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1. The state of health which is peculiar to each individual, and which has been called by Haller, and other physiologists, the tone of the fibre. This is produced by a middle degree of stimulus acting upon a middle degree of excitability: and the effect produced by this action, we call excitement.
2. The state of accumulation, produced by the absence or diminished action of the accustomed stimuli.
3. The state of exhaustion, produced by the too powerful action of stimuli; and this may be produced either by the too powerful, or long continued action of the common stimulants which support life, such as food, air, heat, and exercise; or it may be caused by an application of stimulants, which act more powerfully on the excitability, and which exhaust it more quickly, such as wine, spirits, and opium, musk, camphor, and various other articles used in medicines.
The state of health, or tone, if we use that term, consists therefore in a certain quantity or energy of excitability necessary to its preservation. To maintain this state, the action of the stimuli should be strong enough to carry off from the body the surplus of this irritable principle. To obtain this end, a certain equilibrium is necessary between the excitability and the stimuli applied, or the sum of all the stimuli acting upon it must be always nearly equal, and sufficient to prevent an excess of excitability, but not so strong as to carry off more than this excess. It is in this equilibrium between the acting stimuli and the excitability, that the health, or tone of the living body consists.
When the sum of the stimuli, acting on the body, is so small, as not to carry off the excess of excitability, it accumulates, and diseases of irritability are produced. Of this nature are those diseases to which the poor are often subject, and which will be particularly considered hereafter.
When the sum of the stimuli acting on the body, is too great, it is deprived not only of the excess of excitability, but also of some portion of the irritable principle necessary for the tone of the body: or, to speak more distinctly, the body loses more excitability than it receives, and of course must, in a short time, be in a state of exhaustion. This gives rise to diseases which afflict drinkers, or those who indulge in any kind of intemperance, or persons born in climates where the temperature is moderate, but who emigrate to those which are much warmer.
Thus we have endeavoured, after the example of Dr. Brown, to ascertain the cause of the healthy state, before the causes of diseases were investigated; and though this is contrary to the general practice, yet it must be evident to every one, that unless we are acquainted with the causes of good health, it will be impossible for us to form any estimate of those variations from that state, called diseases: hence it is that a number of diseases, which have been brought on merely by the undue action of the exciting powers, such as gout, rheumatism, and the numerous trains of nervous complaints, which were by no means understood, may be easily and satisfactorily explained, and as easily cured, by restoring the proper action of these powers, and bringing the excitability to its proper state. As this theory, therefore, is so important, not only in respect to the preservation of health, which nearly concerns every individual, but to the cure of diseases, which is the province of the physician, I have endeavoured to explain it as fully and minutely as possible; to make it still plainer we may perhaps make use of the following illustration.
Suppose a fire to be made in a grate or furnace, filled with a kind of fuel not very combustible, and which could only be kept burning by means of a machine, containing several tubes placed before it, and constantly pouring streams of air into it. Suppose also a pipe to be fixed in the back of the chimney, through which a constant supply of fresh fuel is gradually let down into the grate, to repair the waste occasioned by the combustion kept up by the air machine.
The grate will represent the human body; the fuel in it the life or excitability, and the tube behind, supplying fresh fuel, will denote the power of all living systems, constantly to regenerate or produce excitability; the air machine, consisting of several tubes, may denote the various stimuli applied to the excitability of the body; the flame produced in consequence of that application, represents life; the product of the exciting powers acting upon the excitability.
Here we see, that flame, like life, is drawn forth from fuel by the constant application of streams of air, poured into it from the different tubes of the machine. When the quantity of air poured in through these different tubes is sufficient to consume the fuel as it is supplied, a constant and regular flame will be produced: but if we suppose that some of them are stopped, or that they do not supply a sufficient quantity of air, then the fuel will accumulate, and the flame will be languid and smothered, but liable to break out with violence, when the usual quantity of air is supplied.
On the contrary, if we suppose a greater quantity of air to rush through the tubes, then the fuel will be consumed or exhausted faster than it is supplied; and in order therefore to reduce the combustion to the proper degree, the quantity of air supplied must be diminished, and the quantity of fuel increased.
If we suppose one of the tubes, instead of common air, to supply oxygen gas, it will represent the action of wine, spirits, ether, opium, and other powerful stimulants upon the body: a bright and vivid flame will be produced, which however will only be of short duration, for the fuel will be consumed faster than it is supplied, and a state of exhaustion will take place.
We may carry this illustration still further, and suppose that the air tubes exhaust the fuel every day faster than it can be supplied, then it will be necessary at night to stop up some of the tubes, so that the expense of fuel may be less than its supply, in order to make up for the deficiency. When this is made up, the tubes may in the morning be opened, and the combustion carried on during the day as usual. This will illustrate the nature of sleep. In speaking of this subject, it was observed, that the more violently the exciting powers have acted, the sooner is sleep brought on; because the excitability is sooner exhausted. In the same way the more the air rushes through the tubes, the sooner will the fuel be consumed, and want replenishing. When the exciting powers have acted feebly, a person feels no inclination to sleep, because the excitability is not exhausted to the proper degree, and therefore does not want accumulating. But any diffusible stimulus, as spirits, or opium, will soon exhaust it to the proper degree.
In the same way, if the air have not passed rapidly through the tubes, the fuel will not be exhausted: but it may be brought to a proper degree of exhaustion by the application of oxygen gas.
When the air which nourishes the flame is so regulated, that it consumes the fuel as it is supplied, but no faster, a clear and steady flame will be kept up, which will go on as long as the fuel lasts, or the grate resists the action of the fire: but at last when the fuel, which we do not suppose inexhaustible, is burnt out, the fire must cease.
In the same manner, if the different exciting powers which support life were properly regulated, all the functions of the body would be properly performed, and we should pass our life in a state of health, seldom known to any but savages, and brute animals not under the dominion of man, who regulate these powers merely by the necessities of nature.
When air is applied in too great quantity, and especially if some of the tubes convey oxygen gas, then a violent combustion and flame is excited, which will, in all probability, consume or burn out the furnace or grate, or if it do not, it will burn out the fuel, and thus exhaust itself.
In like manner, if the stimulants which support life be made to act too powerfully, and particularly if any powerful stimulus, not natural to the body, such as wine or spirits, be taken in too great quantity, a violent inflammatory action will be the consequence, which may destroy the human machine: but if it do not, it will exhaust the excitability, and thus bring on great debility.
This analogy might be pursued further, but my intention was solely to illustrate some of the outlines of our theory, by a comparison which may facilitate the conception of the manner in which external powers act on living bodies. The different powers which support life, and without whose action we are unable to exist, such as heat, food, air, &c. have been very improperly called nonnaturals, a term which is much more applicable to those substances which we are daily in the habit of receiving into the system, which excite it to undue actions, and which nature never intended we should receive; such as spirituous and fermented liquors, and high seasoned foods. In the preceding illustration, I have spoken of a tube, as constantly pouring in fresh fuel, because it was not easy otherwise to convey a familiar idea of the power which all living systems possess of renewing their excitability, when exhausted. The excitability is an unknown somewhat, subject to peculiar laws, some of which we have examined, but whose different states we are obliged to describe, though, perhaps, inaccurately, by terms borrowed from the qualities of material substances.
Though Dr. Brown very properly declined entering into the consideration of the nature of excitability, or the manner in which it is produced, the discoveries which have been made in chemistry since his time, have thrown great light on the subject, and it is now rendered highly probable that the excitability or vital principle, is communicated to the body by the circulation, and is intimately connected with the process of oxidation.
Many circumstances would tend to show, that a strict connexion exists between the reception of oxygen into the body, and the vital principle.
When an animal has been killed by depriving it of oxygen gas, the heart and other muscles, and indeed the whole system, will be found completely to have lost its excitability. This is not the case when an animal is killed in a different manner. When an animal is shot, or killed in the common manner, by bleeding to death, if the heart be taken out, it will contract for some hours, on the application of stimulants. But this is not the case with an animal that has been drowned, or killed by immersion in carbonic acid, azotic, or hydrogenous gases; in these last instances, the heart either does not contract at all, or very feebly, on the application of the strongest stimulants.
We have already seen that oxygen unites with the blood in the lungs, during respiration: by the circulation of the blood it is distributed to every part of the system, and we shall find, that in proportion to its abundance is the excitability of the body. In proof of this, I shall relate some facts and experiments.
Dr. Girtanner injected a quantity of very pure oxygen gas into the jugular vein of a dog: the animal raised terrible outcries, breathed very quickly, and with great difficulty: by little and little his limbs became hard and stiff, he fell asleep, and died in the course of a few minutes afterwards. It ought here to be observed, that any of the gases, or almost any fluid, however mild, when thus suddenly introduced into the circulating system, generally, and speedily, occasions death.
On opening the chest, the heart was found more irritable than ordinary, and its external contractions and dilatations continued for more than an hour: the right auricle of the heart, which usually contains black venous blood, contained, as well as the right ventricle, a quantity of blood of a bright vermilion colour; and all the muscles of the body were found to be more than usually irritable. This experiment not only proves that the vermilion colour of the blood proceeds from oxygen, but likewise seems to show, that oxygen is the cause of excitability.
A quantity of azotic gas, which had been exposed for some time to the contact of lime water, in order to separate any carbonic acid gas it might contain, was injected into the jugular vein of a dog. The animal died in twenty seconds. Upon opening the chest, the heart was found filled with black and coagulated blood: this organ, and most of the muscles had nearly lost the whole of their irritability, for they contracted but very weakly, on the application of the strongest stimulants.
A quantity of carbonic acid gas was injected into the jugular vein of a dog: the animal became sleepy, and died in about a quarter of an hour: the heart was found filled with black and coagulated blood, and had lost the whole of its irritability; neither it, nor any of the muscles producing any contractions, upon the application of stimulants.
Humboldt likewise mentions a curious fact, which tends strongly to confirm this idea. When the excitability of the limb of a frog had been so far exhausted, by the application of zinc and silver, that it would produce no more contractions, on moistening it with oxygenated muriatic acid, the contractions were renewed.
After the excitability of the sensitive plant (mimosa pudica) had been so far exhausted, by irritation, that it ceased to contract, when further irritated, I restored this excitability, and brought it to a very high degree of irritability, by moistening the earth in which it grew with oxygenated muriatic acid. Seeds likewise vegetate more quickly when moistened with this acid, than when they are not.
In short, we shall find, first, that every thing which increases the quantity of oxygen in organized bodies, increases at the same time their excitability.
Secondly, That whatever diminishes the quantity of oxygen, diminishes the excitability.
The excitability of animals, made to breathe oxygen gas, or to take the oxygenated muriate of potash, or acid fruits, is very much increased.
On the contrary, when persons have inspired carbonic acid, or azotic gas, or have taken into the system substances which have a strong affinity for oxygen, and therefore tend to abstract it, such as hydrogen, and spirits, the excitability becomes very much diminished.
When we sleep, in consequence of the excitability being exhausted, the breathing becomes free, and a great quantity of oxygen is received by the lungs, and combined with the blood, while very little of it becomes exhausted by the actions of the body, for none, excepting those which are called involuntary motions, are carried on during sound sleep: so that in a few hours the body recovers the excitability which it had lost: it is again sensible of the impressions of external objects, and with the return of light we wake.
These facts afford satisfactory proofs that the excitability of the body is proportioned to the oxygen which it receives: but in what manner it produces this state of susceptibility, and how it is exhausted by stimulants, we have yet to learn.
The following theory may perhaps throw some light upon the subject. I propose it, however, merely as an hypothesis, for we have no direct proofs of it, but it seems to account for many phenomena.
It is now well known, that while the limb of an animal possesses excitability, the smallest quantity of electricity sent along the principal nerve leading to it, produces contractions similar to those produced by the will. This is instanced in the common galvanic experiment with the limb of a frog, which I had formerly occasion to show.
From the effects produced, when a stream of electricity is sent through water, I think it not improbable that hydrogen and electricity may be identical. When a piece of zinc and silver are connected together, and the zinc is put in a situation to decompose water, and oxidate, a current of hydrogen gas will separate from the silver wire, provided this be immersed under water; but when it is not, a current of electricity passes, which is sensible to the electrometer.
Now there appears no greater improbability in the supposition that hydrogen, in a certain state, may be capable of passing through metals, and animal substances, in the form of electricity, and that when it comes in contact with water, which is not so good a conductor, it may combine with caloric, and form hydrogen gas, in which state it becomes incapable of passing through the conductors of electricity: I say there appears no greater improbability in this, than that caloric should sometimes be in such a state, that it will pass through metals, and animal substances, which conduct it, and at other times, as when combined with oxygen or hydrogen, it should form gases, and be then incapable of passing through these conductors of heat. Galvanic effects may be produced by the oxidation of fresh muscular fibre without the aid of metals, and contractions have been thus produced in the limb of an animal; and we have already noticed, that when this contraction ceases, it may be restored, by moistening the limb with oxygenated muriatic acid.
The excitability of the body may, most probably, be conveyed by respiration, and the circulation of the blood, which tend continually to oxidate the different parts: and hydrogen or electricity may be secreted by the brain, and sent along the nerves, which are such good conductors of it, and by uniting with the oxygen of the muscle, may cause it to contract; but as the oxygen will, by this union, be diminished, if the contractions be often repeated, the excitability will thus be expended faster than it can be supplied by the circulation, and will become exhausted. But will facts bear us out in this explanation? To see this, we must examine the chemical nature of the substances which produce the greatest action, and the greatest exhaustion of the vital principle: namely, those which produce intoxication.
Fermented liquors differ from water, in containing carbon and more hydrogen: these produce intoxication: but pure spirits, which contain still more hydrogen, produce a still higher degree of intoxication, and consequent exhaustion of the excitability. Ether, which appears to be little more than condensed hydrogen, probably kept in a liquid state by union with a small quantity of carbon, and which easily expands by caloric into a gas, which very much resembles hydrogen gas, produces a still greater degree of intoxication: so that we see the action produced by different substances, as well as the exhaustion of excitability which follows, is proportioned to the quantity of hydrogen they contain.
There is another circumstance which seems to strengthen this idea. The intoxicating powers of spirits are diminished by the addition of vegetable acids, or substances which contain oxygen, which will counteract the effects of the hydrogen. Thus it is known that the same quantity of spirit, made into punch, will not produce either the same ebriety, or the same subsequent exhaustion, as when simply mixed with water.
Recollect however that I propose this only as a hypothesis: its truth may be confirmed by future observations and experiments, or it may be refuted by them: but it is certainly capable of explaining many of the phenomena, which is one of the conditions required by Newton's first rule of philosophizing.
Heat, and light, and other stimuli, may perhaps exhaust the excitability, by facilitating the combination of oxygen in the fibres with the hydrogen and carbon in the blood.
There are several substances which cause a diminution or exhaustion of the excitability, without producing any previous increased excitement. These substances have by physicians been called sedatives: and though the existence of such bodies is denied by Dr. Brown, yet we are constrained to admit them; nor do their effects seem incapable of being explained on the principle laid down, especially if we call in the aid of chemistry.
Any substance which is capable of combining rapidly with oxygen, and diminishing its quantity, will be a sedative. But the action of some of the animal and vegetable poisons is difficult to explain in the present state of our knowledge; such very minute portions of these produce great exhaustion of the excitability, and even death, that we can scarcely explain their action on the supposition that they combine with the oxygen. They may perhaps act as ferments, and occasion throughout the whole system a new and rapid combination of oxygen with the hydrogenous, carbonic, and perhaps azotic parts of the blood and fluids, and even of the solids, which will speedily destroy the excitability, and even the organization.
Many of the vegetable narcotics, though they will destroy life when given in considerable doses, yet when exhibited in less quantities become very powerful remedies, particularly in cases where the excitability is accumulated, in consequence of which violent spasms and inordinate actions take place, which are very quickly calmed by opium, camphor, musk, asafoetida, ether, &c. medicines that occasion a speedy exhaustion of the excitability. In diseases of exhaustion, however, these remedies are improper. The indication here is to accumulate the irritability, by the introduction of oxygen, and by the diminution of the action of the stimulants which support life. In this idea too I dissent from Dr. Brown, who taught that diseases of exhaustion are to be cured by stimulants, a little less powerful than those which produced the disease. This subject will however be more fully discussed hereafter.
This doctrine of animal life, which I have been attempting to illustrate, and render familiar, exhibits a new view of the manner in which it is constantly supported. It discovers to us the true means of promoting health and longevity, by proportioning the number and force of stimuli to the age, climate, situation, habits, and temperament, of the human body. It leads us to a knowledge of the causes of diseases: these we shall find consist either in an excessive or preternatural excitement in the whole or part of the human body, accompanied generally with irregular motions, and induced by natural or artificial stimuli, or in a diminished excitement or debility in the whole, or in part. It likewise teaches us that the natural and only efficacious cure of these diseases depends on the abstraction of stimuli, from the whole, or from a part of the body, when the excitement is in excess: and in the increase of their number and force when the contrary takes place.
The light which the discoveries of Galvani, and others who have followed his steps, begin to throw on physiology, promises, when aided by the principles of chemistry, and the knowledge of the laws of life, to produce all the advantages that would result from a perfect knowledge of the animal functions.
From what has been said, it does not seem improbable that muscular contraction may depend upon the combination of oxygen with hydrogen and azote, in consequence of a sort of explosion or discharge produced by nervous electricity. According to this hypothesis, animal motion, at least that of animals analogous to man, would be produced by a beautiful pneumatic structure. This hypothesis, though not perhaps at this moment capable of strict demonstration, seems extremely probable, it being countenanced by every observation and experiment yet made on the subject. It accounts likewise for the perpetual necessity of inhaling oxygen, and enables us to trace the changes which this substance undergoes, from the moment it is received into the system, till the moment it is expelled. By the lungs it is imparted to the blood; by the blood to the muscular fibres; in these, during their contraction, it combines with the hydrogen, and perhaps carbon and azote, to form water and various salts, which are taken up by the absorbents, and afterwards exhaled or excreted. We know the necessity of oxygen to muscular motion, and likewise that this motion languishes when there is a deficiency of the principle, as in sea scurvy. Thus a boundless region of discovery seems to be opening to our view: the science of philosophy, which began with remote objects, now promises to unfold to us the more difficult and more interesting knowledge of ourselves. Should this kind of knowledge ever become a part of general education, then the causes of many diseases being known, and the manner in which the external powers, with which we are surrounded, act upon us, a great improvement not only in health, but in morality must be the consequence.