CHAPTER XXII.

NUTRITION.

438. NUTRITION is the vital act by which the different parts of the

body renew the materials of which they are composed. Digestion,

circulation, absorption, and respiration, are but separate links in

the chain of nutrition, which would be destroyed by the absence of any

one of them.

439. The nutritive process is also a kind of secretion, by which

particles of matter are separated from the blood and conveyed with

wonderful accuracy to the appropriate textures. The function of the

nutrient vessels antagonizes those of absorption: while one system is

constructing, with beautiful precision, the animal frame, the other is

diligently employed in pulling down this complicated structure.

440. This ever-changing state of the body is shown by giving animals

colored matter, mixed with their food, which in a short time tinges

their bones with the same color as the matter introduced. Let it be

withdrawn, and in a few days the bones will assume their former

color--evidently from the effects of absorption. The changeful state

of the body is further shown by the losses to which it is subjected;

by the necessity of aliment; by the emaciation which follows

abstinence from food.

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438-454. _What remarks respecting nutrition?_ 438. What is nutrition?

439. What is said of the nutritive process? The function of the

nutrient vessels? 440. Give a proof of the ever-changing state of the

body. Give other instances illustrative of the changeful state of the

body.

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441. Every part of the body is subject to this continual change of

material, yet it is effected with such regularity, that the size,

shape, and appearance, of every organ is preserved; and after an

interval of a few years, there may not remain a particle of matter

which existed in the system at a former period. Notwithstanding this

entire change, the personal identity is never lost.

442. Many calculations have been made to determine in what length of

time the whole body is renewed. Some have supposed that it is

accomplished in four years; others have fixed the period at seven

years; but the time of the change is not definite, as was supposed by

a genuine son of the Emerald Isle, who had been in America _seven

years and three months_, and consequently maintained that he was a

native American.

_Observation._ India ink, when introduced into the skin, is not

removed; hence some assert that this tissue is an exception to the

alternate deposition and removal of its atoms. The ink remains because

its particles are too large to be absorbed, and when in the skin it is

insoluble.

443. "Those animals which are most complicated in their structure, and

are distinguished by the greatest variety of vital manifestations, are

subject to the most rapid changes of matter. Such animals require more

frequent and more abundant supplies of food; and, in proportion as

they are exposed to the greater number of external impressions, will

be the rapidity of this change of matter."

444. "Animals may be situated so that they lose nothing by secretion;

consequently, they will require no nutriment. Frogs have been taken

from fissures in solid lime rock, which were imbedded many feet below

the surface of the earth, and, on being exposed to the air, exhibited

signs of life."

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441. Why is the personal identity never lost in the change of

materials, which is unceasing in the system? 442. Give the opinion of

physiologists respecting the time required for the renewal of the

whole body. What exception to the changing state Of the different

textures? 443. What animals are subject to the most rapid changes of

material? 444. May animals be situated so that they require no

nutriment? What is related of frogs?

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445. The renovation of the bone, muscle, ligament, tendon, cartilage,

fat, nerve, hair, &c., is not perfected merely by the general

circulation of the fluid which is expelled from the left side of the

heart, but through the agency of a system of minute vessels, which,

under ordinary circumstances, cannot be seen by the eye, even when

aided by the microscope; still, minute as they are, the function of

these agents is necessary to the continuance of life. They are the

smallest capillary vessels.

446. "As the blood goes the round of the circulation, the nutrient

capillary vessels select and secrete those parts which are similar to

the nature of the structure, and the other portions pass on; so that

every tissue imbibes and converts to its own use the very principles

which it requires for its growth; or, in other words, as the vital

current approaches each organ, the particles appropriate to it feel

its attractive force,--obey it,--quit the stream,--mingle with the

substance of its tissue,--and are changed into its own true and proper

nature."

447. Thus, if a bone is broken, a muscle or a nerve wounded, and, if

the system is in a proper state of health, the vital economy

immediately sets about healing the rupture. The blood, which flows

from the wounded vessels, coagulates in the incision, for the double

purpose of stanching the wound, and of forming a matrix for the

regeneration of the parts. Very soon, minute vessels shoot out from

the living parts into the coagulum of the blood, and immediately

commence their operations, and deposit bony matter, where it is

required to unite fractured bones, and nervous substance to heal the

wounded nerve, &c.

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445. Show how the renovation of the bones, muscles, &c., is perfected.

446. What is said of the office of the nutrient capillary vessels?

447. When a bone is fractured, by what process is it healed?

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448. But the vital economy seems not to possess the power of

reproducing the muscles and true skin, and therefore, when these parts

are wounded, the rupture is repaired by a gelatinous substance, which

gradually becomes hard, and sometimes assumes something of a fibrous

appearance. It so perfectly unites the divided muscle, however, as to

restore its functional power. When the cuticle is removed, it is

reproduced and no scar remains; but, when the true skin is destroyed,

a scar is formed.

449. It is not uncommon that the nutrient arteries have their action

so much increased in some parts, as to produce preternatural growth.

Sometimes the vessels whose function it is to deposit fat, are

increased in action, and wens of no inferior size are formed. Again,

there may be a deposition of substances unlike any known to exist in

the body. Occasionally, these nutrient arteries of a part take on a

new action, and not only deposit their ordinary substance, but others,

which they have not heretofore secreted, but which are formed by

vessels of other parts of the body. It is in this way that we account

for the bony matter deposited in the valves of the heart and brain,

also the chalky deposits around the finger-joints.

450. In infancy and childhood, the function of nutrition is very

active; a large amount of food is taken, to supply the place of what

is lost by the action of the absorbents, and also to contribute to the

growth of the body. In middle age, nutrition and absorption are more

equal; but in old age, the absorbents are more active than the

nutrient vessels. The size, consequently, diminishes, the parts become

weaker, the bones more brittle, the body bends forward, and every

function exhibits marks of decay and dissolution.

451. A striking instance of active absorption in middle age was

exhibited in the person of Calvin Edson, of Vermont, who was exhibited

in the large towns of New England, as the "living skeleton." In early

manhood he was athletic, and weighed one hundred and sixty pounds; but

the excessive action of the absorbents over the nutrient vessels,

reduced his weight, in the interval of eighteen years, to sixty

pounds.

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448. What occurs when a muscle is divided? 449. State some of the

results of an increased action of the nutrient arteries. 450. When is

nutrition most active? How in middle age? How in old age? 451. Relate

a striking instance of active absorption in middle age.

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452. Instances, on the other hand, have occurred, of the action of the

nutrient vessels exceeding, in an extreme degree, those of absorption;

as in the person of a colored girl, thirteen years of age, who was

exhibited in New York in the summer of 1840. She was of the height of

misses at that age, but weighed five hundred pounds. Several cases are

on record of persons weighing eight hundred pounds.

453. As already mentioned, the blood is the nutritive fluid of

animals. When this fluid is coagulated, a thick, jelly-like mass

floats in the serum, called coagulum. This coagulated mass is composed

of fibrin, and red globulated matter. The color of the red globules is

owing to the presence of iron, though some physiologists think it

depends on an animal substance of a gelatinous character.

_Observation._ That portion of the serum which remains fluid after

coagulation by heat has taken place, is called _se-ros'i-ty_. It is

more abundant in the blood of old, than in that of young animals; and

it forms the "red gravy" in roasted meats.

454. The blood is not necessarily red. It may be white, as in most

fish. There is no animal in which the blood is equally red in all

parts of the body. The ligaments, tendons, and other white tissues in

man are supplied but sparingly with red blood. The fluid that supplies

these tissues is whitish.

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452. Of excessive nutrition in early life. 453. Describe the parts

that enter into the composition of the blood. What part of the blood

forms the red gravy in roasted meats? 454. Is the blood necessarily

red? Of what color is the blood of the fish? What part of the human

system has white blood?

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HYGIENE OF NUTRITION.

455. _Healthy nutrition requires pure blood._ If the nutrient arteries

of the bones are supplied with impure blood, they will become soft or

brittle, their vitality will be impaired, and disease will be the

ultimate result. The five hundred muscles receive another portion of

the blood. These organs are attached to, and act upon the bones. Upon

the health and contractile energy of the muscles depends the ability

to labor. Give these organs of motion impure blood, which is an

unhealthy stimulus, and they will become enfeebled, the step will lose

its elasticity, the movement of the arm will be inefficient, and every

muscle will be incapacitated to perform its usual amount of labor.

456. When the stomach, liver, and other organs subservient to the

digestion of food, are supplied with impure blood, the digestive

process is impaired, causing faintness and loss of appetite, also a

deranged state of the intestines, and, in general, all the symptoms of

dyspepsia.

457. The delicate structure of the lungs, in which the blood is or

should be purified, needs the requisite amount of pure blood to give

them vigor and health. When the blood is not of this character, the

lungs themselves lose their tone, and, even if permitted to expand

freely, have not power fully to change the impure quality of this

circulating fluid.

458. The health and beauty of the skin require that the blood should

be well purified; but, if the arteries of the skin receive vitiated

blood, pimples and blotches appear, and the individual suffers from

"humors." Drinks, made of various kinds of herbs, as well as pills

and powders, are taken for this affection. These will never have the

desired effect, while the causes of impure blood exist.

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455-462. _Give the hygiene of nutrition._ 455. What is the effect of

impure blood upon the bones? On the muscles? 456. On the digestive

organs? 457. On the lungs? 458. What is the effect if the vessels of

the skin are supplied with vitiated blood?

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459. If the nutrient arteries convey impure material to the brain, the

nervous and bilious headache, confusion of ideas, loss of memory,

impaired intellect, dimness of vision, and dulness of hearing, will be

experienced; and in process of time, the brain becomes disorganized,

and the brittle thread of life is broken.

_Observations._ 1st. An exertion of any organ beyond its powers,

induces weakness that will disturb the nutrition of the part that is

called into action; and it recovers its energy more slowly in

proportion to the excess of the exertion. The function of the organ

may be totally and permanently destroyed, if the exertion is extremely

violent. We sometimes see palsy produced in a muscle simply by the

effort to raise too great a weight. The sight is impaired, and total

blindness may be produced, by exposure to light too strong or too

constant. The mind may be deranged, or idiocy may follow the excess of

study or the over-tasking of the brain.

2d. When the function of an organ is permanently impaired or destroyed

by over-exertion, the nutrition of the part is rendered insufficient,

or is entirely arrested; and then the absorbents remove it wholly or

partially, as they do every thing that is no longer useful. Thus, in

palsied patients, a few years after the attack, we often find scarce

any trace of the palsied muscles remaining; they are reduced almost to

simple cellular tissue. The condition of the calf of the leg, in a

person having a club-foot, is a familiar proof of this.

460. _The blood may be made impure, by the chyle being deficient in

quantity or defective in quality._ This state of the chyle may be

produced by the food being improper in quantity or quality, or by its

being taken in an improper manner, at an improper time, and when the

system is not prepared for it. The remedy for impure blood produced in

any of these ways is to correct the injudicious method of using food.

(See Chapters XV. and XVI.)

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459. How does impure blood affect the brain? What is the effect when

any organ is exerted beyond its powers? What is the effect when an

organ is permanently impaired? 460. How may the blood become impure?

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461. _The blood may also be rendered impure, by not supplying it with

oxygen in the lungs, and by the carbon not being eliminated from the

system through this channel._ The remedy for "impurities of the

blood," produced in this manner, would be, to carefully reduce to

practice the directions in the chapters on the hygiene of the

respiratory organs, relative to the free movements of the ribs and

diaphragm, and the proper ventilation of rooms.

462. _A retention of the waste products of the skin produces impure

blood._ When the vessels of the skin, by which the waste, useless

material is eliminated from the system, have become inactive by

improper and inadequate clothing, or by a want of cleanliness, the

dead, injurious atoms of matter are retained in the circulatory

vessels. The only successful method of purifying the blood and

restoring health when this condition exists, is to observe the

directions given relative to clothing and bathing. (See Chapters

XXXIII. and XXXIV.)

_Observation._ If the blood has become "impure," or "loaded with

humors," (an idea generally prevalent,) it is not and cannot be

"purified" by taking patent pills, powders, drops, &c. But, on the

contrary, by observing the suggestions in the preceding paragraphs,

the blood can be freed of its impurities, and, what is of greater

importance, such "injurious humors" will be prevented.

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461. Mention another means by which the blood may be made impure. How

remedied? 462. What is the effect of want of cleanliness upon the

blood? What is said respecting "humors" in the blood?

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[Illustration: Fig. 88. A front view of the organs within the chest and

abdomen. 1, 1, 1, 1, The muscles of the chest. 2, 2, 2, 2, The ribs. 3,

3, 3, The upper, middle, and lower lobes of the right lung. 4, 4, The

lobes of the left lung. 5, The right ventricle of the heart. 6, The left

ventricle. 7, The right auricle of the heart. 8, The left auricle. 9, The

pulmonary artery. 10, The aorta. 11, The vena cava descendens. 12, The

trachea. 13, The oesophagus. 14, 14, 14, 14, The pleura. 15, 15, 15, The

diaphragm. 16, 16, The right and left lobe of the liver. 17, The

gall-cyst. 18, The stomach. 26, The spleen. 19, 19, The duodenum. 20, The

ascending colon. 21, The transverse colon. 25, The descending colon. 22,

22, 22, 22, The small intestine. 23, 23, The abdominal walls turned down.

24, The thoracic duct, opening into the left subclavian vein, (27.)]

A Treatise on Anatomy, Physiology, and Hygiene (Revised Edition) · 第 6 / 34 章