With one of my own infants, from his eighth day and for some time
afterwards, I often observed that the first sign of a screaming-fit,
when it could be observed coming on gradually, was a little frown,
owing to the contraction of the corrugators of the brows; the
capillaries of the naked head and face becoming at the same time
reddened with blood. As soon as the screaming-fit actually began, all
the muscles round the eyes were strongly contracted, and the mouth
widely opened in the manner above described; so that at this early
period the features assumed the same form as at a more advanced age.
Dr. Piderit[606] lays great stress on the contraction of certain
muscles which draw down the nose and narrow the nostrils, as eminently
characteristic of a crying expression. The _depressores anguli oris_,
as we have just seen, are usually contracted at the same time, and they
indirectly tend, according to Dr. Duchenne, to act in this same manner
on the nose. With children having bad colds a similar pinched
appearance of the nose may be noticed, which is at least partly due, as
remarked to me by Dr. Langstaff, to their constant snuffling, and the
consequent pressure of the atmosphere on the two sides. The purpose of
this contraction of the nostrils by children having bad colds, or
whilst crying, seems to be to check the downward flow of the mucus and
tears, and to prevent these fluids spreading over the upper lip.
After a prolonged and severe screaming-fit, the scalp, face, and eyes
are reddened, owing to the return of the blood from the head having
been impeded by the violent expiratory efforts; but the redness of the
stimulated eyes is chiefly due to the copious effusion of tears. The
various muscles of the face which have been strongly contracted, still
twitch a little, and the upper lip is still slightly drawn up or
everted,[607] with the corners of the mouth still a little drawn
downwards. I have myself felt, and have observed in other grown-up
persons, that when tears are restrained with difficulty, as in reading
a pathetic story, it is almost impossible to prevent the various
muscles. which with young children are brought into strong action
during their screaming-fits, from slightly twitching or trembling.
Public-domain text, read in full here on John Shaqi.
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