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[营养与个体防御——历史考量]

[Nutrition and individual defense--historical considerations].

作者信息

Schadewaldt H

机构信息

Institut für Geschichte der Medizin, Heinrich-Heine-Universität Düsseldorf.

出版信息

Zentralbl Hyg Umweltmed. 1991 Mar;191(2-3):302-6.

PMID:2059290
Abstract

The first scientific understandings on the value of nutrition and the assimilation of food, in the Greek language "metabole" (metabolism), are published in the Corpus Hippocraticum. But the conception of metabolism was introduced in scientific literature not earlier than 1839 by Theodor Schwann (1810-1882) and 1842 by Justus von Liebig (1803-1873). The antique ideas were completed in the 17th century by the theory of ferments, introduced by the iatro-chemist Johann Baptist van Helmont (1577-1644), and the Italian priest Lazzaro Spallanzani (1729-1799) could proof the existence of such processes in the living organism by animal experiments in 1776. Then Schwann could discover in the gastric juice a substance in 1835 which he called "pepsin". In the time of the voyages of discovery new, not yet known malnutritions on the ships were known as scurvy, beriberi and in the northern countries rickets. Then it became clear that not only the three groups of food, but also supplementary materials, known in 1912 as vitamines by Casimir Funk (1884-1967), could develop determined effects. The starvation in the first and the second world war showed clearly, that deterioration of food supply diminished the condition of immunity. Failed food experiments with gelatin, synthetically produced citric acid and the discussions of malnutrition diseases, based on a deficiency of zinc, of toddlers, are discussed as the malnutrition illness kwashiorkor in the third world. In conclusion a citation of the famous American physiologist Graham Lusk (1866-1932) is mentioned from the year 1906, who praised the scientific priority of the German medical research.

摘要

关于营养的价值以及食物消化吸收(希腊语为“metabole”,即新陈代谢)的首批科学认知发表于《希波克拉底文集》。但新陈代谢的概念在科学文献中的引入不早于1839年(由西奥多·施旺[1810 - 1882]提出)以及1842年(由尤斯图斯·冯·李比希[1803 - 1873]提出)。古代的观点在17世纪因医化学家约翰·巴普蒂斯特·范·海尔蒙特(1577 - 1644)提出的发酵理论而得以完善,意大利牧师拉扎罗·斯帕兰扎尼(1729 - 1799)在1776年通过动物实验证明了此类过程在生物体中的存在。随后,施旺于1835年在胃液中发现了一种物质,他将其称为“胃蛋白酶”。在大航海时代,船上出现了新的、尚不为人知的营养不良病症,如坏血病、脚气病,在北方国家还有佝偻病。后来人们清楚地认识到,不仅三类食物,还有1912年被卡西米尔·冯克(1884 - 1967)称为维生素的补充物质,都能产生特定作用。第一次和第二次世界大战期间的饥荒清楚地表明,食物供应的恶化会降低免疫力。用明胶、合成柠檬酸进行的失败食物实验,以及关于第三世界中因锌缺乏导致幼儿营养不良疾病的讨论,被视为夸休可尔症这种营养不良病症。最后提到了美国著名生理学家格雷厄姆·卢斯克(1866 - 1932)在1906年的一段引述,他赞扬了德国医学研究的科学优先权。

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