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If this idle ingurgitation of too much vinous spirit be daily practised, the urinary branch of absorbents at length gains an habit of inverting its motions, whenever the lacteals are much stimulated; and the whole or a great part of the chyle is thus daily carried to the bladder without entering the circulation, and the body becomes emaciated.
Cathartic and vermifuge medicines applied externally to the abdomen, seem to be taken up by the cutaneous branch of lymphatics, and poured on the intestines by the retrograde motions of the lacteals, without having passed the circulation. VIII. Circumstances by which the Fluids, that are effused by the retrograde Motions of the absorbent Vessels, are distinguished.
Different kinds of diabetes require different methods of cure. For the first kind, or chyliferous diabetes, after clearing the stomach and intestines, by ipecacuanha and rhubarb, to evacuate any acid material, which may too powerfully stimulate the mouths of the lacteals, repeated and large doses of tincture of cantharides have been much recommended.
Perhaps if the mesenteric glands were nicely inspected in the dissections of these patients; and if the thoracic duct, and the larger branches of the lacteals, and if the lymphatics, which arise from the bladder, were well examined by injection, or by the knife, the cause of diabetes might be more certainly understood.
At the same time the glands, that supply the gastric juices, which are necessary to promote the chemical part of the process of digestion, are stimulated to discharge their contained fluids, and to separate a further supply from the blood-vessels: and the lacteals or lymphatics, which open their mouths into the stomach, are stimulated into action, and take up some part of the digesting materials.
The stomach and intestinal canal have a constant vermicular motion, which carries forwards their contents, after the lacteals have drank up the chyle from them; and which is excited into action by the stimulus of the aliment we swallow, but which becomes occasionally inverted or retrograde, as in vomiting, and in the iliac passion.
I. There is a species of atrophy, which has not been well understood; when the absorbent vessels of the stomach and intestines have been long inured to the stimulus of too much spirituous liquor, they at length, either by the too sudden omission of fermented or spirituous potation, or from the gradual decay of nature, become in a certain degree paralytic; now it is observed in the larger muscles of the body, when one side is paralytic, the other is more frequently in motion, owing to the less expenditure of sensorial power in the paralytic limbs; so in this case the other part of the absorbent system acts with greater force, or with greater perseverance, in consequence of the paralysis of the lacteals; and the body becomes greatly emaciated in a small time.
Hale's experiment on the stump of a vine, exerted a force equal to a column of water above twenty feet high. This force of the current of blood in the veins is partly produced by their absorbent power, exerted at the beginning of every fine ramification; which may be conceived to be a mouth absorbing blood, as the mouths of the lacteals and lymphatics absorb chyle and lymph.
Each villus contains a loop of blood-vessels, and another vessel, the lacteal, so called from the Latin word lac, milk, because of the milky appearance of the fluid it contains. The villi are adapted especially for the absorption of fat. They dip like the tiniest fingers into the chyle, and the minute particles of fat pass through their cellular covering and gain entrance to the lacteals.
To be of any service the food must enter the blood; it must be absorbed. The efficient agents in absorption are the blood-vessels, the lacteals, and the lymphatics. The process through which the nutritious material is fitted to enter the blood, is called absorption. It is a process not confined, as we shall see, simply to the alimentary canal, but one that is going on in every tissue.
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