APOSEP′EDIN (-dĭn). A substance found in putrid cheese, and supposed to be a product of the fermentation of caseine. Mulder and others have shown that it is merely impure leucine.
AP′OSTEME† (-tēme or -tĕm). Syn. Ap′ostem†; Aposte′ma†, L. An abscess or collection of purulent matter in any part of the body.
APPARA′TUS. [L., Eng.; class. pl., appara′tus; Eng. pl., appara′tuses—Webster.] Syn. Appareil, Fr.; Apparat, Geräthschaft, Ger. In technical language, the instruments, utensils, and mechanical arrangements, employed in any operation, experiment, or observation, or in any art or trade.
Apparatus. In anatomy and physiology, a catenation of organs all ministering to one general purpose or function; as the digestive apparatus, respiratory a., &c.
APP′ETITE. Syn. Appeti′tus, L.; Apétit, Fr.; Apetit, Begierde, Esslust, Ger. The natural desire of gratification, whether corporeal or mental. In physiology, the instinctive inclination to perform certain natural functions, as those of digestion and generation; but appr., the natural desire for food. In psychology and philosophy, the APPETITES (pl.) are affections of the mind directed to general objects, as fame, glory, or riches; these when subsequently turned to particular objects, constitute the PASSIONS, as envy, gratitude, revenge, or love. In its common and unqualified sense, the word appetite is confined to the desire for food; and in that sense chiefly concerns us here.
The sensations of hunger and thirst are seated in the stomach, and their recurrence at proper intervals is a necessary consequence of vital action, and is essential to the existence of the body in a state of vigour and health. Any alteration from their normal condition
indicates diseased action of the stomach, or of the nervous system or circulation; or it may result from vicious habits. A healthy appetite for food is usually a most certain indication that nature requires a supply; but in the indulgence of this appetite certain regulations should be observed, and a boundary should be put to mere animal gratification. By slowly eating and thoroughly masticating the food, the stomach becomes gradually and equally distended, and the individual feels himself satisfied only after he has taken a quantity sufficient for the nourishment of his body; but, on the contrary, if the food be swallowed rapidly, and without proper mastication, it presses heavily and roughly against the sides of the stomach, and induces a sensation of fulness before a sufficient meal has been made. The consequences are, that hunger soon returns, and the party must either have recourse to food between the usual time of meals, or suffer the consequences of imperfect nutrition. Exercise and labour, within certain limits, promote the healthy functions of the stomach and bowels, through the action of the muscles of the abdomen increasing the peristaltic motion of these viscera. An inordinate appetite in persons leading a sedentary life is generally indicative of the food passing off imperfectly digested, or of the coats of the stomach being relaxed, or even diseased. More food is required in winter than in summer, in consequence of the greater radiation of the heat of the body; and hence the increased appetite which is usually an accompaniment of that season. In persons who lead a more sedentary life in winter than in summer, either no change of this kind occurs, or the reverse is the case; the want of exercise producing a diminution of appetite corresponding to the increase of it that would otherwise result from the seasonal change of atmospheric temperature, or even greater. Deviations of the appetite from the healthy standard, or the normal condition, constitutes DEFECTIVE or DISEASED APPETITE.
Deficiency or loss of appetite (AN′OREXY; ANOREX′IA, L.) generally arises from disordered stomach; but is also frequently symptomatic of other affections, particularly dyspepsia, biliousness, feverishness, and organic diseases of the lungs, stomach, and primæ viæ. It is a common consequence of sedentary life, and of extreme mental anxiety, excitement, or exhaustion. The treatment will necessarily vary with the cause. In simple spontaneous cases the appetite may generally be improved by outdoor exercise, and the occasional use of mild aperients, especially salines and aloetics. When the affection arises from the stomach being loaded with bile and crudities, an emetic in the evening, followed by a stomachic purgative the next morning, with an occasional aperient afterwards, will seldom fail to effect a cure. With heavy drinkers a gradual reduction of the quantity of the strong liquors usually consumed is generally followed by a restoration of the appetite and digestive powers. The change thus gradually effected in the course of 8 or 10 days is often almost magical. The excessive use of liquors—especially of spirits, wine, or beer, or even of warm weak ones, as tea, coffee, soup, &c.—is always prejudicial. Hence drunkards are particularly subject to defective appetite; and teetotallers and water-drinkers to a heartiness often almost approaching voracity. See Bile, Dyspepsia, &c.
Depraved appetite (PI′CA, L.), or a desire for unnatural food, as chalk, cinders, dirt, soap, tallow, &c., when an idiopathic affection or when depending on vicious tastes or habits (as is often the case in childhood), it may be treated by admixing very small doses of tartar emetic or ipecacuanha with the objectionable food or articles. When symptomatic of pregnancy, a plentiful and nutritious diet, including the red meats, with a little good malt liquor or wine, may be adopted with advantage. When symptomatic of chlorosis, to this diet may be added the use of chalybeate tonics, and sea or tepid bathing; when of dyspepsia, a light diet, bitter tonics, free exercise, fresh air, and cold bathing, will generally effect a cure.
Insatiable appetite (CANINE APPETITE, VORACITY; BULIM′IA, L.) is generally symptomatic of pregnancy, or worms, or diseases of the stomach or the viscera immediately connected with it; but sometimes exists as a separate disease, and is even said to be occasionally hereditary. When it occurs in childhood, worms may be suspected, and vermifuges administered. In adults, a common cause is imperfect digestion, arising from stomach complaints or gluttony, when the languor and gnawing pains of disease are mistaken for hunger. In this case the diet should be regulated and the bowels kept gently relaxed with mild aperients, and tonics (as bark and steel), or bitters (as orange-peel and gentian), may be administered. When pregnancy or vicious habits are the cause, the treatment indicated under DEPRAVED APPETITE may be adopted. When the affection is occasioned by acidity in the stomach, an emetic, followed by the moderate use of absorbents or antacids, will generally effect a cure. In those cases depending on a highly increased power of the stomach in effecting rapid and complete digestion, its contractile force and morbid activity may be often allayed by the copious use of salad oil, fat meat, &c., by the cautious use of opiates, or by the use, or freer use, of tobacco (either smoked or chewed, or both). A cathartic daily, with a dose of blue-pill, or mercurial powder, every second or third day, is also often advantageous. 25 or 30 drops of solution of potassa, in broth, twice or thrice daily, has also been recommended. See Bile, Dyspepsia, Worms, &c.