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PHYSIOLOGIC AND FUNCTIONAL ANOMALIES. 5 pagedays, revealed remarkable intestinal changes. The serous membranes were all callous and thickened, and the canal of the sigmoid flexure was totally obliterated. The mucous membranes were all soft and friable, and presented the appearance of incipient gangrene.
Modern Cases.--Turning now to modern literature, we have cases of marvelous abstinence well substantiated by authoritative evidence. Dickson describes a man of sixty-two, suffering from monomania, who refused food for four months, but made a successful recovery. Richardson mentions a case, happening in 1848, of a man of thirty-three who voluntarily fasted for fifty-five days. His reason for fasting, which it was impossible to combat, was that he had no gastric juice and that it was utterly useless for him to take any nutrition, as he had no means of digesting it. He lived on water until the day of his death. Richardson gives an interesting account of the changes noticed at the necropsy. There is an account of a religious mendicant of the Jain caste who as a means of penance fasted for ninety-one days. The previous year he had fasted eighty-six days. He had spent his life in strict asceticism, and during his fasting he was always engrossed in prayer.
Collins describes a maiden lady of eighty, always a moderate eater, who was attacked by bronchitis, during which she took food as usual. Two days after her recovery, without any known cause, she refused all food and continued to do so for thirty-three days, when she died. She was delirious throughout this fast and slept daily seven or eight hours. As a rule, she drank about a wineglassful of water each day and her urine was scanty and almost of the consistency of her feces. There is a remarkable case of a girl of seventeen who, suffering with typhoid fever associated with engorgement of the abdomen and suppression of the functions of assimilation, fasted for four months without visible diminution in weight. Pierce reports the history of a woman of twenty-six who fasted for three months and made an excellent recovery.
Grant describes the "Market Harborough fasting-girl," a maiden of nineteen, who abstained from food from April, 1874, until December, 1877, although continually using morphia. Throughout her fast she had periodic convulsions, and voided no urine or feces for twelve months before her death. There was a middle-aged woman in England in 1860 who for two years lived on opium, gin, and water. Her chief symptoms were almost daily sickness and epileptic fits three times a week. She was absolutely constipated, and at her death her abdomen was so distended as to present the appearance of ascites. After death, the distention of the abdomen was found to be due to a coating of fat, four inches thick, in the parietes. There was no obstruction to the intestinal canal and no fecal or other accumulation within it. Christina Marshall, a girl of fourteen, went fifteen and one-half months without taking solid nourishment. She slept very little, seldom spoke, but occasionally asked the time of day. She took sweets and water, with beef tea at intervals, and occasionally a small piece of orange. She died April 18, 1882, after having been confined to her bed for a long while.
King, a surgeon, U.S.A., gives an account of the deprivation of a squad of cavalry numbering 40. While scouting for Indians on the plains they went for eighty-six hours without water; when relieved their mouths and throats were so dry that even brown sugar would not dissolve on their tongues. Many were delirious, and all had drawn fresh blood from their horses. Despite repeated vomiting, some drank their own urine. They were nearly all suffering from overpowering dyspnea, two were dead, and two were missing. The suffering was increased by the acrid atmosphere of the dry plains; the slightest exercise in this climate provoked a thirst. MacLoughlin, the surgeon in charge of the S.S. City of Chester, speaks of a young stowaway found by the stevedores in an insensible condition after a voyage of eleven days. The man was brought on deck and revived sufficiently to be sent to St. Vincent's Hospital, N.Y., about one and one-half hours after discovery, in an extremely emaciated, cold, and nearly pulseless condition. He gave his name as John Donnelly, aged twenty, of Dumbarton, Scotland. On the whole voyage he had nothing to eat or drink. He had found some salt, of which he ate two handfuls, and he had in his pocket a small flask, empty. Into this flask he voided his urine, and afterward drank it. Until the second day he was intensely hungry, but after that time was consumed by a burning thirst; he shouted four or five hours every day, hoping that he might be heard. After this he became insensible and remembered nothing until he awakened in the hospital where, under careful treatment, he finally recovered.
Fodere mentions some workmen who were buried alive fourteen days in a cold, damp cavern under a ruin, and yet all lived. There is a modern instance of a person being buried thirty-two days beneath snow, without food. The Lancet notes that a pig fell off Dover Cliff and was picked up alive one hundred and sixty days after, having been partially imbedded in debris. It was so surrounded by the chalk of the cliff that little motion was possible, and warmth was secured by the enclosing material. This animal had therefore lived on its own fat during the entire period.
Among the modern exhibitionists may be mentioned Merlatti, the fasting Italian, and Succi, both of whom fasted in Paris; Alexander Jacques, who fasted fifty days; and the American, Dr. Tanner, who achieved great notoriety by a fast of forty days, during which time he exhibited progressive emaciation. Merlatti, who fasted in Paris in 1886, lost 22 pounds in a month; during his fast of fifty days he drank only pure filtered water. Prior to the fast his farewell meal consisted of a whole fat goose, including the bones, two pounds of roast beef, vegetables for two, and a plate of walnuts, the latter eaten whole. Alexander Jacques fasted fifty days and Succi fasted forty days. Jacques lost 28 pounds and 4 ounces (from 142 pounds, 8 ounces to 114 pounds, 4 ounces), while Succi's loss was 34 pounds and 3 ounces. Succi diminished in height from 65 3/4 to 64 1/2 inches, while Jacques increased from 64 1/2 to 65 1/2 inches. Jacques smoked cigarettes incessantly, using 700 in the fifty days, although, by professional advice, he stopped the habit on the forty-second day. Three or four times a day he took a powder made of herbs to which he naturally attributed his power of prolonging life without food. Succi remained in a room in which he kept the temperature at a very high point. In speaking of Succi's latest feat a recent report says: "It has come to light in his latest attempt to go for fifty days without food that he privately regaled himself on soup, beefsteak, chocolate, and eggs. It was also discovered that one of the 'committee,' who were supposed to watch and see that the experiment was conducted in a bona fide manner, 'stood in' with the faster and helped him deceive the others. The result of the Vienna experiment is bound to cast suspicion on all previous fasting accomplishments of Signor Succi, if not upon those of his predecessors."
Although all these modern fasters have been accused of being jugglers and deceivers, throughout their fasts they showed constant decrease in weight, and inspection by visitors was welcomed at all times. They invariably invited medical attention, and some were under the closest surveillance; although we may not implicitly believe that the fasts were in every respect bona fide, yet we must acknowledge that these men displayed great endurance in their apparent indifference for food, the deprivation of which in a normal individual for one day only causes intense suffering.
Anomalies of Temperature.--In reviewing the reports of the highest recorded temperatures of the human body, it must be remembered that no matter how good the evidence or how authentic the reference there is always chance for malingering. It is possible to send the index of an ordinary thermometer up to the top in ten or fifteen seconds by rubbing it between the slightly moistened thumb and the finger, exerting considerable pressure at the time. There are several other means of artificially producing enormous temperatures with little risk of detection, and as the sensitiveness of the thermometer becomes greater the easier is the deception.
Mackenzie reports the temperature-range of a woman of forty-two who suffered with erysipelatous inflammation of a stump of the leg. Throughout a somewhat protracted illness, lasting from February 20 to April 22, 1879, the temperature many times registered between 108 degrees and 111 degrees F. About a year later she was again troubled with the stump, and this time the temperature reached as high as 114 degrees. Although under the circumstances, as any rational physician would, Mackenzie suspected fraud, he could not detect any method of deception. Finally the woman confessed that she had produced the temperature artificially by means of hot-water bottles, poultices, etc.
MacNab records a case of rheumatic fever in which the temperature was 111.4 degrees F. as indicated by two thermometers, one in the axilla and the other in the groin. This high degree of temperature was maintained after death. Before the Clinical Society of London, Teale reported a case in which, at different times, there were recorded temperatures from 110 degrees to 120 degrees F. in the mouth, rectum, and axilla. According to a comment in the Lancet, there was no way that the patient could have artificially produced this temperature, and during convalescence the thermometer used registered normal as well as subnormal temperatures. Caesar speaks of a girl of fifteen with enteric fever, whose temperature, on two occasions 110 degrees F., reached the limit of the mercury in the thermometer.
There have been instances mentioned in which, in order to escape duties, prisoners have artificially produced high temperatures, and the same has occasionally been observed among conscripts in the army or navy. There is an account of a habit of prisoners of introducing tobacco into the rectum, thereby reducing the pulse to an alarming degree and insuring their exemption from labor. In the Adelaide Hospital in Dublin there was a case in which the temperature in the vagina and groin registered from 120 degrees to 130 degrees, and one day it reached 130.8 degrees F.; the patient recovered. Ormerod mentions a nervous and hysteric woman of thirty-two, a sufferer with acute rheumatism, whose temperature rose to 115.8 degrees F. She insisted on leaving the hospital when her temperature was still 104 degrees.
Wunderlich mentions a case of tetanus in which the temperature rose to 46.40 degrees C. (115.5 degrees F.), and before death it was as high as 44.75 degrees C. Obernier mentions 108 degrees F. in typhoid fever. Kartulus speaks of a child of five, with typhoid fever, who at different times had temperatures of 107 degrees, 108 degrees, and 108.2 degrees F.; it finally recovered. He also quotes a case of pyemia in a boy of seven, whose temperature rose to 107.6 degrees F. He also speaks of Wunderlich's case of remittent fever, in which the temperature reached 107.8 degrees F. Wilson Fox, in mentioning a case of rheumatic fever, says the temperature reached 110 degrees F.
Philipson gives an account of a female servant of twenty-three who suffered from a neurosis which influenced the vasomotor nervous system, and caused hysteria associated with abnormal temperatures. On the evening of July 9th her temperature was 112 degrees F.; on the 16th, it was 111 degrees; on the 18th, 112 degrees; on the 24th, 117 degrees (axilla); on the 28th, in the left axilla it was 117 degrees, in the right axilla, 114 degrees, and in the mouth, 112 degrees; on the 29th, it was 115 degrees in the right axilla, 110 degrees in the left axilla, and 116 degrees in the mouth The patient was discharged the following September. Steel of Manchester speaks of a hysteric female of twenty, whose temperature was 116.4 degrees. Mahomed mentions a hysteric woman of twenty-two at Guy's Hospital, London, with phthisis of the left lung, associated with marked hectic fevers. Having registered the limit of the ordinary thermometers, the physicians procured one with a scale reaching to 130 degrees F. She objected to using the large thermometers, saying they were "horse thermometers." On October 15, 1879, however, they succeeded in obtaining a temperature of 128 degrees F. with the large thermometer. In March of the following year she died, and the necropsy revealed nothing indicative of a cause for these enormous temperatures. She was suspected of fraud, and was closely watched in Guy's Hospital, but never, in the slightest way, was she detected in using artificial means to elevate the temperature record.
In cases of insolation it is not at all unusual to see a patient whose temperature cannot be registered by an ordinary thermometer. Any one who has been resident at a hospital in which heat-cases are received in the summer will substantiate this. At the Emergency Hospital in Washington, during recent years, several cases have been brought in which the temperatures were above the ordinary registering point of the hospital thermometers, and one of the most extraordinary cases recovered.
At a meeting of the Association of American Physicians in 1895, Jacobi of New York reported a case of hyperthermy reaching 148 degrees F. This instance occurred in a profoundly hysteric fireman, who suffered a rather severe injury as the result of a fall between the revolving rods of some machinery, and was rendered unconscious for four days. Thereafter he complained of various pains, bloody expectoration, and had convulsions at varying intervals, with loss of consciousness, rapid respiration, unaccelerated pulse, and excessively high temperature, the last on one occasion reaching the height of 148 degrees F. The temperature was taken carefully in the presence of a number of persons, and all possible precautions were observed to prevent deception. The thermometer was variously placed in the mouth, anus, axilla, popliteal space, groin, urethra, and different instruments were from time to time employed. The behavior of the patient was much influenced by attention and by suggestion. For a period of five days the temperature averaged continuously between 120 degrees and 125 degrees F.
In the discussion of the foregoing case, Welch of Baltimore referred to a case that had been reported in which it was said that the temperature reached as high as 171 degrees F. These extraordinary elevations of temperature, he said, appear physically impossible when they are long continued, as they are fatal to the life of the animal cell.
In the same connection Shattuck of Boston added that he had observed a temperature of 117 degrees F.; every precaution had been taken to prevent fraud or deception. The patient was a hysteric young woman.
Jacobi closed the discussion by insisting that his observations had been made with the greatest care and precautions and under many different circumstances. He had at first viewed the case with skepticism, but he could not doubt the results of his observation. He added, that although we cannot explain anomalies of this kind, this constitutes no reason why we should deny their occurrence.
Duffy records one of the lowest temperatures on record in a negress of thirty-five who, after an abortion, showed only 84 degrees F. in the mouth and axillae. She died the next day.
The amount of external heat that a human being can endure is sometimes remarkable, and the range of temperature compatible with life is none the less extraordinary. The Esquimaux and the inhabitants of the extreme north at times endure a temperature of--60 degrees F., while some of the people living in equatorial regions are apparently healthy at a temperature as high as 130 degrees F., and work in the sun, where the temperature is far higher. In the engine-rooms of some steamers plying in tropical waters temperatures as high as 150 degrees F. have been registered, yet the engineers and the stokers become habituated to this heat and labor in it without apparent suffering. In Turkish baths, by progressively exposing themselves to graduated temperatures, persons have been able to endure a heat considerably above the boiling point, though having to protect their persons from the furniture and floors and walls of the rooms. The hot air in these rooms is intensely dry, provoking profuse perspiration. Sir Joseph Banks remained some time in a room the temperature of which was 211 degrees F., and his own temperature never mounted above normal.
There have been exhibitionists who claimed particular ability to endure intense heats without any visible disadvantage. These men are generally styled "human salamanders," and must not be confounded with the "fire-eaters," who, as a rule, are simply jugglers. Martinez, the so-called "French Salamander," was born in Havana. As a baker he had exposed himself from boyhood to very high temperatures, and he subsequently gave public exhibitions of his extraordinary ability to endure heat. He remained in an oven erected in the middle of the Gardens of Tivoli for fourteen minutes when the temperature in the oven was 338 degrees F. His pulse on entering was 76 and on coming out 130. He often duplicated this feat before vast assemblages, though hardly ever attaining the same degree of temperature, the thermometer generally varying from 250 degrees F. upward. Chamouni was the celebrated "Russian Salamander," assuming the title of "The Incombustible." His great feat was to enter an oven with a raw leg of mutton, not retiring until the meat was well baked. This person eventually lost his life in the performance of this feat; his ashes were conveyed to his native town, where a monument was erected over them. Since the time of these two contemporaneous salamanders there have been many others, but probably none have attained the same notoriety.
In this connection Tillet speaks of some servant girls to a baker who for fifteen minutes supported a temperature of 270 degrees F.; for ten minutes, 279 degrees F.; and for several minutes, 364 degrees F., thus surpassing Martinez. In the Glasgow Medical Journal, 1859, there is an account of a baker's daughter who remained twelve minutes in an oven at 274 degrees F. Chantrey, the sculptor, and his workman are said to have entered with impunity a furnace of over 320 degrees F.
In some of the savage ceremonies of fire worship the degree of heat endured by the participants is really remarkable, and even if the rites are performed by skilful juggling, nevertheless, the ability to endure intense heat is worthy of comment. A recent report says:--
"The most remarkable ceremonial of fire worship that survives in this country is practiced by the Navajos. They believe in purification by fire, and to this end they literally wash themselves in it. The feats they perform with it far exceed the most wonderful acts of fire-eating and fire-handling accomplished by civilized jugglers. In preparation for the festival a gigantic heap of dry wood is gathered from the desert. At the appointed moment the great pile of inflammable brush is lighted and in a few moments the whole of it is ablaze. Storms of sparks fly 100 feet or more into the air, and ashes fall about like a shower of snow. The ceremony always takes place at night and the effect of it is both weird and impressive.
"Just when the fire is raging at its hottest a whistle is heard from the outer darkness and a dozen warriors, lithe and lean, dressed simply in narrow white breech-cloths and moccasins and daubed with white earth so as to look like so many living statues, come bounding through the entrance to the corral that incloses the flaming heap. Yelping like wolves, they move slowly toward the fire, bearing aloft slender wands tipped with balls of eagle-down. Rushing around the fire, always to the left, they begin thrusting their wands toward the fire, trying to burn off the down from the tips. Owing to the intensity of the heat this is difficult to accomplish. One warrior dashes wildly toward the fire and retreats; another lies as close to the ground as a frightened lizard, endeavoring to wriggle himself up to the fire; others seek to catch on their wands the sparks that fly in the air. At last one by one they all succeed in burning the downy balls from the wands. The test of endurance is very severe, the heat of the fire being so great.
"The remarkable feats, however, are performed in connection with another dance that follows. This is heralded by a tremendous blowing of horns. The noise grows louder and louder until suddenly ten or more men run into the corral, each of them carrying two thick bundles of shredded cedar bark.
"Four times they run around the fire waving the bundles, which are then lighted. Now begins a wild race around the fire, the rapid running causing the brands to throw out long streamers of flames over the hands and arms of the dancers. The latter apply the brands to their own nude bodies and to the bodies of their comrades in front. A warrior will seize the flaming mass as if it were a sponge, and, keeping close to the man he is pursuing, will rub his back with it as if bathing him. The sufferer in turn catches up with the man in front of him and bathes him in flame. From time to time the dancers sponge their own backs with the flaming brands. When a brand is so far consumed that it can no longer be held it is dropped and the dancers disappear from the corral. The spectators pick up the flaming bunches thus dropped and bathe their own hands in the fire.
"No satisfactory explanation seems to be obtainable as to the means by which the dancers in this extraordinary performance are able to escape injury. Apparently they do not suffer from any burns. Doubtless some protection is afforded by the earth that is applied to their bodies."
Spontaneous combustion of the human body, although doubted by the medical men of this day, has for many years been the subject of much discussion; only a few years ago, among the writers on this subject, there were as many credulous as there were skeptics. There is, however, no reliable evidence to support the belief in the spontaneous combustion of the body. A few apochryphal cases only have been recorded. The opinion that the tissues of drunkards might be so saturated with alcohol as to render the body combustible is disproved by the simple experiment of placing flesh in spirits for a long time and then trying to burn it. Liebig and others found that flesh soaked in alcohol would burn only until the alcohol was consumed. That various substances ignite spontaneously is explained by chemic phenomena, the conditions of which do not exist in the human frame. Watkins in speaking of the inflammability of the human body remarks that on one occasion he tried to consume the body of a pirate given to him by a U. S. Marshal. He built a rousing fire and piled wood on all night, and had not got the body consumed by the forenoon of the following day. Quite a feasible reason for supposed spontaneous human combustion is to be found in several cases quoted by Taylor, in which persons falling asleep, possibly near a fire, have been accidentally ignited, and becoming first stupefied by the smoke, and then suffocated, have been burned to charcoal without awaking. Drunkenness or great exhaustion may also explain certain cases. In substantiation of the possibility of Taylor's instances several prominent physiologists have remarked that persons have endured severe burns during sleep and have never wakened. There is an account of a man who lay down on the top of a lime kiln, which was fired during his sleep, and one leg was burned entirely off without awaking the man, a fact explained by the very slow and gradual increase of temperature.
The theories advanced by the advocates of spontaneous human combustion are very ingenious and deserve mention here. An old authority has said: "Our blood is of such a nature, as also our lymph and bile: all of which, when dried by art, flame like spirit of wine at the approach of the least fire and burn away to ashes." Lord Bacon mentions spontaneous combustion, and Marcellus Donatus says that in the time of Godefroy of Bouillon there were people of a certain locality who supposed themselves to have been burning of an invisible fire in their entrails, and he adds that some cut off a hand or a foot when the burning began, that it should go no further. What may have been the malady with which these people suffered must be a matter of conjecture.
Overton, in a paper on this subject, remarks that in the "Memoirs of the Royal Society of Paris," 1751, there is related an account of a butcher who, opening a diseased beef, was burned by a flame which issued from the maw of the animal; there was first an explosion which rose to a height of five feet and continued to blaze several minutes with a highly offensive odor. Morton saw a flame emanate from beneath the skin of a hog at the instant of making an incision through it. Ruysch, the famous Dutch physician, remarks that he introduced a hollow bougie into a woman's stomach he had just opened, and he observed a vapor issuing from the mouth of the tube, and this lit on contact with the atmosphere. This is probably an exaggeration of the properties of the hydrogen sulphid found in the stomach. There is an account of a man of forty-three, a gross feeder, who was particularly fond of fats and a victim of psoriasis palmaria, who on going to bed one night, after extinguishing the light in the room, was surprised to find himself enveloped in a phosphorescent halo; this continued for several days and recurred after further indiscretions in diet. It is well known that there are insects and other creatures of the lower animal kingdom which possess the peculiar quality of phosphorescence.
There are numerous cases of spontaneous combustion of the human body Date: 2014-12-29; view: 658
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