^\ m-7?/v^a . r.M Columbia UntoerKitp mtljeCttpoOtogark College of iPfetciang ano Hmrgeons Xttirarp Digitized by the Internet Archive in 2011 with funding from Open Knowledge Commons http://www.archive.org/details/chemicophysiologOOross CHEMICO-PHYSIOLOGICAL' INAUGURAL DISSERTATION ON CARBONE. A CHEMICO-PHYSIOLOGICAL INAUGURAL DISSERTATION ON CARBONE, or CHARCOAL. SUBMITTED TO THE PUBLIC EXAMINATION OF THE FACULTY OF PHYSIC, UNDER THE AUTHORITY OF THE TRUSTEES OF COLUMBIA COLLEGE, IN THE STATE OF NEW-YORK: WILLIAM SAMUEL JOHNSON, LL.D. Prefidentt FOR. THE DEGREE OF DOCTOR OF P H Y S I Cj ON THE FIFTH DAY OF MAY, 1 79^- By WILLIAM MORREY ROSS, Citizen of the State of New-Jerfey. ' C{ Ea quje fcimus, pars minima eorum Qjae ignoramus." Prjeitat naturx voce doceri quam ingenio fuo fapere. CiC» Late, when the mafs obeys its changeful doom, And finks to earth, its cradle and its tomb, with nice eye the flow folution watch, With foftering hand the pai ting atoms catch, Join in new forms, combine with life and fcnfe, And guide and guard the tranfmigrating Ens. DARWIN. NEir- YORK: PRINTED BY T. AND J. SWORDS, Printers to the Fatuity of I'hyfic of Columbia Cullcgr, — I79S-— T O SAMUEL LATHAM MITCHILL, M.D. Profejfor of Chemifry and of Botany in Columbia College, Fellozv of the Royal Society of Edinburgh, Foreign AJfociate of the Royal Society of Arts and Sciences at Cape Francois, Member of the Philofophical Society at Philadelphia, Of the Royal Medical, Chemical, Natural Hijlory and Phyfcal Societies of Edinburgh, Secretary of the Agricultural Society of the State of New- York, &c. &c. &c. Who has ever manifefted, during my refidence with him, the moll friendly attention, and given every affiftance in forming the outlines of my medical education; and who, it is hoped, will receive this Inaugural Ejfay, with all its imperfections, as a memorial of efteem and refpeft, from his friend and pupil, Wm. M. ROSS. TKE HONOURABLE JOHN CHETWOOD, Ef$\ One of the Judges of the Supreme Court of the State of Nezv-Jerfey^ &c. &c. &c. Whofe moral, intellectual and juridical endowments are of eftablifhed pre-eminence; AND AARON OGDEN, Efqj In whom are united The COUNSELLOR and the PATRIOT; Will alfo receive this infcription as a refpedlful tribute to pre- eminent literary, profeffional and patriotic merit. The AUTHOR. A CHEMICO-PHYSIOLOGICAL INAUGURAL DISSERTATION O N CARBONE, or CHARCOAL. JL HE following pages are divided into four chapters : I. The pure and Ample fubftance of carbone, or charcoal, is treated of. II. Its natural and chemical hiflory. III. Its ceconomical ufes ; and, IV. The fubject of carbone is confidered medically. CHAPTER I. Of the pure andfimple fubftance, carbone or charcoal. CARBONE, or pure charcoal, is that fubftance which, in chemical nomenclature, is placed among the fimple bodies, becaufe no experiments hitherto made have proved that it is capable of decompofition. It exifts, ready formed, in the animal and vegetable republics, and alfo in the mineral, as is inftanced in plumbago or the carburet of iron, &c. Charcoal may be obtained from vegetable and animal fubftances, by incineration ; but their fubjeclion Xocalo- ( 8 ) ric, or the matter of heat, muft at firft be moderate, and afterwards very ftrong -, and for chemical purpofes, the animal or vegetable fubftances containing it muft be expofed, in a retort, to the heat of a reverberatory •, by which means the fubftances capable of being volatilized, or all the parts of the fubjecl fufceptible of combination with caloric, evolve in the form of gas, and leave the charcoal and little earth or faline bodies, as being of a more fixed nature, in the retort. This fimple fubftance is capable of great durability, and not fubjecl; to decomposition like thofe of the com- pound ones, as is proved by its being found unchanged in the ruins of cities, decayed forefts, &c. during the lapfe of ages.* Carbone is capable too, like many other fimple fub- ftances, of combination with the principle of acidity, or oxigene: in the firft degree of oxigenation, the carbonous acid, or oxyd of carbone, is produced ; and if a fufficient proportion of caloric be added to this, it forms the carbonous acid gas, or the gafeous oxyd of carbone : in the fecond degree of oxigenation, the carbonic acid is produced, to which if a fufrlciency of caloric be added, it is converted into carbonic acid gas. CHAPTER II. Its natural and chemical hiflory. CARBONE is the bafts of that aeriform fluid which feems to have been firft noticed and defcribed by John Baptift * 3 Watfon's Chem. EiT. p. 48. ( 9 ) Baptift. Van Helmont; before whofe time, Paracelfus, and authors previous to and cotemporary with him, thought this gafeous fluid to be the fame with the air which we refpire, although it does not appear they were authorifed fo to imagine or conclude, either by arguments, and much lefs by experiments. It was this elaftic vapour that is evolved from bodies by combuf- tion, fermentation and efFervefcence, that they caufed to be named fpiritus fyfoeftris. To this fpiritus fylvefiris, then, as the predecefibrs of Van Helmont called it, he took upon himfelf to affix the name of gas, or gas fylveftre, which he defines to be ** an incoercible fpirit or vapour, which can neither be collected in vefiels, nor reduced under a vifible form.*'* This was the ftate of knowledge among the chemifts of his time ; fince which, in modern days, according as it has been found combined with various fubftances, it has received different titles, fuch as fixed air,f mephitic air,\fixible air,% calcareous gas, \\ &c. By thefe appel- lations it was diftinguifhed until the year 1770, when it was proved by Bergman to be an acid,^ which has been more fully confirmed by Prieftley. This difcovery of Bergman has occafioned it to be known by the cre- taceous acid, mephitic acid, aerial and atmofphosric acid. B ThaC • ftefmoftttl Ortu-! Mr-dlcinnr, Cap. Complcr.ionum atque mIft:om«m Elc* Bientilium F/gmenium, N'u. 14. I Dr. Hale . t Mr. Bewley and Dr. Rutherford. ^ Ftlcor.er on fixiblfl »ir. H Tl ( -licmical D'fti xiaryi r ' ' . Lir. p. 3. '( io ) "That this fubftance is an acid was proved by our .chemical profeffor i . Water impregnated with it, and agitated with the -tinclure of Jacmus, or the litmus paper, turned them -red. 2. By the precipitation of lime, from lime-water. 3. By water being hi'ghly charged with it, by means of Nooth's apparatus, which became manifeftly acidu- lous to the tafte. 4. By its neutralizing alkalies, and caufing their crystallization.* In a memoir to the Royal Academy of Paris, La- -voifier relates, he found by experiment, that a certain ■quantity of charcoal burnt in a given volume of vital .or oxigene air, decompofed it, and produced a gas ex- actly fimilar to what is called fixed air, compofed of -charcoal, as an acidfiable bafe and oxigene, and which, -according to his fyftematic plan, he called carbonic acid : but the matter does not reft on the fynthetical experi- ments of Lavoifier, for Tennant decompounded the •£xed air contained in marble, by the intervention of phofphorus into refpirable air and charcoal ;-f however, as they did not appear altogether fatisfaclory, Pearibn repeated them, and has mown, that although the com- pound affinities on which the refult depended did not necejfarily warrant the conclufion, yet his " well-ima- gined experiments have in our opinion," fay the re- viewers, * For a more circumftantial detail of the lefts of its acidity, the elaborate work of Cronftedt may be confulted. (1 Cronftedt's Mineral. 2d edit, by Magellan p. 32c, art. Acidum Aereum.) ■f See Month. Rev. vol. vii. new feries, p. 71. c ** > I viewers, " fo fully eftablifhed the decompofition of the fixed air, that we need no longer hefitate in adopting, for this fluid, the name of carbonic acid." This gentleman employed the foflil and vegetable alkalies inftead of calcareous earth, as the former con- tain, in their mild ftate, a greater quantity of the fixed air, and from their folubility in water the charcoal is the more eafily feparable. By following Tennant's procefs with phofphorus in glafs tubes, he obtained ioo parts of mild fofiil alkali thoroughly dried, eight of charcoal in impalpable powder, intenfely black, and fo light that it occupied the volume of 22 times its weight of water. For the production of this quantity of charcoal, the alkali had loft fo much of its fixed air as was equal, m its elaftic ftate, to 20 ounce meafures of water. Whci the deficiency of air was greater or lefs, the quantity of charcoal varied in the fame proportion. Quick-lime and cauftic alkalies, efpecially the latter* can fcarcely be fo fully deprived of fixed air as not to exhibit, in this procefs, fome veftige of charcoal : but alkalies faturated with vitriolic or marine acids yield none, and the quantity of charcoal is in all cafes pro- portional to that of the fixed air contained in the fub- iempofition of gun-powder, fee Watfon's Chem. Eff. vol. i. p. 327. J Gun-powder is plainly defcribed in the works of Roger Bacon before the year 1267. He defcribes it in a curious manner, mentioning the fulphur and nitre, but conceals the charcoal in an anagram. The words are, ft- 1 tamen, filis pctrx LtJRt mop* can UBRt et fulphuris; et lie facies toniirum, et corrufcationem, fi fcias, artificium. The words lure mope can ubte ate an anagram of carbonum pulvcre. Biograph. Brit. vol. i. Bacon de Secretin Operibui, cap. 11. He adds, that he thinks by an artifice of this kind Gideon defeated the Midianites with only three hundred men. Judges, cap. 7. Chamb. Diet. art. Gun-powder. As Bacoa does not claim this as hll own intention, it ii thought by many to have been of much more ancient difcOYgry. Dirwin Can", i. I.237. i Watfon's Chcm. E/T. p. 335. ( 4 ) ftate. It is this Simple fubftance too, on its exilition in the gafeous form from the alkali, that makes the fud- den expIoSion in Pulvis fulminans, when the fulphur and alkali combine, and form a hepar or fulphure which is coloured by the charcoal. 2. In a State of combination with the carbonates of lime, fuch as chalks, marbles, lime-Stones, marks, tefta- ceous Shells, &c. it is ufed for agricultural purpofes,* and appears to be a natural and considerable Stimulant on the abforbent fyflem of vegetables, enabling them to take in a greater quantity of nourishment and to become more vigorous 5 and our profefTor of agriculture f de- livers it as his opinion, that the carbonates of lime act pretty much like the gypfums, not fo much by yielding nourifhment themfelves, as by operating on the excit- ability of plants, giving them greater appetency for food, Strengthening their digeSlive powers, and thereby enabling them to grow with increafed energy and luxu- riance. And it feems to be that lime which, in its cauSlic ftate, is fcattered over fallow land by farmers, becoming carbonated or neutralized by this acid, that affords that wholefome Stimulus to the future crop \ for, were this not the cafe, the lime would foon deStroy them, as it is well known to do both vegetable and animal fubSlances In its Slate of purity or cauSlicity j though even in this ftate it may be advantageouSly employed in fome cafes to quicken the decay or decomposition of dead vege- table matter, as in dung-heaps, &c The * Fordyce's Elem, Agric. Andeffon. Agric. Kaimes' Gent. Farm. &c. &cv t Mitchill. C 23 ) The carbonic acid not only appears to be a confider- able ftimulant to vegetables, but they would alfo feem to decompound it, for the purpofe of receiving its bafe into their conftitutions, and this feems countenanced from what has been related concerning the experiments of Myer.* Although it has long been difputed by chemiftsj phyfiologifts and agriculturalifts, whether or not char- coal exifted, and was formed naturally by the vegeta- ble ceconomy ; yet, from thefe late obfervations it is found true beyond doubt, that it is a fubftance pro- cured ab extra, and when taken in becomes an ingre- dient in the ligneous part of the vegetable :-f- and by thefe means may vegetables purify the atmofphere, not only by their extrication of vital air, but alfo by de- compofing the carbonic acid or its gas: and hence we perceive that this acid is decompofed naturally as well as artificially, when in the former it goes to combine with the hydrogene of the vegetable, and thus forms their oils and reiins, &c. it being to be confidered, that the moft valuable manures contain very large propor- tions of a carbonaceous fubftance, as in fwamp ma- nure, cow-yard manure, &c. and that the exhauftion of • Muhlenberg's Letter to Mitchill on the cultivation of the avena Xlatior — gypsum and stone coal as a manure, &c. TranfatS. Agric* Soc. of New- York, for 1794, part ii. p. 215. See an experiment to the fame effect made by Scnebier, related in 3 Chaptal's Chem. p. 32, and by Haflenfratz, Annalc: de Chimie. Month. Rev. new fcries, vol. xi. p. 540. •f This appears to be the cafe efpecially with the sphagnum palustrk of Linnc, which is of fo entirely a carbonaceous ftrucrure as to continue for a great length of time undecompofed, when covered with flrata of earthy *i may bcfcco u-^r New-Town, on Lor.g-Illand, &c. ( 24 ) of the fertility of foil in old cleared land is owing in a great degree to the confumption by vegetable abforp- tion of that carbonaceous ftratum of dead leaves, de- cayed and rotten trees, &c. which, on the firft fettle- ment of the country covered the furface of it. And the fertility of all our lands appears to be in a confider- able degree owing to the leading ingredient — carbone. g. In a ftate of mixture with water ; and, 4thly, in a ftate of gas it may be ufed ceconomically in the mak- ing of bread, as Mitchill not only proved in the ex- periments at Saratoga, but alfo in a ftate of gas, as appears by the following extract : — " Why are barm, yeaft and leaven, and other like fubftances, neceflary to raife fermentation in bread ? It is not neceffary that bread undergo fermentation in order to be good *, but it is fimply requifite that a quantity of fixed air mould be extricated to raife and puff it up. This divides and parts afunder the dough, and renders it porous and foft, prevents excerlive tough nefs and hardnefs, and makes the bread eafy to be broken, cut and eaten: further, fixed air, although a poifon when applied to the organs of fmeli and refpiration, is an agreeable ftimulus when taken into the ftomach, and may ope- rate, when an ingredient in bread, juft as it does in porter and other malt liquors. What good does pot- am do in cakes ? Pot-am contains a great portion of fixed air, which is fet at liberty by the heat neceflary to bake the cake •, and therefore pot-afh fuperfedes the ufe of fermenting mixtures. How is the water of Sa- ratoga fpring ufeful ? In the fame manner. The water is ( 2 5 ) is decompofed by the heat, lets go the fixed air, which, insinuates itfelf into the bread, and caufes it to be light and fpungy. For what reaibn are holes pricked into loaves of bread ? The heat of the oven not only fets free a large quantity of fixed air, but alio greatly rari- fies it : if, therefore, there be no outlet given to it, the loaf would be burfted in an unfightly manner, or an ex- tenfive blifter would be formed beneath the upper cruft, to the damage of the bread."* Carbonic acid may not only be oeconomically applied in the making of bread, but alfo from late obferva- tions in the making of vinegar, as appears from the experiments of Chaptal, who, by means of water be- ing impregnated with near about its own bulk of this acid, and expofed in a cellar where it had free venti- lation, found all that was contained in the vefTels in a fhort time converted into acetous acid; and as there appears to be nothing wanting but a prefence of hydrogene gas, and that particular temperature in which this change may be wrought, it is not improbable that in time this will be found a very cheap, eafy and expeditious way of fupplying ourfelves with this article. It has been fuggefted by Percival as deferving trial by florifts and horticulturalifts, when combined with water ;-f- and from what has been faid on the agricultural ufe of lime, &c. modified by this acid, it would feem very likely to produce good effects, as the acid may be decompounded in his experiments as well as in thofe above related. D CHAPTER • See " Sketch of the Philofophy tt" Houfc-kceping," &c. American Mu- fcum for Oilobsr, 1790, p. 173. -J 2 Med. III'. i>. 147. C 26 y CHAPTER IV. The fubjeff of carbone conjidered medically. IF it be true that the fubftances compofing the fan- guineous, nervous and mufcular parts of our conftitu- tions mall at different times exift in greater or lefs pro- portion, or poflefs greater or lefs attraction for each other than is confident with the health and well-being of our bodies; it follows, that when there mall be an abfence or furplufage of one or more of the ingredients forming the compound, the fubftance or fubftances fo abfent, or if they are prefent and exift in a too great or fmall quantity, that difeafe muft be induced correfpond- 1 ing to the prefent ingredients and their tendency to form new combinations : and hence it appears, that the ma- terials forming our bodies muft exift in a certain ratio of proportion with regard to each other, in order to conftitute health; every departure from which ratio will produce predifpofition if not actual difeafe. That difeafe fometimes arifes from a difproportion of the ingredients or materials forming the blood and the mufcular compages of our flefh, will be fufrkiently apparent by attending to the phsenomena that are chiefly confpicuous in the fymptoms of the two difeafes of phthiiis and fcorbutus, or confumption and fcurvy : the former to be considered as depending upon or occa- sioned "by an excefs, and the latter by a deficiency of the oxigenous principle"; accompanied in the former with a diminution^ and in the latter with an increafe of the carbonaceous C 27 ) tarbonaceous material. — And firft then of ' Phibijis pill- monalis. PHTHISIS. FOR the better explanation of the fymptbms of this difeafe, we mall confider it under the three following heads, which are perhaps as juft characteristics as any of the complaint. I. The remarkable lofs of fat, and often of mufcukr fubftance apparent in it. II. That happinefs, cheerfulnefs and ferenity of mind which attend it : and, III: The fever for which it is remarkable. I. The remarkable lofs of fat and often of mufcular fubftance that is manifested in confumption, even to the 'extreme leannefs fo confpicuous in the fades hippocra- iica, may probably be explained on the fuppofition of an excefs of the acidifying principle in the following manner : — The oxigene may unite with the carbone of our flem, during the temperature of the fyftem occa- sioned by means of the fever, which increafed degree of heat caufes a greater attraction of the carbone for the oxigene than before exifted, and by uniting with it and caloric, flies off in the form of carbonic acid gas, and takes away the bafis of the mufcles and fat: the bafis of the flem, being thus diflipated, leaves the other in- gredients in greater attractive force • for each other than they * " Carbonic matter long fince prefente'd itfeff to my mind as likely to be fervkeable in difeafes, where we fhould defire to deprive the fyftem of" ox- igene. Its great attraction for oxigene, in high temperatures, has long been fcnown; and (he experiments of Mr. Lowirz, ami ft'll mote the very forpri -j9?i of Dr. Kels, (Chill'i Annai.£N, ft. 3. 17'j?) and of, Dn liuckholz, I 28 J, they poffeffed before ; fo that they alfo may unite and form new combinations, as part of the hydrogene may combine with the carbonic acid during its formation and evolution from the furface of the body, and form that colliquative or clammy fweat which is fo constant a de- bilitant in confumption. Part of the hydrogene too, may combine with the oxigene, and produce the drop- fkal fwellings fometimes obfervable in that complaint ; and mod other atrophial difeafes, whether they arife from defect of nourishment or from mefenteric obstructions, may, like the confumption, be owing to a deficiency of the radical of the carbonic acid ; and it would feem to be by this combination of oxigene, carbone and caloric flying off in the form of gas, that occafions emacia- tion, not only in this complaint, but in all fevers what- foever. II. The ferene and cheerful difpofition which pa- tients in confumption almofl always ponefs, may alfo be owing to an excefs of the fame principle; and it may not be unlikely, that it acts immediately on the vital folid, or living moving -powers, which appear to he fo delicately organized, and to poffefs that peculiar excit- ability, capacity, or fufceptibility of impreffion, that when oxigen, its natural Stimulant or excitant, fhall be ap- plied, an effect or an excitement is produced; which quality, thence arifing from effects fo produced, is what is (Grin's Journ. per Physik. B. v. p. 3.) mew that at a temperature con- iiderably below thatof warm-blooded animals, carbonic matter is by no means fo inert a fubftance as it has hitherto been reputed. Dr. Moench (V. d. Arz- nev-mittein, p. 221.) affures us, that he has given it largely with fuc- cefs." Beddoes' Letter to Darwin, p. 63. , ( 29 ) is called Life ; and in proportion as fuch application mall be made and continued, will be the efFedt and continuance of this pleafant quality in the fyftem, as is inftanced in all the intermediate degrees of the ftate of mind in fcurvy and confumption. But this quality, aptitude or relation which the vital folid pofTefTes of being operated upon by its natural fti- mulant, oxigene, may at length be worn out of its ex- citability, as is proved by animals being expofed to an atmofphere of pure vital air, who fhortly after died •, not from the irrefpirability of the air, for animals could live in it afterwards, but from this animal capacity be- ing deftroyed by means of the indirect debility the gas produced on their fyftems ; and hence the above quali- ty muft ceafe, and ceffation of life, or death as it is cal- led, muft enfue. Therefore excitement, which is an effebi produced by the above exciting power, acting upon the excitability of the vital medullary fyftem and irritable fibre, and which is commonly called life, or the vital principle, would not feem to be. a d/Jiincl fub- fiance added to the body, but merely the modification or organization of the component atoms in a fpecific manner, and with due proportions of each of the ele- ments-, which organization and proportion are condi- tions neceflary to life, and the deftruclion of which in all cafes produces or accompanies difeafe or death : — This then, this is the magnum arcanum nature in this cafe of animated exiftence-, that animals, when this quality mail ceafe to cxift, die — to be fucceeded by other animals; and that the fame materials that formed the one animal. ( 30 J animal, may, after its death, go to the formation of ano- ther. That the cheerful difpofition of mind in confumptive patients is occafioned by a fuper-oxigenated fyftem, would feem as fully rational and conclufive as that of the great Haller, who would feign believe that this ftate of exhiliration, wherein the bodily powers were wafting away by difeafe, manifefted a " certain fome- what" which argued an immortality of the foul.* — - However, were we to form a juft and accurate conclu- sion from the facts and obfervations above related, we could not be led to an explanation of the caufe of that " certain fomewhat" which occasions hilarity in thefe patient?, as Haller has done; but, we muft confider ■life as an effect -produced by the action of ftimuli, and -par- ticularly of the ovigenous principle, upon the excitability of the mufcular and nervous fyftem •, and hence, that it is not a principle, but a condition — not a fubftance, but a quality of a fubftance. That it is the oxigenation of the fyftem which occa- sions the above quality or difpofition of mind, and that this will be effected in proportion as the fyftem mall be fo oxigenated, will not only appear from the cheerful- siefs it infpires on breathing it, butibe made further apparent hereafter, when the fymptoms of a difeafe fuppofed to be induced from difoxigenation, or a defi- ciency of the fame principle, fhall be taken into confe- deration. It * rii'u Haller. Element. Pbyfiolog, lib. xxx. %%?>• Signa Mortise ( 3i ) It may not, however, be deemed improper to ad- duce here another argument in fupport of what has already been faid concerning the exhilaration of mind in confumption, which appears to be dependant on the fame caufe, and exifting in proportion to the degree it fhall be applied ; it is this, that in general females are remarked to be more fubjecl: to this complaint than males; fo alio it is well known they pofTefs greater ir- ritability, that their imagination and vividity of thought far exceed thofe of males j all of which fymptoms are clearly the effects of their fyftems being comparatively oxigenated in a greater degree than the males; and this is remarkably illuftrated by an obfer- vation made by Pliny, who fays, " The blood of males is commonly blacker than that of females-,"* which change of colour Prieftley has long ago proved to be owing to the influence of oxigenous air. Since then it is the principle of acidity that enters and becomes part of the folid fubftance of our bodies, and occasions that ftimulation on the excitability of our nervous fyftems, &c. which produces the phenomena of a living flare, we may with great facility explain many of its functions, which feemed formerly to have eluded the obfervations and refearches of the moft dili- gent phyfiologifts : we have already explained fome of the moft difficult, that at firft fight feemed to have been infcrutable-, and the other powers that follow, dif- tinguifhing dead from living matter, are the internal ftimuli themfclvcs ; " the functions of the fyftem itfclf prod i! ■ " .-. HHt, V.m. I. lib. i j. op. ,".. C 32 ) producing the fame effect are mufcular contraction, the exercife of {mk, the energy of the brain in thinking, and in paffion and emotion." Thefe, together with the external ftimulant power of oxigene after its appli- cation, produce the fame effect, and life, or the quality of animation, is therefore found to be excited by their mutual co-operance j and hence " is a forced fiate of exiflence." This confequent performance of functions, when the ftimulus of oxigene mall be applied to a fyftem, poflef- fing a capacity of being roufed to life, will alfo probably explain, among other of its functions, the circulation of the blood, without accounting for it on the fole ac- tion of the heart, or afcribing it chiefly to the effect of mufcular fibres, by fome fuppofed to exift in the vafcular fyftem.: on the contrary, it would appear to be almoft entirely explicable on the above fuppofition : and in- deed, though the heart or mufcular fibres fhould be admitted to have a tendency to aid the circulation of the fanguineous fluid, yet this appears to be only in proportion as the blood mall be oxigenated, and thus operate on their excitability : and that they have no fuch great agency is further demonftrated by the circu- lation exifting in a human creature born without heart or lungs, wherein the circulation between the fcetus and the mother continued by means of the umbilical cord and placenta, fo as to ftimulate the arteries to action, until, after birth, when the cefTation of the oxigenating procefs,* * " The foetus has Its blood oxigenated by the blood of the mother through the placenta. During pregnancy, there feems to be no provifion for the reception of an unufual quantity of oxigene. On the contrary, in confer ( 33 ) procefs, on account of the want of refpiratory organs, was directly followed by death.* It is alfo probable, that oxigene is the caufe of irri- tability, from this quality being greater! in parts where moft blood is fent; and where this is abftracted, the vital principle, as Hunter calls it, muft alfo ceafe, as lie proved by his experiments in the bleeding of animals : and, on the contrary, where there fhall be lefs fent, or where it mail lofe the property of being arterial, thofe parts will be lefs fenfible, as is evidently perceived in the liver, &c. Animals too, poflefling a great quantity of oxigenej are alfo moft irritable, as is perceived in the tortoife, which will exceedingly well apply to prove that the circulation of the blood is carried on by the means above ftated : for Mitchill relates an experiment made by himfelf, wherein, after withdrawing the blood and injecting water in its place, he found that the heart E would quence of the impeded action of the diaphragm, lefs and lefs fliould be conti-' nually taken in by the iungs. If, therefore, a fumswhat diminifhcd proportion of oxigene be the effect of pregnancy, may not this be the way in which itar- refts the progrefs of phthifis? and if fo, is there not an excefs of oxigene in the fyftem of confumptive perfons? and may we not, by purfuing this idea, difcover a cure for this fatal diforder?" Beddoes' Obferv. on Calculus, &c. p. 114, 116. He goes on further to fay, that (l pregnant women agree with fcorbutic pa- tients in that ftrong inftindtive appetite for vegetables ; and it appears as If this diet wa', the moft fuitable to them.'* " Pregnant ...men," faya J?r. Denman, "h:\vegenerally a diflike to animal food of every kind, and under every fcrm — on the contrary, they prefer vege- , fruit, and every thing cooling, which they eat and drink with avidity, •nd in which they indulge without prejudice." Introduce, to Miciw, o.2/)y. See Review of Beddoea' Obfcrvationa, tec. 8 Duncan's Med. Com. p. 79. * ttt 1 I' • : a Human M*le Monftcr, by Dr. M^nro, iii. Tranf. Roy. Sue. Ldin. p. 215. ( 34 ) would contract and propel the water for fome time, until, for want of a frefh. fupply of oxigene, it ftopt. This irritability is well known in the eel, turtle, &c. and many of the clafs of amphibia of Linne. Oxigene, however, may not only be the caufe of irri- tability in the instances already mentioned, but may alfo produce this quality in vegetables, as in the mimofe, &c. and in all organized matter whatfoever poffeffing a capacity of being operated upon by it. III. The fever which attends confumption would alfo feem to be confirmative of the above doctrine, and will perhaps be of extenfive application to the expla- nation of fever in general, efpecially that of the fyno- cha, in which a phlogiftic, or what perhaps would be a more accurate expreffion, an oxigenated diathefis of the blood, exifts to fo great a degree that phlebotomy is often employed to decreafe the action of the heart and arteries. That fever is occasioned by an excefs of this principle has been fully proved by the expofure of animals to ah atmofphere of oxigene air, when they have fhewn all the diagnoftics of fever and inflammation. This then being the fact, we can eafily underftand why phthifis is attended with fever, fince it is evident, that fuper- ■oxigenation is the caufe of the complaint ; for the oxi- gene, on account of itsgreat attraction for caloric, al- ways carries a great quantity of it in a combined ftate •, and this oxigene itfelf may perhaps be decompofed by means of the vital folid, and thus not only produce ir- ritability, but alfo occaiion a greater evolution of its heat ( 35 ) heat from a ftate of combination to that of a liberated form i thus conftituting febrile heat, which produces that degree of temperature iiv the fyftem, by means of which the oxigene, &c. will the more ftrongly be at- tracted by the materials compofing the adipofe and mufcular parts of our bodies, and thus, by forming new combinations, fly off in the form of gas, and pro- duce, in part by thefe effects, the diminution of bulk and ftrength that is obferved in fevers, efpecially thofe that are terminated by colliquative fweats ; and it is this thermometric heat pafling again to a latent ftate in the perfpiratory matter on the furface of the body that in fome cafes occasions the fenfation of chillinefs and coldnefs of which patients complain.* Inflammatory * Since writing the above, Beddoes' letter to Darwin, on the fubjecl of " a new method of preventing pulmonary confumption," has come to hand, from which the following extract is felected, that the reader may draw fuch infe- rences as may be fuggefted from a comparifbn of what has been delivered with the experiments of that celebrated phyfician : " After fecuring a full fupply of oxigene air, the fird thing I undertook was to attempt to throw fome light upon the nature of confumption by an experi- ment upon mvf-.lf. Not having any thing of the phthifical conformation or the flighted hereditary claim to the difeafe, 1 thought I might venture very far in oxigenating myfelf wichout any great rifquc ; and it was impoilible for me to obferve the erTecls fo minutely in another perfon. 1 accordingly refpired air of a much higher than the ordinary ftandard, and commonly fuch as contained almoft equal parts of oxigene and azotic air, for near (avert weeks, with little interruption. I breathed it upon the whole fometimes for twenty minutec, f jnvimci for half an hour, and fometimes for an hour in theday ; but I never continued breathing for above four or five minutes at any one time. I felt, at the time of infpiration, that agreeable glow and li^htncfs of the ch<-(r, which hai been defcribe-J by Dr. IVieflley and others. In a very fhort time I was fen- fible of a much greater flow of fpirita than formerly, and was much more dif- ■'> mufcu'.jr ex»rnon. Ry degrees, my complexion, from .in uniform brown, becam't fairer and f omewhat florid. J perceived a carnation tint at tlv- end* «f the fingrri, and on all the c ivcred parts of the body the flcin acquired ( 36 ) Inflammatory fevers prevailing moft generally in northern and lefs in fouthern climates, may alfo poflibly be owing to the fyftem having greater opportunity of becoming furcharged with oxigene and caloric in the former than in the latter, and if fo, confumptive pa- tients will grow better in a warm than in an oppofite ftate much more of a flefli colour than it had before. I was rather fat, but during this procefs I fell away rapidly, my waiftcoats becoming very much too large for me; I was not fenfible, however, of my mufcular emaciation, but rather the contrary. My appetite wasgood ; and I eat one-third or one-fourth more than before without feeling my ftomach loaded. In no long time I obferved in my- felf a remarkable power of fuftaining cold. Except one or two evenings when I was feverifh, I never once experienced the fenfation of chillinefs, though cold eafterly winds prevailed during great part of the time I was infpiring oxigene air. I not only reduced my bed-clothes to a fingle blanket and cover-lid, but flept without inconvenience in a large bed-chamber, looking to the N. E. with the window open all night, and with the door and windows of an adjacent fitting room alfo open. About the expiration of the above-mentioned time, I per- ceived fome fufpicious fymptoms. It was uncomfortable to me to fit in a room at all clofe. I frequently felt a fenfe of heat and uneafinefs in my cheft; and rny Ikin was often dry and hot, with burning in my palms and foles; my pulfe, which had hitherto feldom exceeded eighty, was above ninety in the evening. At this time I took a journey of about 170 miles, the greater part in a mail coach in the night, the reft onhorfeback. The roads were uncommonly dufty, and feveral circumftances concurred to harrafs and fatigue me. On the way I met with a medical friend, who was much ftruck with the flufhed appearance of my countenance; and upon feeling my ikin and pulfe, which varied from an hundred and four to an hundred and twenty, imagined that I was become hectic. I had now, though but feldom, a ihort, dry cough ; but the fenfe of irritation to cough required an almoft conftant effort to fupprefs it: this fenfe of irrita- tion v/as, as you will fuppofe, attended by dyfpncea. I had alfo frequent bleed- ings at the nofe, an event almoft unprecedented with me; the blood was of an unufually bright colour; which was alfo feen in blood forced from the gums. "Whenever I pierced the (kin in {having, the blood flowed in greater abundance than ufual, and was ftaunched with difficulty." In confirmation of what is related in the above cafe, and of the injurious effe&s of vital air in confumption, may be added Fourcroy's relation of the cafes of twenty patients in this complaint, whom he caufed to refpire oxigene gas. Beddoes 2 Obf. p. 116 5 extracted from Annales dc Chimie, iv. 85. ( 37 ) ftate of the atmofphere, which is found to be the fact. Adolefcents too, who poiTefs a great ftock of accumu- lated excitability, will, on their fyftems becoming highly oxi^enated, be more lively and fprightly than elderly perfons, who, on the contrary, from a deficiency of ex- citability, are more apt to be melancholic. So alfo will this oxigenous principle, acting upon the vital medullary fyftem of young people, explain why they are more fubject to fevers of the order of phlegmafia?, as well as to confumptions ; while thofe of advanced years labour under indigeftion, &c. and many difeafes of the clafs of neurofes-, partly from a worn-out excitability, and partly from a deficiency of the vivifying and invigorat- ing ftimulus that oxigene affords. CURE. THE cure of confumption, if what has been ad- vanced be founded in truth, muft depend upon a re- newal of the fubftance or fubftances that the fyftem is fuppofed to have loft : and that carbone or charcoal is the principal abfent material in phthifis, which forms the connection or bond of union between the other in- gredients, mall be endeavoured to be made apparent by the numerous facts which we fhall now confider. It appears that carbone is the principal loft material constituting our flefh and fat, not only by the analyfis already related, but alfo from the great debility, and on the contrary from the increafe of ftrength obfervable when it is fo exhibited as to re-enter, and form again a confiderabte ( 33 ) confiderable proportion of our flefhy fabric ; and it feems to be by the agency of the fame material that the preient complaint is either palliated or removed, even when ulceration of the lungs takes place : it would alio appear to be on this doctrine of carbonating the fyftem, that we are to explain the popular opinion of longevity being moPc frequent, and the benefit patients in phthifis experience by living in places where this gas is abundant.* It is even faid too, there have been in- stances of people in confirmed confumption being en- tirely cured by occupations where this gas is consider- ably evolved, fucli as from lime-kilns, breweries, tan- yards, &c. &c. That carbonic acid gas has been beneficial in con- fumption, receives further corroboration from the ex- periments of Percival, who, having exhibited it to many of his phthifical patients by way of refpiration, fays, " the hectic fever has in feveral instances been generally abated, and the matter expectorated has become lefs oitenfive and better digefted."-f- This operation of the gas may perhaps yield an eafy explanation-, — on infpiration it may have a power of diminiihing the irri- tability of the lungs, which it may effect by abforbing a large proportion of their oxigene., which has been con- fidered above as constituting this quality j and alfo, on being * i Percival's Eff. p. 460. — It is faid, that confumptive patients in Ger- many are ordered to be placed in (tables, among their horfes, cattle, &c. from which practice they experience great relief: and on the fame principle are we to explain the benefit fuch patients have received from the burning of refias, &c. in clofe apartments. ■f 1 EiT. p. 3083 and x Prieftley, &c. p. 301. Append. C 39 ) being received into the fyftem, there will be a fixation of a part of it, and as the oxigene will be as it were neutralized, the prefence of it will thus be no longer active. It will alfo operate beneficially by reducing the quantity of pure gas inhaled at each dilatation of the lungs, and confequently diminifh the quantity of the principle of acidity derived to the blood and thence to the folids and fecreted humours, from that fource. While this procefs is going on, or as the fyftem fhall become again more carbonated, there will of ccnfe- quence be an alteration in the purulent matter through which the gas is received •, and this too feerris to be by the pus there formed pofTeffing a more fiuid or having a lefs tenacious confiftence, and being more offenfive before than after the exhibition of this remedy : the operation of the carbonic acid gas, then, in thefe laft fymptoms, is probably by its becoming united with part of the hydrogene, which before was not wholly com- bined with the fmall quantity of carbone forming the purulent compound •, but its now becoming united with the fuper-abundant hydrogene, the pus will take on a more tenacious and firm confiftence ; and in proportion as this fhall be effected will the offenfivenefs of expectora- tion diminifh •, for it would feem, that the great quantity of caloric at firft carried by the oxigene in a ftate of combination, and there partly extricated, mould eafily volatilize the hydrogene, azote, and other fubftances with which they were united, and which were probaMy in fuch flight attachment that they might be eafily de- compounded, and forming other combinations, fuch as ( 40 J phofphorated or carbonated hydrogene gaffes, &c. be thus volatilized by the agency of thermometric caloric. This being the cafe, while circumftances continue in the above fituation, the pus muft naturally he changed when the charbonic acid gas fhall be exhibited, which requires a greater quantity of caloric to fufpend it than the other gaffes, and which, when it fhall combine as already mentioned and render the difcharge more fixed, muff; of neceffity prevent any further decompofition, and will caufe it to be a more mild and digeftive pus. This may alfo with equal propriety hold good with uK cers on tile external furface of our bodies, which are well known to receive much injury from expofure to air; and as the good effects of applications to them, containing the elements by which this gas is formed, have long been experienced, it may not, perhaps, be unworthy of trial to expofe fuch ulcers to an atmof- phere of this gafeous fluid. But the infpiration of the carbonic acid gas is not the only way by which the fyftem may regain its loft ingredient, for it may alfo be received, and pofiibly with more effect, from fuch fubftances being taken for food or drink as contain it, viz. animal food, malt liquors, &c. all of which poffefs but a fmall quantity of the ox- igenous principle : and hence, by the employment of this diet, the carbone, azote, &c. of which they are compofed, may eafily be received into the fyftem by the oper?tion of the chylopoietic vifcera. That this treatment is juft and proper is further con- firmed by the experience of convalefcents and emaciated perfons, ( 4i ) perfons, who fometimes grow fat even to obefity, itn- lefs there mould exifr. fome mefenteric obftruction. This increafe of corpulency may not unlikely be effected' by means of the hydrogene that ftill remained in the emaciated habit, which, upon the admiffion of a frefh. fupply of carbone, united with it and formed the feba- ceous compound ■, and this may have been the cafe with thofe perfons who recovered from the yellow fever in Philadelphia, many of whom, it has been faid, were obferved to increafe in fatnefs. Confumption, however, may not be the only difeafe, for haemoptyfis itfelf would likewife feem in a conflder- able degree explainable on the doctrine of a hyper-ox- igenation of the fyftem, without having recourfe to the ordinary way of attributing it chiefly to a mechanical incapacity of the refpiratoiy organs, or to an arteriole pletbcra; and this receives confiderable fupport from patients in hssmoptyfis being fubjecl: " to much fenfi- bility and irritability" — the ingenium praecox Boer- haavii — as alio from the inflammatory diathefis that generally prevails, from the heat and fenfe of pain in the breaft, from the floridity of the blood, rednefs and flu/hi ngs of the cheeks, &c. all which feem to corro- borate the analogy between the two difeafes; and as they fo conftantly concur in each, a conclusion might be inferred, that ha;moptyfi3 mould be considered as an incipient phthifis. This explanation of haimoptyfis likewife receive? further confirmation from the known good confequeu- ces that rcfult in port from the fame plan of cure; fuch K *3 as fea- voyages, which feem to have been known even in the time of Pliny, as he fays, " for the phthific or confumption there is nothing fo good as to fail or be rowed upon the water, efpecially upon the feaj"* and the fame naturalift, in another place, fpeaks more di- rectly in point, as appears from the following obferva- tion he makes : — " The fea (fays he) afFordeth other ufes in feveral and many refpecls; but principally its air is wholefome to thofe that are in a phthific or con- fumption, as I have before faid, and'cureth fuch as reach and void blood upwards : and truly, I remember of late, that Annseus Gallio, after he was made conful, took this method, namely, to fail upon the fea for that infirmity. What think you is the caufe that many make voyages into iEgypt? Surely it is not for the air of iEgypt itfelf, but becaufe they lie long at fea, and are failing a great while before they arrive thither. "-£■ Thefe facts of Pliny's are conftantly confirmed by the daily experience of mariners, who are 'feldom or never fubject to confumption. The good effects of navigation, however, do not appear to arife entirely from the air of the fea, but alfo from the provifion ufed during the voyage, which is that of the animal kind; and hence probably the reafon, together with the little exercife they take, why mariners are more corpulent than men who live on more ; for this fpecies of food not only produces corpulency, but alfo a fcorbutic flate of the fyfiem, which, with the impurity of the air of- tentimes * Nat. Hift. torn. 1. lib. zZ. cap. 4. E. •J- Lib. 31. cap. 6. L, ( 43 ) tentimes below and between decks, affords Iefs of tlie refpirable portion to the lungs in each infpiration : and fince mips, by means of Dr. Hales, have been fo venti- lated that the air may have a free paffage through them, the fcurvy, which before made fuch ravages, has been lefs frequent in its appearance and lefs fatal in its effects. Since, from all that has been faid, it is clearly- evident, that both hasmoptyfis and phthifis are induced according as there (hall be prefent an excefs of the prin- ciple of acidity in the fyftem, then certainly all thoie means by which the fyftem may become fuper-oxige- nated mould be avoided, as alfo the adminiftration of thofe fubftances which have a great attraction for it, fuch as iron, &c* May it not be afked, whether the ordinary manage- ment of patients in either of thefe complaints, and the fuccefs attending them, mew that they are treated after a method fuitable to their cure ? Daily experience de- monftrates the contrary — hence, we mould no lono-er advife patients fo afflicted to haften to breathe the country air, already made too pure by vegetable extri- cation-, nor to diet upon vegetables and milk, or to make ufe of acidulous drinks i-f- but to purfue the di- rect contrary method above laid down, if they would for a radical folution of the difeafe : nor mould rfie cxercife of equitation, &c. fo much boaftcd of in thefe ■ May it not in a great degree be owing to the pretence of iron that fome mineral waterv ate hurtful to confuinptive patients ? ■f Sub-acid liquois alone, it it faid, have induced confumption, as haj been •icel by Ionic ladic., who, wi/hing to apucar more than what they lim- .rJinarily delicate, hare made great ufe of vinegar, lemonade, &c. ( 44 > thefe affections, be implicitly relied upon, as it is very probable they feldom or never do good without the in- tervention of fome other circumftances not properly attended to, and which are agreeable to the doctrine above expreffed: thus the aborigines of our country have fcarcely ever been obferved to be affected with confumption, which may eafily be accounted for, not from the exercife they take, but by their living in damp woods and Sleeping on the ground, where they refpire lefs pure air, which laft alone has been laid to cure the difeafe.* This, however, is not the only thing : their food too, which is that of wild animals, contain confi-- derable of the loft principle and but little of the oxige- nous. So alfo may it be with agriculturalists, who not only live in a great meafure upon animal food, but alfo receive the exhalations of the earth, by ploughing, &c. The riding on horfeback, therefore, fo much recom- mended by Sydenham and others, muft certainly be Jrurtful on the fingle confideration of there being a lar^ ger volume of air expofed to the fuperhcies of the lungs j and that this is injurious may alfo be fufficiently confirmed from the benefit confumptive patients receive in warm climates, where the air is not fo condenfed, and where confequently cast, par. lefs is breathed. The facts which have been related on the caufe and cure of hasmoptyfls and phthifis, will receive farther corroboration * Van Swieten, in his commentaries on Boerhaave, tells us, on the authority of Solano de Luque, the fuccefsful practice of the banos de tierra, or earth baths in hectic fevers and confumj>tions ? in Qrenada, Andalufia, aad «(:h,er provinces of Spain* ( 45 ) corroboration from the fymptoms of the difeafe put- poled to be next treated of, viz. SCURVY. Confumption may not only be • explained on the caufes above alledged, but alfo have a greater proba- bility of truth, from the fymptoms tKat are obferved to exift in fcorbutus; for in this difeafe, in which there is a difoxigmated ftate of the fyftem, we do not difcover that remarkable lofs of flefhy matter, nor that hilarity of mind or Acridity of the blood and fever, which are the fure concomitants of confumption : on the contrary, laxity and debility of the folids, palenefs of the counte- nance, dark colour of the blood, and above all, a fadnefs and deprefTion of fpirits, appear fure pathognomonics of this complaint: all which fymptoms, it mall be en- deavoured to be fhewn, depend very evidently upon a redundancy of carbone in the blood and folids, and upon a deficiency of the vivifying and invigorating fti- mulus of oxigenc. The defpondency of mind which is always apparent in fcorbutics, and which is fo oppofite to what prevails i;i confumption, would feem eafily accounted for, by fuppofing the fyftem to contain an cxcefs of carbone, which fhall attract, abforb or neutralize moll of its ox- B{ and in proportion as this fhall be effected, will the production of di reel: debility, from the abftraclion cf fo powerful a flimulus, approach to death or non-cx- ijlence of the quality of life; for it would appear in truth, the fyftem in fcurvy is as much and as ftriclly ju- per* ( 46 ) per-carbonated) as in confumption it was faid to btfuper- cxigenated. The dark colour of the blood,, the vibices and ecchy- morna that make their appearance in fcurvy, would, from what has been faid on confumption, feem to be owing to an abftraffion of the principle of acidity -, and therefore, as is the difpofition of the fyftem to phthifis will the Acridity of the fanguineous fluid appear •, and of confequence, as there mail be a deficiency of the above fioridifying principle, the materials entering the com-, pofition of the blood muft exift nearly or quite in their natural ftate and colour :■ and this appears to happen in. the difeafe under confideration. As iron is the chief material entering this circulating fluid, to which, in a ftate of oxidation, it owes its florid appearance •, fo therefore muft the iron re-afTume its priftine ftate and colour, when this fioridifying fubftance fhall be withdrawn in any difeafe wherein fubftances fhall be prefent which pofiefs a greater affinity or attrac- tion for it than the iron. This is remarkably eluci-. dated in fcurvy, in which there appears fuch an excefs of carbonaceous matter as to abftract from the iron all its oxigene, and leave it nearly or perhaps quite in its reguline or metallic ftate. There is, however, another way of accounting for the dark colour of the blood, and which may poflibly be more conclufive j — the carbone itfelf, in fubftance, may enter the circulating mafs, and thus tinge it of different fhades, in proportion to the degree in which it fhall be prefent. This receives con- siderable confirmation from the obfervations made by Lord ( 47 ) Lord Anfon's furgeons, who fay, that " in the begin- ning of the difeafe the blood, as it flowed out of the orifice of the wound, might be feen to run in different fhades of light and dark ftreaks. Where the malady was increafed, it ran thin and feemingly very black; and after ftanding fome time in a vefM, turned thick and of a dark muddy colour. In the third degree of the difeafe, it came out as black as ink. Laftly, as all other kinds of haemorrhages were frequent at the latter end of the calamity, the fluid had the fame appearance as to colour and confidence." From this account it would appear, that oxigene is not only abfent from the iron, but that the carbone itfelf is floating in the fanguiferous fyftem, and thus the blood in the arterial is rendered of the fame colour and com- pofition which is exhibited by the venous blood in health •, and hence the latter muft be fo fully carbonated as to lofe its connection with the iron by this abftrac- tion of the oxigene, which, when in juft proportion, appears to be a cementing principle fomewhat fimilar to that remarked by lithologifts to exift in minerals. This being the fact, it will no long remain a wonder why vi- bices and dark coloured effufions appear in fcorbutus. The offenfive breath (dyfodia pulmonica) and the high colour of feveral of the excretions in fcorbutics, feem alfo to arife from the new combinations that are formed on the decompofitions above aliuded to •, — part of the hydrogenc may unite with the azote and form an ammoniacaj compound; or the azote may combine with a finall proportion of oxigene in fuch a way as to form ( 4* } form the oxyd of azote or nitrogens-, or again, th8 hydragene may combine with the phofphorus or car- bone, and form phofphorated or carbonated hydrogene- gaffes -, and it would feein to be by thefe different com-* binations varioufly modified, that not only the above fymptorns of fcurvy, but perhaps all cutaneous erup- tions, difeafes, or ulcers whatsoever, in which there ap- pears to be an acrimony of the circulating fluids, fuch as fcrophula, erifipelas, lepra, cancer, &c." are to be explained : and by thefe various modified combinations perhaps alfo every fpecies of contagious matter what- foever may be generated or produced in animal and vegetable bodies. That fcurvy is the direct effect of fuper-carbonation of the fyftem, is further proved from the experience of thofe who are obliged to live principally upon animal food, efpecially that which is in a ftate of putrefcence, which every one knows is already in an incipient de- compofition, and hence may the more readily yield its carbone in the digeitive procefs. Many more facts* however,, might be adduced, if it were neceuary, to fupport what has already been advanced concerning the tendency of animal food to induce fcurvy; fuch, fof inPcance, as what has been related by Sinopceus, who obferves, " there are whole nations in Tartary, who live altogether on flefh and milk, and which people (fays he) are fubject to the moft violent fcurvics. 53 * Thefe are not the only caufes to which fcurvy has been attributed, for many consider cold and mcifHtre as highly * Parerga Medica, p, jtj, ( 49 ) highly conducive to the difeafe. Thefe opinions, how- ever, are confiderably doubtful, unlefs they mould be conceived as inducing their ill effects in the way Sandlo- rius afferts ; "for (fays he) too cold windy or wet weather lefTens perfpiration;"* and the perfpiration being thus obftructed, he goes on — " it converts the matter of tranfpiration into an ichor, which being re- tained, induces a cachexy. "-f Sanctorius appears fome- what juft in his conclufions, by fuppoftng and deferr- ing what he thought humidity of the air as favouring the difeafe, which conclufions he drew from his ftatical experiments, wherein he further relates, concerning this obstructed excretion in fcurvy, " that here perfpiration is flopped, the pafTages of it clogged, the fibres are re- laxed-, and the tranfpiration of it retained proves hurt- ful. "J But thefe latter affertions of Sanctorius cart only be partially admitted as caufes of fcorbutus; foe it would appear, that cold air was not alone the caufe, but if any thing rather beneficial, agreeable to what has been already obferved on confumption, in which com- plaint experience gives great atteftation in favour of a warm climate; and for directly contrary reafons mufc it be beneficial in this, becaufe of there being a greater quantity of oxigene air received into the fyftem by or- dinary refpiration in a cold climate, where the atmof- phere is more condenfed, than in a warm one, where it is more rarificd : and confequently the fyftem will ftand. G a greater • Mcelicin.i Statica. aoh. 203. •f- Ibid. atih. 1^6. X Ibirfi aph. 14;, ( 5o ) a greater chance of becoming oxigenated in the former than in the latter. As to the obftruclred cuticular or pulmonic exhala- tions being considered another caufe of fcurvy, thefe likewife would not feem altogether fatisfadtory, unlefs the fyftem fhould be in a ftate of predijpojition, by be- ing already fuper-carbonated, and then all that experi- enced man has faid may be admitted ; for in this Irate of fuper-carbonation, when the cuticular excretion ihall be obstructed and retained, will all the fubltances the perfpirable vapour contained become in fome de- gree fixed, or form other combinations. As it appears that carbone is a prevalent ingredient of the flefhy parts of ou 1 -dies, it confequently muft exift alfo in a considerable r "oportion in the above ex- cretion ; and that this is fad:, has been proved by the experiments of the Count de.Milly and others, who have collected large quantities of carbonic acid gas dur- ing its evolution from the furface of the body : this gas, then, being retained in the fyftem, is very ob- viouily an additional help to a difeafe depending upon too much of the fame material. This explanation is further conclusive on the consideration that obstructed perfpiration is not alone, but that fuper-carbonation of the fyftem is alfo a caufe of fcurvy ; and this is agree- able to the above obfervation of Sinopceus; for the food of thofe people, although they lived near the fri- gid zone, yielded the noxious material. The doctrine of fuper-carbonation of the fyftem is ftill further Strengthened from there appearing no febrile heat ( 5i ) heat in fcurvy, which is known to exift, in a consider- able degree, in phthirls ; as alio from the circulation being languid, and from the torpor and debility cf all the functions, — vital, animal and natural, which fully demonftrate a deficiency of the vivifying power of ox- igene. The Deliquia, too, attending fcurvy, feem ftrongly to argue the deleterious agency of carbone, when it exifts internally, as well as when it is applied externally, in the ftate of gas, in too great quantities, to parts pof- fefling much irritability ; as it may, by its direEi inter* nal application to the vital " medullary nervous matter and mufcular folid," abftradt from them the principle that gave them irritability •, and hence, in proportion to the degree in which this application fhall be made, will the flate of inanimation, or the torpor and debility of the folids, whether vital or animal, be produced-, and this abstraction of the oxigenous principle, if carried to the greateft degree, will, by inducing direft debility, caufe cejfation of animal exiflence altogether, and this as effec- tually as in the oppofite State of the fyftem, when, by the too great prefence of the oxigene, the animal is ftiimdated to death. That the carbonaceous principle, when in too great accumulation in the fyftem, poflirfTes a power of ex- tinguishing its fufceptibility of ftimuli altogether, is a fad clearly demonstrated by the weaknefs and feeble- nefs of the pulfe, by the whole fyftem of folids being in a weakened and relaxed condition, and even by the putridity of the heart itfelf.* The * Lind on Scurvy, p. 31a. ( 5* ) The conclufion, then, from all that has been de- livered, feems clearly apparent, that fcurvy originates from the fame caufes both upon land and fea, and ap- pears to be the fame difeafe ever fince the firft account we have of it on the latter by Vafco de Gama ;* and therefore, " if the axioms for the ftudy of nature, in the material inanimate world, be alfo applicable to the various modes of life and organization," then we may underftand why " effects of the fame kind may be afcribed to the fame caufes -, and the qualities of phe- nomena difcovered by experiments, may be confidered as univerfal qualities of phenomena of the fame kind," in difeafes of the human confutation, as well as in other cafes. To put the matter, however, beyond the porlibility of doubt, that they are both induced by the fame iden- tical caufe, viz. fuper-carbonation of the fyftem, the method of cure will in both appear to be the fame, that is, exactly fimilar to the common practice which in- duces confumption.-f CURE. FROM the foregoing obfervations, fcorbutus ap- pears to be a difeafe exifting only in proportion as the fyftem * See the Hiftory of the Portuguefe Difcoveries, Sec. by Herman Lopez de Caftanneda. •f That the fymptoms of fcurvy above enumerated are pofitive fa£ls may beevinced from confidering the cafe of the p.uer ceruleatus of Sandifort, as related In the *' Obfervationes Anatomico-Pathologicas, Lugd.Batav. 1777, p. 11. & feq." which cafe is alfo quoted by Beddoes, in his " Obfervations on the Nature and Cure of Calculus, Sea-Scurvy, 1 ' &c. p. 63, but which is too lengthy for infertion in a publication of this kind. ( S3 5 fyftem fhall be carbonated, or as it fhall be in a condi- tion oppofite to that which exifts in confumption, and therefore, to obtain a radical cure, muft neceffarily be treated by contrary remedies. The firft and moft powerful remedy calculated to effect a fpeedy cure appears to be that of oxigene air, • received by refpiration -, and this will the more fully be under flood, when we confider that it is the only " breath of life" as all the other gaffes either cannot fupport, or immediately deflroy the living quality of organized matter. As this is a condition of the fyflem in which life approaches nearly to a ilate of ' non-exiftence, that nourifhing principle or fupport of life is therefore required which the ancients denominated pabulum vita', for Hippocrates pofitively fays, " Principium alh menii fpiritus."* This pabulum vita, or breath of life, then, which is efferitial to animal exiflence, we find in the bafe of oxigene air, the operation of which animat- ing flimulus, as foon as it is received into the fyflem of patients in this moribund complaint, will, on its de- compofition, diffufe heat, life and vigour throughout the conflitution. Next to this empyrean gas, which is proved to pcffefs the only principle by which the quality of animation can be excited in organized matter of the human type, poffeffmg a fufceptibility of its flimulus, we mould feek for thofe fubflances that contain the oxigenous principle in the greatefl quantity, having at the fame time fuch a flight attachment for it, that this animating ftimulant • Hippocrat. dc Alim. v. 68, flimulant may be difengaged, and thus enter the fyf- tem by the primse vise, as well as when it is received in the manner above expreffed. It has been obferved, that fome of the mineral acids do not cure the fcurvy fo fpeedily as the acetous, citric, oxalic, tartaric, &c. this, however, is eafily underload, for the oxigene in thofe acids appears to be in fuch firm combination with their radicals as not to fuffer decompofition like the vegetable clafs. Of all vegetables the Citrus {lands firft on the lift in the cure of this difmal and deadly difeafe ; and it is to this alone that Lord Anfon attributes the cure of his men in the ifiand of Tinian, as well as many others who highly extol it;* and it is upon this that Kramer folely relies. -f The citrus having been long experienced to be more beneficial than any other vegetable fubftance, may be owing to its containing a larger proportion of oxigene, and lefs of carbone, azote, &c. than other plants-, and this appears to be the reafon why thofe alfo of the Te- tradynamous clafs are greatly recommended; for the fmall proportion of azote, &c. they are found to poffefs, is far more than compenfated for by their exuberance of oxigene. Scurvy, however, would not appear to be the only difeafe occasioned by an hyper-carbonated ftate of the fyftem, for many others, efpecially thofe belonging to the clafs of Neurofes, feem to depend upon a want of the * Mead's Difcourfc on the Scurvy, p. in. ■f Krameri Medicina Caft'renlis, part iii, cap, %, ( 55 ) the vivifying ftimulus that oxigene affords ; fuch, for inftance, are paralyfis, fyncope when it arifes from direct debility, dyfpepfia, hypochondriasis, chloroiis, tetanus, trifmus, convulfio, chorea, epilepsia, afthma, dyfpnoea when it arifes from debility or paralyfis of the mufcles of the larynx, cholera, chronic diarrhoea, hy- fteria, hydrophobia, amentia, melancholia, and cholera infantum, &c. which laft feems to be almoft pofitively confirmative of this doctrine •, for " out of many hundred children," fays Rufh,* " whom I have fent into the country in every ftage of this diforder, I have loft only three •," two of which, the Dr. fays, did not follow his directions; and he proceeds — " it is extremely agree- able to fee the little fufferers revive, as foon as they efcape from the city air and infpire the pure air of ths country." A fact of the fame nature was related to me by Profeffor Smith, whofe child was very ill of this difeafe, and grew better on his leaving this city to go with it to New- Jerfey : the paflage was at night, and confequently the air more condenfed : the infant, which was carried in his arms in the open air, was well clothed to prevent the ill effects that might perhaps have arifen from the application of cold air to the furface of its body, fo that the face only could be expofed, and hence the operation of the air could only have been on the refpiratory organs.-f That the cure depends upon the influence of oxigene is further evident from the ufe of acids, cfpecialJy the vegetable; for Profefibr Smith had two * i. Med. Inq. p. 118. f Many more fafclj might b« adduced of the beneficial efFc&i of country air from the obfervationj of I'rofcirori Hamtrllcy, Rjd^cis, &c. ( 56 ) two patients that were immediately cured by the ufe of the acetous acid,* a proportion of which was taken without his knowledge, and the cure effected much to his furprife. Vegetable acids probably operate in the way related of them in the cure of fcurvy. All the fymptoms of typhus feem alfo evidently to depend upon its abfence-, and it is highly probable, if oxigene air mould be adminiftered by way of refpira- tion, there would be happy confequences arifing from its exhibition ; and this is rendered evident from the common practice of hanging up or placing young and vigorous plants in the apartments of thofe labouring under the difeafe-, for mch plants not only perfpire a large quantity of vital gas, but alfo inhale the mephitic. The efficacy of acids alio, efpecially the vegetable, as pofTefling the property above related, is likewife to be accounted for on the fame principle. On the contrary, the clafs of Cachexias, as well as that of Phlegmafise, may depend upon an excefs of oxigene; as, anafarca, afcites, hydrothorax, &c. in which difeafes the oxigene may combine with the hydrogene, and form theferous fluids obfervable in them; and hence, for contrary reafons, the infpiration of carbonic acid and hydrogene airs mull be very ferviceable. The remarkable lofs of fat in the omentum, vifcera, &c. renders it frill more probable that thefe difeafes depend upon a too high oxigenated fyftem. Should what has been advanced hereafter prove true, it would feem necefTary that a new Nofological arrangement * Perhaps the acid may have had a phyfiologica! as well as a chemical aC.ion. ( 57 J arrangement of difeafes fhould be formed, and clafTed,: according as they are induced, either by an excefs of oxio-enation, or by the different ratios of proportion which the feveral ingredients, oxigene, hydrogene, car- bone, iron, &c. bear to each oth$r in our constitutions. It may not be improper here to obferve, that if, in the living human body, (and all others, perhaps) de- compositions and new combinations mail take place, as has been above endeavoured to be made apparent, then it may not be difficult to conceive that the Humo- ral Pathology, which has of late been in fome meafure exploded, mail receive fome cogent arguments in its favour-, for, according as the above related decomposi- tions and new combinations mail enfue, will great al- teration take place in the circulating humours, which in their peccant proportions may induce difeafes and death-, and the correction and adjustment of the pro- portions of which is unquestionably, in many cafes, one of our rational indications of cure. In tracing all difeafes, therefore, to thefolids alone, as Milman has done, (who feems almost, to have confi- dered the fluids as ufelefs parts of the constitution) there is certainly a radical error. Since, therefore, decompositions and new combina- tions, varioufly modified, are constantly taking place throughout animate as well as inanimate matter, and of which we have fuch manifold experience, it would feem, that a doubt could fcarcely reft with any one, that each and every of us, have, or fhall participate of the different modes of existence that matter, organized or 1 1 inorganized, C 5'* ) Inorganked, affumes m the different grades of creation ~—fro'm man to the lithophyte*-~from " the cedar that is in Lebanon to the byjfop that fpringeth out of the wall" —from the mite to the elephant: — thus fubftantiating the fayings made of old— " Quocumque flexeris te, habebis ibi DEUM occurrentem tibi : nihil vacat ab illo, ipfe implet opus fuum." — — - . ." JUPITER eft quodcunque vides, quocun- que moveris." " The fyftem one, one Maker ftands confefs'd; " The prime, the one, the wond'rous and the bleftg " The one on various forms of UNITY exprefs'd.'* * " Thou almoft mak'ft me waver in my faith To hold opinion with Pythagoras, That souls of animals infufe themfelves Into the trunks of men." FINIS. COLUMBIA UNIVERSITY LIBRARIES This book is due on the date indicated below, or at the expiration of a definite period after the date of borrowing, as provided by the rules of the Library or by special arrange- ment with the Librarian in charge. DATE BORROWED DATE DUE DATE BORROWED DATE DUE C28(t14l)M100 R73 =o ICO EO =o =o |^go logical inaugural tar bone, or \