Chapter IX.
The Skin and the Kidneys.

232. The Elimination of Waste Products. We have traced the food from the alimentary canal into the blood. We have learned that various food materials, prepared by the digestive processes, are taken up by the branches of the portal vein, or by the lymphatics, and carried into the blood current. The nutritive material thus absorbed is conveyed by the blood plasma and the lymph to the various tissues to provide them with nourishment.

We have learned also that oxygen, taken up in the air cells of the lungs, is being continually carried to the tissues, and that the blood is purified by being deprived in the lungs of its excess of carbon dioxid. From this tissue activity, which is mainly oxidation, are formed certain waste products which, as we have seen, are absorbed by the capillaries and lymphatics and carried into the venous circulation.

In their passage through the blood and tissues, the albumens, sugars, starches, and fats are converted into carbon dioxid, water, and urea, or some closely allied body. Certain articles of food also contain small amounts of sulphur and phosphorus, which undergo oxidation into sulphates and phosphates. We speak, then, of carbon dioxid, salts, and water as waste products of the animal economy. These leave the body by one of the three main channels,—the lungs, the skin, or the kidneys.

The elimination of these products is brought about by a special apparatus called organs of excretion. The worn-out substances themselves are called excretions, as opposed to secretions, which are elaborated for use in the body. (See note, p. 121.) As already shown, the lungs are the main channels for the elimination of carbon dioxid, and of a portion of water as vapor. By the skin the body gets rid of a small portion of salts, a little carbon dioxid, and a large amount of water in the form of perspiration. From the kidneys are eliminated nearly all the urea and allied bodies, the main portion of the salts, and a large amount of water. In fact, practically all the nitrogenous waste leaves the body by the kidneys.

Fig. 96.—Diagrammatic Scheme to illustrate in a very General Way Absorption and Excretion.

233. The Skin. The skin is an important and unique organ of the body. It is a blood-purifying organ as truly as are the lungs and the kidneys, while it also performs other and complex duties. It is not merely a protective covering for the surface of the body. This is indeed the most apparent, but in some respectes, the lest important, of its functions. This protective duty is necessary and efficient, as is proved by the familiar experience of the pain when a portion of the outer skin has been removed.