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Kepler was the first who had any distinct notion of the formation of the pictures of objects on the bottom of the eye; this discovery he published about the year 1600. Joannes Baptista Porta had indeed got some rude notion of it prior to the time of Kepler, but as he knew nothing of the refraction made by the humours of the eye, his doctrine was lame and defective, for he imagines that the images are painted on the surface of the crystalline humour.
The disputes concerning the theory of vision had very much divided the ancient philosophers; some of them imagining that vision was caused by the reception of rays into the eye; while a great many others thought it more agreeable to nature, that certain emanations, which they called visual rays, should flow from the eye to the object.
We shall now inquire more particularly how each part of the eye is peculiarly fitted to produce distinct vision. Though the eye is composed of different humours, yet one might have been sufficient to collect the rays into a focus, and form the picture of an object upon the retina. By the experiments of the accurate Dr. Robertson, it appears that there is less difference in the density, as well as in the refracting power of the humours, than has been generally thought: by weighing them in a hydrostatic balance, he found that the specific gravities of the aqueous and vitreous humours were very nearly equal, each being nearly equal to that of water: and that the specific gravity of the crystalline did not exceed the specific gravity of the other humours in a greater proportion than that of about 11 to 10. Hence it would seem to follow, that the crystalline is not of such great use in bringing the rays together, and thereby forming the pictures of objects on the retina, as has been commonly thought by optical writers; for though in shape it resembles a double convex lens, and is, on that account, fitted to make the rays converge; yet, be cause it is situated between two humours nearly of the same refractive power with itself, it will alter the direction of the light but a little. From this, the reason is evident why the sight continues after the operation for the cataract, in which the crystalline is depressed, or extracted, and why a glass of small convexity is sufficient to supply the little refraction wanting, occasioned by the loss of this humour. But without doubt, several important purposes are effected by this construction of the eye; which could not have been attained if it had been composed of one humour only. Some of those purposes seem sufficiently evident to us; for instance, by placing the aqueous humor before the crystalline, and partly before the pupil, and making the cornea convex, a greater quantity of light is made to enter the eye than could otherwise have done without enlarging the size of the pupil; the light will also enter in a less diverging state than it could have done if the pupil had been enlarged, and consequently be more accurately collected to a focus on the retina; for a perfect eye can only collect such rays to a focus on that membrane, as pass through the pupil nearly in a state of parallelism.
Another, and perhaps a principal advantage derived from the different humours in the eye, is, probably, to prevent that confusion arising from colour, which is the consequence of the different degrees of refrangibility of the rays of light. From the experiments of Mr. Dollond, it appears, though contrary to the opinion of Newton, and most other optical writers, that different kinds of matter differ extremely with respect to the divergency of colour produced by equal refractions; so that a lens may be contrived, composed of media of different dispersing powers, which will form the image of any object free of colour; this discovery Mr. Dollond has applied to the improvement of telescopes, with great success. It is by no means improbable, that nature has, for the same purpose, placed the crystalline lens betwen two media of different densities, and, probably, different dispersing powers, so that an achromatic image, free from the prismatic colours, will be formed on the retina. Indeed we find a conjecture of this kind, so long since as Dr. David Gregory's time, he says, in speaking of the imperfection of telescopes, "Quod si ob difficultates physicas, in speculis idoneis torno elaborandis, et poliendis, etiamnum lentibus uti oporteat, fortassis media diversae densitatis ad lentem objectivam componendam adhibere utile foret, ut a natura factum observamus in oculo, ubi crystallinus humor (fere ejusdem cum vitro virtutis ad radios lucis refringendos) aqueo et vitreo (aquae quoad refractionem hand absimilibus) conjungitur, ad imaginem quam distincte fieri poterit, a natura nihil frustra moliente, in oculi fundo depingendam."
In describing the eye, I observed, that the crystalline humour was not every where of the same consistence, being much more hard and dense towards its centre, than externally: in the human eye, it is soft on the edges, and gradually increases in density as it approaches the centre: the reason of this construction is evident, at least we know of one use which it will serve; for, from the principles of optics, it is plain that the rays which fall at a distance from the axis of the crystalline, by reason of their greater obliquity, if the humour were of the same density in all its parts, would be more refracted than those which fall near its axis, so that they would meet at different distances behind the crystalline humour; those which pass towards its extremity, nearer, and those near its axis, at a greater distance, and could not be united at the same point on the retina, which would render vision indistinct; though the indistinctness arising from this cause, is only about the 1/5449 part of that which arises from the different refrangibility of the rays of light, as Sir Isaac Newton has demonstrated. Nature has, however, contrived a remedy for this also, by making the crystalline humour more dense and solid near its centre, that the rays of light which fall near its axis, may have their refraction increased, so as to meet at the same point with those which fall at a distance from its axis.
Of the manner in which the Eye conforms itself in order to see distinctly at different Distances.
It has been much disputed in what manner the eye conforms itself to see distinctly at different distances; for it is evident, that, without some change, the rays which flow from objects at different distances, could not be collected into a focus at the same point, and, consequently, though the eye might see distinctly at one distance, it could not at another.
This subject has given rise to a variety of opinions, but few of them are satisfactory; and though several of them might explain the phenomena of vision, at different distances, yet it is by no means proved that those supposed changes do take place in the eye. I shall content myself with just mentioning the principal opinions on this subject, without engaging in a controversy, which has for a long time employed the ingenuity of philosophers to little purpose.
Some are of opinion, that the whole globe of the eye changes its figure; becoming more oblong when objects are near, and more flat when they are removed to a greater distance; and this change in the figure of the eye is differently explained by different authors; some maintain that it is rendered oblong by the joint contraction of the two oblique muscles: others think that the four straight muscles acting together, compress the sides of the globe, and by this compression, reduce it to an oblong figure, when objects are near; and that, by its natural elasticity, it recovers its former figure when these muscles cease to act. Others again think that when these four straight muscles act together, they render the eye flat by pulling it inwards, and pressing the bottom of it against the fat; and that it is reduced to its former figure, either by the joint contraction of the two oblique muscles, or by the inherent elasticity of its parts, which exerts itself when the muscles cease to act.
That, if such a change should take place in the eye, it would produce distinct vision, will be readily granted; but that such a one does not take place, at least in any of these ways, is, in my opinion, very certain. Dr. Porterfield thinks that the crystalline lens has a motion by means of the ligamentum ciliare, by which the distance between it and the retina is increased or diminished, according to the different distances of objects. The ligamentum ciliare, he says, is an organ, the structure and disposition of which excellently qualify it for changing the situation of the crystalline, and removing it to a greater distance from the retina, when objects are too near for us; for that, when it contracts, it will not only draw the crystalline forwards, but will also compress the vitreous humour, lying behind it, so that it must press upon the crystalline, and push it from the retina. Although this hypothesis will, in a great measure, account for distinct vision at different distances, yet it could only be of use where the rays enter the eye with a certain degree of divergency, while, however we are sure, that in looking at very distant objects which are at different distances from us, the eye undergoes a change. But a sufficient objection to Dr. Porterfield's hypothesis is, that it is by no means proved that the crystalline lens can be moved in the manner he supposes, or that the ligamentum ciliare is possessed of muscular fibres; on the contrary some eminent anatomists deny that they are.
We shall now take a view of the opinion of M. de la Hire, who considered this subject, as well as almost every other relating to vision, with the closest attention; he maintains, that, in order to view objects distinctly at different distances, there is no alteration but in the size of the pupil, which is well known to contract and dilate itself according to the quantity of light flowing from the object we look at, being most contracted in the strongest light, and most dilated when the light is weakest; and consequently will contract when an object is held near the eye, and dilate as it is removed, because in the first case the quantity of light entering the eye is much greater than in the last. That this contraction of the pupil will have the effect of rendering vision distinct, especially when objects are within the furthest limits of distinct vision, will plainly appear, if we consider the cause of indistinct vision. Dr. Jurin has shown, that objects may be seen with sufficient distinctness, though the pencils of rays issuing from the points of them do not unite precisely in another point on the retina, but instead thereof, if they form a circle which does not exceed a certain magnitude, distinct vision will be produced; the circle formed by these rays on the retina he calls the circle of dissipation. The pupil will, by contracting, not only diminish the circles of dissipation, and thereby help to produce distinct vision, but will also prevent so great a quantity of light from falling near the circumferences of those circles; and Dr. Jurin has shown, that, if the light on the outer side of the circles of dissipation is diminished, the remainder will scarce affect the sense. In both these ways, the contraction of the pupil has a tendency to diminish the circles of dissipation, and, consequently, to produce distinct vision. This is likewise confirmed by experiment, for when an object is placed so near, that the pupil cannot be so much contracted as is necessary for distinct vision, the same end may be obtained by means of an artificial pupil: for, if a small hole is made in a card, a very near object may be viewed through it with the greatest ease and distinctness. Also, if a person have his back turned towards a window, and hold a book so near his eyes as not to be able to read, if he turn his face to the light, he will find, that he will be able to read it very distinctly; which is owing to the contraction of the pupil by means of the light.
M. Le Roi, a member of the Royal Academy of Montpelier, has attempted to defend the opinion of M. de la Hire, and, indeed, it seems, of all others, the best supported by facts; but perhaps it may not account so well for vision at great distances. It is likewise rendered more probable by viewing the pictures of external objects, formed in a dark chamber, by rays coming through a hole in the window shutter; those pictures will be rendered distinct, by dilating, or contracting the aperture, without the assistance of a lens, accordingly as the object is more or less distant; those who have had the crystalline lens depressed, or extracted, by means of one glass can see objects pretty distinctly at different distances. These, and several other arguments that might be brought, tend to prove that the eye accommodates itself to view objects distinctly at different distances, chiefly by means of the motion of the pupil; and though this does not explain the phenomenon so satisfactorily as we could wish, yet it is certain, that it has a share in it; we are however certain, that, in whatever manner it may be produced, the eye has a power of accommodating itself to view objects distinctly enough at several different distances.
Concerning the Seat of Vision.
No subject has been more canvassed than that concerning what is improperly called the seat of vision. In early times, the crystalline lens was thought to be best qualified for this office; but this substance, though situated in the middle of the eye, which Baptista Porta thought to be the proper centre of observation, had universally given place to the better founded pretensions of the retina: and, from the time of Kepler, few ventured to dispute its claim to that office, till M. Mariotte was led, from some curious circumstances, to think that vision was not performed by the retina, but by the choroid coat. Having often observed in the dissections of men, as well as of brutes, that the optic nerve is not inserted exactly opposite to the pupil, that is, in the place where the picture of the objects upon which we look directly, is made: and that in man it is somewhat higher, and on the side towards the nose, he had the curiosity to examine the reason of this structure, by throwing the image of an object on this part of the eye. In order to do this, he fastened on a dark wall, about the height of his eyes, a small round paper, to serve for a fixed point of sight; and he fastened such another paper on the right hand, at the distance of about two feet, but rather lower than the former, so that light issuing from it, might strike the optic nerve of his right eye, while the left was kept shut. He then placed himself over against the former paper, and drew back by degrees, keeping his right eye fixed, and very steady upon it, and when he had retired about ten feet, he found that the second paper entirely disappeared. This, he says, could not be imputed to the oblique position of the second paper, with respect to his eye, because he could see more remote objects on the same side. This experiment he repeated by varying the distances of the paper and his eye. He also made it with his left eye, while the right eye was kept shut, the second paper being fastened on the left side of the point of sight; so that by the situation of the parts of the eye, it could not be doubted that this defect of vision is in the place where the optic nerve enters, where only the choroides isdeficient.
From this he concludes, that the defect of vision is owing to the want of the choroid coat, and, consequently, that this coat is the proper organ of vision. A variety of other arguments in favour of the choroides occurred to him, particularly he observed that the retina is transparent, which he thought could only enable it to transmit the rays further, and he could not persuade himself that any substance could be considered as being the termination of the pencils, and the proper seat of vision, at which the rays are not stopped in their progress.
Mr. Pequet, in answer to Mariotte's observation, says, that the retina is very imperfectly transparent, resembling oiled paper, or horn: and, besides, that its whiteness demonstrates that it is sufficiently opaque for stopping the rays of light as much as is necessary for vision: whereas, if vision be performed by means of those rays which are transmitted through such a substance as the retina, it must be very indistinct.
Notwithstanding the plausibility of this opinion of M. Mariotte, and the number of celebrated men who joined him in it, I must confess, that none of their arguments, though very ingenious, have been able to make me a convert to that opinion.
If we argue from the analogy of the other senses, in all of which the nerves form the proper seat of sensation, we shall be induced to give judgment in favour of the retina. And this argument from analogy is much strengthened, by considering that the retina is a large nervous apparatus, immediately exposed to the impressions of light; whereas the choroides receives but a slender supply of nerves, and seems no more fitted for the organ of vision than any other part of the body. But facts are not wanting which make still more in favour of the retina. It appears from observations made upon the sea calf and porcupine, that these animals have their optic nerves inserted in the axis of the eye, directly opposite the pupil, which renders it very improbable that the defect in sight, where the optic nerves enter, can be owing to the want of the choroides in that place; for were this true, then in those creatures which have the optic nerves inserted in the axis of the eye, and which by consequence do directly receive on the extremity of the nerve the pictures of objects, all objects would become invisible to which their eyes are turned, because the choroides is wanting in that place where the image falls; but this is contrary to experience.
M. Le Cat, though he strenuously supports Mariotte's opinion, takes notice of a circumstance, which, if he had properly considered it, might have led him to a contrary conclusion: from a beautiful experiment he obtains data, which enable him with considerable accuracy to determine the size of the insensible spot in his eye, which he finds to be about 1/30 or 1/40 of an inch in diameter, and consequently only about 1/5 or 1/6 of the diameter of the optic nerve, that nerve being about 1/6 of an inch in diameter. I find that in my eye likewise, the diameter of the insensible spot is about 1/40 of an inch, or something less. Whence it is evident that vision exists where the choroid coat is not present, and consequently that the choroid coat is not the organ of vision.
It is probably owing to the hardness and callosity of the retina where the nerve enters, that we have this defect of sight, as it has not yet acquired that softness and delicacy which is necessary for receiving such slight impressions as those of the rays of light, and this conjecture is rendered still more probable by an observation of M. Pequet, who tells us, that a bright and luminous object, such as a candle, does not absolutely disappear, but one may see its light, though faint. This not only shows that the defect of sight is not owing to a want of the choroides, but also that the retina is not altogether insensible where the nerve enters. These circumstances, in my opinion, render it certain, that the retina, and not the choroid coat, is the organ of vision.
Of our seeing Objects erect by inverted Images.
Another question concerning vision, which has very much perplexed philosophers, is this; how comes it that we see objects erect, when it is well known that their images or pictures on the retina are inverted? The sagacious Kepler, who first made this discovery, was the first that endeavoured to explain the cause of it.
The reason he gives for our seeing objects erect, is this, that as the rays from different points of an object cross each other before they fall on the retina, we conclude that the impulse we feel upon the lower part of the retina comes from above; and that the impulse we feel from the higher part, comes from below. Des Cartes afterwards gave the same solution of this phenomenon, and illustrated it by the judgment we form of the position of objects which we feel with our arms crossed, or with two sticks that cross each other. But this solution is by no means satisfactory: first, because it supposes our seeing objects erect to be a deduction from reason, drawn from certain premises, whereas it seems to be an immediate perception; and secondly, because all the premises from which this conclusion is supposed to be drawn, are absolutely unknown to far the greater part of mankind, and yet they all see objects erect.
Bishop Berkeley, who justly rejects this solution, gives another, founded on his own principles, in which he is followed by Dr. Smith. This ingenious writer thinks that the ideas of sight are altogether unlike those of touch; and since the notions we have of an object by these different senses, have no similitude, we can learn only by experience how one sense will be affected, by what, in a certain manner, affects the other. Thus, finding from experience, that an object in an erect position, affects the eye in one manner, and that the same object in an inverted position, affects it in another, we learn to judge, by the manner in which the eye is affected, whether the object is erect or inverted. But it is evident that Bishop Berkeley proceeds upon a capital mistake, in supposing that there is no resemblance between the extension, figure, and position, which we see, and that which we perceive by touch. It may be further observed, that Bishop Berkeley's system, with regard to material things, must have made him see this question, in a very different light from that in which it appears to those who do not adopt his system.
In order to give a satisfactory answer to this question, we must first examine some of the laws of nature, which take place in vision; for by these the phenomena of vision must be regulated.
It is now, I believe, pretty well established, as a law of nature, that we see every point of an object in the direction of a right line, which passes from the picture of that point on the retina, through the centre of the eye. This beautiful law is proved by a very copious induction of facts; the facts upon which it is founded are taken from some curious experiments of Scheiner, in his Fundamenta Optices. They are confirmed by Dr. Porterfield, and well illustrated by Dr. Reid. The seeing objects erect by inverted images is a necessary consequence of this law of nature: for from thence it is evident that the point of the object whose picture is lowest on the retina, must be seen in the highest direction from the eye; and that the picture which is on the right side of the retina, must be seen on the left.
Of seeing Objects single with two Eyes.
That we should have two pictures of an object, and yet see it single, has long been looked upon as a curious circumstance by philosophers: and of consequence, many attempts have been made to account for it, few of which, however, are satisfactory.
As it would take up too much time to give a view of all the opinions on this subject, I shall pass over the opinions of Galen, Gassendus, Baptista Porta, Rohault, and others, which do not deserve a serious refutation; and shall content myself with making a few observations on the hypothesis of Bishop Berkeley.
But it seems the most proper way of proceeding, first of all to consider the phenomena of single and double vision, in order, if possible, to discover some general principle to which they lead, and of which they are necessary consequences; and, for the sake of perspicuity, we shall premise the following definition.
When a small object is seen single with both eyes, those points on the two retinas on which the pictures of the object fall, may be called corresponding points: and when the object is seen double, we shall call such points, non-corresponding points.
Now we find that in sound and perfect eyes, when the axes of both are directed to one point, an object placed in that point is seen single; and in this case, the two pictures which show the object single, are painted on the centres of the retinas. Hence, the centres of the two retinas correspond.
Other objects at the same distance from the eyes, as that to which their axes are directed, do also appear single: and in this case, it is evident to those who understand the principles of optics, that the pictures of an object to which the eyes are not directed, but which is at the same distance as that to which they are directed, fall both on the same side of the centre, that is, both to the right, or both to the left, and both at the same distance from the centre. Hence it is plain, that points in the retina, which are similarly situated with respect to the centres, are corresponding points.
An object which is much nearer, or much more distant from the eyes, than that to which their axes are directed, appears double. In this case, it will easily appear, that the pictures of the object which is seen double, do not fall upon points which are similarly situated. From these facts, we are led to the following conclusion, viz. that the points of the two retinas, which are similarly situated with respect to the centres, correspond with each other, and that the points which are dissimilarly situated, do not correspond. The truth of this general conclusion is founded upon a a very full induction, which is all the evidence we can have for a fact of this nature.
The next thing that seems to merit our attention, is, to inquire, whether this correspondence between certain points of the two retinas which is necessary to single vision, is the effect of custom, or an original property of the human eyes.
We have a strong argument in favour of its being an original property, from the habit we get of directing our eyes accurately to an object; we get this habit by finding it necessary for perfect and distinct vision; because thereby, the two images of the object falling upon corresponding points, the eyes assist each other in vision, and the object is seen better by both eyes together, than by one: but when the eyes are not accurately directed, the two images of the object fall upon points which do not correspond, whereby the sight of the one eye disturbs that of the other. Hence it is not unreasonable to conclude, that this correspondence between certain points of the retina is prior to the habits we acquire in vision: and, consequently, natural and original.
We have all acquired the habit of directing our eyes in one particular manner, which causes single vision; now if the Author of Nature had ordained that we should see objects single, only when our eyes are thus directed, there is an obvious reason why all mankind should agree in the habit of directing them in this manner; but, if single vision were the effect of custom, any other habit of directing the eyes would have answered the purpose; we therefore, on this supposition, can give no reason why this particular habit should be so universal.
Bishop Berkeley maintains a contrary opinion, and thinks that our seeing objects single with both eyes, as well as our seeing them erect, by inverted images, depends upon custom. In this he is followed by Dr. Smith, who observes, that the question, why we see objects single with both eyes, is of the same nature with this, why we hear sounds single with both ears; and that the same answer will serve for both; whence he concludes, that as the second of these phenomena is the effect of custom, so also is the first. But I think, that the questions are not so much of the same sort, as that the same answer will serve for both; and, moreover, that our hearing single with both ears is not the effect of custom. No person will doubt that things which are produced by custom, may be undone by disuse, or by a contrary custom. On the other hand, it is a strong argument, that an effect is not owing to custom, but to the constitution of nature, when a contrary custom, long continued, is found neither to change nor weaken it. Now it appears, that from the time we are able to observe the phenomena of single and double vision, custom makes no change in them, every thing which at first appeared double, appearing so still in the same circumstances. Dr. Smith has adduced some facts in favour of his opinion, which, though curious, seem by no means decisive. But in the famous case of the young man couched by Mr. Cheselden, after having had cataracts in both his eyes till his thirteenth year, it appears that he saw objects single from the time he began to see with both eyes. And the three young gentlemen mentioned by Dr. Reid, who had squinted, as far as he could learn, from infancy, as soon as they learned to direct both eyes to an object, saw it single.
In these cases it is evident that the centres of the retina corresponded originally, for Mr. Cheselden's young man had never seen at all before he was couched, and the other three had never been accustomed to direct the axes of both eyes to the same point. These facts render it probable, that this correspondence is not the effect of custom, but of fixed and immutable laws of nature.
With regard to the cause of this correspondence, many theories have been proposed, but as none of them can be looked on in any other light than as probable conjectures, I think it would be to little purpose to notice them. That of the illustrious Newton is the most ingenious of any, and though it has more the appearance of truth than any other, that great man has proposed it under the modest form of a query.
Having given a short account of the principal phenomena of vision, I proceed next to treat of some of the diseases to which this sense is subject, I shall first take notice of the deformity called squinting.
Of Squinting.
Though this is a subject which well deserves our particular attention, yet having spoken of such a variety of subjects in the preceding part of this lecture, I have not time for many observations on this. I shall just mention the principal opinions, concerning the cause of this deformity, and point out that which seems to me most probable. This subject is certainly very worthy the attention of the physician, as it is a case concerning which he may often be consulted, and which it may be sometimes in his power to cure.
A person is said to squint, when the axes of both his eyes are not directed to the same object.
This defect consists in the wrong direction of one of the eyes only. I have never met with an instance in which both eyes had a wrong direction, neither have I seen one accurately described by any author.
The generality of writers on this subject have supposed this defect to proceed from a disease of, or want of proper correspondence in, the muscles of the eyes, which not acting in proper concert with one another, as in persons free from this blemish, are not able to point both eyes to the same object. But this, I think, is very seldom the cause, for when the other eye is shut, the distorted eye can be moved by the action of its muscles, in all possible directions, as freely as that of any other person, which shows that it is not owing to a defect in the muscles, neither is it owing to a want of correspondence in the muscles of both eyes; for when both eyes are open, and the undistorted eye is moved in any direction whatever, the other always accompanies it, and is turned the same way at the same instant of time.
I shall next take notice of the hypothesis of M. de la Hire, who supposes, that in the generality of mankind, that part of the retina which is seated in and about the axis of the eye, is of a more delicate sense and perception than what the rest of the coat is endowed with; and therefore we direct both axes to the same object, chiefly in order to receive the picture on that part of the retina which can best perceive it; but in persons who squint, he conceives the most sensible part of the retina of one eye, not to be placed in the axis, but at some distance from it: and that, therefore, this more sensible part of the retina is turned towards the object, to which the other eye is directed, and thus causes squinting. This ingenious hypothesis has been followed by Dr. Boerhaave, and many other eminent physicians. If it be true, then if the sound eye be shut, and the distorted eye alone be used to look at an object, it must still be as much distorted as before, for the same reason: but the contrary is true in fact; for if you desire such a person to close his other eye and look at you with that which is usually distorted, he will immediately turn the axis of it directly towards you. If you bid him open the undistorted eye, and look at you with both eyes, you will find the axis of this last pointed at you and the other turned away, and drawn close to the nose, or perhaps to the upper eye lid. From these facts, and some others mentioned by Dr. Jurin, I think we may conclude that this defect is seldom, if ever, occasioned by such a preternatural make of the eye, as M. de la Hire supposed.
From the most accurate observations it will appear, that by far the most common cause of squinting, is a defect in the distorted eye. Dr. Reid examined above twenty people that squinted, and found in all of them a defect in the sight of one eye; M. Buffon likewise, from a great number of observations, has found that the true and original cause of this blemish, is an inequality in the goodness, or in the limits of distinct vision, in the two eyes. Dr. Porterfield says this is generally the case with people who squint; and I have found it so in all that I have had an opportunity of examining.
With regard to the nature of this defect, the distorted eye is sometimes more convex, and sometimes more flat, than the sound one; sometimes it does not depend upon the convexity, but upon a weakness, or some other affection, of the retina, of the nature of which we are ignorant.
It will be easy to conceive how this inequality of goodness in the two eyes, when in a certain degree, must necessarily occasion squinting, and that this blemish is not a bad habit, but a necessary one, which the person is obliged to learn, in order to see with advantage. When the eyes are equally good, an object will appear more distinct and clear when viewed with both eyes than with only one; but the difference is very little. The ingenious Dr. Jurin, who has made some beautiful experiments to ascertain this point, has shown, that when the eyes are equal in goodness, we see more distinctly with both than with one, by about one thirteenth part only. But M. Buffon has found that when the eyes are unequal, the case will be quite different. A small degree of inequality will make the object, when seen with the better eye alone, appear equally bright or clear, as when seen with both eyes; a little greater inequality will make the object appear less distinct when seen with both eyes, than when it is seen with the stronger eye alone; and a still greater inequality will render the object, when seen with both eyes, so confused, that in order to see it distinctly, one will be obliged to turn aside the weak eye, and put it into a situation where it cannot disturb the sight of the other. The truth of this may be easily proved by experiment. Let a person take a convex lens, and hold it about half an inch before one of his eyes; he will, by these means, render them very unequal. and if he attempt to read with both eyes, he will perceive a confusion in the letters, caused by this inequality; which confusion will disappear as soon as he shuts the eye which is covered with the lens, and looks only with the other.
Squinting is a necessary consequence of this inequality in the goodness of the two eyes; for a person whose eyes are to a certain degree unequal, finds that, when he looks at an object, he sees it very indistinctly; every conformation, or change of direction of his eyes which lessens the evil, will be agreeable; and he will acquire a habit of turning his eye towards the nose, not for the sake of seeing better with it, but in order to avoid, as much as possible, seeing at all with the distorted eye; for which purpose it will be drawn either under the upper eye lid, so that the pupil may be entirely or partially covered; or directly towards the nose, in which case the image of the object will fall at a distance from the axis of the eye: and it is a fact well known to philosophers, that we never naturally attend to an image which is at a distance from the axis; so that in this situation it will give little disturbance to the sight of the other.
It is easy to show that a squinting person very seldom, if ever, sees an object with the distorted eye. Indeed in above forty cases that I have examined, I found that when I placed an opaque body between the undistorted eye and the object, it immediately disappeared, nor were they able to see it at all, till they directed the axis of the distorted eye to the object. I find the same observation made by Dr. Reid and M. Buffon.
M. Buffon takes notice of a fact which I have often observed; viz. that many persons have their eyes very unequal without squinting.
When the difference is very considerable, the weak eye does not turn aside, because it can see almost nothing, and therefore cannot disturb the vision of the good eye. Also, when the inequality is but small, the weak eye will not turn aside, as it affords very little disturbance to the sight of the other: when the inequality consists in the difference of convexity, or difference of the limits of distinct vision, having the limits of distinct vision in each eye given, it may be calculated with some degree of accuracy what degree of inequality is necessary to produce squinting. It seems then that there are certain limits with regard to the inequality of the eyes, necessary to produce this deformity; and that if the inequality be either greater or less than these limits, the person will not squint.
Having now endeavoured to show what is the most common cause of squinting, I shall briefly attempt to point out those cases in which we may expect to effect a cure, and afterwards give a very short account of the most likely methods of doing it.
We cannot have great hopes of success, when there is a very great defect in the distorted eye. When the eyes are of different convexities, there is no other way of removing the deformity, than by bringing them to an equality by means of glasses, and then the person would only look straight when he used spectacles. When this defect is owing to a weakness in the distorted eye, it may sometimes be cured: M. Buffon observes that a weak eye acquires strength by exercise, and that many persons, whose squinting he had thought to be incurable, on account of the inequality of their eyes, having covered their good eye for a few minutes only, and consequently being obliged to exercise their bad one for that short time, were themselves surprised at the strength it had acquired, and on measuring their view afterwards, he found it to be more extended, and judged the squinting to be curable. In order therefore to judge with any certainty of the possibility of a cure, it ought always to be tried whether the distorted eye will grow better by exercise; if it does not, we can have little hopes of success; but when the eyes do not differ much in goodness, and it is found that the distorted eye acquires strength by exercise, a cure may then be attempted: and the best way of doing it, (according to M. Buffon) is to cover the good eye for some time, for, in this condition, the distorted eye will be obliged to act, and turn itself towards objects, which by degrees will become natural to it.
When the eyes are nearly brought to an equality by exercise, but cannot both be directed to the same point, Dr. Jurin's method may be practised, which is as follows.
If the person is of such an age, as to be capable of observing directions, place him directly before you, and let him close the undistorted eye, and look at you with the other; when you find the axis of this fixed directly upon you, bid him endeavour to keep it in that situation, and open the other eye; you will now see the distorted eye turn away from you towards his nose, and the axis of the other will be pointed towards you, but with patience and repeated trials he will, by degrees, be able to keep the distorted eye fixed upon you, at least for some time after the other is opened, and when you have brought him to keep the axis of both eyes fixed upon you, as you stand directly before him, it will be time to change his posture, and set him, first a little to one side of you, and then to the other, and so practise the same thing. And when, in all these situations, he can perfectly and readily turn the axes of both eyes towards you, the cure is effected. An adult person may practice all this before a mirror, without a director, though not so easily as with one: but the older he is, the more patience will be necessary.
With regard to the success of this method, M. Buffon says, that having communicated his scheme to several persons, and, among others, to M. Bernard de Jussieu, he had the satisfaction to find his opinion confirmed by an experiment of that gentleman, which is related by Mr. Allen, in his Synopsis Universae Medicinae. Dr. Jurin tells us that he had attempted a cure in this manner with flattering hopes of success, but was interrupted by the young gentleman's falling ill of the small pox, of which he died. Dr. Reid likewise tried it with success on three young gentlemen, and had brought them to look straight when they were upon their guard. Upon the whole this seems by much the most rational method of attempting to cure the deformity.
The only remaining morbid affections of the eye which I shall take notice of in this lecture, are two, which produce the indistinct vision of an object, by directly opposite means. The first is caused by the cornea, and crystalline, or either of them, being too convex, or the distance between the retina and crystalline being too great. It is evident, that from any of these causes, or all combined, the distinct picture of an object, at an ordinary distance, will fall before the retina, and therefore the picture on the retina itself must be confused, which will render the vision confused and indistinct; whence, in order to see things distinctly, people whose eyes are so formed are obliged to bring the object very near their eyes; by which means the rays fall upon the eye in a more diverging state, so that a distinct picture will be formed on the retina, by which the object will be distinctly seen: from the circumstance of such persons being obliged to hold objects near their eyes, in order to see them distinctly, they are called short sighted.
If a short sighted person look at an object through a small hole made in a card, he will be able to see even remote objects, with tolerable distinctness, for this lessens the circles of dissipation on the retina, and thus lessens the confusion in the picture. For the same purpose, we commonly observe short sighted people, when they wish to see distant objects more distinctly, almost shut their eye lids: and it is from this, says Dr. Porterfield, that short sighted persons were anciently called myopes.
The sight of myopes is remedied by a concave lens of proper concavity, which, by increasing the divergency of the rays, causes them to be united into a focus on the retina: and they do not require different glasses for different distances, for, if they have a lens which will make them see distinctly at the distance most commonly used by other persons, for example, at the distance at which persons whose eyes are good generally read, they will, by the help of the same glass, be able to see distinctly at all the distances at which good sighted people can see distinctly: for the cause of shortsightedness, is not a want of power to vary the conformation of the eye, but is owing to the whole quantity of refraction being too great for the distance of the retina from the cornea.
The other defect to be mentioned, is of an opposite nature, and persons labouring under it are called long sighted, or presbytae: it is caused by the cornea and crystalline, or either of them, being too flat in proportion to the distance between the crystalline and retina: whence it follows, that the rays which come from an object at an ordinary distance, will not be sufficiently refracted, and, consequently, will not meet at the retina, but beyond it, which will render the picture on the retina confused, and vision indistinct. Whence, in order to read, such persons are obliged to remove the book to a great distance, which lessens the divergency of the rays falling on the eye, and makes them converge to a focus sooner, so as to paint a distinct image on the retina.
The presbytical eye is remedied by a convex lens of proper convexity, which makes the rays converge to a focus sooner, and thus causes distinct vision: the sight of such persons is even more benefited by a convex lens, than that of myopes by a concave one; for a convex lens not only makes the picture of the object on the retina distinct, but also more bright, by causing a greater quantity of light to enter the pupil; while a concave one, at the same time that it renders vision distinct, diminishes the quantity of light.
Long sighted persons commonly become more so as they advance in years, owing to a waste of the humours of the eye; and even many people whose sight was very good in their youth, cannot see without spectacles when they grow old. The same waste in the humours of the eye, is the reason why shortsighted persons commonly become less so as they advance in years; so that many who were shortsighted in their youth, come to see very distinctly when they grow old. Dr. Smith seems to doubt this, and thinks that it is rather a hypothesis than a matter of fact. I have however myself seen several instances in confirmation of it; and it is very natural to suppose, that since short and long sight depend upon directly opposite causes, and since the latter is increased by age, the former must be diminished by it.
LECTURE IX. THE LAWS OF ANIMAL LIFE.
In the preceding lectures I have taken a view, first of the general structure and functions of the living body, and next of the different organs called senses, by means of which we become acquainted with external objects. I shall next endeavor to show that, through the medium of these different senses, external objects affect us in a still different manner, and by their different action, keep us alive: for the human body is not an automaton; its life, and its different actions, depend continually on impressions made upon it by external objects. When the action of these ceases, either from their being withdrawn, or from the organization necessary to perceive them, being deranged or injured, the body becomes a piece of dead matter; becomes obedient to the common laws of chemical attraction, and is decomposed into its pristine elements, which, uniting with caloric, form gases; which gases, being carried about in the atmosphere, or dissolved in water, are absorbed by plants, and contribute to their nourishment. These are devoured by animals, which in their turn die, and are decompounded; thus, in the living world, as well as in the inanimate, every thing is subject to change, and to be renewed perpetually.
"Look nature through, 'tis revolution all, All change, no death; day follows night; and night, The dying day; stars rise, and set, and rise; Earth takes th' example; see the summer gay, With her green chaplet, and ambrosial flowers, Droops into pallid autumn; winter gray, Horrid with frost, and turbulent with storm, Blows autumn and his golden fruits away, Then melts into the spring; soft spring with breath Favonian, from warm chambers of the south Recals the first. All to reflourish, fades; As in a wheel, all sinks to reascend."
The subject on which we are entering is of the utmost importance; for, by pointing out the manner in which life is supported and modified by the action of external powers, it discovers to us the true and only means of promoting health and longevity; for the action of these powers is generally within our own direction; and if the action of heat, food, air, and exercise, were properly regulated, we should have little to fear from the attacks of diseases.
When we examine the human body, the most curious and unaccountable circumstance that we observe, is its life, or its power of motion, sensation, and thought: for though the structure of the different parts which we have examined must excite our admiration and wonder, each part being admirably fitted for the performance of its different functions, yet without the breath of life, all these beautiful contrivances would have been useless. We have seen that the structure of the eye indicates in its contriver, the most consummate skill in optics; and of the ear the most perfect knowledge of sounds; yet if sensibility had not being given to the nerves which administer to these organs, the pulses of the air might have been communicated to the fluid in the labyrinth, and the rays of light might have formed images in the retina, without our being, in the smallest degree, conscious of their existence.
Though our efforts to discover the nature of life have hitherto been, and perhaps always will be, unsuccessful, yet we can, by a careful induction, or observation of facts, discover the laws by which it is governed, with respect to the action of external objects. This is what I shall now attempt to do.
The first observation which strikes us, is that of the very different effects that are produced when inanimate bodies act on each other, and when they exert their action on living matter.
When dead matter acts upon dead or inanimate matter, the only effects we perceive are mechanical, or chemical; that is, either motion, or the decomposition and new combination of their parts. If one ball strikes another, it communicates to it a certain quantity of motion, this is called mechanical action; and if a quantity of salt, or sugar, be put into water, the particles of salt, or sugar, will separate from each other, and join themselves to the particles of the water; these substances in these instances are said to act chemically on each other, and in all cases whatever, in which inanimate or dead bodies act on each other, the effects produced are motion, or chemical attraction; for though there may appear to be other species of action which sometimes take place, such as electric and magnetic attraction and repulsion, yet these are usually referred to the head of mechanical action or attraction.
But when dead matter acts upon those bodies we call living, the effects produced are much different. There are many animals which pass the winter in a torpid state which has all the appearance of death; and they would continue in that state, if deprived of the influence of heat; now heat if applied to dead matter, will only produce motion, or chemical combination: in fluids it produces motions by occasioning a change in their specific gravity; and we know that it is one of the most powerful agents in chemical combination and decomposition; but these are the only effects it produces when it acts upon dead matter. But let us examine its effects when applied to living organized bodies. Bring a snake or other torpid animal into a moderately warm room, and observe what will be the consequence. After a short time the animal begins to move, to open its eyes and mouth; and when it has been subject to the action of heat for a longer time, it crawls about in search of food, and performs all the functions of life.
Here then, dead matter, when applied to the living body, produces the living functions, sense and motion: for if the heat had not been applied, the animal would have continued senseless, and apparently lifeless.
In more perfect animals, the effects produced by the action of dead matter upon them, are more numerous, and are different in different living systems; but are in general the following; sense and motion in almost all animals, and in many the power of thinking, and other affections of the mind.
The powers, or dead matters, which by their action produce these functions, are chiefly heat, food, and air. The proof that these powers do produce the living functions is in my opinion very satisfactory, for when their action is suspended, the living functions cease. If we take away, for instance, heat, air, and food, from animals, they soon become dead matter. This is as strong a proof that these matters are the cause of the functions, as that heat is the cause of the expansion of bodies, when we find that by withdrawing it the expansion ceases. Indeed it is not necessary that an animal should be deprived of all these powers to put a stop to the living functions; if any one of them is taken away, the body sooner or later becomes dead matter: it is found by experience, that if a man is deprived of air, he dies in about three or four minutes; for instance, if he is immersed under water: if he is deprived of heat, or in other words is exposed to a very severe degree of cold, he likewise soon dies; or if he is deprived of food, his death is equally certain, though more slow; it is sufficiently evident then that the living functions are owing to the action of these external powers upon the body.
What I have here said is not confined to animals, but the living functions of vegetables are likewise caused by the action of dead matter upon them. The powers, which by their actions produce the living functions of vegetables, are principally heat, moisture, light, and air.
From what has been said, it clearly follows, that living bodies must have some property different from dead matter, which renders them capable of being acted on by these external powers, so as to produce the living functions; for if they had not, it is evident that the only effects which these powers could produce, would be mechanical, or chemical.
Though we know not exactly in what this property consists, or in what manner it is acted on, yet we see that when bodies are possessed of it, they become capable of being acted on by external powers, so as to produce the living functions.
We may call this property, with Haller, irritability, or, with Brown, excitability; or we may use vital principle, or any other term, could we find one more appropriate. I shall use the term excitability, as perhaps the least liable to exception, and in using this term, it is necessary to mention that I mean only to express a fact, without the smallest intention of pointing out the nature of that property which distinguishes living from dead matter; and in this we have the illustrious example of Newton, who called that property which causes bodies in certain situations to approach each other, gravitation, without in the least hinting at its nature. Yet though he knew not what gravitation was, he investigated the laws by which bodies were acted on by it, and thus solved a number of phenomena which were before inexplicable: in the same manner, though we are ignorant of the nature of excitability, or of the property which distinguishes living from dead matter, we can investigate the laws by which dead matter acts upon living bodies through this medium. We know not what magnetic attraction is, yet we can investigate its laws: the same may be observed with respect to electricity. If ever we should obtain a knowledge of the nature of this property, it would make no alteration in the laws which we had before discovered.
Before we proceed to the investigation of the laws by which the living principle or excitability is acted on, it will be first necessary to define some terms, which I shall have occasion to use, to avoid circumlocution: and here it may not be improper to observe, that most of our errors in reasoning have arisen from want of strict attention to this circumstance, the accurate definition of those terms which we use in our reasoning. We may use what terms we please, provided we accurately define them, and adhere strictly to the definition. On this depends the excellence and certainty of the mathematical sciences. The terms are few, and accurately defined; and in their different chains of reasoning mathematicians adhere with the most scrupulous strictness to the original definition of the terms. If the same method were made use of in reasoning on other subjects, they would approach to the mathematics in simplicity and in truth, and the science of medicine in particular would be stripped of the heaps of learned rubbish which now encumber it, and would appear in true and native simplicity. Such is the method I propose to follow: I am certain of the rectitude of the plan; of the success of the reasoning it does not become me to judge.
When the excitability is in such a state as to be very susceptible of the action of external powers, I shall call it abundant or accumulated; but when it is found in a state not very capable of receiving their action, I say it is deficient or exhausted. Let no one however suppose that by these terms I mean to hint in the least at the nature of the excitability. I do not mean by them that it is really at one time increased in quantity or magnitude, and at another time diminished: its abstract nature is by no means attempted to be investigated. These or similar terms the poverty or imperfection of language obliges us to use. We know nothing of the nature of the excitability or vital principle, and by the terms here used I mean only to say, that the excitability is sometimes easily acted on by the external powers, and then I call it abundant or accumulated; at other times the living body is with more difficulty excited, and then I say the vital principle or excitability, whatever it may be, is deficient or exhausted.
On examination we shall find the laws by which external powers act on living bodies to be the following.
First, when the powerful action of the exciting powers ceases for some time, the excitability accumulates, or becomes more capable of receiving their action, and is more powerfully affected by them.
If we examine separately the different exciting powers which act on the body, we shall find abundant confirmation of this law. Besides the exciting powers which act on the body, which I mentioned; viz. heat, food, and air, there are several others, such as light, sound, odorous substances, &c. which will be examined in their proper places. These powers, acting by a certain impulse, and producing a vigorous action of the body, are called stimulants, and life we shall find to be the effect of these and other stimulants acting on the excitability.
The stimulus of light, though its influence in this respect is feeble, when compared with some other external powers, yet has its proportion of force. This stimulus acts upon the body through the medium of the organ of vision. Its influence on the animal spirits strongly demonstrates its connexion with animal life, and hence we find a cheerful and depressed state of mind in many people, and more especially in invalids, to be intimately connected with the presence or absence of the sun. Indeed to be convinced of the effects of light we have only to examine its influence on vegetables. Some of them lose their colour when deprived of it, many of them discover a partiality to it in the direction of their flowers; and all of them perspire oxygen gas only when exposed to it; nay it would seem that organization, sensation, spontaneous motion, and life, exist only at the surface of the earth, and in places exposed to light. Without light nature is lifeless, inanimate, and torpid.
Let us now examine if the action of light upon the body is subject to the law that has been mentioned. If a person be kept in darkness for some time, and then be brought into a room in which there is only an ordinary degree of light, it will be almost too oppressive for him, and will appear excessively bright; and if he have been kept for a considerable time in a very dark place, the sensation will be very painful. In this case, while the retina or optic nerve was deprived of light, its excitability accumulated, or became more easily affected by light: for if a person go out of one room into another, which has an equal degree of light, he will perceive no effect.
You may convince yourselves of the truth of this law, by a very simple experiment; shut your eyes, and cover them for a minute or two with your hand, and endeavour not to think of the light, or what you are doing; then open them, and the daylight will for a short time appear brighter.
If you look attentively at a window for about two minutes, then cast your eyes upon a sheet of white paper, the shape of the window frames will be perfectly visible upon the paper; those parts which express the wood work appearing brighter than the other parts. The parts of the optic nerve on which the image of the frame falls, are covered by the wood work from the action of the light; the excitability of these parts will therefore accumulate; and the parts of the paper which fall upon them must of course appear brighter.
If a person be brought out of a dark room where he has been confined, into a field covered with snow, when the sun shines, it has been known to affect him so much as to deprive him of sight altogether.
This law is well exemplified when we come into a dark room in the day time. At first we can see nothing; but with the absence of light the excitability accumulates, and we begin to have an imperfect glimpse of the objects around us; after a while the excitability of the retina is so far accumulated, and we become so sensible of the feeble light reflected from the surfaces of bodies, that we can discern their shapes, and sometimes even their colours.
Let us next consider what happens with respect to heat, which is a uniform and active stimulus in promoting life. The extensive influence of heat upon animal life is evident from its decay and suspension during winter, in certain animals, and from its revival upon the approach and action of the vernal sun.
If this stimulus is for some time abstracted from the whole body, or from any part, the excitability accumulates, or, in other words, if the body has been for some time exposed to cold, it is more liable to be affected by heat afterwards applied. Of this also you may be convinced by an easy experiment. Put one of your hands into cold water, and then put both into water which is considerably warm: the hand which has been in the cold water will feel much warmer than the other. If you handle some snow in one hand while you keep the other in the bosom, that it may be of the same heat with the body, and then bring both within the same distance of the fire, the heat will affect the cold hand infinitely more than the warm one. This is a circumstance of the utmost importance, and ought always to be carefully attended to. When a person has been exposed to a severe degree of cold for some time, he ought to be cautious how he comes near a fire, for his excitability will be so much accumulated that the heat will act very violently, often producing a great degree of inflammation, and even sometimes of mortification. This is a very common cause of chilblains, and other similar inflammations. When the hands, or any other parts of the body, have been exposed to a violent cold, they ought first to be put in cold water, or even rubbed with snow, and exposed to warmth in the gentlest manner possible.
The same law regulates the action of food, or matters taken into the stomach: if a person have for some time been deprived of food, or have taken it in small quantity, whether it be meat or drink, or if he have taken it of a less stimulating quality, he will find that when he returns to his ordinary mode of life it will have more effect upon him than before he lived abstemiously.
Persons who have been shut up in a coal work, from the falling in of the pit, and have had nothing to eat for two or three days, have been as much intoxicated by a bason of broth, as a person in common circumstances with two or three bottles of wine.
This circumstance was particularly evident among the poor sailors who were in the boat with Captain Bligh after the mutiny. The Captain was sent by government to convey some plants of the bread fruit tree from Otaheite to the West Indies: soon after he left Otaheite the crew mutinied, and put the captain and most of the officers, with some of the men, on board the ship's boat, with a very short allowance of provisions, and particularly of liquors, for they had only six quarts of rum, and six bottles of wine, for nineteen people, who were driven by storms about the south sea, exposed to wet and cold all the time, for nearly a month; each man was allowed only a teaspoonful of rum a day, but this teaspoonful refreshed the poor men, benumbed as they were with cold, and faint with hunger, more than twenty times the quantity would have done those who were warm and well fed; and had it not been for the spirit having such power to act upon men in their condition, they never could have outlived the hardships they experienced. All these facts, and many others which might be brought forward, establish, beyond dispute, the truth of the law I mentioned; viz. that when the powerful action of the exciting powers ceases for some time, the excitability accumulates, or becomes more capable of receiving their actions, and is more powerfully affected by them.
When the legs or arms have for some time been exposed to cold, the slightest exertion, or even the stimulus of a gentle heat, throws the muscles into an inordinate action or cramp. The glow of the skin, in coming out of a cold bath, may be explained on the same principle. The heat of the skin is diminished by the conducting power of the water, in consequence of which the excitability of the cutaneous vessels accumulates; and the same degree of heat afterwards applied, excites these now more irritable vessels to a great degree of action.
On this principle depends the supposed stimulant or tonic powers of cold, the nature of whose action has been much mistaken by physicians and physiologists. Heat is allowed to be a very powerful stimulus; but cold is only a diminution of heat; how then can cold act as a stimulus? In my opinion it never does; but its effects may be explained by the general law which we have been investigating. When a lesser stimulus than usual has been applied to the body, the excitability accumulates, and is then affected by a stimulus even less than that which, before this accumulation, produced no effect whatever. The cold only renders the body more subject to the action of heat afterwards applied, by allowing the excitability to be accumulated. No person, I believe, ever brought on an inflammation, or inflammatory complaint, by exposure to cold, however long might have been that exposure, or however great the cold; but if a person have been out in the cold air, and afterwards come into a warm room, an inflammatory complaint will most probably be the consequence.
Indeed coming out of the cold air into a moderately warm room generally produces a lively and continued warmth in the parts that have been exposed.
The second general law is, that when the exciting powers have acted with violence for a considerable time, the excitability becomes exhausted, or less fit to be acted on; and this we shall be able to prove by a similar induction.
Let us first examine the effects of light upon the eye: when it has acted violently for some time on the optic nerve, it diminishes the excitability of that nerve, and renders it incapable of being affected by a quantity of light, that would at other times affect it. When we have been walking out in the snow, if we come into a room, we shall scarcely be able to see any thing for some minutes.
If you look stedfastly at a candle for a minute or two, you will with difficulty discern the letters of a book which you were before reading distinctly. When our eyes have been exposed to the dazzling blaze of phosphorus in oxygen gas, we can scarcely see any thing for some time afterwards, and if we look at the sun, the excitability of the optic nerve is so overpowered by the strong stimulus of his light, that nothing can be seen distinctly for a considerable time. If we look at the setting sun, or any other luminous object of a small size, so as not greatly to fatigue the eye, this part of the retina becomes less sensible to smaller quantities of light; hence when the eyes are turned on other less luminous parts of the sky, a dark spot is seen resembling the shape of the sun, or other luminous object on which our eyes have been fixed.
On this account it is that we are some time before we can distinguish objects in an obscure room, after coming from broad daylight, as I observed before.
We shall next consider the action of heat. Suppose water to be heated to 90 degrees, if one hand be put into it, it will appear warm; but if the other hand be immersed in water heated to 120 degrees, and then put into the water heated to 90 degrees, that water will appear cold, though it will still feel warm to the other hand: for the excitability of the hand has been exhausted, by the greater stimulus of heat, to such a degree as to be insensible of a less stimulus.
Before we go into a warm bath, the temperature of the air may seem very warm and pleasant to the body, even though exposed naked to it; but after we have remained for some time in the warm bath, we feel the air, when we come out, very cool and chilling, though it is of the same temperature as before; for the hot water exhausts the excitability of the vessels of the skin, and renders them less capable of being affected by a smaller degree of heat. Thus we see that the effects of the hot and cold bath are different and opposite; the one debilitates by stimulating, and the other produces stimulant or tonic effects by debilitating. This seeming paradox may, however, be easily explained by the principles we have laid down; and though the hot and cold bath produce such different effects, yet it is only the same fluid, with a small variation in the degree of temperature; but these effects depend on the temperature of our body being such, that a small decrease of it will produce an accumulation of excitability, while a small increase will exhaust it.
I shall next proceed to examine the effects of the substances taken into the stomach; and as the effects of spirituous and vinous liquors are a little more remarkable than those of food, I shall first begin with them.
A person who is not accustomed to take these liquors, will be intoxicated by a quantity that will produce no effect upon one who has been some time accustomed to take them; and when a person has used himself to these stimulants for some time, the ordinary powers which in common support life, will not have their proper effects upon him, because his excitability has been, in some measure, exhausted by these stimulants.
The same holds good with respect to tobacco and opium; a person accustomed to take opium, or smoke tobacco, will not be affected by a quantity that would completely intoxicate one not used to them, because the excitability has been so far exhausted by the use of those stimulants, that it cannot be acted on by a smaller quantity.
That tobacco or opium act in the same manner as wine or spirits, scarce needs any illustration. In Turkey they intoxicate themselves with opium, in the same way that people in this country do with wine and spirits; and those who have been accustomed to take this drug for a considerable time, feel languid and depressed when they are deprived of it for some time; they repair to the opium houses, as our dram drinkers do to the gin shops in the morning, sullen, dejected, and silent; in an hour or two, however, they are all hilarity. This shows the effects of opium to be stimulant. Tobacco intoxicates those who are not accustomed to it, and in those who are, it produces a serene and composed state of mind by its stimulating effects. Like opium and fermented liquors it exhausts the excitability, and leaves the person dejected, and all his senses blunted, when its stimulant effects are over.
That what is more properly called food acts in the same way as the substances I have just examined, is evident from the fact which I mentioned some time ago, that persons whose excitability has been accumulated, by their being deprived of food for some days, have been intoxicated by a bason of broth.
These facts, with innumerable others which will easily suggest themselves, prove, beyond doubt, the truth of the second law, namely, that when the exciting powers have acted violently, or for a considerable time, the excitability is exhausted, or less fit to be acted on.
Besides the stimulants which I have mentioned, there are several others which act upon the body, many of which will hereafter be considered: but all act according to this law; when their action has been suspended or diminished, the excitability of the organ on which they act becomes accumulated, or more easily affected by their subsequent action; and, on the contrary, when their action has been violent, or long continued, the excitability becomes exhausted, or less fit to receive their actions.
Among the stimulants acting on the body, we may mention sound, which has an extensive influence on human life. I need not mention here its numerous natural, or artificial sources, as that has been fully done in a preceding lecture. The effect of music, in stimulating and producing a state of mind approaching to intoxication, is universally known. Indeed the influence of certain sounds in stimulating, and thereby increasing, the powers of life, cannot be denied. Fear produces debility, which has a tendency to death. Sound obviates this debility, and restores to the system its natural degree of excitement. The schoolboy and the clown invigorate their trembling limbs, by whistling, or singing, as they pass by a country churchyard, and the soldier feels his departing courage recalled in the onset of a battle, by the "spirit stirring drum."
Intoxication is generally attended with a higher degree of life or excitement than is natural. Now sound will produce this effect with a very moderate portion of fermented liquor; hence we find persons much more easily intoxicated and highly excited at public entertainments, where there is music and loud talking, than in private companies, where no auxiliary stimulus is added to that of wine.
Persons who are destitute of hearing and seeing, possess life in a more languid state than other people; which is, in a great degree, owing to the want of the stimulus of light and noise.
Odours have likewise a very sensible effect in promoting animal life. The effects of these will appear obvious in the sudden revival of life, which they produce, in cases of fainting. The smell of a few drops of hartshorn, or even a burnt feather, has frequently, in a few minutes, restored the system from a state of weakness, bordering upon death, to an equable and regular degree of excitement.
All these different stimuli undoubtedly produce the greatest effects upon their proper organs; thus the effect of light is most powerful on the eye; that of sound on the ear; that of food on the stomach, &c. But their effects are not confined to these organs, but extended over the whole body. The excitability exists, one and indivisible, over the whole system; we may call it sensibility, or feeling, to enable us to understand the subject. Every organ, or indeed the whole body, is endowed with this property in a greater or less degree, so that the effects produced by any stimulus, though they are more powerful on the part where they are applied, affect the whole system: odours afford an instance of this; and the prick of a pin in the finger, produces excitement, or a stimulant effect, over the whole body.
From what has been said, it must be evident that life is the effect of a number of external powers, constantly acting on the body, through the medium of that property which we call excitability; that it cannot exist independent of the action of these stimuli; when they are withdrawn, though the excitability does not instantly vanish, there is no life, no motion, but the semblance of death. Life, therefore, is constantly supported by, and depends constantly on, the action of external powers on the excitability; without excitability these stimulants would produce no effect, and whatever may be the nature of the excitability, or however abundant it may be, still, without the action of external powers, no life is produced.
From what has been said, we may see the reason why life is in a languid state in the morning: It acquires vigour by the gradual and successive application of stimuli in the forenoon: It is in its most perfect state about midday, and remains stationary for some hours: From the diminution or exhaustion of the excitability, it lessens in the evening, and becomes more languid at bed time; when, from defect of excitability, the usual exciting powers will no longer produce their effect, a torpid state ensues, which we call sleep, during which, the exciting powers cannot act upon us; and this diminution of their action allows the excitability to accumulate; and, to use the words of Dr. Armstrong,
"Ere morn the tonic, irritable nerves Feel the fresh impulse, and awake the soul."
LECTURE X. THE LAWS OF ANIMAL LIFE, CONTINUED.
In the last lecture I began to investigate the laws by which living bodies are governed, and the effects produced by the different exciting powers, which support life, upon the excitability, or vital principle. The facts which we examined led us to two conclusions, which, when properly applied, we shall find will explain most of the phenomena of life, both in health, and in disease. The conclusions alluded to, are these: when the exciting powers have acted more feebly, or weakly, than usual, for some time; or when their action is withdrawn, the excitability accumulates, and becomes more powerfully affected by their subsequent action. And, on the contrary, when the action of these powers has been exerted with violence, or for a considerable time, the excitability becomes exhausted, and less fit to receive their actions.
A number of facts were mentioned in proof of these conclusions, and a great number more might have been brought forwards, could it have served any other purpose than to have taken up our time, which I hope may be better employed.
This exhaustion of the excitability, by stimulants, may either be final, or temporary. We see animals, while the exciting powers continue to act, at first appear in their greatest vigour, then gradually decay, and at last come into that state, in which, from the long continued action of the exciting powers, the excitability is entirely exhausted, and death takes place.
We likewise see vegetables in the spring, while the exciting powers have acted on them moderately, and for a short time, arrayed in their verdant robes, and adorned with flowers of many mingling hues; but as the exciting powers, which support their life, continue to be applied, and some of them, for instance heat, as the summer advances, become increased, they first lose their verdure, then grow brown, and at the end of summer cease to live: because their excitability is exhausted by the long continued action of the exciting powers: and this does not happen merely in consequence of the heat of the summer decreasing, for they grow brown, and die, even in a greater degree of heat than that which in spring made them grow luxuriantly. In some of the finest days of autumn, in which the sun acts with more power than in the spring, the vegetable tribe droop, in consequence of this exhausted state of their excitability, which renders them nearly insensible of the action, even of a powerful stimulus.
These are examples of the final or irreparable exhaustion of the excitability; but we find also that it may be exhausted for a time, and accumulated again. Though the eye has been so dazzled by the splendour of light, that it cannot see an object moderately illuminated, yet if it be shut for some time, the excitability of the optic nerve will accumulate again, and we shall again be capable of seeing with an ordinary light.
We find also that we are not always equally capable of performing the functions of life. When we have been engaged in any exertion, either mental or corporeal, for some hours only, we find ourselves languid and fatigued, and unfit to pursue our labours much longer.
If in this state several of the exciting powers are withdrawn, particularly light and noise, and if we are laid in a posture which does not require much muscular exertion, we soon fall into that state which nature intended for the accumulation of the excitability, and which we call sleep. In this state many of the exciting powers cannot act upon us, unless applied with some violence, for we are insensible to their moderate action. A moderate degree of light, or a moderate noise, does not affect us, and the power of thinking, which very much exhausts the excitability, is in a great measure suspended. When the action of these powers has been suspended for six or eight hours, the excitability is again capable of being acted on, and we rise fresh and vigorous, and fit to engage in our occupations.
Sleep then is the method which nature has provided to repair the exhausted constitution, and restore the vital energy. Without its refreshing aid, our worn out habits would scarcely be able to drag on a few days, or at most, a few weeks, before the vital spring would be quite run down: how properly therefore has our great poet called sleep "the chief nourisher in life's feast!"
From the internal sensations, often excited, it is natural to conclude, that the nerves of sense are not torpid during sleep, but that they are only precluded from the perception of external objects, by the external organs being in some way or other rendered unfit to transmit to them the impulses of bodies during the suspension of the power of volition; thus the eyelids are closed, in sleep, to prevent the impulse of light from acting on the optic nerve; and it is very probable that the drum of the ear is not stretched; it seems likewise reasonable to conclude, that something similar happens to the external apparatus of all our organs of sense, which may make them unfit for their office of perception during sleep.
The more violently the exciting powers have acted, the sooner is sleep brought on, because the excitability is sooner exhausted, and therefore sooner requires the means of renewing it: and, on the contrary, the more weakly these powers have acted, the less are we inclined to sleep. Instances of the first are, excess of exercise, strong liquors, or study; and of the latter, an under or deficient proportion of these.
A person who has been daily accustomed to much exercise, whether mental or corporeal, if he omit it, will find little or no inclination to sleep; this state may however be induced by taking some diffusible stimulus, as a little spirits and water, or opium, which seem to act entirely by exhausting the excitability, to that degree which is compatible with sleep, and, when the stimulant effect of these substances are over, the person soon falls into that state.
But though the excitability may have been sufficiently exhausted, and the action of external powers considerably moderated, yet there are some things within ourselves, which often stimulate violently, and prevent sleep, such as pain, thirst, and strong passions and emotions of the mind. These all tend to drive away sleep, by their vehement stimulating effect, which still has power to rouse the excitability to action, though it has been considerably exhausted. The best method of inducing sleep, in these cases, is to endeavour to withdraw the mind from these impressions, particularly from uneasy emotions, by employing it on something that makes a less impression, and which does not require much exertion, or produce too much commotion; such as counting to a thousand, or counting drops of water which fall slowly; by listening to the humming of bees, or the murmuring of a rivulet. Virgil describes a situation fitted to induce sleep, most beautifully, in the following words.
"Fortunate senex, hic inter flumina nota, Et fontes sacros, frigus captabis opacum. Hinc tibi, quae semper vicino ab limite sepes Hyblaeis apibus florem depasta salicti, Seape levi somnum suadebit inire susurro."
In infancy much sleep is required; the excitability, being then extremely abundant, is soon exhausted by external stimulants, and therefore soon requires renewing or accumulating; on this account, during the first five or six months of their life, children require this mode of renewing their exhausted excitability several times in the day; as they advance in years, and as this excess of excitability is exhausted by the application of stimulants, less sleep is required: in the prime of life least of all is necessary. There is great difference however, in this respect, in different constitutions. Some persons are sufficiently refreshed by three or four hours sleep, while others require eight or ten hours. More however depends, in my opinion, on the mode of living. Those who indulge in the use of spirituous or fermented liquors, which exhaust the excitability to a great degree, require much more sleep than those who are content with the crystal stream. The latter never feel themselves stupid or heavy after dinner, but are immediately fit to engage in study or business. As age advances, more sleep is again required; and the excitability at last becomes so far exhausted, and the system so torpid, that the greatest portion of gradually expiring life is spent in sleep.
Temperance and exercise are the most conducive to sound healthy sleep, hence the peasant is rewarded, for his toil and frugal mode of life, with a blessing, which is seldom enjoyed by those whom wealth renders indolent and luxurious. The poor in the country enjoy sound and sweet sleep: forced by necessity to labour, their excitability becomes exhausted in a proper and natural manner, and they retire to rest early in the evening. Their sleep is generally sound, and early in the morning they find themselves recruited, and in a state fit to resume their daily labour. The blooming complexion, strength, and activity, of these hardy children of labour, who recruit their wearied limbs on pallets of straw, form a striking contrast with the pallid and sickly visage, and debilitated constitution of the luxurious and wealthy, who convert night into day, and court repose in vain on beds of down. Nature undoubtedly intended that we should be awake, and follow our occupations, whether of pleasure or business, during the cheering light of day, and take repose when the sun withdraws his rays. All other animals, and even vegetables, obey the command of nature: man alone is refractory; but nature's laws are never violated with impunity. Dr. Mackenzie very properly observes, that those who sleep long in the morning, and sit up all the night, injure the constitution without gaining time: and those who do this merely in compliance with fashion, ought not to repine at a fashionable state of bad health.
From what has been said, it is evident that, in order to enjoy sound sleep, our chambers should be free from noise, dark, and moderately cold; because the stimulant effects of noise, light, and heat, prevent the accumulation of excitability: and as we shall afterwards see that this accumulation depends on free respiration, and the introduction of oxygen by that means into the system, our bed rooms ought to be large and airy, and, in general, the beds should not be surrounded by curtains. We may from this likewise see the reason why it is so desirable to sleep in the country, even though we are obliged to spend the day in town. |
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