8,i;©gar4ed, as the best aulhq^ty by all the "WiBilprsontb©"S"bjepts,pf yrhich it treats. The publisher, in ofejing tl^is new, and, as he be^ ]mn^ ipipfove4 edit^bapf. Dr. Peaun^oxif s wprk tf>.4he pwW^C^aUers hii»ip^lf;thatbP is nojro^ily promoting, the interests y miakipg the r^^der acquamt^ ed with^he laws t^t gpyerjpi the digestion of aliment, and.giv^ng. him the, ii^fpmaUpn necessary to^enj3?lejvW tQ »m^m^ huptfi^l agents in. -the selection qiW food," tM he is, jn nPi.mftlj; *egree, subserving th^cause ot h(u»ajai^;,iiA- • ''- ^^. •.• ; ■. Burlirigtbn/ Vt* 18»17-. J. n. iv ,|.iic; ^llq jR ill f'ff Wlfij. '>J! ■■ (thu ', ',»t <■,.<% :.»; .'IT- .» ■■^#^ f:v ^'.''»'"T-i«r'j|3 .iroj WITOT llf Ml y^ PREFACE TO THE FIRST EDITION. 'The present age is prolific of works on physiology; tHkfrefOrd in offering to the public another book relative to an important branr^h of this science, it will perhapii be necessary to assign my motives, "^liey aire, first, a wish to comply with the repeated and tirgeht solicitations of many medicel men who have become partially acquainted with the facts and obser- vations it is my intention to detail; n^pn, in whose judgment I place confidence, and who have expressed their conviction of the deep importance of the experi- ments, the result of which I mean herewith to submit to the public : secondly, (and it is that which maiiily influences me,) my own firm conviction that medical science will be forwarded by the publication. I am fully aware of the importance of the subject which these experiments are intended to illustrate, as well in a pathological as in a physiological point of view ; and I am therefore willing to risk the censure or neglect of critics, if I may be permitted to cast my mite into the treasury of knowledge, and to be the means, either directly or indirectly, of subserving the cause of truth, and ameliorating the condition of suf- fering humanity. I make no claim to originality in .my opinions, as it respects the existence and operation of the gastric Juice. My experiments confirm the doctrines (with some modifications] taught by Spallan2UNI, and many ipi3»?7 -^™^ X '■vli*' . ■ ^ ^^np^^"^^. *' *,-^ ■■K 10 PREFACE TO THE FIRST EDITION z"^ • * of the most enlightened physiological writers. They are experiments made in the true spirit of inquiry, sug- gested by the very extraordinary case which gave me an opportunity of making them. I had no particular hypothesis to support ; and I have therefore honestly recorded the result of ea^'h experiment e lactly as it occurred. • The read*'* will perceive some slight seeming discre- pancies, which he may find it difficult to reconcile; but he will recollect that the human machine is eridbwed with a vitality which modifies its movements in different states of the system, and probably produces som^ di- versity of cifects from the same causes. I had oppc|;tunities for the examination of the interior of the stomach, and its secretions, which have never before been so fiiUy offered to any one. This most im- portant organ, its secretions^ and its operations, have been submitted to my observation in a very extraordin- •ary manner, in a state of perfect health, and for years in succession. I have availed myself of the opportunity afforded by a concurrence of bircumstances which prob- ably can never again occur, with a zeal and perseve- rance proceeding from motives which my conscience approves ; and I now submit the result of ,my experi- ments to an enlightened public, who I doubt no: will duly .appreciate the truths discovered, and the confir- mation of opinions which before rested on conjecture* I submit a body of facts which cannot be invalidated. My opinions may be doubted, denied, or approved, ac- tcffding as they cpnflict or agree with the opinions of each individual who may read them; but their worth Witt be best determined by the foundation on which they rest— the incontrovertible facts. ■ '■■'", :^ry' PR£FACB TO THE FIB8T EDITION. 11 I avail myself pf this opportunity to maice my grateM apkno\irled^^ii;i,ents to Doctor Joseph Loyei^l, Surgeon Oc^nei^f^lt, ofi^Q^ United States' Army, (to w^om I am uio^^i ppliigt^^ons for personal kindness and official exer- tions in affording facilities for prosecuting the experi- ments ;}--to Professors Silliman, Knight, Ives and Hubbard, of Yale College, Dunglison, of the Vir- ginia University, and Sewall, Jones, Henderson and HAiif, of Cblumbian College, for their unsolicited frienclshipj for the interest which they have taken in the es^peri^ents, and fp]^ the gquevous encouragement which they have given to the proposed publication. To Doctor Samuel Beaumont, of Plattsburgh, N. Y. I ampartijeular^y indebted for the assistance which he has rendered me in arranging and preparing my notes fpi[ the pr^ss* nm «'• 'wi / ^i t] 'sT' ^1 ■ i^*. 1. p >,.♦■■ -/K . tiftJeoif i>«m»ti£' hiwrnmi ^-^-..,-.-i.-,..' ..,aix,M-i j^m^f/Mi 1 It. mmm$^%mMi ^«^»' INTRODUCTION. # The experiments »vhich follow were commenced in 1826, and have been continued, with various interrap- tions, to the present time, (1833.) The opportunity for making them was afforded to me in the following way. Whilst stationed at Michillimackinac, Michigan Ter- ritory, in 1822, in the military service of the United States, the following case of surgery came under my care and treatment, Alexis St. Martin, who is the subject of these ex- periments, is a Canadian, of French descent, and was, at the above mentioned time, about eighteen years of age, of good constitution, robust and healthy. He had been engaged in the service of the American Fur Com- pany, as a voyugeur, and was accidentally wounded by the discharge of a musket, on the 6th of June, 1822. The charge, consisting of powder and duck shot, was received in his left side, he being at a distance of not more than one yard from the muzzle of the gun. The contents entered posteriorly, and in an oblique direc- tion, forward and inward, literally blowing off thS in- teguments and muscles for several inches in circumfer- ence, fracturing and carrying away the anterior half of the sixth rib, fracturing the fifth, larcerating the lower ■■"■<* 14 INTRODUCTION. ■i *« portion of the left lobe of the lungs, as well as the dia- phragm on the left side and perforating the stomach. The whole mass of materials forced from the mus- ket, together with fragments of clothing and pieces of fractured ribs, was driven into the muscles and cavity of the chest. I saw him in twenty-five or thirty minutes after the accident occurred, and, on examination, found a por- tion of the lung, as large as a Turkey's egg, protruding through the external wound, lacerated and burnt ; and immediately below this, another protrusion, which, on further examination, proved to be a portioitof the stom- ach, lacerated through all its coats, and pouring out the food he had taken for his breakfast, through an ori- fice large enough to admit the fore finger. In attempting to retun% the protruded portion of the lung, I was prevented by a sbaip point of the fractured 'l^b, over which it h- d caught by its membranes; but % raising it with m, finger, and clipping off the point of the vib, I waa Mt . return it into its proper cavity, though it "could not be retained there, on account of the inoesfBHiit efibits to oougbi. The |«>jectitag pbrtioa of the stomach was nearly as large tie ihatef the lung; E passed through the lacer- ated diaphragm and external woand, mha^ktg the food il^ith thd l^ciody mudtts bte^^isi £rom the longs. r After deaniing the wound ttHtt ^e ehsfge and oth^ extraneous mtctc^r, find leplodBf^e stomaeh and h]iigs0immii ssttto - ;*y r»» INTRODUCTIOJf. IS Under this treatment a strong reaction took place in about twenty-four hours, accompanied with high arte- rial excitement, fever, and marked symptoms of inflam- mation of the lining membranes of the chest and abdo- men, great difficulty of breathing, and distressing cough. He was bled to the amoimt of eighteen or twenty ounces, and took a cathartic. The bleeding reduced the arterial action, and gave relief. The cathartic had no effect, as it escaped from the stomach through the wound. On the 5th day a partial sloughing of the integu- ments and muscles took place. Some of the protruded portions of the Ijang, and lacerated parts of the stomach, also eloughed, and-left a perforation into the stomach, plainly to be seen, large enough to admit the whQ]« length'fof my five-finger into its cavity ; and alap n pftflsage iBto the lolieyt, half as large as my ^ -^^^0. tag to .view a pail of Ihe jiung, and^permitting 1^a/il# , escape of ftir and l;doQ4y x^ucus^at^yery iei^i];a|ifl|i^%v^ rik 'Violent lever caDtanueii for ten dayi^ irunmag iiiti» • typhoid 4ype, and lbi» woinni become very fcetid.. On the eleventh day, a mor^xtensive 9]0^ghing to^l^ plae^vthe ^brik symgifiOfm auhaided, and the "^^i^le eur^M^of thewound^aasuineda^hsal^y andgi»nul% liog i^^peavafiee. Fof aeveiHeeQ idftys, aU Ihat enticed his stomach bf thU'CBdophagiis, soon passed oiH thiough the womid; •nd die only way of sMsfaMBwig ton was by means of nutrioiflus ii^eotioiis, iintfl^ oentpi^esses and adhesive stfapS^coald be applied saasito letainhis iood, Su»- isg/diisfeiiod fio akrine eraonatiops cenld be obtain- ed, altbeBgh catiiartic i^jsotlons were giwm, and tsi^ «w other mesas were adopted to proiaote them. m Iip|.^,>-f I'J'il, ;' ^iviufiiK ee$^iirittg the interc artery, and sawing off the bone with a rery fine ^sam rm^if>i^<^9iiffJi^^ the HI "m^m^ msmMi^^m rHealtbyl granulationa 9C¥3n af9m!^ail4^f«!n4- 1 fi&h rib exfoliated,, an of the ;* * .Mi. 'K' of bonei I attempt- g^er f^yii^^i r - ^Mi ^i i iaff'^tifcifr^ WQIIP4., wa9aa^ l«ftfi^^i(#MlM^l^ft|ii4:t|ii^#^ ill lliealosa^ neaj^ Mm tow^s the «pine. Great pain and. soreness extended from tip xppening of the abscess, along the trnpt of the cartiJagoii- ous iends of iher false ribs, towards^ the ^pijie, with^ &/»0f fiious discharge. fnm the sinus. ./ i>ilii£ve orsixidays^ftoartilage) onedncbinleBfth^ in#i^ or seven days more^ another, an inch and a half l(»igytand in aboErt thevsaiiieleiijB^of Ume, a4biidf4wo«ic h eg J ki ng , ^*weiret4«Kbi»;ged. And tshey conUnued to com&away i|vti|r five opaj^^day^iiinitil jfive Wfsre dpohiurged iopm ■ . Ai- y f 1 iJf i*ilj|!ilf w i^J iJi "iPjJff IMTRODUCTION. t» the same opening, the last three inches in length. They were all entire, and evidently separate from the false ribs. The discharge, pain and irritation, during the four or five weeks these cartilages were working out, greatly reduced the strength of the patient, produced a general febrile habit, and arrested tho healing process of the original wound. Directly after the discharge of the last cartilage, in- flammation commenced over the lower end of the ster- num, which, by the usual applications, terminated in a few days ipi . a large abscess, and from whiph, by laying it open two inches, I extracted another cartilage, three inches in length. The inflamation then abated ; and in a day or two another piece came away, and the discharge subsided. To support the patient under all these debilitating circumstances, I administered wine, with diluted mu- riatic acid, and thirty or forty drops of the ^•▼^cture of • assafoBtida, three times a day; which appeared to pro- duce the desired effect, and very much improved the condition of the wound. On the third of January, 1823, I extracted anoth^ cartilage from the opening over the sternuni; an in^ and a half long ; and on the fourth another,* two inches «nd a half in. length, an inch broad at one end, and less than half an inch at the other. This must have been the ensiform cartilage of the sternum. After this the sinus closed, and there was no return of inflam- mation. From the month of April, 1323, at which time he had so f&i recovered as to be able to walk about and do lightwork,, eiijpying, his usual good appetite and digea- '\!1. ""^Hiy\ i' _/ ifc«i^ 'r^ •!■« J w^^ m INTAObVOVtOlt t if- lioiii h« oonliniMd with me, rapidly regainlnihii heftltk «nd itrangth. Bf the 6th of June, 1883, one year fVom the time of the tooident, the itemed parti were all eound, and firm- ly cicatritedi with the exception of the aperture in the •lomaoh and tide. Thie continued much in the lame eituation aa it waa aix weeke after the wound wai re* ceived. The perforation wfti about two and aiid a half inchee in oiroumferenoo, and the food and drinks con- stantly exuded, unices prevented by a tent, oompresi and bandage. From this time he continued gradualdy to improve in health and strength, and tho newly formed integu* menis over the wound became firmer and firmer. At the point where the lacerated edges of the muscular coat of the stomach and intercostal muscles met and uniited with the cutis vero, the cuticl9 of the external 8U|$iLce aud the intwrnal mem6r(me of the stomach ojilirottcAeti each other very nearly. They did notunitey like those of the lips, uo8e,d&c., but lefl an- intermediate*^ tnaisiual apace, of appreciable breadth, completely su^ funding the aperturo. , This space is about a line wide \ the cutis and nervous papUlas are uuprotected, and ^l^ensible, auidiirritab^ as a blistered surface, abraded the cuticle. This condition of the^partf, still poo* lues, ^and, constitutes the paincipal >an4^lmost only cause 9f pp^aor distress, experienced froniU^e continue anise of, ihf) jipjirmio^ tllie*/nt^uctiouvo£inatrumenta^ . ^iik in tiNs expeiiments, or the exudatHMi of ^uids firona tha,ga^tr^jjavit|?., ,„,^. ,. ..,.., ... .M.^r- Fxequent dressinga n^th soft compresses and bi^da» ges wsio* aeos88arily,appl)fid, to relieye his suffering f'S*- ^^1 ^ INTKODUCTIOW. 81 "ni^ At this timo, a nninll fold or dj^iMIng of llio conts of tliu Mloinacli nppranMl at tli(> HU|MM'ior Iuar^in of ttio ori- dee nliglitty protruding, niid iiinronning till it fiilod thn apprtnro, w ns to Rii[)orsodo thn iiocc^Nsity of the cotn- prcNN niid bandagn for rotaitiing Iho ootitonts of tho Nlonmrh. This valvidar formation adaptod itsnlf] to the accidontal oriflno so as complotcly to prc^votit tho efflux of tho gastric contonts when tho stomach was full, hut was easily depressed with the finger. In tho spring of 1824 ho liad perfectly recovered his natural heidth and strongtlj ; tho aperture remained ; and tho surrounding wound was firmly cicatrized to its edges. In tho month of May, 1825, I commenced my first series of gastric experiments on him, at Fort Makinac, Michigan Territory. In tho month of June following, I was ordered to Port Niagara, N. Y. whore, taking the man with me, I continued my experiments until August Part of those experiments were published in 1826, in the 29th number of the Philadelphia 'Medical Recorder,' conducted by Dr. Samuel Oalhoun. Al)out this time, (August, 1826) I took St. Martin with me to Burlington, Vt. and from thence to Plattburgh, N. Y. From the latt place, he returned to Canada, his native place, withou obtaining my consent Being unable to ascertain the place of his resort, I gave him up as a lost sulject for physiological experi- ments, and returned to my post at the west again. I did not, however, remit my efforts to obtain information of his place of residence and of the condition of the wound. He remained in Canada four years, during which period he mairied, and became the father of two cbil- % . ''*Vffi *t PMiipi^iiJllPi' ii»,f 1^ 22 INTRODUCTION. -si dren ; worked hard to support his family ; and enjoyed robust health and strength. In 1825, as he has informed me, he engaged with the Hudson Bay Fur Company, as a voyageur to the Indian country, ,Ho went out in 1827, and returned in 18!lB; and subsequently labored hard to support his family until 1829. Accidentally learning about this time where he resided, and that he enjoyed perfect health, I m»»de arrange- ments with the agents of the American Fur Company, who annually ;-isit Canada for the purpose of procuring voyageurs, to find and engage him for my service, if practicable. After considerable difficulty, and at great expense to me, they succeeded in engaging him, and transported him from Lower-Canada, with his wife a. . two children, to me, at Fort Crawford, Prairie du Chion, Upper Mississippi, a distance of nearly two thousand miles, ip August, 1829. His stomach and side were in the same condition as when he left me in 1825. Tht aperture was open, atid his health good. He now entered my serdce, and I commenced an* other series of experitoents on the stomach and gastric fluids, and continued them, interruptedly, ixntll March, 1831. During this time, in the intervals of experinient- ing,^ he performed all iSste duties of a common servanti chopping wood, carrying burthens, A^. with little or no suffering or inconvefnience from his wouiid. He la- boured constantly, became the father of mare children, and etqoyed as good health and as much vigor as men in general. He subsisted on cmde food, in abundant quantities, except w4ieti on prescribed diet for pwrticvi- lar experimental purposes, and under special observ* imoe; la iSb» spring of 1831 circumstances made it expect ■■? %. \ . INTRODUCTION. S3 fnt for him to return with his family from Prairie dii Chien to Lower Canada again. I relinquished his en- ' ^agements to me for the time, on a promise that he would return when required, and gave him an outfit for himself, wife and children. They -started in an open canoe, via the Mississippi, passing by St. Louis, Mo. ; ascended the Ohio river ; then crossed the state of Ohio, to the Lakes ; and descended the Erie, Ontario, and the River St. Lawrence, to Montreal, where they arrived in J'Qe. He remained in Canada with his family until C /ober, 1832, in good health, and at hard labor. He was in the midst of the cholera epidemic, at the time it prevailed and passed through Canada, and withstood its ravages with impunity, while hundreds r round him fell sacrifices to its fatal influence. In November, 1832, he again engaged himself to me for twelve months, for the express purpose of submit- ting to another series of experiments. He joined me at Plattsburgh, N. Y., and travelled with me to the city of Washington, where, with the facilities affo>rded by the head of the Medical Department, the experiments were continued upon him from November, 1832, to March, 183%r During the whole of these periods, from the spring of ^ 1824 to the present time, he has eryoyed general good^ health, and perhaps sufTeied much less from disease than is common to men of his age r.nd circumstances in life. He has bqen athletic and vigorous, exercising, eating and drinking like other healthy and active peo^ pie. For the last four months, he has been unusually plethoric and robust, though rmstantly subjected to a series of experiments on the interior of the stomach ; allowing to be introduoed'or taken out at the aperture ^■'^''M.i.i A'-i": ^„_ "% 24 INTRODUCTION. different kinds of food, drinks, elastic catheters, ther- mometer tubes, gastric juice, chyme, &c., almost daily, and sometimes hourly. Such have been this man's condition and circum- stances for several years past ; and he now enjoys the most perfect health and constitutional soundness, with every function of the system in full force and vigor. Mode of Extracting the Gastric Juice. The usual method of extracting the gastric juice, for experiment, is by placing the subject on his right side, depressing the valve within the aperture, introducing a gum-elastic tube, of the size of a large quill, five or six inches into the stomach, and then turning him on the left side, until the orifice becomes dependent. In health, and when free from food, the stomach is iistLal- ly entirely emrity, and contracted upon itself. On in- troducing the tube, the fluid soon begins to flow, first by drops, then in an interrupted, and sometimes in a short continuous stream. Moving the tube about, up and down, or backwards and forwards, increases the discharge. The quantity of fluid ordinarily obtained is from four drachms to one and a half or two ounces, Vvarying with the circumstances and condition of the stomach. Its extraction is generally atteno^ by that peculiar sensation at the pit of the stomach, termed sinking, with some degree of faintness, which renders it sometimes necessary to stop the operation. The usual tiitie of extracting the juice is early in the morning, be- fore he has eaten, when the stomach is empty and clean* On laying him horizontally on his back, pressing the hand upon the hepatic region, agitating a little, and at ::t 'f- INTROOVCTlOlf. 99 the same'time turning him to the left side, bright yel- low bile appears to flow freely through the pyloruS) and passes out through the tube. Sometimes it is found mixed with the gastric juice, independent of this mani- pulation. This is, however, seldom the case, unless it has been excited by some other cause, , The chymous fluids are easily taken out by depress- ing the valve within the aperture, laying the hand over the lower part of the stomach, shaking a little, and pressing upwards. In this manner, any quantity ne- t;cssary for examination and experiment can be ob- tained. * ^ ^vl'tt/i^e— *The vdlve mentioned above, is formed by a slightly inverted ^itlon of the inner coats of the stoni- 'a0h, fitted exadiiy'to' the aperture. Its principal and most external atflichment is at the u|^ and posteribr ^edge bf the dpdrting.' ; its free portion haings pendulous, and i^ls- the apfa^' when the^«tomieeh is Ml, aod ^l%s tipandilti^, simultaneously wilh the respiiRUoi^ ^itm9(i^e^^''i;rh^ viM oi^gfain' i# empi^^ y- '^ ^ K jdn |)^s8i^ d^^nr^lhe t4lve whciiii the stomach is fuH, m^\^riX^f^^ '^When the^stdifeaeh is enifty';i^tiH' quiyicl^.t,:tht>5^teribr of the cavity 'tt>hf Ife %^ lb thbdepth of ive-Of 4lix-inohe8,. ^l^|>t;^8lt^(!^H%ra^tiflci^^ thelbod^lii^ krihkSB*m# te'sei^ %n^, thrbugft tie rMg bf the iRisoiihs^U^ tion^ thrill thi:wl^ll#^ o^ the -s«omBaeh, ' is ftboul^ t'hl^ ifijs^S to thii'MI^ of ^ cardia, n€»r the leib ^ Mptti^r ^rmittatioh of tlie!0^citrv^liJre.i Wwii^mirely^B^ t%, Itit9 stom^&ieo^^ upon 'itSeH; «^ 4K)metiiii*8 "^IditsfeS^he i^aite tfiro«ihr:ihdo^ei,^^^^l^ i^n 3 ^*r'f.ji&. 4^^' ,■ tm^'-n f -\i ^iJi'liiWW"/'*'' ii^i'ii'Jmi-iwiii II y HjTft0t)tTCTl6N. *"'—.• comes completely inverted, and forms a tumour as large as a hen's egg. After lying on the left side, and sld«p- ing a few-'lopurs, a still larger portion protrudes, atid spreads oui o^rer the external integuments, for five dr six inchesijiil circumference, fairly exhibiting the natu- ral rugiB, villous membrane, and mucous coat, lining the gastric cavity. This appearance is almost invariably exhibited in the morning, before rising from his bed. Plattsburgh, 1833. -V '^~ rtlW|f5 '•.jit '|,)5 f'lt'tt ' a*li #t.h iHI%*fHi ^liil? '' ■- f^«»r*-- ■!-■. .' f- . UsAjmu \^kitmM >' .*iy ■ 'tr,.H i^.f_- ^■#^-**%. »n(* innJ|ippiiqTii9% « This engraving represents the ordinary appearance of the left breast and side, the aperture filled with the valve ; the subject in an erect position. AAA The circumference and edge of the aperture, within which is seen the valve. B The attachment of the valvular portion of the stomach to the superior part of the aperture. C The nipple. ' D The anterior portion of the breast. B The scar where the opening was made with the scalpel, and the cartilages taken out. P P P F Cicatrice of the original wound, around the aperture. •VM^r- 19 LOI HI jfT-*-«*ji« '■•■ t' ,r .'■i! J -V Xmw ' -"'An - Ij lo oohl/i^iD H af a a •>* ^w iSis engrating represents the appearance of th« t^iertare with the valve depressed. AAA pdges of the aperture through the integu- m^ and intercostal^ on the inside and around which w ^mm of the la^raited e^s (^ ^|th|he int^rcostaUand skin. , 1^? ^*y ^ ^ stomich, when tlie Vali^ :ia 17 € ;^RW%*pw^ tile oavityof the stonuw*. Il |:E if Cicatrice of the originat wound. -.jliiJSiii ^' "i^'^ ^4:*^ j- ■ , f., - . ^ ...-■. ,: ^i^-tm r ■v< &#-■ *s. <*- V ^ '« ^ ' 13 *f ^^&i.,; »s« '■ m naiT:»^aouTUt ■^■j-' r■^^^• 70 ^ ub y> itn^Hvm^fiiai tdJ '1070 ^jio bamqa btm M^mai *«!J lo «|f>f>3 laani arfi lo se^tn to ablo*? A A A A A i^: ^ ... «■«" ' '^ jj- ' ,!»■•■*"'• \' V^'. tlTTftODUCTlOir. k- 3i Thw wpaTing reprewnti 8 portfon of the stomach ^P^ *f«8»' «» apertme, with the inner .iirfaee •Wwted, and .pwad out over' the integuments of the Slue. ' • ■ -^^1,^^^ ^*^^^^ rag® of the inner coats of the stcnnach. B B B B InteisUces, fiUed with mucous substance. .^1 Ci^ ':7^. jws Vat* i^ <;*> t*,,'' -.y/ .) ■» ) M^ / ?«»«*|,^.V^.^ ;W-» (I ^'^^Av^aBfio yiri.>?mimrr 'i<^; .; .''. ,r , ■'■■■ '■'^■V' r. )«' ■ ■■ ■/ , filial ■ ; ■■ ■ • ' :■■ 'n)ii-^„a ''^"": -.v^.L' •-.<«, v.ii.,„ ■„,.„, i, ■ •■'•■'"'■"'"'•qt* «%mfa a .. tlr. 1* «> awtoTDftih rf.j,„ ,,^ «^ ,^~:* « •^* PRELIMINARY OBSERVATIONS. I do not design, in the following remaks, to present a systematic treatise on digestion. Works of this kind, investigating the subject both physiologically and pathologically, have so multiplied of late, as to render any attempt on my part, entirely a work of supereroga- tion, even if I believed myself qualified for the task. I consider myself but a humble inquirer after truth — a simple experimenter. And if I have been led to con- clusions opposite to the opinions of many who have been considered the great luminaries of physiology, ^ and, in some instances, from all the professors of this science, I hope the claim of sincerity will be conceded to me, when I say that such difference of opinion has been forced upon me by the convictions of experiment, and, as I think, the fair deductions of reasoning. I shall not attempt an anatomical description of the organs of digestion, for the reasons given above. In a work professedly elementary, such descriptions are essential The medical profession are acquainted with these organisms. The general reader, if he have a wish for information of this kind, is referred to anatom- ical authors generally, or to the physiological writings of Richerand, Broussais, Magendie, Bostock, Fordyce, Paris, Jackson and Dunglison, the last of which, as containing the sum of what has been taught in the <»1 4tij0 ^ 34 PRELIMINARY OBSERVATIONS. schools on the subject of physiology generally, arranged in a clear and distinct mannet, and with the assistance of numerous plates, is well worthy his perusal. With a view to comment on my experiments, and to elucidate my opinions on the subject of digestion, I shall divide my observations into the following heads : — Section 1st. Of Aliment. Section 2d. Of Hunger and Thirst. Section 3d. Of Satisfaction (jind Sai^yety. Section 4th. Of Masticationy Insa,livati(fn and deglu- tition. Section 5th. Of Digesti&n by the ^Gastricju ice. Section Cth. Cf the {.ppearance of t^c Villous Coat) and of the Motions of the Stomach, Section 7th. Of Chyli- f cation, and Uses of the Bile and Pancreatic Juice. ,%:, r. ■■*■■. \Wfftm <.f^- ,*■ . *• % jMPttrriLYVitMio ^m t ' »*i]T ^ kiii r^p^^ts the ihhdbitanfir of Enrope^aoci tfaehr Aml^iC^h delcendant^, as 'Well' ks most other natives ^ i^^toeritfe bliifn'iites, it is wMl' Irftown ihat 1^6^^ dtoil* ^^A!if ^n6ttrishii«ittt {iot^ bdth the aniAaal atid'vegetaWt hiifadlity Of digestion Of different knict«t of dtat ^jie (jnahti^ Of litJtrierit'pHlwi^li*^ which' th^iicfli- IkHkavii b^^ii 'stiBgefets of fiia^^^di^ifepfeiil^^ a^iSi^ pftji^i^6§fists. They'lWtir,-'Jio»wfeverj? settlei Wvth iMWh^idfj i)t6biibif rf«j»1rteal^tM"'lrWli «fl^hw- ti^able; that '^inal fbod iV jh^tr feadiiy ^siimi^^ atid Ufibrdi ii^t% nUtHtion< in- ^ given qimntky, tibift vePSible or iariiiiicebtte'i^d;*^^ • « ^i >n ' ; ^ ' jMM m^h^^ ten'f&iVfided Intd fibiSti^^ felatiifi andfi^ftuyh; airid U ^ihp^rmidti'^^m^miiAeh TOi^ioll 6f iViliiiarfdbd: botl^^ if- "i?i;;i-,-JT.' '\* OP ALIMENT. 10 a correct conclusion. The truth is, there can be no general rule on this subject. The facility of digestion is modified by so many circumstances, as health, dis- ease, idiosyncracy, habit, and preparation of food, that a rule which would apply in one case would be incor- rect in another. It depends more upon other distinc- tions than upon those relating to the chemical composi- tion of the food. Albumen, (one of th'?f e chemical divi- sions,) if taken into the stomach, either very sligbtly or not at all coagulated, is perhaps asi rapidly chymified as any article of diet we possess. If perfectly formed into hard coaguiue, by heat or otherwise, and swalt^ lowed in large solid pieces, it experiences a very pro- tracted digestion. The reason is obvious. In the first case the albumen becomes finely coagulated, and divid- ed in the stomach ; in the second, it is less susceptible of subdivision from its hardness. Fibrine and gelatine are affected in the same way. If tender and finely divided, they ».re disposed of readily ; if in large and solid masses, digestion is oroportionably retarded. Mi- nuteness of division and t idemess offibia are the two grand essentials for speedy and easy digestion. By re- ferring to my experiments, it will be seen that those ar- ticles of diet which were submitted to the action of the gastric juice, either artificially, when out of the stom- ach, or in the stomach, by natural process, were dis- solved in proportion to the fineness of their division or their solidity — the one rapidly, and the other slowly. ^' ifhe digestion of animal and vegetable diet requires the same process, though one may afford a larger pro- portion of the nutrient principle than the other. General- ly speaking, vegetable aliment requires more time, and probably greater poweis of the gastric organs, than ani- 4 ■m. *»'■ 38 PRELIMINARY OBSERVATIONS. m>^ mal. Its digestibility is, however, dependent upon -** •8 SrS* « « a bT ^ § a 2 s « 2 H O St D O S^ >• H o o o o o o o o o "w 'CO ^ as S OF ALIMENT 43 ^ I ^ I ^ I I ■I'S ^ i «t t * 1 ii § ^ > § £3 & S Q Q»ft ura CO O i-» tH , , _ - till I ^^ I ^ ^ CO , CO CO, ,MC0Wi~tC0rHOC0C0C050 COt^CO^H COCO CO CO « CO kO ""^ «n ® T*t Tj* tJ» T* CDCOTjtCO CO Tj* m SD SB 00 CO H ^ (4 .ed b .CO 1^ *^ .03 ^ .ed S.s • S • '.a • « -S 2.aJ • S.s S • • ^ ^ jO ;£ JO ^ I - . - 1| .31 . . o ...... ^ .......... d p . A p . . JO , P S o fe ^J 2 d • -Sia dns • • • •^••J» • • •fl* •• •• • • • • • • • "^ • • • jS O 0_0 O 00030 00 00000000 Oe* 000 ?§ § D « j2 S ^ ^ CO CO o M *li.; p ^■^T^TT^I^fPjp^^*!^ -F* 44 PRELIMINARY OB^BRVATIONa. b # I i ' V 1 I >5 6 •si ^ :-§ §^ a S ** ^'o?. 1 rs 1 it I I I I «n I I II • I < *^ I I I i I ^ » CO ^»o wcococo^«fteo ^^^^-"iit^^ «<• to ^ ^ -^ eo ^ eo N^ -^— ^ ti hM iiM b>M .O JO ■s'^JS'^i' ••I '2'H'S 2 c -c • 2 -J • -S » • » f » f * A A <»> » TS-a U no tfl fts 13 -a ^'O'O J 13 TS "P »© "O -O bTjJ ^ ^ (< (j OQ o OP ALIMENT. 45 Explanation of the abbreviations in ths foregoing Table. ! Br'd for bread — veg. for vegetables — mod. for moder- . ate — inc. for increased — susp'd for suspended — dur'g. for during — exp't. for experiment — h'rd. bid. for hard boiled — h. for hour — m. for miimte, dtc. The figures denote the time of digestion, under the circumstances mentioned at the head of the column. This Table is far from being complete. The experi- ments from which it has been formed, were made prin- cipally with the view of demonstrating other important principles connected with the subject of digestion. The only way of ensuring minutnness and accuracy as to the comparative digestibility of different kinds of diet, would be to try the effect of the gastric juice, in a se- ries of experiments, first on one article of diet, and then on another, repeating and adapting them to meet all the various conditions of the stomach, and the vicissitudes and irregularities of the system, until the whole range should be completed-^a Herculean task, which it would take years to accomplish. In the above table, the time is counted from the reception of the meal of various ard- cles to the chymification of the whole : hence the con- elusions are frequently indefinite, some of the articles being sooner disposed of than others. For instance, if a dinner be ealien of venison steak and fat pork, the time of digestion of the whole quantity would in all probability, be twice as long jus if venison had been used alone* Oily substances are digested with gieai difficulty, and the tat ti»>-#i>>* 48 PRELIMINARY OBSERVATIONS. ■i^ the slightest appearance of digestion was observable, and this only upon the surface, where the external laminn became a little softened, mucilaginous, and slightly farinaceous. Every physician, who has had much practice in the diseases of children, knows that partially boiled potatoes, when not sufficiently masticated, (which is aways the case with children,) are frequently a source of colics and bowel complaints, and that large pieces of this vegetable pass the bowels unaffected by diges- tion. These remarks will apply, also to most other vegeta- ble aliment. The variety offish, which are generally used by the citizens of this country, may be regarded as easily sus- ceptible of digestion. The lobster, crab, and sume others of the testaceoustribe, are, perhape, exceptions. Solid food is quicker disposed of by the stomach than fluid, and its nutritive principles are sooner carried into the circulation. It has been observed, however, thai the exhaustion from abstinence is more speedily removed by liquid than solid aliment. This is undoubtedly true ; and it may be accounted for on the ground of a general 8yi[npathy existing between the stomach and all the other parts of the body. It is only necessary, in proof of this fact, to appeal to the experience of almost every physician. The violent spasms, contortionsj d&c. affect- ing different and remote parts of the system, that some- times supervene on the introduction of crude or indiges- tible food into the stomach, are pretty clear indications of the powerful ^sympathy that exists between it and other organs or apparatuses. Condiments, particularly those of the spicy kind, are not essential to the process of digestion, in a healthy .A^^.I^AfOF ALIMENT. 49 Btate of the system. They afford no nutrition, lliough they may may assist the action of a debilitated stomach for a time, their continual use never fails {o produce an indirect debility of that organ. They affect it as alco- hol and other stimulants do — the present relief afforded is at the expense of future suffering. Salt and vinegar are exceptions, and are not obnoxious to this charge, whe^i used in moderation* They both assist in digestion — vinegar, by rendering muscular fibre more tender — and both together by producing a fluid having some analogy to the gastric juice. . ^ Drinks are nearly as essential to the animal system as food. Though not subject to digestion, they enter into the circulation, and become iijopprtant agents intl^e ultimate changes' that are undergoing in the tissues of jthe organism. Simple water is, perhaps, the only fluid that is called for by the wants of the economy. The artificial drinks are probably all more or le^ injurj^ous ; ,/ipmemore so than others; but no^e cls^im ei^tir^ ex- eipption from the general charge of unhealthiness. Even coffee and tea, ^he conpmon beverages of all classes of : pp9pje, , h^avp t^ tendency tp ^deb^litfite thf digestive or- g^nSt Let a(iy one who is ;n the habit of drinking these, {^rticles in a weak decoctiot^ take ^wo or.t()ree cjup? made^vj^ry strong, and he ,\yiH soon Jbe aware of th^ir injurious teudency, ^d this additionf^l strength only Bidding to th^ amount of thejqfir^ptxc h« is iu the co^9Xapi habit ojf losing,, Th^ whole class of alcohcdic /jiqubrs, whetljer simply fermented, or distilled, may be xponsider^ as n(ir,coticSi producing very little difference in their ultimate effects on the system. The jryury which a constant use of wine is known to produce on some stomachs, has been sometimes at- 5 wW4 LX": 0f' • PRELIMINARY OBSERVATIONS. tributcd to the small quaniity of tartaric acid which it contains. But it is not th' cream of tartar that ren- ders wine so deleterious lo many stomachs. It is the acidity produced by the acetous fermentation of the saccharine matter contained in the wine, aided, perhaps, by the alcohol which is in a state of combination with it. Beer has the same effect on the same idiosyncra- cies, or peculiarities of the stomach. Both of these fluids are in a partial stage of acetous fermentation, which is consummated by the increase of temperature in the stomach. It would be a task of great difliculty to designate the exact kind of diet that would, if generally adopted, be the most conducive to health and longevity. A consid- erable variety seems to be necessary to man, in a state of civilization. This want of variety is induced by long habit, which it would probably be unsafe to break through. Whether man was originally carnivorous or granivorous, is a question which we cannot solve, and perhaps it is not worth the attempt ; at present he is both, and with his present mode of existence we have to do, :^^mm J> To ensure health and the integrity of the digestive organs, regard should be had as well to the quantity as to the qifMity of food. The system requires much less than is generally supplied to it. The stomachy disposes, of a definite quantity. If more be tfiken than the actual ^ ' ^^ the economy require, the residue remains i» *' iuach, becomes a source of irritatipn, and produces i>nsequent aberration of function, or passes into the. lOWer bowels in an indigested state, and extends to them its deleterious influence. Dyspepsia is oftener the eflfect of over eating and drinldng than of any other cause. ■wj*, * f SECTION 11. y'Si* OF HUNGER AND THIRST. Hunger is a painful sensation, referred to the region of the stomach. It is a kind provision of nature, design- ed to remind maM, and other animated beings, of the necessity of replenishing the wastes of the system, as well as of contributing to its growth. Much inquiry has been made on this subject, and many theories have been • given to account for the phenomenon. It has been sup- posed by some, that the friction of the inteiiial ooats of the empty stomach is the cause of the sensation. This opinion is liable to several objections : — 1st. A healthy stomach digests its contents in from one to three or four hours, and hunger is not usually experienced until some time after the latter period. If hunger be the effect of the friction of the parieties of the stomach, it ought to be experienced the moment that that organ has disposed of its contents. 2d. In nausea and vomiting, the stomach is brought into a situation, according to this theory, td experience the sensation of hunger; and yet we know how opposed it is to receiving any thing like food. 3d. In gastritis and fevers the sensation hardly ever occuni, though very little food shall have occupied the stomach for a long time — ^perhaps not for weeks. This organ, under such circumstances, is generally empty and irrita- '■4-\ 62 PRELIMINARY OBSERVATIONS. L>j &' ble, yet the peculiar sensation in question hardly evef supervenes. Besides, hunger sometimes occurs when the stomach is partially or wholly filled. The i)6tation of spirits or brandy and water, or other indigestible liquid! does not remove the sensation, although by this means the parieties of the stomach are as completely separated as by food. It has also been suggested that the sensation of hun- ger is produced by the irritation of a quantity of gastric juice hi the stomach, which, by its stiihulus, excites the feeling. The. principal objection to this doctrine is based UDon the fact that the stomach contains no gastric juice, .., at any rate^ but a very small quantity, in its empty state, or when aliment or other irrita;nt is not present. Besides if it were true that it contained a quantity of the • fluid, such fluid does not possess the power of producing^ any thing like irritation or inflammation of its coats. It is as innoxious to the stomach, as the blandest substance in nature. It exerts its influence on free aliment^ but not on the living fibre. By referring the sensation to *'an energetic state of the gastric nerves, occasioned by an interval of inactivity, during which the vital powers niay be supposed to ac- cumulate,'^ it appears to me that we are venturing upon unexploied grounds, of which we know but Httle. We are not accustomed to call those painful nervous sensa- tions to which the system is tometimes subject, states of high nervous ehergy. Are they not rather states of nf^itous debility? or, at any rate, irregular and un- healthy motions ? That the introduction of narcotics into the stomach *Ptrw on Diet, p. 6& "^'•,5;^ OF HUNGER AND THIRST. # ,■1 should destroy the appetite, proves only that they have , the same effect on that organ as they have on other parts of the body ; they paralyze the nerves, and render them incapable of being the media of communication to. their common centre. - Many other causes have been assigned for this sensa- tion, equally wide, probably, of the true one. It has. been attributed to the "foresight of the vital principle,", a phrase that means any thing, every thing, or nothing, according to the construction which e^ch one may put ' upon it. Such explanations conduce nothing to the pro- motion of science. They are mere sounds and words, which ingeniously convey a tacit acknowledgement of thejr author's ignorance. . Again, the mechanical action of the liver upon the diaphragm, has been accused of producing the sensatioB of hunger. Some proof, more thanjnere assertion, is necessary to convince honest inquirers that so remote a cause should produce such effects on the stomach, thq^^^ immediate seat of the feeling. Of the same nature, is the opinion of the fatigue of the contracted fibres of thi^^j stomach, 01^ of compression of the nerves of that organ,- ^Magendie, conyinced that »U the theories on this sul>., ject were unsatisfactory, comes to the foUowiiig comprof ^ hensive conclusion : tjhat " Hunger is produced like all other internal sensations, by the action of thenervoufsj system, and it has no other seat than in this system itself, and no other causes than the general laws of org&nizaf ^ tipn."* I cai^not perceive that such explanations bring tfie .lind to any satisfactory understanding of the sub- •Summary of .. hysioiogjr, p. 196. 5* m 0^ *-''i ,.>' "H H PRELIMINARY OBSERVATlOICfT. I** ject In such broad propositions, it is difficult to asceiv tain the exact meaning. If the design is to convey the impression that hunger has no **iocal habitation ;" thai it is an impression^ affecting all the neirves of the system in the same manner ; then the sensation would be as likely to be referred to one organ as another, w It is true^ that without nervous commimieation there would be ncx sensation at alL This applies as well to other parts as to the stomach. The nerves are the media of commu- nication from the sensible parts to the centre of percep-^ tions. They warn the encephalon not only of the inju- ries, but of the wants of the tissues. We are accustom- ed to refer local sensations and irritations to the parts apparently aSecied — desire for urination and defecation,, to the bladder and rectum ; for liquids, to dryness of the mouth and fauces : and we account, in like manner, for other physiological and pathological sensations. When we can arrive at the exact interpretation of an author, who says that hunger has '^no other causes than the- general laws of organization,?' it wfll then be time to give reasons for an assent to or disseat from the propo- sition. This subject is, unquestionably, involved in considei^- able doubt and obscurity,, ^nd will not, it is to be appre- hended, admit of a very speedy elucidation. The Au- thor of Nature is perfect in all His works | and although we may not understand all the operations of His hands;^ we are compelled to acknowledge their wisdom, propri- ety and beauty. Man would be miserable and wretch- ed indeed, if he depended solely on his own discretion and judgment to decide upon the quantity and quality «f aUment necessary to supply the wastes, and adminis- ter to the growth of the system. This paucity of judg>- OF HUNGER AND THIRST. ment and discretion is, however, more than compen* sated by an irresistable sensation, which indicates the proper time for the reception of food. The immediate cause of this sensation, as we have seen, has not as yet received a very satisfactory explanation, and perhaps will not admit of one. But, although confessedly ob- scure, we are not denied ihe privilege of patient investi* gation, and persevering search after truth. Knowledge is progressive, as well in this as every other science ; and every new discovery, and every rational hypothesis, are additions to the general stock. Persuaded of the truth of these general propositions, and anxious mainly to elicit investigation on the subject, I submit the following Theory of Hunger, believing it to be as reasonable, to say the least, as any that has preceded it. ^ My impression is, that the sensation of hunger is pro- duced by a distention of the gastric vessels, or that ap- paratus, whether vascular or glandular, which secretes the gastric juice ; and is believed to be the effect of reple- tion by this«fluid. One reason, among others, for this belief, is the estab- lished fact, that the internal sensations referred to differ- ent organs, as has been previously alluded to, are caused by some modified action or condition of the parts in the tissues of the organ itself. The modification in the parts to which the sense of hunger is invariably refenedy I conceive to be a distention, by the gastric juice, of a particular set of vessels or glands, constituting, in part,, the erectile tissue of the villous coat of the stomach. The sensation varies according to the different degrees or states of distention, from the simplest desire to the most painful sense of hunger; and is allayed or increas- ed in proportion to the application, or refusal^ of alimen- # ^1 ^, ..*' -v;,,. rr,% ■*r. h. 4. ^tf-* PRELIMINARY OBSERVATIONS. ^f i'^'- y^w^t a.'' tary stimulus to the excretory vessels. The greater the di^^iilion of the vessels, the more acute will be the pain :: hence, the difference between a short and protracted fest. Appetite and hunger belong to the same class of sensa- tions ; they differ only in degree. In this they are like all other sensations. A little increased circulation in the vessels of the brain produces peculiarly vivid, but not Absolutely unpleasant feelings, and gives force and ener- gy to the mental volitions : carried further, it produces most painful sensations. It is unnecessary to cite fur- ther examples. Indeed, it does not need arguments to prove what is the subject of every day's observation, tt is well known that the pain ffom acute inflammation is- produced by distention of the blood vessels. Let any oie, who is disposed to try the effect of vascular disten- tion, place a ligature around the finger or arm, sufficient- ly tight to r6tard the returning blood, and the truth will be sufficiently obvious. It is, therefore^ inferred from the pain, (and no one,, it is believed, will deny that hunger is a painful sensa- tion, whatever may be his opinion of appe^i/e) that ves- sels of some kind are distended ; and it is demonstra- ted, I think, in some of the following'experiment^ thjit these are the gastric vessels. On applying alini^'to the internal coat of the stomach, which,, in health, is merely lubricated with mucus, innumerable minute, papillflp, the orifices, undoubtedly, of the gastric vesselis, immediately throw out a quantity of the fluid, which mixes with the food. This effect is too sudden, and the- secretion too copious, to be accounted for on the ordinary principles and laws of secreting mucous surfaces. The quiescence and relief froin> the unpleasant sensation,, which are experienced as tsoonas the vessels are emp^- ed, are,. I think,, additional proofs of my opinion. It is: „ -I OF HUNGER AND THIB8T. 87. certain, that at the introduction of every meal, or on the appHcation of alimentary stimulus to the internal coat^, of the stomach, a very large secretion of a fluid, which has repeatedly been ascertained to bean alimentary sol- vent, immediately takes place; and that when the stomach is destitute of food or some other irritating sub- stance, no such secretion can be found in it. And it is more than probable — it, in fact, almost amounts to de- monstration, that a large quantity of this fluid must be omtained in appropriate vessels, during a fast, ready ta obey the call of aliment. I would not be understood to say that the whole quantity necessary for an ordinary meal is eUminated from the blood, previous to the com* . mencement of alimentation ; but that enough is con- tained in the gastric vessels to produce the sensation of pain or hunger. If it be objected to this theory, that the vessels would become ruptured, or empty themselves into the cavity of the stomachy during a long fast, I reply, that this ap^ paratus is probably constitiated like many of the other organs of the system, and permits the absorption of its secretions by the lymphatic or other absorbent vessels. I offer this theory for consideration, pei[suaded that the public will allow it such weight as it may have a right to cla^: more than this, I have no wish to ask. TAir^^This sei nation is felt in the mouth and fau- ces. Like hunger, it is a kind provision of nature, designed to remind men and animals of the neces- sity, not of replenishing the wasting solids of the sys- tem, but of diluting the fluids that are carrying on the process of nutrition. Although Magendie has attempt- ed to put a stop to all inquiries on this subject, in the remark, that *^ Thirst is an internal sensation^ an in* / M rf^ PRELIMINAJIY OBSERVATIONS. h "^^ w stinctive sentiment;" the result of organization, and does not admit of any explanation ;" I apprehend a remote cause of this sensation may be found in the viscidity of the blood, which requires a liquid to render it more fluid, and more susceptible of introduction into the capillaries and secreting surfaces. The proximate cause may ex* ist in an irritation, a kind of sub-inflammation of the lining membranes of the mouth and fauces, the efiect of the viscid state of the blood, and consequent imper- vious state of the secretory vessels of these membran^. The sensation of dryness, .r thirst, is supposed to be the effect of evaporation, the mouth and throat being con- stantly exposed to the atmosphere. When there is suffi- cient fluidity of the blood, the secretion is so much more copious than the evaporation, that a constant moisture is preserved. The sensation of thirst resides in the tissues ; and it is no more ; " an instinctive sentiment" than any other sensation of the economy. To say that it is the "jresult of organization," gives no explanation, amounts to nothing, and is certainly, to say the least, a very un- satisfactory way of disposing of the question. ' % ^A ''X TfJ, SECTION III. OF SATISFACTION AND SATIETY. , In the present state of civilized society, with the prov- ocatives of the culinary art, and the incentives of high seasoned food, brandy and wines, the temptations to es;- C08S in the indulgence of the appetite, are rather too strong to be resisted by poor human nature. ' It is not less the duty, however, of the watchmen on the walls to warn the city of its danger, however it may regard the premonition. Let them at least clear their own skirts from the stain of unfaithfulness, whatever may be the result. There is no subject of dietetic economy about which people err so much, as that which relates to quantity. Medical men, have too often been accessory to this error, in giving directions to dyspeptics to eat until a sense of satiety is felt. Now, this feeling, so essential to be right- ly understood, never supervenes until the invalid has eaten too much, if he have an appetite, which seldom fails him. Those, even, who are not otherwise predis- posed to the complaint, ^frequently induce a diseased state of the digestive organs by a too free indulgence of the appetite. *0f this fact physicians generally are not sufficiently aware. Persons who lead sedentary lives, and whose circumstances will permit of what is called free, living, are peculiarly obnoxious to these complaints. Butby paymg particular attention to their sensations ■■* «f PRELIMINARY OBSERVATIONS. . , during the ingestion of their meals, these complaints may be avoided. There appears to be a sense of per- fect intelligence conveyed from the stomach to the en- cephalic centre, which, in health, invariably dictates what quantity of aliment (respondmg to the sense of hunger, and its due satisfaction,) is naturally required for the purposes of life ; and which, if noticed, and pro- perly attended to, would prove the most salutary monitor of health, and effectual preventive of, and restorative from, disease. It is not the sense of satiety, for this is be- yond the point of healthful indulgence, and is nature's earliest indication of an abuse and overburden of her powers to replenish the system. It occurs immediately previous to this, and may be known by the pleasurable sensation o{ perfect satisfaction, ease and quiescence of body and mind. It is when the stomach says enough, and is distinguished from satiety by the difference of the sensations — the former feelings enough — the latter, too much. The first is produced by the timely recep- tion into the stomach of proper aliment, in exact propor- tion to the requirements of nature, for the perfect diges- tion of which, a definite quantity of gastric juice is fur- nished by the proper gastric apparatus. But to effect this most agreeable of all sensations and conditions — the real Elysian satisfaction of the reasonable Epicure ~ — timely attention must be paid to the preliminary pro- cesses, such as thorough mastication, and moderate or slow deglutition. These are indispensable to the due and natural supply of the stomach, at the stated periods of alimentation ; for if food be swallowed too fast, and pass into the stomach imperfectly masticated, too much is received in a short time, and in too imperfect a state of preparation, to be disposed of by the gastric juice. ...The quantity of gastric juice, either contained in its oi^'mfismmdti^ im^u^mmY. A pxnrwgKKSi Mmm^)M^ m\ ^y *ilMiti3nmaias\ fi^J^i^of J*" &il'^im:j' -ti^iUi^ ''^ini ^m'iS\tj yf yukm\fp r??f f ^i'" --■!.!.„ riaiLiMtirART oBaEnrArtoWi: ton^t on an unuiually hearty meal ; the suhfleanenf dmngemem of the digestive functions, and conw^uen •gdities nnd vitiated content, of the prima vii^from acetic fermentation in the rtomach, and imperfect for- mation of chyle in the inte»tine«. lo«*!»Oiq mU tti Mi»u {litiait.l M^j Ml cnA o«>rtT Wftixl igiii(n(ixw .lion's. ..♦(.j^ 10 JU!>iu/ '*» iitiCHi Ax;i( ikW^Ji^ h^njnn i^^mx ^tm mnU y^.'^hnj ,,.,i.:if ooomabtifxinrf ^la u/jin liA \*4i<»iJiBV:'>xi)u 'io &iy<»^^»* i\'^Ai ^ih^m ya^i -^y-rm :ilmiit4 I .... ,j -^xuu 'iiii«Y^ Of mfit m mHmmnnl ViliJtnhmin jKlit^mhaqxii ]s^ttlw. i rf .& SECTION IV. OF MASTICATION, INSALIVATION AND OEOLVTITI ON. ^^1 TlwM are the preliminiuy stept in the ptoceiM of digestion. The comparative importance of these pio- eeeie« has been elevated or deproned, according to the preponderance which each of them may have receivdd fkom the opinions of the different phyaiologists whir have made them subjects of observation. As man and animals are constituted, they are all absolutely neces- eary to the digestion of food. But in an abstract point of view, disconnected as a mean of introducing inge^ i« 1^ ^e stomach, I believe I hasatd nothtog in saying that they may be considered as perfectly toim-^MemiiS Ift chymii||ation. If th^ iiurfw^a drfiwen/arto could be introducer into the etomach in a finely divided state, the operations of mastfoaUon, msalivation and deglutition, would not be necessary. Aliment is as well digested and asshHUated, and allays the sensation of hunger as perfectly, when introduced Oitectly into the stomach, in a proper state of division, as when the previous steps have been taken, as fiiay be seen by some qt the fol- lowing experiments. If particular importance is to be attributed to any of these previous steps, it is certainly ^e to masticatoi J 4ho^h an undue importance has, .ofthr6e'of'tHfe ex lji«s oh afti^iil dipl^ytfoA;* 1Hri<^li^ '^ti^-'iristittited'fbr thy J^W]f>b«e'br doiiiparisort',"t»ilil 'tbtf >4tfiiltiii« of • saMf a ^it*^ the gastric juice rather retarded its sofrent a^tiWi. "if^fyy.^^^"^ ^^'1^ iMfoimtytd ai^stionj^.ns fte foodi^'ind thus to (kimmmi ^^d6 of th# boMs yi«»ugh m^diffektty ?5*f «^t(tidfti '' Hr this pd^^^f ^ V!e^, rt i^e^fiar «^Dif ft6d*bah^rTt,e. <8t^^ until it receives an «dmixture^ of ft fluid; whether it be «*aliv«(t)r«oiiie^ther Ikj^aiA^ is m^I conceive, a matter to swallow a mouthful of dry^i^mw^f; ifa^dl t#lJKg. :l-r'-^' '% ># ^ OF MAITICATIONi lir|IAJUiyATiqN^;J>KO|^TITIOir. 6| nesia, H9 W^ ^^ ^^ mponihle to mpke Xhp oqgmis of deglutition act till f^ quantity of fluid is v^iLod w^H U. Water will answer t|;ie purpose, ^ef^rly Mir»iii^<9f^ifl»f though the glutinous proj^^Wfj c)(,^^ia iiecD^^^iqi^ give it a slight prefer^pce,,.,,,,, ^,.. , 1,. 1, .,. , Pathology is not, in , my opinion, nwfjh indebted to Ru3rsch, who attributed the Ipss.of appetft^ to,th0 w^fe of saliva in a {)^rson ¥^ho w^ a^iqted iv;^i| a fistula % one pf the saljivary ducts ; ,npr,t^ th^ ppimQU,a4vftn- ^,oed by others,, tb^t the pot^tfuit ,fpftt| I II * ■ I r *' t f > • <>*> . '. <', ; *Iii oiing-tbe word ^oltent or MdltOi^ InieAranoA to the gnatt'w jvio«i I irifb » |ie4i9flerjMU>o4 to ipfiMi a ohemifpfl «A^ii9li>3f 9»lofotaf t« . thpt *kt^p a^.t|o»f»f mvaeralioidi ^ ^emetalit; ^ot like^^befolutiou ■ii^f9mn^^^^jmi:^,i !{.>.! "'4^- i^«Vfv^nr' M: ^^^mrvmrnkmrnrnmnmrnn^mrmmT^ "19 jN^M)n^«iMjNtel3E^^ tofhealthy(idig«i4aw)er bo#el4,i wttteieitsupr^s- '«M0»^ ltt>^^ife^etti(l3^s*«tairt^dnfQr tw^nty-fonif hoursJ or t^L^ ? sometimes the cause of rv-^ostr digressing , mi .Sf'>.df| ^^d«j y'-fjwi pMi^^mM m ^2f^^g^|»glUA^ ^hidk^ttaJc^l^^ few I tW OF MA8TieATI0N,^I«*4LIVATI0K,iIIS«II.UTITI0N. in ^the fffiBficmfttstepofittiditiii^ shall not ^be 40 liMyilb.eie inthis lattocone. ImJ&ww^wingi retf^Jtipidhp^ prodnees irregular * com- HMtbtioiw of tiiet8' the 'Uniform '&ctioQ' of ^e* gastric i(^^heH8l6mach- istnot, designed ito receive more fbod ^dh can be duly mixed with the gastric solvit, already !iivitS'prqpe|,vel»el8)'dr>ih a. i9tate>ofi preparation in the )4}ldod''Vpssek.x»iBerfeol h Jiony of vaction oaiwt exir £fthnnighout ^the ^ n^oie ;lipparatu8^ < 'or ^.derangement of ^healthy action* will >eiisue.;. if. u'l ' .! iltoThe stomach* o£jthaeubjectiof these 'experiments^ will l0>0uiiglf[ni, o^f the^ » introduction of food, . «ven! of a liquid H^lndy^ihroughi the apej^ure, at i a> rapid xate.« i If < a few ^PQonfulS'Ofsoupi or other Uquid4iet,ibe put < in with a -«fqp!(^aiiOF$ funnel^ »thet ruge««gemly >c]loseiupon it, and ^gcaduaUyudiffuse it >tbzoughJ^e gastric, caBity^ entirely «Xi:^H^»g more duriog^his I action^. xiWheJIi relaxation i4ake»t place,. ; another quantity i will be r^eived in .th& j^sMine? manner. !i> ':4ii(..-. t'i.'i •. ■Hinv»nt?>QfiinoiJiei J quantity uptU ^bi^ above timci Ims ■ leUpsed ; ■*. when tb^ valve \ may* again bit depressed, ^ and jmoiSj^foadJbi^ pi)t iij|i,,i'opd and drioks wili^be^^J^jved atb*P?ig^jrtl« ^P9r)airei|iQ.fa?t?r*-§y^;jVjbe ^m^i^Yimf^M^ ibftnathey are},p|diw)!Xbrece^yi* through the oesophagus. ©*;. i^*' 68 PRBLXMINABT OBSBRVATIONB. When the subject of these experiments is so placed that the cardia can be seen, and he be allowed to swal- low a mouthful of food, the same contraction of the stomach, and closing upon the bolus, is invariably ob- served to take place at the cBSophageal ring. ■j-^Vi, :>li«Te!*,i'> 3 0T m »«U HO »>,> mi. si' . ■ f ''^^ii 'i>(~)iii<> :f'yt\H f'l iiuii^iuiia. >i.iy\' --tt-i f-H« i.< 'i4 an fii ik i» * v.* 3 B ^hi » litn xi. 'i.1. »f ooiSin'iff':* ill ;T -i;if il ; n •: .Ji., '..••'tlj,. -J* 0P. \ 1 ■ . ' ' 'i.;i«i- •'-•-.• --y ■•':>' l<* :.:. .„*j|K-il!l*'i >'-i«- '^. ■miiBmm.0^?^^ rutimhMMi*'^ fl^ ^T^^ tiit 't<;>i|Cki^:5fc«?tHf''C» e*m-m< • '^ ■ ■■■• - ': lUu'.v. . SECTION T. OF DIGESTION BT THE GASTRIC JUICE. Chymification is effected in the stomach. It is the ^ 0nt stage, proper, of the conTe;sion of aliment into blood ; thdugh in the ordinary course of proceeding, as animals are constituted, some previous steps are neces- sary. After the aliment has been received into the stomachy It is subjected to certain evolutionie^ or motions, propagated by the muscular fibres of that organs and is acted upon i)y the agency of some principle, which changes it from a heterogeneous mij^ture of the yarioils kinds of jdiet) submitted to its action, to an Jnifotm, ho* mdgeneous semji-fluid, possessing properties aistinct fiom the elements of which it was composed. The length of ^me consumed in the operation is various. It depends upon the quantity or quality of the ingestas, or the healthy or diseased state of the stomach, &x. In the various •experiments which I have made, the medium time may be calculated at about three and a half hours. It has b|9h suggested by many physiologists, and pos- itively asJlrted b^ some, thit tiaere is 4 considerable in- crease bf the tiemperaiure pf the stoi^ilefa during the di^ ges^on of a meaL But Irom the result of a great muo* Iber^of exp^ilm^ts and ^acaminations, niadQ with a vieW of ascemm^f^ MK of^^t^^ opinion^ in the empiy and foil state of the o^n, and during different stages of j^ :^i4 ^; •f \!->^:-K %' f\^,'i.fm!!im. 70 4^R|^I|UNA1M7 \ 4>BtlfipiyiatOlt8. i^pym&caiiQn^fl^m, conviiioedthfit there is nb alteniibn of temperature, iinlessj aomo othen circumstances should^ produce Jit. v/ Actiye exercisjB always elevaties the temped rature atic audi paii*^ c^l^s^^(} j^v^^s, an4 ^ual assimilation ajQd\conv;ersionrinto> ^he, flii|%fU|;^dthef uMa i^e c(ovrft^,tjbl§ ipre^ent a^e. ijlt ^ould/ b9i«;wat3ta;ofi t^^ tq,«^|t^»i^^ r^futq tho do<^tri»ei^ithet5okter wtitefBl o:^ ^(ij[s ,i;uq||^t . j ^ $i#Go , iti ,to ^ sayi thait jtll^ theorfet ofi rto tnrm^ffiyfi i^£^^ ^pfjpimd«4.fiy{)0th$se% anduto enictiq^oittlMi^ n^p, §, ,thQpry,rWi^iGh. iwiUvfita^d jthaltQM>^ ae^ e^^iina^on ^d experinijent. ^ • He estfathlished a! •thk)!)*' cdt^Hs^fCAL soi*v?ioN| and taught tt|at f3hyani£oattoi|| W0,i^yms ^ the^solFeut action (4 1 a fluid/ 1 secreted -^bj^ th)| 8t|^I^L^, pini^^^OperatiDg asB true meaitfUtHoft^^^^ o^e^^^, i^jbstiEUices. . To this ifluid he ga^tkeaname QAi^ij^q jiTiricjBu It does not] eomo^wi^in^tho'scope oITt t^ ji9irQrlf^^^i:o ji deti|il o£ Iho^isi^QirimtotB lindi tenml €s^tiwlai^\^ wroughtvconviction<>in< tl^^'iiiRd-^^^^^ thin; great num./^ Itis Qi|ly;necessaiy tOfsay that it was ilset iHnil^ 0^ pdtiftn^ an^ persairerpg uexptiriment and lb- search. OP Dutnrrjmi ^Wf^tmp oiW-Rid'^AjicE. 71 - The l^lftr of a^iti/^kaUi^k theol^ l^^b^'^l^aM-^ ia^nc^ of ft^chemfoal «oltbh^ by i^whd WaveM 0Wliie%Uatiib, dnjlplting tf digestiv® liquid."' Thij|«a^ t%fr %Mfiprtt#«i tliffqj|^iiee pii^ll9^{^iiiriB]|i^to(0M^i^fl^~'W^^ %l ■■^.■^^ jl ,V f s-l.t U r, '& #^:, *a wjT' ^'^^^^'-'^wmm ii Am^iIIi 'I lyif:^S ft •Hal ^USKHIUff I ff) wrm^^fm' ■w^tnm Mpniivw^jnf «"K^Mr'--!..^ -. .,%»if isi:**,^:^' ■^^ 4 u PRS;.||^INARY OB8EaVATZON0» ■HI " UwiVBHilTT or VlRGlIf U, ♦ February 6th, 1833. »BfY Dear Sib: " Since I last wrote you, my friend and colleague. Professor Emmett, and myself, have examined the bottle of gastric fluid which I brought with me from Washington, and we have found it to contain free Muriatic and Acetic acid, Phosphates and Muri' ates, with bases of Potassa^ Soda, Magnesia and Lime, and an animal matter, soluble in cold water, but insoluble mhot. We were ■atisfied, you recollect, in Washington, that free muriatic seid was present, but I had no conception it existed to the amoun» met with in our experiments here. Wo distilled the gastric fluid, when the A^e acid passed over ; the salts and animal matter re- maining in thi^retort. The quantity of Chloride of Silver thrown down on the addition of the Nitrate of Silver, was astonishing." r,' ::.^ '■Ml, '•A I had been long convinced of the existence of free muriatic acid in the gastric fluids. Indeed; it is quite obvious to the sense of taste ; and most chemists agree in this, however they may be at variance! with respect to the other constituents. The analysis of l*rofessors Dunglison and Emmett is certainly as satisfactory as any that lias been made. It is a question whether gas- tric juice, in so great a stfiit^ of purity, has ever before bteen submitted to chemical analysis. It is to be hoped that no one Will be so disingenuous as to attribute to Professor Dunglison the design of find- ing the existence of certain chemical agents in the gastric juice, with the view of propping the theory of the chem- ical action of this fluid, which he has maintained in his work on "Human Physiology ;"— oy, in other words, tp sajr, tliat lie had determined to find certsyn results; an4 that he had accordingly founds them. Those whp iarf acquainted with him, k]|^J^ ^^|^iy:«indor lug^d feirness ^ OF mOBSTION BT THE OAiTRIO JtJlCE. 71 m are abore ihe reach of suspicion ; and that he would be equally as willing to retract a false opinion as to main- tain a correct one. Another quantity was sent to him for further analysis ; but I regret that no report has yet been received from him. In April of the present year, (1833,) a parcel was sub- Ijnitted to Benjamin Silliman, M. D., Professor of Chem- istry in Yale College. Professiional engagements pre- vented his examination of the fluid until the 2d of August, when he sent me the following result : ** Examination of the Gastric Fluid, Aug. 2, 1833. *' 1. The Fluid, after being kept in a cloeely corked vial, more than three months, from April to August, and most of the tjme in a cellar, remained unaltered, except the formation of a pellicle upon the eurikce, slightly discolored by red spots. A second pellicle appeared after the precipitation of the first It was thick- ^1 and more discolored with dark red spots, like venous blood. <^ 2. The Fluid was cloudy, like a solution of gum arable ; but on filtering, it became perfectly clear, and of a slight, straw yel- low tinge. "3. The pellicles, which had the appearance of inspissated mucus, after being separated firom the Fluid, became, after ex- posure to the air, throughout of a brownish red color, resembling the inner portion of a mass of coagulated blood. This change seemed to result from a sudden oxygenation, " 4. The Fluid exhaled a slight odor— 'not disagreeable— rather aromatic— and very similar to that which it at first exhaled ; but not so strong. It was then rather disagreeable, ^j "5. Taste, feebly saline^— not disagreeable. '*$. Test papers of litmus, alkanet, and purple cabbage, were decidedly reddened. Turmeric paper underwent no change : but when previously browned by an alkali, (ammonia) the gastric ^uid restored the yellow color. «7, Nitrate of Silver -gave a denpe white precipitate, wliich, * !^ :.«*, Sfe*^ p, #^ p invOTii mii imp ip 76 PRELIMINARY ODSERVATIONS. after standing five minutes in the sun^s light, turned to a dark brownish black; thus indicating Muriatic Acid. Mur. and Nit. Barytes gave a slight opalescence, indicating n trace of sulphuric acid ; not improbably, there was also sumc phosphoric acid. "8. Specific gravity — when taken in a small, thin glass tube, containing 201 grs. ofdistilled water — when filled witli the gastric fluid, its weight was increased I gr. — weight of tlie gastric liquor, therefore, 202 grs. The specific gravity is, therefore, about 1.005. But little solid matter in solution." ^,g^ Tho following results have been obtained from partial examinations and analyses of the gastric juice, or rather in most instances, of the mixed fluids of the stomach. Spallanzani, in 1793, after many experiments, declar- ed thp gastric juice to be entirely neutral, a solvent for, alimentary matter, tvithifi and without the stomach — that it did not putrefy at the ordinary temperature of the stomach ; but preserved animal matters from putre- faction, and dissolved them, with the aid of heat. Scopoll found in the gastric juice of the rook, water, gelatine, a saponaceous matter, muriate of ammonia and phosphate of lime. Carminiti, in 1795, found it, in carnivorous animals, salt and bitter, and frequently acid when they had eaten, but not so when fasting.* Viridet, Werner, Hmiter and others, found the gastric juice acid. MM. Marquart and Vauquelin found albumen and free phosphoric acid in it. Tiedemann and Gmelin found it to contain, on analy- sis, muriatic and acetic acid ; mucus ; very little or no * Probably because the fluid found in the stomach when fasting, was not gastric juice. • .i ■ .rt *JSx' ^.J^- OF 1^ BBTION BY THE GASTRIC JUICE. n albumen; saliyary mat^r; osmazome; muriate and sulphato of soda. In the ashes, carbonate, phosphate and sulphate of lime, and chloride of calcium. Princi- pally- from carnivorous animals. Louret and Lassaigne, in a hundred parts, found water, ninety-eight, lactic acid, muriate of ammonia, muriate of soda, animal matter soluble in water, mucus, and phosphate of lime, two parts. Montegre, (1812) who could vomit at will* and "w4io analyzed the fluid so obtained, declared it not to be add — not a solvent — not slow to putrefy— m nmch like saliva that ho regards it saliva swallowed. Prout, 1824, declares the gastric juice to be really acid — does not contain an organic acid, but free, hydrochlo- ric, or muriatic acid. , These opinions are certainly discordant. The major- ity of evidence, however, is in favor of the existence of pretty active chemical agents in the gastric fluids — .per- haps not sufiicient, compared with the ordinary bpera- tion|^ of chemistry, to account for the digestion, or solu- tion of aliment. The discrepance of results in the reports of those who have had opportunities.of examining the process of, and have made experiments on, artificial digestion^ by the gastric juice, as well as in the chemical examination of this fluid, has been owing moife to the difficulty of ob- taining it pure, in sufficient quantity, and under proper circumstances, than to any real diflerence in its efl!ects. UndiCr the circumstances in which the following experi- ments were made, I flatter myself that these difficulties * Bee remaiks netr the cloie of tbii lection on Montegre'a experi. ments. V < / ^ ^»i PRBLIMtNA«T OMBRVATIOlfl. ^) 4 tA '■■ I havo been obviatod; and if tho inferenots'be inoorreot, tho blame muat be attached to the experimenter. He can only aa/i that, the experimenla were made in good faith, and with a view to elicit truth. I think I am warranted, from the result of all the experiments, in saying, that the gastric juice, so far from being " inert as water," as some authors asserts, is the great solvent of alimentary matter — even the hard- oat b9ne cannot withstand its action. It is capable, even out of the atomachf of cfiecting perfect digestion, with the aid of due and uniform degrees of heat, (lOO** Fah- renheit,) and gentle agitation, as will bo seen in the fol- lowing experiments. The fact that alimentary matter is transformed, in the stomach, intp chyme, is now pretty generally con- coded. The peculiar process by which the change is effected, has been, by many, considered a problem in physiology. Without pretending to explain the exact modu3 operattdi of the gastric fluid, yet I am ^impelled by the weight of evidence, afforded by the experiments, deductions and opinions of the ablest physiologists^ but more by direct experiment and personal observation, to conclude that the change effected by it qn aliment is pureljf cKemical. We must, I think, regard thia fluid as a chemical agent, and its operation as a chemical ac- tion. It is certainly every way analogous te it; and I can see no more ol^ection in accounting for the change effected on the food, ^^ the supposition of a ichemical process, than I do in accounting for . the varied and diversified modifications of matter, which are operated on in the same way. The decay of the dead body is a cheinloal operation, se p a ratin g 4t into its elementary principles— and why not tbe soliation of alinient in the ^ OP DiailTION BT TRI QAfTRIC lUlCE. 79 itomach, aift iti ultimate astimnatibn iiifto fibrin'e, gela* line and albumen? Matter, in a natural Bense, is in« destructible. It may be differently combined ; and these combinations are chemical changes. It is well known that all organized bodies are composed of very few •implo principles, or substances, modified by excess or i^iminution of same of their constituents. The gastric juice appears to be secreted from num- berless vc&sels, distinct and separate from the mucous follicles. These vessels, when examined with a micro- ■cope, appear in the shape of small lucid points, or very fine^ papillfle, situated in the interstices of the follicles. They discharge their fluid only when solicited to do so by the presence of aliment, or by mechanical irritation. . Pure gastric juice, when taken directly out of the '•tomach of a healthy adult, unmixed with any other fluid, save a portion of the mucus of the stomach with which it is most commonly, and perhaps always com- bined, is a clear, transparent fluid ; inodorous ; a little saltish ; and very perceptibly acid. Its taste, when ap- plied to the tongue, is similar to thin mucilaginous wa- ter, slightly acidulated with muriatic acid. It is readily divisible in water, wine or spirits ; slightly efiervesces with alkalis ; and is an effectual solvent of the materia alimentaria. It possesses the property of coagulating Albumen, in an eminent degree ; is powerfully antisep- tic, checking the putrefaction of meat ; and effectually restorative of healthy action, when applied to old, foetid sores, and foul, ulcerating surfaces. ' * I Saliva and mucus are sometimes abundantly mixed with the gastric juice. The mucus may be separated, by filtering the mixture through fine linen or muslin cambric. 'The gastric juice, and part of the saliva will t t, ,f 7W ' 'j'^ i^T^ '■'ii'ijt 80 PRELIMINARY OBSERVATIONS. tf # MJ^ 'n.jT, > *' ■4 pass through, 4hile the mucus, and spumSus or frothy part of the saliva, will remain on the filter. When not separated by the filter, ^he mucus gives a ropiness to the fluid, that does not belong to the gastric juice, but soon falls to the bottom, in loose, white flocculi. Saliva imparts to the gastric juice an azure tinge and frothy appear; ance ; and, when in large proportion, renders it foetid in a few days ; whereas the pure gastric juice will keep for many months, without becoming fostid. The gastric juice does not accumulate in the cavity of the s'^mach, nor is it discliarged into this viscus, un- til alimientarv matter is received, and excites its vessels to discharge tneir contents, for the immediate purpose of digestion. It then begins to exude from its proper ves- sels and increases in proportion to the quantity of ali- ment naiurally required, and received. A definite pro- portion of aliment, only, can be perfectly digested in a given quantity of the fluid. From experiments on arti- ficial dijyestion, it appears that the proportion of juice to the ingestffi, is greater than is generally supposed. Its action on food is indicative of its chemical character. Like othei- chemical agents, it decomposes, or dissolves, and combines with, a fixed and definite quantity of mat- ter, when its action ceases. When the juice becomes saturated, it refuses to dissolve more ; and, if an excess •of food have been taken, it remains in the stomach, or passes into the bowels in a cnide state, and frequently becomes a source of nervous irritation, pain and disease, for a long time ; or until the efibrts of nature restore the vessels of this viscus to their natural and healthy ac- tions — either with or without the aid of medicine. Such are the appearance and properties of the gas- tric juice. It is not always to be 6btained pure. It ,*' ■i "^'"■■■W'iiiliw^ , * OF DIGESTION BY THE GASTRIC JUICE. 81 ^r> varies with the changing condition of the stomach. — These variations, however, depend upon the admix- ture of other fluids, such as saUva, water, mucus, and sometimes bile, and perhaps, pancreatic juice. The gpecial solvent itself— the gastric juice — is, probably, invariably the same substance. Derangement of the digestive organs, slight febrile excitement, fright, or any sudden affection of the passions, causes material alterations in its appearance. Overburthening the stom- ach oroduces acidity and rancidity iii this organ, and retards the solvent action of the gastric juice. Greneral febrile irritation seems entirely to suspend its secretion into the gastric cavity ; and renders the villous coat of the stomach dry, red and irritable. Under such circum- stances, the gastric vessels will not respond to the call of alimentary stimulus. Fear and anger check its se- cretion — the latter causes an influx of bile into tlie stomach, which impairs its solvent properties. .When food is received into the stcix.ach. the gastric vessels are excited by its stimulus to discharge their con- tents, when chyraification commences. It has been a favorite opinion of authors, that food, after it has been received into the stomach, should "remain there a short pciiod before it undergoes any change ; "* the common estimate is one hour. But this is an erroneous conclu- sion, arising from inacccuracy of observation. Why should it remain there, unchanged? It has been received into the organ which is to effect an important change upon it — the gastric juice is ready to commence its work of solution soon after the first mouthful is swal- lowed ; and, certainly, if we admit that the gastric juice performs the ofiice of a chemical agent, which ;"»^ » • :t1^ 1&. ,r4>' -V 'f Paris on Diet, p, 39. 'jH^'^ !'■■?■?■ f 1^* ■^fe:' ■M um' wpi^^iiipti^iifpiiiiippiiiippmippippiipp 83 ^ PRELIMINARY OUSERVATIONff. i|# ..? F'tf' m ^ most physiologiBts allow, it is contrary to all ciir notions of chemical action, to allow it ono moment to rest. It must commence its operation immediately. Timt it docs so^ is distinctly manifested by close observation of its afction on food, in the healthy stomach. YiMi Paris is not alone in this opinion. It appears to have been a favorite dwtrine ; and has been rogtdarly handed down, from one physioloristto another, as a sort of heir loom to the profession. The succcsssors in tho physiological sciences seem to have Iwcn compelled to receive it with the legacy of their predecessors, without any doubt of its legitimacy ; when, by a little rational examination, it would have l)een found a fair sul)joct of rejection. It will be seen, by the fqllowing oxpevimcnts, that it has not the slightest foundation in truth ; and to them I refer the I'eader. It has Ixjon said, that when one meal follows another in quick succession — or »»\ other words, when a subse- quent meal is taken beforo the provio\is one is digested — that it some how disturbs the process of digestion. This is generally true ; and it allows of a definite solu^ tion. It is because more is received into the stomach, in the aggrogate, than the gastric juice can dissolve. and this disturbance will result, as well when too much food has been taken at once, as wheii too much has been received in rapid succession. But if the quantity be moderate, no ill effect will ensue. Many childrcu are in the habit of eating as often as once an hour through the day, in small quantities, without experience ing any bad consequences. Cooks are, also, accustom^ cd to the practice of constantly tasting of the various articles of food which they are preparing for the table ; i^ aA yet I am not aware that they suffer any inconve- ■ A. M ^ OF niaSBTlON DY TltK OMTRIC JtJtCE. 83 nionce fnim tho habit. From thcie, and other facts, as well as from direct experiment, I think it is perfectly apparent that digestion must progress during the whole time tliat food, in proper quantities, is in the* stomach. It*, as has l)cen suggested, the ingestion of food, in ad- dition to tho delay to itself, retards br stops tho chymi- fication of that which has been previously received, aliment, as it relates to those children who eat hourly, would bo constantly accumulating ; and there would . ronuiin in the stomach at night the wholo quantity taken through the day : a supposition not to be credited, cvcti by those disposed to make the most of a favorite opinion or doctrine. i Duotor Wilson Philip, in his Treatise on Indigestion, says, "tho layer of food lying next to the suface of tho stoinnch, is lirst digested, and in proportion as this im- dcrgocs the proper change, and is moved by the muscu- lar aclit)n of the stonmch, that next in turn succeeds, to inulergo the same change." That chymification com- mences on the surface of the food, I liavc no doubt ; but L apprehend this to be tho case as it respects edch indi- vidual portion, and not the whole mass. I have fre- quently taken out portions from the stomach, a few min- utes at\er they had been received into that organ, when ihey appeared to havo received a full supply of gastric . juice for perfect digestion, when submitted to the artifi- ^ cialmode. When a due and moderate supply of food has been received, it is probaiile that the whole quantity x-' of gnstric juice for its complete solution, is secreted, and mixed with it, in a short time. When an unusually full meal has been eaten, the necessary quantity for its complete solution, is not so readily supplied. If a tena- cious mass of food be used, the external portion of tho %^: " '■ ^ 7 " "'^''••^■•' viji I [pm^mmifmmm u ','f PRBLMtNARY onSRIlVATIONS* I %» ^/ 'K. M» wliolo qimntity is first digested, when atiecceding jwr* tions ni"o presented. Tliero is no ground lor the opinion inferred, that the gastric jniec never leaves the parietes of the .e composed of perfectly formed chyme and l>articles of food, intimately mixed and blended, in vari- ous pix>i)ortions, accoixiing to the vigorous or enfeebled state of the digestive orgaiis, or the (piantity or quality of aliment taken. Most commonly, if the meal have l>een moderate, the pixx'css of digestion will continue in the iwrtioM taken out, when placed on the bath at a prop- er temixvature, and the motions of tlvc stomach imitated. From the circumstances that the introduction of sjxwge, tulx^s, pebbles, &c. by Spallanzani and others, ,£■ --1 ^11 OP DIQEBTION BY TIHB,ai^;p|lIC JVICK. 8| healthy, 1 infer, that the first effect of aliment on the stomach, is one of irritaUon of the gastric popilliB ; thu« exciting the discharge of the gastric juice, and stinmla- ting the muscular fibres of the stoninclK The vermicular motions, being excited by mechanical irritation, not only carry the food into all parts of the stomach, and diffuse its mechanicol influence throughout the whole iinier sur- face of this organ ; but, they imiformly mix the aliment with the gastric juice, which is constantly being secreted, in proportion to the quantity of food received into the stomach, (unless that be too much for the wants of the economy,) until chymification is completed. Some stim- ulus seems to lie necessary to continue the motions of the stomach, ai\er chymification is accomplished, in order to effect the complete discharge of the chyme into the low- er bowels. And it appears highly probable that the compound lluid of gastric juice and aliment, or chyme, by its ac(piired acid properties, aflbrds this stimulus, and propagates the contractile motions of this organ, even afler the mechanical irritation of the crude food ceases. This fluid acquires now chemical properties, becomes more acid and stimulating, as chymification advances, until it is completed. When it is all transferred to the duodenum, the motions of the stomach cease. J From a number of experiments on rabbits, by Doctor j;rWilson Philip,* with the view of ascertaining the pro- cess of digestion, this gentleman has brought his mind to the conclusion, that when food has been taken at different times, " the new is never mixed with the old food." With every feeling of respect for so valuable and indefatigable a contributor to physiological science, I * On DigoBtion. 8 /t:i '4..^ 43fe-^ f-^^- V ' V ^ m iho oM i;>o\l» \\'\\\v\\ rtMM^>^ tM" \hi^ \<\\\ i\y\\\. t\\\\\ p\\vnM\ni\t^\ by it. 'Vhin is tt(\)\ its sUjv^v ,'\^\\^ ox>ns\ston\H% in Rnn\o \norts\n-<\ wntil t^iMn^-btH^. !\\ii^ t^n^Kon \\\\ h) \\\xy n^iMioi^snl tht^ stx^nuvott. fty ?vVh>\ving swtlixMxnit tin\o tW \\\o rtoiion nr^bis ovgnn, ii i?! pwWl^W \hH iho. \\nt^ »M !i:i^^>{\vr\non \\-i>nl\l \^ Wtt ^xmM^i\-^^t in<\ofHt iho \>iVhMr\>nvo\^rsiJ\ni whiMi t^t^ ?ot»m\ ^\t!\nt\iy ot'txvvl Wrtsoi \ho s^mo Kit\i\ nsthi* fim, nnii thr Vv-^^bii \\m\ In^on U>i> tt> Ww 1\nv )«f«>n\o iin\i»s i'h^ lin^ xM' !5<>^>rtvn lion WAS vi>vy int\i5iino<. li rt^>\wrtv« ihM Vw> t<*\\ rabbits i>n orrAv, m\\\ i\\\vy \\\t\\\\\\^ \\w\\\ 1i\st f>v wr^fV'« ov .svtvtfffvw hmtrs> b« tV>i^ tbon> ns n\noh tfnhbr^rr as t1h>v obtv>!«M^ tx> t\M^ ** i\\ii^ kiUiM thorn m vb(t>M*- 6111 J>ovi\^ds, 1\v>m onf tl^ rti>*Af Wnuvs rttWv thoy \\(\\\ or\tvn ii^'^ wb<^n th« lin«^ x**< sq'Kimtit>n Mwx^n tbo tunv tVx^i WlA \hA\ which )\m\ \>iS^\<^mx l\\>m fiLff-A^yt* ^^ rwrwfy- ^* W>wvs bof\*>n\ NX'ti!*, ttT> d\>\tlvi^ ifHft€ Hi.'f^nH. 1 ci^n- 'fess 1 knt^w wvy little, AlvM^t \h^ habits t>t tbow Ai\irt\tt^ «B it WvS|Vct?s tix<^iv iwkW ot" <^igwtit>n ; litit \ shonld hd ificUw^tOthiYyk thAi \( the *'\\^. <>t st^>amii\>^\" ^mwyh^u ih^^v iw* s^tlHoi^nily i\istiwot^ it ti^As not fi>v \\\\m ot' fww>, In m^t^ t>t^^ ftil^ l^t th« Utm ^mm\4. ha\^ ^yH>n nKH>e ihmi Miifioitnii to lmv« di«* posxH^ <^( any i^e^sowaWt* t^^m^uiiy oV tlxxi Odmparativo fhysiokigy, as >^t^^ a?; ci>n\|xiAati\'>^ *ii«t(Mny. i« wn<^"xibt^iy> v^ry «Re«\*i ^ l^tu at tho ?fam« time, %t >RiU not to fi^ke ii of g^i*e»t>l Application^ 'Sfc, •>. *• ■& ^^. . /^^ -^ f ;t Mff t»trH>liltthW Vii tllK WAHtitlb JlflPtB. « *V\s^ \'\\\\\\\\ In k HiuilMtmni> rtnhttiil ; M»ul \n W iiht |mu ^rthl»A lh»U tl\r» "tU'W nuul/' ftiMMtl Ih (hn "ntufill tMii-vrt* t\t». h\\s imw i\\ i)uM^ tll^«'fttivn npjmhttttM. Owi^ tliiti^ iftdtiii trtih) M\\\ II Is >'rt|n»hlr» of «UmitMiMmtliii» in thn Mmtmnh t\r thi* mttijm't of th^o i^tpr»Hmmi(N, tlmttilil t\\u\ mw !\hM^ If* \\\^y rtrr* hi tl\i> miWV) BtfUrt nrcnmuilhiHlmi, nti h»inllly \\\\\\ n[s\^\\\\y \\\[%i\A lit the uttminfUi ||i[*wl\m *^f A mewl, th*»»i^ hh« hwt*ti «mtitt«Uv«r«llyoriiplii> hMi. UhrtH|tnn«hUly lnftrtH t»5itt«i(i(lml, lunv^nvttt', thai a ntrth> tif n»|M^«w ii* mm^t (Hvnmlilo to titiymlftt'rttNi. It l\t^R bi'on unhl ihnt tho-it^^ thn tllf^^ntiofi of HlltlitiHi^ ittO »»u< «!\rtii»!»^lptir>e will Ivft i hy nilhcHii^ M fttets, ttiiH ih« iletlwd* tiotw of expeHmi'niii, thftn >*f tbo ptopii^Atioii nf hypoth- «tf»« ^lunded ttu u!\certAin dnttt. l^itjm tiUitterous tti- hIr^ I «m pt^tntimimi that inotlctniw «t«»rt*ifie co»idii«p« % cao^^wdtptrnWy bs h^jAlihy ftnd mput dlgemloti. Tlio dl«- ^ # .•«>RRLtMiNAiir oniKitVATioNfir. (.*! ,.,;*, m- #' covcry was the rosult of accident, niul contrary to pre- concoivtxl ophiions. I accotuit for it in the following way. Gentle exeiviso increases the circulation of the uystem, and the temperature o(i\\o stomach. This in- crease of temperature is generally about one and a half degrees. Now, if the gastric juice be a lolvent, its ac- tion is similar to other chemical solvents, and its activi- ty is increased in proportion to the elevation of its tem- peratifre. Of the reason,. I leave others to judge. Tho effect is certain. Severe and fatiguing exercise, on thd contrary, retards digestion. Two reasons present them- selves for this — the debility which follows hard labor, of which the stomach partakes ; and the depressed tem- ^raturo of the system, consequent upon perspiration, and evaporation from the surface. Exercise, sufficient to prod«ce moderate perspiration, increases the secretions from the gastric cayity, and pro- duces an accumulation of a limpid fluid, within the •tomach, slightly acid, and possessing the solvent pro- perties of the gastric juice in an inferior degree. This is probably a mixed fluid, a small proportion of which is gastric juice. Bile is not essential to chymification. It is seldom £)und in the stomach, except under peculiar circum- stances. I have observed that when the use of fat or oily food has been persevered in for some time, bile is generally found mixed with the gastric fluids. Whe- ther this be a pathological phenomenon, induced by the peculiarly indigestible nature of oily food ; or whether it be a provision of nature, to assist the chymification of this particular kind of diet, I have not as yet satisfied myself. Oil is affected by the gastric juice with con- siderable difficulty. The alkaline properties of the bile '*'*'.-;i««i '¥* -,^Wr 1 "f ''Wi} OF UIOESTION BY THE OASTRIC JUICE. 8Q may render it moro suscoptiblo'of solution in thin fluid by altering its chemical character. Irritation of the py*, loric extremity of the stomach with the end of the elas- tic tube, or the bulb of the thermometer, generally ooca- sions a flow of bile into this organ. External agitation, by kneading with the hand, on the right side, over thei regions of the liver and pylorus, produces the same effect. It may be laid down as a general rule, however, subject to the exceptions above mentioned, that4}ile is not necessary to the chymification of food in the stom- ach. Mugondio says, " I believe that, in certain morbid conditioujs, the bile is not introduced into this organ,'' (the stomach ;) inferring, that in a healthy state, it is alt ways to bo found there. There can hardly bo a greateK^' mistake. With the exceptions that I have mentioned,^ it is never found in the gastric cavity, in a state of health ; and it is only in " certain morbid conditions'' that it is found there. When bile is found with the gastric juice, the acid taste is diminished, and the flavour of the bile prevails, in proportion to the quantity in the mixture. ..^ The resulting compi^und of digestion in the stomachy or chyme^ has been described as '' a homoge^ieous, puU taceous, greyish substance, of a sweetish, insipid taste slightly acid," d&c. In its homogeneous appearance, it is invariable ; but not in its colour ; that partakes very slightly of the colour of the food eaten. It is always of a lightisU^or greyish colour ; varying in its shades and appearance, from thut of cream, to a greyish, or dark coloured gruel. It is, also, more consistent at one tiiai than at another ; modified, in this respect, by the ki of diet used. This circumstance, however, does noi affect its homogeneous character. A rich and consistent 8* ■■■im|ws ,P 'i(^>(^-l >^ffit ISS^' :t.. ■i f «f«f M ii|pmin4V"*yii 90 rRELTMtfTARY OBSBRTATtOITS; quantity is all alike, and of the same quality. A poor- er and thinner portion is equally uniform in its appec^ ance. Chyme from butter, fat meats, oil, dec. resem- bles rich cream. That frStn farinaceous and vegetable diet, has more the appearance of gruel. It is- invariably distinctly acid. The passage of chyme from the stomach into the duodenum is gradual. Portions of chyme, as they be- come 4brmed, pass out, and are succeeded by other por- tions. In the earlier stages of digestion, this is more <^ slowly effected than in the later ones. At first, the chyme is more mixed with the undigested portions of aliment, and is probably separated with considerable difficulty, by the powers of the stomach. In the later stages, as the whole mass becomes more and more chym- iiied, and bettei^ fitted for the translation, the process is more rapid ; and it is accelerated by a peculiar contrac- tion of the stomach, a description of which will be found in the next section. It appears to be a provision of na- ture, that the chyme^ towards the latter stages of its for- mation, should become more stimulating, and so excite the pyloric extremity of the ston^ach, as to produce this peculiar contraction. After the expulsion of the last particles of chyme, tho stomach becomes quiescent, and no more gastric juice is secreted, until a fresh supply of food is presented for its action, or some other mechanical irritation is applied to its internal coat. « Water and alcohol are not affected by the gastric juice. Fluids, of all kinds, enjoy the same exemption, unless *they hold in solution or suspension some animal or veg- etable aliment. Fluids pass from the stomach very sooa . *'y :# •.* :-m- 'vf.-* < i.F iipfvpmii^ OP DIOESTION BY THB GASTRIC JUICE. 91 after they are received, either by abeorption, or through 4he pylorus. . , Since the general adoption of the theory of a specific, solvent fluid, others have been proposed. M. Montegre, who, it is said, had the power of vomit^ ing at pleasure, performed a series of experiments on the fluids of the stomach, obtained in this way, which in- duced him to come to the following conclusion pn the subject of digestion. " He conceives that what has been supposed to be the gastric juice, is, in fact, nothing but saliva ; that it possesses no peculiar powers of acting on alimentary matter ; that the principal use of the gastric juice is to dilute the food; and that the only action of the stomach consists in ' une absorption vitale ct elec- tive,' in which the absorbent vessels, in consequence of their peculiar sensibility, take up certain parts of the food, and reject others."* A complete refutation of the conclusions drawn from the experiments of Montegre, will be found in the fact, which has been tested by more than t . 1 hundred examinations and experiments, made by me, on the gastric cavity, that although there never exists free gastric juice in the stomach, when empty, yet when this organ is excited by aliment, or other stim- ulants, large quantities are secreted. The fluid obtained by Montegre was, in all probability, a mixture of saliva (which had been unconsciously swallowed) and the mu- cus of the stomach. Neither of these secretions are capa- ble of digesting aliment ; nor could the peculiar products^ generally obtained from the chemical analysis of the gastric juice, be found in them. ^j^ ""Nots in Bostock'i Physiology, vol. 2, p. 384. i I ■ ■■; ■ ■.'-.' '■^L^ML' ^ '4-piTP, -^r oiF''4Mis¥kmi»Tx*MWUmmY, tiA ii^St^M'^^mh ^ '1 m''^lk4M-^L'\ J^ri J * I'tfklf '^ nm t^4Ji-Mi MIIMUM; MMf IflJc Ibi' 41 ^..Mk^m^' iwlii^' |ei;^ii,'(, 4ii«j?^g >> xmiA€Up.^r" ■': • * '1 j""**^ % J1, ^, IMAGE EVALUATION TEST TARGET (MT-3) ^^A^ id. 1.0 I.I ■ 50 ■^" us 140 2.0 1.8 L25 ill i.4 1 1.6 6" V] <^t V ^/). % •> /S« '^ '/ Photographic Sciences Corporation 23 WEST MAIN STREET WEBSTER, N.Y. 14580 (716) 872-4503 v \\ A V 6^ '^. 7 miniM .i> ■' ^' tPH PRELIMINARY OBSERVATIONS. The hypotheses proposed by Professors Smith and Jackson, of this county, are modifications of Montegr^ theory. ^ ^ ■■ 4 The former of these gentlemen supposes that diges- tion is performed " by the veins of the stomach, and by the liv^rJ' He contends, " that the first step in the pro- cess of digestion is effected by capillary veins originating in the villi of the stomach, with obsorbing extremities,, and terminating in the great branches of the vena poi'^ tflB ;"* that this action is continued through the Small intestines ; that the absorbing veins take up the nutrient -ji principles of the food, and reject, as excrementitious, the ^ innutritious part ; that these nutrient principles are mix- ed with the returning blood within the cavity of the abdomen, and are carried into the liver, where the final , processes of animalization and conversion into blood are., completed. Professor Jackson, in a recent work, has proposed a new theory, or rather revived, m some measure, the the- ory of maceration. His hypothesis, as nearly as can be collected from his work, is as follows :— He supposes that digestion is performed by subrpitting food to the action of different fluids, each of which has " solvent powers for different principles ;"t thatj ^e nutrient principles i exist already formed in food, and are released from prin- ." piples that are not required for nutrition, by a species of solution, or maceration. The different fluids, as saliva, mucus from the mouth, throat, stomach, intestines, the bile and pancreatic juice, are the solvents of the different •^• * Essay on Digestion^ p. 63. t Principles of Medioioe, founded on the Strueture and Function* of the Animal Org^ism, p. 354. _^ ^ _ ^,^„ .. -^.^i..^ .i.^'i ^.r ^.^-ik^ : ■;i^-s;'/' ■■V,-'. • ■ ■ ■!' jirttjAfcaiau-j^ , iM'iiiifiliiiiT l?wpWW*'W'"m ■• >» UJl'BHiWPii^n" w'^i^iM, 'JUK'.S ■ ',W|!P I ifi' ' 'I J OP DIGESTION BY THE GASTRIC JUICE. # V -t -■ <•«'■■ Hj> innutritive prmcfples, ancTseparatiB tliem from nutriment, m attributes great importance to the action of the saliva ; thinks it exercises a " very energetic operation on the food," (fcc, and denies, altogether, the existence of a spe- cific solvent fluid. . It is unfortunate for the interests of physiological sci- ence, that it generally falls to the lot of men of vivid ' imaginations, and great powers of mind, to become^ restive under the restraints of a tedious and routine modoC'* of thinking, and to strike out into bold and original hy- potheses to elucidate the operations of nature, or to ac- * count for the phenomena that are constantly submitting^ to their inspection. The process of developing truth, by * patient and persevering investigation, experiment and research, is incompatible with unrestrained gerius. The drudgery of science, is left to humbler and more unpre- tending laborers. The flight of genius is, however, fre-* quently erratic. The bold and original opinions of Brown, had, for a long time an injurious eflect on the science of medicine*, and the later opinions of Montegre"^ and others, have had a like eflect on the sister science"* of physiology. It is, however, a right which men of genius possess, in common with others, to propose hy- potheses, and to support them with such arguments and ' deductions as they may have it in their power to adduce. ^ Great caution and circumspection ought, however, to be ^ observed. It is dangerous to unsettle long established^ truths ; for it is difficult to limit the extent of error. The'* gratification of a morbid desire to be distinguished as the propagator of new principles in philosophy, or as the head of a new sect, is not a legitimate excuse for propa- gating heresy. New opinions or doctrines, whether true or fdse, will have admirers and foUowei s, and will lead . "^ •i:i- ■;&»:- ' ','.'S,, « I V" WT ^W^r HI iii|ipiiPT;iiR^^#4| w "■ . .. .r-^\.*^^~y <.■ .-"^fifc •^ V -i^ ■■>. jlpiwuiMaRipipiiu III W^ '" -"'If ff^ -JM ■fdi "sm^-^^ ■v^ .# * ... #: 1 1 »■■"• V ■ 'Ifr '■■.-'.kf- f SKCTION VL ^"■j^^ OP THE APPRAUANCK OP TIIK VILLOUS COAT, AND OF ^\ THE MOTIONS OP THE STOMACH. ■J* - I? Tho inner coat of the stomach f in its natural and healthy state, is of a light, or palo pink color, varying in its hues, according to its full or empty state. It is of a soft, or velvet-liico appearance, and is v^onstantly cover- ed with a very thin, transparent, viscid mucus, lining the whole interior of the organ. Immediately beneath the mucous coat, and apparently incorporated with the villous membrane, appear small, spheroidal, or oval-shaped, grandular bodie'^j, from which tho mucous fluid appears to be secreted. "^ u By applying aliment, or other irritants, to the inter-' nal coat of the stomach, and observing the efl^ct through a magnifying glasti, innumerable minute lucid points, and very fine nervous or valvular papillae, can be seetl; arising from the villous membrane, and protruding" through the mucous coat ; from which distills a pure, limpid, colorless, slightly viscid fluid, This fluid is in- , variably distinctly acid. The mucus of the stomach is less fluid, and more viscid or albuminous, and some- times a little saltish ; but does not possess the slightest character of acidity. On applying thfe tongue to the mucous coat of the stomach, in its empty, unirritated * 9||te|.,Qo acid taste can be perceived. When tbod, or f-^^ uii WfnmW ^m'W»m nvmi m i m mm <'i<'iii'i"illllPHiPiiPIPPVIili[ W *^H»'',l,UnNA«V im^VlWVAVtrtHlli »*Vf ;t»v ntHy pMvi^|MiM«\ *rho |m)\tl)i\s \ nu\ ronvihotMl. i^mu oh* novvniiou, Wmw {\ prnl or\vl\rtl \n i'^IIimI by nuihovs, ih«» villi M !«Mv(ovy, o\>n\po»o t)\o hMOhlnthM'. T\\M m\\\\\^ j^^V- tUMV 01' tl\o villi fi>vo\ ny<* »*^«Mv!tM'y \\\\\'\n \s( \\\\i> vi^moIh, M' ^h\\\\Uy \ l\rtVo not iho Iim\m iloul»f, Oi»h» Iniuunovnl^ln >>t^t^^\l!U" o\{\\uln!\llo»\!* or tho |mv»^f»!< \s( Ihn wv»iMltM» of Irt^Mvio j\n\»tf^. *rho luvrtvlhbio i^troot of nj^plylnji: wll- mont !x> tho iu!t>vuM. h\\\ oxposod ptul of Iho ^nMvIo m»(^mlM\n\«\ whoh In rt hortltluMM>h«iUloh, !»«« W^w Iho j,%t\v\rtiion of 0\o w^lvtMU t1\iiovtv-ni»^htlort-' ^fti^ \V'\|mII«\ *\M\ouj^h Iho r»|irr^wfw of tht»»o vr»»w»lB to sfv^h) tAm{mv\\\ Minoovts tnvU) iintl t5w th^ \\rhol<^ intt>riov jrrtstvio «utfiv«^^» This rt)[>p«^ar- t%\w^ i» tvM«\>i<^\UM»8 rtuly tlitviMja: Ailiwiftntittio«) or chymf. t*^m\^«MuM\ of iho «»5rtvtx>ry ilnct« of \\\^ gm\tk veBSpIs t>r i^l-^n^v^ lho\mih>n n\«y ttov>^r be i^bto to discern tlioir distinct %jwrt\nt^ Thtft tl\uil 1^ di»ch«rg!»ti, is ttlwotlwl by tbt» s\litncnt in ctMtl^ct, vw w>\lp!Ct!s in small dt\>|-.s^ nnd tHckl«Mi down the stales of U\e stK>m«cb, t\> the tmm dejieniling ptirts, «tnd thew mittgles with the txiod, or whiiitetet else nmy ^5e ^ontaitted in the g^stvit cluMlr hiln«, llnon«li whh'li II lilts l)r«»«ii prdciiirMl. MN«n mmlHi^ Jiilrn novni* it|i|H«urN 1(» l»n lUMMninilaled iti ttttHmvtty of titn Niiunmrli wiiiln riiRiitif< ; mid In rjoldntii, if r^Vr>r, dhiduir^tvl fumi Ur |Uu|itM' mMM«i*nliig v<'Nm«ls, otoi^pt whnii ivxrll(^d l>y iIh» nttliiiMl MlttmliiR (»riillm«»iit, mnHtiuHiMtl IrHtnlltm orinln'R, oiotlu'i-nxfllfinlR. VVInMi ivllmnni In rwolvod, ilm Jtiirn Ih givpu «»ul in ttjtm'l [»h»- prtrlioii to lis nMpilroriuMilFi for floliiilon, njtcnpl whoii tnoi'p food hnn boon ttihoii tlitni In iioroNNdiy for (ho wanttf of tho Rystom. » When njoidundnril InHntion hy n noii-dlgpMllilo m\h sinnro, n^ thp oIuniU* tuho, stRin of iho lh(M'momot(M',A.c. In itNnd, th« Boriclioii In piohuhly Ionn thftii whofi the IrrllrtUoh is pmdtn»nd hy mich RiiliNtmuM^ an {irn itnidily dISBolvod In Iho gHNlilo JtHoo. AUnujni, whtui iukoii Into lliw Nionmch, isdilfuNt?d over the whohi villous Niir- face, and HtlniidiUos th« gastric. vf»NSolN, gotiorully, to Nwroto Ihdr thild copiously ; whoronN tlin Irrlttttlou of tubes^ iViC. In local, aiul pr(»dUo,(>s oidy a pavllnl oxrJlo- motU t>f tho vobsoIn, lUul ooufietpioMtly a scanly How of tho gUNtrlo juicoi Itoncp, tho dolay in ohlaining the o.bmr Ihiid frotn tho rltipty stomach, through ^lin lid)o. t havo tAovcr, on utunerous trials, been ahio to obtain, at any ono tln\c, movo than ouo and a half, or two oiuiogs of this thdd, ni\or the stontaeh had dlsiKiscd of its all- nic»ntary mutters, however long tho period of alistiiitjtico tiad been. Thd disclmrgn of this small (|imniify has generally been excited by the introduction of tho tube. IVnj, fU\cGn, or more minutes, were necessary to collect iy' $ ^'■ ■Mi M^ X., 98 .AK. PREHMINAUY 0B9EBVATI0NS. .,.,.,>,, even this small quantity. Whenever fluid was obtained in larger quantity, as was sometimes the case, it invaria bly contained more than the usual quantity of mucus. On viewing the interior of the stomach, the peculiar formation of the imier coats are distinctly exhibited. When empty, the rugoB appear irregularly folded upon each other, almost in a quiescent state, of a pale pink color, with the surface merely lubricated with mucus. On the application of aliment, the action of the vessels is increased ; the color heightened ; and the vermicular motions are excited. The small gastric papillae begin to discharge a clear, transparent fluid, (the alimentary solvent,) which continues abundantly to accumulate, as aliment is received for digestion. If the mucous covering of the villous coat bo wiped off, with a sponge or handkerchief, during the period of chymification, the membrane appears roughish, and of a deep pink color at first ; but in a few seconds, the follicles and fine^ papillae begin to pour out their respec- tive fluids, which, being difl'usedover the parts abraded of mucus, restore to them their peculiar soft and velvet- like coat and pale pink color, corresponding with the undisturbed portions of the membrane ; and the gastric juice goes on accumulating, and trickling down the sides of the stomach. If the membrane be wiped off when the stomach is empty, or during the period of fasting, a similar rough- ness, and deepened color appear, though in a less degree ; and the mucous exudation is more slowly restored. The follicles appear to swell more gradually. T^p fluids do not accumulate in quantity sufficient to trickle down, as during the time of chymification* The mucus only, appears to be restored. ¥-- ■■■- :'Jv-#'- f'^'-:W:- >.: /^i VILLOUS COAT AND MOTIONS OV THE STOMACH. 99 \ i Tho foregoing, I believe to bo tho natural appear- ances of the internal coat of the stomach, in a healthy condition of the system. !" In disease, or partial derangement of tho heahhy function, this membrane presents variouSf and essential- ly different appearances. '*^ In febrile diathesis, or predisposition, from whatever cause — obstructed perspiration, undue excitement by stimulating liquors, overloading the stomach with food -—fear, anger, or whatever depresses or disturbs the nervous system — the villous coat l)econies somewhat red and dry, at other times, pale and moist, and loses its smooth and healthy appearance ; tlic secretions be- come vitiated, greatly diminished, or entirely suppress- ed ; the mucous coat scarcely perceptible ; the follicles flat and flaccid, with secretions insufficient to protect the vascular and nervous papilla from irritation. '^ There are sometimes found, on the internal coat of the stomach, eruptions, or deep red pimples ; not nu- merous, but distributed here and there, upon the villous membrane, rising above the surface of the mucous coat. These are at first sharp pointed and rod ; but frequent- ly become filled with white purulent matter. At other times, irregular, circumscribed, red patches, varying in size or extent, from half an Inch to an inch and a half in circumference, are found on the internal coat. These appear to be the effect of congestion in the minute blood vessels of the stomach. There are, also, seen at times, small aphthous crusts, in connection with these red patches.* Abrasions of the lining membrane, like tho rolling up of the mucous coat into small shreds or strings, leaving the papillte bare, for an indefinite space^ is not an uticommpn appearance, ;f fjit. mmm ^ r>, V 10)) ■m riiKUMiNAiiY onBRnvATioNi. <.4iy, (I '' m not Ahvoys i%l!^ot, f»Mnminlly, thn gftMilo »|t|mrntli8. y\\\v]\ oon»i(l(M'nl>lo, juul. ptiHioularly, wluMi thnro urn ror»v»|MMwlinkr .sy»Mpii>nifi of iHsonnc, ns dryt»<'«« ol'iho mouth, tl\|i'M, noorhMn''M \nil«o, vV^c. iu> gnMvU; julro <*nn l>o oMvnotrd, not o\oii on tlio nppUontion oCaliiurn- tnry MiiniiluN. Drinks roortviMl, nw imtncdiiiloly nb- ffovboti, ov othorwiso ^li^p(>^^Ml of; nono n»umiuing in (bo BU)nu»ob (on ntinndw nOor b(M(\u: «\vullo\vontU(ion ol' ibo sUMunob, vontains undim^M- cil lor tv\M>niy-lbur or rov(y-oii?h( bonr.-*, or nuutj, iniM'oas- ing ()>o (kM'anitoniont ot' (bo wbolo nUiuonony oMntxl, rtiul ng4, {\\\{\ (»xoorii\(o (bo otlgosol"(bo npor(uro; uml !\l- !tK>s( i»»v«riably pixxbioo nphvhons pn(olio5» nnd (bo otbor imUoa(ions o(' a disonsoil stalo of (bo intornal »no(nl»rano, n\on(ionotl abiwo, Vi(ia(0(l bilo is also found in tbo stoumch undor (boso oirouuKManoos; and ibtoouli of muc\is aix^ nntob n)tnv abiuub\n( (ban in Jioablu Wheuovor (bis morlnd iM>ndi(ion of (bo sion\aob oc- curs> \vi(b dio Uvvual aooonip; at present,, nothing to do. It does not come within the limits whicK>v 1 h^ive prescrilKHl to myself, Its motims^ as conipris* m ^pp w VILLOVI COAT AND MOTIOIff 09 ITOIIACII. m ing a part of thu procods of digoBtion, 1 have endoavor- i;d to obsorvo as accuratoly as practicablo; and 1 give tho rnault. Tho hunmn itomach ii furniihod with ipuicular fasciculi, so arrangod as to shorten its dianiotor in every direction. 11/ tho alturnato contraction and relaxation ofthcflo bnndtk, a groat variety of motion is induced on tliis orgiin, sonictinics trniisvcrsoly, and at other times iongiludinally. Tlioso altcrnuto contractions and re- laxations, when adbcting tito transversn diameter, pro- duce wluit are called vormiaUar ov perintaUic motions. H'ho elloct of tho contraction of thu longitudinal Abrcs, is to upproxiuiuto the splonic and pyloric extremities. When tlicy all act togotbor^ the ctfcct is to lessen tho cavity of thu stomach, and to press upon tho contained uliniont, if thero bo any in the stomach. These mo- tions not oidy produco a constant disturbance, or churn- itiff of tho contents of this organ^ but they compel them, ut (he same lime, to rcvolvo around tho interior, from point to point, and from one extremity to tho other, lu addition to ihcso motions, there is a constant agitation of tho stomach, pre luced by tho respira "ry muscles. Those contractions and relaxations o/ tho musculo i fasciculi, do not observe any very vxad Jiode, Their motions are modified by various circumstances, such an the stinuilant or non-stimulant property of the ingesta', the healthy or unhealthy state of the internal coat of the stomach ; by exercise, and by repose, <31&c. ^^ Tho ordinary course and direction of tho revohitious of tho f(X)d, are first, afler passing the (esophageal ring, from right to left, along the small arch ; thence, through the large curvattire, from left to right The bolus, uh it ent^M the oardia, turc^.^ J^ft kft;. pasjiw 9 u w m )^)iL%\.m\Hkt\ ^toikuvAtmitii ^t ,^ W\\\i\y ^wWwwi^ yNV«v^N\^, m\\ <>>N^y\ \\\r^ {Aviy \\\^\ \\\\^ \s\\\h >\Vt^V* i^MNSAx^^, W^ ^y^y^tv^rtM ^"' \\\^ i^\sS\i\\ y\\\>M\M\ \sU\\^' I^V^^V "{^ ^'^M^I^HlIt y^l^ MNy^ y^S*^S yNf W^^V\Vrt!t, ntul i^ utuhMilitiMlly ilcNi^iirMl, to lupiilt np tliii Ih^Iuk. \\n \\nA\ h« loNopMnHw lli»» ottliMiiiil »«*ul rliyiiiidHl |HM'li«M( oMho piu-(it*li>nol Huul, Mtid mIIow (Iii« uiidi^i'MlHl poHlonn lo »MMhM in I'oMttiri Willi lliM ^n«iiif |nl('i», ilioir \m)\\t^' Kolvonl. li llw» iiioHoM MMii-n niiiiply involiHloti wry, tlu> tMMiti'iil poiHonn wiMilil rnluiii liinir fwR oriii^nNtltm. An (hi> i'ooti )«MM)ini>n tttoiM rtiid iitornrtinii^tMi froin jtn nMuUMo [[n rliymittod Ptnl«», (ho iM'iiliiy ofllM'^umtHn flulitN In iMMinidiMitlily iiiftiMiBHl j inoio m in Vp^f'tttlilo thrtn Hhlnml ili»»t; tniil tlir» ^. mnwdi»«oriht» nioinin li is nnKinmitiMl in »>vr»ry iHrec- {{m \ i^Mving ittn onntalnt^d lluidB on inipnifto (owiirds the U Is |mdml»lR» tlmt fitini thn vpry t*nmninnr«trtent of i^hymlft(^AtloU- riiuu llio (line tlmt food In m'civml Into Ut« Bttmittt^h—untll llnit or^nn hnooniGn onipty, pnrtioiiN ^ diyme Are constantly pttsning into tlio duodetium, ■f-,if^' -7^_^»,f ; » 104 PAIBLtlitMAIlY OBiBR VAT 10110. »^ } % .'■<*■ '.i# through the pyloric oriAco, as the mass ii presented dt ttaoh BUoccBBivo revolution. I infer this^ t'roni the* fact that the volume is constantly dtioroaBiikg^ Tills decrease of volumO) however, is slow at Arst i but it is rapidly ac- celerated tovvaitls the conclusion of digestion, wheu the whole mass t)ecomcs more chyniifled. This accelerated expulsion appears to bo effected by a peculiar action of the transverse muscles, or vatlier of the transverse bandy as described by Simllannani, Haller, Cooper, Sir E. Home, and others, in their experiments on animals. This band is situated near the commoticementof the more conically shaped part of the pyloric extremity^ three or four inches fl^1m the smaller end. In atteuipting to pass a long glass thermometer tul>e, through tho aperture, into the pyloric portion of tho stomachy during the latter stages of digestion, a forcible contraction is tirst perceived rt this point, and tho bulb is stopped. In a short time, there is a gentle relaxation, when the bulb passes without difftculty, and api^ears to he drawn, quite forcibly, for three or four inches,, towaitis the pyloric end. It is then released, and forced back, or suffci*ed to rise again ; at the same timo it gives to the tube a circular, or rather spiral motion, and frequently revolves it completely over. These motions am distinctly indicated, and strongly felt, in holdiiig the end of the tube Ijetween the thumb and finger ; and at\er the bulb has [mssed the transverse band, it requires a pretty foitjible grasp to prevent tho stem from slipping fit>m the band^ and being drawn sud- denly down to ih© pyloric extremity. When the tube is hH to its own direction) at these perioda of conuraction, it is drawn in^ nearly its whole length, to the depth of ten inches ; and it requires considerable force, and gives to th« fingers tho sensation of a strong suetioH power. VlLLOVi COAT AKD MOTION Or fTOMAClI. 106 likG drawing tho piBton from ati oxhtinstrcf tuVxi, todmw it back. Tills cdttsos tiB soon as tho rolrtxtitlmi ocriiri, and tho ttibo lisos ngnin, of iin own nccord, fhrco or four inches, whrn tlio btilb spoms to bo obstrtic'od from rising further; but if ptillod tip nn inch or two, ihrough Iho •tricturo, it movers freely in rill directions in the cnrdiac portions, nnd mostly inrlineu to the splenic extremity though not disiKisod to innlto its exit nt tho nperture. H Above tho contrncling bnnd, nnd towards the splenic portion of tho stomach, the suction or grasping motion is not perceptible ; but when the bidl) is puslied tlown to the transverse bnnd, it is dislinrtly fell to bo grasped, nnd confined in its movements. ,^ These pecidiar motions and contractions continue un- til tho stomach is p(nlV'Ctly enipty, nnl|;!!! ^mi-^m^^-"-- -^??^^-^r 1 SECTION VII. JYv. ' XfF GHYLIFICATION AND USES OP THE BILE AND PANCREATIC JUICE. ^f^.*y| As food becomes chymified by the gastric juice, the contractile motions of the stomach send it into the duo-' deimm, to receive further changes, preparatory to its assimilation 'o the circulating fluids of the system, by* the lacteal alreorbents and blood vessels. It is at first slowly received into this organ from the stomach ; hw.f during the later stages of chymification, its transmis-' sion becomes more accelerated. The duodenum is 8(yf constituted, that the passage of the chyme through it, is considerably retarded ; and, hence, in some patho-^ logical conditions of the system, the pressure on that organ from repletion, is considerable j and frequently^ produces great pain and distress. * The vermicular motions of this and the other intes-* tines, are propagated from the stomach, and are con-l tinued, after this organ has discharged all its contehts.^ They are more or less rapid, varying at diflerem sec-^* tions of the canal ; of which it not necessary to par- ticularize. These motions are excited by the stimulus of the chyme, and occur at intervals, on the introduc- tion of each successive quantity passed through the pylorus. The chymous mass is not changed until it arrives at, 110 PRELIMINARY OBSERVATIONS. •» or passes the mouth of the ductus cholodochus, when the liver and pancreas are excited to discharge their respective fluids. These mix with the chyme, and produce an essential alteration in its sensible and chemi- cal properties. At this point, the lacteal absorbents commence. ^ ^r^m ' That the change from a chymous to a chylous stage is effected by the operation of the bile and pancreatic juice, there can be no doubt. Of the nature of this change, there is some diversity of opinion. Chyle ;s generally described as " a white, opaque substance, con- siderably resembling cream in its aspect and physical properties ; " * though it is said to vary slightly, accord- ing to the kind of aliment which has been used. It is my impression, however, that pure chyle, taken from the lacteals of a healthy subject, and produced by natural food, is invariably the same substance in the same individual. Changes that have been observed must be reckoned as the eflfectof a pathological state of the sytem, or the absorption of a non-digestible sub*j stance. Medicines and other substances, which are not capable of digestion, are sometimes taken up by the lacteal absorbents, and may produce an alteration in the physical and chemical properties of chyle. It is possible that a small proportion of oil may escape the*i action of the digestive apparatus, be absorbed by the lacteail, and produce the opaque, white color, mentions ed by authors, as sometimes appearining. Counizm nance is given to this snggestion, by the fact, that the more opaque colored parts of chyle are. found floating on the surface ; and that it is always discovered after the « BoBtock's Physiology, vol. 2d, p. 392. ..^. CHYLIFICATION. Ill ingestion of oily food. At other times, it is uniform in its color and consistence, whatever coloring matter may haV'- been contained in the food. «♦ 1 wish to bo understood to say, that all kinds of ali- ment produce the same nutrient principles. With the view of attempting an investigation of this subject, as has been previously mentioned, I instituted some im- perfect experiments and examinations. For the result, see Experiments, Second Series, from 47th to 66th. By the addition of bile and dilute muriatic acid, and subsequently pancreatic juice, to chyme formed in the artificial way, as well as in the stomach, it separated 4nto three distinct parts, a reddish brown sediment at the bottom, a whey- colored fluid in the centre, and a creamy pellicle at the top. Each repetition of the ex- periment produced a similar result ; though not exactly alike in all. Tl>e central portion, ' I suspect to be im- perfectly formed chyle. The sediment, from its appear- ance, and the coarseness of its particles, I judge, rs incapable of being acted on, or taken up, by the ab- sorbents ; the creamy or oily pellicle is not only liable ^ to the same objection, but is in too small proportion to i the iflgestoB. The fluid part is fitted, by its fluidity, for the ready action of the absorbents ; and is, moreover, i in sufiicient quantity for the purposes of nutrition. — i The change of color and consistence is, probably, ef- ' fected in the lacteal glands and vessels. The sediment and pellicle, I apprehend, are both excremential. The J ** irregular filaments," attached to the valvulae conni- . ventes, mentioned by Magendie, and which he conclu- ded to be imperfectly formed chyle, were, undoubtedly portions of the creamy pellicle, found in the experiments . referred to. v-fjiirep «J-^'!!»|,it^i.3iJ»: t^\ ..»># \ «, 1- vSk. ■■!-*»•.: - 113 rnBLMINARY OBSRRTATIONr. ^''- But what is the nature of the changes effected in the duodenum? Aliment, after hoing introduced into the stomach, is dissolved in the gastric juice, and forms a new compound with this fluid. The constituent ele- ments of food are various. When compounded with the gastric juice, they may, nevertheless, bo said to form a simple compound, or a gastrite of aliment. I am in- different about terms ; and this will at well convey my meaning as any other. When this gctstrite is introdu- ced into the duodenum, and mixed with the hepatic and pancreatic fluids, are we not warranted,^ from all the facts that have been observed, in saying, that there is a general play of chemical affinities, in that organ, separ- ating the nutrient principles, and forming various new compounds from the elements of each ? The chymous mass changes its color, and loses its acidity. There is a sensible extrication of gas, as observed by Mageridre, and others.* In the stomach, oxygen is found mixed with a small proportion of hydrogen. In the intestines, an increased proportion of hydrogen exists, with car- bonic acid, nitrogen,, (fee. ; but no oxygen. Does not the acid of the chyme unite with the alkalis of the bile, and form new compounds? And do not other equally im- portant changes take place? This subject, I confess, is obscffre, and perhaps will not admit of a very perfect investigation. ^ 's^ The constant agitation which is maintained in the intestines, preserves the chyle in a state of perfect ad- mixture with the other fluids, until absorption has taken place. By standing at rest, the separation mentioned above, is evident and perfect. . w * The escape of gas waa generally obaerrable in mizipg these fluids with chyme, in my experiment! >*^ CIIYLIFICATION. v; 113 -* It has been supposed that the mucus of the intestines has some agency in the formation of chylo. But 1 am disposed to think, witli professor Dunglison, and others, that the use of the mucus is to lubricate the internal coat of the intestines, and, perhaps, to dilute their con- tents. It has been suggested that digestion can be perfected in the duodenum and lower bowels, when the food has not been submitted to the action of the stomach and its fluids. Ii\ two experiments by Mogcndie, one failed, and the other was attended with partial success. Too much reliance ought not to be placed on experiments, that require such severe and cruel vivisections, as were resorted to in these cases. It is possible, as suggested by Dunglison, that the presence of crude aliment in the duodenum, may excite the discharge of gastric juice in the stomach, its expulsion into the duodenum, and its consequent action on the food, before it is affected by the bile and pancreatic juice. Or, it may be that the upper part of the duodenum is furnished with vessels, which secrete a fluid similar to gastric juice. Experiments have also been instituted with tho «riew of ascertaining, whether chyle>an be formed without .' the admixture of the hepatic and pancreatic fluids, with various results. Brodie ascertained, by tying the duc- tus communis cholodochus in young cats, that the pro- cess of chyliflcation was prevented, and that no chylo was found in the intestines. Magendie, Leuret and j Lassaigne, on tying this duct, discovered matter of '< a ^ rosy yellow color," which, afibrded, on analysis, thei same constituents of chyle, although the animals, which » were the subjects of the operation, hcui been kept soma 10» 1 1 vm- 114 PRELIMINARY OBSERVATIONS. time without food. There is certainly an apparent dis- cordance in these reports. But, it is possible, they may be explained, and reconciled. % It is well known that the absorbents are active during a protracted fast, (as in these last experiments) and are constantly taking up the cellular substance, for the purpose of supplying the blood vessels with these broken up solids of the system. Emaciation is the effect of absorption. The lacteals, like other absorbents, have, undoubtedly, their appro- priate stimulus; but if that be withholden, they will feed on other substances, the cellular and other solid parts, within their reach. If such be the case, it will accoimt for the rosy colored fluid, found in the lacteals, by Magendie and others. ,^ )}. ;l. .■■M': EXPERIMENTS AND :.#■ OBSERVATIONS. '"'I.JA ( j K«i^%.mj^'^*.^i^l|l»^^*■'• i'"'^;-* ' J « ■^''S'ltK' l> •? ■'.^' ""if •V; ■■ 4^ ^.■n-:Hj J - r. EXPERIMENTS, &C. iv^ FIRST SERIES. Experiment 1. . A' s^ust 1, 1826. At 12 o'clock, M., I introduced throug.i the perforation, into the stomach, the following articles of diet, suspended by a oilk string, and fastened at proper distances, so as to pass in without pain — viz. a piece of high seasoned a-la-mode beef ; a piece of raWy salted^ fat pork; a piece of raw^ salted^ lean beef ; a piece of boiled^ salted beef ; a piece of stale bread; and a bunch of ratr, sliced cabbage; each piece weighing about two drachms ; the lad continuing his usual employment about the house. At 2 o'clock, P. M., withdrew and examined them — found the cabbage and bread about half digested : the pieces of meat unchanged. Returned them into the stomach. At 2 o'clock, P. M., withdrew them again — found the cabbage, bread, pork and boiled beef all cleanly digested,* * These experimenta are inierted here, u they were originally taken down in my Note>Book, with very little alteratioa of phraie. ology, and none of the aense. Subtiequent experrmenta have aome- timea convinced me of errora informer onei. When thia haa been the caae, I have generally made the correctiona in the way of remarka,, or obaervationa, n in thta experimeat. ■/-^i;i^T .- ■",^j;-M','. ■.".■;■ ■■■.•Lyi'?-irji;'''f'^''T"5ffll"-i 118 EXPERIMENTS AND t)^' ■% and gone from the string ; the other pieces of meal but very little affected.. Returned them into the stom- ach again. At 2 o'clock, P. M., eiamined again — found the a-la- mode beef partly digested : the rmo beef was slightly macerated on the surface, but its general texture was firm and entire. The smell and taste of the fluids of the stomach was slightly rancid ; and the boy complained of some pain and uneasiness at the breast. Returned them again. The lad complaining of considerable distress and un- easiness at the stomach, general debility and lassitude, with some pain in his head, I withdrew the string, and found the remaining portions of aliment nearly in the same condition as when last examined ; the fluid more rancid and sharp. The boy still complaining, I did not return them any more. August 2. The distress at the stomach and pain ia the head coQtiiming, accompanied with costiveness, a depressed pulse, dry skin, coated tongue, and numerous white spots, or pustules, resembling coagulated lympih, spread over the inner surface of the stomach, I thought it advisable to give medicine ; and accordingly, dropped into the stomach, through the aperture, half a dozea calomel pillsj four or five grains each ; which, in about three hours, had a thorough cathartic efiect, and remov- ed all the foregoing symptoms, and the diseased ap- peatance of the inner coat of the stomach. The efiect < f the medicine was the same as when administered in the usual way, by the mouth cind oesophagus, except the nausea commonly occasioned by swallowing pill& , This experiment cannot be considered a fiiirtastof \iff\ -iW'.n.-»i ■ -ir-^- ft ■•-*-'-;-•» ■■rwrvr "* "" ' ^ ^w*w\ bflSERVATIONS. i 119 the powers of the gastric juice. The cabbage, one of the articles which was, in this instance, most speedily dissolved, was cut into small, fibrous pieces, very thin, and necessarily exposed, on all its surfaces, to the action of the gastric juice. The stale bread was porous, and, of course, admitted the juice into all its inter- stices; and probably fell from the string as soon as softened, and before it was completely dissolved. These circumstances will account for the more rapid disappear- ance of these substances, than of the pieces of meat, which were in entire solid pieces when put in. To account for the disappearance of the fat pork, it is only necessary to remark, that the fat of meat is always re- solved into oil, by the warmth of the stomach, before it is digested. I have generally observed that when he has fed on fat meat or butter, the whole superior portion of the contents of the stomach, if examined a short time after eating, will be found covered with an oily pellicle. This fact may account for a disappear- ance of the pork from the string. I think, upon the whole, and subsequent experiments have confirmed th0» opinion, that fats meats are less easily digested than lean, when both have received the same advantages of" comminution. Generally speaking, the looser the tex- ture, and the more tender the fibre of animal food, the I easier it is of digestion. ^^ This experiment is important, in a pathological point of view. It confirms the opinion, that undigested por- * tions of food in the stomach produce all the phenomena it M '^■S^ *. :^ f. -'. ♦! k 120 EXPERIMENTS AND * of fever ; and is calculated to warn us of the dtinger of all excesses, where that organ is concerned. It also ad- monishes us of the necessity of a perfect comminution of the articles of diet. Experiment 2. Aug. 7. At 11 o'clock, A. M., after having kept the lad fasting, for seventeen hours, I introduced the glass tube of a thermometer (Fahrenheit's) through the per- foration, into the stomach, nearly the whole length of the stem, to ascertain the natural warmth of the stom- ach. In fifteen minutes, or less, the mercury rose to 100®, and there remained stationary. This I determin- ed by marking the height of the mercury on the glass, with ink, as it stood in the stomach, and then withdraw- ing it, and placing it on the graduated scale again. I now introduced a gum-elastic (caoutchouc) tube, and drew oflf one ounce of pure gastric liquor, unmixed with any other matter, except a small proportion of mucus, into a three ounce vial. I then took a solid piece of boiled^ recently salted beeff weighing three drachms, and put it into the liquor in the vial; corked the vial tight, and placed it in a saucepan, filled with water, raised to the temperature of 100®, and kept at that point, on a nicely regulated sand bath. In forty minutes diges- tion had distinctly commenced over the surface of the meat. In Jifty minutes the fluid had become quite opaque and cloudy ; the external texture began to sepa- rate and become loose. In sixty minutes, chyme began to form. . , ■ At X o'clock, P. M., (digestiott hi^ving progressed with r\. OBSERVATIONS. ■ mfm yi the same regularity as in the last half hour,) the cellu- ' lar texture seemed to be entirely destroyed, leaving the muscular fibres loose and uncoimected, floating about in fine small shreds, very tender and soft. ^ • At 3 o'clock, the muscular fibres had diminished one half, since last examination, at 1 o'clock. At 5 o'clock, they were nearly all digested ; a few fibres only remaining. . • At 7 o'clock, the muscular texture was completely bro- ken down ; and only a few of the small fibres floating in the fluid. At 9 o'clock, every part of the meat was completely diGTCSted. - ■^ Th .sfric juice, when taken from the stomach, was as clcii and transparent as water. The mixture in the vial was now about the colour of whey. After stand-^i ing at rest a few minutes, a fine sediment, of the color of the meat, subsided to the bottom of the vial. t^ in' ■4 Experiment 3. n At the same time that I commenced the foregoing ex»" pcriment, I suspended a piece of beef, exactly similar to that in the vial, (Ex. 2d) into the stomach, through the %perture. / At 12 o'clock, M., withdrew it, and found it about as tmuch aflfected by digestion as that in the vial ; there was little or no diflcrcnce in their appearance, lleturn- yjd it again. '■ At 1 o'clock, P. M.,. I drew out the string ; but the *meat was all completely digested, and gone. The eflfect of the gastric juice on the piece of meat, * suspended in the stomach, was exactly similar to that 11 ■^:-:-^-- 122 > > EXPERIMENTS AND '\- in the vial, only more rapid after the first half hour, and sooner completed. Digestion commenced on, and was confined to, the surface entirely, in both situations. Agitation accelerated the solution in the vial, by re- moving the coat that was digested on the surface ; en- veloping the remainder of the meat in the gastric fluid; and giving this fluid access to the undigested portions. Experiment 4> I-'JB'w ■#■ » Aug. 8. At 9 o'clock, A. M., I drew oflf an ounce and a half of gastric juice, into a three ounce vial } suspend- ed two pieces of boiled chicken, from the breast and back, into it, and pla<5ed it in the same situation and temper- ature as in the second experiment ; observing the same regularity and minuteness* Digestion commenced and progressed much the same, as in the second experiment, but rather slower; the " fowl appearing to be more difiicult of digestion than the ^ Jlesh. The texture of the chicken being closer than that of the heef the gastric juice appeared not to insin- uate itself into the interstices of the muscular fibre, so readily as into the beef ; but operated entirely upon the outer surface, dissolving it as a piece of gum arabic is dissolved in the mouthy until the last particle was digest- ed. The color of the fluid, after digesting the chicken, was of a greyish white, and more resembled a milky fluid than whey, which was the color of the chyme from the beef. The contents of both vials, kept perfectly tight, re- mained tree from any foetor, acidity, or oflensive smell ' *' ■■■' ff mm ^m^ OBSERVATIONS. 123 or taste, from the time of the experiments, (7th and 8th August,) to the 6th of September ; at which time, that containing the solution of boiled beef, became very- offensive and putrid ; while that containing the chyme from the boiled chicken, was perfectly bland and sweet. Both we kept in exactly similar situations. It is perhaps unnecessary to make any comments on the result of the above experiments. Each one will make up his opinion from the facts. These demonstrate, at least, that the stomach secretes a fluid which pos- sesses solvent properties. The change in the solid sub- stances is effected too rapidly to be accounted for on the principle of either maceration or putrefaction. I ishall be able to show, in some of the following experiments, that aliment undergoes the same changes in the stom- . ach, as is effected in the mode here adopted. ti The young man who was the subject of these exper- iments, left me about this time, (September, 1825,) and went to Canada, the place of his former residence. The i experiments were consequently suspended. -•-6 m m -«£hx . jieaaBC;..R!^i£.. $ •.#l*i'?!^ EXPERIMENTS, &C. SECOND SERIES. Fort Crawford, Upper Mississippi, June, 20th, 1828. Alexis St. Martin having returned from Canada, after an absence of nearly four years, with his stomach in the skme, or very similar condition, as when he left me in September, 1825, 1 continued to prosecute the gastric experiments, which were commenced before he left me. L • With a view (o ascertain the variations of tempera- ture, if any there were, in the interior ol the stomach, under different circumstances and conditions of the sys- tem, and vicissitudes of the atmosphere, I instituted the following experiments. Experiment 1. Dec. 6, 1829. At 9 o'clock, A. M., I introduced the glass tube of a thenptometer (Fahrenheit's) through the 126 SXPSaiMENTS AMD artificial opening into the stomach, in a healthy and empty condition, nearly the whole length of the stem. * In six or eight minutes, the mercury became stationary, at 98 deg. Weather cloudy, damp, and almost raining ' — ground wet, muddy and thawing. Wind S. and mild. Thermometer, in a North exposure, 63 deg. Com- menced raining at 11 o'clock^ A. M., and continued all day, with oppressive atmosphere. Experhnent 2. Dec. 7. Introduced thermometer at the same hour as yesterday — circumstances of stomach the same. Mer- cury at 98 deg. Weather cloudy — Atmosphere damp — . Wind N. W. and light— Th. 27 deg. Experiment 3. , Dec. 8. Introduced thermometer at 9 o'clock, A. M. — circumstances of stomach same as yesterday. Mer- cury stationary at 99 deg. Weather clear — Atmosphere * :* dry— Wind S. W. and light— Th. 13 deg. Experiment 4. Dec. 9. Introduced thermometer at 9 o'clock, A. M. — circumstances similar. Mercury stationary at 99 deg. Weather clear — ^Atmosphere dry — Wind W. and light — Th. 10 deg. Experiment B. . Jan. 24, 1830. Introduced thermometer at 3 o'clock, % ■'^ ^^WP -r't 0B1ERVATI0N8. 197 P. M. Weather clear and cold— Th. 8 deg. below zero — Wind N. W. and light — stomach empty, and coats healthy. Murcury stationary at 100 deg. Experiment 6. Jan. 25. Introduced thermometer at 8 o'clock, A. M. Weather clear— Wind S. W. and light— Th. 2 dog.— Stomach empty. Mercury stationary at 100 deg. At 10 o'clock, A. M., (one hour after eating a break- fast of pork and bread,) introduced thermometer again. Mercury stationary at 100 deg., as at 9 o'clock, before eating. Experiment 7 March 17. At 10 o'clock, A. M., introduced ther- mometer. Weather rainy and foggy — Wind S. W. and light — Th. 38 deg. — Stomach empty, having eaten noth- ing since 7 o'clock last evening. Mercury stationary at 99 deg. ** vj Experiment 8. March 18. At 8 o'clock, A. M., introduced thermom- eter. Mercury stationaiy at 100 deg. Weather clear —Wind N. W.— Th. 6 deg. At 9 o'clock, breakfasted on meat, biscuit and butter, with coffee. Temperature of the stomach, immediately before eating, 100 deg. ; thirty minutes after finishing breakfast the temperature had risen to 102 deg. Diges- tion rapidly advancing. W-i'< .At M, I. ■:; VI "> ,.»^'- 128 SXPXRIMENTS AND 1 " it appears, from tho foregoing exporimonts, that the variations of the atmosphere produce cfTects upon tho temperature of the stomach ; a dry atmosphere increas- ing, and a humid one diminishing it. What would bo tho effect of copious perspiration, in warm weather, on the temperature of the stomach ? Would that of the interior of this organ be lessened by evaporation ? I regret that sufficient experiments hftvo not been made, fully to sat- isfy these inquiries. From one or two experiments, it would seem, that the heat of the stomach was increased during the active period of digestion. This, however, was probably owing to er.ercise, immediately after eat- ing, though not particularly observed and noted at tho time. Subsequent experiments have not shown this re- sult. On the contrary, the temperature has been found to be tho same, in its full and empty state. The ordinary temperature of the healthy stomach, may be fairly estimated at 100 deg., Fahrenheit. Some allowance ought, probably, to be made, in these experi- ments, for imperfect instruments. It appears, from sub- sequent examinations, that there is probably some differ- ence of temperature in different regions of the stomach, it being higher at the pyloric than at the splenic end. See subsequent experiments and observations. ^iJf: ^s^^mL *ift.i.- ■ f ■^pp ^^^ 40II8EBVATI0NI. 129 To ascertain whether the gastric juice bo accumulated in the stomach, during poric/uK of fasting, or even from the immediate and direct influence of hunger, I made the following experiments. .•^ Experiment 9. ' Dec, 6, 1829. At 8 o'clock, A M., after twelve hours abstinence from cither food or drinks, I introduced, at the porforation, a gum-clastic tul)o, and drew ofTa drachm or two only of the gastric juice. There was no accumu- lation in the stomach. Ex-perimcnt 10, Dec. 12. At 3 o'clock, P. M., introduced tube — could^ procure two or three drachms only — this was secreted on the irritation of the tube. Stomach contained none ' in a free state. ^'- ^^.w^ Experiment 11. Dec. 14. At 10 o'clock, P. M., after eighteen hours fasting, introduced tube, and drew off one and a half ounces of gastric juice. It was clear, and almost trans- parent ; tasted a little saltish and acid, when applied to the tongue, similar to thin mucilage of gum arable, slightly acidulated with muriatic acid. There was no accumulation in the stomach when the tube was intro* duced. '>';'».■"?" •»1 130 EXPERIMENTS AND Experiment 12. March 13, 1830. At 10 o'clock, A. M.— stomach empty — introduced tube ; but was unable to obtain any gastric juice. On the application of a few crumbs of bread to the inner surface of the stomach, the juice began slowly to accumulate, and flow through the tube. The crumbs of bread adhered to the mucous coat, soon be- came soft, and began to dissolve and digest. On view- ing the villous membrane before applying the bread crumbs, the mucous coat and subjacent follicles only, could be observed ; but immediately afterwards, small, sharp papilla;, and minute lucid points, situated in the interstices of, and less than, the mucous follicles, became visible ; from which exuded a clear, transparent liquor. It then began to run through the tube. Experiment 13. March 18. At 6 o^clock, P. M., after fasting from 8 o'clock, A. M., introduced tube — obtained one and a half ounces gastric juice; after having kept up the irritation, by moving the tube from point to point, for twelve or fifteen minutes. No accumulation of free juice in the stomach. Experiment 14, Jan. 26. 1S31. At 9 o'clock, A. M.— stomach empty — extracted one ounce gastric juice, slowly through the tube, with the usual admixture of mucus. Introduced food, and it began directly to flow more freely through the tube. ,# ifii^-.- ^ /^ •^ 'mrtm ir ^Ti OBSERVATIONS. 131 Experiment 16. Jan. 27. At 8 o'clock, A. M. — stomach empty— intro- duced elastic tube, and obtained one and a half drachms of gastric juice, by very slow distillation. Applied crumbs of bread to the villous coat, and the juice began immediately to flow freely through the tube. Experiment 16. March 6. At 8 o'clock, A. M., extracted two ounces gastric juice, and added it to two ounces of Madeira wine. No visible change was produced — no '^oagula; formed. They united, like pure water and wine. Heat produced no other effect. Experiment 17. March 7. At 6 o'clock, P. M. — stomach empty — extracted one and a half ounces of juice, and mixed it . i ^ with the i^ame ruantity of Jamuica spirits. Effect same as with wine. Experiment 18. March 8. At 8 o'clock, A. M. — stomach empty — extracted one and a half ounces of gastric juice. Experiment 19. March 12. At 9 o'clock, A. M. — stomach empty* — extracted one and a half ounces of gastric juice. Put this in a bottle. ^' ^,^:.- ■*»- ''¥■.■ ■'•i'^ P«|^I|IIIJ.«IPVIII il ) 132 '».' i J.I EXPERIMENTS AND Experiment 20. March 13. At 11 o'clock, A. M. — stomach empty — extracted two ounces of juice. ' v: /■- , ; V'if-'l ' Experiment 21. f^:"\'T,i.!, ■ March 14. At 12 o'clock, M. — stomach empty— ex- tracted two ounces of juice. Experiment 22. March 15. At 4 o'clock P. M. — stomach empty — ex- tracted one and a half oiuiccs gastric juide. Experiment 23. '^ March 16. At 5 o'clock^ P. M., introduced tube — could obtain no clear gastric juice. A little acrid fluid and frothy mucus, only, could be extracted. Villous mem- brane red and dry. St. Martin complained of some head ache, pain and distress about the scrobiculus cordis, las- situde and loss of appetite. Directed him to take half an ounce of tincture of aloes and myrrh, at 9 o'clock, P. M. This moved his bowels several times next morning. Little or no change Avas apparent in the ap- pearance of the inner coat of the stomach 5 if any, it was a little more moist, and a shade paler, after the operation of the tincture. Gastric juice could again be obtained, but in less than usual quantity. It would seem, from the preceding experiments, that the stomach contains no gastric juice, in a free state, :', ;^-- ,*!*'•■ .€ .OBfEBVATIONfl. 133 tirhen alimeMt is not present. Any digestible or irrita- ting substance, when applied to the internal coat, ex* cites the action of the gastric vessels. Hence, I infer that the fluid, in these experimenfs, was incited to dis- charge itself by the irritation of the tube used in ex- tracting it. If, as is contended for by some, a part of the fluid be . discharged into the stomach during a fast, I see no rea- son why nature should withhold the other part. If we may be allowed to argue, independent of more certain data, one great objection to the opinion that the stom- i|ch contains gastric juice, in a free state, when food is withholden from it, exists in the danger of its passing out through the pyloric orifice ; and thus depriving the succeeding meal of the benefit of its solvent action. It is probable that the pyloric orifice opposes no resistance to Its egress ; but is obedient to its summons. In this way we may account for its admitting chyme, which i^ an admixture, or rather, combination, of gastric juice and food, to obey the expulsive motions of the stomach, and pass out. They both appear to excite the peculiar contraction of the pyloric end of the stomach, mention- ed in a former part of this work. Besides, there would be danger of the gastric juice being weakened, by the introduction of large quantities of water, or other fluids, in the intervals of eating,* and thus lose its energy, and concentrated solvent properties. The last ^xpefiment has considerable pathological 12 hM 'igU * % 134 EXPERIIHENTS AND importance. In febrile diathesis, very little or no gas- tric juice is secreted. Hence, the importance of with- holding food from the stomach in febrile complaints. It can afford no nurishment ; but is actually a source of irritation to that organ, and, consequently, to the whole system. No solvent can be secreted under these cir- cumstances ; and food is as insoluble in the stomach, as lead would be under ordinary circumstances. f/- The following, and most of the subsequent experi- ments of this series, were instituted with the view of ascertaining the relative difference between wa/wraZ and artificial digestion ; to demonstrate the performance of digestion out of the stomach, by the gastric juice ; and, also, the continuation of the natural process, when taken out during the period of chymification. Experiment 24. Dec. 14, 1829. At 1 o'clock, P. M., I took one and a half ounces of gastric juice, fresh from the stomach, af- ter eighteen hours fasting, into an open mouthed vial — put into it twelve drachms recently salted beef (boiled) and placed it in a basin of water, on a sand bath, and kept it at about 10Q° (Fahreulieit,) with frequent, gen- tly agitation. Digestion commenced, in a short time, on the surface of the meat, and progressed in that man- m/ettinifdrmly for about six hours, when its solvent ac- tion seemed to cease* The meat was at this time, near- OBSERVATIONS. m ly half dissolved ; the texture of the central portion con- • siderably loosened and tender, resembling the same kind of aliment when ejected, partly digested, from the stomach, some hours after being swallowed, as frequent- ly seen in cases of indigestion. The vial, continuing in the same situation, its con- tents varied considerable in their sensible qualities. In twenty-four hours, the digested portion separated into a reddish brown precipitate, and whey colored fluid. I now separated the undigested from the chymous portion, by filtration, through thin mushn. When squeezed dry, it weighed five drachms, two scruples, and eight grains, which, deducted for the twelve drachms of meat put in at first, leaves six drachms and twelve grains, digested in twelve fluid-drachms of gastric juice.. ^ This experiment was conduci id with as much pre- cision and integrity' of observation as possible, with the temperature of the digesting bath kept as near blood heat as was practicable to regulate and continue artifi- cial warmth — the Thermometer varying, during the ; time, from 90° to 100°. In this experiment, it appears, that it took twelve drachms of gastric juice to digest six drachms and twelve grains of aliment. No certain rule can, how- ever, be given. Allowance must be made for the puri- ^ ty of the fluid, or its admixture with mucus and other secretions ; for it is altogether probable that there are great variations in it, in this respect, as well as in all the other secretions of the system. It is probable, also, that diflerent kinds of diet require different proportions of gastric juice for their solution. That its action is. ^ A '\ 136 E3CPERIMEKTS AMD ' similar to that of other chemical agents I have no doubt. A given quantity of the fluid acts on a definite propor- tion of aliment, when it becomes saturated, and is iu- i\dequate to produce any further eflfect. There is always disturbance of the stomach when more food has been received than there is gastric juice to act upon it. % Experiment 25. December 1^ At 2 o'clock, P. M. — Twenty minutes ; after having eaten an ordinary dinner of boiled, salted beef, bread, potatoes and turnips, and drank a gill only of pure water, I took from his stomach, through the artificial opening, a gill of the contents, into an open mouthed viaK Digestion had evidently commenced, and was perceptibly progressing, at the time. This vial and contents were immediately placed in a basin of water, on the sand bath, at 90° or 100*^, and con^ tinned there for five hours. The digestion of the contents continued to progress, until all was completely chymified. r» At 7 o'clock— five hours after eating his dinner — I took out a gill of pure chyme *, no particles of undigest- ed food appearing in the mixture. Very little differenre was perceptible between this last parcel and that in the vial, digesting on the bath. The stomach had digested a little faster and more per- fectly than the vial. In this experiment, it seems, that a quantity of ali- ment, taken out of the stomach twenty minutes after t' •:■„. y OBSERVATIONS. m having been eaten, had a sufficient admixture of gas- . trie juice to ensure its perfect digestion when placed on the bath. An ordinary moderate meal, taken into a healthy stomach, is sooner disposed of than most physi- ologists arc aware of; and in this case, it is probable that a sufficient quantity of gastric juice had been se- creted in twenty minutes, to digest the whole quantity of aliment in the stomach. AVhen a larger quantity has been received, though the powers of the stomach may be sufficient, ultimately to dispose of it, it would un- doubtedly be found that a portion taken from the stom- ach a few minutes after having been eaten, would not contain a sufficient quantity of gastric juice to digest it perfectly. It is possible that the portion presented at the perforation may be in a more advanced stage of digestion, than the rest of the mass, and consequently lighter, and float on the surface of the more solid por- tions of the food. In ordinary cases, such would be found to be the case ; but when much fat meat or oily food has been used, the oil always maintains an ascen- dency in the gastric cavity. Experiment 26. Jan, 11, 1830. At 3 o'clock, P. M., dined on bread and ei^ht ounces of recently salted^ lean heef^ four ounces of potatoes, and four ounces of turnips, boiled. In fifteen minutes, took out a portion of the contents of the stomach. The m^at made its appearance, in an incipiant stage of digestion, 12' 9L. 138 EXPERIMENTS AND At 3 o'clock, 46 minutes, took out another portion. The meat and bread only appeared, in a still more advanced stage of digestion. The texture of the meat was, at this time, broken in- to small shreds, soft and pulpy, and the fluid containing it had become more opaque, and quite gruel-like, or rather, glutinous, in appearance. I put this second parcel in a vial, and placed it in water, on the sand bath, at the temperature of the stomach, |(100^ Fahrenheit,) as indicated by the ther- mometer immediately preceding its extraction, and con- tinued it there. At 5 o'clock, took out another quantity. Digestion lilid advanced in about the same ratio as from the first to the second time of extracting; and when compared with the second parcelj contained in the vial on the bath, littlo or no difference could be perceived in them; both were nearly in the same stage of digestion.. That contained in the vial had advanced regularly and rapid* ly ; nearly all the particles of meat had disappeared^ become chymified, and changed into a reddish brown sediment, suspended in the more fluid parts, with small particles, resembling loose, white coagulte, floating abom near the surface. On taking out the third parcel, small pieces of vege- tables appeared, in a partial stage' of digestion. This was also put into a vial, and placed on a bath,, with the second parcel, and the same uniform temperature (100°) kept up, with frequent, gentle agitation. At 6 o'clock, P. M., digestion had progressed equally in both. The only difference to be seen, was the par- ticles of vegetables, in a less advanced stage than the meat ODSEBVATIOirsri I'm The contents of both vials, kept on the bath, and nearly in the< same temperature, until the next morning, were completely digested, except the few small parti- cles of vegetables, which remained almost entire. The contents of the vials, at this time, were of th# consistence of thin jelly, and of a lightish brown color; tasting peculiarly insipid, saltish and acid. After stand- ing at rest awhile, the brownish sediment subsided to- wards the bottom, while small particles of whitish coir ored, loose coagulee floated about in the fluid above. The undigested particles of vegetables settled to the bottom. In the Preliminary Observations, I have endeavor- ed to maintain the proposition, that chyme is homage' neous in its properties. . It would seem from this and some other experiments, that it contains a sediment. This, however, it is believed, does not militate against its homogeneous character. Many substances, that are generally acknowledged to possess this charac- ter, deposit a sediment, on standing. The heavier parts subside, of course. It is not- necessary to cite ex- amples. It is possible, also, that mixed food contains some adventitious, indigestible substances, which are not afiected by the gastric juice. This experiment (26th) demonstrates the comparative digestibility of animal and vegetable diet. In extract- icg two parcels, one in fifteen minutes and the other in three quarters of an hour, the meat only made itg appearance, partially digested. In taking out a third portion, at 5 o'clock, t^^ro hours after having eaten, imaU tid RXPBRtMRIf rt ANt) pttttlclos of vrcgctable made Iheir rtppcrtroiico* This tx perlnvt^nl uppoftrw toconrtnti the opinion, prptty grnoml- \y iMttndfHniHl !)y mt?diortl lUfln, llmt vogotrt1»l(!« mo Ipnr onslly dlspowiMl of hy the grtMrlr. otgrtnn, tl»nn nnininl nr frtHnnoi^otJs milmtnnces. With dyNpnplli^s thi« is im- donhlodly tmo, ns ox|w«rinnco«vory ilt\y t»«nr!»pN ns ; nmt i\8 thcit Btonvfxdis have t!»ostiiMf» orgnniKMinn as othiMf«, ttto gt)VPvnod hy the Banic geneiol laws, ami aio only moiliflpil t>y tl Nvoro tlisoonuiblo, '" At 10 oVIock, 10 min. -took out lUiot'.ior iK>rtion, com- pltHoly ol\yuillu>d. ■' At 10 oVlooi(, i<5 iniu. - tlui stonmch wn« ontiroly ompty iuid I'ltNiu uooltyuinoraliuioitt to bo tointd in it. Tho l)ivai disjHised of in a shorter periikl, than tho v^niison was in this cxperlinont. t--4>-* Krprrhnetit 30, ■*i ;>• 1.^' >rh 7, Wif'h two drachms of n of a fVesh with two drachtns of gastric, juict^, warm from tho jtdfficti, and placed it on the hath, at the natural tom- pc»rat\iro. The jiiico and tho albumen were so much alike in their appearance, when first mixed, tliat tiio ux. ■■S '■•'•»'. ^ oatMHrjffMira. tans ^ehAngfe'vAf notp^ntepiibhi; Vut iti ttn or i^fttttt min- ^'fitoii,' Bmalt, whitft flocottli btgftu to appMrf HoMiDg nboiit ; and tho tnixturo booome of an opaqufland whit- ^Mi Appearance. Thii continued ilowly and uniibrmly * to incroAM, for three houri| at which time, the fluid had l)ocomo of A milky, appearance ; the imall floccuUt or loose congiilie, had meetly diiappeared, and a little light colored sodiinont lubsided to (he bottom. At the Horre time of the above experiment, he iwal- loM^od tho Hfhittf odwo $ifg$t unmixed with any other foods The stomach was porfootly empty at the time. >&" in thirty minntoA, I took out and examined a portion. It oxhibitod a similar appearance to that mixed out of tho stomach, in the vial on tho bath, only moi'O rapid in its progress. ^ In 9tie hour anU MiWy miHuUs^ I examined the cavi- ty of tho stomach, and fi)und nothing but a little pure gastric juico. Tho albumen was completely digested, and disposed of« Eseparimcnt 31. March CK At 8 o'clock, A. M. — stomach empty — temperature 98^— took out two ounces gastric Juice. Divided this into two oqual partp, and put them into separate vials — to each of which, I put equal quantities of roasted beef— placed one of them on the bath, at 99^, and the other in the open air, at 34 deg. I then put the same quantity of the meat into an equal quantity efol^ar water, and placed it with the cold gas- tric juice and meat in the open air, at the same teropera- iuie, 13 'Ai mwmmmmmnn IPWP 146 EXPGRIMBNl:>a AND ^^ At 9 o'clock, ho had fmishod branlcrnsting 'on the mme kind of mout, with the addition of wArm, light 6tV PMiV, butter^ and a pint of eqlJ^ec. ToniporntuTo of the stomach, innnediately 6 I IP ! II N ^y > » I ■ .. I IBIPi . I i« w «i » ■ * I ■ J l I I 111^ I I I I . Ill y . ! I I I Mi Hin I I I I I H W I " I ■ 1 I) I J ^ « I ■ • : ■ ( ■ ■! . ■ .■■"'• * Probably tho effoot orexeroite, but not noticed at the time. i\' 4' 0B»BRVAT10Ni. w addod four drachma to each, including the parccil taken from the stomach, at 10 o'clock, A. M., that being iu ak)out the same state of chymification with the others ou the bath. ^ J continued the two on the bath, at lOOdog. and the others, (cold gastric and a(|uoous iluids) on the shoU^ at 34 deg. Digestion evidently racommenced in the pturcols on, t1;Q hatli, and again ra^ulnrly progressed, after the addition of the second |K)rtion8 of the gastric juice ; aiKl more rapidly in the vial containing the meat digu8> iug in the gastric Juico, taken out of the stomach first, than in the one containing the chymous portion, taken out at 10 o'clock, A. M., one honr after having oaten. This parcel, liowevor, contained a solid piece of meat, which appeared to have been swallowed without boiny masticated ; and consequently did not readily yield to the solvent action of the gastric juice. The juice was, also, in too small proportion completely to digest it. The vials containing the cold a<|ueou8 and gastrin iwrtions, placed on the shelf, were, at 4 o'clock, P. M., but very little changed, and much alike. These four parcels, afior standing for twency-four hours, and all sulfered to got cool^ exhibited the follow^ ing appearances. The portion taken from tho stomach at 10 o'clock, A. M., one hour after having eaten, was the most perfectly digested, and completely converted into a thick pultace- ous mass, of a reddish brown color, with the exception ofthepiecoof unmasticated meat, which remained en- tire and undigested. This emitted a sharp, rancid smell, and was slightly bitter. Th& vial containing the meat digesting in the gastriejuioe first jtakun out of the stpm- ach, exhibited appearances very similar to tho last, ■ ♦ ' la fit : 148 EXPERIMENTS AND jaife* *>.-t*f* though the contents were less perfectly digested. It was not of so thick consistence; but gave the same sharp smell and bitter taste, with the addition of an en^ pyreumatic and slightly foetid flavor. . Tfhe empyrcu- ma, I attributed to a portion of the nM>at L)eing a little dry and scorched when first putjnj and the fqDtor, to the temperature of the bath , having been accidental- ly raised considerably above lOO®, during the exi^cri- ment. The cold gastric and aqueous portions very nearly i-esemblod each other ; both maceraUd^ but not digest^ ed; dilTernig essentially from the other two, in not CX' hibiting any appearance of chyme. The cold gastric juice had very little,, if any, more etibct on the ment, than the water; and retained its peculiar taste. Its color was darkish brown, while the latter was of a red- dish grey. At 9 o^clock, A. M., of the 10th, I placed both of them on the bath, and continued them foj; twc||-, ty-four hpurs, at the natural toniporature. An essential difference in the gastric liquor was produce^!, after be- ^ng placed on the bath. Digestion evidehtly advanced ; the color became lighter and lighter; the m^at dimin- ished; and a thin, light, ps^st^liko liqv or formed, as in the other two portions, at first tplaced on tlie bath. The aqueous portion exhibited n^o o^her appeariance than that pf simple ii(\acer^tion. \i\ ]yarm, wate^^ ^At th^ eijid of the last twwity-rfour hours, on tho bath, appearances of incipient putrefactive ferinentation be'gai^ to be mani- fested, as the evolution of sinall bubbles'of fcetid gas, and' a change of color fh)m a reddish to a greenish shader* "-i-H •''* ^hmu 'Mii \n .yyfjum.j^'Ji ujui iijuj.i\\^ -» ■ AdilEefeitce in tho degress of chymiilca^On between the several parcels, was now very evidenti. . - i^'M %* ■'•^if* V^r-V. I IJf U I , ^ Hipiiiflll pv^pnpppi OBSERVATION!. an The gastric portion, or that taken from tho stomach. 1 hour alter hreakfasr, was the most digested. iMie artificial^' or that portion ot'the' gastric Juice anJ^ meat, 'first * placed ' on the warm' bath, Wos nejct, and nearly as mucli digested j though a difference was ob- servable. hrhe third, or portion of gastijic Juice and meat, firs^* placocl'ia acool situation, after having been on th^ Varnt* bathi for six or eight hours, was th6 next, but consider- ably less digested thai: the second. ' /The. foiirih, oy aqueous portion, exhibited nb appear- ance of chynitecatioh. • u;- ,*.- ItvoviUl seem, from this e3^poriment, that a certain degree of heat is necessary to the action of the gastric juice. One parcel of the meat, after being exposed to the cold gastric juice for twfenty-four hours, exhibited very little change; but being placed on th6 bath, at the. end of this time, digestion commenced, and advan- . ced, regularly,, as iiii thp other .parqels^ It also appears, ^ that after tbe process of digjdstion bas ceased»! fo^ want of a sufficient quantity of gastric juice, it will recom- itmicQ oh the addition of a freshsupply^ ((U wastieces- saty'to dddi &ttotherqUitnt%'6v^tt ouV of iW^stomtich,'to'etisure ity pfect digestion. /This, I thiiik, is' m evidence, thdt khe diiicl is discharged in- tatliejstpniach g;ra^up)|y^ftpd,^pifp^^ifsiyeiy, acc^^ toith^ii:?(luirQJ^eptJih9!f.th^ f4ip!^i^t,f,,.|fjUie,pQrtipi| left in the stomach had received, at the time the parcel iviui^ tim^tSWieut/thtfiifttoltt ;ji,y,Q bpQ|i. imperfectly digested,, and have ro- niftiiipd ^i.tl)o>8to preciaely in, the situation of that lyhicU we^s taken out, and submitted to artificial diges- tion;* which is proved not to hsuve* received its full sup- ply for perfect digestion. But subsequent examination denjonstrated that it w>as . perfectly digested, and had nearly all passed out of tho stomach, in two hours. Hcucc, the conclusion is irresistible, that it received an additional quantity affpr the portion was taken from the stomach, one hour after eating. . -ir Experiment 32. March 12. At 8 o'clock, A. M. extracted one ounce of gastric juice. At 9 o'clock, he breakfasted on fat pork^ bread and jmtatdes'. One Hour iifterwards, examined coiiieufs of, stomadh^-found a hettli'Bgehebus mixture,' resembling thick' porridge. . ' ^ At 1 o'clock, P. M.-^four hours after having eateur— took out a portion, in a complete ctiymous state, without any entire particlei§ of fodd^'to'^ be seeij.' It, was ^f a piilk^^ or rkth^r'thin', i|ruel-likd consistefice, * aiid cqu- sider^ly tinned t^ithyeUoAiirMj'a'c^^ which I had but once befot^'bb6ei^edittmy experiments iipw^ him. And this I supposed to have been the effect of violent anger, which occurred about the time of taking out this parcel. >^^ ^*^' "^ ;■' :"■ ;J'.. , This experiment shows the effect of violent ] passion on ' tlris digfestive ajJpara^Ss. ' Tfie, presence \>( bile, in OBSERVlTtONS. m this instance, was believed to be the effect of anger. In a healthy state of the stomach, atid an equitable framo of mind, this substance has seldom been found in the stomach. When so found, except under peculiar cir- cumstances of diet, it may generally be regarded as an indication of either mental or corporeal disease; and may be considered a foreign and offending substance in that organ. I believe its effect is to change the pro- perties of chyme, (as it will be seen that it does, in sub- sequent experiments,) alter its homogeneous quality, and retard, or otherwise disturb its due egress into its destined receptacle, the duodenum. * # ■ Experiment 33. MarclilZ, At 1 o'clock, P. M.— dined on roasted heef J bread and potatoes. In half an hour, examined contents of stomach — found what he had eaten reduced to a mass, resembling thick porridge. % •At 2 o'clock* examined again— nearly all chymified — a few distinct particles pi foqd,, still to be seen. At 4 o'clock, 30 mins.jchyi^ification complete. At 6 o'clock, jixamined. s(Qj|>a (iji— found nothing but a liUle' gastric juice, tinged with bile. ;Vi ^\ ". '■ ■-. ■> ; ■ p Experiment 34. , ounces i)f rorc/ro(w^^6|2£/, suspended by a string*, in- to^ the stomacn ; and tx the same time, put one drachm v% .-f l-:< ■^\%- ll§ ]j|9L experiments and of the same kind of meat into twelve drachms of eastric juice, contamed id a vial, and put it into ^is hosom. The piece in his stomach, examined every hour, till 12 o'clock, M. exhibited an uniform, but very, slow pifo^ cess of digestion, confined entirely io the surface of the meat. , In four hours, about half of it, only, 'i^as dissblv- ed and gone. That in the bosom, at th^e skme time, digested still slower, owing, probably, to the circum-* stances, that |he fluid in the vial had feeen taken but' when the stoniacli was in a morbid conclition, atid'had been permitted to get cold, even to the freezing point. This last circumstance, hr-^'^ever, was probably, of less importance than the other. The meat in the stdmach was too puch confined by the string; was not permit- ted to move about freely in the gastric fluids by the hat- ural motiohs of the stomach ; and consequently did hot digest so fast as- it otherwise would have ^orie.' ^ An- Other circumstance or two, may also, have contributed to interrupt the progress of digestion, such as anger and impatience, which were manifested by the subject dur- ing this experiment. , . This experiment shows the necessity of a perfect com- mii±iti6n of the articles of diet. The gastric juice acted very slowly on a laYge, solid piece of meat. Digestion or solution was* confined entiTelyjo the outer §iirface<| Thisj^ to additipnu tq thei other causes, i^t^^f>^ it«jff^m»fiiii P^: tx^ '■»' OBSERVATIONS. m miautes^oun.d the milk coagulated, and the bread re- duced to a soft pulp, floating in a large proportion of fluid. At 10 o'clock, 30 mins. — took out, and examined a portion — found it a thick pultaceous mass of bread, coagulflB and fluid, of k milky color, slightly bitter taste, and acid smell. Placed it on the bath, where it fcon- tinned to become more and more milky for an hour, when every particle seemed to be reduced to a rich fluid mass, resembling* milk porridge. The portion taken out thirty minutes after having been eaten, and kept on the bath, retained, the appear- ance of the gastric fluid, with distinct flocculi of bread and coagulflB, floating about, and suspended in the fluid, and a little coarse precipitate at the bottom, after stand-' ing at rest a while. At 2i o'clock — examined stomach— ^found it nearly' empty. The bread and milk appeared to have been' disposed of, and were gone from the stomach. . In this experiment, it took two hours for the digestion of a meal of bread and mijk J something shorter than the usual time for the disposal of an ordinary meal. Foii those who have healthy vnidunsophiseated stomachs, milk appears to bfe ohe of the best articles of diet we possess. • It is less stimulating thatt flesh, diid more nui tritious than vegetables. For -persons who are disposed; to pyrexial complaints, ^ud who arp not obliged to per- form h|rd and exhausting labor, it is the most ap- propfiafe difet: But'the ^itoriacti il A c^atuW of hdBit. it dak 'b^me ac&iMinid' to'lnf feiM W^dietf dm m EXPERIMENTS AND sudden changes are liable to derange its healthy actions. To those accustomed to what is called high living, such as strong meats, strong drinks, and high-seasoned food, of all kinds, the transition to a milk diet, which con- tains a considerably lowered stimulation, would proba- bly be an imprudent change. When necessary, tho change should be so gradual, that the stomach should, by degrees, become accommodated to it. JK Experiment 36. At 2 o'clock, 30 mins. — dined on fresh beef and vege- table soup, and four ounces of bread. At 3 o'plock, 20 mins. examined contents of stomach — found a pulpous mass, of the consistence of thick gruel, and of a semi-gelatinous appearance. The soup ap- peared to have had its more fluid parts absorbed ; for it was, at this time, much more consistent than when eat- en. It was even thicker than the contents of the stom- ach usually are, after eating more solid food. Placed this on the bath. At 5 o'clock, took out another portion, of a whitish col- or, and more paste-like consistence, mixed with a little thin, transparent yellowish fluid, of an acid taste. The thick part had the flavor of bile, but not the color. Here the uniform laws with respect to liquid diet, ap- peared to govern the action of the gastric juice. The soup could not be digested until it was formed into a harder mass, by the absorption of the watery part.— There was' a less quantity of fluid than is usual after ■ '»^ !ji^'* OSSERTATfONS. lis eating more solid food. This is andther striking demon- stration of the laws that govern the action of the stoi- machic solvent. If water were permitted to remain in the storfiach, ii'wbbid render the soup too liquid to bo acted on by the gastric juice. Ea^perimeni 37. March 15. At 8 o'clock, 30 mins. A. M. — break- fasted on fresh sausage^ light pancakes^ and a pint of coffee. \ At 9 o'clock, 30 mins. — examined, and found the stom- ach full of fluids, mixed with the aliment; and a large portion of clear oil floated on top, and presented itself at the perforation of the stomach. At 10 o'clock, 30 min. I took out a portion — found the cakes and particles of meat about half digested, with some oil, pure, bland and linipid, risi)ig upon the top, untouched by digestion. Placed it on the bath. At 12 o'clock. Mi, examined stomach — found no ves- tige of his breakfast^ — not a particle of oil was to be* seen, • nothing but pure gastric juice could be extracted, of' which, I took out twelve drachms. That portion of his breakfast, taken out at 10 o'clock and thirty minutes, was at this time, almost completely chymified, a fefw small particles of oil 6nly remaining." The chymous mass of a milky color, and thick, gruel- lik©, consisteiice. . > . ^ wn j i ♦ . s > h- 'Experiment 38. on /re«A meat aru^vin» oil, and a few IIoqcuU of^ Inrowncolor) 4(110 outvwiih«t^u^ -thin' fluids' '>'•''') «{■.'/.«»<<•»< ii- loun,.'' ^foiMMh j/v /• At U o'clock->oexatnined again — found ndthingtbtUa «little gastric jtiice. Breakfast was goae, And^the ftom- ..a(ih.clean.H' ■*''•- ■ ;-•■ '•■ - 'nimlt^n^hl. These experiments, (37th and 38thy) are continued proofs of 'the solvent ncdbn of the gastric juide^ '' Experiment Z^* At 2.9'clock, P. Ml — same day — dined on recently .salted, lean beeff pork) potatoes^ carrots^ turnips and bread. At 6 o^clock— exainihed— foimd the stoinach clear of ' food, but containing fclquatttity of Wliite,' frothy mucus-^ ii^villous coat inclined to dryness,: and deeper pink color. St. Martin complained o^^some headache, pain and di^ tresi^ at the pit of | the stomachr-4ry skin and thirst.— Directed him to take four drachms of tincture of aloes and myrrh at bed time. This operated two or three times next morning, and gave relief. The gastric juice, how- ever, was not obtaiUedsiu itau^u^ quantity and quality, for twenty-four or thirty-six hours afterwards. '■^^^ £{tpmmen^ 40, Mm^ la Af9rmSck^'X:'m;M breakla^ k im>"j I ^m ODSBRVATIONf. 157 tion— found it in a half digested condition, tripe, pig's feet and bread nil reduced to a pulp, floating in a large prjportim of fluids. Placed it on the bath. At 10 o'clock — examined stomach again — tried to ex- tract another portion — could find little or no chyme — a very little gastric juice, wilh a few small, fibrous parti- cies of tripe, and some coflfee grounds. His breakfast appeared to have been digested, and had passed from the stomach, in one'hour. The portion first taken out, and placed on the bath, was also, at the end of one hour, reduced to nearly a complete chymous condition ; a very few of the small particles of tripe and coffee grounds only left) as in the stomach. ■A-4 This is an example of astonishing rapidity of gastric solution ; and that, too, of articles generally regarded as rather hard of digestion. That there could be no mistake, I infer from the fact, that a portion taken out of the stomach, thirty minutes after having been re- ceived, and submitted to the artificial mode, exhibited the same result. k #. Experiment 41. At 1 o'clock, P. M. — same day — ^he ate eight ounces ot talf^s foot jelli/, and nothing else. In twenty minutes, examined stomach, and took out a portion of its contents, consisting of gastric juice combined with the jelly, nearly all of it in a fluid form ; ^^. few particles only of entire jelly, suspended in the U '*<%.*: 108 EXPERIMBNTi AND F^"« ri*!* fluids, with a few small, yellowish white coagula;, float- ing near the surface, could be perceived. At 2 o'clock — examined again — extracted a little fluid, but found no appearance of jelly. J- The operation of g&stric juice on gelatine, is very diflicult to hp detected. Unlike albumen, it is unsusccj)- tiblo of coagulation ; and it is probable that the gastric juice acts upon it, in its soft-solid state. This was dis- posed of in a short period. It was, however, but a small quantity, and was much sooner digested than a full meal would have boon. From various trials, I am disposed to think that gela- tine, if not in too concrete a state, is a very digestible article of diet. During the exaniinalion.at this time, St. Martin s^wal- lowed part of a glass of water, and being situated in a strong light, favorable to an internal view, through the ' aperture, I distinctly saw 'he water pass into the cavity of the stomach, ilirough the cardiac orifice — a circum- stance, perhaps, never before witnessed, in a living sub- ject. On taking repeated draughts of water, while in this position, it would gush out at the aperture, the instant it passed through the cardia. Food, swallowed in this position, could be distinctly seen to enter the stomach. 4 Experiment 42. April 7. At 8 o'clock, A. M. — breakfasted on three hard boiled eggSj pancakes and cqfee. i >tt OBSKEVATIOKt. 169 At 8 o'clock, 30 mins.— examined stomach— found a hetorogcnoous mixture of the several articles eaten, slightly digested. At 8 o'clock, 45 mins. — examined again — found con- tents reduced in quantity, and changed in quality — about half digested. At 10 o'clock, 15 mins., no part of the breakfast re- mained in the stonioch. This, and tlic four following experiments, throw no additional light on the subject of digestion, except so far as relates to the period of chymification. This, it will be perceived, depends something upon the quantity eaten. The quality, however, is not to bo overlooked. , 'm M^ Experiment 43. At 11 o'clock, 15 mins., A. M. — same day — he ate two roasted c^ffs and three ripe apples. In thirty minutes, examined stomach — found a heter- ogeneous mixture, in an incipient stage of digestion. At 12 o'clock, 15 mins., M. — examined again — found the stomach clear; no vestige of apples or eggs. Experiment 44. At 2 o'clock, P. M. — same day — dined on roasted pig and vegetables. At 3 o'clock — examined, and found it about half chymified. At 4 o'clock, very little remained in the stomach. -A mmm^mt^ RiPPPPPiiiPl 160 EXPERIMfiNTB AND At 4 o'clock, 30 minutes, nothing remained but a very little gastric juice. . t; iV: April 8. At 2 o'clock, P. M., he dined on wiid g'oosti At 8 o'clock — stomach full of fluids, with a large por^ tion of oil, floating on the surface ; the goose flesh in small shreds, and soA ; digesting rapidly. At 4 o'clock — contents of stomach two thirds gone — that remaining, chymifled. At 4 o^clock, 30 mins., the stomach was empty and clean. ■■Si ,!»■•■ #' 6v, Ejpperiment 46. April 9. At 3 o'clock, P. M., he dined on boited, dried codjish^ potatoes^ parsnips^ bread^ and drawn butter, "^^ At 3 o'clock, 30 mins. — examined, and took out a portion, al)out half digested ; the p..tatoes the least so of any part of the dinner. The fish was broken down into small filaments^ the bread and parsnips were not to be distinguished. At 4 o'clock — examined another portion. Digestion had regularly advanced. Very few particles of fish re- mained entire. Some of the potatoes wero distinctly to be seen. At 4 o^lock, 30 mins. — took out, and examined m other portion — all completely chymified. At 5 o'clock — stomach empty. -s. ■■< »■ .'■:_ * OBSERVATION!. *1.1LJI The preceding Experiments, I think, plainly dom > strato the soiveni proporties of the gastric juice. When aliment is submitted to it, 011/ of the atonMch^ its opeiv at ion is rather slower than when the process of diges- tion is assisted by the nahtrnl vformth and motimis of that organ. One reason, probably is, tho difliculty of jnaintfiining a bath at tho exact, necessary teniperaturo ; and another one may present itsdf, in tho impossibility of porfoctly imitating tho motions of the stomach. With all thcso disadvantages, however, chymo formed in this way, presents the san uniform, sensible appearance, as that, which is formed in tho stomach, by natu.*al process. That tho cold gastric juice should not act at all, or but very imporfocily, on aliment, is no proof, in my-v opinion, that it does not possess solvent powers, even on the admission that it was a debatable (picstion. There are but a few chemical combinations that do not require caloric to effect their operations, and none, perhaps, that are not facilitated by it. Some, and indeed, many of them require an intense heat. I am under the impres- sion, though I have never fairly tested tho truth of it, that gastric juice would, in a sullicient length of time, act on aliment, in a cold state. But I am not anxious Vo contend for any extraordinary or unnecessary powers of this fluid. Nor is it neceisisary to prove that it will act on oold substances, or ia cold situ^tipj^s. It is perfectly manifest, that its operation is that of a chemical agent ; M fi^T^ EXPERIMENTS AND that it dissolves aliment out of the stomach, when the wanpith and motions of that organ are imitated ; and that it changet the various and heterogeneous articles^ suhmitted to its action, to an uniform homogeneous se-. mi-fluid, Varying, however, slightly in color and consis•^ tence, according to the aliment used. With a view to ascertain, if practicable, what effects were produced by the Bile and Pancreatic Juice^ when added to Chyme, I instituted the following Ex- periment|3. ;- Not being able to proture humaSi bile, in a pure state, I obtained some beef^s gall^ and for pancreatic juice, substituted diluted muriatic acid, (one scruple acid to .^ 'i six ounces water.) I was induced to use this acid, from a resemblance observed between its taste and that of the pancreatic juicCj and not being able to obtain any of that fluid at the thne. These experiments are certainly very imperfect, but such as they are, I submit them to the public. They may tend to pave the way to more perfect experiments, on these fluids. -•If'-- V * Exj^efj,ment 47. \ divided the chyme, produced in Experiment 24, S!&^ C0n4 X Aftf, (Dec I4th, 182^,) intp two equal parts, aboilt five draqhiiis each. To one of which, I added on6 drachm of the Ox gall, Fine coaguloe were imme^ ■:4l^ <^i li«">l'*. 't' p/ JUU EXPERIMENTS AND '^very fine, cream-colored coagulse, immeditely formed ; ■ which, after standing a few minutes, separated into bright, yellow colored coagulae, subsiding towards the bottom, and a turbid, milk colored liquid above. By adding twenty drops more of the bile to this, the ti^coagulffi were increased, more collected together, and •^hanged in color, from a yellow to a greenish hue. ; ' ' The addition of twenty drops*more of biie, (making, in the whole, one drachm, ^concentrated a deep grass "^green, jelly-like deposition at the bottom of the vial. 1 The fluid above, became more milky in appearance; %nd the coagula; and sediment bv came darker on the addition of bile. '■' *.■: I now added twenty drops of the dilute muriatic acid to other four drachms of the same kirv of chyme, with- out bile.^ This produced no change in the color or con-*^^ sistence, but increased the saline, acid taste, peculiar to the gastric and pancreatic juices, when uncombined ^^with. chyme. f By adding bile to this, the same effects and appearan- ces were present as in the other similar experiments; niriz. : a yellowish br'^wn sediment at the bottom, a whey colored fluid in the middle, and a white pellicle on the /♦top. To observe the different effects produced between a combination of bile and muriatic acid in clear water, and that of the chymous mass, I mixed equal quanti- . ties of the gall and dilute acid, one drachm each, with Jwith two ounces of water. This at first produced an effect, and exhibited an appearance, similar to that of Siheir combination with chyme ; but gradually changed to a bluish^ green colored, thin fluid, with a deep green,^ Jelly-like deposition at the bottom, without anyi of the K'-'f- ■■•, i 0BSERVATI0N8. 165 milky appearance of the chymous mixtureS| or white pellicle on the top. M ^ a le ^t: m Experiment 60. To four drachms of gastric juice, fresh from the stom- ach, I added forty drops of Qx gall, which produced a turbid, yellowish green fluid, yielding no sediment. Forty drops dilute muriatic acid, added to other four drachms of the gastric juice, eflected no change in its appearance. Equal parts of the bile and muriatic acid, mixed to- gether, produced a fluid of exactly the same color as the first ; but was less consistent. On mixing the two first together, and adding two drachms of chyme from the stomach, very fine coagulee formed in a milky fluid, throwing down a brownish sediment, from a whey colored liquor, with the same milky pellicle on the surface, -as in the former experi- ments. To one ounce of chyme, formed in a vial, on the bath, I 'added two drachms of bile. A turbid, yellowish white, mixture formed, without sediment, or immediate separation of any kind. To another ounce of the same chyme, I added two drachms of the dilute acid. No change in its appear- ance was perceptible. .,ivM^i> I then mixed them together, and the appearance of both was changed. Whitish coagulse formed, and let fall a brown sediment, leaving an opaque, whey colored fluid above, with a pellicle or white flocculi on the sur- face, . irui, ;^.vim^f^ ■ .^ii^^i.-« uju ;x ^pWiH,:--:^;., :j;;4i-« m 4 K? ♦ :? iww-srt^rng^ i",V*'"^f 'ff... t* ■•>: t^? 'T9=^- 166 EXPfiftlMENTS AND Experiment 51. Bile added to the third portion of chyme, taken . from the stomach one hour and ten minutes after a breakfast of venison steak, &c., Experiment 29, (March Bth^ 1^31,) changed it from a brownish, homogeneous paste, to a milky fluid, with small, white flocculi, • floating about, or adhering to the sides of the vial : and a light brown sediment settled to the bottom. -h The usual proportion of dilute muriatic acid, added to this, produced no very essential change in its appear* ance, causing only a little more deposition of sediment, and slighly increasing the milky color. A <^ Experiment 52. ^ Bile added to the chyme formed from the eggs, di- gested out of the stomach. Experiment 30, (March 7th, 1831,) produced a rich, milky fluid, with a small quan- tity of fine, light-colored sediment, falling to the bot-^ tom. f The dilute acid, added to this, produced fine coagula?, and formed a milk white whey, or fluid, from which, more of the light-colored sediment was precipitated. f;-- Experiment 53. y; More minutely to observe the respective changes by the additon of bile and muriatic acid, in the several parcels of chyme formed in Experiment 31, (March 9t^g 1831,) and to note their difference, 1 put equal quan-« titles of each into glasses, and added a portion of hog's gall. . ■*'■'.' i' 'fps.. ? 4 :<«?f ''»».* 'f"'iip HI 1,1 m< im W I JIJ I «p OBSERVATIONS. 167 ed ; ar- jr In the first, (that tak|n from the stomach at 10 o'clock, one hour after having eaten,) iGlnc, bright orange colored coaguloe were immediatelj; formed, equally diffused through a fluid of the same color,exhibiting no perceptible sediment on standing at rest ; but held the coaguls, uniformly suspended throughout the fluid. The dilute acid, added to this, occasioned a copious sediment to fall to the bottom, and with it, all the color of the mixture, leaving a transparent, semi-gelatincns-like fluid above, in the proportion of about three-fifths of the whole ; upon the surface of which, floated a thin, white pel- licle. I The second portion, (that produced on the bath) un- der the same trcataient, exhibited nearly the same ap- pearance, with the exception of the color, which was a shade or two lighter. The sediment wap not quite so compact ; the fluid less gelatinous ; and there was less of the white pellicle on the surface. The third portion, treated like the other two, diflfered about as much from the second, as this did from the first. They all exhibited the same general appear- ance. The fourth, or aqueous portion, under the same treat- ment, exhibited a wide difference. The same propor- tion of bile added to this, produced a similar colored fluid, at first, with a very little coarse coagulte — not so uniformly diflused through the liquid ; but inclining more to precipitation. On adding, the acid, it let fall a very small quantity of yellowish green sediment, leavr ing a thin, semi-transparent fluid, in more than quad- ruple the proportion of the other three. 1^ ■'% SjM" pnip^ypp^ppiil^iiuiii ^«wiiiiiiipi| 168 EXPERIMISNT8 AND ( Experiment ^i. I Bile and dilute muriatic acid, added to a portion of the bread and milk chymej formed in experiment 36, (March 14th,) produced their usual coagulation and precipitation, but of a lighter yellow: the sediment forming about one fourth of the mass. The small, white particles, forming the pellicle on the top, were in greater proportion than in some of the other experiments, es- pecially those on lean meatSi The fluid part was in greater proportion to the sediment, and of a whey color and consistence. To another equal quaritity of this same kind of chyme, I added bile, as in the other, and instead of muriatic acid, I used pancreatic juice, fresh from a recently slaughtered beef. An appearance exactly similar to that produced by the acidj was exhibited, except that the precipitate was more slowly thrown down, and in larger proportion ; and the whit§ pellicle on the sur- face was less. The fluid and sediment were a shade lighter, and in more equal proportions. W' M- Experiment 55. ,i Pancreatic juice, combined-with the chyme of roast beef, formed both in and out of the stomach, increased its thin, paste-like consistence, and gave it more of a cream color. Bile, added to this, produced fine coag- ulee, suspended from the top to the bottom, without depositing any distinct sediment. Diluted muriatic acid darkened the whitish color, a shade or two, threw down a more copious sediment, and increased the white pel- licle on the top. % !.% # ■*■-' li ^ •i « 4 ;rt4|>;i.t. ♦'; H-'in viiitH >♦'' .P^;.'j . ^>,:v ■. % 'H-«7*5j ^W*i- ^H /.-VH -'•-V .- i^jiti-?:,ii i^m rmfp^' ,4-^»!t>M .ffnfeffii.f; EXPERIMENTS, &C, THIRD SERIES. Washington, D. C. 1832. > 1 Experiment 1. _ ■ '* December 4. At 2 o'clock, 30 mins. P. M. — Weather cloudy, damp and snowing— Th. SS""— Wind N* W. and brisk — the temperature under the tongue was 99° ; in the stomachy 101^. Dined, at 3 o'clock, 30 mins., on heef soup, meat and bread. 4 o'clock, 16 minsi— took out a portion — particles of beef slightly ijaacefated, and partially digested* 5 o'clock, 15 mins.— took out an- other portion — digestion more advanced — meat reduced to a pulp ; particles of bread and oil floating on the top. Temperature df^ st(^mach, lOOf. 6 o'clock, 45 mins. — digestion not completed— contents considerably di- minished. 7 o'clock,/45miii8.— stomach empty— chyme all passed out. Experiment 2. Dec. 5. At 7 o'clock, A. M. temperature of the stomach, iOO' ; of thd atmosphere, 30°. «^ r 171 At 1 o'clock, P. M. — temperature of stomach, 100^ — atmosphere, 40® — he ate eieven raw oysters^ and three dry crackers ; and I suspended one raw oyster into the stomach, through the aperture, by a string. 1 o'clock, 30 mins. — examined — stomach full of fluids — digestion not much advanced. [|^herOy9tc)r oa the struig appeared entire, though perhaps Slightly affected on the surface. 2 o\lock — examined, and took out oyster — about one third digested, but retained its shape. 2 o'clock,' 30 tfi'ms. — oyster gone from the string, except a small piece of the heart. Tcmpcratiird of the stomach 101 J*^. Fluids less considerable. 4 o'clock, 15 mins, — stomach empty. Experiment 3. At 3 o'clock, 45.mips-, P. M., same day, he dined cu roast turkey^ potatoes a,nd bread. 4 o'clock, 30 mins. — examined, and tooji^j out a portioik Turkey nearly all dissolved — vegetables half reduced. 5. o'clock, 15 minutes— took out another portion, almost completely chymifiod. 6 o'clock, 45 mins. — examined again — stomacli nearly empty,. 6 o'clock— some chyme yet rc» majning. o'clock, 15 mins. — stomach empty. Experiment 4. Dec. 6. At 8 o'clock, 30 minisl, Ai M., he breakfasted on bread and butter^ and one pint oi coffee.- 9 o'clock, 45 mins.— examined — stomach full of fluids. 10 o'clock, 30 mins.— examined, and took out a portion, resembling thimgruel, in color* and consistence, with the oil of the butter floating on the topj a few.^msHll particles of the my^. 172 ' EXFKai|lJ£KTIf AND bre^d, and so^l9,muc^f)^f^lli^ ,fp tjhe;.bottom-^-%l)out two thirds digeste(^. I^^hfi^ a sharp, acid taste, Tem-^ pcratiire of the stomocl^,,,10p*='— tatmosp'lioro, 38°.; H o'clock, 30 mins,, stornach empty, f^ ' '().-; I ^m^^mfih 'ii At 4 o'clock, 30 itiiiis.',' P. M., same day — He dined Oij sausage and bread; full meal. 5 o'clock, 30 mins. — stomach full of fluids; digestion but very little advan- ced. 6 o'clock, 30 mm's.— digestion considerably ad- vanced: few distinct parades, of sausage anjl b^ead to bo seen entire. 7 o'clock, 30 mmp., stomach. qnjpty. If) t{im1m^'^ jEx^qtmenf 6. Dec, 7. At 9 oi'ctock, A. M., — examined stomach, and took out, with considerable difficulty, an omice only, of gastric juice, and that not very pure. Some yellow bile came mixed with the latter portions. Temperature of the stomach, 99 ^--atmosphere, 28.^ He breakfas ed. at 9 o'clock, on corn and wlieat hread, butter and coffee. At 10 o'cloqk, ,45 mius.-^examined,^ ajid took aCju' ^ portion — food paxtLy jiigest^d ;■ fe\^ small' particles tojbe seen . Storaofjh, f?i|l Qf| ^uids, with a thin pel^i^le. o^jf ^il on the top. Teipper^,ivir^,oC4l}p,stqmach, 100°^fi;.t Ui, At 12;^clock, J^,fr-gtor»aqh iuU, of fluids— digecjtion not con^lete-7-particl^^ pjf jbread floating about ixi a pul- pous stab— oil flqating.x]ta t}i.e surface., ' .,- „ At 13 o!clocJlfc^,^P iW^^r -l^)"~T«X%W^®^4^QdTTHl|stinct pattic^es of : qH lOn the surface, v , ■, n. Ui ^T .^> '^'"tMmfMmih^ «Jf» 16 be 8ek^ote^***P>M;-~Jd(iJftiiict*"^^fc^^ o^ Wia* ■fill floating — ^fluidless. . .v - At i o'clock, 15 rnins. — stomach empty. Some indicatlbns of gastric d^htngement this mom< ing : small aphthous pa^hes on the mucous membrane : juice acrid an (fiskperhnent 4,^ at halft pasD IQ q'cjippkjr^i Mif wat'plaeed'bnTth»'l:^tbrfon four hdurs^^ >ui, the^usm^l tditii^dratiire.' betwceni 93 deg; f an^ 100< ideg.i . DigestiQi} cdmihbncea^'eitid ad^rairced regularly^ partially; redui^- ihgthei*ioil»t6 n milky flilidi>4" . 'J\w m< • f.^tf />6c. 9. At 11 o'clock, A. M. — added one ounce pf. gas- tric juice-,, and continued it on the bath for eight hours, when the oil becarre more but not completely digested ; particles ^^ 1 imili^ oH' t?^ii|^ r*til1 perceptibl e. li^This affords an ex?impIa.of.;the re-commencfeinem of cligestioD*^ aftfjr Xm opei^atipa.had ceased, . by the addi- tioaof plimnk supply ^of gastric juice. ^ , ^ h'^jr^TH ^n rv: Expefiftient ^tO. i At 2 o'clock, 45 mins., R? tM.j same day,. (Z?cc* 8,)J IrbJ&^'c^OTer,* weighing, when .raw,,ipur dt&chnii^^iny i^&^ stomach, > «nd he .ate twelve oC> t^o same kiiid; ^iBHih^^reigKlngiabont the same.- i .,™u i ^t^ At 4 o'clock, 30 mins.--€xamined-*Hiy5^pr{Ee|»ai|U||g on the string, not half digested— fluid in the stomach r&ncid. Complained of headache, las^itude^ dull pains « 4':' iki'tigiK^eftpsid^^ ahdf across the brecnit-ntppg^e furred, •^pritl^if^ttiii:,', )|^<9y?i8h <;oat,j, and ixicliiied to ,dry;nes»— eyes, heavy, and countenance 8alk>w. The villQus inemi- brane of the proticuded |)ortions of the stomach, very much r4*semi)leost o£ the time in a- recumbent, position. 10. o'clockf— , »tomacl> full— globules of oil floating about— appearance of yUlous membrane, about the tame ; no perceptible phange. 11 o'clock— stomach still full — appearances similar to those in last examination. 12 o'clock, M. — ; contents half diminishedf—praticles of bread,' and coat of oil on the surface. X o'clock, P. M.---rSome fluid 'still in tjbe stomach, and a larger proportion of oil than at last examination. Taste of the contents, more sharp and rancid ; fast leaving the stomach. At this time, I ob- served several small, sliarp pointed, white pustules or pimples, here and there disper^d oyer, the exposed por- tion of the inner coat. 1 o'cloclc, 30 mins.— stomach .clear and clean. ^ 'f¥i fj» Jjw^rt *jti f!f Ea;pcriment 14. At 2 o'clock, P. M., same day, he dined on three soft boiled egg-s, bread and biUter, and half a pint of water, (same as yesterday, 2 o'clock.) Digested in three hours. Experiment 13'. f ■ -' . ■ . Dec. 15. At 8 o'clock, A. M., I examined stomachr— temperature 100 deg. Appearance of coats, more nat- ural and healthy than yesterday morning ; less of those small, white, pointed pimples, and aphthous spots. Very Uttle gastric juice could be obtained ; not more than ':'-•• * ''' -.-^ WV ■;> r^ .;t^ ^'.^. .',. "(;. :.,'«"'*... m *!l!S8' •:^f ^!»*f^W 'i''i<^' iJUiiiinivvi^ 178 EXPERIMENTS A^i> one ounce, and that mixed with an unusual quantit]!" of mucus, not so clear ds common. Complained, as he fre- quently ^ces, duf iiig this operation, of a sense of sink- ing, and vertigo, after extracting this quantity. This feeling, however^ subsided.in a few minutes after rising. At 8 o'clock, 30 mins. he breakfasted on' beef stcaky bread and coffee. At the same time, he thoroughly mas-^ ticated four drachnxs of the steak, which I put into the gastrid juice, just before taken from the stomach. To another similar quantity of gastric juice, I put the same quantity of the steak, unmasticated, and in one entire piece. I placed them both "on the bath at 100 deg ; and at the same time, I put the same quantity steak into one ounde of simple water, and treated it with the others* on the bath. ' At 11 o'clock, I examined the stomach, and found his breakfast ' nearly digested, and more than half gone- fi'omthe stomacn. I took out an ounce of what remain- ed, -which was almost completely chymified, a few par- ticles of the bread, in a soft, pultaceous. condition, only reriiaining. Compared this with the three parcels on f the 'bath. It very nearly resembled the masticated meat in the gastric juice, but more digested, and thiner, and contained particles of oil (melted butter) and bread, which were not in the masticated food in the vial. Tho'unmasiicated meat differed considerably. It wa^^^ not so thick and gelatinous-like ; was of a darker color*;: and the piece of meat retained its shape; and was noi- much diminished in size, the surface only a little wast-* cd, softened, and covered with a cineritious coat. The contents of* the vial of masticated meat and water, suf- fered very little or no change since put in ; no more than had been effected by simple mastication. Contin*' u«d them all on the bath. ,-*' V ■ lS-°> : i^' u OBSERVATIONS, j, .. in 1?he contents of the yicil3) continued on the bath for twenty-four hours, exhibited the following^ changes. The portion taken from the stomach at 11 o'clock^ re- mained nearly the same as, when extracted, perhaps more completely chymified. That "which was mastic cated, and put into the gastric juice,, was reduced .to a thick, pultaceous, semi-fluid mass, but retaining some distinct fibres of the meat, which, after standing awhile, subsided to the bottom of a yellowish, whey-colored fluid. These remaining particles of aliment, I con- ceived to have been left for want of a sufficient quantity of gastric juice ; the quantity at fifst being too small to dis- solve the. whole of the meat put in. That portion in the vial of water had undergone no other change than that of incipient putrefaction, which was very evident. The unraasticated piece of meat had undergone an evi- dent process of digestion. It was about half diminished, and the texture of the remaining part loose and soft. The containing fluid had become of a. greyish-brown color, opaque, with a fine, brown sediment, settling to the bottom, similar to that of the masticated meat in the gastric juice. The gastric juice, containing the un-» masticated meat, when taken from the stomach, some sixty or seventy hours before, was not so pure as com- mon; was mixed with yellow bile; and was in too small proportion to the meat. The color and flavor of the other two portions were very similar, except that the one with the masticated meat was more sharp and acrid. ' ^.w^v This experiment shows the necessity of mastication : and also demonstrates, th^^ simple macfe^ation, at the natural temperature, will not effect digestion. ,^ .#*i«.U JM** *i*>f:iiy*|;.:*Si|S!**«^ ,i^ ■^"'- •-i#- '\*»Si£j. • ^Si^*^^'^ w^^ .' *• '■* '"' ' wa "^•rw,iiii n iijf||^)Wi"SWf,l|||i«P|!Jli.M ^ 4W B^wtHiysirjii ijTD >Uv M^jmmmt U. .». it jP, M. same day-^igcitett tu thre,f hours, forty-fire .nilhutds. >. Experiment if. '■'' Dec. 1% At 9 o'clock, A. M., he breakfest^d on coldj pork steakf bread arid one liirit' coffee. Digestion com* pleted in thre^^ho^urs. , ^w;9t hoijrs after haying[.eat^i}j a pellicle of oil \v-as found floating on ^the top of the gaJs- Mc^coiitents. , \''' " ' ', ,',^'' . .^ '■.■.""' On* et^inirimg ihe stomach j, an lj9iirtiftei*^tl^^^ytine hid passed put, several red sppts and patches, abyadc^d of me mucous coat, tender and irritable, appeared spread* oyer the inner surface^ .T/he tongue, tpc^, had upon it a tHin,.vwiiitish fliri Yet his a|)pet|te "w^s re^ther cra^ At 2 o'clock,, 30 mins. V.M^ be. ate a full pinner, of Experiment 18. iyOm^Vfi. ,AtiS sQt^cloak, 30 mkiB. A. M., I put two^^ drs^i^ms fresh friedi sausage inrfifine muslin bag, and ' susfi«ftde* it ipitaihe^stottiach. ^ He'imni6dial6!y*^^^iiftet" br^fa#ed-«tttth^Wi]|£. •mKMi IIRFIM'.'IIIII r;* 1^ 182 >^ EXPERIMENTS AND 'Experiment 20. II I J9ec. 19. At 8 o'clock, 45 mins., A. M., I suspended three drachms broiled bass, in a muslin bag, into the stomach, and he breakfasted on the same kind of fish, with bread, a small piece of sausage, and a pint of cqf- fee. 2 o'clock, P. M. — complains of smarting at the aperture — I took out the bag — remaining contents weigh- ed two drachms, having lost one drachm only in five hours and a quarter. Coats of the stomach did not ap- pear healthy — deeper red than natural, with patches of still deeper color, spread over the protruded portion. Mucous covering abraded in places, and rolled up ; re- sembling shreds of epidermis, torn from a blistered sur- face. '^V" . '1 :'r$v I* /:«■ i.r. i-j'i' ^^■- ■/<:rm <(^ Th^se three last experiments, are examples of the solvent or chemical action of the gastric juice. It pene- trated the muslin bags, dissolved the food, and allowed the chyme to Strain out. They also indicate that irri- tating substances, (as, for Instance, the muslin bags, in these experiments,) produce a diseased state of the stomach. -,.^, ..:,...-. ■ ■■'■■ :y^.i(^y^..: ^^ ■>,-. ' Experiment 21. ■- ^m- ^\ii\'.imky ' Dec. 20. At 8 o'clock, 30 mins., A. M.-— Coats of stomach appecur healthy ; considerable fluid plainly to be seen. It ran out of the aperture on turning him down ; was transparent, and contained flocculi of mu- cus. Breakfasted on broiled bass, toasted bread and coffee. Digested in five and a half hoursi «J% Vt^-, ta . OBSERVATIONS. 183 Experiment 22. At 2 o'clock, P. M., he dined on boiled chicken^ and vfhtat bread. Digested in four and half hours. '^ '1*1 f ■♦> h^ Experiment 23. ■7 Dec, 21. At 8 o'clock, 30 mins., A. M., stomach not perfectly healthy ; several small, deep red patches, on the exposed surfaQC. Extracted four drachms gastric juice, tinged with yellow bile. Masticated one and a half scruples of the thigh of a boiled chicken^ and half a scruple of bread : put them into thiis gastric juice, and placed the vial in the axilla. Into the same quantity of pure water, warmed to 70 deg., I put the same quan- tity and kind of aliment, and placed them in the same situation. He breakfasted at the same time, on the same kind of diet. 1 o'clock, P. M., stomach empty. At 2 o'clock, he dined on same kind of food. 6 o'clock, 30 mins., stomach empty. *'f 'The masticated portion put into the vial of gastric juice, placed on the bath, and frequently agitated, di- gested regularly and uniformly until about 2 o'clock, P. M., when the particles were all dissolved, except a few ifibres. That in the vial of water, kept in the same situ- ation, had not changed its appearance from the time it was put in. ...-. ,'.•: . v ■..:,?.. -Vv .' =.:.-.......■.;:., ... •■...:.>•;:. :. • On separating the remaining particles of food, in the gastric juice, at evening, filtering on thin muslin, and ' drying with paper, it weighed fifteen grains, and left ': four drachms and a fraction, of an opaque, milky color- ' ed fluid. m'^^^'^m : That in the water, taken out at the same time, weigh- '^:i •>'f^'W •' 'If. 184 EXPERIMENTS AND -f ed forty grains, and left four drachms of a turbid fluid, like water, with flour stirred in it, and had a mawkish, insipid tasto and smell. The first had the acid smell ar^d taste, peculiar to the gastric contents. Experiment 24. -^'.■;*>' Dec. 22. At 8 o'clock, A. M. examined stomach — temperature 100 deg. Extracted about four drachms gastric juice, pure, but not free. At 8 o'clock, 30 mins., he breakfasted on bread, cheese and coffee. 9 o'clock, stomach full of fluids ; tempera- ture 100 deg. 11 o'clock, stomach full, with the cheese in a fluid form, floating on the surface ; bread reduced to a pulp ; temperature 100 deg. 12 o'clock, M., food still in the, stomach; but considerably diminished. 1 o'clock, 30 mins., P. M., some of the cheese yet remain- ing ; stomach nearly empty. 2 o'clock, stomach empty. The coats of the stomach havi) not appeared in their usual healthy condition, for several days past ; the color darker ; mucous coat unequal ; some patches of a pur- plish color, with aphthous edges ; surface inclined to be dry ; very little secretion of gastric juice ; digestion Slower, and less perfect than usual ; bowels inactive) nothing having passed them for sixty hours. It would seem from this experiment, that cheese was diflicult of digestion. In addition to its closeness of tex- ture, it generally contains a large proportion of oil » .^. , i Experiment 2^^ [,^] ' .,._^^\:M,,;{i^^.^,^, •'i.fm''-».r %/r- Dec. 23. At 6 o*clock, A. M., temperature of stem aeh, 100 deg ; pulse 66 a minute. 9 o'clock temper ;^Slk '7 ^lil i-t^ 1?- OBIBRVATIOMI. w ature of stomach, 100 deg. ; pulse 75. Villous mem- brane inclined to dryness, and of a darker than natural color; papillfB small and sharp; mucous coyering scarely perceptible ; bowels costive ; tongue coated with a yellowish fur, and its edges pale. I poured in, at the aperture, one ounce Ol, Riciniy and sprinkled over the surface of the protruded coats, five or six grains of cal- omel. IIo ate a light breakfast of com bread and crack- era, and drank a pint of coffee, immediately after. At 2 o'clock, P. M., stomach empty ; coats look healthier. Medicine not having moved the bowels, I put in, at the aperture, twelve additional grains of cal- omel, per se. ^ At 5 o'clock, the stomach was in commotion ; indica- tions of the cathartic operation of the calomel: slight nausea ; stomach full of a white, frothy fluid, running out at the aperture, like fermenting beer from a bottle ; slight pain and motion in the bowels; and increased se- cretion of saliva. No motion from the bowels. Tem- perature of stomach, 101- deg. Pulse 80 beats in a min- ute, ^i At 8 o'clock, calomel had operated twice, copiously, commencing at 7. Temperature of stomach, 100 deg. Pulse 62, soft and mild. 1 » ■*■ Experiment 26b i Dec. 25. At 8 o'clock, A. M. — weather partially clou- • dy — atmosphere dry, and smoky — wind E. and light — • Th. 31 deg. Temperature of the stomach, 100 deg. * and a fraction. Pulse 55, in a recumbent position ; 66, i sitting erect. A few small, red spots, on the mucous ^ 16* « *'; Cf^t-:: /\.li'-' Af .; iMi ,:-:vr. iiifliiii mmm ■fe 1 \ ^ IMAGE EVALUATION TEST TARGET (MT-S) 1.0 !.l ■ 30 2.2 2.0 1.25 |U IllUi^ < 6" — ► ^ y] A ** '/ jS^. ^. Hiotographic Sciences Corporation 23 WEST MAIN STREET WEBSTER, N.Y. 14580 (716) 872-4503 -■■■M-'-rZr'' '-'• ■■■■( 'f'f'm 15f»T1 MUfP"' »J"H' la^ ,"8 'w-'fm EXPERIMENTS AND surface. The gastric secretions appear as healthy Oj^ usual. , * ' ^ At 9 o'clock, he breakfasted on boiled, salted, fat. pork, corn bread and coffee. 10 o'clock, the stomach at the •jsame temperature as at 8 o'clock. Pulse 65 in a recum- bent, and 75 in an erect position. Gastric cavity full of a heterogeneous mixture. )fk ;^i?.^itb-'\, •swAt 11 o'clock, 30 mins. — just returned from walking moderately, about an hour, a distance of two and a half miles ; not to produce free perspiration, but gentle dia- phoresis. Weather clear, calm and dry. Th. 50 deg. TempcFature of the stomach 101 ieg. Pulse 72, in a recumbent position ; 82, sitting erect, and regular. Con- tents of stomach half reduced^, and nearly homogeneous. At 12: o'clock, 30 mins. M. — temperature of stomach, 100^ deg. Pulse 62, recumbent ^ 72, erect. Contents nearly gone. :^i$.r.mv:%'wu At 1 o'clock, 30 mins., P. M., wtomach empfy. At 9 o'clock, weather cloudy, atmosphere dry, no wind, Th. 42 deg., the temperature of tlie stomach was 99^ deg. He drank half a pint of water fifteen or twenty minutes before examination. Pulse 62, recumbent ; 72, erect. .^^ This is an example of the increase of the temperature of the stomach onexercise. See, also, subsequent ex- periments.. , , Experiment 27* .'■t#:tl)«y- Dec. 26.. At 6 o'clock, A. M. — weather cloudy ; at- Bipspheire damp I wind N, E. and light; Th. 38 d«g.;. temperature of the stomach, 99 J deg. Pul&e 55, recum- i ■yr-i J"* 'vs ;Tf ''if^- m;:^ ^l^^^gllW^ III Hill IW "^i" " »■ ^ < " ■'■'1^" .j.i"j.vn»^m.j-Ma OBSBRVATIONS^. 187 bent ; 65, erect. Respirations in a recumbent position, 15, and in a sitting position, 18 a minute. At 8 o'clock, he returned from a walk of two miles, but not to produce perspiration. Weather damp and raining lightly. Th. 36 deg. Temperature of ths stomach, 101 deg. Pulse 65, recumbent ; 85, erect. Feelings of impatience here evidently accelerated his pulse, in the erect, position. He was vexed at being detained a few minutes from his breakfast. ' *5*' v l ', At 5 o'clock, P. M. — weather rainy ; wind N. E.; Th. 41 — 1 examined the stomach. Temperature, 99 J deg. Pulse 60, recumbent ; 70, erect. At 8 o'clock, temper- ature of the stomach, 101*^. Pulse, 50, recumbent; 60, erect. Respirations, 15 a minute. * ^Mi^^iiv^vt ^v i^^*^ His diet through the day had been confined principally to farinaceous substances, wheat bread and crackers, in moderate quantities. • %• .^\'-->^ei'. « ■i-i^ ^ fi «■ tt ExperimerU 28. A'j4- I .•' '*■?" '.'.-< ^-i ¥ Dec. 27. At 6 o'clock, A. M. Weather unpleasant ; atmosphere damp ; wind east ; Tn. 38 deg. Tempera- ture of stomach, 99 J deg. Surface clean and healthy. No dark red, or apthous patches, nor white, elevated points. Mucous coat uniform and even, of the natural color. No excoriation or smarting at the edges of ths aperture. I extracted oneounceof gastric juice, slightly tinged with yellow bile. This,. I conceive to have been entirely accidental; and occasioned by the regurgitation of the bile through the pylorus,, as he turned upon hii back, from right to left, to favor the exit of the gastric juice. The same thing has happened several tijoce^ ^ ■'M f' ,-4 •*(•;, ■t <: *»« • ' »# TF^ far *^"|in "¥!■■•«»» 188 EXPERIMENTS AND /' At 9 o'clock, he breakfisted on three ounces broiled breast of ^mutton, four oUiices of wheat and corn bread, * very thoroughly masticated, and a pint of coffee. At^ the same time, I put two drachms of same kind of food, • equally well masticated, into the ounce of gastric juice, taken from the stomach at 6 o'clock, and the same quan- * tity of same kind of food, masticated in the same man- ' ner, into an ounce of simple water; placed them, both * together, first in the axilla, and afterwards on the bath, between 96 dcg. iind 100 deg. mm: mm-::.%- *^» t^^-:^*/! ; At 12 o'clock, M., stomach nearly empty. Was just' able to get out one ounce for comparison, almobi com- pletely dissolved ; a few small particles of bread only ' visible. Temperature 100 deg.^^ v^^ -'^ .^^^.^^mt^'V ^^^■■ At 12 o'clock, 30 mins., no distinct particles of food to be seen. All chymified, and passed from the stomach. Nothing but a little frothy mucus remaining in the stom- - ach. Coats clean ; color, pale pink. Temperature 100 At 2 o'clock, p. M., he dined on the same quantity and kind of food that he had taken for his breakfast, {broiled mutton and b^ad.) Drank nothing since morn- ing. Temperature of stomach 100 deg. Th. 62 deg.. Wind S. Weather fair, since 12 o'clock. 2 o'clock, 30 mins., stomach as full of fluids as when he drank a pint immediately after eating. No perceptible differ-t^ ence in appearance. 6 o'clock, stomach empty and^' clean. 9 o'clock, temperature of the stomach 100 deg.^ Weather same as at 2 o'clock. The changes effected in the contents of the two vials,*^ mentioned above, and kept in the axilla till 9 o'clock,^^ P. M., were as follows. ^5 In that-containing the gastric juice, the food was about 4 iMt »?'jJ5? W^ m •M. \lTk w^ iwk WJ' fmiff^f^mmimtiiiigK!' ' •i""^™'' »' OBSERVATIONS. 189 half dissolved, and loosely suspended towards the bot- tom of a reddish-grey colored fluid. That in the water exhibited no other appearance of digestion than what was effected by mastication, when first put in. The masticated food had subsided to the bottom of a transparent, watery fluid, as clear as when first put in. At 8 o'clock, A. M. of the 28th, I added the two drachms of gastric juice, taken from the stomach, at that time, to the vial containing the gastric juice ; and the same quantity of water to the watery mixture ; and placed them in the axilla again. At 6 o'clock, P. M., examined vials — digestion liad re-commenced, and advanced in the gastric juice, in proportion to the quantity added. The sediment had become more dissolved, and the fluid part increased. This sediment taken out, filtered through muslin, and pressed as dry as when put in, weighed forty-five grains only, having completely dissolved one drachm and fifteen grains ; and produced a gruel-like milky color- ed fluid. ,r- i ,' That in the water, remained unchanged ; and when taken out, and pressed dry, through a piece of muslin, like the other, weighed one drachm and thirty-five grains. This reduction, I suppose, was the effects of mastication, and maceration in the water for thirty-six hours.;, . V ,,. w% _--:■-. -A . ' These two parcels, kept tight corked, in a tempera- ture between 50 deg. and 70 deg. remained free from any fo&tor for forty-five days. The gastric portion, at the end of this time, emitted a caseous flavor; and the aqueous portion smelt musty and sour. "i fl^ . w. ■■1 pm 190 ZXPERIMENTS AND This is a comparison between solution by the gastric juice, and maceration in water. These results are in- teresting, not only as establishing physiological princi- ples on certain data ; but they have an important prac- tical application. They have, consequently, been fre- quently repeated. The fact, that the stomach contains a quantity of fluid, soon after the ingestion of dry food, which was alluded to in the prclimary essay, is here perfectly demonstra- ted. tl vv I I '^i: Experiment 29. Dec. 28. At 8 o'clock, A. M. Weather clear. At- mosphere dry. WindN. Th. 34 deg. Temperature of stomach, 100 dcg. Coats clean and healthy. Gas- tric juice scarce ; extracted two drachms only, and that with considerably difficulty. At 9 o'clock, A. M., he breakfasted on same kind of food as yesterday, in usual maimer, slightly masticated, and swallowed fast, without regard to quantity. 1 o'clock, P. M., a small portion still in the stomach — nearly dissolved. 1 o'clock, 30 mins. stomach empty. .vv 'uHx.'' Experiment 30. i\> At 9 o'clock, A. M. Dec. 29. At 9 o'clock, A. M. Weather clear and dry. Wind N. W. and light. Th. 34 deg. Temper- ature of stomach, 100 deg. Coats clean and healthy. He breakfasted on fatpork^ dry toast and coffee — ^full meal. 1 o'clock, P. M., stomach half full of a lardace- nWP' •#■, iS^'.. mi WHtUR'. ^-. ▼' » ' ' f !■ ' ip* ■ iV'i«pi| OBSERVATIONS. 191 ous fluid— no particle of any thing else but gastric fluids to be seen. Temperature 100 deg. 2 o'clock, 30 mins., stomach not empty. 3 o'clock, stomach empty and clean. The protracted period of complete chymification in this meal, I conceive to have been principally owing to the unusual quantity of food taken, being dispropor- tioned to the gastric secretions, and more than was re- quired to replenish the natural waste of the system. The quality of the food had, undoubtedly, some eflect. Experi7nent 31. Dec. 30. At 8 o'clock, A. M. Weather clear and dry. Wind N. W. and light. Th. 26 deg. Stomach clean and healthy. Temperature 100 deg. Gastric juice pure, and distills more freely than common. Ex- tracted one ounce, without any difficulty. ' At 9 o'clock, he breakfasted on two and a half ounces of boiled, recently salted, fat pork^ three ounces of wheat bread, masticated in usual manner, and one j)int of coffee. At the same time, I took two parcels, equal quanti- ties, of the same kind of food, (pork and bread) half a drachm of each kind, both masticated in same manner : put one of them into the ounce of gastric juice taken from the stomach before eating ; and the other, into the same quantity of simple water, of the temperature of the gastric juice ; and placed them in the axilla. ^' ''' At 11 o'clock, I took out of the stomach, one and a half ounces of its contents ; put it into a vial, and placed '1% ti '«fe. A-,. , .:.4.- : * ' Ewperifnent 32. ^'' _ ^ jDec. 31. At 7 o'clock, A.M. Weather cloudy. At- mosphere damp and chilly. Wind S. Th. 30<^. Tem- perature of the stomach, lOOi— color darker red than natural, and arid. Mucous coat abraded in spots, and rolled in small shreds; more irritable than usual. . At 8 o'clock) 30 mins.j breakfasted on same quantity and kind 'of food as yesterday, (pork) bread, &c.) At il o'clock, took out one and a half ounces contents from the stomach) in appearance half digested. 12 o'clock M., took out anotlier portion, more completely dissolved. Stomach nearly empty. 1 o'clock, stomach empty. » At 1 o'clock, 30 mins., he dined on salted^ boiled beef^ potatoes^ parsnips and bread, full meal, without regard to quantity or mastication. 4 o'clock, 30 minsi, stomach perfectly empty. - ' The one and a half ounces, taken from the stomach I at 11 o'clock, A. M. very nearly resembled the contents of the vial of gastric juice and masticated food of the 30th, (yesterday,) in almost every particular. That *; taken out at 12 o'clock, M. had more of the lardaceous, f and less of the distinct fibrous particles of aliment. , ^The diseased appearance of the stomach at this ex- amination, was probably the efiect of intoxication the ^^day before. - . ":Ri 1 •** Experiment 33. *^ iak. V, 1833. At 8 o'clock, A. M. Weatfier dark and rainy. Wind S. Th. 50. Temperature of stom- ach, 100 deg.— healthy and cle-n. Extracted half an ounce of gastric juice. 17 *^) un .wt* it^mmmmmm m 104 EXPERIMENT0 AND ■if. "^At 9 o'clock, I took two scruples salted, lean beef, (boiled,) chopped very fine, with a knife : put one scru* pie into the half ounce of gastric juice, and the other scruple into half an ounce of simple water ; and placed them together in the axilla. Vt the same time, he breakfasted on two ounces of boiled, salted, lean beef, bread, n.nd n ])int of coffee. •"^ .'i»twr- '' At 12 o'clock, M. I took from the stomach one ounce of its contents, not fully digested ; bread principally remaining, reduced to a pulp. Compared with the gastric juice and food in the vial, the jnirticles of nioitt seemed rather more dissolved. Stomach about half empty. ^ ■ At 1 o'clock, P. M., stomach empty and clean. '.■^•^ At 8 o'clock, 30 mins.j A. M. on the 3d, I added ofl6 drachm fresh gastric juice, and chopped be jf, and one drachm of water, to the watery mixture, and placed them together in the axilla. On the 4th, the feecf in the gastric jiucc not being completely dissolved, I added two drachms fresh gas- tric juice to it ; and two draclnus of water to the aque- ous mixture. Gontihued them on the bath, or in tlie axilla. The watery portion began now to smell quite foetid. At 8 o'clock, on the 5th, the meat in the gastric juice was completely dissolved, and a fine, reddish grey sed- iment had fallen to the bottom of an opaque, gruel-like fluid, with a pellicle of greyish white particles on the top. The aqueous portion had become more foetid. The particbis of meat were the same as when first put •in, only a little macerated, and paler — the fluid transpa- rent, but becoming darker, and a little greenish ; no appearance of solution, a:, ^^ ^4^, ^.j .a-j^i.*:* i: iA ^ af *'«-•; OBSERVATIONS. * m Hi ^\ On the 10th, the contents of the aqueous jwrtion were quite fojtid. The gastric portion was perfectly sweet and bland. nm-Mm^ ^*ii,mf>' '^'^ Experiment 34. ' i»»ifw^wr*» iiwt* At 1 o'clock, 30 mins. P. M. same day, ho dined on lean, salted beef and bread. Digested in three and a half hours, ^^>■^f■'< ♦ r)jrt*^>i^j,, v,"' .t '.^Ju-^^ri^.u? >.. *r 'f '{'-I'.' jii^, >■ ■'■♦-V'M ^ri' ■«!' J. '-ji'if. Ill' r, ,^|fnJM/iiiif4 ^^'■■»M ffU'v.-^', v>i,» •. Experiment 35. {^Hi^ ,iLt£6s-iiH»Mtii> i ' Equal parts of alcohol and gastric juice, mixed to- gether and agitated, produced a turbid, milky white fluid ; which, after standing at rest, raised a thin, white coat of fine, loose coagulai on the surface. When the juice and alcohol were first put together, and before agitating, the gastric juice settled to the bottom, and the alcohol remained on the top, indicating that its specific Gravity was less than the fluid. '-A ii^, -fc ^^r>^^ :iiiv Experiment 36. ' ^ m, -m^ Jan. 2. At 8 o'clock, A. M. — stomach empty — ex.- tracted half an ounce of gastric juice. 8 o'clock, 30 mins., he breakfasted on dry bread and a pint of coffee. 11 o'clock, stomach nearly full of a pulpous, semi-fluid mass, resembling thick gruel. 12 o'clock, nearly empty, 12 o'clock, 30 mins., empty and clean. * 1 »*..>* 'tttA*^ Experiment 37. iiim ^:'"j^ifi * f- 7 At 2 o'clock, P. M., he dined on boiled potatoes^ a m p:. ,.; r- u. 1 p ::-■■■ . '■' -i^ft^' -' .'■??- k .'*..:. ■ -I* ^^'mmmmm m wxrhhrMWNtK Awn nKnu. i\ oN'\o«*K» (\Ul \viiho\u t\Nh inii tho wrnhiniog »vu'- t^h^t^wt^^'frnt^j^t t1\\\N\^h tho olo<)^, i\ woi^htv^ too ^\rtiri«^ V«!is\^^\g tiN^t tiM\ )fi:vrtms \Ny t^iijvj^tioo. in i"o\tv {\\\\\ [\ \u\\( 1^M\>i». Tht^ \^S"^\, \vh<^^\ tlvst j^'ii u\ 0^0 bng:, n\\«l stis- %\>W ; bm \vM\ t«Wn o\u rt\\«\ \v\M')j:hoi!s was of i^ |vMv light rtt^sh tv»\ts\\ {\\u\ of {V jiUUinou!« nj^. . --;*."', ** tt •U . e OtlNfenVAtlMNI V 4 k inr.tffit 'Vi'Ha.trl N.tittfiimvnt tlti. If «| l(«f«t im»U»t«nr^, httil lii'Huh linir M pint Mrfrcf^rr. lMm»MHl ill tWM lioniN. ,, ii> .-<; f ■'■^' .js; ill NrfuttrntHt 40. ^■.#j' if"' JftH. i'- Afl^ »iS»l0i'h, A. M. ' HlMlluii'li ll»v»llljy, fil* <'iii'l«««1 f\\SH|»i\t'liin«i ^Mslrlf |ultM» I'niin' jniic, lull vi«ry t i^ ,f {.. '■■>fi' -'triih t"-' .V, t. f '':h: . j • E.Tj)crimciit 43. > : i * I At 1 o'clock, p.' M^ same day, dined on broiled veat >«nd bread, and half a pint of watcr^ Digestion com- pleted in four and a half hours. ^^ t^,i» f^i vi f Jan. 6. At 8 o'clock, A. M. — Examined stomach. ■Coats generally healthy — few sma'l, erythematous 7 patches, on mucous surface. Secretions pure. Ex- ^^racted one and a half ounces clear gastric juice, con- ^tftining less than the usual quantity of miicous flocculi. ^'y -^'S;rj*^;;r'i> "-"""•, \ :' ' : -' t ti OBSERVATIONS. 109 It ran more froely than common through the tube. Moro ODuld have been obtained ; but a sensation of fHAitrrass, and sinking at the pit of the stomach, being Alt and complained of, I desisted. This sensat.'on has almost uniformly occurred, whenever the gastric juice has flowed more freely than usual, and has been suffer- ed to run out to the quantity of one and a half, or two ounces ; foUoved by dimness of vision, and vertigo, on rising. These feelings, however, subside in a few min- utes, and he feels as usual, and eats his meals with a good appetite. m» *>;.'•>'' n* «♦>* ..t i^^<«, ^. At 9 o'clock, he breakfasted on broiled veal and bread again, as yesterday, and kept exercising. 1 o'clock, P. M., stomach nearly empty— several small spots of dark, grumous blood, exuding from the papillsB of the inner coats, made their appearance. 2 o'clock, some appear- ance of the breakfast still in the stomach. 2 o'clock,^ 15 mins., (Stomach empty. , ;, . . , , . , , ' , '7 . W ■':¥ Experiment 46. 1: >■$'■ At 2 o'clock, 30 mins., P. M., same day, he dined on one pint of barley gruely sweetened with molasses. 4 o'clock, 30 mins., stomach empty — none of the barley gruel to be seen. - *'i^>>«f i^itiHf *j 'fei^ %w^ i^ ii^ Several small, sharp-pointed, white postules made their appearance on the inner surface of the stomach, at this time ; and the surface, generally was of a paler color, and more flaccid, than usual. ^ f i^-l f Experiment 46. Jnti 7« At 8 o'block, A. M., weath^ iploudy, damp and "1.S %. t "* S'ft;'^' ^-tp^*- ^, •*■;*.«■-: t I ( 200 EXPERIMENTS AND disagreeable ; Th. 48 deg.; Wind N. E.; Temperature of stomach, 100 deg. Less of the small pustules and red patches than yesterday. Color of the coats n^tulil again ; but little secretion of gastric juice this morning; Could obtain only a drachm or two. ^«<^»<* vi; iJfli^ At 9 o'clock, A. M. — Temperature of stomach, lOO*'.' He ureakfasted on soft boiled eggs^ soft toast and coffee!^ 12 o'clock, M. stomach empty. • ?> :'^>^ ^fm^*' ii^v^f^ At 12 o'clock, 30 mins. M., same day, he dined o^ three ha?^d boiled eg^s and bread. 3 o'clock, 30 mins., stomach half empty. Remaining contents acrid. Edges ^ of the aperture excoriated. Some pimples, and erythe- matous patches on the surface of the inner coats. 4 o'clock, 30 mins. stomach and contents in nearly the same condition as at last examination — very acrid and sharp — coats red. ^ 6 o'clock, stomach empty. **^ V^ These three or four last experiments demonstrate, that a diseased state of the stomach retards digestion, vv iv«.,f Experiment 48. ''''''■,^-'ii,:,,^^^k^ Jan. 8. At 8 o'clock, 30 mins. A. M. — examined stomach. Coats healthy. None of those white pus^* tules, and erythematous patches, observed yesterday and the day before, to be seen this morning. Color of the lining membrane rather paler than common. Surface moist. Extracted half an oimce of gastric juice, with-;' out difficulty. A slight and momentary vertigo was felt *|£ !^iim liil^i'-'^'l-^iil i.i %■ ra!f^ m OBSERVATIONS, , 201 in rising upl No faintness or sense of sinking at the Bcarobiculous cordis, at this extraction. I divided these four drachms of gastric juice into two, equal parts, and put them into separate vials. In a third vial, I put two drachms of simple water. To each of these three vials, I added eleven grains of the muscle of a sheep's hearty in an entire piece. Kept one of the vials of gastric juice and meat in the axilla, and placed the other, with the aqueous vial, in a cool place, at about 46^, agitating them alike frequently. At 7 o'clock, P. M. the piece in the warm gastric juice was half digested ; the fluid of ar .paque, reddish brown color. That in the cold gasitric juice was a very little affected, the surface being covered with a thin, glutinous coat, and the fluid a little turbid. That in the water was not in the least effected. The water was perfectly ' transparent, as when first put in. At 9 o'clock, A. M. of the 9th, these several pieces of muscle exhibited the following results. That in the warm gastric juice, when taken out and pressed dry, as when put in, weighed seven and a half grains. That in the cold gastric juice, treated in the same man- ner, weighed twelve and a half grains, having gained^ by the absorption of gastric juice, one and a half grains. An that in the simple water, weighed eleven grains, the same as when put in, having neither lost i?or gamed. ^ , The three and a half grains, that remained in the first vial, were in one entire piece, of the same shape as when first put ih ; but very soft and tender, hardly able to sustain sufficient pressure to be raised by the, finger and thumb,^ It was a mere pulp. ^ Tf^he meat in the second vial was increased a little in feV «. -;■ -.^■■- ,-» ^mi^mm'immm'mmif^''^'mimim'^i''^^^^^f^ lihtf.ttLi 202 EXPERIMENTS AND size ; appeared swollen, soft, slimy and tender ; but had sufficient firmness of texture to resist considerable pres- sure, when taken up. It was not dissolved. t That in the water ratained its firmness, and was un- altered in appearance, except a paleness of surface, occasioned by maceration. ^ At 8 o'clock, next morning, (the 10th,) the following appearances were evident. The first piece, in the warm gastric juice, weighed one and a half grains^ having lost in the last twenty- three hours, two grains only. It retained the samo shaple, and was about the same consistence as yester- day. A reddish brown sediment subsided the bottom of a rich, whey-colored fluid. ^ .' ; The second piece, in the cold gastric juice, weighed nine grains and a fraction, having lost about three and ahalf grains. ,, ,. , .f^! '"- That in the water was unaltered, and w'cighed' tfie saine as when put in — eleven grniiis. It may be proper to remarl that the two pieces in the cold gastric juice and water, ^^ere moved from their first position in a temperature of .t.out 46°, and placed for the last twenty-three hours on> the mantle-piece, over the fire, in my room, in a temperature of about 60°. The loss of the two and a half grains of meat, in the cold gastric juice, was evidently the effect of diges- tion, occasioned, no doubt, by the increase of fourteen or fiften degrees of temperature. On the 10th, I added to the vial, containg the warm gastric juice and muscle, one fourth of a drachm of fresh gastric juice, warm from the stomach. Continued it in the axilia, and in five hours it was dissolved to a mite, scarcely perceptible. ; ■■- i . ; i< v - ,^ < " v^-^--. .rt»»aii-«rtH^i^lS>ri'.'.^.-^. i..«J.,Vn: t< ''• OBSERVATIONS. ;»» 203 'The piece in the cold gastric juice, kept on the man- tle-piece, in. a temperature between 50® and 60*=>, till 9 o'clock, A. M., of the 11th, weighed seven grains, retaining the same shape as yesterday, and a similar texture. The fluid had become more opaque and milky, and the sediment had increased at the bottom. .The piece in the water at this time, remained unal- tered, and weighed precisely the same as at first — eleven grains. tl-vt: n&V. ik> .1'^ ■\* :'eL . ri lir^'^l* At 9 o'clock, A. M., I placed both these in the axilla. ■ oi.!).;. .i»>,v-'-''y|i-:'...;^rtAi"''-ii»v-.«<»'i<» •Aft^iiU ^At 9 o'clock, P. M. the piece remaining in the second vial of gastri:i juice, placed in the axilla this morning, was nearly all dissolved, one grain only re- maining — a soft pulp. , jij4i tj-The piece in the water remained unaltered, and weighed the same as at first ; but began to emit a strong foBtid odor, and in a few days became very putrid. This was, however, almost entirely corrected, by the addi- tion of three drachms of fresh gastric juice on the 21st. The meat still continued its original shape and size, and no doubt, its weight, though too putrid to handle, or take out, before the addition of the gastric juice. Pla- ced it on, the bath, and it began to digest, and soon be- came chymified — lost its foetid smell, and acquired a sharp acid, or rather, acrid taste. m H' ^^^iiif:mmsmm' The result of this experiment is interesting, in de- monstrating the solvent properties of the gastric juice. Maceration alone will not dissolve foodj, noi separate its nutritious partjs. |t appears, also, from this experi- ment, that gastric juice corrects the putrid tendency ,,*;*■)♦■ 16. V ^■. 304 EXPfelltlflEMl'8 AlfD ( v .tl^ of alimdtitfi ; and that food is more readily dissoWM after that tendency has occurred. »,^y . Experiment 49, k4 0;^Lk tit>l ■*.> ^ Jan, 11. At 8 o'clock, A. M. — Weather cldar and dry. WindS.W. Th. 15°. Temperature of the stom- ach, 100°. Coats healthy. Extracted one ounce of gastric juice, clear and transparent — few flocculi of mu- cus — taste distinctly acid. Complains of the usual sense of distress at the pit of the stomach, and vertigo* At 9 o'clock, 30 mins. he breakfasted on pork and bread. Digested in four hours and a half. .J trhrrtfu. ► ,\^ r^i Experiment 60. ■ 1 ' ■ ^jM^l At 9 o'clock, 30 mins. A. M. same day, I took three vialSj and put into each two drachms? pure gastric juice, fresh from the healthy stomach. To one, I added one drachm of albumen— vfhiiQ of egg — to the second, half a drachm of the yo/A:— and to the third, another drachm of albumen. Put the two first, in axilla, and the other on the mantle-piece. At 9 o'clock, Pi Ml the, all^umen in the warm gastric juice, in the axilla, had become quite opaque, with loose, light colored sediment at the^ bottom. The albumen in the cold gastric juice; remained unaltered. That con- taining the. yolk,, exhibited; the appearance of a mere Tnl»ture of , fine yellow cpagulsB, resembling sulphur and millf, piixed together. ,^k^.k»..ii , u u ^,.Oft tjt)e.l2th, atSp'clock, P. M*, both vials having be^a continued on the bath, or in the axilla, through .t- i#i (1^ OBSERVATIONS. 206 the day^ the difference observed last evening, between the cold and warm vials of albumen, was very little in- creased. The yolk was considerably altered from a loose coa- gulo;, generally diffused through the gastric juice, to a fine compact body of coagulee, rising upon the top of a perfectly clcar^ transparent fluid, free from a particle of sedimentv " f^' I \ ,( /^::: Expetiment 51. At 8 o'clock, 30 mins., A. Mi — Stomach healthy. Extracted one ounce of gastric juice, a little tinged with yellow, whether from bi!e or tobacco, it was diflicult to determine. He had taken some tobacco into his mouth, an hour and a half previous to the examination, and the fluid was not perceptibly bitter. There was a larger portion of frothy saliva, and flocculi of mucus, than common. . ,,..;s . ►, , . . ^^ » .L At 10 o'clock, 15 mins., b*^ breakfasted on hoiled^ sal- ted codfish^ bread and cojfee. Digested in two hours hours and a quarter. / \,i^--, u i '"<■•■'» '^ ?^= t. Experiment 52. ,1.,.. Jan. 13. At 8 o'clock, A. M. — Weather overcast, dry and smoky. Light wind. Th. 12 deg. Temperature of stomachj 100 deg. and a fraction. Pulse 60, in a re* cumbent, and 70, in an erect position. Coats not per- fectly healthy — general surface rather paler than usual — some red spots and pimples to be seen. Extracted three drachms of gastric juice, slightly acid — ^not so 18 ^': m .;|&i^ M ■„ t\ vj^ •" "^r- %'" dOd EXPERIMENTS AND m *• "a I. i « •^!.' -a- much as usual — less mucus, and more saliva than com- mon. 'Neither tinge nor taste of bile. At 9 o'clock, he breakfasted on boiled, fat pork and bread. ' At 12 o'clock, M. — Stomach two thirds empty. — Tem- perature, 100 deg. and a fraction. At 2 o'clock, P. M. — stomach nearly empty — very lit- tle pulp of bread, and lardaceous fluid to be seen. Has just returned from walking two miles or more. Tem- perature of stomach, 100 J^. , At 1 o'clock, 30 mins., stomach iempty. Tempera- ture, 101 deg. ,^. , ' v., o '■■>.■ v. ^y,ii, ■n.. I ^i 1'!.'.' '.-?''■ .' Experiment 53. Jdh. 9. At ^ o'clock, I*. M. same day, he dined on boiled, fat pork, boiled cabbage and bread, and drank a tumbler of water. Digested in five hoUrS. 9 o'clock, temperature, 100 deg. y-i^'-^J^' ■I'^J'iH^il:'' \ ',' JBxperiment 54. •Vr^'^^^fr^l ^';,^,^^f '■^.; Jan. li. At 8 o'clock, 40 mins., A. M., — Weather clear, dry and serene; Wind N. W. and light. Th. 28 deg. Stomach healthy. Coats clean. Tempera- ture of stomach, 100 deg. Elxtracted nine drachttifci of pure gastric juice — distinctly acid — few flocculi of mu- cus, and a little appearance of frothy saliva. A slight sense of faintness and vertigo Ensued, as usUal, on ris- ing, after this quantity. At 9 o'clock, breakfasted on boiled, fat pdrk and bread. 12 o'clock, M., stomach about half full. Temperature, '•^.'rTi^s OBSEIIVATIONS. 8or iritmediately after walking two. and a half miles, 101 J. I o'clock, P.M., stomach empty and clean. Tempera- ture 100 deg. rr~„,.,. - ... . in^j^rr^-'^if^niii^f:'^'' ■ ■ *■ -r- '^■' ♦ ■-•r .... At 2 o'clock, P. M., same day, he dined on boiled^ fat 2iorkf and bread. Digested in three hours, ^' ' ^'V '"' ' /.',■. '* ',» !■> ^^.' :*!>. '■;>»{i,v) '1 *;•''' Experiment 56. • i^a I T f Jan. 14. j\t 9 o'clock, A. M., I put a solid piece of rib bone, of an old hog, weighing ten grains, into a vial, containing three drachms of pure gastric juice, taken from the stomach this morning. Placed it in the axilla, and continued it there for twelve hours ; then placed it on the shelf, in a cool place, till next morning. — 15. 9 o'clock, A. M., surface of bone evidently dissolved. Fluid quite opaque. Took out the piece ; and when wiped, and dried with blotting paper, as dry as when put in, it^eighed just nine grains. Immersed it again in the same juice, and placed it on the sand bath at 100^. Continued it iii that temperature for twelve hours, frequently agitating it ; then, as yester- day, placed it on the shelf, until next morning. * -— 16. 9 o'clock, A. M., appearance similar to yester- day morning. Juice a little more turbid. Bone cover- ed with a thin, cineritious coat. Taken out and wiped, the piece weighed eight and a half grains. Immersed again in same fluid, and continued on bath twelve hours ; kithen set on shelf again until next morning. Wffi*— 17. 9 o'clock, A. M., very little alteration sinca M0»- ^' -^'^P w^ ^m 208 EXPERIMENTS AND yesterday. Bono taken out and wiped, weighed eight and a quarter grains. Put in again, and continued on bath fifteen hours. — 18. 12 o'clock, M., no change effected since last examination. Bone taken out and wiped, weighed pre- cisely same as yesterday, eight and a quarter grains. Conceiving the solution of the bone had ceased from a deficiency of the gastric solvent, I now added one drachm fresh gastric juice, and continued it on the bath again, for eight hours. • — 19. 12 o'clock, M., bono taken out, and wiped, as usual, weighed eight grains. Returned to bath, and continued twelve hours, it weighed seven and a half grains. Returned, and continued on bath thirty-six hours, and frequently agitated, between. , ,:,.;.-> — 20th and 25th, no visible change was effected. Weight same as on the 19th, seven and a half grains. The solution having ceased again, I added three drachms more of gastric juice, and continued it on the bath twenty-four hours. . . .. — 27. 10 o'clock, A, M., laminaj of bone separated, and opening on one edge. Fluid mqp'c opaque, with a little fine, brown sediment, precipitated to the bottom of the vial. Weight of obne, five and a half grains. Ad- ded two drachms of gastric juice, and continued it on the bath for eighteen hours. — 28. 10 o'clock, A. M., lamina) of bone opened, Weig it, four grains. Returned, and continued on bath twelve hours. — 29. XO o'clock, A. M., laminse of bone entirely sep- arated, thin as paper, and elastic as honi. — Weight, three and a quarter grains. Returned to bath twelve ^ # i- » f ODSEAVATI0N8. I W ■»■/ b;,' — 30. 10 o'clock, A. M., opacity of fluid, and fine sediment, increased. Weight of bone, two and three fourths grains. Continued on bath. . ^ — 31. 10 o'clock, A. M., no change since yesterday. Weight of bone, two and three fourths grains, Added half a drachm of gastric juice, and continued it on bath twelve hours. Feb. I. 10 o'clock, A. M., laminaj very thin and clas- tic. Weight of hone two and a half grains. — Took out the pieces of bone, and put thcni into one dracliii fresh gastric juice, iii a separate vial, and continued on bath six hours. '^^^y*^ ' ''^^' ^'''' '''\ > '\:.l fN^itwg;* 10 o'clock, A. M., weight of bone, two and a quarter grains. Continued on bath six hours. ^ -' •'—3, 10 o'clock. A, M., weight of bone, two grains. Continued on bath till the 5th. * .' 1^5. 10 o'clock, A. M., no change since the 3d. * Weight of bono same. Added two drachms gastric juice, and continued on bath twelve hours. , ..■•^^^■j— 6, 10 o'clock, A., M., bones nq^irly all dissolved^ — three fourths of a grain only remaining. • — 7. Weight of bone, half a grain, very thin and transparent. The solution not being quite completed, I added two drachms more of gastrjc juice, and continued it on the bath twelve hours. " -^x, ; — 8. 10 o'clock, A. M., all dissolved to a mitc U]uarter of a grain, or less. I After the solution of the bone, the menstruum was a greyish white, opaque fluid, nearly of the color and con- sistence of clear, thin gruel, with conciderable fine tbrown sediment at the bottom of the vial, after standing at rest awhile ; and had a peculiarly insipid, sweetish -taste, and smell — not the least foetor or rancidity. vvi si J * ' 1 >1 * I *-\ ■J H."il ./J %.■: &.'■•'- ., -.■i*V;,. ^^^ '^F^T^^w^'^^mmiff^rwff^Btimm 210 EXPERIMENTS AND ( I v ■0 It will b^ seen, in this experiment, that the piece of bone was dissolved in proportion to tfie quantity of gas- tric juice applied, and that the solution ceased at longer or shorter intervals, as a large - or smaller quantity was added. When the juice became saturated, as well as when the vial was removed from the batii to a low tem- perature, the solution ceased. It appears that it took fourteen and a half drachms of gastric juice, to dissolve ten grains of solid bone, '^"'^''^ ' ^'^* *'"^' ' ^•^'^"' Experiment 67. .n«i}rrf ^rn M»«»i; 'Xixaii m^nU f«'>'>;!!«i I 'ii'Vl 4*»'t Jan, 15. At 8 o^clock, A. M.— -Wieather cloudy and dry. Wind N. E., an^ light. l*h. 35°. Temperature of the stomach, 100®. At 9 o'clock, A. M., he breaks fasted on fat pork and bread. 2 o'clock, P. M., stoni", ach empty and clean. Temperature, lOlS, ^^.^^ ^^^ ti'^thii ' ^^tiiM.«.fTi r Experirnrnt 58. » '■ ''**^' ^''''^' '^'^M ■ hWm ^ttitt ft W m>th'^ ■ ,* m\l^ ,M • ,JrhjhH^, %'t YK At 2 o'clock, P. M., same day, I put fifteen grains of ravf beef steak, divided into small pieces, into three drachms of gaiMific juice ; and fifteen grains of broiled beef steak, into other three drachms of gastric juice. At the same time, I put the same quantity of broiled steak, divided like the others, into three drachms of saliva, fresh from the mouth. \ then placed them, all together, alternately in the axilla and on the bath, and kept frequently agitating them. # At 4 o'clock, th& meat in the saliva exhibited the ap^ pcarance of simple maceration ; the other two parcels/ :■■#-■ -^>- „..-... '^•:.•'■:•-. . i.,i ./^ OBSERVATYONfl. 211 . ^ :■ in the gastric juice, woro considerably diminished and partially dissolved, the fluid of an opaque, whitish ^| color ; the cooked pUce, rather the most dissolved. At 6 o'clock, the salivary portion was not much changed in appearance ; the other two about half dis- ^ solved ; the cooked meat in advance of the raw. ^ At 9 o'clock, the saVivary portion began to smell* slightly foBtid, and to change color. The other two | were perfectly bland, and of a sweetish flavor — the .) meat about three-fourths dissolved, with a fine, brown- ^ ish red sediirent at the bottoms of the vials. Took them all off" luo bath> and placed them on the shelf till next morning. At 7 o'clock, A. M.y, on tho 16th, I placed them again on the bath till 9 o'clock^ when the salivary portion had become foBtid, and was of a greenish color. The fibres of the meat retained their shape and size ; and had be- come pale on the surface. Light, loose coagulae had fallen to the bottom, leaving a reddish-.green colored /fluid above. The gastric portions were almost com- pletely dissolved ; the cooked meat still in advance. At 12 o'clock^ M.,.the salivary portion was very fcBtid. The remaining portions of aliment, taken from the three vials, filtered through thin muslin, and dried with blotting paper, weighed as follows : — ^the broiled meat, in gastric juice^ one giain ; the raw meat, in the same, two and a half grains ; and that in the saliva,, twelve ^ains. This experiment demonstrates that saKva does not possess the properties of a solvent ; but facilitates putre- faction, See^ also^ subsequent experiments. It also '..*'' ' -Vi ■!i^':'<^- 'iv^tf^ mm^^l^^m rw l»ff<»W5WW I^^W nmm 212 EXPERIMENTS AND shows, that raw meat is susceptible of digestion by the gastric juice, though in a less degree than cooked meat. ^ '^ u* Exjteriment 59. Jan. 17. At 9 o'clock, A. M. — Weather clcrtr, and dry. Wind N. W. and light. Th. 19°. Tempera- I ture of stomach, 100*^. Coats clean and healthy. • Extracted tcil drachms of gastric flnid ; not so clear and . limpid as usual ; some streaks of yellow bile, and more . appearance of saliva than common — acid not so per- ceptible as usual. I divided this into three equal parts, three and one third drachms each. To one part, I put fiteen grains firmly coagulated alhinncn, (white of egg) — to the other, fifteen grains of soft coagulaj of the same — and to the third; fifteen grains of raw albumen — and placed them on the bath and in axilla, alternately. ^ At the same time, he breakfasted on three hard boiled egg's, bread and cofec. ■ "^ At 11 o'clock, examined — stomach full. Tempera- ture, 100*^. Some small red spots. Contents acrid. • ^* At 12 o'clock, M., just returned from walking one mile, and back again. Weather clear, dry and serene. •• Wind N. AV. and light. Th. 23 deg. Temperature of stomach, 102 dcg. ; nearly empty. Took out one ounce, almost completely chymified ; a little pure oil floating on the surface. Put this on the bath. * '* At 12 o'clock, 30 mins., stomach empty. At 9 o'clock, P. M., examined the parcels of albumen, placed in the vials of gastric juice this morning, at 9 o'clock. Of the firm coagulse, there remained one and a quarter grains : of the soft, none ; of the raw, three fourths of' a. grain, in loose, white coagulse. .»^^^|•*^#^,■*fn'■■«?|^^|f#*.*;''■^>ri^■' ■#4*t':I •-■■■» *^*r- '^^.^'mX' /*. *v\ ■"""yif t-V OBSERVATIONS, Experiment 60. 213 'K-t*.- 1% n* Jan. 17. At 12 o'clock, 30 mins., M., I put twenty- five grains lean, broiled mtitton, divided into small pieces, into five drachms of gastilc juice, and same quantity into five drachms of gastric juice and fresh sa- liva, mixed together ; and placed them on the bath. At 9 o'clock, P. M., the meat remaining in the gas- tric juice, taken out and dried with paper, weighed just twelve grains ; that in the mixture of gastric juice and saliva, weighed eighteen and three fourths grains. The texture of the first wac considembly more dissolved and tender than the second. Returned them into their re- spective vials again. At 12 o'clock, 30 mins., M. of the 18th, examined them again. The meat remaining in the gastric juice, weigh- ed five and three-fourths grains ; was soft, glutinous, and of a dirty brown color. Tiiat in the gastric juice and saliva, weighed thirteen and a quarter grains ; the texture was quite firm, and retained its fibrous form, and reddish, bloody color. Put them in the bath again. At 4 o'clock, P. M., of the 19th, the meat in the gas- tric juice weighed two grains. Consistence and color of fluids, same as yesterday. The meat in the gastric juice and saliva, weighed nine and a half grains. Fluids of a reddish brown color, and less precipitate. In ten days, the salivary mixture became very putrid ; but the gastric portion was perfectly sweet, and so con- tinued for thirty days, or more. ^-ii-i >.-^ti^^ :'^i >-*^^ ■"^f:^'"-*' .t>-^i.'-:-^.^:-ij^i-«i ,■ ■■ r^'T^fjffc;'?'''^ f > ,. -■ . Experiment 61. Jan. 18. With a view to ascertain the antiseptic pro- ■■^ \. f^ I;''. ■•' ' 214 EXPERIMENTS AND perties of the gastric juice, I took a portion of very pu- trid animal matter, and added to it a quantity of gastric juice, Ti^e fcBtor was at once almost completely cor- rected, leaving only a slight putrescent smell, with the usual flavor of the gastric juice. • 'ii.*^ > i'M)*B/''#Wii ..^kf^^ iimiiiimu ii4sy.,:y:\iHM^4vi 'ih' ;,. 1 Experiment 62. ^.H ^i^^'**^' ■-^'^*'^'' At 9 o'clock, A. M., same day, extracted one and a half drachms of gastric juice, and added it to two and a half drachms of milky , The whole was formed into loose, white coagulse, in less than five minutes. At 1 o'clock, P. M., remaining coagulee, after filtering through muslin, weighed thirteen grains. Returned it into the vial, and placed it on the bath again. At 9 o'clock, no coagulee remaining — all completely dissolved. . .' >. ^,s,k:H^^l^^t^ '^ E^perimmU 63., *^ <'^'^'H~*^^ '^m • I;*; Jan. 19. At 9 o'clock, A. M., coats of stomach perfectly healthy and clean. No appearance of morbid action- tongue clean — and every indication of perfect health. There was no free fluid in the gastric cavity, until after the elastic tube was introduced, when it began slow- ly to distill from the end of the tube, drop by drop, per- fectly transparent, and distinctly acid. I obtained about one drachm of this kind, and then gave him a mouth- ful of bread to eat. No sooner had he swallowed it> than the fluid commenced flowing more freely from the tube, and I obtained two drachms, less pure, however, with saliva and mucus mixed with it, and slightly ting- ed with yellow bile. The surface of the protruded por- ',y * ' -T ■'^ ,_7\T'- ■•.'■ '■•■W .'.T JI." I i DBSERVATI0N9«.»£ 216 lion bf Ihd Villous coat at this time became covered with a limpid fluid, uniformly spread over its whole surface, distilling from myriads of very fine papillary points, and trickling down the sides. After letting him rise and walk about two or three minutes, I again introdu- ced the tube, and obtained about two drachms more of very pure gastric juice, making, in the whole, five drachms. . ^^ , Breakfasted on boiled pork and bread. Dined and supped on the samev , ■-(-, I ■■ I Uf Experiment 64 t.M -.i. «%•* Jan. 20. At v^ o'clock, 30 mins., A. M., examined stomach ; appearances healthy. Extracted three drachms gastric fluids, colored with bile, slightly acid and bit- ter. It ran more freely than yesterday. At 8 o'clock, 45 mins., he swallowed four ounces of pure gelatine, (ichthyocoUa,) prepared with boiling wa- ter, transparent, and of a tremulous consistence. , ^ At 9 o'clock, stomach appeared nearly as full as usual after eating his ordinary meals ', fluidj clear, and of the consistence of the albumen of eggs. It appeared to be the gelatine, dissolved, or diflused in the gastric juice. The juice and the liquid gelatine so much resembled each other, that I could not distinguish th^m apart. , At 9 o'clock, 45 mins., examined again— found the stomach almost entirely empty — was just able to obtain two drachms of fluid. It appeared to be a mixture of gelatinous chyme, gastric juice and flocculi of mucus, more opaque and ropy than the gastric juice alone, and more acid than the fluids of the stomach immediately before the gelatine was swallowed. Not the least ap- * .di. ■ m s. ..%it,.._..,. .. ...W.* PPWpP«^ViiiflP-"Ti^F*iii^^ii^Wpi^lP^«P(l»WPPMii^ipPPPPPI^|||^ 216 EXPEUlMENtS AUD * pearance of bile or yellow color in the gasttic cavity, ot fluids, after taking the gelatine : considerably vertigo followed the extraction of this last fluid. It soon pass»- ed over, however, and he ate his breakfast, {pork and bread,) with his usual appetite. The process of the solution of gelatine^ is difficult to ascertain. It is not subject to coagulation ; and the ac* tion of the gastric juice is not easily perceived. It is no doubt dissolved by the gastric juice, in the same man- ner as other aliment is>, See subsequent experiments. Experiment 65. ' To ascertain whether the sense o^ hung^lr would be allayed without the ifood being passed through the oesophagus, he fasted from brieakfast time, till 4 o'clock, P. M., and became quite hungry. I then put in at the aperture, three and a half drachms of leau) foiled beef. The sense of hunger immediately subsided, and stop- ped the borborygmus, or croaking noiSe, caused by the motion of air in the stomach and Intestines, peculiar to him since the wdundj and almost always observed when the stomach is emptyi ,1"^'' -jiS''fv' This experiment proves that the sense of hmiger re- sides in the stomach, and is as well allayed by putting the food directly into the stomach, and when the previ- ous steps have been gone through with. Not that I would deny the utility of the previous processes, in ordi- nary cases. Even the sense of taste is essential. It is placed as a sentinel, to prevent improper articles from * 1 ^OBSERVATIONS. ^1? re- jvi- it I rdi- |t is )m ? being introduced into the stomach. See, al^*ind)iA- liiPW^|^P| 220 * I EXPERIMENTS AND ing of being quite hungry, 1 put into the stomach at tlie aperture, twelve raw oysters, more than middling size. The sensation was allayed, and the appetite satisfied, the same as if swallowed. He was not hungry again till half after 4 o'clock, when he ate a dozen more of the same kind of oysters, with bread. At 10 o'clock, P. M., stomach empty and plean. Weather damp and rainy. Wind N. E. and brisk. • Temperature of the stomach, 99J deg. He had been covered in bed, and sleeping, for two and a half hours, » from which I awoke him to introduce the Thermome- tifmi, (He fell asleep again during the examination — only awoke while putting in and taking out the glass tube. Experiment 72.^,^, ^^^nm udi^ Jan. 25. At 6 o'clock, A. M. — Wind Southerly, and light. Th. 36 deg. Examined stomach before rising from his bed. Temperature 99 deg. Extracted fifteen draohms gastric fluid. It flowed out unusually free; was rather more opaque, and contained less flocculi of mucus than common for the quantity. Particles of the bread eaten with his oysters at 4 o'clock, 30 mins., yes- terday, were distinctly to be seen in this parcel of the juice. ' At 8 o'cloct'^ §0 mins.— Tem^fetoufe'ig^ t'Re'' stoniach, ^ *idOJ deg. Coats clean and healthy. Th : 88 deg. ; ** ' At 9 o'clock, he breakfasted on raw oysters and bread. ' 1 1 6'cloclt, temperature of stornach, 101 deg. 12 o'clock, "^^ M., he returned from d. wallf of two miles. Stomach empty. Temperature, 102 deg. 4, •■»» ~'f1' J«T .m- «»-* ^ 'pks' ''^' " r'. Eiperimennt 73. ™^j^ :.... ...». . Experimennt 73. ' " -^--^ ,r ^ •" Jan. 26. At 8 o'clock, A. M. — Weather clear and cold. Wind N. W. and light. Th. SOdeg. Stomach ' healthy, empty and clean. Temperature, lOOJ deg. Extracted one. drachm gastric juice, containing more than usual flocculi of mucus. f'" At 9 o'clock, he breakfasted on sausage, bread and * coffee. 10 o'clock, T^h. 34. Temperature of the stom- ach, lOOf deg., and full of a heterogenous fluid. 12 '' o'clock, M., returned from a walk. Stomach empty — * temperature, 101 deg. and a fraction. Weather clear and pleasant. Th. 39 deg. Wind N. W. and mod- 4.S ^, erate. u^ ;ii; \ > M i ! ■ - ■ * If From this, and other experiments, it may be clearly inferred, that in the most natural and healthy states of the stomach, there are little or no fluids, of any kind, in ; the gastric cavity, until excited by aliment or other irri- i, tants; and that digestion, under this condition, is the ^ most rapidly and perfectly performed. ^_ ■ i^*j»a I f^ .Experiment 74. At 2 o'clock, P. M., same day, he dined on raw oysters ^, and bread. 5 o'clock, stomach empty. ? '._ in At 6 o'clock, 40 mins., immediately after drinking a - tumbler of water of the temperature of 55 deg., introduc- ed Thermometer — spirit rose very slowly, and did not jv become stationary at the natural temperature until the tube had stoo4 in the stomach for thirty-flve minutes. 12 o'clock at night, temperature 99^ deg., after sleeping in bed thee hours. i ,«;» ■#. %: *>«•- KiliiipHpiw mmi^mw^^iffglip '™ Ik'* BXPSKIMEVT9 AMD " Esrperiment 76. Jaw. 27. At 6 o'clck, A. M.— before rising from- his bed— Weather cloudy and dry— calm— Th. 32°— Stom- ach empty, clean and healthy — Temperature 99t|®, spir- it stationary in ten minutes — he swallowed a gill of water at the temperature of 55 deg. wh^:h immediately dilTused itself over the interior of .the stomach, and dis- charged some at the aperture, by the side of the stem of the Thermometer, which had not been withdrawn. The spirit immediately fell to 70 deg., stood at that point one and a half^r twoiininutes ; and then began again very slowly tqi^^j^ Thirty minutes elppsed after tak- ing the water, li|for the spirit regained the 99th degree. Before the end of that time, there was no appearance of watei ill the gastric cavity. At 9 o'clock, 30 mins., he ate a full breakfast of /re^/*, hroUed heef^ mostly fat, bread and coffee^ and continued unusually smart exercise, walking for two hours,.tillrhe became fatigued, and perspired freely* . ^t 1 1 o'clock, 30 mins. — Weather clear. Th, 4? deg., Just returned from walking. Stomach contained con- siderable chyme and oil. Aliment about two thirds gone. Temperature, 101 deg. At 12 o'clock, 20 mins,^ M. — Stomach nearly empty ; a small portion of the fluid remaining, reduced to a more perfect chymous condition. With less 6il, and that in itiuch finer globules. Appeared tinged with yellow, an^ jtasted bitte»r. r At t o'clock, P. M., chyme gone. "Very little oil re^ CDaining, ? ^ ' a At IJtiJoioclr,— Weather unchanged. Temperature of ittOKaaoh^ lOli deg^ No chyme to be seen. A few |>ar-^ '' OB0IBVATION8* J «88 tides of oil still j}einaiiyng, floating on the surface of a small quantity of fluid, exhibiting considerable spiimous froth ajfid mucus. ' A circumstance occurred here, not before observed in my experiments, which it may not be unimportant to mention, i. e. — the variations of the temperature obser- ved in moving the Thermometer up or down in the stomach. The spirit in the tube varied proportionally to the length of the stem introduced. When the bulb sank down to the pyloric portion of the stomach, to the depth of six or eight inches, the spirit rose to 101^ deg. when only immersed two or three inches, it would 9tand at lOOi deg. making a difference ofthfep fourths of a degree. These variations were unifortrdly observed at every Thermometrical examination. Perhaps the difference of indication of the thermome- ter, may result from a more complete envelopement of the stem in the gastric cavity, at the pyloric examina- tion, and a less one at the splenic. I give the reader possession of the fact, without pretending to account fo^" it, with certainty. i' Ejpperiment 76. « At2 otlock, 30.mins., P. M., same day, he dined on taw oysters vJidi bread. 4 o'clock, 30 mins., stomach not empty. Food about half gone. Small pieces of heart.of'oy8tersr, and pulp of bread, to be seen, floating Jn a thin, pultaceous fluid, quite acrid and sharp— nolnl- l|er taste, or yellow color*.' Temperature 101 1 deg. 'A striking peculiarity in the movement of the spnrii v^,'-^ itumm^^ mmimm^r ■XPBRIMBMTa ANP rin thfi Thermometer was observed ia this experiment. It rose from about 68 deg. to its stationary po*nt, 100^ deg. in less than five minutes after the bulb was put in- to the stomach. At last examination, 2 o'clock, it was fifteen minutes in making the same range. Sometimes it has been twenty-five or thirty minutes before it be- came stationary, and under no appreciable difference of circumstances. He had been moderately exercising, (walking) immediately before the last examination. At 6 o'clock, he returned from walking. Tempera- ture of stomach, 10^ ^ deg. Spirit rose, and became stationary, at that poiint, in less than three minutes — food almost completely chymified, and half gone. Took out one ounce of thick, pultaceous, porridge-like fluid, with some small pieces of the hearts of the oysters, re- duced to a jelly-like appearance — plainly acid — and slightly bitter ; and had the flavor of the oysters. At 6 o'clock, 15 mias., stomach empty and clean. At 6 o'clock, 30 mins., he ate a full meal of cold, boil- ed beef (considerable fat) and bread, 10 o'clock, 30 mins., stomach empty. Experiment 77. At 9 o'clock, A. M., of the 27th, I mixed one drachm of the clear decoction of coffee with three drachms of fresh gastric juice, with a view to ascertain whether it would destroy the flavor of the coflee. It had no per- ceptible effect. The flavor of coffee remained for ten hours, as distinct as at first. Added half a drachm of loaf sugjar to the mixture, and placed it on the bath. It remained there forty-eight hours: no different effect n. '^mm^mm"^ waPpltiifficeiS on ibo Td??w'brtho coffee. It remained the same as at first. ' -^ ** ** 9 r I; is probablo that the decoction of coiTce, like inany many other artificial drinks, does not admit of diges- tion ; possesses no nutritive principles ; and is carried into the circulatory system without much change. Experiment 78. >f At 1 o'clock, 30 mins. P. M., of the 2rth, I put fifteen grains firm beef cartilage into tlirre^nmlims of gastric juice, and placed on bath. , #k ^^ At 10 o'clock, A. M., of the 28lh, tooK out and wiped dry, it weighed six and three fourths grains. At 10 o'clock, A. M., of the 29th; it weighed one grai^fv . ,. When put in, the cartilage was cut into different sized pieces : these retained their original forms till complete- ly dissolved — the largest piece being the last digested. ^Experiment J9. Jan. 28, At 6 o'clock, 30 mins., A. M. ; before ris- ing-:- Weather clear and dry. Wind S.- W. and light. TH.,36 deg. Stomach empty, clean and healthy. Tem- periature 100 deg, and a fractioii— spirit stationary in five ininutes. No gastric juice could be procured. Ex - tracied 'aboi^t half* ai dradhm of fluids, principally miicus.. *'J ' At 8 o'clock^ 45 mins. — Temperature of the stomach IpdJ deg.,, when Thermometer was put three or four inches only' into the spletilc portion; but rose to 101 si li-Vi» SaCl»llttMeNTS AND deg, wheii the biilb.was let down, eight or nine inches, towards the pyloric extremity. i^ : A^ circumstance occurred here; which I had not notic> ed beibre. , On setthng the stem down into the stomachy a strong contraction of the muscular fibres was indica- ted, when the bulb had descended near to the pyloric end, by a sudden and peculiar movement of the tube, communicated to the thumb and finger that guided it, and also felt by St. Martin himself. The stomach ap- peared to contract at that point forcibly, arid grasp the bhlb, giving it a sudden impulse downwards, so much so as to require a quick compression by the thumb and finger to prevent it from slipping suddenly into the py- loric end. This' grasping sensktibn would continue for! half a minute or more, and then appear to relax aga?n. This action occurred every time the bulb passed this point, either up or down. When the bulb was below" this ^int, the spirit rose three fourtlis of a degree ; when raised above, it fell the same. Sometimes the suction motion was stronger than at others, and when the stem was released from the fingers, it would be drawn down towards the pyloric end, its whole length, ten or eleyen inches, occasioning considerable distresr^, vertigo, and a sense of sinking at the scrobiculus cordis. At 9 o'clock, he breakfasted as yesterday, and kept quiet, most of the time in a recumbent position, on a couch. »o*"i W »V. At 11 o'clock — Aspects of weather same as in the morning. Th. 46 deg. Contents of stomach about two thirda diminished. Temperature, lOOf deg., at threeor four inches deep, and a fraction less than 101^ deg., when sunk to the pyloric extremity, varying proportioni» abljr to the length of the stem introduced. ^^A lipiuiLiniii iiiHp«mpii,«fl|P'i ^ OBSKRVATIONi. ,1 'At 12 o'clock, 30 mins., M., stomach nearly empty^ Temperature, 101 deg, , \ At 1 o'clock, 30 mins., stomach empty. Tempera- ture, lOOf deg., splenic end — 101^ deg., at pyloric ^d. Esperiment 80. ,i'i At 2 o^clock, P. M., same day, he dined the same as yesterday, on raw oysters and bread. Temperature of stomach, immediately before eating, 101 ^ deg., at pylor- ic extremity — lOOf deg., at splenic end. . . At 4 o'clock, 30 mins., stomach half empty. Tem*^ perature 101 J deg., a|,i)yloric extremity — rose quick. Took out on^Mrachln of the chyme. Digestion nearly complete — aAiew particles of bread an^ oysters to be ' \ ■ nil'-' seen. ■ ^ t At 5 o'clock, 30 mills., stomach nearly empty. — Tenaf^ perature 101 i deg., pfloric extremity— rose quick. ^ At 6 o'clock, stomach still contf^iied alimentarj' fluids •^uite acrid and' sharp^* - At 6 o'clock, 40 mitjp., !§t<^mach ^mpty. At 7 o'clock, he -supped on boiled heefand bread. n Experiment 81. ^1- Jan. 29. At 6 o'clock, A. M.j before rising — Weather clear and dry. Wind N. K. and brisk. Th. 28 deg. Stomach perfectly healthyj empty and clean. Tempet^J ature 100 deg., at pyloric extremity, and 99 deg. at the other. No gastric secretion. Could not extract t^n drops of either gastric jiiice, mucus or saliva. At 8 o'clock, ' 30 tniris.—Stbma' fi WBiBSBlSiMFiMan* bile. He hnakieiSteA' on heef'^eakj brecutaxid coffin, V aM b'ateck, etcimcteh afmdst e^jityr *> 'Temj^itttti^ Vabe'des^^eflded tow'atds' the pyloric extremity, the stom- ach evidently contracted upon it, and dre^W it forcibly tclown. ' If left free to'its O^^motiOns, the tube would sink* to the pylorus, the whole length of the stem, ten Or elev<^n inches, and ihen'rise again of its own ttccortjl. When drawn above this point of apparent cfdntraction, into the splenic end of the stomach, toi^ards thepistSo- ration, the motion of the bulb was reversed, in ai direc- tion towards the fundus of the stomach, not inclining, however to make its exit at the perforatioa; lut took a sort of irregular motion, revolving the tube from right to left, so as to turn it completely around, in the space of ten or fifteen seconds. This motion was not always presept, nor constantly continuous when present; but interrupted, and. alternate with the appearance of con- traction at the pyloric.end ; anddjstincjtly evident only frojn ^.boutjOEie and a half to three hoiurs, or more, after eatingj^and aji the^time when the cliyme was most rap- pidly leaving the gastric cavity. At 12 o'clock, 30 mins., M., he returned from a smart walk — had been.allfthe moining,\ since breakfast, hard at work, wheeling coal, an unusually severe exercise. Temperature, 102® and lOOf® — ^roseqiiick. StothacH 'fempty. ^ ■h-: • ■tu ' pi'ii Experiment 84. '^^n.*li./ A 9 o'cfocfi, 30 mins., A. M.— -To two .a»M^ "/ 38Q EX1*SIIIMANT8 AMD L-*- drttdims of gastdc juicef I*'piitone ismal], raw oyster j weighing one drachm ; and to^ another two drachms of gastric juice, I addv<;d one drachm of stewed oyster » Set them <^ the bathj afnd Agitated them frequently. At 5 o'clock/ 30 minsl, P. M., the residue of the (raw oyster, weighed four grains — that of the stewed weigh- . ed eight and three-fourth grains. Continued them on bath. > At 9 o'clock, A. M., of the 30th, the raw oyster was coinpletely dissolved ^|,,not a particle left^ except a trace of: dirty brown sediment, the excrementitious part.^ j^- grfiin only of the he^^t of the stewed oyster was* left, with a trace of the same kind of sediment, ap ir^ the raw one. The flavor of the oysters was retained to the last, and Gvaa the chyraous mass partook of it. .>In the article here submitted to the action of the gas*. trie juice, cooking hardens, the fibre, and renders it less susceptible of digestion than the raw. This is what we aY[(Midly a priotij judge^' frohi'the^ known properties of this s'olvent. ;i'5''« IhxH *«**;i, .. .-(.v. jffffHf W'- hfi Experiment 85. ^^^1^. 30. At^O. o'clock, A.M., I put ten. grains of b^^^^jmbeef^t&ngm^s ofrc^Wylean heef^ each piece ^ whole and \xr\^y^^^^y.^^\X^x\.%^^ \ean heeft' c%vwf^jgi«^|nt^ t^^fl^ ^^^\^^^^ gptrip j[ui^e^ and placed them on the l)a^,;jf^f^uej|itly. a^it^^Jng^^ usual. • ^ At 12 o'clock, M.,of the 31st, examined and weighed them. The iatr piece weighed the same as when first II oBSBitv^'ciaNa* « 2SI putrinv-utha lUanr:»botledrrbpdf woiffhed/^igHlb gr^^-^ ilie chbpp6dyth)reo< grains;! tAdded]t#»*drachn)^/gfi9l'io At IQ o^clockv' A. M., Feb. Ist^ balance ofi diopped meat weighed one grain ; ■ 'boiled-pieGe^ five |;rdilt8 ^ r* w, ten grains. ■ » /o u4 ill erimcni Jan.^9; At *10 o'WW8«k •>rf6"^iff«; MrfHf?^ eiioplyO^ if»eftlp«lltttti#^i Itwtta^* aM'lWf aeg}?'<*p?ft ofstm^tM bhld f '10 6'^W^, ^^tm^m ^fhptyj " > " - K^. ' St'^'mac'^'empty.'aean and lie^^ Tempera: td¥l'l6tt'd^\tillW^:^dsem;ife^ :#o fluids 111 tne. gastric cavity. Could, obtam , but half a. drachm, he, pecuuar contraction and relaxation Off suction and Msioii mo^pn, were ej^ideptly ex^a^^^fb^ • ^H ^f^^^^ r ^^ ^fe® ^th^pi^i^etei;,^ b,^tj, l|Q|, fj^a? ,so a minujte jOr two, it gives seyete pain ai^d^i^tressEitthe ^ (T* ? % r~^§ffi6-^*H-® Qf ?tQ?jiach lp:^Jjdqg.-T7-he tapeaTOsteci on two ap^a Ijalf pui^ces.of 6j^ four and alialf ounces ,$'6f£ tigc^t^ W^ coffeq. ■ i . r ,/tjj^ ^ .^t 9 clbpk^ ^ juifts. , ^iB lai^,^ hi5Bself 49W^ P?^A^is jiaiiet, ^^ndj[ s^tjtlje T,^9fiT|ionGie^rinto,^is:stoipQ^di, ?a^(| continiied fajthful,ly}a)c^ cpn5;ta^]y^ jto qbf^ry^its^ n^gligj^s and variations, We hour and forty minutes, until ten minutes past eleven, (two hours and ten minutes after ■■*i '% !^i^i^ppHp^iini^i^pRi|ppiqp^|iiii.p> JiuiR^ ''« m OB8EBVATION0. eating.) At first, the stomach was full to overflowing of heterogeneous fluids, in much commotion, as indicated hy the movement of the aliment, &nd of that part of the stem left out of the aperture, nearly four inches. This commotion continued about half an hour, to ten o'clock. It then seemed to subside ; the general muscular action became less, as indicated by the stem of the thermome- ter, and motion of the fluids, until half after ten o'clock, when a diflerent motion appeared to cominence, indica- ting considerable forcible contraction upon the bulb of the tube, now about. six inches from the aperture towards the pylorus. Ah irregular turning and twisting of the stem, and a simultaneous downward movement, was succeeded by an apparent relaxation and expulsive mo- tion. These alternate motions and appearances contin- ued to recur every two or three minutes — not uniformly, but at irregular intervals. A sense of distress and un- easiness was felt at the point where the bulb lay, every time these contractions recurred, so as to occasion invol- untary manifestations of pain, expressed in the muscular motions of his face. The thermometer did not percep- tibly vary, during all this time, from the usual standard temperature of the interior of the stomach. It was 101^ deg., at the pyloric extremity, and 100^ deg. in the splenic end, and continued so, during the whole time, ranging between these two points, according as it was moved higher or lower in the gastric cavity. At this time, 11 o'clock, 10 mins., Ihe stomach was about half empty — and chymification rapidly advancing. At 12 o'clock, 30 mins., M., the stomach was empty and clean. Temperature lOlJ deg. and lOOJ deg. Ex- tracted two and a half drachms gastric juice. 20^ ■V!Uiv ^Ml'-^'i^Up 'W „"i 'v ^"^ t ^l :r 23i^' EXPSIlilMENT» Alfl> Bxperiment 89. Feb. I. At 6 o'clock, A..M. — ^before rising — Weatbep clear. Wind N. W. Th. 28 deg. Stomach empty^ clean and healthy. Temperature 100 deg. and 99^ deg. — rose moderately. No gastric juice secreted. At 8> o?clock — Weather clear, and growing cold. Th.. . 26 deg. Temperature of stomach, immediately before going out, 101 deg. and 100 deg. Returned in 30 mins. Temperatui^ of stomach the same. Extracted four drachms gastrip juice. ^ . ^ At 9 o'clock, he breakfasted on hredd^ satisage MiA. coffecy and kept exercising^ 11 o'clock,.30 mins., stomach two-thirds empty. Aspects of weather similar. Th. 29^. ' T^emperature of stomach,. 101^ deg. and 100 J deg. The same appearance of contraction and dilatation, and alter- nate piston motions were distinctly observed at this ex- aminii^ion. 12 o'cld^k, 30 mihs^ 'stomach empty.. Experiment 90. At 2 o'clock, P. M., same day, he dined on potatos- and meat. 9 o'clock, weather clear and pleasant. Wind' N. W. and light. Th. 32 deg. Stomach nearly empty- Temperature 102 deg,^aQ4 IPl^i^f^eg., after walking. 5 o'clock, 30 mins., stomach empty. Experiment 91. Feb. 2. At 8 O'clock, 30 mins., St. Martin finished breakfasdng on full meal of two and a half ounces ^'gtf smtsage, seven and a half ounces vrsiTiticombreadf^kn& a pint of cq^cc. Kept gently ejcercising for bn6 bMir,^ ,t! PVWPWnVHini^ iwiin I «u»P'iai"Piwi,iuij,«i I loniifl OBflER^ATIOlff. 235 and then increased hit ezerciae to severe walking, two or three miles, for two hours. Stomach full when he started,'at9 o'clocKp46 mins. > » Mt' At 12 o'clock, M., retnmcd from walking. Stomach not '-(dntirely empty.' Oil and bread perceptible. 12 o'clock 30 mins., considerable fluid in the stomach, tinjB^lsd with yellow bilo. No distinct particles of food to be distinguished. ' 1 o'clock, P. M., stomach empty and cXeUti, Extracted two drachms pure gastric juice. Severe exercise, in this instance, is supposed to have I ■ t ( . 5 retarded digestion, as well ds' the peculiar kjnd of food eaten.,, i . ^s(\'V .n'-ii»i Experiment 92. At 1 o'clock, 80 mins., P, M., same day, he dined on four ounces oi fresh, boiled heef (cold) and five ounces bread, and continued walking smartly, for three and a half hours, till 4 o'clock, 45 mins., P. M. Stomach nearly empty. Dinner almost completely chymified, 5 p'clock, stomach empty;. ,\ '■ ^ EicperiihenV^'i, , Feb. 3. At 8 o'clock, 45 mins., extracted four drachms gastric juice. He breakfasted on full meal, two and a half ounces boiled beef, seven and a half ounces bread, and^toiie pil^t !of co^cfi/.^nd? kept perfectly still. 18 This indicates that a complete state of repose is un- favorable to speedy digestion. Experiment 94. ' At 1 o'clock, 30 mine., P. M., same day, he dined on four ounces freshy boiled heef^ five ounces of hread, and potatoes. 6 o'clock, istomach not entirely empty; but none of the meat remaining. C o'clock, 15 mins., very little of the bread and potatoes to be seen. 6 o'clock, 30 mins., stomach empty. ,'''■ ..^^ f Experiment 95. Feb. 3. At 12 o'clock, M., I put two equal and entire pieces of parsnip , ten grains each, one boiled, and the other raw ; the same kinds and quantities of carrot ; and the same of potato — into four drachms of gastric juice, and placed them on the bath. At 12 o'clock, M., on the 4th, the vegetables taken out and wiped or filtered as dry as when put in, shewed the following result : The piece of raw parsnip, weighed three grains ; the boiled, one grain. Raw carrot, three and one-fourth grains ; boiled, half a grain. Raw potato, eight and a half grains ; boiled, no entire particle could be dis- , tinguished — a fibrous and farinaceous residuum of six grains remained on the filter. At 12 o'clock, M., on the 5th, the pieces of parsnip and carrot were almost entirely dissolved, a grain or two of the raw carrot, and fibrous centre of the parsnip, only remaining. About a grain of roughish white fari- V #■ 't.'' OBSERVATIONS. •ill nft dt tnenGoilea potato, iemaineai Jpne raw potato wasaHttle softened and^'lVa^t^rolfi^lfi? SuFA^<«b/m weighed the same as at last examination, eight and a half grains. i^' i«*M^\^v>^..l , "^irf^is'rfJi lirii^tMtfdn %" '(tie*«^felSft/df 4dh4oV^css kSd jilscditibility bf diVisi^ii'oi^lfed'aAiclis of diet, iKi fedy solution by the gastric juicc. The raw potato lincjd i^q»rly,jiji|^ vycight, af^e^^ tj^i^^^ojtjier articles wefp dissolved. .'i^JfJUl** ll,/ia:lUl«! j^aiiun Experiment 96. At 3 o'clock, P. M., same day, i look two equal quan- ^§9r two drftphms.each; p//saU¥|j, aeidulatcd taalout U;)j9 !]^a.v as. when, put in», .. The, , fluids of |)qUi weifb unaltered in : their sensible, qualitps and ap- pearances. , ,) i>i) ,jiiiiiK< V , After iCCjntinuing them on the bath, With frequent agi- tation, for twenty-four hours longer, the parsnip, in the muriatjcimfinstruumi had^ lost four \ grains— the' carrot ipLOthipg. The parsnip .in the acetic mixture, had lost six grajns, and. the carrqtifour grains, but appeared to have bepn ra^©r maperated;aiiddiflILised, than dissolved or digested. '' ■^' .^rm. «^ ■' I Mtfi AiiiiiiiiiiM^ 296 EXP&RlMEyTf AND I now mixed thorn all together; ond continued them on the bath, for twonty-four hours longer ; at the end of which tiaie, the whole regaining mass' 6f veg^tlaWe matter wtighed twelve grains. The fluid appeared now a little more chymous, and Was rather turbid*. 'm This is an example of a species of solution, performed by chemical agents, having some resemblance to di^^s- tion. It is not at all probable, however that this mix- ture was in a state of preparation for the action of the pancreatic and hepatic fluids ; but if placed in ihe stom- ach, would require the same action of the gastric juice, as other diet would. 't* Experiment 97. %-'. Feb. 4. At 9 o'clock, A, M., he breakfasted^pn, two and a half ounces of boiled beef, six ounces of 6rea«J and one pint of cojfee. Exercised smartly for thxpe hours. At 12 o'clock, 30 mins., M., chymification completq. Stomach empty. • , Experiment 98. f^eb. 5. At 9 o'clock, A. M., he breakfasted same as yesterday, and ker '•']. 11 o'clock, stomach nearly full. 12 o'clock' considerable yet in the stomach ; oil and bread y to be seen. 12 o'clock, 30 mins., contents of sto.^iach not yet gone. 1 o'clock, P. M., stomach almost emptyi 1 o'clbcfi^ 15 mins., stomach ' mi^ipvi f^m a l>B8BltTlTt0lf#r^^' 2SSti Erperiment 99. ^JF^,7,, At 8 o'clock, 30 mins., A. M., I put twecty gtainn. boiled codfish into three drachms gastric juice, and placed, them on the bath. , ; i ? ; t .. ** . ^ At 1 o'clock, 30 mins., P. M., fish in the gastric juice, on the lyith, was almost dissolved, four grains only re- mjaining— fluid opaque, white, nearly the color of milk. 2 o'clock, the fish in the vial, all completely dissolved. Erperiment 100. , Feb. 7. At 9 o'clock, A. M., breakfasted on boiled codfish and breads Digested in four hours and a half. J^xperiment lOL Feb. 8. At 10 o'clock, 30 mins., A. M., I put two parcels, ten grains each, of strong cheese, one mastica- ted, arid the other an entire piece, into three drachms gastric juice. At 6 o'clock, P. M., the masticated por-; tion was all completely digested, scarcely a trace left on the filter. The entire piece had lost four and three fourths grains — five and one fourth grains remaining undissolved, and of the same shape as when put in^ having lost its superfices only. This piece continued gradually to diminish, for twenty-four hours, when it . wa^ completely dissolved. ? -.vv ExperimeM \Qi2* Feb. 12. At 1 o'clock, 30 mins., P. M., he dined^iik''^ ■>e- -s^^* mutton^ and barlffjt^Sup^iMdL^mA. Digested in three , jPeftM;i3., A^ ^ o'clock, 46 .riunf^, P| T^.,)^„6^ on ^#|jd a, quarter .110111%:, I ^,»,f^ ,„f| ^ ivy>nUj ^mm^ t^u ■ ^ PF*6. 14v At9\ J0lcfc,>AL M., I tobfc forty grains. mcw- Hcated broikd he^ «fcaAr> divided into i two equal parts —put one into four drttchmsgastricjaicej and the other, »%td ^oui^ drj^chftis* bf !ft finkture of i dilute muHatU)fiXidi 'to/«<^ iibidsj rddticbd'wiih waterto theiflavjor of tHe^g^ ' trK^'fliiid/' as^' il^arly ' as practicable^-^three partsdfe the miirlalib ^o one -jitot ^Of th# a^ti(SS> ^Placed them to^lh- eF"^ Ih^ bathv' lr^^o'ol5ckpP.'M:y the mea4; ia^the ® |iitKft-Julce M's^fiiU'OiBsOlx^ed j't^ in the dilute acids, ^^h^eu fllterfed, Mr a t^siduum of nine girains, eff a^^eRy- like dphsisten9.vn ■" ' '.."i i>wiii,"(n. w'l^^ymfij'vi "''^■y'l'* !W"^ cee QBpflliyATIOI^S. Experiment 105. !941 At the same time of the above experiment, (104) I put the same quantities of pure dry gelcUinCy (ichthyo-* coUa) into exactly similar quantities and kinds of fluids, and placed them all together on the bath. ' lA.t 6 o'clock, R M.) the gelatine in the gastric juice was all -completely dissolved — that in the dilute acids, after being placed on the filter, left a residuum of three grains of a jelly-like substance. These two fluids dif- fered in appearance^ That from the gastric liquor was of an opaque, whitish color, with little fine, brown sedi- ment—that from the acid menstruum was also opaque, but of a reddish brown color, and of a thin, mucilagin- ous consistence, with no sedim.ent. ^ One drachm of infusion of nutgalls, added to the gas- tric solution, immediately afibrded a^ rich, cream-like fluid, and slowly precipitated a fine, compact sediment. The same, quantity of 7 Tifusion .of galls, added tp the yiother, immediately formed the whole mass into a coarse, brown coagulum. After standing a while, it afforded a large, loo^ep brownish sediment, . and alight colored flui4, which, on. standing, became white F^milk; and i the sediment became coiQpact and remained so. »The precipitates, after, the addition of the ton. taken out and filtered, weighed as follows— tha^ in the gastric solution, eighteen grains; the other, forty grains^the diflerence of weight being about equal to the quantity of gelatini put in. - - i. JBxperitnent 106. Feb, 15. At 9 o clock, 45 rnins.^ A. M'» r^ated the 21 ,^^^r: Ui BXPSBXMENT9 ASD \&it (105th) experiment) mt\igela(inef and the gastric juice, and dilute acids, in the same proportions. At 3 o'clock; 16 in^ns.J P/M.; the gelatine in gastric jiiice, itU dissolved, to' a mere mite — that in acid mix- ture, rieariy so, six grains only, remaining on the filter, of a jelly-like consistence. The fluid of the gastric por- tion had a bluish white color, and the other, yellowish, 6r dbout the coloir of dry gelatine. At 6 o'clock, the gelatine in the acid menstruum, all dissolvied. fluids of both, nearly similar. One drachm infusion of riutgalls, added to each, in- stantly formed loose, lightish colored coagulae in both ; threw down a compact sediment in the gastric solution, and left an opaque, Inilky fluid, ^he coarse coagulie in the aci^ menstruum, continued suspended through^ Qiittjieinass oif fluids, Jfor a long tiiiie," gradually ^ubw siding, j , ^t the end o^' forty eight hours, it had becorhe ,|jreci|)itated tp.th^ bottom into a compact massj'ahd ex^ hibitj^distiqcjt particles of the entirei undissdlved gefla- tinC) ^.i?9^k 30 imiqs., P. M^k he dined . on boiled codfish Bind bread. Digested in four ho^rsLdud a . .(»- Feb. 16. At 1 d'lfocfc, 45 B^rf^, P. M., he dined on mutton soup^ and bread-^6 o'clock stomach empty. Di- o Miiii^MiliiiiiS iiiiiiyipip ^iiwipii npi fpPH ric ric )r- *, ill ^lliliERVIITIOirBC^ Mpcrt^nwif too. £U3 'i'»- Feb. 19. At 9 o'clock, A. M., I put\twenty grains o!" boiled fat porA:, cut fine, into tbxee drachms of cljBar gastric juice, and the same kind and quantity into three drachms of gastric juice, strongly tinged with yellow 6i7c, with a view to ascertain whether there be any differ- ence in their solvent effects upon fat meats. Placed both on a:i|[illa. At 1 o'clock, P. M., the pork in the gastric juice, tinged with bilej dissolved to less than one grain — that remaining undissolved, in the clear juice, weighed two grains and a hal£ -**( Experiment 110. Feb. 20. At 1 o'clock, 30 mins. P. M., I put three parcels, ten grains each, of boiled codfish, into three sep- arate portions of gastric juice, one pure^ another con- taining bile, and the third, a clear, limpid, slightly acid Jiuid, taken from the stomach after active exercise and profuse perapiration, in more abundant quantity than usual. Placed them all on the bath. At 1 o'clock, 30 mins., P. M., of the 2lst, I took out and weighed the three parcels of fish. The result was as follows : that in the pure gastric juice weighed two and a half gra:ins'; that in the yellow, three grains ; and the other, six grains. This shows that other than oily food is retarded by the admixture of bile in the gastric juice. Ih^ii V Experinnent III. r tV^ F^. 23. At 9 c^'clock, 45 min&, P. M., I took out M., iw"*»"i" ii->*wiiiiinp mff)fm 244 EXPER^l^lli;^! AND two parcels, ope drachm each, of gastric juice, one pure, and the other of the clear, limpid fluid, extracted under the circumstances mentioned in the last experiment, and put eight grains of lean beef, finely cut, into each ; and placed them on the bath together. After being treated alike on the bath for six or eight hours, the residuum in the pure gastric juice, weighed three grains. Experiment 112. . • / . Feb. 24. At 9 o'clock, 30 mins., A. M., having ex- tracted gastric juice, containing a large pi^oportion of yellow bile, I put twenty grains of strong cheese, cut . small, into two drachms of it j and the same quantity and kind of cheese, into two drachms of pure gastric^ juice: placed them together on the bath. / At 9 o'clock, P. M., residuum in the yellow juice, weighed five grains ; that in the clear juice six grains. Returned them to the bath. At 9 o'clock, A. M., of the 26th, the cheese in the yel- low juice, all dissolved ; of that m the clear juice, two grains remained. ttr// yi4in^;j> x* lewaw Two drachms of the infusion eC nutgall^ adddd^toi^ t^eegaisUi^ ^portion, thivelvv dowtn) at fine^ qreddisU Ibrdirn piOGai^te^ andfiaffordidiai^'opat^^ flittd} of ilinii1aT«ool« cm ft^iwo^drachmsiof tbe^lififusion^i i ^ddedt' t(y the fSdic^ ml^twtei t|irew ]dq^wn a i more? i copious |>recipitate^n aiid^ left a clearer and/4buiike(i^#uid^lofLavjl'6llow|Eih ocHo^^andi ; Experiment llff. jiii)fji ^^cSl^dS'kyodki^pfi^led'^bt^^ of Labarraque, was added to*UM*hlittl6fM^lt^ ♦uot^flidii imicfirfks: ybljsw isl fedj^tsrsiimi (fei^ htm m >^' I. J V ai*e1( W'i^' t'^w' w^m lipiWWH' .'Jii ilpiiJli I . IJiilli! a ^fSIIV^TIONl.4 .1 en .•>^.tn' '";i - ftl fli Ji' •" »£i5n^ftiflllowmg»MicropQDpy?f exacDinatians, \yQr© made itith Jon^s^ compound Mk^oscope^ iii presence of Profes- tbr^Dufig'lisoh and of Captain H.^Stnith, of the Army* TWy kfford, however, ver^'' ISttli' it^foi^sitioh on the . l.j Pure, gastric juieey ^UKhil\ited the appearance of water, except tha*; there were perceptible, a) very few^ mintut^: gloJJdlesuf £ "k* acnfuHtu .1] > < . i ' I < i' !. JI. tlThe chymous product of thie geistrif juice, and unmastiedtedy {eir of the pre- (bdii^g experiments — and a few particles of meat* VIII. Impure gastric jutce^ or that with an admiX" ture of green bilBj when taken from the stomach, ex- hibited numerous f^ESlrimsiF!>1IPi'99)1^^t^ few globules.' IX. Chyme, artificiallp farmed from pork and breadf exhibited numerous § lobules- of different sizes, appa- tenths oily. .^ t^ 'S^iOKynw^'pfMUfof gastric juice and /a/ jpor^, femaMUKeMomaek^ea^^ ^I. |Fw pw, macerated in pure water, P[5g^tflj^ appeariinces of globules precisely similar to tl^80 m ti . -• -k • - 'Ttfettj wppppnpwpp^fniwwu'^ipppp ■MM 111 ^ I 9 EXPERIMENTS, &C. FOtTRTH SERIES. •Kfi' Plattsburgh, N. Y. 1833, The following Gastric Experiments, and Examina- lions of the stomach, have been made since the manu- script of the previous part of this work was prepared for ' the press. ■ . kj'jiq .... EXAMINATIONS OP THE TEMPERATURE AND Al^PEAR- ' ANCE OP THE INTERIOR OP THE STOMACH. I. July 9. 6 o'clock, A. M. Weather cloudy and damp. Wind W., light. Stomach empty and clean. Introduced glass thermometer, at the aperture, bulb nine inches down towards the pylorus — temperature 100^, Fahrenheit, before rising from his bed. II. My 10. 6 o'clock, A. M. Weather clear. Wind W., brisk. Th. 63 deg. Stomach emr' ' and clean. Temperature 100 deg. before rising. 9 o'clock, P. M. Weather clear and calm. Th. 75 deg. Stom- ach empty. Temperature 101 deg. after moderate ex- ercise in open air. 26G EXPiaiMEMTt ' JiNO %hIIL Julff ' IL « ! 6-? o'clock^' A. M. Weather cloudy. Wind N. E., brisk. Th. 66 .deg. Stomach empty and clean. - Temperature 100 deg. before rising. 8 o?felock, 30* mins. Weather clear and dry. Wind S., brisk. Temperature of stomach 101 deg. after exercise. '9 o'clock, 30 mins., P. M. Weather hazy. Wind S. W., light. Th. 75 deg. Temperature 101 deg. *^Vf. My 12. 6 o'clock, A. M. Weather clear. Wind W., brisk. Th. 70deg. Stomach empty. Tein- peratUre 100^ deg. after going out into the open air. 9 o'clock, P. M. Weather clear. Wind W., light. Th. ^6 deg. Temperature 101 1 deg. Stomach empty. ,^ V. JulyA.2. 5 o'clock, 30 mihs., A. M., Weather clear, serene and calm. Thermometer 69*^. Stomach empty, healthy and clean. Temperature 99^*=*, before rising from hia bed. 6 o'clock, 30 mins. Weather same as at last examination. Stomach empty. Tem- perature 100|^, after rising and and walking in the open air, twenty or thirty minutes. 6 o'clock, 45 mins.. Returnad from a smart walk, exercising so as to pro- duce gentle perspii^ation. Temperature lOOf^. VI. July 14. 5 o'clock, 30 mins., A. M. Weather variable — heavy thunder shower, during the night. sWind S., moderate. Th. 75o. Stomach empty. Tem- perature 100=* on rising from bed — lOOf ° after walking out into, the open air, and immediately back. 9 o'clock, P.M. Weather rainy — atmosphere oppressive. Th.,799. Wind is., light. Temperature of stomach 102c>. St. Martin has been in the woods all day, picking whortle- berries, and has eaten no other food since 7 in the morn- ing, till 8 ia the evening. Stomach* full of berries. find chymifying aliment, frothing and foaming like ferment- mmmm^^ ""■■ ' ■ ■ ^w^* '^' " "'"' i ■' 0B8EETATI0N8*ffll 261 ing be«r or cider — ap^)ear8 to have been drinking liqudlf too freely. VII. Julf/ 15. 5 o'clock, 30 mins., A. M. Weather clear. Wind W., light-—air damp — ground wet. ' Th. 74*'. Stomach empty. Temperature iOO°, before ri- sing. 7 o'clock, Sir mins. Weather, wind, 6cc. same as at last examination. Th. 74. ®. Stomach empty. Temperature 102*^, immediately after smart exercise. I o'clock, 30 mins., P. M. Weather clear and pleasant, since 8 o'clock, (till within fifteen minutes, in which interim, has fallen a light shower of rain.) Wind W., light. Th. 74^. Stomach empty. Temperature lOO^*' — has been at manual exercise for four hours. 9 o'clock, P. M.— Weather and wind, same. Th. 72«'. Tem- perature lOlf ^. Stomach full of chymous fluid, oil, and pulp of bread arid cakes, eaten for**supper, two hours previous to examinatiort ♦ VIII. Julij 16. 7 o'clock, 30 mins, A. M. Weather Cloudy. Wind W., light. Th. 73<'. Stomach empty. Temperature 101®, after rising and before exercising. 9 o'clock, P. Ml Weather cloudy, damp antf chilly? Th. 70*=*. Temperature 101i«>. i 1LX.' July' 2S, 9 o'clock, A.M. Weather clear. Wmd -N.; W., brisk. Th* 66®. Stomach empty — not healthy ^-iiflome erythema and aphthous patches on the mucous surface. St. Martin has been drinking ardent spirits, pretty freely, for eight or ten days past— complains of n6 pain, nor shows symptoms of any general indispo- sition-^says he feels well and has a good appetite. ' X: August i. 8 o'clock, A. M. Examined stomach befbre efating any thing^ — inner memhrafie ihorbid-^ofi- fliderdbl^' erythema and some aphthous patches on the ^pdsed surface— secretions vitiated^-extracted about BXVSRlMlim AMD ^\{ an ounce of gastric juice^not clear and fnlre tiH in health — quite viscidi XI. Auguat 2. 8 o'clock) A. Mt Circumstances and appearances very similar to those of yesterday morn- ing. .Extracted one ounce of gastric fluidb —consisting of unusual proportions of vitiated mucus, saliva, and some bile, tinged slightly with bloody appekrii/ig to exude from the surface of the erythema) and aphthous patch- es, which were tenderer and more irritable than usual. St. Martin complains of no sense of pain, symptotns of indisposition, or even of impaired appetite. Tempera- ture of stomach lOl**. XII. August 3. 7 o'clock,' A. M» Inner menitJrane of stomach* unufually morbid— thef erythematoiis ap- pearance more exti^hsive^ and spots more liVid than usual; from the surface of which, exuded small drbps of grumous bl(»od— ^-the aphthous patches larger arid ^ more numerous— 4he mucous covering, thicker than common, and the gastric secretions much more vitiated. The gastric fluids extracted this morning wiere mixed ' with a large proportion of thick ropy mudus, and coh- siderable mujjo^urulent matte*, slightly tirt^ed 'with blood, resembling tha discharge from thfe boW^ls'ln' some cases of chronic dysentery. Notwithistaiidmg thii^ disease^ appearance of the stomach, no (very essential aberration of its functions Was manifested. St./Martin OB8ERVATION&iC . 263 uniform and regular ; appetite good; rest quietly, an# ' sleeps as well as usual. ;, XIII. August A. 8 o'clock, A. M., stomach empty ; less of those aphthous patches than yesterday ; erythem- atous appearance more extensively difl'used over the in- ner coats, and the surface inclined to bleed ; secretions ' vitiated. Extracted about an ounce of gastric fluids, f consisting of ropy mucus, some bile, and less of the r muco-purulent matter, than yesterday ; 11a vor peculi- arly foetid and c a3reeable; alkalescent and insipid; no perceptible acid ; appetite good ; rests well, and no indications of general disease or indisposition. XIV. August 5. 8 o'clock, A. M.,» stomach empty ; coats lest morbid than yesterday ; s^hthous patches mostly disappeared ; mucous surface more uniform, soft, , and nearly of the natural, healthy color ; secretion*^ y less vitiated. Extracted two ounces gastric juice, more y clear and pure, than that taken for four or five days last past, and slightly acid ; but containing a larger propor- tion of mucus, and more opaque than usual, in a heal- ' thy condition. XV. August 6. 8 o'clock, A. M., stomach empty- coats clean and healthy as usual ; secretions less vitia- ted. Extracted two ounces gastric juice, of more natu- ral and healthy appearance, with the usual gastric acid flavor ; complains of no uneasy sensations, or the slight- est symptom of indisposition ; says he feels perfectly wall, and has a voracious appetite ; but not permitted to indulge it to satiety. — He has been restricted from full, and confinjsd to low diet, and simple, diluent drinks, for the last few days, and has not been allowed to taste of any stimulating liquors, or to indulge in excesses of any kind. ftiii i 1 22 ".'"FT'j'.'T ".'■•.ji 'irv.^iKfS t.f'.'.^.V'i m 2S4 •€ » •• BXPERXMBNT8 AND f#^ IDiseacod nppoarancos, similar to those montionod above, havo frequently presented themselves, in the course of my experiments and examinations, as the • reader will have perceived. They have generally, but not always, succeeded to some appreciable cause. Im- proper indulgence in eating and drinking, has been the most common precursor of these diseased conditions of the coats of the stomach. The free use of ardent spirits, wine, beer, or any intoxicating liquor, when continued for some days,, has invariably produced these morbid changes. Eating voraciously, or to excess ; swallow- fVing food coarsely masticated, or too fast : the introduc- ^tion of solid pieffi^of meat, suspended by cords, into i the stomach ; or of muslin bags of aliment, secured in tho same way ; almost invariably produce similar ef- fects, if repealed a number of limes in close .succes- sion. These morbid changes and conditions are, however, seldom indicated by any ordinary symptoms, or partiCf^ ular sensations described or complained of, unless when in considerable excess, or When there have been cor- resi)onding symptoms of a general affectioh of the sys- ^lem. They could not, in fact, in most cases, 'h&V6 been anticipated from any external symptonos) and their ex- istence was only ascertained by actual, occular ae« tnonstratiou* im ^ It is interesting to observe to what extent the stomach, perhaps the most important organ 6f the ttnirndf rjw- tem, may become diseased, without mariifesting any* J # w «Jt>BSBllVATIONS. m ^xtefftal tymptoms of such disease, or any ovident signs of functional aberration. Vitiated secretions may also take place, and continue for some time, witliout afTocting the health, in any aensiblo (Jiogroe. Uxtensivo active or chronic disease may exilt in the membranous tissues of the stomach nnd bowels, more frequently than has boon genenerally believed ; and it is possible that there are good grounds for {he opinion advanced by a celebrated teacher of medicine, thrit most febrile complaints nro the oilbcts . gastric and enteric inflammations. In the case of the subject of these experiments, inflammation certainly does exist, ^ to a considerable extent, even in tk% apparmt state of health — greater than could have been believed to com- port with the due operations of the gastric functions. EXPERIMENTS, &c. Experiment 1. *il September 18. At 8 o'clock, 46 mius., St. Martin breakfasted on four ounces of /rosA salmon trout jfried^ three ounces otbread^ and drank half a pint of water. The coatt of the stomach were not' perfectly healthy ; some aphthous patches and dark red spots to be seen on the raticous surface ; gaatrio juice slightly viscid ; acid taste distinctly perceptible. At 10 o'clock, 15 mins., stomach notify empty. Breakfoft qpmplctoly chymiftedand 256 EXPEaiMEN'Ts 'and ^one ; nothing but a little gastric juice and flcx^uli 'of mucus, remaining in th6 stomach. ■^.iifcSSi -^ j^_u % 1 Experiment 2. ^'ep/. 18. At 2 o'clock, P. M., he dined on six ounces of boiledf fresh, salmon trout, three ounces of bread, and a potato, and drank half a pint of water. Con- tinued at work, sawing and splitting wood. He had eaten nothing from the time he took his breakfast ; had been hard at work all the time ; looked, and said he felt iilquite fatigued. ^ \y At 3 o'clock, 40 mins.,' stomach about half full of a *|,nearly homogeneous semi-fluid, of a rich milk or cream color, and about the consistence of fine corn-meal gruel —a few small particles of the fish, and some of the potato, could be distinguished. 4 o'clock, 15 mins.; V stomach empty and clean. ; .-*- '•*:)l»*t :* Experiment 3. Sept. 20. At 1 o'clock, 15 mins., P. M., he dined on three ounces fat pork, and one pint of corn and 6eaws, (green,) two ounces of 6rle cause exited for this differendifr of tesulf: The'j^maeh ipresentedk^e usiial healthy appearance immediately pi^tidus to the ingestion of the meal. Nothing occurred to interfere #^ >x •^ OBSERVATIONS. m9 with, or interrupt. the digestive functions. The slight 'morbid appearance on the mucous surface, towards the ^lose of chymification, I conceive to have been more the effect of the over jexci ^ment of the mustard than any other cause. It would seem then, that stimulating condiments, in- stead of being used with impunity, are actually prejudi- cial- to the he£^lthy stomach. They can only be requir- ed, and taken with benefit, when the gastric apparatus is languid and relaxed, and requires stimulants to excite the tone and action of its vascular tissues. ■*■ • ■(•"'■ '^'':^ ' Experiment^, "tf ', ; /»(t-?l ■■ ' '-■',■ ,' ^^»;IOc^ 3.^ At 2 o'clock, 35 mins., P. M., St. Martin ate riii^^ouncei* of raw, ripe, sour apples. 3 o'clock, 30 ixfli]piBt«^Qmach full of fluid and pulp of apples ; quite acffaf ffilji irritating thetcdges of the aperture, as is al- •^-aysth^tease wh^i^ie edts acej3'acrid;' pl^^t*|tf*ap|)tfii'Wiil *to be seen. 4 o'clock, 40 ftains., SoiAacli fjiiaAty'f mcXbid appearance of the gastric ■^^isurface considemwy ihcreased. i. Experiment 10. * Oct»7. At 8 o'clock, A. M., he breakfasted on bean soifp^Mmade with fresh beef and bread. Digested in .three hours. And at 2 o'clock, P. M., he dined on the '*ifllRine^ which was digested in three, and a quarter hours. ^fij ',* -• ''n-n*im wi ^yj^.s .jiiiiiUii^y. XtkH/' ini W .% )Mf^- L#7 .i^.. feSili m^ 260 • I. EXPERIMENTS AND Experiment 11.^ «« Oct. 10. At 8 o»clock, A. M. Weather fair. Wind W., light. Th. 61 deg. Stomach empty and healthy! Temperature 101 deg., after moderate exercise. Break- fasted on baked potatoes and bread. 10 o'clock, stomach nearly empty ; a little chymous fluid to be seen ; quit# acrid. Temperature 101 J deg., after usual exejrcise. 10 o'clock, 45 mins., stomach empty. Temperature lOli deg. • , Experiment 12. * At 2 o'clock, P. M., same day. Weather hazy. Wind S., moderate. Th. 61 deg. Stomach empty and heal- thy. Temperature lOlf deg., after exercise. Di^eipn** roast beef, bread, potatoes and boiled cabbage, ,4 o'clock, f- wind S. W., brisk — raining. Th. 61 deg^ St6i||ftite}ialf ; full of heterogeneous mass of acrid^uid, oil: beef and caBbage. Temperature 10^ deg.* ^had bej(h smartly exercising for two hours. ^ o'ojqpk, 30,n4p«i^,wind and' weather same as at 4 o'clo^rk. Th. 63 fieg. Stomach ' empty. Temperature 102. Exercise continued mode- rately till this examination. t ; In this experiment, the temperature of the stomach ' rdse to 103 deg., one degree higher than I haye ever before observed it to rise ; and chymification was pro- ; tracted. ,J ^Yhether these two circumstances were occasioned by i uhukualiy increased exercise, ^nd the consequ^t fatigiier of the system, or from the naturil of^the aliment €^9^n, and the unusual fulness of the meal, I am not iable jm ii liiiiiifiliiiiiii li w^f^ff^m^m *^ OBSERVATIONS. ■m positively to say; but am inclined to think, from previ- ous observations, that they are attributable to the latter — as the usual morbid appearances, consequent on too full alimentation, followed this meal in the course of twen- ty-four or thirty-six hours — as may be seen by the two aubsequent experiments. mv &?*- Experiment 13. Oct. 11. 7 o'clock, 30 niins., A. M. Weather fair. Wind N. W., brisk. Th. 32 deg. Stomach empty. Temperature 100 J deg., after moderate exercise in open air. 8 o'clock, 45 mins., wind and weather, same. Th. 38. Stomach empty. Temperature 102 deg. — had been smartly exercising, shovelling dirt, for an hour or more, and was quite warm. Breakfasted on stewed veal and bread. 11 o'clock, stomach not empty. Tempera- tute 102 deg. — continues exercise, 12 o'clock, stomach contams a very little chymous fluid, and a trace of the muscular fibres of the veal. 12 o'clock, 30 mins., stom- ach empty. SI- Experiment 14. At 2 o'clock, P. M., same day, he dined on /rierf veal and bread, and continued moderate exercise. 6 o'clock,j 30 mins., stomach empty. Temperature 101 f deg. Somei morbid appearance on the mucous surface. At 8 o'clock, 30 mins.j weather fair and calm. Th,,. 3Gdeg. Stbnikdh empty; slightly morbid, with few^ aphthous spots. ' Temperature lOlJ^ deg* ; ^^^ ^e^ still and quiet for three or four hours. •m. '.t-! ,]!»«!«■. 3? ^■ .mi '-.fjire:,- ■'t, .' *-7f«'T«T ^''i-^iT • Usa eXPCKIMEN^ AND EX Experiment 15. f*.-n»»; LSfc-! Oc/. 12. At 7 o'clock, 30 mins., A. M. Weather hazf . Wind S., light. Th. 36 deg. Stomach empty — coats not entirely healthy — some erythema and aph- thous patches. Temperature 101 deg., after usual morning exercise. 8 o'clock — circumstances same as at last examination. Temperature 101 deg. Breakfasted on fresh beef fried drt/j and bread. 10 o'clock, stomach full of fluids ; particles of beef, bread and oil, distinctly to be seen. Temperature 1 01 deg. 12 o'clock, stomach empty. Experiment 16. Oct. 13. At 7 o'clock, A. M. Weather rainy. Wind N. E., brisk. Th. 42 deg. Stomach empty. Temper- ature 101 aeg., after morning exercise. 9 o'clock, tem- perature same. Breakfasted on old, salted porkj fat and lean together, (fried) four ounces of bread, and the yolks of six eggs, fried hard with the pork. 11 o'clock, con- tents of the stomach heterogeneous ; distinct particles of lean pork, egg and oil to be seen ; fluid sharp and acrid. Temperature 101 deg. 12 o'clock, M., oil and egg still to be seen, floating in a milky, chymous fluid ; the oil, or lard on the surface, and the egg, in firm coagulee, dif- fused through the fluid. Temperature 101*> deg. 1 b^clock, 16 mins., P. M., stomach empty and clean. Temperature 101 deg. — was quiet and inactive during this experiment. Experiment 17. At 2 o'clock, 20 mins., P. M., same day, St. Martin ^W'' ■*■ -it 'l - mm HillP'^^f^'^WPPil 0B8£BVATI0N8.^ f 263 dined on six ounces of the spinal marrow of an ox, steamHxx)ked, and seasoned with a little buiterj tinegarf salt and pepper j and three ounces of bread. 4 o'clock, P. M., contents of stomach a perfectly milk-white, semi- fluid pulp. Temperature 102 deg. 5 o'clock, 10 mins., stomach empty and clean. Experiment 18. At 6 o'clock, P. M., he ate a full meal of boiled rice, simply cooked in water, and seasoned with a little salt. 7 o'clock, stomach empty and clean ; not a vestige of the rice to be seen. Experiment 19. Oct. 14. At ^ o'clock, A. M., he breakfasted on the albumen of six eggs, fried hard, in pork fat* 12 o'clock, 15 mins. M., all chymified — stomach empty. ' ^ Experiment 20. At 1 o'clock, P. M., same day, he dined on eight ounces boiled beef's brains, seasoned with salt, and a small piece of bread. 2 o'clock, stomach full of milk- white, pulpous, pr porridge-like semi-fluid ; slightly acid taste, and of a bland, insipid flavor. 2 o!clock, 30 mins., stomach almost empty ^ scarcely any of the white, pulp- ous mass to be seen. Temperature 102 deg. 3 o'clock 15 mins., P. M., stomach empty and clean. ■•0 M. ■K' Wm^ BXPSBIMENTS AND Experiment 2L At 3 o'clock, 30 mins., P. M., same day, St. Martin ate a small head of raw cabbage^ weighing ten ounces. 6 o'clock, 45 mins., not a particle of the cabbage in the stomach ; little albuminous, or greyish, chymous fluid, only remained. r» Experiment 22. At 6 o'clock, 30 mins., P. M., he ate six ounces boil- ed leg of fresh mutton^ rare done, dressed wit^ a little melted butter and vinegar^ and two ounces of bread, 8 o'clock, stomach empty and clean. » Experiment 23. ■'..' ■ .. . ,\ Oct. 15. At 8 o'clock, 45 mins., breakfasted on three fresh eggSj softly coagulated, by being broken and put raw into boiling water, and three ounces of dry bread, 12 o'clock, M., stomach empty. Experiment 24. » _•, At 1 b'clock,^ 30 mins., P. M., he dined on apple dump- lings, made of wheaten dough and sweet apples, boiled, one and a half pounds. 4 o'clock, all chymifi^d, and stomach empty. . . Experiment 26. Oct. 16. At 8 o'cbck, 45 mins., A. M., he breakfasted on broiledy salted pork and bredd, 12 o'clock. M., all chymifled, and gone Irpm the Eftomach. , ,-m ¥"■ .^^■' V OBaERVATIONf. Experiment 26. 866 At 1 o'clock, P. M., same day, he dined on ratpf salted porkf cut thin, and eaten with dry bread. Digested in three hours. Experiment 27, . At 4 o'clock, 30 mins., same day, he ate half a pound of raw cabbagej cut fine, and macerated in vinegar. 5 o'clock) 46 mins., stdmach entirely empty, not a vestige of cabbage to be founa. Extracted four drachms of gas- tric juice, mixed wit]^ very little greyish white, chymous fluid. • Experiment 28. Oct. 17. At 9 o'clock, A. M., he breakfasted on stew- edj salted pork^ potatoes and bread. Digested in three hours. Extracted gastric juice. X Experiment 29. At 2 o'clock, 39 mins^, P. M., same day, he dined on boiled muttoUj recently salted^ squashy potatoes 9i.vA bread. Digested in three hours. Some morbid spots begin to make their appearance on the mucous surface again ; grumous blood exuding from several small points of the membrane ; tongue slightly coated ; contenance rather sallow ; dull pain acros the forehead, and through the eyes ; appetite not impaired ; at bed-time, put in through the aperture four drachms of 23 .;?;: .jS,>-^^ sea EXPERIMENTS AND tinct. of aloes ..id myrrh^ diluted with water. Tliis had the effect of correcting the morbid appearance of the stomach, and removed the pain in the head, d&c. ;i^ I Experiment 30. Oct. 18. At 9 o'clock, 45 mins., A. M., he breakfasted on boiled carrots^ and nothing else — full meal. 12 o'clock, M., examined stomach ; considerable yellowish, pultaceous scmi-fluid,remaining. 1 o'clock, P. M., stom- ach empty. Experiment 39 At 7 o'clock, P. M., he ate three large roasted -pota- toes^ with a little salt — nothing else. 9 o'clock, 30 mins., stomach empty. «■■' Experiment 32. • Oct. 19. At 9 o'clock, A. M., he breakfasted on broil- ed mutton and pancakes. Digested in three hours and forty minutes. Experiment 33. At 2 o'clock, 15 mins., P. M., he dined on stewed mutton and pancakes. Digested in three and a half hours. Experiment 34. Oct.^. At 9 o'clock, 45 mins., A. M., he breakfasted OBSERVATIONS. # \. T:. tf III I iii'i^iiOi on one pint of saffo, boiled, thick anci ricTi, sweetened with sugar. 11 o'clock, 30 mins., stomach cmptf and clean. There was no acrimony of the gastric contents, or smarting of the edges of the aperture, during the chym- ification of this meal, as is usual in most vegetable and farinaceous aliments ; it seemed peculiarly grateful to the siirfaci) of the stomach ; rendering the membrane soff, uniform and healthy. ' Experiment 3i5. At 12 o'clock, M, ho ate four eggs, roasted hard^ without any thing else. 3 o'clock P. M., stomach empty; no trace of the eggs to be seen. Experiment 36. At 4 o'clock, 30 mins., P. M., he dined on roasted dude and fried onions. 8 o'clock,. 30 mins., stomach not empty — distinct particles of food to be seen. 9 o'clock, stomach empty. m Experiment 37. Oct. 21. AfO o'clock, A. M., St. Martin breakfasted on one pint of sago, boiled and sweetened with sugar. 10 o'clock, 45 mins., stomach empty and clean; no vestige of the sago remaining ; no acrimony of the gas- tric contents, or smarting of the edges of the aperture, during the chymification of this meal. fcH.ii 268 Bxperin^ 38. * ■J1'..l Oc/. 22. At 12 o'clock, M., he ate four fresh eggs^ roasted hard. 3 o'clock, P. M., stomach empty; no trace of the eggs to be seen. At 4 o'clock, P. M., he dined on roasted duck, (domes- ticated,) dressed with onions. 8 o'clock, stomach empty. Experimetit 39. Oct. 24. At 2 Q'clock, 30 mins., P. M., he ate a pint ofiwft cftsiard, and nothing ilse. 5 o'clock, 15 mins., s:^omach empty and clean. • .At 6 o'clock, he ate three ounces of ^/row^ old cheese, and a piece of bread. 9 o'clock, 30 mins., stomach empty. '/ . Exreriment 40. Oct. 26. At 9 o'clock, A. M., he breakfasted on fricasseed chickens, bread a Ad Cyjfee. 11 o'clock, 45 mins., stomach empty and clean. At 12 o'clock, M., he dined on roast chicken, bread and potatoes. 4 o'clock^. M., stomach empty. ■^^' Experiment 41. '.*'■ '^^Oct. 27. At 8 o'clock, A. M., he breakfasted on broiled chicken, bread and coffee. 11 O'clock, all digest- ed, and stomach empty and clean. * ' At 12 o'clock, M., he dined on chicken soup and rice. 3 o'clock, stomach empty. >%- -^^.^ '-* -«^ ^#':,^^;#«*.-*H-;^«i* 4*^' .«■.■.■ ■* ii; V*-%^'^ :m ■^/^^ ■■■i' ■"">"", nr*J^--"^.»' n OBSERVATIONS. im r At 5 o'clock, P. M., h*^ ate a meal of oyst^ soup and crackers. 8 o'clock, 30 mins., stomach empty. ^ •(■I ^•' Experiment 42. ^i '*?V Oct. 28. 10 o'clock, A. M., stomach empty, healthy^ and clean. I suspended through the aperture into St. . Martin's stomach, thirty grains precisely, of each of the following articles of diet, severally masticated and sepa- rately contained in small muslin bags, viz : — Fricasseed breast of chicken ; liver dinA gizzard of do.; boiled, salt- ed salmoi,; boiled potato, and wheat bread ; and he kept moderately exercising. At 3 o'clock, P. M., took out and accurately examined the several parcels. The breast of chicken was all digested and gone from the bag, to a mere atom, less than half a grain. The liver was almost as completely dissolved as the breast, half a grain only, remaining — of the bread, about the same ; less then a grain. The residuum of the gizzard, con- sisting principally of tendinous fascia, weighed seven and a half grains. The salmon, twelve grains, and the po- tato, six grains. The bags containing these several ar- ticles, were attacned to a string, at equal distances ^rom each other, a'bout an inch apart; and I allowed length enough for them to move freely through the stomach, and pass even to the pylorus. They were attached in the following order: — 1st, the breast of chicken — 2d, liver — 3d, gizzard — 4th, bread — 5th, salmon, and 6th, potato. When I withdrew them, they appeared to be retained quite forcibly at the pyloric end, requiring con- siderable force to start them at first, but after being (]jawn two or three inches, they pfime easily., The bags '"*.\ ^kl », S-wJ h ■ tn:< -S' J270 EXPERIMENTS IND PV v- \>. t/too, appeared to have been compressed, in proportion as ^ they had been settled into the pyloric extremity, and *■ were emptied in about the same proportion, with the ex- \.. ception of those containing the bread and potato, which, .though above, had less remaining than that containing «, the gizzard. This, however, may be accounted for, V from the more difficult solubility or digestibility of the , tendinous parts of the gizzard. The bags sec led to . have been as forcibly pressed, as if they had been firmly grasped in the hand. The four first on the string, v- (counting from the lower end upwards) more so, than ». the other two; and the fourth more than the third. ■ These circumstances coincide with the apparent con- tractions of a band, or circular muscle of the stomach, indicated by the motions of the glass tube, observed in former experiments. In comparing the length of the string, and situation of the bags, with the stem ajpd bulb of the tube, it brought the fourth bag to that point in the stomach, where the contraction upon the bulb of the thermometer has invariably been observed to take place ; the third bag just below, and the fifth and sixth above ^if^m. The sensations expressed by St. Martin, on the ex- traction of these bags, were also indicative of the same facts. Wlien I first commenced pulling the string, he complained of a sense of pain and distress at the pit of the stomach, and towards the pylorus, which increased wliilo the bags were withdrawing, and particularly at this extremity, for the first three or four inches, till they had passed the band, into the splenic end. The effectp of this experiment, upon St. Martin's feel- ings and appearance, were vtry manifest, and afibrd in- teresting and important subjects of pathological conside- ration. . He har, not eaten or drunk any thing, that :%k , 'i ---; i'i.i OBSSRVjLTlONS. .' T0(^' morning, and felt and looked in perfect health, when the bags were introduced ; continued moderately exercising and ate nothing but a small piece of dry bread, till they «*^were taken out. ; St Soon after they were suspended in the stomach, he felt a sense of weigh^ and distress at the scrobiculus i^cordis ; slight vertigo and dimness of vision. These ,1 continued to increase and become quite severe, accom- ^ panied, at the latter part of the time, by slight pain in ' ^the forehead and through the eyes, and a sense of tight- I ness or stiffness across the breast. His countenance had J changed from a florid, healthy, to a sallow, sickly ap- .t^ipearance, during the time of the experiment, and a sere- in ness at the pit of the stomach continued after the extrac- ,^tion of the bags, for eight or ten hours, and had not en- .-.tirely subsided the next morning. Morbid action of the inner membranes was evident ; next day, with considerable erythema and aplithous ap- , pearance. . ^^ The first, second and third bags were covered with , a thick mu. us coat, tinged with yellow bile ; the others ^ had very little or none of this appearance. This cir- ,. cumstance I conceive to have been owinsr to the irrita- jf tion of the bag, at the pyloric extremity, inviting the bile , from the duodenum to the stomach, in the latter part of .this experiment. Hence the pathological indications which ensued. The same appearance and ci^cumstan- ' .^ ces have before occurred during these experiments. ■?.'**' ■f-i':^.''S^:- '■^^ ii;i#iThe following experiments on artificial digestion, were *t instituted with a view of ascertaining more particularly, *j^ the relative digestibility of many of the different kinds 'M ■¥•■ v. J.:. , ■.aa**ai.. ^■'. l^. »■ ':,->,r' *'-">". 272 EXPERIlIENTfl AND ^^■■ ^i-:4^' t '^. of aliment used in the foregoing gastric experiments, on natural chymification, and to test the correctness of the results. They are minutely detailed for the purpose of showing the manner, progress and operation of the gas- tric solvent, on the alimentary substances, subjected to its action. How far they may illustrate these subjects, the reader will judge for himself. The gastric juice was taken out of the stomach in different states of purity and put into vials ; when food was submitted to its action, it was placed in a temper- ature between 96'^ and 100*^, Fahrenheit, and kept either in the axilla, or on a sand bath, and frequently, though not constantly agitated. The discrepance of results in some similar experiments will generally be found to arise from the variable de- grees of purity of the gastric juice, or different circum- stances of the experiments. ■^y.^V^^'-'Mt' *^^ % ■■■^'j,- Experiment 13.V'' (» ISeptember 18. At 8 o'clock, 45 mins., A. M., I put one drachm oi fresh salmon trout, fried, and masticated, and one drachm of wheat bread, into two ounces of gas- tric juice, taken from the stomach yesterday and this morning. The juice was not perfectly clear, but con- tained some viscid mucus. Placed them in the axilla and kept moving. 10 o'clock, 15 mins., residuum of aliment taken out, filtered and pressed as dry as when put in, weighed one drachm and five grains. The menstruum, after filtering, was white and opaque, about the color and consistence of rich gruel. Mixed the residuum and fluid together again and placed the vial on the sand bath, and kept it constantly agitated for one hour. kM tt^am* >«lu>--' . tJk4M^ ■«^*^ ■je^siKSti'k. OdSERVA'fkONd. ' V IP Taken out, filtered apd dried%s before, the undissolved residuum now Weighed jiist thirty graiiis. The fluids had becom^ thfcKIr arid richer hi color and consistence/ Put them togetHlbr» agieim Into the vial, and continued them on bath and*ih axilift, another hour, though not so cdbstantly agitated, as during the last hour. The resi-' duum. treated ih the same mtnner as before, now weigh- ed twenty-four graim. Mixeil together and continued in axilla two. hours more, the resid(iu|a weighed ^t^c^t^c grains. After continuing 'f /tree hours longer 'in^the axilla, the uijdissolved portions of rajMient,* consisting princlpallypfparticles offish skin; weighed /owrg'^atTW wbich'beokme gptodually diminished during its contin- uance anTiauf l«figer in tfie axilla. . The mtinstruum at this time, was of a rifth gnielly^ color ana tjof^sislence, slightly tipged w^th a reciWIh cast, or «qK* of thelish. Set this aside'for thirty-eight or nine hours. ♦ iSep. 20. . "9 o'clopk, A. M., food alniost*^ ^WWte^'re- duced.to chyme, of a rich, lightish colored, gruelty-c^- • pearan/3e f some few particles of the skin of #ie fisfi ^f maining undissolved, with some sinall^ apparently (or- oign anal indige&tfble substances, which were probably adventitiously mixed with the food. ^ To observe the effect produced on this chyme, by the £♦ # ■'«* %. »ll # I '■■ d% « *^i <-t . ■-' i.-i ' ■**{ — V* _^ 2M EXPEIUMENTS AND '"«• u.' t'T ;^A^vv; indigestible particles, we» more perceptible;*lftnd small, bright particles, resembling tery minufd scales* or skin offish, were also»qiiite plain to be secfti. • ' '' I now divided this into two cqtial ^arts ; to one of which, 1 added half i\ dracMn of ditute muriatic acid, and set it by to subside. Examined at lO'o'clock, the 21st. I'he TiiaU'containing the mixtureC of chyme, bile and muriatic acid^ Qijfliibited the Allowing* appearance: It HiicNt thick, cj^nso sediment, of a^ yellowish green coldl, \vliich occupied abouf ond quarter, of the space, ^he ilnid »bovo,*w^s of the color of whey, ahd about the consistence. The^vial containing the mixture of chyme s$ni bile only, showed the following a^earaiJce** The sediment was not so dense, and its, co4^r, as Ifell as the supernatai^t liquid, was rather more yellow* •Standing aHliet a fc\^| days, th6 sediment, at. the Botton^s of both vials, bc(jp,nic more compact ; that • r*. I*** ■ffe«^-'* Experiment 44. ^; ■ . ^ ' . . ^1 >SI?p. 20. At* 1 oxlock, 15 mins., P. M., I put' one drachm ^f boiled, gremi corn and heans, Anio twelve drachms pf gastric juice, and kept the vial in the axilla, ^r on tlje liath^" aij usual, frequently agitating it, till 7 o'cIq^, p. M. The reslflifum, Ikt tnis time, taken out, weighed tvfenty-eight grains, consisting wholly of the tJ^iuUs or cuticular parts of the broken kernel^ and one entire bean and a kernel of corn j the first of which #» '4"* ^ -w » A^? ^ iJiilJill^fW "iipipppiffW^ •r^ ^wi I OBSERVATIONS, t 275 "W^ghed thirteen, and the other eleven grains, leaving ipva grains of the skins of the broken, dissolved grain. The two entire kernels, (the bean and the corn) were Resignedly put in whole, to test the effect of the gastric juice upon them, in the entire state. The other portion of toe grain was mashed soft before put in. The pulpous Pinion of the broken kernels was all dissolved, and ap- peared completely chymified. The fluid was nearly as white as milk, and of the consistence of clear rich gruel. ■^. JThe gastric juice used in this experimeni, was con- si^lerably vitiated when taken from the stomach, some thirty-six or forty-eight hours previously, and was quite foetid when used. This fcetor was, in a great measure, corrected after cliymitication of the food had commenc- ed ; the *harp, axjid flavor, so peculiar to forming chyme, was increased* , , ».,;*-: .»^ .,iW - ^' ^ Experiment 4«^^-^J^**^*f* , ij^- r^ Sep. 21) At 8 o'clock, 15 mins., A. M., T put thirty grains of fresh beefsteak and thirty grains oi fresh beef ^9 liver, (broiled and masticated) contained loosely in sepa- rate mlislin bags, into one ounce of fresh gastric juice, and kept them in axilla. At 9 o'clock, 45 mins., the two parcels of aliment, taken out and pressed as dry as when put in, weighed as follows : The steak, seventeen grains; the liver, eleven grains. Put into the vial again, and continued in the axilla, till 1 o'clock, P. M. The steak weighed fourteen, and the liver eight grains. Put into the vial again and continued in axilla for four hours; no further change was effected. They both weighed the same as at last examination. The solvent # il **^' •^Jk ,;f yfi ^•• d^'^^'k^ '^* -m ■-^BM' "^ : 276 EXPERIMENTS AND % action having ceased, I added one ounce more of gastcic juice, and continued in axilla, two hours and thirty min- utes. The beef weighed Ave grains, and the liver four ; the residue of the liver consisted mostly, of membranous particles, like sections of the hepatic bloodvessels, of which I conceived them to be portions. I now mixed them both together, in one bag, and .. continued them in axilla, three hours, when the whole were completely dissolved and chymified, and the bag empty ; with scarce a trace of aliment left on the inside. The fluid was of a greyish white, gxuelly appearance. ^ A brownish sediment was deposited on standing. •#P '^ H C-ir -1 .4.,. ,'^.j, Experiment 46. Sep. 22. At 12 o'clock, 30 mins., I put thirty grains of new cheese^ (masticated) into three drachms of gastric juice, and placed it in the axilla, eight hours and thirty 'minutes, when five grains of the cheese remained un- dissolved or rather imchymified, as the residuum was in nearly a liquid form, consisting, principally, of oil, sombined with a soft caseous substance, floating on the surface of a rich, milky fluid. A little very fine, white, compact sediment, at the bottom of the vial. At this time, it had acquired a strong acid, or peculiar acrid taste, and emitted a strong, caseous smell, even stronger than the cheese itself presented, when put in. At 12 o'clock, M., I put one drachm of sago, boiled so as to leave some of the grains whole and entire, but soft and gelatinous, into three drachms of gastric juice and kept it in the axilla. When first mixed, they were so much alike, that they could only be distinguished from each other by the globular forms of the grain. But by .S., _i T, »^i n4a vi .::V, *^' .- ^ ilkt- these, however, the gastric jlike coiild diitinctly b^per- ceived to diesolve the grains of sago, till the;)M>|wtt}^ " disappeared.' '' . ;,v» .».; i, .^^^^^ The fluid hadnow becomeTnore opaHne attd%hilil»h, ^Cind in two hours aiid tWeiity itrirtut6s, notrac^of^tUe sago could be discerned^ At this tinie the fluid htid be- come more opaque and- milky. No '^edilnentwns? de- posited on standing for twenty-four hours*. A slight'acii^'^k was perceptible. i - '• ■ At' 1 o'clock, P. M., I took thee vials, the first com«i!!h- ihg two drachms of gastric juice; the secottil, tWo drachms of common vinegar ; and the third, tVo df^Wa^s of simple water. Into each of these, I put ten grains of raw albumen of a freshegg. lyhen first put together, they presented the follo^ving appearances ; The albu- men put into the gastric juice, at a temperature of about 76 deg^,- produced loose coaguliae in a few minute^ gene- rally diffused through the juice but soon coHected into a more compact mass, and subsided towards the bottom of the vial. That put into the vinegar, produced similar coaguloB and loose mass, and fell down; Thsiti&tbe vial of water produced loose, light tiolored flocculf, equally suspended through the water, but not inclining to collect together, like the Other two. i' These three parcels, kept in the axilla, and agitated for two hours, presented the following appearances ; The coagulai in the gastric juice, was half dis^lved, and the menstruum of a milky appearan(;e^ ^ Those in the vinegar and Water, ijmained the same, and their fluids unaltered. In five hours, that in the gastric juice was entirely dissolved, and the fluid more opaque and white; the other two remained of the same appearance as ^at fast examination; the coagul« in the f^i'v ,^j»'. * , •'' t ••.^' » «i V EXPBRIMENTS AND vin^ar, taketi out, weighed nine grains — that in the \^at^ WHs too loose and frothy to be collected and weighed* t* 'rWh' \* ♦.I Experiment 47. A§pp. 25. At 7 o'clock, A. IM., I put t\^enty grains of J^iMghf sponge cake into three drachms of gastric juice, ^ and kept it in axilla. It was all dissolved and chym- ififed, in seven hours. The fluid was rich, yellowish white, or cream color, and of the consistence of gruel with a little loose, broWn sediment at the bottom of the vial,*ififter standing. Experiment 48. At 9 o'clock, A. M., I put two purple fox grapes^ one skinned and the other entire, into six drachms of gastric juice, and kept them in axilla, six hours, with very little alteration in their appearance ; the skinned grape, weigh- ing, .when first put in, thirty-four grains, weighed now, thirty grains^ retaining its shape and texture. The whole grape was not affected in the least, either in shape, color or texture. It weighed fifty-four grains- when put in, and the same now. Continued in axilla, twelve hours, they remained unaltered, and weighed ex- actly the same as at last examination; Added one ounce of fresh gastric juice, and continued them in axilla, twenty-four hours, unaltered. The texture of the skin- ned grape, was as. firm and hard as when first p tit in ; r.nd the fluid was unchanged inUts appearance, except ' a slight foBtor, perceptible at th^ end of three or four days. :. ;v-^v4.- ■-« -^m^^^im r f^'-»fE» IJ ■<%. *f T ODBBRVATIONI. *' Tbis, rthink,- is a fair sp^imen of ^he indi hatiii^ of this kind of fruit «.?! Experiment 49. .n: Sep, 26. At 10 o'clock, A. M., I put thirty grains o{ ripcj mellow peach, and thirty grains of ripe, l^ird apj)U>J into one ounce of gastric juice, and kept them in axillflr;*r till 8 o'clock, P. M. At this time the residuum of the peach, weighed eighteen grains — the apple, twenty-four grains. They were neither of them mashed or^paasli- • cated, but cut' into small, square pieces, strung on a strirfg, and suspended into the juice in a vial. rjp At 10 o'clock, A. M., of the 27th, after having been ; continued in axilla, six hours longer, the peach weighed ten grains, and the apple the same as at last examina- tion, twenty-four grains. The peach had now become soft and pulpous, and fallen from the string. Eight ^ hours longer continuance in axilla, completed the diges- tion of the peach; bu the apple remained near] J the l^ame. >!«> -. ■•^f \ "p Experiment 50. »▼ t. ' 1^ '"^ t-i f>^^ IMAGE EVALUATION TEST TARGET (MT-3) 1.0 I.I 1.25 L^12.8 ■ 30 "^ mm Hi 2.5 2.0 ^ liu ^^ Ta f V A? '/ /4 Hiotographic Sciences Corporation 23 WEST MAIN STREET WEBSTER, N.Y. 14580 (716) 872-4503 [V \\ lV o^ '^^^^ --T— -rjT— tt^t; i?.. \% ^^ -■■;r^\ <^ ^ ,. , _„,- ^- ---. ^ '■■': :■ ''■■::' ' ■■ ' •■■ '■ rf :--v;i^^ ■--',: '-'^:a^r':&:;MHe": -'-■ :■- ^'" v'w ■ -. r . ■ ■■'.■• i'-\ ■ #^^#^; | ^ » M. kt^wF', •v^' % .#4 ' ^ EXPERIMENTS AND le same^Jiime, I put one drachm oi albumen into hm|j|;||' simple water, at the same teraperatnrcj a«^^ it with the other in the axilla. When first tn^r, the albumen was diflused, .in loo^e, light ; through the water, not coagulating and collect- ing .Uli^e that in the gastric juice, and subsiding to the bptt0|n. but adhered to the sides of the vial, or rose to ' e iliirface. Wlien both vials were smartly agitated, a white, frothy mass, formed on the top of the water, fdling the two ounce vial in which i was contained. The vial of albiiifen and gastric juice exhibited the coagula^, broken intCLSfhuU particles, falling towards the bottom again. eptin the axilla and fiequenlly agitated, for*bne and a tliilf hour, the gastric mixture had become semi-opaque and the coagulai considerably diminished in quantit3^ The aqueous mixture reaiained luichanged ; the frothy portion on top, and the fluid, perfectly limpid and clear, below. No appearance of the albumen in any shape, could be seen, except the floating froth. Indeed, the albumen seemed to have clarified the water, and ren- dered it clearer than at first. At G o'clock, P. M., the albumen in the gastric juice was completely dissolved; the fluid was white and milky, with a little very fine, dirty white precipitate falling to the bottom, on standing at rest. That in the water was strikingly .4ifft^rent in appearance. The agitation had beaten up the albumen completely into beautiful while froth, and it lay like a snow ball or bunch of clean, raw cotton^ on the surface of the water, npw transparent as crystal, without the least particle of secliment to be s§en. At 7 o'clock, I added, two drachms of gastric juice to the vial containing the wAter and albujiien, and contiti- ^: '. r* nij ;::■'"■'':* iHL ii pil ' H i l^ l 3 OBSERVATIONS. iT» ued it in axilla. In two hours, the solvent effm of tm juice, upon the frothy mass, was very^ evident jfejETtaA white froth upon the top, was almost enti|ely ^nMsn^ ed and gone. Neither could agitation re^prod|^ it as at first ; small white coaguke, like those seen in ih^Sfftk^^^^ vials, were now distinctly visible ; the fluid had become opaque and whitish, like the other, and a little fine sed- iment settled to the bottom, on standing. Continued in . the axilla, two houra longer, it resembled, almost ^xact^ \ iy, that in the other vial, in every particular. * 4 ^ • 'M ^t fit Experiment 51, ■■>» vjiirf ■; Ai 2 o'clock, P. M., I put one drachm of yolk of egg into four drachms of gastric juice, and another drachm into four drachms of simple ira^er, and kept them, as usual, in the axilla ; no difference at first could be per- ceived between the gastric juice and aqueous mixtures ; each exhibited a yellow mixture, like the egg, simply beat up with any white or watery menstruum. Six hours continuance of this treatment, produced little dif- ference in the appearance of the two, and effected a slight modification in the gastric mixtuife only ; this seems to have been converted into a very fine coagulee, of a rich cream color and consistence,and of a paler yellow than the other. In twelve hours more, a striking dif- ference was manifest — that in the water remained the same as when first put together — a dull, yellow colored sediment, in the proportion of about one fifth of the space occupied by the whole, had subsided to the bot- tom of a thin fluid, of ^ the saihe color, and now emitted a foetid odor. That in the gastric juice had become ••,'^\, -:& \v*^ ,*7^ -; -.<■ ■ ' 4. t'jV ■ A-T " ' •--i'^* *■■' ; .r ".V ■ V I " * (♦^•'■i'^", '-■T>'» >: -'^' .«■ ^3 ft' i-l" EXPERfMENTS AND •4 W'^ vdore cream-Iikc and lighter colored, separating, on ^ ^9tan$lpg» into. th. je distinct portions — a loose^ coagula- ^df yellow niass, rose to the top, occupying more than ;y . .Iialf the^pper space — a clear,^ whey-colored fluid below, 4r witira dirly^ yellow sediment at the bottom, in about " the proportion of one-twelfth of the whole ; not the least foBtor was perceptible. ^ ^m^^^-^^--^- EiperimeiU^. •»\ ■v-.t t. ■^< \«%' •Z^; ';> At \ o'clock, 30 mins., P. M., I mixed one drachm of olive oil with three drachms of gastric juice, and kept fcequently agitated in axilla, for eight hours. When first pu,t together and shalken, the mixture resembled water and oil', precisely; after continuing in the axilla four or five hours, the oil had. perceptibly diminished jand chyme began to be formed, rendering the juice ^aque and milky. At 10 o'clock, P. M., the oil was ■ftbout one-sixth diminished, the menstruum nearly the color and consistence of milk. :: Sep. 30. 8 o'clock, A. M., continued in the same manner, in the axilla for twelve hours, the oil was pro- portionally diminished, and the opacity and milkiness, gradually increased. Oct. 1. At 8 o'clock, 'A M., I added one drachm of ga«tric juice — not clear, but considerably vitiated. Con- tinued in axilla fourteen hours. Similar proportional decrease of the oil, and change of the color of the fluid, %-we producedj and a slight foetor was perceptible. This la^tcircuttistanciBj'^wb' doubt was attributable to the titrated juice addied. ' Oet. 2. It) 6'eldck, A. Ml, added three drachms of pure gastric juice, aad continued in axilla, ten hours. l;* »«WF»'fPP«"'*5'l"lf \ 0B9ERVATIdN9. *• .4 283 This addition- corrected the foBtor in a great measure. The stratum of oil was not much diminished in bulk, but considerably changed in appearance, having become quite white and frothy, exhibiting myriads of minute globules ; and the color and consistence of the fluid, were more rich and milky. On the 3d at 10 o'clock, A. M., I divided the contents of the vial into two equal parts, and put them into two separate vials. To No. 1, 1 added two drachms of pure gastric juice ; and to No. 2, two drachms of fresh ex tracted gastric juice, containing a large proportion of yellowish green bile, and continued, as usual, in axilla. The following changes were produced : The portion in No. 2 vial, which had received the yellow gastric juice, at first partook of the yellow color of the juice added, generally diffused through the whole mass — a separa- tion then took place ; the bile seemed principally to unite with the oil, breaking it down and reducing it to very minute and almost imperceptible globules; and after remaining in the axilla ten hours, and theiJ standing at rest a few minutes, the under surface of the supernatant stratum of oil exhibited a milky or creamy appearance, and small, white flocculi, resembling coagulated milk or albumen ; these soon became dissolved, and increas- ed the richness of the fluid below — no sediment to be seen. The portion in No. 1 vial, to which the clear gastric juice was added, at the end of ten hours, had -undergone some change. The pellicle of oil on the surface, was reduced to minute globules, of a whitish color. The same appearance of white flocculi, or coag- ulw, were exhibited upon the under surface of the super- natant stratum of oil, as in the other, but not so abundant, a]«,4 the fluid was not so rich in color and consistence, 4,. ft; ••VH 1 S^ '■?•' ». . . ■ ■■«• .M- >' ■i.^ > .^ r. -l-r ■'*r%-' '% ■f, xf '% 284 EXPERIMENTS AND ♦ .V '4^ li. Oct. 4. At 9 o'clock, A. tkl., I added two drachms more of each kind of juice, to their respective parcels, and continued them as usual^ in axilla, for eleven hours. The difference between the two parcels, was now con- siderably increased. The fluid in No. 2 vial, was of a rich cream color and consistence ; the supernatant stra- tum of oil was converted into a light yellowish mass, .resembling a mixture of gelatine and coagulee ; few of the globules of the oil could be distinguished ; yellow flocculi adhered to the sides of the vial, above the fluid, after being agitated. When suffered to stand at rest a short time, loose yellow flocculi rose on the surface, oc- cupying more than twice the space of the oil, before the last addition of gastric juice — no sediment subsided. The parcel in No. 1 vial, had regularly progressed in chymification, in ratio proportional to the juice added ; the supernatant, oily stratum was diminished, in thick- ness, nearly one third, since the last addition of gastric juice; had changed from its oily appearance, into a white, semi-gelatfinous mads, intermingled with milk wl)ite flocculi ; the fluid of the same milky appearance ; a little white sediment at the bottom. Oct. 5. At 10 o^clock, A. M., I added six drachms pure gastric juice, and six drachms of fresh extracted juice, containing about the same proportion of yellow bile as the other, to their respective vials, and put them on the bath, and kept them continually agitated for five hours. Thtj effect was palpable and ylain. The super- natant stratum, in No. 2 vial, was now completely broken down, and not a globule remained ; ^, thin, yel- low pellicle, or loose flocculi, rose upon the surface, on standing, and the fluid was of a rich cream color and ^5J! ■;'^P' = ■'is>XK\ir-^:' >?^^ #. •"Mfl <6, ^W^ W #» f ,'■* OnSERVATIONS. .\.f- m 286 consistence, sligntly tinged with bile — no wdimcnt per- ^ ceptible. .,, ' . t L The contents of No. 1 vial, n ad undergone considera- ble change ; the oily pellicle on the surface, was dimin- ished but little in volume, but changed in appearance ; had become converted into a white semi-gelatinous, "bf rather saponaceous consistence, and the milky vichncss of the fluid was increased. . ., ^ . This experiment is raiiiutcfy anS accurately 'detailed, ^ with a view to demonstrate the slow, but certain digcs* ^ tibility of oils, and the manner Ihoy are acted upon by the gastric juice. It may be tedious, from its prolixity, "^ but I considered its comnumication might be of sbmn importance and usefulness to physiological science, the interests of which liavc been of pttramount consideration with me, in all those experiments. It very clearly appears, by this experiment alone, that hilc accelerates the solution of oil, by the gastric jnice; and I have no doubt, it facilitates the chymification of all fatty and oily aliments ; and is required, and neces- sarily called into the stomach onli/ for that purpose. This has been frequently indicated in the course of these experiment^, by the effect which it has produced on fatty or oily aliments, when adventitiously mixed with the gastric juice. / * ^mv4m^^ 4*tofij Experiment 53^. ^ m-^w^ '^ep. 29. At 1 o'clock, P. M., I mixed one drachm of .-^ sweet creaifi, with three drachms of clear gastric juice, and placed them in the axilla. When first put togeth- er, the juice fell to the bottom of the vial, and remained distinctly separate from the cream, till agitated, whe%- M'i # •.^ c* '■■ U^:^f -m fcfaT:;^^ -tP* fm EXPERIMEMTS AND ' ^thf y unitei||^ut exhibited no other immediate change of ^^searance. When the temperature was raised to about 80 4eg«) the whole gradually formed into very fine creamy coagulo). Continued in axilla twelve hours, tis coagulated mass was 'more than half diminished, id rising to the top of an opaque white, whey-colored liquid. Small globules of oil were now seen on the up- per surface of the supernatant coagulne — no sediment ^ III Oct. i. 10 o'clock, A. M., I added one drachm of 3 clear gastric juice, and continued in axilla ten hours, Hj^cn the creamy coagulse were still more diminished ; the globules of oil on the surface increased, and the Miquor below, resembled clear, rich gruel, occupying about one-sixth of the space of the whole. •* Oct. 2. 12 o'clock, M., I added another drachm of gastric juice, and continued it in axilla, eight h urs. the creamy coagulaj were now reduced to about one- fourth, and more loose and white than at first. The globules of oil were now much increased, and formed a complete pellicle over the whole upper surface, nearly resembling soft butter, and emitted a slight rancid fla- vor. The richness of the chymous liquid below was proportionally increased. No sediment Oct. 3. 12 o'clock, M., I divided the contents of the vial into two equal parts, and put them into two separate vials. To No. 1, 1 added two drachms of pure gastric juice; and to No. 2, two drachms of fresh extracted ' gastric juice, strongly tinged with yellowish green bile, H and kept them in axilla nine hours. The changes ef- , i fected, after thip addition, were strikingly evident, and different in the two parcels. That in No. 2, to which added the yellowish green juice, exhibited a per- y homogeneous, rich, gruel-like liquid, slightly ting- 4 "■::.A? ■J. t w T^ w ii't ■ ■ i in ni 'ii OBSERVA^IONt lirliseftlv-' ; ,ed with the bile ; the creamy coaguls w« ^, ed^nd not a globule of the oil to bo "seen ; all appeaild chymified — a little dirty white sediment fell to thejbot- jfl^ tk tom. . „ .M ^^jf* ^ The creamy coagultt of No. 1 vial, were not cond^ - ' ' plotely dissolved, but reduced to a thlrt, loose layer, afH(»- '^ ^ the oily pellicle was scarcely perceptible; the globules; v» extremely minute and whitish, and of^ a saponaceous A consistence. The fluid below, was of a light colored, # m*.# rich, gruolly appearance. No sediment deposited. To complete the chymificution of the contents of No. 1, I added two drachms more, clear gastric juice, and con- tinued it in axilla, twelve hours longer ; at the end of * this time, the coagulas were reduced to a very thin lay*- er ; the oily pellicle entirely dissolved, and the liquid oi a rich gruel ly color and consistence. No sediment sub- sided on standing. '*n'^. iff I •-> • 4 t^Ji f' 'h^ti Experiment H. ^*»^, ^^ '^^^^, Oct. 1. Mixed four drachms oi sweet, skimmed milk with four drachms of gastric juice, and kept in axilla. The juice fell to the bottom, when first put together, as with the cream ; but when shaken, and raised to 90 deg. or 100 deg. temperature, formed into loose and coarser coagulce, than the cream, which were diffused and sus- pended through the milky fluid. Continued in axilla eight hours, the coagulae were more collected, firmer and more than half diminished. The fluid of a light whey, or thin gmel-color and consistence, with a few loose, white flocCuli, and a creamy pellicle on the top* Oct. 2. Continued i". axilla eight hours more, j^ coagulae were almost completely dissolved ;' fluid ^ :^^' .%. ^1 '•■^''. -/" '■.-■ ■-■-% ■^.)j,. ■«. f ■ •w ■"ll j'#' XPERIJjIENTS AND W^cbijf on\M^mB.{x\ed gruel^ a few light flocculi on the ^ sifRace, buTno creaky pellicle ; a little coarse sedimAit, ||K||j^fti*-lMse, white coagulfiB at the bottonh - -^ -■^ ■-■ > ^■ ^^ ^"f 4, .u« JJ.KI ffMiAii 'tiMiv. i-ijtt ,e•|vi*»»«i■»^«>l,'lWf• L Jl f„ ' rExperimcnt 5o. . ^.4» .* iv,'iNih**'4rt ^» %H Oct. 3. Put fifteen drops of gastric juice into thrfee dtathms of sw6et fnil/c, at the temperature of 65 deg. ; ■♦.anslight appearance of very fine coagulae, was first ex- hibited, but not so as to become distinctly scpoiated, till « afjter the temperature was raised to 85 deg. or 90 deg., ^when the whole mass gradually formed into a tremu- lous, jelly-like curd, which, after cooling, and standing at rest a few hours, separated into two about eqUal ffarts; a soft, caseous substance, and a thin light color-^ ed Whey. •i|^t^?^*A#>^ E:,periment 57. ^ ^ ' ' ;„. -^ Oct. 13. 9 o'clock, A. M. Into one ounce of gastric * iuice I put one and a half drachms of the medulla ¥i ■■w *>!,,»: .'• .,> ,1^4. ^. •:' ■?: ^•A.-'.-Mi'' "•^■. 1^ •1^ apinaiis of ah ox, enveloped > in' itA' ^ and placed it on the sand bath, or f^axillli, At 3 o'dpck, P. M^ examined^»-the^ ^medulla Had out of its envelope, and when taken out and^epa fi^m the fluid, by the filter, weighed fifteen grains f neurilema, at the sume time, weignMI eighteen grai Put these remaining portions into two* drachms fres: gastric juice, and continued in axiUi^ Ax hours. Att^^. ^ . o'clock, P. M., the remainder of the medullary portionL f^^ weighed eight grains, and the neurilema, nine grainJT \ Continued in axilla, three hours longer, the medullqnr '^ part weighed three grains, and the neurilema, fo^^l grains. The menstruum was now a rich, iriHk whi lic^uid, of nearly the consistence of cream. A loose, jjj^^tif sediment fell to the bottom, on standing; thefiuiare% tained its rich, milky whiteness and creamy consistence. 'f Oct. 14. 9 o'clock, A. M., put half a 4rachm oi med- ullary substance, the brain of an ox, bo'^'^d, into four drachms of gastric juice, and kept it on ti'o bath, fre- quently agitated, six hours, when it was al" dissolved, and had produced a rich milky fluid, with a loose, light sediment. ■^ Experiment 59. Obt. 15. Put twelve grains of solid* tee/* hone, broken into small pieces, with the periosteum attached to one side, into one ounce of fresh gastric juice, and kept in axilla twelve hour^. At this time the periosteum was 25 ■■%-uf' - y" ■Jat. i"' •,: :^ .^' la^r BRN»NTB AND * weight of th« bone, ten grains. Ad- decTsix drachms of gfestric juice, considerabfy vitiated. 't^'iieatly dfSi i g ^^nd continued in axilla nine hours, and the bont jseigh- fj2 v^fi'd nine grains. The menstruum was now a wni'i-'h lue fluid, about the consistence of clear, thin ^rueL a little light brown sediment, settling to the bot- tom, on standing. Added one ounce more gastric juice, * and,continued it ia axilla, twelve hours. The weight • r of the bone, at the end of this time, was six grains. The oi)%rity and richness of the fluid increased; smell, slightly fa;tid. DiscoDtinued the experiment. . ^ "'< The result o.f this, confirms the correctness of some ^ "^rmer obecrvations, in similar experiments, and suflSi- ciently demonstrate the solubility of solid bone, in the l^stric juice of the human stomach. itf"' H- Experiment 00. c,f^ Od. 17. 1 o'clock, P. M., I put twenty grains of boiled mutton sitct, cold, and divided into small pieces, into six drachms of gastric juice, tinged with bile, and kept it in axilla, seven hours. The undissolved resi- duum, separated by the filter, now weighed ten grains ; and the fluid was as white as milk, and about the con- sistence of thick gruel ; there was no appearance of any oily particles ; it seemed to have been coagulated, and converteltl i.uto chyme, like milk or albumen ; the chy- mous part very jnuch resembled that formed from med- ullary substance. , Continued in "axilla, three hours longer, it was all dissolved, and the richness of the fluid considerably increased. -\>Kl r* W V ^l^OBIiRITATtOira. ^ %;^ »i ' Oc/. 261 ' 2 o^clpck, P.. M., put. 91^8 drac)»n c^ttaj-t^ -* . into o^iG ounce of gastric juice, fresh froip the stpina9hi and placed it in axilla. 8 o'clock, 30 ipinss, all dissgtlv- ^ ed and chymifi^d ; fluid, as usual, from sucli alimq^t^of, ^fr iioioT and consistence of rich gruel. ■i-iiS' Experiment 62. ..fe 1 1/ Nov. 1, 1833. To pne ounpe of gastric juice, tafcen from the stomach iti J9eo., 1832, (and whicli was as pui^ as when first extracted,) I oddc4 tliirtj^ grains of /cow, boiled mutton, masticated. Kept in axilla, six hours, it dissolved sixteen grains. The iluid exhibited the usual appearance of chyme. #' If > 292 EXVSftTMENTS A17D TABLE, IShomng^the mean time of digestion 0/ the different Ariiaea of Diety rwiurallyy in the Stom>ach, and arti- ficially j in Vials, on a bath. Tbs proportion of fattrio juleo to aliment, in artifictni digattion^ wai gtntrallf ciUeaiaiad at one ouuee oftiie former to one draohm of tlie latter, tlie bath Iwinf kept a* nf«r as praetioable at the natural temiierature, 100 deg. Faliionhek, with fluent agitation. Articles of Diet. Rice, Sago, Tapioca, Barley, Milk, Milk, Gelatine, Pig's ftet, soused, Tri]^, soused, Brains, animal, Venison, steak. Spinal marrow, animal^ Turkey, doinresticated, Turkey, domesticated, Turkey, wild, Goose, wik], Pig, suckir^. Liver, beers, fresh, Lamb, fresh. Chicken, futl growr^ Eggs, fresh, Eggs, fresh, Eggs, fresh) Eggs, fVesh, Eggs, fresh, Eggs, whipped. Custard, Codfish, cured dry, Trout, salmon, fresh, Trobt, salmon, fVesh, Bass, striped, firesh. Moan tim£ of Chyn. ification. In stomach. In viah . prep. h. m. 1 00 prep. h. m. boiled 1 45 boiled 3 15 boiled 2 00 boiled 3.20 boiled 2 00 boiled 2 00 boiled 4 15 raw 2 15 raw 4 45 boiled 2 30 boiled 4 45 boiled • 1 00 ♦ boiled 1 00 bbiled 1 45 boiled 4 30 broiled 1 35 boiled 2 40 boiled ^%^ PCiASted 2 3ft boiled 2 25 roasted 3 18 ' roasted % 30 . . roasted 2 30 « ' broiled ^00 cut fine 6 30 broiM 2 30 ' fricasseed ^45 hard boiled 3 30 hard boiled 8 00 soil boiled 3 00 soil boiled 6 30 fVied 3 30 . * roasted ^15 . ^'rav? 2 00 row 4 15 TftV 1 30 whipped 4 00 baked a 45 baked 6 30 boiled 2 OCV boiled 5 00 boiled 1 30 boiled aso fried 1 30 i broiled aoo .-.<;-' 9 ^ pi"* P |;" ' * ' ,ff f !^^ ; »4 >.»-,-ni. I ii< i ■ Plotintld^ fresh, ' ^^* " Catfish, fresh, Salmon, salted. Oysters, i'resh. Oysters, freish,* > ,* Oysters, fresh. Beef fresh, leai^, rare, Beef, fresh, lean, dry, Beef steak, BeeiJ steak, BejBf,,steak, Beef, witli salt only, Beeif, iiv^ith mustard, &c. Beeif fresh, leap, Beef, Beef, old, hard salted, Porl^, steak,, ,,j ^^ ( Pork, fat and lean, ■• > Porlt, recently saltcdy , Pork, recently salted. Pork, recently salted, Pork, recently salted, Folk, recently salted, Mutton, J fr6ah, Mutton, 'fr^sh,.,,,. Mutton, fresh, ^,^ . Mutton, fresh, >f^ ^ VeaJ, fresh, Ve^j. fresh, Fowls, domestic, ,,; Fowls, domestic, . ^ . Ducka, domeftticated, Duj^B^wild. Su^beef,fjr^. IBuejt, mutton, ,u,, . , < BuHt^r, .;,,,; Cream, Cheese, old, strong, .y^ Cheese, old, strone. 25* Mean time of Chymificctio^- \ In stomach. prep. fried boiled raw I roasted stewed roasted roasted broiled broiled raw l^oiled boiled boiled , boiled ! hoiled broiled ^rqastqd boiled broiled rajy s^wed rpijisted bjToiled br.oiled j Ijpiled broiled . fneiiM. bpil^ ^roasted rpaated roiled bpued boiled melted i raw h. m. 30 30 00 55 16 30 00 30 00 2 45 3 30 00 15 15 15 80 15 15 00 00 15 3 00 3 4 4 4 4 4 4 5 4 3 00 00 30 00 00 00 30 30 30 30 3 30 Invialft. * 1 i -u i"~ prep. h. m. boiled raw, entir Stewed roasted roasted masticated cut fine cut fine masticated entire p. masticated raw masticated unmas'd masUc'.d^ ])■■■■ entire p. divided' raw. 25 30 magUckU; 7, 15> entire p. 13 DC 12 30 6 30 8 30 6 45 8 3a, J mm ,>■ * •'■a \ / ^A m 'if^. IM'^ Articles M Diet. ..|Wfc»^ . ExiPERiMl^Nlfs AND TABtE^eoniinued. Cheese, new, mild, $oup, be0f, veg. and bread, Soqp, marrow bunes, Soup, bes(n, Soup, barley, Soup, mutton, Green corn ami beans, t)liicken soup, Oyster soup, Hash, meat a^W veg. ^ Sausage, fresh, ^l^rtj animal, i(Tf(ndon, j,|rendon, Cartilage, Cartilage. -^ApPbneuro'sis, ' jh'Boine, beef's solid^ , 3046, hog'sj solid, Beans, pod, Brei>d, wheat, fresli^ •'Bredd, 6orn; Qake, corn, Ygttke,. sponge, ' Dumpling, apple, ^Apples, sour, hard, j|^^ X jjples, iiou\^," mellow, Apple*, sweety mellow, Parsnips, > ^ f Parsmps, ,jj «V- Carrot, oif&hgfe, M Carrot, orange. ljf Carri^ orange, £■ Beets, i. Turnips, flat, m ■ Potatoes, Irish, '$r Potatoes, Irish, i- Potatoes, Irish, Mmn time of Chymification. Ih stomach. In vialsl prep. h. m. prep. h. m. divided 8 30 . « raw 60 oa boiled! ^*0O ti boiled 4 15 boiled' 3 00 boiled 1 30 boiled 3 30 boiled 3 45 boiled 3 00 boiled 3 30 warmed 2 30 broiled 3 20 fried . 4 00 entire p. 13 30 boiled 5 30 niasticated 12 45 ,. entire p. 24 00 boilecl .lib masticated 10 03 •'■'■■■ -' • Vl M? I'tTTv ' divided 12 Oft boiled 3 00 boiled 6 SO- ! •>/; entire p. SO 00 entire p. 80 00- >oiled:' '2 30 'baked 3 30 masticated 4 3a baked 3 15 ] ' baked 3 00 . ' . baked 2 ,30 ., broken, ^ 6. 15^ boiled 3 do ,■' \ r^w 2 50 entire ps. IS 00 faw* . 12 00 niastipated & 30 raw ' 1 30 masticated 6 45 boiled, 2 30 ■i mashed 6,45 boiled entire, p. 13. 15 raw entire p. 18 00 boiled 2 la -mashed 6 45 entire p. 12 30 ra,w, do. 17 15 boiled 3 45 boiled 3 30 boiled 3 30 mashed 8 30 entire p.. 14 00 roasted 2 30 >* Xi I ll ■ JV.p i i!p ■ ' Jiii ii '^-'!iiPjyf'iJ '' *>^ ' mm Meian time of ChymiJicatiortS^ Articles of Diet In stomach. ^ m^ In viala. .(» .«f , prep. h. m. prop. h. m. Potatoes, Irish, Cabbage, he^d. Cabbage, with vinegar. Cabbage, Peach, mellow, Peach, mellow. baked raw raw boiled *2 30. 2 30 2 00 4 30 masticated shaved . boiled cut small mashed ^ 12 pO 10 16 20 00 10 00 6 00 1'.l»' ' The foregoing table is formed from all the experiments made iopon St Martin, since 1825, taking the average from such qb were generally performed under the naturally healthy condition of the stomaoh, and ordinary exercise. • The mean timec of artificial chymification, have been taken frbni Bubh experiments as were generally made with the piiire gastric juice, or such as was too slightly vitiated, to impair its spl vent e0ect, in any essential degree. They exhibit the average, w Jiear as practicable, for the di- gestion of one drachm of alimentary matter, in one ounce of gas- tric juice; or in about that proportion, counting the time actually kept on ti:ie.bath, or in the axilla: i Kxcepijlons, however, must be made for the bone, oil,' cream, and one or two other articles, which chymify much slower and more diflSculily, than the less cpncentrated aliments. * ,, Severll experiments have beeh omitted, especially when th^y Tfcjrp oflb^^jiatne kinds, and j^roduced similar results. #■■ m "$ i- ' 4 :^\ 1^ .^«^-','A*t'' m EXPERIMENTS AND iSKdwing the temperature of the interior of the tSfornach, in different conditions, taken in different seasons of the yedr, apd at various ti^nes of the day, from 5 o'clock in the morning ^ till 12 o'clock at night. Pat*. 1829. DeoG 7 8 1830, Jaq24 25 Mr 17 18 9 18^i^ o •^6 7 8 18 14 15 22 23 r25 t 27 28 39 80 3 1833 Jan-1 Wind ; HI' 9 N W N W s w N W N \Y snowijng E N E S N N W W ft Weather, cl'dy art! damp cl'dy and damp clear and dry clear clear and cold clear rainy clear Toitn . k. opniiir'nofitoini Tb ',tii Empty. rop«t cl'dy and damp variable ,, cl'dy and l^amp foul and damp clear (. clear *** ' clear clear cl'dy and damp rainy ■AiS 63 27 13 10 35 30 38 28 46 31 38 38 62 34 30 930 *- 98'* 99 99 100 100 99 100 98 100 [V\) )9 >0 1( 100, 100' 100^ 100, 100 9i ei'oii 100 1 *;i 00 ooil loo ■ 1 'r 4lt 101 101 101. Ill Ml %m '■ burlng OhymiAcat'ti rtpoa 100 100 99 100 lOd IQU m lOQ IrWOWJ « S:Slft» •NlWi^- «x'oU rrr »JKii i 102 ■ h lOli 101 101 .^i '>..i. Romarka. iTK; ,.* >»<•■• atomach mprbid,< { stomach mprbici* stomacSi, morbi4 stonaachi D^prbii^; .. i ■•■ i : stomach morbid| ston^n^Clh morbid. »i {*'..(• f i-ri ■ »i .) . iitfUii} weitwv sK^HIJ^jnorbWi i 4 W '"^ wm • *'dB8EiivATION0. ">^ 1 TABLfj—Continued. >lH | Wind NE W«tthor. Th Tani. m \ 18 cl'm cloudy and dry 12 100 101 100 1004 titomach morbid. S 1^ N W clear 28 100 1014 '.^M : NB cloudy and dry a5 100 101 .u 17 NW clear and dry 19 100 100 102 fltomack morbid« "^m 23 N E rainy 39 looa 1011 'i cwM 24 N cl'dy and damp 39 100^ loii • '^1 i 1 24 NE rainy 9Qii after sleeping. ^^B 1 25 8 36 99 before rising. ^^H i 26 38 1001 102 -Jh 26 N W cleijr 36 loei) 1001 101 004 after sleeping "^B 27 cl'm cloudy 32 09a lOU 994 before rising. ^m 28 8 W cletir 35 101* 1014 . .';^,: iJH 28 SW clear 46 ion 1014 ""^ilB 28 lou 1014 <<^B 20 N E clear 28 1001 U)14 102 100 before rising. '''^m 30 NE cl'dy and damp 39 lOU lOli 102 994 before rising. ^1H 31 NB rainy 45 1014 lOU 100 before rising. fl Febl NW clear 28 101 103 100 before rising. *^ Mr 26 clear • 1004 101 v-fl^l JttJyO W cl'dy and damp 100 Before rising. 'wm 10 w clear 63 100 101 I^^^V 11 N E cloudy 65 100 101 IB 12 W clear 70 1004 1011 ^m 13 cl'm clear 69 1001 1015 jft^^^H . 14 8 variable 75 100 108 15 W clear 74 100 102 W clear 74 1004 • 1011 'f^^^H 16 W cloudy 78 101 1014 '.^^^1 28 NW clear 66 101 H • ^1 OctlO W fair 61 100 1014 1014 gjH 8 rainy 61 101} 102 103 .J^^H ' 11 NW fair 32 100 102 102 11 1011 1011 xi^^^H 12 8 cloudy 36 101 . 101 ''w^M 13 NE rainy 1 101 101 102 '^m *At thill and th« ■ uh Mqnant examintlioiut lh« bulb of the tli«rinoimt«r was plaead throe or four iiiohea nearer the pylorui than before, and exhibited an inereaM of tem- perature, indicating t difference of three-fourths of a degree, between the iplenic and pytorio extreipetiea. * 'P**.1»"'''^FW rr^m^ 998 BXPBJIIMCNT8 &C. Abstract of Dmipcraturc of thn Stomach. Whon empty, and In repoio, highoit, 100| ' ) }liQ^n^ I00i» Whon ompty, and in tfipoio, luwost, 08 When empty, and cxorci«hff, highest, 102, When ompty, and exorcising, lu\V(«pt, 100, I Moan, 10U<> Full, or during chymifloation, in repose, highest, 103, ^ kf . innio Full, or during lUiyniincation, in repose, lowest, 09, S ' ' Pull, during chymification, in exorcise, highest, 103, ^ »* ,„ miio Pull, during chymincalion, in exorciso, lowest, 1004, { ♦ * In all tho obsorvations ptcviously to*tho 4tli of De- cember, 1832, tho cxumiiuitions wore made with a Mer- curial Thormomctoi', (Fahrenheit's) and north of latitude 43^. Subsequently, and to March, 1833, tho examina- tions wore made at Wasliington, p. C, in latitude 38^ 53', with the spirit thermonjetfer, from Pool's Barometer, vr\\\c\L varied half a degree from the mercurial one. From July ^, to Novcrnbor, 1833, 1 used Pool's Glass Chemical Spirit Thermometer, (Fahrenheit's scale) at Pittsburgh, N. Y., in latitude about 44° 40', N. ^Pi w=^'> .*. fv> f-i, INFEIIENCES, , , i fVum thvfo?^g0ng Experiments and Observations. 1. That rt»t//i«/ and /ammceon* alihieiits are more* easy of digustion than vvji^ctabta. * 2. That tlip Niiscoptibility of digestion does not, how- cver,,c||>jpojtid^jiflltogethoj:>iijnpn natural or c/^ewtca/ dis- tinctions. , * ^ *, , ' , 3.,Timt.digesi^ion is IJiciUtated Jby minutcnoss o{ di- vision and tciiUcrnass Jn fibre, cyjd rotardod by opposite^ qualities.* 4. Tliat the ultimate principlefoi aliment arc always the same, from ^ivhiitover food they may be obtained. , .^6.. That thpj^ct^on, of the stomach, and its fluids are the same on all kinJ.3 of diet. G. T.hHt!t}ie(/i^e5^%7i^y^ of aliment does not depend upon the quantity of nutrient principles that it contains. ,^^. 7. That the quantity of food generally taken, is more ^p| than the wants of the system rcquirp ; and that such * !► \ excess, if persevered in, generally produces, not only . . - functional aberration, but disease of the coats of the 1| f stomach. 8. That bul/c, as well as nutriment, is necessary to th9 '*^ articles of diet. 9. Thcft*ot/y food is difficult of digestion, though it cott.ta;in8 a large proportion of the ijutrient principl^^^^^ m y"- 10. That the time required for the digcst^ofupf food, is various, depending upon the quantity and^qualitv of the food, state of the stomach, d&c; but thartKe^uM^ bhlinariiy required for the disposal of a modbJilte hieal of the fibrous parts of meat, with bread, ^c^ is**5rroft three to three And a: half hours* ' "^ *' 11. That solid food, of a certain texture, isedsiet'^bf . digestion, thaa/uie?. f ♦ ^* 12. That sffmulating^onrftmeyt/g ai#injuriou*t6''the it^^ealthy stomach. •^ ' "* ''tf*^ ^ IS.^hat the use of ardent spirits always produces disease of the stomach, if persevered in. fv»*f«w-«« 14. That hunger iS the effect of rfw/en/»on'^of the Ves- sels that secrete the gastric jifice. . » «t#^ V;^ »* 1 fi'5.' That the processfes tW mastication^ itisali9htion ahd deglutitiony in an abstract poin^f vievf, do not,' in in'j^ way^ affect the digestioif of foodf or, in*othfl6f woirds, when food is introduced directly intt) the stomach, in a finely divided state, without these previous stips, it ih as readily and aft perfectly digested as when' tKey have becntaken. "'* ^^ ^ ^ 16. That saliva does not possess the properties of ah alimentary solvent. " "* ' > **v «^ ,i^'17.' That the first stage of dig;estion i§ effected in the stomach. » ' .j* f ' 18. That the n^tuiaUemperature of the stomach is IQfif deg. Fahtenheit. > . -B ^M^^That th^illilperatuire is not elevated by the inges^ tioirof food. '' • " ' ^^ ■ zOr That^^er^fi elevates the temperatu|e; a^^^t^at ste^^^eMi in a ]recumbeggpQ9^tipn, depres^^^t 2)k. Thatt^ agenf of chymification is the ■M. :.|P'. kM>^ *! V , ,. INFERENCES. 301 ^' 22. That it acts as a solvmf, of j^fejiL ^^ alters its . ^^ proportios. 23. Tliat its aqtion is facilitated by.thu ^varmth ^.w\ motioiis of tho stomach. 24. That it contains free Muriatic Acid and sonic other active c/tewMcar principles. ' "%. 25. That it is never fonnd free in the gastric .':avity;.^ r**' ' but is always excited to discharge itself by the kitro- '••* duction of /oof/, or otlier irriturttfi. '♦^^. 26. That it is secreted from vessels distinct f|gm tho ;^' '•, ^J ■ i't 'J 'i 'Imi n mucous follicles. 27. That it is seldom obtained pure, but is generally mixed with mucus, and sometimes with saliva. When pi^re, it incapable of being kcpt^ for months, and per- haps for years.* ,L 28. That it coagulates albumen, and afterwards rfw- solves iho coagulai,,-> *f\s'<'^^*i'\^f^mWv**'" m ''^ 29. That it checks the progress of putrefaction. 30. That tho pure gastric juice i» fluid, clear and transparent; without odor; a little salt, and perceptibly add, <♦ .'..•>'.-•♦- aifv^ v>ji, fi*. : ■ ' ♦ 31. That like other chemical agents, it commences its action on food, as soon as it comes in contact with it. '-■^-- • 32. That it is capable of coiuhining with a certain and fixed quantity of food, and when more aliment is pre- sented for its action than it will dissolve, disturbance of the stomach, or " indigestion," will ensue. ♦ I Have now (Nov. 1, 1833) in my possesion, some clear gas- tric juic^ possessing all its original properties* unchanged and undiminished, which was taken from thd stomach in December, 1832, about eleven months ago, and has been kept tightly corked in vials. ■'^'' , ,, " t','-- ;^:'>"^5v'-i. 26 u •;;..v*^ i ■'iv.. ^ '4' ^ 302 A- INFERENCES. ***» "#1 * i* ^. ♦ 33. Th^ it beconjes intimately ^nized and blmdcdjtft witli dhe iiigestu; in tlic stoniacli, by the motions of that 34. That it ia invariably the same substance, modi* jfied only by admixture with other fluids, j B5. That gentle exercise facilitates the digestion of food. 3^ That bile is not ordinarily found in the stomachy and is not commonly necessary for the digestion of food : but _^ 37.^hat, whei}. oily food has been used, it assists its digestion. i . : , ., 38. That chyme is homogeneous, but variable .in its color diiidi consist&ice., ^\ 39. That towards |]he latter stages of chyrtiificatflfe,' it becomes more acid and stimulating, and passes more^ fapi^y fton^the stomach. 40. lUjat water, ardent spirits, and most other ^?«*rf* are not affedte^ by the gastric juice, but pass from the stomach soon after they have been received. 41. That the inner coat of the stomach, is of a pale pink color, varying in its hues, according to its full or empt^ state. ' 42. That, in health, it is constantly sheathed with a mucous coat. 43. Thgit the gastric juice and mucus are dissimilar * indieir physical and chemical properties. ^ *, 44* That the appearance of the interior of the stom- aJckf, in disease, is essentially different frpnithat of its . ^, healthy state. ^; ^ ^^' * % •#^^j^^a| the motions of the stomach produce a con- stant cKur^ing_of ijpcontenti^ and admixture csf|^pd and gastric jiSie. W *^ ' * f * H, . '■■srh,At ^*'- it % ♦ ^1 .1 IttYEREJ^CJEB. 303 # 46. That these motions are in t>^o directions ; trans- versely and longitudinally. 47. That the expulsion o/ the chyme is assistedf% a transverse band, ^c, ^ 48. Thg^chyle is formed in the duodenum and snijill intestines, by the action of bile and pancreatic juice^ on the chyme. 49. That crude chyle is a semi-transparenty whey- colored fluid. *** 50. That it is further changed by the actioi^f the lactedls and mesenterid glands. Sf hie is only an infer- ence from the other facts. It has %ot beeif the subject of experiment. ' . :' «.. Tb^i no other fLuid produ^^the same effect^on ' that gastric juice does ; anomat it is the onlysQl- veni of aliment. 4 ♦ ^*r ♦- . # ?-;' » '*-•. ■-^ <*.'.!l'. m n ■&■ ^(wtJiTJ ^^^^m^ '• '0C it #1 "^ ^ INDEX. .r. ,«(<•• ^ :i '* HtwkCK to 2nd Edition, « %^ £(!Ktion,« ^TION, LRY OBSettVATIONS, n|tlLI]l||§lRY UBStiltVATIpNI # ipc. I. Of Aligk, , . « '* V "• oc pi«nP 4\. and Thirst, 9 13 33 i «i ' •* " ^"' OP5||ti8f8UJtion and Satiety, - - 59 ^ V^ jVy JK^^ Of HNtication, Insalivatiori; and Deglutition, 63 ** H > y^ Of Digestion by the Gastric Juice, - 69 f||[jj^Of the Appea ran ce of the Villous Coat, and « • ^ of the Moiflp ^f the Stomach, - 95 ^ M* '* VII. Of iSttylificauK, and Use of the Bile and " ' # Pancreatic Juice, Bxra|iMlwTS— First Series, Second Series, il^ird Series, Jffontih Series, j[o Examinations, - ' ^ |il_ri||PrTTT1Tli1 OF CSTMIFICATION, 4r 'J^MPE'EATCftB l&.^lpMACH) % ' 109 ■^ ^ 117 '^ 1S!S 17a '249 ^ 247 2fii3 296 % 8 1 # .«. - ^ffL ♦■ «,. :^ ^ .*^' J'*!'"-^ m ;*- ri»^ 4." r* '>^