CHAP. III.

The Changes wrought in the Animal Oeconomy from the above-mention'd

Causes, may be reduced to such as depend either on the Increased Heat of

the Air join'd with its Humidity; Or to such as are produced from the

particular Qualities of the putrid and Contagious Particles floating in

it; Or to the united and complicated Effects of all together.

[Sidenote: _Effects of a hot and

moist Air._]

The Alterations produced in the Body from a greater Heat continually

surrounding it, provided it be not Excessive, are a Rarefaction of the

Juices, and Relaxation of the _Fibres_ on the Surface of the Body, and

greater Derivation of the Fluids that way. Whence proceeds a large

Evacuation of the perspirable Matter. This being continued in a greater

Proportion than in a Natural State, will gradually deprive the Blood of

its Aqueous and Spirituous Parts, and leave the remaining serous Part

more stock'd with acrid and pungent Salts, and the Gross, Terrestrious,

Oleaginous, and Viscous Particles more firmly united by their nearer

Approach, and stronger Cohesion to each other. This greater Heat or

Quantity of Fiery Particles, continually surrounding the Body, will

necessarily insinuate it self into, and unite with the Saline,

Sulphureous, and other Particles, in the same manner as we see it does

with other Substances, both Solid and Liquid[l]; And likewise by

increasing the Velocity of the Circulation and Attrition of the

Particles against each other, render them on these Accounts also more

Volatile, Pungent and Stimulating, and consequently the Blood will

consist of Particles more gross and inspissated or coagulated, and

likewise of those of a more acrid and pungent Disposition than in a

natural State.

[l] _Boyl_'s Experm. Nov. de Pond, Ignis & Flam. _Newtoni_

Optic. Quæst. 21 & 22.

The Blood being in this depraved Condition, the rest of the Animal

Juices must degenerate in Proportion thereto, and the Nervous Fluid, as

it consists of the most volatil and subtil Parts, be extreamly acrid and

pungent, as well as unequal in its Texture and Fluidity, from the more

viscous Parts contain'd in it.

[Sidenote: _Putrid Fevers how

produced._]

This then being the State of the Blood and other juices of the Body, it

is easy to perceive how from very Slight, and otherwise trivial

Occasions, a Fever of a very Malignant Nature may be produced. Thus the

perspirable Matter from a slight Cold taken being retained, or the

Vessels any otherwise filled by Irregularities in Diet, or others of the

Non-naturals, the Weight of the moving Fluid will be increased, and the

Circulation be more languid and slow. Whence the intestine Motion of the

Particles of the Blood being diminished, the viscous Parts will cohere

more strongly and in greater Quantities than before, and obstruct the

Capillary Arteries, especially in the Extremities, and a Coldness,

Stretching, Yawning, Torpor, _&c._ necessarily succeed, the constant

Attendants of a beginning Fever; All which will bear a Proportion to the

Quantity retain'd, and the Viscosity of the moving Fluid.

These Disorders will necessarily be increased on account of the Air's

Spring being weakned by its Heat, the Vessels of the Lungs being less

inflated, and the Globules of the Blood less broken and divided, and the

more especially in a humid Air, Heat and Moisture necessarily relaxing

the Tone of the Fibres and Vessels, and rendring them less Springy and

Elastic. Hence then the Quantity of Spirits being diminish'd, and their

Motion more slow, the Contraction of the Heart and other Muscles will be

more weak and languid, and being stimulated by the Acrimony of the

Circulating Liquors, must contract more frequently than in a Natural

State; The Consequence of which is Weakness, Faintness, Thirst, and

Dejection of Spirits.

These and the preceeding Symptoms will necessarily continue, 'til such

time as the gross and viscous Matter, being shook and loosen'd by the

Action of the Capillary Vessels, is washed away into the Veins by the

force of the Circulating Fluids, and there continues its Course with the

rest, 'til it be either attenuated and secreted, or lodged again in the

Capillaries to excite new Disorders.

[Sidenote: _Malignant Fevers._]

Now if to this evil Disposition of the Air be added a number of pungent

stimulating Particles, whether bred in the Body or floating in the Air,

and thereby communicated to the Blood, which are apt to coagulate the

Animal Juices, so as to form _Moleculæ_ of such Shapes and Sizes as more

firmly obstruct the Capillary Vessels, and at the same time stimulate

and corrode the nervous Parts; It will necessarily happen, that the

preceeding Symptoms must be highly exasperated, and a Fever of a much

worse Nature produc'd.

Hence then must follow a violent Hurry and Colluctation of the Fluids,

the Viscid and coagulated Parts of the Blood in some Parts obstructing

the Circulation of the Juices, and the Acrid, Volatil, and Fiery Parts,

rarefying and dissolving others of the more Liquid, to the greatest

degree of Pungency and Volatility imaginable.

Hence it is easy to perceive how the Motion of the Blood must

necessarily be in some Parts more languid, by the Cohesion of the more

Viscous parts, in others quicker, join'd with a pungent and stimulating

heat, from the increased Velocity and Acrimony of the moving Fluid, and

the various Actions of the Particles upon each other, and their Impulses

on the containing Vessels; As also how these are capable of almost

infinite Variations, in Proportion to the different Quantities and

Qualities of the constituent Particles. Hence then appears the Reason of

that wandering and uncertain Heat and Coldness, in different Parts of

the Body at the same time. Hence appears the Reason of that great

Inquietude and Anxiety, of those uncertain and partial Sweats,

Watchings, Tremors, stretching Pains of the head, and the like, as will

be more fully shown hereafter.

But before I proceed to explain the Nature of a Fever truly

Pestilential, it will be necessary to observe, that notwithstanding the

foremention'd putrid Disposition be generally a Prelude to a

Pestilential Constitution of the Air, yet it has never that I know of

been observ'd, that these Causes alone at their first Onset, produced a

real Plague or Pestilential Contagion, without the Concurrence of some

preceeding Infection, either brought from abroad, or gradually augmented

from the increased Putrifaction of the Air, and Poisonous Steams of

Morbid Bodies.

Thus the putrid Air of Camps in hot Countries is frequently found to

produce Pestilential Fevers, but this never happens at their first

Onset; The Diseases first appearing being Fluxes, Putrid, and afterwards

Malignant Fevers; which being exasperated and propagated by the Virulent

Effluvia of Diseased Bodies, and the increased Putrifaction of the Air,

grow up gradually to those of a Pestilential, and exceedingly infectious

Disposition.

[Sidenote: _Of Putrifaction &

Fermentation._]

Now Putrifaction being only a kind of Fermentation, wherein the

Particles of a putrifying Body are put into an intestine Motion, and by

their Action and Attrition broken and divided, and since all fermenting

Substances do emit vast Quantities of small separable Parts, it will

necessarily follow, that the most subtil and active Particles of the

Purifying Body will be elevated into the Air, and float in it.

[Sidenote: _Effluvia from putrified

Bodies what._]

These Effluvia consist of the finest and most volatil saline and

oleaginous Particles, highly attenuated and set at Liberty from the

gross Oil and Terrestrious Part, as appears from the Distillation of

such Substances, all which afford great Quantities of a pungent and

volatil Salt. It is likewise observable, that the subtil Oleaginous

Particles being specifically lighter, as well as more easily attenuated

and divided than those of a Saline Nature, will be thrown off in greater

Proportion in the beginning of the Fermentation or Putrifaction than the

heavier Salts will be, which must either be more attenuated and

volatilised, or require a greater force to raise them into, and sustain

them in the Air than the former, and consequently the greatest Emission

of these saline Particles will be after the Fermentation has been for

some time continued; As we find it happens in all fermenting Liquors, as

Wine, Beer, Cyder, and the like. All which emit, during the

Fermentation, greater Quantities of Particles of an active attenuated

Oil or Spirit for some time, than of a Saline Nature, which requiring a

longer time in order to attenuate them, are not raised till the former

are in a manner quite exhaled, as appears from collecting the Steams of

fermenting Liquors, and of those which are turn'd sower by Distillation,

and consequently the Exhalations arising from putrifying Bodies will

after some time consist mostly of Saline Particles highly attenuated and

volatilised, and those not wrapt up and sheathed in the Oily ones, and

thereby render'd innocuous, and often useful to the Body, but naked and

exceedingly acrid and poignant.

How unfit an Air stock'd with these kind of Particles is for

Respiration, appears from several of Mr. _Boyl_'s Experiments on

Animals, shut up with putrified Air in the Receiver, most of which with

incredible Inquietude die sooner than in _Vacuo_, as also from the

pernicious Effects of the Steams of Vaults, Mines, the _Grotto de Cane_,

and such like. But besides this Inaptitude of such Air to expand the

Pulmonary Vessels, these minute and pungent Particles may be considered

as so many _Stimuli_ or Lancets, acting upon and penetrating the Coats

of the Stomach, Lungs, and other Vessels. On which Account they are not

only capable of creating great Disordes, as Inflamation, Pain, Sickness,

Anxiety, Vomiting, _&c._ in the Stomach and Nervous Parts; But likewise

being carried immediately into the Blood, will there stimulate the

ultimate Vessels, ferment, dissolve, or coagulate the circulating Juices

according to the particular Qualities and Quantity of the Contagious

Particles. Nor is it unlikely, that from the various Action of the

Particles upon each other, and their different Combinations in a

stagnating Air, Particles may be formed of Qualities vastly differing

from, and in their Force almost infinitely exceeding those of their

Primogenial Salts and first Principles, as in Sublimate, some

Preparations of Antimony, _&c._ Instances of which those versed in

Chymistry are no Strangers to.

[Sidenote: _Infectious Particles how

produced._]

Now supposing the Blood Saturated with these kind of Particles, and a

Malignant Fever produced by their means, we all know that the Blood in

this State throws off vast Quantities of subtil and active Particles

thro' the Perspirable, Salival, and other Excretory Ducts of the Body,

which not only must load the adjoining Air with great Quantities of

them, and render it capable of producing more dismal Effects than the

preceeding, but also the Particles thus thrown off must be endued with a

more acrid and pungent Disposition than the former, inasmuch as they are

more subtily divided and attenuated by the Force of the Fever, than

those in the preceeding Disposition of the Air, where so powerful an

Agent was wanting, And consequently produce a Fever of a most infectious

and deleterious Nature; And especially when the Infection is taken

toward the latter end of the Disease, at which time the Saline Particles

will be more exalted and volatilised, as well as thrown off in greater

Quantities, and thereby made more capable of producing an infectious

Contagion.

For the Blood in these Circumstances may not unaptly be compared, as was

before hinted, to a fermenting Liquor, whose Parts being constantly in

Motion, are continually throwing off great Quantities of subtil and

active Spirits, capable of exciting the same Fermentation, and producing

the same Qualities in those of the like Species, as appears from our

manner of fermenting Ale, Beer, _&c._ with Yeast, which is a Spirituous

Ferment, and also from the Sower Ferments used in making Vinegar, _&c._

Analogous to this we may observe, that the Blood in different Diseases,

as well as different Animals, throws off great Quantities of active

Particles, which when mixed with the Blood of a Healthful Person, are

capable of exciting the same Fermentation and Disorder in the Animal

Juices, with those of the Morbid Animal from which they exhale, as we

find in the _Small-Pox_, _Measles_, _Saliva_ of a _Mad-dog_, and the

like.

This then being the Disposition of the Blood and other Juices, in those

Fevers which we call Pestilential, it is evident, that whatever the

particular Substance of the Contagious Particles may be, they must be

endued with such Qualities as will Coagulate the Animal Juices,

Stimulate the _Fibres_ to frequent Vibrations, cause Obstructions in the

Capillary Vessels, and render the Blood and other Juices of the Body

exceedingly Acrid and Pungent, as appears from hence and the foregoing

Propositions; The Symptoms and Consequences (_cæteris paribus_) being

the same, whether the Disease has gradually grown up to this Height, or

took its Rise only from Contagious Particles brought from abroad.

[Sidenote: _How propagated._]

This is the Method by which I suppose these Contagious and Pestilential

Particles to be first generated and produced, in those places which are

most subject to them, and thence propagated first into the

Neighbourhood, and afterwards to greater Distances by way of Intercourse

and Commerce. The Pestilential _Effluvia_ being pack'd up and conveyed

in Goods of a soft and loose Texture, as Silk, Wool, Cotton, and the

like; And so much the more easily, as the Air into which these infested

Materials are brought, is predisposed to act in full Concert with them;

as happens in all Places at some times more than others; At which time

if these infectious Particles be communicated, they exert their Rage

with the utmost Violence, but frequently are either dissipated and lost,

or produce Diseases of less fatal Consequence, in an opposite

Disposition of the Air.

[Sidenote: _Why the Plague ceases._]

Thus hard Frost, strong cold and Northerly Winds, are found frequently

to put an End to, or at least bridle the Fury of Contagious Diseases,

and render them more mild and curable, as was observable in the

Beginning of the last great Plague in _London_[m], and frequently taken

Notice of in other places by the Writers on this Subject. Consonant to

this we find in _Ægypt_, that the Rising of the _Nile_ by giving a fresh

Motion to, and altering the Disposition of their stagnating and putrid

Air, by the mild Vapours and Nitrous Exhalations[n] issuing from it,

immediately checks the Raging of the Plague, and reduces it to a Fever

of a more mild and curable Nature; insomuch that as _Purchas_ and others

inform us, if there die in _Grand Caire_ 500 Persons of the Plague the

Day before, yet upon the Increase of the River it ceases to be

Pestilential, and none die of it[o]. And indeed it can hardly be

imagin'd, how the Plague when it has once got establish'd in any Place,

shou'd cease but with the Destruction of all or most of the Inhabitants,

was it not checked by some Alteration in the Disposition of the Air, and

gradually reduced to a Fever of a more mild and curable Disposition.

[m] _Hodges_ de Peste.

[n] _Boyle_'s determ. Nat. Effluv. cap. 4. _Plot_'s Nar. Hist.

of _Staffordsh._ cap. 2. pag. 42.

[o] _Purchas_ Pilgrim, lib. 6, cap. 7. _Sandy_'s Travels, lib.

2. cap. 97.

It will I think be needless to show, that the Distempers here treated on

are propagated by Contagion; But it may not be altogether unnecessary to

explain by what Methods these Alterations in the Animal Oeconomy are

brought about, and especially as the Means by which they are chiefly

communicated, have not that I know of been fully examin'd.

[Decoration]

An Essay on Contagious Diseases more particularly on the small-pox, measles, putrid, malignant, and pestilential fevers · 第 10 / 13 题