An Essay on the Incubus, or Night-mare — John Shaqi
An Essay on the Incubus, or Night-mareBond, John, M.D.
History
An Essay on the Incubus, or Night-mare
Bond, John, M.D.
Nightmares -- Physiological aspects -- Early works to 1800
I might add many more instances of this kind, to shew, that the fair
sex is subject to the severe insults of this oppressive Disease; but
hope these are sufficient to excite the attention of others to make
observations of this sort, which are the more necessary, as they have
been too much neglected by writers on this subject.
When Women pass the fruitful seasons of life, and the delicate uterine
Tubes, contracting themselves, become too rigid, and resist the impetus
of the Fluids so as to prevent the usual discharges; then the Fluids,
which were formerly periodically evacuated, are amass’d, and collected
in the Body, and occasion a Plethora. Hence, Women, about that time,
often grow fat, heavy, and sickly, and become more subject to the
Night-mare; because the Heart, swell’d with redundant Blood, will bear
more heavily on the Pulmonary Veins and left Auricle, when they happen
to sleep in a supine position.
Experience declares, that there is not a more frequent primary Cause
of the Night-mare than heavy suppers of tough animal food, and large
quantities of soft, thick malt liquors, which distend, and lie long
in the Stomach; whose pressure may contribute, in many respects, to
produce this Disorder.
1st. Its pressure on the Aorta Descendens will determine a greater
quantity of Blood than usual into the Arteries that belong to the
Head; and as these turgid vessels run contiguous to the trunks of the
Intercostal and eight pair of Nerves, they may perhaps compress them so
as to render the Heart, &c. paralytic.
2d. By occupying a large space in the Abdomen, it hinders the full
contraction of the Diaphragm, and thus diminishes the cavity of the
Thorax, prevents the necessary expansion of the Lungs, and consequently
obstructs the motion of the Blood through them.
3d. Anatomy informs us, that the Diaphragm is not perpendicular to the
Spine of the Back, but forms an acute angle with it, and is extended
obliquely upwards to the Sternum[21]. Hence, in a supine position of
the Body, the Diaphragm may be considered as an inclin’d plane, upon
which the surcharg’d Stomach must rest; and its weight on this part
will increase the pressure of the Heart on the Pulmonary Veins, as it
is connected to the opposite side of the Diaphragm by the Pericardium.
Every one knows that a hearty meal disposes People to sleep. This
effect was commonly attributed to the pressure of the Stomach on the
descending Aorta: but Doctor Stuart has oppos’d that theory[22]. Doctor
Haller has seconded him, and has given his reasons for it. He says,
“Si exquisitiori Anatome in situm Ventriculi & Aortæ inquisiveris,
reperies vix unquam Aortam a Ventriculo comprimi posse. Dum enim
distenditur, antrorsum recedit, et Curvaturam parvam retrorsum ostendit
Aortæ, quæ ea Curvatura, interjecto Pancreate, comprehenditur[23]”
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