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
3. Respiration is performed with a greater extension and contraction
of the muscles of the breast in sleep than in the waking state; and
this cannot fail of increasing the impetus of the blood in its passage
through the heart and blood-vessels. The increase of the fulness and
force of the pulse in sleep, is probably owing in part to the action
of respiration upon it. In another place I hope to elevate the rank of
the blood-vessels in the animal economy, by showing that they are the
fountains of power in the body. They derive this pre-eminence from the
protection and support they afford to every part of the system. They are
the perpetual centineals of health and life; for they never partake in
the repose which is enjoyed by the muscles and nerves. During sleep,
their sensibility seems to be converted into contractility, by which
means their muscular fibres are more easily moved by the blood than in
the waking state. The diminution of sensibility in sleep is proved by
many facts to be mentioned hereafter; and the change of sensibility into
contractility will appear, when we come to consider the state of animal
life in infancy and old age.
4. Aliment in the stomach acts more powerfully in sleep than in the
waking state. This is evident from digestion going on more rapidly
when we are awake than when we sleep. The more slow the digestion, the
greater is the stimulus of the aliment in the stomach. Of this we have
many proofs in daily life. Labourers object to milk as a breakfast,
because it digests too soon; and often call for food in a morning, which
they can feel all day in their stomachs. Sausages, fat pork, and onions
are generally preferred by them for this purpose. A moderate supper is
favourable to easy and sound sleep; and the want of it, in persons who
are accustomed to that meal, is often followed by a restless night. The
absence of its stimulus is probably supplied by a full gall-bladder
(which always attends an empty stomach) in persons who are not in the
habit of eating suppers.
5. The stimulus of the urine, accumulated in the bladder during
sleep, has a perceptible influence upon animal life. It is often so
considerable as to interrupt sleep; and it is one of the causes of our
waking at a regular hour in the morning. It is moreover a frequent cause
of the activity of the understanding and passions in dreams; and hence
we dream more in our morning slumbers, when the bladder is full, than we
do in the beginning or middle of the night.
6. The fæces exert a constant stimulus upon the bowels in sleep. This
is so considerable as to render it less profound when they have been
accumulated for two or three days, or when they have been deposited in
the extremity of the alimentary canal.
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