19. There are various degrees of surprise; the more intent we are upon the train of ideas, which we are employed about, the more violent must be the stimulus that interrupts them, and the greater is the degree of surprise. I have observed dogs, who have slept by the fire, and by their obscure barking and struggling have appeared very intent on their prey, that shewed great surprise for a few seconds after their awaking by looking eagerly around them; which they did not do at other times of waking. And an intelligent friend of mine has remarked, that his lady, who frequently speaks much and articulately in her sleep, could never recollect her dreams in the morning, when this happened to her: but that when she did not speak in her sleep, she could always recollect them.

Hence, when our sensations act so strongly in sleep as to influence the larger muscles, as in those, who talk or struggle in their dreams; or in those, who are affected with complete reverie (as described in the next Section), great surprise is produced, when they awake; and these as well as those, who are completely drunk or delirious, totally forget afterwards their imaginations at those times.

20. As the immediate cause of sleep consists in the suspension of volition, it follows, that whatever diminishes the general quant.i.ty of sensorial power, or derives it from the faculty of volition, will const.i.tute a remote cause of sleep; such as fatigue from muscular or mental exertion, which diminishes the general quant.i.ty of sensorial power; or an increase of the sensitive motions, as by attending to soft music, which diverts the sensorial power from the faculty of volition; or lastly, by increase of the irritative motions, as by wine, or food; or warmth; which not only by their expenditure of sensorial power diminish the quant.i.ty of volition; but also by their producing pleasureable sensations (which occasion other muscular or sensual motions in consequence), doubly decrease the voluntary power, and thus more forcibly produce sleep. See Sect. x.x.xIV. 1. 4.

Another method of inducing sleep is delivered in a very ingenious work lately published by Dr. Beddoes. Who, after lamenting that opium frequently occasions restlessness, thinks, "that in most cases it would be better to induce sleep by the abstraction of stimuli, than by exhausting the excitability;" and adds, "upon this principle we could not have a better soporific than an atmosphere with a diminished proportion of oxygene air, and that common air might be admitted after the patient was asleep."

(Observ. on Calculus, &c. by Dr. Beddoes, Murray.) If it should be found to be true, that the excitability of the system depends on the quant.i.ty of oxygene absorbed by the lungs in respiration according to the theory of Dr.

Beddoes, and of M. Girtanner, this idea of sleeping in an atmosphere with less oxygene in its composition might be of great service in epileptic cases, and in cramp, and even in fits of the asthma, where their periods commence from the increase of irritability during sleep.

Sleep is likewise said to be induced by mechanic pressure on the brain in the cases of spina bifida. Where there has been a defect of one of the vertebrae of the back, a tumour is protruded in consequence; and, whenever this tumour has been compressed by the hand, sleep is said to be induced, because the whole of the brain both within the head and spine becomes compressed by the retrocession of the fluid within the tumour. But by what means a compression of the brain induces sleep has not been explained, but probably by diminishing the secretion of sensorial power, and then the voluntary motions become suspended previously to the irritative ones, as occurs in most dying persons.

Another way of procuring sleep mechanically was related to me by Mr.

Brindley, the famous ca.n.a.l engineer, who was brought up to the business of a mill-wright; he told me, that he had more than once seen the experiment of a man extending himself across the large stone of a corn-mill, and that by gradually letting the stone whirl, the man fell asleep, before the stone had gained its full velocity, and he supposed would have died without pain by the continuance or increase of the motion. In this case the centrifugal motion of the head and feet must acc.u.mulate the blood in both those extremities of the body, and thus compress the brain.

Lastly, we should mention the application of cold; which, when in a less degree, produces watchfulness by the pain it occasions, and the tremulous convulsions of the subcutaneous muscles; but when it is applied in great degree, is said to produce sleep. To explain this effect it has been said, that as the vessels of the skin and extremities become first torpid by the want of the stimulus of heat, and as thence less blood is circulated through them, as appears from their paleness, a greater quant.i.ty of blood poured upon the brain produces sleep by its compression of that organ. But I should rather imagine, that the sensorial power becomes exhausted by the convulsive actions in consequence of the pain of cold, and of the voluntary exercise previously used to prevent it, and that the sleep is only the beginning to die, as the suspension of voluntary power in lingering deaths precedes for many hours the extinction of the irritative motions.

21. The following are the characteristic circ.u.mstances attending perfect sleep.

1. The power of volition is totally suspended.

2. The trains of ideas caused by sensation proceed with greater facility and vivacity; but become inconsistent with the usual order of nature. The muscular motions caused by sensation continue; as those concerned in our evacuations during infancy, and afterwards in digestion, and in priapismus.

3. The irritative muscular motions continue, as those concerned in the circulation, in secretion, in respiration. But the irritative sensual motions, or ideas, are not excited; as the immediate organs of sense are not stimulated into action by external objects, which are excluded by the external organs of sense; which are not in sleep adapted to their reception by the power of volition, as in our waking hours.

4. The a.s.sociate motions continue; but their first link is not excited into action by volition, or by external stimuli. In all respects, except those above mentioned, the three last sensorial powers are somewhat increased in energy during the suspension of volition, owing to the consequent acc.u.mulation of the spirit of animation.

SECT. XIX.

OF REVERIE.

1. _Various degrees of reverie._ 2. _Sleep-walkers. Case of a young lady. Great surprise at awaking. And total forgetfulness of what pa.s.sed in reverie._ 3. _No suspension of volition in reverie._ 4. _Sensitive motions continue, and are consistent._ 5. _Irritative motions continue, but are not succeeded by sensation._ 6. _Volition necessary for the perception of feeble impressions._ 7. _a.s.sociated motions continue._ 8.

_Nerves of sense are irritable in sleep, but not in reverie._ 9.

_Somnambuli are not asleep. Contagion received but once._ 10.

_Definition of reverie._

1. When we are employed with great sensation of pleasure, or with great efforts of volition, in the pursuit of some interesting train of ideas, we cease to be conscious of our existence, are inattentive to time and place, and do not distinguish this train of sensitive and voluntary ideas from the irritative ones excited by the presence of external objects, though our organs of sense are furnished with their accustomed stimuli, till at length this interesting train of ideas becomes exhausted, or the appulses of external objects are applied with unusual violence, and we return with surprise, or with regret, into the common track of life. This is termed reverie or studium.

In some const.i.tutions these reveries continue a considerable time, and are not to be removed without greater difficulty, but are experienced in a less degree by us all; when we attend earnestly to the ideas excited by volition or sensation, with their a.s.sociated connexions, but are at the same time conscious at intervals of the stimuli of surrounding bodies. Thus in being present at a play, or in reading a romance, some persons are so totally absorbed as to forget their usual time of sleep, and to neglect their meals; while others are said to have been so involved in voluntary study as not to have heard the discharge of artillery; and there is a story of an Italian politician, who could think so intensely on other subjects, as to be insensible to the torture of the rack.

From hence it appears, that these catenations of ideas and muscular motions, which form the trains of reverie, are composed both of voluntary and sensitive a.s.sociations of them; and that these ideas differ from those of delirium or of sleep, as they are kept consistent by the power of volition; and they differ also from the trains of ideas belonging to insanity, as they are as frequently excited by sensation as by volition.

But lastly, that the whole sensorial power is so employed on these trains of complete reverie, that like the violent efforts of volition, as in convulsions or insanity; or like the great activity of the irritative motions in drunkenness; or of the sensitive motions in delirium; they preclude all sensation consequent to external stimulus.

2. Those persons, who are said to walk in their sleep, are affected with reverie to so great a degree, that it becomes a formidable disease; the essence of which consists in the inapt.i.tude of the mind to attend to external stimuli. Many histories of this disease have been published by medical writers; of which there is a very curious one in the Lausanne Transactions. I shall here subjoin an account of such a case, with its cure, for the better ill.u.s.tration of this subject.

A very ingenious and elegant young lady, with light eyes and hair, about the age of seventeen, in other respects well, was suddenly seized soon after her usual menstruation with this very wonderful malady. The disease began with vehement convulsions of almost every muscle of her body, with great but vain efforts to vomit, and the most violent hiccoughs, that can be conceived: these were succeeded in about an hour with a fixed spasm; in which one hand was applied to her head, and the other to support it: in about half an hour these ceased, and the reverie began suddenly, and was at first manifest by the look of her eyes and countenance, which seemed to express attention. Then she conversed aloud with imaginary persons with her eyes open, and could not for about an hour be brought to attend to the stimulus of external objects by any kind of violence, which it was proper to use; these symptoms returned in this order every day for five or six weeks.

These conversations were quite consistent, and we could understand, what she supposed her imaginary companions to answer, by the continuation of her part of the discourse. Sometimes she was angry, at other times shewed much wit and vivacity, but was most frequently inclined to melancholy. In these reveries she sometimes sung over some music with accuracy, and repeated whole pages from the English poets. In repeating some lines from Mr. Pope's works she had forgot one word, and began again, endeavouring to recollect it; when she came to the forgotten word, it was shouted aloud in her ear, and this repeatedly, to no purpose; but by many trials she at length regained it herself.

These paroxysms were terminated with the appearance of inexpressible surprise, and great fear, from which she was some minutes in recovering herself, calling on her sister with great agitation, and very frequently underwent a repet.i.tion of convulsions, apparently from the pain of fear.

See Sect. XVII. 3. 7.

After having thus returned for about an hour every day for two or three weeks, the reveries seemed to become less complete, and some of their circ.u.mstances varied; so that she could walk about the room in them without running against any of the furniture; though these motions were at first very unsteady and tottering. And afterwards she once drank a dish of tea, when the whole apparatus of the tea-table was set before her; and expressed some suspicion, that a medicine was put into it, and once seemed to smell of a tuberose, which was in flower in her chamber, and deliberated aloud about breaking it from the stem, saying, "it would make her sister so charmingly angry." At another time in her melancholy moments she heard the sound of a pa.s.sing bell, "I wish I was dead," she cried, listening to the bell, and then taking off one of her shoes, as she sat upon the bed, "I love the colour black," says she, "a little wider, and a little longer, even this might make me a coffin!"--Yet it is evident, she was not sensible at this time, any more than formerly, of seeing or hearing any person about her; indeed when great light was thrown upon her by opening the shutters of the window, her trains of ideas seemed less melancholy; and when I have forcibly held her hands, or covered her eyes, she appeared to grow impatient, and would say, she could not tell what to do, for she could neither see nor move. In all these circ.u.mstances her pulse continued unaffected as in health. And when the paroxysm was over, she could never recollect a single idea of what had pa.s.sed in it.

This astonishing disease, after the use of many other medicines and applications in vain, was cured by very large doses of opium given about an hour before the expected returns of the paroxysms; and after a few relapses, at the intervals of three or four months, entirely disappeared.

But she continued at times to have other symptoms of epilepsy.

3. We shall only here consider, what happened during the time of her reveries, as that is our present subject; the fits of convulsion belong to another part of this treatise. Sect. x.x.xIV. 1. 4.

There seems to have been no suspension of volition during the fits of reverie, because she endeavoured to regain the lost idea in repeating the lines of poetry, and deliberated about breaking the tuberose, and suspected the tea to have been medicated.

4. The ideas and muscular movements depending on sensation were exerted with their usual vivacity, and were kept from being inconsistent by the power of volition, as appeared from her whole conversation, and was explained in Sect. XVII. 3. 7. and XVIII. 16.

5. The ideas and motions dependant on irritation during the first weeks of her disease, whilst the reverie was complete, were never succeeded by the sensation of pleasure or pain; as she neither saw, heard, nor felt any of the surrounding objects. Nor was it certain that any irritative motions succeeded the stimulus of external objects, till the reverie became less complete, and then she could walk about the room without running against the furniture of it. Afterwards, when the reverie became still less complete from the use of opium, some few irritations were at times succeeded by her attention to them. As when she smelt at a tuberose, and drank a dish of tea, but this only when she seemed voluntarily to attend to them.

6. In common life when we listen to distant sounds, or wish to distinguish objects in the night, we are obliged strongly to exert our volition to dispose the organs of sense to perceive them, and to suppress the other trains of ideas, which might interrupt these feeble sensations. Hence in the present history the strongest stimuli were not perceived, except when the faculty of volition was exerted on the organ of sense; and then even common stimuli were sometimes perceived: for her mind was so strenuously employed in pursuing its own trains of voluntary or sensitive ideas, that no common stimuli could so far excite her attention as to disunite them; that is, the quant.i.ty of volition or of sensation already existing was greater than any, which could be produced in consequence of common degrees of stimulation. But the few stimuli of the tuberose, and of the tea, which she did perceive, were such, as accidentally coincided with the trains of thought, which were pa.s.sing in her mind; and hence did not disunite those trains, and create surprise. And their being perceived at all was owing to the power of volition preceding or coinciding with that of irritation.

This explication is countenanced by a fact mentioned concerning a somnambulist in the Lausanne Transactions, who sometimes opened his eyes for a short time to examine, where he was, or where his ink-pot stood, and then shut them again, dipping his pen into the pot every now and then, and writing on, but never opening his eyes afterwards, although he wrote on from line to line regularly, and corrected some errors of the pen, or in spelling: so much easier was it to him to refer to his ideas of the positions of things, than to his perceptions of them.

7. The a.s.sociated motions persisted in their usual channel, as appeared by the combinations of her ideas, and the use of her muscles, and the equality of her pulse; for the natural motions of the arterial system, though originally excited like other motions by stimulus, seem in part to continue by their a.s.sociation with each other. As the heart of a viper pulsates long after it is cut out of the body, and removed from the stimulus of the blood.

8. In the section on sleep, it was observed that the nerves of sense are equally alive and susceptible to irritation in that state, as when we are awake; but that they are secluded from stimulating objects, or rendered unfit to receive them: but in complete reverie the reverse happens, the immediate organs of sense are exposed to their usual stimuli; but are either not excited into action at all, or not into so great action, as to produce attention or sensation.

The total forgetfulness of what pa.s.ses in reveries; and the surprise on recovering from them, are explained in Section XVIII. 19. and in Section XVII. 3. 7.

9. It appears from hence, that reverie is a disease of the epileptic or cataleptic kind, since the paroxysms of this young lady always began and frequently terminated with convulsions; and though in its greatest degree it has been called somnambulation, or sleep-walking, it is totally different from sleep; because the essential character of sleep consists in the total suspension of volition, which in reverie is not affected; and the essential character of reverie consists not in the absence of those irritative motions of our senses, which are occasioned by the stimulus of external objects, but in their never being productive of sensation. So that during a fit of reverie that strange event happens to the whole system of nerves, which occurs only to some particular branches of them in those, who are a second time exposed to the action of contagious matter. If the matter of the small-pox be inserted into the arm of one, who has previously had that disease, it will stimulate the wound, but the general sensation or inflammation of the system does not follow, which const.i.tutes the disease.

See Sect. XII. 3. 6. x.x.xIII. 2. 8.

10. The following is the definition or character of complete reverie. 1.

The irritative motions occasioned by internal stimuli continue, those from the stimuli of external objects are either not produced at all, or are never succeeded by sensation or attention, unless they are at the same time excited by volition. 2. The sensitive motions continue, and are kept consistent by the power of volition. 3. The voluntary motions continue undisturbed. 4. The a.s.sociate motions continue undisturbed.

Two other cases of reverie are related in Section x.x.xIV. 3. which further evince, that reverie is an effort of the mind to relieve some painful sensation, and is hence allied to convulsion, and to insanity. Another case is related in Cla.s.s III. 1. 2. 2.

SECT. XX.

OF VERTIGO.

1. _We determine our perpendicularity by the apparent motions of objects. A person hood-winked cannot walk in a straight line. Dizziness in looking from a tower, in a room stained with uniform lozenges, on riding over snow._ 2. _Dizziness from moving objects. A whirling-wheel.

Fluctuations of a river. Experiment with a child._ 3. _Dizziness from our own motions and those of other objects._ 4. _Riding over a broad stream. Sea-sickness._ 5. _Of turning round on one foot. Dervises in Turkey. Attention of the mind prevents slight sea-sickness. After a voyage ideas of vibratory motions are still perceived on sh.o.r.e._ 6.

_Ideas continue some time after they are excited. Circ.u.mstances of turning on one foot, standing on a tower, and walking in the dark, explained._ 7. _Irritative ideas of apparent motions. Irritative ideas of sounds. Battement of the sound of bells and organ-pipes. Vertiginous noise in the head. Irritative motions of the stomach, intestines, and glands._ 8. _Symptoms that accompany vertigo. Why vomiting comes on in strokes of the palsy. By the motion of a ship. By injuries on the head.

Why motion makes sick people vomit._ 9. _Why drunken people are vertiginous. Why a stone in the ureter, or bile-duct, produces vomiting._ 10. _Why after a voyage ideas of vibratory motions are perceived on sh.o.r.e._ 11. _Kinds of vertigo and their cure._ 12.

_Definition of vertigo._

1. In learning to walk we judge of the distances of the objects, which we approach, by the eye; and by observing their perpendicularity determine our own. This circ.u.mstance not having been attended to by the writers on vision, the disease called vertigo or dizziness has been little understood.

When any person loses the power of muscular action, whether he is erect or in a sitting posture, he sinks down upon the ground; as is seen in fainting fits, and other instances of great debility. Hence it follows, that some exertion of muscular power is necessary to preserve our perpendicular att.i.tude. This is performed by proportionally exerting the antagonist muscles of the trunk, neck, and limbs; and if at any time in our locomotions we find ourselves inclining to one side, we either restore our equilibrium by the efforts of the muscles on the other side, or by moving one of our feet extend the base, which we rest upon, to the new center of gravity.