THE LIBRARY OF THE UNIVERSITY OF CALIFORNIA PRESENTED BY PROF. CHARLES A. KOFOID AND MRS. PRUDENCE W. KOFOID EXPERIMENTAL INQUIRY INTO THE LAWS OF ORGANIC AND ANIMAL LIFE. J. Moir, Printer, West Register Street, Edinburgh. AIST EXPERIMENTAL INQUIRY INTO THE LAWS* WHICH REGULATE THE PHENOMENA OF ORGANIC AND ANIMAL LIFE. BY GEORGE CALVERT HOLLAND, M. D. BACHELOR OF LETTERS OP THE UNIVERSITY OF PABIS ; FORMERLY SENIOR PRESIDENT OF THE HUNTERIAV MEDICAL SOCIETY, AND PRESIDENT OF THE ROYAL PHYStOi. SOCIETY s OF EDINBURGH, .- ' ' > The application of particulars to a whole will often discover their fallacy, ami the applying any general system to particulars will often discover its true limits -CULLEN. EDINBURGH : PRINTED FOR MACLACHLAN AND STEWART j AND S1MPKIN AND MARSHALL, LONDON. 1829. TO E. MULLIGAN, M. D., F.R.S.E., &c. JOHN FLETCHER, M. D., &c. AKD WILLIAM SELLER, M. D., &c. MY DEAR SIRS, IF friendship, and a sense of gratitude for many favours received, had not naturally directed me to you, as individuals to whom I could, with heartfelt satisfaction, dedicate the present production, your well known intellectual acuteness and professional acquirements would alone have been sufficient to inspire a wish to possess the honour of your names. In having the opportu- nity of uniting the feelings of the friend with the admiration of a pupil, it is with particular pleasure I embrace the present occasion to assure you that I am not insensible of the honour of your friendship, nor ungrateful for the benefits you have conferred, and the interest you have shown in promoting the completion of this Physiological Inquiry. To you I am particularly indebted for having examined the sheets during the progress of their printing. Your liberal remarks have enabled me, in many instances, to take a more extended or correct view of certain of those physiological subjects considered in their outline or detail in the present volume ; and your approbation and encouragement have made me cultivate with pleasure what otherwise might have been a labour. Believe me, My DEAR Si as, Your Sincere and Faithful Friend, G. CALVERT HOLLAND. MANCHESTER June 2, 1820. CONTENTS. Page, CHAP. I. Animal Heat is not in the direct ratio of the quan- tity of oxygen inhaled, but in the inverse ratio of the quantity of blood exposed to this principle . 1 CHAP. II. The Cause of Animal Heat ........ 34 CHAP. IIT. Secreting surfaces are not dependent on Nervous communication between their own individual parts and the origin of the nerves, nor does Galvanism re-establish or excite their particular functions by maintaining such a relation ..... .68 CHAP. IV. The Distribution of the Blood at different Ages and Seasons ............. ; 98 CHAP. V. Temperature at different Ages ...... 121 CHAP. VI. The manner in which the System is adapted to the influence of Cold 143 Vlll CONTEXTS. Page. CHAP. VII. On the Torpidity of Hibernating Animals ... 161 CHAP. VIII. The means by which the System is enabled to bear a temperature much superior to that of the body 174 CHAP. IX. The Influence of Disease on the production of Heat 189 CHAP. X. The Function of the Eighth Pair of Nerves . . . 208 CHAP. XI. The Influence of Narcotics on the generation of Ani- mal Heat and the Digestive Powers . . . 241 CHAP. XII. The Causes which influence the Action of the Heart 260 CHAP. XIII. On Palpitation 280 SECT. I. The general causes which produce this affection . . . ib. SECT. II. Organic causes which produce pal- pitation 286 CHAP. XIV. Syncope ....;. p'V^; r ^^ t t ^QQ SECT. I. The manner in which the Sanguife- rous and Nervous Systems are acted upon by those causes which produce Syncope . . , ib. CONTENTS. IX Page. SECT. II. An examination of the causes which occasion Syncope by changing the ordinary course or freedom of the circulation . . . 316 CHAP. XV. Physiology of Passion 324 SECT. I. The Seat of Passion ib. SECT. II. The Phenomena and Physiology of Passion 333 SECT. Ill The Influence and Effects of Pas- sion 350 CHAP. XVI. An Inquiry into the Nature of the Vital Principle , 363 SECT. I. An Investigation of the different phe- nomena attributed to an unknown or imma- terial principle ib. SECT. II. An Inquiry into the nature of that principle by means of which the System is maintained in health and vigour . . . 381 CHAP. XVII. On Sympathy 398 CHAP. XVIII. The general Action of Emetics on the System, with a few remarks on their efficacy in Chronic and Acute Diseases 423 APPENDIX 465 INTRODUCTION. THE Laws of Organic and Animal Life, in re- gard to their susceptibility of demonstration, may be said to possess the properties of the exact and abstract sciences. On many subjects connected with these laws, direct experiments can be brought forward to prove the correctness or fallacy of what is advanced ; but it likewise fre- quently happens that the evidence which is ac- quired, even in this way, must be considered to make only a distant approximation to many im- portant truths. Experiments allow us to go a certain length in endeavouring to develope the different functions of the system ; but unless the reflecting powers enable us to surpass the limits prescribed to our imperfect means and senses, many principles of importance, which are legitimately deduced from general Xll INTRODUCTION. facts and phenomena, would be too unconnected in their relations to serve any practical or useful purpose. When the animal system is patiently investigated, by means of well-directed experi- ments and deliberate observations, many mys- teries are cleared up, and many intricacies are solved. When the laws of the constitution are thus examined, the results are similar to those that DUGALD STEWAIIT has described in respect to the operations of the mind, when studied with care : " Upon a slight attention to the oper- ations of our own minds, they appear to be so complicated, and so infinitely diversified, that it seems to be impossible to reduce them to any general laws. In consequence, however, of a more accurate examination, the prospect clears up ; and the phenomena, which appeared at first to be too various for our comprehension, are found to be the result of a comparatively small number of simple and uncompounded faculties, or of simple uncompounded principles." We must guard against being too indulgent either to the experimentalist or theorist. The re- sults obtained by the former require a more criti- cal investigation than they generally receive, INTRODUCTION. Xlll not because we should be disposed to doubt the observations of an individual engaged in experi- mental inquiries, but because the reasoning which he founds, or the principles which lie deduces from important results, are occasionally far from being either legitimate or correct. The experimentalist seldom commences his practical inquiries without having some precon- ceived view or principle to establish or refute, tending to direct these studies ; and whatever be the nature of the conclusions,he is apt to seize and apply with avidity such only as are consonant with his own opinion. Although the reader is not liable to be blinded by the feelings and train of re- flection which regulate the proceedings of the experimentalist, yet he is liable to be biassed by the plausible manner which generally accom- panies the statement of simple facts, on account of the variety of views which are closely inter- woven with them. The experiments of WILSON PHILIP, advanced to prove his peculiar opinions in regard to ani- mal heat and digestion, are the best illustrations that can be brought forward to shew that expe- riments themselves, although correct, are occa- INTRODUCTION. sionally more liable to mislead than even the deductions of theory, if they are regarded by a mind neglecting to generalize the facts presented, to note the relations between objects that are manifest, or to refer those phenomena, that have no obvious connexion to explain them, to the most probable or general law of the animal eco- nomy. This method of investigating the laws of the system has been entirely neglected by WILSON PHILIP, and to a certain extent by BRODIE, and others engaged in similar physiolo- gical pursuits. The former gentleman divided the par vagum, and found, as a consequence of this operation, that the function of digestion was very much retarded or destroyed : from this effect he concluded, that digestion depends on 7iervous influence; but, what is somewhat extraordinary, while he observed the animal breathe with great difficulty while he remarked its temper- ature to diminish 15 or 20 degrees, nay, even after the death of the animal, when the lungs exhibited the colour and congested appearance of the liver he never for a moment seemed to ima- gine that the proper performance of respiration, and the normal circulation of the blood, tvere con- INTRODUCTION, XV ditions at all essential to the function of digestion. The same observations apply to the rest of his mutilations of the nervous system, in respect to animal heat and digestion. As the consideration of the former occupies the greater part of the fol- lowing volume, I have attended critically to the views of those who suppose the nervous system to be the efficient agent in maintaining the tempera- ture of the body. I have not, on all occasions, per- formed experiments in order to prove the correct- ness of my own opinions ; but have, when it was possible, taken the results of the experiments of others as data for my own reasoning. This plan is closely followed in several chapters, in which I attempt to shew the fallacy of principles ad- vanced by WILSON PHILIP, Dr EDWARDS of Paris, JOHN HUNTER, and others. I have not brought forward the varieties of opinion on every physiological subject treated in this work. My object has been to notice the views of those whose originality and importance merit repetition and consideration ; nor have I been particularly desirous of developing mi- nute details which naturally flow from general principles. X vi I N TRODUC T ION. Physiology, within a few years, has under- gone material changes. There is scarcely a de- partment of this science that has not been the subject of experiment or theory. The anatomy and physiology of the Nervous system have been particularly studied. Among the list of those who have distinguished themselves in this walk of science, we cannot forego mentioning the names of GALL, MAGENDIE, LEGALLOIS, DEMOULINS, FLOURENS, and BELL. Our own countryman may probably be considered as the most valuable contributor to our knowledge of the nervous system. His discovery of the difference between the nerves of motion and of sensibility belonging to the spinal cord and medulla oblongata has one property to recommend it, which places it pre-eminently above the contributions of his contemporaries: // has important relations to practice. But although others may have been less fortunate in their scientific investigations, it is an incumbent duty to express admiration of the zeal and talent, with which they have devoted themselves to such pursuits; audit is equally a duty to acknowledge the benefits they have conferred, INTRODUCTION. XVli and the impulse they have given to experimental physiology. It is not improbable that we shall continue to labour in the study of the nervous system long and patiently before we shall be capable of un- derstanding satisfactorily its functions. Much has already been said and accomplished to dissi- pate the obscurities which hang over the phe- nomena it developes, but, at present, we possess only an outline of its important offices. When physiologists knew less than they do at present, the production of animal heat was as- cribed to chemical changes in the lungs, as it was observed that similar changes, occurring without the system, are accompanied by a disengagement of caloric ; but since particular attention has been paid to the nervous system, others have advan- ced a variety of opinions and experiments, in- tended to prove that animal heat is a secretion, or that this system is intimately connected with its production. The former opinion has been promulgated and supported by WILSON PHILIP with ingenuity; and the latter, in our own country, has been fully developed by BRODIE, with considerable diffidence and judgment. The XViii INTRODUCTION . mind, in taking a view of the different theories that have been advanced in order to account for the generation of animal heat, is continually confused by their variety and discrepancy. It would be a waste of time to enumerate the various hypotheses that have been formed from the age of HIPPOCRATES to our own. The first rational view was that stated by BLACK, in which he regards the respiratory function as producing changes upon the inspired air analo- gous to those attendant on combustion. This idea was eagerly adopted by LAVOISIER, and was subsequently modified by him. The objec- tion to the original view of BLACK is, that if the disengagement of caloric take place in the lungs, these would be consumed, or would become much warmer, from the nature of their office, than any other part of the body. This conse- quence has appeared so obvious, that no one, since the time of BLACK, has dared to support the same opinion. The experiments of CRAW- FORD appeared to remove every difficulty which the subject presented. They seemed to prove that the capacity of arterial blood for caloric is su- perior to that of the venous. This circumstance INTRODUCTION. XIX would prevent the sensible heat of the blood in the lungs being greater than that of the rest of the system, as the quantity generated by the chemical changes is immediately lost in the greater capacity of the arterial fluid. A few years ago, Dr JOHN DAVY investigated the ca- pacity of the arterial and venous blood, and his experiments are by no means favourable to the conclusions of CRAWFORD. The difference of capacity between the arterial and venous fluids was observed to be so much less than what is stated by the latter gentleman, that the conser- vation of uniform temperature is scarcely to be explained by it. Indeed, the arterial blood is al- lowed by MENZIES, PL.ENK, DAVY, MAGENDIE, THENARD, and many others, to be at least one degree warmer than the venous. If this be correct, it militates considerably against the doctrine of CRAWFORD. Since the completion of this work, an idea has struck me, which appears sufficient, in conjunction with prin- ciples already stated, to explain satisfactorily the source of animal heat. It does not militate against the principles which have been deve- loped in the present Experimental Inquiry. XX INTRODUCTION. Throughout this I have laboured to attain a knowledge of those conditions of the system which promote or retard the generation of animal heat, and these have little connexion with any par- ticular theory. The present view may therefore be considered as an important addition to what has been already said on the cause of animal heat. The explanation I shall propose goes far to support the doctrine of BLACK, in which the increase of heat is attributed to chemical changes in the lungs. It is now, I believe, almost uni- versally allowed, that the arterial is warmer than the venous blood, and it is more than probable that this result depends on chemical action. By taking into consideration, that a small quan- tity only of the air within the lungs is at any one moment deteriorated, and, still further, that the left ventricle contracts 70 or 80 times per minute, in order to propel the arterial blood which is transmitted by the lungs, we shall have reasons sufficiently ample to account for the possibility of these organs bearing such changes, and for the ease with which the system is supported in an equable temperature. If the body be supposed to possess 30 pounds of blood, and the heart to INTRODUCTION. XXI transmit at each contraction two ounces, and to contract 75 times per minute, we shall find that the whole mass of blood will pass through the lungs once every three minutes, or twenty times per hour. As it has been proved by direct expe- riment that the blood acquires at least one de- gree of heat in passing through the lungs, it necessarily follows, at this moderate calculation, that the system will receive 20 degrees of heat in an hour, or 240 degrees every twelve hours. If the respiration be accelerated, and the contractions of the heart be increased to 100, the mass of the blood will circulate through the thoracic organs in one-fourth less time than is stated above, and consequently the temperature will be augmented one- fourth : the increase of one degree, instead of being repeated every three minutes, will be re- peated every %\ minutes. According to the doctrine of CRAWFORD, the evolution of heat is confined to the ca- pillaries distributed throughout the body ; but the present explanation of the manner in which the system acquires 20 degrees per hour, or 240 every twelve hours, is unfavourable to such an opinion, as it proves that the lungs transmit an XX11 INTRODUCTION. immense quantity of sensible heat to the body, a quantity, it is highly probable, sufficient for every organic necessity. From this view of the chemical changes in the lungs, it is apparent that the various internal parts of the system will possess, as nearly as pos- sible, the same degree of animal heat. The blood which the left ventricle sends out at one contraction, is calculated to supply the deficien- cies incurred by an equal portion which is re- turned to the right auricle ; and as the whole circle of circulation is completed in two or three minutes, there can scarcely be a perceptible dif- ference in the temperature of the different parts of the system. It is not my intention to give any opinion on certain minute points connected with the chemical theory. Concerning these, the most distinguished chemists are at variance ; and, therefore, it would be presumption in me to offer even a conjecture on subjects to which I have not paid an exclusive attention. The pre- sent volume cannot be considered to contain a complete sketch of the Phenomena of Organic and Animal Life, employing this term agreeably to the division and reasoning of BICHAT, but INTRODUCTION. XX111 this incompleteness is to be attributed to thejcon- siderations which have induced the Author to postpone the publication of the second and last volume on the Phenomena of Organic and Ani- mal Life. I cannot conclude without making my warm acknowledgements to those Gentlemen who have assisted me in my Experimental Inquiries. I can but feebly express the zeal and ability with which Mr HAMILTON, Surgeon, has on all occa- sions assisted me ; nor must I forget to mention my obligations to A. T. HOLROYD, Esq. Christ Coll. Cambridge, for the attention and talent which he devoted to some of the most important of these experiments. I am also materially in- debted to GEORGE W. CHESTER, Esq. for many advantages which I have derived from his know- ledge of minute anatomy, and of professional subjects. To Mr KEMP, Lecturer on Practical Chemistry, Edinburgh, and to Mr HARDY and Mr MURRAY, Medical Students, I have also to return my thanks for their kind assistance. ERRATA. Page 30, line II, for Foyer raid Floyer. 48, line 29, /or lOOf raid I05f . 357, line 21,/ar, and its derangement re a d, and the derangement of the liver. EXPERIMENTAL INQUIRY, Appendix. AND ANIMAL LIFE. 27 in congestion when the capillary and larger ves- sels have their action increased, whether by heat, galvanism, or stimulants ; and these parts being, in some measure, disburdened of their own in- dividual load, are prepared to take off a por- tion from the lungs and heart ; or the excited ac- tion of their vessels is communicated to those or- gans ; and from this cause, or rather from the combination of the two, the respiratory function speedily regains its ordinary degree of activity, and re-establishes throughout the system the ef- fects of its invigorated energy.* XXXII. It is imagined by some authors of distinction, that an explanation founded on phy- sical principles is insufficient to account for the phenomena : they are disposed to attribute the beneficial consequences to nervous influence or connection ; but as they have not yet favoured the world with reasons, beyond mere surmises or hypotheses, we must adhere to that explanation which is strengthened by so many obvious ef- fects in close relation to the cause assigned, that it is almost impossible to observe one without becoming acquainted with the other. * Dr KELLIE, some years ago, proposed the attempt to stop the cold stage of intermittent fever, by applying the tourniquet to the inferior extremities, and it has certainly been successful. The ancients also employed ligatures for the same object, and in a similar manner. The former was the suggestion of physiological principles, the latter of empiri- cism. 28 THE LAWS OF ORGANIC XXXIII. Dr EDWARDS, in his valuable work, " De I'lnfluence des Agens Physiques sur la Vie," brings forward many instances to shew, that animal heat is not evolved in the direct or any proportionate ratio to the number of respira- tions. In speaking of birds, in which he made a variety of experiments, he observes, " Quand ils sont tres-pres de 1'age ou ils peuvent soutenir leur temperature a 1'air, voici ee que j'ai observd chez plusieurs individus dont j'ai donne les ob- servations detaillees dans les tables ; un d'eux avait 40 et 90 inspirations par minute. Retire du nid, et expose a 1'air de 1'appartement, qui etait a 18, il perdit dans un quart d'heure 3 cependant sa respiration c'etait accelcree. II arriva a 120 inspirations qui se soutinrent pen- dant vingt-minutes. II s'etait alors rechauffe d'un demi-degre ; quelque temps apres il se refroidit de nouveau ; mais sa respiration, qui etait devenue un peu moms frequ'ente, acquit de 3'ampleur ; sa chaleur se retablit de la meme quantite, et persista long-temps a ce terme." * In attempting to explain these variations, he does not seem sensible of the change which the blood has undergone in its distribution affect- ing the generation of animal heat. He regards the augmented respiration as favourable to the increase of this principle, as " multipliant le * Dr EDWARDS, p. 510. AND ANIMAL LIFE* 29 contact de 1'air avec les organes les plus propres a ressentir son influence vivifiante."* XXXIV. It is evident, that the increased re- spiration is not an effort of nature, as generally supposed, to counteract the injurious agency of the cold, but arises from the accumulation of blood in the lungs and other internal organs, which occasions a difficulty of breathing, giving it a laborious and inspiratory character; and therefore the tendency of this action is contrary to the one taught by himself and others. In the subsequent chapters I shall develope more fully these views, and shall also point out several fallacies in the general principles of this able physiologist, fallacies which do not in the least impugn the correctness of his experiments, but expose the inaccuracy of those premises whence he has drawn his most important con- clusions. XXXV. I have given several instances in which increase of temperature is invariably the result of muscular and expiratory action, but have not yet adduced one in which there is a diminution from muscular and inspiratory action. The best example of the latter is asthma. The individual who is subject to this spasmodic affec- tion seeks, as soon as the symptoms approach, a free current of air, from the painful sensations of dissolution which accompany this disease. Ibid. p. 300. 30 THE LAWS OF ORGANIC When the fit is very severe, the exertions of the patient to inspire are extremely urgent ; the chest and shoulders are frequently and violently elevated, exhibiting, in an obvious manner, deep and almost continued inspiration. The blue lips, pallid countenance, collapsed features, small, quick, or almost imperceptible pulse, and great diminution of temperature, are of themselves characters sufficient to corroborate the justness of the principles propounded. Sir JOHN FOYER says, " The scapular and lumbar muscles which serve for strong inspira- tion join all their force, and strain themselves to lift up the breast and shoulders for enlarging the cavity of the chest, that the lungs may have a place sufficient for their expansion, and the air be more plentifully inspired." Dr BREE, who was subject to this species of asthma, and who has also written an excellent work on this disease, observes, that the animal temperature is materially affected by it. He has sometimes found it as low as 82 9 during the paroxysm. XXXVI. If the frequency of respiration in all cases produced animal heat, should we not expect that the function, when accelerated to its greatest extent, would evolve a proportionate quantity of this principle ? But in this example we perceive that a quantity of air, much greater AND ANIMAL LIFE. 31 than what is natural, is brought into contact with the blood in the lungs, and yet the temperature is less than in any other disease or state of the system. XXXVIT. The intentions of Nature are not at all times easy to divine. In the rude research- es of science, the means by which she acts, and the object she wishes to attain, are seldom cor- rectly recognized ; but whenever our knowledge respecting the instruments she employs becomes accurate, it is easy to appreciate the applications she has in view. How wisely, then, is it ordained, that, in the earliest years of existence, the life of the infant, from the variety of its wants, the deli- cacy or sensibility of its constitution, and from the many affections and changes to which that age is subject, may be truly said to be composed of cries, tears, and restlessness.' To ease the child, and secure our own peace and comfort, our efforts are directed to appease these disagreeable com- plaints ; but it is fortunate that our interference is not at all times successful. At the time when these symptoms are present the future man may be considered still in embryo, arid the develope- ment of this being is regulated by the activity and extent of organic functions, which are adapted to unfold and maintain the various powers of the in dividual. It is therefore instituted that these functions shall be more than usually vigorous, when present and future necessities 32 THE LAWS O ORGANIC demand attention. The frequent cries of the infant are made at the expence of expiratory actions, and the continuance of these renders the blood stimulating, the circulation more equable and quick than at any other period ; and these principles being established, every organ of the system soon participates in the primary improve- ment, and the reciprocal influence is generally diffused and felt throughout the system. XXXVIII. In infants whose constitutions are strong, we sometimes observe the facility with which they are nursed ; and these being well formed, and of sound health, do not require the operation of extraordinary means : but those in an opposite state, from their great necessities, are continually excited by causes calculated to lessen or remove the sources of irritation. It is no objection to this view to advance, that many diseases are to be traced to these actions which I regard as salutary. The heart is sometimes subject to aneurism, from having been too much excited, either by external or internal causes, by means of which too much blood, or blood of too highly oxygenated properties, is determined to this organ ; but these consequences are no ob- jections to its utility. XXXIX. If the nature of this chapter would allow me to pursue the train of the present ar- gument through the variety of its relations, it would not be difficult to point out or explain AND ANIMAL LIFE. 33 many other efforts of Nature, efforts which are treated as diseases, because they disturb the ease and diminish the enjoyment of life. Few things are more disagreeable than a cough ; but I am persuaded, from the character of its action, that it is rather a blessing than a curse in many chronic affections, except when violent ; and many acute states of the system are carried off by this timely agent, particularly those which precede inflammation, or which succeed the severity of its symptoms, when the capillary vessels have lost their usual tone and energy of circulation. The precise mode of its influence will be better understood when we come to the subject of the action of emetics. In concluding, I may remark, that it is probable that more die for want of a cough than of a cough : the idea is strange, but it is a legitimate conclusion from facts or premises that have been carefully con- sidered. 34 THE LAWS OF ORGANIC CHAP. II. The Cause of Animal Heat. XL. IN entering upon the investigation of the present subject, I am not insensible to the many difficulties by which it is surrounded. I have not only to contend against the natural in- tricacy or delicacy of the pursuit, but have to oppose my humble opinion against others, which have acquired authority and reverence from the talents and respectability of those, who have trod in the same path ; but, as I am stimulated only by the desire of arriving at truth, opinions, and not individuals, are to be considered. The following points are those to which I intend to pay particular attention, and whose correctness I shall attempt to prove : 1. Animal heat is proportionate to the capacity and ac- tivity of the lungs, not understanding by activity the number of respirations, but the number and character of its compounded acts, inspiration and expiration. 2. This principle is proportionate to the chemical changes in the lungs, and the perfection of all other functions is also in the direct ratio to these. 3. The nervous system has no influence whatever upon the generation of animal heat, except in diminishing or retarding those chemical changes on which it depends, by destroying the natural proportions of blood sub- mitted to the action of the air. AND ANIMAL LIFE. 35 4. The results of artificial inflation cannot be considered as making even a distant approach towards those che- mical changes which occur during the natural state of the system. 5. The operation of poisons on the nervous system, ac- companied by a diminution of temperature, is no proof that this principle is derived from the action or influence of this system, except in so far as its de- rangement disorders the harmony of chemical laws operating in the lungs. 6. The consumption of different quantities of oxygen, or the evolution of different quantities of carbonic acid, cannot, as is the received opinion, be regarded as a cri- terion of the temperature of an animal, because " ani- mal heat is not in the direct ratio to the quantity of oxygen inhaled, but in the inverse ratio to the quan- tity of blood exposed to this principle" XLI. In support of the first proposition, it is obvious that, in every kind of muscular exer- tion, attended by expiratory actions, the tempe- rature of the body is augmented ; and I have shown, in the preceding chapter, that this arises from the quantity of blood in the lungs being less than in the unexcited state of the system, not only at the commencement of the invigorat- ed action, but throughout the continuance of its energy. XLII. If we diminish the respiratory action, we lessen the generation of animal heat. XLIII. If the circulation of blood in the lungs and internal organs be accelerated by 36 THE LAWS OF ORGANIC warmth applied to the surface of the body, or by the application of friction, heat is generated in increased proportion, because the lungs, by these means, are indirectly relieved of a portion of blood, either natural or foreign to their normal function. XLIV. If the circulation of blood in the lungs be impeded by an increased 'quantity being de- termined to them, as by the depressing passions of the mind, by the paroxysm of spasmodic asthma, nausea, cold, and soporific medicines, the evolution of heat is proportionately lessened. XLV. In the different inflammations and fevers of the system, the blood, with few ex- ceptions, has the bufFy coat proportionate to the degree of disturbance in the respiration and circulation. It is found, from experience, that inflammation of the thoracic viscera exhibits this appearance in a more marked manner than the same occurring in the abdomen. This is to be attributed to the greater disorder of the respira- tory functions ; but these are sometimes as much deranged by acute diseases of the latter cavity as by their own affections ; and when this is the case, the appearance of the blood is of the same character. XL VI.- The bufFy coat is seldom or never present without having been preceded or accom- panied by an augmentation of animal tempera- ture ; in fine, its extent is generally observed to bear a ratio to the increased temperature, and AND ANIMAL LIFE. 37 this as invariably is proportionate to an excited state of the respiration and circulation. XLVII. In the various diseases of the thorax and abdomen, characterised by congestion or sluggishness of action, we have an opposite train of symptoms : the blood is not of a highly florid aspect, nor does it exhibit the buffy coat ; the surface of the body is cold, collapsed, pale, or discoloured, and every internal function is affect- ed by a diminution of its regular action, and at this time the animal temperature is much less than natural ; proving, as evidently as the re- lation between cause and effect can possibly do, that the lungs are the organs which influence the properties of the blood and the evolution of ani- mal heat. XLVIII. If further proofs were required, we might allude to the temperature of different animals, which is high or low according to the amplitude of the respiratory functions : but this is a subject so often discussed, and so well esta* blished, that it requires little attention here. XLIX. The nervous system lias no influence whatever upon the generation of animal heat, except in diminishing or retarding those chemical changes on which it depends, by destroying the natural pro- portions of blood submitted to the action of the air. The experiments and views of Mr BRODIE are those generally alluded to, to prove that ani- mal temperature is rather the result of nervous influence than of chemical changes. The re- 38 THE LAWS OF ORGANIC spectability and talents of this gentleman attach consequence to his physiological investigations; but his contributions connected with the pre- sent subject are far from being satisfactory. He has the credit of having presented a number of facts, new, interesting, andimportantto the profes- sion ; but, in the endeavour to explain these, he has unfortunately overlooked obvious causes, and has attempted to ascend to others of a myste- rious or indefinite character. After relating several experiments on rabbits, all of which were inflated, and having observed that those which were killed by poison, or which had the spinal cord destroyed, for the purpose of depriving the animal of all sensorial influence, cooled more rapidly than others in which the nervous system was uninjured, he remarks : " The facts now, as well as those formerly ad- duced, go far towards proving that the tempe- rature of warm-blooded animals is considerably under the influence of the nervous system." L. For a considerable period, I have devot- ed my time almost exclusively to one subject of experimental physiology, viz. that of animal heat ; and having performed a great number of experiments, modified in almost every pos- sible way, I shall select a few for the examina- tion of those interested in the subject. Before I bring them forward, it is necessary to state that, having an objection to the employment of AND ANIMAL LIFE. 39 cold air for inflation, I contrived a small machine which enabled me to use warm air, and, at the same time, allowed me to ascertain its tempera- ture whenever I noted that of the animal. It is manifest that the air we inspire is warmed in its passage to the lungs, and, therefore, it is im- perative to imitate, as nearly as possible, the operations of nature. As this instrument may be useful to others engaged in the same pursuits, I have given a description of it in the Ap- pendix, to which I refer the reader. The follow- ing experiment was performed with cold air. The temperature of the room at the commence- ment was 43, and of each rabbit 104. The colour of the first rabbit was black and white. It was decapitated and inflated. In all the ex- periments, the rabbits were killed simultaneous- ly, and the different processes attended to at the same moment. " EXPERIMENT I. Time Minutes, Thermo, in the Rectum. 5 !"'<*'' 102 10 u \. 101 15 - 100 20 9^ 25 - 961 30 - 95* 35 - 93* 40 . 92* 45 - 91* 50 ^. x 90 60 - 88* 40 THE LAWS OF ORGANIC The colour of the other rabbit, black and white, decapi- tated, but not inflated. Time Minutes. Thermo, in the Rectum. 5 - 101 10 - 98* 15 * 97 20 - 96 25 - 94 30 - 94 35 - 40 - 45 - 89 50 - 881 55 - 87J 60 86J The following was also black and white, but was neither decapitated nor inflated. Time Minutes. Thermo, in the Rectum. 5 - 100i 10 - 99 15 r 97 20 - 95 25 s$ 93 30 ,>-, 9%' 35 H. 90 40 , 8ST 45 r ; 88 50 - 87 55 - 86 60 , , 85 These rabbits were four months old, and appa^ rently equally vigorous. In this experiment we observe, that the one which was decapitated and inflated was at the conclusion 2^ above the one decapitated but not inflated, and 3^ above the other, which was neither decapitated nor inflated. By the kindness of my friends, I was enabled to operate on three or four rabbits at the same AND ANIMAL LIFE. 41 time, thereby placing these under precisely the same circumstances. EXPERIMENT II. Temperature of the room 47, and of this rabbit, decapi- tated, and inflated with warm air, 103i Five months old. Time Minutes Thermo, in the Rectum. Temp, of the warm air. 5 - 102 - 84 10 - 103* gj*. 86 15 . 101 . 86 20 . 100 '"* 85 25-100 - 83 30 99 80 35 - 98 84 40 - 97 " - ' 84 45 ,-,,,-j 961 80 50 - 95i - 86 55 - 94; - 80 60 94 82 This rabbit was decapitated, but neither inflated with cold nor warm air. Its temperature 105 ; five months old. Time Minutes. Thermo, in the Rectum. 5 - 103i 10 - 102* 15 - 10H 20 - 100 25 - 98i 30 - 97 35 - 40 - 95i 45 - 94 50 - 93* 55 - 93 60 - 92 The following was decapitated and inflated with cold air. Its temperature was 105 ; it was 10 weeks old. * I cannot account for this rise, it is the only case, in the ivhole series of experiments in which this phenomenon occurred. 42 THE LAWS OF ORGANIC Time Minutes. Thermo, in the Rectum. 5 - 103; 10 - 102 15 - 99* 20 - 98 25 - 96* 30 - 95 35 - 93* 40 . 92 45 - 91 50 - 90 55 i 89 60 88* This rabbit was neither decapitated nor inflated. Its temperature 105. It was ten weeks old. TimeMinutes. Thermo, in the Rectum. 5 -' . 99* 10 - 98 15 ,-- 96 20 ,,{ ; 95 25 -* 94 30 r!$? 92| 35 J 91* 40 - 90* 45 - 89* 50 - 88* 55 - 87{ 60 86f The four rabbits in the preceding experiment cannot justly be compared with each other, on account of the great difference in age. I have in- variably found that animal heat diminishes much more quickly, andtoagreater extent,in the young than adult rabbit, and, moreover, that the vigour of the animal seems to retard very much this di- minution. The first two may be compared with AND ANIMAL LIFE. 43 each other. The one decapitated and inflated with warm air, at the conclusion of the experi- ment, was 3^ above the other decapitated but not inflated ; and we observe the first of the latter two, which was decapitated and inflated with cold air, to be 1 i above the one neither decapitated nor inflated. It is unnecessary to bring forward any more experiments in which the rabbit was simply decapitated, as the following will be con- sidered more conclusive and satisfactory, in which the brain was removed, and the spinal cord en- tirely destroyed. EXPERIMENT III. Temperature of the room 45, rabbit 105; inflated with cold air. The colour black and white, and the age four months. Decapitated, and spinal cord suddenly de- stroyed. Time Minutes. Thermo, in the Rectum. 10 - 103 15 - 102 20 - 101 25 - 100 30 - 99 35 - 98 40 - 97 45 - 95| 50 - 95 55 - 94i 60 93* The following was not decapitated, but merely inflated with cold air. Its colour black and white, temperature 105 C , age four months. 44 THE LAWS OF ORGANIC Time Minutes. Thermo, in the Rectum. 5 - 102 10 - 10(H 15 - 100 20 - 98| 25 - 97 SO - 96 35 - 952 40 - 94! 45 93i 50 - 92 55 - 92 60 The following was neither decapitated, inflated, nor had it the spinal cord destroyed, as in the first example. Its colour was yellow and white, temperature 105, age four months. Time Minutes. Thermo, in the Rectum. 5 T 104 10 - 103J, 15 ; -' 102 20 _ 100| 25 - 99 30 - 98 35 r 97 40 . 96 45 - 95 50 - 94 55 - 9& 60 9H In this experiment, in which the first rabbit was decapitated, and whose spinal cord was de- stroyed, its temperature, at the conclusion, was 3^ above that of the second, which was not decapitated, but inflated with cold air, and 2 above that of the last, which was not decapitat- ed nor inflated, and whose spinal cord was left uninjured. AKD ANIMAL LIFE. 45 When the chest of the first was examined, at the conclusion of the experiment, the heart con- tracted 12 times per minute in the horizontal posi- tion ; allowed to remain in that situation for five minutes, it contracted only once in the minute ; when held up by the hind legs, it con- tracted 20 times in the minute ; and when held up by the fore legs, 11 times in the same period. This difference in the contracting of the heart was noticed accidentally by my friend Mr HA- MILTON. The cause cannot be referred to the flow of sensorial or nervous influence, as it pos- sessed neither brain nor spinal cord, but probab- ly to changes in the circulation or determination of blood. The chests of the other two were also opened, and the heart of the second was found beating vigorously 75 times per minute ; that of the last did not exhibit the least symptom of motion ; the heart was dark-coloured with venous blood ; its right cavities black, and engorged with the same. The spinal cord in this, and in all other in- stances, was destroyed by means of a heated wire, filling as nearly as possible the cavity of the spine. LEGALLOIS employed a wire of this size, but WILSON PHILIP used one much finer, and worked it in various directions, until he conceived the nervous mass to be broken down. We were seldom satisfied with thrusting the wire down from the decapitated surface; the 46 THE LAWS OF ORGANIC spine was often separated at the lumbar region, and the instrument was afterwards sent in a direction opposite to the former. EXPERIMENT IV. The subjects of this experiment were old rabbits. The first was decapitated and inflated with cold air, and had also the spine destroyed, as in the preceding instance. Temperature 106 ; colour, black and white. Time Minutes. Thermo, in the Rectum. 5 - 103* 10 - 103 15 - 102 20 - 101 25 - 99 30 - 98 35 - 97 40 - 95 45 r -" 94 50 & 93* 55 - 92 60 - 91 | This rabbit was merely inflated. Its temperature was 105J 5 colour, grey and white. Time Minutes. Thermo, in the Rectum. 5 - 102 10 " - >; 10H 15 - 100 20 - 99| 25 - 98 30 - 96* 35 - 95* 40 - 95 45 - 94 50 - 93| 55 - 92 60 . 91 AND ANIMAL LIFE. 47 The following was neither inflated, decapitated, nor had the spinal cord destroyed. Its temperature was 105 ; colour, white. Time Minutes. Thermo, in the Rectum. 5 - 103 10 - 102^ 15 - 10H 20 - 101 25 -V 99| 30 - 97i 35 - 97 40 - 96* 45 - 95| 50 - 94| 55 - 93| 60 ' - 92 In this experiment we perceive that the first decapitated, and which had also the spinal cord destroyed, lost precisely the same number of de- grees as the second, which was inflated with- out having undergone any mutilation ; but we perceive that it suffered a diminution of 3-4ths of a degree more than the one which was laid upon the table to cool. EXPERIMENT V. Temperature of the room 40 ; rabbit 105| ; colour, black and white. In this the brain and spinal cord were re- moved, as in the preceding instance. 48 THE LAWS OF ORGANIC Time Minutes. Thermo, in the Rectum. 5 " 104 10 HV 104 15 - 10% 20 - 100 25 - 98| 30 -- 97J 35 96J 40 '- 95 45 - 94 50 L 93 55 ': . , 92 60 - 91 Temperature of this 1 05; leaden colour. Brain and spinal cord entire. Inflated with cold air. Time Minutes. Thermo, in the Rectum. 5 - 104 ' 10 - 103 " 15 - 102 20 - 101 25 - lOOi 30 - 99| 35 > i^> 981 40 - 98 45 - - 97 50 1 96* 55 - 951 60 94 The temperature of the following was 100"J : colour, grey and white. Laid upon the table t5 cool. Time Minutes. Thermo, in the Rectum. 5 >* 104 10 - 102 15 - 10H 20 '- ' 100J 25 ; - :' 99 30 - 98 40 - 96 45 - 95 50 - 94 55 - 93 60 - 91 J AND ANIMAL LIFE. 49 This experiment, although it differs in its results from the preceding, yet does not mate- rially, if at all, support the opinion of Mr BRODIE. The rabbit whose head was removed, and whose spinal cord was destroyed, lost 3i more than the one in which these were entire. In Experiment III. we have an example opposed to this ; but, in the present one, the first of the three is only | of a degree beneath the last, which suffered no mutilation, nor even loss of blood,-? a circum- stance that always takes place to a slight extent in the removal of the head and destruction of the spinal marrow. In opening the chests of these rabbits, the heart of the first was found contracting 70 times per minute, while that of the second, in which the nervous system was whole, gave scarcely a perceptible pulsation. Finding, from a variety of experiments, that it was of little consequence to the evolution of animal heat whether the nervous system were destroyed or left entire, I thought it possible that the results might be different if an animal were killed by some powerful poison. To satisfy myself on thislpoint,the two following experiments were instituted. In the first, inflation was not employ- ed ; one rabbit was killed by prussic acid, and the other by a blow upon the occiput ; and, ther- mometers having been introduced into the chest, abdomen, and rectum of each, they were both placed upon the table. The temperature of the 50 THE LAWS OF ORGANIC room 50 rabbit 101 colour white, two months old ; killed by prussic acid. EXPERIMENT VI. Time. Thermo, in the Rectum. Thermo. A bdomen. Thermo. Chest. 5' 99' - 99 - 98 10 - 97* - 98 - 96* 15 96* 97 - 95 20 - 95 - 96 *- * 94 25 - 93* - 94 4 $>- 92* 30 92| - 94 - 91J 35 91 1 - 93 - 91 40 - 90| - 92 - 89| 45 - 89| t u ; 91| 7 S8J 50-89 - 90* - 88 55 - 88 - 89J i ' 87 60 87 89 86* Temperature of the rabbit 104 ; colour white ; two months old ; killed by a blow upon the occiput. Time. Thermo, in the Rectum. Thermo. Abdomen. Thermo. Chest. 10 .,- 101* ajw'si 101 > -,? 10H 15 ... ,, 99| V 99 - 99J 20 99 - 98* '-- 98J 25 97J - 97J j&) 97 30-96 - 97i - 96 35 - 95| *{P 96* .' 95 40 - 94| - 95| %?. 94 45 - 94 , rf ., 95 - 92} 50 93 - 93^ '*CV 9<2 55-92 - 93 - 91 60 91 i 92 90 The temperature of the rabbit killed by prus- sic acid does not appear to have been peculiarly affected by the poison. There is 1| of proper- AND ANIMAL LIFE. 51 tional difference in the rectum ; | of a degree in the chest ; but no difference in the abdomen. The difference in the indications of the ther- mometer in these different situations is riot to be attributed to variations of temperature, but, pro- bably, as Dr MILLIGAN justly observed to me, is to be referred to the more or less perfect embrace of the contained viscera. In the thorax the lungs collapse when a thermometer is introduced, and thereby prevent the bulb of the instrument from being completely covered, this is not the case in the abdomen and rectum. EXPERIMENT VII. In this experiment pigeons were substituted for rab- bits, and are equally convenient to inflate and operate upon. Temperature of the room 56 : pigeon 106 ; decapitated ; spinal cord destroyed ; inflated with cold air. Thermo, in the Rectum. Abdomen. 10 - losr - 107^ 15 102i - 106 20 - 102 - 105 25 99 104 30 97 102 / 35 95 - 100 40 94 98 45 93 - 98$ 50 - 9H - 97 55 - 90i - 95f 60 - 89 , 95 52 THE LAWS OF ORGANIC Temperature of the pigeon 106f ; killed by prussic acid. Time Minutes. Thermo, in the Rectum. Abdomen. 10 - 103 - 105 15 - 102i - 103| 20 - 101 - 103 25 - 100 -', 102| 30 99 101J 35 - 98 IMJ lOOi 40 96f 99 45 - 96 l>*"' 98J 50 - 94^ ii s j. 97^ 55 - 93| "f ri : 96* GO 92 95* Temperature of the pigeon 107 ; inflated, without de- capitation, or destruction of spinal marrow. Time Minutes. Thermq. in the Rectum. Thermo. Abdomen. 10 - 106 - 105 15 - 103 - 103 20 - 102^ - 102 25 - 102 - 99* 30 - 98| - 99 35 - 97 '.- 97| 40 - 96 *, 96 45 - 94| 95 50 , 93 - 93i 55 . 91J '-, 92 60 90* - 91 In this Experiment there is little particular to observe. In the first, in which Decapitation and destruction of the spinal cord were performed, the thermometer in the rectum fell two degrees more than in the second ; but the tempera- ture of the abdomen was alike in both. In the last, which was inflated without destruction of brain or spinal cord, the thermometer in the ab- domen indicated a temperature of four or five AND ANIMAL LIFE. 53 degrees less than that of either of the other two, while at the same time the thermometer in the rectum of this had fallen only to the extent of the first in the same situation, and 1| less than that of the second. Having, from these and similar experiments^ arrived at conclusions unfavourable to those proposed by Mr BRODIE, I instituted a variety of others, which seemed to me calculated to strengthen either the opinion entertained by myself, or that adopted by this physiologist. If the generation of animal heat belong rather to the nervous than sanguiferous system, and if galvanism be capable of performing the func- tions of the former, as imagined by WILSON PHILIP, the employment of this powerful agent ought to be regarded as an additional means to promote the generation of the principle. A valuable discovery of my talented friend, Mr Kemp, allowed me to make a trial without the least inconvenience. The discovery to which I allude is the possibility of keeping up a conti- nuous stream of galvanism without the accom- paniment of the shock. Unless befriended by such means, it is almost impossible to apply a strong galvanic power to purposes of this kind. Mr Kemp kindly assisted me in the first experiment. Two troughs, each of 50 two-and-a-half inch plates, were used on the occasion. After these were charged and connected, the positive wire 54 THE LAWS OF ORGANIC was introduced into an aperture beneath the in- teguments of the spine, and the negative was passed in a circular manner round the neck, pre- viously denuded to ensure the transmission of the galvanism. EXPERIMENT VIII. Temperature of the room 47 ; of the rabbit 106 ; colour, black and white ; age three months. Without deca- pitation or destruction of the spinal cord. Inflated with cold air, and galvanism employed for the space of an hour. TimeMinutes. Thermo, in the Rectum. 5 - 104 10 - 102 15 - 101 20 - 99i 25 - 98| 30 - 97 35 - 95 40 - 95 45 W,| 94 50 93 55 * 92 60 90^ Temperature of the following, lOGa ; colour, black ; in- flated as the above, without the application of galvanism ; age three months. Time Minutes. Thermo, in the llectum. 5 SI 103f 10 - 103 15 - 102 20 - 100* 25 - 99 30 - 97| 35 95 40 - 95 45 - 94 50 - 931 55 - ' 92 60 - 91 AND ANIMAL LIFE. 55 Galvanism appears to have had no influence whatever in the present experiment ; both rab- bits having lost precisely the same number of degrees. EXPERIMENT IX. Temperature of the room 46 ; of the rabbit 103| ; co- lour, grey and white. Inflated with cold air. Time Minutes. Thermo, in the Rectum. 5 - 102! 10 - 101 15 - 99| 20 - 98| 25 - 96 so :.- 95 35 f -- 94 40 - 93 . "'".' 45 ~ , 91 \ 50 - 90J 55 - 89| 60 89 Temperature of the following 103J ; colour, white and black. Inflated with cold air, and galvanism em- ployed. Time Minutes. Thermo, in the Rectum. 5 - 102 9 10 - 101 15 99 25 - 30 95 35 93| 40 , 031 45 91 50 90 55 - 89 60 - 88 56 THE LAWS OP ORGANIC In this Experiment, as in VIII. galvanism does not appear to have produced any marked effect. The rabbit to which it was applied lost H more than the one in which it was not used, It is necessary to state, that only half of the gal- vanic power of the preceding experiment was employed at the same moment, viz. one trough of 50 plates. This alteration was made from the fear that it might before have acted too ener- getically on the nervous system. Among the preceding experiments there is one in which warm air was employed for infla- tion. This circumstance will appear strange, after having alluded to the necessity of imitating the process of nature by such means. But having prov- ed, by a variety of experiments, that the warm air, in every case except one, maintained the tem- perature of the animal from two to three degrees above that of every other, how modified soever the means might be in regard to the latter, I substituted cold air in the place of warm, as it rendered the experiment more easy to the ope- rator, and removed every objection that might afterwards have been brought against the re- sults. The following experiments are the only two I shall present in which warm air was used. In the first, I was assisted by my friends Mr CHESTER and Mr HOLROYD. This experiment AND ANIMAL LIFE. 57 is the one which forms the exception to the above general rule. EXPERIMENT X. Temperature of the room 54 ; of the rabbit 101 J. Time Minutes. Thermo, in the Rectum. Warm air. 15 99 '- 87 3 20 - 97* r 80 25 */ 97 * 89 30 - 96| - 85 35 - 95| - 87 40 - 95 92 45 - 94 - 91 50 - 92f , 47 55 - 91J - 84 60 91i *"* 80 Temperature of the following rabbit 104J. Inflated with cold air. Both full grown. Time Minutes. Thermo, in the Rectnm. 15 - 100 20 - 100 25 - 99* SO - 98* 35 - 97i 40 - 96} 45 - 50 95 55 - 94i 60 93J In this experiment, the rabbit inflated with cold air lost 3-4ths of a degree less than the above, a difference too trifling to note. 58 THE LAWS OF ORGANIC EXPERIMENT XI. The result of this experiment may be regarded as af- fording an impartial view of the influence of warm air in inflation. Temperature of the room 46 ; of the pigeon 110. In this experiment I was assisted by my friends Messrs HOLROYD and DDNNETT. Time Minutes. Thermo, in the Rectum. Warm air. 10 . -~ 108 - 70 15 - 105 - 70 20 103 - 71 25 - 102 70 30 - 101 - 71 35 - 100 -. . 70 40 - 981 70 45 98 68 50 ,- 96i 67 55 **-** 95f ' l m 68 60 - 94* 67 Temperature of the pigeon lllj* Inflated with cold air. Time Minutes. Thermo, in the Rectum. 10 ' . , 109 15 - 107$ 20 - 105* 25 , 1031 30 - 102 35 - lOOi 40 - 98| 45 - j, 98 50 -. 95| 55 : - ; ; 93f 60 92 AND ANIMAL LIFE. 59 Temperature of the pigeon lllf Neither inflated with warm nor with cold air. Time Minutes. Thermo, in the Rectum. 10 - 109^ 15 - 106$ 20 - 104| 25 - 103 30 - 101 35 - 100 40 - 98 45 - 97i 50 - 95^ 55 -..-' 94 60 - 93 L. From the results of the preceding and si- milar experiments, I was persuaded that the re- moval of the brain or spinal cord had no influ- ence whatever on the apparent developement of animal heat, nor on the degree and velocity of cooling. Still, I could not flatter myself that any of the measures I designed to imitate the natu- ral function of respiration, proved even the slight- est increase of temperature. As I did not consi- der the experiments already detailed sufficient- ly decisive on this point, I proposed to arrest the circulation of blood in the lungs by tying the heart at its base. The animal being made insensible by a blow upon the occiput, the chest was immediately opened, and the object being accomplished, the divided parietes were again closed, and the inflation of cold air commenced as in other instances. The following experi- 60 THE LAWS OF ORGANIC merits, to elucidate this subject, are not selected, but presented in the order in which they were performed : EXPERIMENT XII. Temperature of the rabbit 105*; colour white ; the heart tied at the base ; two months old ; inflated with cold air. Time Minutes. Thermo, in the Rectum. 10 - 99* 15 - 98<- 20 - 96* 25 - 94j 30 - 93i 35 - 92| 40 - 90 45 - 88J 50 > *x 87* 55 - 86i 60 - 85* Temperature of the rabbit 104J , colour grey and white ; inflated with cold air. Time Minutes. Thermo, in the Rectum. 10 ^V 99 15 - 98 20 - 96 25 - 94* 30 - 93 35 - 91J 40 - 90* 45 - 89| 50 - 88 55 - 87 60 - 85 AND ANIMAL LIFE. 61 In this experiment, the rabbit in which the heart was tied lost only half a degree more than the other, which was inflated, without having undergone any previous operation. EXPERIMENT XIII. Temperature of the room 48 ; of the rabbit 106| ; colour white and grey ; full grown. Inflated with cold air. Time. Thermo, in the Rectum. Thermo, in the Abdomen. 15' - 102 '- 104 20 ,-:, 101 ferii 103 25-100 - 102 30 99 - 102 35 - 98* - 101 40 - 97 - 100 45 > 96* - 99* 50 - 96 - 99 55 - 95i - 98 60 94* 97* Temperature of the rabbit 106 ; colour grey and white ; heart tied. Inflated with cold air. Time. Thermo, in the Rectum. Thermo, in the Abdomen. 15' ~ 101 - 104 20 - 100 - 103 25 - 99* - 102| 30 - 98* - 102 35 ~ 67* - 1014 40-97 - 101 1 45 I'- 96^ - 101 50-96 - 100 55-95 - 99 60 94 - 62 THE LAWS OF ORGANIC In this example we perceive that the thermo- meters in the rectum indicate precisely the same loss of temperature, while those of the abdomen vary li ; but this difference is in favour of the rabbit whose general circulation was stopped. The following experiment is the last I shall ad- duce. EXPERIMENT XIV. Temperature of the room 45 : of the rabbit 105f ; co- lour white and grey ; full grown ; heart tied. Inflated with cold air. Time- Thermo, in the Rectum. Abdomen. Chest. 15' - 100 - 102 - 103 20 - 100 , 102^ u . 103 25 - 99 102 % 102| 30 - 98| . 102 - 100 35 - 98 - 102 - 99| 40 - 97| - 101 - 98| 45 ;;> 97i - 101 - 98 50 - 97 - 101 - 98 55 - 96J - 100 - 96$ 60 96 100 96 Temperature of the rabbit 106. Inflated with cold air. Time. Thermo, in the Rectum. Abdomen. Chest. 15' - 102! - !05 - 104 20 - 102 - 104 - 102 25 - 101 - 103| - lOOf 30 - 100 - 103 - 994 35 - 99 - 1024 - 98 40 99 102 . 97 45 98 101 * - 96 J 50 - 97 - 101 - 96 55 - 96* - 100 - 95 60 - 96 AMD ANIMAL LIFE. 63 The results of this experiment differ little from those already detailed ; and from these it appears that animal heat is but slightly, if at all, disenga- ged in the lungs by any artificial means we pos- sess : but from this statement we are not to con- clude that the lungs, in the natural condition of life, are not the seat of any disengagement. I have endeavoured to show, in this and the pre- ceding chapter, that the temperature of an ani- mal is increased or diminished according to the character of respiration or mode of circulation ; and I shall now attempt to explain why infla- tion, however well conducted, does not materially augment the temperature of the body, nor pre- vent it from cooling in the same ratio as in an- other unassisted by inflation. LI. Respiration may be considered partly an instinctive and partly a voluntary function, whose influence is to regulate the circulation of the blood, and therefore the generation of ani- mal heat. If its action be disordered during life, by the preponderance of inspirations, for a short time, the temperature of the body di- minishes almost as much as in the rabbit we in- flate. The asthmatic patient, of whom Dr BREE speaks, had a temperature as low as 82 in the paroxysm. I have observed, in Chap. I. xix. and xx. that the air inspired is not immediately ex- pelled by expiration, but that a portion is emit- ted probably the whole which is deteriorated, r 64 THE LAWS OF ORGANIC while a much greater quantity of air at all times exists in the lungs ; and from this it is to be inferred, that the successive chemical changes are slow, and of a delicate description. If we send in a quantity of air greater than what is consistent with the laws which nature has esta- blished, we destroy the concord connecting the various agents ; and this abundance, instead of promoting the different decompositions, tends to destroy the conditions on which these depend. LI I. During the process of inflation, the heart continues to beat ; but this is no proof that the circulation is in its normal state, or that the lungs perform their usual office ; for these phe- nomena occur in the human subject when the temperature of the system has fallen consider- ably. In fine, the heart occasionally palpitates when the lungs are oppressed with blood ; and this symptom is regarded as an increased action of the organ, yet it is often accompanied by a diminution of temperature. It is therefore evi- dent, that the contractions of the heart are far from being criteria of proper chemical changes operating on the lungs. LI II. The colour of the blood is often addu- ced as showing that the venous is converted into arterial as in health ; but this change of colour takes place in those cases it} which respiration is deranged and the temperature diminished. AND ANIMAL LIFE. 65 LIV. The alterations which the blood under- goes in the lungs are probably various ; that of colour is apparent : but this may be only one* and the least of a series, connected with the produc- tion of animal heat ; or, for any thing that we know, may be an effect altogether independent of those principles which maintain the tempera- ture of the constitution. When venous blood, without the body, is exposed to the action of atmospheric air, it assumes the florid colour of the arterial ; but we are not aware that this is accompanied by the generation of heat. LV. It is stated by LEGALLOIS, that he could cool an animal to such a degree, during life, by inflation, as to kill it ; and I have not the least doubt that the temperature is, at all times, by such means, materially affected. If we cannot succeed in the application of this process when the animal is alive, and when it in part seconds our intentions, how can we expect to be more fortunate when the animal is mutilated. The combination of gases, and the formation of salts and other substances, are regulated by definite laws ; and it is well known, that if proper pro- portions are wanting, or if those circumstances are absent which are necessary to promote che- mical action, no change whatever takes place. But shall we suppose that the powers of life are governed by no principle, or, in more correct terms, that the action of those agents which sup- E 66 THE LAWS OF ORGANIC port these, is the effect of chance ; if otherwise, let it not be imagined that an imperfect imita- tion of the function of respiration will furnish results sufficiently accurate to allow us to speak with certainty of its office. LVI. The cause of animal temperature is at- tributed by WILSON PHILIP to a secreting pro- cess, similar to that which occasions the variety of secretions in the system by the action of the nervous fluid upon the blood. This opinion is supposed to be demonstrated by direct experi- ment ; and certainly a great number of facts are brought forward which seem favourable to the view, if such be superficially observed. He has endeavoured to show the close analogy existing between galvanism and the nervous fluid, by numerous experiments on rabbits ; and finding that the effects are the same, without consider- ing the complexity of the animal economy, or without looking beyond the mere application of means and the production of obvious results, he concludes that these two agents are precisely of the same nature. The discovery of this seem- ing analogy has formed an era in physiological science ; and if it had been true, it would have been a very close approximation to the develope- ment of the most mysterious operations of the system ; but I do not hesitate to say, that while his experiments are to be regarded as furnishing AND ANIMAL LIFE. 67 facts, his reasoning is to be estimated as merely ingenious and hypothetical. LVII. Conceiving his opinions on this sub- ject to be incorrect, I shall spare no pains, in the subsequent chapter, to expose errors which are capable of retarding the proper cultivation of medicine for centuries, as presenting to the phy- siologist established points or data to direct his pursuits, on which, perhaps, he may erect prin- ciples not less extensive and important than the present, and thereby would continue to heap er- ror on error, till at last the whole system would fall, from the magnitude of its inconsistencies. To do justice to the subject, it is necessary to be minute and patient in the investigation of its merits ; and, therefore, I shall follow as closely as possible the observations and experiments of this talented physiologist, for whom, as an indi- vidual, I entertain the highest respect. The cause of animal heat will be better understood by the treatment of the following chapter, as I shall have an opportunity of illustrating the im- portance of respiration and circulation in regard to organic functions. E 2 68 THE LAWS OF ORGANIC CHAP. III. Secreting surfaces are not dependent on nervous communication between their own individual parts and the origin of the nerves, nor does galvanism re-establish or excite their particular functions by maintaining such a relation. LVIII. A function may be regarded as the consequence of the inherent properties of an or- gan, as the power of gravitation is attributed to laws impressed on inert matter ; and as the lat- ter is regulated by particular principles, so is the former by the size and activity of those sys- tems essential to its exercise ; but the analogy cannot be continued far, from a difference in the principles by which they are governed. LIX. We observe that the kidneys are sup- plied with a great quantity of arterial blood, and we still further remark that the urine secreted bears a proportion to this. The relations and or- ganization of the secreting organs would lead one to suppose that the fluid secreted is to be ascribed to an extraordinary mechanism by which the pro- perties of the blood are changed and appropriat- ed, in one situation evolving mucus, in another bile, in a third gastric juice. These products are modified by two causes, disease or derangement in an organ in which the operations are seated, AND ANIMAL LIFE. 69 disease or derangement of the sanguineous fluid on which the adaptation has to act. LX. The inflammation of the kidneys is an illustration of the first cause. In this condition its function is almost entirely suppressed ; the quantity of urine which is formed is small, and its discharge is accompanied by great pain. Is the explanation of the phenomena to be found in supposing the nerves, or in supposing the delicate and beautiful structure of the parts concerned in the secretion, to be diseased ? What proofs have we that the nerves constitute the mechanism subservient to the function? In hysteria the urine is pale and copious ; at the termination of febrile diseases it is sometimes high coloured, and deposits a thick sediment : In a fit of indigestion how often is it turbid or of an unusual appearance ? Are these alterations the effects of a nervous affec- tion, or do they depend on changes induced in the quality of the blood and in its mode of cir- culation ? The two latter conditions are obvious- ly disturbed ; but we have no evidence whatever that the nerves are equally essential to secretion, or equally disturbed by circumstances. LXI. In acute cases of dropsy, depletion at times removes quickly the accumulated fluid ; and although it is almost impossible to ascertain precisely the conditions of the sanguiferous sys- tem which predispose to the effusion, or the 70 THE LAWS OF ORGANIC exact nature of those which tend to diminish it, yet we are sensible that the changes from health to disease, in the present instance, are connected with striking modifications in the circulation of the blood, arising generally from the action of cold, either external or internal, after previous exercise : and we still further remark, that the severity of the symptoms, in every stage of the affection, is characterised by increased force and motion of the blood, the presence of the buffy coat, the increase of temperature, and various other derangements belonging to organic life. If we were to state fully the beneficial changes induced in the same system by bleeding, it would be still more manifest that these depend exclu- sively, for any thing that we know to the con- trary, on the quality of the blood and the mode of circulation. Secretion and absorption in this example bear evident relations to general causes, and to causes which are appreciable. LXII. The function of digestion has been as- cribed by WILSON PHILIP to the influence of the nerves of the stomach on the materials of the capillary vessels ; and, in support of his opinion, he asserts that the secretion of gastric juice is stopped as soon as the eighth pair of nerves are divided, and that this process is re-es- tablished as soon as galvanism is transmitted to the organ of digestion. If the appetite be any criterion of the facility with which gastric juice AND ANIMAL LIFE. 71 is secreted, or of the quantity which is already poured out, it will not be difficult to arrive at certain general laws which regulate the pheno- mena. Every kind of exercise is a stimulus to the blood ; it quickens its motion and improves its properties, and these effects speedily excite those parts of the system appropriated to secre- tion. The abdominal viscera, without excep- tion, receive the invigorating impulse, indicated by the desire of food and the greater power of assimilation ; the colour of the countenance and the temperature of the body, and every natural evacuation, is similarly benefited. But if the body, instead of enjoying gentle exercise, be in- active or subjected to constraint, the above functions become irregular or imperfect ; or if an individual be suffering from depressing pas- sions of the mind, the appetite becomes almost immediately fastidious or feeble ; and a variety of other symptoms are present, which show that the defect in the desire of food and the energy of digestion is merely one of a series of conse- quences flowing from the want of oxygenated blood and a regular distribution of it. We have no proof that the nerves in the kidneys secrete, and we have as little evidence that the same agents have that important office in the stomach ; but if we suppose with WILSON PHILIP that these act on the properties of the blood, evolv- ing, in a manner unknown to us, the specific 72 THE LAWS OF ORGANIC fluid, the concession is as dangerous to his reason- ing and conclusions as the former unconditional statement ; as the quantity and quality of the blood, in all his experiments in which galvanism was not employed, and in which digestion was ar- rested, were deficient in their most essential con- ditions. LXIII. We may state as a principle, that whatever improves the impoverished properties of the blood) or equalizes its distribution, augments the secretion of gastric juice ; and that whatever occasions an opposite state of the sanguineous fluid, retards or destroys the Junction. LXI V. It is not always easy to ascertain when a function is capable of being performed, or, in other words, what degree of general abberra- tion of the system an organ will bear before it is deprived of its faculty or office. The conti- nuance and the force of circulation enable us in some measure, at times, with precision to calcu- late the extent of derangement compatible with the exercise of functional power ; but the best guide we possess is the temperature of the body. Whenever this is much diminished, or when it falls rapidly, we may rest assured, that digestion will be impeded or destroyed for the time, be- cause the temperature is never low, for even a moderate period, without changing the properties of the blood, and its usual mode of circulation. Having made these observations, we are prepar- AND ANIMAL LIFE. 73 ed to appreciate the force and correctness of what follows, commencing with the inferences which WILSON PHILIP supposes to be legiti- mately drawn from his ingenious and well con- ducted experiments ; and if these be taken in the order presented to the reader, we shall have a better opportunity of judging of the soundness of his views ; and of the value of his experiments. LXV. His first and second inferences, are, " That the function of secretion is destroyed by dividing the nerves of the secreting organs" " That it may be restored after it is thus destroy- ed, by the galvanic influence. 9 '* His Experiments, 44 and 45, are adduced to prove the first inference. In 44, the eighth pair of nerves were divided in one rabbit, in the other they were laid bare, and, after being raised on a probe were replaced uninjured. Both were al- lowed to eat parsley after the operation. In twenty hours from the division of the nerves, the rabbit which had undergone this operation died, and the one in which the nerves were only laid bare, was immediately killed to allow the experimenter to compare the two. In the latter the food was digested as usual, but in the former the food was found wholly unchanged by the digestive process. Experiment 45 was perform* ed to ascertain whether the distended stomach, which was always a consequence in the rabbit * Dr WILSON PHILIP on the Vital Functions, p. 247. 74 THE LAWS OF ORGANIC whose nerves were divided, was to be attributed to the quantity of food which the animal de- voured after the operation ; and to prove this point, the rabbit was not allowed to eat after the division of the nerves. The stomach was still distended. JLXVI. In these two experiments he does not particularize the symptoms ; but he observes, " These experiments seem to leave no room to doubt, that the office of the stomach is suspended by dividing the eighth pair of nerves. A similar observation applies to the lungs. In all the in- stances in which these nerves were divided, great dyspnoea we have seen come on, and the air cells and tubes were found clogged with frothy mucus"* If an individual suffered from tic doloureux, and allowed the surgeon to divide the nerve of sensation belonging to the face, he would after- wards find that the sensibility of the part was destroyed ; and from this operation he would be permitted to conclude that this nerve gave feel- ing to the face ; but WILSON PHILIP, in draw- ing a similar deduction from direct experiment, has apparently forgot two important considera- tions : First, he ought to have ascertained that di- gestion depends on nervous influence ; Secondly, to have explained the nature of the relation existing between the lungs and stomach in regard to their functions. * Dr WILSON PHILIP on the Vital Functions, p. 125. AMD ANIMAL LIFE. 75 LXVII. He grants that the lungs are always disordered, or rather that their office is destroyed, by dividing the eighth pair. Since digestion, in every instance, is modified by the action of the lungs, at one time excited, at another depressed, by the quality of the blood, can we for a mo- ment suppose that the secretion of the gastric juice will take place when the lungs have entire- ly lost the power of supplying to the stomach, and every other part of the body, a fluid possess- ing its natural properties ? If we believe, with this physiologist, that the nervous energy acts on the blood transmitted to the stomach, it cannot be imagined that the quality and motion of the sanguineous fluid are of trifling consequence to this agent. Does it possess the faculty of im- proving the deteriorated properties of the blood, of controlling its circulation, and, at the same time, the power of converting it to the necessary wants of the stomach? If such endowments characterized its exercise, the function of the lungs would almost be unessential to the sys- tem. LXVIII. It is stated, that the stomach and oesophagus are generally found distended in those rabbits in which the eighth pair of nerves have been divided ; and he says " that this arises from the fruitless efforts to vomit." He does not explain how vomiting distends the stomach, nor can I conceive the possibility, for it is prov- 76 THE LAWS OF ORGANIC ed that this organ is only slightly active in there- jection of its contents. If this act were accom- plished by the stomach itself, we might then con- sider it probable that its muscular fibres, by repeat- ed and excessive action, were debilitated, thereby allowing of easy enlargement. The intestines do not become distended in consequence of co_ pious evacuations, but have their capacity very much augmented by accumulated faeces or a col- lection of air. The bladder, if ever found in a simi- lar condition, has not become so from the approxi- mation of its parietes from a pressure from with- out, which occurs in vomiting, owing to the action of the abdominal muscles, but from the influence of a distending force from within. The cause of this phenomenon is to be ascribed to the disengagement of aeriform fluids, which gen- erally happens when digestion is imperfect, or when it is almost destroyed. The food which the stomach receives is not acted upon in the ordinary way, but the action of the gastric juice in the organ is sufficiently powerful to make an attempt at decomposition ; and this imperfect action is attended by an evolution of aeriform fluids. From the developement of this view, it is clear that the stomach, like the bladder and in- testines, is distended from a power exercising a pressure from within, outwards, not from efforts of vomiting, which are accompanied by opposite physical circumstances. AND ANIMAL LIFE. 77 LXIX. We now come to the consideration of the second inference, " that it (secretion) may be restored, after it is thus destroyed, by the galvanic influence? Experiments 46, 47, 48, and 49, were performed for the purpose of shewing that the influence of galvanism was equivalent to that of the nerves. In the first, 46, in which the eighth pair of nerves were divided and galvanism applied, neither dyspnoea nor vomiting occurred : these invariably happen- ed in every instance in which the lungs were found congested with mucus, and covered over with black patches ; consequently, their absence shews that the circulation of the blood in the pulmonary tissue was little altered ; and, more- over, that its properties were but slightly modi- fied. Such conditions being maintained, diges- tion ought to proceed in the usual way ; and this was found to be the case. The animal lived six hours, and on examining the lungs the following were the appearances : " The membrane of the trachea was of a natural colour, and there was no fluid in it. The ramifications of the bronchia in the left lung were quite free from frothy mu- cus. There was some fluid in the right lung, though it did not appear much gorged ; there was one dark spot on it. The lungs collapsed imperfectly on opening the chest."* Case 47. is very interesting, as it more strik- * Dr WILSON PHILIP on the Vital Functions, p. 125. 78 THE LAWS OF ORGANIC ingly illustrates my opinion than almost any other which he adduces. Two full grown rab- bits ate plentifully of parsley half an hour be- fore the division of the eighth pair of nerves. As soon as this operation was performed on one, galvanism was applied, and continued to be so, with varying degrees of intensity, for seven- teen hours, at which time the rabbit died ; the other, which had not been in any man- ner interfered with, was then killed, and the two were compared. He says, " The only differences between the contents of the two stomachs were the following : The food, which the healthy rabbit had taken during the expe- riment, was found in the cardiac portion of the stomach, and digestion was going on rapidly in it ; while that which the other had taken at the same time was stilt in the oesophagus, and consequently unchanged." It appears that the food which had been taken previously to the experiment exhi- bited in both an equal extent of the digestive process ; and this is consistent with the state of respiration during that time. After galvanism had been employed twelve hours, he says, " The animal seemed very composed, and breathed with considerable freedom, the trough having acted regularly for some hours." * Two hours after this period the animal made an attempt to vomit, and from this time the breathing became labo- * Dr WILSON PHILIP on the Vital Functions, p. 130. AND ANIMAL LIFE. 79 rious, and the severity of this symptom con- tinued to increase till death. While the lungs were enabled to act with regularity, the stomach was scarcely, if at all, impeded in its functions ; and this accounts for the similarity in the results presented by the food which had been takenbefore the operation, and the irregularity or imperfection in the re- spiration after the animal had been enfeebled or oppressed by the operation. .Application of galvanism, and the constraint of its position, accounts also for the food being in the oesopha- gus, and consequently unchanged, while that which the other had taken was in the cardia, and in part digested : so that the latter part of this experiment differs little from others which he offers to our notice, in which the nerves were divided without being followed by the employ- ment of galvanism. In accordance with this opinion is the condition of the lungs as de- scribed by WILSON PHILIP : " The lungs did not collapse on opening the thorax, the air-cells being full of a frothy and bloody serum. The lungs were externally of an uniform dark-red co- lour. The heart was a little increased in size, and highly vascular." * LXX. Experiment 49. on two dogs, presents no- thing of importance, except that the one in which * Dr WILSON PHILIP on the Vital Functions, p. 132. 80 THE LAWS OF ORGANIC the eighth pair of nerves were divided, and in which case galvanism was not used ,had great dysp~ noea and made violent efforts to vomit in ten minutes after the operation ; and in four hours, at which time it was killed, " it was so weak that it could not stand or move itself from the place where it lay on its side." * And he farther observes, " Is it possible to explain the results of these experiments without admitting the identity of the nervous influence and galvanism ? We must either admit this, or that there is another power capable of performing the most characteristic and complicated functions of the nervous sys- tem." f Having already made many observa- tions on the character and results of these expe- riments, it is scarcely necessary to discuss at length the evident incorrectness of the infer- ences which he deduces. LXXI. Without supposing any identity be- tween nervous and galvanic influence, the re- sults are easily explained ; nor are we necessi- tated, if we deny this identity, to admit, that there is another power, " capable of performing the most characteristic and complicated func- tions of the nervous system." The views al- ready developed, in conjunction with others to be stated, will preserve us from this disagree- able dilemma. * Dr WILSON PHILIP on the Vital Functions, p, 156. f Ibid, p. 138. AND ANIMAL LIFE. 81 LXXII. Galvanism is one of the most power- ful stimulants we possess : it is capable of dis^ cussing indolent tumours, of exciting the action of the heart, and of improving the sluggish state of the circulation. I am acquainted with a gentleman who has employed galvanism in two syphilitic buboes of the groin. One was about the size of a hen's egg, and this, after half an hour's application of a small pile of forty two-inch plates, was diminished one^ half; in the other, which was less, very slight alteration immediately took place in its size or appearance, but in this case resolution quickly followed its employment. LXXIII, The action of galvanism, in WILSON PHILIP'S experiments, is similar to the operation of the same power on any external tumour. When transmitted to the lungs and stomach by the ends of the divided nerves, it causes the blood to circulate with greater facility and regu- larity. In proof of this I may observe, that, when its influence is discontinued for a very short period, congestion immediately takes place in the lungs, indicated by laborious breathing and vomiting, but these symptoms as soon disappear when it is reapplied; and, still further, it is ac- knowledged by this able physiologist, that great vascularity was generally found in those cases in which galvanic influence had been employed. If, then, this agent diminishes congestion, an4 F 82 THE LAWS OF ORGANIC promotes a more equable circulation in the lungs, the blood will be better oxygenated according to principles previously stated, and, therefore, as the state of the stomach depends on these conditions, its function will be accelerated according to the correctness with which they are performed. Gal- vanism will also act upon the stomach in the same manner that it does upon the lungs ; but the effects will here be confined to an improvement in the distribution of the blood, while, in the other case, it tends to improve the properties of this fluid by removing all disabilities to its circula- tion, and to the chemical influence of the in- spired air. If I were required to bring forward any proofs in support of the influence of galvanism, 1 would adduce the application of this agent to practice, and the results which followed its action, as stated by WILSON PHILIP himself. He says, " That both the oppressed breathing and the collection of phlegm caused by the division of the eighth pair of nerves, may be prevented by sending a stream of galvanism through the lungs :"* And still further, " When there is a con- siderable tendency to inflammation in habitual asthma, the repeated application of galvanism sometimes increases it so much, that the use of this influence no longer gives relief till the in- * Dr WILSON PHILIP on the Vital Functions, p. 315. AND ANIMAL LIFE. 83 flammatory tendency is subdued by local blood- letting." * It was found most beneficial in those cases " which were least complicated with other diseases, the chief complaint being a sense of tightness across the region of the stomach, im~ peding the breathing." Are the oppressed breathing and collection of phlegm prevented by galvanism acting in a pe- culiar manner upon the nerves, or in removing the physical causes which produce these symptoms ? Do oppressed breathing and collection of phlegm arise from an affection of the nerves, or from a condition of the system incompatible with the free circulation and oxygenation of the blood? The reason that galvanism is injurious in those cases of habitual asthma characterised by a tendency to inflammation, is, that inflammation is itself an over-excited state of the capillary vessels of the affected part ; and if we apply this agent, it excites still more, according to its universal in- fluence, and therefore will augment the disease, It is beneficial in cases of congestion, because it stimulates the vessels engorged, and enables them to overcome the burden by which they are oppressed. LXXIV. This explanation does not prove the identity of the nervous and galvanic power, be- cause the office of the eighth pair of nerves is * Ibid. 525. F 2 8i THE LAWS OF ORGANIC not to operate upon the blood in the same way as the aura which is furnished by the pile, but to regulate the respiratory functions, whose busi- ness it is to exercise a more extended influence upon the qualifies of the sanguineous fluid and its mode of circulation ; and as long as these cir- cumstances are attended to, whether by the nor- mal action of the nerves, or the stimulus of gal- vanism, the stomach will continue to secrete gas- tric juice; nor does the explanation compel us to look out for some other mysterious agent whereby w r e shall be enabled to give reasons, why these apparently complicated functions are performed during the absence of their proper in- struments. We shall now pass to another infe- rence, No. 24. ; and after critically examining its merits, we shall be better prepared to judge of the correctness of those principles promulgated by this physiologist, and the reader will then perceive more clearly the value of others which are substituted in their place : te That lessening the extent of the nervous si/s- tem, by destroying' the influence of any considerable part either of the brain or spinal marrow, deranges the secreting power" * LXXV. WILSON PHILIP having proved that digestion is destroyed when the eighth pair of nerves are divided, was desirous of ascertaining * Dr WILSON PHILIP on the Vital Functions, 247. AND ANIMAL LIFE. 85 Whether the same effect would follow the partial destruction of the spine, as he believed the sto- mach to receive nerves from this as well as from the brain. To place the question beyond doubt the following experiments were performed, 58, 59, 60, 61, 62. As 58. contains few particulars, we shall pass to the next. In a full groAvn rabbit a small wire was intro- duced into the spine at the fourth lumbar verte- bra, by which the spinal marrow was destroyed as far as the lowest dorsal vertebra. " Respira- tion was a little disordered. In a short time af- ter the operation, the animal appeared lively, and ate some parsley. The respiration continued to be slightly affected. Some hours after the ope- ration, Mr Hastings, who watched the animal, observed it to be very cold, and it shivered, al- though it was Itept in the same temperature with other rabbits, who shewed no signs of being cold. The rabbit used in the last experiment, 58, also seemed cold, but not in the same degree. The respiration now seemed much disordered, and the animal refused parsley. It died in 27 hours after the operation."* After death the follow- ing appearances presented themselves : " The stomach was not much distended. The parsley near the cardiac orifice was not at all changed, and that near the pyloric orifice very slightly. The membrane of the trachea and bronchia was * Ibid. p. 172. 86 THE LAWS OF ORGANIC more vascular than natural. The bronchial cells were slightly loaded with frothy mucus, and there were the same red patches in the lungs as after dividing the eighth pair of nerves." From bringing forward the symptoms as described by WILSON PHILIP, it is scarcely necessary to make any observations upon them : they differ little from those which have been already detailed, and the results are of the same kind. LXXVI. Disordered respiration is one of the first symptoms which he mentions, and this con- tinued for many hours. The animal was lastly observed to be very cold and shivered, which sign has been stated in LXIV. of thepresent Chapter to be the most sure indication of a condition of the system incompatible with the essential functions of life. The cause of the cold which it experi- enced is found in the description which is given, " the bronchial cells were slightly loaded with frothy and bloody mucus." Experiment 60. will illus- trate more accurately the precise states of the temperature. In this experiment he wished to try the effects of the destruction of a smaller por- tion of the spinal marrow, and, for this purpose, introduced a small wire into the spinal canal, at the first lumbar vertebra, " and that part of the spinal marrow which lies below this vertebra was destroyed." The state of the respiration is not mentioned, and from this, one is led to suppose that there was nothing peculiar about it. " On AND ANIMAL LIFE. 87 examining it after death, the stomach was found no larger than natural ; the parsley retained its colour, smell, and fibrous texture, although such a change had taken place in it as demonstrated a very slight degree of the digestive process." It is to be regretted that few particulars are given concerning this rabbit. We are told that in 35 hours after the operation the animal died ; but the cause of this is not stated. The most important contribution in the experiments at which we have glanced is a table, in the present one, of the temperature of the animal at different times. From inspecting this, and attending to the observations which accompany it, I cannot but flatter myself that the views which I have endeavoured to establish in this and the preced- ing chapters, receive a more correct corroboration than they possibly can from reasoning founded on general facts. Its importance precludes the ne- cessity of apologizing for its insertion. " The bulb of Fahrenheit^ thermometer introduced in- to the mouth, and kept there for two minutes previous to the experiment, stood at 98. Immediately after the operation, Therm. - 98* In twelve minutes after it, - 92 In half an hour after it, - 92 In two hours and a half after it, 98 In five hours and three quarters after it, - 98 In seven hours and a quarter after it, 98 In nine hours after it, - 96 In ten hours after it, - 95 88 THE LAWS OF ORGANIC The animal during all this time appeared lively, and ate parsley. In eleven after it, - - 96 > In twelve hours, - 97 Night coming on, the temperature was not measured for' thirteen hours. In the morning the rabbit appeared lively, and ate readily. In twenty five hours after the operation, - 88 In twenty -seven hours after it, 84 In twenty -nine hours after it, - 88 In thirty hours after it, - 84 In thirty-one hours after it, 84 In thirty- three hours after it, '* - 80 The animal still continued to eat. In thirty-four hour? after the operation the temperature was 75." " This animal did not appear nearly so cold as that in the preceding experiment, in which a larger and more important part of the spinal marrow was destroyed." It is difficult to conceive how so acute a phy- siologist as WILSON PHILIP could watch the di- minution of temperature, the laborious breathing, nay, even the shiverings of the animal, and yet keep his attention fixed exclusively upon the sto- mach and the nerves. This fact ought to make us extremely lenient towards those less gifted, and possessing fewer opportunities of observation. When the temperature of the human constitu- tion is raised or depressed a few degrees, the se- * Dr WILSON PHILIP on the Vital Functions, p. 176. AND ANIMAL LIFE. 89 cretory organs are invariably deranged, at times almost suppressed, and although there may be a difference in the delicacy of organic functions in the higher and lower gradations of the animal creation, yet, when we perceive the temperature of a being, perhaps not less sensibly constituted than ourselves, from 15 to 23 degrees beneath its natural standard, have we a right, as observers of cause and effect, to anticipate ordinary conse- quences ? In the whole class of hibernating animals, whose peculiarity it is to dose away a third or fourth part of their existence at a pe- riod of the year when their necessities could not be supplied, the feelings which prompt them to look out for food weaken with the diminution of their temperature ; and as these feelings, in health, are proportionate to the activity of inter- nal functions, it is manifest that the influence of cold, whether arising from external or internal conditions, has a regularity in its action, and a uniformity in its effects. The nature of my ex- periments compelled me to keep a great number of rabbits, and the necessity of passing many hours a-day among them, readily disposed me to investigate their habits, and to consider the agen- cy of general causes upon their economy or sys- tem, such as heat, cold, and perturbations of the mind. Whenever the heat was increased by a change in the seasons, or by additional warmth in the room, the animals became more lively, 90 THE LAWS OP ORGANIC their appearance in the space of a week or a fort- night more vigorous and sleek but, as soon as the thermometer, in the situation in which they were placed, was as low as 35 or 40 degrees, they presented marked alterations. They crept along as if afraid to expose a large surface of the body to the cold, the sleekness vanished, and the spine soon shewed an unusual prominence, and, when these signs were evident a nightly morta- lity lessened the stock. For some time I attri- buted their haggard and consumptive aspect to disease ; but after reflecting on the influence of cold in modifying the qualities of the blood and its distribution, I was naturally led to regard the assimilative powers of the system as affected by these changes ; and, believing this opinion to be correct, I endeavoured to obviate former consequences by the application of principles deduced from the consideration of their cause. When the days in winter were par- ticularly severe, I placed the young and sickly in a large box kept in the room with the others ; and, by pursuing this plan, I preserved their number and increased their vigour. It is scarce- ly possible to convey an idea of the difference I perceived, in point of liveliness and health, be- tween those subject to a temperature of 75 in a confined place, and those exposed to 35 or 40 in a small room. I have not made any experiments on the most AND ANIMAL LIFE, 91 sickly rabbits, for the purpose of ascertaining the variations of temperature from the state of health ; but among the great number which I have exa- mined, in which some were strong, and others weakly, I have seldom found a difference beyond 5 or 6 ; but if this diminution of temperature produces such marked results, can we expect a rabbit to digest its food when constrained and tortured by the experimenter, with laborious and irregular breathing, and a loss of 15 or 20 of animal heat ? If this fact can be established, the secretion of gastric juice is regulated by a partial or individual law a law which is independent of those great principles of the system, and of every modification which these suffer from inter- nal or external general causes. The last inference and experiment which I shall at present notice, are the following " That dividing the spinal marrow does not derange the secreting power." To prove this, the spinal mar- row was divided about the middle. " The rab- bit seemed lively after the operation, and conti- nued to eat frequently till within six hours of its death. It died in twenty-seven hours and a half after the division of the spinal marrow. It had not vomited, and had little or no dyspnoea"* In this experiment the digestive power was little, if at all, affected ; and this is just what we should anticipate from the symptoms which he describes, * Dr WILSON PHILIP on the Vital Functions, p. 180. 92 THE LAWS OF ORGANIC as these show that the respiratory function was scarcely at all troubled. He remarks, " It had not vomited, and had had little or no dyspnoea. The lungs collapsed on opening the thorax, but contain- ed only a little frothy mucus:' If the reader will compare this description with those previously given, he will acknowledge the present experi- ment to be corroborative of the opinion continu- ally expressed concerning the cause of the cessa- tion of digestion. WILSON PHILIP, in speaking of the dark red patches, which always characte- rised the lungs of those rabbits in which the eighth pair of nerves had been divided, observes, that he cannot compare these patches to any thing except what " now and then appears in the lungs of the entire animal after it has lain dead for many hours. In the living animal it was always proportioned to the degree in which the secreting power of the lungs was deranged, appearing to the greatest degree when the conges- tion of the lungs was greatest ; and not appearing at all, although the eighth pair of nerves had been divided, when the breathing was rendered free, and the congestion prevented, by galva- nism."* LXXVII. Many fallacies in reasoning are con- cealed by an ingenious or sparing application of principles. The view presented seems correct, because one phase is alone offered, and this of a * Dr WILSON PHILIP on the Vital Functions, p. 216. AND ANIMAL LIFE. 93 specious description ; but when the application of these principles becomes general, or when it is pushed to the extreme, the variety and promi- nence of objects immediately expose their in- efficiency or incorrectness ; and 1 regret to say, that the principles which we have examined in this chapter, are an illustration of the opinion. LXXVIII. Secretion, agreeably to the doctrine of WILSON PHILIP, depends on the operation of the nervous power. " To this (he says) it may be objected, that plants and the less perfect ani- mals have no nervous system. Would it not be more correct to say, that the operation of their nervous system is more confined ? Wherever se- cretion is performed, the nervous influence, or a power resembling it, must exist."* That the phenomena belonging to secretion are attributable to nervous influence, or a power resembling it, is a gratuitous assumption. It has never been proved that plants are endowed with nerves ; and yet we perceive that they are cap- able of affecting the air in much the same man- ner as animals ; they have an ascending and de- scending circulation ; they have radicles which select and absorb what is beneficial to their growth ; and the leaves which they possess ope- rate as lungs on the materials conveyed ; and these, after proper elaboration, are appropriated to the various systems of the vegetable, which, in their Ibid. p. 258. 94 THE LAWS OF ORGANIC turn, are exercised for the growth and support of organic life. LXXIX. In those beings which constitute the links between animal and vegetable existence, no nervous system has been detected ; and yet, from the more complex actions which these ex- hibit, it is reasonable to suppose, if such, or si- milar actions, in a more perfect organization, are invariably connected with or produced by nerves, that a nervous system ought to exist. The ab^ sence of such parts ought to teach the physiolo- gist to investigate minutely the systems of those individuals who exhibit only the first rudiments of vegetable and animal life ; and if these have an operation or design analogous to the systems of those whose functions are more extensive, whose relations are more numerous, and whose susceptibilities are greater, he must not measure the laws of the former by his indefinite ideas or principles derived from the latter. If he does, the consequence will be, that the systems of the former will remain unknown, and his know- ledge of those of the latter will be confused or uncertain. Abbe HAUY, by taking a crystal, and chipping it, was enabled to discriminate the form of its original nucleus or constitution ; but to detect the important laws of the animal creation, we must not commence by removing the many ad- ditions which have been bestowed and multipli- AND ANIMAL LIFE. 95 ed for the adaptations, purposes, and circum- stances of life, but must commence where the crystallographist terminates; and, by attending to this plan, we shall unravel the principles of more perfect systems, which are concealed by parts of secondary formation or importance, scarcely at all essential to the exercise of these principles. LXXX. As it may justly be asserted that our senses do not allow us to penetrate deeply into the structure of organized beings, and, therefore, we have no right to deny what we cannot de- monstrate, we will leave plants and imperfect animals, and examine the merits of the doctrine in a manner altogether unexceptionable. LX.XXI. A few cases are on record in which foetuses were born without brain or spinal mar- row ; and yet these possessed external endow- ments characteristic of the activity of internal functions ; indeed there was no observable dif- ference between such and others in whom these organs are entire. LXXXII. The difficulty which this case pre- sents being insurmountable according to the principles laid down by this physiologist, he says, " No writer, as far as I know, has attempt- ed to explain the difficulty." He confesses that his experiments do not explain it ; but he pro- poses the following view : " If the nervous sys- tem be galvanism, there may be some apparatus in the uterine system for collecting and applying 96 THE LAWS OF ORGANIC this agent, which is every where diffused, till the brain and spinal marrow can perform their func- tions, and which may continue to supply their place where they never exist."* Throughout this chapter I have endeavoured to show that it is to alterations in the mode of circulation, or in the qualities of the blood, that the different phe- nomena of the digestive process must be attribut- ed ; and, still farther, that all secretions depend on the sanguiferous system for the extent and acti- vity of their functions : and this reasoning, al- though opposed to the generally received princi- ples, was found to be supported by the disorders induced in the respiration and circulation, and in the evident disease or derangement of the lungs, in all the experiments brought forward. LXXX1II. The division which BICHAT has supported of animal and organic life does not apply strictly to the foetus. It does not require a sys- tem of nerves to elevate or depress the ribs, to give motion and sensibility to the body, so that it may be locomotive or taught by its sensations to pre- serve itself; and as the senses are shut from the ex- ternal world, the brain is unessential to its present situation. It, therefore, possesses chiefly organic life ; and at this period, although complex and varied in its organization, it is almost as uncom- pounded as a vegetable, and regulated by nearly similar laws. The difference between the foetus * Dr WILSON PHILIP on the Vital Functions, p. 241. AND ANIMAL LIFE. 97 and new-born infant is great. The latter is bring- ing into play, by the exercise of its limbs, and the stimulus of external objects, the endowments of the nervous system, while the former has no ne- cessity for them. But there is no difference what- ever between the foetus and the infant in regard to those systems by which an animal is nourish- ed. One is supplied with arterial blood from its mother, and this is distributed to every part of the body ; the vital principles of which it is com- posed are appropriated to the increase of the em- bryo parts precisely in the same manner as when these parts are subsequently developed and main- tained by blood elaborated by its own organs. The nervous system is as little related in after life as at that time to those peculiar adaptations by which one general fluid is converted into the varieties which the constitution exhibits. It will produce modifications, because it supplies sensi- bility and motion, whose influence is extensive and multiplex. LXXXIV. It is therefore obvious, that the dif- ficulty, of which WILSON PHILIP speaks, is a diffi- culty only according to his own principles. The solution which is here given is not derived from hypothetical sources, but is furnished by the same reasoning and observations which have enabled us to expose evident inaccuracies in the views which he has developed, as explanatory of the process of digestion and the generation of animal heat. G 98 THE LAWS OF ORGANIC CHAP. IV. The ^Distribution of the Blood at different Ages and Seasons. LXXXV. WE have been long accustomed to regard the circulation of the blood as composed of an arterial and of a venous system, continually in action ; but our attention has never yet been sufficiently awakened to investigate the import- ant alterations of which these systems are sus- ceptible. The lungs and the heart commence their functions at birth, and as long as life con- tinues they perform the designs of Nature ; but these designs and effects are variable, because the necessities of the system change with the evolu- tion of new, or the feebleness and imperfection of old organs. The lungs unceasingly act upon the blood, and the heart every moment conspires to propel it ; but the former do not always pos- sess the same capability, nor does the latter ex- hibit the same energy through the different stages of existence. If then the qualities of the blood are modified by the different conditions of organ- ization, and if its propulsion and circulation are also subject to the same, is it philosophical to suppose that its distribution will be equable or uniform ? AND ANIMAL LIFE. 99 LXXXVI. In physics an effect is proportion- ate to its cause, and the same holds good in the animal frame in regard to all actions that are re- ferrible to this department of science. If a ball be thrown from the hand with great force, it will overcome many obstacles which would retard the course of another propelled with less energy ; but suppose this ball to be thrown through a given space where there are different objects presenting different degrees of attraction or controlling powers, and then we have an idea of the office of the heart and the influence of certain organs in regu- lating or restraining the diffusion of the sangui- neous fluid. LXXXVIL Physiologists and Anatomists have long been occupied with the minute struc- ture of the heart and lungs, endeavouring to un- fold their ultimate tissues, to describe the courses or uses of vessels, or the number of nerves which enter into their composition ; and these investi- gations have been productive of many theories and fanciful opinions, which, if true, would have led to no application, but have given rise to one consequence, which has perhaps tended more than all others to mystify the operations of Na- ture, I allude to the study of minute objects. While the mind and the eye have been equally on the stretch to understand and perceive the na- ture of ultimate principles, they have almost en- tirely forgot to observe and examine phenomena G2 100 THE LAWS OF ORGANIC which are more obvious in their character, and more easily traced. In the attempt to explain the difficulties of the present subject, which, as yet, has never been investigated, I may probably fail in convincing all of the correctness of the views ; but it cannot be denied that the applica- tion is practical. LXXXVIII. In the first months of infantile life, the respirations are extremely numerous, pre- senting from 30 to 50 inspirations in a minute ; the heart is also proportionately quick and fre- quent in its pulsation ; and the heat of the body is generally above the standard of the adult. LXXXIX. The nourishment of the infant is derived from the breasts of the mother, and this is of a rich and nutritious quality, well adapted to support and extend the powers of life, without requiring much elaboration on the part of its organs to fit it for the purposes of nature. The digestive process, which brings into action the greater part of the abdominal viscera, is, therefore, on the present occasion, not so energetically exer- cised as to make great demands upon the blood. And if it be acknowledged that the assimilat- ing organs are less powerfully exercised than in after life, the brain, and those parts of the system subsequently developed for the procrea- tion of the species, are to be considered as influ- encing even less the mode of circulation or the ex- penditure of the blood. Although the former AND ANIMAL LIFE. 101 is more perfectly formed at this period than the latter, because more early brought into requisi- tion, yet it is manifest, that, for some time after birth, its action is too feeble to constitute an expensive function of the system. XC. It may probably be advanced against the present argument, that the rapid progress of the infant, evinced in the expansion of the body, demonstrates that the functions appropriated to organic life are more active than those of the adult. This idea seems plausible at the first glance ; but if it be remembered that the child is subject to little or no exertion ; that its waking and sleeping moments are unruffled by real or imaginary evils ; that its digestive powers are not deranged by the improprieties of habit, or the influence of moral causes ; and, lastly, that its existence may be said to be distributed into three parts, two of which are devoted to sleep, or a state equivalent to it, and the other to the breast, it will then appear obvious, that this effect does not require superior internal energy on the part of the assimilating organs to give an efficient reason for its occurrence. XCL The embonpoint of the system in adults depends less on the quantity or quality of food than is generally imagined. Rest, peace of mind, and a moderate indulgence of our passions, are the principal agents which contribute to pro- duce this result. Indeed the more nearly we 102 THE LAWS OF ORGANIC approximate to the life of the infant, the more closely will our frame resemble the form and softness of the infantile system. XCIL The frequent respiration of the in- fant explains the quick and numerous contrac- tions of the heart ; and the existence of these conditions, the internal organs being compara- tively inactive, proves that the blood must be more generally and equally distributed to every part of the system. At this age, the circulation, in contradistinction to what subsequently occurs, may be called external ; and, from views which 1 intend in the next chapter to unfold, it will be obvious, that this character of the circulation be- longs to the young of every kind ; and, still further, the knowledge of this peculiarity will teach us to estimate the influence of external causes in augmenting or diminishing the gene- ration of animal heat. XCIII. As soon as the infant ceases to be dependent on the mother for its support, the digestive functions acquire a greater energy ; and the consequence of this change is, that the stomach, liver, and the whole of the intestines, as well as the excretory organs, make a continual and more extensive demand upon the properties of the blood, and necessarily must modify the previous circulation of this fluid, as these inter- nal actions must be regarded in the light of attractive or controlling powers. In accordance AND ANIMAL LIFE. 103 with what is here advanced, it is observed, that the respiration is less frequent, and the contrac- tions of the heart less numerous, as we proceed from infancy to maturity ; and the power of bearing cold is augmented in extent propor- tionate to these changes, not because the power of generating heat is increased, as supposed by Dr EDWARDS of Paris, but because the agency of external causes have not the same states of the circulatory system to influence, XCIV. In tracing the infant a little* fur- ther in its progress; we perceive the gradual development of animal life, and the more vigor- ous exercise of those parts belonging to the organic. The mind is not only susceptible to impressions, but is anxious to cultivate a know-* ledge of the various objects by which it is sur- rounded ; and the different sports of this age are calculated to give strength and agility to the body, acuteness to the senses, and vigour to the assimilating functions. XCV. In harmony with what I stated in xc. and xci. the child loses, as it approaches the teens, that chubby fulness which charac- terised its earlier years, shewing that this con- dition was not to be referred to the activity of the digestive process, but to the sluggishness of mental and physical powers which are sub- sequently brought into action. Without dwell- ing any longer on gradations of the system, that 104 THE LAWS OF ORGANIC will not be fully appreciated by all, we will at once commence to treat of a period of life which developes the distinctive characters of sex. XCVI. I have already pointed out in what manner the internal or vital organs of the system influence the circulation of the blood, viz. by their increased importance and energy ; and when these have, for some time, given a different inclination to the distribution of this fluid, the various organs appropriated to the animal propensities appear as additional stimuli or powers to complete that inclination. XCVII. The development of these parts, in relation to the blood which must supply them, cannot be considered in the light of a simple in- crease of matter requiring nerves and blood- vessels for their nourishment, but must be re- garded as bringing into play new and essential functions, endowed with principles independent of the general laws of the system, except in so far as these contribute to their wants. XCVIII. All secretions of the system are accomplished by certain organs or adaptations, in a way unknown to us, but at all times at the ex- pence of the sanguineous fluid, and they always bear a ratio to the quantity they receive in the state of health. It is therefore evident, that, if we augment the secretions, and particularly such as are not intended for the support of the consti- tution, we must diminish the proportions previ- AND ANIMAL LIFE. 105 ously distributed to the different organs, and these proportions will be disturbed according to the exercise or energy of the individual functions in question. XCIX. The organs that are late of being deve- loped, when perfectly formed, never cease to make regular demands upon the blood; indeed their of- fice is as constant as that of digestion, till the decay of the natural powers of life, although the pur- pose for which they were intended be not con- summated. If there be any difference between them and other organs, it is that they are sub- ject to occasional and periodical changes, which tend more than any thing I have yet mentioned to give an internal distribution to the blood. C. The natural excitation of an internal viscus produces the same local alterations that the morbidly-excited action of any part of the system occasions in the condition of its organiza- tion ; we have in both increased action and a highly vascular appearance ; the striking dissi- milarity between them is in the consequences which succeed. The disorders of the one subside with the cause which gave them rise, but those of the other are followed by febrile symptoms, a derangement of other viscera, and sometimes with disease of its own structure. From this general view of the changes which are peculiar to the animal economy at a certain period of life, it must be obvious to the reflecting mind, that these 106 THE LAWS OF ORGANIC changes will lessen the distribution of blood upon the surface of the body, because the internal ne- cessities are great, and therefore we shall have, from this time till the destruction of [organic ex- istence, a state of circulation which may be designated, in contra-distinction to the former, internal. CI. At this period of life, approaching to its acme, the respiration has become slow, the contractions of the heart less frequent by almost one half, the animal temperature on the whole less, and the appearance of the body is at variance with those indications which the infantile frame exhibited. We have now the thoughtful, pale, or sallow countenance : if not constitutionally in- corporated, it occurs too frequently not to be remarked, and it is accompanied by too many internal derangements not to be felt, or traced to its appropriate source. But we have not only derangements, but diseases that demonstrate more clearly the correctness of the division of circula- tion at these different states of life, into external and internal. But, before we treat of these, we may advert to the exercise of the mental facul- ties, and the influence which they possess in con- trolling the sanguiferous system. CII. The sports, pursuits, or feelings of the child, may be regarded as a general class of exci- tants : they are either attended by muscular ex- ertion, which is favourable to the oxygenation of AND ANIMAL LIFE. 10? the blood arid its general diffusion, or they are characterized by the buoyant or highly stimulat- ing sensations of the mind, which accelerate the function of respiration, or at least tend to main- tain it in an equable and vigorous condition. The child is subject to griefs, but the expression of these is not indicated by thoughtful tacitur- nity, by retirement from ordinary amusements, or by those deep inspirations which deteriorate the properties of the vital fluid at a later period of life, but are indicated by those very acts which tend, even more than its usual sports and feel- ings, to diffuse new life and energy throughout its system, and to maintain that external circula- tion of which we have spoken. CIII. The influence of the mind in the child is almost invariably beneficial to its constitutional necessities, while the agency or exercise of this principle is too often injurious in its effects at a later period. The cultivation of intellect, inde- pendently of the mortifications and disappoint, ments almost inseparable from it, is pursued at the expense of many moments that would be bet- ter devoted to sleep or amusement ; but even if we suppose the mind to be passive from the indolence of its possessor, it is still necessarily exposed to a variety of sensations that are disa- greeable or painful, and the universal tendency of these is to bring the blood from the surface of 108 THE LAWS OF ORGANIC the body, to surcharge the internal organs, and thus to impede the proper changes of the blood and its dependent functions. Whenever the mind acts to this extent, a morbid congestion or disease of internal parts occurs ; but if the cause which operates be much milder in its consequences, it is still liable to influence the natural internal determination or circulation of blood ; I say na- tural, because I have already shown, that, as we recede from infancy to manhood, the digestive and excretory functions augment, and others which are of Importance to the animal economy are deve- loped and brought prominently forward, the indi- vidual or collective support of which is derived from the blood ; and therefore this change must modify the previous distribution, by creating new internal wants, and presenting new objects as forces of at- traction or powers of control. CIV. If the above view be correct, like all principles which are true it must be capable of application ; and if it be proved that the various diseases to which the different ages are exposed have no relation with the peculiarity of the cir- culation, it will then show that my observations and opinion are inaccurate ; but if it be acknow- ledged that the nature or character of the disease depends upon, or is influenced by this state, an opposite conclusion must be drawn. CV. From fourteen to eighteen years of age youth is liable to be affected with epistaxis AND ANIMAL LIFE. 109 and at the latter end of this period haemoptysis is not at all uncommon. The former is the con- sequence of a still remaining vascularity of those parts of the body which are most external, and is occasioned by the first disturbance which takes place in the system from a change in the mode of circulation, as indicated by a fulness of the head, and its dependent symptoms, such as dizzi- ness, imperfect vision, troublesome or frightful dreams ; and is also frequently accompanied with irritation of the trachea and bronchia, as proved by an occasional cough. CVI. Epistaxis is generally produced by ex- ercise, coughing, speaking, violent passion, and other similar causes. The system being ex- cited by these, a quantity of blood greater than what is natural is determined to the surface of the body, and moreover must be evacuated for the safety or well-being of the animal economy ; and as there is no other mucous membrane of the body equally vascular, and bearing the same relation to this extended surface, the blood flows from the deli- cate net-like membrane of the nostrils. CVII. It is not my intention to enforce the correctness of this opinion by enumerating the different kinds of practice found most beneficial in its cure. This will occupy our consideration in a subsequent treatise ; but I may observe, that the means employed, such as bleeding, application of cold and internal refrigerants, are precisely 110 THE LAWS OF ORGANIC such as are calculated to destroy the condition of the circulation on which the hemorrhage de- pends. CVIII. From sixteen to twenty-five, haemop- tysis is the most frequent ; and it is at this pe- riod that the regular internal circulation begins to establish itself ; and when the frame is so con- stituted as not to admit, without disturbance, this alteration, or when an individual is highly ple- thoric, this phenomenon occurs. It may proba- bly be asked, why does not the system relieve itself as it did in the former instance ? the answer to this is simple, the natural vascularity of the surface of the body no longer exists : it is trans- ferred more particularly to the internal organs ; and whenever this normal modification is excited by any of the causes which promoted the former disease, the demand is made upon the lungs, as being the most vascular, the most delicate, and, from their situation, bearing the nearest relation to those parts which are oppressed, or rather to that state of the circulation which is to predominate till the decline oftife. CIX. The sensible and delicately formed frame of the female is protected, to a very great extent, from such disorders. Nature has been extremely provident in preserving this part of the creation from derangements to which her constitution would be unequal. When we are suffering from changes in the mode of circulation, which the AND ANIMAL LIFE. Ill strength of our constitution quickly overcomes, the various organs peculiar to her sex are deve- loped ; and from the organization, and extreme vascularity of these at certain periods, the op- pression of the internal circulation is relieved by an excited action of these organs, often long be- fore their operation is required for the ultimate ends of Nature. We thus perceive, that the vi- gour of the one and the delicacy of the other are secured by different designs : the former by the natural robustness of the frame, and by the sports and pursuits proper to that sex, which tend particularly to maintain a moderately external and uniform condition of the circulation ; and the latter, by the influence of functions that might be called premature in their formation, if we con- sidered only the other purposes which these are intended to fulfil. CX. The acute and chronic diseases of both sexes from sixteen to twenty-five, and the vari- ous slight derangements to which the system is exposed, may be alluded to as presenting addi- tional proofs in corroboration of this view. In- flammation of the lungs, or thoracic viscera, is not at all unusual ; but this may be determined at every age of life, and therefore may be said to arise rather from the agency of occasional causes than from any constitutional predisposi- tion. But it is between the above-mentioned periods that consumption is the most common 112 THE LAWS OF ORGANIC and fatal ; and unless there were some general character of the system favourable to the pro- duction of the disease, we cannot conceive it pos- sible that one-fourth of the population of Europe should annually die of phthisis, as is stated by Dr YOUNG. The exciting causes in civilized life are numerous ; but unless there were a predisposi- tion on the part of the system to the development of such a malady, these causes would not act so extensively as to occasion the most general and destructive chronic disease to which humanity is subject. The general and local means that have in all ages been found the most beneficial in re- tarding its progress, or the most powerful in ef- fecting a cure, have produced their effects be- cause they have universally been such as tended to equalize the circulation of the blood. Gentle exercise of the body, removal to a more tempe- rate climate, sudorifics, emetics, the warm bath, and warm-aired rooms, friction, and the applica- tion of stimuli to the chest, have been recom- mended, and are allowed to be the most effectual in controlling or removing the affection. The action of these is to overcome the morbid inter- nal distribution of the blood, and, by diffusing it more generally throughout the system, enable the lungs to regain the vigorous exercise of their function. CXI. The greater number of the disorders of the female are to be attributed to irregularities AND ANIMAL LIFE, 113 in the uterine functions, all of which have the ten- dency to increase the natural internal circulation or determination of blood, giving rise to disorgani- zations of the lungs, weakness of digestion, de- ranged secretions of the abdominal viscera, pal- pitation of the heart, and disturbance of the mental powers. It is not necessary to insist further on the correctness of this opinion, by adducing other illustrations : the minute and efficient investigation will be found, not in any single chapter or view, but in examining the general principles which are proposed, in the variety of aspects which different diseases, seasons, and circumstances present. CXIII.If we consider the nature of the diseases which occur after the prime of life, which arise simply from the extension of the same principles that we have traced from youth to maturity, we shall be agreeably surprised to find, that Dr CUL- LEN referred the greater number of these diseases to a venous plethora, depending, as he supposed, on a difference in the proportional density of the coats of the arteries and veins. He imagined that in early life the coats of the veins have a proportional density greater than those of the ar- teries, on which account the plethoric state of the latter is to be regarded as the cause of many con- stitutional derangements and diseases ; but at a subsequent period the density of the coats of the arteries becomes superior to that of the veins, and H 114 THE LAWS OF ORGANIC we have then a class of diseases called passive Hcemorrhagies. CXIV. The effects of this venous plethora of Dr CULLEN are precisely the same that we should anticipate to happen from a knowledge of the general changes in the circulation, as stated in this chapter ; and it is for the reflecting reader to judge, whether the present coincidence ought to be regarded as confirming the views which I have attempted to establish. CXV. In old age the motions of the heart are less forcible ; the capillary system of the lungs less vascular ;* and the ability or disposition to exertion is diminished. It is therefore manifest that the blood is propelled with less energy by the influence of its moving powers throughout the system. The properties of the vital fluid are also less stimulating ; and these conditions, com- bined with the comparative inactivity of the body, are well calculated to augment the natural internal determination of the sanguineous fluid. But we are not to suppose that the system in the decline of life contains the same quantity of blood which it did in its prime ; the more confined operation of those organs necessary to digest and * En examinant les cellules du poumon, j'ai etc frappe de la variation de grandeur qu'elles eprouvent par les progres de 1'age 5 leur nombre est en raison inverse des annees. II resulte de ce fait que notre poumon doit acquerir, a measure que nous vieillissons, une legerete specifique tres grande. Journal de Physiologic Experimentale. Par F. MAGENDIE. 4th Number. October, 1821. /?, 80. AND ANIMAL LIFE. 115 assimilate has gradually been diminishing the proportion, to allow the lungs and heart to act with moderate correctness. CXVI. From the preceding views we may draw the following conclusions : 1 . That the blood in all young animals is generally diffused through the system, on account of the internal ne- cessities making little demand upon this fluid ; and that the character of this distribution is changed in proportion to the development of these necessities. 2. That, at the maturity of the animal frame, the internal organs are more vigorous than at any other period of life ; and that, as the natural or diseased action of these is augmented, if unaccompanied by fever or ex- ercise, the blood in all cases is determined to them in greater quantity than natural, either maintaining the regular internal circulation, or extending this to a state of aberration. 3. That, at the decline of the powers of life, the blood is more internal in its circulation than at any other period, from the concurrent influence of the pre- vious gradual changes tending to promote this effect, and from the imperfection of those functions essential to renew its qualities and facilitate its motion. CXVI I. From these deductions others are to be drawn, the consideration of which will occupy much of our attention. Those which we shall at present consider are the following : 1. That, if the blood be more equally diffused in infancy throughout the system, it is obvious that a much H 2 116 THE LAWS OF ORGANIC greater proportional quantity will be distributed upon the surface of the body at this period of life, and con- sequently a greater quantity will be exposed to the action of heat or cold. $. That exercise, and stimuli of every description will pro- duce a factitious condition of the system, in character somewhat similar to that which is natural to the child. 3. That the general application of heat and cold will be injurious or beneficial according to the distribution of the blood upon the surface of the body and the degree of energy possessed by the internal organs. CXV1II. Having premised these general prin- ciples, we shall be enabled to understand the influ- ence of seasons in modifying the distribution of the blood. The temperature of summer enlivens the ani- mal and vegetable world, because the organic life of both is regulated by the same physical laws, and heat is as much a stimulus to the gener- ation of motion in the one as in the other, and from motion and warmth spring every change that is necessary to preserve existence or maintain its attributes. CXIX. The hibernating animals, and such as retain during the severity of winter the general powers of life, are enabled, by the greater warmth of spring, to resume their different functions. The former are again animated, and the latter, in addition to their present faculties, display, like the plant, an exuberance of life. AND ANIMAL LIFE. 117 CXX. The influence of warmth in animals ope- rates upon the surface of the body and the or- gans which are fitted to improve the qualities of the blood. By exciting the surface, the action of the capillaries is universally stimulated ; and the consequence of this is, that the internal or- gans participate in the change, as they are neces- sarily relieved of a portion of blood, from its more equal diffusion, and are rendered more capable of oxygenating, transmitting, and assimilating that which they receive. By acting upon the lungs, a direct stimulus is applied to their capillary ves- sels, which are intimately concerned in effecting the various changes of the blood, and directing the mode of its distribution ; and in so far as these are accomplished, the effects arising from the external cause will be more or less permanently or generally established. If these alterations have taken place, it must be allowed that the nervous system will soon evince a corresponding condition, as the re- sult of these alterations ; and we observe, that whatever depends on motion or sensation, becomes unusually energetic. CXXI. Suppose a plant and an animal to have been brought prematurely forward, and after- wards to be exposed to a degree of cold rather severe for the season, they are both influenced in the same way by the same exciting and proxi- mate causes. The surface of both is highly vas- cular ; and as a greater proportional quantity of 118 THE LAWS OF ORGANIC fluid is subjected to the action of cold, a greater quantity will be successively acted upon until the minute vessels are constricted by this agent ; and when this happens, the plant droops, and the bird forgets its song. Every phenomenon of organic and animal life is regulated by, or de- pends upon, the nature and motion of the circu- lating fluid peculiar to the individual being. CXXII. From this view it appears that summer has the tendency to diffuse the blood in greater quantity over the surface of the body ; and this being the case, an individual will at this time be more liable to internal disorders and inflamma- tions than in the middle of winter, from the occa- sional application of the opposite temperature. It is an ascertained and acknowledged fact, that, in autumn, inflammations of the thoracic viscera, fevers, and dysenteric affections, are more com- mon than at any other season. CXXIII. Previous to autumn, the system has experienced a general stimulus : accelerated cir- culation and augmented heat are its consequen- ces ; and as these conditions have existed for a long time, they have, in some measure, become established, and, therefore, cannot be expected to return immediately to another state which is to adapt the animal economy to different circumstan- ces. It sometimes happens that autumn does not approach in a benignant or gentle manner, but, on the contrary, is accompanied by cold and damp AND ANIMAL LIFE. 119 nights, unusually severe ; and, whenever this occurs the circulation is taken by surprise, * the blood is suddenly determined to the internal organs, and that which is the most susceptible to the impres- sion becomes the seat of disease. In this way arise the frequent coughs, inflammations of the lungs or bowels, dysenteric symptoms, and fe- vers incident to that season. CXXIV. When the constitution has been some time accustomed to the wet and cold days of winter, it is capable of resisting the influence of these with great security. If the system had not undergone a change in the mode of its circula- tion, it is impossible to conceive by what means it could withstand the operation of those causes to which it is exposed, since we observe so much internal disease occasioned by similar, but much weaker agents, in the more temperate seasons. CXXV. Dr CURRIE, in treating of the sub- ject of cold affusion in fevers, is correct in the observations which he makes regarding the condi- tions of the system which ought at all times to regulate its employment ; but he does not appear fully acquainted with the principles on which the truth of his observations rests. He remarks, that it may be resorted to with safety and benefit when the temperature of the body is above the * Nam fere (autumno) meridianis temporibus calor ; noctur- nis atque matutinis, simulque etiam vespertinis, frigus est, corpus ergo, et aestate, et subinde meridianis caloribus relaxa- tum, subito frigore excipitur.'' CELSUS, Lib. II. Cap, I. 120 THE LAWS OF ORGANIC standard, and when the circulation is vigorous, if these symptoms have not been preceded by profuse perspiration or great fatigue. CXXVI. The augmented temperature and cir- culation are proofs that the thoracic organs are unusually or morbidly active ; and the great quantity of blood which is distributed upon the surface of the body is sustained there by its highly stimulating properties and the force with which it is propelled. When an individual, with a constitution thus circumstanced, submits to the application of cold, it produces a good effect, as it diminishes the heat of the system and the strength of arterial action, without possessing sufficient influence to oppress the energies of the vital powers. But when the body has been much fatigued, or if it has perspired freely, the appli- cation of the same means is injurious. After fatigue and perspiration the blood is transmitted with less vigour and less stimulating properties to the surface, on account of the diminished ac- tion of the lungs and heart ; and, therefore, if cold be recommended in this state of the system, it will disappoint the expectations of the physi- cian, because it will determine the blood inter- nally, and control still more the weakened function of the lungs and heart, so that the oxygenation and the propulsion of the Hood will be much impeded. AND ANIMAL LIFE. 121 CHAP. V, Temperature at Different Ages. CXXV1I. THE present subject is one of great interest and importance. The principles by which we shall be guided in the investigation are con- nected with those which have been already stated, and will strengthen materially the reasoning pre- viously employed. CXXVIII. The temperature of the body at different ages has occupied very much the atten- tion of Dr EDWAUDS of Paris. Indeed, the ex- periments which he performed to elucidate this subject, and the consideration and application of the laws which he deduced from them, compose at least one-third of his work, which is un- doubtedly the best in any language for the mul- tiplicity, variety, and accuracy of experiments ; but these, unless they lead to general laws, or unless they are brought forward to support such, are of little consequence, except in so far as they enable others to think. CXXIX. In the chapter on secretion, I have shown how WILSON PHILIP was mistaken in his opinions concerning the dependence of digestion on the eighth pair of nerves, from judging by ef- fects, without taking into account, in any single instance, the general disturbance induced in the 122 THE LAWS OF ORGANIC system by such an operation ; and I shall now endeavour to show, that one great error which pervades the work of Dr EDWARDS, concerning animal temperature, is referrible to a similar cause. This gentleman states, that the faculty of producing heat is invariably less in young ani- mals than in adults; and the chief proof which he gives is, that if young and old animals be exposed to the same degree of cold, the temperature of the former almost immediately falls, and continues to do so unless they be removed to a warmer medium, while that of the latter is little if at all affect- ed by the refrigerating influence. This constant result made him conclude, that young animals do not generate an equal quantity of heat, be- cause he supposes, if this were the case, they would both bear with the same facility the ex- posure to cold. From the development of other views, it will be , clear, that they may generate the same proportionate quantity of heat, and yet may be unable to bear the same extent of cold. CXXX. Dr EDWARDS took the temperature of 20 adults, and found the medium to be 36. 12 centigrade thermometer; and from 10 infants whose temperature was taken in the same way, the medium was found to be 34. 7. In these ex- periments the thermometer was placed in the arm- pit. There are many objections to this mode of ascertaining the degree of animal heat. The part is particularly subject to perspiration, which may modify very much the results ; or if the arm has AND ANIMAL LIFE. 123 been removed from the contact of the body it will be cooler than usual, or if it has been long applied to this it will be warmer at one time than another. These circumstances are of sufficient importance to occasion great variations in the in- dications of the thermometer, and consequent fallacies in the reasoning. The plan which I fol- lowed appears to me more correct, but it is cer- tainly very tedious. Mr MOIR, surgeon-accou- cheur to the Lying-in-hospital, Edinburgh, had the kindness to allow me the opportunity of tak- ing the temperature of infants. The temperature of the body was at all times estimated by the in- dications which the thermometer gave in the mouth when the infant was asleep. To make the instrument as delicate as possible, it was dip- ped for a moment before it was employed into a cup of warm water, from 5 to 10 degrees above the animal heat. The bulb being thus slightly warmed, did not awake the infant by its applica- tion, and was made much more sensible than the most delicate thermometer could otherwise have been. The same method was, in the greater number of instances, attended to in taking the temperature of adults. The child would some- times be disturbed, but very rarely, by the intro- duction of the thermometer. Whenever this was the case, the attempt was postponed till the next visit. I have also noted the age of the infant, the number of its respirations, and the state of the constitution. 124 THE LAWS OF ORGANIC Days Old. Temp, of the Body. Respiration'per Min. Remarks. 14 - 99 - 28 '- Weak. 12 - 101| : 54 - Strong. 8 - 99 - 30 Ditto. 7 - 96 - 46 Healthy, 5 98 - 46 - 7 Ditto. 8 - 99 - 38 Ditto. 3 - 94| , 52 Delicate. 12 - 99 48 -, Healthy. 11 - 98 32 '<>*'&> Delicate. 2 - 100 - 52 Strong. 4 - 96|. - 48 Weakly. 2 - 97^ - 48 Healthy. 1 - 99 - 32 Ditto. 9 99 - 44 Ditto. 7 - 97J - 25 Delicate. 3 - 97 - 50 Rather delicate. 1 - 98 - 48 13 - 99| - 36 - Very stout. 6 .101 - 30 - Ditto. 11 - 103| - 42 - Healthy.* 2 - 100 - 40 Ditto. 2 - 99| - 44 Ditto. 13 - 101 , 46 Stout. 9 < 100J 44 Very vigorous. 8 - 99 - 44 Healthy. 4 99 - 39 Ditto. 12 - 98| 44 Delicate. 8 - 100 48 Healthy. 10 Months 101 32 Very vigorous, 8 - 99 - 40 Healthy. 1 - 98 5 - 101 - 48 Healthy. 12 - 99 ~ 44 Ditto. 11 - 102 - 36 r Sickly. 9 - 95 - 75 f 18 99i - Healthy 8 - 100 - Ditto. 11 - 99 - 32 - Ditto. 1 , 98| , 55 Ditto, 8 - 98| - 48 Ditto, Medium Temperature 99. * The mother of this child sat close to the fire, but I cannot say whether this was the reason that the temperature was so very high. I tried it twice to be sure of the accuracy of the results. f This child seemed remarkably stout, but it was evidently unwell. Its respiration was short and imperfect. AND ANIMAL LIFE. 125 The following Table gives the Temperature of the same number of Adults. Temp, of the Body, Habits. 98 - Active. 95 - Sedentary. 98 - Active. 97| - Ditto. 98 - Sedentary. 97 - Active. 100 - Ditto. 97i - Sedentary. 99| - Ditto. 95| - Active. 99 - Ditto, 97 - Ditto. 96| Ditto. 98 - Ditto. 95 - Ditto. 98 - ' Ditto. 97 - Ditto. 97* - Ditto. 96| - Ditto. 96 - Ditto. 96 - Ditto. 98* - Ditto. 97* - Ditto. 99 - Ditto 96 - Ditto - Ditto. - Ditto. - Ditto. 99 - Ditto. 98 - Sedentary. 99 - Ditto. 96| Ditto. 97* - Ditto. 97 Ditto. 99* - Ditto 99| Active. 98 Ditto. 99* Ditto. 99 - Ditto. 97 Ditto. Medium Temperature 97|. 126 THE LAWS OF ORGANIC CXXXI. From these tables it is evident that young animals do not indicate a less degree of temperature than adults, if they are examined under circumstances favourable to the sensibility of their frame, or in situations not liable to great changes. It is unnecessary to bring forward the particular details of Dr EDWARDS to shew that young animals bear cold with less facility than adults ; the fact is undoubted, but is not to be explained by supposing the source of generating heat less in the former than in the latter. CXXXII. The lungs are to be regarded as the cause of animal temperature. We observe that this is modified very much by the altera- tions which the lungs undergo ; at one time it is much increased, at another equally diminished, by disease or general affections. The manner in which the greater number of these causes oper- ate has been explained in the previous chapters, particularly in the first, in which I endeavoured to shew that animal heat is in the inverse ratio to the quantity of blood exposed to the action of the in- spired air ; and in the preceding chapter on the distribution of the blood at different ages, I have also pointed out the great changes of which this is susceptible, from the increased activity or more complete development of internal organs. CXXXIII. The blood in a young animal being more generally diffused throughout the system, the surface of the body, at this time of AND ANIMAL LIFE. 127 life, possesses a greater proportional quantity than at a subsequent period. If this be allowed, it is manifest that cold will simultaneously act on a much greater quantity of blood in the child than in the adult ; and as this mode of circulation is na- tural, not determined here by an augmented action of the heart and lungs as in fever, it is perfectly consistent to suppose that a young animal will be cooled, while an old one is not affected, by a mo- derate degree of cold. The child may be said to expose an extended surface of blood to the influence of the external air, while the adult, on the other hand, has the surface of the external circulation re- latively diminished by the more vigorous operation of the different internal organs. CXXXIV. The cold to which a young animal is subjected tends almost immediately to constrict the external capillary vessels ; the consequence of which is, that the surface of the body becomes pale, and the animal intimates, by cries or other symptoms, that unpleasant sensations are excited; and, unless we remove the individual to a warmer medium, fatal effects speedily follow. If we ex- amine the indications of the thermometer as these changes proceed, we remark that they are cor- respondingly affected. The blood is driven upon the thoracic and abdominal organs, and destroys, in a short time, the harmonious balance existing between the internal and external circulation of blood. The lungs receiving more than they usu- 128 THE LAWS OF ORGANIC ally possess, the additional quantity necessarily impedes the oxygenation and circulation of the blood ; and, in proportion as these essential con- ditions are disturbed, we shall find that the facul- ty of generating animal heat is diminished, because this is more powerfully influenced by the more ge~ neral distribution of the blood in early life, and not that it was originally less, as contended for by Dr EDWARDS. CXXXV. To prove the correctness of these principles, we shall examine the various causes which, agreeably to Dr EDWARDS' opinion, mo- dify the generation of animal heat. It is stated by him, that the temperature of animals is capa- ble of being most diminished by the artificial ap- plication of cold in summer, because the power of producing heat is less at this season. CXXXVI. Summer produces a character of circulation essentially similar to that peculiar to infancy and childhood. The capillary vessels are not constricted, as in winter, thereby determin- ing the blood within, but are excited to greater action from the application of heat ; therefore the blood is more equally diffused throughout the sys- tem, offering, as in infancy, an increased surface of blood to the action of cold so applied. CXXXVII. An animal, in accordance with this explanation, will suffer sooner from the in- fluence of artificial cold in summer than in win- ter ; and this is fully verified by the experiments AND ANIMAL LIFE. 129 of Dr EDWARDS, although he assigns lessened production of heat as the cause. The principle I propose immediately becomes of practical uti- lity, whereas those views which have hitherto been given as explanatory of the same phenome- na have indeed little reference to the different states of the system in health or disease. We now understand that young animals have an equal, if not superior faculty of producing heat to adults, and yet, at the same time, have not the power of bearing the same severity of cold. The true reason of this being known, we shall be en- abled to regulate the application of heat and cold to the body, from a knowledge of the principal conditions of the system on which they have to act ; and we shall also be enabled to judge accur- ately of the beneficial or injurious influence of these, from a knowledge of the dependence of the digestive and assimilating functions on the tem- perature of the blood and the mode of its distri- bution. CXXXVIII. During the winter of 1828-29, the cold in some nights was extremely severe. The thermometer, in the room in which I kept the rabbits for experiments, was often as low as 37 ; in an apartment adjoining to this water was fro- zen to a considerable thickness. During the continuance of this weather I lost a great num- ber of young rabbits, and the old occasionally died ; and all, except the most vigorous, were far I 130 THE LAWS OF ORGANIC from having a healthy appearance. I frequently took the temperature of rabbits under a variety of circumstances, and I generally found that the young and the delicate evinced a low degree of heat during the prevalence of cold, while the old exhibited few changes, exposed to the same agent. The difference in the results were attributed to alterations of the circulation ; and believing these to be the cause, I endeavoured, by the fol- lowing experiments, to show that a medium tem- perature, by allowing the blood to diffuse itself more generally upon the surface of the body, would certainly increase the faculty of generating heat, as it relieves the internal organs on which this depends. The temperature of twelve rabbits was taken that were equally exposed to cold, 43 ; and the same three days after were kept in a room at 67 for two hours. Temp, of C I Room, 43. o our. j ppea 2 Months old, Black, Healthy. Ditto, Black &. white, Ditto, Ditto, Black, Very vigorous, Ditto, Ditto, Small, Ditto, Ditto, Healthy, 3 Months old, Grey, Vigorous, Old rabbits, Black, Ditto, Ditto, Grey and white, Ditto, Ditto, Grey, Ditto, Ditto, Black, Very vigorous, Ditto, White & yellow, Vigorous, Ditto, Yellow, Healthy, 99 102 99 103 102 103 98 103 98 102 102^ 103 104 104 103 108 103 105 103 104 100 103 AND ANIMAL LIFE. 131 In the following experiments, instead of bring- ing the rabbits from the room in which they were kept, I confined them in a box, in the same situation, for two hours ; and the results were as follow : Temperature of air in room 43. Temp. Rabbits Temp. Rabbits Colour. Appearance. in Room. in Box. 3 Months old, Black &. white, Healthy, 101 101 Ditto, Grey & white, Ditto, 101 102$ Ditto, Black &. white, Ditto, 102 102 Ditto, Grey 8c white, Ditto. 101 103 Ditto, Ditto, Strong, 103 104 Old Rabbits, Grey & white, Healthy, 102 102 Ditto, Ditto, Ditto, 103| 103| Ditto, Ditto, Ditto, 103 105 Ditto, Grey, Fine bock, 103 104 Ditto, White. White, 103 102 The temperature of the box, in both instances, was 67. In the first experiment, the rabbits that were two months old indicated a rise of four and five degrees in the short space of two hours ; but in the second, in which rabbits of three months old were employed, we observe that the influence of the increased temperature produced less decided effects, because they possess, at this age, a constitution approaching to that of adults. CXXXIX, It is stated by Dr EDWARDS, that young rabbits of twelve or fifteen days old, " se soutienne a peu-pres egale a celle des adultes, au-dessus d'une temperature exterieure moy- i 2 THE LAWS OF ORGANIC enne."* It is evident, from the preceding tables, that rabbits of two and three months old do not bear equally well the severities of winter. I have not only ascertained this fact by direct experiment, but I have observed its correctness, from remark- ing a variety of phenomena connected with these animals. If it be allowed to Dr EDWARDS, that young animals, from birth to the age of fifteen or thirty days, do not possess the faculty of ge- nerating animal heat to a degree equal to adults, how will he consistently explain the difference which we observe between rabbits of three months old and others full grown, on being exposed to cold ? If, at three months, the faculty of generat- ing heat is as perfect as at nine, what is the na- ture of those circumstances which modify the ca- pability of the animal for bearing diminished tem- perature ? These are questions of the greatest im- portance ; but they are not answered by Dr ED- WARDS' views. The explanation is found in the present principles. As we ascend from birth to the full development of the physical powers of the system, the circulation is less generally diffused, or, in other words, the greater proportional quan- tity is given to the internal organs for their support and development. It is, therefore, obvious that an animal will bear cold with a facility, cceteris par 2 to, proportion ate to the extent of this change. CXL. Having shown that the phenomena which animals present in summer, in regard to * Dr EDWARDS, p. 1S6, AND ANIMAL LIFE. 133 cooling, are easily explained by the present prin- ciple, we shall now pass to several others brought forward by Dr EDWARDS, not in support of his own opinion, but as facts. He states that exte- rior heat supplies the deficiency in the faculty of producing* When we apply warmth to the surface of the body, without in the least modifying the tempe- rature of the air we inspire, we augment the ge- neration of animal heat. This effect is not easily perceived when the system is naturally excited, because the difference we can produce in the mode of circulation is too slight to influence, in an appreciable manner, the generation of this principle : but if this be employed when the powers of life are much oppressed by a great de- termination of blood to the internal cavities, the beneficial influence of this agent is strikingly displayed. Physiologists and physicians have long known that such means diminish internal congestion ; but they must have supposed that this was confined chiefly to the abdominal vis- cera, as they appear unacquainted with the ge- neral principles and their application, fully treat- ed of in various parts of this work. Friction, ap- plied to the body, produces similar consequences to those of heat ; and this shows that the action of heat affects the internal production principally by bringing to the surface an additional quantity * Dr Ei> WARDS, p. 480. op. citat. 134 THE LAWS OF ORGANIC of blood, and thereby lessening the proportion exposed to the air in the lungs, according to the views developed in the first chapter. CXLI. The diminution of the temperature of animals is less injurious in very early than in ad- vanced life, because it is found that at the former period they sooner regain their accustomed stand- ard of heat. In speaking of this, Dr EDWARDS ob- serves, "Nous voyons que c'est a mesure que la fa- culte de developper la chaleur s'accroit que la fa- culte de supporter Tabaissement de la temperature du corps diminue."* After these observations, he alludes to the necessity of such a law with respect to those animals which are forced to leave their young in search of food. The necessity of such a provision in the constitution of the young is evi- dent ; but the simple statement of this is no ap- proach towards an explanation of the principles on which it depends. The faculty of bearing a dimi- nution of temperature is not regulated by the con- dition lie states, viz. the power of generating heat. I have already shown, in the previous tables, that infants, in general, have a superior temperature to adults ; and that rabbits vary little, if at all, at different ages, if exposed to a medium tempe- rature. The truth of this I have proved by di- rect experiment ; and therefore it is inadmissible to suppose that young animals suffer less than adults from the action of cold because they ge- * Dr EDWARDS, p. 242. AND ANIMAL LIFE. 135 nerate less heat, and that the power of bearing cold diminishes because the production of this principle is increased. This must be allowed to be the meaning of Dr EDWARDS, if we agree with him that young animals have an inferior power of evolving caloric. CXLII. When a young animal is subjected to cold, it is quickly affected ; the blood is speedily de- termined to the internal organs, and the body shows a great diminution of temperature : but the very conditions which promote this sudden change are those which are favourable to the re-establishment of the normal functions. The surface of the body at this period is naturally vascular, and on this ac- count is more sensible to the application of heat ; and it is this character of the circulation which ex- plains the phenomena connected with the present subject. CXLI1I. When the temperature of an adult is much reduced, the system recovers with dif- ficulty the possession of its ordinary powers. The vigorous frame of a full grown animal is not readily controlled or influenced by cold : it con- sequently follows, that if it be oppressed by this agent, its degree must have been severe, or its em- ployment long continued circumstances which we are not compelled to take into consideration in reflecting on the changes which one of tender years presents. 136 THE LAWS OF ORGANIC CXLIV. The system of the adult having been thus powerfully acted upon, and the surface of the body being less vascular at this period of life, it cannot be expected that external warmth will immediately solicit the return of the san- guineous fluid ; the degree and continuance of its application must be proportionate to the con- ditions of the cause to produce a beneficial re- sult. CXLV. It is demonstrated by experiment, that when an animal has been cooled several times to a point beneath the regular temperature of the body, it becomes more difficult to re-establish the usual degree of heat, and this is what we should have anticipated from a knowledge of the very principles propounded. If we suppose a young animal to have been repeatedly, and at short intervals, exposed to a severe refrigerating influence, the blood is every time determined to the internal organs, and the means which we subsequently employ, to overcome the conse- quences induced, imperfectly restore the func- tions of the body ; and if these means be sus- pended, and cold again be applied while the system has but partially regained its energies, a similar but more serious effect follows, as the heart and the lungs are successively oppressed by new difficulties before they had risen superior to those occasioned in the first place. The repeated application of cold places the constitution of a AND ANIMAL LIFE. 137 young animal precisely in the same situation as that of the adult when distressed by the same cause. After this explanation, it is scarcely necessary to say, that, if an animal of mature years be sub- jected to the same conditions, it is more than probable that we shall ultimately fail in our en- deavour to restore the action of the vital organs. CXLVI. It is remarked by Dr EDWARDS, that, when an individual has been exposed to a degree of cold disagreeable to the animal economy, the faculty of generating heat is diminished for some time, even after the system appears to have re- gained its accustomed temperature. In illus- tration of this opinion, he relates a case in which a young man is stated to have fallen into the Seine in endeavouring to walk upon the ice : from his vigour and agility, he speedily extri- cated himself from his perilous situation, and although his health was not affected, he was an- noyed for three days with a continual sensation of cold. This physiologist gives no rationale of the phenomenon, except, " La faculte de pro- duire la chaleur n'a pas repris toute sa force ; car on ne saurait, quelque temps apres, s'exposer sans inconvenient a un degre de froid qu'on sup- portait auparavant sans malaise." * In this in- stance he states a fact which is evident to every * Page 249. 138 THE LAWS OF ORGANIC observer, and remarks that the focus of heat lias its faculty lessened, without informing us of the precise nature and conditions of this power, whose office it is to distribute warmth through- out the system. , In the case which he brings forward, we have to consider the operation of two causes, the ap- plication of cold, and the impression of fear upon the mind ; the former is an external depressing- power, the latter an internal The tendency of both is to disorder the functions of the heart and lungs, by deranging the equal distribution of the blood submitted to their influence. After the system appears to possess the. usual degree of sensible heat, the ordinary state of the circulation is not julhj developed ; and it is therefore at this time, and from this cause, that the sensation of cold is felt, and that the power of resisting this agent is diminished. CXLVII. In corroboration of these principles it is found, if an animal has its temperature re- duced by the application of cold, that the dimi- nution is successive without any additional severity being added to the uniform cause to account for the gradual increase of the effects. If we suppose the agency of cold to be esti- mated by 20, and the immediate reduction of the temperature by 30, in considering the in- fluence of the first we shall be enabled to give reasons for the increase of the latter. The im- AND ANIMAL LIFE. 139 mediate reduction cannot be denied to originate from the determination of blood to the thoracic and abdominal organs, and as the power which occasioned this alteration is still applied to the surface of the body, its depressing energy is still great, because it has to act on the capillary vessels, already enfeebled by their previous loss, but more enfeebled by the deteriorated action of the heart and lungs, whose office it is to supply them with blood calculated from its properties to stimulate the external circulation, and thereby to render it superior to the influence of the cold ; but this state of the economy being absent, the refrige- rating power continues to operate, and as this proceeds, unless reaction takes place, the effects progressively increase to 40, 50, or 60. CXLVIII. The explanation of this and the preceding phenomena does not require the con- sideration of that unknown and much magnified power, the vital principle. The path we have pursued has been simple and straight-forward, and the elucidation of the principles, if allowed to be correct, is immediately brought to bear on the purposes of life, while those views that have been hitherto entertained on this subject have little or no application to recommend them. CXLIX. From the preceding observations it is evident, that the plan which Dr EDWARDS has employed to estimate the faculty which an animal possesses, at different ages, of generating 140 THE LAWS OF ORGANIC heat, is inaccurate ; and if this fact be considered established, it necessary follows, that the whole of his reasoning, connected with the present subject, is fallacious or imperfect. I hope it has been sufficiently proved, that the temperature of two individuals may be the same in degree, and the source to which this is attributed similar in both, and yet one may be almost frozen to death while the other is comparatively little affected ; and, still further, that two individuals, as in the present instance, will recover, by the application of warmth, with different degrees of facility, without being compelled to suppose, with this physiologist, that the conditions which regulate this phenomenon are derived from the laws of the generation of animal heat. CL. If the system of the infant and adult were precisely the same in regard to circulation, sensibility, and the chief of the organic functions, it would be consistent to employ the means which he has employed, and correct to draw the conclusions which he has drawn from them; but it is impossible to allow this mode of proceed- ing, since the systems on which he experiments are as opposite as the results which they give. The number of respirations, and the frequency of pulsations in a given time, the power and character of digestion, and the state of the inter- nal organs, are too important to be overlooked in calculating the influence of an external agent. AND ANIMAL LIFE. 141 CLI. In advanced life the constitution is high- ly sensible to cold, but this susceptibility is not referrible to a state of the circulation analogous to that which predominates in the infant, but depends on other principles. At this period the lungs and the heart do not exhibit that energy which characterized their action at the com- mencement of manhood ; the blood is trans- mitted sparingly, and with little force, to the surface of the body ; and from this cause the capillary vessels possess little stimulus to resist the influence of cold, and, therefore, if this be applied, it is quickly accompanied with disagree- able sensations. CLII. From the preceding observations we may draw the following conclusions : 1. That young animals possess an equal, if not superior, faculty to adults for the generation of animal heat. 2. That the facility with which an animal bears exposure to cold, is regulated by the distribution of the blood at different periods of life. 3. That individuals of the same class, and of the same age, differ in their power of resisting cold according to the character of the circulation and the force with which the blood is propelled by the heart. 4. That the ease with which animals are recovered after exposure to cold is modified by the previous condi- tion of the circulation, and consequently is not regu- lated by their different powers of generating heat. 5. That the more sudden diminution of the temperature in summer, on the application of cold, is not explain- THE LAWS OF ORGANIC ed on the supposition that less heat is generated at this season than in winter,, but is explained in taking into account the general and more equable distribu- tion of the blood. 6. That the beneficial or injurious effect of cold will at all times be regulated by the principles here stated, 7. That the power of generating animal heat is in no case to be estimated by the application of cold to the body, nor by the consumption of oxygen ; a difference in the constitution, inappreciable to our senses, will ren- der the former mode incorrect, and the magnitude and activity of the lungs are too intimately connect- ed with other functions of the system, or with the variety of states influencing these, to allow the physi- ologist to deduce legitimate conclusions from such premises. The thermometer is the only means we possess to ascertain this point. AND ANIMAL LIFE. 143 CHAP. VI. The manner in which the System is adapted to the influence of Cold. CLIII. THE facility with which we support the varieties of seasons, or the extremes of dif- ferent media, has, from the earliest records of observations, been continually adverted to, and has also been productive of many opinions. To ascertain the laws which regulate the capabilities of the system in withstanding the operation of cold, is even yet a subject of great interest and importance. Although modern science has thrown considerable light on the influence of certain agents, which more or less contribute to explain the difficulties, yet it must be acknow- ledged, that we have not hitherto possessed satis- factory principles which apply to general effects or ascend to general causes. CLIV. In treating of the powers of the system in resisting the agency of cold, it is scarcely necessary to state, that the present chapter is a continuation of the principles previously brought forward in the two preceding, viz. " On the dis- tribution of the blood at different ages," and " On the temperature of the body at different ages." Whatever facts may on the present occasion be 144 THE LAWS OF ORGANIC adduced, can be considered only as further illus- trations of the correctness of what we have al- ready discussed. CLV. The wisdom of Providence is shown in the structure of organic matter, and in the deli- cate adaptations appropriated to its support and development ; but, in forming these, it has had regard to the general changes of the universe, which exhibit, in a striking manner, the wise designs of its pervading spirit. The seasons of the year follow each other in regular succession, for the well-being, not only of the vegetable, but also of the animal creation. If the order were reversed, the animal and vegetable constitution remaining as at present, neither the one nor the other could exist. The gradual steps, by which organized matter accommodates itself to the in- fluence of external causes, would be disturbed, and a repetition of this disordered action would speedily annihilate the functions of organic and animal life. CLVI. During the warm months of summer, the circulating fluids of animal and vegetable matter, as previously stated, are more generally distributed throughout its capillary vessels; in the former it has been considered as constituting a state of circulation designated external., in con- tra-distinction to that which is observed in the severity of winter. The powers of life would be as much endangered by a sudden transition from AND ANIMAL LIFE. 1451 summer to winter, as from winter to summer, on account of the unprepared state of the circa* lation to adapt itself to such alterations. To ob- viate such evil consequences, spring and autumn are given. The mild and enlivening influence of spring may be said to give motion, and, at the same time, security to the different fluids to dif- fuse themselves, by which means animated Na- ture is almost imperceptibly adapted to bear the more stimulating power of summer ; and when this season has performed its revolution, the ex- ternal capillary circulation is modified by the in- fluence of autumn, and is thus prepared by the most gentle degrees to sustain the keen air of winter. CLVII. If proofs were required to strengthen this opinion, it would not be difficult to adduce facts that strongly corroborate its validity. We observe, in a variety of instances, when the tran- sitions of seasons are abrupt, a train of conse- quences that beautifully harmonizes with the principles propounded. It sometimes happens, while the external character of the circulation is maintained by the warm days of autumn, that the cold bleak winds of this season suddenly set in ; and when this occurs the circulation is taken ~by surprise, the blood is quickly determined to the internal organs,/re?7z the enlarged surface which it offers to the influence of cold, giving rise to the various forms of catarrh, inflammation of K 146 THE LAWS OF ORGANIC bronchia and lungs, and particularly to dysen- teric symptoms. These diseases, at this period of the year, are so prevalent that they are occasionally supposed to be contagious, an idea by no means correct. That many indi- viduals are affected with the same complaints at this period cannot be called in question, but the number is no proof whatever that these are propagated by contagion. The universality of the diseases is against the supposition, and con- tributes much to show their non-contagious nature. The causes which produce these affec- tions are general, and the systems on which they have to act are in similar circumstances. If one individual be subject to dysentery or catarrh, from the condition of the circulation constituting a greater degree of susceptibility, it is reasonable to suppose that a thousand may be similarly si- tuated : they possess the same liability, except in so far as this liability is modified by a difference of dress, mode of living or pursuits, or original constitution. The minute investigation of the sub- ject does not strictly belong to this chapter, and therefore we must be satisfied at present with its general illustration. CLVIII. If the unexpected cold of winter produces unfavourable results upon the system, we perceive that the unusually warm days of spring also occasion analogous effects. The sun, that gives premature development to vegeta- AND ANIMAL LIFE. 147 tion, tends also to promote an excitation of the animal frame, and both equally suffer from the same cause. The circulation of the sap in plants acquires greater motion, and more invigorating properties from the application of the sun's rays : these conditions form what is called its vitality, the energy of which is displayed in the evolution of the bud, leaf, and flower ; but it is probable that these are put forth at a time when the con- tinuance of the weather is little to be depended upon ; and if to a few warm days succeed nights more severe than is compatible with their pro- gress, we observe that they soon languish and die. To say that they suffer from their extreme sensibility, is no explanation of the laws which regulate their economy. The capillary system of plants changes with the seasons, as well as that of animals. The minute vessels of its organiza- tion are charged with a peculiar fluid, and the qualities of this contribute to create others still less cognizable by microscopic means, presenting an enlarged surface of circulation to the influence of cold. The leaves of plants may be considered to compose their surface, and, from the number of these in spring, we may estimate the proba- bilities of danger. The dread of the agriculturist is the too early appearance of vegetation. His fears are not ex- cited by the mere symptom of germination, but 148 THE LAWS OF ORGANIC by the liberal expansion of leaves ; and how often with anxiety does he look forward to the fall of snow to protect the tender plant. His observa- tions, although unenlightened by a knowledge of those principles on which the effects depend, are valuable, as they are in accordance with views proposed to explain the nature of those principles. CLIX. If we take a view of the animal eco- nomy at this period, in which vegetation dis- plays its precocity, we shall observe that its more perfect systems are equally exposed to, and in- jured by the sudden change from heat to cold. The warmth of spring is a stimulus to the sur- face of the body and the functions of the lungs. The blood, that was previously concentrated to the more vigorous capillary vessels, becomes now diffused among the most minute, making the extremities and external parts of the body near- ly as warm as the internal, which is never the case during the severity of winter. The distribution of the blood having under- gone this alteration preparatory to the fervid and uniform days of summer, is checked by the cold nights of spring ; from which cause, catarrhs, in- flammations, and fevers are produced as in au- tumn. The only difference between these two seasons is, that autumn acts upon the system by repressing too violently the conditions of the cir- culation derived from summer, while spring, having changed too early thje circulation charac- AND ANIMAL LIFE. 149 teristic of winter, disturbs it by re-establishing abruptly its former state. In both instances the physical conditions of the system are the same, an enlarged surface of blood zs subjected to the agency of cold, without the capa- bility of the one being proportioned to the circum- stances of the other. CLX. The knowledge of the opposite states of the sanguiferous system, at various seasons, ex- plains, in a satisfactory manner, the powers of vi- tality in resisting the effects of cold. We are not necessitated to have recourse to the supposed ex- istence of an ideal principle, and, by endowing this with convenient properties, to give the semblance of an explanation of the phenomena of organic life. Nor are we compelled to grant to Dr EDWARDS that the greater or less consumption of oxygen, at the various seasons, is the cause why the frame conforms to external circumstances. This opi- nion, and many others connected with it, have been shewn to be incorrect in the preceding chap- ter. We perceive the vegetable and animal to pos- sess corresponding general characters of circulation at different seasons of the year ; and we also re- mark, that these characters are influenced by ex- ternal causes in the same way. CLXI. As we proceed from south to north, the constitution of man changes with the chang- ing climates ; his susceptibility of cold is 150 THE LAWS OF ORGANIC nishedby natural adaptations of the system, such as the more confined distribution of the blood, ma- terially assisted by the manners, dress, and mode of living peculiar to the latitude of the country. CLXII. In the most northern climates, the inhabitants do not enjoy the same extensive va- riety of seasons that others in more favourable situations possess. Spring and autumn are not the half of their year, the former, to habituate, by imperceptible degrees and long duration, the constitution to bear the oppressive heat of sum- mer, the latter, by a similar wise design, to temper the approach of winter. The animal and vegetable life of these regions is enlivened but for a short time by the rays of summer, and ex- hibits little of the energies of the same invigora- ted by a genial clime, in the development of muscular power, or in the expansion of the intel- lectual faculties, or in the profusion of flowers and fruits. If it were possible for nature to be partial in her gifts, the miserable inhabitants of these climates might be adduced as an illus- tration ; but if she has deprived them of the ele- vated charms of social life, the pleasures of re- finement, or the luxuries of taste, she has given them fewer necessities, and these of a kind more readily supplied. CLXIII. Nature has not only been provident in harmonizing the mind of man to his situation, but has also been careful to provide him with an AND ANIMAL LIFE. 151 abundance of whatever is required to protect the body from the inclemency of cold, and to support the vigour of the constitution from its influence. The food of northern inhabitants is substantial and nutritious ; it is generally of an animal na- ture ; the clothes in which they are dressed are the skins of different kinds of animals, or, if the labour of art be employed, they are such as are well adapted to defend the surface of the body. The internal organs being rather invigorated than stimulated by the mode of living, and the surface of the body having a moderate temperature, pre- served by additional or warm clo firing, the vital functions are enabled to continue their operations with slight modifications to the system. CLXIV. The winter in Paris is frequently found less easy to bear with comfort than the same in countries farther north, where the ther- mometer indicates a lower degree of temperature. The explanation of this phenomenon depends npon three general causes : 1st, The circulation is more exposed to the agency of cold, in this and in similar regions, from the greater heat of autumn, or its longer continuance : %d, The clothing is light, and furnishes an insufficient protection against the severity of cold ; and, lastly, the Jood which is taken is more stimulating than invigorating: all which circumstances are at variance with those which preserve the constitution in more tempe- 152 THE LAWS OF ORGANIC rate climates from the evil consequences and painful sensations of cold. CLXV. From the present view, it is not diffi- cult to explain the more frequent occurrence of phthisis in countries that seem calculated to de- stroy the tendency to such an affection ; but the circumstances which seem to give security to the system against such a disease are the very cir- cumstances which promote it. CLXVI. Much has been written on the action of cold ; and it has been warmly contested, whe- ther it is to be considered as a stimulant or as a sedative? It is manifest, from the development of the principles concerning the distribution of the blood at different ages and seasons, that cold, though primarily sedative, will produce a seda- tive or stimulant effect according to the charac- ter of this distribution and the energy of the thoracic organs. CLXVII. The spasm of Dr CULLEN is the key- stone of his doctrine of fevers. It was ably sup- ported by himself, and attained great celebrity, and is even yet brought forward by his enthusi- astic adherents, as possessing the same important rank in febrile diseases as first distinctly stated by him. How " a spasm of the extreme vessels proves an irritation to the heart and arteries," neither he nor his followers have explained in intelligible language. If we were to allow the ANt) ANIMAL LIFE* 153 existence of such a state of the vessels, we should be necessitated to grant that vegetables have also their spasms, for I have shown them to exhibit the same general laws of organization, and to be affected by the same general causes as the animal economy. But instead of entertaining for a moment such an idea* let the philosophical mind examine the evident operations of physical agents, and it will find that the assumption of this is equally as gratuitous as the vis medicatrix of the same author. CLX VIII. The external application of cold, and certain states of internal disease, determine the blood upon the internal viscera, and thereby deprive the capillary vessels of their usual fulness ; but the constriction which succeeds is not the cause of in- ternal congestion or of fever > but is the simple effect of a depressing power, and in no stage of the disease is it to be regarded in the light of a cause. CLXIX. We have, as yet, considered only the influence of a moderate degree of cold, and the principles by which the system conforms to these changes ; but we must now examine the influence of an extreme degree, and endeavour to explain the concomitant phenomena* When an individual is exposed to intense cold, certain un- pleasant sensations arise, such as pain or coldness of the extremities, and oppression of the chest ; Difficulty of breathing, insensibility of the feet* 154 THE LAWS OF ORGANIC and a strong disposition to sleep, are a few of the prominent symptoms which are present. CLXX. From the almost universal occur- rence of the propensity to sleep, it has been ima- gined by most physiologists, but with little truth, that the nervous system is individually and directly acted upon by the refrigerating agent. It produces the same effects as a powerful narcotic ; and the following explanation will show why these are not to be attributed to the nervous but sanguiferous system. CLXXI. I have already stated, that the ap- plication of cold tends to determine the blood upon the internal organs ; and if this be long continued, or severe, the quantity which is sent from the surface and extremities will be propor- tionate to the causes which operate ; and, in all cases in which sleep is induced, the action of these causes has been incompatible with the proper per- formance of organic functions. The numbness of the extremities, the pale and collapsed state of the body, prove that the internal organs must have received more blood than natural; and, from the principles developed in the first chap- ter, it is obvious that every quantity above what is natural, tends to diminish the stimulating pro- perties of the blood and the force of its circulation. CLXXII. The difficulty of breathing, and the pain in the chest, support this opinion. From the first disagreeable operation of cold to the com- AND ANIMAL LIFE. 155 mencement of the tendency to sleep, the respira- tory functions have been disturbed. The proper- ties of the blood gradually become deteriorated ; and, as these alterations proceed, the heart in the same ratio has its powers of propulsion diminish- ed. From these conditions it necessarily follows, that the arterial blood which is sent to the brain, and other parts of the body, is deficient in its ordinary stimulating qualities. The action of the heart being enfeebled, it is less capable of trans- mitting the blood to the surface of the body, to counteract the injurious effects of cold. From this view, it is manifest that the lungs are, in the first place, affected by the disorder of the ex- ternal circulation ; and this continues to increase according to the severity or duration of the cold, and is also augmented by the inability of the heart to relieve the congested lungs. The quali- ties of the blood having become less stimulating, they are less calculated to excite the action of the sensorial faculties ; and, indeed, every part of the nervous system has the necessary relations existing between it and the sanguiferous deran- ged, relations which regard the properties of this fluid and its quantity in partial circulation. Dr BEAUPRE, in his Historical and Medical Sketch of the Russian Campaign, gives an interesting description of the symptoms characteristic of the influence of cold. 156 THE LAWS OF ORGANIC CLXXIII. Individuals exposed to cold are very frequently induced to take a liberal quan- tity of spirits, to protect them, as they imagine, from the depressing effects of this agent ; but it very frequently occurs, that even a slight excess of these ultimately augments, rather than dimi- nishes, its influence. CLXXIV. No satisfactory explanation has yet been given of these phenomena : but the fol- lowing, founded on the principles which have preceded, will probably make an approximation towards a rationale. Spirits, of what kind so- ever, excite the action of the heart, and whenever this takes place, the respirations must become either deeper or more frequent, in order to main- tain the essential relations subsisting between the lungs and this organ. The results of these changes are, an agreeable internal feeling of warmth, and diminished sensibility to cold ; the blood, that had before become rather internal than external in its circulation, is now, from the functions of the thoracic viscera being excited, propelled with energy to the surface of the body, and is more equally diffused throughout the capillary vessels, presenting a distribution simi- lar to that which predominates in the child, and in all animal nature, during the heat of summer. CLXXV. In the two preceding chapters it was fully stated, how the system of the child, AND ANIMAL LIFE. 157 and that of the adult in summer, are more sus- ceptible to cold ; and as I have now attempted to shew that the circulation induced by spirits is precisely of the same character, if the reasoning and illustrations in the former instance are allowed to be correct, it is impossible to deny that the con- clusions to which we arrive in the present are also sound and legitimately drawn. CLXXVI. Although the general phenomena in these instances are of the same kind, yet there are certain differences between the state of the system occasioned by spirits and that peculiar to childhood and summer, too important to be passed over. The external circulation in summer, and in early life, arises from a permanent and general cause, or of certain organic conditions of the frame, while that which is produced by stimu- lants is from a partial and evanescent cause. As long as the blood is determined to the surface from the regular and increased action of the heart, the system does not materially suffer ; but as this action, if the effect of spirits, very quickly subsides, the vascularity of the capillary vessels is not maintained by the uniform transmission of blood, and consequently the greater surface of blood exposed to the action of cold is left to contend against its influence, without possessing, as before, increased momentum, and highly stimu^ lating properties. This view, conjointly with 158 THE LAWS OF ORGANIC others that have been stated, appears sufficient to account for the diminished capability of the constitution to withstand an exposure to cold. CLXXVIL There are certain states of the mind which tend powerfully to counteract the effects of cold. Agreeable sensations, or the strong ex- citing passions of the mind, act exclusively upon the nerves appropriated to respiration ; and, by improving the frequency of this function, or by changing the two actions of which it is compos- ed, the blood is invariably better oxygenated, and distributed throughout the system with greater regularity and force. It therefore follows, that the debilitating effects of cold are counteracted as long as the action of the heart is increased by these means, and as long as it continues to circu- late blood possessing such qualities. In a violent paroxysm of insanity, the body is little affected by external agents. In attending the interesting lectures of M. ESQUIROL, at the hospital Saltpetriere, Paris, I had frequent op- portunities of observing the powers which the body seems to acquire, during mental aberration, of resisting those agents which, in the natural state of the mind, never fail to be accompanied by painful feelings or evident effects. There are, indeed, several cases on record, in which indivi- duals are stated to have escaped from confinement when affected with insanity, during the greatest severity of winter, without the protection of even AND ANIMAL LIFE. their ordinary dress, and who were afterwards taken, and found to have been exposed for many hours to the bitter wind of the season, without suffering from the exposure. The explanation of this and similar phenomena will not be diffi- cult, if we consider that, in a violent fit of insa- nity, the disposition of the patient promotes mus- cular exertion of almost every kind. Incessant speaking, constant pacing to and fro, and repeat- ed attempts to break all restraints, are a few of those efficient causes that excite the action of the lungs and heart, and which are every way calcula- ted to sustain the augmented stimulus of the blood and its general distribution. The insensibility of the mind to disagreeable impressions is probably another important cause, tending to protect the system from the effects of cold. Respiration is much disordered by two grand classes of sensa- tions, the exciting and depressing. The influence of the former is illustrated by the paroxysm it- self; but when an individual, whose intellectual faculties are undisturbed, is subjected to a pain- ful degree of cold, the various organic derange- ments awaken certain sensations in the mind of a depressing description, and these react upon the function of respiration, destroying its regularity by sighs and deep inspirations, and induce altera- tions in the properties of the blood and the mode of its circulation. But, in a fit of insanity, im- pressions of this kind are not communicated to 160 THE LAWS OF ORGANIC the sensorium, or rendered acutely sensible to the individual. The absence of such a slate of the mind allows the insane person to indulge his out- raged feelings without these being controlled by the susceptibility of the body to the agency of external causes, AND ANIMAL LIFE. 161 CHAP. VII. On the Torpidity of Hibernating Animals. CLXXVIII. THE subject of torpidity has oc- cupied, like that of the preceding chapter, the ta- lents of the physiologist and naturalist, and, like the same, is enveloped in much mystery. The greatness of an effect too often blinds the mind in attempting to ascertain its cause, by mingling in the enquiry a degree of wonder or admiration ; and I am disposed to think that the subject of torpidity has been investigated by some with a feeling of this kind. The regularity with which animals have retired to their convenient resorts, the duration of their repose, and the comparative vigour with which they have returned to active life, are certainly occurrences that cannot be re- garded, by the reflecting mind, without a de- gree of wonder and admiration. It is not my intention to give a complete his- tory of the different opinions which have been expressed on this subject, nor to treat it so fully as the reader will find it discussed in Dr FLE- MING'S excellent work on Zoology. * I am anx- ious to examine a few of its most interesting and * Vol. ii. page 45. 162 THE LAWS OF ORGANIC important phenomena, and for this purpose shall consider the three following subjects : 1 . The nature and influence of those changes which pre- dispose to, or precede torpidity. 2. The state of the system during the repose. 3. The nature and influence of those changes which pre- dispose to, or precede the return to active life. CLXXIX. The period at which hibernating animals undergo this extraordinary change is va- rious in the different species, and even in those of the same species. The greater number exhi- bit a decline of the active powers of life, and re- tire to their winter retreats in September and October. At the latter end of autumn the temperature of the atmosphere is much dimi- nished, and at this season of the year cold and bleak winds frequently occur, which tend still more to affect the animal economy, CLXXX. I have endeavoured to shew that the circulation of blood at different ages possesses differ- ent characters, and, still further, that thegeneration of animal heat in man is regulated by its various conditions, and not by any power of the lungs in- dependent of these conditions, or any power of the nervous system, as universally supposed. Since the correctness of this opinion cannot be doubted, we have facts on the one hand, and probability on the other, from analogy, to enforce the belief, AND ANIMAL LIFE. 163 that those animals, among the warm-blooded, whose temperature is low, or whose susceptibility to cold is great, from the peculiarity in the dis- tribution of the blood, will have the heat of the system so much reduced, as to enfeeble or almost destroy, for the time, the organic functions. By lessening the temperature of an animal, we im- pair, or stop altogether, the digestive process ; and, by the cessation of this, the numerous recre- mentitious changes are affected to a correspond- ing extent. But life can continue for a long time without the ordinary assistance of these functions. It exists when these are active, because there is an expenditure in the system equivalent to the con- tributions. If these were diminished, the excre- mentitious powers remaining the same, the con- stitution would soon perish. Therefore, life is maintained in a vigorous state by a balance of the corporeal faculties, whose office it is to assimilate what is nutritious to the system, or remove what is no longer required. As cold has the tendency to diminish the generation of animal heat, it circum- scribes immediately the desire of food and the power of digestion, and, independently of the direct influ- ence which the latter exercises on other parts of the body, the capability or disposition to move is diminished in the same ratio by the agency of the same cause. In this view we have lessened the contributions and their expenditure ; but as long as a uniformity of action subsists between them, 164 THE LAWS OF ORGANIC we have no reason to suppose that life will be de- stroyed, it will be prolonged according to the di- minution of those powers which produce and support it. CLXXXI. Cold having occasioned a certain sluggish state of the system, the animal instinc- tively retires from its severity, and fixes its abode for the winter in barns, caves, or holes in the ground. Before it takes up its retreat, the respi- ration, and the production of animal heat, have ex- perienced great alterations; and these changes in its secluded situation progressively increase with the intensity of the cold, till at last the former becomes almost imperceptible, or is performed at great intervals, and the latter is affected to the same extent. " Mr CORNISH applied a thermometer to a torpid bat, and found that it indicated 36 ;" and SPALLANZANI found the chest of a bat, in similar circumstances, to have a temperature as low as 47. We observe, in these instances, a great diminution of temperature, and this never occurs unless it has been preceded by a corres- ponding derangement of the respiratory function. At this period the senses are obliterated, the various instincts no longer exist, nor do the ne- cessities of nature any longer prompt the animal to exertion ; its secretions have ceased, nor is there any function in evident action that can materially tend to waste the strength of the body. We per- ceive the slow and almost imperceptible funo AND ANIMAL LIFE. 165 tion of respiration, and the weakened motions of the heart ; but these are amply sufficient to sup- ply the demands of the system. CLXXXII. The nature and itifluence of those changes which predispose to, or precede torpidity, are manifestly the depressing effects of cold, di- minished temperature, and almost total extinc- tion of every assimilating faculty. But it is im- possible to give limits to life ; it is not a simple power, but an aggregate of powers, the extent and energy of which may be lessened, in the same manner as we modify chemical attraction, by diluting the active materials that dispose themselves to sudden or violent combination ; but, in this case, the laws which regulate the changes are unaltered, the slowness or extent of the operation in the one does not destroy the cha- racter of attraction, nor does the diminution of or- ganic laws in the animal and vegetable creation render the continuance of life impossible. Animal existence and attraction exhibit every gradation of force, from the zoophyte to man, from the tedious formation of a crystal to instantaneous explosion ; and when cold, by determining the blood upon the internal viscera, lessens the generation of ani- mal heat, in co-operation with its consequences, it enfeebles, to the same extent, the activity of ani- mal and organic life. CLXXXIII. No part of Nature subject to the laws of organization is indebted for its existence to 166 THE LAWS OF ORGANIC the excited activity of its functions,but to the ob- servance of those intimate relations subsisting be- tween the powers which add and those which sub- tract. Whenever the former predominate over the latter, life then displays its exuberance, the plant throws out its leaves or expands its flowers, and the energy of the animal frame is concen- trated to strengthen old or develope new func- tions, or to excite disease ; and when the latter become superior to the former, the plant droops, and the animal decays. But if these powers are equally diminished, as vegetation is in winter, or as happens to animals in a state of torpidity, it is almost impossible to prescribe boundaries to their duration. CLXXXIV. Many theories have been pro- posed to explain the cause of torpidity. MAN- GILI imagined that the veins are larger, in pro_ portion to the arteries, in hybernating than in other animals. " He supposes, in consequence of this arrangement, there is only as much blood transmitted to the brain during sum- mer as is necessary to excite that organ to action. In winter, when the circulation is slow, the small quantity of blood transmitted to the brain is inadequate to produce the ef- fect."* PALLAS observed the thymous gland and two small glandular bodies under the throat * The Philosophy of Zoology, by JOHN FLEMING, D. D, Vol. II, p. 61. AND ANIMAL LIFE. 167 and upper part of the thorax unusually large, florid, and vascular during torpidity. The opi- nion I have brought forward to account for the occurrence of the phenomenon, viz. that it de- pends on the character of the external circulation, the effects of which modify the production of animal heat, whose influence is felt whether ex- cited or depressed, by every organ of the body, is consistent with a variety of facts and analogies, and in harmony with every appearance which these naturalists have adduced in support of their own view. CLXXXV. The enlarged glands, their florid and vascular aspect, the seeming superiority of the veins over the arteries, are the very consequences we should expect from the altered distribution of the blood. If these had not been present, the explanation I have given would have been founded on assumed premises, and unsupported by legitimate deductions. As the severity of the cold increases, the circulation is changed ; its vigour and general diffusion become now feeble and concentrated ; the blood, which previously warmed the whole system, is now bestowed upon the internal organs, debilitating their functions, as is proved by the diminution of temperature, and the weak and slow pulsations of the heart : but the determination is not confined to these vital organs, but spreads itself throughout the internal parts, producing congestion, or, in other 168 THE LAWS OF ORGANIC words, enlarged glands, swollen veins, and a florid and vascular appearance of almost every viscus. The veins seem to be proportionally larger than the arteries, because the blood can sojourn in them with greater facility than in the arteries, in which motion is communicated to the blood, by the heart, at all times sufficiently strong to make the accumulation less in the one than the other ; and it was simply from this reason that MANGILI observed the veins larger than the arteries, and, from this and other causes explained, that PALLAS had remarked the glandular bodies of the throat more prominent and vascular than usual. CLXXXVI. The state of the system during repose is evidently not mere slumber, as has been supposed, for this does not retard the or- ganic functions, but is an extinction of nine- tenths of those powers that constitute its active life, and the fraction which remains is not occu- pied, as in health, in the assimilation of food, or in attending to the multifarious secretory and absorbent actions, but is sluggishly engaged in the performance of respiration and circulation. The former is employed in oxygenating the blood, and in removing from the body certain excre- mentitious matters, the product of the vital ac- tion still going on ; and the latter is feebly con- tracting in order to propel the slender stream of blood to the various parts of the system. In fine, AND ANIMAL LIFE. 169 the office of both is to maintain as exact as possible the balance between the powers which add and those which subtract. From the weak propelling force of the heart, and the agency of the exter- nal cold, the energy of circulation and the quan- tity of blood will necessarily diminish, as we re- cede from the heart to the surface of the body. If the wants of the system were not regulated according to these conditions, the function of respiration and the motion of the heart would be inadequate to preserve in existence the collective instruments of life. By circumscribing the extent of circulation by means of ligatures, as was prov- ed by LEGALLOIS, or by lessening the demands of the constitution, as in torpidity, by the suc- cessive reduction of the energy of circulation, and the quantity of blood from the heart to the sur- face of the body, we enable the heart to contract, and the lungs to improve the qualities of the san- guineous fluid. The experiments of LEGALLOIS demonstrate the correctness of what is advanced. " Si avant de detruire la moelle on fait des liga- tures, soit a Paorte, soit a quelques gros troncs arteriels, les resultats sont diflerens, et la des- truction de la meme portion de moelle, qui, sans ces ligatures, eut arrete subitement la circula- tion, sera insuffisante pour produire cet effet. En general, en resserant par des ligatures Teten- due des parties auxquelles le cceur doit distribuer le sang, on diminue la somme des forces dont cet organe a bcsoin pour remplir sa function, et Ton 170 THE LAWS OF ORGANIC racourcit a mesure la longeur de la moelle indis- pensable pour 1'entretien de la circulation."* CLXXXVII. During the continuance of the lethargy the animal loses much in weight. The experiments of Dr MONRO on the hedge-hog, of MANGILI on marmots, and those of Mr COR- NISH on bats and dormice, are sufficient to con- firm the truth of the statement. It is scarcely possible to conceive that respiration should act, even feebly, for several months, without affecting the weight of the body to the extent observed. It is remarked by MANGILI, that this circum- stance becomes more obvious if the animal has been roused several times from its torpid state ; and this is what we ought to expect if we con- sider that, every time the animal is revived, the functions of the lungs and heart are quickened, thus diffusing a greater stimulus throughout the sys- tem, improving the action of the absorbents and se- cernents, without any food being taken to supply these additional demands. The animal returns to its lethargic condition ; but it is probable that several days transpire before the necessary or- ganic relations are re-established, and, until this takes place, the powers appropriated to subtract exceed those which add, and thus it is easy to account for the diminished weight from repeated reviviscences. * Experiences sur le Principe cle la Vie. Par M. LE- GAL LOIS, M. D. p. 144. AND ANIMAL LIFE. 171 CLXXXVIII. As the nature and influence of those changes which predispose to or precede tor- pidity were found to be the application of cold and the diminution of temperature, the nature and influence of those changes which predispose to, or precede the return to active life, will consequently be found to consist in the application of warmth and the increase of temperature. CLXXXIX. It is not improbable that the system thus emaciated by the evolution of unes- sential matters from the lungs, may become more susceptible to external agents, or uneasy sensa- tions may be excited, the tendency of which is to accelerate the respiration by the slight de- grees of muscular exercise occasioned. But not wishing to indulge in hypotheses, I shall leave the consideration of this point to others. CXC. In the months of March and April, the greater number of hibernating animals revive ; and it is at this season of the year that vegetation shows symptoms of returning vigour, from the mil- der state of the atmosphere and the influence of the solar rays. It is imagined by some, that the barns, caves, and holes in the ground, to which these animals have retired, prevent them from feeling the beneficial agency of spring. Dr FLEMING says, (( It cannot be owing to any considerable change of temperature ; for their situation pre- vents them from experiencing such vicissitudes."* * Vol. II. p, 69. 172 THE LAWS OF ORGANIC There is no place to which these animals retreat that is exempt from the great vicissitudes of sea- sons. If they burrow in the ground, the seve- rity of the cold is softened by their numbers ; but if the degree of cold becomes less intense by 10 or 20, the warm atmosphere which they have created will become warmer by the circulation of more temperate air. CXCI. As the medium to which they are sub- jected gradually improves in temperature, the blood that was determined to the internal organs is, by the most imperceptible steps, recalled to the surface. The lungs are then enabled to pro- duce a greater effect upon the diminished quantity of the blood ; and as this is more stimulating to the heart, it is propelled with greater force, and, meeting with less resistance, on account of the additional warmth from without, it is distributed more equally throughout the system. While these minute changes are going on, the generation of animal heat is increased ; so that the situation to which the animal is confined has its temperature augmented. The external heat continues to act upon the surface of the body and on the lungs, respiration becomes more frequent and com^ plete, the blood circulates with greater energy, muscular exertion is excited, and these causes, calculated to promote the same object, are progres- sive in their influence ; and the various powers act AND ANIMAL LIFE. 173 and react the same series of changes for an inde- finite period, with greater facility and perfection each time, till at last the animal, stirred from within, and stimulated from without, is awaken- ed to the possession and enjoyment of its animal and organic functions. 174 THE LAWS OF ORGANIC CHAP. VIII. The means by which the System is enabled to bear a Temperature much superior to that of the Body. CXCII. From the preceding chapters the reader has probably anticipated the greater part of the views connected with the elucidation of the pre- sent ; and, from the facility with which many of the principles can be applied, may think it unne- cessary to enlarge further upon them : but, for so doing, I hope the importance of the investiga- tion will be a sufficient apology. Different che- mists and physiologists have entertained diffe- rent opinions regarding the powers of the system in accommodating themselves to a high tempera- ture. It is stated by CRAWFORD, that the blood is less venalized in the capillary vessels when the body is subjected to great heat ; and, therefore, the changes which this undergoes in the lungs are less extensive for want of the combination of the oxygen of the air with the usual quantity of inflammable matter contained in the venous blood. Dr EDWARDS of Paris endeavours to show, that less oxygen is consumed in summer than winter, and that the temperature of the system is, on that account, little higher than at the latter sea- son. I have already shown that his experiments, AND ANIMAL LIFE. 175 although correct, do not in the least warrant the conclusions that he has deduced from them, as he has omitted to take into consideration the various conditions of the system at the different seasons and periods of life, which have been shown to modify the results of his experiments. It has been supposed by some, that the evaporation which takes place at high temperatures is the principal reason that the effects of heat are coun- teracted ; by others, that the blood is cooled in its circulation from being distributed to parts possessing different degrees of heat. CXCIII. It is impossible to deny the great in- fluence which the two latter causes exert in re- ducing the temperature of the body when sub- jected to a heat a few degrees higher than what is natural ; but I cannot consider them sufficient- ly powerful to account for the possibility of bear- ing the degree of heat to which FORDYCE, DE- LAROCHE, and BERGER have been exposed. Be- lieving these causes to be insufficient, and at the same time being persuaded that the views of CRAWFORD are altogether objectionable, I shall attempt to give other reasons to explain the re- sources of the animal economy. CXCIV. When an individual is engaged in violent exercise, the blood becomes more equally distributed throughout the system, and the ten- dency of this change is to relieve the lungs and internal viscera of a quantity of sanguineous 176 THE LAWS OF ORGANIC fluid, thereby enabling the inspired air to oxy- genate more completely the diminished propor- tion which remains ; or, if he be exposed to ex- ternal heat, precisely the same consequences fol- low. The surface of the body is stimulated and the blood flows to its minute vessels in greater quantity and velocity than usual ; and in this way the lungs and heart are quickly excited, the re- sult of which is that they co-operate with the ex- ternal heat in maintaining the diffused condition of the circulation, and in promoting the same physical phenomena. CXCV. If the external heat be very great, the same effects become more apparent ; because the quantity of blood transmitted through the lungs at any one moment diminishes in the in- creasing ratio of the temperature. In xvm. xix. and xx. I explained why animal heat is not in the direct ratio to the quantity of oxygen inhaled, but in the inverse ratio to the quantity of blood ex- posed to this principle. In extending the same view, we shall understand why the system is ca- pable of resisting a temperature of from 240 to 260, which was experienced by BLAGDEN. CXCV I. After an ordinary expiration, the quantity of air remaining in the lungs is estimat- ed at 280 or 290 cubic inches; but if the tempera- ture of the body be increased from 5 to 10 more, the air will be much rarefied, and, consequently, the same quantity will not continue to act upon AND ANIMAL LIFE. 177 the blood. It will undergo this change before it is inspired, which will lessen the quantity re- ceived, and the internal warmth of the chest will also tend to carry this change still farther. So we observe that two causes are in operation, both of which will diminish the usual proportion of air acting on the blood ; and, moreover, this diminu* tion will be in the direct ratio to the increase of tem- perature, retarding its influence, not by the gener- ation of cold, but by setting limits to the generation of heat, CXCVII. CRAWFORD endeavoured to shew, by direct experiment, " that when an animal is placed in a heated medium, the sanguineous fluid during each revolution is less impregnated with the inflammable principle; for the venous blood, in these circumstances, becomes gradually paler in its colour, till at length it acquires nearly the appearance of the arterial? The experi- ments which he instituted, for the purpose of proving this point, are far from being satisfac~ tory. An animal was confined in a vessel containing atmospheric air, which was at one time surround- ed by water at 55, for 42 minutes, and at ano- ther by water at 104, for the same period. At the termination of the experiment, the air in the former was found to be only one-fourth as pure * CRAWFORD, Experiments and Observations upon Animal Heat, &c, p. 387. M 178 THE LAWS OF OBGANIC as atmopheric air, while that in the latter was one-half. From these results he concluded, that less oxygen is consumed in a heated state of the system than when the medium is cold. It is impossible to estimate the changes or con- ditions of the blood by any degrees of alterations which the inspired air undergoes. At one time, when the blood is determined to the internal viscera, by cold or disease, the proportion in the lungs may be calculated at 30, while the natural quantity may be only 10 ; and if this should occur, the air will be vitiated to a greater extent in the former than in the latter case, without the same quantity of heat being produced. It must be obvious to the reflecting mind, that, if the quantity of blood in the lungs be increased three- fold, without the surface which it offers to the air being enlarged to the same degree, that more oxygen may be consumed without the blood having derived the ordinary advantages from the contact. When the proportion of 10 presents its surface of blood to the action of the air, it is proba- ble that this is almost as extensive as that of 30 ; the same capillary vessels are occupied by both ; and if they become congested by the addition of 10 or 20, this very state of the vessels may pre- vent the usual complete changes of the blood. In support of this opinion I may observe, that in every instance in which the quantity of san- guineous fluid in the lungs is greater than what AND ANIMAL LIFE. 179 is natural, it is less perfectly arterialized ; and whenever the contrary state is present, its qua- lities are improved. CXCVIII. CRAWFORD remarks, that, when an animal has been exposed for some time to a high temperature, the blood in the veins assumes the colour of that which circulates in the arteries. He explains this appearance, by stating, that " the sanguineous fluid is less impregnated with the inflammable principle," or, to employ terms more intelligible to modern readers, that the blood has not undergone its accustomed changes in the ca- pillaries of the body, and therefore is less penalized. When the system is subjected to great heat, less blood at any one moment is transmitted through the lungs, the consequence of which is, that it is more perfectly arterialized, and, from the increas- ed action of the heart, returns to the chest in about one half of the usual time. It is therefore manifest, that the blood is favourably circum^ stanced for the operation of chemical changes ; on the one hand its quantity is diminished, and on the other the repetition of these changes is doub- led. These reasons alone are sufficient to explain the altered colour of the blood. CXCIX. As CRAWFORD had found this ap- pearance in every instance in which an animal was submitted to warm air or water, he was de- sirous of trying the effects of cold air or water. For this purpose, a dog was immersed in water M 2 180 THE LAWS OF ORGANIC at 45, and in a quarter of an hour blood was drawn from the jugular vein, and was thought " to be the darkest venous blood we had ever seen."* This result was considered to support the explanation, viz. that, when the temperature was high, the changes of the blood in the minute ves- sels were less perfect than usual ; but when the temperature was low, these changes were sup- posed to be more complete, accounting for the very dark condition of the venous blood. The dog immersed in water at 45 must have had its heat materially diminished, although this import- ant point was not alluded to. The blood, from the medium in which the body was placed, would be determined upon the internal organs, which would tend to obstruct its proper oxygenation. It cannot, therefore, be denied, that the difference in colour between the arterial and venous fluid, in every state of the system, is to be attributed to its more or less perfect alterations in the lungs. CC. If the dog whose blood was very dark had had its temperature augmented, which it ought to have had according to his doctrine, there would then have been a plausibility in the theory ; but it must have lost several degrees of heat, for the blood, in no condition of the system, assumes this aspect, unless the temperature be diminished, and congestion in some part of the body be present. To ascertain the temperature of f CRAWFORD, p. 310, AND ANIMAL LIFE, 181 the body when immersed in cold water, the fol- lowing experiments were performed. EXPERIMENT I. A fine adult rabbit, of the temperature of 104, was im- mersed, with the exception of the head, in water of 50i. In two or three minutes, the animal began to shiver ; in five it was removed ; and its temperature was found to be 94. It was directly immersed in warm water of 106 for the same space of time, during which it gained 4 degrees, its temperature being 98. EXPERIMENT II. An adult rabbit, temperature 106, but not so robust as the preceding, was immersed in water of 50 for five mi- nutes, during which time its temperature was reduced to 96i: It was immediately placed in warm water of 110 for the same time, at the end of which its heat had risen to 98^. We did not think it necessary to keep the rabbits a longer time in the water. They both seemed much op- pressed : and when we consider that one, in the short space of five minutes, lost 10, and the other about 8, we have changes sufficiently great to account for such symptoms. CCI. Without the corroboration of the preceding experiments, the description which CRAWFORD himself gives of the appearance of one animal subjected to a cold medium, and of another to a warm one, is sufficient to prove the consistency of the present opinion. The one exposed to cold 182 THE LAWS OF ORGANIC showed symptoms of great uneasiness : " the eye in particular seemed to be much swollen, and became dim and languid? 9 but the eye of the other dog, exposed to warmth, retained its bright- ness to the last.* Whenever the blood is pro- perly, or unusually oxygenated, the expression of the eye is such as he describes ; but when it is deficient in its ordinary qualities, it then becomes swollen, dim, and languid : it is swollen, because its vessels are congested, and dim and languid on account of this condition and the deteriorated properties of the blood. In all the rabbits to which I have given opi- um, the eye exhibited the appearances 1 have stated ; and in these the temperature was lessened 7 or 8, and the distribution of the blood was shewn to have been unequal by the different ap- pearances observed on dissection. CCII. It is remarked by CRAWFORD, that " The cold stage of fevers is preceded by languor, a sense of debility, and a diminution in the action of the heart and arteries. The respiration is small, the pulse is weaker than natural, the quantity of blood which passes through the lungs in a given time is diminished, and hence less phlogiston will be discharged from the Hood, and, consequently, less heat will be separated from the f * CRAWFORD, p. 313- t Ibid. p. 394. AND ANIMAL LIFE. 183 In the cold stage of fevers the surface of the body is collapsed and pale, and the blood is evi- dently concentrated in the internal organs con- tained in the three great cavities of the body. The difficulty of breathing, and oppression in the chest, shew that the lungs and heart are implica- ted ; the pallid aspect of the face, the dulness of the eye, and the pain of the head, or occasional delirium, prove the brain to be affected, and the enlarged liver and spleen demonstrate a similar condition of the abdominal viscera. Since the lungs have more blood than is natural, it is ma- nifest that his idea of a diminished quantity pass- ing through them has little relation to the quart* tity on which the air has to act ; and as this is augmented, the consequences are in harmony with the principles stated in the first chapter, viz. That animal heat is not in the direct ratio of the quantity of oxygen inhaled, but in the inverse ratio of the quantity of blood exposed to this principle. CCIII. It is stated by CRAWFORD, that the ca- pacity of the arterial blood for caloric is greater than that of the venous ; and the opinion beauti- fully illustrates his ideas of animal heat, as he imagined this to be extricated in the minute ca- pillary vessels of the system, and not in the lungs ; and it also removes the difficulties which were opposed to the views of Dr BLACK, which suppos- ed the evolution of this principle to take place in the lungs. This important point has been inves- 184 THE LAWS OF ORGANIC tigated by several distinguished physiologists since the time of CRAWFORD, and it seems now to be generally believed, that the arterial has a tem- perature of one or two degrees superior to that of the venous blood. This opinion militates very much against the one brought forward by CRAW- FORD, and may be said to destroy the consistency of his theory. CCIV. The body was supposed, by CRAWFORD, to possess a uniformity of temperature at the va- rious seasons of the year, and throughout the whole system. The former condition was re- garded as arising from the less perfect changes of the vital fluid in the capillary vessels, in conse- quence of which the quantity of inflammable matter brought by the veins to the lungs was di- minished ; and as he believed the evolution of animal heat to be proportionate to the chemical changes between the inspired air and this inflam- mable matter, it followed, from his doctrine, that less heat would be generated in summer, when the necessities were less, and more in winter, when they are greater. In cxcvni. and cxcix. I have shewn the fallacy of those premises by which he was led to draw this conclusion. The equality of temperature throughout the system naturally flowed from his principles, which supposed ani- mal heat to be given out by the blood in imbib- ing the phlogistic principle from the capillaries. AND ANIMAL LIFE. 185 If a thermometer be applied in winter to dif- ferent parts of the body, it will indicate different degrees of temperature ; and, generally speaking, all much less than that of the internal cavities, as proved by the instrument being placed beneath the tongue. In summer there will be a greater equality, because the sanguineous fluid is warmer by one or two degrees ;* it also circulates with greater velocity, and is more generally diffused ; and, independently of these considerations, the atmosphere is more temperate, tending rather to court than repel its equable distribution. CCV. When the body is the warmest, the blood cannot be cooled to any great extent in the course of its circulation \ and, therefore, when the system has a demand for its various resources to overcome the excessive heat to which it is exposed, the distribution of the blood can- not be regarded as a very efficient means, as sup- posed by Dr MONRO, Secundus, of Edinburgh, and Mr BELL of Manchester. CCV I. The evaporation from the lungs and surface of the body is the most powerful agent that physiologists have alluded to, in controlling the temperature of the system ; its beneficial effects are experienced in inflammatory fevers, and it is often promoted in diseases, in order to equalize the circulation and reduce the tempera- ture ; but its office is to remove the heat already * Via. EDWARDS, p. 489. 186 THE LAWS OF ORGANIC existing, and not to set limits to its production ; it is an effect which tends to preserve the constitution, but is not the cause that regulates the generation of animal heat. CCVII. When an individual has been using violent exercise for some time, perspiration flows profusely from the body. Is this to diminish the heat, or to retard its generation ? Or, if we sup- pose the same to be exposed to a medium of 100, an evaporation from the surface takes place proportionate to the external temperature; if the medium become 150, evaporation continues to correspond ; if that be raised to 200 or 250*, the body is literally suffused with moisture. Since, in the first instance, perspiration was the consequence of increased heat, without having the least influence on the source which produces it, for it continues to flow as long as the muscular exertion remains, and ceases as soon as this sub- sides, or as soon as the system recovers its regu- lar temperature, it cannot be regarded as a cause that regulates the production of heat.* CCVIII. The profuse quantity of perspira- tion does not affect the reasoning, for this is merely in accordance with the excessive heat of the body. If we could, by exercise, produce as great a temperature as is occasioned by the ex- ternal medium, we should observe the same re- sults ; but in this case we could not say that the * Dr EDWARDS, pp. 254, 488. AND ANIMAL LIFE. 187 perspiration had protected the system from the further production of heat : we might with truth assert, that it had preserved it from its injurious effects. If an individual be confined in a warm moist atmosphere, or in heated water, he is very soon oppressed, because perspiration is retarded in the one case and prevented in the other, and consequently the heat accumulates. CCIX. There is a great difference between the powers that relieve the system from the effects of heat and those that circumscribe its evolution. The former are simply the exten- sion of the ordinary and obvious laws of the ani- mal economy ; the latter are the result of a prin- ciple less evident, and exercised only on extra- ordinary occasions. The excessive heat of 240 or 260 would destroy the body, if the 260 in- creased the generation of heat in the ratio of its numerical progression ; but every degree, from the temperature of the body to 260, modifies the production of heat by augmenting the rarefaction of the air within the chest, thus successively dimi- nishing the quantity of oxygen submitted to the in- fluence of the blood. When an individual has been exposed to great heat for some time, as in an oven for example, we observe, that, on quitting this, his breathing is quick and short, presenting symptoms somewhat simi- lar to those occasioned by running, or excessive exercise. When such arise from the latter causes, 188 THE LAWS OF ORGANIC they have been stated in xxi. as originating from the diminished quantity of air within the chest ; and it appears equally consistent to refer those co-existent with great heat to the same physical principle. If, therefore, the air is rarefied before it is inspired, and if its general bulk be subse- quently materially lessened; and if, in conjunction with these two conditions, we consider, that the quantify of air in the lungs indispensable to main- tain the powers of life is very much rarefied by an extensive and constant evolution of caloric, we are enabled to appreciate the boundaries which Nature has set to the generation of animal heat. AND ANIMAL LIFE. CHAP. IX. The Influence of Disease on the Production of Heat. CCX. To do justice to this subject would require more time than I can at present devote to it, and more correct and multiplied data than the records of medical science furnish. The va- rious states of the pulse, the appearance and quan- tity of the excretions, the expression of the coun- tenance, the colour of the skin, the operation of the mental powers, and many other conditions of the system, have been anxiously inquired after and carefully studied when symptoms of disease were urgent, while the changes in the temperature of the body, or in the distribution of the blood, have never been objects of minute consideration. CCXI. We cannot expect to derive much exact knowledge from the ancients ; their ideas con- cerning the source of heat were crude and falla- cious, and their acquaintance with the most im- portant laws of the animal economy, or of the obvious connections of the different organs, or of the degrees of influence which one part of the body exercises over another, was necessarily bounded or empirical. If we turn to the moderns, we have abundance of valuable facts in almost 190 THE LAWS OF ORGANIC every department of medical science, except on the subject of animal heat in relation to disease. While chemists have been contending about the quantity of oxygen consumed in a given time, or about the proportions of carbonic acid and vapour formed by the changes in the lungs ; physiologists have been equally busy, but less beneficially occupied, in endeavouring to prove the efficiency of the nervous system in the gene- ration of heat, in attempting to show that galva- nism and the nervous fluid are the same or in labouring to demonstrate that animal heat is nothing but a secretion. If these opinions were to be tested by their contributions to practice, or by the extent of their suggestions to the same, I fear they would be found like many other views, whose only support is the ingenuity of their au- thors. CCXII. To these causes we are to attribute the routine practice of the profession -the adherence to what is old, or the avidity for what is new. CCXIII. If we take into consideration that the greater number of diseases arise from causes that over-excite the respiratory and sangui- ferous functions, or from causes that diminish their energy, it is certainly important to know in what way these agents influence the sys- tem. In all local and acute inflammations the temperature is augmented, the pulse is more fre- quent, full, or bounding, the sensorial powers are more or less disturbed, and the secretions are also AND ANIMAL LIFE. 191 irregular. The degree of temperature is regulat- ed by the situation of the organ affected, or by the disorders which this has communicated to the lungs and heart. If, for example, any of the viscera of the thorax be the seat of inflamma- tion, we have then the flushed or livid counte- nance, according to the stage or severity of the af- fection, the pulse is, for the most part, hard and frequent, and a variety of other symptoms are present equally characteristic of the local disease. The increased frequency of respiration, and the preponderance of its expiratory character, are to be regarded as the principal causes in augment- ing the evolution of heat. Before disorganiza- tions occur, the blood circulates with greater ve- locity through the lungs ; the constant or fre- quent cough prevents or retards its occasional ac- cumulation ; and, from these conditions, the san- guineous fluid is more completely oxygenated, and, having acquired properties more stimulating than usual, it excites palpitation or violent action of the heart. It is at this time that the blood is diffused generally throughout the body. The temperature and pulse assume their usual characters as the organs regain their ordinary state; but if, instead of this favourable termination, the disease lose its inflammatory nature,and exhibit asthenic symptoms, we observe the pale and col- lapsed countenance, cold extremities, the surface pallid and shrunk, the patient troubled with 192 THE LAWS OF ORGANIC shiverings, the pulse small and frequent, and the generation of animal heat controlled. CCXIV. As the efforts of the system were unable to overcome the symptoms by which it was oppressed, the lungs would gradually be- come congested, thereby losing the power of main- taining the ordinary stimulating qualities of the blood ; and as this would be insufficient to excite the usual contractions of the heart, the pulsations would necessarily become feeble, and frequent, because it is compelled to circulate what it receives. The propelling energies being lessened, the vital fluid is not transmitted to the distant parts of the body with its accustomed force, but the veins possess their usual disposition to return their contents ; the consequence of which is, that the viscera of every cavity have their functions dis- ordered by the unusual determination of venous, and the deteriorated properties of the arterial blood. CCXV. If we suppose the intestines to be the seat of acute inflammation, the temperature is augmented, because the respiratory functions are again disordered. This effect is not to be refer- red to any nervous connection between the tho- racic and abdominal viscera, but to the changes in the distribution of the blood. We can stimu- late the action of the lungs by warming the in- ferior extremities, or we can oppress it by cool- ing the same ; and, if alterations so far removed AND ANIMAL LIFE. 193 from the chest have an almost immediate in- fluence, we can scarcely deny that a similar con- sequence will follow if the abdomen be excited or depressed by disease. Respiration in these cases is generally performed by the thorax, and the patient is extremely careful not to draw deep inspirations in which the abdominal muscles are concerned, from the pain which accompanies the attempt. The pulse in this affection is small and fre- quent, sometimes hard ; and these are the condi- tions we should expect from a knowledge of the nature and situation of the disease. The lungs are stimulated to an unusual action, but to a less extent than when their own tissue is exclusively implicated, and therefore the sanguineous fluid is not so well adapted, from its changes, to present the strong and bounding pulse. In accordance with this opinion, it may be observed, that in- flammation of the abdominal viscera seldom or never affords the butfy coat equally well marked with that occurring in the thoracic. CCXVI. If the symptoms tend to an unfavour- able termination the temperature is lessened, and we have consequences similar to those men^ tioned in ccxiv. The pulse is at times too fre- quent to count, or too feeble to be felt. If we consider the various important organs belonging to the abdomen, and the nature and activity of their functions, it will at once be apparent, whenever N 194 THE LAWS OF ORGANIC the blood has the tendency to accumulate here, that an inordinate quantity will very readily be determined to its different viscera ; and it is im- possible for this state to exist without the lungs participating in the congestion : if these are op- pressed, it is not difficult to explain the small, or almost imperceptible pulse, and other concomi- tant phenomena. CCXVII. When the system is first affected by local inflammation, the increased temperature is to be attributed to the excited action of the lungs ; a portion of the heat passes off in the form of per- spiration, thus removing the superabundance which is evolved by disease. But if, instead of local and acute inflammation, we have other disordered conditions, giving rise to continued or intermittent fever, the distribution of the blood, and the temperature of the body, are accom- panied by other and more marked changes. CCXVIII. In the cold stage of intermittent fever the pulse is remarkably small and fre- quent, and in no other disease have we such an obvious depression of the powers of organic and animal life. Great diminution of temperature, difficulty of breathing, oppression of the chest, violent headache, pain in the course of the spine, and a general feeling of lassitude, are a few of the symptoms which characterize its development. Dr CURRIE, in his Medical Reports, allows us to speak with confidence concerning the diminu- AND ANIMAL LIFE. 195 tion of temperature in the cold stage of inter- mittent fever. He says, " In the cold stage, the heat is diminished, not on the surface only, as some have imagined, but very probably over the whole system. I have found it under the tongue, and at the axilla, as low as 94, 93, and 921, and on the extremities many degrees lower."* CCXIX. No state of the system more satis- factorily shews, that animal heat is not in the direct ratio of the quantity of oxygen inhaled, but in the inverse ratio of the quantity of blood exposed to this principle, than intermittent fever. The san- guineous fluid, from causes unknown to us, leaves the surface and extremities, or rather does not flow to them, and gradually engorges the internal vis- cera; the lungs for some time are less congested than the rest from the character of their office, but they are sufficiently influenced from the first to be incapable of oxygenating the blood as in health; and as their incapability augments with the con- tinuance of the cause, they very soon co-operate with the depressing effects of the disease, to im- pede, if not to destroy, the exercise of their own and every other function of the body. In this way we can account for the small and frequent pulse and all the other symptoms enumerated. The blood is deficient in its usual properties, and there- * Medical Reports, p. 153, N 2 196 THE LAWS OF ORGANIC fore cannot be expected to excite the contrac- tions of the heart ; and as it is not propelled throughout the arterial system with regularity or force, the remote arteries, from the want of the ordinary vis a tergo, and the accustomed quantity and qualities of the vital fluid, to stimulate these powers, on which their pulsations depend, exhi- bit a feeble or almost imperceptible action. CCXX. When these symptoms cannot pro- ceed any farther without endangering life, they are by degrees mitigated by the reaction of the system. It was shown by HUNTER, when an animal is cooled down to a point much lower than what is natural, that the intense cold is counteracted by the evolution of a greater quan- tity of heat ; and it is also stated by Dr ED- WARDS, who has paid considerable attention to this subject, that it arises from the exertions of the animal to escape or remove itself from the de- pressing agent, thereby exciting the respiratory functions to the more perfect oxygenation of the blood ; and it is to a similar cause, conjoined with the means we employ to promote the same result, that we are to attribute the return of the system to its normal state. In support of the general view brought forward, I may allude to the suc- cess of depletion in the cold stage of intermittent, as fully proved by Dr MACKINTOSH of burgh, in a variety of cases. AND ANIMAL LIFE. 197 CCXXI. I now proceed to show, that the heat of the body, in different stages of disease, is not a certain indication of the extent to which it is gene- rated. When the system has been violently exer- cised or exposed to great heat, the increased quan- tity of this principle produced is invariably dissipa- ted by cutaneous perspiration and pulmonary eva- poration. The reason of this is evident, the capilla- ries are in a healthy condition ; and, whenever they are excited under these circumstances, they rea- dily discharge the superabundance of caloric, and prevent the system from being oppressed by its accumulation. When the body is suffering from continued fever, the truly inflammatory symp- toms have subsided ; in other words, the excited action of diseased organs no longer stimulates the respiratory functions to increased energy. From the slowness of the respirations, or their incom- pleteness, the inactivity of the patient, the pau- city and derangement of the secretions, the al- most perfect repose of the assimilating functions, the disturbance of the intellectual faculties, and from other co-existing disorders, it is manifest that less heat at this time is generated, and yet the temperature of the body is at times several degrees above its natural standard. CCXXII. If we take into consideration that the uniformity of animal temperature is maintain- ed by the balance of two opposite powers, viz. 198 THE LAWS OF ORGANIC those that produce, and those those that expend, we shall find an easy solution of the seeming difficulty. From the irregular and imperfect manner in which the vital fluid has for some timebeen prepar- ed for the purposes of the system, every function is more or less disordered ; and, among the rest that of the capillaries belonging to the surface of the body. These have not the same capability as formerly of evolving caloric : the consequence is, that even a diminished production of heat ap- pears to present an augmentation, because the powers that expend are greatly inferior to those that produce. The truth of this may be observed in the dry and burning state of the skin. Dr CURRIE, in his Medical Reports, gives several re- markable cases of this condition of the surface, attended by restlessness and great fever, that was almost immediately removed by affusion or sponging of the body, and followed by the re- establishment of health, or the amelioration of the general symptoms. The benefit is not to be re- ferred to the lessened generation of animal heat, but to its lessened accumulation. CCXXIII. If we believe that every assimilative process is accompanied by the disengagement of heat, which is certainly a plausible opinion, but of which there is no direct proof, it must be con- sidered extraordinary, unless the above view be received as correct, that the system should, in such a case, possess a temperature much higher AND ANIMAL LIFE. 199 than ordinary. We have many symptoms pre- sent which clearly show that the lungs are con- gested, and are otherwise very unfavourably cir- cumstanced for the production of animal heat. CCXXIV. The great heat of the surface has induced many practitioners to try depletion at a period of the fever much later than it is generally recommended and found beneficial. When at- tending, as a student, the Dispensary of Dr MACKINTOSH of Edinburgh, I had an opportunity of seeing a great deal of continued fever, and I remember one case which will enable me to illus- trate the present subject. I was called to visit a boy who had been ill for two or three days, and found that he was affected with the fever at that time prevalent in the city. Eight or ten ounces of blood were abstracted ; purgatives, aperients, and blisters were employed till the eleventh or twelfth day, according to the urgency of the symptoms. At this time his respiration be- came so difficult, accompanied with a fixed pain in the chest, and with great dryness and heat of the surface of the body, that I thought it advisa- ble to bleed. Eight ounces of blood were drawn, with slight relief to the breathing ; but the de- pletion was succeeded, in less than a quarter of an hour, by subsultus tendinum. The boy ulti- mately recovered, but the unfavourable symp- toms developed on the second depletion warned me of the danger of bleeding, however the symp- 200 THE LAWS OF ORGANIC toms may appear, unless such a measure should be warranted by other signs than simply increas- ed heat of surface. The blood did not exhibit the buffy coat. CCXXV. It is often remarked, that fever- patients are occasionally highly susceptible to cold when the temperature of the body is probably 104 or 105. Dr CURRIE relates a case where it was 109, and yet the individual complained on the least exposure to cold. Whenever this occurs, we ought to consider the whole or the greater part of this additional heat as the effect of diminished evaporation and not increased gene- ration ; and, if this be allowed, it is easy to ex- plain the great sensibility of the patient. The heat of the surface not being derived from the augmented action of the heart and lungs, but depending exclusively on the diseased state of the capillaries of the skin, it is manifest that the external air will speedily lessen the tempera- ture, as it is not supported either by great energy of circulation, or unusually stimulating qualities of the blood. I cannot believe that a person whose temperature is several degrees above the ordinary standard will be particularly liable to feel the immediate influence of cold, if such be the con- sequence of, and maintained by, the vigorous ac- tion of the lungs and heart. The Russian, after having bathed himself for some time in the hot bath, delights to run among the snow, and does AND ANIMAL LIFE. 201 not experience any unpleasant sensation ; but his system is not circumstanced as in continued fever. The circulation on the surface of the body is, from the first immersion, excited ; and from the vascularity which succeeds, the lungs, in common with other internal organs, have a smaller quantity of blood to oxygenate, agreeably to the principles laid down in the first chapter ; and, therefore, the blood becomes more stimulating, increasing the action of the heart, and of the whole of the arte- rial system, and consequently protects the surface from the agency of cold. Dr CURRIE observes that, when the system possesses a temperature of 102, 103, 104, or 105 in the hot stage of intermittent fever, " the sensation of heat is now strong and steady, and the accession of external air does not produce a return of chillness as before''* In further corroboration of this opi- nion, we do not find that individuals labouring under thoracic inflammations are as susceptible to this agent as when confined with continued fever. In the former circumstances, the greater part of the heat is attributable to augmented pro- duction, which places the system in a situation somewhat similar to that of the Russian : but, in the latter, the temperature may be said to be truly superficial, as it is not generated by supe- rior powers, nor maintained by the effects which they produce. * Medical Reports, p. 155. THE LAWS OF ORGANIC CCXXVI. The views contained in the pre- sent chapter, in regard to practice, are of vital importance. They disclose principles which ex- plain the difference between great heat that is produced by the lungs, and the accumulation of the same arising from diminished evaporation ; and this knowledga at once suggests a mode of treatment different from that pursued in many cases of fever, and which is not derived from em- piricism, but from more extended acquaintance with the laws of the animal economy. The ap- plication of these views to practice will be defer- red till inflammation and fevers be considered in a subsequent treatise. I may, at present, gener- ally allude to a few of the characters which dis- tinguish the production of great heat from its ac- cumulation. 1. Whenever the pulse is, for the most part, hard, strong, and frequent, the respirations more numerous than natural, the heat of the skin greater than usual, and the temperature of the body above the ordinary standard, we may consider the additional heat as the consequence of increased production. 2. When the above states are modified in degree, accom- panied by a burning skin, and great restlessness of mind, the augmentation of temperature is to be re- ferred to increased generation and diminished evapo- ration. 3. When fever has continued for some time, until the se- cretions are evidently much disordered, and the sur- face of the body shews strong marks of asthenic AND ANIMAL LIFE. 203 disease, the inordinate temperature sometimes felt in these conditions is to be ascribed solely to diminished evaporation. 4. Blood drawn during increased production almost always exhibits the buffy coat, whereas the same abstracted in purely typhoid affections is seldom or never pre- sent, although the system be apparently oppressed by great heat. It follows also, where the production is slightly greater than natural, that the buffy coat will be proportionate to the influence of this cause. 5. Whenever the skin is dry and hot, we may consider the functions of the capillary vessels to be much de- range4- 6. When the patient shows acute susceptibility to cold, how great soever the temperature may be, we may justly suspect diminished evaporation. 7. When the temperature is high, and the individual is not particularly sensible to cold, we may conclude that the generation of caloric is augmented. 8. The arteries, in continued fever, in different parts of the body, occasionally pulsate much more strongly than natural, even when the truly inflammatory character of the disease is past ; but such a symptom must not lead the practitioner to suppose that this, in con- junction with increased temperature from diminished evaporation, indicates the necessity of depletion. Such a phenomenon frequently occurs in dysentery and other diseases characterised by internal conges- tion. It does not arise from conditions that attend the ordinary excited states of the arteries, viz. the more stimulating properties of the blood and its greater propulsion, but from obstacles to its free cir- culation. 204 THE LAWS OF ORGANIC CCXXVII. Many fevers have undoubtedly been cut short by the timely affusion of cold wa- ter, depletion, emetics, or by sudorifics ; and when such instances occur, it is not improbable that the quick pulse, pain of the head, restlessness, great heat of body, and other febrile symptoms, were not occasioned by inflammation or internal congestions, but by a morbid condition of the skin, retarding the ordinary evaporation from the surface. If other causes be assigned for the ori- gin of such fevers, it is difficult to conceive how the employment of such means can act so imme- diately as to remove them. In former times, when the crisis of disease were much attended to, pro- fuse perspiration, or moisture of the skin, was considered to augur a favourable termination of fever. The physician, in regarding this circum- stance as favourable, was correct ; but he was led to his conclusions by experience alone. If we reflect that the high temperature of the body was, throughout the greater part of the disease, the consequence of diminished evaporation, ex- citing and maintaining disorders in every part of the system, it is manifest that the return of the capillaries to their usual function is a symp- tom we cannot too highly estimate. CCXXVIII. If the whole of the system can be- come deranged from a general diminution of eva- poration, giving rise to increase of temperature, the same effect may take place in any single part AND ANIMAL LIFE. 205 of the body. Phlegmonous inflammations are sometimes accompanied by great heat of their in^ dividual surface. If the temperature should rise above the standard of the system, a point which is yet disputed, I do not see that we are author- ized to suppose that the additional degree is to be attributed to a power of generation belonging to the blood-vessels of the part, but, in a great measure, to diminished evaporation. In physics, accelerated motion produces heat ; but there is a great difference between animate and inanimate particles and the laws which re- spectively regulate them. We are frequently justified, from obvious re- semblance, in applying the same general reason- ing to both, but we often err in endeavouring to draw analogies where no similarity exists. CCXXIX. There is certainly a difference in the results between diminished evaporation afc. fecting the whole surface of the body, and a sin- gle part. In the former instance, the whole cir- culating fluid becomes deranged in its quality and motion ; in the latter, its own vessels, of what kind soever, are, generally speaking, principally if not exclusively disordered. If symptomatic fever occur in these cases, it is as easily explained on the supposition of diminished evaporation as of increased generation of heat. In both cases the temperature of the vital fluid is augmented, and this condition of the blood is communicated 206 THE LAWS OF ORGANIC to the heart and lungs, not by means of the nerves, but by the circulating medium. These organs being excited to greater action, produce the same general effects as if they had been pri- marily affected by any other stimulating agent. CCXXX. Capillary circulation in the state of health may be considered independent of any power derived from the heart or arterial system, but, in the state of disease, still farther removed in its relations. The deranged action of any portion of its own system destroys the harmoni- ous connection which unites it to the general system ; and, therefore, it is reasonable to ex- pect, if a part of the body be thus circumstanced, that its surface will be incapable of performing the function of evaporation, and, consequently, that heat will be accumulated. Emollient cata- plasms and evaporating lotions are among our most efficient means in cases of phlegmonous in- flammations, where there are great heat and pain ; and it is not improbable that these are in part beneficial, because they reduce the accumulated heat, or promote the proper action of the capil- laries subservient to evaporation. The apparent increase of heat in a local, superficial inflamma- tion, is not attributable to one cause, but to three : 1st, Diminished evaporation ; %d. Augmented quantity of blood in the part ; and, 3d, The more AND ANIMAL LIFE. 207 frequent renewal of this fluid from the excited ac- tion of the capillaries. If a given quantity of blood be transmitted to any part of the external surface of the body, the region in which it is distributed will feel warm ; and if this quantity be doubled, without in the least affecting its temperature, the sensation of heat will be proportionally augmented, because a greater number of points, which communicate the sensation, is contained within a given space. If the blood which circulates on the surface of the body be renewed more frequently than natural, the part thus circumstanced will be warmer. The blood on the surface is seldom or never so warm as that which belongs to the cavities ; its tempe- rature is diminished from the influence of an ex- ternal medium, to which the internal circulation is not at all exposed ; but when the vital fluid returns to the surfece in one half of its usual time, the causes which tend to lessen its heat produce less decided effects, from its increased velocity, or diminished sojourn in the capillaries. 208 THE LAWS OF ORGANIC CHAP. X. The function of the Eighth Pair of Nerves. CCXXXI. IT is scarcely necessary to perform new experiments on the present subject to be en- abled to speak with confidence regarding the phenomena connected with the destruction of the eighth pair of nerves. We have a sufficiency of examples illustrating the various changes which occur in the thoracic and abdominal viscera, when this part of the nervous system is injured ; but although the general consequences, with few ex- ceptions, are the same in the different experi- ments brought forward by physiologists, still we observe great discrepancies in the reasoning of those who attempt to explain the precise origin and character of these consequences. CCXXXII. Before I adduce any new argu- ments in regard to the eighth pair of nerves, it will be advisable to take a glance at the nervous system in general. This part of the animal eco- nomy has been investigated with more judgment and success within the last few years than any other belonging to the system. Direct experi- ments, multiplied and varied in every possible way, have been appealed to in support of new AND ANIMAL LIFE. 209 discoveries, or in refutation of old opinions : thus on the one hand presenting knowledge as an im- moveable point for future advancement, and, on the other, correcting the fallacies of ignorance. But while the present age has been enriched with con- tributions of this kindbyBiCHAT,GALL,MAGEN- DIE, LEGALLOIS, and BELL, it is also distinguish- ed by theories and hypotheses, which are proba- bly almost inseparable from the preceding. The development of one fact in physiology, too ge- nerally gives rise to a multitude of ingenious ideas, which seem to be required to complete the imperfect view which it unfolds ; and it is from this cause that every century is necessitated to retrace its steps to some established truth that has been lost in the refinements or visions of its ad- mirers. " Eh bien ! la physiologic a encore un pied dans la premiere epoque, tandisque deja elle en a place un dans la seconde. C'est aux physio- logistes act u els a lui faire le pas tout en tier." CCXXXIII. So natural is it in man to embel- lish what he cultivates, or to colour with his pur- suits every object which he studies, that we have now cerebral phenomena explained on the sup- posed oscillations of the nervous fluid ; the in- flammatory condition of the blood, from the in- terposition of this same agent between its glo- bules;* hypochondriacal and melancholic de- * Nequaquam, sed sanguis, cui nullum additamentum ac- cessit, supplementum nullum a nutritionis foco proficiscens, dilatatior, expanditur majorem acquirit capacitatem pro prin- cipio nervoso ipsius gkbulis interposito. LOBSTEIN, p. 119. 210 THE LAWS OF ORGANIC rangements, nausea, want of appetite and pal- pitation of the heart, from the diseased state of the nerves ; and, lastly, the generation of animal heat is attributed to secretion, and all secretions are referred to the influence of the nerves. CCXXXIV. Some of these opinions have been transmitted, with the diseases they are ima- gined to explain, from a remote period ; and they might have continued for as long a time to per- plex the scientific physician, if important disco- veries had not allowed us to examine them with greater philosophical acuteness. If our know- ledge had been confined to the nerves appropri- ated to the senses or to motion, it would have been impossible to deny, that, as certain parts of the nervous system have obvious functions to per- form, it is not improbable that others, still un- known, may possess the faculty of secreting the various fluids of the body, but the discovery of Mr CHARLES BELL has thrown considerable light on this subject. He proves that " the anterior column of each lateral division of the spinal marrow is for motion, the posterior column is for sensation, and the middle one is for re- spiration ;"* and, still further, " that there is an obvious division of the medulla spinalis, corre- sponding to the cerebrum and cerebellum ; every regular nerve has two roots, one from the ante- rior of these columns, the other from the poste rior : such are the fifth pair, the sub-occipital, the * BELL on the Nerves, p. 22. AND ANIMAL LIFE. 211 seven cervical, the twelve dorsal, the five lumbar, and the six sacral. They are common to all ani- mals, from the worm up to man, and are for the purposes of common sensation and motion, or acts of volition."* This discovery enables us to cul- tivate an intimate acquaintance with the consti- tution of the nerves belonging to the thoracic and abdominal cavities, to note with precision their origin, their compound nature, and to un- derstand the character of those endowments which they bestow on the different viscera on which they are distributed. CCXXXV. If we believe, with some anato- mists, that the sympathetic nerve is derived from the fifth and sixth, we shall be enabled to speak with confidence of its properties ; or if we grant that it is merely connected with these nerves, we are still able to discriminate its functions, by ob- serving the office of those organs and muscles to which it is distributed, and by noting the con- sequences which follow its partial destruction, or the phenomena which it exhibits on the applica- tion of galvanism. The par vagum is evidently a nerve of respira- tory motion; the branch of the fifth and that of the sixth, which form the whole, or constitute a part of the sympathetic, transmit motion or sensibility ; and the whole of the spinal nerves are proved to * Ibid. p. 44. o 2 TtiE LAWS OF ORGANIC possess the same powers ; and as these are com- bined in every thoracic or abdominal plexus or ganglion, it is reasonable to suppose, that the connexion of the various fibres cannot in the least change their individual properties : before they contribute these properties, they exhibit sensibility and motion ; and if they are conjoin- ed, the centres which they form will be sources of sensibility and motion. CCXXXVI. If then the whole of the ganglions and plexuses be centres or combinations, partici- pating in the endowments of nerves whose func- tions have been ascertained, it follows that the viscera of the thorax and abdomen, the extremi- ties and surface of the body, are supplied with nervous energy composed of one or both of these qualities. If this view be taken, we leave no nerves to perform secretion or excretion, except it be allowed to the physiologist that the nerve which performs motion in one part of the body is a nerve indispensable for secretion in another. This idea has been embraced by WILSON PHILIP and others, who believe that the formation of the gastric juice depends on the eighth pair of nerves. CCXXXVII. When I speak of sensibility and motion, I do not, by any means, confine those terms to the limits of their ordinary accep- tation. I look upon every organ as possessing sensibility and motion corresponding to its office. The contraction of the heart, iris, or sphincter AND ANIMAL LIFE. 213 ani, the peristaltic action of the intestines and stomach, the elevation of the ribs, or the inor- dinate action of any of the muscles belonging to respiration, in fine, every motion or contraction of muscular fibre, I regard as depending on ner- vous fibrillce originating from the nerves of motion, modified by the organization of the part or organ. CCXXXVIII. Every organ of the system has its proper stimulus : the eye has light, the heart blood, the stomach has food and its peculiar secretion, and the whole of the abdominal vis- cera their various agents ; but the susceptibility of an organ to its stimulus will be proportionate to the fasciculi derived from the nerves of sensa- tion, and the energy with which it acts will be according toth e number or size of fasciculi be- longing to the nerves of motion, and the adapta- tion of the part to promote the intended effect. If we examine the structure of the iris, we shall observe its radiated and circular fibres, which are, by the best authorities, considered muscular ; if then light be transmitted to the retina, the iris contracts in virtue of its sensibility to impres- sions, and the power of motion communicated to its radiated and circular fibres by its nerves of motion. If we examine the disposition of the muscular fibres of the sphincter ani, we observe that these are calculated to produce the necessary effect ; or if we look to the stomach and intestines, we have circular fibres THE LAWS OF ORGANIC which are continually in action for the purpose of propelling or otherwise acting on the con- tents ; in the intercostal muscles, and others ap- propriated to respiration, we have longitudinal fibres, and it is by structural modifications of this description that the various kinds of contrac- tion are produced. Sensibility and motion may be considered as fundamental properties bestowed on all organs, differing only in extent, while the character of the contraction is regulated by its muscular conformation and the nature of its sti- mulus. These properties in the state of health are uniform in their influence, but in disease they are much disordered. In Enteritis the natural sensibility of the bowels is heightened, and trans- mits to the sensorium painful impressions, and, at the same time, the anti-peristaltic action occa- sionally occurs, showing that the nerves of mo- tion are equally deranged. These or similar ob- servations may be applied to every part of the body. CCXXXIX. I have alluded to the stimuli of several organs : it is also necessary to remark that these generally place the function beyond our control. The contractions of the heart, the assimilation of food, and the different secretions, are illustrations ; and yet we observe that the will can influence certain functions which are partly voluntary and partly involuntary. In what way the will operates is unknown to us, nor does the AND ANIMAL LIFE. 215 investigation particularly concern the physiolo- gist it is sufficient for him to observe that dif- ferent acts of the system are accomplished by the simple volition of the mind. CCXL. Whether the sympathetic nerve arise from the brain, or only be connected with it, or whether the system which it forms is to be regarded as independent of the cerebrum and spinal cord, or as constituted to combine and communicate the same influence in the more per- fect animals, are subjects which will continue to perplex as long as anatomy be appealed to as the only guide. If the ganglionic system in the lowest orders of animated nature be supposed to preside over the functions of secretion, absorption, and nu- trition, as there is no other system of nerves present, it may be justly asked whence those powers are derived which bestow sensibility and motion ? MECKEL and WEBER remark, that the sympathetic nerve and par vagum are developed in the inverse ratio of each other. In the lower gradations of animal life, the sympathetic nerve, or ganglionic system, is the only nervous struc- ture which is present for sensation and motion ; and, as we ascend in the scale of being, we per- ceive the additional contribution of the par va- gum to supply the multiplied wants of the ani- mal. It is, therefore, probable that these two nerves possess endowments precisely of the same THE LAWS OF ORGANIC kind so far as regards motion, but that the sym- pathetic, besides this common property, has the power of conferring sensibility also. It has been proved, that the sympathetic nerve is capable of being excited by galvanism. SCHMUCK, FOWLER, PFAFF, LUDWIG, CREVE, and WEBSTER, have excited the action of the heart, both in warm and cold blooded animals. HUMBOLDT has also produced contractions in some of the inferior orders of animals, as the Umax ater, ostrea edulis, helix pomatia, helix nemoralis, sepia qfficinaliSy by the application of galvanism. It has also been shown, that the diaphragm can be sensibly excited by the same means.* CCXLI. All these arguments and direct ex- periments tend to persuade or demonstrate, that the function of the sympathetic nerve is the same as that which belongs to the cerebral and spinal nerves, viz. to distribute sensibility and motion to almost every part of the thorax and abdomen in the class mammalia, and in the inferior orders to diffuse these properties throughout the whole system. CCXLII. It was imagined by SGEMMERING and BEHRENDS, that the numerous nervous fibrillae sent by the sympathetic nerve to the heart are not blended with the muscular fibres, but simply accompanied the vessels of circulation. It has since been shown, that these are as inti- mately connected with them as the voluntary * LoBSTEIN, p. 174. AND ANIMAL LIFE. 217 nerves are with any of the muscles of the body. When galvanism is applied to the sympathetic nerve, which principally supplies this organ, the contractions are increased, because it stimulates the various nervous ramifications in the same manner as the vital fluid ; and from what I have previously stated, it is obvious that the contrac- tions of the heart are modified, in almost every possible way, by the qualities of the blood. CCXLIIL Many experiments have been per- formed for the purpose of ascertaining how far the capillary circulation is influenced by the de- struction of the brain or spinal cord, as if it were possible by such means to know the precise rela- tions existing between the capillary circulation and the nervous mass. If we consider that the removal of the cerebrum must derange the ge- neral circulation according to the quantity of blood which such an operation takes from the system, not simply from the blood which is lost in the excision of the vessels, but from what is proper to the organ, or, if we reflect that great disorders in the sanguiferous system will other- wise be induced, how is it possible to draw any positive conclusions from such effects and causes, when a variety of others intervene of which no estimate or conception is formed ? Though we allow that the capillary circulation is indepen- dent of the brain and spinal cord, and this opinion can scarcely be disputed, yet we cannot for 3 218 THE LAWS OF ORGANIC moment suppose that it is equally independent of the general circulation. It will be subject to two great modifications : The quantify, and condi- tion of the vital fluid transmitted to its vessels. If the properties of the blood be highly stimulating, the same will immediately influence the circu- lating powers of the capillaries ; if the quantity which is sent is either greater or less than usual, these w ill be sensibly affected ; and if we employ chemical or mechanical means which produce one or both of these circumstances, the results cannot be regarded as affording any indications of nervous influence. CCXLIV. The sympathetic nerve is almost universally supposed by anatomists and physio- logists to be indispensable to the offices of secre- tion, nutrition, and circulation, and is also ima- gined to be the source of a multitude of diseases. LOBSTEIN, in enumerating the Pathemata istius nervi essentialia, includes in the list Hypochon- driasis, Morbus Hystericus, Melancholia, Mania, et Febris Intermittens. I shall not, at the pre- sent, attempt to show the fallacy of such opinions : the refutation of the greater number will be found in the different views developed in this work ; and the more minute investigation of the subject will be deferred until we treat fully of the class of nervous diseases. CCXLV. The principal arguments hitherto advanced to prove that organic functions are per- formed by means of the sympathetic nerve and AND ANIMAL LIFE. 219 par vagum, may be reduced to the following pro- positions : 1. If the par vagum be cut, the secretion of gastric juice is arrested. 2. Galvanism has been shown to supply the want of nerv- ous energy, by accelerating digestion, after the de- struction of the eighth pair of nerves. 3. The nerves accompany the arteries and muscular fibres in their most minute ramifications. 4. Many nervous fibrillae are distributed on those organs, which are destined either for the circulation of blood or the assimilation of food. 5. The development of the nervous system increases with the augmentation of additional organs or their more complete organization. 6. The secretion of gastric juice is materially retarded by the exhibition of narcotics, which are supposed to act on the nerves. 7. Mental influence occasionally disorders the thorax and abdominal functions. In Chapter III. I examined the opinions of WILSON PHILIP in regard to the effects aris- ing from the destruction of the par vagum ; and therefore it is not necessary to repeat the same observations to show that the first proposition is incorrect. The experiments at the end of this chapter will satisfactorily prove that the secre- tion of gastric juice is stopped, not on account of nervous energy being diverted from its course to the stomach, but on account of the great disturb- 220 THE LAWS OF ORGANIC ance which such an operation occasions in the qualities and distribution of the blood. It has also been shewn in what manner galvanism maintains the function of digestion. It operates as a stimulus, and tends to remove congestion, whether in the lungs or stomach, and thereby allows the former to oxygenate properly the fluid which it receives ; and this, possessing its usual properties, is transmitted to the viscera of the ab- domen ; the consequence of which is, that the or- ganic functions are supplied with blood calculated to support their action. The truth of this view is found in perusing the cases which WILSON PHILIP himself relates. The immediate effect of galvanism was to relieve the oppressive breath- ing ; and, in those instances in which this was employed, the lungs were comparatively healthy, whereas, in those in which it had not been used, the lungs presented " dark red patches," like the lungs of an animal that had " lain dead' 9 for many hours. CCXLVI. In proposition 3d, we may observe, that sensation and motion, variously modified, belong to every part of the system. The univer- sal dissemination of these qualities of matter makes an individual sensible to external agents, and gives him the faculty of removing from, or approaching to such, according as these are pain- ful or agreeable ; and it also binds in harmony the different organs of the body, facilitating mo- AND ANIMAL LIFE. lion where it is required, and transmiting sensa- tion when it is necessary. CCXL VII. The accurate plates of SCARPA point out the great number of nerves which the heart receives from the sympathetic and par vagum ; and if the distribution of these to an organ is a powerful argument in support of their influence in secretion, it may be asked, what does the heart secrete ? But if they be allowed to give motion and sensibility, it is evident that the function of the organ satisfactorily accounts for the multi- tude of nervous fibrillae. Its constant con- tractions are effected by its nerves of motion, which endow its muscular fibres with a property called irritability, and, unless it possessed this ex- tent of nervous energy, the blood would not be able to maintain its regular action. Secretion and nutrition are accomplished in the vegetable without the assistance of nerves ; and this fact, from the similarity of the functions in both in- stances, naturally leads the mind to conclude that these are the result of laws not directly de- pending on the nervous system. CCXLVIII. As we rise in the scale of being, additional and more perfect organs are developed, and the nervous system is also proportionately augmented to meet the demands of these super- added powers. CCXLIX. The manner in which narcotics influence the generation of heat, and the secre- 222 THE LAWS OF ORGANIC tion of gastric juice, will be considered in the next chapter. CCL. The different conditions of the mind have been known, from the earliest observa- tions, to excite or depress the digestive and assimilating organs ; but as this subject is fully treated of in a subsequent chapter, it is unneces- sary, at present, to make any remarks upon it. CCLI. It has been observed by every one who has paid particular attention to the division of the par vagum, that great difficulty of breathing im- mediately follows this operation, if performed on both sides, or if the nerves be tied; and although this effect was so obvious, the cause was not accu- rately ascertained till LEGALLOIS proved it by di- rect experiment. It was demonstrated that, when the par vagum was divided, the superior and in- ferior laryngeal branches, distributed to the muscles of the larynx, no longer enabled them, as in health, to open and close the glottis, the conse- quence of which is, that atmospheric air can- not pass in its usual quantity into the chest to produce the ordinary changes of the blood. Al- though the correctness of this explanation has never been questioned, yet a variety of opinions have been entertained in regard to the cause of death.* DUPUYTREN supposed that the air entered the lungs, but did not properly oxygen- t * Vide pages 180-1, 200, 2C2, 224, 235, LEGALLOIS. AND ANIMAL LIFE. ate the blood : this was remarked to be of a dark colour, and the temperature of the body was also found diminished. " II pensa done, 1, que tous les animaux auxquels on a coupe les deux nerfs pneumo-gastriques meurent d'asphyxie ; 2, qu'ils en meurent, parceque 1'air atmospherique, quoi- que continuant de penetrer librement dans les poumons et d'y arriver en contact avec le sang, ne peut plus se combiner avec ce fluide, cette combinaison ne pouvant se faire que sous rinflu- ence du principe vital et par 1'intermediaire des nerfs."* BLAINVILLE imagined, with HALLER and many other physiologists, that the death of the animal was to be referred to disorder of the di- gestive powers, and various changes of the con- tents of the stomach ; others believed that some great alteration was communicated to the heart, by which means the circulatory system was de- stroyed or disturbed. LEGALLOIS himself con- ceived the death of the animal to be occasioned by the three following causes : " 1> Par la diminu- tion de Vouverture de la glotte ; 2> Par I' engorge- ment sanguin des poumons ; 3> Par I'epanchement d'unfluide sereux dans les branches" t LEGAL- LOIS, in speaking of the effects arising from the division of the eighth pair, says, " la section des deux nerfs affecte a la fois le larynx, le coeur, le * LEGALLOIS, p, 178. t Ibid. p. 235. THE LAWS OF ORGANIC canal alimentaire et les poumons."* He ex- plains the affection of the larynx, but the other consequences are difficulties which he does not solve. CCLIL From the great and general disor- ders of the viscera, of the thorax and abdomen, it is not easy, unless we seize the first and prin- cipal agent in the chain of causes, to account for the extraordinary effects produced. Impeded digestion, congested lungs, and a vascular state of the heart, have been described by the greater number of those who have prosecuted the pre- sent subject ; and the following experiments, from their conclusive character, will show why such simultaneous results occur, and what is the nature of the relations existing between the dif- ferent organs. The following experiments are to prove these propositions : 1. That the function of the par vagum, and its various branches, is to regulate the ingress and egress of at- mospheric air in the act of respiration. 2. That nervous influence is not necessary for the secre- tion of gastric juice. 3. That the first cause in the disturbance of the organic functions is to be referred exclusively to the injury done to the laryngeal nerves, by which means the usual quantity of air does not enter the lungs. 4. That the death of the animal arises from the three causes stated by LEGALLOIS. * LEGALLOIS, p. 231. AND ANIMAL LIFE. 225 EXPERIMENT I. The influence of the par vagum on the Junction of digestion. The three rabbits in this experiment were adults, and about the same size. They were fed at half past six o'clock, A. M. with cabbage leaves ; they had previously fasted sixteen hours. This rabbit had the par vagum divided on one side only, at eight o'clock. Tem- perature before experiment Time. Temperature. Observations. 10 o'clock A. M. 100 Apparently cheerful. 12, noon, 10l ditto. 2, P. M. 102 ditto. 6, P. M. 103 ditto. At six o'clock, p. M. this rabbit was killed. Dissection. On opening the chest the lungs collapsed, but were slightly infiltrated ; the heart appeared in the natural state ; nothing worthy of particular remark in the thorax. The stomach, of a smaller size than in the two others, was filled with a homogeneous mass, in which the well-marked characters of vegetable food were absent. The contents of the large intestines were well concocted. The weight of the lungs and heart of this rabbit was three drachms and a half. In the following, the par vagum was divided on both sides. Temperature of the rabbit, before experiment, 105. The operation was performed a few minutes after the pre- ceding. Time. Temperature. Observations. 10 o'clock A. M. 98 Respiration very laborious. 12, noon, 97 ditto. 2, P. M. 96 ditto. 6, P. M. 93 ditto. At six o'clock, P. M. it was killed. P 226 THE LAWS OF ORGANIC Dissection. The heart and lungs of this rabbit were much larger than usual. The lungs were very much en- gorged, presenting several large patches of a dark hepatic colour. The heart was very turgid, and the vena cava of the thorax and abdomen very much distended with dark venous blood ; the stomach of more ample dimen- sions than in the preceding ; the contents occupying the larger arch of the stomach had undergone no perceptible change ; the rest were better, but still coarsely, digested, exhibiting strong traces of vegetable fibre. The large intes- tines contained a mass only somewhat better concocted than that in the stomach of the former. The lungs and heart of this rabbit weighed seven drachms. In the following rabbit, three quarters of an inch of the par vagum, on each side, were cut out. This operation was performed immediately after the preceding. Temper- ature of the rabbit before experiment 104i. At ten o'clock, A. M. the respiration was extremely la- borious ; the temperature 100. From this hour the respi- ration increased in difficulty till noon, at which period, in extreme agonies, the rabbit jumped against the wall, and expired. At this moment I separated the trachea, for the purpose of transmitting air into the lungs, thinking that it might revive the animal but it did not. On opening the trachea a quantity of frothy matter flowed out, and con- tinued to do so for the space of a quarter of an hour. The quantity was sufficient to fill a table-spoon. Dissection. The thoracic viscera of this rabbit exhi- bited striking peculiarities. The lungs dense, no longer crepitant, of a deep Modena hue, with circumscribed patches of a much darker colour, entirely filled the cavity of the thorax. The air cells on pressure effused a frothy matter. The vena cava of the thorax and abdomen was very much distended with black blood, The stomach AND ANIMAL LIFE. 227 was much larger than in the two preceding. The con- tents were of a less firm consistence, but did not display the same unaltered appearance as in the large arch of the stomach of the former rabbit, being almost as much digest- ed as the best concocted portion in the stomach of that animal. The large intestines were in the same condition as those of the preceding rabbit. The lungs and heart weighed thirteen drachms and a half.* EXPERIMENT II. From the sudden death of the last rabbit, and from the whole of the thoracic symptoms, I proposed, in this ex- periment, to obviate the severity of the consequences by dividing the trachea, and adapting to it a large brass tube, to allow the atmospheric air to enter the lungs freely. The three rabbits in this experiment were full grown, and ap- peared equally healthy. After fasting for twenty-three hours they were allowed to eat plentifully of cabbage leaves five hours before the operation, immediately before which a small quantity was again given. Temperature of this rabbit 103. The trachea was divid- ed, and the tube attached as described. About half an inch of the par vagum on both sides was cut out. The experiment commenced at one o'clock P. M. At three o'clock the temperature was 104. The rabbit breathed as easily as in the state of health. Tantillum quidem hie secunda post sectionemfactam hora pati vide- batur, utfemellam etiam ascenderet> atque cum ea coire * To ascertain the weight of the lungs and heart of a rabbit in health, the viscera were taken from two adult rabbits that had been instantaneously killed. In the one they were found to weigh two drachms and a half, in the other three drachms and one scruple. P 2 THE LAWS OP ORGANIC hand segmter conareiur. At half past four it seized with avidity a cabbage leaf, but seemed very much oppressed in the attempt to swallow. There was excited for some mi- nutes a state of respiration not much unlike sneezing, and it seemed, from the sound emitted, as if the tube was not fully pervious. After a little time the rabbit resumed the ordinary mode of breathing. At five o'clock the temper- ature was 102 -. At seven o'clock the temperature was 100. The natural character of the respiration was un- changed, but the animal appeared to be in considerable pain. Its eyes were almost closed, the head raised up as if to allow the air to enter the tube ; and its otherwise motionless attitude, and occasional catches in its breathing, indicated great uneasiness and suffering. Matter of a sanious and frothy appearance exuded from the wound in the neck. At nine o'clock the temperature was 99 ; the rabbit was very dull and inanimate ; respiration as before, the occasional catches more frequent. At eleven o'clock the temperature was 99 1 ; the rabbit still dull and inani- mate, refusing to eat. At one o'clock A. M. the temperature was 103. The rabbit appeared more cheerful, and was inclined to eat. It was left in this state till seven o'clock that morning, at which time it seemed the same in every external respect. An hour after this its temperature was taken, and found to be 101 : the rabbit was then killed. Dissection. The lungs did not collapse so perfectly as ordinary, but were still crepitant, and of the natural ap- pearance. The stomach, larger than usual, was filled with a mass intermediate in every respect to the contents of the two following ; the vegetable fibre and smell were still evident. The contents of the large intestines differed little from the natural state. The oesophagus was entirely filled with imperfectly digested vegetable ; and this circumstance AND ANIMAL LIFE. 229 accounts for the oppression which the animal experienced in the attempt to swallow what it had chewed. This or- gan did not seem to have the power to propel the food received, and consequently its great distention would more or less compress the trachea, causing the symptoms I have described on giving it food at half-past four. Great inflammation and congestion were observed round the wound, and the parietes of the thorax. In the following rabbit the par vagum was divided on both sides. Temperature 104. The trachea was not di- vided. At three o'clock the temperature was 100|. At half- past four o'clock the rabbit received cabbage leaves, which it voraciously seized ; but, after having taken a small quan- tity, vomiting commenced, and continued, with slight in- termissions, till a quarter to five, at which time the animal died. The respiration had very much increased in diffi- culty for two hours previous to its death. Dissection. The lungs did not collapse on dividing the parietes of the chest, but they were crepitant in almost every part : they were almost as large again as the healthy lungs. The superior surface was highly red, presenting many small black points and slight discolorations ; the inferior was marked with black patches. The greater part of two lobes, in this situation, was in appearance like the liver. The condition of the heart was natural ; the veins of the chest and abdomen were large, and much distended with black blood ; the stomach much larger than usual ; the principal part of the food appeared to have undergone no change whatever ; the portion which was most acted upon was still unaltered in its vegetable character, but was ra- ther minutely divided. The contents of the large intes- 230 THE LAWS OF ORGANIC tines were coarser and less perfectly concocted than ordi- nary. In the following rabbit, the par vagum was divided on one side only. Temperature 104. Time. Temperature. Observations. 3 o'clock 105 Appearance healthy. 5, 1041 ditto. 7, 104J ditto. 9, 104 ditto. 11, 103 ditto. 1, A. M 103 ditto. 8, ditto, 104 ditto. At eight o'clock in the morning the rabbit was killed. Dissection. The lungs collapsed perfectly, but seemed somewhat of a darker colour. The stomach, of a mode- rate size, was filled with a mass that had lost the coarse and chopped appearance of undigested vegetable, yet pre- sented the vegetable smell, and here and there the vege- table texture. The whole contents, at a superficial glance, appeared homogeneous. The large intestines exhibited the conditions of health. EXPERIMENT III. The three rabbits employed in this experiment were full grown, healthy, and equally vigorous. They had fasted twenty hours before they were fed with dandelion at eight o'clock in the morning. The operations were performed at half-past eight. In the following rabbit the trachea was cut, and a tube attached to it, as in the preceding experi- ment. Its temperature was 103. The nerves were left intact.* At two o'clock the temperature was 104| ; respiration regular and easy. It seized with avidity the food which was offered. From this time till ten o'clock at night there * The trachea only in this and some other experiments was cut, in order that we might estimate the influence of such a serious operation on the digestive powers. AND ANIMAL LIFE. was little particular to observe ; its appetite appeared as keen as ever, but its respiration was occasionally labori- ous. Its temperature was 104. At half -past seven the following morning this rabbit was found dead, but was still warm. Dissection. The lungs were somewhat engorged, and were of a bright Modena colour ; they collapsed but slight- ly on opening the chest. The stomach was large, and its contents were of two very opposite descriptions ; that oc- cupying the cardiac portion was vegetable, slightly divided, but not otherwise altered in appearance ; that of the pylo- ric was well comminuted, and apparently homogeneous. The contents of the large intestines were moderately well concocted. The trachea in the following rabbit was divided, and the par vagum on one side only. Temperature of rabbit 105. At two o'clock the temperature was 104 ; respiration natural ; great avidity for food. At this time the rabbit alias ascendere sospius conabatur, et, quanguam hebetior erat, nihilommus blandiendo variis modis salacitatis spe- ciem reprccsentabat. This is a phenomenon I cannot in the least account for. A gentleman was with me when I observed the same in Experiment II. I am persuaded that it does not arise from the vigour of the animal, nor from the natural impulse of the feeling ; for, in the present instance, the first selected was a very fine male rabbit, and it very frequently approached, without any discrimination of sex or age, the individuals among which it was placed. It has never occurred when the trachea only was cut, and, since it has happened in these two cases in which the par vagum was divided, it would seem to depend on some de- rangement of the cerebellic system. But, as it is my in- THE LAWS OF ORGANIC tention to state facts and not hypotheses, I shall leave the reader to form his own judgment on this subject. At ten o'clock at night the rabbit appeared as usual, and was disposed to eat. At half-past seven o'clock next morn- ing its breathing was laborious, and it refused to eat. The temperature was 98. At this time it was killed. Dissection. On opening the chest the lungs collapsed, arid were of a perfectly healthy appearance, and crepitarit throughout. The contents of the stomach were homoge- neous, and of a very soft consistence. In different parts of the stomach undigested vegetable was evident ; but the whole mass was as well digested as the pyloric portion of the preceding, but scarcely equal to that of the following. The contents of the large intestines were fluid ; but from this circumstance no inference can be drawn, as the intes- tines were in a state of high inflammation, and were agglu- tinated in several situations. The trachea of this rabbit was divided, and the tube at- tached as in the preceding ; about half an inch of the par vagum, on each side, was cut out. Temperature of the rabbit 104. At two o'clock the rabbit was breathing as in the state of health. At ten o'clock the respiration had become slightly laborious and hurried. Its temperature was 982. It died in about seven minutes after I had as- certained its temperature. The cause of its sudden death I could not account for. It did not appear particularly op- pressed before the introduction of the thermometer into the rectum. The chest was immediately opened, and pre- sented the following appearances. Dissection. The lungs collapsed on opening the chest ; they were somewhat of a darker colour than natural, but did not present any traces of inflammation, nor did we ob- serve any dark patches ; they were of the usual size, and AND ANIMAL LIFE. 233 crepitant throughout. The liver was very large, and di- minished the capacity of the thorax. The stomach was of the usual dimension, and contained a small quantity of air. The contents appeared homogeneous ; but when examin- ed, there were here and there the remains of vegetable fibre ; yet the whole mass was minutely divided, and exhibited a more advanced progress towards perfect digestion than that of the two preceding. The contents of the large in- testines seemed to be well concocted ; the small intestines were distended with air to a great extent. EXPERIMENT IV. In this rabbit the trachea only was divided. Tempera- ture 105. At five o'clock the respiration was natural, and the rabbit was inclined to eat. At seven it appeared per- fectly well, and had great avidity for food ; in ten minutes after it jumped out of the box in which it was kept, ran once half round a large room, and in a few seconds expired in struggles. The frequency and suddenness of this cir- cumstance was mortifying, as it interfered with the train of experiments, but more so from my not being able to account for it. It is so natural for the mind to attribute extraor- dinary effects to extraordinary causes, that I did not ima- gine, till the present instance occurred, that the phenome- iion might arise from the stoppage of the tube, which I found to be the case ; and the knowledge of this fact enabled me to save the life of the following rabbit ; and it also accounts for the previous accidents of the same kind. The tube is so liable to become partly or completely im- pervious, that the experiment is rendered delicate, and sometimes unsatisfactory. Dissection. The lungs were somewhat congested, of a deeper colour than natural, and, although perfectly crepi- tant, did not collapse so completely as in the former in- stance. The stomach, of its usual size, was filled with 234 THE LAWS OF ORGANIC imperfectly digested food, which exhibited, especially to- wards the cardiac extremity, many pieces of unaltered vegetables; towards the pyloric, though somewhat better digested, it was by no means so much so as in the latter rabbit. The contents of the large intestines appeared per- fectly concocted. The trachea of the following rabbit was not divid- ed till the difficulty of breathing was obvious. About half an inch of the par vagum on both sides was cut out. Temperature 102. At five o'clock the respiration dif- fered slightly from the state of health : the rabbit was disposed to eat. At seven o'clock the respiration easy. At eleven it was difficult. At one, A. M. the rabbit ran across the room, and struggled, as the preceding had done, at seven. Perceiving this, and believing it to origi- nate from the same cause, I passed a probe down the tube attached to the trachea, and had the satisfaction of seeing the animal revive and breathe with almost the ease and regu- larity of health. At eight o'clock in the morning the animal seemed quite worn out ; its breathing was rather hurried and weak, but not particularly laborious. The rabbit reclined partly on its side ; and, when raised up, a small quantity of mucus was observed to ascend in the brass tube, accompanied by a sound similar to what is heard on applying the ear to the chest of a phthisical patient in whose lungs large cavities exist. At this time it was killed. The temperature was taken immediately after death, and found to be 105. Dissection. On opening the thorax the lungs collapsed, and were of a healthy appearance in every part except the posterior lobe on the left side, which was of a much darker colour than the rest; they were throughout crepitant. The stomach, of a small size, was filled with a perfectly homogeneous matter of a soft consistence, and which had AND ANIMAL LIFE. 235 entirely lost the characters of vegetable food. The con- tents of the larger intestines were more completely con- cocted than any that I have observed in the whole series of these experiments. The neck of the animal was dis- sected after having examined the thoracic and abdominal cavities, and the divided ends of the par vagum on each side were readily discovered. The two rabbits in this experiment were seven weeks old. They had partaken of a small quantity of dandelion at one o'clock, p. M. ; the operation was commenced an hour afterwards. CCLIIL The preceding experiments are con- elusive and important in their character. We have now no longer any uncertainty concern- ing the principal function of the eighth pair of nerves ; nor are we perplexed in endeavour- ing to explain the consequences which follow their division. In Chapter III. I endeavoured to show the fallacies in the reasoning of WIL- SON PHILIP, and stated that the beneficial in- fluence of galvanism was not to be attributed to any similarity or identity with the nervous fluid, but to its general stimulating properties ; and I have by the present experiments shown, if a tube be attached to the divided trachea, although the nerves be cut, that digestion goes on as well as when the trachea alone is divided. From such facts, which it is unnecessary to multiply, we prove, that whatever disorders the proper oxy ve- nation of the blood, or disturbs its distribution, deranges the function of digestion ; and, still fur- 236 THE LAWS OF ORGANIC ther, that whatever maintains or re-establishes the regular action of the thoracic viscera, maintains or re-establishes the function of digestion, not because the nerves are affected by such changes, but be- cause the secretory organs depend on these con- ditions of the blood. CCLIV. If from a similarity of effects we are authorised to infer a similarity of causes, we may state that the admission of air into the lungs by means of a brass tube is identical with galvanism and the nervous fluid ; but those who support the opinion that the two latter are the same or similar, will be unwilling to allow this conclu- sion, because we know that atmospheric air is not galvanism, nor does it possess any properties like those ascribed to the nervous fluid. CCLV. In rabbit third, Experiment I. it is stated that the lungs and heart were about four times as heavy as those belonging to the first ; and these results are in harmony with the symptoms observed during life. In the one, res- piration was performed with facility; in the other, the breathing became difficult immediately after the operation, and the urgency continued to in- crease till death, which happened in four hours after the excision of a part of the nerves. The additional density and increased size of the lungs and heart, and the great distention of the tho- racic and abdominal veins, explain the cause of death and the phenomena remarked previous to this event. AND ANIMAL LIFE. 237 CCLVI. When the par vagum was divided on both sides of the neck,* the aperture of the glottis was much diminished from the paralysis of its muscles ; and this accounts for the difficulty of breathing which almost directly succeeds the operation. Although the ingress of air is, in a great measure, prevented, yet the blood re- turns for some time to the heart and lungs as in health ; but when it arrives there it is impeded in its circulation, nor does it undergo the neces- sary changes ; the consequence of which is, that it gradually accumulates, and ultimately renders inefficient for the continuance of life, the small quantity of air allowed to pass through the les- sened aperture of the glottis. If this rabbit had lived a little longer, we should have observed a great diminution of temperature. In the second of the same experiment, the thoracic disorders were intermediate in degree between the first and third, and yet its temperature was reduced 12 ; and this effect is in harmony with the first general principle, viz. that animal heat is not in the direct ratio of the quantity of oxygen inhaled, but in the inverse ratio of the quantity of blood ex- posed to this principle. EXPERIMENT V. The two rabbits employed in this experiment were be- tween two and three months old, apparently healthy. * Vide. Appendix. 238 THE LAWS OF ORGANIC They had fasted fifteen hours, when they were fed at seven o'clock, A. M. The experiment commenced at eight o'clock. The par vagum on each side was tied in the fol- lowing rabbit. Temperature before experiment 103. The animal cried immediately on the nerves being tied, and respiration was difficult from the commencement. Vomit- ing and great difficulty of breathing were very oppressive directly after the operation, and the former continued so for a quarter of an hour ; the latter increased in urgency throughout the experiment. At eleven o'clock the tempe- rature was 99| ; respiration very difficult. The animal displayed an avidity for food, but had not the power of eating. At one o'clock, respiration short and laborious. I attempted to take the temperature, but, from the difficulty of breathing, it was impossible, with safety to the life of the animal. In half an hour after this time it died. Its temperature was found to be 93|, taken when insensible, but not dead. Dissection. The lungs did not collapse on opening the thorax, were scarcely crepitant in any part, and were simi- lar, in almost every respect, with the exception of here and there a few light points, to a mass of coagulated venous blood. The veins of the thorax arid abdomen were dis- tended with black blood. The stomach, of a moderate size, was filled with food, of which that part contained in the large extremity appeared not in the least acted upon, while that in the small was rather more digested. The contents of the large intestines were natural. The thoracic viscera weighed 4 drachms and a-hdlf. The par vagum on each side was tied in the following rab- bit. Temperature 103. Difficulty of breathing commenced immediately, but was not so urgent as in the preceding ani- mal. At eleven o'clock respiration laborious ; temperature AND ANIMAL LIFE. 239 was not taken, from the struggles which the attempt occa- sioned. A few minutes after the death of the foregoing rabbit it was on the point of expiring, which induced me to kill it. Temperature 91 1, taken when insensible but not dead. Dissection. The lungs were precisely in the same state as in the preceding rabbit ; and also the veins in the tho- racic and abdominal cavities. The stomach was filled with food, of which that portion contained in the large extre- mity appeared to be vegetable quite unchanged ; that part in contact with the mucous surface was more minutely divided than the rest. The contents of the large intestines were natural. The livers in both these rabbits were tuber- culated. The thoracic viscera weighed four drachms and a-half. CCLV1I. It had been remarked by HALLER and BICHAT that respiration was extremely dif- ficult in cases in which the par vagum was di- vided ; but we were not aware of the cause of this till the decisive experiments of LEGALLOIS, and those which I have performed, prove, that dyspnoea, impeded or obstructed digestion, enlargement of the heart, congestion and disease of the lungs, distended state of the internal veins, and diminution of temperature, are readily prevented by dividing the trachea, and attaching a tube to it at the time that the nerves are cut. CCLVIII. For the purpose of observing with more accuracy the results of the different experi- ments, the rabbits were placed under my own immediate eye, in a room to which they were 24)0 THE LAWS OF ORGANIC strangers. On this account they generally be- came dull and inanimate, and I found this to be the case with others which had undergone no operation. When removed to their old abode they ran about with their accustomed cheerful- ness. Mental depression influences the diges- tive powers of a rabbit as well as the more com- plex functions of an intellectual being. I men- tion this circumstance, as I am convinced that it ought not to be neglected in experiments which are instituted for the purpose of estimating the value of any single organic law in regard to the function of digestion or any of the secretions of the system. AND ANIMAL LIFE. 241 CHAP. XT. The Influence of Narcotics on the Generation of Animal Heat and the Digestive Powers. CCLIX. IN undertaking the present subject, it is not my intention to investigate the indi- vidual properties of the different narcotics, the consideration of which would occupy considerable time, and would necessarily exclude from this book other topics more directly bearing on the general principles expounded. Opium, whether regarded as a medicine or poison, is more im- portant and interesting than any included in the general class of these substances, and, on this ac- count, I shall select it for careful but general ex- amination. CCLX. From the variety of effects conse- sequent on the exhibition of opium, much di- versity of opinion exists concerning its true action. Some are disposed to consider it as a sedative, others as a stimulant. Those who sup- port the former quality adduce the well known symptoms of somnolence, prostration of muscular power, insensibility to external and internal agents, and the occasionally weak or slow con- tractions of the heart. But, on the other hand, Q THE LAWS OF ORGANIC those who assert that it is a direct stimulant, lay great stress, and with justice, on the more fre- quent occurrence of excited action, such as the forcible contractions of the heart, strong and frequent pulsations of the arteries, and increased temperature, displayed occasionally in the flow of perspiration or heat of surface. Some individuals entertain opinions less ex- clusive in their character, and regard opium as possessing both these properties. The stimulant effects, they say, arise from the smallness of the dose, and the sedative from an excessive quanti- ty. This explanation is consistent with certain facts, but is far from being satisfactory, when ap- plied to the different phenomena of the system, originating from the influence of opium. CCLXI. Our ideas concerning the charac- ters which constitute a sedative or stimulant, are neither exact nor precise, and, until we have more definite conceptions of these characters, we shall continue to dispute about the action of opium. If a sedative be defined to be a power that de- presses the mental and corporeal faculties, evinced by the incapability or insensibility of the mind, and a diminution of the contractions of the heart ; and if a stimulant be defined to be an agent which excites the intellectual and physical endowments of the system, as indicated by an unusual flow of animal spirits, and increase of muscular force, we are fully prepared to examine the merits of those AND ANIMAL LIFE. 243 theories proposed to solve the difficulties of the present subject. CCLXIL If the above definitions were consi- dered correct, they would be fatal to the views of those who assert that opium is a sedative or sti- mulant, for, in the greater number of instances in which the former property is exhibited, the action of the heart is augmented; and when the latter is supposed to be present, from the great vigour exhibited by the heart and arterial system, the faculties of the mind are depressed or incapa- citated from performing their ordinary functions. It is, therefore, manifest that contradictions and inconsistencies exist in the various opinions brought forward, CCLXIII. Experiments and observations will probably enable me to explain the action of nar- cotics on the animal economy, or, at least, to pre- sent views that apply more generally to the ef- fects which succeed their exhibition. The dif- ferent organs of the body are variously consti- tuted, and the functions which they have to dis- charge possess neither the same delicacy nor ob- ject. We have organs whose office it is to con- tract, secrete, or to develope the intellectual powers ; and as these are in every respect so dif- ferently formed, can we for a moment imagine, although parts composing one great system, thai they will be equally influenced by the same ge- neral agent ? It is as reasonable to suppose that Q 2 244 ' THE LAWS OF ORGANIC the eye will be affected by what is painful to the ear, as that these organs will suffer to the same extent by the general operation of opium or any other agent. CCLXIV. The heart and the brain reciprocally and almost immediately act on each other. If the former be excited, it almost directly communi- cates to the brain a portion of the energy which it displays ; and if the latter be deranged or dis- eased by congestion or external injuries, it dis- orders the action of the heart, by perverting the regularity of the respiratory functions. By ren- dering the respirations less frequent or complete,, the qualities of the blood are deteriorated ; and as the motion of the heart depends on these, it will necessarily be implicated in those conditions of the cerebrum by which the respiration is deranged. CCLXV. When a small quantity of opium has been taken, it is absorbed, and carried by the cir- culation to every part of the body. The heart is increased in its contractions, because its nerves are directly stimulated ; and the faculties of the mind are also excited, exhibiting a state of simple exhilaration, or delightful reverie, from the ope- ration of the same cause upon the brain. If a still larger quantity be taken, the mental powers are still more disturbed, showing the sedative ef- fects of opium, such as insensibility to impres- sions, or stupor, accompanied by stertorous or interrupted respiration ; but while the sangui- AND ANIMAL LIFE. 245 neons fluid occasions these consequences in the delicate and nervous structure of the brain, it still remains for some time a stimulus to the heart, because this is differently organized. But it not unusually happens that the dose is sufficiently great to enfeeble the motions of this organ, at the same time that it disorders the functions of the brain. CCLXVI. I have observed in many experi- ments performed on rabbits, that a small quanti- ty of opium, in the greater number of instances, augments the action of the heart for a short pe- riod, while a greater proportion almost imme- diately diminishes the force and frequency of its contractions. If such circumstances occur in an animal made insensible, it is reasonable to sup- pose that the same agent operates in a similar manner upon the animal economy possessed of its ordinary powers. CCLXVII. When an individual or animal is in a state of stupor, the breathing is irregular or imperfect. This would seem to arise from the blunted sensibility of the cerebrum to impressions com- municated in health by the nerves belonging to the function of respiration. M y experiments have been made on rabbits ; and I have observed, when these were stupified, that they appear for a while to forget to breathe y until the accumulation of blood in the lungs becomes painful 9 or the necessity of air im~ perative. The sensation arising from one of these 246 THE LAWS OF ORGANIC causes is of an aggravated nature, and tends to arouse the breathing for a moment. The animal has sudden starts, and, after these, respires with regularity for a few seconds, but soon returns to its previous disordered condition. CCLXVIII. The irregular, or interrupted mode of respiration, tends to render imperfect the pro- per oxygenation and distribution of the blood ; and in accordance with these changes, we observe that the animal heat is diminished. I have made many experiments on this sub- ject, and have invariably found that the temper- ature is lessened as soon as the narcotic effects are manifest. The two following experiments may be regarded as affording a correct idea of the ge- neral changes which succeed the exhibition of opium. Thirty grains of this substance were in- jected into the cellular tissue of the abdomen of a full grown rabbit : its temperature before ex- periment was 102. Time Minutes. Temperature. Respirations. 40 96 30 per minute, 65 94| 33 105 93 33 160 96 40 215 96 40 295 98 More frequent. 7 hours. 100 ditto. 13 ditto. 102 ditto. Rabbit full grown ; colour white ; temperature 102. About five grains of opium were injected as in the pre- AND ANIMAL LIFE. 247 ceding case, and the effects were equally well marked The experiment commenced at eight o'clock A. M. Time. Temp. Observations. 11 o'clock A M. 92 Affected with frequent and ge- neral spasms ; paralysis of the lower extremites, and pro- found stupor present. 1 do. P. M. 91 Spasms less severe, paralysis as before. past 2. 91 Little alteration. I past 3. 90i Ditto. 5 o'clock 89 At this time the rabbit appeared very cold, and was evidently much worse. For the purpose of reviving it, I placed it near the fire, and, occa- sionally with my warm hand, endeavoured to stimulate the external circulation, by gently rub- bing the surface of the body. These means gra- dually restored the animal to invigorated life. At 11 o'clock, P. M. its temperature had risen to 103: scarcely any remains of paralysis. The rabbit was not altogether so lively as in health, but was inclined to eat, and partook of the food which was presented. It ultimately completely recovered. I have already stated that the eye is dull and languid in those cases in which the ten> perature is lowered and the blood imperfectly oxygenated. In the present rabbit, I had a good opportunity of verifying the correctness of the statement. It is well known that white rabbits have the iris of a red colour. During the experiment I was surprised to find that this entirely disappeared. If viewed at a 248 THE LAWS OF ORGANIC short distance, it seemed black, but when exa- mined close it was discovered to be of a dirty brown ; and this colour continued, with slight alterations, for many hours after it had recovered the faculty of generating the usual quantity of animal heat. This fact is important, as it shows that the most delicate part of the capillary system is affected long after the thoracic organs have re- gained their general vigour. The eye may be consi- dered an index of the condition of the whole capil- lary system, and, therefore, it is important, as it teaches that the production of animal heat should be carefully attended to long after its re-esta- blishment, because the unfavourable effects, oc- casioned by the circulation of improper blood, are not removed so soon as we might imagine. The number of respirations is extremely vari- able. I have often counted 20 and 25 in one mi- nute, and, almost immediately after, double this number. The cause of this was explained in CCLXVII. CCLXIX. The respiratory function is disor- dered by the affection of the brain, and, as it re- covers its ordinary sensibility, the proper oxyge- nation and circulation of the blood are establish- ed. But if the narcotic effects increase, the ne- cessary conditions of the sanguineous fluid are no longer maintained ; the extremities become cold, the surface of the body discoloured, the face tu- mefied, and the temperature diminished. These are the consequences of deranged respiration. AND ANIMAL LIFE. 24Q The blood which is circulated at this time is dark, and but slightly stimulating. The con- tractions of the heart, and the vigour of the arte- rial system, occasionally observed under these circumstances, are not excited by the oxygenated properties of the blood as in health, but are con- tinued in action, for a time, by the diffused and stimulating properties of the opium. If it were possible to withdraw from the system the qualities which this poison has bestowed, it is not improbable that this deduction would immediately destroy the powers of life, because the blood would be deficient in its natural stimulus, then indispensable to promote its distribution. CCLXX. If we suppose a given quantity of opium to be received into the system, whether from the stomach, cellular tissue, or rectum, it is gradually absorbed, and, in proportion as this is effected, the sensorial powers are disturbed, and this disorder is communicated to the respiratory function, so that, while the former are directly, and the latter indirectly, influenced by the action of opium, the heart is frequently stimulated to augmented action by the same agent ; but as the blood is deteriorated for want of those conditions by which it is perfectly oxygenated, and as its venous qualities accumulate, the artificial stimu- lus of the opium, if it does not act as a sedative from its inordinate quantity, is overcome by the sedative qualities of the blood increasing 250 THE LAWS OF ORGANIC to a much greater extent the severe symptoms, such as diminution of sensibility and muscular motion. CCLXXI. In those individuals who have died from the effects of opium, we remark no traces of inflammation ; nor should we expect to find such, if we consider that inflammation can arise only from two general causes, viz. such as destroy or act violently on a part to which they are applied, or such as directly or indirectly tend to increase the oxygenated properties of the blood. The influence of opium lessens the natural stimulus of the blood, and acts principally on the nerves, increas- ing or diminishing the action of the organ to which they are distributed, and does not injure the texture like the class of acrid substances. CCLXXI I. Guided by the views already de- veloped, it is not difficult to explain the different appearances observed in the examination of those who have died from the effects of opium. The lungs are found congested, occasionally present- ing large dark patches ; the heart full of black blood, or its vessels much engorged ; the sto- mach, although not inflamed, exhibits greater vascularity than usual, and the veins of the tho- rax, abdomen, and brain are often found dis- tended with dark venous blood. From the first stage of the narcotic effect, the sanguineous fluid has gradually lost its vital powers, assuming the character of venous ; and when the heart ceases to AND ANIMAL LIFE. 251 be excited by the opium, its motions are too much enfeebled to propel the fluid to the distant parts of the body, and, therefore, they are Insufficient to counterbalance the quantity of venous blood which returns to the chest. From this cause the blood continues to accumulate in the internal cavities, from the first symptom of depression till the complete extinction of life. CCLXXIII. Without entering into a detailed account of the principles or plans of cure employ- ed in cases of poisoning from opium, I shall endea- vour to show the benefit that will be derived from attending to certain remedial measures suggested by the preceding observations. Vomiting is always recommended at the development of the first bad symptoms, for the purpose of removing the dele- terious substance from the stomach, and thereby arresting absorption ; but this effect has never been regarded in any other light than as ejecting the poisonous drug. If we keep in view what has already been stated in the foregoing pages, viz. that the internal organs are congested, a fact supported by every case related by ORFILA,* we shall perceive the force of the following reason- ing, and the correctness of the principles esta- blished in the present work- By confining vomiting to the simple expul- sion of the contents of the stomach, we lose the * Vide Chapter IV. Class IV. Des Poisons Narcotiques. Traite des Poisons, Tom. II. 252 THE LAWS OF OllGAXIC most powerful agent that we possess for coun- teracting the baneful consequences induced by opium, I have proved by direct experiment on myself and another gentleman, that whenever vo- miting is promoted, the blood is immediately more equally distributed throughout the system, and, as a necessary sequence, that the temperature of the body is increased, in accordance with the first principle, viz. " that animal heat is not in the direct ratio of the quantity of oxygen inhaled, but in the inverse ratio of the quantity of blood ex- posed to this principle''' CCLXXIV. It is therefore advisable to em- ploy vomiting in these cases as frequently as possible ; it tends to relieve the congested lungs, and allows the blood to undergo more perfect changes, indispensable to overcome the injurious influence of the poison and the highly venous state of the blood. CCLXXV. When an individual is in a sopo- rose condition from the effects of opium, it is recommended that he be kept continually walk- ing, as if this action were beneficial beyond the mere exercise of muscular power improving or maintaining the circulation, and exciting the res- piratory function, by keeping the mind awake to the impressions made on the respiratory nerves as explained in CCLXVII. If, instead of adhering to these inefficient means, we promoted vomiting by medicines whose operation is not preceded AND ANIMAL LIFE. 253 by nausea, which would augment the evil, and if we placed the inferior half of the body in water as warm as the individual can bear it, employing at the same time almost constant friction, and if we also applied a bladder of warm water to the pit of the stomach, to lessen the congestion of blood in this organ and the thoracic viscera, we should so far equalize the circulation as to improve the chemical changes of the sanguineous fluid ; and, in proportion as we accomplished this object, we should find that the powers which belong to or- ganic and animal life readily return. CCLXXVI. Depletion has occasionally been resorted to in the treatment of poisoning from opium, and has in some cases been found bene- ficial. ORFILA, after making experiments on this subject, draws several conclusions favourable to its judicious employment, of which the follow- ing is one : " %do, Qu'elle a paru utile dans quelques cir- " Constances, et meme qu'elle a suffi pour retablir " des animaux qui auraient peri si on ne Pevit " pas pratiquee.*" Depletion has been found useful in the cold stage of intermittent fever, because it takes off a part of the burden from the Internal organs, and thereby permits the lungs to oxygenate more completely the blood, which speedily excites the action of the heart, the increased con- tractions of which distribute the blood more gene- * Ibid, p 248. Tom. II. 254 THE LAWS OP ORGANIC rally throughout the system. When the consti- tution is labouring under the effects of opium, we have internal congestion of a similar kind, from a different cause, and to a less extent ; but, if the remedy be beneficial on one occasion, it will on another, if the only difference between the two consist in the degree. CCLXXVII. From observations contained in the preceding pages, it is evident that animal heat is diminished from congestion of the lungs and internal organs, agreeably to the principles fully stated in Chapter I. As this is demonstrated by direct experiment, the other views so intimately connected with these principles receive additional support. CCLXXVIII. Observing the diminution of temperature and the irregularity in the distribution of the blood, from the narcotic effects of opium, it appeared to me probable that digestion would also be retarded. I attempted to show, in Chapter III., whenever animal heat was much lessened, and the circulation of the blood much disorder- ed, that these states were incompatible with the secretion of gastric juice. The following experi- ments prove that, whenever the same or similar conditions of the sanguineous fluid exist, whether from the division of the par vagum, the applica- tion of cold, or the exhibition of opium, the same or similar consequences succeed. AND ANIMAL LIFE. 255 EXPERIMENT I. In this experiment, opium was injected into the cellular membrane of the abdomen of a full grown rabbit. Before the operation its temperature was 105. The experiment was commenced at seven o'clock, A. M. Time. Temperature. Respiration. I to 10 o'clock, A. M. 105 * past 11, 98i Cate a small ^ 1 past 12, 97 < quantity of 24 (vegetables.) 2 P. M. 97 48 more lively. past 3, 97 great inclina- 52 same. tion to eat. At this period it was killed, and another also which had taken food at the same time, that we might with more cor- rectness compare the influence of opium, Dissection. Examination of the rabbit which had been subjected to the effects of opium. The stomach was full, containing a dark green vegetable mass, imperfectly con- cocted. The contents of the large intestines did not ex- hibit their ordinary changes ; they were rough, and rather of a firm consistence ; the other viscera were healthy. The stomach of the sound rabbit was less distended than the other ; but the mass was less perfectly digested, aris- ing apparently from recent vegetable food which it had taken. The contents of the large intestines were smooth, soft, and completely changed in their vegetable character. EXPERIMENT II. Opium injected as before. The rabbit full grown. Tem- perature 104|. The experiment commenced at seven o'clock, A. M. 256 THE LAWS OF ORGANIC Time. Temperature. Respirations. i to 10 o'clock, A. M. 104 i past 11. 100^: 1 past 12. 98| 26 2 P. M. 98 44 more lively. $ past 3, P. M. 101 J 48 great inclination to eat. The rabbit was killed at this time. Dissection. The stomach was quite full of a bright green mass, possessing the vegetable smell and fibre. The contents of the larger intestines were less perfectly con- cocted than usual. All the viscera appeared healthy. The stomach of the second rabbit was much less distended, and its contents were as well digested as those of the large intestines of the preceding rabbit. The contents of the large intestines were smooth and soft, and apparently well concocted. EXPERIMENT III. Opium injected as before. Temperature of the rabbit 10%. The animal full grown. Experiment commenced at half past eight o'clock, A. M. Respirations. 24 40 44 40 Killed at this time. Dissection. Stomach slightly distended with air. The vegetables which it had taken before the experiment had undergone scarcely any change. The contents were fibrous and coarse, presenting a chopped appearance. The co- lour, not uniform throughout, varied from a light to a dark green. The contents of the large intestines were Time. Temperature. 10 o'clock, A. M. 102^ past 11, 96| i tO 1, P. M. 95 past 2, 96i 4 o'clock, 98 AND ANIMAL LIFE. 257 rough, and by no means minutely divided as in those cases in which digestion had gone on well. The lungs were very much congested. The posterior surface exhibited dark patches and effused blood. From these well mark- ed appearances, it was not thought necessary to kill a sound rabbit for the purpose of comparing the results. EXPERIMENT IV. The rabbit full grown. Temperature 103J . The ex- periment commenced at half-past eight o'clock, A. M. Opi- um injected as usual. Time. Temperature. Respiration. 10 o'clock, A. M. 99F past 11, 98; 44 i to 1 p. M. 100 64 1 past 2 100 40 4 o'clock 100 52 Killed at half-past four o'clock, p. M. Dissection. The rabbits were not opened till ten o'clock next morning. The stomach of the one which had taken opium was very large, and slightly distended with air. The cardiac and pyloric orifices exhibited a vegetable mass of two different colours and states of digestion. At the cardiac the vegetable was little if at all changed, of a dark green colour, emitting a strong vegetable smell. The whole was covered over with a coating of gastric juice. At the pyloric extremity the vegetable had undergone a slight change, the green colour had almost disappeared, and the vegetable texture was less evident. The large intestines were distended with vegetable matter, presenting a rough, imperfectly concocted, appearance. The lungs were much inflamed at their posterior surface ; the inferior parts of the lobes were very much congested and discoloured. The sound rabbit, which was killed at the sametime as the preceding, was now opened. R 258 THE LAWS OF ORGANIC Dissection. The stomach moderately distended with air. The vegetable smell was slightly evident. The con- tents of the cardiac and pyloric orifices were of the same colour and consistence, and were minutely divided. The large intestines were as full as those of the preceding rab- bit ; but the digestive process had evidently produced great alterations on the matter which they contained. The lungs were a little more florid than usual. These rabbits were fed at five o^clock, p. M. the day preced- ing the experiment, and were again fed an hour before the injection of the opium. They received no food afterwards. CCLXXIX. It is unnecessary to multiply these experiments to prove that digestion is impeded when the temperature is lowered and the distri- bution of the blood deranged. (( SFALLANZANI observed that the snake digested food faster in June, when the heat was at 821 and 83, than in April when it was only 60; from whence he con- cludes that heat assists digestion."* Similar ob- servations are found in the works of many na- turalists who have paid particular attention to the influence of heat and cold on the powers of digestion. In making these experiments, I lost many rabbits from the operation of opium. It sometimes produces violent spasms, and when these occur soon after its exhibition the animals very frequently die. It is difficult to proportion the dose of the narcotic so as to produce the desired * Observations on certain Parts of the Animal Economy, by JOHN HUNTER, p. 395. AND ANIMAL LIFE. 259 effects, without endangering the life of the ani- mal. The influence of opium in these instances does not lessen the generation of animal heat, nor disturb the respiratory function to the same extent as the division of the par vagum in those cases in which the tube is not inserted into the trachea ; and in accordance with this difference in degree, we observe that the changes in the stomach and intestines are more complete, and the lungs do not show the same traces of disease. I have noted the state of the respiration at the time when the animal temperature was taken ; but the reader must not imagine that the number which is given is to be considered as a criterion of the char- acter of the respiration prevailing for more than a few minutes or seconds, but merely as presenting to the mind an idea of the irregularity of respira- tion. Messrs HOLROYD and MURRAY kindly assisted me in these experiments. R 260 THE LAWS OF ORGANIC CHAP. XII. The Causes which Influence the Action of the Heart. CCLXXX. INHERE are probably few subjects concerning which a greater diversity of opinion exists, than regarding the cause of the contrac- tions of the heart, and the precise manner in which these are influenced by chemical and mechanical changes. HALLER and his partisans endeavoured to shew that the contractions are to be ascribed to a vis insita independent of the nervous system. LEGALLOIS concludes, that the heart derives its powers from the whole of the spinal cord : WILSON PHILIP has proved that this organ can act when the brain is removed and the medulla oblongata is destroyed, a fact I have repeatedly ascertained. In Experiment V. page 48-9, the heart was found contracting 70 times per minute in a rabbit that had been in- flated for an hour, in which neither brain nor spinal cord was present* CCLXXXI. In Chapter X. we gave a cursory glance at the properties and office of the nervous system, and, therefore, shall not occupy the pre- sent pages in discussing the same point. The irritability which has been supposed by HALLER AND ANIMAL LIFE. 261 to reside in and characterise muscular fibre is de- rived from the nerves of motion and sensibility. This power is very much modified by three causes: 1. The quantity of nervous influence posses- sed by an organ ; 2. The disposition of the muscular fibres ; 3. The nature of the stimulus necessary to develope it. The heart has been proved by SCARPA to be endowed with innumerable nervous fibrillae, not confined, as was imagined by SOEMMERING and his predecessors, to the coats of the coronary arteries, but, on the contrary, intimately blended with the constitution of the fibre itself. If we consider the quantity of nervous power bestowed upon the heart by the sympathetic and par vagum, the disposition of the fibres and cavities of this organ, and, lastly, the energetic and con- stant stimulus operating here, we shall under- stand in what manner the contractions of an organ may be influenced. CCLXXXII. There were two objections op- posed to the opinion of HALLER. The first ivas, for what purpose did the heart receive nerves? and the second, why was it influenced by strong emotions of mind ? The first is a difficulty which was never satisfactorily solved by HALLER, and the latter is considered equally unanswerable by the op- ponents to the vis insita of this physiologist. Although I am fully persuaded that the con- tractions of the heart are to be ascribed to the nervous power distributed to the muscular fi- THE LAWS OF ORGANIC bres of the organ, yet I do not consider that this endowment explains the frequent and vio- lent disturbance in the function of circulation observed in the exciting or depressing effects of passion. The abdominal viscera are said to be excited or depressed by the direct agency of mind, but the greater number of the illustrations brought forward in support of this opinion are not strengthened by any reasoning or facts that may not consistently be referred to causes inter- vening between the mental affection and the abdominal derangement. The development of views connected with this subject belongs to a subsequent chapter, and, therefore, we shall defer its consideration. CCLXXXIII. WILSON PHILIP has satisfac- torily proved, that the gradual removal of the brain, and destruction of the spinal cord, have little or no influence on the action of the heart ; and yet it is evident, he observes, that it can be powerfully affected through the brain and spinal marrow by chemical and mechanical means. It is also stated by him and others, that it is extra- ordinary that the instantaneous destruction of the brain arrests for a few seconds the pulsations of the heart, since this organ continues its mo- tions when the above nervous sources are entire- ly removed. CCLXXXI V. This and many similar pheno- mena will, perhaps, become less mysterious by the AND ANIMAL LIFE. 263 following considerations and experiments. The sensorium, from its magnitude and the activity of its functions, must necessarily receive a great quantity of blood ; and whatever tends abruptly to disorder its free transmission from the brain and its reception to this organ, will manifestly influence the contractions of the heart. CCLXXXV. When the brain is destroyed by degrees, the heart is scarcely sensible of the gradual loss of blood, or of the effects it in- duces in the general sanguiferous system ; but when the brain is instantaneously crushed, we have other consequences. This operation gives rise to three results, which go far to explain the momentary cessation in the contractions of the heart. First, The blood which is propelled along the arteries in its passage to the brain is suddenly forced back upon the heart, or is stopped in its course, and thereby prevents the circulation of the next portion transmitted by the contractions of the heart. Second, The circulation of blood in the veins is equally disturbed. When the nervous mass is sud- denly compressed, the blood that was previously jiowing regularly to the heart is sent either with inordinate force, as it is in this direction alone it can escape, or its circulation is completely stopped ; it is probable that both conditions with modifications occur. 264 THE LAWS OF ORGANIC Third, The blow which is given necessary to pro- duce the desired effect shakes the zvhole system of the animal. The circulation of blood in the larger arteries and veins is for a moment retarded, if not completely arrested. CCLXXXVI. If the circumstances which have now been stated be taken into considera- tion, it must be acknowledged that the mystery connected with the phenomenon, if not altoge- ther unravelled, is nearly so ; and in reasoning on the manner in which the heart recovers its contractions, we shall find the present view ma- terially supported. In a few seconds after the blow, the heart commences to pulsate, at first feebly, but in a few minutes with almost its ordinary vigour. During the short period of its inactivity, it is either gradually and almost imperceptibly overcoming the burden by which it is oppressed, or during this time the whole sanguiferous system re-establishes its regular func- tions, and therefore we have the contractions of the heart as soon as the different relations exist- ing between the various parts of this system are restored. CCLXXXVII. If it were owing to the sup- pression or injury of the nervous influence, the cessation ought to be rather of a permanent than evanescent character, because one of the sup-, posed sources of nervous power is destroyed. AND ANIMAL LIFE. 265 CCLXXXVIII. WILSON PBILIP has endea- voured to ascertain in what manner the action of the heart is influenced by the application of cjiemical and mechanical agents applied to the brain ; and he brings forward a great number of experiments, which prove, that these occasionally act powerfully on the motions of the heart. He says, that these act through the nervous system. I shall attempt to shew from his own experi- ments, and from others which I have performed, that it is more than probable that the effects are communicated through the sanguiferous. CCLXXXIX. In applying spirits of wine or opium to a small portion of the brain, no effects, he says, were produced ; but as soon as these were diffused over a large surface, the action of the heart was affected. If we augment the sur- face to which one of these agents is applied, we include in the same proportion a greater number of absorbents or capillary vessels of what kind soever, and therefore the action of this organ is more liable to be influenced, because a greater quantity of the stimulus or sedative is absorbed and transmitted to the heart, on whose nerves it produces its peculiar effects. The greater num- ber of the subsequent experiments demonstrate the correctness of this opinion. Regarding the circulation as the medium of these agents, and the heart as influenced by the matters which the blood had absorbed during the circulation, I 266 THE LAWS OF ORGANIC stated to my friends who kindly assisted me, that it was not improbable we should observe the same results on employing chemical means, in one instance, on a small portion of the brain, if this were in the vicinity of the larger vessels transmitting the blood to the chest, that we ob- serve in another if the portion be much more extensive and confined to the surface. To prove the truth of this opinion, I had a small tube made about three inches long ; the aperture of the superior end was half an inch in diameter ; that of the inferior, applied to the base of the brain, was one-eighth of an inch. When this tube was introduced, the smaller end was made impervious, until it had reached the base, by a slender piece of wood, in order to prevent the brain from filling the tube, which it had previ- ously done in some of my earliest experiments, a circumstance which tended to retard absorption, as the contents of the instrument had lost all con- nexion with the brain, and become as inorganic matter. Adult rabbits were employed in this series of experiments. EXPERIMENT I. The animal being made insensible by a blow upon the occiput, the chest was opened, that we might observe the contractions of the heart ; and afterwards a small portion of the skull-cap was removed, to allow the introduction of the instrument. A few drops of prussic acid were then AND ANIMAL LIFE. 267 applied. The heart contracted, but with an enfeebled motion, for 45 seconds, and then ceased, but recommenced in eight or ten seconds, and continued to contract five or six times per minute for the space of three minutes, at which time it altogether ceased. EXPERIMENT II. The preparatory steps of the operation were the same as in the preceding instance. A few drops of prussic acid were applied. The contractions of the heart were less frequent, but appeared stronger directly on the application of this poison. The results were not very decisive. In three minutes from the commencement, the contraction still remaining, a few drops more were applied, and the heart immediately became affected; in a few seconds it gave scarcely a perceptible pulsation. EXPERIMENT III. The preparatory steps having been attended to, a few drops of the spirits of wine were applied. The motions of the heart were more frequent for a few seconds, but as soon became slow. lufusum tabaci was then employed ; the contractions were quickened for a few seconds, but almost immediately became much slower. Prussic acid was lastly applied ; and this, like the preceding agents, seemed to quicken the contractions, but in a few seconds after its application the heart ceased to pulsate. EXPERIMENT IV. In this experiment infusum tabaci was employed first. On its application the motions of the heart became almost instantaneously slow ; they were previously strong and fre- quent. While the contractions of the heart were feeble and 268 THE LAWS OF O11GAN1C slow, a few drops of alcohol were applied, which imme- diately increased their frequency. EXPERIMENT V. Opium was applied first in this experiment. The con- tractions of the heart became immediately rapid and irre- gular, and continued for 20 seconds ; in 10 seconds more they became slow, and were observed to be in this state for 40 seconds, at which time spirits of wine were applied, but did not appear to produce any very obvious change, except that the motions were converted from their former irregu- lar character into one somewhat undulatory. EXPERIMENT VI. In this experiment prussic acid was applied first. In 80 seconds from the application the heart had almost ceased to contract. Alcohol and opium were afterwards em- ployed, but did not produce any obvious effects. To show still more satisfactorily that the nervous sys- tem has little, if any influence, in transmitting the effects of the different agents to the heart, the subsequent experi- ments were performed. If this can be shown, it necessarily follows, that the small or extensive surface, alluded to by WILSON PHILIP, is to be considered as merely presenting different degrees of facility for the absorption of what is applied to the brain. EXPERIMENT VII. The animal being made insensible, we cut down upon the lumbar vertebrae ; and, having separated two of them, a heated iron was passed from this point as far as the cer- vical, and was allowed to remain there during the experi- ment. The parietes of the abdomen were then divided AND A^ 7 IMAL LIFE. 269 immediately beneath the diaphragm, in two opposite direc- tions, until the scalpel touched the two sides of the spine, for the purpose of destroying all lateral connexion. When this operation was finished the bowels were removed, and a few drops of the spirits of wine were applied to the vena cava immediately above the pelvis. Before the application of these the beatings of the heart were almost imperceptible, but in a little less than a minute they acquired compara- tive frequency and force for about 40 seconds. EXPERIMENT VIIL The animal being made insensible, the chest was laid open, that we might observe the motions of the heart. The jugular vein was then opened, and two drops of prus- sic acid were introduced through a blow -pipe ; the con- tractions of the heart instantly ceased. I have performed this experiment several times; the results were always evident, but never so obvious as in this instance. EXPERIMENT IX. In this experiment it was intended that the brain should have been removed and the spinal cord destroyed. The former was accomplished with a greater loss of blood than usually occurs, owing to an accident attending one of the ligatures ; and two of the lumbar vertebrae were separated in order to introduce the heated wire ; but every wire we had provided was found too large ; therefore, in this expe- riment, the brain alone was removed. The chest being opened, as before, an aperture was made in the abdomen to allow the operator to lay aside the intestines. A few drops of the spirits of wine were applied to the vena cava, as in Experiment VII. ; the heart, for a few seconds, had its motions accelerated, but these, in a few minutes, com- pletely ceased. 270 THE LAWS OF ORGANIC EXPERIMENT X. This rabbit was decapitated, and the spinal cord was destroyed by means of a heated wire. A few drops of the spirits of wine were applied to the vena cava, as in the above case. The contractions of the heart were quickened, and, after a few seconds, when the increased action had subsided, a few drops more were applied to the vena cava immediately before it enters the thorax : the contractions of the heart were again affected, as in the first instance. CCXC. The above experiments prove, that the extent of surface is to be considered as merely facilitating absorption, and not as pre- senting a greater mass of the nervous system to the influence of the agents we employ. If we diminish the surface and increase the facili- ties of absorption by applying the materials near the large veins at the base of the brain, we have effects equally well marked as when we occupy an extensive surface of the organ. WILSON PHI- LIP observes, " It is evident that the heart not being subject to stimuli, whose action is con- fined to a small portion of this organ, and being equally affected through all parts of it, must render it much less subject to irregular action. 7 '* If the heart be subject to the whole brain, it will be capable of being excited or depressed by a concentration of influence to any single part ; and this was proved in a very satisfactory manner by some of the preceding experiments, In Experi- * WILSON PHILIP, p. 117. AND ANIMAL LIFE. 271 merits V. and VI. the effects were almost instan- taneous. The heart therefore is not protected by being subject to the whole brain, but because the sensorium has no direct influence through the ?ier- vous system upon the action of the heart. CCXCI. If the heart were influenced by the whole brain, in the sense understood by some physiologists, we should naturally expect, when the whole of this organ was removed, that the action of the former would be materially affected, which is not the case. If the connexion of these organs be regarded as simply nervous, and of that extensive description that the nerves of the heart derive their power from every part of the brain,* the possibility of completely destroying this re- lation without injuring the contractions of the heart, is completely at variance with such an opinion. CCXCII. FONTANA destroyed the brain and spinal cord of 24 frogs ; the same organs in the same number of frogs were left entire. The 48 were made to swallow a certain quantity of opium, for the purpose of observing whether the action of the heart would be more influenced in the one set than in the other ; but there was no difference in the results. MONRO endeavoured to affect the limb of a frog through the sciatic nerve, which was isolated, but did not succeed.f * WILSON PHILIP, p. 118. t Essays and Observations Physical and Literary, Art. XIII. p. 295. Vol. III. Many experiments have been performed in THE LAWS OF ORGANIC This distinguished anatomist also proved, that opium produces its effects when all the nerves of a part to which it is applied are cut out. CCXCIII. It has been shown by different physiologists, that mechanical means, such as pressure, either partial or general, applied to the brain, disturbs the regular motions of the heart ; and this fact, instead of supporting the views of WILSON PHILIP in regard to the nervous con- nexion existing between these organs, will be found, if examined, to strengthen the principles proposed, in which I endeavour to prove, that the circulation is the only medium through which these derangements are communicated. The heart has been shown to be independent of the brain, yet capable of being influenced through it. If the former organ be independent of the latter, the sensorium is every moment dependent upon the heart for its vitality and the exercise of its functions ; therefore, whatever mechanical means are applied, whether to the whole or any single part, will con- sequently disorder the action of the heart in pro- portion to the extent of the sanguiferous system implicated. The return and distribution of the Hood will be retarded or arrested ; and this circumstance order to ascertain the action of opium and other substances upon the animal economy since this able article was written ; but I am much disposed to think that we have gained scarcely one sure step for the last half century, at the commencement of which it was published. In reference to this subject we may employ the words of a German anatomist, THE LAWS OF ORGANIC the blood, in harmony with such changes, does not exhibit the same character, and, in many in- stances, will not even coagulate* The condi- tions which produce the inflammatory coat in disease, are the same as those that predominate in childhood simply modified. When they ex- ist in disease, we have increase of temperature, augmented action of the heart and arterial sys- tem, a vascular or florid appearance of the sur- face of the body ; and when they occur at an early period of life, we have similar symptoms, differing only in degree. The frequent respira- tions, supposing other conditions of the system favourable, as they are almost universally in childhood, must be allowed to deteriorate, in a given time, a greater quantity of air than when these are slow or imperfect. The air which is inspired contains a vivifying principle, viz. oxy- gen ; and if a greater quantity of air be breath- ed in a limited period, a greater quantity of oxy- gen must be received by the blood in the lungs in the same time ; and it is to this agent we must refer the oxygenated or arterialized pro- perties of the sanguineous fluid. CCCCLVIII. In the child the arterial blood is more florid than the same in advanced life, or at least the venous is not so dark as at this period. When the body is subjected to great heat or exercise, the venous loses its ordi- AND ANIMAL LIFE. 385 nary well-marked characters ;* indeed the dis- tinction, in regard to colour, between arterial and venous blood, is almost lost. The cause of these phenomena appears so evident, and so closely connected with the effect, that it is al- most impossible to refer the latter to any other agent than oxygen. If this be granted, we must acknowledge that the principles or powers of life are to be attributed to the influence of this agent. CCCCLIX. The blood possessing under va- rious circumstances a greater or less proportion of the vital principle, as indicated by the activity of organic and animal functions, and also by its external qualities, it necessarily follows, if it be highly oxygenated, and characterized by a variety of effects in the living system, that it ought also, when removed, to be distinguished from that which is in a different condition, if both be placed in precisely the same situation. I have already observed that the circulating fluid in the child possesses a greater portion of vitality than the same in one advanced in years ; and the cor- rectness of this opinion is demonstrated by the following experiments of HUNTER, instituted, not for the purpose of proving the present point, but in order to ascertain the difference in the properties of the blood at different ages. Vide Chap. VIII. B b 386 THE LAWS OF ORGANIC He says, " To see whether the blood in a young person or an old one becomes soonest pu- trid, I desired that the following trials should be made. " June 24. Some blood was taken from a wo- man twenty years of age, and its surface, after coagulation, was covered with an inflammatory crust. " On the same day, some blood was taken from a woman aged sixty, when crassamentum was also covered with an inflammatory crust. " These quantities of blood were set by. " The blood from the old woman putrefied in two days ; that from the young woman kept quite sweet till the fifth day, when it began to smell disagreeably ; in this state it continued two days more, and then emitted the common odour of putrid blood." " Several experiments were made in the course of the summer of a similar nature with the last, in all which it appeared that the blood from young people kept longer sweet than that which was taken from the old.*" It must be acknowledged that the result of this experiment is confirmatory of the principles laid down. HUNTER endeavoured to show that the blood was vital, but he did not attempt to in- vestigate the nature of this property. I have stated in CCCCLVI. and CCCCLVII. that the * HUNTER on Inflammation, Vol I. p. 167. Octavo Edit, AND ANIMAL LIFE. 387 difference between the inflammatory state of the blood in disease and childhood is merely in degree. This opinion is almost as directly prov- ed as the preceding, regarding the condition of the sanguineous fluid at different ages, by the following experiment of the same physiologist : " I wished," he says, " to see if blood that coa- gulated with an inflammatory crust putrefied later than that which coagulated without it ; for I conceived that the strength of coagulation was something similar to the strength of contrac- tion in a muscle, resisting putrefaction. For this purpose I ordered the following experiments to be made. EXPERIMENT I. " Four ounces of blood were taken from the arm, which, after coagulation, had the inflammatory crust upon its sur- face, and was also cupped." EXPERIMENT II. " On the same day four ounces of blood were taken from another person's arm, which on coagulating shewed no inflammatory crust on its surface. Both these quantities of blood were kept, in order to see which would resist putrefaction longest. " By the fourth day, that without buff was putrefied ; but the blood with the inflammatory crust did not putre- fy till the seventh day." * * Ibid. p. 166. B b2 388 THE LAWS OF ORGANIC CCCCLX. In the preceding chapter on the Physiology of Passion I have endeavoured to ex- plain the influence of those feelings which are of a depressing nature, and, therefore, on the pre- sent occasion, shall allude only to such as are in strict relation with the present investigation. It is well known that the depressing feelings of the mind disturb, according to their severity, the regularity of the vital functions. If only slight, the appetite is lessened or becomes fasti- dious, the ordinary complexion of the counte- nance is changed, and the energy of the mental faculties is rendered of little avail ; but if such be severe, we scarcely observe the slow and pro- gressive diminution of the powers of life; the individual affected sometimes dies after a few days indisposition ; and in such cases it is re- marked, that the blood coagulates with difficulty, or sometimes not at all. It is impossible to bring forward a more direct instance in illustration of the influence of the mind upon the body, or one that applies so immediately to the subject of vi- tality. CCCCLXI. To those who are well acquaint- ed with the language of grief it is unnecessary to insist particularly on the character of respira- tion. When an individual is suffering from an affection of this kind, his habits are retired ; he finds little or nothing to interest him in the so- cial circle, or in pursuing his ordinary amuse- AND ANIMAL LIFE. 389 ments or labours : if not excited by conversa- tion, he remains silent, fixed in thought, and continually draws profound inspirations ; indeed, we perceive occasionally a series of these acts, in his frequent and deep sighs. I have repeatedly stated that inspirations have the tendency to bring a quantity of blood greater than what is natural to the chest, and the truth of this opinion is exemplified in the present case. I have also observed in the first chapter, that, whenever the lungs possess a quantity of blood greater than what is natural, the chemical changes are ma- terially diminished. The influence of grief pre- vents the conditions essential to a perfect oxygenation of the blood, as it brings to the lungs an inordinate quantity of it, and, there- fore, increases on the one hand the blood that has to undergo chemical changes, without augr menting on the other, to the same extent, the proportion of air within the lungs to produce these effects. CCCCLXII. From this explanation, it is clear that the properties of the blood are deteriorated, on account of the deficient chemical changes in the lungs, or, in other words, that it is defective in the principle of vitality, from the deficiency of axygen. While a depressing emotion, like that of grief, continues to occupy, or rather absorb the attention of the mind, the blood is gradual- ly losing its stimulating qualities ; the surface of 390 THE LAWS OF ORGANIC the body becomes pale ; the organic and animal functions are feeble or irregular ; the individual frequently complains of oppression in the epi- gastric region, from the accumulation of blood. The heart, in such cases, is often subject to pal- pitation, the pulse at the wrist is remarked to be very weak and small, and generally quick ; and when these symptoms are well marked, the tem- perature of the body, in accordance with the character of the above derangements, is less than in the natural state of the system. CCCCLXIII. It would be easy to enlarge on the preceding remarks, but I can scarcely point out in a more perspicuous manner than I have endeavoured to explain, the way in which the blood has its vitality diminished for want of the usual chemical changes in the lungs. Ob- servations of this description are important, as tending to explain the way in which the vital fluid is deteriorated ; and if the present views be allowed to be correct, we can now, with perfect ease, speak of mental influence, not as a myste- rious or immaterial power pervading the whole system, but as a cause which gives rise to the different phenomena, from having disturbed the. regularity of the respiratory functions. The prin- ciples which enable us to explain these pheno- mena, by examining the strict relations existing between cause and effect, are precisely the same AND ANIMAL LIFE. 391 as those by which I have, throughout this work, attempted to solve many difficulties connected with organic and animal life. CCCCLXIV. In individuals of the sanguine- ous temperament, we have those characteristics which indicate an exuberance of vitality. The strong contractions of the heart, the florid com- plexion of the countenance, the development of physical powers, the gaiety or cheerfulness of the mind, or the occasional bursts of passion, are a few of those symptoms by which this tempera- ment is distinguished. The greater part of these conditions are to be referred to the natural con- stitution of the mind, and the peculiar circumstan- ces under which it has been placed. The full elucidation of this subject would present many new views in regard to the temperaments ; but, on the present occasion, it is sufficient to observe, that if the character of the mind be cheerful, it will invigorate the system, if melancholic it will depress it. The mind has only one way of com- municating its influence to the body, namely, through the function of respiration ; and as this, or a similar apparatus, is the primary source of the continuance of existence in the whole animal and vegetable creation, it necessarily follows, that what excites or depresses its operation will excite or depress the whole system. CCCCLXV. When any of the inferior ani- mals have undergone excessive exercise, as, for 392 THE LAWS OF OllGANIC example, when they have been chased or driven for a great distance, it has been repeatedly prov- ed that the blood will not coagulate, conse- quently, that it is deprived of its ordinary vitality. This phenomenon will be found to arise from certain physical conditions of the blood, some- what similar to those peculiar to depressing pas- sions. Moderate exercise augments vitality, be- cause the sanguineous fluid is favourably cir- cumstanced for its more perfect oxygenation ; indeed, it very often exhibits the buffy crust, as in cases of inflammation ; but when this exer- cise is accompanied by great debility, we have other effects. CCCCLXVI. Excessive exercise is attended by a great expenditure of the properties of the blood, and of those materials that the system has re- ceived for nutrition. Great exercise, before it gives rise to debility, is maintained at the ex- pence of the nutritive qualities of the sys- tem, which, under the present circumstances, are more quickly dissipated than on ordinary occasions. The blood is more than usually stimulating ; and, moreover, its circulation is augmented in every respect. The existence of these causes in some measure proves, that, if great exercise be long continued, the blood will speedily be impoverished. If we even suppose the lungs to receive the natural, or even a greater quantity of oxygen, this cannot supply the want AND ANIMAL LIFE. of those materials essential to support the gra- dual loss of the constitution ; its office is to act on the principles contained in the sanguineous fluid, and if these be deficient the usual chemical changes will also be affected. CCCCLXVII. It is from the above causes that debility follows excessive exercise ; and when that condition of the system becomes oppressive the regularity of the respiration is disturbed; and this alteration also tends to augment the general weakness, and to deteriorate still more the proper- ties of the blood. CCCCLXVI1I. In regarding oxygen as one of the principal agents of the universe, through whose energetic influence the animal and vege- table creation are enabled to display their various endowments, 1 do not by any means imagine that the grand effects of its power are referrible to its simple diffusion or presence, but rather to its innumerable combinations with whatever is requir- ed for the ultimate ends of these si/stems of Nature Whether we regard the secretions of the kid- neys, mucous membranes, or the liver, or whe- ther we examine the qualities of the blood or constitution of the solids, we observe every where acids, alkalies, and a variety of other combina- tions. In many chemical substances without the body these are, in many instances, inert or active acording to the quantity of oxygen which they contain. It must be allowed, that chemical 394 THE LAWS OF ORGANIC science is even yet in its infancy; but if, thus im- perfect in its analysis, it is capable of proving the general efficiency or superiority of oxygen, we may probably be allowed to anticipate that, at some future period, it will demonstrate the cor- rectness of opinions, at present little better than conjectures, which, however, are occasionally of great utility towards the promotion of science. CCCCLXIX. Arterial blood is rendered as dark as venous by the application of galvanism. If coagulated, on the employment of this agent it becomes fluid, and never again assumes the same condition. Individuals are occasionally killed by lightning, and in such the blood is found in a fluid state. It is not improbable that galvanism and lightning are of the same nature : their influence on the animal economy presents the same phenomena. These agents are said to destroy the vitality of the blood ; and if it be supposed to be the result of oxygen and its va- rious combinations, no opinion is better support- ed by experiments. There is scarcely a substance in Nature but what is almost immediately de composed by the application of a strong galvanic power. We know that chemical combinations ex- ist in the blood ; and we still further know, that such are separated without the body into their different elements by the influence of the galva- nic aura. Therefore, if the blood be considered AND ANIMAL LIFE, 395 vital before we employ this agent, when these chemical combinations are entire, and that it loses its vitality on the application of this power, we are almost necessitated to allow that vitality is the result of these combinations, as it no longer exhibits any of its properties when these are destroyed. CCCCLXX. In Chapter VII. on Torpidity, I have dwelt at considerable length on the par- ticular influence of cold in retarding the oxyge- nation and circulation of the blood ; and have also endeavoured to shew in what manner warmth tends to restore the enfeebled powers of life. The diminution and increase of animal and orga- nic functions were, in these instances, the diminu- tion and increase of vitality. CCCCLXXI. Nothing in Nature can be attri- buted to chance. Harmony and beauty are ob- served in the grand outlines of design, perceived in those creations within the grasp of our facul- ties ; and since the Supreme Being has thus won- derfully constituted our frame, and given it es- tablished laws, it is somewhat probable that oxy- gen is the instrument which principally tends to accomplish his intentions. Regarding oxy- gen as a primary principle of vitality harmonizes with the figurative language of Scripture, in which it it is stated, that after God had created man " He breathed into his nostrils the breath of life.' 396 THE LAWS OF ORGANIC CCCCLXXII. Having generally investigated the subject of vitality, we are now, in some measure, better prepared to define it. The ar- terial blood in the foetal germ is certainly pre- sent before evident structural adaptations, ex- cept vessels, are formed ; and, therefore, the blood, or vital principle, may be said to precede organization ; but it is, at the same time, the result of organization, as it is derived from the mother. The blood she distributes to this vital nucleus is of the same kind as that which is employed to secrete the gastric juice, bile, or mucus. These different secretions cannot be supposed to originate from different kinds of blood, but must be referred to peculiar organic adaptations proper to each organ, in the same manner as the eye is fitted to the laws of light. It forms no part of our inquiry to investigate Iww the foetal system is developed. We do not know the laws by which a crystal is formed, which appears a much simpler phenomenon. It is our province to examine the circum- stances which are closely connected with the ob- ject we cultivate. From having pursued this plan, I am disposed to attribute vitality, or the principle by means of which the system is gra- dually formed and supported throughout exist- ence, to qualities of or combinations existing in the blood. It has also been seen, in the preceding pages, that these qualities or combinations have AND ANIMAL LIFE. 397 an exciting or depressing tendency ; or, in other Words, exhibit a superabundance or deficiency of vital energy according to the quantity of oxygen which the sanguineous fluid contains. From this reasoning we are not to conclude that vitality and oxygen are synonymous ; with as much consistency we might state that a machine and its source of motion are the same. The func- tions of the animal frame are retarded or accele- rated according to the quantity of oxygen ex- isting in the blood, or according to its changes in the lungs ; and we also observe that the diffe- rent machines which man employs, whatever be the power that continues their action, have a jforce proportionate to the extent of the moving cause. But, in these examples, there is no similarity, either in the agent which operates, the materials acted upon, or the effects produced. Life is not a simple principle, but is the result of compound principles and actions pervading and common to every part of organized nature. 398 THE LAWS OF ORGANIC CHAP. XVII. On Sympathy. CCCCLXXIII. There are few subjects in me- dicine that have occupied, equally with Sympa- thy, the attention of the physician and physio- logist. Whether the human frame be regarded in the state of health or disease, certain indefinite links of association seem to connect the various organs of the constitution ; and the phenomena which arise from the reciprocal action of these organs, in their different states, are frequently, to the physician, indications of practice. It is scarcely necessary to enumerate the divisions and subdivisions of sympathy which have been proposed. Some men of eminence have endea- voured to point out certain intimate relations ex- isting between individual membranes of the same or of a dissimilar description, between internal organs and the mucous or cellular membrane, or between parts that are continuous, contiguous, or remote. By some the nerves and the brain are regarded as the only efficient agents in trans- mitting, influencing, or in maintaining every species of irritation or disorder. AND ANIMAL LIFE. 399 CCCCLXXIV. It is seldom that a series of propositions is altogether true or false ; and the correctness of this observation is obvious, when applied to the different theories concerning sym- pathy. But if these had been capable of demonstra- tion, or had immediately enlightened our pro- fessional views, our reasonings would have been less confused and indistinct. The great objec- tion to the prevalent opinions with respect to the laws of sympathy is, that they are either gratuitous, or suggest little improvement in practice. CCCCLXXV. It is not, on all occasions, easy to detect error, and, when detected, it is sometimes more difficult to supply its place with truth. But, in medicine, the exposure of error, sooner or later, leads to the establishment of truth, or gives rise to principles that are more or less salutary in their influence. In this chapter I shall attempt to expose many important errors either committed or supported by physiologists of eminence ; and, while I liberally bring for- ward the mistakes of others, I shall humbly pro- pose opinions that appear to me better calculated to solve the most essential phenomena of sym- pathy, and which also appear to have a closer connection with the indications of practice. CCCCLXXVI. Sympathy, however produced by the different states of the body, I have di- vided into the four following classes : 400 THE LAWS OF ORGANIC a, Sanguineous. b 9 Sensorial. c, Nervous. d, Nervo-sen sorial. 1. By the term Sanguineous Sympathy, I allude to af- fections produced and propagated by changes in the nature, quantity, and circulation of the blood. 2. By Sensorial Sympathy, I mean certain effects originat- ing in sensations or states of the mind subsequently propagated through the medium of nerves : an ex- ample of this division is the production of syncope and vomiting from a mental cause. 3. Nervous Sympathy is the propagation of certain effects accomplished by nerves alone, as in risus sardonicus, arising from irritation or inflammation of the dia- phragmatic nerve communicated to the seventh pair of the face. 4. Nervo-Sensorial isa term employed to explain phenomena which result from the irritation of a nerve or nerves, of which the brain takes cognizance, and which afterwards transmits its impressions to other organs of the body. Vomiting is frequently an instance of this reaction. CCCCLXXVII. The division proposed will enable us to simplify the explanation of many irregular actions or states of the body ; and if the views and principles be found correct after ma- ture examination, they are sure to suggest an improved mode of treatment in many anomalous and well marked-affections of the system. Sanguineous sympathy will shew, in a man- ner more consistently than has hitherto been AND ANIMAL LIFE. 401 done, why parts that are continuous, contiguous, or remote, are at times simultaneously affected ; why the same or different membranes are al- ternately or reciprocally influenced by disease ; why disease in one organ induces derangement in another ; and why the aberration of one func- tion occasionally implicates the whole system. CCCCLXXVII. There is scarcely a cot d c ion of the body that is not produced by sympathetic action ; irritations, inflammations, dropsies, fe- vers, delirium, hemorrhagies, and a variety of other affections, are said to be examples of its in- fluence. CCCCLXXVIII. The consideration of hemor- rhagy, as the first illustration of Sanguineous sym- pathy, will occupy the present chapter. This disease has been divided into the active and passive ; in the former, we have generally a slight degree of febrile action, an accelerated or full pulse, a sensation of heaviness or oppres- sion in the chest or head ; but in many instances the flow of blood is neither preceded nor accom- panied by any of these symptoms : the other seems to take place without an increased action of the circulation, occurring most frequently in debilitated habits or organs. Many objections have been brought forward against this division. Although it be not strictly correct, yet its adoption is considerably less in- c c 402 THE LAWS OF ORGANIC jurious in practice than many of the additions and views of those who are adverse to it. CCCCLXXIX. BROUSSAIS regards all he- morrhagies as depending on an irritation of the capillary vessels, consequently deems them ac- tive, and endeavours to shew that debility does not occasion the flow of blood. He says, if debility produces hemorrhagy, that it ought to occur in all cases of long continued weakness, in the latter stages of life and disease ; that a para- lytic limb ought to be subject to the affection, which is never the case ; and still further, that ecchymoses and petechias ought to characterize as frequently diseases of manifest debility as fevers of a typhoid nature. These arguments are far from being conclusive; his favourite theory, irritation, seems to obscure his reasoning powers, or necessitates him to adapt to it a va- riety of symptoms and conditions of the consti- tution that cannot, except by force, be incorpo- rated with the dangerous and exclusive views implied in it. CCCCLXXX. From the observations of BROUSSAIS, one would imagine that he looked up- on debility as the same in its effects, how differ- ent soever the causes that produce it. Debility is sometimes occasioned by excessive depletion ; by want of proper nourishment ; by inflamma- tory and typhoid fevers ; by slow pulmonic dis- organizations, and by the gloomy passions of the AND ANIMAL LIFE. 403 mind ; but in every one of these cases, the debi- lity, in relation to the condition of the solids and the fluids, is as various as its causes. If we, for a mo- ment, examine a patient labouring under phthi- sical symptoms, we perceive the fair complexion intermingled with a florid flush, white teeth, and snowy hands, body easily fatigued, and mind buoyant with bright hopes ; but are these the symptoms we observe in the latter stage of typhus? CCCCLXXXI. The nature of the sanguine- ous fluid will vary with the character and dura- tion of the disease ; and the state of the whole system will be influenced more or less by the same causes. If the body suddenly become weak, we cannot expect that the blood, the fluids, and the solids of the system, shall have undergone those minute and extensive changes which in- variably follow or accompany opposite circum- stances. The healthy action of vessels may be as much deranged as the fluids which circulate in them ; and when this general diseased state occurs, we certainly have a right to anticipate the well-marked indications of asthenic affec- tions. We have then petechias or ecchymoses, not because the blood alone is diseased, or the capillary vessels, or the various solids or fluids of the body, but because the whole of them are more or less affected. If this reasoning be cor- rect, is it consistent to expect in a paralyzed limb, or in the decrepid weakness of old age, or in the last moments of life, the same external signs of ccSI 404 THE LAWS OF ORGANIC debility ? Neither the blood nor its vessels are in the same diseased condition or diminished state of vitality. CCCCLXXXII. Dr PARRY, in speaking of sea-scurvy, seems to think that it may probably in all cases be preceded by an increased momen- tum of blood, and, still further, that petechise are probably more rare in typhus than in fevers of a purely inflammatory type.* Dr PARRY'S experience does not harmonize with that of the generality of observers. Petechias are seldom or never found in diseases of a purely inflammatory description as long as the inflamma- tory type continues, but are found at the termina- tion of the excited action, when the body has become extremely debilitated by the previous excitement and derangement of functions. The severe forms of the plague are occasionally un- accompanied by inflammatory action, and yet we perceive in this dreadful disease the most extensive consequences of asthenic influence. CCCCLXXXIII. Dr CULLEN has endeavour- ed to explain why different kinds of hemorha- gies occur in different organs of the body at the various periods of life ; but his arguments appear to me quite unsatisfactory. He says, that youth is most subject to epistaxis, because the head has its organization the soonest completed ; the con- sequence of which is, that the solid parts less * Elements of Pathology and Therapeutics, p. 1 64. AND ANIMAL LIFE. 405 easily adapt themselves to a continued distend- ing power, but, as this force is frequently exert- ed, a rupture of vessels necessarily takes place. CCCCLXXXIV. Hemoptysis, at a later pe- riod of life, is supposed, by the same author, to arise from the balance being destroyed " between the systems of the aorta and pulmonary artery, or between the vessels of the lungs and those of all the rest of the body." CCCCLXXXV. As hemorrhagies of a passive character are often remarked at a time of life much later than the two preceding, he has brought forward a truly ingenious hypothesis to explain the origin of these diseases ; but it is not, perhaps, less chimerical than the former reasons he ad- duces. He observes, that the veins in early life have a greater proportional density than the arte- ries, and that on this account they are enabled to propel with greater energy their contents into the latter, and in this way they subsequently become distended or engorged, giving rise to epistaxis and hemoptysis ; but, towards the decline of life, the arteries have their cellular texture in- creased by distention, and from this cause they ac- quire a greater proportional density than the veins, so that these are liable to receive more blood than they can possibly circulate. CCCCLXXXVI. In place of explaining the preceding phenomena on the supposition of this or that organ being the soonest completed, or 406 THE LAWS OF ORGANIC that the coats of the vessels are subjected to the modifications he imagines, I prefer regarding the three periods of life as periods of constitutional changes in the mode of circulation, and in the degree of the vitality of the blood, independent of the orga- nic alterations of ivhich he speaks. CCCCLXXXVII. In early life the circulation is quick, frequent, and regular; the temperature of the body is higher and more permanent than that of the adult in the decline of years ; the respirations are often repeated, and from the rest- less mind of youth, and the variety of desires and wants, the physical powers are continually exercised. These conditions tend to develope and strengthen the various organs of the body ; the assimilating functions are more vigorous ; and, from these causes, the whole arterial system exhibits a degree of energy superior to that of the veins. From the peculiarities of youth, the colour of the countenance, the temperature of the body, and its unceasing exercise, the conditions of the circulation at this time of life are designated by the term external, in contra-distinction to its ge- neral distribution in the later stages of existence. Taking this view of the subject, epistaxis is regarded as the effect of an increased action of the whole sanguineous system, conjoined with a local de- termination of blood greater than what is consistent with the proper operation of the organic functions. ANIMAL LIFE. 407 The complicated net-work of vessels which co- vers the internal surface of the nostrils, offers an easy passage to the blood when its momentum is suddenly increased ; and as no other part of the body is similarly constituted, bearing the same relation to this external circulation, the blood will flow from the nose in preference to any other part of the system.* CCCCLXXXVIII. DrCciLLEN says, that "an hemoptysis may be expected to happen from a faulty proportion between the capacity of the lungs and that of the rest of the body." This reasoning appears perfectly correct; but I cannot perceive the justness of what follows, " that an hemoptysis will especially happen about the time that the body is approaching to its acme, that is, when the system of the aorta has arrived at its utmost extension and resistance." Accord- ing to this opinion, hemoptysis does not occur in childhood, because the aorta accommodates itself to every additional quantity of blood. The thoracic viscera in infancy and childhood are ex- tremely active, and from the great expirations and violent exertion of individuals at a tender age, we should certainly anticipate derange- * It may probably be asked, Why does it not flow from the anus ? In answer to a question of this kind, I may observe, tbat the mucous membrane of the nose is highly vascular, as the seat of a sense j and, from its proximity to the thoracic organs, more liable to be disturbed by those causes that in- crease the impetus of the blood. 408 THE LAWS OF ORGANIC ments similar to what take place at the acme of life, if the extensibility and resisting power of the orta and pulmonary artery were the only or chief differences of the two periods. There are three reasons which induce me to dissent from Dr Cu ,i EN'S explanation : , The comparative unfrequency of hemop- tysis is one of considerable importance. If we suppose, agreeably to him, that certain great organic and functional changes take place at any two or three periods of existence, and that these are not peculiar to one individual, but are com- mon to all mankind, from the operation of uni- versal causes on matter precisely of the same na- ture, is it philosophical to bring forward a few solitary cases in support of principles that are found inefficient in their general application ? b, The second objection to this view is, that the aorta and pulmonary artery are sometimes found to be partly ossified without this condition having been characterized by hemoptysis, or any unpleasant symptom. When the parts are thus disorganized, the distending power and ex- tensibility must be materially diminished. c, In the third place, HIPPOCRATES has stated, that hemoptysis happens between the age of 15 and 35 ; and to this observation Dr CULLEN assents. If hemoptysis depend on any particu- lar conformation of an organ or organs, or on #ny constitutional change that occurs, or is liable AND ANIMAL LIFE. 409 to occur at one part of life called its acme, it is impossible or absurd to suppose that this same acme shall at one time be present at 15, and at another at 35 years. CCCCLXXXIX. After having weighed ma- turely the reasoning of Dr CULLEN, and having also reflected on the revolutions of the system, on their concomitant circumstances or subsequent effects I am persuaded that there are chan- ges in the mode of circulation in every period of life, which satisfactorily account for their accompanying or succeeding phenomena, with- out referring these changes to the organic de- velopment or alterations of which he speaks. From youth to manhood the circulation has evidently undergone great modification ; the re- spirations are less frequent, and various organs begin to assume a new or more important cha- racter in the animal economy. The develop- ment and support of these organs must neces- sarily make a call upon the sanguiferous system, and in proportion as the demands of the Internal functions are increased, either by exercise or the evolution of new powers, in the same ratio the general or external distribution of the blood will be diminished* CCCCLXC. The condition of the circula- tion at this period I would call internal, not wishing to imply, by this expression, a state ap- * Vide Chap. IV. 410 THE LAWS OF OBGANIC preaching to congestion, or, at the same time, that the surface of the body is deprived of its necessary blood, but simply to communicate to the mind an idea of a mode of circulation pecu- liar to this stage of life. CCCCXCL Exertion, of whatever kind, has a tendency to augment the flow of blood ; and, whenever its motion is facilitated, a greater quan- tity, in a given time, is transmitted to the lungs with augmented impetus; and these, from their organization and office, are calculated to experi- ence the first pressure made upon the system at the different periods of life. CCCCXCII. If we take into consideration that the lungs, in some individuals, are predisposed to hemorrhagy, or that the circulation of blood, or that the activity of the internal organs is na- turally different or variable, it is not difficult to explain the occurrence or absence of hemoptysis. CCCCXCIII. Hemorrhoids, hemorrhagia ani, and diseases of the same kind, which are called passive, from the veins being the seat or source of these, are accounted for by Dr CULLEN in the following manner: " The proportional density of the coats of the veins to that of the coats of the arteries, is greater in young than in old animals. From which it may be presumed, that the resistance to the pas- sage of the blood from the arteries into the veins is greater in young animals than in old ; and, AND ANIMAL LIFE. 411 while this resistance continues, the plethoric state of the arteries must be constantly continued and supported. As, however, the density of the coats of the vessels, consisting chiefly of a cellu- lar texture, is increased by pressure, so, in pro- portion as the coats of the arteries are more ex- posed to pressure by distention than those of the veins, the former, in the progress of the growth of the body, must increase much more in density than the latter; and, therefore, the coats of the arteries, in respect of density and resistance, must come in time not only to be in balance with those of the veins, but to prevail over them."* CCCCXC1V. The preceding paragraph of Dr CULL EN is beautifully ingenious ; but, if exa- mined critically, will be found to be hypotheti- cal or fallacious. The reasoning is intended to show why hemoptysis does not happen after the age of 35 years, and why the veins ultimately become the seat of an affection similar to that which has previously existed in the arteries. To suppose, in the first place, that the coats of the veins, in early life, have a greater proportional density than those of the arteries, in order to ac- count for the arterial flow of blood, is scarcely consistent with the phenomena we observe in the animal economy. * CULLEN'S First Lines, Vol. II. JDCCLX.VI. 412 THE LAWS OF ORGANIC, CCCCXCV. At the period of life when he imagines the veins to obstruct the current of blood flowing from the arteries, in consequence of which the latter are distended, the pulsations of the heart are frequent and strong, the respira- tions are numerous, the physical powers are con- tinually exerted, and every other means that can in any way increase the respiratory and circula- tory functions are present. CCCCXCVI. It is the excited state of the arte- rial system, and not its engorgement from the ob- stacles which the venous presents, that occasions the phenomena of arterial hemorrhagy. That the coats of the arteries acquire additional den- sity from the power oj distention, is a supposition that gains little support from the operation of the same agent on other parts of the system. CCCCXCVIl. The heart is not only unusually dilated, but even enfeebled by the distending force of the blood. The bladder, the intestines, and the stomach, are debilitated by the influence of such a power ; nor am I acquainted with any organ of the body that is augmented by disten- tion alone. The heart, when its parietes are thickened, has been subject to an increased ac- tion, which has a tendency to stimulate its own individual vessels, and these receiving a greater quantity of blood, or blood of more perfect oxy- genated properties, give additional nourishment to its muscular fibres. AND ANIMAL LIFE. 413 CCCCXCVIII. If we reason on the influence of distention in the arteries themselves, it is dif- ficult to conceive how this circumstance can pro- duce a greater degree of tonicity or strength. The distention of a vessel implies the enlarge- ment of its cavity ; and whenever this condition occurs, the circulation is retarded. CCCCXCIX. Instead of the veins becoming the seat of hemorrhagy from the greater propor- tional density of the arteries, they are thi.s cir- cumstanced owing to the arteries , hem? elves hav- ing their ncrmal action deranged. If the respira- tions are less perfect, and the heart becomes less able to propel its contents, the veins must partici- pate in the deteriorated action. In advanced life, when the symptoms of passive hemorrhagy oc- cur, there are many proofs present, which indi- cate that the abdominal congestions are in ac- cordance with the diminished activity of the thoracic functions. The pulse is generally slow, full, and soft, and the individual does not possess the disposition or ability to exert those physical powers that act as stimuli to the sanguiferous system. Agreeably to these principles, we per- ceive, that many debilitating causes, even before the age of 35, are known to occasion the ordi- nary effects of old age, by acting in a similar if not precisely in the same manner upon the ar- terial and venous circulation. D. The explanation which Doctor CUL- LEN gives of the preponderance of the venous 414 THE LAWS OF ORGANIC system towards the decline of life, as accounting satisfactorily for the origin of apoplexy, appears to be exceptionable in its principles. The know- ledge of those organic states that are known to predispose to this disease, and an investigation of those causes that hasten its occurrence, would certainly lead one to believe that the short neck is favourable to the flow of the arterial blood to- wards the head, and that every accidental and continued agent which tends to promote the af- fection acts powerfully upon the arterial system, increasing the rapidity, force, and preponderance of its actions. But Dr CULLEN supposes that apoplexy takes place " when the powers pro- moting the motion of the blood are much weak- ened." DI. Apoplexy is not a disease that is particu- larly confined to the decline of life ; but, in many instances, if not in the greater number, occurs when an individual is in the full enjoyment of his mental and corporeal faculties. Nor does it happen to those whose venous system seems to prevail over that of the arterial, but when this has the ascendancy, or at least when it is much excited. Nor, in the last place, does the mode of living that predisposes to an attack of apo- plexy appear to occasion, in an exclusive man- ner, an equable or general turgescence of the veins, except as a consequence of increased arte- rial action. AND ANIMAL LIFE. 415 DIL The question has frequently been agitat- ed, How hemorrhagy contributes to a plethoric state of the system ? The fact can scarcely be doubted ; and the knowledge of it has diminish- ed materially the long-established custom of an- nual depletion. It is observed by Dr CULLEN, ft that the quantity of serous fluids being given, the state of the excretions depends upon a cer- tain balance between the force of the larger arte- ries propelling the blood, and the resistance of the excretories ; but the force of the arteries de- pends upon their fulness and distention, chiefly given to them by the quantity of red globules and gluten, which are, for the greatest part, con- fined to the red arteries ; and, therefore, the spo- liation made by a hemorrhagy being chiefly of red globules and gluten, the effusion of blood must leave the red arteries more empty and weak. In consequence of the weaker action of the red arteries, the excretions are in proportion dimi- nished, and therefore, the ingesta continuing the same, more fluids will be accumulated in the lar- ger vessels." Dili. If the above explanation be correct, one would imagine that the ordinary means which contribute to create a state of plethora would be similar to those that produce a sudden return of that condition. Eut we find that individuals whose pursuits require great exercise, and whose mode of life is extremely simple, are not unusual- 416 THE LAWS OF ORGANIC ly stout and plethoric. Constant exercise pro- motes the circulation, and increases the action of the excretories. The quantity and quality of the ingesta appear to have less influence in inducing the effect than is generally supposed. If we even granted to Dr CULLEN that the action of the excretories depends on the force of the sanguine- ous fluid, it would enable him to solve the phe- nomena connected with the present subject ; but it would certainly give rise to new difficulties. The circulation of the child is particularly fre- quent, and the motion of the heart strong for its years, and yet it acquires, in a very short time, a plethoric condition of the constitution. DIV. Since the time of Dr CULLEN, physio- logical science has introduced many improve- ments, and these enable us to appreciate more correctly the discoveries and the theories of pre- ceding ages. Much additional light has been thrown on the intricate subject of absorption, which seems to prove that the vessels appropri* ated to this function are ex iled or depressed according to the fulness or distention of the sangui- neous system. DV. Depletion diminishes the force or ful- ness of the arterial circulation ; and when this re- sult is produced in the state of health, from a law of the animal economy, the absorbents are enabled to take up more nourishment in a given time, and it is this augmented power that so AND ANIMAL LIFE. 417 quickly brings on the train of symptoms which the lancet had previously removed, and not the diminution of the excretions, the usual quantity of the ingesta remaining the same, as imagined by Dr CULLEN. DVI. The influence of heat and cold upon the body shows the extensive sympathy which is ex- perienced by every part of the system in conse- quence of the changes of circulation. When heat is applied to the surface of the body, it stimu- lates the capillary vessels to increased action ; and this condition is communicated to the larger vessels, and afterwards to the lungs themselves. When the heart and the respiratory function are indirectly excited, as in this instance, they react upon the sanguineous jiuid^ and transmit it in greater abundance to the capillary vessels. Dur- ing this reciprocal action, the remote and exter^. nal parts of the body receive a greater quantity of blood ; but the rapidity of the motion with which it circulates in the lungs over excites or disorders the minute vessels, which chiefly com- pose their substance, and gives rise to hemor- rhagy. Stimuli taken within, and exercise of every description, produce the same effect. If we consider that the organization of the lungs is extremely delicate, and that the capacity and operation of these must be in harmony with the different branches of the arterial and venous cir Dd 418 THE LAWS OF OKGANIC dilation, yet at the same time are subject to every alteration of the sanguiferous system, the absence, and not the occurrence of hemoptysis, becomes a matter of surprise. DVII. It was formerly believed that hemop- tysis was the consequence of a rupture of some of the pulmonary vessels ; but modern patholo- gists have clearly shewn that this circumstance seldom happens except when a vessel, traversing a tuberculous excavation, is partly destroyed by the progress of disease. Hemoptysis is some- times the consequence of an aneurism opening itself into the trachea, bronchia, or substance of the lungs. DVIII. When the quantity of blood which is poured from the lungs is even considerable, it is regarded by L^NNEC as a sanguineous exhala- tion into the pulmonary parenchyma, and is de- scribed by this pathologist under the name of Pulmonary Apoplexy.* DIX. Cold, and the sudden removal of at- mospheric pressure, are enumerated by CULLEN among the exciting causes of hemorrhagy. It is almost impossible for the former to produce an active form of the affection, as this does not depend, as is supposed by some, upon a state of conges- tion determined by the slow and gradual influ- ence of cold, but is more justly to be referred to an increased action of the capillary vessels. In * JLjENNEC del Oscultation Mediate, Vol. II. p. 45. Edit. Prima. AND ANIMAL LIFE. 419 apoplexy, it is probable that great congestion is present. We have frequent proofs that the disease, at times, consists entirely in an over- charged condition of the vessels of the head. DX. The reasoning which is employed to explain the origin of hemoptysis or epistaxis, would be incorrect if applied to explain the phe- nomena of apoplexy. The seat of the latter is the brain, which is enclosed by the unyielding parietes of the skull, and is supposed by MONKO and Dr KELLIE to occupy fully the cavity in which it is contained. It is therefore obvious, that an accumulation will easily take place, and this, though existing to a slight extent, will be imme- diately indicated by the symptoms of compres- sion. DXL Epistaxis does not arise from a simply congested state of the vessels, but from the action of these being augmented. Nor can we attribute hemoptysis to a similar condition of the pulmo- nary vessels. A great number of thoracic dis- eases retard the flow of blood in the lungs with- out the congestion induced being accompanied or succeeded by hemorrhagy. If we review the ordinary exciting causes of hemoptysis, we shall discover that it is the tendency of such not to weaken or obstruct the flow of blood, but to facilitate its motio?i, increase its strength, and to give additional stimulus to its character. From these, and similar considerations, we may con- p d 2 420 THE LAWS OF ORGANIC elude, that epistaxis and hemoptysis have not the same proximate cause as apoplexy. DXIL It is stated, that the sudden removal of atmospheric pressure distends the external blood- vessels in the same manner as heat. There is a cer- tain seeming coincidence in the phenomena that tkese present : but if we narrowly investigate the cir- cumstances in which they resemble each other, we shall perceive a great difference in the origin and influence of their peculiar properties. Heat does not simply distend the blood -vessels, but more par- ticularly rouses the circulation, and gives rise to those general consequences described in DV., but particularly in Chapter VIII. The removal of atmospheric pressure does not immediately sti- mulate the vessels upon the surface of the body, but allows the blood to flow here with greater facility, and gives to the vessels a degree of ful- ness and distention, not unlike the appearance ex^ bited by an increase of temperature ; but when such is the consequence of heat, the internal or-r gans are not only relieved by a diminution of blood, but are likewise excited by the stimulus conveyed to the respiratory and circulatory func- tions ; but, in case of diminished pressure, no sti- mulus whatever is communicated to these, except such an improvement of energy as may follow the change in the distribution of the blood. J3XIII. Philosophers not being fully acquaint- e4 with the alterations whicfy the circulation AND ANIMAL LIFE. 421 undergoes on the removal of pressure, when the body is completely at rest, or when the whole system is animated by exercise, have differed among themselves as to the precise operation of this power. When an individual ascends one of the loftiest mountains, he has great difficulty of breathing. The countenance is extremely flush- ed, and the veins on the surface of the body are much swollen. These and a variety of other symp- toms are said to be the results of diminished pressure ; but when the aeronaut is elevated to an equal height, he does not experience the same painful sensations, nor does the system exhibit the same effects. The evident difference in the consequences, when the body is similarly exposed to the influence of the same agent, is a circum- stance which militates materially against the ra- tionale proposed by the most enlightened physi- cians. DXIV. The nature of these physiological studies have naturally led me to investigate the influence of pressure, when exerted alone, and when in combination with exercise ; and the principles deduced appear to harmonize the di- versities of opinion previously entertained on this subject. When the body is in a state of re- pose, and subjected to a cold atmosphere, which is always the case with the aeronaut, the flow of the blood becomes more internal than external, in consequence of which the diminished pressure has to act upon a less quantity of sanguineous fluid, THE LAWS OF ORGANIC and has also to contend against the influence of the cold, whose property it is to constrict the capil- lary vessels, and, by lessening their diameter, to retard the flow of blood to the surface of the body ; but when this condition of atmospheric pressure is conjoined with exercise, the influence of the cold is counteracted. The respiration and circu- lation are much accelerated by exercise, as is uni- versally known, and therefore the blood is trans- mitted in greater quantity, and with superior energy, to every part of the system. It is now external in its distribution, and the effect of the atmospheric pressure is materially augmented by the addition of a new power acting in unison with its own. A greater quantity of blood being determined upon the surface of the body by ex- ercise, and the influence of the diminished pres- sure, the consequence is, that the proportion of this fluid in the lungs is materially lessened ; therefore its stimulating properties and circulation mil be much increased. Many statements are on record which clearly show that the union of the two causes has been attended by epis taxis and hemoptysis, and many other symptoms of san- guineous disturbance ; and the rationale proposed seems to be satisfactory in the solution of the phenomena. The fact that hemoptysis and epis- taxis occur under these circumstances is strongly corroborative of the idea concerning their proxi- mate cause.* * Vide Appendix. AND ANIMAL LIFE. CHAP. XVIII. The general action of Emetics on the system, with a Jew remarks on their efficacy in Chronic and Acute Diseases. DXV. THERE are few classes of medicines that have been so universally employed as that of emetics. From the earliest authentic records of medical science to the present day these sub- stances have been used, and occasionally extolled as specifics in a variety of diseases. It is impos- sible to deny the good effects which have been attributed to them ; and it is not difficult to ac- count for their success and general adoption at one time, or for their injurious tendency and par- tial reception at another. DXVI. When our knowledge of the opera- tion of medicines is narrow or inaccurate, or when we are, in a great measure, ignorant of certain important laws of the animal economy, our prac- tice is necessarily empirical. If, at one time, we have cured diseases of a certain class by emetics, at another we immediately prescribe the same, whenever the same or similar indications are pre- sent, without being fully sensible that the means which we had previously found beneficial were complex in their nature, and that the affections which we had to treat were also as multifarious 424 THE LAWS OF ORGANIC and variable as the seasons, the conditions of the body, the severity and number of the deranged symptoms, and many other modifying circum- stances which had not been duly considered. DXVII. We are too frequently misled by what may be called theoutline of diseases, and too little re- gulated by what may be considered the subordinate features or symptoms of general or local disorders. He that, at one time, cures by wholesale, will, at another, destroy in the same proportion. His knowledge is the only fixed and unvarying ob- ject: every thing around him is continually changing ; and it is therefore obvious that the application of his principles will be efficient or in- jurious according to the conditions of the system. DXVIII. The subject of this chapter will be a further illustration of sanguineous sympathy ; and I am not aware that any other class of medicines so directly proves the justness of the division of sympathies I have introduced as the one under consideration. By the exhibition of emetics the constitution is roused or depressed to an extreme, and the most characteristic phenomena attending these different states belong to the sanguiferous system. DXIX. The action of emetics on the animal economy might have been deduced from the ge- neral principles developed in different parts of this work ; but I have, on the present occasion, endeavoured to demonstrate, by direct experi- AND ANIMAL LIFE. 425 ment, the nature of this action. In this under- taking I was kindly assisted by my friend Mr BUCHAN of Devenport. DXX. I was induced to try the effects of emetics for the purpose of ascertaining clearly the state of the circulation during nausea and after vomiting, and also of noting the alterations which these produced upon the temperature of the body. I took four grains of emetic tartar, dissolved in seven or eight ounces of water. At the com- mencement of the experiment the temperature of the room was 59|, the pulse 77, full, and of good strength : the heat of the body was 97. In the space of half an hour I felt slightly sick, but did not experience the least dullness or ri- gor. To facilitate, if possible, the progress of nausea, I took, in a very short period, between three and four pints of warm water. This quan- tity of liquid quickly brought on, to a trifling extent, the unpleasant sensations of sickness ; but, before these became painfully disagreeable, vomit- ing was occasioned, but lasted only for a few se- conds. After the copious ejection of the watery contents of the stomach, the pulse was 100, very weak and small, and the temperature of the body had risen to 100g. In fifteen minutes after the evacuation of the contents of the stomach, the pulse was found to be 80 in a minute, small, but not weak, and the temperature of the body was 99. In an hour and a quarter from the commence- 426 THE LAWS OF OKGANIC merit, when I experienced no nausea or disposi- tion to vomit, but certainly felt great debility or weariness, the pulse was still about 80, and the animal heat remained stationary at 98. I had to regret, in this experiment, that the nausea had not been sufficiently severe to cause its ordinary and well-marked effects upon the sys- tem. To obviate this incompleteness, Mr BUCHAN very kindly submitted to a similar experiment, and the general results were in every respect the same as those already detailed, with the excep- tion of the nausea ; and this continued in him, oppressive and disagreeable to an extreme, for al- most three hours, DXXL At half past eleven o'clock, A. M. the day succeeding the previous experiment, his pulse was 66 in a minute, small, the temperature of the body 98, and that of the room 63^. These circumstances being accurately noted, he took four grains of emetic tartar, in about eight ounces of water. He did not feel the least in- convenience from this quantity for more than half an hour; and, being desirous to promote sick- ness, he took 10 grains of ipecacuanha in a simi- lar quantity of water ; but this was accompanied by no unpleasant sensation. On this account the same dose was repeated ; and, in three quarters of an hour from the commencement of the experi- ment, he complained of great coldness in the back and the superior and inferior extremities, AND ANIMAL LIFE. 427 particularly the latter ; in fine, so severe was the sensation of cold, that he employed muscular ex- ertion for the purpose of warming himself. Great sickness almost immediately succeeded this state of feeling, and, during its continuance, the pulse was 74, very weak and small, and the tem- perature 96. After he had vomited several times, the pulse was 77, still very weak and small, but the animal temperature had risen to 98]. Nausea, with occasional vomiting, continu- ed until one o'clock, at which time the pulse was 74, presenting the above characteristics ; but the thermometer, when applied to the mouth, as usual, indicated 99. DXXII. Before I draw any conclusions from these facts, I may state certain peculiarities con- nected with the mode in which the thermometer was influenced in the case of Mr BUCHAN. Be* fore the experiment, the instrument remained se- veral minutes in the mouth, without the mercu- ry being raised so immediately as it generally is to its usual point. To make the instrument as sensible as possible, the mercury was raised to about 98 before it was applied ; yet, notwith- standing these means, it still required several mi- nutes to raise it to the few remaining degrees. When it indicated at one time 96, it seemed to demand a still longer period of time before it attained this point upon the scale ; but after vo- miting, when the thermometer stood, at one mo- 428 THE LAWS OF ORGANIC ment, at 98^, and at another at 99, the sensibi- lity of the instrument appeared proportionately augmented. The gentleman, to whose animal temperature I allude, is young, vigorous, and ap- parently of strong constitution ; his chest is very well developed, and he has not been subject to any pulmonic disease whatever ; yet, notwith- standing these organic adaptations for the gene- ration of animal heat, and for the force and ful- ness of the pulse, his temperature is generally be- neath the average, and it is with the greatest dif- ficulty that he can bear cold. His pulse ranges from 60 to 65 in a minute, and is at all times small. DXXIII. Having, by the preceding experi- ments, observed the operation of emetics upon the system, in reference to certain preconceived, and, I almost venture to say, established princi- ples, I hope the attempt will not be deemed pre- sumptuous that aspires to regulate in future the exhibition of emetics, by explaining, in a clear and simple manner, the nature of their operation, the organs or systems directly influenced, and those that are secondarily acted upon by the changes in- duced. DXXIV. Emetics may be divided into two kinds ; into those which nauseate, and into those which excite vomiting. The former have always been considered as depressing the circulation, and the latter as stimulating it ; but it has never been sufficiently ascertained in what way this is at AND ANIMAL LIFE. 429 one time depressed and at another stimulated. It would seem that the nervous system occupied a prominent place in the minds of those who en- deavoured to explain the series of consequences, as they frequently speak of sympathy being exert- ed between different parts of the system. DXXV. In the two experiments performed to elucidate the operation of emetics, the pulse invariably became small and weak in the stage of nausea, and when this was very severe, it was almost imperceptible ; it would also appear that the animal heat is equally affected by those causes that diminish the force and increase the frequen- cy of the pulse. In my own case, after vomit- ing, the thermometer rose from 98 to 100i, and in Mr BUCHAN'S from 96 to 99. JDXXVI. The perspiration which follows vo- miting has been attributed, by almost all writers on the subject, to a particular sympathy existing between the skin and the stomach, or between certain internal organs. Dr CULLEN observes, " Thus we are of opinion, that there is a special consent between the stomach and the vessels on the surface of the body, so that the several states of these are mutually communicated to one an- other ; whence the action of vomiting excites particularly the action of the vessels on the sur- face of the body." A more modern, and a highly distinguished author, remarks, " The feeble state of the circu- 4JJO THE LAWS OF ORGANIC lation, as indicated by the pulse, and the generai coldness and languor experienced during a par- oxysm of nausea, are to be ascribed to those sym- pathetic relations by which the brain, stomach, and heart, are reciprocally influenced." * DXXVII. Although I cannot subscribe to the above opinions, yet it is with diffidence I dissent from such respectable authorities. The coldness which accompanies the operation of emetics, arises from the same proximate cause as that which is the consequence of an exposure to a low state of the atmosphere. The blood, in the latter instance, leaves the extremities and the surface of the body, because the cold constricts the capillary vessels, on which account these contain less arid the internal organs more blood. In the former, the ordinary mode of circulation is disordered, and this necessarily communicates its derange- ment to the respiratory functions ; and as the alternate action of these promotes the return of the sanguineous fluid to the chest, or facilitates its motion to the different parts of the system, it is quite obvious, that whenever those means which bring the blood to the chest preponderate over those which should relieve it, an accumula- tion will follow 5 and it is this accumulation which satisfactorily accounts for \\\e frequency and small- ness of the pulse, the sensation of ch illness, and I he * Paris' Pharmacologia, Vol. I. p- 154; AND ANIMAL LIFE. 431 oppression sometime,? experienced in the precordial region. It is not at all essential to the argument that the circulation be primarily deranged, and that it subsequently react upon the respiration; it is probable that the latter, in the greater number of instances, is, in the first place, influenced by the transmission of impressions to the mind, the consequence of which is, that the circulation be- comes irregular from depending exclusively on the conditions of the respiratory function. DXXVIII. As nausea' increases, the pulse becomes more rapid and small, till at length it is scarcely perceptible. The pale and collapsed appearance of the face, and the indications of suppressed or incomplete circulation on the sur- face of the body, are proofs that the blood is in- ternal rather than external, in relation to its usual distribution. The lungs receive more blood than they are accustomed to receive ; and if the quan- tity be much greater than usual, it is clear that the heart will have to propel an augmented proportion, but this is evidently less arterialized from the in- creased quantity of blood in the chest, and there- fore the stimulating principle is diminished. This is the reason why the heart does not contract and dilate energetically ; but the necessity of con- tinuing to act still remains, and consequently the blood is propelled in a small and gentle stream. THE LAWS OF ORGANIC DXXIX. This view is much strengthened by finding the pulse quicker, and still small, im- mediately after the first act of vomiting. Dur- ing the continuance of this operation, the return of the blood from the head, and from other parts of the body to the lungs, is retarded ; but as soon as the vomiting subsides, it flows in increased quantity to the chest. If, on one occasion, the pulse is small and weak, because the quantity and quality of the blood are altered, we ought to expect, on another, that these phenomena would become more apparent when the influence of those changes that produce these conditions is particu- larly exerted. I have shown that during nausea the pulse has certain well marked symptoms of debility, and have also endeavoured to explain their origin. If the rationale be deemed satisfac- tory, and if it be still further allowed, that a greater quantity of blood Jlows to the chest after the first act of vomiting, the increased frequency of the pulse is not only in harmony with the opinion proposed, but tends materially to strengthen the principles on which it is founded. Vomiting is always accompanied by great mus- cular exertion, and the co-operation of this cause is another, and probably a more efficient reason, to be assigned for the increased frequency of pulse immediately after the emetic effect. DXXX. I have endeavoured to depress the force and increase the frequency of the pulse by AND ANIMAL LIFE. 433 taking very deep inspirations, and, by keeping up a jseries of these for one minute, I have at all times produced the effect. In the space of that period the pulse has been augmented twelve pulsations, and its fulness and strength have been proportionally lessened. This simple experiment is not performed without being succeeded by considerable pain in the chest : it is to me suf- ficiently disagreeable to prevent a frequent repe- tition of it. Our voluntary attempts can make only a distant approach to those efforts and consequences which are referred to the involuntary powers ; but if we understand correctly the nature of those means that make even an approach to an involuntary sequence, we are certainly enabled to discriminate much better the action of those powers that are independent of the will. DXXXI. The explanation which has been proposed appears more philosophical than the one which assumes that there is & particular sym- pathy existing beftveen the brain, stomach, and the heart. If the one proposed for the consider- ation of the impartial reader be granted to be true, it immediately regulates our practice ; but if the other be preferred, which informs us of certain connexions existing between different internal organs, without, in the least, explaining these connexions, we are still necessitated to re- gard these phenomena as enveloped in the mys- tery of occult and impenetrable causes; and, E e 434 THE LAWS OF ORGANIC from such an imperfect knowledge of some of the most important laws of the human constitu- tion, it is impossible to extend the limits or im- prove the principles of our profession. DXXXII. The reasoning which I have hitherto brought forward in support of the views as ex- planatory of the various states of the pulse, of the origin and influence of sensations, and of many important symptoms connected with thesys- tem during the continuance of nausea, is entirely founded on sanguineous sympathy. By a similar kind of investigation, and by the application of the same reasoning, we shall understand every other change in the circulation of the blood, and in the generation of animal heat, consequent on the action of vomiting. I have already stated, that the blood from the head, and from other parts of the body, is retarded in its flow towards the chest when the stomach is engaged in the ejection of its contents ; and, still further, that, as soon as the operation ceases, the blood rushes in greater quantity to the thoracic ca- vity, producing a condition of the lungs almost approaching to congestion ; but if the vomiting be excessive , and frequently repeated, we have differ- ent results. The muscular exertion which the frame undergoes, in a succession of expiratory actions, has the tendency to equalize the distribution, and increase the stimulating qualities of the blood. The blood is more generally diffused throughout AND ANIMAL LIFE. 435 the system, the superficial vessels and the extre- mities receive an additional quantity, on account of (he impetus with which it is propelled ; and the pulse is also strong and full from the same cause, conjoined with the better oxygenated state of the blood. These views have been elucidated at length in various parts of this work, and, therefore, do not require a particular consideration on the present occa- sion. As a further support to these principles, I may mention the increase of the temperature of the body after vomiting. The diffused glow which is felt, and the profuse or gentle per- spiration, cannot correctly be attributed to any other causes than those which belong to sangui- neous sympathy, viz. increase of temper at ure> and a more equable distribution of the blood. DXXXIII. Having thus detailed, and attempt- ed to explain the different kinds of phenomena which originate from the two effects of emetics, it may probably, to some, appear quite evident, that, as the one excites, and the other depresses, or, in other words, as the former equalizes and stimulates the circulation, and the latter enfeebles the force of this system, there is little difficulty in applying this knowledge to practice. But medicine is a science that demands deep thought and circumspection ; the principles by which we are guided are necessarily complex, and too fre- quently fallacious. And, as we have to/ act on animated matter, we must pause and consider E e 2 436 THE LAWS OF ORGANIC . still further a few other points of this important subject, before we enforce the application of any part to practice. As nausea has the tendency to bring the blood from every part of the body to the chest and abdomen, it seems reasonable to suppose that this effect ought to be induced in cases of apoplexy or cerebral congestions, in order to relieve the head. But if we reflect that the de- teriorated quality of the blood is equally as de- trimental to the brain as a simple accumulation, we shall perhaps think otherwise. D XXXIV. In the condition of the lungs during nausea, the blood is certainly distributed in less quantity, and with diminished force, to the brain ; but, as this is not perfectly arterializ- ed, it will increase the lethargic symptoms which are present, as these arise, in part, from the dete- riorated fluid, and will, most probably, at length contribute to engorge the brain, by preventing the free return of the blood. DXXXV. The division of the effects of eme- tics into those that nauseate, and into those that occasion vomiting, has long guided physicians in the selection and employment of such medicines ; but it has long appeared to me that this division is insufficient to regulate our practice, and there- fore the following is introduced as more definite in its application. Emetics are found beneficial in a variety of diseases that have few symptoms in common with each other ; and from reflecting AND ANIMAL LIFK. 437 on the nature of these, and on those agents which influence them individually, it seems more just to divide the effects of emetics into four classes, and to arrange under each a few of those dis- eases which are obviously benefited by these effects. The first class is The changes both in the distribution and quality of the blood, as a consequence of the influence of emetics ; and the diseases arranged under this head are : 1. Fever. 2. Dysentery. 3. Passive Hemorrhages. CLASS 2. Improved action of stcernent vessels. 1. Croup. 2. Indigestion. 3. Diarrhoea. 4. Phthisis? CLASS 3. The changes in the properties of the blood. 1. Active Hemorrhages. 2. Pulmonic Inflammation. CLASS 4. Increased action of the absorbents ; in which division we have the class of drop- sies arising rather from debility than evident inflammation. I am fully sensible that this division of the effects of emetics is not correct in all its parts . It 438 THE LAWS OF ORGANIC would be absurd to suppose, that any individual system of the body is exclusively acted upon by the operation of general causes ; but it would not be less absurd to imagine that every function is equally affected by them. The diseases which have been enumerated differ widely in their proximate and remote causes, and they also oc- cupy different textures or organs of the body. Although these circumstances be so dissimilar, yet emetics have been employed in all of them, and with benefit. It is the object of the present chapter to endeavour to explain the principles on which emetics have been or may be useful. DXXXVI. The changes in the distribution and quality of 'the blood are conditions common to almost every disease, but those enumerated under this head are a few of such as exhibit these changes to a greater extent than any other ; and I conceive that emetics are useful only in such, as they tend to alter that distribution, or improve the quality of the circulating fluid. That these and subsequent views be properly appreciated, it is necessary that the proximate cause, symptoms, and treatment of each disease be generally understood ; but as these considerations would interfere with the present inquiry, I shall examine them as briefly as possible. DXXXVII. Emetics are frequently exhibited at the commencement of contagious or intermit- tent fevers. Few remedies are so powerful in AND ANIMAL LIFE. 439 cutting short the former, and I am not acquaint- ed with any, when given before the paroxysm of the latter, that so generally stops or modifies the progress of the symptoms. When an indi- vidual is supposed to be affected with fever of what- ever kind, the pulse, the respiration, the animal heat, and the blood, shew unequivocal indications of disorder, and, at the same time, some of the in- ternal viscera are more or less conges ted ex inflamed. I have already endeavoured to shew that vomit- ing tends to equalize the circulation of the blood, and it is almost impossible to attain this end without changing at the same time the nature of the fluid. If both objects be accomplished, the affection is cut short before it is fully established in the system ; the excess of animal heat which is generated by the disease itself, and by the means employed, passes off in copious perspira- tion, or in the other increased secretions of the body. DXXXVIII. Dysentery is a disease concern- ing whose proximate cause there is little unity of opinion. Some are disposed to believe, that the larger intestines are in a state of constriction or spasm, and therefore consider this as the proximate cause. I am inclined to believe, that such a condition is to be regarded in the light of effect and not cause ; others, from perceiv- ing, on all occasions, inflammation, or its conse- quences, believe the proximate cause to be in- 440 THE LAWS OF ORGANIC flammation of one or other of the membranes that form the intestines. How much soever dis- tinguished individuals may differ among them- selves on this subject, it is probable that few, if any, will dissent from the view which I take in explaining the action of those agents that occa- sion the disease ; nor will they, perhaps, consider the outline which I give of the pathology of the disease incorrect, if they reflect on the results of dissection in such cases ; and still less, if they in- vestigate the operation of those means success- fully employed in its cure. Dysentery is most frequent in autumn, and from this reason is thought, by some, to be caused by the abund* ance of fruit which this season particularly af- fords. The human constitution must at all times adapt itself to the great changes of the year. The respiration and circulation, the secretions and other organic functions have not the same action in winter that they have in summer ; and, there- fore, one or other of these is liable to be dis- ordered, if these alterations be too severe or too mild for the proper performance of its office. In summer the pulse is quick and full, the animal heat higher than in any other season ; and if we are to judge from these and other well-marked phenomena, we should state that the circulation is external rather than internal at this period, or that the Mood is more generally distributed over the surface of the body. In autumn, there are, occa- AND ANIMAL LIFE. 441 sionally, great changes in the hygrometric condi- tion of the atmosphere, in the degree of cold, and also in the frequency and severity of the winds. If these changes be sudden or extensive, the blood will necessarily become internal rather than external in its circulation, not from a regular di- minution of those stimuli or excitants that main- tained the former state, but from an abrupt sup~ pression of them ; and as the organs on which the blood is driven cannot instantaneously adapt them- selves to this unusual quantity, their individual functions are deranged. The mucous membrane of the intestines in dysentery is invariably dis- eased. It is not improbable, at this season, that this membrane is more susceptible of the influ- ence of those agents w r hose action I have endea- voured to explain than at any other, from the tendency which fruit, and indulgences of the sea- sons, have to disorder its functions. If it be granted, from this short and incomplete sketch of the disease, that there is a state of congestion either co-existent with, or subsequent to, the operation of the exciting cause, it will then be easy to understand why the exhibition of emetics is beneficial. When these induce vomiting, either at the commencement of the affection or when it is fully formed, the effect is, that the sanguineous fluid is more equally diffused throughout the sys- tem, and as it is also better oxygenated, the in- testines are not only relieved of that quantity of 442 THE LAWS OF ORGANIC blood which impedes their functions, but receive that which is improved in its nature, consequently fitted to promote their ordinary functions. DXXXIX. We generally find that emetics act as aperients or purgatives ; and CULLEN says, that they are useful only when this consequence follows their employment.* But he, and all other writers on the subject, seem to imagine that this effect arises from the medicines passing from the stomach to the intestines, arid thus acting direct- ly upon the abdominal viscera. This is certainly a very natural supposition as we observe that substances which are almost exclusively purga- tives, appear to operate in this manner. If we carefully examine the true action of emetics on the general systems of the body, and also reflect on the general effects which follow their exhibition, we shall regard the aperient or purgative conse- quence as the result of the improved condition of the mucous membrane, from the influence of those causes that relieve the congestion and stimulate the secernent vessels of the part. DXL. Passive hemorrhages are diseases like- ly to be benefited by the use of emetics. There is probably no affection to which the human frame is subject that more evidently arises from an altered state of the blood, or * "As inverting the peristaltic motion, vomits are useful in diarrhoea and dysentery ; but, independent of that, they are probably more useful as purging the intestines, occasioning a greater flow of liquors into the intestinal canal.'' Lectures on the Materia Medica, by W. CULLEN, M. D. &c. MDCCLXXII. AND ANIMAL LIFE. 443 unequal distribution of it, than those includ- ed in the order Profluvia. Hemorrhoids, and some of the varieties of menorrhagia, appertain- ing to the passive kind, have, in many instances been much relieved, if not cured, by the action of vomiting. As I have already stated the manner in which vomiting influences the mode of circu- lation and quality of the sanguineous fluid, it is unnecessary to dwell longer on the individual diseases belonging to this class. There are seve- ral other diseases, not in the least alluded to, in which vomiting has been, or may be, found beneficial, if judiciously prescribed ; but, as it is my intention, at the present moment, to select only a few to illustrate the consistency of the views, many disordered states of the body must necessarily be overlooked. DXLT. We now come to the consideration of the beneficial effects of emetics in croup, diarrhoea, and indigestion, belonging to the second class, improved action of secernent vessels. Emetics, in the former of these diseases, have been employed, in every stage of it, with decided utility. When persevered in at the commencement of the symp- toms, the diseased secretion, which ultimately becomes what is called a false membrane, is not allowed to form, because the nature of that which is poured from the mucous follicles is consider- ably improved ; or, if we suppose this membrane to be generated, the same means are efficacious, 444 THE LAWS OF ORGANIC because the quality or character of the secretion is, in the same manner, altered ; and, whenever this effect occurs, the membrane becomes less ad- herent to the internal surface of the trachea, be- cause the diseased matter which connected the two is displaced by what is healthy. Vomiting may sometimes be the cause of removing this, by the agitation which attends its operation ; and it will materially facilitate this result, if the mucous membrane to which it is attached has experi- enced the more extensive and previous influence of those agents that regulate the secretions by im- proving the qualities or distribution of the blood. DXLII. The mode in which the secretory functions are acted upon by vomiting, is not, on all occasions, easy to explain. The following reasons, which are assigned, may probably be considered to make an approach towards a cor- rect explanation : Inflammation is never absent in croup ; indeed, this is the nature of the dis- ease ; and, whenever any part of the body be- comes the seat of inflammation, it is always ac- companied by an increased action, or congested condition of the blood-vessels. The increased action probably depends on an increased quantity of blood which these receive, this also being of a more stimulating description than usual ; and the congestion may happen when the vessels are not enabled to circulate the blood transmitted to them, this, on the other hand, being of a less stimulating AND ANIMAL LIFE. 445 kind. But, whether we regard the vessels in a state of augmented action or of congestion, we may assert, with truth, that these possess a more than ordinary quantity of blood. Either of these states of inflammation being supposed, emetics, when carried to their fullest extent, will distri- bute the blood more universally, from this being of a more stimulating kind, combined with the muscular exertions of the body ; and, if distant and superficial vessels receive a greater quantity from these causes, those vessels that previously received too much will be deprived of a portion of their superabundance. It is in this manner that rubefacients are supposed to act ; and if means which are applied externally, in the vici- nity of an affected part, disburthen overloaded vessels, or modify their action, it is certainly al- lowable to suppose that other means, which operate in a similar manner, but to a much greater degree, ought to be followed by similar results. DXLIII. The function of digestion is not un- usually accelerated by emetics ; but as it would occupy a great deal of time to develope the views connected with the origin and influence of its derangement, and, still further, to do ample jus- tice to the principles by which we should be guided in its treatment, I shall refrain from mak- ing any observations at present on this import- ant subject. 446 THE LAWS OF ORGANIC DXLIV. Emetics have sometimes been em- ployed, and, with advantage, in different cases of diarrhoea. This disease may be produced by a variety of causes ; but it is not improbable that the proximate cause is the same, with slight modi- fications, in every instance, viz. a morbid increase of action in the secernent vessels of the intestines. When indigestion and crudities of the stomach have been present in this disease, they have generally been regarded as the exciting causes ; and, in order to remove them, vomiting has been recommended.* It is impossible to deny that indigestion and crudities of the stomach have very frequently occasioned this condition of the system. If the stomach, from being oppressed either by quantity or improper quality of food, have its ordinary functions disordered, its con- tents will not be so perfectly concocted as usual, and these, therefore, are likely to irritate the se- creting surface of the intestinal canal. But aU though such causes as these may occasionally ex- ist to produce diarrhoea, yet, I am disposed to think, that the debilitated or deranged state of the system is to be regarded as the principal condition which gives rise to the different dis- orders of the abdominal viscera. If this view be allowed to be correct, emetics have a more ex- tensive influence upon the animal economy than * Vide CUJ.LEN'S First Lines of the Practice of Physic, MCCCCXCIX. AND ANIMAL LIFE. 447 the mere rejection of crude matters from the sto- mach. By the operation of such agents, the quality and circulation of the blood undergo mate- rial changes, the consequence of which is, that digestion is improved from the better secretion of gastric juice, and at the same time, and from the influence of the same changes, the functions of the rest of the abdominal organs are propor- tionally benefited. DXLV. I have already stated, that the pre- sent classification cannot be considered correct in all its parts. As our knowledge of the manner in which the exciting causes of diseases affect the system is rendered more exact, we shall be en- enabled to speak with more confidence of the general and particular effects of emetics. The greater part of the treatment in phthisis, whether local or general, promotes an equable distribution of the blood. The warm bath, exercise, blisters, and stimulants, are evidently to be referred in their operation to the principle of altered circulation. Both the stages of emetic effects have an ac- knowledged control over the course of the blood ; but unless we possess clear and accurate ideas concerning the pathology of consumption, it will be impossible to apply either of these stages or general divisions of emetics to the relief or cure of the symptoms. DXLVI. It is, perhaps, of little moment to our mode of treatment, whether we suppose the tubercles or degenerations of the lungs to be the 448 THE LAWS OF ORGANIC consequence of inflammation, or of a scrophulous or peculiar predisposition, if these be fully formed. But when the first symptoms of the affection are slightly developed, the consideration of the na- ture of those causes to which these are attribut- able becomes an object of imperative investiga^ tion. If, in the first stage of phthisis, a slow inflammatory process be going on, it would seem imprudent to apply means that tend to accelerate this condition ; but if disease be gradually de- stroying the healthy structure of the lungs, with- out the sanguiferous system being in any degree excited, we may be enabled to employ certain powerful agents that would apparently be im- proper in the other case. It was the opinion of LJENNEC, that this disease was seldom or never radically cured unless the tubercles have passed through the various steps of degeneration to the formation of a cavity, the membranes of which protect the pulmonary tissue from further ra- vages, and the purulent matter which they secrete escapes through the communication existing be- tween the bronchial ramification and the cavity itself. The obliteration of this communication or cavity constitutes a perfect cure. DXLVII. If we follow the opinion of Dr ALISON, supported by a variety of well establish- ed facts, which seem to show that tubercles are more frequently the effects of inflammation than of any other cause, we shall be influenced accord- AND ANIMAL LIFE. 449 ingly in our remedial measures. It has been stated, that, in all cases of nausea, the circulation is depressed, because the lungs contain a greater quantity of blood, or blood not oxijgenated to its usual extent. The existence of both states is most probable. If inflammation be present, can we diminish the excited action of the morbid part by persevering in a long course of nauseat- ing medicines ? This practice has been found use- ful in pneumonia ; but is the analogy between the two affections sufficiently close to allow of the same treatment ? If inflammation be the cause of the disordered symptoms in both instances, there is a manifest difference in the extent and seve- rity of the disease, and also in the general conse- quences. DXLVIII. I am disposed to regard the follicles of the mucous membrane, or at least those or- gans appropriated to the secretion of mucus, and which must be supposed to exist throughout the minute bronchial tubes,* as the primary seat of acute or chronic inflammation, producing or concomitant with phthisis. These, by a deter- mination of blood to the lungs, whether from * " In most mucous membranes are found minute oval or spheroidal bodies, sligbtly elevated, and presenting an orifice leading to a blind or shut cavity. As they are believed to se- crete a fluid analogous to or identical with raucus, they are named mucous glands. In the state of health these bodies are so minute that it is very difficult to recognize them. 1 have seen them, nevertheless, in the tracheo-bronchial membrane, by the eye and by a lens." Elements of General and Patho- logical Anatomy, By DAVID CRAIGIE, M. D. rf 450 THE LAWS OF ORGANIC cold or any internal derangement, have their natural action disordered,~the consequence of which is, that an unhealthy secretion is poured out, and probably in greater quantity than is compatible with the well-being of the lungs. This secretion, in the course of its progress, will tend more or less to destroy the permeability of the air-cells in the vicinity of the disease, and will materially contribute to form the various kinds of engorgement particularly described by ANDRAL and LZENNEC. DXLIX. If this pathological view be allowed to be correct, or if chronic inflammation be sup- posed to constitute the disease, in considering the effects, without in the least ascending to the primary cause, our practice in endeavouring to remove the affection will be directed by the knowledge we possess of the nature of those con- sequences induced by chronic inflammation. It will teach us, that those means which improve the follicular secretions will the most speedily restore the healthy function of the lungs. As the effect of nausea is to furnish blood of an inferior qua- lity to the thoracic organs, or rather to engorge than to free them from a partial or general con- gestion, it is probable that it would not facili- tate, if it did not retard, the object that we have in view. Vomiting appears well calculated to benefit the patient. The improved condition of the blood, and its more equal diffusion, are cir- AND ANIMAL LIFE. 451 cumstances which will tend to stimulate and relieve the vessels, whatever be their natural functions ; and if these take upon themselves a healthy action, the incipient tubercles, or mass of pulmonary degeneration, will gradually dis- appear. That state of the blood which promotes a healthy secretion will also excite the absorb- ents ; and it is probably the combination of those two powers that dissipates the local and general symptoms of consumption, The disease occa- sionally becomes latent in its effects, or appa- rently inactive : and whenever the exciting cause is augmented or applied, we have then the usual indications of derangement. The different means employed may retard the farther progress of tu- berculous accretion, but may not act to an ex- tent sufficiently great to remove what has al- ready been deposited. DL. Gentle exercise of every description, and a sea voyage in particular, are recom- mended in this affection, and have been found more efficient in relieving or curing the symp- toms than the exhibition of any internal medi- cines, or external application. The manner in which these influence the constitution is to be explained only on the assumption that these equalize the circulation, and improve the quali- ties of the blood. In a sea voyage, vomiting is not at all unfrequent ; and if the patient derives any benefit from being several months upon the rf 2 453 THE LAWS OF ORGANIC sea, I am inclined to believe that no small part of the amendment arises from the repeated oc- currence of that action. I have been led to this opinion, from consider- ing the action of emetics on the circulation of the blood ; and the following observations of Dr REID, on the cases enumerated by Dr GIL- CHRIST on the benefit of sea voyages to con- sumptive patients, are corroborative of the prin- ciples. " The patients were generally sea-sick, and vomited much bile ; and in some the good effects ceased when they grew familiar to the ship's motion, and were no longer sea-sick. He relates the case of a consumptive patient who went to sea three times, the distance ten leagues ; each time he was sick, vomited bile, and was cured of his disease. In the last, where the pa- tient was at sea only five or six hours, the effects could not proceed from the air or exercise."* DLL The above observations, with respect to the use of emetics, are supposed to apply to the disease at its commencement only, or before the parenchyma of the lungs is very much disorgan- ised. At a later period I should not expect equal success, and, in some instances, should not be surprised if they occasioned injurious conse- quences. DL1I. Changes in the properties of the blood. That the sanguineous fluid is capable of being * WILSON on Febrile Diseases, p. 544. AND ANIMAL LIFE. 455 rendered more stimulating than natural, can scarcely be called in question ; and, in different parts of this work, I have developed principles which explain the mode in which the blood be- comes unfit for the purposes of the system, on account of its deteriorated qualities. Emetics, if they simply cause nausea, will either arrest or retard the flow of blood in all cases of active he- morrhagy. The truth of this is observed in ve- nesection accompanied by faintness. In this instance the stoppage arises from the circulation being generally depressed ; the blood has the tendency to move towards the chest and internal viscera in greater quantity than usual: and if the feeling of nausea be continued for a long time the blood becomes less stimulating; so that we have two reasons why emetics, confined to nausea, ought at all times to be prescribed in active hemorrhage. The one is, that the extre- mities and the superficial vessels receive less of the sanguineous fluid ; and the other, that the super- abundance, by surcharging the lungs, prevents the ordinary degree of oocygenation, and, on that ac- count, the heart does not propel the blood with its won fed energy. DLIII. Emetics have been recommended in pneumonic inflammations, by several distinguish- ed continental physicians; by some for the purpose of exciting nausea ; by others of producing vomit- ing. It is extremely difficult to say whether the 454 THE LAWS OF ORGANIC beneficial effects are to be attributed to the for- mer or to the latter, as it is seldom that we have either of these consequences independent of the other. In 1824 and 1825 1 attended to the prac- tice of LJENNEC, at the Hospital of La Charite', during which time he treated inflammation of the lungs principally by nauseating doses of tar- tar emetic, and certainly with success. In the greater number of the cases, slight vomiting was also occasioned. DLIV. Inflammation of the pulmonary pa- renchyma differs little in its stages from the same process in every other viscus of the system. The blood-vessels, in the first instance, are more than usually stimulated ; but, subsequently, the in- creased action diminishes, and the vessels are en- gorged. These two important stages are better illustrated by pneumonia than by any other affection with which I am acquainted. The rale crepitant is the distinguishing characteristic of the incipient symptoms ; and it is not improba- ble that this peculiar sound arises from the aug- mented impetus of the blood, its greater quan- tity, and some slight obstruction to its course. When the disease passes from this condition into that in which some part of the delicate texture of the lungs has become impervious to the air, the circulation is considerably impeded, and the vessels are ultimately congested, giving to the chest a dull sound on percussion. AND ANIMAL LIFE. 455 DLV. From the nature of these two ge- neral indications, I am inclined to think, that the success of vomiting at the commencement of inflammation of the lungs depends much on the existence of peculiar circumstances. If the dis- ease be not very severe, or if a copious perspira- tion succeeds the exhibition of the emetic, it may be highly beneficial, as it will regulate the distribution of the blood, and remove a portion of the preternatural heat of the body ; but if we pre- scribe these means when the individual is highly plethoric, and the inflammation is intense, with- out being assisted by a profuse sweat, we shall endanger the life of the patient. At this period of the symptoms, nausea will be found useful, as it depresses the circulation, and diminishes the sti- mulus of the blood ; but when we have every rea- son to believe that the pulmonary tissue is con- gested, the operation of vomiting is to be prefer- red. The tendency of this action is, as previ- ously stated, to dis bur then the lungs 3 by equalizing the circulation of the blood, and by improving its qualities. DLVI. The practice of the continental phy- sician has not been equally serviceable in Eng- land. The varieties of climate, food, and man- ners, modify very much the success of gene- ral principles. Acute inflammatory diseases, in France and Italy, are more easily controlled by the aid of moderate means than the same in our own country. The substantial and invigo- 456 THE LAWS OF ORGANIC rating regimen of our less genial climate, while it fortifies the constitution against almost every inclemency of the seasons, strengthens also the same against the influence of remedial measures, in the state of disease. There are, however, many instances in which the continental practice with regard to emetics may be adopted with advan- tage. When the patient is naturally feeble, or debilitated by a tedious plan of treatment, vo- miting or nausea may enable us to arrest or re- tard the progress of the disease. DLVII. In glancing at the following sub- ject, increased action of the absorbents, there are many difficulties to render the investigation in- complete. Our anatomical knowledge of those vessels which exhale or absorb any of the fluids of the system is necessarily very imperfect, from the minuteness of the objects ; and our acquaint- ance with the laws by which they are regulated is far from being satisfactory. The labours of CRUICKSHANK, BAILLIE, PARRY, BLACKALL, and AYRE, have of late years enabled us to make important approximations towards a knowledge of those conditions of the system which predis- pose to, or occasion an accumulation of serum. The weight of authority inclines to the opinion, that the capillary vessels are in a state of conges- tion or inflammation in those cases in which dropsy is induced.* * Vide Chap. XXIII. $ I. Serous Membranes. CRAIGIE'S Elements of General and Pathological Anatomy. AND ANIMAL LIFE. 457 DLVIII. It was the opinion of Dr CULLEX, that dropsy was to be attributed either to increas- ed exhalation or diminished absorption ; and this view is not at all improbable. We know that different processes are continually going on in the system; for example, that one set of vessels is employed in absorbing, and another in secreting or exhaling. These facts naturally led the mind to conclude, that if we increased the action of the latter, or diminished that of the former, we should have the same results. The reasoning is proba- bly rather mathematically than physiologically correct ; it certainly throws little or no light on the pathology of the disease ; and unless the con- tributions of others in this department had been of a more definite description, our practice in regard to dropsy would not have been improved. As it is now ascertained that congestion or in- flammation of the capillary vessels is, in the greater number of instances, the cause of dropsy, we are enabled to bring into operation some of the most powerful means we possess for exciting or depressing the powers of the system according to the character of the symptoms. Depletion, sudorifics, and emetics are the most efficient agents we possess, when judiciously employed, for removing an inordinate exhalation of serum, and for re-establishing a healthy action of the secre- tory and absorbent organs. If we endeavour to enquire how congestion gives rise to serous accu* 458 THE LAWS OF ORGANIC mulations, we are immediately lost in conjectures or fanciful opinions. It is much better, in the present state of physiologial science, to seize and act on what is certain, and, unless the facts which are possessed allow us to secure a step beyond these, to rest here. DLXI. Emetics were formerly more fre- quently used in dropsical affections than at the present day. Fashion, which regulates the most trifling concerns of mankind, has gradually in- fluenced the employment of emetics that regard the powers of life. Every class of medicines is subject to these changes of favour, and from very obvious causes. By experience, or chance, it is discovered that particular substances or means act almost as specifics in this or that kind of diseases. This .fact is no sooner proved than the practice is immediately employed generally by others in the same class of diseases : in some it is found to be beneficial, but in the greater num- ber to be injurious or inefficient. When physiolo- gy and pathology have made us better acquainted with the natural or morbid action of the most im- portant functions of the animal economy, we shall then see more clearly than we do, even at present, the absurdity of prescribing remedies, however much extolled, without taking into con- sideration, the varieties of constitution, the influence of pursuits or habits, the extent or character of the disease, the exciting cause, and the season of the AND ANIMAL LIFE. 459 year in which the affection occurs. From want of these considerations, medicines of few virtues have occasionally been praised as specifics, and others deserving of this character have been thought to be perfectly harmless. DLX. Although inflammation or conges- tion may be the cause, in the greater number of cases, of serous effusions, yet I am disposed to think that these, independently of obstacles to the free circulation of blood, are occasionally the consequence of debility, without this being cha- racterized by either of the above conditions. This opinion is supported by MASON GOOD ; but the authority of this physician, in regard to phy- siological or pathological subjects, cannot be con- sidered great. Debility generally induces con- gestion in those tissues of the body that exhibit a dropsical diathesis. DLXI. Other substances besides those which are employed as emetics, such as digitalis, squills, and tobacco, are frequently used, and with good effect, in the different kinds of dropsies. These me- dicines have one common tendency, viz. to produce nausea, and consequently to act powerfully on the sanguiferous system. If the diseases, in these cases, be the result of an inflammatory action, the changes in the distribution and qualities of the blood will tend to destroy this condition ; and in proportion as this is accomplished, the capil- lary vessels will return to their normal state. 460 THE LAWS OF ORGANIC This reasoning is intended to apply principally to inflammation supposed to be accompanied by an increased action in the vessels affected, and not when these are particularly oppressed by congestion. If the latter condition be imagined to be present, vomiting will be beneficial, as the efficacy of its operation is communicated to the circulation and properties of the blood, improv- ing the irregularity of the one and the deficient stimulating agency of the other. DLXII. If we, for a moment, lay aside the theories of inflammation, and also the considera- tion of the manner in which different causes act, that predispose to or excite dropsy, there are two states of the system which co-exist with, or characterize, the different species of this general class of diseases, too important to be overlooked. In the one, we have unequivocal symptoms of in- flammation ; in the other, the absence of every sign indicative of excited action. The former has been proved to be most successfully treated by those medicines and measures that lessen the inflammatory action, such as by digitalis, squills, and tobacco, and also by the frequent abstrac- tion of blood. The latter, apparently depending on manifest debility, has been prescribed for in almost every possible way. In regard to this the treatment is continually changing, as no par- ticular line of practice has been discovered to authorise the physician to persevere long with AND ANIMAL LIFE. 461 confidence in any plan, unless attended by al- most immediate improvement of symptoms. DLXIII. From obvious local effects, we are sometimes enabled to estimate the nature and extent of general effects, which are otherwise not to be appreciated, produced by the opera- tion of those causes which are supposed to have occasioned consequences only of a circumscribed character. Vomiting has often been found use- ful in dropsies of the scrotum and ovarium. The good result has generally been attributed to the sympathy existing between the stomach and these organs of the body. The disease is readily traced to those causes which derange the circu- lation of blood in the part ; and I have already endeavoured to prove, by direct experiment, that vomiting has a more extensive action than the mere agitation of the system, or the awakening of any mysterious sympathy. Its operation tends to improve the properties of the bloodby diminish- ing the proportion existing in the lungs, agree- ably to the principles of the first chapter, and it also tends to equalize the distribution of the same throughout the body. These two important conditions are not confined to any single organ of the system, but are common to every viscus and tissue. Is it not, therefore, probable that the accumulated serum disappears from an ex- cited action in the absorbents, derived exclusive- ly from these two conditions of the sanguiferous sys- 462 THE LAWS OF ORGANIC, &C. tern ? If twenty such local diseases affected the body at the same time, they would all be simi- larly benefited by these general alterations. DLXIV. If the serous accumulation be as- cribed to diminished absorption, we possess no agents that are so well calculated to excite the diseased function of the absorbents as the whole class of emetics ; or if we suppose this to arise from increased secretion or exhalation, the same means will be equally efficient in correcting the disordered function. It may probably be ex- pected that I should explain more particularly how the absorbents and secernents are affected by the exhibition of emetics. In the present state of our physiological knowledge, it is much better to collect and adhere to a few established facts than to attempt to form a complete sys- tem by the assemblage of vague opinions and fanciful hypotheses. APPENDIX. APPENDIX. IN XI. XII. page 8 and 9 I have spoken of the in- fluence of inspirations when they preponderate either in number or perfection over the expirations. I have observed that, in such cases, they have the tendency to determine the blood to the internal organs. It may appear to some impos- sible that either expirations or inspirations can have an as- cendancy, since it seems necessary that the quantity of air expired, must, upon the whole, be equal to that which is in- spired. But, if we carefully consider the phenomena which accompany either of these respiratory acts, we shall be con- vinced of the correctness of the above statements. When an individual speaks vehemently, or runs violently, he very soon exhibits shortness of breathing. We perceive that the chest and the shoulders, immediately after the exercise, are raised with great force, arising from the very deep inspirations which the individual is necessitated to make, in order to re-establish in the lungs the ordinary quantity of air, which has been expended in those efforts of the system at- tendant on running and vehement speaking. Most indivi- duals can count 30 or 40, commencing with unit, without taking one inspiration. When they arrive at the limit be- yond which they cannot pass, they are observed to make a very deep inspiration, which draws in at one time the same quantity of air which had been expelled by 30 or 40 previous Gg APPENDIX. expirations. The proof of this is, that they can recom- mence counting with facility. In this illustration we per- ceive that one inspiration is equal to 30 or 40 expirations, therefore we can say that an inspiration is perfect or com- plete according to the effects which it produces. The orator can speak for hours without experiencing the want of breath ; but this circumstance is evidently to be attri- buted to the constant pauses, inseparable from temperate or even energetic speaking. Inspirations may preponder- ate either in number or perfection, from different causes. In one instance, the momentary depressing states of the mind, in the other similar mental conditions, but of a less acute nature, as for example grief, will occasion them. In the latter, the occasional sighs are Inspirations, which in- dicate, in many circumstances, a disordered state of the circulation of blood In the lungs. When inspirations occur in consequence of sudden emotions of the mind, they are excited by impressions which the sensorium has re- ceived from some external object ; but when they take place in depressing passions of a continuous nature, they are occasionally to be referred to congestion of blood in the lungs, conjoined with the operation of the mental cause. And I may here remark, that, although this preponder- ance of the one act of respiration over the other is only temporary, and their equilibrium is soon restored, yet the irregularity is often of sufficient continuance to admit of changes taking place fully calculated to account for the morbid results attributed to them in this work. In CCLVI. in speaking of the division of the par va- gum in the different experiments performed to elucidate its function, I omitted to state the situation in which the nerve was divided. The division was generally made about three-quarters of an inch below the glottis. APPENDIX. 3 In page 321, I have stated that the only function imme- diately relieved by paracentesis abdominis, is that of res- piration. Alvine evacuations are sometimes directly pro- moted by the same means. The relief which is given to the function of respiration is obvious, and seldom fails to succeed the operation ; whereas, the intestines are only oc- casionally acted upon in a manifest and beneficial manner by the influence of the same cause. In CCCCXXII. several theories have been proposed to explain the various symptoms which are exhibited by those who ascend very lofty mountains. SAUSSURE, who had ascended Mont Blanc, and who had observed the different phenomena of the system consequent on such an exertion, as bleeding from the lungs, an unusually turgid and florid ap- pearance of the body, and a distended state of the blood- vessels, imagines that, owing to the great rarefaction of the air, the usual quantity of oxygen is not inspired, and, con- sequently, the blood does not undergo its usual changes in the lungs. This opinion, as Dr CARSON justly remarks, is incorrect,* as the symptoms are not such as characterize the breathing of air in which there is a deficiency of oxy- gen. There is one observation of SAUSSURE which shows that the explanation which he proposes cannot be consider- ed sound. He says, the difficulty of breathing and faint- ness almost immediately ceased when the individual rested, and as speedily commenced with the exertions which were made to ascend. This phenomenon clearly proves that the rarefaction of the air is not the only cause ; the indi- vidual, when he rested, breathed with his ordinary free- dom, but when muscular action was employed his respir- ation became difficult. The condition of the atmosphere, in both instances, is the same. * An Enquiry into the Causes of the Motion of the Blood, p. 197. 4 APPENDIX. Dr CARSON endeavours to obviate the objections which are made to the theory of SAUSSURE. He attempts to prove that muscular exercise prevents the free return of blood to the heart, and, therefore, when an individual rests in a horizontal position, the blood is transmitted in its usual way to the thorax, and consequently revives the sinking powers of the system. This idea appears plausible, but, if minutely examined, it can scarcely be allowed to be cor- rect. Exercise alone seldom or never produces the peculiar symptoms which are described by SAUSSURE and others as occasioned by an ascent to Mont Blanc, and it has already been observed, that the rarefaction of the air is alone insuf- ficient to give rise to the same symptoms : it is, therefore, manifest, that it is the combination of these two agents, co- operating, as stated in the text, that tends to disturb the whole of the sanguiferous system. In page 39 I allude to a small machine which I con- trived for the purpose of inflating rabbits with warm air. It was constructed as follows : A common syringe, of about two inches and a half long, was placed in the centre of a small tin box, an inch and a half deep. A brass tube, about the size of a large crow- quill, was connected with the syringe, in order to ad- mit the egress of air from, and ingress into it. There was also another brass tube, about one-fourth of the dia- meter of the preceding, two inches long, soldered to the end of the syringe, which protruded without the box, and which was connected at pleasure to the tube inserted into the trachea of the animal. The box was placed upon four tin legs of two inches and a half long, and was also covered by a lid. The box was filled with water, and af- terwards a spirit-lamp was placed underneath, which very soon heated the water in contact with the syringe, and as APPENDIX. the air, before it passes into the lungs of the rabbit, has to traverse the syringe, it is necessarily warmed by the heat- ed parietes. As it might have been stated that the air, which was sent in, heated the animal to an inordinate extent, I endeavoured to obviate such an objection by ascertain- ing the temperature of the air during the whole process of inflation. A wooden box, about the size of a walnut, was made of two parts ; the bulb of a thermometer was placed within, and when these parts were joined, the neck of the instrument was firmly embraced. The box was after- wards rendered perfectly air-tight by means of sealing- wax. At each end of this box was a small brass tube, one of which was connected, at pleasure, to the tube sol. dered to the end of the syringe, and the other to the tube inserted into the trachea of the animal. As the air passed through the heated syringe into this box before it reach- ed the lungs of the animal, the mercury was raised or de- pressed according to the temperature of the medium to which it was subjected. In this way it is easy to estimate the temperature of the air which is sent in, and, by keep . ing it many degrees beneath the heat of the system, we are enabled to make the conditions of artificial inflation some- what similar to those belonging to natural respiration. Two wooden screens, separated by about four inches from each other, intervened between the animal and tin box. The machine was shown to Dr MILLIGAN, and he approv- ed of the contrivance : It was also exhibited and explain- ed by him to his Physiological Class in the Session of 1829- THE END. J-)hn Moir, Printer, Edinburgh.