Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, CambridgeRolleston, Humphry Davy, Sir
Science
Some Medical Aspects of Old Age: Being the Linacre lecture, 1922, St. John's college, Cambridge
Rolleston, Humphry Davy, Sir
Geriatrics; Linacre lecture, St. John's college, Cambridge; Longevity
Since 1889 when Brown-Séquard, at the age of 72 (6 years before his
death) put forward the idea that rejuvenation could be brought about
by the hypodermic injection of testicular emulsion, the view that old
age and senile changes are due to failure of the glands of internal
secretion has become popular. The thyroid (V. Horsley, Léopold-Lévi),
the testis and ovary, or most or all of the glands (pluriglandular
insufficiency) have been incriminated; Lorand,[94] indeed, regards old
age as a disease caused by degeneration of not one but several of the
endocrine glands, Biedl[95] expresses much the same view in referring
old age to a disturbance of the endocrine balance, and Berman[96] in a
recent semi-popular book states that old age is an exhaustion permanent
and irreparable of all the glands of internal secretion; like Lorand he
ascribes considerable importance to failure of the internal secretions
of the sexual glands. It is highly desirable to arrive at some
conclusion as to the relation between changes in the glands of internal
secretion and senescence, for in medical practice this conception
of cause and effect has been acted upon; various glandular extracts
have been employed to counteract and delay the disabilities that may
accompany advancing years and, though not so freely, operations, viz.,
ligature of the vas deferens and implantation of testicular grafts,
have been carried out.
Lydston[97] implanted testes from boys recently dead into men
with atrophied or destroyed testes and reported improvement.
Stanley and Kelker[98] implanted 11 cases with testicular
grafts obtained from executed criminals, and 5 cases with the
testes of rams, obtaining improved general condition, though
not claiming that life was prolonged. Stanley[99] injected by
means of a large syringe strips of testes of rams, goats, or
bears under the skin of the abdomen of more than 300 prisoners,
and stated that conditions of neurasthenia and senility were
relieved.
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