Insanity: Its Causes and PreventionStearns, Henry Putnam
Science
Insanity: Its Causes and Prevention
Stearns, Henry Putnam
Psychiatry -- Early works to 1900
We therefore perceive how even more important than for other organs it is,
that the circulation of the brain, the tissue of which is the most
delicate and sensitive, should remain unaffected by over-stimulation of
the heart's action, which, in reality and effect, is the controlling power
of the system, and may be likened to an engine, by means of which is kept
in operation the force requisite to move the machinery of all other
portions of the system, and maintain them in harmonious activity.
But, let us study this physiological effect of alcohol a little further,
that we may more fully understand how much is signified by it.
Every heart-beat causes a certain amount of blood to pass through the
larger arteries to the brain, and thence through its minute vessels or
capillaries. It is by means of the capillary circulation that the brain,
its cells, connective tissues, and all membranes, are supplied with the
requisite material for life and activity. So important is the _regularity_
of this supply to the brain in the discharge of its functions, that a
special arrangement of blood-vessels is provided, or rather the number of
arteries is larger and their distribution more complicated and various
than for any other organ. If now this supply of blood is increased by one
fourth or one sixth, or in any other degree, through the action of the
heart, there must result a relative increase of it to the brain-cells and
tissues, together with a corresponding increase of function.
The anatomy of the brain teaches us that every fibre, brain-cell, and even
nucleus, is enclosed with an exceedingly thin covering, through which its
contents may be nourished, and also through which, when its constituents
are no longer of any use, they may be eliminated and removed from the
body. These coverings, or membranes, as they are called, in turn, derive
their materials for growth and function from the minute capillary
blood-vessels which, in almost infinite number, supply them, while all
portions of brain tissue are together dependent upon the _regularity_ of
the heart's supply of blood to enable them to discharge their functions
in a normal manner.
Now, physiological experiments have shown that the effect of alcohol upon
that portion of the nervous system--the vaso-motor--which presides over
and supplies power of action to these capillaries, and also regulates the
action of the heart, is that of a narcotic. Its effect is to partially
paralyze this nerve, and leave the heart to act more freely and rapidly
under the influence of the motor nerve; in consequence of this partial
paralysis of the coats of the capillary vessels, when the blood passes
through them so much more rapidly than when in their normal state, they
fail to absorb from the blood the material requisite to nourish them, and
also fail to remove material which has already been used.
Public-domain text, read in full here on John Shaqi.
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