Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the AuthorRush, Benjamin
Science
Medical Inquiries and Observations, Vol. 2: The Second Edition, Revised and Enlarged by the Author
Rush, Benjamin
Medicine; Yellow fever -- Pennsylvania -- Philadelphia
Artificial sleep may be induced at any time by certain stimulating
substances, particularly by opium. They act by carrying the system
beyond the healthy grade of excitement, to a degree of indirect
debility, which Dr. Brown has happily called the sleeping point. The
same point may be induced in the system at any time by the artificial
abstraction of the usual stimuli of life. For example, let a person shut
himself up at mid-day in a dark room, remote from noise of all kinds,
let him lie down upon his back upon a soft bed in a temperate state of
the atmosphere, and let him cease to think upon interesting subjects,
or let him think only upon one subject, and he will soon fall asleep.
Dr. Boerhaave relates an instance of a Dutch physician, who, having
persuaded himself that waking was a violent state, and sleep the only
natural one of the system, contrived, by abstracting every kind of
stimulus in the manner that has been mentioned, to sleep away whole
days and nights, until at length he impaired his understanding, and
finally perished in a public hospital in a state of idiotism.
In thus anticipating a view of the cause of sleep, I have said nothing
of the effects of diseases of the brain in inducing it. These belong to
another part of our course. The short explanation I have given of its
cause was necessary in order to render the history of animal life, in
that state of the system, more intelligible.
At the usual hour of sleep there is an abstraction of the stimuli of
light, sound, and muscular motion. The stimuli which remain, and act
with an increased force upon the body in sleep, are
1. The heat which is discharged from the body, and confined by means of
bed-clothes. It is most perceptible when exhaled from a bed-fellow. Heat
obtained in this way has sometimes been employed to restore declining
life to the bodies of old people. Witness the damsel who lay for this
purpose in the bosom of the king of Israel. The advantage of this
external heat will appear further, when we consider how impracticable
or imperfect sleep is, when we lie under too light covering in cold
weather.
2. The air which is applied to the lungs during sleep probably acts with
more force than in the waking state. I am disposed to believe that more
air is phlogisticated in sleep than at any other time, for the smell of
a close room in which a person has slept one night, we know, is much
more disagreeable than that of a room, under equal circumstances, in
which half a dozen people have sat for the same number of hours in the
day time. The action of decomposed air on the lungs and heart was spoken
of in a former lecture. An increase in its quantity must necessarily
have a powerful influence upon animal life during the sleeping state.
Public-domain text, read in full here on John Shaqi.
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