the existence of which, till
within the last few years, was quite unknown, and which even now is too
little heeded. It is now known, says Dr. Parker, that in varying
degrees there is a constant transit of fluid from the blood into the
alimentary canal, and as rapid absorption. The amount thus poured out
and absorbed in twenty-four hours is almost incredible, and of itself
constitutes a secondary or intermediate circulation never dreamt of by
Harvey. The amount of gastric juice alone passing into the stomach in a
day, and then re-absorbed, amounted in the case lately examined by
Grunewald to nearly 23 imperial pints. If we put it at 12 pints we
shall certainly be within the mark. The pancreas, according to Kroeger,
furnishes 12-1/2 pints in twenty-four hours, while the salivary glands
pour out at least 3 pints in the same time. The amount of the bile is
probably over 2 pints. The amount given out by the intestinal mucous
membrane cannot be guessed at, but must be enormous. Altogether the
amount of fluid effused into the alimentary canal in twenty-four hours
amounts to much more than the whole amount of blood in the body (which
is 18 pounds in a man weighing 143 pounds); in other words, _every
portion of the blood may, and possibly does, pass several times into
the alimentary canal in twenty-four hours_. The effect of this
continual out-pouring is supposed to be to aid metamorphosis; the same
substance more or less changed seems to be thrown out and re-absorbed
until it be adapted for the repair of tissues, or become effete."
The reader will readily perceive how the system may become so charged
that other organs of the body will vicariously attempt to play the part
of a receptacle and conduit for the bowel, in order to excrete and
eliminate ancient and offensive filth and bacterial poisons. The
phenomenon of vicarious excretion may occur through the kidneys, lungs,
skin, throat, nose, vagina, or uterus, thus keeping up chronic diseases
and discharges that would not exist but for the chronic constipation or
even for _incomplete action of the bowels each day_. Over-distention
of the rectum, sigmoid and colon, due to the pressure of gases and the
impaction of feces, results in inflammation, ulceration, stricture,
appendicitis, abscess, strangulation, intussusception, and abnormal
ballooning or roominess in certain portions of these intestines or
conduits. This roominess, though it becomes filled with feces, and
often with
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