Two preliminary distinctions will prepare us to grasp the cause of growth. We must note (i) that the organic parts grow by the growth of the tissues (for every organ is composed of these as its constituents); and (ii) that flesh, bone, and every such part-like every other thing which has its form immersed in matter-has a twofold nature: for the form as well as the matter is called 'flesh'
or 'bone'.
Now, that any and every part of the tissue qua form should grow-and grow by the accession of something-is possible, but not that any and every part of the tissue qua matter should do so. For we must think of the tissue after the image of flowing water that is measured by one and the same measure: particle after particle comes-to-be, and each successive particle is different. And it is in this sense that the matter of the flesh grows, some flowing out and some flowing in fresh; not in the sense that fresh matter accedes to every particle of it. There is, however, an accession to every part of its figure or 'form'.
That growth has taken place proportionally, is more manifest in the organic parts-e.g. in the hand. For there the fact that the matter is distinct from the form is more manifest than in flesh, i.e. than in the tissues. That is why there is a greater tendency to suppose that a corpse still possesses flesh and bone than that it still has a hand or an arm.
Hence in one sense it is true that any and every part of the flesh has grown; but in another sense it is false. For there has been an accession to every part of the flesh in respect to its form, but not in respect to its matter. The whole, however, has become larger. And this increase is due (a) on the one hand to the accession of something, which is called 'food' and is said to be 'contrary' to flesh, but (b) on the other hand to the transformation of this food into the same form as that of flesh as if, e.g. 'moist' were to accede to 'dry' and, having acceded, were to be transformed and to become 'dry'. For in one sense 'Like grows by Like', but in another sense 'Unlike grows by Unlike'.
One might discuss what must be the character of that 'whereby' a thing grows. Clearly it must be potentially that which is growing-potentially flesh, e.g. if it is flesh that is growing.
Actually, therefore, it must be 'other' than the growing thing. This 'actual other', then, has passed-away and come-to-be flesh. But it has not been transformed into flesh alone by itself (for that would have been a coming-to-be, not a growth): on the contrary, it is the growing thing which has come-to-be flesh (and grown) by the food. In what way, then, has the food been modified by the growing thing? Perhaps we should say that it has been 'mixed' with it, as if one were to pour water into wine and the wine were able to convert the new ingredient into wine. And as fire lays hold of the inflammable, so the active principle of growth, dwelling in the growing thing that which is actually flesh), lays hold of an acceding food which is potentially flesh and converts it into actual flesh. The acceding food, therefore, must be together with the growing thing: for if it were apart from it, the change would be a coming-to-be. For it is possible to produce fire by piling logs on to the already burning fire. That is 'growth'. But when the logs themselves are set on fire, that is 'coming-to-be'.
'Quantum-in-general' does not come-to-be any more than 'animal'
which is neither man nor any other of the specific forms of animal:
what 'animal-in-general' is in coming-to-be, that 'quantum-in-general'
is in growth. But what does come-to-be in growth is flesh or bone-or a hand or arm (i.e. the tissues of these organic parts). Such things come-to-be, then, by the accession not of quantified-flesh but of a quantified-something. In so far as this acceding food is potentially the double result e.g. is potentially so-much-flesh-it produces growth: for it is bound to become actually both so-much and flesh. But in so far as it is potentially flesh only, it nourishes: for it is thus that 'nutrition' and 'growth' differ by their definition. That is why a body's' nutrition' continues so long as it is kept alive (even when it is diminishing), though not its 'growth'; and why nutrition, though 'the same' as growth, is yet different from it in its actual being. For in so far as that which accedes is potentially 'so much-flesh' it tends to increase flesh: whereas, in so far as it is potentially 'flesh' only, it is nourishment.
The form of which we have spoken is a kind of power immersed in matter-a duct, as it were. If, then, a matter accedes-a matter, which is potentially a duct and also potentially possesses determinate quantity the ducts to which it accedes will become bigger. But if it is no longer able to act-if it has been weakened by the continued influx of matter, just as water, continually mixed in greater and greater quantity with wine, in the end makes the wine watery and converts it into water-then it will cause a diminution of the quantum;though still the form persists.