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om fermentation or putrefaction of their contents, Wealth would flee from the coffers of our purveyors, and the Boards of Health would, or rather should, take a hand in the matter. And these same purveyors, by the way, why do they care more for Wealth than for Health, their own and ours? But why are we all of us so neglectful of Inner cleanliness and so careful of Outer? The receptacles of the inner man reek with augean filth, and we cleanse them not. The immortal fountains of Health and Happiness are dammed, blasted and degraded by just this neglect of our imperative duty; the duty of furnishing full opportunity for the functions of replenishment and life, _by keeping the sewer passages clear_. Are a sour stomach and foul intestinal canal fit receptacles for food and liquids? When our receptacles are in this condition, why do we add more material for the generation of poisons of the ptomain and leucomain classes, and morbid gaseous elements? It has been demonstrated that during fermentation an apple will evolve a volume of gas six hundred times its own size. What folly then to add to the fermenting mass! Food taken under such conditions will produce results not hard to imagine. The gases that are commonly found in the stomach and small intestines are carbonic acid, nitrogen, oxygen and hydrogen; while, besides all these, sulphureted and carbureted hydrogen are found in the large intestine, causing in a normal state the necessary and useful distention of the alimentary canal. The writer has long regarded the abnormal production of gaseous substances in the intestinal canal from putrefactive changes as of itself not only a grave menace to health, but as a condition productive of morbific results of which we have still much to learn. The more or less constant and excessive distention of the whole or even of a part of the intestinal canal by gases is a serious condition, affecting as it does the various organs of the body, not only through the absorption of these gases into the general circulation but also through the reflex nervous reaction of these organs. It is astonishing what amount of mechanical force is exerted by the gases in the intestinal canal. They distend not only the muscular walls of the intestines and stomach but the strong abdominal walls as well, until the clothing worn has to be loosened for ease and comfort. This more or less extreme mechanical pressure may account for many cases of hernia, prolapse
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