Zoonomia/I.XXXVI

SECT. XXXVI.

OF THE PERIODS OF DISEASES.


 * I. Muscles excited by volition soon cease to contract, or by sensation, or by irritation, owing to the exhaustion of sensorial power. Muscles subjected to less stimulus have their sensorial power accumulated. Hence the periods of some fevers. Want of irritability after intoxication. II. 1. Natural actions catenated with daily habits of life. 2. With solar periods. Periods of sleep. Of evacuating the bowels. 3. Natural actions catenated with lunar periods. Menstruation. Venereal orgasm of animals. Barrenness. III. Periods of diseased animal actions from stated returns of nocturnal cold, from solar and lunar influence. Periods of diurnal fever, hectic fever, quotidian, tertian, quartan fever. Periods of gout, pleurisy, of fevers with arterial debility, and with arterial strength, Periods of rhaphania, of nervous cough, hemicrania, arterial hæmorrhages, hæmorrhoids, hæmoptoe, epilepsy, palsy, apoplexy, madness. IV. Critical days depend on lunar periods. Lunar periods in the small pox.

I. If any of our muscles be made to contract violently by the power of volition, as those of the fingers, when any one hangs by his hands on a swing, fatigue soon ensues; and the muscles cease to act owing to the temporary exhaustion of the spirit of animation; as soon as this is again accumulated in the muscles, they are ready to contract again by the efforts of volition.

Those violent muscular actions induced by pain become in the same manner intermitted and recurrent; as in labour-pains, vomiting, tenesmus, strangury; owing likewise to the temporary exhaustion of the spirit of animation, as above mentioned.

When any stimulus continues long to act with unnatural violence, so as to produce too energetic action of any of our moving organs, those motions soon cease, though the stimulus continues to act; as in looking long on a bright object, as on an inch-square of red silk laid on white paper in the sunshine. See Plate I. in Sect. III. 1.

On the contrary, where less of the stimulus of volition, sensation, or irritation, have been applied to a muscle than usual; there appears to be an accumulation of the spirit of animation in the moving organ; by which it is liable to act with greater energy from less quantity of stimulus, than was previously necessary to excite it into so great action; as after having been immersed in snow the cutaneous vessels of our hands are excited into stronger action by the stimulus of a less degree of heat, than would previously have produced that effect.

From hence the periods of some fever-fits may take their origin, either simply, or by their accidental coincidence with lunar and solar periods, or with the diurnal periods of heat and cold, to be treated of below; for during the cold fit at the commencement of a fever, from whatever cause that cold fit may have been induced, it follows, 1. That the spirit of animation must become accumulated in the parts, which exert during this cold fit less than their natural quantity of action. 2. If the cause producing the cold fit does not increase, or becomes diminished; the parts before benumbed or inactive become now excitable by smaller stimulus, and are thence thrown into more violent action than is natural; that is a hot fit succeeds the cold one. 3. By the energetic action of the system during the hot fit, if it continues long, an exhaustion of the spirit of animation takes place; and another cold fit is liable to succeed, from the moving system not being excitable into action from its usual stimulus. This inirritability of the system from a too great previous stimulus, and consequent exhaustion of sensorial power, is the cause of the general debility, and sickness, and head-ach, some hours after intoxication. And hence we see one of the causes of the periods of fever-fits; which however are frequently combined with the periods of our diurnal habits, or of heat and cold, or of solar or lunar periods.

When besides the tendency to quiescence occasioned by the expenditure of sensorial power during the hot fit of fever, some other cause of torpor, as the solar or lunar periods, is necessary to the introduction of a second cold fit; the fever becomes of the intermittent kind; that is, there is a space of time intervenes between the end of the hot fit, and the commencement of the next cold one. But where no exteriour cause is necessary to the introduction of the second cold fit; no such interval of health intervenes; but the second cold fit commences, as soon as the sensorial power is sufficiently exhausted by the hot fit; and the fever becomes continual.

II. 1 . The following are natural animal actions, which are frequently catenated with our daily habits of life, as well as excited by their natural irritations. The periods of hunger and thirst become catenated with certain portions of time, or degrees of exhaustion, or other diurnal habits of life. And if the pain of hunger be not relieved by taking food at the usual time, it is liable to cease till the next period of time or other habits recur; this is not only true in respect to our general desire of food, but the kinds of it also are governed by this periodical habit; insomuch that beer taken to breakfast will disturb the digestion of those, who have been accustomed to tea; and tea taken at dinner will disagree with those, who have been accustomed to beer. Whence it happens, that those, who have weak stomachs, will be able to digest more food, if they take their meals at regular hours; because they have both the stimulus of the aliment they take, and the periodical habit, to assist their digestion.

The periods of emptying the bladder are not only dependent on the acrimony or distention of the water in it, but are frequently catenated with external cold applied to the skin, as in cold bathing, or washing the hands; or with other habits of life, as many are accustomed to empty the bladder before going to bed, or into the house after a journey, and this whether it be full or not.

Our times of respiration are not only governed by the stimulus of the blood in the lungs, or our desire of fresh air, but also by our attention to the hourly objects before us. Hence when a person is earnestly contemplating an idea of grief, he forgets to breathe, till the sensation in his lungs becomes very urgent; and then a sigh succeeds for the purpose of more forceably pushing forwards the blood, which is accumulated in the lungs.

Our times of respiration are also frequently governed in part by our want of a steady support for the actions of our arms, and hands, as in threading a needle, or hewing wood, or in swimming; when we are intent upon these objects, we breathe at the intervals of the exertion of the pectoral muscles.

2 . The following natural animal actions are influenced by solar periods. The periods of sleep and of waking depend much on the solar period, for we are inclined to sleep at a certain hour, and to awake at a certain hour, whether we have had more or less fatigue during the day, if within certain limits; and are liable to wake at a certain hour, whether we went to bed earlier or later, within certain limits. Hence it appears, that those who complain of want of sleep, will be liable to sleep better or longer, if they accustom themselves to go to rest, and to rise, at certain hours.

The periods of evacuating the bowels are generally connected with some part of the solar day, as well as with the acrimony or distention occasioned by the feces. Hence one method of correcting costiveness is by endeavouring to establish a habit of evacuation at a certain hour of the day, as recommended by Mr. Locke, which may be accomplished by using daily voluntary efforts at those times, joined with the usual stimulus of the material to be evacuated.

3 . The following natural animal actions are connected with lunar periods. 1. The periods of female menstruation are connected with lunar periods to great exactness, in some instances even to a few hours. These do not commence or terminate at the full or change, or at any other particular part of the lunation, but after they have commenced at any part of it, they continue to recur at that part with great regularity, unless disturbed by some violent circumstance, as explained in Sect. XXXII. No. 6. their return is immediately caused by deficient venous absorption, which is owing to the want of the stimulus, designed by nature, of amatorial copulation, or of the growing fetus. When the catamenia returns sooner than the period of lunation, it shows a tendency of the constitution to inirritability; that is to debility, or deficiency of sensorial power, and is to be relieved by small doses of steel and opium.

The venereal orgasm of birds and quadrupeds seems to commence, or return about the most powerful lunations at the vernal or autumnal equinoxes; but if it be disappointed of its object, it is said to recur at monthly periods; in this respect resembling the female catamenia. Whence it is believed, that women are more liable to become pregnant at or about the time of their catamenia, than at the intermediate times; and on this account they are seldom much mistaken in their reckoning of nine lunar periods from the last menstruation; the inattention to this may sometimes have been the cause of supposed barrenness, and is therefore worth the observation of those, who wish to have children.

III. We now come to the periods of diseased animal actions. The periods of fever-fits, which depend on the stated returns of nocturnal cold, are discussed in Sect. XXXII. 3. Those, which originate or recur at solar or lunar periods, are also explained in Section XXXII. 6. These we shall here enumerate; observing, however, that it is not more surprising, that the influence of the varying attractions of the sun and moon, should raise the ocean into mountains, than that it should affect the nice sensibilities of animal bodies; though the manner of its operation on them is difficult to be understood. It is probable however, that as this influence gradually lessens during the course of the day, or of the lunation, or of the year, some actions of our system become less and less; till at length a total quiescence of some part is induced; which is the commencement of the paroxysms of fever, of menstruation, of pain with decreased action of the affected organ, and of consequent convulsion.

1 . A diurnal fever in some weak people is distinctly observed to come on towards evening, and to cease with a moist skin early in the morning, obeying the solar periods. Persons of weak constitutions are liable to get into better spirits at the access of the hot fit of this evening fever; and are thence inclined to sit up late; which by further enfeebling them increases the disease; whence they lose their strength and their colour.

2 . The periods of hectic fever, supposed to arise from absorption of matter, obeys the diurnal periods like the above, having the exacerbescence towards evening, and its remission early in the morning, with sweats, or diarrhœa, or urine with white sediment.

3 . The periods of quotidian fever are either catenated with solar time, and return at the intervals of twenty-four hours; or with lunar time, recurring at the intervals of about twenty-five hours. There is great use in knowing with what circumstances the periodical return or new morbid motions are conjoined, as the most effectual times of exhibiting the proper medicines are thus determined. So if the torpor, which ushers in an ague fit, is catenated with the lunar day: it is known, when the bark or opium must be given, so as to exert its principal effect about the time of the expected return. Solid opium should be given about an hour before the expected cold fit; liquid opium and wine about half an hour; the bark repeatedly for six or eight hours previous to the expected return.

4 . The periods of tertian fevers, reckoned from the commencement of one cold fit to the commencement of the next cold fit, recur with solar intervals of forty-eight hours, or with lunar ones of about fifty hours. When these of recurrence begin one or two hours earlier than the solar period, it shews, that the torpor or cold fit is produced by less external influence; and therefore that it is more liable to degenerate into a fever with only remissions; so when menstruation recurs sooner than the period of lunation, it shews a tendency of the habit to torpor of inirritability.

5 . The periods of quartan fevers return at solar intervals of seventy-two hours, or at lunar ones of about seventy-four hours and an half. This kind of ague appears most in moist cold autumns, and in cold countries replete with marshes. It is attended with greater debility, and its cold access more difficult to prevent. For where there is previously a deficiency of sensorial power, the constitution is liable to run into greater torpor from any further diminution of it; two ounces of bark and some steel should be given on the day before the return of the cold paroxysm, and a pint of wine by degrees a few hours before its return, and thirty drops of laudanum one hour before the expected cold fit.

6 . The periods of the gout generally commence about an hour before sun-rise, which is usually the coldest part of the twenty-four hours. The greater periods of the gout seem also to observe the solar influence, returning about the same season of the year.

7 . The periods of the pleurisy recur with exacerbation of the pain and fever about sun-set, at which time venesection is of most service. The same may be observed of the inflammatory rheumatism, and other fevers with arterial strength, which seem to obey solar periods; and those with debility seem to obey lunar ones.

8 . The periods of fevers with arterial debility seem to obey the lunar day, having their access daily nearly an hour later; and have sometimes two accesses in a day, resembling the lunar effects upon the tides.

9 . The periods of rhaphania, or convulsions of the limbs from rheumatic pains, seem to be connected with solar influence, returning at nearly the same hour for weeks together, unless disturbed by the exhibition of powerful doses of opium.

So the periods of Tussis ferina, or violent cough with slow pulse, called nervous cough, recurs by solar periods. Five grains of opium, given at the time the cough commenced disturbed the period, from seven in the evening to eleven, at which time it regularly returned for some days, during which time the opium was gradually omitted. Then 120 drops of laudanum were given an hour before the access of the cough, and it totally ceased. The laudanum was continued a fortnight, and then gradually discontinued.

10 . The periods of hemicrania, and of painful epilepsy, are liable to obey lunar periods, both in their diurnal returns, and in their greater periods of weeks, but are also induced by other exciting causes.

11 . The periods of arterial hæmorrhages seem to return at solar periods about the same hour of the evening or morning. Perhaps the venous hæmorrhages obey the lunar periods, as the catamenia, and hæmorrhoids.

12 . The periods of the hæmorrhoids, or piles, in some recur monthly, in others only at the greater lunar influence about the equinoxes.

13 . The periods of hæmoptoe sometimes obey solar influence, recurring early in the morning for several days; and sometimes lunar periods, recurring monthly; and sometimes depend on our hours of sleep. See Class I. 2. 1. 9.

14 . Many of the first periods of epileptic fits obey the monthly lunation with some degree of accuracy; others recur only at the most powerful lunations before the vernal equinox, and after the autumnal one; but when the constitution has gained a habit of relieving disagreeable sensations by this kind of exertion, the fit recurs from any slight cause.

15 . The attack of palsy and apoplexy are known to recur with great frequency about the equinoxes.

16 . There are numerous instances of the effect of the lunations upon the periods of insanity, whence the name of lunatic has been given to those afflicted with this disease.

IV. The critical days, in which fevers are supposed to terminate, have employed the attention of medical philosophers from the days of Hippocrates to the present time. In whatever part of a lunation a fever commences, which owes either its whole cause to solar and lunar influence, or to this in conjunction with other causes; it would seem, that the effect would be the greatest at the full and new moon, as the tides rise highest at those times, and would be the least at the quadratures; thus if a fever-fit should commence at the new or full moon, occasioned by the solar and lunar attraction diminishing some chemical affinity of the particles of blood, and thence decreasing their stimulus on our sanguiferous system, as mentioned in Sect. XXXII. 6. this effect will daily decrease for the first seven days, and will then increase till about the fourteenth day, and will again decrease till about the twenty-first day, and increase again till the end of the lunation. If a fever-fit from the above cause should commence on the seventh day after either lunation, the reverse of the above circumstances would happen. Now it is probable, that those fevers, whose crisis or terminations are influenced by lunations, may begin at one or other of the above times, namely at the changes or quadratures; though sufficient observations have not been made to ascertain this circumstance. Hence I conclude, that the small-pox and measles have their critical days, not governed by the times required for certain chemical changes in the blood, which affect or alter the stimulus of the contagious matter, but from the daily increasing or decreasing effect of this lunar link of catenation, as explained in Section XVII. 3. 3. And as other fevers terminate most frequently about the seventh, fourteenth, twenty-first, or about the end of four weeks, when no medical assistance has disturbed their periods, I conclude, that these crises, or terminations, are governed by periods of the lunations; though we are still ignorant of their manner of operation.

In the distinct small-pox the vestiges of lunation are very apparent, after inoculation a quarter of a lunation precedes the commencement of the fever, another quarter terminates with the complete eruption, another quarter with the complete maturation, and another quarter terminates the complete absorption of a material now rendered inoffensive to the constitution.