CHAPTER XXXIX.

HYGIENE OF THE NERVOUS SYSTEM.

793. As the different organs of the system are dependent on the brain

and spinal cord for efficient functional action, and as the mind and

brain are closely associated during life, the former acting in strict

obedience to the laws which regulate the latter, it becomes an object

of primary importance in education, to discover what these laws are,

that we may escape the numerous evils consequent on their violation.

794. _For healthy and efficient action, the brain should be primarily

sound_; as this organ is subject to the same general laws as other

parts of the body. If the brain of the child is free from defects at

birth, and acquires no improper impressions in infancy, it will not

easily become diseased in after life. But, if the brain has inherited

defects, or has acquired a proneness to disease by mismanagement in

early life, it will more easily yield to influences that cause

diseased action. The hereditary tendency to disease is one of the most

powerful causes that produce nervous and mental affections.

Consequently, children have a strong tendency to the diseases from

which the parents suffered.

795. When both parents have similar defects, or have descended from

tainted families, the children are usually more deeply impressed with

their imperfections than when only one possesses the defect. This is

the reason of the frequency of nervous disease and imbecility among

the opulent, as intermarriages among near relations are more frequent

with this class than among the poor.

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793-850. _Give the hygiene of the nervous system._ 793. Why is it

important to know the laws which regulate the action of the brain?

794. What is necessary that the action of the brain be healthy and

efficient? What follows if the brain of the child has inherited

defects? 795. What is the effect when both parents possess similar

defects?

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_Observation._ Among some of the reigning families of Europe,

particularly the Spanish, the folly of intermarriage among themselves

is strongly illustrated. The high and noble talents that characterized

their progenitors are not seen, but there is now exhibited, among

their descendants, imbecility and the most revolting forms of nervous

disease.

796. "Unhappily, it is not merely as a cause of disease, that

hereditary predisposition is to be dreaded. The obstacles which it

throws in the way of permanent recovery are even more formidable, and

can never be entirely removed. Safety is to be found only in avoiding

the perpetuation of the mischief."

797. "Therefore, if two persons, each naturally of excitable and

delicate nervous temperament, choose to unite for life, they have

themselves to blame for the concentrated influence of similar

tendencies in destroying the health of their offspring, and

subjecting them to all the miseries of nervous disease, madness, or

melancholy." The command of God not to marry within certain degrees

of consanguinity, is in accordance with the organic laws of the

brain, and the wisdom of the prohibition is confirmed by observation.

_Observation._ The inhabitants, females particularly, of the sea-girt

islands of America, are more affected with nervous diseases, than

those who reside upon the mainland. The prevalence of these affections

is ascribed to the frequent intermarriage of persons closely related

by blood.

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What is one cause of nervous disease among the higher classes? What is

true of some of the reigning families of Europe? 796. Why is

hereditary predisposition to be dreaded? 797. Is the prohibition of

God respecting intermarriage in accordance with the organic laws of

the brain? What is said of the inhabitants of the sea-girt islands of

America?

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798. _The brain requires a due supply of pure blood._ This organ

receives an unusually large supply of blood, in comparison with the

rest of the body. It is estimated that one tenth of all the blood sent

from the heart goes to this organ. If the arterial blood be altogether

withdrawn, or a person breathes air that is filled with carbonic gas,

the brain ceases its proper action, and sensibility with consciousness

becomes extinct.

_Illustrations._ 1st. If a person lose a considerable quantity of

blood, dizziness and loss of consciousness follow. This results from

the brain not receiving a sufficient amount of blood to sustain its

functions.

2d. When an individual descends into a well or pit that contains

carbonic acid, the blood is not changed or purified in the lungs, and

loss of consciousness and death soon follow.

799. The slighter variations in the state of the blood have equally

sure, though less palpable effects. If its vitality is impaired by

breathing an atmosphere so much vitiated as to be insufficient to

produce the proper degree of oxygenation, the blood then affords an

imperfect stimulus to the brain. As a necessary consequence, languor

and inactivity of the mental and nervous functions ensue, and a

tendency to headache, fainting, or hysteria, makes its appearance.

_Observations._ 1st. Let a person remain, for a time, in a crowded,

ill-ventilated, hall or church, and headache or faintness is generally

produced. This is caused by the action of impure blood upon the

brain.

2d. If a school-teacher wishes to have his pupils, on the day of

examination, appear creditably, he will be careful to have the room

well ventilated. Ventilating churches might prevent the inattention

and sleepiness that are observed during the afternoon service.

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798. Why does the brain require a due supply of pure blood? What is

the effect when a person loses a considerable quantity of blood? What

causes the loss of consciousness when carbonic acid is breathed? 799.

What effects are produced by slight variations in the quality of the

blood? From the following observations, give some of the effects of

impure blood on the brain.

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3d. In many instances, the transmission of imperfectly oxygenated

blood to the brain, is an influential cause in the production of

nervous disease and delicacy of constitution. The only efficient

remedy for these conditions is a supply of pure blood to the brain.

800. _The brain should be called into action._ This organ, like the

muscles, should be used, and then allowed to rest, or cease from

vigorous thought. When the brain is properly called into action by

moderate study, it increases in size and strength; while, on the other

hand, if it is not used, the action of this organ is enfeebled,

thereby diminishing the function of all parts of the body.

801. The brain, being an organized part, is subject, so far as regards

exercise, to the same laws as the other organs of the body. If it is

doomed to inactivity, its size diminishes, its health decays, and the

mental operations and feelings, as a necessary consequence, become

dull, feeble, and slow. If it is duly exercised after regular

intervals of repose, the mind acquires readiness and strength. Lastly,

if it is overtasked, either in the force or duration of its activity,

its functions become impaired, and irritability and disease take the

place of health and vigor.

802. The consequences of inadequate exercise will first be explained.

We have seen that by disuse the muscles become emaciated, the bones

soften, and the blood-vessels are obliterated. The brain is no

exception to this general rule. It is impaired by permanent

inactivity, and becomes less fit to manifest the mental powers with

readiness and energy. Nor will this surprise any reflecting person,

who considers that the brain, as a part of the same animal system, is

nourished by the same blood and regulated by the same vital laws as

the muscles, bones, and arteries.

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800. Why should the brain be called into action? 801. What is the

effect if the brain is doomed to inactivity? 802. Show the consequences

of disuse of the organs mentioned in preceding chapters. Does the

same principle apply to the brain?

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803. It is the weakening and depressing effect which is induced by the

absence of the stimulus necessary for the healthy exercise of the

brain, that renders solitary confinement so severe a punishment, even

to the most daring minds. Keeping the above principle in view, we

shall not be surprised to find that _non-exercise_ of the brain and

nervous system, or, in other words, inactivity of intellect and

feeling, is a very frequent predisposing cause of every form of

nervous disease.

804. For demonstrative evidence of this position, we have only to look

at the numerous victims to be found among females of the middle and

higher ranks, who have no calls to exertion in gaining the means of

subsistence, and no objects of interest on which to exercise their

mental faculties, and who, consequently, sink into a state of mental

sloth and nervousness, which not only deprives them of much enjoyment,

but subjects them to suffering, both of body and mind from the

slightest causes.

805. But let the situation of such persons be changed; bring them, for

instance, from the listlessness of retirement to the business and

bustle of the city; give them a variety of imperative employments, and

so place them in society as to supply to their cerebral organs that

extent of exercise which gives health and vivacity of action, and in a

few months the change produced will be surprising. Health, animation,

and energy, will take the place of former insipidity and dulness.

806. An additional illustration, involving an important principle in

the production of many distressing forms of disease will be found in

the case of a man of mature age, and of active habits, who has devoted

his life to the toils of business, and whose hours of leisure have

been few and short. Suppose such a person to retire to the country in

search of repose, and to have no moral, religious, or philosophical

pursuits to occupy his attention and keep up the active exercise of

his brain; this organ will lose its health, and the inevitable result

will be, weariness of life, despondency, or some other variety of

nervous disease.

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803. What renders solitary confinement so severe a punishment to the

most daring minds? What is a predisposing cause of nervous disease?

804. In what classes do mental and nervous debility prevail? 805. How

can this be counteracted? 806. Give another illustration, showing how

disease of the brain is induced.

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807. One great evil attending the absence of some imperative

employment or object of interest, to exercise the mind and brain, is

the tendency which it generates to waste the mental energies on every

trifling occurrence which presents itself, and to seek relief in the

momentary excitement of any sensation, however unworthy. The best

remedy for these evils is to create occupation to interest the mind,

and give that wholesome exercise to the brain, which its constitution

requires.

808. _The evils arising from excessive or ill-timed exercise of the

brain, or any of its parts, are numerous._ When we use the eye too

long, or in too bright a light, it becomes bloodshot. The increased

action of its vessels and nerves gives rise to a sensation of fatigue

and pain, requiring us to desist. If we relieve the eye, the

irritation gradually subsides and the healthy state returns. But, if

we continue to look intently, or resume our employment before the eye

has regained its natural state by repose, the irritation at last

becomes permanent, and disease, followed by weakness of vision, or

even blindness, may ensue.

809. Phenomena precisely analogous occur, when, from intense mental

excitement, the brain is kept long in a state of excessive activity.

The only difference is, that we can always see what happens in the

eye, but rarely what takes place in the brain; occasionally, however,

cases of fracture of the skull occur, in which, part of the bone being

removed, we can see the quickened circulation in the vessels of the

brain, as easily as those of the eye.

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807. What is one great evil attending the absence of some imperative

employment to exercise the mind and brain? What is the true remedy for

these evils? 808. From what other cause do evils arise to the brain?

Explain the evil of it by the excessive use of the eye. 809. What is

the only difference in the analogy of the phenomena of the eye and

brain? Has the analogy been verified?

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810. Sir Astley Cooper had a young man brought to him, who had lost a

portion of his skull, just above the eyebrow. "On examining the head,"

says Sir Astley, "I distinctly saw that the pulsation of the brain was

regular and slow; but at this time he was agitated by some opposition

to his wishes, and directly the blood was sent with increased force to

the brain, and the pulsation became frequent and violent."

811. Indeed, in many instances, the increased circulation in the

brain, attendant on mental excitement, reveals itself when least

expected, and leaves traces after death, which are very perceptible.

When tasked beyond its strength, the eye becomes insensible to light,

and no longer conveys any impressions to the mind. In like manner, the

brain, when much exhausted, becomes incapable of thought, and

consciousness is almost lost in a feeling of utter confusion.

812. _At any time of life, excessive and continued mental exertion is

hurtful_; but in infancy and early youth, when the structure of the

brain is still immature and delicate, permanent mischief is more

easily produced by injudicious treatment than at any subsequent

period. In this respect, the analogy is as complete between the brain

and the other parts of the body, as that exemplified in the injurious

effects of premature exercise of the bones and muscles.

813. Scrofulous and rickety children are the most usual sufferers in

this way. They are generally remarkable for large heads, great

precocity of understanding, and small, delicate bodies. But in such

instances, the great size of the brain, and the acuteness of the mind,

are the results of morbid growth. Even with the best of management,

the child passes the first years of its life constantly on the brink

of active disease.

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810. Relate the case detailed by Sir Astley Cooper. 811. May the

increased functional action of the brain change its structure? 812. At

what age particularly is excessive and continued mental exertion

hurtful? 813. What is said of scrofulous and rickety children?

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814. Instead, however, of trying to repress its mental activity, the

fond parents, misled by the early promise of genius too often excite

it still further, by unceasing cultivation, and the never-failing

stimulus of praise. Finding its progress for a time equal to their

warmest wishes, they look forward with ecstasy to the day when its

talents will break forth and shed lustre on its name.

815. But in exact proportion as the picture becomes brighter to their

fancy, the probability of its being realized becomes less; for the

brain, worn out by premature exertion, either becomes diseased, or

loses its tone, leaving the mental powers imbecile and depressed for

the remainder of life. The expected prodigy is thus easily outstripped

in the social race by many whose dull outset promised him an easy

victory.

816. Taking for our guide the necessities of the constitution, it will

be obvious that the modes of treatment commonly resorted to ought to

be reversed. Instead of straining to the utmost the already irritable

powers of the precocious child, and leaving his dull competitor to

ripen at leisure, a systematic attempt ought to be made, from early

infancy, to rouse to action the languid faculties of the latter, while

no pains ought to be spared to moderate and give tone to the activity

of the former.

817. Instead of this, however, the prematurely intelligent child is

sent to school and tasked with lessons at an unusually early age,

while the healthy but more backward boy, who requires to be

stimulated, is kept at home in idleness, perhaps for two or three

years longer, merely on account of his backwardness. A double error is

here committed. The consequences to the intelligent boy are,

frequently, the permanent loss both of health and of his envied

superiority of intellect.

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814. How are such children usually managed? 815. What is the cause of

their early promise and subsequent disappointment? 816. What mode of

treatment should be adopted in educating precocious children? 817. How

should the dull or less active child be treated? What is the usual

course?

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818. In youth, too, much mischief is done by the long daily period of

attendance at school, and the continued application of the mind which

the ordinary system of education requires. The law of exercise--that

long-sustained action exhausts the vital powers of the organ--applies

as well to the brain as to the muscles. Hence the necessity of varying

the occupations of the young, and allowing frequent intervals of

exercise in the open air, instead of "enforcing the continued

confinement now so common."

_Observation._ It is no unusual occurrence, that on examination day,

the best scholars appear indifferently. This may be the result of

nervous exhaustion, produced by extra mental effort in preparing for

the final examination. It is advisable for such pupils to divert their

minds from close study for a few days previous to examination. During

this time, the student may indulge in physical recreation, social

intercourse, and a moderate amount of reading.

819. "In early and middle life, fever, an unusual degree of cerebral

disorder, is a common consequence of the excessive and continued

excitement of the brain. This unhappy result is brought on by severe

study, unremitted mental exertion, anxiety, and watching. Nervous

disease, from excessive mental labor and high mental excitement,

sometimes shows itself in another form.

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What are the consequences of the error? 818. What error prevails in

the present system of education? Why should youths be allowed frequent

intervals to exercise in the open air? Give observation. 819. What is

a frequent consequence of continued and excessive excitement of the

brain?

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820. "From the want of proper intervals of rest, the vascular

excitement of the brain has not time to subside. A restless

irritability of temper and disposition comes on, attended with

sleeplessness and anxiety, for which no external cause can be

assigned. The symptoms gradually become aggravated, the digestive

functions give way, nutrition is impaired, and a sense of wretchedness

is constantly present, which often leads to attempts at suicide."

_Observations._ 1st. Moderation in mental exertion is more necessary

in old age than in early or mature years. In youth and manhood, the

exhaustion of the brain from over-excitement may be repaired, but no

such result follows over-exertion in the decline of life. "What is

lost then, is lost forever." At that period, the brain becomes

excited, and is soon exhausted when forced to protracted and vigorous

thought. Sir Walter Scott and President Harrison afford sad examples

of premature death from overtasked brains at an advanced period of

their lives.

2d. If the mind is incessantly engaged in the contemplation of the

same object, there is danger from over-exertion of the brain at any

period of life, but more particularly in old age. The more limited the

sphere of mental action, the greater the danger of the brain being

over-exercised. Hence the frequency of nervous diseases in poets,

mathematicians, and musicians.

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820. What often manifests itself from the want of proper intervals of

rest? Why is moderation in mental action necessary in old age? What is

the effect if the mind is incessantly engaged in the contemplation of

the same object?

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A Treatise on Anatomy, Physiology, and Hygiene (Revised Edition) · 第 23 / 34 章