THE NEW YORK TIMES B0» SPIRITUALISM A Record of Experiences in Psy- chical Research rE:R?:OXAI> EXT'FRIEXCES IX SPIRIT- UALISM. By }I.rt'\v'ard Curriugtoi . IIlus- rr-. t.. ; V'r, 'Ti London: T. WV"'-' MK. L'AlllUXGTON'S new JO'.'ic |, goes far toward fixing tl j au- thor's status as a sincere in- vestigator of abnormal piiencmeiia whether interpreted as such <•.- as trickery or as manifestations o; the supernatural. He frankly states that he believes 08 per cent, of the me(Uunta to be false, but deems the remaining 2 per cent, worthy of further invi itiga- + ''^n, if not of belief. His attitude to- id this 2 per cent, is that of t le ex- I'Kjrer toward an undiscovered river source, of the chemist toward ya un- Icnown element— the fact of their power is believed in but their existence is still a mystery. Another interesting feature Cl tl»e ' is that it draws a clear line of cation between scienUfi.* an*[ ^'hil- u.-,xjph al research. Many writers on P3>-chic phenomena employ both meth- ods, so that one really finds them spec- ulating upon the attributes of the un- kr.own before they have established the >ence of tiie unknown as a fact. Atr. Carrington's contribution to this ptiase of the subject is chiefly that of editor. "Death: Its Causes and Phe- nonaena," (Funk & Wagnall's Company.) which he compiled in conjunction with John R. Meader, is a 5oO-page volume ainung to set forth all that science has learned in regard to death, together with what philosophy has contributed to show that it is not the end, physical, mental, or spiritual. This bool- is a storehouse of unusual information— from the latest clinical demonstration to the latest theological belief, from the earliest manifestations of immortality gathered Biblical writer^ to the more recent *-»^alizatlons iii the medium's cab- both dealing with phenomena comraonlj^ called spiritualistic. In both the writer's zeal for truth is manifested. He brings to his experiments a long experience as prestidigitator and as a detector of trick- ery. He reveals the truth about u?tny interesting mysteries which for mouth-s. and sometime-; years, baffled the most .searching investigation. " Slate writ- ing." •■ spirit pictures," &C., are "x plained; the fraud In tb^ "PMtuigt^jst.- T.ily Dale, and *' The Great Amhcrs*; -li sierj- " i.r laia trarr. i ;iu^ .".i; rirst part of tlie book is an exposure of the 98 per cent., and the results, althong^h, quite absorbing and oiten drnwnat^TeaHy^^ set forth, are all negative. The second part of the book ce^nsists almost entirely of phenomena produced by the Eusapia Palladino, accounts of which ha\'e not hitherto been published, or, if published, have becA set forth with imperfect accuracy. For example, it is shown that Prof. Munsterberg'.s account of one stance published in a magazine is not in accord with what ac- tually happened. The author in this instance lays bare the whole history o.f the case by the stenographic report taken at the time. The results of the second part of the book are positive. These positive results taken in con- nection with what Sir Oliver Lodge and other scientific invcsigators, who are also philosophers, have expounded or cA.rfi.iwCv:, hu.vc cauced the ■■■\^.i>'r>v to express the need of a psychical labora- tory to take up the subject where the psychological laboratory of Prof. Mfins- terberg leaves it. When the first psychological labora- tory was established at Harvard In 1890 its raison d'etre was quite as doubt- ful as that of a psj^chical laboratory would be to-day. Yet it has been of in- calculable value in the field of criminol- ogy alone. The work for a psychical laboratory would be no less promising. To be sure, it might very early in its existence reduce Mr. Carringcon's 2 per cent, to a nought, but even so, we should th^n know exactly how t ''' ' W all mediums in the future, that the persistent 2 per c terly annihilated there as the author points for scientific investiga ' ■ ,5Ixperiments in tJ, Charles Josselyn DEATH ITS CAUSES AND PHENOMENA WITH SPECIAL REFERENCE TO IMMORTALITY BY HEREWARD CARRINGTON tATE MEMBER OF THE COUNCIL OF THE AMERICAN SOCIETY FOR PSYCHICAL R1;SEA|?CM AUTHOR OF "VITALITY, PASTING AND NUTRITION," "THE COMING SCIENCE," •• THE PHYSICAL PHENOMENA OF SPIRITUALISIB," ** HINDU HAGIC,'-' •* EUSAPIA PALLADINO AND HER PHENOMENA," ETC. ETC. AND JOHN R. MEADER ("GRAHA.M HOOD") AEMBER OF THE AMERICAN STATISTICAL SOCIETV AND OF THE SOCIETY FOR PSYCHICAL RESEARCH AUTHOR OP " THE LAWS OF 6DCCB6S," ETC. ** It is apparent that a study of the circumstances of natural death . . . may give rise to facts of the highest interest to science and to humanity.'''' — Metchnikoff. FUNK & WAGNALLS Company PUBLISHERS NEW YORK 1912 PREFACE The subject which we have discussed at length in this volume — Death — is generally looked upon as some- thing to be " tabooed " by polite society ; something unpleasant, which may some day come upon us, but which we desire to think about as little as possible in the interval. There is no logical ground for this position, however, and, scientifically speaking, death may be made as fascinating a study as any other. Divested of the superstition and glamour which usually surround it, death assumes the appearance of a most interesting scientific problem, both from its physiolo- gical and from its psychological side. But there is another side to this question which must by no means be overlooked. We refer to the possibility of postponing death, on the one hand, and of rendering it more painless, on the other. Both of these results can only be effected by a thorough understanding of the process involved : and this, in turn, can only be obtained by a close, scientific study of the problem — one that includes all its aspects, and treats of them impartially. In summing up this evidence, in condensing what has been said — 6158x5 vi PREFACE the speculations that have been offered during the past two hundred years (sec Bibliography) — we are satisfied that we have collated a quantity of interesting material; while the particular theories as to the nature of death which we have advanced, will not, we hope, be without interest, and perhaps utility. As we differ considerably from one another in our theories as to the causation of old age and natural death, we have thought it best to devote separate chapters to these topics — each advancing his own views. Later, we have tried to reconcile our opposing theories. Finally, in collecting and presenting the views of a number of scientific men on what con- stitutes natural death, we have sounded opinion upon a hitherto all but neglected subject, and we wish to thank our contributors in this place for what they have done for science, no less than for us. The final question to which we have addressed our- selves is, perhaps, the most vital and interesting of all. The question of what becomes of the mental life at death : whether consciousness persists, or is extin- guished — like the flame of the candle — is of interest alike to science and to philosophy ; and we have presented a considerable quantity of material bearing upon this question, tending to show that consciousness does persist, and that personal identity is assured to us. In arriving at this conclusion, we feel that an important forward step has been taken in the correct PART I PHYSIOLOGICAL A CHAPTER I THE SCIENTIFIC ASPECT OF LIFE AND DEATH Death is universally recognised as the inevitable fate of every living thing — the goal towards which animate life is constantly tending — and yet, strange as it may appear, human ingenuity has not yet succeeded in formulating a definition that will adequately cover this last experience of man. We know that all things that live must grow old and die, but our theories concerning the causes that produce this phenomenon are still almost entirely of a speculative character. To say that death " is a cessation of life " is to avoid the question. Even Spencer's defini- tion, in which he pronounced life to be " the continual adjustment of internal to external relations," and death, a want of correspondence between those relations, leaves much to be desired. It presents the fads of life and death as we behold them, but it fails absolutely to trace these apparent effects to the causes, of which they are the natural manifestation.^ As far as positive science is concerned, the only im- mortality that can be demonstrated is that of race. The individual dies, from natural causes or by accident, as the case may be, but, as each living thing is the direct result of reproduction from another form, the death of the in- dividual has practically no effect upon the continuance of ^ " Is it not obvious that this definition merely gives or states the effects of life — its phenomena — and does nothing to state what its real essence is at all ? . . . Life is that which adjusts, not the adjustments themselves.'' — y^itality, Fcntinrj and Nutrition, pp. 33-4-5. (See also Appendix C. ) 4 DEATH existence of the race. With this so-called potential im- mortality, therefore, science is satisfied. Beyond this it finds no room for speculation — no opportunity for its experiments. To make this position clear to the mind of those Avho have not been accustomed to the materialistic view of the phenomena of life and death, it may be necessary to explain that science recognises no new organism in the product of reproduction any more than it distinguishes a new creation in the changes that are so constantly occur- ring in the form of living matter. Even a slight acquaintance with the first principles of science is sufficient to explain what this means, for we know that the atoms that constitute the human body are so lacking in stability that they are ever being dis- carded and replaced by other substances derived through the process of assimilation. In other words, the one property that best distinguishes living matter from dead matter is what might be termed the faculty of self-creation, or the ability to transform the dead substances assimilated into the same live substance of which this matter is composed. Thus, as long as life continues, this process goes on with unceasing regu- larity. /TDead matter is cast aside, just as one would discard a worn-out garment, and new matter is created to take its place. When this faculty ceases to perform its functions, death follows speedily.', Both Huxley and Cuvier have used the river whirlpool as an exact illustration of the nature of this phenomenon of life, and most physiologists agree that this whirl of water, as seen, for example, at Niagara, is an extremely close reproduction of the natural process of assimilation and disintegration — the alternating attraction and repul- sion of the ever-changing particles representing the actual conditions of physical life. That a material substratum SCIENTIFIC ASPECT OF LIFE AND DEATH 5 is left unchanged, there can be no doubt ; but even this theory does not modify the conchisions that science has drawn from this reproduction of the whirl of life. Though it may be true that the animal body contains permanent elements of definite composition, they alone are insufficient to assure the continuance of physical existence. It seems to be the popular impression that this physical body begins its work of development at birth ; that it continues to progress until the individual has attained that rather indefinite period generally termed '* maturity," and that, when this point has been reached, definite deterioration commences. From all that science has been able to determine, however, this idea is quite contrary to fact, for all the practical experiments in biology indicate that the body begins to lose its re- creative powers, or the capacity to change dead matter into living matter, very shortly after the period of birth, and that, from this time, the decrease in force continues steadily. As one writer has said : — "In want of a more exact knowledge of the structure of the living molecule and the changes in structure that come on in old age, the physiologist expresses his idea of the general nature of these changes by similes and metaphors more or less apt. We may compare living matter to a clock, the mainsjjring of which is so constructed that, in consequence of slowly developing molecular changes, it suffers a gradual loss of elasticity. In such a mechanism there will come a time when ' winding the clock ' will no longer make it run, since energy can no longer be stored in the spring. We may imagine this loss of elasticity to develop gradually, giving stages that may be roughly compared to the periods of life. To carry out the simile, it is the food we eat and the oxygen we breathe that take the place of the winding force. In consequence of a slowly developing molecular change in the organism, this energy is less efficiently utilised as the individual grows older. The clock runs more feebly and needs relatively more frequent 6 DEATH winding, until at last tlie elasticity is gone, the power of assimila- tion is insufficient, and we have what we call natural death." ^ Brown, in his article on " Old Age," ^ has expressed this truth more briefly. " The causes of death," he said, " are not to be found in the summation of many external mjuries, but are already established wdthin the organism itself, and death is simply the natural end of develop- ment." If this theory be true, it is very contradictory to the definition formulated by Spencer in his Frinciples of Biology. The latter would logically lead the student to conclude that " external relations " play the most impor- tant part in determining the length of life, and that, if perfect correspondence between the internal and external relations could be secured, existence would continue interminably. As has been shown, however, this idea is entirely contrary to the behefs of modern physiologists. In their opinion, man would still die, even though there were no injurious changes of environment, as the natural weakening of the assimilative powers would alone be sufhcient to make death inevitable. Of course the simile of the clock is too simple an illus- tration to be applied comprehensively to so complex an organism as the human body. In this combination of living matter there is no single mainspring to wear out — no one cause of death against which man may protect himself — and it is due to these conditions that death does not come to every portion of the body at precisely the same moment. While it is necessarily true that death is actually the cessation of the normal functions upon which life depends, the causes Avhich result in the suspension of the bodily mechanism may arise in any one of the several important or vital centres. According to the arrangement devised by Bichat, death may be divided ^ W. H. Howell in Reference Handbook of Medical Sciences. ^ British Medical Journal, Oct. 3, 1891. I SCIENTIFIC ASPECT OF LIFE AND DEATH 7 into three classes : — (1) that which begins at the heart ; (2) that which begins at the lungs; and (3) that which begins at the head. But the collapse of the vital force in a single one of these centres is sujfificient to bring death with more or less rapidity to every other portion of the organism. But, while most physiologists hold that it is the ultimate fate of all living things to die, it must not be imagined that this is the only theory to which scientists subscribe, for there are some biologists who are inclined to accept Weismann's speculative con- clusions, as presented in the Essays upon Heredity. In these papers, this eminent biologist expresses the opinion that all living matter once possessed potential immortality, and that death is a condition that came into the world because the continued existence of the individual had assumed the proportions of a serious danger to the general well-being of the species. In other words, death is a condition that did not necessarily exist in the beginning of things, but was eventually adopted for the reason that just such a safety-valve was necessary to permit of the perpetuation of the race. As an illustration in proof of this theory, Weismann draws our attention to the amoeba, one of the unicellular organisms or protozoa, which biologists recognise as the lowest forms of animal life. While a complete cell in itself, performing all the functions of assimilation and reproduction, it knows no process of dissolution that can be compared to the phenomenon that we designate as death. On the contrary, its very act of reproducing its species is, in itself, a striking example of the possibility of " physical immortality," for it is the fate of this creature to continue to increase in size until, finally, the limit of growth is reached. At this point the original cell divides into two parts, and, where one organism 8 DEATH existed, there are now two individuals, both of which are capable of performing the functions of life, and of dividing in turn into two cells — a process of repro- duction that, so far as science has been able to ascertain, goes on indefinitely. Of course, the objection may be raised — as it has been — that the original individual cell dies in the act of reproducing its offspring, and that the two cells that result from this physical separation of the larger body are actually different individualities. To this Weismann replied that there is no death in this change " because there is no corpse." In this fission we have the illus- tration of the continuance of life, not its dissolution. It is upon this hypothesis that Weismann bases his theory that living matter originally possessed the ele- ments of potential immortality, and he explains the appearance of death among the metazoa by reference to the law of natural selection. If this theory be correct, the possibility of never- ending existence possessed by the unicellular creature was undoubtedly passed on to the more complex organism which, in the process of evolution, was eventu- ally produced from this lowlier manifestation of animate life. In the course of time, however, certain new but important conditions arose. In the first place, death became a necessity to the perpetuation of the species ; and, in the second place, the division of functions among the many cells of the metazoa made the immor- tality of each particular cell unnecessary for reproductive purposes. The very name that has been applied to this law of evolution, " natural selection," gives an indication of the pitiless qualities that mark its operations. As its name implies, its tendency is always towards the promotion of the good of the race, without regard to the particular SCIENTIFIC ASPECT OF LIFE AND DEATH 9 interests of the individual. Thus, when it became apparent that natural death was needed to remove those individuals who were not only no longer necessary to the welfare of the species, but were actually an adverse element or obstacle in the path of natural progress, the presence of those cells that were no longer required in the process of fecundity gave nature the opportunity to effect this adjustment in the laws govern- ing the struggle for existence. As students of biology are well aware, bodily structures that are of no further use to nature soon retrograde, or disappear almost completely. As an example, we have the cave-dwelling animals and fishes, which, despite the fact that they show every indication of having once had eyes, are now sightless. That is to say, when the time came that they had no further use for eyes, nature permitted the sense of sight to degenerate, and at last, even the physical organs themselves deteriorated, until only a rudimentary record was left of the member that had once actually existed. In this illustration, Weismann finds an explanation of the process by which the element of immortality was lost by the many-celled organisms. Being not only of no further utility, but of positive danger to the species, its perpetuation would have retarded the realisation of the purpose of evolution. Through the operation of the law of natural selection, therefore, death came as a beneficent solution to this great problem of the moment, the limitation of the population to those indi- viduals who would be of service in helping to carry out the scheme of the perpetuation of the species. It must be stated in this connection, however, that Weismann's theory is seriously questioned at the present day, if not altogether discredited. Thus Haeckel, in his Wonders of Life, pp. 90-101, points out that: — 10 DEATH " The immortality of the iinicellulars, on which Weismaun has laid so much stress, can only be sustained for a small part of the protists even in his own sense — namely, for those which simply propagate by cleavage, the chromacea and bacteria among the monera, the diatomes and paulotomes amona: the protophyta, and a part of the infusoria and rhizopods among the protozoa. Strictly speaking, the individual life is destroyed when a cell splits into daughter cells. One might reply with Weismann, that in this case the dividing unicellular organism lives on as a whole in its offspring, and that we have no corpse, no dead remains of the living matter left behind. But that is not true of the majority of the protozoa. In the highly-developed ciliata the chief nucleus is lost, and there must be from time to time a conjunction of two cells and a mutual fertilisation of their secondary nuclei before there can be any further multiplication by simple cleavage. How- ever, in most of the sporozoa and rhizopoda, which generally propagate by spore formation, only one portion of the unicellular organism is used for this ; the other portion dies, and forms a ' corpse.' ..." The fact is that each inetazoon consists of many successive generations of cells — it really is a cell cycle — and can only be homologised with a cycle of pro- tozoan generations, not with any single protozoan, which is but a single cell. Hence it follows that the death of an individual protozoan is not homologous with the death of an individual multicellular organism. Weis- mann committed the fundamental error of assuming the complete homology of the two forms of death, and thus reached the false conclusion that protozoa are all certainly potentially immortal. E. Maupas contended that there is a distinct loss of vitality in protozoa in the course of successive genera- tions, and that conjugation must occur at some stage to effect rejuvenescence. G. N. Calkins {Studies in the Life- History of Protozoa) takes the same view — that the development of the protozoa is cyclical ; and this is SCIENTIFIC ASPECT OF LIFE AND DEATH 11 further supported in a recent paper by M. Hartmann, who also contends that natural death does occur among the protozoa. It would seem, therefore, that the general trend ot science is in the direction of disproving this funda- mental conception of Weismann ; and we shall have to reconstruct our universe accordingly, and recast any system of philosophy that may have been founded on his theory of the natural immortality of protozoa. When we come to speak of death, moreover, we must be very sure that we understand our terms accurately, as much confusion has always arisen because of in- accurate definition in all the sciences no less than in philosophy and metaphysics. We must be very sure as to just what we mean by " death " before we can under- take to argue about it ; and there are some very loose conceptions afloat which it would be well to check at the outset of the investigation. Let us see what these are. When we cut off a chicken's head, we say that the chicken is " dead " ; its conscious life is extinguished, and if it continues to move, or even to run about the yard, as it does sometimes, we do not assume for that reason that any " life " still remains in the chicken, but rather that " reflex action " causes these phenomena. On the other hand, if we pluck a rose it keeps its freshness for several days, and, until that rose has withered and lost its freshness and beauty entirely, we do not say that the rose is " dead." In the one case, w^e assume that death has taken place instantaneously ; in the other, that death d-bes not take place for several days. Why is this ? The difficulty arises from this fact. There are in reality two kinds of death, which are confused in the public mind, until only one death is recognised — a 12 DEATH compound of these two. And yet, to keep the problem perfectly clear, it is very essential that these two kinds of death should be kept strictly apart, and in no wise confused. Only in that way can the problem be under- stood. Let us take the two instances that we have given, and with them, as examples, see if we cannot make this problem somewhat clearer, and distinguish the two, so that there shall be no more confusion upon this point. When the chicken's head was cut off*, its conscious life came to a termination at that moment. It is probable that the subsequent movements ive^^e purely reflex, and not in any way the result of conscious action and volition. The conscious life of the chicken ended at that moment therefore. Bat the hocly, the cells, and tissues of the chicken did not die at that time. The body of the chicken — the tissues — lived on for several days, and not until the last remnant of vitality had departed could we say that the bird was dead. That is to say, the tissues of the body continued to live on for several days after the conscious life of the bird had ceased. This tissue or cell-life, the life of the body, is technically known as " somatic life," as distinct from conscious or mental life. Now, in the case of the rose, we do not as a rule say that it is " dead " until somatic death has taken place. It is probable (to us) that the " conscious " life of the rose did come to a termination at its plucking ; at that moment its '' conscious " life, so far as it can be said to have one, came to an end, while its somatic life did not. Since the rose does not show its mental life in the same way that a chicken does, however, it is very difficult to prove this fact, and doubtless many would contend that no such conscious life exists at all. It is a question almost incapable of proof, but it has always appeared to us that by analogy there must be some sort of conscious life that is terminated at the moment of SCIENTIFIC ASPECT OF LIFE AND DEATH 13 picking the flower. At all events, these examples will help to clear up this problem, and enable us to distin- guish the two kinds of death — the conscious and the somatic — which must be kept carefully in mind throughout the following discussion.^ While science has, however, been unable to arrive at a positive conclusion regarding the origin or nature of death, it is by no means so difiicult to determine the probable bounds or limitations to the duration of life. Omitting those instances that depend upon tradition for their verification, or that cannot be authenticated because of our inability to fix the unit of time used in making the calculations, or for any other reason, we occasionally find cases that show that the scriptural limitation of " threescore years and ten " falls far short of representing the greatest possible length of physical exist- ence in man. Even to-day the death of a centenarian is not an unknown occurrence. At the same time, this question of human longevity is a much disputed one, and many facts have to be taken into consideration when estimating the evidential value of such cases, and particularly the historic cases. Leaving out of account, for the time being, the Biblical records, there are certain historical cases that have been quoted time and time again in proof of the possible limit of man's life ; but these historic examples are, strangely enough, very rarely in- vestigated. This is to be regretted, for such cases, almost without exception, when closely inquired into, are found to rest upon totally inadequate evidence. Mr. William J. Thoms investigated a number of such cases very 1 A tissue is said to ''die'' when it loses permanently its power of responding to its appropriate stimuli. The brain and nervous system die, in man and warm-blooded animals, at the moment of somatic death ; gland tissue dies very soon after. Smooth muscle retains its irritability forty-five minutes, skeletal muscle some hours, after death. 14 DEATH uiinutely, going into the histories of the cases with extreme care, and pubHshed the results of his investi- gations in a book entitled, Human Longevity : Its Facts and Its Fictions, &c. The author shows us how careless statements are frequently the cause of mistakes that go for a hundred years or more before they are corrected, if indeed they ever are. Mr. Thoms points out to us several sources of error, any of which might have vitiated the results in many instances. Mistaken identity may have taken place — two people of the same name having lived in a certain parish, &c. Again, a married couple may have a son who dies. They have a second son a number of years later, and they give this son the same name as the first child. These two get confused in memory and in record, and it is generally the second, or even the third and youngest son that lives to a good old age ; and he, being confused with the first or second child of like name, becomes celebrated for being many years older than he really is. A number of such sources of error are shown, and backed up by several cases in which these errors had doubtless taken place. The inaccuracy of baptismal certifi- cates, tombstones, &c., is also illustrated. Mr. Thoms then examined in great detail the famous cases of Henry Jenkins, Thomas Parr, and the Countess of Desmond. Original trials, documents, army and navy registers, parish registers, &c., were examined in every instance.^ The cases of Parr, Jenkins, and that of the Countess of Desmond, when examined, were found to be resting on * Among other interesting documents in this connection, the reader may consult Evidcncf.s of the Great Age of Henry Jenkins, with Notes, rc- spectinij Lonrjcrity and Lo7i;/-Lived Persons. Bell, llichmond, 1850. The case of old Thomas Parr (who was examined post mortem by Harvey) is to be found in a work entitled, The Okie, Okie, Very Oide Man ; or. The Age and Long Life of Thomas Parr. SCIENTIFIC ASPECT OF LIFE AND DEATH 15 quite inadequate proof; indeed, there was no proof at all, that could properly be called evidential ! The author gives a number of carefully-investigated cases, the results of which are, briefly, as follows : — Mary Billings, reputed 112 years old, proved to be 91; Jonathan Reeves, 104, proved to be 80 : Mary Downton, 106, proved to be 100 ; Joshua Millar, 111, proved to be 90 ; Maudit Baden, lOG, proved to be considerably less, — how much less is not certain; Thomas Geeran, 106, ditto; John Pratt, 106, ditto; George Fletcher, 108, proved to be 92; George Smith, 105, proved to be 95 ; Edward Couch, 110, proved to be 95; William Webb, 105, proved to be 95; John Dawe, 108 or 116, proved to be 87 ; George Brewer, 106, proved to be 98; Robert Howlinson, 103, proved less; Robert Bowman, 118 or 119, proved much less ; Frederick Lahrbush, 106, proved less; Richard Purser, 112, proved less; AVilliam Bennett, 105, proved to be 95 ; Mary Hicks, 104, proved to be 97; and several others. The author gives four cases, however, in which the ages of 102, 100, 103, and 101 had undoubtedly been reached, and a chap- ter of cases in which ages of more than one hundred might possibly be presumed, although the evidence was not strong enough to prove the fact. But after the evidence adduced in the former portion of the book, it is certain that all such statements, especially if not backed up by documentary evidence, is to be mistrusted. Dr. De Lacy Evans gives some seventy cases of persons who had apparently reached an age of more than a hundred {Hoio to Prolong Life : An Inqidry into the Cause of " Old Age " and ''Natural Death" &c., pp. 100-121, London, 1885); but none of his cases are well certified, and the names of several of the discredited cases figure prominently. The same may be said of the collection of forty-seven cases given by Dr. Hosmer Bostwick, in his Inquiry into the Cause of Naticral Death; or, Death from Old Age (New York, 16 DEATH 1851). There is no doubt, however, that certain cases of old age do sometimes come up. So far as we know, Captain Diamond's great age of 112 years has never been disproved. Metchnikoff gives us the portrait of an old woman of 105 years of age in his Proloiujation of Life (p. 6) ; and it is stated, upon the authority of Albert Kruger, Superintendent of the Home of the Daughters of Jacob in New York City, that Mrs. Esther Davis, an inmate of this institution, was in 1908, 115 years of aofe.^ It is all the more astonishing that there should be so few trustworthy examples of old age, when we take into account the fact that it is all but universally conceded that from 100 to 120 years should be the normal limit of life of the individual man and woman. The fact that so few actually do reach this age, proves conclusively how perverted are the food and other habits of the people. Although we know, therefore, both from experience and from authentic historical facts, that men and women do occasionally pass the centenary mark, it must be admitted that such cases are rather exceptional, for, so far as modern mortality statistics -are concerned, the average length of human life is nowhere much in excess of forty- two years. Strictly speaking, therefore, practically the only positive fact that science can teach us concerning death is that it is the inevitable fate of all living things. The law that stipulates that all those who are born must die is now as certain in its operation as the law of gravitation. At ^ In his Philosophy of Long Life Joan Finot has given a number of cases in which men have lived much Iqnger than a hundred years, and some of them an incredible time ; but his cases do not seem to us to rest on any very secure basis — many of the old cases being quoted v^hich Mr. Thoms had conclusively shown to be incorrect. At the same time, we admit that some of his cases seem well established, while others will be found in T, B. Young's little book On Centenarians (London, 1899). SCIENTIFIC ASPECT OF LIFE AND DEATH 17 this point, however, materiahstic science stops, leaving the probable fate of the individuality, or thinking-part of man, an unsolved problem. As to this " soul-part " of being, in fact, science has even questioned its very existence. To the ordinary scientist, death is a door that closes upon consciousness as the breath leaves the body. If there is any existence behind that door, his experiments have thrown no light upon it, and the man who is unwilling to accept these negative conclusions as the last word on this subject must search elsewhere for the evidence in support of the hope that is within him. B CHAPTER II THE SIGNS OF DEATH Many years ago the Marquis d'Ourches offered, through the Paris Acaddmie de M4decine, two prizes, one of twenty thousand francs, the other of five thousand francs, for some simple, certain sign of death. The secretary, Dr. Roger, reported on the competition. One hundred and two essays were sent in, but none was deemed worthy the first prize ! The second was divided between six com- petitors. Five hundred francs was given to M. de Cordue for his observations on the effects of the flame of a candle on the pulp of the finger. M. Larcher was rewarded for his observations on the eye after death. (As the result of examining nine hundred patients, he found the occur- rence of a shaded or greyish spot, first on the outer portion of the sclerotica, and gradually involving the whole sur- face.) M. Poncet received an honourable mention for his observations on the discoloration of the fundus of the eye ; M. Molland, for his observations on cadaveric livi- dity ; and MM. Bouchut and Linas for their observations on the temperature of the body. But nothing definite and decisive was discovered ; and almost the same might be said to hold good to-day. Passing in review the various signs of death, M. Brouardel has this to say : — " The comhination of signs of death gives us almost complete cer- tainty of death. . . . But I believe that it is right to remain in a state of philosophic doubt ; we know that apparent death may last for a longer or shorter time, and that in three cases at least . . . 18 THE SIGNS OF DEATH 19 persons considered to be dead have been called to life. . . . The verification of death should therefore always be entrusted to a physician, who alone is competent to estimate the value of the different signs that we have just been examining. ... I believe that accidents will then be, if not impossible, at any rate infinitely rare, and I am obliged to add that though there is a great improba- bility of a living person being buried alive under those conditions, in which actual death is, or rather is not, complete — still, it is impossible to assert that the direful contingency might not happen " (pp. 61, 62). 1. General Signs. Let us, then, see what these signs are, which are sup- posed to render death certain, and thus prevent these unfortunate " accidents," or this " direful contingency." In death, intelligence is absent ; but so it is in trance and syncope. In death, insensibility is complete ; but it is also prac- tically complete in certain cases of hysteria in which there is complete anaesthesia. Surface insensibility is complete, and the patient does not react to the most painful tests, on occasion. All sense of hearing and smell are also absent. The eye presents some very interesting tests. It was noticed that there was an immediate lessening of the tension of the globe of the eye, just after death, owing to the fact that the blood-vessels were emptied of blood. But this proves, merely, that the heart has stopped beating — not that death has taken place ; and we know^ that persons can often be revived long after the heart has ceased to beat. Bouchut con- tends that atropine and eserine have no effect after death. The pupil dilates at the moment of death, but afterwards returns to its normal condition and size, and the iris is thrown into folds. It is also asserted that the eyeball is harder after death than during life. 20 DEATH One very characteristic sign is the sclerotic speck that appears after death ; the conjunctiva also assumes a brown hue. Commenting on these signs, Dr. Hartmann wisely remarked, " All these signs prove that the circu- lation has stopped ; not that it cannot be started again." It will be of interest to refer here to a peculiar fact, the explanation of which is still somewhat uncertain, but which caused a tremendous sensation some years ago when it was first made public. It was announced at the time that in persons dying suddenl}^ the eye pre- served the impression of whatever object was in front of it at that moment. It was suggested that murderers might be traced in this manner — since it is to be sup- posed that the murderer would be the last object seen by the murdered man, in most instances. The case was somewhat overstated, and many persons totally disbelieve in the possibility of the fact at all. There is, however, some ground for the belief. Kiihne of Heidelberg placed a grating in front of a rabbit, then killed the animal rapidly, removed its eye, exposed the retina, and photo- graphed it. The cross-bars of the grating were clearly seen in the print. In the case of a more complicated object, such as a table or a chair, the outline was much more blurred and indistinct, but yet recognisable. In such cases the animal must be killed immediately, and the retina photographed very soon after death. For these reasons, it would be difficult to obtain definite results in the human being. Certainly, very little trace of any scene would be found on the retina twenty-four hours after the death of the subject. This is a question of great importance that should be followed up closely ; but, until some of the prejudices of the public are over- come, it is unlikely that any definite results will be obtained in this possibly fruitful field. At death the immobility of the body becomes pro- I THE SIGNS OF DEATH 21 nounced, and the lower jaw falls on to the breast. But these signs are not constant, and it has been pointed out that in tetanus and in hysteria the mouth may remain closed. Complete rigidity of the corpse may sometimes be found before rigor mortis supervenes. After death, as the body cools, the muscles, especially of the face, continue to contract in odd ways, and sometimes the face will be pulled into various shapes, and give the appearance, perhaps, of the patient having died in the greatest agony. Such may not have been the case at all ; the death may have been perfectly painless. Richardson attached considerable weight to the fact that live bodies usually respond to an electric stirnulus, while dead bodies do not. But this test also has been found inconclusive. Respiration ceases at death ; yet the respiratory test is quite variable in its results. In some cases the patient may be in a trance, and appear not to breathe at all, and yet be alive. On the other hand, a patient may be dead, and the gases moving about within his body give every appearance of life. The old test of holding a mirror to the lips is known to all ; the idea of placing a glass full of water on the epigastrium of the patient is not so well known. If this overflows the patient is supposed to be alive ; if not, he is dead ! The test is inconclusive for the reasons indicated above. Brouardel, in his excellent manual on Death and Sudden Death, thus enumerates the sources of error in attempting to assure oneself of the fact of death by observations upon the circulation : — " Bouclmt, who has studied all these questions with great care, has riglitly said that one must not be satisfied with feeling the pulse, but must go higher and consult the heart also. In a memoir published by him, and submitted to the Academy of Science, he states that an interruption of the action of the heart. 22 DEATH lasting for two minutes, was sufficient to render the diagnosis of death certain. Andral, who was appointed to report on Bouchut's memoir, believed that this interruption should be prolonged for five minutes. Later on, he was obliged to acknowledge that even this length of time was inadequate, since in the interval he had met with a woman who returned to life some hours after the action of the heart had ceased to be perceptible ; it is true that a few contractures could be perceived from time to time, but they vanished to reappear later. " Bouchut thinks that the heart should be listened to for lialf- an-hour. There are at least two sources of error here. You cannot listen to a heart for half-an-hour continuously. Try to do so ; in five or six minutes you will hear buzzings and murmurs of all sorts, and at last you will hear the beating of your oivn heart. A second source of error is as follows : When an animal is dying, and you practise auscultation, you hear very plainly the two sounds of the heart, then only one sound, which presently disappears also. If the animal is opened the heart is found still beating. There- fore, it is essential that the heart should beat with a certain degree of energy in order that its beats should be heard" (pp. 50, 51). He also points out that the keenness of hearing is not alike in all. If the absence of the heart-beat cannot be considered a certain sign of death, perhaps some of the other signs connected with the circulation might ? If the vein be opened immediately after death no blood will issue therefrom ; but blood will issue in the course of a few hours if the wound be left open. The arteries contract, and force the blood through the capillaries into the veins. Further, the gases formed within the body force the blood to the surface, so that, if the skin be cut, blood will sometimes flow. This was the origin of many of the stories of vampires to which Ave refer elsewhere.'^ Coagulation is also a very uncertain sign. Ligature of the ^ See Appendix A. THE SIGNS OF DEATH 23 finger, cupping and leeching, have been resorted to ; but the same objection may be raised to all, viz., the fact that the heart's action has ceased does not guarantee that it cannot be set in motion again. After death, little livid spots appear on the surface of the body. They are known as cadaveric sigillations or lividity, and are caused by the exudation of blood into cellular tissue from the veins. It is an almost invariable sign. Dr. Holland, who examined 15,146 cases, never found it absent once. Nevertheless, it may be absent in cases where there has been abundant haemorrhage before death ; and, on the other hand, they may appear before death in certain cases — in cholera, urtemia, and asphyxia. This sign is also, therefore, inconclusive. The temperature post-mortem has been considered a very important sign ; but it is a very uncertain one. When the surrounding temperature is high, the body may take a very long time to cool, though death may have taken place ; and certain diseases also hinder the cooling of the body. On the other hand the body may cool considerably in trance, and certain states of a kindred nature, and yet life be preserved and revived. In slow deaths cooling is a gradual process, and varies much in rapidity. The trunk may remain warm, while the limbs are cold. The cooling is slow if the body is covered with warm clothing, or bed clothes. Wool is a bad conductor. The bodies of young persons, which have generally a subcutaneous layer of fat, take longer to cool than those of thin, old persons. In wasting diseases the heat is low in the last hours before death. It has been supposed that cooling takes place more rapidly in cases of death from hiemorrhage, but this is rarely true. In all cases of death by suffocation, cooling seems to be retarded. Casper's rule as to the cooling of the body is as follows : '' A body found on the highway with clothes 24 DEATH on (the air being at a medium temperature), still warm, has been dead probably not more than three hours. A body found in bed and still warm has been dead at most lor ten or twelve hours." Another sign of death that can sometimes be obtained is the following. A patch of skin is removed, and, in the course of some hours, the exposed surface will become IMTchmcnt-lihe in appearance, and will yield a sharp sound when tapped. AVe do not know if this has ever happened in a case of trance ; and we have, consequently, nothing to guide us in this respect. A sign that was for long considered certain was that oihurning or blistering the body. If a live body be burned, a blister will be raised, surrounded by a reddish areola. In dead bodies this is supposed not to exist. But is that the case ? M. Brouardel states that blisters may very readily be raised on dead bodies : — " Let a drop of melted sealing-wax fall on to a limb that has just been amputated, and you will succeed in producing a blister." The test of burning is therefore a doubtful sign.^ Dr. Franz Hartmann, in his excellent manual. Buried Alive, has summarised quite exhaustively the various signs of death. We abridge his account of those tests that other authors have omitted to mention. Immobility of a needle stuck in the pericardium : — This indicates that the heart has ceased to boat ; not that the person is beyond recovery. Emptiness of the centred artery of the rethia ; disap- pearance of the papilla of the optic nerve ; discoloration oj the clioroid and retina ; interruption of the circidation of the veins in the retina ; emptiness of the capillary vessels : — ^ The author just cited states that he has found an excellent way of reviving those in syncope ; it is to place a hammer just dipped in very hot water on the epigastrium. Patients nearly always revive. It is doubtful if this would succeed in every case, however — especially where the vitality is very low ; and indeed the author intimates that it would not. THE SIGNS OF DEATH 25 All these signs are open to the objection just pointed out. Corpse-like face ; discoloration of the shin ; loss of trans- parency of the hands : — " These signs are now so well known to be delusive, as to require no further at- tention." Emptiness of the temporal artery : — This only indicates that the heart has lost the power to send the blood to that artery ; but it is no sign that it may not recover its strength. White and livid colouring at the poijits of the fingers : — An antiquated and misleading sim. Belctxation of the sphincters and the pupil ; glazed eyes and haziness of the cornea ; insensibility of the eye in regard to the action of a strong light ; bending of the thtcmb towards the 2mlm of the hand : — All given up nowadays as unreliable. Discqopearance of the elasticity of the muscles — also takes place in dropsy and other diseases. Non-coagulability of the blood : — Unreliable ; in scurvy and certain other diseases the blood remains incoas^ulable for several days. Absence of a humming noise in the auscultation of the finger joints: — Unreliable. If the finger is not held in just the right position, nothing will be heard, even if the patient is alive. Further, humming noises, internal noises in the body of the physician, &c., are apt to be mistaken for the sounds going on in the body of the patient. Galvanism has been considered sufficient to furnish a test that is certain. Irritability is extinguished first in the left ventricle; then in the intestines and stomach, next in the bladder, afterwards in the right ventricle, then in the oesophagus, and after that in the iris. The muscles of the trunk finally give way — the extremities and the auricles. The collapsed edge of a wound in a dead body, in distinction from a gushing wound in a living one, is the result of a peculiar irritability — the 26 DEATH extinction of which is one of the indications of death. Flaccidity is an uncertain sign of death ; putrefaction is unequivocal. Within recent years, two or three additional tests have been devised. X-ray machines have been employed to ascertain whether any vital action was taking place within the body. It was found that, if all the internal functioning had come to a complete standstill — bowels, liver, lungs, heart, &c. — the shadow cast on the screen would come out clear and distinct ; if, on the other hand, some of these organs were working (and conse- quently moving) the outline or shadow would be blurred and indistinct. We do not know to what extent this test has been carried; and its value and reliability would depend (1) upon the clearness of the shadow; and (2), upon the extent to which the internal organs can sus- pend their functioning, in such states as trance, and yet life be present, or possibly recalled. We must always remember that the entire vital machinery might stop, for some considerable time, and yet be enabled to resume its functioning. This fact must be taken into considera- tion when discussing this test. Still more lately, Dr. Elmer Gates has published an article in the Annals of Psychical Science (June 1906), entitled, " On the Transparency of the Animal Body to Electric and Light Waves : As a Test of Death and a New Mode of Diagnosis, and a Probable New Method of Psj'chic Research." He says in part : — " Several years ago ... I discovered that certain wave lengths of electric waves (not X-rays or ultra-violet light) pass more freely through a body of a dead than of a living organism, and I pro- posed this as a test of death. This greater transparency at death I found to be due to the absence of the normal electric currents, which are always present in functionally active nerves and muscles. . . When the body is alive, it is a bundle of electric currents, and THE SIGNS OF DEATH 27 electric waves cannot pass through these currents ; but when they cease, at death, the body becomes transparent to electric waves." How far these electric currents would be reduced in trance and kindred states, is a matter for further inquiry. The objections previously raised must not be lost sight of in this connection. There is yet another test of death of a somewhat " occult " character, which its votaries declare infallible 1 It is the following : — " The Aura after Death. — It will readily be understood that death produces an immediate great change in the human auras. All the higher principles, together with the auric egg that envelopes them, disappear, leaving the doomed material body with only its lifelong and inseparable etheric double floating over it ; the caloric aura gradually ceases with the disappearance of animal heat ; the pranic aura, which had begun to fade before the actual dissolution, turns to an ashen-grey light ; all the electric emanations, already broken up during the sickness, cease ; the magnetic flow alone con- tinues, though in a sluggish and stationary manner ; the Tatwic ribbons lose their colour, leaving only dead, colourless lines, as in mineral matter, whereby it can be said that the auric manifestation which remains around the body is only that which belongs to the dead material compounds, until decomposition sets in. Then the aiu:ic effluvium again becomes alive, and assumes the aspects and hues of the new lives that issue out of death. Thus, the study of the human aura will bring out new and more reliable signs of real death, because to a psychic sight, the aura of a person in coma or cataleptic trance — however well this may otherwise simulate death — will never be mistaken for that of a body in which life is really and positively extinct. . . . " ^ Without discussing the reality of these phenomena in this place, it may only be said that the diflPiculty of find- ing a seer possessing the requisite psychic sight might be ^ 2Vte Human Aura, by A. Marques, pp. 5j, oG. 28 DEATH sufficiently difficult to render this method of diagnosis impractical under all ordinary circumstances ! Of course, such theories would have to be rigorously demonstrated before science could even tolerate them for a moment, in a life and death problem such as this. It is hardly necessary to add that this demonstration has so far failed to appear either in the desired quality or quantity. 2. Odor Mortis; or, the Smell of Death. In the Cincinnati Clinic of September 4, 1875, was published a paper on " Odor Mortis ; or, the Smell of Death," read by Dr. A. B. Isham before the Cincinnati Academy of Medicine, August 30, 1875. The paper was based upon observation made while an inmate of one of the surgical wards of the Stanton Hospital, Washington, during the summer of 1863, as well as upon instances in which the " odor " had been met with in private practice. The character of the odour was muskiferous, yet it appre- ciably, though almost indescribably, differed from that of musk. In this paper he presented two recent instances where this odour attracted notice, together with some new observations concerning it. Instance 1. — July 13, 1878, on the eve of Dr. Bartho- lomew's departure for Europe, Dr. Isham was requested to assume charge of his patient, Mr. . The patient was unconscious, with irregular, noisy respiration, with only a feeble trace of pulse, indistinguishable at times, and ^V2LS dying slowly from effusion within the membrane of the brain, the result of chronic alcoholism. He was with him through the middle of the night, and during this time he noticed upon his right hand a smell resem- bling that of musk. This hand was exclusively used in examining the patient's pulse and in noting the tempera- ture of the body. Earlier in the night there had been THE SIGNS OF DEATH 29 no smell upon it. The left hand acquired the same smell from handling the body, and it was also communi- cated to the handle of a fan held in the hand. A gentle- man from Chicago, who had volunteered as a night watcher, and whose attention had been called to the odour without any suggestion as to its character, promptly distinguished it. The ladies of the household did not use musk, and no perfumery had been in the room or about the patient. Neither had Isham handled nor come in contact with anything other than the patient from which the odour could have been derived. Death occurred thirty-three hours later. Instance 2. — About midnight. May 21, 1879, Dr. Isham was called to see Mrs. G. She had several months pre- viously been under his care with acute duodenitis, but with impaired digestion and defective assimilation ; but she had subsequently passed into the hands of an irregular practitioner. He found her in articulo mortis, with general anasarca, the result of blood dilution. Upon entering the room there was a plainly perceptible musky odour. There was no musk about the house, nor had any other perfumery been employed. Death ensued in about half- an-hour. The smell, as stated, was closely allied to that of musk, yet the impression on the olfactory organs was more delicately subtle. Besides, there was an indescribable feature pertaining to it which seemed to impress the respiratory sense and trouble respiration — a vague sensa- tion of an irrespirable or noxious gas. To the convales- cent loungers of sharp olfactory sense about the wards of Stanton Hospital the smell was familiar, and was termed the death smell. It was not uncommon to hear the expres- sion, " Some one is dying, for I smell him ! " ^ It was rare to find the odour widely ditfused, and ^ See Appendix E. 30 DEATH where it appeared to be it was probably due to a con- tinuance of the first impression upon the olfactory organs. As commonly encountered, it has suggested the idea of gaseous aggregation or body containing odoriferous par- ticles possessing an attraction for each other, and so held together. In the hospital ward, while present in one place it was not experienced in another slightly removed. It also quickly disappeared from the first place — probably moved along by atmospheric waves. Thevapour in which the odorous molecules were suspended appeared, in some instances at least, heavier than the atmospheric air. Thus, Dr. Isham had sometimes recog- nised the smell in lower hallways — the patient occupying the upper portion of the house; and in " Instance 1," already detailed, it was only detected on handling the body. This affords one explanation why it may not claim more recognition. From its heaviness it subsides, and does not enter the nose. Other reasons why it may escape attention are, that the olfactory sensibilities may be blunted by long continuance in an ill-ventilated, bad- smelling sick-room ; or the air currents may carry the odour in a direction not favourable to observation. The only mention of an odour which might be analo- gous is reported by Dr. Badgely, of Montreal, in a report on " Irish Emigrant Fever." It is thus quoted by Drake in his work on the " Principal Diseases of the Interior Valley of America," as taken from the British Medical Journal : — " I hazard the idea that the ammoniacal odour emanating from the living body, so strong on opening the large cavities and so striking on receiving some of the blood of the vessels — arteries as well as veins — into the hand, were all due to the same condition of this fluid — the actual presence of ammoniacal salts, one of the surest proofs of the putrescent condition of the vital fluid ; in fact, to speak paradoxically, of the existence of death during life." THE SIGNS OF DEATH 31 Here the source of the smell is indicated as coming from the development of ammonia in decomposing blood. It is known that musk contains ammonia largely, together with a volatile oil. Robiquet holds that its odour de- pends upon the decomposition of the ammonia, liberating the volatile matters of the oil. The blood also contains a volatile oil, and it is well known that it possesses odour. This odour may be developed by adding sulphuric acid to blood and boiling it. This process was formerly resorted to in order to distinguish blood in questionable cases, but it has been rendered obsolete since the discovery of the blood corpuscles by the microscope. Such a method would be well suited to drive off the ammonia, free from decomposition, together with the volatile oil — to which substance the odour is very likely due. Originally, Dr. Isham was inclined to limit the occur- rence of the manifestation to within a very short time of death. That it cannot be so restricted is evidenced by ''Instance 1," when it was noticed thirty-three hours before death. The conditions here were not unfavourable for its development. From the state of circulation, chemical changes were evidently proceeding in the blood, elevating its temperature and liberating those matters to which we would ascribe the origin of the death smell. Richardson and Dinnis have shown by experiments that ammonia salts added to blood preserve its fluidity by preventing the decomposition of fibrin. This is not without a bearing upon the origin of the odor mortis. In gradual death coagulation commences first in the capillaries, and proceeds towards the heart. The escape of ammonia from the blood in the peripheral vessels, liberating the volatile principles and engendering smell, permits local decomposition of fibrin long before the heart has ceased its action. But La.nge has more recently investigated the action 32 DEATH of ammonia in living and dead blood. He found that carbonate of ammonia added to living blood was only given off at a temperature of 176° F. to 194° F. When, however, ammonia was added to blood from a dead animal, it was evolved at a temperature of from 104° to 113° F. It is well ascertained that in many diseases, just previous to death, the blood temperature is raised above the lowest figure given by Lange. In some diseases, too, the blood falls below the normal bodily temperature. This affords another and principal explana- tion why the odor mortis may not be appreciable. These experiments of Lange also show why this smell is not developed by diseases characterised by great elevation of temperature — simply because the blood has lost none of its vital properties. Such is the attempt of science to account for this remarkable fact. When we come to consider " death coincidences " in Part III., wo shall, we think, find that another interpretation of the facts may be put upon such cases. However, we will not anticipate. 3. Rigor Mortis. Next to putrefaction, rigor mortis may be considered the surest sign of death that we know. Unless the burial clothes are put on the corpse soon after death, it is almost impossible to get them on at all, owing to the stiffening of the body. Yet it is contended by certain authorities that frequently there is no rigor mortis what- ever. Bichat found that in cases in which an individual had been struck dead by lightning, or had been suffocated by charcoal, there was no rigor mortis. When complete, rigor mortis is very severe ; the body becomes as stiff as a board, and it is next to impossible to bend or flex the arms and legs. THE SIGNS OF DEATH 33 Generally, it may be said that rigor mortis appears in from three to six hours after death. Quite frequently it appears before the bodily heat has passed away. Niederkorn gives us the following table, the result of 103 cases observed by him : — Rigor mortis within 2 hours after death, 2 cases From 2 to 4 „ 4 to 6 6 to 8 8 to 10 „ 10 to 13 Total 45 24 18 11 3 103 It is evident, therefore, that the length of time that elapses between death and rigor mortis varies con- siderably. It is asserted that " after poisoning by a large dose of strychnine, rigor mortis follows imme- diately upon the phenomena of contracture which existed at the time the patient died." " With regard to the duration of rigidity," says Dr. Brouardel,^ " \ye are also obliged to make allowance for different influences. It lasts on an average twenty-four to forty-eight hours. It may, how- ever, last for a few hours only ; at other times, it persists for five, six, or seven days. Our data with reference to this subject are very scanty. We know that in exhausted individuals, such as those dying with cancer or phthisis, rigor mortis appears early, l)ut does not last long; on the contrary, in an individual dying while in good health, it appears late, and is of long duration. . . . Cadaveric rigidity appears first in the muscles of the lower jaw, then in those of the neck and eyelids, then the lower limbs, and lastly the upper limbs. . . . The muscles of the intestinal walls may present a certain degree of rigidity." The heart becomes rigid after death also ; a fact ^ Death and Sudden Death, p. GU. 34 DEATH observed by the illustrious Harvey, and noted by him in his Second Disquisition} When persons die from the result of sun-stroke or heat-stroke, they are already half rigid, and it is stated that the heart becomes rigid immediately upon the death of the body. Vallain states that when he was in Algeria, he opened the bodies of dogs dying from sun-stroke, and, Avhen he cut into the heart, it yielded a sound like that of wood ! Generally speaking, rigor mortis appears much sooner in a warm and moist atmos- phere. Indeed, it has been asserted that it takes just as many hours to effect the same result in the summer time as it does days in the winter. When the body is fatigued, rigor mortis appears much more rapidly. Dr. Brown-Sequard, writing on this subject, said : " In rabbits, guinea-pigs, cats, and birds, as well as in dogs, I have ascertained that when they are killed by poisons causing con- vulsions, the more violent and the more frequent the convulsions are, the sooner cadaveric rigidity sets in, and the less is the time it lasts ; the sooner also does putrefaction appear, and the quicker is its progress." ^ What is rigor mortis ? What is its nature ? In what does it consist ? This has been a very vexed question ; and only of late years has it been satisfactorily settled. Kuhne believed that it was due to the coagulation of myosin, an albuminous substance contained in the mus- cular tissue. Brown-Sequard objected to this, that no amount of such coagulation would account for the facts. Microscopic examination of muscles has frequently re- vealed no structural difference whatever between those in a state of rigidity, and those that were flaccid. Some * Harvey's treatise on the circulation of the blood should be read by every one, as it is a model of sound, logical argument. 2 Quoted by Savory, Life and Death, pp. 190, 191. THE SIGNS OF DEATH 35 observers ascertained that an acid reaction was found in the muscles at such times ; and conchided that rigidity was due to the conversion of alkahne substances into acids ; but Achtakaweski has proved that in tetanus the muscles are not rigid, and that the injection of an alkali into the muscular tissue does not prevent rigidity. It has even been ascertained that rigidity will take place as usual, even if all posthumous circulation be cut off! Brown-Sequard removed the spinal cord from an animal, and found that no rigidity resulted. His researches, however, have been largely disproved by recent experi- menters. While much still remains uncertain, it is now generally admitted that rigor mortis is the first stage of putrefac- tion — of which we shall presently treat — and is hence the result of bacterial decomposition. Herzen proved that there is found in the muscular tissue of a dead animal, an acid, which he called " sarcolactic acid." By injecting some drops of this acid into the muscles of dead animals, he caused rigor mortis to appear in cases which had not as yet exhibited it. Rigor mortis is doubtless the result of certain micro-organisms, which secrete toxins in the muscular tissue, causing rigor mortis in this manner. The subject will become more clear when we consider the phenomena of putrefaction. To this we accordingly turn. 4. Putrefaction. The phenomena of putrefaction are of great interest and importance, since they frequently enable the practitioner to tell almost exactly how long a certain body has been dead, and for that reason are of great value to forensic medi- cine. The subject may appear an unpleasant one to many readers ; but, rightly considered, it is not so, and aftbrds a 36 DEATH field for very interesting experiments and important de- ductions. Bear in mind the fact, that putrefaction is merely the process of returning the body to the native, mineral elements, and there should be no objection to studying this process from the scientific point of view. Remove from the mind the idea of a '' corpse," and replace it by the following: here is an organic compound; let us watch its gradual disintegration and return to mother earth ! It has been proved that if a body be perfectly pre- served from the air, it will not, cccteris paribus, decay or putrefy at all. Pasteur experimented with blood and urine, the most fermentable and putrescible of all organic fluids. These fluids he sealed up hermetically in glass tubes. Although these tubes are in his laboratory yet, having been placed there in 1854, there is to-day not the slightest trace of putrefaction in any of them. The presence of air is therefore necessary, in order that putrefaction may proceed. Why is this ? When a body dies, three different and distinct sets of micro-organisms occupy it, one after the other. First, there are the " aerobic " organisms, so called because they cannot live without the presence of oxygen, which they obtain from the air. Following them, there is the second set, able to live either with or without oxygen ; and these M. Bordas, in his thesis on " Putrefaction," has called " amphibious." These produce carbonic acid, also hydrogen and hydro-carbons. Lastly, there comes another category of micro-organisms, the " anaerobic " class, which do not live in oxygen, and which produce hydrogen, nitrogen, and more or less compound ammonias. These organisms follow one another, for the reason that each class secretes a poison in the presence of which it is unable to live. It then disappears, and is replaced by other colonies, and so on, until the destruction of the THE SIGNS OF DEATH 37 body is complete. This explains why it is that air is necessary to render putrefaction possible ; the first set of micro-organisms can only exist and set up their char- acteristic effects when there is a certain amount of free oxygen, and this they have to obtain from the atmos- phere. If this be shut off, putrefaction can be prevented for a very long time. It illustrates, also, the beautiful pro- vision of nature ; the method employed to disintegrate the body and return it to its elements as speedily as possible. Putrefaction takes place at a different rate and in a different manner, according to the medium in which the body is placed. We have already seen the effects of withdrawing the body from a medium altogether, placing it in vacuo. If the body be in the air, it will decompose in one way, if in water in another ; it will putrefy in a different manner still in the earth — and even here there is a great difference, according to the nature of the soil in which the body is placed. " Micro-organisms can, of course, enter the body through the epidermis, but they seem to be very slow in doing so in the majority of cases. Usually putrefaction begins in the digestive tract. It is especially a function of the processes which take place in the intestines. M. Duclaux, who has paid much attention to the ' vibrios ' of the intestines, has succeeded in determining the part they play in putrefaction. At death they swarm ; they penetrate into the intestinal glands, which they destroy, find their way into the veins and peritoneum, and produce gases there, and secrete diastase, which liquefies the tissues. What is the conse- quence of this formation of gas and diastase % The quantity of gas produced is considerable, its tension is sometimes equal to that of li atmospheres ; it also pushes up the diaphragm to the third intercostal space, and drives the liquid contained in the deep vessels towards the periphery ; that is what I have called the posthumous circulation." 38 DEATH The significance of this fact will be apparent when we come to a discussion on " Vampires." (See Appendix A.) If a person dies from suftbcation from carbonic acid gas, his tissues contain very little oxygen, and, in conse- quence, the first set of micro-organisms have great difficulty in gaining a foothold within the body. Brouardel gives a case in which a corpse was found to be in a perfect state of preservation two months after death — the man having committed suicide in this manner. Of course, other causes influence putrefaction greatly. The state of health at the time of dying is known to be one great contributory cause. Patients dying of cancer putrefy very slowly for some reason. If there be food in the stomach, decomposition takes place more rapidly than if there be none, which is what we should expect a priori. If the coffin is badly closed, decomposition will be more rapid than if it is well sealed : the degree of moisture of the soil, or the reverse : whether the body be placed in a wooden or a leaden coffin — all these factors help to determine the rate and character of the subsequent putrefaction. When bodies are retained in the air for some days, ^nd putrefaction sets in, the body swells up from the created gas, and this has to be removed, in order to prevent tainting of the atmosphere. What, then, is done ? This : holes are pricked in the bodies, and a lighted match applied to these minute orifices. Long, bluish flames start forth, like those of a blow-pipe. These remain ignited sometimes for three or four days, then the combustibility of the gas ceases. When decomposition is more advanced the gas will not take fire in this manner. This is due to the fact that the gases created during the later stages of decomposition are not combustible ; those in the earlier stages are. THE SIGNS OF DEATH 39 During decomposition phosphoretted hydrogen is fre- quently formed. " Before the time when refrigerating apparatus was employed at the Morgue — that is to say, prior to 1882 — phosphorescence was often noticed there, especially in w^arm weather, Wills-o'-the-wisp, which ran over and around the bodies. It was a very impressive spectacle." This has great significance, when we remember the frequent allusions to " corpse lights," &c. — spirits that were supposed to hover above the grave in the graveyard, and which have doubtless given rise to many a ghost story. When a body decomposes under the ground little blebs form all over the surface of the body ; these are filled with a sort of serum and blood. The epidermis then separates in flakes. Gases are formed in large quantities, and when the tissues have been more or less liquefied by the action of micro-organisms, the flesh is ruptured, thus giving vent to these gases. It is curious to note that when a body is completely covered with animal excreta, it decomposes very slowly indeed ; whereas precisely the reverse of this is what we should expect ! We shall not do more than refer to this here, leaving the more technical discussion for more strictly medical treatises. When a body decomposes in water, many interesting changes take place. Dr. Brouardel assures us that " the first green patch which appears does not show itself in the region of the ca3cum, as it does when the body putrefies in the open air, but over the sternum ; " and he adds, " I cannot explain to you the cause of this varia- tion." Hofman calculated that putrefaction is twice as rapid in air as in water. The Avater in which the body is floating penetrates the periphery, and enters into the blood stream, thus preventing coagulation to anything like the extent that would take place in the air. But 40 DEATH when the body is withdrawn from the water, putrefaction takes place with extreme rapidity. The best account of what takes place in bodies thrown into water is the following, which we take from Death and Sudden Death, p. 83 : — " Bodies more frequently undergo transformation into fatty matter in the water than in the open air ; this transformation is sometimes complete by the end of five or six months. If it had remained exposed in the open air, the corpse might have putrefied before so long a time had elapsed ; if it had been placed in the earth, it would be necessary to take into consideration the state of the coffin and of the soil — putrefaction might be hastened or retarded thereby. In the water the phenomena of putrefaction follow the same evolutionary course as those of fermentation within the intestines. The Fenayrou case affords a demonstration of this. A druggist named Aubert was murdered in the country by a husband and wife of the name of Fenayrou, assisted by their brother. To get rid of the corpse they threw it into the Seine, after having enclosed it in a piece of lead pipe. They hoped that thus it would stay at the bottom of the water. Three days afterwards Aubert floated, though still enclosed in the lead pipe. An enor- mous quantity of lead would be necessary to jorevent a body from rising to the surface ; the only means of keeping the body at the bottom would be to open the abdomen and perforate the intes- tines ; in this way the gases would escape as soon as they were produced." Sajjonijication. — This occurs only in bodies lying in water, or in very damp ground. As a general rule, this adipocere forms the more readily the fatter the bodies are. In recently dead bodies it is a white matter, soft, brittle, and somewhat watery. When exposed to the air it dries up. Saponification is the scientific term. It consists of the fatty matter combined at first with the ammonia THE SIGNS OF DEATH 41 disengaged by decomposition. It thus forms an am- moniacal soap. If it is in water, the lime of the water drives off the ammonia, and thus forms a lime soap, and may remain unchanged for a long period. Some think that the body may be completely saponified in a year. Bodies of infants may saponify in six weeks to thirteen months. It is probable that it begins in three or four months in water. In one case where the body was half out of the water, after fourteen months the lower part was saponified and the rest not. This soapy matter becomes ultimately broken up and washed away, if in water. The different organs of the body decompose at very different rates, and in different manners. The bones, of course, last longest of all, becoming more and more light as time goes on, and they gradually lose their animal matter. It is asserted that the uterus is the last orsfan to decompose. In adults the brain decomposes slowly, in children more quickly. The liver becomes light after death, and will float when thrown into water. This is due to the formation of gas within its structure. The lungs of an adult (and those of a child) decompose in a different manner from those of a babe who has never breathed. The eye decomposes and vanishes at the end of about two months ; the nails become loose about the twentieth day. Bodies decompose at different rates. Some of them disintegrate and liquefy very speedily; others take months and even years to reach the same advanced stage of putrefaction. The causes of these differences are not known, but it would not be a difficult matter to con- jecture, at least, in the majority of instances. That remarkable cases of the kind exist, there can be no doubt. Brouardel mentions one in which a leaden coffin was opened at the end of three months, and the corpse 42 DEATH " looked as if it were in a bath of sweat ; it was covered Avith moisture, and the skin was corrugated." In another case, " a woman poisoned by Pel was found, four years after death, in the exact condition in which she was when put into her coffin." In yet another remarkable case, a number of soldiers were buried together. Five years later they were disinterred, when we find that " some of them were skeletons, clothed with remains of their belts, &c., others were still in such a state of preservation that their features could be recognised." " The fact," he adds, " cannot be explained at present. All sorts of hypqtheses are possible. We may assume that all these men had not the same species of micro- organism in their digestive tubes" (p. 98). As the net result of our inquiry, therefore, we find that every test of death is unreliable, with the single exception of putrefaction. Even here, certain discolora- tions and spots may appear on the surface of the body on occasion, which may be mistaken for decomposition ; and it would be well to wait until unmistakable signs develop. But, on the whole, decomposition may be con- sidered a fairly reliable test. It is, at all events, the only fairly reliable sign, and certainly the only sign that the layman can trust and avail himself of. Sir Benjamin Ward Richardson, writing on this subject, stated that only in a comhination of signs, all appearing together, is safety to be found. He enumerates the following indications : — Respiratory failure, cardiac failure, absence of turgescence or filling of the veins on making pressure between them and the heart, reduction of the tempera- ture of the body, rigor mortis, coagulation of the blood, putrefactive decomposition, absence of red colour in semi-transparent parts under the infiuence of a powerful stream of light, absence of muscular contraction under the THE SIGNS OF DEATH 43 stimulus of galvanism, heat, or of puncture, absence of red blush on the skin after subcutaneous injection of ammonia, absence of signs of rust or oxidation of a bright steel blade after plunging it deep into the tissues. Sir Benjamin sums up the matter thus : — " If all these signs point to death . . . the evidence may be considered conclusive that death is absolute. If these leave any sign for doubt, or even if they leave no doubt, one further point of practice should be carried out. The body should be kept in a room, the temperature of which has been raised to a heat of 84° F., with moisture diffused through the air, and in this warm and moist atmosphere it should remain until distinct indications of putre- factive decomposition have set in." CHAPTER III TRANCE, CATALEPSY, SUSPENDED ANIMATION, &c. Dr. George Moore, in his Use of the Body in Relation to the Mind, p. 31, says: — " A state of the body is certainly sometimes produced (in man) which is nearly analogous to the torpor of the lower animals — a condition utterly inexplicahle hy any jjrinciple taught in the schools!' This was written some years ago, but it still holds good. Very little, indeed, is known about this subject — more than some of its mere phenomena — which were recog- nised and carefully studied by Braid, who wrote his memoir, Observations on Trance ; or, Human Hiheiiiaiion, in 1850. When we come to inquire into the cause, the real essence of trance and kindred states, we find an amazing lack of knowledge on these subjects — mostly due to the fact, no doubt, that it has always been con- sidered a mark of '' superstition " to investigate such cases ; and so, until the last few years, these peculiar conditions have been left strictly alone by the medical profession. When a condition of catalepsy could be shown to be due to a disordered, nervous condition, then it was legitimate to study such a case ; but when the causes of the trance were psychological or unknown, then it immediately became " superstition " ! Even to- day this state of affairs is not outgrown. We doubt if more than one physician in a hundred would be willing to recognise the " medium trance, " e.y., as a separate state requiring prolonged psychological investigation. 44 TRANCE, CATALEPSY, &c. 45 In spite of the fact that Professor William James pointed out the absurdity of this attitude, it is still the one all but universally maintained. AVriting on trance, ecstasy, catalepsy, and kindred states in Pepper's System of Mediciiie, vol. v. pp. 314-52, Dr. Charles K. Mills thus defines these conditions : — " Catalepsy is a functional nervous disease characterised by conditions of perverted consciousness, diminished sensibility, and especially by muscular rigidity or immobility, which is independent of the will, and in consequence of which the whole body, the limbs, or the parts affected remain in any position or attitude in which they may be placed." The following is the author's definition of ecstasy : — " Ecdasy is a derangement of the nervous system, characterised by an exalted visionary state, absence of volition, insensibility to surroundings, a radiant expression, and immobility in statuesque positions. Commonly, ecstasy and catalepsy, or ecstasy and hysterico-epilepsy, or all three of these disorders, alternate, co- exist, or occur at intervals in the same individual. Occasionally, however, the ecstatic seizure is the only one that attracts attention. Usually, in ecstasy, the concentration of mind and the visionary appearance have reference to religious or spiritual subjects. " Trance may be defined as a derangement of the nervous system, characterised by general muscular immobility, complete mental inertia, and insensibility to surroundings. The condition of a patient in a state of trance has been frequently and not inaptly compared to that of a hibernating animal. Trance may last for minutes, hours, days, weeks, or even months. In trance, as in ecstasy, the patient may remain motionless and ai)parently un- conscious of all surroundings ; but in the former or visionary state, the radiant expression and the statuesque positions are not necessarily present. In trance, as stated by Wilks, the patients may lie like an animal hibernating for days together, without eating or drinking, and apparently insensible to all objects around them. In ecstasy, the mind, under certain limitations, is active ; 46 DEATH it is concentrated upon some object of interest, admiration, or adoration. Conditions of trance, as a rule, last longer than those of ecstasy." Baird's theory of trance is that it is : — "A functional disease of the nervous system in which the cerebral activity is concentrated in some limited region of the brain, with suspension of the activity of the rest of the brain, and consequent loss of volition. Like other functional nervous diseases, it may be induced either physically or psychically — that is, by the influences that act on the nervous system or on the mind ; more frequently the latter, sometimes both combined." Dana ' reported about fifty cases of prolonged morbid somnolence. He did not include among them cases of drowsiness due to old age, diseased blood-vessels, cerebral mal-nutrition, or inflammation, various toxsemiae as malaria, uraemia, syphilis, &c., dyspepsia, diabetes, obesity, insolation, cerebral anaemia, and hyperaemia, cerebral tumours and cranial injuries, exhausting dis- eases, and the sleeping-sickness of Africa. He found that the prolonged somnolence shows itself in very different ways. Sometimes the patient sufiters from simply a great prolongation of natural sleep ; sometimes from a constant, persistent drowsiness, which he is often obliged to yield to ; sometimes from frequent brief attacks of somnolence, not being drowsy in the intermission ; sometimes from single or repeated prolonged lethargic attacks ; finally, sometimes from periodical attacks of profound somnolence or lethargy which last for days, weeks, or months. He says that most cases of functional morbid somnolence are closely related to the epileptic or hysterical diathesis ; but a class of cases is met with in which no history or evidence ^ "Morbid Drowsiness and Somnolence." — Journal of Nervous and Mental Diseases, vol. xi., April 18, 18S4. TRANCE, CATALEPSY, &c. 47 of epilepsy or hysteria can be adduced, and, though they may be called epileptoid or hysteroid, these designations are simply makeshifts ; the patients seem to be the victims of a special morbid hypnosis. Very much the same ground is taken by Dr. William B. Hammond in his Spiritualism and Allied Causes and Conditions of Nervous Derangement, and by Dr. Marvin in his Philosophy of Spiritualism. It will be seen at once, the attitude assumed towards trance, ecstasy, and all kindred states is the attitude of pure materialism. Doubtless this attitude would be perfectly justifiable were it capable of covering and explaining all the facts ; but it can fairly be said that such an interpretation of the states noted is quite incapable of explaining them all. The medium-trance is totally different from any of the states that have been discussed ; it shows no identity with any of them. It is not dependent upon any morbid state of body, and cannot be regarded as a morbid symptom. Indeed, when a medium is ill, trance is gener- ally impossible ! Further, the supporters of such a view would have to account for the supernormal knowledge displayed by the medium while in the trance state. That is the crmx. We do not care what theory of the nature of the trance state may be held, provided that it is capable of explaining all the facts. The current material- istic theories certainly cannot do this. So little is known of this state we call trance, indeed, that it has been found difficult even to define. Dr. J. Brindley James says of this condition : — " What, then, is trance ? It is a sleep-like condition that comes on spontaneously, quite apart from any gross lesion of the brain or from any toxic agency, and from which the sleeper cannot be roused even by the most energetic measures." ^ ^ Trance : its Various Aspects and Possible Results, pp. 3, 4. 48 DEATH It will be obvious that this does little more than define the state, which is as much as any work on the subject has so far attempted. Dr. James points out that, owing to our ii^norance of the nature of trance and of its limi- tations, it is quite possible to mistake it for death on occasion unless the most exacting tests be employed. Various persons are apt to fall into this trance-like condition — " mostly educated persons of nervous tempe- rament." ^ This trance-like condition is said to result most commonly from the following diseases or their complications : — " Catalepsy, hysteria, chorea, hypnotism, somnambulism, neuras- thenia, stroke by lightning, sun-stroke, anaesthesia from chloroform, &c. ; eclampsic coma in pregnancy, still-birth ; cold, asphyxia from various gases, vapours, and smoke ; narcotism from opium and other agents ; convulsive maladies, drowning, nervous shock from gunshot, electricity, and other injuries; smothering under snow, earth, grain, or in bed ; strangulation, epilepsy, mental and physical exhaustion, syncope, extreme heat and cold, alcoholic in- toxication, haemorrhages, suspended animation from mental dis- orders, excessive emotion, fright, intense excitement, &c. ; apoplectic seizures, so-called ' heart-faihires,' and many other diseases." ^ The condition known to us as trance is both uncertain and fluctuating. There can be no doubt that hypnotic trance, or trance induced by the mesmeric process (if there be any difference between them), is remarkably deep — so deep indeed, that Dr. Esdaile was enabled to perform, under its influence, some 261 operations of a painful and critical character, which he enumerates in his Clairvoyance, pp. 168-9. Such operations as the removal of a cancer of the eyeball ; amputation of a thigh, a leg, an arm : ^ Hov) the State can Prevent Premature Burial. By James R. Williamson. 2 Plan for Formimj Associations for the Prevention of Premature Burial, &c., pp. 5,6. TRANCE, CATALEPSY, &c. 49 various operations for the removal of tumours — opera- tions that certainly cannot be performed easily or upon a patient who is not under the influence of an anaesthetic, mental or physical. It is amusing, in the light of our present knowledge, to see the attempts of many medical men of that day to account for Esdaile's cases. They went so far as to assert that the patients operated upon were merely hardened rogues paid to withstand the pain ! The phenomenon of trance, both natural and induced, is noAv acknowledged, however, and recognised by all psychologists. When we come to consider the nature and causes of trance, we find the greatest difficulty in forming any con- ception of it. All purely physiological explanations must certainly be abandoned. They do not account for the hypnotic phenomena, far less for trances of spontaneous or mediumistic type. Trance differs essentially also from sleep, though of course the two have something in common. A nearer analogy, probably, is the hypnotic trance ; and it has occurred to us that the mediumistic trance might be a type of hypnotic influence from " the other side," just as the hypnotic trance that we know is a species of mental influence from this side. In other words, both hypnotic and mediumistic trances may be samples of mental influence — the one from the mind of a living, the other from that of a dead operator. This would seem to be strengthened by the fact that mediums are frequently very insusceptible to hypnotic or even to normal suggestion from operators on this side. Mrs. Piper has been tested for this, for example, and no trace of any faculty of thought transference has been found, and only a light state of hypnosis could be induced in her, even after prolonged attempts. This would seem to indicate that the more an individual spirit is en rapport with another world, the less is it c?i rapport with this. D 50 DEATH Mr. Myers, in his Human Personality, has distinguished three distinct types of trance. He says : — " The first step, apparently, is the abeyance of the supra-hminal self, and the dominance of the sub-liminal self, which may lead in some cases to a form of trance (or what we have hitherto called secondary personality), where the whole body of the automatist is controlled by his own sub-liminal self, or incarnate spirit, but where there is no indication of discarnate spirits. The next form of trance is where the incarnate spirit, whether or not maintaining control of the whole body, makes excursions into, or holds tele- pathic intercourse with, the spiritual world. And, lastly, there is the trance of possession by another, a discarnate spirit. We cannot, of course, always distinguish between these three main types of trance, which, as we shall see later, themselves admit of different degrees and varieties," Mr. Myers contends elsewhere that the simplest aspect of trance is " suggested sleep," which Avould seem to agree somewhat with the theory advanced above. Dreams, the author shows, by analogy, to be " bubbles breaking upon the surface from the deep below." Extending his analogy, he has conceived clairvoyance as a state in which the spirit of the seer is enabled to leave the body and travel through different scenes and localities. In ecstasy, the soul would change its environment and pass for a time into the spiritual world, retaining such relations to the organism as enables it to return to its ordinary condition. And so, our author goes on, " when the last change comes, and we ask ourselves with what added ground for specu- lation we now strain our gaze beyond that obscurest crisis," we find — that death is an irrevocable self-projec- tion of the spirit : that condition in which the spirit has emerged from the body, and, because of altered physical conditions, is unable to return to it. TRANCE, CATALEPSY, &c. 51 Sleep and Death. Many analogies have been drawn between sleep and death, and death is often called " the last sleep." But there is always this distinction between the two, that in the one case we revive and return to animate the body, and in the other case we do not. Where consciousness is, what becomes of it during the hours of sleep, has always been one of the most bitterly disputed points in psychology. Certain it is that self- consciousness is absent ^;?'o tcm. ; but whether it is anni- hilated, as materialism teaches, or merely withdrawn, as the opposite school avers, is a question that is as far as ever from being satisfactorily answered. Many are the battles that have been fought over this point, but none of them have ever been won ! Truly the field is open, and the world is at the feet of the man who shall discover the innermost nature of sleep. It is equally a mystery with death, and it is probable that there is some close interdependence between them. Veridical and super- normal dreams ; cross-correspondence between dreams and the statements made by trance mediums ; above all, such remarks as " your sleep is our life," would seem to indicate that the human spirit is simply withdrawn during the hours of sleep — being revivified in some other sphere. However, these are questions into which we cannot enter now. Both trance and catalepsy occur spontaneously : both may also be induced artificially by hypnotism. Both are mistaken for death, and in many respects they are very similar. In catalepsy the body is rigid, whereas in trance this is very rarely the case — this forming the chief mark of distinction (external indication) between the two states. What the internal differences are we do not know. Various attempts, however, have been made to define them. 52 DEATH Dr. Franz Hartmann, e.g., thus distinguishes them : — There seems hardly any hniit to the time during which a person may remain in a trance ; but catalepsy is due to some obstruction in the organic mechanism of the body on account of its exhausted nervous power. In the last case the activity of life begins again as soon as the impediment is removed or the nervous energy has recuperated its strength. Whatever the innermost nature of this trance state may be, it seems certain that some individuals have the faculty of inducing this condition at will, just as it may bo induced by hypnotic processes from without. The Fakirs of India doubtless possess this power to some extent. Braid gave what was probably the first authentic account of their remarkable cases of suspended ani- mation, and voluntary interment ; which are also to be found narrated in more recent works — e.g., Hudson's Laiu of Psychic Phenomena, pp. 309—20. There are many such cases, and it is reported that a number of persons have been buried alive in consequence of the inability of the attending physician to distinguish the induced state from true death. It is not to be wondered at ; and until these states and conditions receive the study and attention they deserve, such cases of premature interment will probably continue to occur. When we come to inquire into the immediate causes of catalepsy and allied states, we find that very little is known about these conditions. Dr. Alexander Wilder, in his Perils of Premature Burial, p. 19, says that: — " We exhaust our energies by overwork, by excitement, too mucli fatigue of the brain, the use of tobacco, and sedatives and anaesthetics, and by habits and practices which hasten the Three Sisters in spinning the fatal thread. Apoplexy, palsy, epilepsy, arc likely to prostrate any of us at any moment ; and catalepsy, jDerhaps, is not far from any of us." TRANCE, CATALEPSY, &c. 53 Again, Dr. W. R. Gowers, in Quain's Dictionary of Medicine, p. 216, says : — " Nervous exhaustion is the common predisponent ; and emotional disturbance, especially religious excitement, or sudden alarm, and blows on the head and back, are frequent immediate causes." Dr. James Curry, on the other hand, thinks that fainting fits and losses of blood are the chief factors in inducing these death-counterfeits. (See Ohservations on Apparent Death, pp. 81, 82.) M. Charles Londe, in Za Mart Apparente, p. 16, says: — "Intense cold, coincident with privations and fatigue, will pro- duce all the phenomena of apparent death. . . ." ^ Struve, in his essay on Suspended Animation, p. 140, takes the same view. It has frequently been pointed out that the sequeloe of certain diseases, the use of narcotics, &c., will result in states that cannot be dis- tinguished from death. These cases of suspended ani- mation will sometimes last for many days, as has frequently been shown; and if the body be buried during this interval, we should have a case of " prema- ture burial." How long may a body cease to show signs of life, and yet be revived ? That is a much disputed point ; but there can be no question that, if air be permitted access to the body of the patient, it can be revived after a very long period — a period not of hours, but of days and weeks. Indeed, Sir Benjamin Ward Richardson said on this point : — "We are at this moment ignorant of the time when vitality ceases to act upon matter that has been vitalised. Presuming that an organism can be arrested in its living in such manner that its parts shall not be injured to the extent of actual destruction of * We have considered freezing to death on p. 115. 54 DEATH tissue, or change of organic form, the vital ^vave seems ever ready to pour into the body again so soon as the conditions for its action are re-established. Thus, in some of my experiments for suspending the conditions essential for the visible manifestations of life in cold-blooded animals, I have succeeded in re-establishing the condition under which the vital vibrations will influence, after a lapse not of hours, but even of days ; and for my part I know no limitation to such re-manifestation, except from the simple ignorance of us who inquire into the subject." ^ Assuredly this is a significant admission ! In the light of this fact, certain historic cases of " raising the dead " might be re-interpreted, and put upon a rational basis. There can be no doubt that re-animation has taken place after very long intervals on occasion — even when there has been no external sign of life in the interval. Of course the time would be comparatively brief, if the supply of air were cut off. In a coffin of the usual dimensions, it has been estimated that from twenty- minutes to an hour would insure death from suffocation. But even here we must allow, as Tebb and Vollum point out [Premature Burial, p. 211), for a certain persistence of the vital energy, which continues after all atmospheric air has been cut off. " Experiments on dogs show that the average duration of the respiratory movements after the animal has been deprived of air is four minutes five seconds. The duration of the heart's action is seven minutes eleven seconds. The average of the heart's action after the animal has ceased to make respiratory efforts is three minutes fifteen seconds. These experiments further showed that a dog may be deprived of air during three minutes fifty seconds, and afterwards recover without the application of artificial means. " - ^ Ministry of Health, pp. 154-5. 2 Report on " Suspended Animation," by a Committee of the Royal Med. Chirur. Society, July 12, 1862. TRANCE, CATALEPSY, &c. 55 It may be said that with modern improvements, and with the aid of artificial stimulants, this period has been very greatly exceeded. It may be objected to all that we have said that, in practically all instances, death would take place within a very few minutes in any case — even if the patient woke and found himself in the coffin. Why, then, make all this fuss ? Apart from the humanitarian side of the question, there is often the definite possibility of resuscitating the patient — if the case be taken in time. And then, forty minutes must be a veritable eternity to one buried alive ! In a case of cremation, even if the patient did revive in the coffin, death would be so speedy that it would almost be at hand before the situation was realised. In this connection we desire to call attention to certain facts of interest that are to be noted in the animal world. Professor S. J. Holmes, writing in the Fojndar Science Monthly, for February 1908, calls attention to the instinct of feigning death among various animals and insects. Some of them assume attitudes that render them almost indistinguishable from their surroundings ; others draw themselves up into a ball ; still others remain in a state of apparent catalepsy, in whatever attitude they are placed, this state lasting for an hour or even longer. It is interesting to note in this con- nection that the attitudes assumed by these various animals at such times often bear no resemblance to the attitudes they assume in death. Darwin observed this, and said : — " I carefully noted the simulated positions of seventeen different kinds of insects belonging to different genera, both poor and first- rate shammers. Afterwards I procured naturally dead specimens of some of these insects (including an lulus, spider, and Oniscus) belonging to distinct genera, others I killed with camphor by an 56 DEATH easy slow death ; the result was that in no instance was the attitude exactly the same, and in several instances the attitudes of the feigners and of the really dead were as unlike as they could possibly be." Professor Holmes does not consider that in the insects at least, this feigning of death is a conscious impulse, but rather of the nature of a reflex action. He states that the mere handling or touching of certain insects — for example, the water scorpion — will cause them to feign death for an hour, even if they are left entirely alone, or covered up, and their tormentor leaves the room. It is interesting to note, in this connection, that these creatures cannot be made to feign death by any amount of handling under water. As soon as they are in the air, however, they feign death repeatedly. As soon as the state has worn off, if they are touched again, they again feign death for an hour or so, and this may be repeated a number of times in suc- cession. Among the higher animals, on the contrary, such as the fox, it would appear that this instinct is largely an act of consciousness, and that they are perfectly aware of their surroundings, and of the reason for their feigning in this manner. A fox, when feigning death, will often cautiously open its eyes, raise its head, look around, and finally scamper off, if its pursuers have withdra^vn to a safe distance. It would appear that, in the majority of cases, especially among the insects, the induced state re- sembles that of catalepsy ; the muscular rigidity noticed — which is intense — would indicate this, and the fact that they suffer a great amount of maltreat- ment (pricking, mutilation, burning, &c.) without show- ing any signs of sensibility, would seem to show that this is lost, and that more or less complete anaesthesia is TRANCE, CATALEPSY, &c. 57 present. The state is probably closely akin to what has been called " hypnotism " in the lower animals. Practi- cally nothing is known of that condition of the nervous system which makes such results possible, and this is as true of the higher as of the lower creatures. CHAPTER IV PREMATURE BURIAL 1. Cases. We have seen, as the result of the two preceding chapters, that there is no certain sign of death (with the single exception of putrefaction, which is not generally w^aited for), and that there are, on the contrary, many states and conditions which very closely simulate death ; that, for days in fact, it is almost impossible to distinguish true from false death — so similar are they. The question here arises, Is it not possible, and in fact probable, that in certain cases a living person is buried by mistake, under the impression that he is dead ? Might it not be quite possible that accidents of the sort occur and premature burial take place ? It would certainly seem that such must be the case ; and when we turn to an account of the actual facts we find that such has happened very fre- quently. It is improbable that premature burial takes place as frequently as it did some years ago, but it is doubtless true that many cases are on record, amply testifying to the fact that it has occurred with horrible frequency, from time to time, in the past. A large number of such cases, authenticated more or less fully, are to be found in Tebb and Vollum's Premature Burial, in Franz Hartmann's Buried Alive, and in the Encyclo- 'pcedia of Death, vol. ii., pp. 7-114. A great mass of cases are here adduced ; and, although Dr. David Walsh 58 PREMATURE BURIAL 59 attacked the evidence in his Httle book, Premature Burial, there can be no doubt that a large number of the cases printed stand the test of scrutiny, and are veritable cases of " premature burial." Similar cases are coming to the attention of the public from time to time continually, and it is surely high time that some means be adopted to check this evil. It is true that there is a Society for the Prevention of Premature Burial — both in England and America — but it is unable to accomplish much, owing to the tyranny that it has encountered in more than one direction. Such a movement deserves the whole-hearted support of the people ; and we shall now endeavour to lay before the reader our reason for taking this stand so strongly. Nothinof that the human mind can conceive can appeal to the imagination as more horrible than the idea of premature burial. To awake in a coffin — cold, dark, and helpless — far beneath the surface of the ground, and know that the living tomb is one from which it is impossible to escape, suggests a tragedy that is in every sense appalling. If we attempt to picture such a fate, it is easy to comprehend how the agony of a whole lifetime may be compressed within the few minutes that elapse between the moment when the victim awakes to the horror of his position and the time when he again lapses into unconsciousness, as the effect of suffocation. It is not strange that such a subject should have appealed to the writer of realistic fiction, but we must not imagine that these cases occur only in the pages of the sensational novel. In writing upon this subject. Professor R. L. 0. Roehrig, formerly of Cornell University, said : — "The possibility of premature burial always exists, for that there is real danger of been buried, embalmed, dissected, or cremated alive has been fully acknowledged by various unquestionable, highly respectable authorities, and many celebrated authors have written 60 DEATH on this particularly important subject, among them Alexander Humboldt, Hartmann, and Hufeland. All have shown that in every case of death which cannot be plainly accounted for by violent external causes, fatal vulnerations, accidents by firearms or other deadly weapons, suicide or murder, it is of the utmost importance to abstain from all sudden alarm and meddlesome interference, and most patiently to wait until every possible doubt as to the real and entire extinction of life has been absolutely removed. " Under no conditions should the fear of ridicule, supercilious contempt, or mockery coming from the thoughtless, or any other sort of intimidation, influence us in our conduct on so grave an occasion. Nobody can be certain that he will not at some time have to undergo this horrible misfortune, for the most celebrated and experienced physicians have been misled by appearances, while even the assertions of the public inspectors of the dead have often led to the most deplorable consequences." Prone as tlie scientist may be to question the accuracy of the assertion that, at the smallest average, one person is buried alive in the United States every twenty-four hours, it is important to note that the London Humane Society has reported the fact of having brought back to Hfe no less than 2175 apparently dead persons within a term of twenty-two years ; that a similar society in Amsterdam restored 990 persons in twenty-five years; and that the Hamburg Society saved 107 persons from premature burial in less than five years. Personally, we know of several cases of this kind, and, in one instance, a prominent New York physician recently discovered to his horror that the body that he was dissecting was that of a live man. Professor Roehrig, who asserts that he has saved many persons from this fate, states that he once rescued a child from the dissecting table, in spite of the insulting mockery of all the other physicians who were in attendance. In view of these facts, it is not difficult to believe that the following gruesome experience, related PREMATURE BURIAL 61 by a French physician in the Paris Figaro, may be fact, not fiction : — "Five years ago," he writes, "I was preparing for an examina- tion, and went one night alone into the dissecting room for the purpose of studying certain abdominal viscera, carrying a light in my hand. An insane woman, having died on the day before, was extended naked upon the marble slab. I placed my candle upon her chest, and made a cut through the skin over the stomach. At that moment the supposed corpse gave a terrible scream, and, rising up, caused the light to fall and become extinguished. Then a terrible struggle began ; the woman, with one of her cold, clammy hands took hold of my hair, and with the other clawed my face with her finger nails. I was beside myself with terror, and blindly struck about me with the scalpel which I still held in my hand. Suddenly my knife struck an obstacle ; a sigh followed, the grasp on my hair was loosened, I fainted, and knew nothing more. When I aAvoke it was daylight, and I found myself upon the floor lying beside the bloody corpse of the woman whom I had killed, as my knife had gone directly to her heart. I replaced the corpse upon the table and said jiothing about it ; but the recollection of this event fills me with horror, while the marks which the nails left upon my face are still there." It has been pretty authoritatively asserted that Mdlle. Rachel, the celebrated actress, was embalmed while still alive, and there are those who will always believe that Washington Irving Bishop, the distinguished mind-reader, died from the effects of an autopsy performed while the unfortunate man was in one of the trances to which he was frequently subject. It is also stated that the mother of the famous General Lee was buried alive and resusci- tated two years before his birth. Although pronounced to be dead by her physician, she regained consciousness suflficiently during the process of interment to attract the attention of the sexton. Ebcnezer Erskine, one of the founders of the (United) Free Church of Scotland, is also 62 DEATH said to have been born after the burial of his mother. As in the case of Mrs. Lee, Mrs. Erskine was buried while in a trance. As the gravedigger had noticed that there was a valuable ring on one of her fingers he determined to secure it, and, stealing to the new-made grave during the night, he removed and opened the casket, and cut off the finger on which the ring had been placed. It was by this act of felony that her life was saved. A comparatively short time ago, George Hefdecker, a farmer living near Erie, Pa., died suddenly of what was supposed to be heart failure. The body was buried temporarily in a neighbour's lot in the Erie Cemetery, and when, some time later, the transfer to a newly- purchased family lot was made, the casket was opened at the request of the relatives. To their horror it was then discovered that the body had turned completely round, and the face, as well as the interior of the coffin, bore unmistakable traces of the terrible struggle that had occurred. A similar story comes from St. Petersburg, Russia, in connection with the interment at Tioobayn, near that city, of a peasant girl named Antonova. She had pre- sumably died, and was buried, but after the gravedigger had completed his work he was startled by sounds that seemed to come from the new-made grave. Instead of removing the coffin and breaking it open, however, he rushed off to find a doctor, and when he and the public officials arrived it was too late. The casket contained a corpse, but, as the position of the body clearly proved, death had only just taken place. When the question of premature burial came up for discussion before the French Senate some years ago, a most remarkable story was told under oath by Cardinal Archbishop Donnot. In part, his testimony was as follows : — PREMATURE BURIAL 63 " In the summer of 1826, on the close of a summer day, in a church which was exceedingly crowded, a young priest who was in the act of preaching was suddenly seized with giddiness in the pulpit. The words he was uttering became indistinct; he soon lost the power of speech, and sank down on the floor. He was taken out of the church and carried home. All was thought to be over. Some hours after the funeral bell was tolled, and the usual preparations made for the interment. His eyesight was gone ; but if he could see nothing, he could hear, and I need not say that what reached his ears was not calculated to reassure him. The doctor came, examined him, and pronounced him dead ; and after the usual inquiries as to his age, the place of his birth, &c., gave permission for his interment the next morning. The vener- able bishop, in whose cathedral the young priest was preaching when he was seized with the fit, came to the bedside to recite the ' De Profundis.' The body was measured for the coffin. Night came on, and you can easily feel how inexpressible was the anguish of the living being in such a situation. At last, amid the voices murmuring around him, he distinguished that of one whom he had known from infancy. That voice produced a mar- vellous effect, and he made a superhuman effort. Of what followed I need only say that the seemingly dead man stood next day in the same pulpit. That young priest, gentlemen, is the same man who is now sj^eaking before you, and who, more than forty years after that event, implores those in authority not merely to watch vigilantly over the careful execution of the legal prescriptions with regard to interments, but to enact fresh ones in order to i)revent the occurrence of irreparable misfortunes." Bouchut, in his Les Signcs de la Mort, p. 43, gives the following case : — "A person of high standing was taken with one of those diseases in which death usually does not occur suddenly, but is preceded by certain signs. The physician who attended him found him one evening in a dangerous state, and when he visited him again the following morning, he was told upon entering the house that the patient had died during the night. They had the 64 DEATH body already placed in the coffin ; but the doctor, doubting that death could occur so suddenly, caused the supposed ' dead ' to be put back into bed. The man soon revived, and lived for many years afterward." Dr. Hartmann gives the two following cases collected by himself, and published in his Buried Alive, pp. 52, 53:— " At Wels (Austria) a woman died, and as no signs of putre- faction appeared at the end of five days, all sorts of means were resorted to to revive the body. They were of no avail, and it was finally resolved not to delay the burying any longer. On the night preceding the funeral a large crowd met for the purpose of holding the 'Wake.' It was a merry party, and some of those present got drunk and amused themselves in making jests with the corpse and offering it liquor. In the midst of the merry- making, the woman woke and sat up in her coffin ! The company ran away, and when they returned they found that the woman had gone to bed, where she slept, and was well the next day. She had been conscious of all that had taken place, but had not been able to move. "In another town in Austria, a student made a bet that he would not be afraid to go at night to the graveyard, open a grave, steal the corpse, and carry it to his room. This he did accord- ingly, and the grave he opened happened to be that of a young girl who had been buried on the previous day. He took the body upon his shoulders and carried it to his room, where he put it upon a lounge near the stove. He then went to sleej). During the night he was awakened by a noise. The girl had awakened from her trance, and was sitting up. He was so much terrified that his hair turned white ; but the girl, thus saved, returned to her parents." Sometimes the termination of such cases is not so for- tunate, however. It Avill bo observed that in the following case, reported in the British Medical Journal, April 26, 1884, p. 844, death resulted from the interment: — PREMATURE BURIAL 65 "The Times of India, for March 21, has the following story : — '■ On last Friday morning the father of a large family at Goa, named Manuel, aged seventy years, who had been for the last four months suffering from dysentery, appearing to be dead, pre- parations were made for the burial. He was placed in a coffin and taken from his house at Worlee to a chapel at Lower Mahim, preparatory to burial. The priest, on putting his hand on the man's chest, found his heart still beating. He was thereupon removed to the Jamsetjee Jejeebhoy Hospital, where he remained in an unconscious state up to a late hour on last Friday night, when he died.' " The following case is quoted in Tebb and Vollum's Premature Burial, p. 55 : — "A young married woman residing at Salon died shortly after her confinement in August last. The medical man, who was hastily summoned when her illness assumed a dangerous form, certified her death, and recommended immediate burial in conse- quence of the intense heat then prevailing, and six hours after- wards the body was interred. A few days since, the husband having resolved to re-marry, the mother of his late wife desired to have her daughter's remains removed to her native town, Marseilles. When the vault was opened, a horrible sight pre- sented itself. The corpse lay in the middle of the vault, with dishevelled hair, and linen torn to pieces. It evidently had been gnawed by the unfortunate victim. The shock which the dreadful spectacle caused to the mother has been so great that fears are entertained for her reason, if not for her life." Another remarkable case is the following {Encyclo- pcedia of Death, vol. ii., p. 107): — " Thirty-four years ago, a man by the name of John Hurelle was pronounced dead by three doctors, who held an examination. Everything was prej)ared for the funeral ; the guests were invited, a clergyman summoned, and the body placed in a coftin. On the E 66 DEATH morning when the funeral was to occur, the mother thought she saw signs of life, though four days had passed since he was said to have been dead. The funeral did not take place. When those present took the seemingly lifeless body and placed it on a bed, the man said : ' Let me ' — and then stopped. For eight months he lay in a sort of stupor, while his mother gave him nourish- ment. At the expiration of that time he regained consciousness, and finished the sentence by saying ' be.' " Another case collected by Dr. Hartmann himself, is the following : — " In a small town in Prussia, an undertaker, living within the limits of the cemetery, heard during the night cries proceeding from within a grave in which a person had been buried on the previous day. Not daring to interfere without permission, he went to the police and reported the matter. When, after a great deal of delay, the required formalities were fulfilled and per- mission granted to open the grave, it was found that the man had been buried alive ; but he was now dead. His body, which had been cold at the time of the burial, was now warm and bleed- ing from many wounds, where he had skinned his hands and head in his struggles to free himself before suffocation made an end to his misery." "In the month of December 1842, an inhabitant of Eyures, in France, died and was buried. A few days afterwards a rumour began to spread that his death was due to an overdose of opium having been given to him by a physician. Finally, the autho- rities ordered the grave to be opened, and it was found that the supposed dead man had awakened and oj^ened with his teeth the veins of his arm for the purpose of ending his torture, and then he had died in his coffin." — (Lenormand, Des Inhumations Precipitees, p. 78.) Many persons seem to think that premature burials are few and far between. There was never a greater fallacy, says M. Tozer : — PREMATURE BURIAL 67 " Some years ago the Paris Figaro dealt at considerable length mth the subject of the possibility of premature burial occurring somewhat frequently, and within fifteen days the editor received over four hundred letters from different parts of France, all from persons who either had been almost buried alive, or who knew of such cases." ^ Dr. Franz Hartmann, immediately after the publica- tion of his book on the subject, and within two months (May — June, 1896), received no less than sixty- three letters from persons who had escaped premature burial throuofh fortunate accident. When such wholesale numbers are observed, what are we to think but that premature burial, so far from being a great rarity, is a frequent phenomenon — happening constantly in our very midst ? In an article in the Insurance Ncivs for April 1, 1901, George T. Angell, founder and president of the American Humane Education Society, says that "Nothing can be more certain than that large numbers (and perhaps multitudes) of persons have been buried alive, and that many, after having been pronounced dead, have shown signs of life in time to save themselves from such burial, and have declared that, lohile unable to move they lueve fully conscious, of ivhat was said and done about them. My own father barely escaped such burial, being declared by his physicians dead. There are in Boston alone many thousands of persons living in hotels and boarding-houses where, whenever death is declared, every effort will be made to send the body of the supposed deceased, at the earliest possible moment, to the undertaker, the crematory, or the grave. In not one case in a hundred will the body be permitted to remain in th6 hotel or boarding-house until the beginning of decay." Dr. Henry J. Garrigues, of New York City, m a paper ^ Premature Burial^ by Basil Tozer, p. IG. 68 DEATH read before the Society of Medical Jurisprudence, con- tended that any law permitting burial without thorough tests to determine the extinction of life was nothing short of homicidal. Under the law of " necessary precautions," he said, " there is nothing to prevent anybody from being buried alive or frozen to death in an undertaker's ice-box." His objection to the laws that now exist so generally throughout the country is based upon the fact that they are designed to protect the community, without regard to the protection of the person supposed to be dead. " And yet," as Dr. Gar- rigues admitted, " the question of whether a person is dead or alive is most difficult to decide. If the action of the vital organs is suspended, every appearance of death may be produced, when, under proper manipu- lation, they may be restored to life." In citing the counterfeits of death. Dr. Garrigues referred to persons who, though taken from the water apparently dead, were afterwards resuscitated, and he stated the belief that, if it were not so common to believe that people were dead merely because they were cold and limp, many others would be revived. Asphyxiation, heart failure, apoplexy, intoxication, lightning stroke, anaesthetics, narcotics, concussion — all these produced the counterfeits of death, and often so closely resembled it that the science and the experience of the physician were frequently at fault. Thus the danger of mistaking live persons for dead remains, even after all tests for determining death have been tried. There is not one but which may fail under certain conditions. The most common test of all, that of trying to ascertain if the breath has stopped, is the one that is usually made, and yet science knows of many cases of suspended animation where breathing has ceased for fully forty- eight hours. The same is true regarding the stopping PREMATURE BURIAL 69 ot the heart, and so on through the entire list. There have been cases of suspended animation in which all signs have failed, and yet the patient recovered. In his opinion, the only sure indication of death is the decomposition of the body. Dr. Garrigues' opinions upon this subject were fully upheld by Dr. John Dixwell, of Harvard University. In an address before the Committee on Legal Affairs of the Massachusetts Legislature, February 12, 1908, he stated that he personally had narrowly escaped premature burial. " During an illness, in the early seventies," he said, " very eminent physicians determined that I was dead, but I am alive to-day, while they all are dead. Accordingly I know that this horror exists as a fact. It is ridiculous to dispute it. I recall a case at the Massachusetts General Hospital. A woman had been sent there suffering from bronchitis. After a time it was decided that she was dead, and she was sent to the morgue. There she suddenly woke up, and is alive to-day." " I have often been told," says Dr. Alexander Wilder/ " that the modern practice of embalming made death certain. I admit it ; but those who are too poor to pay for this funeral luxury must yet take the chance in the old-fashioned way. There is no doubt, however, that the number annually put to death by the enibalmers is sufhciently large to demand attention. An investigator of this subject in New York has openly declared his belief that a con- siderable number of human beings are annually killed in America by the embalming process." Dr. Edward P. Vollum, surgeon in the United States Army, is another physician who has written freely upon the danger of premature burial. In addition to colla- borating with Tebb in compiling a book upon this subject, * Burying Alive a Frequent Peril, p. I'J. 70 DEATH he is the author of several papers treating of the dangers of burial alive, from one of which we quote : — " Any one whose vital machinery is thrown out of gear by excesses, strains, or depressing causes may pass into and out of this transitory state if they have a reserve of strength. Shocks cause apparent death, such as from gunshot, strokes of lightning, charges of electricity, concussion, heat and sun-stroke, fright, intense excitement, etc. So do exhaustions from mental and physical exertion, especially in the badly nourished, asphyxia from various causes, intense cold, anaesthesia, intoxicants, haemorrhage, narcotism, convulsive disorders, so-called heart failures and apo- plectic seizures, epilepsy, and syncope. "The above cases are quite plain, and many are saved by medical aid. But there are other forms of this mysterious state that may defy the highest medical skill and all known tests and signs. These are the constitutional cases, due to some warp of temperament, as seen in trance, catalepsy, cholera, auto-hypnotism, somnambulism, &c., which, like hibernation, are inexplicable by any principles taught by science. We know but little of these idiosyncrasies except that they are usually hereditary, and that their victims easily fall into a deathlike lethargy from overwork, worry, and foul air, and that during their attacks efforts at resusci- tation should be kept up until putrefaction appears, lest they be mistaken for dead and disposed of accordingly, Quain's Dictionary of Medicine says : ' The duration of trance has varied from a few hours or days to several weeks or months.' The British medical press during the last fifty years has given numerous cases which revived from the consciousness of the preparations for closing the coffin. Many notables have been subject to this disorder, such as the great anatomist Winslow, the French Cardinal Donnet, and Benjamin Disraeli. The last-named lay in this state for a week. " All such cases are in peril because of their uncertainty. Of course, old cases of heart disease and apoplexy may be recognised by the patient's physician, but, as a rule, the diagnosis cannot be sure without an autopsy. All signs of death are deceptive, and all these cases should be held as not beyond resuscitation until PREMATURE BURIAL 71 decomposition appears. Hufeland says : ' Death does not come suddenly; it is a gradual process from actual life to apparent death, and from that to actual death.' '' The revivals sometimes reported during epidemics of cholera, small-pox, and yellow fever depend, as in so-called sudden deaths, upon the fact that the patients are usually struck down in their ordinary health with a reserve of strength which bridges them over after the force of the disease is spent. " The estimates of such disasters are based upon the discoveries made when the dead are removed from cemeteries, as is done in some great cities every five years. A portion of the skeletons are always found turned to one side or on the face, twisted, or with the hands up to the head. These are counted as living burials. And then there is the admittedly large number of narrow escapes from being buried alive, recovered, as a rule, by some chance. Hidden and mixed with ignorance, laxity, and indifference as this whole matter is, the authorities naturally differ in their views as to the frequency of these cases. A personal inquiry in Europe and in the United States for several years past has convinced me that they are alarmingly frequent. The proportion of discovered cases must be small compared with those that never come to light. Dr. Lionce Lenormond, in Des Inhumations Precipitees, says that a one-thousandth part of the human race have been and are annually buried alive. M. le Guen, in Dangers des Inhumations Precipitef^s, estimates premature burials at two a thousand. He collected 2313 cases from reliable sources. Hundreds of foreign authorities with similar view^s could be given. Dr. Moore Russell Fletcher, in One Thousand Pe7\<07is Biiried Alive hy Their Best Friends (Boston, 1890), gives many horrors taken from American sources. Carl Sextus, of New York, collected in eighteen years 1500 cases of death counterfeits of scientific value. He estimates living burials at two per cent." We have now given a number of cases of premature burial, or cases in which burial would have taken place shortly had not some fortunate and unforeseen accident 72 DEATH happened. A number of similar cases will be found detailed in the authors quoted, and in other works upon the subject. Bruhier, in his work, Dissertations sur V Incertitude cles Signcs de la Mort, &c., produces accounts of 181 cases, among which there are those of 52 persons buried alive, 4 dissected alive, 53 that awoke in their coffins before being buried, and 72 other cases of apparent death. Hartmann himself gives more than a hundred cases. Tebb and Vollum collected an equal number, and very many cases appear elsewhere in the literature upon this subject. Enough has been said at all events to show how extraordinarily numerous these cases are ; and it becomes evident that some steps should be taken to prevent such burials from taking place. We hope that the publication of this book will at all events stimulate public interest in this direction, and help to initiate some widespread movement for the prevention of such horrible cases as those described. 2. Efforts to Prevent Premature Burial. During the past few years the question of the prevention of premature burial has been taken up by several of the State legislatures, and laws have been suggested, and, in some cases enacted, tending to reduce the possibility of such a catastrophe. One of the best examples of such legisla- tion is the bill presented to the Massachusetts Legisla- ture. This provides that local boards of health shall be notified Avithin six hours of the death of any person, and that, as soon as possible, an examination shall be made of the reported deceased, and that certifications of death shall be issued only after ten tests have been made — for heart action, respiration, circulation, rigor mortis, &c., and the use of subcutaneous injections of ammonia. PREMATURE BURIAL 73 This subject of premature burial, now being agitated in the United States, was thoroughly considered in Europe, beginning more than a century ago. As Dr. Vollum has shown in his article on Final Tests for Death, France first recognised the necessity for legal pro- tection against these dangers. Germany was the first to put them in force. Then followed France, Austria, Belgium, Spain, the Netherlands, and Scandinavia. The pith of these laws is in the requirement of an expert examination of the apparently dead independently of the attending physician. In Germany, Austria, and Belgium the examiners, called inspectors of the dead, are officers of the State, specially qualified for their duties. In the other States mentioned they are physicians of standing, also qualified. They must decide the cause and fact of death, and register a certificate of verified death before a burial permit can be issued or the body disturbed in any way with the view to embalming, autopsy burial, or cremation. The underlying principle of these laws is well expressed in the Austrian imperial law thus : — " That the only sure sign of death being general decomposition, which as a rule comes late in the case, the examiner of bodies, in the absence of this proof, must not be guided by any single sign, and must base his conclusions on an assemblage of all signs that point to death, and to any injuries that may involve the vital apparatus." These laws, framed both in the interests of the State and the individuals, are supported by the legal and the medical professions, and have always given satisfaction to the authorities and comfort and a sense of safety to the people, excepting in France, where the period allowed before burial is only twenty-four hours, and the inspec- tions are thought to be rather perfunctory, especially in 74 DEATH' Paris. The German and Austrian systems are alike, ex- cepting in the former all bodies must go to the waiting mortuaries ; in the latter this is voluntary, as it is in the other States named. The German system is best seen in Munich. This city of about 50,000 people is divided into twenty- one burial districts, in each of which there is an inspector of the dead, with an alternate, besides the woman who makes the toilet of the body, called leichen- frcm, and who arranges the funeral appointments. She is also qualified by a technical examination. The attend- ing physician is always present at the death crisis. He gives his verdict of death, but the laAv does not trust his unsupported opinion, however celebrated he may be. The inspector comes, and in the meantime nothing about the body must be touched by any one. He makes his certificate, which covers every possible point in the case, and this is countersigned by the attending physician. Delay and resuscitation may be employed at this stage if the inspector sees fit. Ordinarily he allows from two to twelve hours' delay in the residence for ceremonies, &c., when the body must go to the waiting mortuary, where it remains for seventy-two hours or longer, under medical observation, when the mortuary physician gives his certificate, if all goes without unforeseen incidents, and the interment takes place in the adjoining- cemetery. Thus it is seen that there are, with the leichenfrmi, four independent expert inspectors. All are on the qui vive in carrying out the system, which is popular and understood by all classes. The waitmg mortuary consists of a main hall, where the bodies lie in open coffins, embowered by plants in the midst of light, warmth, and ventilation. There is also a laboratory equipped with apparatus for resuscitation, 2^ost'mortem room, separate PREMATURE BURIAL 75 rooms for infectious cases and accidents, a chapel, and quarters for the physician and attendants. Count Michael von Karnice Karnicki, formerly cham- berlain to the Czar of Russia, invented, in 1898, an exceedingly clever apparatus for the prevention of pre- mature burial. Being firmly convinced that thousands of persons are buried every year while in a state of lethargy, he prepared a system of signalling, which has been adopted in one or two instances, but only, so far as we know, in Europe. In this invention, a tube protrudes about four feet above the surface of the grave, and, upon the top of it, is fixed a small metal box with a spring lid. To the lower end of the tube, which just enters the upper lid ot the coffin, is fixed an india-rubber ball, charged so fully with air that the slightest extra pressure upon it would result in the discharge of this air through the tube. This would release the lid of the box, which is adjusted to spring open at the slightest pressure. Moreover, the opening of this lid would automatically raise a small fiag, and, at the same time, would start an electric bell, not only over the grave, but in the sexton's house as well. Under this system, the slightest suggestion of breathing on the part of the supposedly dead person, or the smallest movement of the body, would suffice to open the box, raise the flag, and sound an alarm, while the additional mechanism in the tube would immediately begin to pump air down to the interior of the coffin, that the person who has been buried by mistake might be pre- served from suffocation until such time as assistance might arrive. On March 1, 1909, the House of Commons ordered to be printed for distribution " A Bill to Amend the Law- Relating to the Registration of Deaths and Burials." The Committee of Examination confessed themselves 7G DEATH " much impressed " by the weight of the evidence brought before them, tendmg to show that the current medical examinations were insufficient ; and they ordered a more thorough and complete examination and certification in the future. CHAPTER V BURIAL, CREMATION, MUMMIFICATION, &c. Although burial is an extremely unhygienic and un- wholesome custom, it is a practice that is common to all Christian countries. Originating in the popular faith in the doctrine that the body should be preserved that it might arise in its entirety at the " day of judgment,"' this idea, though now seldom advanced as an excuse, is at the bottom of the antipathy that is so frequently shown in regard to cremation. Of course, it is needless to say that, as the process of putrefaction soon returns the physical body to the dust of the earth, through which it passes again into all forms of vegetable and animal life, the impossibility of any sort of bodily resurrection, without the performance of a more stupen- dous miracle than the human mind could imagine, is obvious. In fact, the only argument that can be advanced in favour of the practice of burying the dead, as against that of cremation, is based upon the principle that a buried body may be exhumed — after a considerable space of time has elapsed, if necessary — and the effects of poisons, &c., traced — murderers frequently having been brought to justice by this means when they would have undoubtedly escaped punishment for their crimes, if the most convincing evidence against them could have been destroyed by fire. Such an argument as this, however, weighs but little as against the many great advantages 78 DEATH that would be derived from the practice of cremating bodies, for cremation is so manifestly the only wholesome and hygienic method of disposing of the dead, that it should be legally adopted by all nations calling them- selves civilised. Incineration, or cremation, was the ancient Roman method of reducing the body to ashes, but the ancient Jews early adopted the custom of burial. Thus Abraham, in his treaty for the cave of Machpelah, expressed the desire to secure a suitable place in which '' to bury his dead out of his sight ; " and about the only records of burning the dead that we find in the history of the Jewish people are (1) the case of Saul and his sons, whose bodies were undoubtedly too badly mangled to be given the royal honours of embalmment, and (2) the burning of those who died of the plague, a sanitary measure apparently adopted to prevent further spread of the contagion. As all nations of the ancient civilisation held that it was not only an act of humanity but a sacred duty to pay great honours to the departed, the burial and fune- ral rites were frequently of a very elaborate character. Among the Hebrews, these began with the solemn cere- mony of the last kiss, and, after the eyes had been closed, the corpse was laid out and perfumed by the nearest relative, and the head, covered with a napkin, was sub- jected to complete ablution in warm water, a precaution that was supposed to make premature burial impossible. While the Jews frequently embalmed the body of the dead, in no part of the world was this rite performed so scientifically as in Egypt. When great personages like Jacob and Joseph died, the greatest care was exercised in embalminof them, but there is no means of ascertain- ing whether the earlier generations followed this practice, or simply buried their dead in caves, or in the ground. BURIAL, CREMATION, MUMMIFICATION, &c. 79 We know, however, that the elaborate process followed in later years was finally abandoned for a simpler and less effective method — that of merely swathing the corpse round Avith numerous folds of linen and other stuffs, and anointing it with a mixture of aromatic substances, of which aloes and myrrh formed the principle ingredients. To be sparing in the use of spices on such an occasion was regarded as a most discreditable economy, for the profuse use of very costly perfumes was regarded as the highest tribute of esteem that could be paid to the departed. In view of these facts, it is easy to believe the writer in the Talmud who tells us that no less than eighty pounds of spice were used in burying Rabbi Gamaliel, and Josephus reports that, at the funeral of Herod, five hundred servants were in attendance as spice-bearers. From the narrative in the New Testa- ment we see that a similar custom was followed at the burial of Christ. The Jews, like most Oriental nations, were given to the most inordinate exhibitions of grief. From the moment that the vital spark was known to have departed from the body, the members of the family, especially the women of the household, burst forth into the most doleful lamentations, upon which they were joined by neighbours and relatives, all of whom crowded to the house as soon as they heard of the bereavement. By the more aristocratic classes anything like outside participation in the grief of the family was forbidden, and, instead, this service was performed by certain women who were known as public or professional mourners. When engaged, they seated themselves in the family circle, and, by studied dramatic effect and eulogistic dirges, excited greater lamentations on the part of the immediate family. Sometimes instrumental music was also introduced. 80 DEATH As in all Oriental countries, burial among the Jews occurred more quickly after death than is generally the practice in this country. Even when the body had been carefully embalmed, interment was not long delayed, and, when this precaution had not been taken, it was in- variably held within less than twenty-four hours. This was partly due to the climatic conditions, and partly to the circumstance that the Jews taught that anybody who came near the death chamber was unclean for a week. The casket, or coffin, is the invention of the Egyptians, but the Jews and some other races early adopted it. Originally these chests of the dead were composed of many layers of pasteboard glued tightly together ; later they were of wood, or stone, but for the most eminent men was reserved the honour of being buried in coffins of sycamore wood. Although the bodies of the dead were sometimes placed in these caskets before being transferred to the grave, the most common method of transporting the corpse from the home of the family to the place of interment was by means of a bier, or bed, which was sometimes composed of very costly materials. Instances are known in which kings and extremely wealthy personages have been conveyed to their tombs on their own beds, but the bier in common use among the poorer classes was usually little more than plain wooden boards, fastened to two long poles, and on which, concealed by a sheet, or other thin coverlet, the body lay. It is just such a bier as this that is described in the Bible, and they are still used in all Eastern countries. When the deceased was of humble position, none but the relatives and close friends attended the obsequies, unless the family could afford to employ the public mourners and their minstrels, in which case the latter walked before and around the bier, frequently lifting the BURIAL, CREMATION, MUMMIFICATION, &c. 81 coverlet and exposing the corpse, which was always a signal to the company to renew their shrill cries and doleful lamentations. Thus, at the magnificent funeral of Jacob, these mercenaries maintained an almost cease- less expression of the most passionate grief, and when the boundary of Canaan appeared — the site of the sepulchre — the entire company halted, and, for seven days and nights indulged in these violent exercises of mourning under the leadership of the host of professionals who had been employed for the occasion. Although sepulchres have long been in use in Eastern countries, even the ancient races seldom made the mis- take of erecting them in close proximity to human dwellings. No matter how elaborate they may have been — and from those that are still left it is easy to imagine that money was not spared when some of the tombs were constructed — the health regulations of the time required that they should be built without the precincts of the city. Among the Jews — as shown in the regulations of the Levitical cities — it was specified that the distance should not be less than 2000 cubits from the city walls. Jerusalem alone was excepted, and even there, this privilege was reserved for the members of the royal family of David, and some few others of exalted distinction. During the first three centuries of the Christian era this custom remained unchanged. The Emperor Theo- dosius issued an edict expressly forbidding the burial of the dead within any town, Avhether in churches or not, and Chrysostom not only confirmed this view, but when the Donatists buried their martyrs in churches, they were obliged to remove them. Even in the fourth century, when the building of oratories, or chapels, over the remains of eminent Christians — martyrs, prophets, &c. — began, the canon law held this practice to be unlawful, F 82 DEATH and it was not until the sixth century that this statute was to any great degree disregarded. Thus, it will be seen that while the Roman nation continued to maintain the custom of cremation, the Christians adopted the practices of the Jews, and buried their dead. St. Augustine, in several passages, com- mends this custom, not for the reason — as he says — that we are to infer that there is any sense or feeling in the corpse itself, but simply because we are to believe that even the bodies of the dead are under the providence of God, to whom such pious offices are pleasing, through faith in the Resurrection. Cremation. The idea of having hundreds and thousands of decay- ing bodies in the immediate vicinity of human habi- tations should be so repellent to any sensible person, that argument ought to be unnecessary. The only point that can be urged against this practice, as we have already said, is that, in certain cases, it is important, from a medico-legal point of view, to have the body where it can be exhumed, if necessary. It seems to us important that we should insist as strongly as possible upon this point — the logical neces- sity of cremating the dead. Rightly considered, this practice does not in any way conflict with Christian teaching, but conforms to its highest standards. After death, we are not concerned with the material man, but with the spiritual replica (granting anything to exist at all), and no one in these enlightened days would think for a moment that a truly physical resurrection of the body took place. It would not be desirable, in the first place, and is an obvious impossibility, in the second. BURIAL, CREMATION, MUMMIFICATION, &c. 83 Yet it is only this worn-out and effete tradition of phy- sical resurrection which prevents the general adoption of cremation — the far more sanitary and rational process. Let us consider some of its benefits a little more closely. In the first place, then, there is the very evident reason that there will not be enough space, very soon, to contain all the bodies that are to be consigned to the earth. The population of Brooklyn and of New York (to take typical cases) increased more than seven times in fifty years — from 1840 to 1890, and the population is now more than four million. And, as Mr. Augustus G. Cobb well says : ^ — " The effect, in twenty years, on these six cemeteries will be to increase by a million additional bodies the 1,336,000 already received. Brooklyn is twenty-three times as large to-day as it was fifty years ago, when the first interment was made in Greenwood ; and, as a natural consequence, this cemetery, once surburban, has become intramural. It need surprise no one to learn that its exhalations have been complained of in South Brooklyn, and, con- sidering the thousands annually interred within its grounds, and the increasing density of population, we can readily believe that the evil, instead of diminishing, will increase. . . ." It is needless to point out that such a mass of decom- posing organic material, so close to the very homes of the inhabitants, is apt to prove extremely dangerous : first, by contaminating the wells, springs, and water in the neighbourhood ; and secondly, by vitiating the atmos- phere and rendering a serious epidemic not only possible but exceedingly likely. When we know that germs can be carried through the air for miles — as they can — the immediate peril of a graveyard need hardly be pointed out. As Sir Lyon Playfair (after making a most ex- * Earth Burial and Crcviation, pp. 26, 27. 84 DEATH haustive investigation of the whole question) expressed it:— " In most of our churchyards the dead are harming the living by destroying the soil, fouling the air, contaminating water-springs, and spreading the seeds of disease." Says Mr. Cobb : — " Opposition to incineration springs chiefly from ignorance of the manner in which it is effected ; and to remove all misappre- hension, it cannot be too distinctly stated that the body never rests in flames, while during the entire process there is no fire, or smoke, or noise to grieve in any manner the bereaved. The consuming chamber in which the body is placed is built of fireclay, and is capable of resisting the highest temperature. Under it and around it the fire circulates, but it cannot enter in. The interior, smooth, almost polished, and white from the surrounding heat, presents an aspect of absolute, dazzling purity ; and as the body is the only solid matter introduced, the product is simply the ashes of that body. During the entire process of incineration the body is hidden from view. . . . The heated air soon changes it to a trans- lucent white, and from this it crumbles into ashes." Is not this picture far more pleasant than that of the grave ? Is it not far more cleanly, hygienic, and sen- sible ? Is it not obvious that cremation is simply unpopular for the reason that it is based on a mass of false sentiment and worn-out theological dogmas as to the resurrection of the body ? From every rational point of view, everything is in favour of the process, nothing against it. We are familiar with the so-called objections to crema- tion advanced by M. Jean Finot in his Philosojyhy of Loiig Life. We can only say that they appear to us, for the most part, as totally inadequate. Some of his facts, it is true, are worthy of serious consideration : his negative evidence as to the pollution of the air in the neighbour- BURIAL, CREMATION, MUMMIFICATION, &c. 85 hood of cemeteries, &c. But bis idea that the life of the body is perpetuated in the Hves of the worms that devour it ! — that appears to us Httle short of absurd. In direct opposition to this view let us quote the opinion of Mrs. Annie Besant, who, in her Death, and After ? says : — " One of the great advantages of cremation, apart from all sani- tary considerations, lies in the swift restoration to Mother Nature of the physical elements comprising the dense and ethereal corpses brought about by the burning, and hence the quicker freedom of the soul from the body. On the assumption that a soul of some sort exists, this would certainly seem far the more rational suppo- sition ; and if materialism be true, and no soul persists, then cremation has the field entirely, since there would remain no valid objection to the practice whatever." Embalming. Embalming is a method of preserving bodies by injec- tions and dressings, either internally or externally applied. This term is generally given to the process employed by the ancient Egyptians and others, by which corpses were preserved as mummies. The practice is very ancient, and is probably founded on religious rites and observ- ances. The Egyptians believed that it would be possible for the departed spirit, at some future time, to reanimate the body of the deceased, and hence took great pains to preserve it as perfectly as possible. Some of the pro- cesses employed were very elaborate and expensive, and could only be afforded by the wealthy. The most elabo- rate process was somewhat as follows : — A deep cut was made beneath the ribs on the left side, and through the opening thus made the internal organs were removed, with the exception of the heart and kidneys. The brain was also extracted through the nose by means of a bent iron instrument. The cavities of the skull and trunk were washed uut with palm-wine, and 86 DEATH filled with raisins, cassia, and similar substances ; and the skull was dressed by injecting drugs of various kinds through the nostrils. The body was then soaked in natron for seventy days. It was then removed and wrapped carefully in linen cloth, cemented by gums. The less expensive process consisted in removing only the brains and injecting the viscera with cedar oil. When the body was soaked in natron for the same period of time (seventy days), the viscera and soft parts came away en masse, and only the skin and bones were left. The very poor, who could not afford either of the above methods, embalmed their dead by washing the body in myrrh and salting it for seventy days. The body, thus embalmed, was ready for the sepulchre ; but it was often kept at home for a considerable time afterwards, and was produced on certain occasions — such as a dinner- party ! — and carried round the room " to remind the diners that death was ever with them." Doubtless the method of embalming differed greatly in different countries and in the same country at various times. The above process was described by Herodotus in his writings as being practised in Egypt at that time. Animals were also embalmed, especially those held to be sacred. It is certain, however, that only a small per- centage of the dead organic matter could have been disposed of in this manner ; and it is not known what became of the remainder or disposition was made of it. Embalming is carried on at the present day, but for very different reasons and in a different manner. The object is not to preserve the body for centuries, as the Egyptians hoped to do, and in fact actually succeeded in doing. In some countries the use of salts of arsenic, corrosive sublimate, &c., is prohibited by law for medico- legal reasons ; but embalming can only be performed by toxic substances. Many of these have been tried, with BURIAL, CREMATION, MUMMIFICATION, &c. 87 limited success. Essential oils, alcohol, cinnabar, cam- phor saltpetre, pitch, resin, gypsum, tan, salt, asphalt, Peruvian bark, cinnamon, corrosive sublimate, chloride of zinc, sulphate of zinc, acetate of aluminium, sulphate of aluminium, creosote, carbolic acid, &c., have all been recommended by modern embalmers. In these days de- tails of procedure vary, but all must conform to the law. The length of time which a body will keep before decomposition sets in varies greatly. In those cases in which but little flesh is left on the bones, and when the blood has decreased greatly in volume (for example, in consumption, where great emaciation has taken place before death), the body will keep far longer than one which has a large amount of tissue still upon the bones and a large volume of blood. Blood being the active principle in decomposition, its prompt removal is neces- sary in cases of this character. The time of year, the disease from which the person died, &c., all have an appreciable effect upon the length of time the body will naturally take to decompose ; and hence all these factors must be taken into account by the embalmer in selecting the amount and the strength of the fluid to be injected into the arteries of the corpse. The general procedure is somewhat as follows : — The body being laid out, an incision is made with a sharp knife, and the artery is drawn to the surface by means ot a metal hook. The artery selected varies, some em- balmers chosing the brachial artery, others the axillary artery, &c. It depends upon the individual choice of the embalmer. If a visible scar is objected to, the brachial artery cannot be used. After the artery is broucrht to the surface and cut, the embalminii: fluid is forced into it by means of a small pump provided with two valves, after the manner of the heart. It is intended, indeed, to take the place ot the heart in forcing the 88 DEATH blood through the body. One of these valves forces the fluid mto the artery ; the other sucks up the fluid from the bottle in which it is contained. The fluid passes directly across to the heart and other vital organs, and when this has been done a second incision is made just below the heart, which is punctured. The blood is then drawn ofl" from the heart, and the double process is con- tinued until all the blood in the body has been replaced by the embalmer's fluid. Sometimes a second artery is cut in the leg. If the fluid is found to come away clear at this point, without an admixture of blood, the body is clear of blood — the chief decomposing agent. The fluid which is injected into the body has a ten- dency to harden the tissues, and they could be made actually brittle if enough were used. The embalmer uses his judgment as to the strength of the fluid. Generally, an 8 -ounce bottle of prepared embalming fluid is mixed with half a gallon of water, this being the typical " embalmer's solution." From a medico-legal point of view, there is much that can be said against embalming. Brouardel has pointed out that embalming can only be performed with toxic substances, and this fact would vitiate any sub- sequent investigations that might have to be made — in a poison case, for example. Embalming might preserve bodies a much greater length of time than would other- wise be the case ; but what is the object to be gained thereby ? The body must ultimately decompose, whether embalmed or not, and of what use is the preservation of bodies ? Our chief object should be, not to preserve them, but to get them out of the way as speedily and as hygienically as possible. It is surely a more pleasing thought to think of a cremated body than to dwell upon the condition of one that has been buried six months or a year. BURIAL, CREMATION, MUMMIFICATION, &c. 89 Mummification. The mummified bodies of some of the Egyptians have doubtless been seen by every one. So perfectly have some of these bodies been preserved that even the features can be recognised after more than three thousand years. The bandages wrapped round the bodies were doubtless antiseptic in character ; but the details of their methods have been lost. Apart from such cases, mummification of bodies may sometimes take place spontaneously, and the body be mummified mstead of decomposing. This is especially the case in dry, hot countries, where there is but little moisture in the air. In the sandy soil of Mauritius, e.g., it is asserted that bodies frequently become mummified. Where there is a lack of air, the body will also occa- sionally assume this condition, even in our climate. M. Audouard reports a case of a mummified body, discovered by him, in which " the skin was like parch- ment, shrivelled, and of a buff colour. When it was tapped with the back of a knife, it resounded like card- board." The body had become very light. M. Audouard found also that the skin was perforated with a number of holes, like a colander, and that dust from within escaped through these little holes ! A thigh of the leg weighed just one-third of the normal weight. The body had been devoured by mites, which had eaten all the tissues of the woman. The dust within the hollow and mummified limb consisted mostly of the excretions of the mites. It is asserted that mummification of the body of an unborn child will take place, if the child be preserved in utero, and no air is allowed to enter the uterus. It is sometimes seen in the young, more rarely in adults. Lately, when one of us revisited the Eg^-ptian room in the British Museum, he noticed very carefully the 90 DEATH physical peculiarities ot some of the excellent specimens of nmmmification there exhibited. One case is especially interesting. A hand and arm, stripped of the winding bandages, is shown — perfect in its texture, all the nails, and even the texture of the skin, being clearly visible. The arm is shrunk to about one-fourth its normal size (it is merely the skin stretched over the two bones of the fore- arm). The hand is partly clenched. The whole is jet black, and has the appearance of being made of unpohshed ebony. The human, living arm has now become petrified, as it were, and takes on the exact appearance of wood. The arm is extremely hard and brittle — so much so, indeed, that it is cracked along its upper surface — ^just as a piece of Avood might be cracked or split. This struck us at the time as a very remarkable phenomenon — apparently showing the ultimate tendency of such organic substances to petrify, become coal-like and finally return to the mineral elements from which they sprang. M. Megnin divides the work of the " labourers of death " into four periods. In the first, quaternary com- pounds are attacked and destroyed ; in the second, fatty substances are attacked ; in the third, the soft parts are liquefied; lastly, in the fourth period, the dried-up mummy is filled with mites. In all cases (with the exception of cremation), a fer- mentation takes place before the body is completely destroyed ; gas is produced, and the organism is returned to the mineral kingdom more or less rapidly — the rapidity and character of this return being governed by several considerations. This is the invariable process, except in those rare cases in which the body remains frozen, or where it is devoured by wild animals or birds of prey. When the body is immersed in the ocean, it is soon devoured by sharks, crabs, and other carnivorous sea-creatures. BURIAL, CREMATION, MUMMIFICATION, &c. 91 The body, Avhen lying in peaty soils, or when sur- rounded with other antiseptic influences, will mummify. The body must be rather thin and juiceless, however. There is a church at Toulouse where the structure of the place seems to cause mummification of bodies, owing to a current of air being always present. The process of preserving the body by drying, which has sometimes prevailed among savage people, is prob- ably somewhat similar to the method of preserving meats which is practised by the natives of certain parts of South America. As described by Charles J. Post, the artist and explorer, this is as follows : — "The national food of the country is the 'chalona' and the * chuno.' These are consumed so generally that there are many villages east of the Andes in which the people have no other means of support than that which is afforded by the preparation of these edibles. The ' chalona ' is nothing more or less than mutton that has been dried so thoroughly that it bears a close resemblance to a mummy. The natives take the carcase of the sheep up into the mountains — sometimes 2000 feet or more above the sea-level — and there they let it lie all day beneath the rays of the sun. When the dew begins to fall, or there is any apparent dampness in the atmos- phere, they cover it securely, and do not expose it to the air again until these conditions have disappeared. When fully preserved under proper conditions, the carcase of the sheep will not weigh more than ten or twelve pounds, " The Indians eat this meat raw, masticating it to a degree that corresponds to our modern method of '■ Fletcherism.' If it is to be cooked, however, it is necessary to stew it for fully ten hours the day before it is to be used, and to boil it again for not less than four hours the day that it is to be served. The natives eat it in combination with the ' chuno ' — potatoes that have been treated in the same fashion until they have been dried to about the size of a bantam egg," As Mr. Post suggests, this is a process of mummi- fication. CHAPTER VI THE CAUSES OF DEATH 1. Sudden Death. In the present chapter we propose to give a brief r(3sum^ of all the causes of sudden death that are known, taking these descriptions largely from Dr. Brouardel's excellent work on Death and Sudden Death. Although this author has omitted consideration of certain causes of sudden death, his summary of the facts is the completest that we have been able to discover ; while his extensive experi- ence entitles him to a respectful hearing in whatever he says. His own discussions of the causes of sudden death are very exhaustive ; here we shall but touch upon this side of the question ; since our chief interest is the study of natural, and not unnatural, death — as all sudden deaths are. When death results from any disease, it is tolerably clear to us what the actual cause of the death is, in that case. We can at all events form a mental picture, in rough outline, of what has taken place ; but the same is not true in cases of sudden and unexpected death. Often the cause is most difficult to find, and it must be acknowledged that, even here, much is still uncertain and unknown. Much less is known of the nature and cause of " natural " death — as we have seen, and shall see further. Before we proceed to a consideration of this last and most vital question, however, we must first of all consider sudden death, arising from various causes — when such causes are known. 92 THE CAUSES OF DEATH 93 In the first place, then, it may be said that such a thing as " sudden death " does not, strictly speaking, exist at all ! In those cases where it is supposed to have taken place, it can invariably be shown that some cause or causes, acting for considerable periods of time upon the body, have produced these results. Says Dr. Brouardel: — "Why does sudden death occur? No one dies suddenly, apart from the effects of violence, as long as all the organs are sound ; but there are some diseases which develop slowly and secretly, without the attention of the patients having been called to them by any pain or by any feeling of illness, and -svithout a physician ever having been called in, and which terminate naturally by a rapid death. . . . We will define sudden death as ' the rapid and unfore- seen termination of an acute or chronic disease, which has in most cases developed in a latent manner.' . . . However carefully we may perform every autopsy, however minute our exploration of the body may be, however thorough may be our knowledge of the causes of death, we sometimes meet with cases which it is impossible to explain. The proportion is about 8 or 10 per cent." This is a very significant admission, of which we shall have occasion to remind the reader at a later stage of our investigation. Turning now to the causes of natural death, we find the first place occupied by lesions of the heart and circu- latory system.^ And we read that " a lesion may remain ^ If an artery breaks, that is said to be the cause of the death of the individual, but few stop to ask, " Why should the artery break ? "' Would it not be more accurate, strictly speaking, to say that the real cause of the person's death was that cause which so weakened the wall of the artery that its rupture was possible? Or, if death takes place owing to some central inhibition, would it not be better to seek the cause of the inhibi- tion rather than rest content with the mere verdict of "heart failure"? To all thinking persons, the true causes of death lie deeper than the mere effect or resultant — the " last straw that broke the camel's back" in very truth ! Strictly speaking, the cause of death, in such cases, is the cause of this last caiise ; and, what that is, ope of us has tried to show in another place. — Vitality, Fasting and Nutrition (pp. 324-31). 94 DEATH latent during the greater part of life, and be only revealed by accident" (p. 125). Lesions of the heart may result from a number of causes — (1) fatty over-growth of the heart; (2) fatty degeneration of the muscular tissue of the heart; (3) fibroid degeneration of the heart; (4) lesions of the coronary arteries; (5) syphilitic affections of the heart ; (6) rupture of the heart, &c. Then we have lesions of the pericardium. Following this, as causes of sudden death, we have mitral and tricuspid incompet- ence, endocarditis, angina pectoris, and neoplasms of the heart. In looking up the literature on death we came across a rare manuscript, viz., lectures on medical jurisprud- ence given by Sir Douglas Maclagan in 1888. This manuscript is in pen and ink, and is doubtless the only one of its kind in existence. Amongst a variety of inter- esting topics, the subject of death in its various forms is treated by the author at great length, and certain facts are detailed in this manuscript that we have not dis- covered in any book printed and on the market. There are, however, certain statements contained in the book with which we can by no means agree. Thus, our author includes under " natural death," deaths due to haBmor- rhage, diarrhcBa, wasting diseases, deficient power, organic lesions, apoplexy, toxasmia, epilepsy, mental emotion, perforation of the viscera, closure of the glottis, conges- tion of the lungs, effusion in the lungs, diseases of the spine, paralysis, and tetanic spasm. With the single ex- ception of deficient power, we should hesitate to class any of the above deaths as natural. Deaths due to disease are invariably WTinatural and premature. It is for this reason that we have not included in this volume deaths due to disease, murder, suicide, and infanticide. It may be well for us to state in this place also, that we have omitted all discussion of death from the medico-legal THE CAUSES OF DEATH 95 point of view, this seeming to us out of place in a work of this character. We next come to lesions of the arteries. Here we find : Congenital lesions, arterio-sclerosis, aneurisms, spon- taneous rupture of the aorta. Of the veins : various ruptures, also air in the veins. There are also lesions of the capillaries, miliary aneurisms, meningeal hgemor- rhages, capillary embolisms, local disturbances of the circulation. Some of these, it naay be said, can hardly be classed as causes of sudden death, in the orthodox sense of that term. A large number of sudden deaths are due to lesions of the cerebro -spinal system and the major neuroses. Here we may classify meningitis — tubercular, chronic, cerebro- spinal, &c. Abscesses of the brain, cerebral tumours, lesions of the spinal cord, lesions of the nerves, epilepsy, hysteria, inhibition, and sudden death from emotion or mental causes. We shall have occasion to recur to this latter cause of death, when we come to consider its nature in cases of " natural death." There is, next, a whole set of causes of sudden death due to lesions of the respiratory system. Among these we find : lesions of the larynx, of the trachea, of the thy- roid body, of the mediastinum, pulmonary congestion, pneumonia, capillary bronchitis, pulmonary phthisis, cancer of the lung, emphysema of the lungs, pleurisy, rupture of the diaphragm, and compression of the chest. Next, we have lesions of the digestive system. These are : — Lesions of the pharynx, of the a3Sophagus, of the stomach (which might include a number of subdivisions), lesions of the intestines (also subject to subdivisions), lesions of the liver, of the spleen, of the pancreas, and of the suprarenal capsules. Among doubtful causes (to us) are included corpulency, climatic excesses of heat, cold, &c. These can hardly be called causes of sudden death ; rather, 96 DEATH occasions of sudden death — when the organism is already in such a state that life can easily be terminated by a very slight mal-adjustment of external circumstances. In the female there are also special causes of death, to which the male is not subject. Among these are : vaginal examination, extra-uterine gestation, recto-uterine hematocele, rupture of the uterus, vulvo-vaginal varices, syncope arising out of uterine conditions, &c. There are also many cases of sudden death in fevers and kindred states — in anthrax, mumps, diphtheria, acute rheumatism, typhoid fever, plague, &c. &c. A very full study of death from some of these conditions will be found in Dr. John D. Malcolm's Physiology of Death from Traumatic Fever (London, 1893). Sudden death may also be due to haemophilia. Sudden death may take place in various diseases which cannot of themselves be said to be the cause of the death — e.g. in diabetes, ursemia, gout, dropsy, as well as in cases of alcoholism. In children, sudden death may result from syncope, convulsions, asphyxia, pulmonary conges- tion, and various intestinal disorders. All of these classes are subject to various subdivisions. They will all be found discussed in full in Dr. Brouardel's book on Death and Sudden Death, to which excellent manual we would refer the reader for further particulars regarding such cases. Death jrom Burns and Scalds. — A great intensity of heat is not required to destroy vitality of the skin. The danger to life is much more in proportion to the extent of surface of the body exposed to the action of the fire than to its intensity. Sometimes it may prove fatal by setting up inflammation of the internal tissues. In the case of corrosions with acids, the marks are generally of a dirty brown colour. Death hy Haemorrhage. — The body is blanched. On THE CAUSES OF DEATH 97 dissection, the great venous trunks are flabby and empty. The large regions internally are pale. We may find hypostasis in the inferior parts of the lungs, even when death is caused by haemorrhage. We may find evidence of haemorrhage in the internal parts, generally partly fluid and partly clotty. It is often quite impossible to detect from what vessel the blood has come. Dr. Harrison, writing years ago on death from haemor- rhage, said, in his Medical Aspects of Death : — " Death may be said to begin at different parts of the body ; and it will be found that the nature, symptoms, and peculiarities of the act of dying are determined by the organ first mortally attacked. The alterations which directly occasion dissolution seem principally effective either in the arrest of the circulation or the respiration. "As the heart is the great mover in the circulation, we can easily conceive that whatever brings it to stop must be fatal to life. Extensive losses of blood operate in this manner, and they furnish us with a good illustration of the manner in which death takes place. The sufferer becomes pale and faint, his lips white and trembling ; after a while the breathing becomes distressed, and a rushing noise seems to fill the ears. The pulse is soft, feeble, and wavering ; the exhaustion and prostration are more -and more alarming. Soon a curious restlessness takes place, and he tosses from side to side. At length, the pulse becomes un- certain, and the blood is feebly thrown to the brain. The surface assumes an icy coldness; the mind is yet untouched, and the sufferer knows himself to be dying ; in vain the pulse is sought at the wrist — in vain efforts are made to re-excite warmth — the body is like a living corpse. Now, a few convulsive gaspings arise, and the countenance sets in the stiff image of death. Such are the more striking phenomena which attend the fatal haemorrhages. " The failure of the vital powers, from the withdrawal of blood, may be regarded as a sort of type of this mode of death, since the various symptoms which have been named arise from the cessation of the healthy circulation. G 98 DEATH "A dread of the loss of blood may almost be considered as an instinctive feeling ; at any rate, its importance is early impressed on the mind, and is never forgotten. In childhood, it is looked at with alarm ; and the stoutest mind cannot but view with horror those perilous gushes of blood which bring us into the very jaws of destruction." 2. Mental Causes of Death. Disease and death are more frequently the effect of mental causes than might be generally imagined. We know, for example, that persons who are im- moderately addicted to intellectual pursuits expose themselves to affections of the brain, for it, like any other organ, enters its protest when especially abused. They are liable to headaches and a host of nervous ailments, while inflammation and other organic diseases of the brain will sometimes supervene. As they advance in life, apoplexies and palsies are apt to appear. Whenever there exists a predisposition to apoplexy, close mental application is always attended with the utmost danger, especially in the latter part of life. Epilepsy is another disease of the nervous system that may be induced, or exaggerated, by the state of the mind, and extreme mental dejection, hypochondria, and even insanity, may sometimes result from these causes. Many individuals distinguished for their special talents and learning have been subject to such unhappy maladies, and yet it is difficult to determine how much of the disease may justly be ascribed to the abstract labours of intellect, and how much to mental anxiety, for it is known that undue strain upon the emotions — either excitement or depression — may be productive of these results. Thus, in the case of Sir Walter Scott, the extreme literary labours that he performed do not seem to have THE CAUSES OF DEATH 99 had any injurious effect upon his health, until the brightness of his fortune had become overcast by the clouds of adversity. When, with his mental tasks, were mingled the agitating emotions of anxiety, resulting in irregularity of habits, his physical health began to break, and the fatal disease of the brain soon brought a tragic ending to his life. While there may be occasions when even the ordinary exertions of the brain are attended with danger, their effect upon the health is usually comparatively slight, unless they are combined with one or more of the numerous feelings, pleasurable and painful, which, ac- cording as they are mild or intense, are known to us as affections or passions. As Dr. William Sweetser said, in his work. Mental Hygiene: — " The agency of the passions in the production of disease, especi- ally in the advanced stages of civilisation, when men's relations are intimate, and their interests clash, and their nervous susceptibili- ties are exalted, can scarcely be adequately appreciated. It is doubtless to this more intense and multiplied action of the passions, in union, at times, with the abuse of the intellectual powers, that we are mainly to attribute the greater frequency of the diseases of the heart and brain in the cultivated than in the rufler states of society. Few, probably, ever suspect the amount of bodily infirmity and disease resulting from moral causes — how often the frame wastes, and premature decay comes on, under the corroding influence of some painful passion. ... In delicate and sensitive constitutions, the operation of the painful jmssions is ever attended with the utmost danger ; and should there exist a predisposition to any particular form of disease, as consunii»tion, or insanity, it will generally be called into action under their strong and continued influence." Modern investigations in psychology have demon- strated so conclusively that the closest sympathy exists 100 DEATH between the mind and the body, that the definition describing passion as " any emotion of the soul which affects the body, and is affected by it," will not be subjected to very serious criticism. As to the direct effects of these passions, they appear especially m those organs and functions which have been denoted as organic — in the lungs, the stomach, the liver, the kidneys, the bowels, &c. In fact, so sudden and apparent is the influence of the different emotions upon the viscera of the chest and abdomen, that Bichat, as well as other eminent physiologists, was once led to draw the erro- neous conclusion that these organs were actually the seat of those emotions. While it is undoubtedly true that some passions act most obviously upon the heart, others on the respiration, and some on the digestive organs, it has been clearly proved that, so far from being limited to one particular organ, a number of the organic viscera are almost in- variably included within the influence of a strong emo- tion. At the same time, such a close correspondence exists between the mental or moral feelings and the physical body, that the condition of the former may either determine or be determined by that of the latter. For example, indigestion may sometimes be the cause, and sometimes the consequence of an irritable or un- happy temper. Sour stomach may either occasion or result from a sour disposition. To sweeten one is certain to have a neutralising effect upon the other. It is, there- fore, obvious that an unhealthy mental state imparts an unhealthy influence to the bodily organism, and, if such evidence were needed, scores of historical facts might be cited to establish the truth of this theory. The pleasurable passions — love, hope, friendship, pride, joy, &c. — may, if properly experienced, produce an expan- sion of vital action, and yet even these emotions, if felt THE CAUSES OF DEAl^U 101 intemperately, exert a very contrary effect. The expres- sion that "joy kills" has a basis in fact, for, as Haller says, in his Psyclwlugy, " Excessive and sudden joy often kills, by increasing the motion of the blood, and exciting a true apoplexy." It is said that Pope Leo X. died from the effect of extravagant joy at the triumph of his party against the French ; and Dr. Good, in his Study of Medicine, cites the case of a clergyman who, at a time when his income was very limited, received the unexpected tidings that some property had been bequeathed to him. " He arrived in London in great agitation ; and, entering his own door, dropped down in a fit of apoplexy, from which he never entirely recovered." If such facts are true in regard to the pleasurable pas- sions, there is much more danger of injurious results when the emotions are of a painful character. To quote Dr. Sweetser again : — " The painful passions act immediately upon the nervous system, directly depressing, disordering, expanding, and sometimes even annihilating its energies. . . . Although the general effect of the painful emotions is to induce a contraction or concentration, and a depression of the actions of life, yet, in their exaggerated forms, they are sometimes followed by a transient excitement, reaction, or vital expansion, when their operation, becoming more diffused, is necessarily weakened in relation to any individual organ. Under such circumstances, the oppression of the heart and lungs is in a measure removed, and the circulation and respiration go on with more freedom. Hence it is that when anger and grief explode . . . their consequences are much less to be dreaded than when they are deep, still, and speechless, since here their force is most concentrated." Thus, in extreme paroxysms of anger, the physical phenomena are most apparent. The face becomes dis- torted and repulsive, the eyes sparkling with brutal fury. All the vital actions are oppressed, and often are nearly 102 DEATH overwhelmed. The blood retreats from the surface ; tremors and agitations appear in the limbs, or perhaps in the entire body, and there is frequently indication of excessive nervous affections, sometimes giving place to sobbing and hysteria, and sometimes to convulsions and spasms. The action of the heart is also affected, becom- ing feeble, laboured, irregular, and even painful. The effect upon the respiration is shown in the short, rapid, and difficult breathing, which produces a feeling of suffocation, a tightness that is felt in the whole chest, and that occasionally extends to the throat, choking, and otherwise interfering with the power of speech. If not noticed at the moment of anger, the influence of this passion almost invariably proceeds to the abdomen, as indicated by the subsequent distress appearing in the region of the stomach, this being due to the disturbance of the stomach, liver, and bowels. Almost innumerable instances are known in which fainting has resulted from violent anger, and in many cases life itself has paid the price of this paroxysm of the emotions. According to John Hunter, the eminent physiologist, death from anger is as absolute as that caused by lightning. In such cases, the muscles remain flaccid and the blood dissolves in its vessels. As a result the body passes rapidly into putrefaction. Dr. Hunter himself is one of the historical victims of anger. Though a man of extraordinary genius — as all medical men know — he was subject to violent passions which he was never able to control. When engaged one day in an unpleasant altercation with his colleagues, some of whom had peremptorily contradicted him, he became too angry to continue speaking, and, hurrying into an adjoining room, instantly fell dead. The direct cause of his death was, of course, the affection of the heart from which he had long been a sufferer, but there THE CAUSES OF DEATH 103 can be no question but that the final stroke was super- induced by anger. Tourtelle, the French physician, asserted that he had " seen two women perish — one in convulsions at the end of six hours, and the other suffocated in two days — from giving themselves up to transports of fury." Anger destroys the appetite and interferes with the functions of digestion, and Dr. Beaumont, who was once able to look into the human stomach through the opening caused by a fistula, discovered that anger or other severe mental emotion, " would sometimes cause its inner, or mucous, coat to become morbidly red, dry, and irritable, occasioning at the same time a temporary fit of indigestion." The unpleasant dryness of the throat caused by anger — a condition which occasions the frequent swallowing action of the muscles — is due to the inspissation of the saliva ; and some authorities have even gone so far as to assert that such an exhibition of emotion may cause the fluid of the mouth to acquire poisonous qualities " capable of provoking convulsions, and even madness, in those bitten by a person so agitated." ^ It is well known that haemorrhages from various parts of the body — the nose, lungs, and stomach — as well as inflammations of difterent organs, may be produced by severe attacks of anger; and Dr. Sweetser asserts that he himself has "now and then met with instances of erysipelatous inflammation about the face and neck, induced by paroxysms of passion." Irritability and moroseness of temper, when long continued, may also cause inflammatory and nervous disorders, and it is well known to physicians and surgeons that the fretful and fractious patient recovers less promptly, and is more exposed to relapses, than he ^ Broussais' Psycholoyy. 104 DEATH who is possessed with a quiet resignation to existing conditions. Wounds that have healed have even been known to break out afresh as the effect of unfavourable mental conditions. Fear, like anger, has its degrees ; and its effect upon the health depends upon its intensity. When extreme, however, the results are often astonishing. Thus, in acute fear, the respiration becomes immediately and most strikingly affected. At the first impulse, a sudden inspiration occurs, OAving to a spasmodic contraction of the diaphragm, and this is immediately followed by an incomplete respiration, cut short apparently by an internal spasm — either of the throat, windpipe, or lungs. The effect upon the respiration is to make the breath short, rapid, and tremulous. The voice trembles, and, because of the diminution of secretions of the mouth and throat, becomes thick and unnatural. At times, even speechlessness may follow. Naturally the heart suffers from the effect of such an acute sensation. Being oppressed, or constricted, it flutters or palpitates, and in other respects is visibly agitated. Consequently, the pulse also becomes irregular. The viscera of the abdomen experience disagreeable effects from the sensation of fear, and these frequently show themselves in spasmodic contractions, or in a morbid increase of secretions. Occasionally vomiting, but more frequently a somewhat involuntary diarrhoea, occurs. The urine also, though increased in quantity, becomes pale and limpid, and there is an urgent if not absolutely irresistible desire to void it frequently. These latter symptoms, it may be added, are frequently shown in other forms of serious attack upon the nerve force. In time of fear, the blood leaves the surface so perceptibly that the face becomes pallid, while the skin, sometimes in all parts of the body, grows cold THE CAUSES OF DEATH 105 and rough, or, as we commonly say, like " goose-ficsh." Frequently this apparent chill breaks forth in a cold sweat on the forehead, and often in other parts of the body as well. Even the hair of the head may become elevated, and the general tremor or shuddering, that attacks the limbs, proceeds to the teeth, producing a chattering sound very similar to that which is exhibited under conditions of extreme cold, or in a paroxysm of fever. As in the case of anger, fear may induce most painful and unnatural contortions of the countenance, with convulsive sobbing and, in the case of women especially, tears; or, under extremely violent emotions, hysteria. Even in men, how^ever, the depressing effects of fear sometimes include the entire chest and upper part of the abdomen within their field of influence, and if the sense of constriction becomes too agonising, syncope and sometimes death itself may follow. Just as a sudden though brief attack of anger may arrest digestion and disarrange the entire nervous organism for a whole day, so fear exerts a most dangerous effect upon the nerves and muscles, sometimes even acting as a sudden cathartic. If the expression, " frightened to death," is no idle jest therefore — and there is no lack of examples to prove that hundreds of persons have been literally frightened out of existence — this fear, when severe, but less pronounced, may exert a distinctly contrary effect. Thus, while convulsions, epilepsies, and even insanity, have resulted from this emotion, these, as well as many other affections, have been immediately suspended or entirely removed, by a strong expression of this feeling. It sometimes surprises us to note how quickly a toothache stops when we enter the dentist's rooms, but we seldom analyse the mental process carefully enough to deter- mine that it is the fear of the greater pain of extraction 106 DEATH that makes the minor nervous affection less. What is true in regard to the toothache also applies to many other ills, including sea-sickness, hypochondria, &c. The horror which we feel in the presence of insects, reptiles, and other creatures known to be entirely harm- less, is but another form of fear, and its effect upon the physical organism is almost as distinctly pronounced. Thus, there is the same sudden paleness and coldness ; the contraction of the skin and elevation of the hair ; the chills and rigors of the body ; the panting and oppression of heiirt and lungs. When greatly aggra- vated, the conditions of deadly fear — the convulsions, epilepsy, and even instant death — are realised. Thus, Broussais refers to the case of a woman who, on feeling a living frog that had been dropped into the bosom of her dress, was seized with profuse bleeding from the lungs, and survived but a few minutes. Such antipathies may be innate, like the terror that so many individuals feel at the sight of mice ; and yet grown persons as well as children have been thrown into convulsions, and have even derived serious nervous injury, by being subjected to the immediate influence of objects that have been a source of repugnance or horror to them. Grief, whatever its cause, is essentially a mental pain ; and it is inevitably productive of physical phenomena. In its simplest forms, or when produced by the loss of kindred, friends, property, or other things that are generally deemed desirable, it is usually subdued by the healing balm of time ; but when, as often happens, it is complicated with some one of the malignant emotions of the heart — hatred, revenge, envy, jealousy, &c. — the mental pain is accentuated, and the deleterious effect is increased. As we cannot escape this suffering when we give way to the sentiments of envy or revenge, we THE CAUSES OF DEATH 107 punish ourselves by our hatred far more than we injure the object of these vicious feeUngs. When grief is acute, it is usually transient in char- acter. When it becomes chronic, it develops into melan- cholia. In its acute stage its symptoms somewhat resemble those of anger, for all passions founded on pain are closely related as to their eftect upon the bodily functions. For example, there is the same agonising feeling of impending suffocation ; the sense of oppression and stricture at the heart and luniks. The entire chest feels as though tightly bound, and the demand for au- to alleviate this oppression is indicated by the long-drawn or protracted inspirations. The greatest distress, how- ever, is experienced in the heart, and, in moments of thrilling distress, this heart- agony becomes so great, that it is not uncommon for its victims to die — broken- hearted. As in cases of anger, or fear, the influence of the emotion of grief also extends to the throat and mouth ; it affects the circulation, weakening the pulse perceptibly, and, finally, proceeds to the organs of the abdomen, being experienced especially in the pit of the stomach. The appetite fails ; the powers of digestion are impaired, or suspended, and the throat becomes so contracted that it is impossible for the victim to swallow food without frequent draughts of liquor to " wash down " every mouthful. Those exhibitions of bodily anguish known as " sob- bing," or " crying," represent one of the greatest safeguards in moments of grief. Thus, death from grief is said to be unknown in cases where the sorrow has been attended by copious weeping, for the tears relieve the oppression of the head and lungs, forming a sort of natural crisis to the paroxysm, just as sweating is the crisis to the paroxysm of fever. 108 DEATH Insanity and monomania, as well as many other nervous affections, not uncommonly follow in the wake of grief, just as they attend upon the emotions that we may term anxiety. In other words, worry also kills through its continued depressing effect upon the heart and other vital functions. Palsy, chronic inflammation, dyspepsia, are some of the various ills that may be induced by the protracted operation of the sentiments known as sorrow, anxiety, or worry, and from any of these disorders man may die. As in fear, the depressing effect of sorrow or worry interferes with the restorative processes of nature. As Dr. Sweetser says : — '* When sorrow becomes settled and obstinate the whole economy experiences its baneful effects. Thus, the circulation languishes, nutrition becomes imperfect, perspiration is lessened, and the animal temperature is sustained with difficulty ; the extremities being in a special manner liable to suffer from cold. The skin grows pale and contracted, the eye loses its wonted animation, deep lines — indicative of the distress within — mark the coun- tenance, and the hair soon begins to whiten or fall out. The effect of the painful passions in depriving the hairs of their colour- ing matter, is many times most astonishing. Bichat states that he has known five or six instances where, under the oppression of grief, the hair has lost its colour in less than eight days. And he further adds that the hair of a person of his acquaintance became almost entirely white in the course of a single night, upon the receipt of melancholy intelligence. . . . The nervous system, sub- jected to the depressing influences to which I have referred (in- cluding the accompanying affliction of lost sleep), soon becomes shattered, and, in the end, all the energies, both of mind and body, sink under the afflictive burden." Although seldom so dangerous in its effects, the sense of humiliation or shame is scarcely less pronounced in its physical phenomena. While not frequently a source THE CAUSES OF DEATH 109 of ill-health, being too transient an emotion to disturb the bodily functions so seriously, under its severe action headaches, indigestions, and other nervous agitations occur, and even insanity and death have succeeded as the result of greatly aggravated conditions. The records of insane asylums show that injured self-love, which is one form that shame assumes, has been the cause of many mental derangements, while murder and other crimes may readily be traced to such emotions. When the feelings of humiliation are exceptionally extreme, the mind suffers ter- rible anguish, and, of necessity, the physical health becomes seriously endangered. It is under such a mental strain that the crime of suicide is sometimes committed, but even when the victim does not deliberately take his own life to escape the necessity of facing the caustic comments of the world under such painful vicissitudes, the very shame itself may be productive of bodily derangements that will make death certain. 3. Death by Poisoning. It is customary to classify poisons as irritant, corrosive, or neurotic, according to their effect upon the system. At the same time, certain poisons are so complicated in their action upon the human organism, that one seems to present the characteristics of another. Thus there are some irritant poisons that exert a corrosive effect, although many do not, and, under certain conditions, every corrosive poison may act as an irritant. Most irritant poisons belong to the mineral kingdom — being both metallic and non-metallic — although the vegetable kingdom supplies a few, while some of the gases also come within the province of irritants. Neurotic poisons, according to Taylor, " act upon the nervous system. Either immediately, or some time after, the 110 DEATH poison has been swallowed, the patient suffers from head- ache, giddiness, numbness, paralysis, stupor, and, in some instances, convulsions." " But," as Griffiths says {Police and Crime, Yo\. ii. 159-60): — " The symptoms of all kinds of poisons intermingle, and the irritants may produce the same as the neurotics, and some — those especially which are derived from the vegetable kingdom — have a compound action. But one and all are defined in legal medicine as substances which, when absorbed into the blood, are capable of seriously affecting health or of destroying life." To again quote the same authority : — "First among the irritants we may take sulphuric acid, or oil of vitriol, a poison often used in suicide, and in the form of vitriol- throwing to do injury without actually causing death. Nitric acid is the aqua fortis of the Middle Ages, often mentioned in the annals of poisoning. With nitric acid may be classed hydrochloric or muriatic acid, which was given by a servant at Taunton to her mistress in beer. Oxalic acid is a vegetable acid, generally very rapid in its action, and leaving, as a rule, little trace. Tartaric acid and acetic acid, although irritants in large quantities, are not commonly classed with poisons." Cases of poisoning by phosphorus, an irritant poison, have been known for long in England, but are more common in France, the substance having generally been obtained from the tips of common lucifer matches. A girl at Norwich put some compound of phosphorus used for vermin-killing into the family teapot with murderous intent, but when hot water was poured upon the leaves the smell betrayed the poison. A woman put some phos- phorus into soup she gave her husband, who began to eat it in the dark, when the luminosity of the liquid showed something was wrong. Arsenic is the best known of the metallic irritants. THE CAUSES OF DEATH 111 There are so many preparations of it, that it is easily obtained; it is not difficult to give, for it imparts no particular flavour to food. The symptoms vary; they are shown within eight hours, and sometimes not for five or six days. This poison may be administered in small quantities, and spread over some length of time, so as to constitute chronic poisoning. Arsenic is sometimes called " the fool's poison," be- cause it so generally betrays its presence in the human body, even after long periods have elapsed. The body of Alice Hewitt — poisoned by her daughter — was exhumed after eleven weeks, and 154 grains of solid arsenic were found in her intestines alone. Other still more remarkable cases are recorded — one in which the poison was found in children after eight years' burial ; a second case is quoted where twelve years had elapsed, and a third fourteen years. Arsenic has also the inconvenient action (from the murderer's point of view) of preserving the body and resisting decomposition. This has been exhibited for months, nay, years, after interment. It was seen to a marvellous degree in the case of Pel's Avife, and in the Guestling poisoning. And yet again in St. Celens (France), where ten bodies were exhumed and found well preserved. Zinc chloride is another powerful preservative ; it retards putrefaction by combining with the tissues. Palmer's wife was exhumed after twelve months' burial, and all organs had been preserved by the antimony with which she had been poisoned. Chloride of lime had the same effect in the case of Harriet Lane.^ The facility with which arsenic or some of its com- pounds can be purchased has no doubt multiplied its felonious use : this, and the plausible excuse so generally put forward when buying it, that it is to kill rats and ^ For details of quoted cases see Griffiths, Police and CriuK^ 1891>. 112 DEATH other vermin — an excuse as old as Chaucer. Lady Fowlis, when indicted for witchcraft and poisoning in 1590, was accused of giving "eight shilUngs money to a person for buying rateoun poison." Tartar emetic is a substance with an evil reputation in the chronicles of poisoning. Two famous cases are on record, although both are mysteries to this day — surrounded with such strong doubts that they should, perhaps, be removed from the records of crime. Dr. Smith Ely Jelliffe, writing in the Encydopcedia Americana, admits that a strictly scientific definition of the word " poison " cannot be given. " In general it is said," lie adds, " that a poison is any sub- stance which brings about a change in the molecular composition of an organ, or organs, causing its functions to depart very dis- tinctly from the normal. But what grade of molecular disturbance is necessary to make a substance a poison, and how far from the normal must be the functional alteration, it is impossible to say. "It is believed that for practically all forms of poison a distinct alteration in the character of the cells of the body takes place, as well as a change in the chemical composition of the poisonous substance. ... It is rarely that the reaction between the body- cell and the poison is purely of a physical nature, yet this very frequently happens in many poisons that act on the blood. By some of the poisons — the anilines, for example — the blood under- goes changes, not so much due to new chemical compounds formed as in the physical changes in the tension of the blood serum and the blood corpuscles, whereby the blood-colouring matters stream out into the plasma, and the oxygen-carrying function of the blood is lost. Similar types of poisoning result from some of the metals, and the poison of the cholera organism is thought to act in a like manner. In other poisons there is a direct union of the ions of the poison with some constituents in the cells of the body, making new chemical compounds, and thus interfering with the molecular activities of the cells." THE CAUSES OF DEATH 113 The following is a summary of some of the most common types of poisoning : — Poisoning by the mineral acids — nitric, sulphuric, hydrochloric — is not uncommon. In these there is a marked caustic action, with intense burning pain when taken by the mouth. The lips are stained yellow, black, or white respectively, according to the poison taken. There is nausea, vomiting, and diarrhoea, with all the symptoms of an intense gastro-enteritis, with collapse, pale face, cold sweating extremities, small, feeble pulse, rapid respiration ; and the patient dies in intense agony. Poisoning by alkalies is infrequent. Occasionally sodium hydrate, or potassium hydrate, is swallowed. Lime is also taken by accident ; so (rarely) is ammonia. The symptoms are much like those of poisoning by the mineral acids, except that there are no marked dis- colorations. The halogen compounds are very markedly poisonous as gases, notably chlorine, bromine, fluorine ; and the iodides and bromides cause forms of chronic poisoning. The heavy metals as such are not poisonous, but their soluble compounds are all poisonous. They vary widely, however, in strength. In order, from the strongest to the weakest, they are caustic or astringent. In all the symptoms are analogous ; there is severe gastro-enteritis, with symptoms of collapse. According to the solubility or insolubility of the poison, the burning is more or less deep. Arsenic and phosphorus are poisons that give very similar symptoms : acute gastro-enteritis, with nausea, vomiting, purging; then some grade of apparent re- covery, to be followed after a few days with a recrudes- cence of the gastro-enteritis and the development of secondary blood-vessel changes, which may cause minute H 114 DEATH haemorrhages in any part of the body. Then follow fatty degeneration and death. Practically all of the amesthetics and hypnotics belong to the alcohol group, and produce allied symptoms. Phenols form a distinct group, in which carbolic acid may be taken as a type. This causes gastro-enteritis, with severe pain, white scar of lips and throat, buzzing, dizziness, smoky to blackish urine, pale, bluish face, weak heart, quick breathing, coma, and sometimes convulsions. Another large group of poisons, the anihnes, include many of the more modern drugs, such as acetanilid. Closely alUed are different aniline dyes ; also phenacetin, antipyrin, &c. In these the characteristic signs of poisoning are somewhat similar to those seen in the phenol group, but in the more pronounced ones of this series the main changes occur in the blood. There is blueness of the skin and lips, difficulty in breathing, sometimes pinkish to purplish urine, rapid and feeble heart action. Alkaloidal poisons are numerous. The commonest forms of poisoning from these — the most powerful poisons — are morphine (opium, laudanum, paregoric), strychnine (nux vomica), atropine (belladonna), cocaine (coca), aconitine (aconite), and nicotine (tobacco). In acute cases of opium poisoning the classical symptoms are drowsiness, coma, small pin-point pupils, loss of pain, slow breathing (6 to 8 to a minute), moist skin, dry mouth, rousing with more or less active consciousness, and quick relapse. Strychnine poisoning causes twitching of muscles, cramps, irregular muscular movements, con- vulsions at slightest jar or touch, fixation of muscles of breathing, with cyanosis. Belladonna poisoning shows wide-awake, restless consciousness, sometimes active, busy, delirium ; dry mouth, skin hot and flushed, pupils widely THE CAUSES OF DEATH 115 dilated aud paralysed to light and accommodation ; rapid, feeble heart, and rapid respiration. Another group of poisons — the glycosides — is charac- terised by a great similarity in action. Many of these are used in medicines, and some were used on arrow- points by wild natives. This group contains digitalin (digitalis), strophanthin (strophanthus), convallarin (lily- of-the- valley), bryonin (bryonia), apocynin (dogbane), oleandrin (oleander), scillain (squills), &c. They are all heart poisons. They first quicken the heart, then slow and regulate it, hence their usefulness in many heart diseases ; but in overdoses they paralyse the heart. Toxic albumins form a group of special character, and all are very violent. Some are of vegetable and others of animal origin. The most important are abrin (in jequirity seeds), ricin (from the seed- coats of the castor- oil bean), phallin (in poisonous mushrooms), rattlesnake poison, cobra poison, heloderma, and the poison of lizards, &c. 4. Death by Feeezing. Let us now examine a few of the numerous cases that have been reported in which individuals have frozen to death — and almost died, but afterwards recovered to tell of their sensations. We have ob- jective evidence in the former case ; subjective in the latter ; and needless to say, the latter is by far the more valuable. The objective indications of freezing are surely too well known to need re-statement — the whitening and deadening of the parts; the numbness and stupor which gradually creep over the body — all this can be observed by an outsider. But let us turn to the subjective or interior state, meanwhile, and see in what that consists. A few summarised cases will do for our present purposes : — 116 DEATH " The process of dying, arising from freezing and the con- sequent benumbed feelings and sleepy sensations, is undoubtedly painless. When a person feels exceedingly drowsy, he dislikes to be disturbed, and, when freezing, he seems to be oblivious to the great dangers that threaten him. This, as a natural consequence, arises from the weakness of the will — however that may be caused — and a disposition to quietly submit to the domineering actions of the feelings. Sleepiness caused by freezing is enervating ; the brain ceases to be stimulated in the proper manner, and vague dreams, accompanied with strange illusions, succeed the active energies and thoughtfulness of the mind. In extreme cold, the physical system is outside of its sphere of normal healthy element, the same as it would be if thrust into water, in a well where gas would stifle it, or in an oven, where it would gradually roast. . . . Freezing may be denominated the ' sleep of death,' for a sleep, calm and peaceful, precedes the final dissolution, and the awakening can only be in that region towards which all are tending. Of course such a death, after the first tingling sensations have quietly passed away, must be painless. Few, however, seek that method to commit suicide. The first exposure to the cold is very dis- agreeable, and those intent on self-murder hesitate before they expose themselves to its initiatory influence — hence they oftener use the pistol, or poison, or jump into the water." Another, narrating the sensations while " dying," thus describes them : — ''Thousands of coloured lights danced before her eyes ; ^ the roar of a thousand cannon was sounding in her ears, and her feet tingled as if a million needle-points were sticking into them as she walked. Then a feeling of drowsiness came over her. A delight- ful feeling of lassitude ensued — a freedom from all earthly care and woe. Her babe was warm and light as a feather in her arms. The air was redolent with the breath of spring. A delightful melody resounded in her ears. She sank to rest on downy pillows, with the many coloured lights dancing before her in resplendent beauty, and knew nothing more until she was brought to her senses." It is related in the third person. 1 THE CAUSES OF DEATH 117 Still another writes : — " The bitter cold does not chill and shake a person, as in damper climates. It stealthily creeps within all defences, and nips at the bone without warning. Riding along with busy thoughts, a quiet, pleasurable drowsiness takes possession of the body and mind, the senses grow indistinct, the thoughts wander, weird fancies come trooping about with fantastic forms, the memory fails, and, in a confused dream of wife and home, the soul steps out into oblivion without a pang or a regret." There are several distinguishing marks between rigor mortis and a body that has been frozen to death. In cadaveric rigidity the skin is soft and pliant ; in the frozen body it is not. In cadaveric rigidity, when we move the limbs there is no sound ; but in frozen bodies a crackling sound is emitted. 5. Death by Starvation. The length of time it is possible to live without food varies greatly in warm and cold-blooded animals. Chossat found that in different warm-blooded animals death resulted when the body had lost about 40 per cent, of its normal weight. He found that in ani- mals undergoing starvation the symptoms observed during the first half or two-thirds of the period are those of calmness and quietness ; the temperature then becoming elevated, restlessness and agitation prevail ; and when life is terminated by the rapid fall of the temperature, stupor supervenes. There can be no doubt that individuals can subsist without food far longer than is usually supposed — many cases of sixty-day fasts, and even of longer duration, being recorded from time to time in various medical works. These cases have been studied from the point of view of starvation pure and 118 DEATH simple ; and, when the individual is normal at the time of commencing such a starving process, there can be no doubt that the effects noted would be such as are mdicative of harmful results to the organism. Starvation only occurs, as a matter of fact, after a much longer time than is generally supposed. A man may exist for two or even three months without food, under certain conditions ; and, during the first part of that time, even receive benefit from the abstinence. That is while fasting, however, and not during the period of starvation. The two processes are very different, as one of us has elsewhere tried to show at considerable length. (See Vitality, Fasting and Nutrition, p. 564.) When fasting ends, starvation begins, and that is a very different thing. Then the tissues shrink, the body wastes, and the mind becomes impaired. The moral faculties also become blunted, there is good reason to believe ; cases of cannibalism among civilised people would seem to indicate this. Dr. N. E. Davies, writing some years ago on this question in the Popular Scie7ice Monthly, said : — " Reasoning by analogy, we find that, in many cases of bodily disease, the state of the mind is the first indicator of the mischief going on in the system. Take even such a simple thing as in- digestion, which, as every one must know, is only a manifestation of a deranged stomach, and what do we find ? That the lowness of spirits induced by the affection may vary from slight dejection and ill-humour to the most extreme melancholy, sometimes induc- ing even a disposition to suicide. The sufferer misconceives every act of friendship, and exaggerates slight ailments into heavy grievances. So in starvation, the power of reason seems paralysed, and the intellectual faculty dazed really before the functions of the body suffer, or even the wasting of its tissues becomes extreme. Such being the case, the unfortunate individual is not accountable for his actions, even if they be criminal in character, long before death puts an end to his sufferings." THE CAUSES OF DEATH 119 6. Death by Asphyxia and Drowning. In asphyxia there is more or less complete loss of consciousness, because of imperfect oxidation of the blood. The symptoms may be developed rapidly or slowly. In sudden occlusion of the air passages, such as is caused by a foreign body in the larynx, or compression of the throat, as in hanging, there is usually a quiet period of from twenty to thirty seconds, after which respiratory movements both of inspiration and of expiration follow. These gradually increase in frequency and depth until, in about a minute, powerful expiratory convulsions occur; convulsive movements of inspiration are also produced, but these are usually milder in character. A period of exhaustion sets in, the respiratory movements become slower and more irregular, and gradually cease. During this period the face has become pallid, and then deeply cyanosed and flushed, the lips blue to purple, and the body temperature, at first increased, gradually diminishes. The blood-pressure is at first increased, and then falls gradually to zero. Un- consciousness develops about a minute after the occlusion, although there is great individual variation ; the sphincters relax and the urine and faeces are passed. There is a loss of muscle tone, and the reflexes are abolished. In asphyxia both lack of oxygen and increase of carbonic acid gas in the blood are important factors. Among the most important phenomena that are to be observed are the following : — The cooling of the body is generally slower in all forms of death from asphyxia. Then in asphyxia the blood is always very fluid, and few clots are found in the heart or great vessels. Owing to this fluidity, hypostasis is well marked. The blood is generally very dark in colour. The next point is the 120 DEATH congested condition of the lungs. Small patches appear at the root of the lungs. Tardieu considers them dis- tinctive of suffocation, but in this he is probably too dof^^matic. In strangulation we have the circulation to and from the brain impeded. The face is commonly pale and placid ; prominent eyes are not uncommon. Protrusion of the tongue appears frequently ; the hands are often clenched. "Death by asphyxia begins at the lungs, almost simultaneously paralysing the muscles of the body. The victim is deprived of the power of action, while still retaining consciousness. Not even an outcry is possible, and death approaches inch by inch — relentlessly entangling the agonised victim in its skeins, from which there is no escape, unless timely help arrives before the last stage in the passive struggle. While still conscious, the brain, in its attempts to break the chains of death, pictures the past and present in vivid colours, flashing like lightning over the memory, which still has a conception that the end is coming." This picture-forming faculty of the mind at the moment of death is supposed to be most common in cases of drowning. The past will come up before the mind with marvellous rapidity and detail, at such times ; and the latter would seem to know no limitations of time or space. This is a most significant fact, to which we shall recur in Part III. of the present work. Mean- while, it may be said that in all such cases, of death from strangulation, asphyxia, &c., the blood becomes nearly hlack, by reason of its passing through the lungs several times without aeration. When death results from the taking of opium, and certain other drugs, it is said that consciousness of the entire body is lost before the senses or intellect become dulled ; but this seems to us very doubtful. THE CAUSES OF DEATH 121 7. Death from Shock. It is asserted that, in many cases of this character, the patient may be brought back to life by careful and persistent treatment — on the line of " first aid to the injured." Kesuscitation may be effected, it is claimed, just as in cases of drowning, in many instances. Shock of this character may produce " death " in either one of three ways : First, by producing destructive tissue changes, when death is absolute ; second, by producing sudden arrest of the respiratory and heart muscles through excitement of the nerve centres, when death is only ap- parent — in other words, animation is merely suspended ; or, third, by a temporary exhaustion of nerve force — the result of a violent, sudden, and excessive expenditure of it. The subject may be aroused from this syncope if efforts at resuscitation are not too long delayed. In cases of this character, the oxygen treatment is some- times very efficacious. Electricity or even cold water may be applied with great success in all cases of " shock." The symptoms of shock vary greatly according to the type of cause and the individuality of the patient. Some- times the symptoms begin at once ; under other circum- stances the alleged results may be delayed for a long period. Surgical shock is, perhaps, one of the most severe. The symptoms of all forms of shock are very similar. The face usually becomes blanched and pale, the body becomes cold, and is covered with a clammy perspiration ; the hands and feet usually become icy, the brain seems to be in a whirl, consciousness is lost, or much clouded. The pulse is usually quickened; the eyes sunken and listless. All such cases bring before us very forcibly the pos- sibility of bodily resuscitation. Various devices have 122 DEATH been employed to this end, some of which have been mentioned above ; and there are yet others — artificial bellows, &c., and similar moans — besides the well-known methods classed under " first aid to the injured." In- jections of certain saline solutions into the veins have sometimes been accompanied with remarkable results. Perhaps the most powerful of all these measures, however, is cardiac massage. It has been asserted that, by this means, a heart has been made to beat after having stopped for several minutes — thirty, and even longer, according to some reports ! A long series of experiments should be conducted along these lines, and the results made public. So far as we know, no experiments have ever been made in which the efficacy of suggestion — hypnotic or other — has been tried, at the moment of death. (We must except Poe's tale, '' The Case of M. Valdemar " — a work of pure fiction, as Poe afterwards admitted.) 8. Death by Electricity and Lightning. While it might almost be said that the body died first in cases of freezing, and that consciousness was only ex- tinguished slowly at the end, precisely the reverse of this is present in all cases of electrocution, or death by elec- tricity. In such cases, the consciousness is certainly obliterated at once, but the cell-life of the body as certainly persists for a long time after the electrocution takes place and the body ultimately putrefies, as in other cases. In instances of freezing, however, it is very different. Here the death of the body might be said to take place first ! But these are questions that require much investigation in order to settle them satisfactorily. It has been asserted that a large proportion of cases of electrocution might be resuscitated if the proper THE CAUSES OF DEATH 123 measures were adopted at once. This may be very true in certain instances, but it is certainly not true in the great majority of cases, as electrocution is performed to-day. A most remarkable instance is reported, however, from Pittsfield, Mass., where, on 23rd October 1894, James E. Cutter, working in the testing-room of the Stanley Electrical Manufacturing Company, accidentally received 4600 volts of electricity, and was afterwards resuscitated by two fellow electri- cians, who treated him in the same manner as one would be treated who had become unconscious through drownino'. At the end of seven minutes he recovered. Writing of the incident, he afterwards said : — *' For a brief instant there was a sensation as if I were being drawn downwards by the arms, and then everything became blank. For several minutes there was no sign of life. . . . Then slowly I began to regain consciousness and to make incoherent remarks about the accident. Half-an-hour afterward I could recall every incident before and after the seven minutes' interval, which was a total and painless blank. The accident occurred about ten o'clock in the morning. For the remainder of the day I was quiet, but on the following day I was around as usual. I have experienced no ill effects other than the scars from the burns, one of which went to the bone." As is well known, one of the most important safe- guards of the human body against the passage of electrical currents through it is its high degree of resistance. This degree of resistance, however, is sub- ject to a considerable amount of variation. If the skin is dry, the resistance is from five to twenty times as great as when the skin is wet. From what is known of the amount of electrical current necessary to cause death in man, it is probable that 1600 volts of electro- motive force of a continuous current is sufficient to bring 124 DEATH about this end, and that an alternating current of half this voltage would probably be fatal. In fact, the general deduction has been drawn from the experi- ments conducted in electrocution work at the Sing Sing prison, that no human body can withstand an alternating current of 1500 volts, and 300 has pro- duced death, while for the continuous current it may be necessary to pass 3000 volts, in order to bring about fatal results. The number of deaths from lightning is larger than would be ordinarily supposed. The injuries produced by it often simulate external violence. The clothes are frequently torn off the body, and part of the clothes or the bodies themselves thrown great distances. Again, we may find metallic things about the body fused, and any iron thing is rendered magnetic. Marks like prints of trees or foliage may occasionally be found on the body after it has been struck, as though photographed upon it. This is an undoubted fact. Many of these caprices of lightning are very striking. At one time a stroke of lightning set fire to a man, and he blazed like a sheaf of straw; at another it reduced a pair of hands to ashes, leaving the gloves intact; it fused the links of an iron chain as the fire of a forge would do ; and, on the other hand, it has killed a huntsman without discharging the gun which he held in his hand ; it has melted an earring without burning the skin; it has consumed a person's clothing without doing him the slightest injury, or perhaps only destroyed his shoes or his hat; it has gilded the pieces of silver in a pocket- book by electro-plating from one compartment to another without the owner being aware of it ; it has demolished a wall six or eight feet thick in a moment, or burned a chateau a hundred years old, yet it has struck a powder factory without causing an explosion. THE CAUSES OF DEATH 125 Dr. John Knott, writing in the Neiv York Medical Journal, says : — "The materialistic nineteenth century does not fail to find an explanation in what has since been recognised as return shock. Every substance capable of conducting the mysterious electrical fluid, on being placed in the vicinity of an electrified (" charged ") body — and not connected with the same by a conducting medium — becomes charged with electricity of the opposite kind, and to approximately the same potential or electromotive force. In accordance with the physical necessity which determines this process, a man may stand within a moderate distance of a thunder-cloud, which holds an enormous charge of, let us say, positive electricity. In such position, his body necessarily becomes charged with negative electricity, by the influence of what is known as induction. While the state of equilibrium is maintained, without any abrupt disturbance, he feels no ill effect or incon- venience whatever. But when that cloud discharges its electricity in an opposite direction, the inductive influence instantaneously ceases ; the induced negative charge is (in the same instant) neutralised by drawing an equal quantity of positive from the "universal reservoir" of the earth. The shock corresponds in intensity to that producible by the discharge by the cloud itself, and passes through the nervous system with such effect that the individual drops dead instantaneously, and without a single trace of injury on or around his person." In cases of direct contact with the lightning flash, burns, more or less extensive and penetrating, have been noticeable ; but as a rule there is nothing very remark- able about them. One of the most characteristic signs of the post-viortem conditions in cases of death by light- ning is, that when the shock has been direct and very powerful, the blood fails to coagulate after the normal fashion. (After electrocution, imperfect coagulation of blood has been noticed, giving rise to the supposition that the subject is not really dead. Such, however, does not follow, as we have seen.) 126 DEATH 9. Death by Spontaneous Combustion. Dr. Trail, in his Hydropathic Encyclopcedia, vol. ii., pp. 179-80, says: — "This is a condition of general combustibility of the body, pro- duced by the use of alcoholic drinks. Examples of spontaneous combustion, as having occurred in persons long accustomed to the immoderate employment of spirituous liquors, are too well authenti- cated to be longer doubted. The condition of the body liable to this strange phenomenon may properly be called alcoholic diathesis. In a majority of the cases recorded, females advanced in life are the subjects of the malady. In some cases the self-consuming flame has arisen without any obvious exciting cause ; but in others a fire, a lighted candle, the heat of a stove, or an electric spark, has ignited the inebriate body. It is a remarkable fact that the flame which decomposes and reduces every fragment of the bodily structure to ashes does not essentially injure the common furniture or bedding with which it comes in contact ; and more marvellous still is the statement that water, instead of quenching the fire, seems rather to quicken it ! " Again, Dr. Joel Shew, in his Family Physician, pp. 717-18, says of this condition: — " That the living body becomes at times, in consequence of long- continued intemperance in the use of alcoholic drinks, liable to combustion, easily excited and spontaneous, is abundantly proved. The condition, however, is a rare one. Some doubt the facts, but, as a French writer has observed, ' it is not more surprising to meet with such incineration than a discharge of saccharine urine or an appearance of the bones softened to a state of jelly.' " This condition of the system will appear more remarkable when it is remembered that in all other states, whether of health or disease, the body is with difficulty consumed by fire, even at a high temperature. . . . " This phenomenon seems to have taken place for the most part in the night time, and when the sufi'erer has been alone. It has THE CAUSES OF DEATH 127 usually been discovered either by the fetid, penetrating scent of sooty films, which, as we are told, have spread to a considerable distance ; or by the blue flame that hovers over the body ; or the unnatural heat, which, however, is not very great. The patient in all cases has likewise been found either dead or so far consumed that life appeared to be extinct ; and in no instance has recovery been known to take place after the appearance of this most singular of all pathological states." There is practically no belief in spontaneous combus- tion in these clays, but it is admitted that in certain cases the body may acquire preternatural combustibility. This is founded on the assumed fact that much of the body has been found consumed while surrounding objects are not much consumed. In nearly all well-authenticated cases there has been some source of fire near, probably setting the clothes on fire, usually when the sufferer was habitually drunk and so could not help himself. It is of interest to note, in this connection, that a case in which such phenomena occurred after death recently came under our own observation. The patient was a child who had died of acute indigestion caused by eating a large quantity of chestnuts without properly masticating them. After a day spent in the chestnut grove the child returned home, and about three o'clock in the morning died in terrible convulsions. As this occurred in the country, the neighbours volunteered to prepare the body for burial, and it was while the work of making the shroud was in progress that it Avas discovered that the entire body was, to all appearances, on fire. The glow extended from the head to the feet, and could not be extinguished, although it finally died out, dis- appearing altogether. While the heat from the bluish flames that enveloped the body was quite perceptible, it was not sufficient to burn the body or even set the bed on fire ; and yet, when the corpse was removed from the 128 DEATH sheet on which it had been placed, it was found that the latter was scorched in such a manner that the outlines of the human figure could be plainly distinguished. In this case, it will be noted, alcohol played no part in the production of the phenomenon, but there can be no doubt that the chemical changes were similar in character to the cases previously cited. Although we have the names of all persons concerned in this case, and it has been thoroughly authenticated, the identity of the family is withheld by request. CHAPTER VII OLD AGE: ITS SCIENTIFIC STUDY This subject is of great interest as possibly throwing some light on the question of natural death. Certainly it is a question that should receive the closest attention from scientists. Of late years M. Metchnikoff, of Paris, has given it much thought, and we shall have occasion to mention his work immediately. First, however, a few preliminary remarks. There can be no doubt that the average length of life of the human race should be far greater than it is now. Every animal is supposed to live at least five times as long as it takes to mature ; this is the all but invariable rule in the animal world, and should hold good for man also. He matures about twenty, let us say. According to our rule, therefore, he should live to be a hundred, and that without growing decrepit or without being regarded as exceptionally old or long-lived ! That should be his normal age limit. But, instead of this, what do we find ? That the averaofe duration of human life is a fraction over forty-two years; and, more than that, these forty- two years are filled with grievous diseases and illnesses of all sorts, instead of health and happiness. Something is assuredly wrong somewhere, and one of us has attempted to show at some length that the chief cause of all this trouble lies in the perverted food-habits of the people. But it is enough to say here that life is far shorter in duration than it should be, and that practically every 129 J 130 DEATH one dies prematurely. The great majority die either from some disease or from some " sudden death," which, as we have shown, is not really sudden death at all, but the sudden culmination of an unobserved diseased condi- tion. Of course, all such persons do not die naturally, and it is probable that very few indeed do die what might be called a " natural death." :^JPhysiology knows no reason why the body should ever wear out, provided the organs remain sound and health be maintained ! This may be doubted, but it is a fact. Thus, Dr. William A. Hammond stated that '' there is no physiological reason at the present day why men should die." G. H. Lewes, in his Physiology of Common Life, also said : " If the repair were always identical with the waste, never varying in the slightest degree, life Avould then only be terminated by some accident, never by old age." Dr. Munro asserted that " the human body as a machine is perfect ... it is apparently intended to go on for ever." Dr. Gregory, in his Medical Conspectus, wrote : " Such a machine as the human frame, unless accidentally depraved or injured by some external cause, would seem formed for perpe- tuity." Other authors could be quoted to like effect. Mr. Harry Gaze, indeed, devoted a whole book to this question, and tried to show why we need never die if we only made up our minds to stay alive ! ^ The arguments against this position have been given elsewhere.^ At all events, it will be seen that the great majority of persons die prematurely. The greatest number of such premature deaths are from diseases of various kinds. Such causes of death are analysed and classified in a little book entitled Premature Death. Here we read that nine- tenths at least of all deaths are premature ! (p. 5), and this is doubtless short of the truth. All accidental ^ IIoxo to Live Forever. 2 Vitality, Fasting and Nutrition, pp. 328-29. OLD AGE: ITS SCIENTIFIC STUDY 131 deaths are, of course, also premature ; so that the margin of cases of natural death is small indeed. It is amazing, when we consider this fact, that so little attention is paid to it either by doctors or the public. However, this is not the place to consider that question. On page 14 of the book just quoted, the author makes the following assertion : — " With the completion of manhood, diseases indicative of local degenerations of tissue begin to be predominant, and, with each successive stage of life, this predominance becomes more marked. In old age the degenerative changes, which at earlier periods of life are regarded as the signs of disease, now appear as the natural consequences of decay, and death becomes a physiological, not a pathological fact — as the termination of a natural life, not as the premature close of a life cut short by disease." ^ Is this so ? We believe the truth to be entirely other- wise. So far as we can see, there is no reason whatever for supposing that the degenerative changes that take place late in life are any more '' physiological " than they are at its beginning. They are due to excesses in diet and other unhygienic methods of living, and the body should die as free from disease as it entered the world. Then why does the body die at all ? The difficulty in conceiving a real cause for natural death has been due to the materialistic science of the past century ; and, when the body is looked at from another standpoint than that of a mere bundle of matter and force, we shall be enabled ^ Metchnikoff takes this view very strongl5^ He says, in part: — "It has often been said that old age is a kind of disease. ... In fact the great resemblance between these states is incontestable. . . . The theory of old age and the hypotheses which are connected with it may be sum- marised in a few words : The senile degeneration of our organism is entirely similar to the lesions induced bj certain maladies of a microbic origin. Old age, then, is an infectious chronic disease which is manifested by a degeneration, or an enfeebling of the nobler elements, and by an excessive activity of the macrophages." — Old Age, by Elie Metchnikoff. Smithsoniaii Beport, pp. 542-48. 132 DEATH to find out the cause of natural death easily enough. However, we reserve that discussion for a later period ; at present we arc engaged in a consideration of "old age" and its phenomena. Metchnikoff holds that, if death were due to old age, it would be sought for and anxiously awaited (instead of being dreaded and feared), just as we long for the night's sleep after a day of hard and trying work. It is probable that this is the case. It is probable that nature intended just such a plan. The dread of death that is so universal merely shows us that, in practically all cases, death has been premature ; it has come before it was wanted — before its appointed time, f There is every reason to believe, and every analogy points to the fact, that death should be welcomed, as sleep is welcomed, by those fatigued. Metchnikoff adduced some cases in support of his con- tention ; and he is probably right in his central claim. ) Old age is invariably regarded as a period of decrepi- tude and mental imbecility. And, although this is, as a matter of fact, the all but invariable rule, there is no real reason why such should be the case. Hardly any of the wild animals show signs of decrepitude in a similar manner, and only some of the domestic animals do. The rule would seem to be that the closer we live to nature, the longer is death postponed, and the more painless and sudden it is. Those living as the majority do, and indulging to an un- limited extent in rich foods, dissipations of all sorts, and what are generally known as the " good things of this world," do degenerate prematurely and early lose their mental and moral fibre, no less than their physical bodies. Decay is the rule ; uselcssness is the general condition of the aged with most civilised nations — and even of some that are not civilised ! The inhabitants of Tierra del Fuego, for example, kill their old women before they kill their dogs, when they are threatened with famine. When asked OLD AGE: ITS SCIENTIFIC STUDY 133 why they do this, they reply : " Dogs catch seals, while old women do not!" Although civilised nations do not adhere to the doctrine of survival of the fittest so relentlessly, they nevertheless show by word and action very frequently that they wish the day would come when such "nuisances" shall be removed. Now let us give a brief survey of what is known of old age and its causes, and some of the theories that have been advanced from time to time to explain its phenomena. Very few of these need be considered, as they are not either clear enough or comprehensive enough to deserve such dis- cussion. A few of them, however, are very ingenious, and deserve careful consideration. Certain authors have advanced what might be called a '' psychological " theory of old age and death. One grows old and dies when there is no longer any incentive to live. As Dr. E. Teichmann expressed it : " They grow old be- cause they are no longer occupied with life." ^ This theory would completely fail to account for the pheno- mena of old age, even if it succeeded in accounting for death. There are many pathological, degenerative pheno- mena connected with old age which must be taken into account in this connection — degenerations which are not apparently due to any psychic causes, but to purely physical conditions. Such a theory would by no means explain the facts. "Numerous scientists affirm that old age finally results because it is impossible for an organism to repair the cellular losses by the formation of a sufficient number of new elements — that is to say, because of the exhaustion of the reproductive faculty. " One of the scientists who has more especially concerned himself with general questions, Weismann, expresses himself on this subject in a very categorical manner. According to him, 1 Lije and Death, p. 145. 134 DEATH the senile degeneration that ends in death does not depend on the wearing away of the cells of our organism, but rather upon the fact that cellular proliferation, being limited, becomes insufficient to repair that loss. As old age appears in different species and different individuals at various ages, Weismann concludes that the number of generations that a cell is capable of producing differs in different cases. It is, however, impossible for him to explain why, in one example, cellular multiplication may stop at a certain figure, while in another it may go much further. *' The theory appears so plausible that no attempt has been made to support it by precise facts. We even see, in the most recent attempt at a theory of old age by Dr. Biihler, the thesis of the exhaustion of the reproductive power of the cells accepted and developed without sufficient discussion. It cannot be denied that it is during embryonic life that cells are produced with the greatest activity. Later on this proliferation becomes slower, but it never- theless continues throughout the course of life. Biihler attributes the difficulty with which wounds heal in the aged precisely to the insufficiency of cellular production. He also thinks that the reproduction of the cells of the epidermis, which are to replace the desiccated parts of the skin, diminishes notably during old age. According to this author, it is theoretically easy to predict the moment when cellular multiplication of the epidermis must com- pletely cease ; as the desiccation and desquamation of the superficial parts continue without cessation, it becomes evident that it must finally result in the total disappearance of the epidermis. The same rule is applicable, according to Biihler, to the genital glands and muscles, and all sorts of other organs." — Old Age^ pp. 538-39. Metclmikoff advances several arguments against this theory — none of which, to us, appear in any way conclu- sive. A much stronger argument against this original- stock-of-energy theory is to be found in such a case as this. A person has an attack of sickness, and almost dies. He comes as near as it is possible to dying, without actually doing so. Recovering, however, he lives on for half-a-century, in comparatively good health. Now, at OLD AGE: ITS SCIENTIFIC STUDY 135 the time of the sickness, if that person had died, the re- productive power of his cells would have been lost for ever ; and yet, simply by reason of the fact that he turned the critical point and recovered, his cells continue to reproduce for half-a-century longer ! Surely, we must give up the notion that the potential energy of the cell is inherent at birth in such a case, and assume that some new stock of energy is imbibed from some external source, sometime later on in life ? The idea that the diseased cell, all but dead, possessed the potential energy to reproduce for fifty years, while still in that condition, seems too absurd to need criticism. Bichat says that : — " In the death which is the effect of old age the whole of the functions cease, because they have been successively extinguished. The vital powers abandon each organ by degrees; digestion languishes, the secretions and absorptions are finished ; the capil- lary circulation becomes embarrassed ; lastly, the general circula- tion is suppressed. The heart is the ultimum moriens. Such, then, is the great difference which distinguishes the death of the old man from that which is the effect of a blow. In the one, the powers of life begin to be exhausted in all the parts, and cease at the heart; the body dies from the circumference, towards the centre ; in the other, life becomes extinct at the heart, and after- wards in the parts; the phenomena of death are seen extending themselves from the centre to the circumference." — Recherches phy- siologiques sur la Vie et la Mort (p. 143). These conclusions were confirmed by a number of cases cited by Dr. John D. Malcolm in his Physiology of Death from Traumatic Fever. Other writers have attacked this problem in a different manner. They, too, have contended that old age and death are due, in a sense, to the decrease of the vitality of the body, but have asked themselves the question : Why should this vitality become lessened with old age, 136 DEATH seeing that it is (supposedly) constantly being replaced by a fresh stock of vitality from the food which is eaten all the time ? On the theory commonly held, the bodily energy is supposed to come from the food we eat, and that is constantly being supplied to the system — in old age, as in youth. Why, then, should these degenerative changes take place, and the vitality decrease ? These authors have come to the conclusion that the vitality depends upon the state of the body — its health; and, so soon as the body becomes clogged and blocked, as the result of wrong food-habits and other causes, old age, premature decay, and death will result. Two writers who have taken this view are Dr. Homer Bostwick, who published his Inquirij into the Cause of Natural Death; or, Death from Old Age, in 1851 ; and Dr. De Lacy Evans, M.R.C.S.E., who issued his book. How to Frolo7ig Life : An Inq^idry into the Cause of Old Age and Naturcd Death, about 1880. The similarity of the views of these two authors is very remarkable, but each appa- rently wrote in ignorance of the work of the other — one in America, the other in England. Yet their views are almost identical. Both authors contend that " induration and ossification are the causes of old age and natural death." Both contend that these are the true causes, and not the result, of old age. Both these authors contend, further, that this induration and ossification are due to the excess of lime and other earthy salts that have accumulated Avithin the system as life progressed; that old age ad- vances just in proportion to the amount of this earthy matter in the system, and that old age is retarded just to the extent that it is kept out. But since all such sub- stances can only be introduced into the system through the food and drink, they sought to find those foods which contained the minimum of such earthy matter, and these they found to be fruits. By living on fruits, then, they OLD AGE: ITS SCIENTIFIC STUDY 137 were enabled to retard the progress of old age and natural death, both in themselves and in all others who undertook to follow their diet. Careful analysis of the various foods confirmed their theory, which was also supported by a number of experimental facts. They therefore concluded that this was man's natural diet — that best suited to his body ; and that, by eating fruit, man could very largely retard the oncoming of old age and natural death. These authors made the degree of the vitality depend upon the condition of the body — and hence upon the food. On the other hand, it must be remembered that the utilisation of the food, and its successful elimination, will depend upon the degree of vitality present — i.e. the vitality will depend upon the state of the body, and the state of the body will depend upon the degree of vitality. We are here, therefore, in a vicious circle. Nevertheless, we think that these authors have attacked the problem in the right way, and we shall have occasion to recur to their views later on, when we come to consider this question of the relation of health to vitality again. There are also many facts that support such a view. Let us consider some of these. The most marked feature in old age is that a fibrinous, gelatinous, and earthy deposit has taken place in the system — the latter being chiefly composed of phosphate and carbonate of lime, with small quantities of sulphate of lime, magnesia, and traces of other earths. The accumulation of these solids in the system is doubtless one of the chief causes of ossification, premature old age, , and natural death. In the hones this is most noticeable. The amount of animal matter in the bones decreases with age, while the amount of mineral matter increases. This is especially marked in the long bones and the bones of the head. They thus clearly show us that a gradual process of ossification is going on throughout life. 138 DEATH As age advances the muscles diminisli in bulk, the fibres become rigid and loss contractile, becoming paler and even yellowish in colour, and are not influenced by stimuli to the same extent as in youth. Tendons also become ossified to a certain extent, while there is a diminution of the fluid in the sheaths of the tendons. The brain increases in size, up to about forty years of age, when it reaches its maximum weight. After this period there is a gradual and slow diminution in weight of about one ounce in every ten years. According to Cazanvieilh, " the longitudinal diameter of the brain of an old man, compared with that of a young man, is six inches one line, French measure, for the former, and six inches four lines for the latter ; whilst the transverse diameter is four inches ten lines in the old man, and five inches in the young man." The convolutions of the brain also become less distinct and prominent. The dura mater is often found apparently collapsed or corrugated. It is thickened and indurated, and ossific deposits on the arachnoid surface are very common. The membrane is sometimes found to have an abnormal dry- ness ; the arteries supplying the brain have, in old age, become thickened and lessened in calibre ; the supply of blood thus becomes less and less, leading to the mental imbecility of the very aged. This gradual process of degeneration in the arteries, not only in the brain but throughout the body, is well recognised, and is perhaps one of the most important of all the changes that take place in old age. So important a symptom is it con- sidered, that it has given rise to the old saying that " a man is as old as his arteries." The capillaries also become choked or blocked and clogged up, as the result of the earthy matter accumulated in the system. These changes taking place in the arteries, greater pressure is thrown upon the veins, which dilate, their OLD AGE: ITS SCIENTIFIC STUDY 139 coats becoming thinner, and they even become tortuous and varicose. The gradual process of induration and hardening going on throughout the system is noticeable also in the heart — sfivinof rise to various affections known to us under a variety of symptoms. The lungs gradually lose their elasticity, and increase in density. The air-cells and hronchi become dilated — hence emphysema and chronic bronchitis are so often seen in the aged. The salivary glands become hardened, and decrease in bulk. The saliva is either secreted in large quantities, so that " dribbling " takes place, or in quantities so small that the mouth is hardly moistened. These changes are probably due in part also to lack of central inhibition. In the stomach the gastric juice is secreted in a diluted form, and is deficient in pepsin ; moreover, the muscular walls of the stomach gradually lose their wonted con- tractibility ; the peristaltic motion becomes weak ; chyme is imperfectly manufactured, and all the processes of diges- tion weakly performed. The liver shows the effects of old age by its imperfect bile-forming qualities. Fatty matters are not thoroughly emulsified or absorbed by the lacteals — though this maybe due to an alteration in the fluid secretion in the pancreas. In the intestines, the small vessels which supply the follicles and various glands become indurated, or even clogged up, in old age. The walls of the intestines become opaque, and lose their contractibility, while the villi containing the lacteals undergo the same gradual alteration. It will be seen from the above how necessary it is that all food should be restricted in quantity and simplified in quality in old age ! Almost all the viscera, and particularly those glands and organs connected with the sexual apparatus, show signs of old age. The walls and structures become harder in texture, and less pliable. 140 DEATH In the eye, in old age, there is diminished secretion of the aqueous fluid in the anterior chamber, the cornea becomes less prominent, the pupil becomes more dilated, from lessened nervous sensibility — hence distant sight and the indistinct and confused view of near objects in the aged. Cooper states that the retina, in old age, is found " thickened, opaque, spotted, buff-coloured, tough, and in some cases even ossified." Quain called attention to the fact that the colour, density, and transparency of the lens presented marked differences in different periods of life. In old age it becomes flattened on both surfaces, and assumes a yellowish or amber tinge. It loses its transparency, and gradually increases in toughness and in specific gravity. Cataract is rarely found in the young, but frequently in the aged. The ear is subject to the same gradual process of ossification. The cartilages of the external ear become hardened, or even ossified ; the glands which secrete the ear-wax undergo the same alterations as are found in other orlands. The secretion becomes less, and altered in quality. The memhrana tym2xt7ii becomes thickened and indurated ; the ligaments connecting the ossicles (maleus, incus, and stapes) become hardened, their plia- bility is lessened; thus vibrations which are already imperfect, owing to induration of the memhrana tympani, are improperly converted by the ossicles across the cavity of the tympanum, by means of the internal ear (the structures and fluids of which have undergone the same processes of consolidation), to the auditory nerve, the sensibility of which decreases with the senile changes of the brain. Hence the impaired and confused hearing so often observed in aged persons. The whole membrane covering the tongue becomes thickened and hardened in old age ; its surface becomes dry and furrowed, while the blood-vessels supplying the OLD AGE: ITS SCIENTIFIC STUDY 141 papillae are decreased in size ; hence the sense of taste is diminished. In old age the sense of smell is lessened, owing to the hardening of the membranes and internal cartilages ; moreover, the fibres of the olfactory nerves lose their susceptibility. The sense of touch throughout the body is greatly diminished : this for several reasons. The sensibility of the nerves is lowered, as well as the reactions of the centres. The epidermis becomes thickened and less sensitive. The capillaries supplying the papillae are also lessened in calibre ; the action of the various sebaceous glands is also diminished ; the skin becomes dry, shrunken, and leather-like. It thus has a cracked and furrowed appearance, and has a tendency to pucker-up. Hence the wrinkles of old persons. In old age the skin contains more earthy salts than in youth. As is well known, the teeth are almost invariably lost before age is far advanced — this being due partly to external causes, partly to the lessening and corruption of the blood supply, upon which the nutrition of the teeth depends. As a result they decay and fall out. The hair is generally lost, and it usually becomes white. The cause of this for a long time puzzled physio- logists ; but it is now pretty conclusively shown that this blanching of the hair is due to the action of certain micro-organisms, which devour the colouring matter. Of course the question still remains, what is that condition of the body which renders possible the presence of these micro-organisms — which certainly do not exist so long as health is maintained ? It would seem to us that this is more truly the cause of old age. However, we shall discuss this aspect of the problem a little further on. Metchnikoff s theory of the blanching of the hair fails to account for certain facts, however — such as the complete 142 DEATH whitening of the hair over-night, as the result of purely nervous shock. In old age the stock of vitality is decreased, but whether this is due to the state of the blood, or of the tissues, or both ; or whether the state of the blood and the tissues depends upon the amount of vitality ; and whether this vitality can be replenished as life advances, and if so, how ; or whether a certain fund of life is inherent in every living organism at birth — which no skill of man can add to — all these are questions which we cannot now discuss. They are treated at considerable length in Vitality , Fasting and Nutrition, ^^. 225—303, to which we would refer the reader for further details. The theory has been advanced that we grow old and die for the reason that the brain and nervous system become worn out because of the constant stimuli that have been poured upon them since they began their natural life. They are simply worn out, and refuse to function longer on that account. There is doubtless a grain of truth in this theory, but it cannot be accepted as in any way an adequate explana- tion of the facts. For, were it true, it is obvious that those persons who experienced the greatest number of stimuli in their life-times would be the first to wear out, whereas we know as a matter of fact that nearly all persons die at about the same age, no matter how many or how powerful the stimuli were to which they had been subjected in their life- times. Indeed, statistics would seem to show that the busy man of the great city, the mental worker, lives far longer than the farmer and the man who lives merely a vegetable existence in the country. Such being the case, it is hard to see how this theory can be made to hold water. Then, too, we have the " cometh up as a flower " OLD AGE: ITS SCIENTIFIC STUDY 143 theory. When we regard the growth, blooming, and death of a summer flower — the shooting upward of the flower stalk of a poppy, for example, with its blossoms, its seeding, and the suddenly ensuing juiceless and dead rigidity, we contemplate phenomena not wholly unlike what takes place in the human organism, when regarded in the large, passing from infancy to maturity and old age. What has taken place in the poppy stalk ? One class of plant cells has developed, multiplied, and from the products which have issued from them have been produced the stalk proper and leaves. Immediately another class has, in like manner, given rise first to the bud, then to the gorgeous blossom with its stamens and pistils. Fertilisation follows in its timed order, and later another class of cells matures as seed. It has been held that these latter cells in some manner sap and eviscerate, so to speak, the cells of every other tissue of the plant ; and, thus sapping them of their life elements or germs, condense these latter in the seed, where they may long lie dormant, yet capable of producing another plant, and that the parent plant, thus sapped and eviscerated, dies naturally, its life being virtually taken away and carried forward to the seed for another year. The primary object of all plant life, then, according to this theory, is the perpetuation of the species, and, that object once accomplished, there is no longer any ''use" for the plant, which dies at once or soon after. This same idea has been applied to animal life, and even to human beings, and it has been contended that the primary object of living is to bring ever new specimens of the human race into being. What a hollow mockery ! An endless procession of beings with no other aim than to procreate, to perpetuate 144 DEATH the species — and to what end ? That the offspring may in turn procreate, and thus the farce be kept up for ever ! Can we conceive that such is the scheme of nature ? Is it not more rational to suppose that the aim and end of living is to enjoy, and that only one function (doubtless an important one, but only one, nevertheless) is to per- petuate the race ? Would this not seem to be borne out by the fact that the parents do not die, or apparently even shorten their lives in the slightest degree, by giving birth to children, whereas if this theory were true, that should be one of the cardinal and central features of it ? The theory cannot be said to withstand the test of experience any more than the attacks of logic and common sense. As we have said above, most authors are inclined to regard old age as a process of rapid decay and degene- ration — e.g. MetchnikoflP, quoted before. Some authors, however, are not at all disposed to take this stand. Dr. Charles S. Minot, e.g., is inclined to take an entirely different view of the matter. So far from regarding old age as some sort of disease that is to be avoided, he contends that we are ageing far more slowly in old age than we do in youth, and that the rate of decay is in precisely inverse proportion to that generally held to be true. He produces a great mass of evidence in favour of this contention, for which the reader is referred to his excellent and interesting volume on the subject (Age, Growth and Death), but the folloAving quotations may be accepted as exemplifying this author's theory : — " Rejuvenation is accomplished chiefly by the segmentation of the ovum. ... As we define senescence as an increase and differen- tiation of the protoplasm, so we must define rejuvenation as an increase of the nuclear material. ... If it be true that growing old depends upon the increase of the protoplasm, and the propor- tional diminution of the nucleus, we can perhaps in the future OLD AGE: ITS SCIENTIFIC STUDY 145 find some means by which the activity of the nucleus can be increased and the younger system of organisation thereby prolonged. . . . We can formulate the following laws of cytomorphosis : — " First, cytomorphosis begins with an undifferentiated cell. " Second, cytomorphosis is always in one direction, through pro- gressive differentiation and degeneration towards the death of the cells. "Third, cytomorphosis varies in degree characteristically for each tissue. . . . " Finally, if my arguments before be correct, we may say that we have established the following four laws of Age : — "First, rejuvenation depends on the increase of the nuclei. " Second, senescence depends on the increase of the protoplasm and on the differentiation of the cells. " Third, the rate of growth depends on the rate of senescence. " Fourth, senescence is at its maximum in the very young stages, and the rate of senescence diminishes with age. "As the corollary from these we have this, — natural death is the consequence of cellular differentiation." Indeed, as Dr. C. A. Stephens,^ in pondering over these questions, wrote : — " When we ask the question boldly : Why does the human body grow old, and at length cease from function'? — putting the inquiry in the bio-physical sense, the answer seems to be that the personal life embodied in the organism is at length overcome and overmatched hy the totality of the resistance to life which it encounters, from the embryonic stage onwards, more especially by the general telluric resistance, physical, chemical, molar, mole- cular, which the protoplasmic molecules of the organism meet with as long as they maintain the personal life. After adult age is reached, they lose ground in the struggle, and at last succumb. The downward curve of the somatic cell has begun." The physiological processes by which food is reduced, comminuted, corrected as to its chemical constituents, ^ Natural Salvation, p. 78, E 146 DEATH peptonised, hepatised, oxygenated, and, in a word, carried forward to higher and higher stages of chemical instability, fit for assimilation by the tissue cells — all these processes set up a heavy draught on the collective animal life of the body, and necessitate the putting forth of energies on the part of all the cells which cause an ever increas- ing deficit of potential, a growing debt from overwork, a chronic accumulation of the effects of fatigue, which, under present conditions, nmst sooner or later lead to a running down of the cells. Under favourable conditions a cell may gain potential ; but the severe, steady draught on cellular energy neces- sary to maintain organic nutrition, even on the best food at present procurable, bankrupts the collective energies of the cells within a century. In one sense, therefore, it is our food which brings us to death's door — that is to say, the exhausting physiolo- gical processes necessary to prepare it for cell nutrition will in the end work the most perfect existent animal organism to death.^ One of the most ingenious and well-worked-out theories of the causation of old age and natural death (and of their possible prevention) is that formulated by Mr. C. A. Stephens, in his book Living Matter : its Cycle of Growth and Decline in Animal Oy^ganisms. In this excellent little book the author has discussed the various theories of old age, and pretty effectually disposed of them. He then advances one of his own — postulating, at the same time, a possible course of life that would offset physical death — at least, for a very greatly extended period. Nor is the author a fanatic, as might be supposed. After showing the improbability of the current notion that we possess a given fund or stock of vitality at birth, ^ See several lengthy discussions of this point in Vitality, Fasting and Nutrition. I OLD AGE: ITS SCIENTIFIC STUDY 147 which we simply " Hve out " in a greater or lesser time, according to the kind of life we lead, he goes on to show that there is really no direct evidence that living matter — as such, and per se — ever loses its power or vitality, but rather that its power of manifesting is inter- fered with as life progresses, for the reason that it is forced to occupy a relatively smaller proportion of the whole space of the vital economy, by reason of the clog- ging and congesting that goes on with the advance of years, and with the altered chemical and physical changes that occur in the organism. Each fragment of " biogen " (living matter) is as powerful as ever, in other words ; only it is slowly forced out by the earthy components in the body and compelled to occupy less space. He says, in part : — "... Life is never qualitatively ^ but only quantitatively dimi- nished; or, in other words, vitality as a physical process never slackens from any variability of its originating force — that force being the universal sentience of matter, and as constant as gravi- tation and the weight of the earth — and hence death comes to a person, not from a decline of this initial vital power itself, but from those extrinsic obstacles which befall from the material environment and from imperfect modes of living. ... It is not the sentient constant in ' biogen ' that grows old in our ageing organisms, but the surcease of the biogen from the tissues on account of mechanical causes connected with growth and the product of growth. ... A tissue is 'old' because there is little biogen in it, not so much because the biogen has grown intrinsically weak." Mr. Stephens then enumerates the various chemical and physical causes which constitute old age and death, and points out that all these causes, being under- stood, might be removed ; and that there is no reason, therefore, why death should not be postponed almost indefinitely — looked at from the theoretical point of view. 148 DEATH We have elsewhere dealt with this theory, and will not now discuss it further. His theory of old age contains, assuredly, more than a grain of truth — in fact, is largely true. All the newer researches in cell activity and cell life go to show that ^9?'02?o?'i^zo?is are changed, but that the innate poiuer of the proportions remains practically constant. In other words, living matter is living matter everywhere and always, and its differences are in degree and not in kind. If less of it be present (owing to obstruction or other causes), less of it will be manifest ; and if more of it be present, more of it will be manifest. That is the whole case in a nutshell. We need hardly point out that this is a position which some writers maintained for a long time. In Vitality, Fasting and Nutrition, a number of reasons for thinking this to be the correct view of the case are given, as well as facts and analogies in support of such a con- ception. And we venture to think that many of the difficulties of biology would cease to exist if such a view of the facts were ever taken. It has always re- mained a standing mystery, e.g., how an oak tree could spring from an acorn ; how the power and potentiality of the immense tree could be contained within the small seed before us. And yet that is what we are asked to accept ! And in a similar manner we are asked to believe that man, with all his intellect and varied powers — gained, as we know, by hard and persistent work — is potentially contained within the minute speck of protoplasm which must be studied by means of the most powerful microscope ! Could any fact be more difficult of acceptance than this ? We venture to think that the whole difficulty would vanish were we to regard the facts from another view-point. Instead of regarding vitality and life as a function and product of matter, regard the material body as the instru- OLD AGE: ITS SCIENTIFIC STUDY 149 ment merely for the constant transmission through it of life. The greater the organism in bulk, and the pm^er in composition, the more life flows through it ; and the lesser in bulk and the more obstructed, the less life will flow through it. This is only what we should expect a jjriori, and is borne out by facts. On this view of the case, we should not have to believe that the oak tree was contained within the acorn; that the future man was contained within that minute speck of proto- plasm, and similar absurdities against which the mind rebels as impossible on their very face. We should have to believe merely that, as growth took place, and the organism increased in size, more life manifested through it — only what we should expect ; and that, in proportion to the clogging-up of the organism (and kindred physical and chemical defects) the passage through it of life became impossible. We venture to think that many of the knotty problems in biology might vanish, were such a view of the facts taken; were we to regard life as a power and the body as a mere engine for its transmission — a sort of organic burning-glass through which the life-rays of the universe are concen- trated and centred. And, just as defects in or injury to the burning-glass would impede and interfere with the rays transmitted, just so would the condition of the organism — its freedom from disease, &c. — regulate the amount of life-force that might flow through it at any particular moment. But the decomposition of the body would no more prove the extinction of the life- force than would the breakage of the burning-glass prove the obliteration of the sun. In both cases the instru- ment for transmission (merely) has been destroyed ; not the thing transmitted — the animating power behind and beyond. But to resume our theories of old age. Few indeed are the men and women of full age — say 150 DEATH twenty-five — who have not yet contiacted the malady that will kill them, according to that distinguished scientist and physician Dr. Felix Regnault. Normally, as contemporary investigators are beginning to find out, it takes twenty years for a fatal malady to kill a patient. It may take thirty years. The popular impression is that a man may die suddenly, or that he may only require a year to die in, or six months. To be sure, a man may be killed or a child may die in a few months at the age of one year. But ordinarily speaking, all deaths are very slow indeed, and about 95 per cent, of civilised adults are now stricken with a fatal disease. They do not know it. They may not suffer from it. In due time they will have their cases diagnosed as cancer, or as tuberculosis or diabetes, or what not. But so inveterate are current misconceptions of the nature of death that the origin of the fatal malady — in time — will be miscalculated by from ten to thirty years. In the case of human beings, explains Dr. Regnault, writing in The International (London), death — barring accident — is nearly always caused by some specific malady. This malady is as likely as not to be cured — what is called " cured." The '' cure," however, no matter how skilful the treatment or how slight the disease, has left a weakness behind it in some particular organ of the body. One of the organs is, if not pre- maturely worn out, at least so worn that its resisting powers are greatly diminished. All of us in this way when we have reached a certain age possess an organ that is much older than the rest of the physique. One day we shall die because of this organ. Even if we live to be very old indeed, we shall not die of " old age " but of weakness of the lungs, or of the kidneys or of the liver or of the brain. The individual does not die of senile decay, no matter if he live to be ninety OLD AGE: ITS SCIENTIFIC STUDY 151 or a hundred. He dies of the decay of the lungs, or of the decay of the heart, or of the decay of the kidneys, or of the decay of some other organ. That organ has been dying for years. For if there be one truth more \ firmly established than others, it is this : no bodily \ organ can perish from disease in less than ten years. ! Sometimes it takes thirty years. Usually it requires i twenty years. I How is it that one organ thus decays more quickly than the others ? Physicians reply because it has suffered from the attacks of illnesses. A cure is never absolute. The organ never comes out of an illness in exactly the same condition as when it went in. Scarlet fever, for example, attacks a person. The kidneys have been thereby affected. For ten, twenty, or even thirty years more they may perform their functions excellently, but nevertheless they will have an earlier senility. The kidney cells slowly perish at a time when the other organs are still healthy. At the age of fifty or sixty the sick person is carried off. The same holds true of other and very unimportant illnesses. A man dies of heart-weakness. An old rheumatic attack will very easily be detected as the cause. It long seemed as though it had left no traces, but they show themselves only in the fatal illness. Another old man dies owing to the wearing out of the blood-vessels. If the blood- vessels age more rapidly than the rest of the body, it is because they have been weakened by an infectious disease or some form of poisoning. Take the case of the man who dies of lung trouble. It is traceable to bronchitis or to slight tuberculosis in youth, which did not betray its presence but yet had weakened the organ. In all cases death is to be ascribed to an illness which had attacked the in- dividual in his youth and weakened an organ, or to 152 DEATH some infection which had permanently remained in a latent condition. The bacteria which had caused the illness do not quit the organism when the illness is terminated. They await in the interior of the organ the opportunity for a fresh attack. " Thus many men wlio are outwardly healthy carry the malicious enemy inside tliem. A fever, caught in youth, returns after twenty, thirty, or fifty years ; the bacillus, for example, of marsh-fever has been dormant the whole time, and yet in old age awakens to fresh and fatal activity. "To these causes of the decay of single organs may be added those which are due to the folly of the individual himself. Drinkers ruin their livers, immoderate eaters overload their stomachs, smokers weaken their hearts ; life ceases on the day when these organs finally refuse further service. We do not die suddenly; our existence perishes gradually with the weakening of the organs. To reach ad- vanced old age, a man must have been healthy his whole life long." This theory has been criticised on the ground that it fails to take into account the fact that the body is constantly rebuilding its various parts, particularly its diseased or broken parts, and hence, any innate weakness would be eradicated long before it worked the havoc here suggested. Other reasons, too, might be urged against this theory ; but on the whole it is doubtless sound in its main contention, and is a valuable suggestion towards a correct understanding of the causes of death in a large number of cases. Very different, again, are the views recently advanced by Dr. Arnold Lorand, of Carlsbad, who has just issued an English translation of his work, Old Age Deferred. According to this theory, old age and premature death depend, not upon the age of the arteries, as has been so often suggested, but upon the condition of the ductless glands. All vital phenomena, he says, are under the control of the action of these glands ; everything depends OLD AGE: ITS SCIENTIFIC STUDY 153 upon their condition. Symptoms of old age appear after changes in these glands. The appearance, the condition of the tissues, all depend upon their condition. Depress- ing emotions are, perhaps, the most fatal and certain of all means of breaking down these organs, and insuring premature old age and death. To summarise this author's views in his own words : — "The symptoms of old age are the result of breakdown of the tissues and organs which, owing to shrinking of the blood-vessels, are insufficiently suppKed with blood, and, owing to the disappear- ance of nervous elements, are devoid of proper nervous control. "Degeneration of the ductless glands and of the organs and tissues cannot be simultaneous, for the latter are under the control of the former. These glands govern the processes of metabolism and nutrition of the tissues, and by their incessant antitoxic action protect the organism from the numerous poisonous products, be they of exogenous origin, introduced with air or food, or endogenous, formed as waste products during vital processes- After degeneration of these glands the processes of metabolism in the tissues are diminished, and there is an increase of fibrous tissue at the expense of more highly differentiated structures. "The fact that the changes in the tissues are secondary and take place only after primary changes in the ductless glands, is best proved by the circumstances that they can be produced, either experimentally by the extirpation of certain of the ductless glands, or spontaneously by the degeneration of these glands in disease. " It is evident from the above considerations that all hygienic errors, be they errors of diet or any kind of excess, will bring about their own punishment ; and that premature old age, or a shortened life, will be the result. In fact, it is mainly our own fault if we become senile at sixty or seventy, and die before ninety or a hundred. " Not only old age, but the majority of diseases, are due to our own fault in undermining our natural immunity against infections, and subjecting our various organs to unreasonable overwork and exertion. We do not believe that the worst slave- driver of olden days subjected his slaves to such treatment as 154 DEATH we do our own organs, and especially our nerves. At last they must rebel, and disease, with early death or premature old age, will be the result. "It is literally true, as the German proverb says : 'Jederist seines Gliickes Schmied ' (every man is the locksmith of his own happiness), and as a variation on this we would say : ' Every man is the guardian of his own health.' " Of recent years. Professor Metchnikoff has devoted considerable time and energy to this question of " old age," and discusses the subject fairly and fully in his Old Age, mentioned above, in his New Hygiene, his Nature of Man, and his Prolongation of Life. His posi- tion throughout all his writings remains the same, and can best be summed up in his own words as follows : — "... I think I am justified in asserting that senile decay is mainly due to the destruction of the higher elements of the organism by macrophags. . . . Since the mechanism of senile atrophy is entirely similar to that of atrophies of microbic or toxic origin, it may be asked whether in old age there may not be some intervention of microbes or their poisons. . . . The principal phenomena of old age depend upon the indirect action of microbes that become collected in our digestive tube. ... It is really intestinal microbes that are the cause of our senile atrophy. . . . Old age is an infectious chronic disease which is manifested by a degeneration, or an enfeebling of the nobler elements, and by the excessive activity of the macrophags. These modifications cause a disturbance of the equilibrium of the cells composing our body, and set up a struggle within our organism which ends in a pre- cocious ageing and in premature death, contrary to nature." Accordingly, M. Metchnikoff seeks means to destroy these invading microbes. He thinks that he has found the remedy, in part at least, in the free use of lactic acid, which kills the organisms and renders their growth and presence impossible. Doubtless this method would dispose of the micro-organisms then in the intestinal OLD AGE: ITS SCIENTIFIC STUDY 155 tube ; but what if more are introduced ? We must drink more of his soured milk, containing lactic acid ! But is it not obvious that this is merely tinkering at effects, instead of going direct to the root and cause of the evil ? ^ Why not render the soil such that no microbes can live in it, in the first place, and then no lactic acid treatment or other measures of a similar nature would be necessary ? M. Metchnikoff is forced to admit that, if the bowel were perfectly healthy, there would and could be no auto-intoxication, and hence no degeneration of the nature indicated. Why not, then, aim at preserving the bowel in such a state of cleanli- ness and in such an antiseptic condition that no micro- organisms could possibly dwell therein ? Should not that be our ideal ? M. Metchnikoff practically admits this in several passages in his works ; but his method of preserving such a state is very different from one that would be recommended by any hygienic physician. He contends that we should never eat raw food, or food that has not been thoroughly cooked, as we are liable thereby to introduce germs into the intestinal canal ! All water should be boiled ; everything sterilised — every precau- tion taken to prevent the introduction into the body of micro-organisms, which he so greatly fears. He says nothing of the air, so we must assume that that is not sterilised ! M. Metchnikoff believes that cancer is produced by micro-organisms, and asserts that he has ^ Says Professor Charles Minot on this point: — "It is unquestionable that phagocytes do eat up fragments of cells and of tissues, and may even attack whole cells. But to me it seems probable that their role is entirely secondary. They do not cause the death of cells, but they feed presumably upon cells which are already dead or at least dying. Their activity is to be regarded, so far as the problem of the death of cells is concerned, not as indicating the cause of death, but as a phenomenon for the display of which the death of the cell offers an opportunity." — Age, Growth and Death, p. 74. (See Appendix F.) 156 DEATH eaten only cooked foods for many years, in an attempt to escape that terrible malady. [In opposition to this view, I may state that there are many persons — whole colonies of them in California — who eat nothing hut raw fruits and nuts, and who never boil their water, or cook their food at all — and they never suffer from any of these dread complaints, but are, on the con- trary, exceptionally healthy and robust and long-lived. Professor Jaffa, who made a special study of these " fruitarians," found them to be especially healthy and possessed of an abundance of energy.^ And all of these men and women live far longer than the average, and are almost entirely free from the numerous diseases and com- plaints from which humanity suffers. How is this ? The answer is simple enough. As I have already pointed out in another place, it is not the germ that is to be dreaded, but that condition of the body which renders possible the presence and growth of that germ ! If the body were healthy, no germs could live in such an organism, no matter how many were introduced — they would be instantly killed, and they could not exist therein for an instant. We need not bother about the germs ; keep the body sound, well, strong, and full of energy, and nature will take care of the rest — including the germs ! They are quite incapable of doing any harm in a healthy body. The sounder the body the less danger of infection, and the longer and the healthier the life. Now, as fruitarianism, or the practice of living upon fruits, is one of the best possible means of keeping the body in this desirable condition, it will readily be seen that, if we live on raw fruit, and those simple foods that tend to keep the body in the best possible health ; and if we are careful, at the same time, not to eat too ^ See his Investigations among Fruitarians, U.S. Dept. of Agr. Report. OLD AGE: ITS SCIENTIFIC STUDY 157 much, we shall keep the intestinal canal free from all obnoxious microbes — for the simple reason that their growth and presence there would be an utter impossi- bility. No matter if we do introduce into it such micro-organisms with the food, the body would speedily dispose of them. The state of the body is everything ; the number of microbes introduced of very small moment. Eat those foods, therefore, that keep the body in the best possible health, and do not worry in the least about the micro-organisms, that may or may not exist in the intestines. They will soon be disposed of. The food is the all-important factor ; and fruit — man's natural food — should be eaten almost exclusively if we wish to avoid old age, premature death, and all the ills that exist before both these conditions. It will thus be seen that I have been forced to agree with Drs. Bostwick and Evans, previously mentioned, as this was their contention precisely. M. MetchnikofP has failed to make sufficient allowance for the germicidal and anti- septic properties of the body, when maintained in the lest of health hy means of natural, uncooked foods. He has studied the effects of these micro-organisms upon bodies badly nourished with cooked food, and food more or less diseased. Let him study bodies nourished and main- tained by their natural food— fruits and nuts, in their uncooked, primitive form — and then report the results ! There can be no doubt that M. Metchnikoff will have to materially alter his theories as to the causation of old age and natural death, and will be forced to the con- clusion that, after all, these states are caused by the running down of the vital forces in consequence of the altered chemical condition of the body, and of its blockage by mal-assimilated food-material ! These ideas will, however, be elaborated further on, in our discussion of the causes of natural death. — H. C] CHAPTER VIII THE QUESTIONNAIRE ON DEATH— ANSWERS Having failed to derive any satisfactory explanation of death from the literature upon the subject and from historic research, it occurred to us to sound the opinion of the scientific world at the present time, and endeavour to ascertain, if possible, the opinions of a number of eminent scientists, philosophers, and others entitled to a hearing upon this question. By doing so we hoped to arrive at some more definite conclusion as to the real nature of this mysterious process, so fancifully and so inaccurately described by the majority of writers in the past. It is true that various speculations have been advanced from time to time by writers upon this subject, some of which are certainly ingenious and well worthy of the most serious consideration. Yet, objections to the theories may be found in almost every case. We shall return to this presently. Certain it is that the scientific world as a whole has arrived at no definite conception of the process, and the attitude of the majority of men might perhaps be expressed in the following significant extract. Professor Joseph Le ContC; writing in Balfour Stewart's Consei-vation of Energy, says : — "... But death? Can we detect anything returned to the forces of nature by simple death? What is the nature of the difference between the living organism and a dead organism ? We can detect none, physical or chemical. All the physical and chemical forces withdrawn from the common fund of nature and embodied in the living organism seem to be still embodied in the 158 QUESTIONNAIRE ON DEATH— ANSWERS 159 dead, until little by little it is returned by decomposition. Yet the difference is immense, is inconceivably great ! What is the nature of this difference expressed in the formula of material science? What is it that is gone, and whither is it gone ? There is some- thing here which science cannot understand. Yet it is just that loss which takes place in death and before decomposition, which is in the highest sense vital force" (pp. 200-1). In order to arrive, if possible, at some definite conclu- sion in the matter, therefore, we devised and sent to a number of men whose opinion would be well worth hear- ing, a circular letter asking the following question : — " What do you consider to be the real nature of DEATH ? ( JVe mean hy this, of course, nahtral death ; and not death due to disease, accident, or other causes of a like nature.) " We received a number of most interesting answers to this question from men and women of various types of mind — some of which we give below. Not the least interesting and significant fact elicited by our inquiry, however, is that it showed an almost complete lack of previous thought on the subject ! It is astonishing to find the complete indifference that is manifested, not only by the public but also by scientists, on this subject of death. Eloquent testimony of this is evidenced by the fact that so little has been written about the sub- ject; and in talking to any one about it one soon finds that he displays the completest indifference to the whole question ! \ Things of real worth, such as the mental life of the ant or the crab, fill psychological and scientific literature ; but such a thing as death, which involves the whole human race more intimately than anything else possibly can — since all must die — is regarded as hardly worthy of serious discussion ! ) Professor F. C. S. Schiller showed the complete lack of interest of the public in the question of immortality in his statistical inquiry con- 160 DEATH ducted some years ago, the results of which were printed in the Proceedings of the Society for Psychical Research, vol. xviii. pp. 416-53. A similar indifference as to the subject of death was pointed out and insisted upon by Mr. Joseph Jacobs in his little booklet Tlie Dying of Death. Perhaps we can best illustrate this lack of interest in the subject by the following letter, which we quote verbatim, omitting: the name in order to save the feelino^s of the writer. Suffice it to say that the author of this letter is a well-known — in fact quite a famous — physician, to whom we had written, asking him to state his views as to the nature of death. If any one ought to take an active and intense interest in this subject, surely that man ought to be the physician, and yet this is what he wrote in answer to our question : — Dear Sir, — . . . I do not take the slightest interest in either the physiological or psychological aspects of the death question. Metchnikoff, however, has considerable to say on the subject. I have no theories as to the cause of natural death, nor, in fact, on any other subject. — Yours very truly, . Metchnikoff and others have insisted over and over again that old age is a pathological process, and that death is also due to certain obscure physiological and pathological causes and processes. All sickness bears the very closest resemblance to these processes, therefore, and will frequently terminate in death if not properly treated. And yet here is a man who professes " not the slightest interest " in any of these vital questions ! Is this not tantamount to admitting that, although his practice may bring him in a good living, he has not the slightest intellectual interest in any of the philosophical questions that underlie his work and render it of use and benefit to the world ? QUESTIONNAIRE ON DEATH— ANSWERS 161 We regret to say that this same attitude has been taken by other men who, one would think, should take a special interest in this question, bearing, as it does, upon the work that forms their most important life-study. The following letter is an example of this :— From Professor James H. Hyslop, Ph.D., LL.D., New York, U.S.A. My dear Mr. Carrington, — lu reply to your inquiry about my opinion of death, I can only say that I have no theory or con- ception of it whatever. I have never bothered my head about its nature for five minutes. I really do not know, and do not care, what it is. The cessation of life is all I know or believe about it. — Very sincerely, James H. Hyslop. It is remarkable that such a stand should be taken by this investigator, since the whole question of psychic research hinges about the point of death, and whether life persists after it or not. Inasmuch as Dr. Hyslop believes in the persistence of consciousness after death — or " the spiritistic hypothesis " — it is certainly an inaccu- racy on his part to say or infer that the " cessation of life " is the chief factor of death. Further, a man who devotes his whole life to the study of psychic problems should certainly, of all others, be most vitally and fundamentally interested in this question, since much depends upon the interpretation given to the phenomenon called death. We prefer to think that this letter represents the hastily expressed view of this authority rather than his carefully- worded opinion of " the real nature " of the process. A letter of somewhat similar type, though more cautious, is that of Dr. James J. Putnam, the well-known neurologist, whose letter follows : — Fro7n Dr. James J. Putnam, Boston, Mass. My dear Sir, — I have no special ideas to express upon the sub- ject of death. — Yours truly, James J. Putnam. L 162 DEATH One curious fact elicited by our circular letter is that so many men expressed their complete ignorance of the subject, and, what is still more curious, stated that they had, so far, never had time to think seriously upon it 1 One sample letter of this kind may be of interest : — From Nikola Tesla, New York, U.S.A. Dear Sir, — Replying to your favour of the 16th inst., I agree with you that the subject is most interesting. But to express myself in regard to it would require a concentration of thought which, in the midst of my present labours, is impossible for me. Regretting my inability, and thanking you for your courtesy, I remain. Very truly yours, N. Tesla. Astonishment at the lack of interest in this question is expressed by one or two of our correspondents who have thought and written upon these subjects. Thus, Professor Schiller writes : — From Professor F. C. S. Schiller, Oxford, England. Corpus Christi College, Oxford. Dear Sir, — In reply to your inquiry about death, I can only repeat the commonplace, that. Death is a mystery. Two aspects of this mystery have, however, always excited my astonishment, — the one physiological, the other psychological. The physiological mystery consists in the fact that the body, being a machine which has somehow learned to repair itself, should not continue to do so indefinitely. The psychological mystery consists in the fact that people manage to think so little about death, and to care so little about what happens to them in that crisis. For the rest, I may refer those desirous of speculating upon the subject to Riddles of the Sphinx (Ch. xi.), Humanism (Ch. xiii.-xv.), and Studies of Humanism (Ch. xvii.). — I remain, yours truly, F. C. S. Schiller, M.A., D.Sc, Fellow and Tutor, Corpus Christi College, Oxford. QUESTIONNAIRE ON DEATH— ANSWERS 163 One or two of our correspondents were rather more naive in their expressions of ignorance as to the cause of natural death ; one writer, for instance, expressing him- self as follows : — From Horace Fletcher, Esq., Neiu York, U.S.A. Dear Sir, — The real nature of death is as obscure to me as is the real nature of life itself. I am enjoying life immensely, and more immensely the more I learn to get pleasure of the constructive sort out of it. If the span which is now revealed to us is all there is of it for our present consciousness, I am enormously glad I have inherited it, and I shall esteem it all clear profit in advance of losing con- sciousness — a sort of " thanking you in advance," with a return stamp attached for autograph reply. If there is persistence of this same consciousness beyond the curtain called death, I feel quite certain that it will be evolutionary in character. I am sure to be more comfortable as gas or ether than when compelled to wear fashionable clothing. For my best pleasure of thinking I accept the common idealism which gives human souls persistence of existence, and to the souls who gave me this blessed life I delight to attribute all of the direction of my energies which I know would give them pleasure were they still here to express it. However ; sufficient unto the day is the opportunity thereof, and to make the most of passing opportunities, to do good and gain pleasure thereby, is my most important business oT the moment. — Optimis- tically yours until death and forever thereafter, Horace Fletcher. Apparent hopelessness of ever finding a rational solu- tion of this problem is expressed in the following letter from an eminent Dutch physician : — From Frederick van Eeden, M.D., Holland. Dear Sir, — As you ask me to answer your question as a scien- tific man, you will excuse me for being rather scrupulous and 164 DEATH precise in my answer. Nobody can say what something is. We can only express a fact in different terms. A scientific answer cannot be given before we agree entirely upon the meaning and significance of all the terms of a question. What do you mean by "the real nature of death"? And how can I say tvhat I consider this to be ? Death is a very well known fact. Has it something which you call its " real nature " and which cannot be expressed in terms more familiar, standing for better known facts, so that we feel that the thing itself is now clearer to us, is now explained ? You will get many answers which seem to the point. But these answers will all be more or less poetical, fanciful, and metaphorical. Death will be called a Birth, an Extinction, a Sleep, a Transition. All this is more or less metaphor. Now metaphorical language is poetical language, and not strictly scientific. The great poets have said more true and beautiful things about death than any of us can do now. But it is Science you want, and Science can give you only the bare observations, and can tell you nothing about what you call their " real nature " and what I should probably call their significance. Yet it is possible to give you a somewhat more satisfactory reply by saying, that the well known fact. Death, can also be expressed in these terms : a profound and simultaneous change leading to disintegration, in all the directly perceptible elements of what tee used to call a living entity (man, animal, plant, or part of plant). This is only a definition, but it excludes many prevalent errors. To say that this change is a total disintegration would be more than exact science can allow, because we cannot have a clear and complete knowledge of the former integrity. But most imjDortant of all, a correct definition can only speak of the directly (i.e. sen- sorially) perceptible elements. The extreme limitation of our perceptive (sensorial) powers makes it highly probable that the unperceptible part (commonly called the Soul) of every living entity far excels its perceptible part (the body). And that this larger part may remain untouched by the said apparent disintegra- tion is a possibility, even a probability, acceptable to what I consider a sound scientific judgment. — I am, dear Sir, yours very truly, F. VAN Eeden. QUESTIONNAIRE ON DEATH— ANSWERS 165 In spite of Dr. van Eeden's extreme accuracy of statement, Ave cannot feel that he has supplied us with an exact definition of death. Dr. van Eeden, it will be observed, limits the " profound and simultaneous change " to the directly ;pcrce23tiUe parts or elements of the body. But we think that there is no evidence whatever that death may not be due to the action of some purely im- perceptible parts, or to some non-material elements altogether. It may be due to the disturbance of the body's vital energy ; to modifications or chemical changes in one particular point or spot of the cerebral cortex, which would not involve the whole body, but which might be called a purely " local " action. Dr. van Eeden says that this change takes place in " Avhat we used to call a living entity," which infers that this entity or body is now dead. Unless we completely change our conception of death, however, we cannot agree that this is in any way a definition, since, it will be observed, it practically states that death occurs in a dead body, whereas it occurs in a living body, and the change is supposedly the cause of death. We cannot see, therefore, that Dr. van Eeden has supplied us with a definition of death that can be said to fulfil all of the fundamental requirements necessary for a satisfactory explanation. The following letter is from Professor Charles S. Minot : — Hakvard Medical School, Boston, Mass., Jan. 31, 1910. My dear Sir, — I have received your circular of Jan. 25th. My views on the subject of death, so far as they can be formulated, are recorded in my work. Age, Groivth and Death, ^ pubHshed by ^ Quotations from this book will be found elsewhere in this volume. 166 DEATH Putnam's, in New York. You v:i\\ find in this ])Ook all the information I can give you. — Yours truly, Charles S. Minot. Dr. Minot's theory of death should be recorded in this place, as he is an author who has given long and serious attention to this question of death. Writing in Age, Growth and Death, pp. 214, 215, he says: — " Death is not a universal accompaniment of life. In many of the lower organisms death does not occur, so far as we at present know, as a natural and necessary result of life. Death with them is purely the result of an accident, some external cause. Our existing science leads us, therefore, to the conception that natural death has been acquired during the process of evolution of living organisms. Why should it have been acquired? You will, I think, readily answer this question, if you hold that the views which I have been bringing before you have been well defended, by saying that it is due to differentiation, that when the cells acquire the additional faculty of passing beyond the simple stage to the more complicated organisation, they lose some of their vitality, some of their power of growth, some of their possibilities of per- petuation ; and as the organisation in the process of evolution becomes higher and higher, the necessity for change becomes more and more imperative. But it involves the end. Differentiation leads, as its inevitable conclusion, to death. Death is the price we are obliged to pay for our organisation, for the differentiation which exists in us. Is it too high a price 1 To that organisation we are indebted for the great array of faculties with which we are endowed. To it we are indebted for the means of appreciating the sort of world, the kind of universe, in which we are placed. ... It does not seem to me too much for us to pay. We accept the price. . . . Death of the whole comes, as we now know, whenever some essential part of the body gives way — sometimes one, sometimes another ; perhaps the brain, perhaps the heart, perhaps one of the other internal organs may be the first in which the change of cytomorphosis goes so far that it can no longer perform its share of work, and, failing, brings about the failure of QUESTIONNAIRE ON DEATH— ANSWERS 167 the whole. This is the scientific view of death. It leaves death with all its mystery, with all its sacredness ; we are not in the least able to the present time to say what life is — still less, per- haps, what death is. We say of certain things — they are alive ; of certain others — they are dead ; but what the difference may be, what is essential to those two states, science is utterly unable to tell us at the present time. It is a phenomenon with which we are so familiar that perhaps we do not think enough about it." In the following letter from Professor Max Dessoir, some points of great interest are raised. As, however, Professor Dessoir treats the question from the philo- sophical and psychological points of view, rather than from the biological standpoint, it is evident that his letter requires no extended criticism in this place. It reads as follows : — Beklin, W. Goltzste. 31, Feb. 17, 1910. My dear Mr. Carrington, — If I understand your question as to the nature of death to mean the signification of that event, I should, as a philosopher, reply as follows : — I see in death a universal and sublime law. The thought that men and animals cannot continue in their life-form — as known to us — is to me unbearable ; and the certainty that no one is an exception to the law is at least gratifying. The meaning of death lies also in this : that all the organic forms of being, not excepting the highest, bear upon them the seal of their own doom ! And this has also a far wider meaning. With every man who dies goes, not only his personality, but also the world which he has imagined, and which only he possesses — a world of thoughtful ideals — memories, creative conceptions, and so forth. Every death means, therefore, the death of that man's inner reality. So many men die : so many worlds are thus annihilated ! Another question is whether immortality exists under change of form, or whether death changes the appearance, but leaves the being of man untouched. If the being and appearance are as closely related as is certainly the case with man, he will continue 168 DEATH to imagine a continuation of personal identity in that form. It is, to him, a scientific probability. . . . Still one more thought. We know that one of the things taught by hypnotism and psychopathology is this : In some cases when in this condition, a larger personality is exhibited. One need only remember Janet's Felida X., or Miss Beauchamp, tfcc. Which of these iDersonalities shall exist after death? This same question holds good for normal man — though in a lesser degree. We all have passed through many changes — have been young and old, gay and sad, good and bad, heroic and cowardly. And of all these characteristics, shall only those particular ones live further which exist at the accidental moment of death 1 Immortality in its highest sense includes the contents of all these moments ; and yet we cannot conceive this to be the case. . . . Yours sincerely. Max Dessoir. The following letter is representative of the theo- logian's point of view : — From Rev. James F. Driscoll, D.D., New York, U.S.A. Dear Sir, — The notion of natural death as set forth in Catholic theology and in the traditional Christian philosophy is very simple. Death consists in the separation of the soul from the body, which separation is aptly termed " dissolution." The soul is held to be a spiritual substance, capable of existing independently of the body, though naturally fitted to be united with it, after the resur- rection, in some form of new life compatible with personal identity. I have never been confronted with any facts or reasons which seemed to call for any mode of conceiving of, or formulating, the phenomenon called death in any other than this simple notion, which is the one held by the vast majority of Christians. Neither have I ever attempted to analyse scientifically the processes that may be involved in this separation of the soul and body, or to picture to myself just how it takes place. Some light on this aspect of the problem, I trust, may be derived from your forth- coming book. — Sincerely yours, James F. Driscoll. This represents, of course, the traditional conception QUESTIONNAIRE ON DEATH— ANSWERS 169 of death, but cannot be taken as a final, scientific ex- planation, for the reason (1) that it assumes the existence of the soul, which cannot be granted by the scientific man ; and (2) it does not tell us anything of the actual details of this supposed " separation." In other words, it states the case, from that particular point of view, without attempting to solve it. We cannot, therefore, say that this is in any sense an explanation of death ; but Dr. Driscoll is frank in stating that his letter is not intended to be such. The followins: communication from Count Solovovo exemplifies the strictly scientific attitude toward this question ; while it emphasises, at the same time, the only rational way of solving the problem. He says : — From Count Perovshy-Petrovo-Solovovo^ St. Petershirg, Russia. I believe it most probable that Death is the end of everything throughout the whole realm of Nature. I believe that everything tends to support this conclusion ; everyday experience, scientific experiment, and observation, and last — not least — plain common sense. And, before all, I am convinced of the utter inability of religion to grapple satisfactorily with the problem. And if, in spite of all that, there is still a lingering doubt in my mind that this negative conclusion, though overwhelmingly probable, may yet be not absolutely certain, I owe this shadow of a doubt to certain alleged facts of psychical research, so-called, only and exclusively. Peeovsky-Petrovo-Solovovo. Sergievskia 24, St. Petersburg, August 1908. Compare with these expressions, the following com- munication, which represents the attitude of the mystic. It will be observed that Mr. Purinton assumes the existence of a soul, and also the reality of reincarnation 170 DEATH — neither of which doctrines can be accepted as vahd until scientifically proved. It further fails to supply us with any of the psycho-physiological explanations neces- sary for a clear understanding of this important crisis. However, his letter is of great interest, and, should the existence of a soul be proved, would be well worthy of serious consideration from the philosophic point of view. From Edivard Earle Purinton^ Esq., New York City, U.S.A. Death is the periodic withdrawal of the soul from a body grown too earthy for the soul to use. Every soul passes through as many births, lives, and deaths as are necessary for complete earth experience. But as experience involves encrustation, the process of learning is also the process of dying. Animals die a " natural " death, at about the same age in the same species, because animals have but one dominant trait to express — strength in the lion, wisdom in the serpent, gentleness in the dove, &c. But for man, ideally at least, there is no such thing as natural death. Because man, possessing all the traits of the lower animals, would require as many lives as they all, in order to express fully. I think that when man knows himself, and dares be himself, death will appear a slight episode, or perhaps a forgotten myth, along the radiant cycle of immortality. And the method will then be as scientific as this prophecy now looks visionary. Edward Earle Purinton. Very different, again, is the theory of death advanced by Dr. J. Butler Burke, in the communication that follows : — Fro7n Dr. John Butler Burke, Cambridge, England. The Nature of Death. To understand what death is, it would be necessary to know what life is, for it is obviously — to all appearances, at least — the cessation of life in the individual organism. I say, "to all appearances, at least," because we have no evidence whatever that the unknown principle which infuses, as it were, the organism so QUESTIONNAIRE ON DEATH— ANSWERS 171 as to give rise to vital actions, is not something which survives the dissolution of the organic form, and the garments in which it may have been clad. This self-willing and self-conscious entity is generally awakened in the course of the development of the organism by which it comes into harmony with the world around it. But it does not follow that with the disintegration of the organism the self-conscious principle is also dissolved, although that might be in the majority of cases, when the mind and will have not developed complete self-control and mastery over the body. The question is, of course, one of fundamental interest and importance psychologically. Amongst men and women of great strength of will, intellectual power and force of character, this feeling — for after all it is but a feeling — that the mind is as independent of the body as it is of the external world, seems to be very common indeed. Tennyson, if I remember rightly, in The Holy Grail and The Ancient Sage, talks of feelings such as these : — " In moments when he feels he cannot die, And know himself no vision to liimself ; " and again when : " The mortal limit of the self was loosed, And passed into the nameless as a cloud Melts into Heaven." He speaks elsewhere of " the clearest of the clearest, the surest of the surest, utterly beyond words, when death seemed an almost laughable impossibility." His friend, the late Sir James Knowles, records many other similar instances in The Nineteenth Century, January, 1893. It is, in fact, a very common experience among intellectual people, and an inclination of a vigorous mind combined with a correspondingly low vitality, showing, perhaps, a discord between mind and matter. The most vivid description of it is by Goethe, in "Wilhelm Meister's Apprenticeship" in Tlie Confessions of a Beautiful Soul : — " During many sleepless nights, especially, I had some feelings 172 DEATH so remarkable that I cannot describe them clearly. It was as if my soul were thinking unaccompanied by the body. It looked on the body as something apart from itself, much as we look on a dress. It pictured to itself, with the most extraordinary vividness, past times and events, and felt what would be their results. All these times have passed away ; what follows will pass too ; the body will rend like a garment, but I — that well known I — I am." And again, " The grave awakens no terror in me ; I have an eternal life," It may be said, and it is said, that this is all imagination — a waking dream, a trance. But it is the opinion of some of the most profound philosophers that it is not a waking sleep, but the very awakening of the soul itself. Eminent metaphysicians, from Descartes onwards, tell us that there is nothing more real than the consciousness of such a state as this, and that whoso has thus grasped the reality of his own being and truths, realising in him- self a conscious, self-determined unit, knows that not only I Am, but, having reached this height, I Am, and must Forever Be. John Butler Burke. Very contrary to the views just expressed are those of Professor Haeckel, illustrated in the following communi- cation or letter from him, in reply to the cn^cular request. He answers as follows : — From Professor Ernst Haeckel, Jena, Germany. Jena, 16, 8, 1908. Dear Sir, — You find my view of Death in the 5th chapter of my book Lebeiiswunder (1904) — The Wonders of Life. — Respect- fully, Ernst Haeckel. Referring to the chapter on " Death " in Professor Haeckel's Wonders of Life, we extract the folloAving as representative of his views : — " The inquiry into the nature of organic life which we instituted in the second chapter has shown us that it is, in the ultimate QUESTIONNAIRE ON DEATH— ANSWERS 173 analysis, a chemical process. The * miracle of life ' is in essence nothing but the metabolism of the living matter, or of the plasm. ... If death is the cessation of life, we must mean by that the cessation of the alternation between the upbuild and the dissolution of the molecules of protoplasm ; and as each of the molecules of protoplasm must break up again shortly after its formation, we have, in death, to deal only with the definite cessation of reconstruction in the destroyed plasma-molecules. Hence, a living thing is not finally dead — that is to say, absolutely incompetent to discharge any further vital function — until the whole of its j)lasma molecules are destroyed. . . . Normal death takes place in all organisms when the limit of the hereditary term of life is reached. ... As Kassowitz has lately pointed out, the senility of individuals consists in the inevitable increase in the decay of protoplasm, and the metai)lastic parts of the body which this produces. Each metaplasm in the body favours the inactive break-up of protoplasm, and so also the formation of new meta- plasms. The death of the cell follows, because the chemical energy of the plasm gradually falls off from a certain height — the acme of life. The plasm loses more and more the power to replace, by regeneration, the losses it sustains by the vital functions." It will be seen that, in its ultimate analysis, this definition of death furnishes us with no better idea of the process than might be supplied by the words " exhaustion of vital function." This question has been discussed elsewhere, and it can be shown that, from one point of view, it fails to explain the phenomena of death entirely, since we come into a " vicious circle," so to say. The body degenerates because of its loss of vital power, and loss of vital power takes place because the body degenerates ! It is obvious that no final de- finition of death can be obtained from arguments such as these. It is true that Haeckel elsewhere defines death as " physiological degeneration, due to chemical changes." 174 DEATH This furnishes us with a little clocarer idea of the causes of this process ; but it does not tell us why it is that chemical changes of the character postulated should take place ; and no direct evidence is furnished that such changes do in fact take place. The body of the old man is constantly being replaced by fresh material, and may be said to be in one sense as new as the body of the babe — since both are formed from new material — viz. the food supply. Yet in the one case the food wall build the body of the youth, and in the other the body of the old man. So long as science fails to recognise any vital force, or any constructive or destructive tendency in the body other than the energy supposed to be derived from food combustion, it is certain that no definite conclusion can be arrived at by way of explanation of these phenomena. It would be impossible to conceive a greater dissimi- larity of views than those just expressed by Professor Haeckel, and those that follow — expressed also by a physician — as to the "real nature of death." In his communication our correspondent says : — From Hip2^olyte Baraduc, M.D. Pakis, France. Dear Sir, — I refer you to the work which I wrote upon the death of my dear ones. The world knows nothing about death, does not prepare for it, and every one is subject to it. It is a phenomenon against which one is powerless, which allows the passage of the spirit in the geometrical, stellar, or globular form, as all the ancient mystics declared. It is sad that Christians do not know better the point towards which it is necessary to move. Their religion, so beautiful upon earth, is insufficient for the sum of the hereafter in the superior planes. — With regards, Baraduc. QUESTIONNAIRE ON DEATH— ANSWERS 175 This letter of Dr. Baraduc merely refers us, it will be observed, to his book Mes Morts. The experiraents contained in that work will be found discussed in our section " On Photographing the Soul." Apart from the external evidence which the photographs afford, there is, it will be observed, no attempt at scientific explanation of the nature of death, but merely comment upon one or two of the problems associated with it. As such, we must, therefore, altogether disregard it as an explanation of the cause of natural death. Of a very different character is the communication from Dr. Paul Carus, editor of The Open Court, The Monist, &c. In replying to our letter on death, Dr. Carus writes : — La Salle, III., Nov. 6, 1908. Dear Sie, — Having returned from Europe, I find your cour- teous letter, and will say in reply that, according to my definition of " death," it is simply " the ceasing of the functions of life." As to further explanations of the nature of death and its significance, I must refer you to passages in my books, among which I would especially recommend those which you find in Homilies of Science. For instance, the chapters " The Price of Eternal Youth," "Reli- gion and Immortality," " Spiritism and Immortality," &c. This letter may reach you too late, but I will answer your ques- tion anyhow, in case you would like to know my views on the subject. — Very truly yours, Paul Carus. Referring to the passages in Dr. Carus's Homilies of Science, mentioned by him, we extract therefrom the following, as samples of his attitude toward this question : — '* Death is a natural phenomenon, not less than birth ; and the agonies of death are generally less painful than the throes of birth. The problem of death is closely interwoven with the problem of 176 DEATH birth, so that you cannot disentangle the one without unravelling the other. . , . Death, then, is a necessity ; but serious though the idea of death must make our thoughts, it is not terrible ; awful though it may be, it must not overawe us. Death is like the northern sunset : the evening twilight indicates the rise of the new morn. The nocturnal darkness of the end of life is the har- binger of a new day, clothed in eternal youth. So closely inter- woven is death with immortality. . . . Death is no mere dissolution into all-existence. Certain features of our soul-life are preserved in their individuality. Copernicus still lives in Kepler, and Kepler in Newton ; and to-day Copernicus lives in every one of us who has freed himself from the error of a geocentric concept of the world. The progress of humanity is nothing but an accumulation of the most precious treasures we have — it is the hoarding up of human souls. . . . Although a ghost-immortality of disembodied spirits is impossible, man's existence is not a fleeting phenomenon of an ephemeral nature. His soul-life is not of yesterday, and does not vanish into nothingness to-morrow. His ideas, as well as his actions, are facts that continue to be factors in the future development of his race. The life of a single individual is not a separate and single event that begins with his birth, and dis- appears again with his death. It is the product of a long evolu- tion of many thousands of generations. Their works and thoughts live in the present generation, and our soul-life or thought, accompanied with the same kind of feelings, will con- tinue to exist in the future. Those who think, who act, and who feel, like ourselves, possess our souls, and in them we shall con- tinue to live, move, and have our being." It will be obvious to the critic that, from the physio- logical point of view, the above extracts furnish us no clue as to the nature of natural death ; but perhaps they are not intended to do so. Dr. Carus's argument is psychological and philosophical ; and although this cannot be considered any adequate description of death, still, let us consider the problem from this other stand- point. One would think from the first two paragraphs that QUESTIONNAIRE ON DEATH— ANSWERS 177 Dr. Carus's conception of the persistence of conscious- ness, or " immortality of the soul/' amounts to this : That our thoughts and actions, inasmuch as they are part of ourselves, persist in the thoughts and memories of others ! We ourselves, as individuals, have sunk into nothingness, passed into oblivion. We continue to exist merely as memories in the lives of others. Such, then, is Dr. Carus's conception of " immortality." It is almost a farcical definition of the term, because in the first place immortality, as it is usually conceived, ^ involves persistence of individual consciousness, and, so far as we ourselves are concerned, any sort of persistence without memory and consciousness of self, would be tantamount to annihilation. From the point of view of the individual who dies, therefore, such a definition of immortality is a mere begging of the question, and it does not appear to us that Dr. Carus's position is in any way strengthened by his contention that we exist in the thoughts and memories of others who live after us. To them, we exist as mental concepts only, and we occupy the same relative position to their thinking selves as would any other memory. We would be merely an abstraction, and would no more form part of their mental life, or live in them, than would any other mental con- cept — a memory of a past achievement, a battle, the picture of some living person. Identity involves a thinking subject. The thoughts are its products, and we can no more implant one identity on another than we can cause two solid substances to occupy the same space. The fact that we or our deeds linger in the memory of those still living no more argues that we live, than does the memory of a conflagration prove that the fire is still burning. The two following letters, from Drs. Bozzano and Ven- zano, respectively, mdicate the position of the scientist- M 178 DEATH pliilosoplier — one who has duly weighed the facts and interpretations of psychical research. It will be observed that both these authors practically agree in their view of the case — that a future life is only to be demonstrated by means of psychical investigation, and that, were it not for these facts, we should have to conclude in favour of materialism. It must be said, however, that both of these letters merely raise a presumption in favour of immortality, as we have said before, and cannot be said to prove it. That can only come from facts. Further, neither of them gives us any conception of the " real nature of death ; " they merely state the views of their authors as to the probable existence of the soul after the death of the body. Nevertheless, the letters are of great interest as illustrating the views of scientific men who have been duly impressed with the facts of psychical research. From Dr. Ernesto Bozzano, Genoa, Italy. What do you consider to be the real nature of death ? Qualora, dopo le profonde indagini isto-fisiologiche cui venne sottoposto il cervello sullo scorcio del secolo passato, non fosse occorso I'avvento degli studi metapsichici, ben difficilmente si sarebbe evitata la conclusione che la crisi della morte per gli orga- nismi animali significava I'arrcsto funzionale degli organismi stessi, con cessazione della vita e conseguente annientamento di quella sintesi di stati di coscienza che si denomina lo personale o anima ; tutto cio malgrado che una conclusione siffatta conducesse a una proposizione filosoficamente assurda, quella che I'evoluzione deir Universo e della Vita si palesino destituiti di finalita. Non piu cosi dopo Tavvento delle nuove richerche, in virtu delle quali vennero posti in evideuza asj'ctti nuovi dell' lo subcosciente in guisa da lasciare intravvedere la possibilita di risolvere sperimen- talmente in senso afifermativo il grandioso problema dell' esistenza e QUESTIONNAIRE ON DEATH— ANSWERS 179 sopravvivenza delF anima ; clie ove cio si realizzasse, la crisi della morte potrebbe ragguagliarsi a uni crisi di sviluppo in cui avrebbe termine la fase dell' esistenza terrena, e principio quella spirituale deir anima, per la quale le facolta supernormali della subcoscienza costituirebbero altrettanti sensi novelli adattati a novelle condi- zioni di ambiente ; il cbe, filosoficamente parlando, varebbe a con- ciliare i portati della Scienza con gli imperativi categorici della Ragione, non potendo quest' ultima concepire Vita ed Universe destituiti di finalita. Ernesto Bozzano. Translation : — If, after the profound histo-physiological investigations to wbich the brain was subjected at the ending of the past century, there had not occurred the advent of metapsychical studies, it would have been very difficult to avoid the conclusion that the crisis of death for the animal organism signified the functional arrest of the organ itself with cessation of life, and the consequent annihilation of that synthesis of conscious states which is called the personal Ego, or the soul. All this in spite of the fact that such a conclusion leads to the proposition philosophically absurd, which is, that the evolution of the Universe and of Life are declared deprived of finality. Since the advent of the new researches it is no longer so. By virtue of these there are placed in evidence new aspects of the sub- conscious Ego, in a way allowing to be seen the possibility of resolving experimentally, in the affirmative sense, the great problem of the existence and survival of the soul ; that where that should be true, the crisis of death might be compared to an unfolding, in which the earthly existence would have an end, and the spiritual one of the soul a beginning, for which the supernormal faculties of the subconscious would constitute so many new senses, adapted to the new conditions of the ambient. Which, philosophically speaking, would go to conciliate the findings of Science with the Categorical Imperative of Reason, the latter being unable to con- ceive of Life and the Universe deprived of finality. Ernesto Bozzano. / 180 DEATH From Dr. Joseph Venzano, Genoa, Italy. What do you consider to be the real nature of death? Le pill recenti indagini nel campo della psicologio e della meta- psichica hanno dimostrato I'esistenza di facoltii latenti nella sub- coscienza die emcrgono in circostanze peculiari e che per la loro supernormalita e in virtii di quella legge di finalita che regola tutte le co-se create sarebbe assurdo ritenere dovessero colla morte andar perdute in un colle scorie del corpo. Tali facolt^ porterebbero a considerare I'organismo vivente quale temporanea sede di un' entita spirituale in via di ulteriore e progressiva perfezione. La morte pertanto — dovendo il concetto di essa necessariamente scaturire da quello della vita — non sarebbe che un proscioglimento dair involucro materiale di uno spirito tendente e sempre piii elevati destini. Dott. Giuseppe Venzano. Translation : — The most recent investigations in the fields of psychology and metapsychics have demonstrated the existence of faculties latent in the subconsciousness that emerge under peculiar circumstances, and that by their supernormality, and in virtue of that law of finality that rules all created things, it would be absurd to retain [preserve ?] should they in death be lost with the dross of the body. Such faculties would lead one to consider the living organism as the temporary seat of a spiritual entity in the way of ultimate and progressive perfection. Death, then — the concept of this having necessarily to spring from Life — would be but a freeing from the material shell of a spirit tending ahvays to a higher destiny. Doctor GuiSEPPE Venzano. The following letter from Mrs. Laura I. Finch, while of exceptional interest and representing, as it does, the philosophico-mystical point of view in an excellent and forceful manner, cannot be held to explain death from the psycho-physiological standpoint, which is the stand- QUESTIONNAIRE ON DEATH— ANSWERS 181 point assumed in this book, and is the aspect of death upon which we wished to ehcit further information. Ultimately, and looked at from a sort of cosmological point of view, Mrs. Finch's attitude might be largely true. But for our present purposes and from our present stand- point, we cannot regard this letter as throwing much light upon the real nature and causes of death. We print it, however, as one containing speculations of a remarkably ingenious character, excellently expressed : — Fy^om M7's. Laura I. Finch, Zurich, Switzerland {late Editor of " The Aniials of Psychical Science,^^ &c.\ What is the real nature of death % The real nature of death should, in its highest sense, be a con- summation, the termination of a cycle, the last act of the journeying of the soul out of the Absolute back into the Absolute. Just as disease and accident may be looked upon as incidents which the soul lays hold of in order to free itself from the instru- ment incapable of fulfilling its behests or of serving further as a means of progress, so death from " natural " causes may likewise be considered as a sign that the soul is still immature, and in need of a new vehicle of ever-increasingly finer vibrations, until, ulti- mately, the same soul has through its various manifestations acquired a knowledge of nature's secrets, is no longer either the victim or the slave or even the master, but is one with nature, able to identify itself with all that is. In this, the highest form of the manifestation of spirit, the body — under the control of an en- franchised and perfect soul — should be of such a fine and perfect nature — at last in harmony with the Spirit of the Universe, that death, as we now understand it, cannot, simply cannot, exist for it. To the Perfect Understanding death is a paradox, an impossi- bility, just as a deathless body would be an impossibility, a paradox, to the immature soul. Disease, accident, old age, and moral weakness — the tottering steps of the soul in its infancy. And even '^ natural " death, as 182 DEATH understood to-day, is the soul's mute confession of ignorance, of failure ; the revelation of its degree of evolution. The soul which has come into the full possession of its inheri- tance, Knowledge, such a soul should certainly be able to leave and resuscitate the body at will, and maintain the body in perfect health and vitality, just as long as it was deemed necessary, for cosmic causes, to postpone the final act of consummation. Age can have no further meaning for such a soul, for time and space are data of temporary, human invention, and can exercise no dominion over the liberated. And free, then, indeed, is the soul — free in the highest sense of the word : standing aloft on the dazzling summits of manifestation, and at one, even now, with the Divine. It comprehends, and therefore knows, no limitations ; its centre is Itself, the Essence of all that is ; its compass is the Universe, the Absolute, both that which is manifested and that which is unmanifested. And the ultimate passing out of such a tenant from the body could not be called " death " — lacking as it would all the customary attributes of death. It should be an event, deliberately chosen by the omniscient soul long since come into the full recognition of its relationship — its oneness— with the Divine All; an event accu- rately predicted beforehand, a passing out without illness, without feebleness, without suffering, without even any momentary loss of consciousness ; a passing out of the realms of manifestation and personality ; a passing into the very heart of the Universe, into the "Arms of God," into the Essence of Life, into the Absolute. That is my conception of what was meant to be the real nature of death. Laura I. Finch. Our next correspondent writes us as follows : — From Miss E. Katherine Bates (Author of " See?i and Unseen" *' Do the Dead Depart ? " (&c.). Death has always appeared to me to be simply the process through which the real Ego throws off or sheds the outer animal body of lower rates of vibration ; and functions thenceforth in QUESTIONNAIRE ON DEATH— ANSWERS 183 the inner or spirit body of a more attentuated form of matter, functioning at higher rates of vibration. This inner body (the spirit body, as St. Paul calls it) is pre- sumably already existing in our physical bodies, and is the medium of such phenomena as are provided by the appearance of the Double, where this is of a tangible and not of a merely subjective and purely mental nature. This inner body of finer matter, at higher vibrating rates, doubtless is the one that leaves the outer physical body during deep sleep, and is drawn towards those spheres to which it is affinitive, but whence it must return to the animal body, under strict conditions of Law, until the moment of entire release from the physical prison-house arrives. To my conception, therefore, death is, as a purely scientific fact, that which the poets have always discerned it to be, i.e. the twin- brother of sleep. Sleep lets the prisoner out on " parole," whereas death is the judge who grants him a complete and final release from his captivity in the flesh. He will then be able to remain permanently with his friends on the other side, in place of paying them short visits during the sleep of the body, visits which must often prove as tantalising as they are delightful. . . . I am asked for my opinion, and not for evidential facts on this great subject. There are many facts, however (upon their own plane of existence) which bear out these conceptions. The fact of the spirit leaving its outer physical body under conditions of trance or of ordinary sleep, and being able to retain the con- sciousness of experiences gained and knowledge conveyed, under these circumstances, is a fact to which increasing numbers of sensitives can testify. When the racial sensitiveness to higher vibrations has reached a point where these experiences shall have become sufficiently numerous to form a majority, or even a very strong minority, it can no longer be ignored. As we learn to bring back these experiences of our sleeping hours, so we shall be able to provide more and more evidence, strictly scientific and capable of being dealt with on the present plane of vibration. 184 DEATH Then death will truly "lose its sting," as the grave has already- lost its victory — for all but the most obstinate and elementary materialists. That sting, however, can never be removed until facts have con- vinced us that death is no longer to be considered as an entrance into hitherto unknoivn countries, but the making permanent and substantial those conditions of life with which we are already familiar, but of which we are now only conscious in fleeting moments, few and far between. " Men counted him a dreamer — Dreams Are bvit the light of clearer skies Too dazzling for our naked eyes ; And when we catch their fleeting beams. We turn aside, and call them — Dreams." — E. Katherine Bates. This letter opens up a number of possibilities ; of that there can be no doubt. It further insists upon the fundamental point that only by evidence, by scientific facts, can the great question of survival of consciousness ever be solved. This we shall argue at considerable length in Parts II. and III. While this definition cannot be said to make plain to us the actual causation of death, as it does not indicate the cause of the with- drawal of the body " possessing higher rates of vibra- tion " ; yet it is doubtless very near the truth — if anything at all in man survives death. The vibratory theory of death is set forth at some length in Mr. Carrington's chapter on the causation of death. From every point of view, Miss Bates' letter is certainly worthy of the most respectful consideration. Of a somewhat similar character is Dr. Walter Leafs communication, quoted below. It will be observed that Dr. Leaf accepts as fundamental a " spiritual energy," and even a " world of spirit," and defines death as " the dis- sociation of spiritual energy and matter." This may be QUESTIONNAIRE ON DEATH— ANSWERS 185 very true, but really goes little further than the older definition, " the departure of life from the body." It will be noticed, also, that Dr. Leaf accepts a spiritual world as proved, which we cannot do, looking at the matter as scientists, inasmuch as we must first prove it. But further, we do not desire to know only the fad of the separation of the life principle from the body (which is more or less common knowledge), but the nature and the causes of it. This, it will be observed, we fail to find fully explained in the following statement : — From Walter Leaf, Litt.D., London, England. Dear Sir, — I have had your circular letter on death before me for some little time, and have been rather puzzled to know exactly what answer you expect. The limitation to "natural" death seems to exclude any consideration of death in itself, or how it should be regarded by the individual, and to confine the subject to the causes and nature of senile decay. If this is the intention, I certainly have not the physiological knowledge which would justify me in answering. I fancy, however, that you may not wish thus to limit your purview, and desire rather my views as to the reason of the necessity of death in the scheme of the universe, though in that case I do not see why death by disease, &e., should be excluded. I therefore have endeavoured to compress my views upon this point into your limits, rather at the expense of clearness, and in any case without any of the explanations and reserves which such a statement requires. — I am, dear Sir, yours faithfully, Walter Leaf. Our phenomenal world is due to the interaction of two worlds of higher dimensions — Spirit and Matter. " Laws of nature " represent so much as we can observe of regularity in this interaction. It is a law of nature that a limited amount of spiritual energy associates itself with a limited amount of matter. The association we call Life, the dissolution of it Death. 18G DEATH It is a law of nature that this association can exist only for a limited time. Why this should be we caniiot say ; presumal)]y it is a necessary condition for the fulfilment of that spiritual purpose which we call Evolution. A time may come when the condition will no longer be necessary. The quantum of spirit associated with a quantum of matter thereby becomes circumscribed, and loses some of its spiritual relations, descending to a " personality." It is perhaps necessary that it should after a time be re-absorbed into universal spirit in order to renew itself. Thus death would be the analogue of sleep. An extension of Dr. Leaf's view, from the standpoint of a physiologist, is contained in the following com- munication from Dr. Rabagliati, which is, we believe, as near to an exact definition of death as any of the communications received by us. Dr. Rabagliati is a believer in the existence of a life or vital force, and defended this view in his introduction to Mr. Carrington's Vitality, Fasting and Nutrition. His definition of death, as submitted to us, is as follows : — From Dr. A. Eahagliati, ALA., M.D., F.R.C.S., &c., ^-c, Bradford, England. Viewing this universe as the effect of a universal cosmic energy, emanating from an infinite source, which energy therefore consists of an infinite series or forms or species, I define natural human death as follows : — Natural human death is the departure from the human body of anthropino-bio-dynamic. Animal bodies are procreated, each sort by its own form of bio-dynamic, to act as fit dwelling places for animal life. Bio-dynamic itself is a species of the universal cosmic energy. When it leaves the body, death ensues. The immediate cause of human natural death is nearly always such a choking up or blocking of the human house of life by excessive exercise of tropho-dynamic, i.e. poly-siteism, kako-siteism, and pollaki-siteism, QUESTIONNAIRE ON DEATH— ANSWERS 187 and poly-potism, kako-potism, and pollaki-potism, that antliropino- bio-dynamic is compelled to leave the body, as it is no longer a fit house for life. Explanation. — At death all forms of cosmic energy, except hylo- dynamic (or the power of material substance), chemico-dynamic (or the chemical power), and katharto-dynamic (or the cleansing power), mostly exerted through the action of micro-organisms, leave the human body. Were this not so, the body would not only die, but vanish, as in fact it does after a long period of time, however our love for the departed may induce us to try to prevent it. A. Rabagliati. Bradford, Eng., 1th August 1908. The following communication from Prof. E. B. Wilson, author of The Cell, &c., is the typical and clear-cut point of view of the biologist. It states the case in a terse and concise manner : — Department of Zoology, Columbia University, New York, 28f7i February 1910. Dear Sir, — I must apologise for not replying sooner to your note of Jan. 25th. I should not care to attempt a definition of death for publication. Biologically, death is to be regarded as the cessation of the life processes. The definition of death, therefore, presupposes a definition of the life processes ; and the latter is too complicated a matter to be stated briefly. — Very truly yours, Edmund B. Wilson. The views expressed by the following writers — not in answer to our circular letter, but in their various writings to which we have referred — may be printed consecutively, since they represent, more or less, the same point of view. Dr. Brouardel, in his Death and Sudden Death (p. 292), defines death as follows : — " Death supervenes when poisons manufactured in the system, or unwholesome food that has been ingested, can no longer be ade- 88 DEATH /quately removed by the kidneys. . . . The individual is, there- fore, poisoned, either by his food, or by poisons which are generated within his own body, i.e. auto-intoxication." Dr. J. H. Kellogg defines death thus : — ;/ " The cause of old age and natural death is the accumulation of waste matters in the body." Dr. R. T. Trail, in his Physiology, p. 203, favoured the idea that death ensues when — " The solids are so disproportioned to the fluids that the nutri- tive processes can no longer be carried on." ? Dr. Rosenbach contends that — " Death ... is that condition of organised matte " in which all processes of causation have come to such a state of lest that they can no longer be put in motion, since the grouping of the atoms in the molecule has become so firm that the liberation of living force would be associated with a destruction of the molecule " {Physician versus Bacteriologist, pp. 82-3). Sir Benjamin Ward Richardson, in his Diseases of Modern Life, pp. 103—4, sums up the causes of death as follows : — "I have learned that the gradual transformation of the vital organs of the body from advanced age is due to a change in the colloidal matter which forms the organic basis of all living tissues. In its active state this substance is combined with water, by which its activity and_flexibility is maintained in whatever organ it is 'present — brain, nerve, muscle, eye-ball, cartilage, membrane. In course of time, this combination with water is lessened, whereupon the vital tissues become thickened, or, to use the technical term, ' pectous,' by attraction of cohesion, the organic particles are welded more closely together, until, at length, the nervous matter loses its mobility, and the physical inertia is complete." ^ One of us has summed up all these proposed causes of death in the single word, hlockage. QUESTIONNAIRE ON DEATH— ANSWERS 189 We regard some of these theories of death as accu- rately representing proximate causes of death, but not the inner, ultimate cause, so to speak. Further, we must insist that death from all these causes would really be death from disease, since natural death can hardly be defined as due to any of these factors, as we have shown elsewhere. Natural death should result without any of the morbid accumulations or functionings which have been postulated by these authors. We believe that the life force ceases to operate in the body because of its blockage in one or another of the ways described by these authors ; but this blockage is really an indirect and not a direct cause ; and further, as we have said, we could hardly define death due to such causes as natural death. Waiving that, however, we must insist upon this fundamental point: that the separation of the life from the body, which may be said to constitute natural death (judged from an external standpoint), depends upon certain bodily and mental conditions, but these con- ditions are not the direct cause of the severance of the body and the life-energy, but only the indirect cause. The direct cause is the process of disconnection, and only by defining the inmost nature of that, can one actually define the " real nature " of death. CHAPTER IX MY OWN THEORY OF THE NATURE OF DEATH By Hereward Carrington Not until one begins to look up tlie literature on " death " does one discover how scanty it is ; not until one begins to read upon the subject does one discover how little is really known about it ! For my own part, I may say that I took every means known to me to make my read- ing as complete as possible, before attempting to write a book upon such an abstruse question, and I think I may fairly claim to have read everything of importance that has been written upon the subject from the scientific point of view. But little of any real value was to be found, with the exception of about two books and an equal number of magazine articles ! The encyclopaedias were equally useless. The Encyclopedia Americana con- tained a couple of pages on the subject — mostly devoted to sudden death, and its various symptoms ; and a very brief note was found in one or two other encyclopaedias ; but not one word did the Encyclopccclia Britannica contain ! When such an authority refrains from even mentioning the subject, it is hardly to be wondered at that lesser works should contain little or nothing upon the matter. And yet it is astonishing, when we come to consider it, that so little is known, and so little interest is taken in this most momentous question. Medical men have the opportunity of studying thousands upon thousands of death-beds during the course of the year, but practically I'JO MY OWN THEORY OF NATURE OF DEATH 191 nothing of interest is ever said concerning these scenes. This cannot be due to over nicety of sentiment on their part, for repeated experiences of the kind tend to deaden the sense of the awful and the marvellous, as we all know. Nor can it be that they do not pay strict and close atten- tion to what is going on before them. Many physicians have doubtless watched the process of dying with the utmost care. The only rational interpretation of this silence is, that no man has had the desire to come forward and attempt to explain the facts and the phenomena that he is constantly observing. The/