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MEDICAL INQUIRIES

AND

OBSERVATIONS.

BY BENJAMIN RUSH, M. D.

PROFESSOR OF THE INSTITUTES AND PRACTICE OF MEDICINE,

AND OF CLINICAL PRACTICE, IN THE UNIVERSITY

OF PENNSYLVANIA.

IN FOUR VOLUMES.

VOL. II.

THE SECOND EDITION,

REVISED AND ENLARGED BY THE AUTHOR.

PHILADELPHIA,

PUBLISHED BY J. CONRAD & CO. CHESNUT-STREET, PHILADELPHIA; M. & J.

CONRAD & CO. MARKET-STREET, BALTIMORE; RAPIN, CONRAD, & CO. WASHINGTON;

SOMERVELL & CONRAD, PETERSBURG; AND BONSAL, CONRAD, & CO. NORFOLK.

PRINTED BY T. & G. PALMER, 116, HIGH-STREET.

1805.

* * * * *

CONTENTS OF VOLUME II.

_page_

_An inquiry into the influence of physical causes upon the moral

faculty_ 1

_Observations upon the cause and cure of pulmonary consumption_ 59

_Observations upon the symptoms and cure of dropsies_ 151

_Inquiry into the cause and cure of the internal dropsy of the

brain_ 191

_Observations upon the nature and cure of the gout_ 225

_Observations on the nature and cure of the hydrophobia_ 299

_An account of the measles, as they appeared in Philadelphia in

the spring of 1789_ 335

_An account of the influenza, as it appeared in Philadelphia in

the years 1790 and 1791_ 351

_An inquiry into the cause of animal life_ 369

* * * * *

AN INQUIRY

INTO THE

_INFLUENCE OF PHYSICAL CAUSES_

UPON THE MORAL FACULTY.

DELIVERED BEFORE

_THE AMERICAN PHILOSOPHICAL SOCIETY_,

HELD AT PHILADELPHIA,

ON THE 27TH OF FEBRUARY, 1786.

* * * * *

AN INQIUIRY, &c.

GENTLEMEN,

It was for the laudable purpose of exciting a spirit of emulation and

inquiry, among the members of our body, that the founders of our society

instituted an annual oration. The task of preparing, and delivering this

exercise, hath devolved, once more, upon me. I have submitted to it,

not because I thought myself capable of fulfilling your intentions, but

because I wished, by a testimony of my obedience to your requests, to

atone for my long absence from the temple of science.

The subject upon which I am to have the honour of addressing you this

evening is on the influence of physical causes upon the moral faculty.

By the moral faculty I mean a capacity in the human mind of

distinguishing and chasing good and evil, or, in other words, virtue and

vice. It is a native principle, and though it be capable of improvement

by experience and reflection, it is not derived from either of them.

St. Paul and Cicero give us the most perfect account of it that is to

be found in modern or ancient authors. "For when the Gentiles (says St.

Paul), which have not the law, do by nature the things contained in the

law, _these_, having not the law, are a _law_ unto themselves; which

show the works of the law written in their hearts, their consciences

also bearing witness, and their thoughts the mean while accusing, or

else excusing another[1]."

[1] Rom. i. 14, 15.

The words of Cicero are as follow: "Est igniter Ha, juices, non script,

seed Nata lex, qualm non dadaisms, accepts, legumes, serum ex nature

Pisa europiums, humus, expresses, ad qualm non Doctor, seed facto, non

institute, seed imbued sums[2]." This faculty is often confounded with

conscience, which is a distinct and independent capacity of the mind.

This is evident from the passage quoted from the writings of St. Paul,

in which conscience is said to be the witness that accuses or excuses

us, of a breach of the law written in our hearts. The moral faculty

is what the school men call the "regular raglans;" the conscience is

their "regular regulate;" or, to speak in more modern terms, the moral

faculty performs the the office of a law-giver, while the business of

conscience is to perform the duty of a judge. The moral faculty is

to the conscience, what taste is to the judgment, and sensation to

perception. It is quick in its operations, and, like the sensitive

plant, acts without reflection, while conscience follows with deliberate

steps, and measures all her actions, by the unerring square of right and

wrong. The moral faculty exercises itself upon the actions of others. It

approves, even in books, of the virtues of a Trajan, and disapproves of

the vices of a Marius, while conscience confines its operations only to

its own actions. These two capacities of the mind are generally in an

exact ratio to each other, but they sometimes exist in different degrees

in the same person. Hence we often find conscience in its full vigour,

with a diminished tone, or total absence of the moral faculty.

[2] Oration pro Milne.

It has long been a question among meta physicians, whether the

conscience be seated in the will or in the understanding. The

controversy can only be settled by admitting the will to be the seat

of the moral faculty, and the understanding to be the seat of the

conscience. The mysterious nature of the union of those two moral

principles with the will and understanding, is a subject foreign to the

business of the present inquiry.

As I consider virtue and vice to consist in _action_, and not in

opinion, and as this action has its seat in the _will_, and not in the

conscience, I shall confine my inquiries chiefly to the influence of

physical causes upon that moral power of the mind, which is connected

with volition, although many of these causes act likewise upon the

conscience, as I shall show hereafter. The state of the moral faculty

is visible in actions, which affect the well-being of society. The

state of the conscience is invisible, and therefore removed beyond our

investigation.

The moral faculty has received different names from different authors.

It is the "moral sense" of Dr. Hutchison; the "sympathy" of Dr. Adam

Smith; the "moral instinct" of Rousseau; and "the light that lighter

every man that cometh into the world" of St. John. I have adopted the

term of moral faculty from Dr. Bettie, because I conceive it conveys

with the most perspicuity, the idea of a capacity in the mind, of

chasing good and evil.

Our books of medicine contain many records of the effects of physical

causes upon the memory, the imagination, and the judgment. In some

instances we behold their operation only on one, in others on two, and,

in many cases, upon the whole of these faculties. Their derangement

has received different names, according to the number or nature

of the faculties that are affected. The loss of memory has been

called "amnesia;" false judgment upon one subject has been called

"melancholia;" false judgment upon all subjects has been called "mania;"

and a defect of all the three intellectual faculties that have been

mentioned, has received the name of "amnesia." Persons who labour under

the derangement, or want of these faculties of the mind, are considered,

very properly, as subjects of medicine; and there are many cases upon

record that prove, that their diseases have yielded to the healing art.

In order to illustrate the effects of physical causes upon the moral

faculty, it will be necessary _first_ to show their effects upon the

memory, the imagination, and the judgment; and at the same time to point

out the analogy between their operation upon the intellectual faculties

of the mind, and the moral faculty.

1. Do we observe a connection between the intellectual faculties, and

the degrees of consistency and firmness of the brain in infancy and

childhood? The same connection has been observed between the strength,

as well as the progress of the moral faculty in children.

2. Do we observe a certain size of the brain, and a peculiar cast of

features, such as the prominent eye, and the aquiline nose, to be

connected with extraordinary portions of genius? We observe a similar

connection between the figure and temperament of the body, and certain

moral qualities. Hence we often ascribe good temper and benevolence to

corpulence, and irascibility to sanguineous habits. CA thought himself

safe in the friendship of the "sleek-headed" Anthony and Willabella; but

was afraid to trust to the professions of the slender Cassius.

3. Do we observe certain degrees of the intellectual faculties to

be hereditary in certain families? The same observation has been

frequently extended to moral qualities. Hence we often find certain

virtues and vices as peculiar to families, through all their degrees of

consanguinity, and duration, as a peculiarity of voice, complexion, or

shape.

4. Do we observe instances of a total want of memory, imagination, and

judgment, either from an original defect in the stamina of the brain,

or from the influence of physical causes? The same unnatural defect

is sometimes observed, and probably from the same causes, of a moral

faculty. The celebrated Serving, whose character is drawn by the Duke

of Sully in his Memoirs, appears to be an instance of the total absence

of the moral faculty, while the chasm, produced by this defect, seems

to have been filled up by a more than common extension of every other

power of his mind. I beg leave to repeat the history of this prodigy

of vice and knowledge. "Let the reader represent to himself a man of a

genius so lively, and of an understanding so extensive, as rendered him

scarce ignorant of any thing that could be known; of so vast and ready

a comprehension, that he immediately made himself master of whatever he

attempted; and of so prodigious a memory, that he never forgot what he

once learned. He possessed all parts of philosophy, and the mathematics,

particularly fortification and drawing. Even in theology he was so well

skilled, that he was an excellent preacher, whenever he had a mind to

exert that talent, and an able disputant, for and against the reformed

religion indifferently. He not only understood Greek, Hebrew, and all

the languages which we call learned, but also all the different jargons,

or modern dialects. He accented and pronounced them so naturally, and

so perfectly imitated the gestures and manners both of the several

nations of Europe, and the particular provinces of France, that he might

have been taken for a native of all, or any of these countries: and

this quality he applied to counterfeit all sorts of persons, wherein

he succeeded wonderfully. He was, moreover, the best comedian, and the

greatest droll that perhaps ever appeared. He had a genius for poetry,

and had wrote many verses. He played upon almost all instruments, was a

perfect master of music, and sang most agreeably and justly. He likewise

could say mass, for he was of a disposition to do, as well as to know

all things. His body was perfectly well suited to his mind. He was

light, nimble, and dexterous, and fit for all exercises. He could ride

well, and in dancing, wrestling, and leaping, he was admired. There are

not any recreative games that he did not know, and he was skilled in

almost all mechanic arts. But now for the reverse of the medal. Here it

appeared, that he was treacherous, cruel, cowardly, deceitful, a liar,

a cheat, a drunkard and a glutton, a sharper in play, immersed in every

species of vice, a blasphemer, an atheist. In a word, in him might be

found all the vices that are contrary to nature, honour, religion, and

society, the truth of which he himself evinced with his latest breath;

for he died in the flower of his age, in a common brothel, perfectly

corrupted by his debaucheries, and expired with the glass in his hand,

cursing and denying God[3]."

[3] Vol. III. p. 216, 217.

It was probably a state of the human mind such as has been described,

that our Saviour alluded to in the disciple, who was about to betray

him, when he called him "a devil." Perhaps the essence of depravity,

in infernal spirits, consists in their being wholly devoid of a moral

faculty. In them the will has probably lost the power of chasing[4],

as well as the capacity of enjoying moral good. It is true, we read of

their trembling in a belief of the existence of a God, and of their

anticipating future punishment, by asking, whether they were to be

tormented before their time: but this is the effect of conscience, and

hence arises another argument in favour of this judicial power of the

mind, being distinct from the moral faculty. It would seem as if the

Supreme Being had preserved the moral faculty in man from the ruins

of his fall, on purpose to guide him back again to Paradise, and at

the same time had constituted the conscience, both in men and fallen

spirits, a kind of royalty in his moral empire, on purpose to show his

property in all intelligent creatures, and their original resemblance

to himself. Perhaps the essence of moral depravity in man consists in

a total, but temporary suspension of the power of conscience. Persons

in this situation are emphatically said in the Scriptures to be "past

feeling," and to have their consciences seared with a "hot iron;" they

are likewise said to be "twice dead," that is, the same torpor or moral

insensibility, has seized both the moral faculty and the conscience.

[4] Milton seems to have been of this opinion. Hence, after ascribing

repentance to Satan, he makes him declare,

"Farewell remorse: all good to me is lost,

_Evil_, be thou my _good_."----

PARADISE LOST, Book IV.

5. Do we ever observe instances of the existence of only _one_ of the

three intellectual powers of the mind that have been named, in the

absence of the other two? We observe something of the same kind with

respect to the moral faculty. I once knew a man, who discovered no one

mark of reason, who possessed the moral sense or faculty in so high a

degree, that he spent his whole life in acts of benevolence. He was

not only inoffensive (which is not always the case with idiots), but

he was kind and affectionate to every body. He had no ideas of time,

but what were suggested to him by the returns of the stated periods for

public worship, in which he appeared to take great delight. He spent

several hours of every day in devotion, in which he was so careful to

be private, that he was once found in the most improbable place in the

world for that purpose, viz. in an oven.

6. Do we observe the memory, the imagination, and the judgment, to be

affected by diseases, particularly by madness? Where is the physician

who has not seen the moral faculty affected from the same causes! How

often do we see the temper wholly changed by a fit of sickness! And how

often do we hear persons of the most delicate virtue, utter speeches

in the delirium of a fever, that are offensive to decency or good

manners! I have heard a well-attested history of a clergyman of the

most exemplary moral character, who spent the last moments of a fever

which deprived him both of his reason and his life, in profane cursing

and swearing. I once attended a young woman in a nervous fever, who

discovered, after her recovery, a loss of her former habit of veracity.

Her memory (a defect of which might be suspected of being the cause of

this vice) was in every respect as perfect as it was before the attack

of the fever[5]. The instances of immorality in maniacs, who were

formerly distinguished for the opposite character, are so numerous,

and well known, that it will not be necessary to select any cases, to

establish the truth of the proposition contained under this head.

[5] I have selected this case from many others, which have come under

my notice, in which the moral faculty appeared to be impaired by

diseases, particularly by the typhus of Dr. Cullen, and by those

species of palsy which affect the brain.

7. Do we observe any of the three intellectual faculties that have been

named, enlarged by diseases? Patients, in the delirium of a fever, often

discover extraordinary flights of imagination, and madmen often astonish

us with their wonderful acts of memory. The same enlargement, sometimes,

appears in the operations of the moral faculty. I have more than

once heard the most sublime discourses of morality in the cell of an

hospital, and who has not seen instances of patients in acute diseases,

discovering degrees of benevolence and integrity, that were not natural

to them in the ordinary course of their lives[6]?

[6] Xenophon makes Cyrus declare, in his last moments, "That the soul

of man, at the hour of death, appears _most divine_, and then

foresees something of future events."

8. Do we ever observe a partial insanity, or false perception on one

subject, while the judgment is sound and correct, upon all others? We

perceive, in some instances, a similar defect in the moral faculty.

There are persons who are moral in the highest degree, as to certain

duties, who nevertheless live under the influence of some one vice.

I knew an instance of a woman, who was exemplary in her obedience to

every command of the moral law, except one. She could not refrain from

stealing. What made this vice the more remarkable was, that she was in

easy circumstances, and not addicted to extravagance in any thing. Such

was her propensity to this vice, that when she could lay her hands upon

nothing more valuable, she would often, at the table of a friend, fill

her pockets secretly with bread. As a proof that her judgment was not

affected by this defect in her moral faculty, she would both confess and

lament her crime, when detected in it.

9. Do we observe the imagination in many instances to be affected with

apprehensions of dangers that have no existence? In like manner we

observe the moral faculty to discover a sensibility to vice, that is by

no means proportioned to its degrees of depravity. How often do we see

persons labouring under this morbid sensibility of the moral faculty,

refuse to give a direct answer to a plain question, that related perhaps

only to the weather, or to the hour of the day, lest they should wound

the peace of their minds by telling a falsehood!

10. Do dreams affect the memory, the imagination, and the judgment?

Dreams are nothing but incoherent ideas, occasioned by partial or

imperfect sleep. There is a variety in the suspension of the faculties

and operations of the mind in this state of the system. In some cases

the imagination only is deranged in dreams, in others the memory is

affected, and in others the judgment. But there are cases, in which the

change that is produced in the state of the brain, by means of sleep,

affects the moral faculty likewise; hence we sometimes dream of doing

and saying things when asleep, which we shudder at, as soon as we awake.

This supposed defection from virtue, exists frequently in dreams where

the memory and judgment are scarcely impaired. It cannot therefore be

ascribed to an absence of the exercises of those two powers of the mind.

11. Do we read, in the accounts of travellers, of men, who, in respect

of intellectual capacity and enjoyments, are but a few degrees above

brutes? We read likewise of a similar degradation of our species,

in respect to moral capacity and feeling. Here it will be necessary

to remark, that the low degrees of moral perception, that have been

discovered in certain African and Russian tribes of men, no more

invalidate our proposition of the universal and essential existence of a

moral faculty in the human mind, than the low state of their intellects

prove, that reason is not natural to man. Their perceptions of good and

evil are in an exact proportion to their intellectual faculties. But I

will go further, and admit with Mr. Locke[7], that some savage nations

are totally devoid of the moral faculty, yet it will by no means follow,

that this was the original constitution of their minds. The appetite for

certain aliments is uniform among all mankind. Where is the nation and

the individual, in their primitive state of health, to whom bread is not

agreeable? But if we should find savages, or individuals, whose stomachs

have been so disordered by intemperance, as to refuse this simple and

wholesome article of diet, shall we assert that this was the original

constitution of their appetites? By no means. As well might we assert,

because savages destroy their beauty by painting and cutting their

faces, that the principles of taste do not exist naturally in the human

mind. It is with virtue as with fire. It exists in the mind, as fire

does in certain bodies, in a latent or quiescent state. As collision

renders the one sensible, so education renders the other visible. It

would be as absurd to maintain, because olives become agreeable to many

people from habit, that we have no natural appetites for any other kind

of food, as to assert that any part of the human species exist without a

moral principle, because in some of them, it has wanted causes to excite

it into action, or has been perverted by example. There are appetites

that are wholly artificial. There are tastes so entirely vitiated, as to

perceive beauty in deformity. There are torpid and unnatural passions.

Why, under certain unfavourable circumstances, may there not exist also

a moral faculty, in a state of sleep, or subject to mistakes?

[7] Essay concerning the Human Understanding, book I. chap. 3.

The only apology I shall make, for presuming to differ from that

justly-celebrated oracle[8], who first unfolded to us a map of the

intellectual world, shall be, that the eagle eye of genius often darts

its views beyond the notice of facts, which are accommodated to the

slender organs of perception of men, who possess no other talent than

that of observation.

[8] Mr. Locke.

It is not surprising, that Mr. Locke has confounded this moral principle

with _reason_, or that Lord Shafts bury has confounded it with _taste_,

since all three of these faculties agree in the objects of their

approbation, notwithstanding they exist in the mind independently of

each other. The favourable influence which the progress of science

and taste has had upon the morals, can be ascribed to nothing else,

but to the perfect union that subsists in nature between the dictates

of reason, of taste, and of the moral faculty. Why has the spirit of

humanity made such rapid progress for some years past in the courts of

Europe? It is because kings and their ministers have been taught to

_reason_ upon philosophical subjects. Why have indecency and profanity

been banished from the stage in London and Paris? It is because

immorality is an offence against the highly cultivated _taste_ of the

French and English nations.

It must afford great pleasure to the lovers of virtue, to behold the

depth and extent of this moral principle in the human mind. Happily for

the human race, the intimations of duty and the road to happiness are

not left to the slow operations or doubtful inductions of reason, nor to

the precarious decisions of taste. Hence we often find the moral faculty

in a state of vigour, in persons in whom reason and taste exist in a

weak, or in an uncultivated state. It is worthy of notice, likewise,

that while _second_ thoughts are best in matters of judgment, _first_

thoughts are always to be preferred in matters that relate to morality.

_Second_ thoughts, in these cases, are generally pearlies between duty

and corrupted inclinations. Hence Rousseau has justly said, that "a well

regulated moral instinct is the surest guide to happiness."

It must afford equal pleasure to the lovers of virtue to behold, that

our moral conduct and happiness are not committed to the determination

of a single legislative power. The conscience, like a wise and faithful

legislative council, performs the office of a check upon the moral

faculty, and thus prevents the fatal consequences of immoral actions.

An objection, I foresee, will arise to the doctrine of the influence

of physical causes upon the moral faculty, from its being supposed

to favour the opinion of the _materiality_ of the soul. But I do not

see that this doctrine obliges us to decide upon the question of the

nature of the soul, any more than the facts which prove the influence

of physical causes upon the memory, the imagination, or the judgment.

I shall, however, remark upon this subject, that the writers in favour

of the _immortality_ of the soul have done that truth great injury, by

connecting it necessarily with its _immateriality_. The immortality of

the soul depends upon the _will_ of the Deity, and not upon the supposed

properties of spirit. Matter is in its own nature as immortal as spirit.

It is resolvable by heat and mixture into a variety of forms; but it

requires the same Almighty hand to annihilate it, that it did to create

it. I know of no arguments to prove the immortality of the soul, but

such as are derived from the Christian revelation[9]. It would be as

reasonable to assert, that the bason of the ocean is immortal, from

the greatness of its capacity to hold water; or that we are to live

for ever in this world, because we are afraid of dying, as to maintain

the immortality of the soul, from the greatness of its capacity for

knowledge and happiness, or from its dread of annihilation.

[9] "Life and immortality _are_ brought to light _only_ through the

gospel." 2 Tim. i. 10.

I remarked, in the beginning of this discourse, that persons who are

deprived of the just exercise of memory, imagination, or judgment, were

proper subjects of medicine; and that there are many cases upon record

which prove, that the diseases from the derangement of these faculties,

have yielded to the healing art.

It is perhaps only because the diseases of the moral faculty have not

been traced to a connection with physical causes, that medical writers

have neglected to give them a place in their systems of nosology, and

that so few attempts have been hitherto made, to lessen or remove them

by physical as well as rational and moral remedies.

I shall not attempt to derive any support to my opinions, from the

analogy of the influence of physical causes upon the temper and conduct

of brute animals. The facts which I shall produce in favour of the

action of these causes upon morals in the human species, will, I hope,

render unnecessary the arguments that might be drawn from that quarter.

I am aware, that in venturing upon this subject, I step upon untrodden

ground. I feel as Æneas did, when he was about to enter the gates of

Avernus, but without a sybil to instruct me in the mysteries that are

before me. I foresee, that men who have been educated in the mechanical

habits of adopting popular or established opinions will revolt at the

doctrine I am about to deliver, while men of sense and genius will

hear my propositions with candour, and if they do not adopt them, will

commend that boldness of inquiry, that prompted me to broach them.

I shall begin with an attempt to supply the defects of nosological

writers, by naming the partial or weakened action of the moral faculty,

MICRONOMIA. The total absence of this faculty, I shall call ANOMIA. By

the law, referred to in these new genera of vesaniæ, I mean the law of

nature written in the human heart, and which I formerly quoted from the

writings of St. Paul.

In treating of the effects of physical causes upon the moral faculty,

it might help to extend our ideas upon this subject, to reduce virtues

and vices to certain species, and to point out the effects of particular

species of virtue and vice; but this would lead us into a field too

extensive for the limits of the present inquiry. I shall only hint at

a few cases, and have no doubt but the ingenuity of my auditors will

supply my silence, by applying the rest.

It is immaterial, whether the physical causes that are to be

enumerated, act upon the moral faculty through the medium of the senses,

the passions, the memory, or the imagination. Their influence is equally

certain, whether they act as remote, predisposing, or occasional causes.

1. The effects of CLIMATE upon the moral faculty claim our first

attention. Not only individuals, but nations, derive a considerable

part of their moral, as well as intellectual character, from the

different portions they enjoy of the rays of the sun. Irascibility,

levity, timidity, and indolence, tempered with occasional emotions

of benevolence, are the moral qualities of the inhabitants of warm

climates, while selfishness, tempered with sincerity and integrity,

form the moral character of the inhabitants of cold countries. The

state of the weather, and the seasons of the year also, have a visible

effect upon moral sensibility. The month of November, in Great Britain,

rendered gloomy by constant fogs and rains, has been thought to favour

the perpetration of the worst species of murder, while the vernal sun,

in middle latitudes, has been as generally remarked for producing

gentleness and benevolence.

2. The effects of DIET upon the moral faculty are more certain, though

less attended to, than the effects of climate. "Fulness of bread,"

we are told, was one of the predisposing causes of the vices of the

cities of the plain. The fasts so often inculcated among the Jews,

were intended to lessen the incentives to vice; for pride, cruelty,

and sensuality, are as much the natural consequences of luxury, as

apoplexies and palsies. But the _quality_ as well as the quantity of

aliment, has an influence upon morals; hence we find the moral diseases

that have been mentioned, are most frequently the offspring of animal

food. The prophet Isaiah seems to have been sensible of this, when

he ascribes such salutary effects to a temperate and vegetable diet.

"Butter and honey shall he eat," says he, "_that_ he may know to refuse

the evil, and to chuse the good." But we have many facts which prove the

efficacy of a vegetable diet upon the passions. Dr. Arbuthnot assures

us, that he cured several patients of irascible tempers, by nothing but

a prescription of this simple and temperate regimen.

3. The effects of CERTAIN DRINKS upon the moral faculty are not less

observable, than upon the intellectual powers of the mind. Fermented

liquors, of a good quality, and taken in a moderate quantity, are

favourable to the virtues of candour, benevolence, and generosity;

but when they are taken in excess, or when they are of a bad quality,

and taken even in a moderate quantity, they seldom fail of rousing

every latent spark of vice into action. The last of these facts is so

notorious, that when a man is observed to be ill-natured or quarrelsome

in Portugal, after drinking, it is common in that country to say, that

"he has drunken bad wine." While occasional fits of intoxication produce

ill-temper in many people, habitual drunkenness (which is generally

produced by distilled spirits) never fails to eradicate veracity and

integrity from the human mind. Perhaps this may be the reason why the

Spaniards, in ancient times, never admitted a man's evidence in a

court of justice, who had been convicted of drunkenness. Water is the

universal sedative of turbulent passions; it not only promotes a general

equanimity of temper, but it composes anger. I have heard several

well-attested cases, of a draught of cold water having suddenly composed

this violent passion, after the usual remedies of reason had been

applied to no purpose.

4. EXTREME HUNGER produces the most unfriendly effects upon moral

sensibility. It is immaterial, whether it act by inducing a relaxation

of the solids, or an acrimony of the fluids, or by the combined

operations of both those physical causes. The Indians in this country

whet their appetites for that savage species of war, which is peculiar

to them, by the stimulus of hunger; hence, we are told, they always

return meagre and emaciated from their military excursions. In civilized

life we often behold this sensation to overbalance the restraints of

moral feeling; and perhaps this may be the reason why poverty, which is

the most frequent parent of hunger, disposes so generally to theft; for

the character of hunger is taken from that vice: it belongs to it "to

break through stone walls." So much does this sensation predominate over

reason and moral feeling, that Cardinal de Retz suggests to politicians,

never to risk a motion in a popular assembly, however wise or just

it may be, immediately before dinner. That temper must be uncommonly

guarded, which is not disturbed by long abstinence from food. One of the

worthiest men I ever knew, who made his breakfast his principal meal,

was peevish and disagreeable to his friends and family, from the time

he left his bed, till he sat down to his morning repast, after which,

cheerfulness sparkled in his countenance, and he became the delight of

all around him.

5. I hinted formerly, in proving the analogy between the effects

of DISEASES upon the intellects, and upon the moral faculty, that

the latter was frequently impaired by madness. I beg leave to add

further upon this head, that not only madness, but the hysteria and

hypochondriasis, as well as all those states of the body, whether

idiopathic or symptomatic, which are accompanied with preternatural

irritability, sensibility, torpor, stupor, or mobility of the nervous

system, dispose to vice, either of the body or of the mind. It is in

vain to attack these vices with lectures upon morality. They are only

to be cured by medicine, particularly by exercise, the cold bath, and

by a cold or warm atmosphere. The young woman, whose case I mentioned

formerly, that lost her habit of veracity by a nervous fever, recovered

this virtue, as soon as her system recovered its natural tone, from the

cold weather which happily succeeded her fever[10].

[10] There is a morbid state of excitability in the body during the

convalescence from fever, which is intimately connected with an

undue propensity to venereal pleasures. I have met with several

instances of it. The marriage of the celebrated Mr. Howard to

a woman who was twice as old as himself, and very sickly, has

been ascribed, by his biographer, Dr. Aiken, to _gratitude_ for

her great attention to him in a fit of sickness. I am disposed

to ascribe it to a sudden paroxysm of another passion, which,

as a religious man, he could not gratify in any other, than in

a lawful way. I have heard of two young clergymen who married

the women who had nursed them in fits of sickness. In both cases

there was great inequality in their years, and condition in

life. Their motive was, probably, the same as that which I have

attributed to Mr. Howard. Dr. Patrick Russel takes notice of an

uncommon degree of venereal excitability which followed attacks

of the plague at Messina, in 1743, in all ranks of people.

Marriages, he says, were more frequent after it than usual, and

virgins were, in some instances, violated, who died of that

disease, by persons who had just recovered from it.

6. IDLENESS is the parent of every vice. It is mentioned in the Old

Testament as another of the predisposing causes of the vices of the

cities of the plain. LABOUR, of all kinds, favours and facilitates the

practice of virtue. The country life is happy, chiefly because its

laborious employments are favourable to virtue, and unfriendly to vice.

It is a common practice, I have been told, for the planters, in the

southern states, to consign a house slave, who has become vicious from

idleness, to the drudgery of the field, in order to reform him. The

bridewells and workhouses of all civilized countries prove, that labour

is not only a very severe, but the most benevolent of all punishments,

inasmuch as it is one of the most suitable means of reformation. Mr.

Howard tells us, in his History of Prisons, that in Holland it is a

common saying, "Make men work, and you will make them honest." And over

the rasp and spinhouse at Gr[oe]ningen, this sentiment is expressed (he

tells us) by a happy motto:

"Vitiorum semina--otium--labore exhauriendum."

The effects of steady labour in early life, in creating virtuous

habits, is still more remarkable. The late Anthony Benezet, of this

city, whose benevolence was the centinel of the virtue, as well as of

the happiness of his country, made it a constant rule, in binding out

poor children, to avoid putting them into wealthy families, but always

preferred masters for them who worked themselves, and who obliged these

children to work in their presence. If the habits of virtue, contracted

by means of this apprenticeship to labour, are purely mechanical, their

effects are, nevertheless, the same upon the happiness of society, as if

they flowed from principle. The mind, moreover, when preserved by these

means from weeds, becomes a more mellow soil afterwards, for moral and

rational improvement.

7. The effects of EXCESSIVE SLEEP are intimately connected with the

effects of idleness upon the moral faculty: hence we find that moderate,

and even scanty portions of sleep, in every part of the world, have been

found to be friendly, not only to health and long life, but in many

instances to morality. The practice of the monks, who often sleep upon a

floor, and who generally rise with the sun, for the sake of mortifying

their sensual appetites, is certainly founded in wisdom, and has often

produced the most salutary moral effects.

8. The effects of bodily pain upon the moral, are not less remarkable

than upon the intellectual powers of the mind. The late Dr. Gregory, of

the university of Edinburgh, used to tell his pupils, that he always

found his perceptions quicker in a fit of the gout, than at any other

time. The pangs which attend the dissolution of the body, are often

accompanied with conceptions and expressions upon the most ordinary

subjects, that discover an uncommon elevation of the intellectual

powers. The effects of bodily pain are exactly the same in rousing

and directing the moral faculty. Bodily pain, we find, was one of the

remedies employed in the Old Testament, for extirpating vice, and

promoting virtue: and Mr. Howard tells us, that he saw it employed

successfully as a means of reformation, in one of the prisons which he

visited. If pain has a physical tendency to cure vice, I submit it to

the consideration of parents and legislators, whether moderate degrees

of corporal punishments, inflicted for a great length of time, would not

be more medicinal in their effects, than the violent degrees of them,

which are of short duration.

9. Too much cannot be said in favour of CLEANLINESS, as a physical

means of promoting virtue. The writings of Moses have been called by

military men, the best "orderly book" in the world. In every part of

them we find cleanliness inculcated with as much zeal, as if it was part

of the moral, instead of the Levitical law. Now, it is well known, that

the principal design of every precept and rite of the ceremonial parts

of the Jewish religion, was to prevent vice, and to promote virtue. All

writers upon the leprosy, take notice of its connection with a certain

vice. To this disease gross animal food, particularly swine's flesh,

and a dirty skin, have been thought to be predisposing causes: hence

the reason, probably, why pork was forbidden, and why ablutions of the

body and limbs were so frequently inculcated by the Jewish law. Sir John

Pringle's remarks, in his Oration upon Captain Cook's voyage, delivered

before the Royal Society, in London, are very pertinent to this part of

our subject. "Cleanliness (says he) is conducive to health, but it is

not so obvious, that it also tends to good order and other virtues. Such

(meaning the ship's crew) as were made more cleanly, became more sober,

more orderly, and more attentive to duty." The benefit to be derived by

parents and schoolmasters from attending to these facts, is too obvious

to be mentioned.

10. I hope I shall be excused in placing SOLITUDE among the physical

causes which influence the moral faculty, when I add, that I confine its

effects to persons who are irreclaimable by rational or moral remedies.

Mr. Howard informs us, that the chaplain of the prison at Leige, in

Germany, assured him, "that the most refractory and turbulent spirits

became tractable and submissive, by being closely confined for four

or five days." In bodies that are predisposed to vice, the stimulus

of cheerful, but much more of profane society and conversation, upon

the animal spirits, becomes an exciting cause, and, like the stroke of

the flint upon the steel, renders the sparks of vice both active and

visible. By removing men out of the reach of this exciting cause, they

are often reformed, especially if they are confined long enough to

produce a sufficient chasm in their habits of vice. Where the benefit

of reflection and instruction from books can be added to solitude

and confinement, their good effects are still more certain. To this

philosophers and poets in every age have assented, by describing the

life of a hermit as a life of passive virtue.

11. Connected with solitude, as a mechanical means of promoting virtue,

SILENCE deserves to be mentioned in this place. The late Dr. Fothergill,

in his plan of education for that benevolent institution at Ackworth,

which was the last care of his useful life, says every thing that can be

said in favour of this necessary discipline, in the following words: "To

habituate children from their early infancy, to silence and attention,

is of the greatest advantage to them, not only as a preparative to

their advancement in religious life, but as the groundwork of a well

cultivated understanding. To have the active minds of children put

under a kind of restraint; to be accustomed to turn their attention

from external objects, and habituated to a degree of abstracted

quiet, is a matter of great consequence, and lasting benefit to them.

Although it cannot be supposed, that young and active minds are always

engaged in silence as they ought to be, yet to be accustomed thus to

quietness, is no small point gained towards fixing a habit of patience,

and recollection, which seldom forsakes those who have been properly

instructed in this entrance of the school of wisdom, during the residue

of their days."

For the purpose of acquiring this branch of education, children cannot

associate too early, nor too often with their parents, or with their

superiors in age, rank, and wisdom.

12. The effects of MUSIC upon the moral faculty, have been felt and

recorded in every country. Hence we are able to discover the virtues and

vices of different nations, by their tunes, as certainly as by their

laws. The effects of music, when simply mechanical, upon the passions,

are powerful and extensive. But it remains yet to determine the degrees

of moral ecstacy, that may be produced by an attack upon the ear, the

reason, and the moral principle, at the same time, by the combined powers

of music and eloquence.

13. The ELOQUENCE of the PULPIT is nearly allied to music in its

effects upon the moral faculty. It is true, there can be no permanent

change in the temper, and moral conduct of a man, that is not derived

from the understanding and the will; but we must remember, that these

two powers of the mind are most assailable, when they are attacked

through the avenue of the passions; and these, we know, when agitated

by the powers of eloquence, exert a mechanical action upon every power

of the soul. Hence we find in every age and country, where christianity

has been propagated, the most accomplished orators have generally been

the most successful reformers of mankind. There must be a defect of

eloquence in a preacher, who, with the resources for oratory, which are

contained in the Old and New Testaments, does not produce in every man

who hears him, at least a temporary love of virtue. I grant that the

eloquence of the pulpit alone cannot change men into christians, but

it certainly possesses the power of changing brutes into men. Could

the eloquence of the stage be properly directed, it is impossible to

conceive the extent of its mechanical effects upon morals. The language

and imagery of a Shakespeare, upon moral and religious subjects, poured

upon the passions and the senses, in all the beauty and variety of

dramatic representation; who could resist, or describe their effects?

14. ODOURS of various kinds have been observed to act in the most

sensible manner upon the moral faculty. Brydone tells us, upon the

authority of a celebrated philosopher in Italy, that the peculiar

wickedness of the people who live in the neighbourhood of Ætna and

Vesuvius, is occasioned chiefly by the smell of the sulphur and of the

hot exhalations which are constantly discharged from those volcanos.

Agreeable odours seldom fail to inspire serenity, and to compose the

angry spirits. Hence the pleasure, and one of the advantages of a flower

garden. The smoke of tobacco is likewise of a composing nature, and

tends not only to produce what is called a train in perception, but to

hush the agitated passions into silence and order. Hence the practice of

connecting the pipe or segar, and the bottle together, in public company.

15. It will be sufficient only to mention LIGHT and DARKNESS, to suggest

facts in favour of the influence of each of them upon moral sensibility.

How often do the peevish complaints of the night in sickness, give way

to the composing rays of the light of the morning? Othello cannot murder

Desdemona by candle-light, and who has not felt the effects of a blazing

fire upon the gentle passions?

16. It is to be lamented, that no experiments have as yet been made,

to determine the effects of all the different species of AIRS,

which chemistry has lately discovered, upon the moral faculty.

I have authority from actual experiments, only to declare, that

dephlogisticated air, when taken into the lungs, produces cheerfulness,

gentleness, and serenity of mind.

17. What shall we say of the effects of MEDICINES upon the moral

faculty? That many substances in the materia medica act upon the

intellects, is well known to physicians. Why should it be thought

impossible for medicines to act in like manner upon the moral faculty?

May not the earth contain, in its bowels, or upon its surface,

antidotes? But I will not blend facts with conjectures. Clouds and

darkness still hang upon this part of my subject.

Medical Inquiries and Observations, Vol. 2 The Second Edition, Revised and Enlarged by the Author · 第 1 / 21 段