If the hand be placed so as to cover the ear, or if the entrance of the meatus auditorius be closed by the finger without pressure, the perception of external sounds will be considerably diminished, but the sounds of the voice produced internally will be greatly augmented: the pronunciation of those vowels in which the cavity of the mouth is the most closed, as _e_ _ou_, &c., produce the strongest effect; on articulating smartly the syllables _te_ and _kew_, the sound will be painfully loud. Placing the conducting stem of a sounding tuning-fork[24] on any part of the head, when the ears are closed as above described, a similar augmentation of sound will be observed. When one ear remains open, the sound will always be referred to the closed ear, but when both ears are closed, the sound will appear louder in that ear the nearer to which it is produced. If, therefore, the tuning-fork be applied above the temporal bone near either ear, it will be apparently heard by that ear to which it is adjacent; but on removing the hand from this ear (although the fork remains in the same situation) the sound will appear to be referred immediately to the opposite ear. In the case of the vocal articulations, the augmentation is accompanied by a reedy sound, occasioned by the strong agitations of the tympanum. When the air in the meatus is compressed against this membrane by pressing the hand _close_ to the ear, or when the eustachian tube is exhausted by the means indicated by Dr. Wollaston, the reedy sound is no longer heard, and the augmentation is considerably diminished. The ringing [p069] noise which simultaneously accompanies a very intense sound, proceeds from the same cause, and may be prevented by the same means. This ringing may be produced by applying the stem of a sounding tuning-fork to the hand when covering the ear, or by whistling when a hearing trumpet is placed to the ear. As a proof that the resulting augmentation, which, when great, excites the vibrations of the tympanum, is owing to the reciprocation of the vibrations by the air contained within the closed cavity, it may be mentioned, that when the entrance of the meatus is closed by a fibrous substance, as wool, &c., no increase is obtained. If the meatus and the concha of one ear be filled with water, the sounds above-mentioned will be referred to the cavity containing the water in the same way as when it contained air, and was closed by the hand; it will be indifferent whether any partition be interposed between the cavity and the external air; as the water is equally well insulated by a surface of air as by a solid body. § 2.