Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
"Adopting the lowest estimate which has been given of the daily work done
by the heart, viz., as equal to 122 tons lifted one foot, the heart,
during the alcoholic period, did daily work in excess equal to lifting
15.8 tons one foot, and in the last two days did extra work to the amount
of 24 tons lifted as far.
"The period of rest for the heart was shortened, though, perhaps, not to
such an extent as would be inferred from the number of beats; for each
contraction was sooner over. The heart, on the fifth and sixth days after
alcohol was left off, and apparently at the time when the last traces of
alcohol were eliminated, showed, in the sphygmographic tracings, signs of
unusual fulness; and, perhaps, in consequence of this, when the brandy
quickened the heart again, the tracings showed a more rapid contraction of
the ventricles, but less power than in the alcoholic period. The brandy
acted, in fact, on a heart whose nutrition had not been perfectly
restored."[16]
In reference to the result of the above experiments, it will be observed
that no special notes are made except in relation to the action of the
heart. The primary effect of alcohol is upon this organ, through its
influence upon the nervous system. It, however, by no means ends here, but
through it extends to all other portions of the body.
Now, the heart (and all other organs of the system) may be said to have a
unit of power--so much, and no more inherent strength of action; so much
capacity of function. If, therefore, under the influence of alcohol or any
other drug, an organ is made to do two hours' work in one, or in any
measure an increase of its normal activity is secured, a draft is made
upon its _reserve_ power, and, that it may regain this, there must
necessarily afterward occur a period of so much less than normal activity.
In other words, what has been gained in action under the effect of
stimulus, must be lost on its withdrawal, and there must ensue a period of
feeble and imperfect action, which is radiated to all other portions of
the system, and is manifest in none more fully than in the brain. Indeed,
upon the action of the heart as to frequency and regularity, depends the
action of the brain as to continuity and strength of thought; and this, in
even a greater measure than in relation to the functions of other parts.
The brain at all times contains a much larger portion of the blood than
any other organ, and this quantity is imperatively necessary to its normal
action as to thought. To such an extent is this so, that consciousness at
once fades into darkness, and all thought ceases instantaneously, upon the
check of its circulation, even in certain limited areas of its surface.
Public-domain text, read in full here on John Shaqi.
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