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
The dependence of the waking state upon the presence and activity of a
sufficient quantity of a peculiarly unstable form of protoplasm in the
brain is an hypothesis which presents no great difficulty of
comprehension. But how may we explain the lapse from the intelligent
vivacity of that waking state into the unconscious inactivity of sleep? I
have elsewhere[20] discussed the manner in which artificial sleep is
produced by impregnation of the brain with anæsthetic substances that
interfere with sensibility, and finally produce stupefaction, by hindering
the normal processes of intra-molecular oxidation in the protoplasm of the
nervous tissues. The same general line of argument may be extended to
cover the action of every narcotic agent with which the living substance
of the body may become surcharged. Accepting, then, the hypothesis
advocated by Obersteiner and Preyer, it becomes an easy thing to account
for the gradual onset of sleep by supposing an accumulation of the
“fatigue producing” products of intra-molecular oxidation. But we cannot
thus explain the rapid and, as it were, voluntary passage from wide
awakefulness into a condition of deep sleep, such as may be commonly
observed among sailors and others who have formed the habit of going at
once to sleep at regularly recurring hours of the day or night. Certain
writers have endeavored to account for this fact by imagining a special
mechanism at the base of the brain (choroid plexuses of the fourth
ventricle, etc.,) by means of which the current of the blood through the
brain may be voluntarily diminished, with a consequent arrest of conscious
activity. But, still adhering to the hypothesis of Pflüger, we shall
obtain a clearer explanation of the facts by considering the phenomena
connected with the succession of impressions upon the organs of sense. It
has been ascertained[21] that such impressions must persist for a certain
measurable length of time in order to excite conscious perception. A sound
must be prolonged for at least fourteen-hundredths of a second, a ray of
light must agitate the retina for about eighteen to twenty-hundredths of a
second, an ordinary contact with the surface of the skin must continue
from thirteen to eighteen-hundredths of a second, in order to awaken any
knowledge of sound and light and tactile sensation. For the simplest act
of perception from two to four-hundredths of a second are necessary. It
is, therefore, perfectly reasonable to suppose that when the “explosive
material” of the brain has been sufficiently “dampened” by the
accumulation of acid refuse which accompanies prolonged cerebral effort,
the impressions of sense may no longer suffice to excite in the cortical
protoplasm vibrations of sufficient length, or following each other in
sufficiently rapid succession, to sustain consciousness. The cortex of the
brain may then be likened to a body of water into which bubbles of
partially soluble gas are introduced from below. When the bubbles are
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