Though the epithelium of the mucous membrane is very thin, the mucous

membrane itself is thick, in some places quite as thick as the skin of

the body. This thickness is caused by its being =crowded with glands=. In

the skin the sweat glands are generally some little distance apart, but

in the mucous membrane of the stomach and of the intestines they are

packed so close together, that the membrane seems to be wholly made up

of glands.

These glands vary in shape in different parts. Nowhere are they exactly

like the sweat glands, because none of them are long thin tubes coiled

up at the end in a knot, and none of them have a great thickness of

epidermis to pass through. Most of them are short, rather wide tubes;

some of them are branched at the deep end. They all, however, resemble

the sweat glands in being tubes or pouches closed at the bottom but open

at top, lined by a single layer of cells, and wrapped round with blood

capillaries. From these capillaries, a watery fluid passes into the

tubes, and from the tubes into the alimentary canal. This watery fluid

is, however, of a different nature from sweat, and is not the same in

all parts of the canal. The fluid which is, as we say, secreted by the

glands in the walls of the stomach is an =acid fluid=, and is called

=gastric juice=; that by the glands in the walls of the intestines is =an

alkaline fluid=, and is called =intestinal juice=.

=48.= But besides these glands in the mucous membrane of the mouth, the

stomach, and the intestines, there are other glands, which seem at first

sight to have nothing to do with the mucous membrane.

Beneath the skin, underneath each ear, just behind the jaw, is a soft

body, which ordinarily you cannot feel, but which, when inflamed by what

is called “the mumps,” swells up into a great lump. In a sheep’s head

you would find just the same body, and if you were to examine it you

would notice fastened to it a fleshy cord running underneath the skin

across the cheek towards the mouth. By cutting the cord across you would

discover that what seemed a cord was in reality a narrow tube coming

from the soft body we are speaking of and opening into the mouth. Just

close to the soft body this tube divides into two smaller tubes, these

divide again into still smaller ones, or give off small branches; all

these once more divide and branch like the boughs of a tiny tree; and so

they go on branching and dividing, getting smaller and smaller, until

they end in fine tubes with blind swollen ends. All the tubes, great and

small, are lined with epithelium and wrapped round with blood-vessels,

and being packed close together with connective tissue, make up the soft

body we are speaking of. This body is in fact a =gland=, and is called a

=salivary gland=; as you see it is not a simple gland like a sweat gland,

but is made up of a host of tube-like glands all joined together, and

hence is called a =compound gland=. Being placed far away from the mouth,

it has to be connected with the cavity of the mouth by a long tube,

which is called its =duct=. You cannot fail to notice how like such a

gland is, in its structure, to a lung. The lung is in fact a gland

secreting carbonic acid: and the duct of the two lungs is called the

trachea. The salivary gland beneath the ear is called the =parotid gland=;

there is another very similar one underneath the corner of the jaw on

either side, called the =submaxillary gland=. By each of them a watery

fluid is secreted, which, flowing along their ducts into the mouth and

being there mixed with the moisture secreted by the other glands in the

mouth, is called =saliva=.

In the cavity of the abdomen lying just below the stomach is a much

larger but altogether similar compound gland called =the pancreas=, which

pours its secretion called =pancreatic juice= into the alimentary canal

just where the small intestine begins (Fig. 17, _g._)

That large organ the liver, though the plan of its construction is not

quite the same as that of the pancreas or salivary glands, as you will

by and by learn, is nevertheless a huge gland, secreting from the blood

capillaries into which the portal vein (see p. 62) breaks up, a fluid

called =bile= or =gall=, which by a duct, the =gall duct=, is poured into the

top of the intestine (Fig. 17, _e_). When bile is not wanted, as when

we are fasting, it turns off by a side passage from the duct into the

gall-bladder (Fig. 17, _f_), to be stored up there till needed.

=49.= What are the uses of all these juices and secretions? To dissolve

the food we eat.

[Illustration: FIG. 17.--_The Stomach laid open behind._

_a_, the œsophagus or gullet; _b_, one end of the stomach; _d_,

the other end joining the intestine; _e_, gall duct; _f_, the

gall-bladder; _g_, the pancreatic duct; _h_, _i_, the small

intestine.

]

We eat all manner of dishes, but in all of them that are worth eating we

find the same kind of things, which we call =food-stuffs=.

We eat various kinds of meat; but all meats are made up chiefly of two

things: the substance of the muscular fibre, which you have already

learnt is a =proteid= matter containing nitrogen, and the =fat= which wraps

round the lean muscular flesh. Now, proteids are, when cooked, insoluble

in water (see p. 49); and fat, you know, will not mingle with water.

Both these parts of meat, both these food-stuffs, must be acted upon

before they can pass from the inside of the alimentary canal, through

the epithelium of the mucous membrane, into the blood capillaries.

Besides meat we eat bread. Bread is chiefly composed of =starch=; but

besides starch we find in it a substance containing nitrogen,

exceedingly like the proteid matter of muscle or of blood.

Potatoes contain a very great deal of starch with a very small quantity

of proteid matter; and nearly all the vegetables we eat contain starch,

with more or less proteid matter.

Then we generally eat more or less sugar, either as such or in the form

of sweet fruits. We also take salt with our meals, and in almost

everything we eat, animal or vegetable, meat, bread, potatoes or fruit,

we swallow a quantity of mineral substances, that is, various kinds of

salts, such as potash, lime, magnesia, iron, with sulphuric,

hydrochloric, phosphoric, and other acids.

=In everything on which we live we find one or more of the following

food-stuffs:--Proteid matter, starch or sugar, and fat, together with

certain minerals and water. It is on these we live: any article which

contains either proteid matter, or starch, or fat, is useful for food.

Any article which contains none of them is useless for food, unless it

be for the sake of the minerals or water it holds.=

We are not obliged to eat all these food-stuffs. Proteid matter we must

have always. It is the only food-stuff which contains nitrogen. It is

the only substance which can renew the nitrogenous proteid matter of the

blood and so the nitrogenous proteid matter of the body.

We might indeed manage to live on proteid matter alone, for it contains

not only nitrogen but also carbon and hydrogen, and out of it, with the

help of a few minerals, we might renew the whole blood and build up any

and every part of the body. But, as you will learn hereafter, it would

be uneconomical and unwise to do so. Starch, sugar, and fats, contain

carbon and hydrogen without nitrogen; and hence, if we are to live on

these we must add some proteid matter to them.

=50.= Of these food-stuffs, putting on one side the minerals, sugar (of

which, as you know, there are several kinds, cane sugar, grape sugar,

and the like) is the only one which is really soluble, and will pass

readily by osmosis through thin membranes (see p. 84). If you take a

quantity of white of egg, or blood serum, or meat, or fibrin, or a

quantity of starch boiled or unboiled, or a quantity of oil or fat,

place it in a bladder, and immerse the bladder in pure water, you will

find that none of it passes through the bladder into the water outside,

as sugar or salt would do. In the same way a quantity of meat, or of

starch, or of fat, placed in your alimentary canal, would never get

through the membrane which separates the inside of the canal from the

inside of the capillaries, and so would remain perfectly useless as food

unless something were done to it. While the food is simply inside the

alimentary canal, it is really outside your body. It can only be said

to be inside your body when it gets into your blood.

In the things we eat, moreover, these food-stuffs are mixed up with a

great many things that are not food-stuffs at all; they are packed away

in all manner of little cases, which are for the most part no more good

for eating than the boxes or paper in which the sweetmeats you buy are

wrapped up. The food-stuffs have to be dissolved out of these boxes and

packing.

=The juices secreted by the glands= of which we have been speaking,

dissolve the food-stuffs out of their wrappings, act upon them so as to

make them fit to pass into the blood, and leave all the wrappings as

useless stuff which passes out of the alimentary canal without entering

into the blood, and therefore without really forming part of the body at

all.

This preparation and dissolving of food-stuffs is called digestion.

Different food-stuffs are acted upon in different parts of the

alimentary canal.

The saliva of the mouth has a wonderful power of =changing starch into

sugar=. If you take a mouthful of boiled starch, which is thick, sticky,

pasty, and tasteless, and hold it in your mouth for a few moments, it

will become thin and watery, and will taste quite sweet, because the

starch has been changed into sugar. Now sugar, as you know, will readily

pass through membranes, though starch will not.

The gastric juice in the stomach does not act much on starch, but it

=rapidly dissolves all proteid matters=.

If you take a piece of boiled meat, put it in some gastric juice and

keep the mixture warm, in a very short time the meat will gradually

disappear. All the proteid matter will be dissolved, and only the

wrappings of the muscular fibre and the fat be left. You will have a

solution of meat--a solution, moreover, which, strange to say, will

easily pass through membranes, and is therefore ready to get into the

blood.

The pancreatic juice and the juice secreted by the intestine act both on

starch as saliva does, and on proteids very much as gastric juice does.

=51.= The bile and the pancreatic juice together act upon all fats in a

very curious way.

You know that if you shake up oil and water together, though by violent

shaking you may mix them a good deal, directly you leave off they

separate again, and all the oil is seen floating on the top of the

water. If, however, you shake up oil with pancreatic juice and bile, the

oil does not separate. You get a sort of creamy mixture, and will have

to wait a very long time before the oil floats to the top. Milk, you

know, contains fat, the fat which is generally called butter. If you

examine milk under the microscope, you will find that the fat is all

separated into the tiniest possible drops. So also, when you shake up

oil or butter, or any other fat, with bile and pancreatic juice, you

will find on examination that the fat or oil is all separated into the

tiniest possible drops. What is the purpose of this?

If you look at the inside of the small intestine of any animal, you will

find that it is not smooth and shiny like the outside of the intestine,

but shaggy, or, rather, velvety. This is because the mucous membrane is

crowded all over with little tags, like very little tongues, hanging

down into the inside of

[Illustration: FIG. 18.--_Semi-diagrammatic View of Two Villi of the

Small Intestines._ (Magnified about 50 diameters.)

_a_, substance of the villus; _b_, its epithelium, of which some

cells are seen detached at _b_^{2}; _c d_, the artery and vein,

with their connecting capillary network, which envelopes and hides

_e_, the lacteal which occupies the centre of the villus and opens

into a network of lacteal vessels at its base.

]

the intestine. These are called =villi=; they are not unlike the papillæ

of the skin (Fig. 15), if you suppose all the epidermis stripped except

the bottom row of cells (_d_), and the papilla itself pulled out a good

deal. Fig. 18 is a sketch to illustrate the structure of a =villus=. The

epithelium (_b_), you see, is made up of a single row of cells. Beneath

the epithelium, just as in the papilla of the skin, is a network of

blood capillaries, shown, for convenience, in the right-hand villus

only. But besides the blood capillaries, there is in each villus, what

there is not in a papilla of the skin, another capillary (shown, for

convenience, in the left-hand villus only) which does not contain blood,

which is not connected with any artery or with any vein, but which

begins in the villus. This is a =lacteal=. I have said nothing of these at

present. In most parts of the body we find, besides blood capillaries,

fine passages very much like capillaries, except that they contain a

colourless fluid instead of blood, and do not branch off from any larger

vessels like arteries. They seem to start out of the part in which they

are found, like the roots of a plant in the soil. But though unlike

blood capillaries in not branching off from larger trunks, they resemble

capillaries in joining together to form larger trunks corresponding to

veins, and the colourless fluid flows from the fine capillary channels

towards these larger trunks. This colourless fluid is called =lymph=; it

is very much like blood without the red corpuscles, and the channels in

which it flows are called =lymphatics=.

The lymphatics from nearly all parts of the body join at last into a

great trunk called the =thoracic duct=, which empties itself into the

great veins of the neck, as is shown in the diagram, Fig. 6, _Lct._,

_Ly._, _Th. D._

Now, many of the lymphatics start from the innumerable villi of the

intestine, and are there called =lacteals= (Fig. 6, _Lct._); so that

lacteals may be said to be those lymphatics which have their roots in

the villi of the intestine.

But what has all this to do with the digestion of fat? Lacteal means

=milky=, and the lymphatics coming from the villi are called lacteals

because, when digestion is going on, the fluid in them, instead of being

transparent as in the rest of the lymphatics, =is white and milky=. Why is

it thus white and milky? Because it is crowded with minute particles of

fat, and those minute particles of fat come from the inside of the

intestine. They are the same minute particles into which the bile and

pancreatic juice have divided the fat taken as food. We know this

because when no fat is eaten the lacteals do not get milky; and when for

any reason bile and pancreatic juice are prevented from getting into the

intestine, though ever so much fat be eaten, it does not get into the

lacteals at all, it remains in the intestine in great pieces, and is

finally cast out as useless.

=52.= This, then, is what becomes of the food-stuffs:--

The fats are broken up by the bile and pancreatic juice into minute

particles. These minute particles, we do not exactly know how, pass

through the epithelium of the villus into the lacteal vessels, from the

lacteals into the thoracic duct, and from the thoracic duct into the

vena cava. Thus the fats we eat get into the blood.

The starch is changed into sugar in the mouth by saliva, and in the

intestine by the pancreatic juice; but sugar passes readily through

membranes, and so slips into the blood capillaries of the walls of the

alimentary canal. Thus all the sugar we eat, and all the goodness of the

starch we eat, pass into the blood.

The proteids are dissolved in the stomach by the gastric juice, and what

passes the stomach is dissolved in the intestine, dissolved in such a

way that it can pass through membranes; and thus proteids pass into the

blood.

Probably some of the sugar and proteids pass into the lacteals as well.

The minerals are dissolved either in the mouth, or in the stomach, or in

the intestine, and pass into the blood.

And water passes into the blood everywhere along the whole length of the

canal.

When we eat a piece of bread, while we are chewing it in our mouth it is

getting moistened and mixed with saliva. Part of its starch is thereby

changed into sugar, and all of it is softened and loosened. Passing into

the stomach, some of the proteids are dissolved out by the gastric

juice, and pass into the blood, and all the rest of the bread breaks up

into a pulpy mass. Passing then into the intestine, what is left of the

starch is changed by the pancreatic juice into sugar, and is at once

drained off either into the lacteals or straight into the blood. In the

intestine what remains of the proteids is dissolved, till nothing is

left but the shells of the tiny chambers in which the starch and

proteids were stored up by the wheat-plant as it grew.

When we eat a piece of meat, it is torn into morsels by the teeth and

well moistened by saliva, but suffers else little change in the mouth.

In the stomach, however, the proteids rapidly vanish under the action of

the gastric juice. The morsels soften, the fibres of the muscle break

short off and come asunder; the fat is set free from the chambers in

which it was stored up by the living ox or sheep, and, melted by the

warmth of the stomach, floats in great drops on the top of the softened

pulpy mass of the half-digested food. Rolled about in the stomach for

some time by the contraction of the muscles which help to form the

stomach walls, losing much of its proteids all the while to the hungry

blood, the much-changed meat is squeezed into the intestine. Here the

bile and the pancreatic juice, breaking up the fat into tiny particles,

mix fat, and broken meat, and empty wrappings, and salts, and water, all

together into a thick, dirty, yellowish cream. Squeezed along the

intestine by the contraction of the muscular walls, the goodness of this

cream is little by little sucked up. The fat goes drop by drop, particle

by particle, into the lacteals, and so away into the blood. The

proteids, more and more dissolved the further they travel along the

canal, soak away into blood-vessel or into lacteal. The salts and the

water go the same way, until at last the digested meat, with all its

goodness gone, with nothing left but indigestible wrappings, or perhaps

as well some broken bits of fibre or of fat, is cast aside as no longer

of any use.

=Thus all food-stuffs, not much altered, with all their goodness

unchanged, pass either at once into the blood, or first into the

lacteals and then into the blood, and the useless wrappings of the

food-stuffs are cast away.=

While we are digesting, the blood is for ever rushing along the branches

of the aorta, through the small arteries and capillaries of the stomach

and intestine, along the branches of the portal vein, and so through the

liver back to the heart; and during the few seconds it tarries in the

intestine, it loads itself with food-stuffs from the alimentary canal,

becoming richer and richer at every round. While we are digesting, the

thoracic duct is pouring, drop by drop, into the great veins of the neck

the rich milky fluid brought to it by the lacteals from the intestine,

and as the blood sweeps by the opening of the thoracic duct on its way

down from the neck to the heart, it carries that rich milky fluid with

it, and the heart scatters it again all over the body.

=Thus the blood feeds on the food we eat, and the body feeds on the

blood.=

HOW THE BLOOD GETS RID OF WASTE MATTERS. § VIII.

=53.= But if the blood is thus continually being made rich by things, it

must also as continually be getting rid of things. The things with which

it parts are not, however, the same as those which it takes. The blood,

as we have said, is fuel for the muscles, for the brain, and for other

parts of the body. These burn the blood, burn it with heat but without

light. But, as you have learnt from your Chemistry Primer, Art. 4,

burning is only change, not destruction; in burning nothing is lost. If

the muscle burns blood, it burns it into something; that something,

being already burnt, cannot be burnt again, and must be got rid of.

Into what things does the body burn itself while it is alive?

I have already said that if you were to take a piece of meat or some

blood, and dry it and burn it, you would find that it was turned into

four things--water, carbonic acid, ammonia, and ashes. The body is made

up of nitrogen, carbon, hydrogen, and oxygen, with sulphur, phosphorus,

and some other elements. The nitrogen and hydrogen go to form ammonia;

the hydrogen, with the oxygen of combustion, forms water; the carbon,

carbonic acid; the phosphorus, sulphur, and other elements go to form

phosphates, sulphates, and other salts.

=In whatever way the body be oxidized, whether it be rapidly burnt in a

furnace, whether it be slowly oxidized after death, as when it moulders

away either above ground or in the soil, whether it be quickly oxidized

by living arterial blood while still alive--in all these several ways

the things into which it is burnt, into which it is oxidized, are the

same. Whatever be the steps, the end is always water, carbonic acid,

ammonia, and salts.=

These are the things which are always being formed in the blood through

the oxidation of the body, these are the things of which the body has

always to be getting rid.

In addition to the water which comes from the oxidation of the solids of

the body, we are always taking in an immense quantity of water; partly

because it is absolutely necessary that our bodies within should be kept

continually moist, partly because food cannot pass into the blood except

when dissolved in water, and partly because we need washing inside quite

as much as outside; if we had not, so to speak, a stream of water

continually passing through our bodies to wash away all impurities, we

should soon be choked, just as an engine is choked with soot and ashes

if it be not properly cleaned. We have, then, to get rid daily of a

large quantity of washing water over and above that which comes from the

burning of the hydrogen of our food.

We have already seen that a great deal of the carbonic acid goes out by

the lungs at the same time that the oxygen comes in. A large quantity of

water escapes by the same channel. You very well know that however dry

the air you breathe, it comes out of your body quite wet with water.

We have also already seen how the blood secretes sweat into the

sweat-glands, and so on to the skin. Perspiration is little more than

water with a little salt in it. The skin, therefore, helps to purify the

blood through the sweat-glands, by getting rid of water with a little

salt. You must remember that a great deal of water passes away from your

skin without your knowing it. Instead of settling on the skin in drops

of sweat, it passes off at once as vapour or steam. Some carbonic acid

also makes its way from the blood through the skin.

=54.= It only remains for us to inquire, In what way does the blood get

rid of the ammonia and the rest of the saline matters that do not pass

through the skin?

These are secreted from the blood by the kidney, dissolved in a large

quantity of water in the form of =urine=.

What is the kidney? You will learn more about this organ by and by.

Meanwhile it will for our present purpose be sufficient to say that a

kidney is a bundle of long tubular glands, not so very unlike

sweat-glands, all bound together into the rounded mass whose appearance

is familiar to you. =Into these glands the blood secretes urine just as

it secretes sweat into the sweat-glands=. The glands themselves unite

into a common tube or duct which carries the urine into the receptacle

called the urinary bladder, from whence it is cast out when required.

What is urine? Urine is in reality water holding in solution several

salts, and in particular containing a quantity of ammonia. The ammonia

in urine is generally in a particular condition, being combined with a

little carbonic acid, in the form of what is called =urea=. If urea is not

actually ammonia, it is at least next door to it.

Physiology · 第 7 / 8 段