Sleep and Its DerangementsHammond, William A. (William Alexander)
Science
Sleep and Its Derangements
Hammond, William A. (William Alexander)
Sleep -- Physiological aspects; Sleep disorders
The functions of the several organs concerned in digestion have their
activity increased by sleep. The blood which leaves the brain, goes, as
Durham has shown, to the stomach and other abdominal viscera, and hence
the quantities of the digestive juices are augmented, and the absorption
of the nutritious elements of the food is promoted.
The urine is excreted in less quantity during sleep than when the
individual is awake and engaged in mental or physical employment, because
the wear and tear of the system is at its minimum.
The perspiration is likewise reduced in amount by sleep. In warm weather,
however, the effort to go to sleep often causes an increase in the
quantity of this excretion, just as would any other mental or bodily
exertion. This circumstance has led some writers to a conclusion the
reverse of that just expressed. Others, again, have accepted the doctrine
of Sanctorius on this point without stopping to inquire into its
correctness. This author,[31] among other aphorisms relating to sleep,
gives the following:
“Undisturbed sleep is so great a promoter of perspiration, that in the
space of seven hours, fifty ounces of the concocted perspirable matter do
commonly exhale out of strong bodies.
“A man sleeping the space of seven hours is wont, insensibly, healthfully,
and without any violence, to perspire twice as much as one awake.”
The observations of Sanctorius with his weighing chair led to a good many
important results, but they were inexact so far as the function of the
skin was concerned, in that they made no division between the loss by this
channel and that which takes place through the lungs, for by perspiration
in the above quotations he means not only the exhalation from the skin,
but the products of respiration--aqueous vapor, carbonic acid, etc. His
apparatus was, besides, very imperfect, and could not possibly have given
the delicate indications which the subject requires.
Whether the condition of sleep promotes the absorption of morbid growths
and accumulations of fluids is very doubtful. Macnish[32] contends that it
does, but _a priori_ reasoning would rather lead us to an opposite
conclusion. Deficiencies are probably more rapidly made up during sleep
than during wakefulness, and thus ulcers heal with more rapidity, owing to
the increased formation of granulations which takes place; but the
removal of tumors, etc. by natural process involves the operation of
forces the very opposite of those concerned in reparation, and observation
teaches us that sleep is a condition peculiarly favorable to the
deposition of the materials constituting morbid growths. Some writers have
alleged that sleep accelerates the absorption of dropsical effusions, but
the disappearance of such accumulations during the condition in question
is clearly due to the mechanical causes depending upon the position of the
body.
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