One of the most singular transformations in the sick-room, especially in
serious disease marked by lethargy or stupor, is that in which the
patient's countenance will appear like a sponged-off slate, so
completely have the lines of worry and of thought been obliterated.
One distinct value of the pain-lines about the eyes and brow is that you
can often test their genuineness. Just engage your hypochondriac or
hysterical patient in lively conversation; or, on the reverse principle,
wound his vanity, so as to produce an outburst of temper, and see how
the lines of undying agony will fade away and be replaced by the curves
of amusement or by the straight-drawn brows of indignation.
As with the painter, next to line comes color. Every one, of course,
knows that a fresh, rosy color is usually associated with health, while
a pale, sallow complexion suggests disease. But our color signals, while
more vivid, are much less reliable and more apt to deceive than our
line-markings.
Surprising as it may sound, careful analyses have shown, first, that the
kind of pigment present in the human skin of every race is absolutely
one and the same. The only difference between the negro and the white
man is that the negro has two or three times as much of it. Secondly,
that every skin except that of the albino has a certain, and usually a
considerable, amount of this pigment present in it.
"The red hue of health" is even more apt to mislead us, because, being
due to the abundance of blood in the meshes of the skin, many fevers, by
increasing the rapidity of the heart-beat and dilating the vessels in
the skin, give a ruddiness of hue equal to or in excess of the normal.
Public-domain text, read in full here on John Shaqi.
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