& % ON THE FCETUS IN UTEKO AS INOCULATING THE MATERNAL WITH THE PECULIARITIES OF THE PATERNAL ORGANISM. SERIES OF ESSAYS NOW FIRST COLLECTEB. ALEXANDER HARVEY, M.A., M.D., EMERITUS PROFESSOR OF MATERIA MEDICA IN THE UNIVERSITY OF ABER- DEEN ; CONSULTING PHYSICIAN TO THE ABERDEEN ROYAL INFIRMARY ; MEMBER AND LATE PRESIDENT OF THE MEDICO-CHIRURGICAL SOCIETY OF ABERDEEN, AND OF THE HARVEIAN SOCIETY OF EDINBURGH, ETC. LONDON : H. K. LEWIS, 136, GOWER STREET, 1886. [All rights reserved.] J A A * A A SIR ANDREW CLARK, BART., M.D., LL.D., F.R.C.P., F.R.S., SENIOR PHYSICIAN TO THE LONDON HOSPITAL, IN WHICH HOSPITAL, IN 1835, THE ESSENTIAL PRINCIPLE OF THIS WORK FOUND FULL EXPRESSION, THIS VOLUME IS INSCRIBED BY THE AUTHOR, IN RECOGNITION OF ATTAINMENTS, PROFESSIONAL, SCIENTIFIC AND PERSONAL, WHICH HAVE WON FOR HIM THE HIGH PLACE LONG HELD BY HIM AS A PHYSICIAN IN THIS METROPOLIS, AND WHICH HAVE, MORE RECENTLY, ARNED FOR HIM HONOURABLE DISTINCTION AT THE HANDS OF THE QUEEN. AND, IN GRATEFUL ACKNOWLEDGMENT, ALSO, OF MANY MUCH-VALUED PROFESSIONAL AND OTHER KIND SERVICES RENDERED BY HIM TO THE AUTHOR. M3700G5 " It is a generally received opinion, I believe, that syphilis in its secondary stage, is not communicable directly to either sex from the other that the disease is not propagated unless there exist an open chancre ; and this accords with my observation. But it appears to me probable, that if a previously healthy woman conceive of an ovum tainted by syphilitic virus derived from its father, her system may become inoculated during the progress of ges- tation, in consequence of the close vascular connec- tion existing between it and herself ; for it has fallen to my lot to see more, than one case in which a young woman, united to a man labouring under obstinate secondary symptoms, remained healthy for some months after marriage, but became the sub- ject of the same disease in its secondary form soon after impregnation had taken place ; and I have con- sidered that, in such a case, the mother derived the disease,, not directly from the father, but from the affected infant which she carried in her womb."- FRANCIS H. RAMSBOTHAM, M.D.- Medical Gazette, May 23, 1835. PREFACE. THE Essays five in number comprised in this small volume, are, virtually, reprints of papers on the subject of Foetal Inoculation contributed by the Author, the first three of them, in 1849-50, to the Edinburgh Monthly Journal of Medical Science, and the fourth, in 1859, to the Glasgow Medical Journal. The fifth and last of the Essays was contributed, in 1866, to the Indian Annals of Medical Science by the Author's son Dr. Robert Harvey, Professor of Midwifery in the Medical College of Calcutta, by whose permission it is appended to this collection. In now again submitting these Essays to the notice of his professional brethren, the Author would observe that, since the inoculation theory was first fully ventilated and brought under discussion, one whole generation of medical men has passed away and been replaced by another ; and that as to these, it is not perhaps going too far to say, that to a large number of them the theory in question is but little known, or known only in name, with but little or no knowledge of particulars, and that to not a few it is not known at all. For, thoroughly well grounded as the theory now is, and important viii Preface. as well as manifold as, by those conversant with it, its bearings are known to be, it so happens that somehow it has as yet received only a passing notice or no notice at all, in our text-books on physi- ology ; while access to the original papers that treated of it and which lie buried in different medical journals, and even in newspapers, is not readily to be had. Such being the case, while the subject is, un- questionably, alike interesting and important, the Author would venture to give expression to a hope that this reproduction of the papers referred to, and that too in a convenient because a collected form, will be not unacceptable to many members of the profession. As far as he could he has striven to weed the Essays of redundancies and repetitions. But it will be obvious, on a moment's reflection, that this could not have been effectually accom- plised without re-casting and re-writing the entire work a task which broken health would have for- bidden him undertaking. 16, HANOVER TERRACE, LADBROKE SQUARE, LONDON, January 21, 1886. CONTENTS. INTRODUCTION ESSAY FIRST. On the Foetus in Utero as Inoculating the Maternal with the Peculiarities of the Paternal Organism ; And On the Influence thereby exerted by the Male on the Con- stitution and the Reproductive Powers of the Female . APPENDIX. The Count de Strzelecki : His Law of Relative Sterility . 23 ESSAY SECOND. On the Foetus in Utero as Inoculating the Maternal with the Peculiarities of the Paternal Organism, etc. (continued) 35 ESSAY THIRD. On the Foetus in Utero as Influenced in its Development by Mental States in either Parent ..... 57 Contents. ESSAY FOURTH. PAGE On the Fcetus in Utero as the Channel of Transmission of Constitutional Syphilis from the Male to the Female Parent ......... 79 APPENDIX. The Count de Strzelecki : Exceptions to his Law Mr. Savory: his Researches 117 ESSAY FIFTH. Remarks on a Case by the late Mr. Hey, of Leeds, Illustra- ve of the Transmission through the Fretus of Secondary Syphilis from the Male to the Female Parent . .123 INTKODUCTION. THE first three of the Essays in this Collection, those which appeared in 1849-50, arose out of an article of great interest which was contributed to the Aberdeen Journal newspaper in 1849, by Mr. James Macgillivray, of Huntly, a veterinary surgeon in Aberdeenshire. In that article Mr. Macgillivray made it his business not merely to propound the theory of Foetal Inoculation the idea of which had independently suggested itself to his own mind- but to state also the grounds on which he advanced it. In his view it is only on such a principle that certain phenomena arising out of cross-breeding can satisfactorily be accounted for phenomena long familiar to persons engaged in the breeding of different kinds of animals. Struck with the novelty, and, he may add, with the reasonableness of the view presented in that article, based on the intimate vascular connection subsisting between the Foetus in utero and its mother, the Author kept a firm hold of it, and following it out as best he could and as opportunity offered, he made inquiry about it in all quarters, xii Introduction. and as well among cattle-breeders as among his professional brethren. The result was the publi- cation that same year and the year following of the papers referred to. Further, in the hope of engag- ing the co-operation in this inquiry of the cattle- breeders (a large body in Aberdeenshire) the Author published, in 1851, a pamphlet on the subject, dedi- cated to the Highland and Agricultural Society of Scotland, and embodying in a popular form the sub- stance of those papers. This pamphlet bore the title of " On a Remarkable Effect of Cross-Breed- ing." These papers and this pamphlet served the pur- pose aimed at in their publication. The theory thus floated was taken in hand by the profession and by cattle-breeders. The subject was kept alive and largely inquired into. A large body of facts was brought together, and the theory, it may now be confidently affirmed, has come to be accepted as a truth a law in physiology, and one, too, of the highest importance practically. The Author had for many years looked upon Mr. Macgillivray as entitled to the paternity of this very beautiful theory. And so far he does so still. The idea of it was entirely original with him ; and at the time he advanced it, it had no place in any of our physiological works, text-books, or records. In none, at least as far as known to the Author, save one the old London Medical Gazette for May 23, 1835. Its issue that day contained the report of a lecture on " Abortion," delivered at the London Hospital by Dr. Hamsbotham. In that Introduction. xiii lectnre Dr. Ramsbotham made the very striking announcement of the theory which stands on the page facing the Preface to this book. It speaks for itself as the fullest yet the most concise, the clearest and most explicit expression of the theory that can well be given. Yet it had long lain in that periodical virtually dead and buried. By the merest chance it was that the Author lighted on it there in 1856, twenty-one years after its publica- tion.* It does not appear whether Dr. Eamsbotham ever did more than give this expression of the theory. If he did, it is nowhere to be met with, and it is certain that nothing came of it. Pity it is for his own sake that, having himself worked out the idea of it, although as only probably true, he did not keep hold of it and look more deeply into it. Had he done so he could scarcely have failed to see the nail straight ahead of him, and so as to have driven it home that is, he could scarcely have failed to see the actual truth of the theory ; nor this alone, but to see it also as a truth of no mean importance and of wide application in physiology and pathology. This much it is due to the memory of Dr. Ramsbotham (a man highly esteemed in his day) to take note of in connection with this sketch of the evolution of the theory. In now presenting the papers referred to (the * Dr. Montgomery, of Dublin, refers to it in the second edition of his great work, published in 1856, not in the first, published in 1837. But he does not say when he came to the knowledge of it. xiv Introduction. pamphlet on Cross-Breeding alone excepted) in a collected form, under the name of Essays, to his professional brethren, the Author desires it to be understood that he claims no credit in respect of the theory of Foetal Inoculation beyond that of calling attention to it. He did not suggest the theory, and (as will be seen in these pages) he has uniformly disclaimed the paternity whenever ascribed to him by correspondents. As already observed, he only floated it out into the world the professional world and the agricultural . This credit, however, he does claim, and he deems it credit enough. As to who it is that is entitled to claim the paternity, or rather, in behalf of whom that claim ought in fair- ness to be set up, whether in behalf of Dr. Rams- botham or of Mr. Macgillivray both of them long since dead or of any one else rather than of either of these, there may be difference of opinion. But, iudeed, as regards controversial discussions on the pretensions of different observers to priority of dis- covery, the Author cordially concurs in a remark made by Dr. Alison to wit, that " a much greater and more enduring interest attaches to the determi- nation of truth, than to the adjustment of any such personal claims." As to the two observers just named, however, it is clear that from the facts before them they both arrived, independently, at identical conclusions, the only difference between them being one as to time the one being fourteen years in advance of the other. If there be any other difference it lies in the kind of the facts from which they severally deduced their common con- Introduction. xv elusion, resting it, the one on pathological, the other on physiological facts. In this brief Introduction the Author, for the most part at least, has confined himself to his own particular relations to the subject of these Essays, and to the circumstances under which those of them that were contributed by himself were written. In the Essays themselves reference is made and full justice done (it is hoped) to those and these not a few that have aided in the evolution of this theory, or, rather, this LAW of FOETAL INOCULATION. FROM THE EDINBURGH MONTHLY JOURNAL OF MEDICAL SCIENCE, For October, TS49. ESSAY FIRST. ON THE FOETUS IN UTERO, ETC. INSTANCES are sufficiently common among the lower animals where the offspring exhibit, more or less distinctly over and beyond the characters of the male by which they were begotten, the peculiarities also of a male by which their mother had at some former period been impregnated, or, as it has been otherwise expressed, where the peculiarities of a male animal that has once had fruitful intercourse with a female, are more or less distinctly recog- nized in the offspring of subsequent connections of that female with other males. * A young chestnut mare, seven-eighths Arabian, belonging to the Earl of Morton, was covered in 1815 by a quagga, which is a species of wild ass from Africa, and marked somewhat after the manner of the zebra. The mare was covered but once by the quagga; and, after a pregnancy of eleven months and four days, gave birth to a hybrid which had distinct * Alison, Outlines of Physiology, 3rd. Ed., p. 443. B 2 4 Essays on the marks of the quagga, in the shape of its head, black bars on the legs and shoulders, &c. In 1817, 1818, and 1821, the same mare (which had in the meantime passed into the possession of Sir Gore Ouseley), was covered by a very fine black Arabian horse, and produced successively three foals, all of which bore unequivocal marks of the quagga.* Several other examples illustrative of the general fact above stated will presently be given. Great difficulty has been felt by physiological writers in regard to the proper explanation of this kind of phenomena. They have been ascribed by some to a permanent impression made somehow by the semen of the first 'male on the genitals, and more particularly on the ova, of the female ; and by others to an abiding influence exerted by him on the imagination of the female, and operating on her mind at the time of her connection subsequently with other males, and perhaps during her preg- nancy. But they seem to be regarded by most physiologists as inexplicable. Very recently, in a paper published in the " Aberdeen Journal, "t an intelligent veterinary surgeon, Mr. James M'Gillivray, of Huntly, has offered an explanation, which seems to me to be the true one. His theory is set forth in the following statements quoted from that paper : " When a pure animal of any breed has been pregnant to an animal of a different breed, such pregnant animal is * Philosophical Transactions, 1821, p. 20 ; Dunglison's Human Physiology, 3rd. Ed., vol. ii. p. 387. f March 21 and 28, 1849. Fcctus in Utero. 5 a cross ever after ; the purity of her blood being lost, in consequence of her connection with the foreign animal ; " and again : " If a cow, say of the pure Aberdeenshire breed, is in calf to a bull of the short- horn breed (known as the Teeswater breed), in pro- portion as this calf partakes of the nature and physi- cal characters of the bull, just in proportion will the blood of the cow become contaminated, and herself a cross, for ever incapable of producing a pure calf of any breed." " It is maintained, therefore (Mr. M'Gillivray adds), that the great variety of non- descript animals to be met with are the result of the crossing system; the prevailing evil of which is the admission of bulls of various breeds to the same cow, whereby the blood is completely vitiated" In explanation of his theory, Mr. M'Gillivray enters into particulars as to the nature of the con- nection subsisting between the foetus in utero and its mother, with the view of showing (what seems to him essential to the validity of the theory) that there is a direct vascular communication between the two ; and that, while a portion of the mother's blood is continually passing by direct transmission into the body of the foetus-, the latter returns to the former so much of that blood as is not needed by it, and that this superfluous blood, after circulating through the system of the foetus, passes as directly into the system of the mother, and, commingling with the rest of her blood, destroys its purity, con- taminates, vitiates it. Mr. M'Gillivray is quite wrong, I apprehend, in assuming that there is, in any case, a direct vascu- 6 Essays on the lar connection between the foetus and its mother. Nor does the assumption appear to me at all neces- sary to establish the theory. But waiving, for the present, all discussion of that point, it may here be observed that Mr. M'Gillivray regards the influence exerted by the male on the female animal, through the medium of the foetus, as constitutional ; and perhaps the best general expression of the theory is, that the foetus, partaking, as it must, of the characters or peculiarities of its father, inoculates therewith the blood, and, generally, the system, of its mother. The subject now opened up is certainly one of great interest in general physiology, as well as of considerable practical importance to breeders. It cannot but be interesting to inquire whether the fact instanced in Lord Morton's mare, is or is not a general law in animal physiology ; and, if it be, whether and how far it is modified in its operation, in different animals, and under different circum- stances. But to the human physiologist, and to the physician, it is of more immediate interest to inquire whether or not the fact extends also to his own species ; and, if it does, to ascertain how far it applies, and whether it does not admit of illustra- tion by, and serve itself, in its turn, to illustrate certain known facts in regard to, the communication and the constitutional effects of the syphilitic and other morbific poisons, the scrofulous diathesis, &c. And, in particular, it can hardly fail to suggest some such curious questions as the following, viz. : Foetus in Utero. J 1st, Whether, in the case of a woman who has been twice married, and borne children to both husbands, the children borne to the second husband ever, or generally, partake of the peculiarities of the first husband. 2nd, Whether, in a family of several children, the younger children, rather than the elder, are disposed, cceteris partbus, to exhibit the characters of the father. 3rd, Whether a woman who has borne several children by the same husband, may not ultimately acquire some of the physical characters, or at least imbibe and manifest some of the morbid tendencies, of the latter. In treating further of this singular subject, I shall first state the facts at present known to me regard- ing it ; and, secondly, consider the theories offered in explanation of it. L In regard to the facts of the subject, these will be most conveniently noticed, first in relation to the lower animals; and, secondly, in relation to the human species, (1.) As regards the brute creation: Besides the instance already quoted of the mare belonging to Lord Morton, there is another similar case recorded. A mare belonging to Sir Gore Ouseley was covered by a zebra, and gave birth to a striped hybrid. The year following, the same mare was covered by a thoroughbred horse, and the next succeeding year by another horse. Both the foals thus produced were striped, i.e., partook of the character of the 8 Essays on the zebra.* And it is stated by Haller, and also by Becker, that when a mare has had a -mule by an ass, and afterwards a foal by a horse, the foal ex- hibits traces of the ass.f In the foregoing cases, the mares were covered, in the first instance, by animals of a different species from themselves. But cases are recorded of mares covered in every instance by horses, but by different horses, oh different occasions where the offspring partook of the characters of the horse, by which impregnation was first effected. Of this Mr. M'Gil- livray gives two examples. Thus, in several foals, in the Royal stud at Hampton Court, got by the horse Actceon, there w r ere unequivocal marks of the horse Colonel : their dams, however, had been covered by Colonel the previous year. Again, a colt, the property of the Earl of Suffield, got by Laurel, so resembled another horse, Camel, " that it was whis- pered, nay, even asserted, at Newmarket, that he must have been got by Camel." It was ascertained, however, that the mother of the colt was covered, the previous year, by Camel. It has often been observed, also, that a well-bred bitch, if she have been impregnated by a mongrel- dog, w T ill not, although lined subsequently by a pure dog, bear thorough-bred puppies in the next two or three litters. J * M'Gillivray, " Aberdeen Journal," March 28, 1849. Paint- ings of these animals and their skins are said to be preserved in the Museum of the Royal College of Surgeons of England. t Haller, Element. Physio]., viii. p. 104 ; Becker, Physic. Sub- terran. Lips., 1703. Quoted from Dunglison's Physiology, vol. ii. p. 387. J Kirkes' Handbook of Physiology, p. 613. Foetus in Utero. 9 The like occurrence has been noticed in respect of the sow. A sow of the black and white breed (known as Mr. Western's breed) became pregnant by a boar of the wild breed, of a deep chestnut colour. The pigs produced were duly mixed, the colour of the boar being in some very predominant. The sow being afterwards put to a boar of the same breed with her own, some of the produce were observed to be stained or marked with the chestnut colour that prevailed in the former litter. And, on a subsequent impregnation, the boar being still of the same breed as the sow, some of the litter were also slightly marked with the chestnut colour. What adds to the value of the fact now stated is, that in the course of many years' observation, the breed in question was never known to produce pro- geny having the smallest tinge of the chestnut colour.* Breeders of cattle are familiar with analogous facts as occurring in the cow. A pure Aberdeen- shire heifer was served with a pure Teeswater bull to whom she had ^first-cross calf. The following sea- son, the same cow was served with a pure Aberdeen- shire bull ; the produce was a cross calf, which at two years old had very long horns, the parents both * Philosophical Transactions for 1821, p. 23. "Apart from a state of domestication," says i\tr. M'Grillivray, " I do not believe that there is one solitary instance in which an animal has produced offspring of various colours. Animals, left entirely to the opera- tion of natural causes, never exhibit this sporting of colours ; they are to be distinguished by various and often beautiful shades of colour ; but then each species is true to its own family tjpe, even to a few hairs or small parts of a feather.'' io Essays on the hummel.* A pure Aberdeenshire cow was served, in 1845, with, a cross bull i.e., an animal produced between a first-cross cow and a pure Teeswater bull. To this bull she had a cross calf. Next season she was served with a pure Aberdeenshire bull the calf was quite a cross in shape and colour, f Mr. M'Gillivray, after narrating the whole of the foregoing examples, says : " Many more instances might be cited, did time permit. Among cattle and horses they are of every -day occurrence." (2.) As regards the human species. The facts bearing on this division of the subject are exceed- ingly few, and not to be relied on ; and the observa- tions which follow are intended rather to suggest and direct, than to satisfy, inquiry. Dr. Allen Thomson, in his article on Generation, in the " Cyclopaedia of Anatomy and Physiology," remarks : " It is affirmed that the human female, when twice married, bears occasionally to the second husband, children resembling the first, both in bodily structure and mental powers." And Dr. George Ogilvie, of this city, informs me of a case, which fell under his own observation, where a woman was twice married, and had children by both husbands, and where the children by both marriages were scrofulous, although only the first husband had marks of that diathesis ; the woman herself, and her second husband being to all appearance quite healthy. Dr. Ogilvie's case is clearly beset by so many sources of fallacy, that we cannot venture at pre- * M'Grillivray, loc. cit. f M'(jilliviay, loc. cit. Foetus in Utero. 1 1 sent to regard it as a case in point. Dr. Thomson does not bring forward any instances, nor offer any proof, in support of his statement ; and, indeed, he gives it, without saying whether he thinks it well or ill-founded. Any such statement, it is plain, based on observation of the children of European parents i.e., where the female and both her hus- bands and their children are all white must be comparatively difficult of verification ; but it is equally plain that means exist for subjecting it to a pretty decisive test. There are equally distinct breeds of the human family as of any of the lower animals ; and all that seems requisite in regard to determining the question under consideration is, to observe accurately whether the children of European parents, where the woman has, in the first instance, had offspring by a negro, exhibit traces of the latter in the colour of the skin, the form of the features, &c. ; or, vice versa, whether the children of negro parents, where the woman had, first of all, been impregnated by a European, exhibit the peculiarities of the latter. Of the former case, a medical friend informs me that he recollects hearing of an instance of the kind as occurring in this neighbourhood, but cannot vouch for the truth of it. Of the latter case, if the general fact applies to the human species, instances must abound in our West India colonies, in the United States of America, and in other parts of the world. My colleague Dr. Dyce tells me, that he has certainly known one instance (if not more) where a Creole woman bore fair children to a white 12 Essays on the man ; and that the same woman had afterwards to a Creole man other children, who bore much re- semblance to the white man, both in features and in complexion. But two very intelligent friends the one a West India proprietor, the other a medical man both long resident in Jamaica, tell me that they never noticed, nor ever heard of an instance of the kind, although connections of that sort are common there, and children born under such cir- cumstances very numerous. It is singular, indeed, if instances of the fact in question do occur, and still more, if they are of frequent occurrence, that they should not be notorious. It is conceivable, however, and by no means improbable, that cases do exist, but that they have been overlooked from the traces of the European being so minute as to escape ordinary observation, and that the fact has remained unknown from special attention never having been directed to it. If the male does exert any such influence as is here in question on the constitution and the repro- ductive powers of the female, it is conceivable that, by each successive impregnation effected by him, that influence may be increased ; and, if so, the younger children begotten by him, rather than the elder, might be expected, cceteris paribus, to bear their father's image. And this more special fact, if ascertained, would establish also the more general one. I am not aware, however, of any specific facts bearing upon it, nor of any popular notions regarding it. But my colleague Dr. Laing is cog- nizant of the case of an English gentleman who Foetus in Utero. 13 had a large family by a negro woman, in the West Indies, and where the children successively ex- hibited more and more the European features and complexion. But, however this may be, there is a popular belief that, in the course of years, a woman cornes to resemble her husband, and that not merely in respect of temper, disposition, or habits of thought, but in bodily appearance. But, in as far as the notion may hold good, it may be true only of the features, and of these only as they indicate or be- speak the inward feelings of the mind, which, from long and familiar intercourse, may, to a certain extent, become common to man and wife. In as far as the notion is true in any other respect, and the parties have had several children, it may sug- gest the question, whether the assimilation is not referable to an influence exerted by the husband, through the medium of the foetus in utero, on the constitution of the wife ? The question is probably an idle one, and the notion only a popular error. In as far, however, as there is anything in it, the explanation suggested gives a peculiar, and it may be added, a physiological significancy to the lan- guage of Scripture relative to man and wife, at least when their intercourse has been fruitful "They twain shall be one flesli" It is of more immediate interest, however, and of greater practical moment, to ascertain whether, through the medium of the foetus, the husband may impart to his wife either the syphilitic virus, or the scrofulous diathesis, or any other constitu- 14 Essays on the tional morbid tendency (e.g. insanity) which he may possess. Facts are wanting on this subject ; but it is not undeserving of patient inquiry. Dr. Ogilvie's case, formerly referred to, if it could be relied on, would be an instance of it. Before the mother could have imparted the scrofulous taint to her offspring by the second husband, she must her- self have imbibed it from her first husband through o the medium of his offspring while in utero. And, although still seemingly free of the taint, it may have required only the appropriate external con- ditions to call it into full activity in her own per- son. And, with regard to the syphilitic poison, there is no difficulty in understanding, and it is quite within the bounds of probability, that the foetus, if contaminated with it by its father, may convey it to the mother. Messrs. Maunsell and Evanson, after mentioning that they have notes of the case of a syphilitic child, whose mother had been infected by a former husband (they do not say in what way) and to all appearance cured five years before its birth the father of the child (her second husband) being in good health, state that their experience would enable them to adduce many curious facts bearing on the communication of the syphilitic poison.* Perhaps their experience might furnish an affirmative solution of the question at issue. It has been affirmed, indeed, that a man who has once had syphilis, but been seemingly cured of it for many years, may yet so retain the * On the Management and Diseases of Children, 5th edit. pp. 452-3. Foetus in Utero. 15 taint of it as to contaminate his offspring, without, at the same time, tainting his wife. Very possibly. But this does not prove that he may not contami- nate his wife also ; and the observation itself is in that respect fallacious, inasmuch as in any given case of the kind, the wife may really have imbibed the virus, although in a latent form, and might subsequently give proof of the reality of the fact by tainting the offspring begotten by another and a perfectly healthy husband. Adopting this view, it may be found of importance, in contemplating marriage with a widow, to inquire into the consti- tutional peculiarities of her deceased husband. II. Of the general fact now under consideration, and clearly established in respect of the lower animals, only two explanations, that are at all rational, have been offered. The first is that sug- gested by the great Haller, who ascribes it to a permanent impression made by the semen of the male on the genitals, and more particularly on the ova, of the female ; the second, that suggested by Mr. M'Gillivray, who ascribes it to an influence exerted by the foetus in utero on the constitution of the mother. The notion entertained by Sir Everard Home and others, that it is an affair of the im- agination, seems too absurd to require serious con- sideration. Haller's knowledge of 'the subject appears to have been very limited, and his explanation of it to have been offered incidentally. He was aware that when a mare has had a mule by an ass, and after- 1 6 Essays on the wards a foal by a horse, the foal exhibits traces of the ass ; and he remarks, " that the female organs of the mare seem to be corrupted by the unequal copulation with the ass,"* *.., that the semen of the latter exerts an influence on the genitals, and, of course, on the ova of the mare, which appears sub- sequently on the impregnation of these ova by males of her own species. t It may be stated, in support of Haller's theory, that, in the case of birds, a single intercourse is known to impregnate many eggs which are laid successively after it ; but, on the other hand, the influence of such intercourse extends only to the eggs of one season, or rather of one brood, the several eggs being laid in tolerably quick succes- sion, and all of them probably in a state of maturity, and actually impregnated at the time of that inter- course. This fact, therefore, goes but a short way to favour Haller's theory, and may, indeed, be said to tell as much against as for it. And if it shall be clearly ascertained (as seems presently to be the belief of physiologists), that any single ovum re- mains but a short time in the ovary, Haller's theory must be given up. But even if it could be shown that an ovum may remain in the ovary for a series * Dunglison's Physiology, vol. ii. p. 387. t Dr. Kirkes also appears to regard the cause as a local one. Referring to Lord Morton's case, he observes, "The single im- pregnation, by the seminal fluid of the quagga, had impressed its character not only on the ovum then impn gnated, but on the three following ova impregnated by horses." Handbook of Physiology, p. 614. Such, too, is Mr. _ Mayo s view. Physiology, 2nd Ed., p. 490. Fcetus in Utero. 17 of years, the fact would be of little value, unless it could also be shown that the semen can exert some definite kind of influence on an ovum, which it does not at the time actually impregnate. There seems little probability, however, of this being done ; and there is one fact known in regard to the ova which makes it difficult to conceive it possible the fact, namely, that unripe or immature ova lie deeply imbedded in the stroma of the ovary. Mr. M'Gillivray's theory seems to me to meet the whole facts of the case, and to derive support from a great variety of facts in regard to the reception and constitutional effects of morbific poisons and morbid diatheses. Mr. M'Gillivray, indeed, supposes, as was for- merly noticed, that there is a direct vascular con- nection between the foetus in utero and its mother ; and he seems to consider the validity of his theory to hinge on this assumption. The assumption, however, is untenable, nor is it at all necessary for the establishment of the theory. The researches of Dr. John Reid and of Mr. Goodsir, on the structure of the placenta, have demonstrated that the con- nection is indirect only the foetus and the mother imbibing materials from each other, very much in the same way that the lacteal vessels take up the nutritive portions of the food in its transit along the small intestines ; or that the roots and leaves of vegetables take up nourishment from the soil and the atmosphere, the materials imbibed, in each case, passing through a pervious, but not a per- forated, tube or membrane, and being taken up by c 1 8 Essays on the a real act of absorption, during which act they are more or less altered in their character, or assimi- lated. But, independently of the considerations now stated, it appears from the observations of Prevost and Dumas, and of others, that the cor- puscles of the foetal blood are differently shaped from, and, in the later stages, larger than those of the mother* a fact which shows, at least, that no entire corpuscles of blood are transmitted from the one to the other, and, indeed, taken in connection with the facts ascertained as to the structure of the placenta, proves that it is by transudation only that the contents of the uterine and foetal vessels mutu- ally pass into each other. In so doing, the materials in question are more or less altered in their character, or undergo what physiologists term a process of assimilation. In the case of the lacteal vessels, the chyle which they contain can never be detected as such in the alimentary mass ; nor is the sap of vegetables precisely the same fluid that exists in the soil and in the air. In like manner, the blood in the um- bilical vessels doubtless differs from that existing in the uterine sinuses. At the same time, the assimilating process does not go the length probably in any case of wholly changing the character of the fluids concerned in it; and there is reason to believe, that, in different cases, it proceeds to a very different extent in some the change effected * Alison's Outlines of Physiology, 3rd. edit. p. 426. Kirkes' Handbook, pp. 66-7. Foetus in Utero. 19 being to a less extent than in others. And possibly, in the case of the foetus and its mother, the amount of the assimilation is not considerable. No inter- change of corpuscles takes place, but, in respect of the other constituents of the blood, it is difficult to conceive why they should not be transmitted nearly unchanged. Professor Simpson (the late Sir James), of Edinburgh, has recently shown that the small- pox virus may pass unaltered from the mother to the child in her womb, and produce in it the actual disease, even although, by reason of previous vac- cination, the mother may herself remain unaffected by it.* And a similar fact has long been known in regard to the transmission of the syphilitic virus from the mother to the foetus in utero. We can, therefore, have no difficulty in under- standing, in respect of the foetus itself, that, although its connection with the mother is indirect only and merely to the extent of allowing the pas- sage of the liquor sanguinis, and although this may even be so far altered in the passage, the constitu- tional peculiarities, derived to it from its father, and inherent in its blood, may, with the blood, be imbibed by its mother. And when we reflect on the length of time during which the connection between them is kept up, the amount and the activity of interstitial change continually going on in the system of the foetus, the large quantity of foetal blood that must eventually be taken into the vessels of the mother, and the probability that the * Edinburgh Monthly Journal of Medical Science for April, 1849. c 2 2O Essays on the peculiar matter imparted by the male parent to tlie ovum at the moment of impregnation (be its nature what it may, and its quantity never so infinitesimal), assimilates, like a ferment, much of the foetal blood to itself, it does not seem too hard to be believed that the blood and constitution generally of the mother may, thereby, become so imbued with the peculiari- ties of that parent, as to impart them to any off- spring she may subsequently have by other males. ABERDEEN, April, 30, 1849. POSTSCRIPT. In the foregoing essay a question occurs as to whether, in the case of a woman who has been twice married, and borne children by both husbands, the children of the second marriage ever resemble the mother's first husband (pp. 7 and 10). The following additional cases, illustrative of this question, have recently been communicated to me : the first by my friend the Rev. Charles M'Combie, of Tilly four, minister of Lumphanan, in Aberdeen- shire ; the second by Professor (the late Sir James) Simpson, of Edinburgh ; and the third by Professor Pirrie, of Aberdeen : 1. Mrs. , a neighbour of Mr. M'Combie, was twice married, and had issue by both husbands. The children of the first mar- riage were five in number ; of the second, three. One of these three, a daughter, bears an unmistakable resemblance to her Fcetus in Utcro. 21 mother's first husband. What makes the likeness the more dis- cernible is, that there was the most marked difference, in their features and general appearance, between the two husbands. 2. A young woman, residing in Edinburgh, and born of white (Scottish) parents, but who a e mother sometime previous to her marriage had a natural (mulatto) child by a negro man-servant, in Edinburgh, exhibits distinct traces of the negro. Dr. Simpson, whose patient the young woman at one time was, has had no recent opportunities of satisfying himself as to the precise extent to which the negro character prevails in her features ; but he re- collects being struck with the resemblance, and noticed particularly that the hair had the qualities characteristic of the riegro. 3. Mrs. H , apparently perfectly free from scrofula, married a man who died of phthisis. She had one child by him, which also died of phthisis. She next married a person who was to all appearance equally healthy as herself, and had two children by him, one of which died of phthisis, the other of tubercular mesenteric disease having, at the same time, scofulous ulceration of the under extremity. APPENDIX. ON A SINGULAR RESULT, AS REGARDS THE FEMALE, OF FRUITFUL INTERCOURSE BETWEEN THE ABORIGINAL FEMALE OF CERTAIN PARTS OF THE WORLD AND THE EUROPEAN MALE ; AS OBSERVED AND VOUCHED FOR BY THE COUNT DE STRZELECKI,* As bearing more or less directly on the subject of this Essay, the Observations following, as to the Result of the intercourse above indicated, seem to me not undeserving of consideration. They clearly point to a constitutional influence of some kind as exerted by the Male, through the medium of the Foetus, on the system of the Female. The Count de Strzelecki's own statement as to the Result in question is this, " Whenever such intercourse takes place, the native female is found to * The subject matter of this Appendix is taken from that in the author's pamphlet, "On a Remarkable Effect of Cross- Breeding, " published in 1851 ; and this, the rather, because of its being more fully treated of there than in the Essay in which it first appeared in 1849. 24 Essays on the lose the power of conception on a renewal of inter- course with the male of her own race, retaining only that of procreating with the white men." * Extraordinary as this statement is, it is not lightly made ; nor have the opportunities enjoyed by the Count de Strzelecki of making observations re- garding it been small. He has " lived much (to use his own words) amongst different races of abori- gines, the natives of Canada, of the United States, of California, Mexico, the South American Republics, the Marquesas, Sandwich, and Society Islands, and those of New Zealand and Australia." f And, referring to the statement already quoted, the Count observes "Hundreds of instances of this extraordinary fact are on record in the writer's memoranda, all recurring invariably under the same circumstances, amongst the Hurons, Seminoles, Red Indians, Yakies (Sinaloa), Mendosa Indians, Araucos, South Sea Islanders, and natives of New Zealand, New South Wales, and Van Dieman's Land ; and all tending to prove that the sterility of the female, which is relative only to one and not to another male, is not accidental, but follows laws as cogent, though as mysterious, as the rest of those connected with generation."! In the work in which the foregoing allegations are made, Strzelecki does not state whether he has ever met with exceptional cases, that is to say, * " Physical Description of New South Wales and Van Dieman's Land," p. 347. t Ibid. p. 345. t Ibid, p. 347. Fcetus in Utero. 25 cases where, after connection of the kind in ques- tion, fruitful intercourse has taken place between a native man and woman. But in a communication on the subject with which he has favoured me, the Count assures me, that he has never met with such a case. " It has not (he writes me) come under my cognizance to see or hear of a native female, who, having a child with a European, had afterwards any offspring with a male of her own race." And I am informed by Professor Groodsir, and by Dr. Car- michael, of Edinburgh, and by Dr. Maunsell, of Dublin, that they have learned from independent sources, that, as regards the aborigines of Australia, Strzelecki's statement is unquestionable, and must be regarded as the expression of a law of nature.* Assuming that the fact is truly a law of nature, and that it holds as absolutely and extensively as Strzelecki's experience would lead us to infer, " it is," as Professor Groodsir observes, "a very remark- able one, and indicates a series of influences of high import in the natural history of the human race." What that import is, it may not be easy to compre- hend, nor perhaps is it a short line that will fathom it. But it seems to indicate, how little account ' "The intercourse of Kamehamha's men [people] and tbat of the whale ships [manned by Europeans], which now began to anchor in their waters, was sadly disastrous to the native constitu- tion and morals, poisoniog the fountains of health, and inducing premature decay and barrenness. " This observation, though by no means very definite, seems to point to the fact alluded to in the text. See an article entitled " On the Sandwich or Hawaiian Islands," in the "New York Biblical Repository and Critical Review," for July, 1849. 26 Essays on the soever might be taken of it by the author of " The Vestiges of the Natural History of Creation," that there is in nature a principle of degradation, as well as a principle of development. The fact itself, it may be observed, is brought forward by Strzelecki as affording an explanation, and as being the chief cause of the gradual diminution and ultimate ex- tinction of the native tribes in most parts of the New World, which follow the introduction of the European races. "Wherever the white man has set his foot-mark, there the print of the native foot is obliterated ; and as the tender plant withers beneath his tread, so withers the aboriginal in- habitant of the soil."* And "human interfer- ence," says Strzelecki, "to avert this melancholy consequence has been hitherto of no avail ; a charter for colonization granted to one race becomes virtually the decree for the extinction of the other." f * Brooke's " Narrative of Events in Borneo and Celebes, ' VD!. i. p. 12. t Strzelecki records the following remarkable circumstance which came within his own personal knowledge: A party of aborigines in Van Dieman's Land, to the number of 210, were deported by government in 1835 to Flinders' Island, on account of aggressions made by them on the colonists in their neighbourhood, by whom, however, they had been contaminated. They had only fourteen children born among them during the next seven years. It is true that, in the course of that time their own numbers had dwindled away to fifty-four. Still, the small number of births is singular, and contrasts strikingly with the fact, that " each family, in the interior of New South Wales, uncoutaminated by contact with the whites, swarms with children." (Op. cit. pp. 350-5.) F&tus in Utero. 27 Very various causes, doubtless, concur to bring about this result. The one assigned by Strzelecki as the chief is obviously quite adequate, if a real one, to its production. And should his belief as to the reality of this cause be confirmed, and should it further appear, that the principle involved in it applies only to aboriginal females contaminated by European males, and not to European females con- taminated by aboriginal males, that is to say, should the former class of females only, and not the latter, be rendered sterile to males of their own race by such foreign intercourse, the discovery can scarcely fail, not merely to exhibit the predominancy of the white over the dark races of men, in a particular not previously suspected, but to indicate that the designs of Providence, in regard to the human family in this stage of existence, embrace the ulti- mate extinction of the primitive varieties of the dark races, or at least of certain of these. Their physical peculiarities and their social degradation a mystery, if not a standing memorial of a curse visited on their progenitors, in the times of mira- culous interposition ; the purpose of their exist- ence in respect of this earth a mystery also, yet somehow subservient, seemingly, to that of their more favoured brethren ; their end, after that pur- pose is served extirpation ? But these are ques- tions which, besides that they are foreign to the object of this paper, are, perhaps, too deep for human penetration. It may not, however, be out of place to remark, that it may form part of the plan of Providence 28 Essays on the that certain races of men should hold given por- tions of the earth's surface till certain other races, and in particular oar own Anglo-Saxon race, are ready to step in and occupy them, those primitive races then disappearing ; and that the law in ques- tion may be directly subservient to the extermina- tion of these. The rapid increase of the Anglo- Saxon race during the last two centuries, its wide diffusion over the globe, and its superiority over every race with which it has come in contact, are in harmony with that supposition. It has recently been stated, with regard to this race, that while in 1620 it numbered only about six millions, and was almost exclusively confined to the United Kingdom, it now numbers sixty millions of human beings, planted upon all the islands and continents of the earth, and fast absorbing or displacing all the sluggish or barbarous tribes on the continents of America, Africa, Asia, and the islands of the sea ; and that, increasing everywhere by an intense ratio of progression, it is estimated that, if no physical revolution supervene to check its propagation, it will number eight hundred millions of human beings in less than 150 years from the present time.* It seems tolerably certain that Strzelecki's law does not extend to the Negro race the fertility of the Negro female with the male of her own race not being apparently impaired by previous fruitful * American Paper. Quoted from " Chambers' s Edinburgh Journal," for July, 1850. Foetus in Utero. 29 intercourse with the European male, a kind of intercourse which is notoriously common in all the West India Islands, the Brazils, and the slave- holding States of North America. But it is yet, I apprehend, undetermined, and it must surely be in- teresting to ascertain whether the law applies to the Mongolian and pure Malay races, inhabiting China, Japan, Borneo, and the islands of the Eastern Archipelago. And, if it should, one cannot help considering, in connection with it, the footing which Britain has of late acquired in those regions, the probable rapid increase of our countrymen there and in Australia, Van Dieman's Land, and New Zealand, and the Anglo-Saxon nation rising up as with mushroom growth in California, to over- spread the western coast of America, and asking whether, through the instrumentality of that law, the native inhabitants of those parts of the East may not yet be rooted out ? But our knowledge of this law must be far wider and more precise than it yet is, to enable us con- fidently to speculate in regard to it. We do not even know for certain that it holds absolutely over the races specified by Strzelecki, or that the Negro race is wholly exempt from it. It is conceivable, in regard to the former, as Strzelecki himself frankly allows to me, that there may be exceptions to it, though he has met with none ; and, in regard to the latter, that it may be in some degree subject to it. It is well known, indeed, that in the West India islands, under the system of slavery at least, 30 Essays on the the black population tends rather to diminish than increase, and that it can only be adequately main- tained by continual importations from Africa. Whether that diminution is in any degree owing to the operation of Strzelecki's law, it is perhaps at present impossible to say. I would only remark further, that in arguing here from Strzelecki's inference, it is only pro- visionally, and on the supposition of its being a fact ; and if a fact, then, of course, a law of nature ; and that in this, as in every other part of this Essay, my object is to suggest and direct inquiry, not to dogmatize. A correspondent, indeed, laughs at me for having elsewhere given heed to that in- ference. On the other hand, a writer in the " Edinburgh Review " (No. CLXXXIV., p. 456, foot note), referring to one of my papers in the Edinburgh Monthly Journal of Medical Science, suggests that Strzelecki should " excuse " me for treating it as nothing more than an hypothesis for the present ! Considering, however, on the one hand, the astounding nature of the inference, and, on the other, the high character of Strzelecki as a philosophic observer, as well as the extent of his observations (some hundreds of instances of the phenomenon without a single exception), I humbly submit that, until the inference shall be either fully established or shown to be fallacious, the proper course in regard to it is, " to keep the mean between the two extremes of too much stiffness in refusing, and of too much easiness in admitting " it, or (in Fcztus in Utero. 31 the words of the wise and good Bishop Butler) to keep " in the middle state of mind," " between a full satisfaction of the truth of it, and a satisfaction of the contrary " this middle state of mind con- sisting " in a serious apprehension that it may be true, joined with doubt whether it be so." (Analogy, Part II., Conclusion.) ESSAY SECOND. ON THE FOETUS IN UTERO AS INOCULATING THE MATERNAL WITH THE PECULIARITIES OF THE PATERNAL ORGANISM ; AND ON THE INFLUENCE THEREBY EXERTED BY THE MALE ON THE CONSTITUTION AND THE REPRODUCTIVE POWERS OF THE FEMALE (continued). FROM THE EDINBURGH MONTHLY JOURNAL OF MEDICAL SCIENCE For October, 1850. ESSAY SECOND. ON THE FCETUS IN UTEftO, ETC. IN a paper published last, year in the Edinburgh Monthly Journal of Medical Science, I brought to- gether a considerable number of instances which serve clearly to show that the peculiarities of a male animal that has once had fruitful intercourse with a female can sometimes be more or less distinctly recognized in the offspring of subsequent connections of that female with other males. I therein stated that of this singular phenomenon two explanations used formerly to be offered, one class of physio- logists referring it to a permanent impression made somehow by the semen of the first male on the ova of the female, another class ascribing it to an abiding influence exerted by that male on the imagination of the female, and recurring to, and operating on, her mind at the time of her connection subsequently with other males. At the same time I expressed an opinion that neither of these expla- nations could be regarded as satisfactory ; and I D 2 36 Essays on the endeavoured to show that an explanation offered by Mr. M'Gillivray, of Huntly, is the true one, namely, that while, as all allow, a portion of the mother's blood is continually passing by absorption (and assimilation) into the body of the foetus, in order to its nutrition and development, a portion of the blood of the foetus is as constantly passing, in like manner, into the body of the mother ; that as this com- mingles there with the general mass of the mother's own blood, it inoculates her system with the con- stitutional qualities of the foetus ; and that, as these qualities are in part derived to the foetus from its male progenitor, the peculiarities of the latter are thereby so engrafted on the system of the female as to be communicable by her to any offspring she may subsequently have by other males. Since the publication of that paper I have learnt nothing to shake, but much to support, the notion of inoculation therein suggested ; and have ascer- tained that many among the agricultural body in this district are familiar, to a degree that is annoy- ing to them, with the facts then adduced in illustra- tion of it, finding that, after breeding crosses, their cows, though served with bulls of their own breed, yield crosses still, or rather mongrels ; nay, that they were already impressed with the idea of con- tamination of blood as the cause of the phenomenon, possibly, however, on the principle (adverted to by D'Alembert) that the doctrine so intuitively com- mended itself to their minds as soon as stated, that they fancied they were told nothing but what they Foetus in Utero. 37 knew before, so just is the observation, that " truth proposed is much more easily perceived than without such proposal it is discovered."* But with regard to any one of the cases formerly given, as instances of inoculation by the foetus, I would not now assert that it is an unequivocal in- stance; nor would I now affirm that the notion, enter- tained by Sir Everard Home and others, of all of them being an affair of the imagination, is so absurd as it once seemed to me. The careful considera- tion, recently, of cases seemingly identical in kind with these, save and except that there never was coitus between the mother of the animals and the male Animal which they resembled, has convinced me that it is not so clear a matter that they may not be referable to the agency of mental causes. A setter bitch, for example, takes a fancy to a cur dog, and, without ever having access to him, produces once and again, to dogs of her own breed, whelps bearing a decided resemblance to the cur. I am still inclined to think, however, that there are good grounds for believing that the greater number at least of the cases are truly referable to the principle of inoculation ; and it is very clear that such facts as those exemplified in the progeny of the setter are noways adverse to that theory. It seems to me probable, indeed, that future in- quiry will demonstrate that there are in nature two sets of cases connected with the peculiarities of off- spring, analogous, nay, identical, in their external characters, yet essentially different in their origin * Archbishop Seeker, Works (Ed. 1811), Vol. iii. p. 237. 38 Essays on the and cause, the one referable to mental states in one or other of the parents, and oftenest in the female parent, the other to a change effected in the constitutional powers of the female by a physical (organic) agency originally extrinsic to her, but inherent in a former foetus by derivation from its male progenitor, and conveyed to her, in the way of inoculation, by that fcetus while in utero. To establish this, and to determine also the relative proportion of the two sets of cases, together with the comparative efficacy of their respective causes, and the conditions that are essential to the agency of each cause, would be an achievement in physiology of great general interest, and, to breeders, of much practical value. It were idle, perhaps, to engage in so wide and difficult an inquiry with any hope of complete success. But as to some important points, and in particular as to the main question here at issue, experiments in breeding on the lower animals, so conducted as to be free from essential sources of fallacy, might, I am informed, easily be made ; and as they could be carried on on the large scale, decisive results might ere long be obtained. Some suggestions as to the kind of experiments which might be instituted, and the mode of con- ducting them, will be offered in the sequel. As to their probable issue, it were, perhaps, wise at present not to hazard an opinion. But, " if reason can sometimes go farther than imagination can venture to follow," the latter can sometimes go in advance of, and pioneer the way to, the former. And possibly in this instance, if, leaving reason to Foetus in Utero. 39 follow at her leisure in the broad day and clear sunshine, we hold on our way, warily, in the dim twilight, in company with imagination, we may, under her guidance, securely reach a post in advance, and have the satisfaction afterwards of finding reason treading in our steps. Before entering on the consideration of mental states in either parent, as influencing the nutrition and development of the foetus in such a manner as to cause the latter to resemble a male animal not its progenitor, I purpose, first, in this second Essay, to submit some additional observations on the theory of inoculation, with the view of placing this doctrine on a firmer footing. (1.) Without at present raising any question as to the nature of the phenomenon, I may remark, generally, that, since the publication of my former paper, further inquiry has satisfied me of the truth of an observation there quoted from Mr. M'Gillivray, namely, that cases of the kind given as instances of inoculation of the maternal system by a former foetus are, as regards cattle and dogs, " of every day occurrence ; " and judging from the two remark- able cases presently to be given of the like pheno- menon in the sheep, they are probably equally common in other classes of animals. I have not, indeed, seen any such myself, but opportunities for doing so have not come in my way ; and the infor- mation I have received is only of a general kind, sufficient to excite to further inquiry, but wanting 4O Essays on the in specific details. There is one fact, however, kindly communicated to me by Sir John S. Forbes, of Pitsligo, which, as perhaps bearing on this sub- ject, it seems proper to mention. It is the fact, observable within these few years at all our great cattle shows, that among the high-bred heifers and cows of the Angus polled breed, fat is laid on in lumps about the tail, by feeding of the most moderate description a feature heretofore con- sidered to be characteristic of the Teeswater breed, and which, as occurring in the breed in question, though usually attributed to improved management and high breeding, may, perhaps, have its true solution in Mr. M'Grillivray's theory, on the sup- position that the mother, however pure her own original breed and that of the father, had previously borne offspring to a Teeswater bull. The following are the cases illustrative of the effect on the procreative powers of the ewe of previous sexual intercourse with a ram of a different breed ; the one communicated to me by my friend Dr. William Wells, of the island of Grenada ; the other, by Mr. William M'Combie, Tilly four, in Aberdeenshire. 1. A small flock of ewes, belonging to Dr. Wells, were tupped a few years ago by a ram procured for that purpose from the manager of a neighbouring estate. The ewes were all of them white and woolly. The ram was of quite another breed, being (besides having other marks of difference) of a chocolate colour, and hairy like the goat. The progeny were of course crosses, bearing, however, a great resemblance to the male parent. The next season Dr. Wells procured another ram of precisely the same breed as his ewes. The progeny of this second connec- Foetus in Utero. 41 tion showed distinct marks of resemblance to the former ram in coloiir and covering. And the like phenomenon, occurring under the like circumstances, was noticed in the lambs of some other adjoining estates in Grenada, and was the occasion of equal sur- prise and perplexity to the owners of the animals. 2. Six very superior pure-bred 6Zac&-faced horned ewes, the property of Mr. Harry Shaw, in the parish of Leochel Cushnie, in Aberdeenshire, were tupped in the autumn of 1844, some of them by a Leicester, i.e., a lo/h'te-faced and polled ram ; others of them by a Southdown, i.e., a dim-faced and polled ram. The lambs thus begotten were crosses. In the autumn of 1845 the same ewes were tupped by a very fine pure blacked-faced horned ram, i.e., one of exactly the same breed as the ewes themselves. To Mr. Shaw's astonishment, the lambs were all without exception polled and brownish in the face, instead of being black-faced and horned. In autumn 1846 the ewes were again served with another very superior ram of their own breed. Again the lambs were mongrels. They did not, indeed, exhibit so much of the characters of the Leicester and Southdown breeds as did the lambs of the previous year ; but two of them were polled, one c?wn-faced, with very small horns, and the other three, white faced, with small round horns only. Mr. Shaw at length parted with those fine ewes, without obtaining from them one pure-bred lamb. (2.) Of the analogous phenomenon, in any of the aspects formerly specified, in the human species, I have procured no additional examples. Inquiries are on foot, in one or two of the West India Islands, as to whether the offspring of negro parents, after the female has had children by the European, ever exhibit traces of the latter ; but the results have not yet reached me. Dr. Maunsell, of Dublin, however, has mentioned to me a case, bearing on the com- munication of secondary syphilis, in too imperfect a form, indeed, to warrant its being adduced as an instance of the kind in question, but valuable as 42 Essays on the justifying the supposition formerly advanced, that a woman may somehow acquire syphilis, but have it in the latent form, and subsequently give proof of the reality of the fact by the birth of a syphi- litic child, got by a perfectly healthy man. It is the case of a woman, who, as far as Dr. Maunsell could learn, never herself exhibited any signs of syphilis, yet produced a syphilitic child in a second marriage, with a husband who never had the disease.* With regard to the communication of secondary syphilis, in relation to Mr. M'Gillivray's theory, Mr. (Sir James) Paget, of St. Bartholomew's Hos- pital, makes an important suggestion. " I would venture to suggest," Mr. Paget writes me, " that you should try to find whether ever a woman derives secondary syphilis from her husband, unless she con- * Since the publication of my former paper I find tbat Dr. Montgomery of Dublin has been beforehand with me in this ques- tion as to syphilis ; and that he seems virtually, though obscurely, to enunciate the doctrine of the constitutional character of the phenomenon exemplified in Lord Morton's mare and Mr. Western's breed of pigs. Referring to these well-known cases, Dr. Mont- gomery remarks : "Such occurrences appear forcibly to suggest a question, the correct solution of which would be of immense im- portance in the history and treatment of disease. Is it possible that a morbid taint, such as that of syphilis, for instance, having been once communicated to the system of the female [by a con- ception], may influence several ova, and so continue to manifest itself in the offspring of subsequent conceptions, when impregna- tion has been effected by a perfectly healthy man, and the system of the mother appearing to be at the time, and for a considerable period previously, quite free from the disease ? My belief is cer- tainly in favour of the affirmative." Exposition of the Signs and Symptoms of Pregnancy, p. 18. Foetus in Utero. 43 ceives by him. Facts bearing on this point might prove that secondary syphilis is not communicated directly by the seminal fluid, but by the child begotten with it ; and this mode of inoculation being proved would go far to prove the foundation of your [Mr. M'Gillivray's] theory." I fear it will turn out, on inquiry, that secondary syphilis may be transmitted directly by the seminal fluid, independently of con- ception ; but perhaps it may appear also that its transmission in this way is occasional only and un- certain, while it is very frequent, or almost inevitable, when conception follows intercourse. And a com- parative observation of this kind, if clear and un- doubted, would be nearly equally decisive.* (3.) In my former paper, I represent Mr. M'Gil- livray as holding that there is a direct vascular * Important as is Mr. Paget's suggestion, it may be difficult successfully to follow it out. It appears, indeed, that of the chil- dren horn syphilitic in the middle and higher classes of society, a very large proportion derive the virus from the father a circum- stance in itself favourable for the prosecution of the inquiry (see Brit, and For. Med. Chir. Rev., No. XII., p. 348). But in several such cases the mother never exhibits any manifest indication of the virus in her own person (Op. cit., p. 347 Maunsell and Evansbn on Diseases of Children, 5th edit., p. 452) : and although she may not have imbibed the poison, the case given in the text on the authority of Dr. Maunsell is sufficient to show that the only certain criterion of her immunity may be her bearing a non- syphilitic child in a second marriage with a perfectly healthy hus- band a test which can be available only in a very few cases. If, therefore, such cases of latent syphilis in the female are common, Mr. Paget's inquiry may fail of an affirmative result only from in- ability to test them. Possibly, however, the instances of developod syphilis in the female, consequent on conception, may be numerous enough, and sufficiently decided, to lead to that result. 44 Essays on the connection, and a continuous interchange of blood, between the foetus in utero and its mother, and also as regarding that sort of connection to be essential to the validity of his theory of inocu- lation. Mr. M'Gillivray, however, as I have since discovered, does not hold any such opinion, nor does he rest his theory on- so insecure a basis as I fancied. His ideas regarding the structure of the placenta, and the connection between the mother and foetus, appear, in fact, to be substan- tially those suggested by the late Dr. John Reid and others, and now commonly received. The mistake committed by me arose from some expressions dropt by Mr. M'Gillivray in the course of his paper, taken in connection with a case given by him, and showing an empty state of the blood- vessels of a foetal calf, whose mother had died of a haemorrhage from the lungs, of three days' con- tinuance. As this case seems to me to afford a stronger support to his theory than I at first imagined, and to be besides (though not unique *) a valuable * There is a case, by Mery, in the " Memoires de 1' Academic Royale des Sciences," 1708. But this case is too briefly recorded to be of any physiological value whatever. It is as follows: " Une femme grosse, qui toucbait a son terme, se tue d'une chute tres rude presque sur le champ. On lui trouve 7 a 8 pintes de sang dans la cavite du ventre, et tous ses vaisseaux sanguins entierement epuises. Son enfant etait mort, mais sans aucune apparence de blessure, et tous ses vaisseaux etaient vides de sang aussi bien que ceux de la mere. Le corps du placenta etait encore attache a toute la surface interieure de la matrice, oii il n'y avait aucun sang extra vase*." (Op. cit., p. 37). Very possibly, in this case, as suggested by my friend Dr. J. M. Duncan, of Edinburgh, the womb may have been ruptured on its external aspect over the Fcetus in Utero. 45 contribution to our physiological knowledge, I snail introduce it here, and take occasion to offer some remarks upon it : A cow in calf, and past the ordinary period of utero-gestation, had, from some unknown cause, a slight rupture of the left lung. A constant haemorrhage from the fissure proved fatal in three days. On a post-mortem examination it was found that the haemorrhage had taken place partly into the cavity of the chest, and partly into the air-passages of the lung. A great part of the blood that entered the lung had found its way upwards, and, being swallowed by the animal, was passed along with the egesta. The animal survived until but a very small quantity of blood remained in the carcase. The uterus, with its contents, was removed entire, and very carefully and minutely examined by Mr. M'Gillivray. All the vessels of the chorion, amnion, &c., were white, flaccid, and empty. On making a section of the umbilical cord no blood followed ; on applying a sliding squeeze on that portion of the cord, and in a direction from the foetus, slight traces of blood appeared at the cut ends of the umbilical arteries, but there was no flow, not even drops. There was no blood in any part of the aorta or vena cava ; none in the carotids or jugulars near the head ; none in the external or internal iliac arteries, and large veins in the ilio-femoral region ; none in the left ventricle of the heart the right containing a small coagulum which might amount to about half an ounce of blood. In short, there were not three ounces of blood in the calf, taken with all its membranes and placenta.* On the perusal, formerly, of this case I made but little account of it ; and being impressed with the unqualified allegation of various physiologists, that centre of the placenta, and so deeply as to lay open both the foetal and uterine vessels, in which event the bloodless condition of the foetus would be referable, not to the passage of its blood by ab- sorption into the maternal vessels, but to the direct escape of the blood from its own vessels. * Abridged from Mr. M'Gfillivray's paper in Aberdeen Journal for March 21, 1849. 46 Essays on the " when a pregnant animal dies of haemorrhage, the vessels of the foetus remain full of blood,"* I too hastily concluded that some fallacy must attach to it, or at least that, however it might be explained, it was too slender a foundation whereon to rest the doctrine (erroneously assumed as that intended) of a direct vascular communication. Mr. M'Gillivray's real object in adducing the case was to combat the opinion entertained by some physiologists, that, while the foetus receives supplies from the mother through the placenta, it returns nothing from its own system to hers. " I am quite aware (he says) that many physiologists maintain that, in the highest species of animals, the blood cannot be returned from the foetus to the mother during utero-gestation." That this opinion is very generally held by physiologists in this country is quite certain. Dr. Alison, for instance, after observing (on the authority of Magendie and of Dr. David Williams, of Liverpool), that camphor and oil injected into the blood of pregnant animals are soon detected in the blood of the foetus ; but that poison, injected into the umbilical arteries, although mixing with the blood on its way from the foetus to the placenta, does not affect the mother ; and that fatal haemorrhage in the mother does not apparently dimmish the fulness of the vessels of the foetus, adds, " so that it would seem that the transmission of fluids is almost entirely from the mother to the foetus. ' ' \ * Magendie ; Physiology, by Milligan ; 2nd edit., p. 5G9. Dr. D. Williams, Edin. Med. and Surg. Journal, Vol. xxv., p. 102. t Outlines of Physiology, 3rd edit., p. 426. In his History of 'Foetus in Utero. 47 Again, Dr. Kirkes, referring to Professor Goodsir's observations as to the intervention of two distinct layers of nucleated cells between the foetal and maternal portions of the placenta, speaks of the one being " probably designed to separate from the blood of the parent the materials destined for the blood of the foetus," while the other " probably serves for the absorption of the material secreted by the other set of cells, and for its conveyance into the blood-vessels of the foetus," * no idea, seem- ingly, being entertained of a converse process. Moreover, the view taken by most physiologists of the destination of that portion of the foetal blood which is transmitted to the placenta appears to be exclusively that of renovation or aeration, by coming into relation with the oxygenated blood of the mother;t nothing being said as to re- absorption into the maternal system. J Medicine, Dr. Alison expresses himself even more strongly on tbe subject : "The experiments of Magendie and others have proved that any substance which may be circulating in the blood of the mother finds ready access to that of the foetus, but that there is little or no transference of fluids in the opposite direction." Cyc. of Pract. Med., Vol. i. p. Ixxxiii. * Handbook of Physiology, p. 643. t Carpenter, Principles of Human Physiology, 2nd edit., p. 718. Manual of Physiology, p. 474. J It may be asked, whether the idea expressed by the terms "renovation" and "aeration" does not necessarily include that of the transference of some kind of matter from the foetus to the mother ? Supposing "that the umbilical arteries terminate in the umbilical veins, and not in the vessels of the uterus, and that the [whole] blood in the umbilical arteries * passes from the arteries into the veins, as in other parts of the body, and so back again .into the child ' "(Dr. J. Reid, Researches, p. 318) still this blood 48 Essays on the Mr. M'Gillivray brings forward this exsanguine foetal calf to depone in opposition to these exclusive views, and by its testimony to prove that of the blood which returns to the placenta a portion is absorbed is believed to have acquired something effete in its transit through the foetal system. What becomes of this effete foetal matter ? Clearly there is no outlet for it but through the mother's system, and by her excretory organs. Judging from the analogy of the process of aeration in the adult, and from the condition of the foetus, which renders all excretion by its own organs (except of bile into the intestine) impossible, carbonic acid and the elements of urine probably form the chief part of that effete matter. Perhaps some animal matter may at- tach to it such as is thrown off with the watery vapour in the adult, and amounts, according to Collard de Martigny, to about three parts in 1,000 of the vapour. This animal matter, how- ever, may be thought too inconsiderable in amount, or not of a nature to exert any influence on the maternal constitution. But no one, probably, will think so, who reflects on what is now admitted in regard to blood-diseases, and the small influences by which the whole mass of blood may be affected. (See Kirkes' Physiology, pp. 71, 286, 292.) The "materies morbi " of sciofula, of syphilis, and of many chronic diseases, must often exist in the blood in an impalpable form, nay, must even be evolved in the secretions and the plastic exudations. More curious still, even MIND itself, immaterial as it is, must pervade the blood (though its acknowledged seat is the nervous system), and must impart itself to the semen and the microscopic ovum ! "In the most perfect animals (says Miiller),and even in man, we must suppose that the ovum and semen contain within themselves all the conditions necessary for the production of a new being endowed with mind; and, consequently, that one or both of them contain the essence of mind in a latent state." (Physiology, Vol. i., p. 820.) Is it more extraordinary, or at all fanciful, to suppose, that a subtile materies foetus may attach to the effete matters which pass into the blood of the mother, and that it may inoculate her system with its own distinctive qualities ? Foetus in Utero. 49 by the uterine veins, and re-enters the circulation of the mother. That it furnishes " undeniable " evi- dence of this (as he alleges) is more than can fairly be affirmed, because it is quite conceivable that, without giving back to the mother a single drop of its blood, the foetus may, during the three days, have simply used up the blood within it. Whether this happened it is difficult to say. But it may be questioned whether the vital actions of the foetus would not have failed long before its blood was actually expended to this extent ; and it seems alto- gether much more probable that the nearly complete disappearance of that fluid was owing in part to its being abstracted by the mother. That, under the circumstances in which the mother's system was placed during the continuance of the haemorrhage, a powerfully derivative effect had been produced on the general mass of her blood, withdrawing a large part of it from the several organs (including the maternal portion of the placenta) towards the seat of the haemorrhage, seems very certain from the observations of Haller and Spallanzani ; and that her general function of absorption had been unusu- ally active, the well-known experiments of Magendie sufficiently demonstrate. And we should scarcely conceive, a priori, either that the blood of the foetus had not been brought within the sphere of action of those two influences, and, unless an obstacle inter- posed, been laid under contribution for the support of the mother's system ; or that the double layer of nucleated cells, intervening between the maternal and foetal vessels, and which habitually allows the E 50 Essays on the passage of fluids from the mother to the foetus, had then offered any impediment to their passage in the opposite direction. The discrepancy between Mr. M'Grillivray's case and the statements of Magendie and Williams, as to the fulness of the foetal vessels when a pregnant animal dies of haemorrhage, is probably only an ' apparent one. Those statements have reference to cases where the mother dies suddenly from profuse and rapid loss of blood, and where the emptying of the foetal vessels in the only way in which they can be drained, viz., by absorption, is anticipated by death ; while in Mr. M'Gillivray's case the haemor- rhage being comparatively gradual, time was given for the exercise of that process, and circumstances con- curred to render it unusually active. In the absence of any experimentum crucis, where- by a positive solution of the question might be had, the anaemic condition of the foetal calf may, I think, with great probability be ascribed, in part, to the expenditure of its blood in the nutritive processes going on within it, and in part, as Mr. M'Gillivray supposes, to the re-absorption at least of its more fluid constituents into the system of the mother. And what seems to have been thus possible, and, under the circumstances, may very fairly be pre- sumed to have actually occurred, and to have taken place pretty rapidly, may reasonably be held to imply, that, at all times, though ordinarily but slowly, there goes on within the gravid uterus a gradual removal by absorption, and reception into the maternal system, of such portions of the foetal blood as are unfitted by reason of impurity for Foetus in Utero. 5 1 Jministering to the nourishment of the foetus, and for the renovation of which the placenta may be inadequate. It is not probable, indeed, that the amount returned is very great, and the experiments of Magendie are sufficient to demonstrate that it can be but small. If, however, it take place at all, be the quantity absorbed within a given time never so inconsiderable, it is all that is necessary for the support of Mr. M'Gillivray's theory, the essential principle of which cannot, perhaps, be better ex- pressed than in the words applied to signify the influence of moral causes on human character " a little leaven leaveneth the whole lump." Wagner, indeed, expresses a decided opinion that a mutual interchange of fluids takes place in the placenta, " the blood of the mother abstracting matter from that of the foetus, and the blood of the foetus taking in its turn matter from that of the mother."* Miiller, also, is of the same opinion. " In mam- malia, the vascular villi of the foetus are received into the vascular sheaths of the uterine placenta, so that the capillaries of the foetal and those of the maternal system come into contact with each other, and suffer an interchange of the matters which they contain"^ Neither Miiller nor Wagner, however, * Elements of Physiology, translated by Willis, p. 202. t Elements of Physiology, translated by Baly, Vol. ii. pp. 1604-5. Dr. John Reid makes an observation which seems to convey the very same idea: "The blood of the mother contained in the placental sac, and the blood of the foetus centained in the umbilical vessels, can readily act and react upon each other" -Physiological, Anatomical and Pathological Researches, p. 326. E 2 52 Essays on the refer to any facts in support of their opinion as regards the absorbent action of the mother on the foetus. Probably they rest it on analogical grounds. And, indeed, all that seems necessary to give con- firmation to it is proof that poisons introduced into the umbilical arteries, or into the body of the foetus, may pass into and affect the mother. That Magendie's experiments failed to show this is well known ; but, valuable as they may be allowed to be, they do not demonstrate that such absorption may not take place still less, that it is impossible. The only negative inference that can be drawn from them is, that within the time occupied by them, and under the circumstances in which they were per- formed, no obvious absorption occurred. And it is conceivable that they may have been too few in number, or too little varied nay, even too unskil- fully conducted to be of much value, and may demand repetition ; or, that the circumstances under which experiments of this kind must neces- sarily be made are such as to preclude the hope of our ever obtaining satisfactory information through this channel. Yet, even in this event, we may yet obtain the requisite satisfaction. Possibly, nature may herself yet furnish us, in her own way, with the evidence which we cannot extract from her by artificial methods of interrogation. Had we, e.g., undoubted instances of the foetus being tainted with syphilis through the father, and communicating the virus to the mother, we should have all the proof we need desire that matters can and do pass by ab- sorption from the foetus to the mother. Whether Foetus in Utero. 53 such evidence shall yet be had remains to be seen ; but it may be observed that Mr. (Sir James) Paget has suggested the criterion by which the value of alleged instances of this kind may be determined. ABERDEEN, August IS, 1850. ESSAY THIRD. ON THE FCETUS IN UTERO AS INFLUENCED IN ITS DEVELOPMENT BY MENTAL STATES IN EITHER PARENT, FROM THE EDINBURGH MONTHLY JOURNAL OF MEDICAL SCIENCE For November, 1850. ESSAY THIRD. ON THE FCETUS IN UTERO, ETC. THAT mental causes, or states of mind, operating within the female during pregnancy, or within either parent at the time of coitus, may variously influence the nutrition and development of the foetus, has long been matter of popular belief; and, setting a goodly number of recorded instances to the account of old wives' fables, this belief may be allowed to have a stable foundation in facts.* It is not my intention, however, to enter on the general subject further than as it bears on Mr. M'Grilliv ray's theory, referring merely to such facts as serve to show that mental causes may so influence the growth of the foetus as to produce results analogous to those ascribed to inoculation by a former foetus, * Any one curious in cases of this kind may advantageously consult Dr. Allen Thomson's article on " Generation," in the Cyc. of Anat. and Physiology ; and also an article in the Edin. Med. and Surg. Journal, Vol. xxv., p. 134. 58 Essays on the and therefore to exhibit a source of fallacy in the reference of these to such inoculation as their cause. (1.) Of the cases of this kind now to be noticed some involve changes both in the configuration and the colour of the progeny others, as far as appears, changes in the colour only or chiefly. In Daniel's " Rural Sports " the following details are given respecting the setter-bitch and cur- dog formerly referred to : " As the late Dr. Hugh Smith was travelling from Midhurst into Hampshire, the dogs, as usual in country places, ran out barking as he was passing through the village, and amongst them he observed a little ugly cur, that was particularly eager to ingra- tiate himself with a setter-bitch that accompanied him. Whilst stopping to water his horse, the doctor remarked how amorous the cur was, and how courteous the setter seemed to her admirer. Provoked to see a creature of Dido's high blood so obsequious to such mean addresses, the doctor drew one of his pistols, and shot the cur. He then had the bitch canied on horseback for several miles. From that day the setter lost her appetite, ate little or nothing, had no inclination to go abroad with her master, or to attend his call ; but seemed to pine like a creature in love, and express sensible concern at the loss of her gallant. Partridge season came, but Dido had no nose. Sometime after she was coupled with a setter of great excellence, which, with no small difficulty, had been procured to have a breed from, and all the caution that even the doctor himself could take was strongly exerted, that the whelps might be pure and unmixed. Yet not a puppy did Dido biing forth but was the exact picture and colour of the cur that had so many months before been destroyed. The doctor fumed, and, had he not personally paid such attention to preserve the intercourse uncontaminated, would have suspected that some negligence had occasioned his disappointment ; but his views were in many subsequent litters also defeated, for Dido Foetus in Utero. 59 never produced a whelp which was not exactly similar to the un- fortunate cur who was her first and murdered lover."* In Mr. Elaine's " Encyclopaedia of Kural Sports " this other case is given : " The late Lord Rivers [says Mr. Elaine] was famed for a breed of black and white spaniels, one of which, having more than the usual quantity of white, he presented to us. We had, at the same time, a pug-bitch of great beauty. The attachment of this bitch to the spaniel was singularly strong. When it became necessary to separate her, on account of her heat, from this dog, and to con- fine her with one of her own kind, she pined excessively ; and, notwithstanding her situation, it was some time before she would admit the attentions of the pug-dog placed with her. At length, however, she was warded by him, impregnation followed, and at the usual period she brought forth five pug-puppies, one of which was perfectly white, and rather more slender than the others, though a genuine pug. The spaniel was soon afterwards given away. At two subsequent litters (which were all she afterwards had) this bitch also brought forth a while pug-pup, which the fanciers know to be a very rare occurrence. It is also a curious fact that each succeeding white puppy was less shnder in form than the preceding, though all were equally white. "t The two cases now given have many points in common, and appear to be free from any material source of fallacy. In the former there was not even sexual intercourse much less fruitful intercourse between the bitch and the cur, to whom her progeny bore so decided a resemblance ; and in the latter, if intercourse occurred, which it appears did not, there * Daniel's Rural Sports, Vol. iii. pp. 333, 334. A case very similar to the above, occurring in a bitch belonging to him, has been mentioned to me by Mr. Walker, Portlethen, in Kincardine- shire. t Encyclopaedia of Rural Sports, by Delabere P. Elaine, Esq., p. 412. 60 Essays on the was no result from it. Tn both females there seems to have been a strong and abiding attachment to the cur and spaniel respectively, and an equally keen and enduring emotion of disappointment at being separated from them. The resemblance of the progeny, or of certain of these, to the dogs, appears to have been of too special a kind to admit the sup- position of its being accidental. There need be no question, therefore, but that the cases are fair ex- amples of mental impressions of a permanent character so operating on the female parents as to influence the development of their offspring while in utero, and that in such a manner as to cause them to resemble the male animals that were the objective causes of those impressions. Nearly similar remarks apply to the following case, for the particulars of which I am indebted to Dr. John R. Trail, of Monymusk, in Aberdeenshire. The chief point of interest in this case lies in the resemblance being at once general, and yet extend- ing to an abnormal peculiarity of conformation, and in its thus forming a connecting link between the two foregoing cases and two others presently to be adduced. It does not appear, indeed, whether the mother manifested any special attachment to the male animal which her offspring resembled, but such attachment may reasonably be presumed : A mare and a horse (a gelding), belonging to a friend of Dr. Trail, had for some years worked together on the same farm, occu- pied adjacent stalls in the same stable, and pastured together in summer in the same fields. The gelding was of a black colour, with white legs and face, and had a singular peculiarity in the Fcetus in Utero. 61 form of the hind legs, which, when the animal was standing, ap- peared as if quite straight, there being no appearance of the leg being bent at the hough -joint, as in ordinary cases ; the pasterns likewise were very long, so as to cause the feet to look as if placed almost at right angles to the legs. Having been some years thus associated with this gelding, the mare was covered by a stallion of the same colour with herself both stallion and mare being of a bay colour, with black legs, and a small spot of white only on the forehead. The foal which was the produce of this connection very exactly resembled the gelding in colour, and in the shape, too, more particularly of the hind legs, as above described. " From the description I have attempted to give you [Dr. Trail writes me], you could not form any very distinct idea of the peculiar conformation of the horse ; but the resemblance of the foal to him was remarkably clear." Dr. Montgomery, of Dublin, gives the following interesting case : " A lady, pregnant for the first time, to whom I recommended frequent exercise in the open air, declined going out as often as was thought necessary, assigning as her reason, that she was afraid of a man, whose appearance had greatly shocked and disgusted her ; he used to crawl along the flag-way, on his hands and knees, with his feet turned up behind him, which latter were malformed and imperfect, appearing as if they had been cut off at the instep, and he exhibited them thus, and uncovered, in order to excite com- miseration. I afterwards attended this lady in her lying-in ; and her child, which was born a month before its time, and lived but a few minutes, although in every other respect perfect, had the feet malformed and defective, precisely in the same way as those of the cripple who had alarmed her, and whom I had often seen."* Nothing can be more appropriate than Dr. Mont- gomery's short commentary on this case : " Here was an obvious and recognized object making a powerful impression, of a disagreeable kind, com- * Exposition of the Signs and Symptoms of Pregnancy, &c., pp. 16, 17. 62 Essays on the plained of at the time, and followed by an effect in perfect accordance with the previous cause, there being between the two a similarity so perfect, that, with Morgagni, I * will not easily suppose that chance could have been so ingenious, if I may be allowed to speak thus, and so exact an imitator.' ' A case very similar to the foregoing has been communicated to me by a distinguished English physiologist himself personally cognisant of the facts. It is as follows : " A lady, when two or three months pregnant, was accosted by a one-armed beggar, who, on her refusing to relieve him, menaced her violently, so as to alarm her seriously, and shook his stump at her. She was extremely agitated, and during the whole re- mainder of her pregnancy was under the firm expectation that her child would be one-armed which was the case. This child is now- grown up to manhood, and occupies a highly respectable position in society." In this case (and the remark applies equally to Dr. Montgomery's) the effect was partial only, and on this account it may be thought not altogether pertinent to the subject under consideration ; but it probably embraced all that was peculiar in the object, as it certainly did all that was striking to the mind of the lady. And had the occasion of the impres- sion been some well-marked but normal peculiarity of the features e.g., of the nose, instead of a deformity of the arm ; and had the man been the object formerly of the lady's love and attachment, and still during her pregnancy of her cherished regard, and had the resemblance in her child ex- tended to the part supposed, the effect, though Foetus in Utero. 63 equally partial, might have seemed more general. The case might thus have been set down as a fair example of the power of the imagination, in a preg- nant female, to cause her offspring very exactly to resemble an individual not its father. Of this the following is, perhaps, an instance : " A young married woman, residing in Aberdeen, between whom and a young man a strong attachment and a matrimonial engage- ment had long existed, but who were never married, and never had sexual intercourse together, gave birth to a child, which bore so striking a resemblance in its features to the woman's first lover as to attract the notice of herself and many others of the acquaint- ance of the parties." In this case communicated to me by Mr. Eobert M. Erskine, surgeon, here, who was well acquainted with the individuals concerned, and had personally satisfied himself of the accuracy of the fact the resemblance may have existed only in the imagina- tion of the observers, or been magnified through the love of the marvellous, and, giving it as given to myself, I adduce it merely as a possible example of what may be a real occurrence, and would contrast remarkably with the observation alluded to by Dr. Allen Thomson, viz., " that the human female, when twice married, bears occasionally to the second husband children resembling the first, both in bodily structure and mental powers," and also with the cases given as instances of this, in the Postscript to Essay First. It appears that many breeders of stock are im- pressed with the belief, that certain colours present 64 Essays on the to the eye of the parent animals, and particularly of the female, at the time and in the act of their being coupled together, and to the eye of the female both before and during her pregnancy, influence the colour of the progeny ; and that they make this belief a practical principle of action in the breeding of their stock, in order either to prevent or to secure the admixture of any particular colour in the off- spring different from that of the parent animals. " We know," says an anonymous writer, " a great breeder of pure Angus stock [black polled breed], who makes it a rule to have every animal about his farm of a black colour, down to the very poultry."* And an eminent breeder of the same stock in this county informs me that he extends this rule to the steadings in which his cattle are kept. To illustrate generally the grounds of this belief and practice the following cases may be cited : (a) A black polled [Angus] cow, belonging to Mr. Mustard, a farmer in Forfarshire, came into season while pasturing in a field bounded by that of a neighbouring farmer. Out of this last there jumped into the other field an ox, of a white colour, with black spots, and horned, which went with the cow till she was brought to the bull, an animal of the same colour and breed as herself. Mr. Mustard had not a horned animal in his possession, nor any with the least white on it : and yet the produce of this (black and polled) cow and bull was a black -and-white calf, with horns. t (5) Last year (1849) twenty cows of the black polled Angus breed, belonging to Mr. William M'Combie, in this county, and * North of Scotland Gazette newspaper for July 17, 1849. + Library of Society of Useful Knowledge, volume on Cattle, p. 171. This seems to be the same case as that given by Dr. Allen Thomson, in Cyc. Anat. and Phys., art. "Generation," Vol. ii. p. 474. Foetus in Utero. 65 whose stock is perhaps the finest in the kingdom, produced as many calves, all of them black and polled, except one single calf, which was yellow-and-white spotted. Mr. McGombie had, as usual with him, taken the precaution of causing the cows, both before and during their pregnancy, to mix with none save per- fectly black cattle, except in respect of the mother of this calf. This cow had unwittingly been put to an out-farm, to be starved, in order to fit her for the bull. There, for a considerable period prior to her being served with the bull, she had grazed with a large yellow-and-white spotted ox : of this ox the calf she subsequently bore was the very picture, the likeness, however, extending no farther than to the colour, and the calf still retaining the shape and configuration of its parents, which were both of the same breed and colour. (c) Out of a large herd of cows, of the pure Teeswater breed, all of them of the brown or roan colour (belonging to Mr. Cruickshank, Sittyton, near Aberdeen), there is every year dropt one, or at most two, white calves : these, in order to prevent the introduction of this colour among the cattle, are invariably sold, and sent away. Last year, however, concurrently with the white- washing of all the farm-steadings, the very large number of twelve white calves were produced. And the like occurrence happened last year also, in the herd of an extensive breeder of the same kind of stock, in Yorkshire, in connection with the like process of white- washing, this process having, in both cases, been very extensively carried out before the breeding season began, with the view of pre- venting the breaking out of the pleuro-pneumonia, then epidemic in the neighbourhood, and very destructive.* (d) " At the time when a stallion was about to cover a mare, the stallion's pale colour was objected to, whereupon the groom, / knowing the effect of colour upon horses' imaginations, presented before the stallion a mare, of a pleasing colour, which had thief desired effect of determining a dark colour in the offspring. This is said to have been repeated with success in the same horse more than once. " f / * Communicated by Mr. Cruicksbank, who informs me farther, that he has had too many proofs of the agency of the ciiuse in question to allow him entertaining any doubt on the subject. t Art. " Generation," in Cjc. Anat. and Phys., vol. ii./ p. 474. 66 Essays on the (e) " I was told (Mr. McCombie writes me) by an old servant of mine, Morrice Smith, that, when he was a servant in the parish of Glass (Aberdeenshire), a black bull served a black cow at the time when a white mare passed them, and that the produce was twin white calves. There were no white cattle upon the farm where this occurrence happened.' '* Such cases as several of those now cited can scarcely fail to recall to the reader's mind the story given in the book of Genesis (chap, xxx.), of Jacob and his peeled rods, and the effect of these in causing the flocks, before whom they were placed at the time of conception, to bring forth ring-straked, speckled, and spotted cattle. It does not appear from the sacred narrative whether the influence of the rods was exerted on the minds both of the male and female cattle, or confined to those of the female. But it seems prob- able (Gen. xxxi. 5-12) that the effect was a super- natural one, and designed to enrich the needy patri- arch at the expense of the crafty Laban, by whom, for fourteen years, he had been sore let and hindered " in providing for his own house ;" and that Jacob * My friend Dr. J. M. Duncan writes me, that he has " more \ than once heard farm- servants say, that it is a sure plan to get a \ white foal, to hang up a pure white sheet before the mare when she conceives." Probably hanging up such a sheet in the stable dying the whole period of pregnancy would be equally effectual. And another correspondent (J. Warwick, Esq., Sussex House, Hammersmith) says : *' The belief in the effect of external objects on the imagination of pregnant women is so strong in Italy, that females in that condition keep in their rooms, and before their eyes, small wax figures of a pretty child. This is called 'II Bambino,' represents the infant Jesus, and is especially worshipped and adored, with the view of procuring beautiful offspring." Foetus in Utero. 67 had beforehand, in a dream, intimation given him of the design, as well as a sensible representation both of the agency to be employed and of the result which was to follow.* If this were the character of the transaction, it would be unwarrantable to draw any inference from it in relation to the present inquiry, unless it could be shown, which I apprehend it cannot, that the same expedient will now, as then, produce the like results. At the same time it may, perhaps, be not unfairly referred to, in illustration of ordinary phenomena of a somewhat analogous kind. Read by the light of these, it may be held to indicate that the Almighty accomplished His pur- pose simply by enhancing a natural agency " mould- ing it secretly in the hollow of His hand," and so * Dr. Allen Thomson, in his comment on this transaction (Cyc. Anat. and Phys., art. '* Generation "), seems to me to have very completely missed the import of the essential parts of the narrative. He gathers from it, that Jacob had parti-coloured males to breed with, and makes the result an affair of mere hereditary trans- mission. But Jacob had not this advantage, and it seems clearly to have been part of his own proposal to Laban that he should not. Laban, at least, on the bargain being concluded, very carefully singled out all the animals of that sort males as well as females even " to every one that had some white on it, and all the brown amoDg the sheep ; " and, giving them into the hand of his sons, set three days' journey betwixt this parti- coloured flock and that which was to be tended by Jacob. A diffi- culty, it may be added, attaches to the right understanding of the whole matter, from the obscurity of v. 40 (chap, xxx.) the true meaning, if not the proper rendering, of which appears to be this : " And Jacob did separate the lambs, and set aside from the flock all the ring-straked and all the brown in the flock of Laban ; and set them apart for a flock to himself, and put them not unto Laban's cattle." F 2 68 Essays on the be regarded as reflecting back light in its turn upon that agency. The validity, however, of this appeal must turn upon our being able to satisfy ourselves, on independent grounds, that there is in nature an agency of this kind ; while the precise value of the appeal will hinge on the extent to which we can thus ascertain that it ordinarily operates, ques- tions these for the solution of which we have not at present the requisite data. (2.) All that need be said in the way of direct inference from the facts brought together in this division of the subject, may be comprised within a narrow compass. Supposing the statements respecting them to be authentic and no question, I apprehend, as to this can well be raised the cases are nearly unequivocal. The only fallacy that can attach to them, is that arising from the possibility, that the peculiarities in the progeny were either purely accidental, or owing to corresponding qualities latent in the parents, but breaking out in the offspring. The relation, how- ever, in most of the cases between the peculiarities in question and their presumed causes, is too close and of too special a character to admit of either sup. position. We are, therefore, well entitled, I think, to regard the greater number, if not the whole of them, as examples of mental causes so operating either on the mind of the female, and so acting on her re- productive powers, or on the mind of the male parent and so influencing the qualities of his semen, as to modify the nutrition and development of the offspring. Foetus in Utero. 69 How, in respect of the female, this influence is exerted, what its modus operands, and what the conditions of its agency, it is not easy to determine The mental affections seem to have been in most of the cases, and were probably in all of them, of a strong and enduring kind ; and we can easily conceive this to have been essential to the result. That the alteration in the growth of the foetus was determined solely, as is vulgarly supposed, by the images in the mind of the mother, i.e., by the mere sensations and perceptions therein produced, independently of the emotions excited by them, cannot well be supposed. It is, doubtless, to this " compound state " of mind to use an expression, without adopting, however, the psychological theory, of Sir James Mackintosh " easily called to mind," inconsequence of the vivid- ness of its first impression, " frequently recurring," and " warmly felt,"* that we must ascribe the effect. It is not unlikely that this particular agency of the mind is more frequently exerted in the females of the lower animals than in those of our own species ; and that cases exemplifying it are oftener met with in the brute than in man. If this be so, a reason- able explanation of the fact may be given. We know that the minds of the lower animals are in a great measure limited to particulars, and these few in number, and almost exclusively external objects of sense ; that the external senses are more perfect in them than in us ; and that the perceptions result- * Ethical Philosophy, edited by Whewell, 2nd edition, pp. 397, 398. 70 Essays on the ing from their exercise seem, in various instances, to follow more surely and more quickly to be more intuitive and wider in their scope, and more vivid in them than in man ; and that the simpler emotions (excited by those perceptions) of joy, fear, affection, anger, &c., of which they are manifestly susceptible, seem often to be peculiarly strong.* We know also that they possess the faculty of memory ; and we may well suppose, from their limited range of association (or suggestion), that sensations that formerly made a powerful impres- sion on their minds, will be more easily and oftener recalled in them than in us, who, though more apt to be "troubled about many things," are proportion- ally less apt to be affected, or at least permanently or continuously impressed, by any one thing. These circumstances and peculiarities of mental action must obviously be singularly favourable to the pro- duction of the results in question, keeping in mind, that the mental agency under consideration is mani- festly closely connected with sensations and with simple perceptions and emotions thence resulting, and with a certain intensity and endurance of all these. That the parts of the female system specially affected by this " compound state " of mind are the blood and nutritive processes generally seems very probable ; that the kind of change, however, therein produced, is rather dynamical than organic, has been suggested to me by Dr. Carpenter ; that it may be of identically the same nature with the change * See art. "Instinct," in Cyc. of Anat. and Phys. Foetus in Utero. 71 produced by the inoculation principle is quite possible, the two, however different in their origin, thus running up into, and meeting in, one common principle, to wit, a modification of the constitu- tional or dynamical powers of the female ; and that it may be more or less persistent, and operate on a subsequent conception, independently of a renewal of the mental state itself, some of the cases seem to indicate. That the change in question is produced through the medium of the nervous system, we cannot doubt " that being the acknowledged seat and instrument of mental acts ; " and that the parts of the nervous system more immediately concerned, in addition to certain great nervous centres (the sensory and emotional ganglia*), are the ganglionic nerves, may reasonably be conjectured these nerves being the only channels by which the blood and the nutritive processes can be brought into relation with the mind.t Beyond this we cannot venture to go in the way of speculation. The singular influence thus exerted by the mind of the mother on the growth of the foetus, is not one " for which," as has been remarked of other modes of action of the mind on the body, " it is likely that we shall ever be able to assign a reason, or which it would be any great hardship to * See Carpenter's Manual of Physiology, p. 522, et seq. ; and Todd and Bowman's Physiological Anatomy, &c., vol. i., chap. xi. t Alison Outlines of Physiology, 3rd. edition, pp. 402-4 ; and Physiological Inferences from the Study of the Nerves of the Eye-ball, in " Medical Gazette," No. 705 (June 1841) p. 410, et seq. 7 2 Essays on the be obliged to regard as an ultimate fact in physi- ology."* (3.) Reverting now to the theory of inoculation, and to the cases cited as instances of it, it will be obvious, from the facts brought together under the preceding head, that in any ordinary case where an animal resembles a male, not its progenitor, by which its mother had on a former occasion been impregnated, the resemblance may be explained as well on the principle of mental agency as on that of inoculation ; or, at least, that in ascribing it to this latter cause a manifest source of fallacy attaches to the assumption. To obviate this, and to determine conclusively whether or not the phenomenon is independent of mental agency, all that seems necessary is, to insti- tute experiments in breeding on a sufficiently large number of different kinds of animals, selecting ani- mals of acknowledged purity of blood, and conduct- ing the experiments so as to exclude (which I under- stand could easily be done) the agency of any such mental impressions on the minds of the animals con- cerned as could reasonably be supposed to influence the results. Should these be of an affirmative kind, and be, at the same time, sufficiently numerous and decided, it would follow conclusively that the phe- nomenon is not due to mental causes. In connection, however, with this set of experiments, it would be desirable to institute another set in which every * Alison On the Physiological Principle of Sympathy, Transactions of Edinburgh Medico-Chirurgical Society, vol. ii., pp. 223, 224. Foetus in Utero. 73 advantage should be given to the agency of mental causes. Should the results from these be equally affirmative although this circumstance would not vitiate the inference fairly deducible from those of the other set, unless by exhibiting in these any source of fallacy otherwise perhaps imperceptible they would afford points of comparison and contrast, and thereby enable us the better to appreciate the value of that inference ; while, if they should be wholly or in a great measure negative, it is clear that they would add greatly to the conclusiveness of the inference in question. The following is a detailed outline of the most im- portant of these EXPERIMENTS. First Set. To determine how far the circumstance of a previous impregnation by a male of a different species, breed, or colour, from the female the agency of mental causes on the result being excluded influences the conformation or colour of the off- spring subsequently borne by her, to a male of the same breed and colour as her own : The female to be served the first season by a male of a different species, breed, or colour from her own ; and the following season, by a male of the same breed and colour as herself, taking these precautions against the agency of mental causes, first, and generally, that the female shall not at any time, up to the period of her second accouchement, have seen the former of those two males, nor any animal of that species, breed, or colour ; and, secondly, and particularly, that the coitus between her and that male shall be so managed as to prevent her from seeing him ; that, subsequently, during this her first pregnancy, the female shall be kept exclusively with animals of her own breed and colour ; and that, immediately 74 Essays on the on her delivery, the (cross) animal produced be taken from her, and ever after kept out of her sight. Second Set. To determine how far mental causes, operating through the external senses, influence the colour and conformation of offspring : I. Mental causes operating at the time of coitus only, or at least originating then The male and the female, both of the same breed and colour, in being coupled together, to have fully in their view animals of a different species, breed, or colour, or objects of any kind of a dif- ferent colour, regard being had, in respect of the matter of colour, that this present a marked contrast to that of the animals con- cerned, and, particularly, that it be of a bright or striking hue. To prevent, as far as possible, any influence of this kind from operating on the mind of the female during her pregnancy, the female be made to herd exclusively, till after her delivery, with animals of the same breed and colour with herself. II. Mental causes operating on the mind of the female during pregnancy only The male and the female, both of the same breed and colour as before, to be coupled together in the usual manner (or in the presence of animals of the same sort only) ; but the female, during her pregnancy, to herd exclusively with animals of a different specie?, breed, or colour. III. Mental causes operating both at the time of coitus, and subsequently during the pregnancy of the female The male and the female, in being coupled together, to have fully in their eye animals of a different species, breed, or colour ; and the female, during her pregnancy, to herd exclusively with animals of this sort. The details now given embrace the principles on which, as it seems to me, decisive experiments might Fcetus in Utero. 75 be made, and also the precautions necessary to be attended to, in order, as far as possible, to avoid fal- lacy in the results obtained from them. They might be very variously modified, and ought certainly to be tried on many different species of animals, in order to give at once a breadth and precision to the results. Should it be clearly established by such experi- ments that an animal, the produce of a male and female of the same breed, born subsequently to the impregnation of the female at a former period by a male of a different breed or species from her own, has, from the single circumstance of such previous impreg- nation of its mother, its nutrition and development so far changed as to resemble that male animal, not its progenitor, the experiments would farther supply materials towards determining the extent to which the fact holds, and the conditions essential to its occurrence. And, in particular, they would furnish more or less satisfactory answers to the following questions, themselves suggestive, both of modifi- cations in the experiments, and of the points to be attended to in noting the results 1. Does the fact hold universally, or only pretty often, or only occasionally and rarely ? 2. Does the animal so produced partake decidedly or only par- tially of the characters of the male animal which it resembles, in colour merely, or in conformation also ? 3. Does the degree of resemblance depend on the number of times the mother may have conceived by that male, before bearing the animal in question ? 4. Is the resemblance lessened or in any way affected by the 76 Essays on the Foetus in Utero. female having been first impregnated by a male of her own breed and colour, prior to her having borne offspring by that other male ? 5. Does the resemblance to that male become less and less in each animal successively produced, and does it ultimately become imperceptible ? Whether such experiments as are here suggested would, if instituted, establish as a principle in the physiology of generation, that, independently of mental agency, a male animal, that has once had fruitful intercourse with a female, may influence the products of subsequent conceptions of that female in which he himself is not concerned, it were need- less at present to speculate. But the cases given in this and in Essays First and Second, as instances of it, taken along with the belief of the frequent occurrence of such cases, and the acknowledged importance of maintaining the purity of breed of most kinds of our domestic animals, may well engage the attention of the agricultural body, and lead them to investigate the subject. How much the Royal Agricultural Societies of England and of Ireland, and the Highland and Agricultural Society of Scot- land, have it in their power to promote such an investigation ; and how much the prosecution of it would be in keeping with the ends of their institu- tion, it is unnecessary to say. ABERDEEN, September 10, 1850. ESSAY FOUKTH. ON THE FCETUS IN UTERO AS THE CHANNEL OF TRANS- MISSION OF CONSTITUTIONAL SYPHILIS FROM THE MALE TO THE FEMALE PARENT. FROM THE GLASGOW MEDICAL JOURNAL, For January, 1859. READ BEFORE THE MEDICAL SOCIETY OP SOUTHAMPTON, December 2, 1856. ESSAY FOURTH. ON THE FCETUS IN UTERO, ETC. IT is now several years since, first in a series of papers in the Edinburgh Monthly Journal of Medical Science, and afterwards in a separate pamphlet, dedicated to the Highland and Agricnltnral Society of Scotland, I directed attention to a class of facts which seem to indicate that the foetus in utero may, and in fact habitually does, inocnlatethe female with the constitutional qualities of the male parent. I did not myself suggest the theory of inoculation. It had been advanced a short time before, in the columns of a provincial newspaper, by Mr. James M'Gillivray, a veterinary surgeon in Aberdeenshire. But I may claim the merit of introducing it to the notice of the profession, and giving currency to it among the agricultural body ; as well as of impart- ing to it a more scientific form, and placing it on a broader basis, than had been done by Mr. M'Gillivray. In both the first and the second of the series of papers referred to, I pointed out the application of 8o Essays on the this principle to the question Whether secondary syphilis may not thus be transmitted from the male to the female ; and it is to this question that I now wish specially to call your attention, premising that my own has recently been recalled to it by two communications on the same subject, published almost simultaneously, but quite independently of each other, both supporting the same views, and both pointing to that principle of inoculation. One of these is in the Edinburgh Medical Journal for October last (1856), by Dr. James B. Balfour, of Edinburgh ; the other is a " Report " of illustrative cases, in the Medical Times and Gazette for October llth, prepared by Mr. Hutchinson, of the Metro- politan Free Hospital,* and to which is appended a summary of the principal conclusions arrived at ; the report itself forming the groundwork of a paper which was read by him a little while ago to the Hunterian Society of London, and will shortly appear as an original communication in the pages of that periodical.t And my object is to bring together, as far as known to me, the facts that have been ascertained regarding it by these and other writers ; and, by presenting those facts under one connected view, to aid in the further investiga- tion of a subject which is as interesting in its physio- logical, as it is important in its pathological and practical relations. * Now Emeritus Professor of Surgery to the London Hospital (1886). ) Since published therein December 20, 1856, and January 10, 1857. Fcetus in Utero. 81 But (reculer pour mieux sauter) it will be expedi- ent, before entering upon it, to lay before you a brief outline of the general doctrine of maternal inoculation through the foetus, as derived from other facts, and resting on other grounds. Such an outline will, I hope, enable you the better to see clearly the bearings of our proper subject, and to appreciate its importance, not merely as a practical question, but as supplying a test or criterion of great delicacy, and of corresponding value, in regard to the whole general doctrine itself. I. The general fact on which this theory of inocu- lation is founded is, that the peculiarities of a male animal that has once had fruitful intercourse with a female of the class mammalia, may be more or less clearly discernible in the progeny which that female may subsequently have by other males ; or, in other words, that a male animal that has once had such intercourse with a mammalian female may so influ- ence her future offspring begotten by other males, as, to a greater or less extent, to engraft upon them his own distinctive features and his own constitu- tional qualities ; his influence thus reaching to the subsequent progeny, in whose conception he himself has had no share, and his image and superscription, so to speak, being more or less legibly inscribed upon them. Accordingly, if the female be of a different breed or species from that male, and have thus borne a cross or hybrid by him, her future offspring, got by males of the same breed and species with herself, may yet have more or less the characters of a cross or hybrid. And if it be true, as is main- a 82 Essays on the tained by Mr. Orton, of Sunderland, that, in the re- production of the animal species, the male parent imparts mainly to his offspring the parts and qualities that are characteristic both of the animal in general, and of the species to which he belongs, as well as of himself individually to wit, the external structures or the organs of animal life the brain, nerves, organs of sense, the skin and hair, together with the bones and muscles and for the most part, therefore, determines the outward character and general appearance of the offspring it is precisely certain of those parts and characters which may be expected to appear, and which are, in fact, discernible in the subsequent offspring which the female bears to other males.* 1. It was not till the publication in the Philoso- phical Transactions for the year 1821 (pp. 20, 23), of the cases of Lord Morton's mare, and of Mr. Giles' sow that the subject attracted any particular attention. (See Essay First ; pp. 3, 4). These two cases were long looked upon as solitary examples of an excep- tional phenomenon, and the phenomenon itself was long regarded as scarcely, if at all, admitting of a plausible explanation. By some, however, it was suggested that it might be ascribed to a partial * See two papers by Mr. Orton, on " The Physiology of Breed- ing," in the Newcastle Chronicle for March 10, 1854, and November 10, 1854; and a paper by the author, "On the Relative Influence of the Male and Female Parents in the Repro- duction of the Animal Species ;" in the Edinburgh Monthly Journal for August, 1854. Fcetus in Utero. 83 fecundation by the qnagga and chestnut boar, respectively, of others of the mare's and sow's ova than those actually impregnated by them ; or at least to some influence of their seminal fluid on the ova that remained, of a permanent kind, but strictly local in its agency, and modifying in some way the development of these ova, when afterwards impregnated by other males. By others, again, the phenomenon was regarded as an instance of that class which come within the category of " mother's marks," and are popularly ascribed to the agency of the imagination or of the mind on the body, and supposed to be illustrated by a reference to the case recorded in Genesis (chap, xxx.), of Jacob and his peeled rods. Neither the phenomenon itself, however, nor these conjectures regarding it, gave rise to much discussion, or long continued to engage the attention of physiologists. The subject was altogether passed over by Dr. Bostock, in his elaborate System of Physiology. It was referred to by Mr. Mayo and by Dr. Alison, in their " Out- lines," and by Dr. Kirkes, in his " Handbook," of Physiology. But a brief and passing allusion to it was all the notice it received. Meanwhile, instances of a like kind were becom- ing known to persons engaged in the breeding of horses, cattle, sheep, dogs, and swine ; and in 1849 Mr. M'Gillivray adduced, in the paper I have referred to, a collection of cases sufficiently large to show that the phenomenon exemplified in Lord Morton's mare, or rather in her progeny, is by no means so unique as it was thought to be. And it G 2 84 Essays on the may now be confidently affirmed, that since then, and within these few years, enough has transpired in this department of inquiry to warrant the pre- sumption, that the phenomenon in question is so uniform in its occurrence, whenever the requisite conditions obtain, as to constitute a general fact or law of nature. It is so regarded by a large number of our great breeders of cattle, by dog-fanciers, and others of large experience in the rearing of horses, sheep, &c., and is habitually taken into account by them in the selection of their breeding-stock, and in their estimate of the purity of an animal's blood ; the practical belief of all of them on this subject being, that a female animal that has once been im- pregnated by a male of a different breed or species from her own, and has borne a cross or a hybrid by him, is thereby destroyed, for a time at least, if not permanently, for the purposes of breeding pure stock of her own kind ; and the theoretical belief of many among them, that this result happens because (as was first suggested by Mr. M'Gillivray) the blood of the female has, through the foetus, been contamin- ated by the blood, and charged with the qualities of the male she first had intercourse with so charged therewith (so contaminated thereby), that she her- self imparts the blood and the qualities of this male to the progeny she afterwards has by other males. 2. It is not my intention to lay before you any additional examples of this kind as occurring in the lower animals. I have elsewhere brought together a tolerably large collection, and to this it must Foetus in Utero. 85 suffice to refer. But I cannot forbear just briefly alluding to the fact, for the mention of which you will be quite prepared, and the reference to which will naturally pave the way to our proper subject that instances of the like sort are, perhaps, equally common in our own species. It has long been known and it is, in fact, a popular observation that in the case of a woman twice married, and fruitful by both husbands, the children of the second marriage often resemble their mother's first husband or his family, and that not in features only, but in mind also, and in disposition. It is obvious, indeed, that in any such case, where all the individuals concerned the woman, her children, and both the husbands are of the same variety of the human family, the alleged resemblance must often be exceedingly diffi- cult to trace or to substantiate. But it is equally obvious, that means exist for ascertaining clearly whether it obtains or not. There are equally dis- tinct varieties of the human species as there are of any of the lower animals ; and all that is requisite for bringing the question to a decisive issue is, to observe accurately whether the children of European parents when the mother has, in the first instance, had offspring by a negro exhibit traces of the latter in the colour of the skin, and still more in the quality of the hair, the form of the features, &c. ; or, contrariwise, whether the children of negro parents, when the mother has formerly been im- pregnated by a European, manifest the peculiari- ties of the latter. Of the former case, I have heard of two instances 86 Essays on the as occurring in this country, one of them under the notice of Professor Simpson, of Edinburgh (See Postscript to Essay First, p. 21). Of the latter case, that in which the parents are both negroes, but in which the mother has previously had fruitful con- nection with a European, Dr. Robert Balfour, of Surinam, wrote me some years ago to say, that re- peated instances of the European influence under such circumstances, had come under his own obser- vation. " Among the coloured population " (Dr. Balfour wrote me, April 19, 1851), " consisting of negroes and their offspring by Europeans, the most striking illustrations of the truth of your, or Mr. M'Glllivray's, theory are constantly occurring. Shortly after my settlement here, I was led to re- mark the circumstance (which I had never noticed recorded by writers), that if a negress had a child or children by a white, and afterwards fruitful inter- course with a negro, the latter offspring had gene- rally a lighter colour than the parents. ... I could particularize many such, the observation of which had led me to form an opinion similar to that which you have more elaborately worked out." Doubtless, if looked for, examples of the influence now in question would be found as general in our own species as in the lower animals. And it may just be observed that, in the one as in the other, they can only be unequivocally and satisfactorily determined in cases where the individuals or the animals that are the subjects of observation are of a different race or species ; or rather, where the male, the female, and the offspring, are of the same breed Foetus in Utero. 87 and species, but the female has first of all been impregnated by a male of a different breed or species. 3. In ascribing this very remarkable phenomenon, as seen both in our own species and in the lower animals of the class Mammalia, to an agency exerted by the foetus on the mother's system, of the nature of inoculation, I do not intend to consider in detail, or in connection with other explanations that have been given of it, the grounds on which that doctrine of inoculation rests. The questions involved in it are too numerous, and the discussion of them would be too tedious, to admit of my entering upon them at present. I have elsewhere considered them pretty fully, and must here content myself with this general remark, that the facts there advanced in support of the theory of inoculation have always seemed to me sufficient, if not indeed absolutely to prove the truth of it, to impart to it at least a prob- ability short only of absolute certainty : and, further, that while I deemed it expedient to suggest to the agricultural body certain experiments in breeding, which, if carefully made, could not fail to be decisive of it, I have always thought that a suffi- ciently large collection of facts, of the description of those now to be laid before you in regard to the poison of syphilis, would supply all that is really wanting to make the demonstration of its truth complete. The reasonableness of the doctrine no one can well dispute. Connected as the foetus and its mother are by the placenta, a mutual interchange of fluid matters is continually going on between 88 Essays on the them : the foetus drawing supplies from its mother's blood for its growth and maintenance, and the mother (though, no doubt, in much less quantity) abstracting materials from the blood of the foetus. Is it unreasonable to suppose that the matters abstracted by the mother may be charged with (or have inherent in them) the constitutional qualities of the foetus ; or that passing into her body, and mingling there with the general mass of her blood, they may impart those qualities to her system ? And this supposition will perhaps appear the less improbable, if regard be had to the length of time during which the connection between the mother and the foetus is kept up, and during which this transference of materials must go on a period of some weeks, or even of several months. But the qualities inherent in the foetus must in part be derived by it from its male parent, and be to that extent identical with his. The distinctive pecu- liarities, therefore, of this parent may thus come to be engrafted on the mother, or to attach in some way to her system ; and if so, what more likely than that they should be communicated by her to any offspring she may afterwards have by other males ? 4. Hitherto we have had under consideration the transmission of such qualities only as are strictly normal or healthy, and so far the subject may be regarded as one of physiological interest merely, or at least of practical importance to breeders alone. But it is conceivable that morbid qualities may be transmitted also, and be in the same way, or Foetus in Utero. 89 tlirougli the same channel, engrafted on the mother's system. In our own species, scrofula may, peradventure, be thus transmitted. In my First Essay on this subject, I not only refer to the possibility of this, but give two instances in which it apparently happened (pp. 10, 21). A serious difficulty, indeed, attaches to the investigation of this point. So widely diffused is the scrofulous diathesis among mankind, that in any single case in which it has apparently been acquired in this way, it would be difficult to determine whether it was really thus derived or not. Still, observations on the large scale, long and carefully conducted, as to the health and constitutional tendencies of females before and after marriage, as compared with those of their husbands and children, and carefully distin- guishing between females that have and females that have not had children, might in the end, and after full allowance for errors or fallacies of obser- vation, sufficiently demonstrate the reality of the occurrence. Certainly it is not an uncommon obser- vation, that women born of healthy parents, and themselves previously healthy, fall into a state of general ill-health after becoming mothers* an observation which may yet be connected, in a certain proportion of cases, with the principle now in question. So, likewise, may the syphilitic poison, in its constitutional forms, be transmitted * Even this observation has not escaped Mr. Kingsley. Speak- ing of Mrs. Vavasour, he says " And when children, and the weak health (on the part of the mother) which comes with them," &c. Two Years Ago, vol. i. p. 70. 90 Essays on the after the same manner from the husband to the wife, and be by her conveyed to the children she may subsequently bear to a second husband, him- self perfectly free of all syphilitic taint. Whether any other morbid states besides these e.g., mania, epilepsy, gout, &c., which are unquestionably hereditary may thus be imparted and transmitted, it is at present impossible to say. Enough appears, however, from a consideration of the transmission of healthy qualities, and from what is known in regard to the transmission of syphilis, to impart to the whole inquiry as to the transmission of morbid qualities, an interest of the highest prac- tical kind, and that in a social as well as in a purely professional point of view. So important may it yet be ascertained to be, in contemplating marriage with a widow, to have regard to the constitutional peculiarities of the deceased husband. So much for the general outline I spoke of at the outset fuller, indeed, than was intended, but, perhaps, not more so than it was necessary to premise in order to the right understanding of our proper subject the foetus in utero, as the channel of transmission of secondary or constitutional syphilis from the male to the female parent. II. Taking up, now, the subject of syphilis in connection with the alleged inoculating power of the fcetus, let me just observe at the outset, that there are two points of view from which it may be regarded two objects with which its investigation may be conducted : First, as a part of the history Foetus in Utero. 91 of syphilis, and in relation to pathological and practical ends ; and, secondly, as a test or criterion of the general doctrine of inoculation itself, its special value as a test lying in this, that nothing like mental influence can possibly be imagined to have any share in the transmission of the virus. And these two objects, although so far distinct, need not nay cannot be separated, in the prose- cution of our scientific inquiries. That is to say, if such inquiry shall demonstrate that the syphilitic poison in its constitutional form may be, and actually is, transmitted nay, is only communi- cated, and is communicable only, from the husband to the wife through the foetus while this fact would form a real, a practically important, addition to our knowledge of the laws of that poison, it would, at the same time, establish the general doctrine of inoculation, as exemplified in other modes, and resting on other grounds ; and it would impart, besides, a peculiar strength to the evidence in sup- port of it thus derived, because absolutely devoid of all leaven of the fallacy which may be supposed to attach to that and every other source of evidence. 1. The first question I shall consider, as more obviously connecting itself with the general features of the cases already referred to, and exemplified in Lord Morton's mare, is Whether a woman, twice married first to a constitutionally syphilitic hus- band, next to a husband untainted by that poison and fruitful by both, may herself (not otherwise tainted than through her former husband) infect the children of her second marriage ? 92 Essays on the In seeking formerly (in 1849) for a solution of this question, which I thought I had been the first to suggest, I was unable to do more than adduce in illustration of it an imperfect observation from Messrs. Maunsell and Evanson, to the effect, " that they have notes of the case of a syphilitic child, whose mother had been infected by a former husband, and to all appearance cured five years before its birth ; the father of the child, her second husband, being in perfect health."* They do not say, how- ever, in what way she was infected ; and, as it may have been in that of primary affection or chancre, the case, as it stands, is of no value in relation to the question before us. Dr. Montgomery, of Dublin, I afterwards found, had anticipated me in this question as to syphilis. Referring to Lord Morton's mare, and Mr. Giles' sow, Dr. Montgomery remarked, in 1837, in the first edition of his great work " On the Signs and Symptoms of Pregnancy :" " Such occurrences appear forcibly to suggest a question, the correct solution of which would be of immense importance in the history and treatment of disease. Is it possible (be asks) that a morbid taint, such as that of syphilis, for instance, having been once communicated to the system of the female" [by a concep- tion ?] " may long linger there, and influencing several ova, con- tinue to manifest itself in the offspring of subsequent conceptions, where impregnation has been effected by a perfectly healthy man, and the system of the mother appearing to be at the time, and for a considerable period previously, quite free from the disease ? My belief" (he adds) "is certainly in favour of the affirmative. " * On the Management and Diseases of Children, 5th edit. , pp. 452, 453. Fcetus in Utero. 93 What Dr. Montgomery here suggested as a probable occurrence, and then merely suspected, he has since been able to substantiate as a fact : " Such " (he observes in the second edition of that work, pub- lished in 1856) "was the opinion I expressed in 1837; and further experience and observation have, I think, shown to be a fact what I could then only venture to say I believed to be likely." He then proceeds to quote two cases in support of this observation one from M. Yidal, the other from M. Cazenave remarking afterwards that, while he thought the observation of the fact was original with himself, he had found it was made long ago by others by M. Gardien, in 1824, and by Dr. F. H. Ramsbotham, in 1835.* In the case given by Cazenave,f the syphilitic taint was trans- * We shall see by and by how clearly Dr. Ramsbotham had divined it. It seems to me, however, very doubtful whether M. Gardien had any conception of it whatever, judging at least from the passage referred to by Dr. Montgomery, and which is as follows, "Le moment de la conception devient quelquefois une circonstance qui favorise chez la femme le developpement de differens virus qui e"taient restes sans action jusqu'a ce moment. L'e"tat de grossesse manifeste quelquefois des symptomes de virus venerien qu'on n'avait pas encore apergu, et qui, sans cela, aurait pu rester encore plus ou moins de temps engourdi. Le virus syphilitique, avant la conception, pouvait circuler dans la masse general e sans affecter aucune glande, et sans donner de marques de sa presence : parceque ces organes n'etaient pas sensibles a son action. La grossesse augmentant la sensibility, manifeste des symptomes d'une infection ge'ne'rale, parceque les organes glandu leux ressentent, a cette e"poque, les impressions du virus venerien, auquel ils e"taient insensibles auparavant.' ' ( " Traitd d' Accouch. " 1824, vol. ii. p. 29.) f Traite des Syphilides, etc., p. 133. 94 Essays on the mitted by the mother to the children of her third husband, as well as to those of her second ; but the case is essentially defective, inasmuch as it is not stated in what manner the woman originally became affected. It would even appear from the narrative of the case, that it was while a widow that she be- came affected : and as it does not appear that she had a child subsequently till she married her second husband, it is probable that she acquired the disease in the primary form, at least otherwise than through impregnation. M. Vidal's case, however, is in every respect unexceptionable, and exactly to the point : tc A woman, whose husband was affected with constitutional syphilis, gave birth to a child, which in two months showed symptoms of that disease, of which it died. The woman never had any appearance of syphilitic affection, not even sufficient td soil her linen. Her husband died, and, after remaining some time a widow, she married a healthy man ; and about twenty months afterwards, being four years after the former birth, she bore a child, which in two months presented the same form of syphilitic eruption which had appeared on the former child." It is plain that opportunities for observing cases of this description must be comparatively very rare. A second marriage, indeed, on the part of widows, is not uncommon ; but with the conditions requisite for thus tracing the transmission of the syphilitic poison, very uncommon. And it must be kept in mind, that in some cases of this kind, the results of observation (although, as we shall see, of great value notwithstanding) will be of a negative character, as in the following case given by Dr. James B. Balfour : Foetus in Utero. 95 " A respectable young woman from the north was married to a tradesman, who had no trace of syphilitic disease at the period of marriage ; but he afterwards acknowledged that, two years before, he had the disease, followed by slight secondary symptoms, which had entirely disappeared under medical treatment, and he had seen or felt nothing since. This woman complained of nothing until about three months after she became pregnant. Then, how- ever, symptoms of secondary syphilis became apparent spots of psoriasis appeared on various parts of the body hard knots were felt on the perineum, and on the external labise and within the vagina there was a hard, knotty feeling over the whole mucous surface. Her child exhibited a distinct syphilitic appearance, which was removed by the usual treatment. Shortly after delivery all symptoms of syphilis entirely disappeared ; and as she shortly afterwards removed to the country, she was subjected to no medical treatment. A few months afterwards her husband died. She subsequently married a farmer. About six or eight months since I saw her, and she has borne three children to her second husband, and certainly more healthy children I could not wish to see. She informed me that she had never been under medical treatment since I had attended her, indeed she never had a medical man near her, except during her confinements, and that she had never suffered, during any of her pregnancies, from anything like what she had done at the first one." I shall not trouble you again with the details o individual cases. But I have thought it desirable to quote at length the two I have taken from Dr. Balfour and M. Yidal, as being fair examples of the kind of cases we may expect to meet with, and on which our conclusions must be founded ; few of them exactly tallying in every point ; most of them having each its own special features, and the com- parative value of the several cases being widely dif- ferent none, however, being of any value in which it does not clearly appear that the virus was imparted to the female in its secondary or constitutional form 96 Essays on the only. In both the cases adduced this essential con- dition was plainly apparent, but they differed in other respects. In M. Vidal's the woman never exhibited in her own person any symptoms of syphilis, but gave proof of being tainted with it by giving birth to a syphilitic child, got by her second husband, a healthy man. In Dr. Balfour's this evidence was wanting ; but the fact of the woman having imbibed the poison from her first husband, appears from the symptoms of it having shown themselves upon her- self during her first pregnancy : the evidence thus afforded deriving confirmation from this other fact, that the child she then bore was also affected with it. 2. And this, for the most part, is the sort of proof we should look for direct evidence furnished by positive manifestations in the person of the mother, and confirmed by like manifestations in that of the child, of syphilitic taint. Although always interest- ing, and indeed important to do so, it will not actually be necessary, except in a very few cases (as in M. Vidal's), to seek to trace the transmission of the virus to the children of a second marriage, and of a healthy father. The proof we require lies within a narrower compass, and may be reached by a shorter process. Dr. Balfour's case rather than M. Yidal's, is the type of the cases we have to search for and to consider ; and, fortunately for the investigation, they are of much more frequent occurrence. And the question to be con- sidered, in the first instance, is simply this Whether ever a woman derives secondary syphilis from her husband, when she conceives by him, and because of her doing so. Foetus in Utero. 97 The evidence now available on this point, as far as known to me, is of two kinds : First , General statements of experience supplied by M. Ricord, Dr. Montgomery, Dr. Tyler Smith, Dr. Carpenter, and likewise by the author cf the review, in the Edinburgh Medical Journal, of the new edition of Dr. Montgomery's work, and by Dr. Ramsbotham : and, secondly, Specific instances observed and recorded by various writers. Let us first consider the former branch of the evidence. M. Ricord, one of the highest authorities on all points relabing to syphilis, observes that his experience goes to prove, that in the case of a woman pregnant of a child whose blood is contaminated with syphilis acquired from the father, this child may, and often actually does, contaminate the mother's system : " So long as a diseased father (says M. Ricord) is under the influ- ence of constitutional syphilis, the germ which is by him conveyed into the uterus carries along with it the syphilitic diathesis. . . There is no such thing as an infection of the child by the mother, she having been contaminated by the father ; but the husband procreates an infected child, which may then propagate the secondary poison to the mother for where there are no children the mother does not suffer."* Dr. Montgomery, in the last edition of his " Signs and Symptoms of Pregnancy," speaking of this very point, remarks, that " there can be no doubt of the frequent occurrence of the fact." Dr. Tyler Smith's testimony is, that the most common mode in which * The Lancet, April 8, 1848, p. 383. See also Mr. Acton's work on Syphilis, p. 632. 98 Essays on the women become affected with syphilitic uterine disorder, is, lie believes, that in which the foetus is the medium of communication.* Dr. Carpenter, speaking of the inoculation theory, says : " This idea is bome out by a great number of important facts ; and it serves to explain the circumstance, well known to practi- tioners, that secondary syphilis will often appear in a female during gestation or after parturition, who has never had primary sx mp- toms, whilst the father of the child shows no recent syphilitic disorder/'f And the reviewer referred to observes "That a woman may get syphilis from a man without any ex- ternal disease namely, by bearing a syphilitic child in the womb of her previously healthy body, which child infects her with the disease : and that she may then exhibit outward signs of the disease now in her constitution or, without this, may prove her syphilitic taint, by producing syphilitic children to another perfectly healthy father." Let us see, further, on this branch of the evidence, what Dr. Hamsbotham says. Among the first, if not the first to suggest the possibility nay, the great probability of this mode of transmission of the syphilitic poison, nothing can be clearer or more explicit than his observations on it : Cf It is a generally received opinion, I believe, that syphilis in its secondary stage, is not communicable directly to either sex from the other that the disease is not propagated unless there exist an open chancre ; and this accords with my observation. But it appears to me probable, that if a previously healthy woman conceive of an ovum tainted by syphilitic virus derived from its father, her system may become inoculated during the progress of * See Association Medical Journal, July 14, 1854. f Principles of Human Physiology, 5th edition, p. 826. Fcetus in Utero. 99 gestation, in consequence of the close vascular connection existing between it and herself ; for it has fallen to my lot to see more than one case in which a young woman, united to a man labouring under obstinate secondary symptoms, remained healthy for some months after marriage, but became the subject of the same disease in its secondary form soon after impregnation had taken place ; and / have considered that, in such a case, the mother derived the disease, not directly from the father, but from the affected infant which she carried in her womb."* These are strong and unequivocal statements, and the specific evidence furnished by individual cases is equally decided. To what extent the records of medicine can now supply examples of this descrip- tion, I cannot say. But I have already repeatedly alluded to those brought forward by Dr. Balfour and by Mr. Hutchinson ; and it is to these that I would now particularly refer. The former gives four or five cases, the latter as many as fifty. To be duly appreciated, these cases must be examined individually and compared together a task which it were foreign to my object to enter upon at present, even were it possible to accomplish it without actually reproducing the cases in detail. It must suffice, therefore, thus to refer to them, and to remark that, having carefully considered them, I think they conclusively establish in the affirmative the question presently before us ; proving that a woman may, and often actually does derive syphilis from her husband, when she conceives by him, and in consequence of her doing so. 3. The next question to be considered is Whether at each pregnancy there may be a renewal of the * Medical Gazette for May 23, 1835. H 2 ioo Essays on the symptoms of secondary syphilis in the woman im- plying that she has from some source, or from some cause connected with the state of utero-gestation, imbibed a fresh dose of poison ? On this point, and speaking apparently of uterine syphilitic affection, Dr. Tyler Smith stated at a meeting of the Medico- Chirurgical Society, that " he had observed in such cases, that at each preg- nancy a fresh dose of the syphilitic poison is im- parted to the mother, unless in the meantime the husband had been the subject of anti-syphilitic treatment."* Mr. Hutchinson's experience as regards the ordinary secondary symptoms is to the same effect. Our time will not allow me to refer specially to his cases, as bearing on this question ; but it will suffice to quote his own general conclu- sion : " Increase of symptoms and relapses may be produced by repetition of exposure to contagion "- i.e., by the woman again becoming pregnant. And in one of Dr. Balfour's cases, the first in his collec- tion, there was a recurrence of the syphilitic symp- toms during the second pregnancy. The positive value of the fact thus clearly ascer- tained, and still more, its value in relation to other facts, and as checking or testing these, I am disposed to rate very high.t The consideration of it, how- * See Association Medical Journal for July 14, 1854. f As this point is important, I hope I may be excused, if, in order to bring it fully into view, I adduce here so much of Dr. Baifour's first case the only one in which relapse occurred as is illustrative of it : " By the time the lady recovered from her confinement, and the lochial discharge had ceased, all trace of the Fcetus in Utero. lot ever, in this view, must be reserved till another question yet to be proposed comes before us. Nevertheless, to meet an exception that may be taken to it, it will be necessary at this stage to point out how the fact really stands. The reappear- ance of the syphilitic symptoms in the mother during a second or subsequent pregnancy, seems certainly to imply that she has received a fresh dose of the virus, and likewise that she has received it directly from and through the foetus. But it does not abso- lutely follow that in every such instance the foetus derives the virus from the father. In most instances it no doubt does. M. Vidal's case, however, is sufficient to show that it may derive it from the mother exclusively ; and in as far as it does, the reinfection of the mother comes remotely from herself. But this does not alter the character of the fact, or impair its value. Why, while long previously dormant in her system, the virus should thus again become active and reappear, we shall syphilitic affection had entirely left, and she was so completely restored to health that I did not deem any medical interference necessary. She enjoyed excellent health, and made a good nurse, and continued quite free from any return of the disease for more than fifteen months, when she again became pregnant. About two months after this occurred, a train of symptoms precisely similar to the first appeared, and continued as formerly up to the time of her confinement, when they again disappeared as on the former occasion. The second child was also syphilitic." It cannot well be supposed that during the interval between the two pregnancies, no sexual intercourse obtained between this lady and her husband till just previously to the second ; and that the relapse and the reimpregnation were merely coincident. IO2 Essays on the afterwards consider ; merely remarking at present that the like question may be raised, and admits of a like solution, in regard to the power of the virus when long dormant in the father's system to infect the child. 4. Another question still remains Whether ever a woman derives secondary syphilis from her husband unless she conceives by him ? And the question to which this stands opposed is Whether she may not derive the virus through the seminal fluid also, and indifferently at any time ? This question, which was suggested to me by Mr. Paget (Sir James), as it was, I believe, to him by the perusal of my own observations on this subject in my first paper, is perhaps the most important of all.* Previously, however, to taking it up, the consideration already referred to, as to the power of a seemingly dormant virus, demands attention. And it does so as enabling us to understand why if the fact be so it is through the foetus only, and * The alternative question might have been framed in more general terms so as to include tainted preputial as well as urethral mucous secretions, together with exudations from vesicular or pustular eruptions on the penis. But I have restricted it to the seminal fluid, in accordance with Mr. Paget's communication. "I would venture to suggest," Mr. Paget wrote me, "that you should try to find whether ever a woman derives secondary syphilis from her husband unless she conceives by him. Facts bearing on this point might prove that secondary syphilis is not communicated directly by the seminal fluid, but by the child begotten with it ; and this mode of inoculation being proved, would go far to prove the foundation of your theory " i.e. Mr. M'Gillivray's. Feet us in Utero. 103 during pregnancy alone, that the female derives the virus from her husband, or, in a few cases, virtually reinfects herself ; and, likewise, in the absence of positive proof, and until such proof is adduced, that she may and does, making it probable that she will not and cannot derive it through the seminal fluid, and indifferently at any time. Now, although in many cases, in the lower ranks of life particularly, the syphilitic symptoms in the husband may continue to show themselves, and be severe or well-marked even after marriage, the general fact, I apprehend, is, that among all classes, and certainly in the higher, they have long previ- ously disappeared ; that in a large proportion of the cases they were originally mild, or very slight in the later periods of their manifestation; and, further, that, to all appearance, the virus itself has been completely eradicated from the system. Facts, indeed, clearly demonstrate that it must still be present there. But facts demonstrate, also, that it must be present in such quantity and in such con- dition as to be incapable of again exciting actual disease in him. And the question arises how, under such circumstances, should the virus be capable of tainting and sensibly affecting the child begotten by him ? The answer is not far to seek. In accordance with the known laws both of physi- ology and of the morbific poisons, the foetus, being an entirely new formation, and the seat and subject of nutritive changes of great activity, will be peculiarly susceptible of the virus ; and the virus itself, although existing in the father's system, and imparted by him IO4 Essays on the to the foetus in a quantity which may be infinitesi- mally small, acting as a, ferment, multiplies itself in the blood of the foetus, and at length accumulates there in such quantity, acquiring at the same time such efficiency as to produce in it manifest syphilitic disease. The like explanation will apply to the cases in which (as in M. Vidal's), the virus is derived by the foetus from the mother. And that the foetus thus contaminated, whether by the mother or the father, and thus actually affected by the poison, should readily infect or reinfect the mother, is only w r hat might reasonably be expected. Thus, strictly speaking, it is not the father that directly affects the mother. It is the foetus that does so. The virus, in passing from the father to the mother, passes first into the system of the foetus, and there multi- plying, acquires the requisite power. And it may be, and I confess I cannot but believe that it is thus only that, while latent in the system of the husband, or appearing only in the slight and mild tertiary form, it ever will or can affect his wife. To revert now to the questions put a little ago- We have already seen that the female may, and often does derive syphilis from her husband when she conceives by him, and that whether remotely derived now from herself or not she may, and often does again exhibit the like symptoms on a subsequent impregnation. But may she not also do so independently of conception, and at any time ? May not sexual intercourse alone, and the mere application of the seminal fluid, or of tainted pre- putial secretions, suffice to impart the virus to her ? Foetus in Utero. 105 I am inclined to think not. It were a rash asser- tion to say that its occurrence is impossible, and one at least which it would require a large amount of negative evidence to make good. We know that a syphilitic infant may infect its nurse, and it is clear that the infection must come to her through her own nipple and the infant's mouth abrasion or fissure of the nipple being probably a condition essential to the result. In this case, however, we have an infant labouring under actual syphilitic disease ; and if infection be possible in the case of man and wife without impregnation, I apprehend it is so only in cases in which the man is at the time actually diseased, and of these, probably in those only, in which the female is labouring under ulcera- tion or abrasion of the os uteri. But that it is possible in cases in which the syphilitic affection in the man is altogether latent, or shows itself in its slighter forms, and the mucous surfaces in the woman are entire I do not believe. Yet it is in cases of this description that it is so often seen in connection with pregnancy the woman healthy, and the man without any ostensible syphilitic affec- tion. The question, however, is one of fact. A single well authenticated and unequivocal instance of infection occurring independently of conception, would establish the infecting power of the seminal fluid ; or else of certain others of the male genital secretions. Have any such cases ever been met with and recorded ? Dr. Balfour refers to none, and seems to consider it certain " that the mere fact of io6 Essays on the coitus between the woman and her husband is not sufficient to produce the disease." Mr. Hutchinson states that he has met with but one case of this class ; but he regards it as a doubtful one, and he holds it to be " extremely doubtful if ' contagion by the seminal fluid ' be possible " observing " that cases are extremely rare in which married women who have never conceived, become the subjects of constitutional taint without having had primary symptoms, and are in all probability to be explained as errors of observation." And, as we have seen, M. Ricord states emphatically, that " when there are no children the mother does not suffer." I have not myself met with any, although for nearly eight years I have had my attention directed to cases of this description ; nor have I been able in the course of my reading to find any described. It is true that writing in 1850, I said " I fear it will turn out on inquiry, that secondary syphilis may be transmitted directly by the seminal fluid, independently of conception." Bat this apprehension was founded, contrary to my hope, on answers I received to inquiries made of some professional friends of experience in this department of practice, who thought they had seen cases in which the female had been tainted by her husband, and (the idea of inoculation through the foetus being new to them, and appearing strange) were persuaded that the contamination must needs have occurred through the seminal fluid. To the apprehension, however, then expressed, I appended this remark : " but perhaps it may appear also that its transmission in this way Foetus in Utero. 107 (i.e., by the seminal fluid) is occasional only and un- certain, while it is very frequent, or almost inevitable, when conception follows intercourse " adding, that " a comparative observation of this kind, if clear and undoubted, would be nearly equally decisive. " Essay Second, p. 43. Now, however, without raising any question as to the abstract possibility or impossibility of maternal inoculation through the semen of the male parent, or otherwise by him independently of impregnation, we are, I submit, in a position to say confidently, and that mainly through the labours of Mr. Hutchinson, Dr. Balfour, Dr. R/amsbotham, M. Hicord, and others, first, that no evidence of a reliable kind has yet been adduced to show that inoculation apart from conception, or otherwise than concurrently with it, has ever occurred, or been known to occur ; and, secondly, that inocula- tion by the foetus never suspected until within these last few years, is not only possible, but is at once the special mode in which it is effected, and the only mode in which it is known to be effected, while it is of very frequent occurrence besides. Nothing, I think, can now set aside these conclu- sions. Further observations may modify them ; but the evidence on which they rest is large enough and clear enough to enable us confidently to rely upon them. And its strength lies not merely in the number of instances in which different females have become infected with secondary syphilis when they loS Essays on the conceived, and then only, but in which the same female has been reinfected simultaneously with re- impregnation, and at no other time continuing free from syphilitic affection for months together, although cohabiting with the tainted husband, and then suffer- ing again on again becoming pregnant. It is this which makes the evidence not merely convincing but irresistibly conclusive. Conclusive it is in a twofold sense a negative and a positive sense. Intercourse between husband and wife to any extent, or for any length of time, harmless, as long- as there is no specific result from it. But no longer. Impregnation effected, inoculation also effected. Cumulative evidence of this kind may, in truth, be said to have already effectually set aside all notion of inoculation by the male semen, or in any way save and except by impregnation. III. This properly concludes what I have to say on the foetus in utero as the channel of transmission of secondary or constitutional syphilis from the male to the female parent. Practically important on its own account as the subject is, it is physiologi- cally important also, as a test or criterion of the general doctrine of inoculation through the foetus. Did our time permit, I would endeavour to point out its bearing in this relation, and its peculiar value. I would proceed to show you that there probably are in nature two sets of cases, or two classes of facts, connected with the peculiarities seen in the offspring of mammalia, analogous, nay, identical in their external characters, but widely different in their origin and in the conditions of their production ; Feet us in Utero. 109 the one referable to mental states in one or other of the parents, but oftenest to mental states in the female, and operating on her either at the time of conception or during the early stage of pregnancy ;* the other to a change effected in the constitutional and reproductive powers of the female by a physical agency, originally extrinsic to her, but ioherent in a former feet as by derivation from its male pro- genitor, and conveyed to her in the way of inocula- tion by that foetus while in utero. To establish this, and to demonstrate also the relative proportion in which the two sets of cases obtain, together with the comparative efficacy of their respective causes, and the conditions that are essential to the action of each, would be an achieve- ment in physiology of great general interest ; and, in relation to the practice of medicine on the one hand, and the breeding of stock on the other, of real practical importance. But, in the investigation of one of the branches of this subject, the first and essential point is to make good the law or principle on which it rests to be well assured that the foundation is secure. And it is in this point of view that the inquiry as to syphilis is so important. As regards it, there can be no room for suspecting that mental causes can possibly be concerned in the transmission of the virus from the father to the mother. A child born into the world with unmistakeable manifesta- * See ex. yr., the case of the mare and horse (a gelding) narrated in Essay Third, pp. 60, 61. no Essays on the tions of syphilis on its body, begotten by a healthy man, but the fruit of a second marriage, and the first husband and the children of this marriage syphilitic also, could not for a moment be supposed to have come by it per fortem imaginationem of its mother, as it might be, if, instead of syphilis, it had the nose or the features of its mother's former husband. As little likely is the mother, by such an effort of mind at the moment of conception, thus to contaminate herself.* Our time, however, will not allow me to do more than to indicate in this brief manner the value of the syphilitic test of the inoculation per fcetum theory; and to add, that, while it seems to me to establish it beyond the reach of all doubt or cavil the great extent to which recent observations have shown the general fact exemplified in Lord Morton's mare to hold among cattle, sheep, dogs, horses, and others of our domestic animals, as compared with the limited extent to which mental causes are seen to influence the development of offspring, sufficiently * There seems to be with, some as little limit to the physio- logical agency of the imagination as to their own exercise of this faculty. In a case of legitimacy that came before it, the parlia- ment of Grenoble went as far as to declare the issue legitimate, although the husband had been four years absent from his wife, on the ground of an allegation by the latter, that she had con- ceived through the power of the imagination alone : " Ut mulier per fortem imaginationem putaverit se in somnis rem habuisse cum marito, atque sic concepisse." Had the child, however, been born syphilitic, it is possible that the parliament might have come to a different decision straining at a gnat, albeit making no diffi- culty of swallowing a camel. Foetus in Utero. in demonstrates that in the great majority of cases of this description, the inoculation principle is that concerned in their production. IV. There is yet another test of this inoculation principle, for the suggestion of which, as of the former, I am indebted to the sagacity of Mr. Paget. The phenomenon exemplified in Lord Morton's mare ought, by the theory, to be restricted to animals of the class mammalia, that is to animals in which the young are developed within the body of the mother, and between which and the mother there exists a placental connection during the whole period of intra-uterine life. But is it actually so restricted ? May it not be seen in birds, in which the young are wholly developed outside the mother's body, and between which and the mother there is no placental connection ? Now, among bird fanciers crossing is perhaps as extensively practised as it is with our domestic quadrupeds. Nothing, for example, is more common than to breed the barn-door hen with the bantam cock one year, and the next year with a cock of her own kind ; or the hen-canary one year with either the cock- linnet or the cock-goldfinch, and the next with the cock-canary. In these and other cases of the like kind, cross birds or mules are obtained the first year ; and these, in accordance with the law laid down by Mr. Orton, of Sunderland, take very strongly after the cock. But are the birds obtained the following year, when the parent birds are both of the same species and of the same breed, perfectly pure, that is, without taint or trace of any of the 1 1 2 Essays on the characteristics of the male bird with, which the hen was bred from the previous year ? On this point I made very extensive inquiry several years ago in quarters where information was to be had, carefully concealing the object I had in view in making the inquiry ; and the uniform result was, as I stated in 1851, in my pamphlet " On a Remarkable Effect of Cross-Breeding," that no trace or admixture of those antecedent male birds is ever seen in subsequent broods, the birds pro- duced being in every instance as pure as in those in which no such crossing had been previously effected with the mother-bird. It is but right, however, to state that two dif- ferent individuals, writing quite independently of each other, have alleged that the reverse is the true state of the case. One of these is Mr. Orton, of Sunderland ; the other, the reviewer in the Aberdeen Journal newspaper (February, 1851) of my pamphlet on Cross-Breeding. The latter, quoting my remarks on this point in the pamphlet, says : "He gives Mr. M'GKllivray's theory one advantage which is not its due. So far from its being the case that the peculiar effect of crossing here in question, fails to be seen in birds, it is in them that it is most of all apparent. It is well known that a hen-canary is rendered useless for breeding pure canaries by crossing for mules. After a cross with a goldfinch or linnet, no peculiar feature of these birds may turn up in subsequent broods by a male bird of the hen's own species, but every nest will be discoloured ; and so long as the hen produces young, it will be remarkable indeed, if a clean yellow canary be found among her progeny. This," he adds, "may easily be certified; and we are inclined to think that it must be regarded, as in a great measure Foetus in Utero. 113 destructive of the theory of the purely physical cause of inocu- lation. " And so it would if true, but for the syphilitic test. This, it seems to me, places the theory in question beyond all doubt. But without speculating at present on the conclusions to be drawn from the fact, if the case be as this writer represents it, let us first consider whether it be a true or a " false " fact. Now, on reading the statement I have quoted, I sought and obtained a personal interview with the writer, and found that he could speak much less confidently than he had written, and, in particular, that he wrote from hearsay, and without any per- sonal knowledge or experience in the matter. Having ascertained this, I subsequently renewed the inquiries I had formerly made, with the same precaution as before to conceal the object I had in view, but among a larger number of bird-fanciers, and with respect to a much greater variety of the bird tribe. The result of this inquiry was, in every instance, the same as that of the former inquiry. None of my informants had ever seen anything that corresponded with the statement of the writer in the Aberdeen Journal. More recently Mr. Orton, taking exception to the inoculation theory altogther, observes : " The hen does not carry her offspring in utero. Notwithstand- ing, her offspring, as we have already seen, are as liable to be in- fluenced by the action under discussion (i.e., by crossing) as are those of mammalia. " And again ' ' Hens and their offspring have not this uterine connection ; consequently, they cannot undergo the process of inoculation laid I 114 Essays on the down, yet they are, equally with mammalia, the subjects of this peculiar law of breeding. * In the latter statement, Mr, Orton speaks abso- lutely ; in the former, from an instance in point previously referred to, or adduced in some part of his paper. In all probability the absolute statement is founded on the specific, and to be judged of by it. Now, on referring to the instance which proves the ground of the latter, it is seen to be such an in- stance as would not be relied on, or regarded of any value whatever, in the case of a mammal. It is a case, not in which a hen-bird was bred from with a cock of her own breed, after having pre- viously been bred from with a cock of a different species, but the reverse of this a bantam hen having been bred from with a cock silk-fowl, and producing cross birds, after having been bred from the previous year with a bantam cock ; and the observation relied on by Mr. Orton as fatal to the inoculation theory was, that some of the birds of this brood bore a greater resemblance to the bantam, and less to the silk-fowl than did others. But this by no means warrants the inference, that the more decided resemblance of them to the bantam was due to the influence of the bantam cock of the pre- ceding year. And I will venture confidently to affirm, to take a case in which a considerable number of young are thrown off at each litter, that, if a sow of a particular breed and colour be * On the Physiology of Breeding, in the Newcastle Chronicle, Nov. 10, 1854. Foetus in Utero. 115 served with a boar of a widely different colour and breed, the sow never having been bred from before, the litter will be mixed ; some of the young pigs taking chiefly after the boar, others of them chiefly after the sow. This test, therefore, which may be called the bird test, is thus seen to be of no value whatever. It tells nothing against the inoculation theory. Nay, it serves, negatively, to add confir- mation to it, and to lend support to the syphilis test. I have thus endeavoured, as impartially as one partial to the inoculation theory well could, to lay before you a complete general view of this interest- ing and important subject. I have referred to every fact known to me as bearing upon it, and have omitted nothing that seems in any way adverse to the theory in question. And submitting, in parti- cular, the bird test and the syphilis test to the con- sideration of those among you who may take an interest in that theory, I will conclude by quoting a suggestion made by Dr. Carpenter in regard to the latter, but in its principle as applicable to the one test as to the other : " As this is a point of great practical importance, it may be hoped that those who have the opportunity of bringing observation to bear upon it, will not omit to do so."* * Principles of Human Physiology, 5th Ed., p. 826. i 2 APPENDIX. I. In the appendix to Essay First, I referred to a remarkable statement made by the excellent Count de Strzelecki, as to the effect of fruitful inter- course between the aboriginal female of certain countries and the European male, in rendering the female ever after sterile with a male of her own race. The Count's statement, founded on " hundreds of instances " coming under his own observation, un- qualified by the observation of a single exceptional instance, and bearing on the aborigines of Canada, of the United States, of California, Mexico, the South American Republics, the Marquesas, the Sand- wich and Society Islands, and those of New Zealand and Australia, is, that " whenever such intercourse takes place, the native female is found to lose the power of conception on a renewal of intercourse with the males of her own race, retaining only that of procreating with the white men." Forbearing to trouble you with the application I made formerly of this statement, on the assumption of its being the expression of a general law of u8 Essays on the nature, to the theory under consideration I think it right to mention with regard to the statement itself, that, while I then suggested the propriety of u keeping the mean between the two extremes of too much stiffness in refusing, and of too much easiness in admitting " it to be a matter of fact, I have since received such information as warrants me in refusing to admit it as being universally true, at least in respect of certain of the races specified by the Count de Strzelecki. My friend and former pupil, Dr. William Sim Murray, then of Her Majesty's 20th Regiment of Foot, writing me in November, 1851, from Montreal, where he was quartered, says : " Since my arrival here I have had an opportunity of speaking to Dr. French on the subject of the Count de Stzelecki's observa- tion, and he tells me that, his attention being directed to it some time ago, he had made inquiries regarding it, and that he bad obtained positive assertions that squaws frequently do have children by an Indian after bearing children to a European." Again, Dr. Balfour, of Surinam, writing me in April, 1851, observes : " Living for many years in this district of South America, sur- rounded by a motley population of whites, negroes, and Indians, I have had very frequent opportunities of observing that Strzelecki's opinion of the effect of fruitful intercourse of the European male with the women of the aboriginal race (Indians here) is not borne out by the facts constantly occurring. The Indians of this district, known as the tribes of Warou and Arrawacka Indians, are certainly decreasing fast, but principally from the effects of that curse of the aborigines fire-water. The women of these tribes are notoriously profligate during the earlier part of their life after puberty ; but after bearing children to Europeans are frequently fruitful with men of their own race. This is particularly observed with the women of the Warou tribe, a camp of which tribe is in the immediate Foetus in Utero. 119 neighbourhood of the barracks, where a large detachment of Euro- pean troops is constantly stationed. Any person resident in this district could at once refer to examples of this." And, if I mistake not, a paper was published in the Edinburgh Monthly Journal in 1851 or 1852, in which the author, either writing from the antipodes, or giving the result of his observations while there whether in Australia or New Zealand, I do not now recollect states that exceptional instances, at least, to Strzelecki's observation are of frequent occurrence among the aboriginal females of one or other or both of these countries. II. Since the foregoing Essay was written, and read to the Medical Society of Southampton, several important communications bearing on the subject of the inoculation theory have appeared in the Lancet, from Mr. Savory, of St. Bartholomew's Hospital,* Mr. Langston Parker, of Birmingham,! and Mr. De Meric, of London .J I purpose considering these several communications in a future number of this journal, and will merely remark, meanwhile, that, by his well - conceived and admirably - executed experiments with strychnine, Mr. Savory has demonstrated (what Magendie and Williams failed in demonstrating by theirs), that fluid matters do, " An Experimental Inquiry into the Effect upon the Mother of Poisoning the Foetus." Lancet, April 10 and 17, 1858. f- Lectures on Infantile Syphilis. Lancet, May and June, 1858. Lettsomian Lectures Lecture III. " On Hereditary Syphilis." Lancet, September 12, 1858. I2O Essays on the Foetus in Utero. in fact, pass from the foetus to the mother through the placenta. Mr. Savory has thus added to the chain of evidence in support of the inoculation theory, the only link wanting to make that chain complete. Or, to put it otherwise, his discovery, for such it is, may be said to furnish the keystone of the arch on which the theory now rests, and rests securely. (See Essay Fifth, pp. 130, 131.) ESSAY FIFTH. REMARKS ON A CASE BY THE LATE MR. HEY, OF LEEDS, ILLUSTRATIVE OF THE TRANSMISSION THROUGH THE FCETUS OF SECONDARY SYPHILIS FROM THE MALE TO THE FEMALE PARENT. FROM THE INDIAN ANNALS OF MEDICAL SCIENCE. Calcutta, Vol. xx., 1866. ESSAY FIFTH. ON THE FCETUS IIST UTERO, ETC. IN a letter to Mr. Pearson, of London, of date April 8, 1816, entitled "Facts Illustrating the Effects of the Venereal Disease on the Foetus in Utero, and the modes of its communication," and published in the " Transactions of the Medico- Chirurgical Society of London " (vol. VII., part II., pp. 541 et seq.), Mr. Hey remarks, that it has appeared to him "from several instances, that a man may communicate the lues venerea after all symp- toms of the disease have been removed, and he is judged to be in perfect health." And in illustra- tion of this remark, he gives the following case : " A few years ago, a gentleman requested to speak with me in private. He was no sooner seated in my study, than he burst into a flood of tears, and seemed to be in the greatest distress. As soon as he could regain his composure, he informed me that he had married a lady whom he tenderly loved, and now feared that he had injured her by com- 124 Essays on the municating the venereal disease, which he acknow- ledged to have had before marriage, but from which he believed himself to have been since that time perfectly free. I saw no reason to doubt the truth of his declaration. " I visited the lady, and found her labouring under a confirmed lues. The labia pudendi and verge of the anus were beset with irregular fissures and with condylomata ; a discharge of puriform matter also issued from the vagina. She was ad- vanced to the seventh month of pregnancy ; but, before her delivery at the termination of the ninth month, the diseased parts were healed, as I had pursued a mercurial course with as much vigour as seemed prudent in her condition. " The child was at its full growth, and had no other morbid appearance than an universal desqua- mation of the cuticle. It continued well about a month, and then began to grow extremely fretful, though its evacuations indicated no disease in the primae vise. At the same time, it began to have a hoarse, squeaking voice, and soon exhibited a number of copper-coloured blotches upon the skin. A scaly eruption also appeared upon the chin ; and the anus showed an unnatural redness. I had no hesitation respecting the treatment ; but immediately com- menced a mercurial course. The event was agree- able to my wishes, and the child soon got well." Mr. Hey then proceeds to set forth the grounds on which he believed the affection under which both the mother and the child laboured to be syphilis ; after which he goes on to say " It may justly Foetus in Utero. 125 excite surprise that the gentleman in question should have remained free from disease, when his wife was in the condition which has been described." And he " confesses himself unable to account for the circumstances. ' ' Mr. Hey, we have seen, cites the foregoing case as one only of " several instances " of the kind he had met with in the course of a practice, which, at the time he wrote, had exi ended over a period of up- wards of half a century. It is that of a man com- municating the lues venerea to his wife not only after the primary disease has been cured, but after all symptoms of the disease have been removed, and he is judged to be in perfect health. It is to this point that I wish to call attention. There is here no question as to whether in its overt or manifest form, secondary syphilis is transmissible from the male to the female sex, whether, for example, a man actually ill of that form of syphilis, and seen of all men to be so, may infect his wife. The case just now in view is that of a man once affected with syphilis, imparting the disease to his wife after all traces of it have disappeared from him, contracting marriage at a time when, to all appear- ance, he is so entirely free of the poison as to be entitled to a " clean bill of health," and yet in due season, without again exposing himself to re-infec- tion, infecting his wife. Mr. Hey offers no explanation of this class of cases. He seems to take it for granted manifestly he does so that the man communicates the disease to his wife directly. For, as to the case in hand, he ex- 126 Essays on the presses surprise that, after she had herself become diseased to the extent described by him, the lady did not, in her turn, re-infect her husband, now (in his view) capable of re-infection. It puzzles him to think how the man with no apparent trace about him of the virus, yet able notwithstanding to impart it to his wife, should in his seemingly sound state have remained unaffected by her, she having the labia pudendi and anus beset with fissures and condylomata, and the vagina the seat of a puriform discharge. It is the husband's immunity from re- infection, not the wife's susceptibility of the virus, that gives the case its main interest in Mr. Key's eyes : the man apparently free of the virus, yet infecting his wife ; . the wife " labouring under a confirmed lues," yet failing tore-infect her husband ! It is the marked contrast between the two in this respect, that excites his surprise. But he raises no question as to how it came about that the gentleman contaminated his wife. At the time Mr. Hey wrote (1816), no other ex- planation of the transmission of the virus in such cases, seems to have been thought of than this namely, that it is somehow accomplished through the agency of the man's secretions on the woman's blood into which they are received, or on the mucous surfaces of her body to which they are applied, whether of the seminal fluid in coitu, or of the mucous secretions, either in coitu or in kissing. It is only of late years, in fact, that another mode of transmission has been suggested, that, namely, Fcetus in Utero. 127 through the foetus itself begotten of the father, from him inheriting the virus, and having in utero the disease resulting from it in such manner and degree as to impart it to its mother, through the medium of the placenta. If this view "be correct, then it is not that the husband directly contaminates his wife in any of the ways formerly supposed, but that he begets a syphilitic child, which child it is that really con- taminates its mother. It is not his having sexual intercourse with his wife that infects her, but his begetting a syphilitic child within her body. Impregnation, therefore, and not mere coitus, is the essential condition of the conveyance of the poison from the man to the woman. It is the foetus that is the real transmitter of the poison. In Mr. Key's case this condition obtained. When consulted regarding it, Mr. Hey found the lady " advanced to the seventh month of pregnancy." And if in this case it was in the way just indicated that the lady imbibed the virus and became diseased ; and if, further, secondary syphilis is rarely (not to say never), transmitted from husband to wife in any other way, it will excite less surprise or no surprise at all, that the gentleman escaped re- infection, although cohabiting with his diseased wife. Some of my readers may possibly recollect that, several years ago, Professor Harvey, of Aberdeen, directed attention to the power of the foetus to inoculate the maternal with the peculiarities of the paternal organism ; and that he then suggested the 128 Essays on the probability of secondary syphilis being imparted in this way.* Since then Professor Paget, Mr. Jonathan Hutch- inson, and others in England ; Dr. J. B. Balfour and Dr. Matthews Duncan, in Scotland ; and MM. Ricord and Diday, in France, have been working in this field of inquiry ; and they have established, as a matter of fact, what Dr Harvey could only then indicate as probable. Long previously, however, Dr. Ramsbotham, first of all (1835), and subse- quently to him, Dr. Montgomery (1837), had given expression to the very same idea. Nothing can be clearer than Dr. Ramsbotham's own statement both of the idea itself and of the grounds on which he reached it : indeed, no more precise exposition of either has yet been given by any that have come after him. "It is a generally received opinion, I believe, (says Dr. Ramsbotham) that syphilis in its secondary stage is not communicable directly to either sex from the other, that the disease is not propagated unless there exist an open chancre ; and this ac- cords with my observation. But it appears to me probable that, if a previously healthy woman con- ceive of an ovum tainted by syphilitic virus derived from its father, her system may become inoculated during the progress of gestation, in consequence of the close vascular connection existing between it and herself. For, it has fallen to my lot to see more * Edinburgh Monthly Journal of Medical Science, October, 1849, and October and November, 1850. Foetus in Utero. 129 than one caee, in which, a young woman united to a man labouring under obstinate secondary symp- toms " (a much stronger case this than Mr. Hey's) " remained healthy for some months after marriage, but became the subject of the same disease in its secondary form soon after impregnation had taken place ; and I have considered that, in such a case, the mother derived the disease not directly from the father , but from the affected infant which she carried in her womb."* With regard to the general principle, so happily expressed by Dr. Ramsbotham, namely this, " that, in the class of cases in question, the woman derives the syphilitic virus not directly from the man, but from the infected infant begotten by him in her womb," Professor Harvey has adduced such proof as seems to me decisively to establish it.t The proof is of this sort : proof, on the one hand, that so long as the woman remains unimpregnated, she may cohabit with a man affected w r ith secondary syphilis even in an overt or palpable form, and escape contamination ; proof, on the other hand, that, in the even^} of impregnation occurring, she may and often does become contaminated, even when the disease exists in her husband in a latent and unsuspected form : the contamination showing itself commonly * Medical Gazette, May 23rd, 1835. f "On the foetus in utero as inoculating the maternal with the peculiarities of the paternal organism ; and on the trans- mission thereby of secondary or constitutional syphilis from the male to the female parent." Glasgow MedicalJournal, January, 1859. K 130 Essays on the about tlie third or fourth month, of pregnancy, this manifestation of it subsiding shortly after delivery, and re-appearing on the woman again becoming pregnant. This kind of proof, copious as it now is, is, I think, peculiarly satisfactory. It indicates freedom from contamination under circumstances which seem peculiarly favourable to its occurrence, the husband being sensibly affected by the poison, and actual contamination under circumstances seemingly peculiarly unfavourable, the husband presenting no traces of the virus on any part of his person. The inference appears unavoidable that (in a large proportion of cases at least) impregna- tion is the essential condition of the transmission of the virus from the man to the woman ; that the child begotten by the man and tainted by him, is the proximate channel whereby the poison is conveyed to the woman, the real transmitter of it from the father to the mother. Small infinitesimally small the amount may be of the virus in the father's blood, yet enough to grow and to multiply itself (after the manner of a ferment) in the tender and plastic organism of the foetus inheriting it : enough to taint it, and, as actively developed in it, to taint the mother. Mr. Savory, of St. Bartholomew's, may well be said, I think, to have supplied " the keystone to the arch " on which the proof of this view of maternal contamination now rests. By a series of well-devised and happily - executed experiments, he has suc- ceeded in demonstrating what Magendie, Williams, and other experimenters, had failed to show, that Foetus in Utero. 131 fluid matters may and do, in fact, pass from the foetus to the mother through the placenta. His experiments consisted in introducing a solution of strychnia, of known strength, into the circulating system of the foetus while still connected with the mother by the cord. The result was, the death of the mother, as well as of the foetus the death of the mother taking place in a mode that clearly implied the action of strychnia on her system, and under circumstances that unequivocally indicated the transmission of the poison along the placenta from the foetus into her blood.* Having, in this paper, a special object in view, which is, to offer some remarks on Mr. Hey's case, I content myself with this general statement as to the kind of evidence we now have for the belief, that the foetus is one channel, and in most cases, the special channel, whereby secondary syphilis passes from the male to the female parent : and I purposely forbear adducing the details of the evidence supplied by a not inconsiderable number of independent ob- servers. But I should wish it to be understood that I do not allege or maintain that the foetus is the only channel of transmission. Dr. Ramsbotham, we have seen, thinks that secondary syphilis is not communicable directly, and this opinion he holds in common with many. It would appear, however, that it is thus directly communicable. Facts at least there are which seem to indicate this. Still, the * "An experimental inquiry into the effect upon the mother of poisoning the foetus." Lancet, April 10 and 17, 1858. K 2 132 Essays on the weight of evidence is, I think, strongly in favour of the presumption that the direct transmission of the virus is, comparatively, of rare occurrence. Whether, as thus transmissible, a solution of continuity of some kind (ulceration, abrasion, fissure,) is essential thereto, does not clearly appear ; probably it is. But I am well satisfied of this, namely, that in as far as the disease is directly communicable, it is only as existing in a well-marked and palpable form, i.e., when the husband is unmistakably labouring under it. When existing in a very mild, or (as in Mr. Key's case) in a latent form, I do not believe it to be transmissible otherwise than through the foetus. How it is that it should be so readily conveyed to the mother through this particular channel, one is not called upon to say. It were enough to establish it as a matter of fact. But a not unreasonable ex- planation of it may be given. An amount of the virus in any of the secretions of the man that might be inadequate to hurt the full-grown woman, may, as existing in his semen, be sufficiently potent to taint the embryonic cell fertilized in her womb. That constituent of the semen which, infinitesimal as it is even in its totality, is adequate to the pro- duction of a new being, and to the implanting in it all the qualities, physical and moral, of the father, may contain enough of the virus to bear fruit, after its kind, in the foetus. In the delicate tissues in the course of evolution within the embryo, and in the " tourbillon continuel " of the vital changes which for nine months the embryo is, in a very Foetus in Utero. 133 special sense, the seat of, tlie virus may find con- ditions peculiarly favourable to its own growth and increase ; and taking full effect first on the suscep- tible organism of the foetus, it may there acquire force enough and volume enough to affect and con- taminate the mother also. " Behold how great a matter a little fire kindle th." Whole hosts of seminal animalcules, as numerous " as there were men in the army of Xerxes," operating for weeks and months and years together, might prove power- less against the woman; and yet the one tainted animalcule that enters the breach in the maturated ovum in. which it disappears, may be mighty enough, through the train of events which follow on its lodgement there, to the spoiling of the mother. This by the way, however, valeat quantum* The fact remains, that secondary syphilis, rarely trans- missible to the female directly, and then only (I believe) when existing in the husband in an overt form, is readily transmitted by the foetus, even when existing in the father in a mild, or in a latent and unsuspected form. Perhaps, I may best convey to my readers what I believe to be the true state of the case, if I say, that, in the event of syphilis existing in a palpable form in the husband, there are ninety-nine chances to one in favour of the woman's remaining healthy, so long as she remains unimpregnated, and ninety- nine chances to one against her, on her falling with child ; while, if the husband have the disease in a latent form, she runs no risk at all, so long as she escapes impregnation. 134 Essays on the I pass on now to offer some remarks on Mr. Hey's case. It was not with any view to endorse the theory of the foetal transmission of secondary syphilis that the case in question was given by Mr. Hey. This theory he had probably no idea of : it was not in his day a doctrine of the schools. His allusion to the lady being " advanced to the seventh month of pregnancy " comes in incidentally. Had he omitted to mention it, or to speak of the child, the case would have been valueless in relation to that theory. Yet the reference to the pregnancy and to the child, had no particular bearing on the object Mr. Hey had in view. The pregnancy comes in as a fitting prelude to what he had to say of the child > and the child as supplying corroborative evidence, by its own syphi- litic condition, of the syphilitic condition of the mother, the whole value of the ease, in Mr. Hey's view, lying in the marvellous escape of the husband from re-infection. As the case stands, however, it has a value of another sort, not contemplated by Mr. Hey. Nor is it as furnishing a decisive proof of this doctrine of inoculation, that I am myself disposed to attach value to the case. It will presently appear that it is so far defective for such a purpose. It is simply as a case (casually picked up, among others like it, in the course of my reading,) which fits into that doctrine, that I adduce it. I have no doubt, how- ever, in my own mind, that it was a genuine instance of foetal inoculation, though I ground nothing on it in the way of proof. Looking at it in the clear Foetus in Utero. 135 light reflected on it by the facts by which the doctrine is now decisively established, I cannot but believe that the lady was contaminated by her own child in utero. The case is of a piece with that of many others, now on record, in which the evidence of such contamination was clear and unequivocal. The gentleman had once been affected with syphilis, and was quite aware of the circumstance. But it was before his marriage that he had it, and ere this all traces of it had passed away. His connection with his wife was fruitful ; she become pregnant, and, in the seventh month, was found by Mr. Hey to be " labouring under a confirmed lues," a con- dition, the true nature of which was in due time verified by the birth of a syphilitic infant. One link, indeed, in the chain of evidence against the fostus, is wanting. To make the proof against it complete, it would require to be shown that the mother kept free of all syphilitic affection until she fell with child. Mr. Hey being dead, this missing link cannot now be supplied. Perhaps, even at the time he had the case in hand, itwould not have been possible for him to supply it. For, it is conceivable (indeed the narrative almost carries the supposition on the face of it) that the marriage was a recent one ; and it is quite possible that the impregnation was contemporaneous with its celebration. If so, as in any such case, there would be a plain source of fallacy in the matter. But making due allowance for this (and making no use, because of it, of the case in the way of proof) there are, I think, fair grounds for connecting the lady's contamination 136 Essays on the with impregnation. The manifestation of the disease in her could not well have been of long standing, before Mr. Hey was consulted. The behaviour of the husband, as recorded by Mr. Hey, makes it probable that he would not have allowed his wife to remain four, or five, or six months ill in the way he suspected, without seeking advice ; and she was already seven months gone with child. The probability is, that Mr. Hey was called in before the disease had existed many weeks, in which case we should have warrant enough for our inference. In short, admitting again that there is no direct or absolute proof of the contamination being the result of impregnation, I cite the case as one that affords a good illustration of the theory of inocula- tion by and through the foetus. Believing, myself, that the lady derived the infection from the child in utero, I shall not quarrel with anyone who sees the case in a different light. It was not given by Mr. Hey with any view to the inoculation theory. I look upon it as what the late Dr. Blunt of Cam- bridge would have termed an " undesigned coinci- dence." It fits, unintentionally, into the inocula- tion theory ; and coming upon it (as I remarked before) casually and accidentally, and looking at it in the face of facts discovered since it was pub- lished, I cannot help seeing in it a singularly striking coincidence of the undesigned kind, in relation to that theory. One word as to another feature of this case that, seemingly, of chief interest to Mr. Hey. That the lady, with "her labia and anus beset Foetus in Utero. 137 with fissures and condylomata, and the vagina the seat of a puriform discharge," should have failed to re-infect her husband, is to Mr. Hey a matter of surprise. " It may justly excite surprise (he re- marks) that the gentleman in question should have remained free from disease when his wife was in the condition which has been described." And he confesses himself unable, without calling in the aid of a supposition which he says " wants probability," to account for the circumstance. This supposition Mr. Hey does not even indicate. Doubtless, what he had in view was, that subse- quently to the lady becoming diseased, or suffi- ciently diseased to infect her husband per coitum, the parties had abstained from all sexual inter- course. This is not likely: it is a supposition which " wants probability." Very likely, after the gentleman's suspicions were, fully roused, there may have been no intercourse between them ; but prior to this if infection could have come to him in that way, there was probably disease enough in her genitals to infect him, and intercourse enough to insure infection. This we may guess was the " supposition " Mr. Hey had in his eye. Mr. Hey marvels how it could be that he, tainted indeed, yet so slightly as to be apparently free of taint with no disease on his genitals, with none anywhere except in his blood, and, peradventure, in his secretions, should infect his wife per coitum ; while she, on her part, notably diseased, should in that way be incapable of infecting or re-infecting him. Two remarks occur to me in connection with this 138 Essays on the point. The first is, that had Mr. Hey been aware of the theory of inoculation, and a believer in it : had he been alive to the possibility, and the probability, of the lady having derived the infection through the medium of the foetus ; and had he known the rarity with which secondary syphilis, even in its well-marked form, is ever transmitted from the male to the female, except when impregnation follows intercourse, he would probably have seen no cause for surprise in the matter. As it was not per coitum that the gentleman contaminated his wife, so there could be nothing marvellous in the latter not re-infecting him. My next remark is, that, apart from any con- sideration of this kind, there is room for doubt (to say the least) whether in any case re-infection is possible, possible at all events so long as one con- tinues under the influence of the virus contracted in the ordinary way. The gentleman in question having once had syphilis, and being still tainted by it, it is a fair presumption that in the circumstances he was incapable of re-infection. In bringing this paper to a close, I cannot forbear adducing a case (hitherto unrecorded) bearing on the theory of foetal inoculation, a case communi- cated to my father by his colleague Dr. Dyce, Professor of Midwifery in the University of Aber- deen, and by him to me. It is that of a medical man acquiring syphilis, in its primary form, on the forefinger of the right hand, from a woman attended by him in labour, and affected with the disease in that form (the finger being abraded at the time) ; Feet us in Utero. 139 and subsequently contaminating his wife. A well- marked chancre formed on the finger, and in dne time constitutional symptoms followed. Some time after, this gentleman's wife became the subject of constitutional syphilis yet not until she fell with child. A period of many months intervened between the infection of the husband and the subsequent in- fection of the wife, during all which time sexual intercourse obtained, but no impregnation. Im- pregnation eventually occurred, and the manifesta- tion of syphilis in the lady (who had the disease in its secondary form only) were coincident with the manifestations of pregnancy. I may just add, as to this case, on the authority of my father, that the parties concerned were intimately known to Dr. Dyce, and that he was personally conversant with the whole facts; and further that Dr. Dyce entertained no doubt what- ever, that the lady derived the infection through the medium of the foetus, and in no other way. I have already stated, once and again, that I merely adduce Mr. Hey's case as one that tallies with the theory of inoculation through the foetus, and that serves to illustrate that theory. What it wants in the way of proof is the omission of all reference to the precise time when the first mani- festations of syphilis presented themselves in the lady; she was advanced to the seventh month of pregnancy when seen by Mr. Hey ; but she may have conceived on the occasion of the first coitus following her marriage ; her infection may have been concurrent with the coitus ; and possibly 140 Essays on the Foetus in Utero. (although it does not seem likely) the disease may have broken out in her long before Mr. Hey was consulted. Dr. Dyce's case, however, is wanting in nothing that it concerns us to know : In it, the infection of the lady was coincident with her im- pregnation; mere coitus carried on for months together, was harmless to her. And the case may confidently be cited as one of the kind, now suffi- ciently numerous, that decisively establish the theory in question. LOJNl>ON : H. K. LEWIS, 13t), GOWER STKEET, W.O. BY TEE SAME AUTHOR. I. 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