The substances of which the food of man is composed may be divided into two classes—into nitrogenised and non-nitrogenised. The former are capable of conversion into blood, the latter incapable of this transformation. Out of those substances which are adapted to the formation of blood are formed all the organised tissues. The other class of substances in the normal state of health serve to support the process of respiration. The former may be called the plastic elements of nutrition; the latter, elements of respiration.

Among the former we may reckon—vegetable fibrine, vegetable albumen, vegetable casein, animal flesh, animal blood.

Among the elements of respiration in our food are—fat, starch, gum, cane sugar, grape-sugar, sugar of milk, pectine, bassorine, wine, beer, spirits.

The nitrogenised constituents of vegetable food have a composition identical with that of the constituents of the blood.

No nitrogenised compound the composition of which differs from that of fibrine, albumen, and casein, is capable of supporting the vital process in animals.

The animal organism undoubtedly possesses the power of forming from the constituents of its blood the substance of its membranes and cellular tissue, of the nerves and brain, of the organic part of cartilages and bones. But the blood must be supplied to it ready in everything but its form—that is, in its chemical composition. If this is not done, a period is put to the formation of blood, and, consequently, to life.

The whole life of animals consists of a conflict between chemical forces and the vital power. In the normal state of the body of an adult these stand in equilibrium: that is, there is equilibrium between the manifestations of the causes of waste and the causes of supply. Every mechanical or chemical agency which disturbs the restoration of this equilibrium is a cause of disease.

Death is that condition in which chemical or mechanical powers gain the ascendancy, and all resistance on the part of the vital force ceases. This resistance never entirely departs from living tissues during life. Such deficiency in resistance is, in fact, a deficiency in resistance to the action of the oxygen of the atmosphere.

Disease occurs when the sum of vital force, which tends to neutralise all causes of disturbance, is weaker than the acting cause of disturbance.

Should there be formed in the diseased parts, in consequence of the change of matter, from the elements of the blood or of the tissue, new products which the neighbouring parts cannot employ for their own vital functions; should the surrounding parts, moreover, be unable to convey these products to other parts where they may undergo transformation, then these new products will suffer, at the place where they have been formed, a process of decomposition analogous to putrefaction.