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
These, I hope, are sufficient to shew how far the motion of the fluids
may be affected by the horizontal position of the Body; which, if duly
consider’d, might be of great service in the practice of Physic; and
perhaps many effectual derivations might be made, without drawing a
drop of Blood. I saw a remarkable instance of this kind in a gentleman
of a full habit, who, being ill of a Fever, talk’d rationally and rav’d
alternately, as his head was elevated or depress’d. In acute Diseases,
when the motion of the Blood is very rapid through the whole Body, the
Brain must suffer greatly, on account of the horizontal position, to
which people in such cases are confin’d; because, the Blood rushing
violently into the Arteries of the Brain, and its return being retarded
by the Jugular Veins, will remarkably contribute to produce delirious
symptoms, so frequent in acute Disorders, which might be in some
measure prevented, by raising the Head; for, by that means, the motion
of the Blood through the Jugular Veins will be increas’d, the pressure
on the Brain will be eas’d, and a safe and sudden derivation from
the Head may be made, which may produce very happy effects, where no
evacuation could be safely attempted.
Let us next take a view of the Heart, and consider how it may be
affected by the various positions of the Body, particularly the supine
one, in which the Night-mare generally invades.
The Heart is placed above the Diaphragm: the greater part of it lies
in the left cavity of the Breast: its apex or point is turn’d towards
the extremity of the sixth true Rib, where its pulsations are commonly
felt: it adheres to the Lungs by its large vessels, and is connected to
the Diaphragm by the Pericardium[11].
Thus the Heart is suspended in the Breast; and therefore must be
subject to the laws of pendulous bodies, which alter their situation
according to the different directions of their centers of gravity.
From the above just description of the human Heart, ’tis evident, that
when the Body is erect, the parts of the Heart which are commonly
called the right and left, ought to be more properly call’d the
anterior and posterior.
Hence, when the Body is plac’d on the Back, these become the superior
and inferior parts of the Heart.
That the Heart alters its situation in the Breast according to the
different positions of the Body, and the different directions of its
center of gravity, may be prov’d by the following easy experiments.
If the Finger be applied to that part of the Ribs where the pulsation
is felt in an erect position; and if, at the same time, the Diaphragm
be contracted strongly, the beatings become immediately weaker, because
the Heart is pulled downwards by the Diaphragm.
If one lies on the left side, the point of the Heart is felt beating
nearer the Spine of the Back; if we turn on our Backs, it is scarce
perceptible; and if we lie on the right side, it intirely vanishes.
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