Insomnia; and Other Disorders of SleepLyman, Henry M. (Henry Munson)
Science
Insomnia; and Other Disorders of Sleep
Lyman, Henry M. (Henry Munson)
Dreams; Insomnia; Sleepwalking
_Secretion._--The functions of the numerous glands throughout the body are
diminished during sleep. The tears dry up, and the cornea receives less
moisture. Hence the stickiness of the margins of the eyelids during the
sleep of a patient suffering with conjunctivitis. He can open his eyes, on
awaking, only after sufficient time has elapsed to revive the lachrymal
flow. Exner[12] remarks the diminution of pathological secretion in nasal
catarrh during the hours of sleep. The mouth in like manner ceases to
receive its full quota of saliva, and its cavity quickly dries if the lips
remain open. The secretions of the gastro-intestinal glands vary with the
contents of the alimentary canal; but in general they are considerably
diminished, and digestion is correspondingly retarded during the hours of
sleep. The quantity of urine is lessened during sleep.[13] The elimination
of urea and of other excrementitious matters is less during the night than
by day.[14] Unless increased by disease, or by accidental circumstances
connected with atmospheric temperature and unnecessary clothing, the
perspiration is also diminished.
_Nutrition._--All the molecular processes of nutrition are reduced by
sleep. The lowering of the bodily temperature has been already indicated.
The observations of Helmholtz[15] indicate that the actual liberation of
heat in the tissues is but little more than one-third of the amount set
free in an equal period of time during the waking hours. The numerous
experiments[16] of Boussingault, Henneberg, Scharling, E. Smith,
Liebermeister, Pettenkofer, Voit, and Lewin, clearly indicate the fact
that during sleep less oxygen is absorbed, and less carbonic acid gas is
discharged, by the tissues. Voit found that while, during the daytime, 435
grammes of oxygen were taken in by a working man, only 326 grammes were
needed by the same individual during the nocturnal half of the day.
Artificial sleep occasioned by chloral hydrate produced a similar
reduction in the consumption of oxygen and in the formation of carbonic
acid gas. Under the influence of morphine the reduction of CO_{2.} reached
27 per cent., and the diminution of oxygen amounted to 34 per cent. of the
quantities furnished during wakeful activity. The comparatively small
reduction (only 6 per cent.) in the decomposition of the nitrogenous
elements of the body during the same period, exhibits the close relation
between the metamorphosis of the non-nitrogenous elements of the tissues
and the amount of bodily activity.
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