From what has been said, it is evident, in order that a person may hear the echo of his own voice, that he should stand at least sixty three, or sixty four feet from the reflecting obstacle, so that the sound may have time to move over at least one hundred and twenty seven feet before it come to his ear, otherwise he could not distinguish it from the original sound. But though the first reflected pulses may produce no echo, both on account of their being too few in number, and too rapid in their return to the ear; yet it must be evident that the reflecting surface may be so formed, that the pulses, which come to the ear after two or more reflections, may, after having passed over one hundred and twenty seven feet or more, arrive at the ear in sufficient numbers to produce an echo, though the distance of the reflecting surface from the ear be less than the limit of echoes. This is instanced by the echoes that we hear in several caves or caverns. The sense of hearing is more apt to be vitiated or diseased than any of the other senses, which indeed is not surprising, when we consider that its organ is complex, consisting of many minute parts, which are apt to be deranged. It sometimes becomes too acute, and this may arise either from too great an irritability of the whole nervous system, which often occurs in hysteria, also in phrenitis, and some fevers; or from an inflamed state of the ear itself. The sense of hearing becomes diminished, and often entirely abolished; and this may arise from various causes, such as an original defect in the external ear, or the meatus auditorius, or both; the meatus auditorius is often blocked up with wax or other substances, which being removed, the hearing becomes perfect. Deafness may likewise arise from a rigidity of the membrane of the tympanum, from its being erodedor ruptured, or from an obstruction of the Eustachian tube. It may likewise arise from a paralysis or torpor of the auditory nerve, or from some diseased state of the labyrinth, or from a vitiated state of the brain and nerves. There is a kind of nervous deafness which comes on suddenly, and often leaves the patient as suddenly.