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diff --git a/.gitattributes b/.gitattributes new file mode 100644 index 0000000..6833f05 --- /dev/null +++ b/.gitattributes @@ -0,0 +1,3 @@ +* text=auto +*.txt text +*.md text diff --git a/34603-8.txt b/34603-8.txt new file mode 100644 index 0000000..633243b --- /dev/null +++ b/34603-8.txt @@ -0,0 +1,5145 @@ +The Project Gutenberg EBook of Epidemics Examined and Explained: or, +Living Germs Proved by Analogy to be a Source of Disease, by John Grove + +This eBook is for the use of anyone anywhere at no cost and with +almost no restrictions whatsoever. You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Epidemics Examined and Explained: or, Living Germs Proved by Analogy to be a Source of Disease + +Author: John Grove + +Release Date: December 9, 2010 [EBook #34603] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK EPIDEMICS EXAMINED *** + + + + +Produced by Bryan Ness, Keith Edkins and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + + + + +Transcriber's note: A few typographical errors have been corrected: they +are listed at the end of the text. + + * * * * * + + +Page numbers enclosed by curly braces (example: {25}) have been +incorporated to facilitate the use of the Table of Contents. + + * * * * * + + +EPIDEMICS + +EXAMINED AND EXPLAINED: + +OR, + +LIVING GERMS + +PROVED BY ANALOGY TO BE + +A SOURCE OF DISEASE. + +BY + +JOHN GROVE, M.R.C.S.L. + +AUTHOR OF "SULPHUR AS A REMEDY IN EPIDEMIC CHOLERA." + +LONDON: + +JAMES RIDGWAY, PICCADILLY. + +MDCCCL. + + * * * * * + + + "The tendencies of the mind, the turn of thought of whole ages, have + frequently depended on prevailing diseases; for nothing exercises a + more potent influence over man, either in disposing him to calmness and + submission, or in kindling in him the wildest passions, than the + proximity of inevitable and universal danger."--_Hecker's Epidemics of + the Middle Ages._ + + "The grand field of investigation lies immediately before us; we are + trampling every hour upon things which to the ignorant seem nothing but + dirt, but to the curious are precious as gold."--_Sewell on the + Cultivation of the Intellect._ + + * * * * * + + +TO + +BENJAMIN GUY BABINGTON, F.R.S., M.D., + +PHYSICIAN TO GUY'S HOSPITAL, + +AND + +PRESIDENT OF THE EPIDEMIOLOGICAL SOCIETY, + +ETC. ETC. + +THESE PAGES ARE, BY HIS KIND PERMISSION, + +Respectfully Dedicated, + +BY HIS OBLIGED AND FAITHFUL SERVANT, + +THE AUTHOR. + + * * * * * + + +{v} + +PREFACE. + +The following pages have been written with a view to render some aid in +establishing a sound and firm basis for future research, on that absorbing +topic, the Causes and Nature of Epidemic Diseases. + +The amount of information already published on Fevers, on the Exanthemata, +and on the Plague, is truly astonishing, and the more so when it is +considered, that at present no rational account or explanation is given of +the causes of these affections. + +It appears to me but reasonable to suppose that as every thing on this +earth has been created on a wise and unerring principle, Epidemic and +Infectious Diseases are only indicative of some serious errors in our +social arrangements and habits. The dangers and misery brought upon us by +disease, may, as shewn by Dr. Spurzheim and Mr. Combe, be warnings against +the infringement of the natural laws. + +Indeed, what is more rational than to suppose that the Seeds of Disease are +coeval with the fall of man. His first disobedience {vi} brought +death:--that his subsequent errors should hasten its approaches is not to +be marvelled at. The undetected murderer, though he may escape the +punishment human justice would inflict upon him for his delinquency, +suffers a penalty in the tortures of conscience, infinitely more horrifying +than the most ignominious death. The law of nature is triumphant. + +No less certain, though after a different manner, are the consequences of +minor forms of disobedience. It is so ordained, that certain diseases shall +arise, under peculiar conditions, which may have been brought about by a +train of causes, easily imagined, and difficult to be explained, but all +having their origin in the vices and errors of man in his moral and social +relations. + +If man neglects the cultivation of the ground; with rank vegetation, the +germs of fever will invisibly grow and multiply; if he harbours that which +is rotten and corrupt, he is himself consumed by those agents destined to +remove the rottenness and corruption; it is a part of the law of nature +that there should be active and energetic agents for this purpose. The +seeds of disease, like the seeds of plants, may be shewn to have {vii} +their indigenous localities; like them they may be spread and multiplied; +like them they may lie dormant, and after awhile spring as it were into +active existence; like them, when the soil and other conditions favour, +they are ever ready to make their appearance. And this is the law, the +germs of all disease exist, and have existed. Despise the dictates of +nature, be careless of yourself and those around you, neglect to use the +means which a noble intelligence has placed at your command, and above all, +transgress the laws of God, then will disease pursue and attend you, as the +conscience of the murderer pursues and attends him until he is finally cut +off. + +His wants and necessities, his sufferings and privations, are the basis of +the intellectual progress of man. The wonders of Omnipotence are revealed +through the whirlwind, the storm, the pestilence, and the famine. + +The constructive and perceptive faculties of man have been developed by the +necessity of protecting himself from injury by winds and rains; his +intellectual faculties have been cultivated, by the sufferings of disease +having led him to the study of {viii} organization and life, to discover +the cause,--and to chemistry, and other sciences for the cure of his +ailments. + +Famine and distress have aroused his emotions, and softened down his +asperities, so that what appears at first to be the infliction of a Curse +without Pity, is in reality a Judgment with Mercy. + +It occurred to me, that on the formation of the Epidemiological Society, +the first question for consideration should be, What is the nature of those +agents, which induce Epidemic Diseases? are they composed of animate or +inanimate matter? In other words, do the manifestations of these diseases +exhibit the operations of living or of chemical forces. + +Having, in my study, dwelt on the subject with an earnest desire to find +the truth, I put the suggestion, with my ideas, before the public to reject +or receive them. If they be rejected, I can but think a full discussion of +the enquiry will lead to the most important results. If they be received +with favour, I doubt not others, with more ability, will take up the strain +and resolve the discords into harmony. + + J. G. + + _Wandsworth, September, 1850._ + +{ix} + +CONTENTS. + + PAGE + INTRODUCTION 1 + + CHAPTER I. + + IS IT PROBABLE THAT EPIDEMIC, ENDEMIC, AND INFECTIOUS + DISEASES, DEPEND UPON VITAL GERMS + FOR THEIR MANIFESTATIONS? 11 + + CHAPTER II. + + THE NUMBER AND VALUE OF FACTS TO SUPPORT + THE PROPOSITION. + + SECTION I.--On Reproduction 22 + + SECTION II.--Historical Notice of Epidemic Diseases 34 + + SECTION III.--The Dispersion of Plants and Diseases 64 + + SECTION IV.--The Relation between Epidemic and Endemic + Diseases 96 + + CHAPTER III. + + THE REASONABLENESS OF THE APPLICATION OF + THE FACTS TO THE INFERENCE. + + SECTION I.--The Chemical Theory of Epidemics untenable 108 + + SECTION II.--The Animalcular Theory of Epidemics untenable 128 + + SECTION III.--Sketch of the Physiology and Pathology of + Plants and Animals 138 + + CHAPTER IV. + + RESULTS IN PROOF OF THE TENABLENESS OF THE + PROPOSITION. + + SECTION I.--Observations on some of the Laws of Epidemic + Diseases 155 + + SECTION II.--What is the nature of those Poisons which most + resemble the Morbid Poisons in their effects on the body? 166 + + SECTION III.--What results do we obtain from the effects of + remedial agents, in proof of the hypothesis? 176 + + CONCLUSION 189 + + * * * * * + + +{1} + +INTRODUCTION. + +It is one thing for a man to convince himself, but a very different thing +to be able to convince others. + +I am not now speaking of a conviction arising from the impression made by a +few startling facts, nor of one forced on the mind by early prejudices, or +by the dogmas of the schools, but of a conviction arising from careful +enquiry. + +In the course of that enquiry, the collector of facts, sees their relations +to the idea in his mind, in a multiplicity of ways, from their remaining, +each, as one succeeds the other, an appreciable time on the sensorium, and +undergoing a certain process of comparison and relation, with all other +facts and ideas which have been previously stored up. As the materials for +an edifice which have been shaped and prepared in accordance with the +completion of the design, so do the facts and ideas which are accumulated +{2} in the mind, become shaped and prepared for the elimination of a truth. +The ultimate design of the architect can no more be conceived by the +examination of the framework of a window, or the capital of a column, than +the whole truth of a proposition by the examination of separate facts; the +whole must be conceived and all the relations of all the parts thoroughly +understood, before the architect can be comprehended or the harmony of his +design appreciated. + +The process of thought in the minds of the architect, and in the framer of +a proposition, is never exactly the same as in those who contemplate and +examine their completed works. Much may be done, however, by both to aid +others in comprehending them. The more accurately they keep in view the +course their minds have taken, the more readily will their descriptions be +understood. + +To simplify the elements of our knowledge is to give others a ready access +to our thoughts. + +To arrange the course of our ideas in harmony with the elements of our +knowledge should be the end of all writing, as it is the only means of +multiplying knowledge. {3} + +It is not the mere accumulation of facts which constitutes science, any +more than a collection of building materials constitutes a house, it is the +arrangement and adaptation of the means to the end by which the house +becomes built and science cultivated. + +These reflections have been suggested by the circumstance that for the last +3000 years and upwards, Pestilences have at certain intervals done their +work of destruction, and opened the springs of misery to untold millions, +and yet I see not that we are much further advanced as to the knowledge of +the cause of these inflictions than the Jews in the time of Moses. In the +Levitical law, as I shall have occasion more particularly to shew +hereafter, were directions specially given in reference to the plague of +leprosy; what means should be adopted for the cure of the disease, and for +preventing its extension, and moreover pointing very significantly to +certain facts having connexion with the cause of the affection. Since that +time historians generally, and medical writers in particular, have +diligently recorded their observations and accumulated facts, on the +various desolating plagues which {4} have afflicted mankind. Some of these +men have grappled with the whole subject, and endeavoured to shew the +presumed relation of the supposed causes in all their intricacies, but it +is hardly necessary to say that all have signally failed in their attempts +to furnish us with any practical information. + +Satisfied in my own mind that the whole subject is beyond the labour of one +man, and impressed with the belief that the basis of the enquiry is in +anything but a satisfactory state, I have applied myself entirely to the +study of the groundwork only, as the primary proceeding for a solid +superstructure. + +The days are past, when imaginary spirits, ethers, and astronomical +phenomena, were believed to have any essential influence over our destinies +in a physical point of view; we have therefore to deal with _matter_ in +some form or other. + +The question, therefore, which I have proposed for enquiry, is, whether the +matter which causes epidemic and endemic diseases, exhibits the properties +of inorganic or organized matter. + +The properties and qualities of organized {5} bodies, as well as those of +inorganic matter, need but be stated, and in some instances we may picture +to ourselves the object, without having seen it, and not be very far from a +true conception. But for this purpose a clear and definite idea must be +previously formed, and have taken possession of the mind, of the great +general divisions of objects in the material world. + +Having made these preliminary remarks, I have suggested a certain mode of +procedure in making enquiries of this kind, not perhaps in strict +accordance with logical systems, but on the principle of nature's +operations in our own minds, which appears to me, when reduced to a +systematic and simple form, to be sufficiently clear and strict for +synthetical application, and so concise as to be usefully and practicably +applied. + +In endeavouring to establish a theory for the explanation of extraordinary +phenomena, there are certain rules which should guide us in the thorny and +treacherous path of speculation. But these rules readily flow from the +train of thought, and if we examine our own minds during their operations, +we {6} shall find that the following is the course of our instinctive +reflections. It is a course we adopt as the test of theories when formed, +and is a guide in all cases for their construction. + +We first commence with an idea, which exists in our minds in the form of a +proposition: then the following rules naturally suggest themselves:-- + +1. The probability of the value of our proposition from inference. + +2. The number and value of facts to support the proposition. + +3. The reasonableness of the application of the facts to the inference. + +4. What amount of information in the form of results can be produced in +proof of the tenableness of the proposition.[1] + +In illustration of the value of these rules the history of Dr. Jenner's +discovery affords an appropriate example. To use the words of Dr. Gregory, +"he appears very early in {7} life to have had his attention fixed by a +popular notion among the peasantry of Gloucestershire, of the existence of +an affection in the cow, supposed to afford security against the Small Pox; +but he was not successful in convincing his professional brethren of the +importance of the _idea_." + +The popular notion of the peasantry originated the idea in Jenner's mind, +and it became fixed there as a proposition. + +1. He commenced his enquiry by observing that the hands of milkers on the +dairy farms were subject to an eruption, and he _inferred_ that the notion +of the peasantry bore the stamp of probability, which strengthened the idea +in his mind and gave force to the proposition. + +2. His next step was to accumulate facts; he found on enquiry that the +persons engaged on these farms in milking, possessed an immunity from Small +Pox to an extent sufficient to strengthen the value of his proposition. + +3. The reasonableness of the application of the facts to the inference is +clear from the coincidence that the eruption on the hands of the dairy +people bore a striking {8} resemblance to the Small Pox, and as this +disease does not usually occur twice in the same individual, the inference +was most reasonable that this eruption protected the people from Small Pox. + +4. We have but to take the almost universal adoption of vaccination, and +its acknowledged prophylactic powers against the propagation of Small Pox +to shew the application of our fourth rule.[2] + +Between the conception of the idea and the accomplishment of Jenner's +designs, vaccination seems to have undergone an incubation of nearly twenty +years. During that period, with an energy and perseverance only to be +obtained by confidence, did this great man brood over and elaborate his +idea; and well might the 14th day of May, {9} 1796, be styled the birth day +of vaccination, for on that day was a child first inoculated from the hands +of a milker. + +In adopting the above method I have endeavoured to bear in mind M. +Quetelet's observations on the requirements necessary for medical +authorship; he says, "All reasonable men will, I think, agree on this +point, that we must inform ourselves by observation, collect well-recorded +facts, render them rigorously comparable, before seeking to discuss them +with a view of declaring their relations, and methodically proceeding to +the appreciation of causes." + + * * * * * + + +{10} + +{11} + +CHAPTER I. + +IS IT PROBABLE THAT EPIDEMIC, ENDEMIC, AND INFECTIOUS DISEASES, DEPEND UPON +VITAL GERMS FOR THEIR MANIFESTATIONS? + +It is, I believe, almost universally considered that Epidemic, Endemic, and +Infectious diseases, originate from some imaginary poisons of a specific +nature, each disease having its own peculiar poison. That this conception +should have taken possession of the minds of men, is most natural from the +symptoms which characterize these diseases, but when we come to enquire +into the nature of these agents, or supposed poisons, we are at once struck +with the idea that they exhibit one peculiarity which separates them in a +marked manner, from those poisons with which we are familiar; for the +poisons of Small Pox, Measles, Scarlet Fever, Hooping Cough, Fever, &c. +possess the power of multiplication, or spontaneous increase, a property +which attaches only to the organic kingdom, and is never known in the +inorganic kingdom. The source of most of the poisons is to be found among +mineral or vegetable products. A mineral in combination with an acid or +oxygen may become a poison, and {12} nitrogen in various combinations with +oxygen, hydrogen, and carbon, or with carbon alone, may become a poison; +these combinations are, however, in most instances the products of +vegetable life, others again are obtained from the animal kingdom, such as +the poison of the serpent, &c. but in all of these instances, there is not +one in which the power of self-multiplication is to be found. + +We are, therefore, constrained to admit that this feature, which +distinguishes poisons, is one well worthy attentive consideration. The +varieties of poisons may be classified into those which act topically as +escharotic poisons, those which act chemically on the blood, and those +whose effects are manifested in inducing a speedy annihilation of organic +or vital action, as in the case of hydrocyanic acid, which is supposed +specifically to affect the nervous centres from which originate the vital +manifestations. It is rather remarkable that the vital poisons (as I will +call them for distinction), seem to have their appropriate locality in the +blood, they do not primarily affect one organ more than another, all the +effects we witness resulting from them are to be traced progressively from +the blood to other parts of the body. When a person is inoculated with +small pox, a very minute portion (indeed it is impossible to say how minute +it may be) is sufficient, when absorbed, to excite a certain train of +symptoms, all due to absorption of the materies of the disease, and the +process by which {13} that materies arrives at maturity, is that known in +the vegetable world as the fructification; this process of fructification +is a process of development and increase. + +I here may repeat that among all the poisons known, constituted as they are +of various combinations of elementary matter, they are without exception +destitute of the power of development or increase. Now, it is pretty +accurately known what amount of these poisons is necessary to produce their +effects on the living body; we can say how many drops are sufficient of +hydrocyanic acid of Scheeles strength, to destroy a man instantaneously. +Again, how many grains of arsenious acid are sufficient to induce such an +inflammatory condition of the stomach and intestine as will end in death, +and how many grains of morphia, will bring about a fatal coma,--but who +shall say the amount of the vital poisons necessary to produce their +results? It far exceeds the limit of conjecture, to what extent the +dilution of miasmatic or contagious matter may be carried, and the poison +yet be capable of committing in a short time the most frightful ravages. + +We may fairly then infer, that if a quantity of matter inappreciable in +amount be sufficient to exhibit the characters of growth and increase, that +it is endowed with the properties of vitality. That the poisons of scarlet +fever, of measles, and of small-pox have this power of growth and increase, +is as much a matter of universal belief as that "the sun {14} will rise and +set to-morrow, and that all living beings will die." + +This power of individual increase, or reproduction, is the very summit of +vital manifestation; indeed Coleridge, in his Theory of Life, (in which he +says, "I define life as the _principle of individuation_, or the power +which unites a given _all_ into a whole that is presupposed by all its +parts,") places reproduction in the first rank, and expresses his +hypothesis thus: "the constituent forces of life in the human living body +are, first, the power of length or reproduction; 2nd, the power of surface, +or irritability; 3rd, the power of depth, or sensibility--life itself is +neither of these separately, but the copula of all three." + +Extensive research is not required to shew that many thinking men believe +in the existence of living organic beings, as the elements of contagious +and epidemic diseases; the idea indeed seems to flow spontaneously in that +direction. Whenever thought, and enduring contemplation, have been +concentrated on the subject, the result appears to have been the same, a +firm conviction in each individual mind that a vital force must be in +operation; or as Schlegel would define it, "a living reproductive power, +capable of and designed to develope and propagate itself."--"Its Maker +originally fixed and assigned to it the end towards which all its efforts +were ultimately to be directed." + +Referring further to beings having the property of reproduction and +propagation, he says, (using {15} the word nature here evidently as the +vital principle for want of a better term,) "Nature indeed is not free like +man, but still is not a piece of dead clockwork. _There is life in +it._"--"Thus we know that even plants sleep, and that they too as much as +animals, though after a different sort, have a true impregnation and +propagation." + +When Schlegel wrote this, how little could he have imagined the intricacy +of this proceeding among the lower forms of vegetation. It has been shewn +by Suminski, and verified by many others, that the mode of impregnation, +and the period at which it occurs in the ferns, do not at all correspond to +the general notion on this subject. He has discovered in the early +development of the frond of ferns certain cells, which he denominates +antheridia, or sperm cells; these contain in their cavity a number of +subordinate cells, each containing a spermatazoon. At a certain period of +the progress of the frond, the parent cells become ruptured and liberate +the spermatoza, these move about in a mucilaginous fluid, which bedews the +inferior surface of the frond, and become the means of impregnating the +germ cells, or pistillidia, with which they readily come in contact. Thus +the process of impregnation in these plants occurs during the germination, +or what corresponds to the period of germination in the seeds of exogenous +and endogenous plants. + +I have referred to the discovery of Suminski in {16} this place to recal to +the mind the great and incomprehensible wonders of creation, for who could +conceive it possible or feasible that even for the impregnation of an +inferior vegetable, animal life should form an indispensable and essential +appurtenant of the process. Truly may we say with Coleridge, of plants and +insects, "so reciprocally inter-dependent and necessary are they to each +other, that we can almost as little think of vegetation without insects, as +of insects without vegetation." + +I will make but two more quotations on the supposed vital character of the +germs of disease. "That the air and atmosphere of our globe is in the +highest degree full of life, I may, I think, take here for granted, and +generally admitted. It is, however, of a mixed kind and quality, combining +the refreshing breath of spring with the parching simooms of the desert, +and where the healthy odours fluctuate in chaotic struggle with the most +deadly vapours. What else in general _is the wide-spread and spreading +pestilence_, but a living propagation of foulness, corruption, and death? +Are not many poisons, _especially animal poisons, in a true sense, living +forces_?"--Schlegel.[3] + +It were useless to multiply quotations to shew {17} that the opinions here +entertained are matters of general belief among thinking men.[4] I will at +once then conclude with an observation of Dr. C. J. B. Williams: he puts +the question, "Does the matter of contagion consist of vegetable seeds? Are +infectious diseases the results of the operations and invasions of living +parasites, disturbing in sundry ways the structures and functions of the +body, each after its own kind, until the vital powers either fail or +succeed in expelling the invading tribes from the system?" + +And this expression, the seeds, is an universal expression, it is a +"Household Word" in connexion with disease. That it has obtained this +position in the popular vocabulary is alone a proof of the applicability of +the term to the thing intended to be {18} signified. Popular notions, as we +have seen in the case of Jenner's discovery, are not to be unheeded. An +instance occurs to me, it was a popular belief, that in acne punctata, the +matter of a sebaceous follicle, was itself, when pressed out, a worm, the +dark portion which results from the accumulation of dust upon the matter at +the mouth of the follicle was supposed to be the head of the maggot, as it +was called; subsequent observation, however, has proved that though this +matter is not a worm, it contains an animal within its substance, the +Acarus folliculorum. + +The popular notions found among savage tribes as to the efficacy of certain +remedies in the cure of disease have been the means of furnishing us with +some of our most valuable medicines, indeed it is almost impossible to say +whether originally man did not derive his remedies from the herbs and trees +by an instinctive faculty impelling him, as it does the animals when in a +state of liberty and with freedom of range, to seek certain plants as they +avoid others. + +It is well known that animals when indisposed will find out some spot as if +almost led to it by a visionary guide where the "healing plant" is to be +discovered. I am told that sheep have this faculty, and that they will, +when affected with the rot, feed upon some plant when they can discover it, +which eradicates the disease. + +Almost every one is familiar with the fact that cats and dogs will crop +herbage and eat it; I have {19} seen them frequently leave the house and +proceed to the grass in the most business-like manner, partake of some +quantity, and quietly return. + +A close observer of diseased animals might obtain some useful information +by noticing the plants cropped by them while in that condition. The +observations should be made in a variety of districts in consequence of the +uncertain distribution of some even of the most commonly scattered plants; +in one year they may be abundant, but in another they may be almost +entirely absent from the same spot.[5] + +Were it only on the fact of reproduction, I would be contented to take my +stand that the force of life is the indwelling power of pestilential +matter. Reproduction is a law of nature, and the law of nature is the law +of God. And where do we find He prevaricates with us? The more we study His +laws the more harmony and perfection we find; what is seeming confusion in +the ignorance of to-day, is order in the knowledge of to-morrow. If any one +ignorant of the law which regulates the diffusion of gases were {20} told +that a heavier gas would ascend contrary to its specific gravity through +the septum in a vessel containing a lighter gas above the heavier, he would +naturally doubt your assertion, and say, "that is contrary to the law of +gravity;" but explain to him the principle by which this comes about, and +the objects of the law; the order and beauty of the design become manifest. +But this is no equivocation, it is evidence there, that subordinate laws +exist and nothing more. It has never been found that men have gathered +"grapes of thorns and figs of thistles," nor has it ever been discovered +that inanimate matter multiplies itself. The seed of disease "is within +itself," multiplying and propagating itself; whether it formed a part of +creation at the beginning or not, is rather a question to be solved by +divines than physicians. When we know, however, the latency of seeds and +even of entire plants, and that they may be dried and remain so for years +yet being brought again into conditions adapted to their active existence, +they, as it were, revive from their sleep, and renew again their +reproductive properties: can we wonder if, in the great scheme of nature, +existences new to mankind should make their appearance? When the New +Zealander saw the surface of his ground producing to him unknown plants, +and the skins of his children generating peculiar eruptions, and each +propagating its kind, would he look, think you, to the wood or the stones, +the air or the water,--for the solution of the {21} mystery? No, he would +naturally say these people brought the _seeds_ with them. From the property +of reproduction possessed by these forms of matter, we infer the value of +the proposition. + + * * * * * + + +{22} + +CHAPTER II. + +THE NUMBER AND VALUE OF FACTS TO SUPPORT THE PROPOSITION. + +-------- + +SECTION I. + +ON REPRODUCTION. + +It is inferred that the proposition, "_the matter which operates in the +production of Epidemic, Endemic, and Infectious Diseases, possesses the +property of vitality_," we proceed now to the enumeration of those facts +which further elucidate this subject. + +The facts must necessarily be such as illustrate the identity of properties +in the imaginary germs, that are known to exist in demonstrable germs: we +take therefore the law of reproduction to be to life, what the law of +attraction is to gravitation.[6] + +{23} + +But further; do those matters which engender disease furnish to our minds +the properties inseparable from life in the abstract? Though the faculty of +reproduction is essentially an evidence that the thing which reproduces its +kind must be a living body, yet it is only a property or power of living +beings and is not itself life, it therefore is necessary to establish the +fact that the _materies morbi_ not only has the power of reproduction, but +also those properties which in the abstract will prove as far as +demonstration can go, that it has the essential properties common to all +living bodies. + +I must again quote from Coleridge, he says: "By life I every where mean the +true idea of life, or that most general form under which life manifests +itself to us, which includes all its other forms. This I have stated to be +the _tendency to individuation_ and the degrees or intensities of life, to +consist in the progressive realization of this tendency. The {24} power +which is acknowledged to exist wherever the realization is found, must +subsist wherever the tendency is manifested. The power which comes forth +and stirs abroad in the bird, must be latent in the egg." + +The tendency to individuation cannot be more strongly marked than in the +simple experiment of vaccination: we insert a small particle of the +so-called vaccine lymph under the skin, and by this means we multiply to an +enormous extent, the power which, in the first instance, we had in the form +of minute corpuscles in a dry and apparently inert state; nevertheless, +though in this condition there must have existed the tendency to +individuation or multiplication of individual existence, and the germs are +here to their active existence, as seen in the development of the vaccine +vesicle, what the egg is to the bird,[7] as described above; we may, +therefore, say that the power which exhibits itself in the production of a +vaccine vesicle, must have been latent in the dried matter. It is the +opinion of Muller that the entire vital principle of the egg {25} resides +in the germinal disk alone, and since _the external influences which act on +the germs_ of the most different organic beings are the same, we must +regard the simple germinal disk, consisting of granular amorphous matter, +as the potential whole of the future animal, endowed with the essential and +specific force or principle of the future being, and capable of increasing +the very small amount of this specific force and matter, which it already +possesses, by the assimilation of new matter. + +After speaking of inanimate objects, Dr. Carpenter says; "and what compared +with the permanence of these is the duration of any structure subject to +the conditions of _vitality_? _To be born_, to grow, to arrive at maturity, +to decline, to die, to decay, is the sum of the history of every being that +lives; from man, in the pomp of royalty, or the pride of philosophy, to the +gay and thoughtless insect that glitters for a few hours in the sunbeam and +is seen no more; from the stately oak, the monarch of the forest through +successive centuries, to the humble fungus which shoots forth and withers +in a day." + +To be born, signifies the faculty of reproduction existing or having +existed in an antecedent being to that one born, and also that itself +possesses equally a like power. To be born, is the first expression which +must be used in speaking of the faculties or properties of living beings as +independent existences, the annual formation of buds, trees, and shrubs, is +a multiplication of the species; the coral {26} and various budding polypes +increase by this process, indeed what is the seed of a plant, or the egg of +a bird, or the ovum of mammalia, but cast off buds; in all, the new being +was originally a portion of its parent, and if we examine the ovary of the +vegetable, the bird, or the mammal, can we find any expression more fitting +to designate the process than that of budding. To be born then, is the +evidence of an act of one living being, and the commencement of a series of +vital phenomena in another, but all these are subsequent to reproduction, +and constitute another chain of vital acts, all tending to a similar +result, the multiplication of the species.[8] + +Now, whether we apply the philosophical language of Coleridge, or the +language of observation of Muller, in confirmation of the doctrine here +inculcated, we arrive at the same point. + +Do we not witness in the newly formed vaccine vesicle, an increase of the +specific force and principle? We certainly have acquired by the process of +vaccination a manifold multiplication of power, and is there not also +assimilation of new matter in {27} which this power resides? And does not +every particle of this new matter contain within itself the same force and +principle, as existed in that which generated it? + +"We revert again to potentiated length in the power of magnetism +(reproduction); to surface in the power of electricity, and to the +synthesis of both or potentiated depth in constructive, that is chemical +affinity."[9] + +Some may be at a loss to conceive, at first, how irritability may be +considered a property of all vegetable matter; that it does exist in some +vegetables is certain, but that it does exist in all living beings is +equally certain;[10] the term, however, which would appear more appropriate +when that irritability does not exhibit itself in an appreciable form, is +_impressibility_. Irritability, as commonly understood, is seen in its +highest condition in muscular tissue; but "the irritable power and an +analogon of voluntary motion first dawn on us in the vegetable world in the +stamina and anthers at the period of {28} impregnation."--"The insect world +is the exponent of irritability, as the vegetable is of reproduction." + +The property of irritability attains its acme in man, the most highly +organized of all beings; and its gradations pass downwards through the +whole scale of animate creation; not so reproduction, for this faculty +observes the very opposite direction, for in plants a single impregnation +is sufficient for the evolution of myriads of detached lives. + +Reproduction is a fact, it is an essential property of life, and is a +reality to us from observation; but irritability is not so tangible and +demonstrable a property. We nevertheless may assume its universality, from +the circumstance that we lose sight of it by imperceptible degrees; the +irritability of the sensitive plant is as much irritability as that of the +highly organized muscle; but because the faculty evades our perception, "in +tapering by degrees, becoming beautifully less," we have no reason for +pronouncing its total extinction at any one point of the vegetable +kingdom,[11] any more than we should have {29} in saying that we see the +end of the earth, when describing the extent of our vision as we stand on +the sea shore. The extreme limit of our vision is the tangent of the circle +in reference to our visual organs; but how many tangential points there may +be beyond, it is impossible to say without knowing the dimensions of the +circle. + +I think we are now in a condition to assume, as far as abstraction will +conduct us without proceeding to an extreme length, that the _materies +morbi_, or, as I will now call them for the sake of clearer distinction, +_semina morbi_, possess those properties which in the abstract are common +to all living beings. + +Another argument strikes me as capable of adding further strength to the +proposition. We need but be told that a small piece of iron was placed in a +certain position with regard to another piece of iron, and that the smaller +piece moved through a given space and became attached to the larger, to +infer that magnetic force was in operation. Supposing this magnet then to +be folded in paper, and that it {30} be promiscuously placed near a +compass, the deflection of the needle would indicate that some object in +the vicinity was the cause of the deflection; we may farther try what +positions the needle takes by varying the position of the packet, and thus +point out which is the north and which the south pole of the screw of +paper. If we may consider attraction then to be to gravitation what +reproduction is to life, we do not err in saying in the one instance that +there is a living being, and in the other there is a magnet. + +The nebular theory, from which some astronomers made the foundation of many +speculations, came with so much interest to our minds that the fascination +could not be resisted. It was most delightful to revel in the imagination +that we possessed a key to the mode of formation of the starry hosts, and +when speculation had taken its extreme limits in the "Vestiges of the +Natural History of Creation," and the nebulæ had served as the ground work +of a gigantic scheme, Lord Ross's monster telescope swept the heavens of +its cobwebs. We can imagine this great promoter of science saying to us, +Gentlemen, the clouds which have obscured you, are composed of myriads of +stars, and comprise systems as vast and as luminous as our own, had you but +power of vision to discern them. A new light thus appeared to philosophers, +and though no great practical results may flow from the discovery, it is +instructive from the fact that the imperfectly aided or unaided vision, +should not limit legitimate {31} inference. The nebulæ before Lord Ross's +discovery were to the astronomer what the materies of epidemic and +infectious disease are to medical men. In the absence however of a giant +microscope to reveal such great truths, we may yet dimly shadow them by the +light of our reason. It was predicted in 1849 that minute vegetable germs, +in all probability all of the same type, were the agents producing epidemic +and infectious disease. In 1850, Mr. Oke Spooner says,[12] "On examining +the matter of Small {32} Pox and Cow Pox in every stage, he finds its +essential character to consist of a number of minute cells not exceeding +the 10,000th part of an inch in diameter: being about one-fourth smaller +than the globules of the blood, containing within their circumference many +still more minute nuclei, and presenting beyond their circumference +bud-like cells of the same size and character as those contained within the +circle." + +Should these observations made by Mr. Spooner turn out to be correct, they +will but fulfil my anticipations. Then again shall we see the same +application of imperfect vision to the limitation or temporary obstruction +of solid and determinate knowledge. + +We may reasonably expect that these bodies, discovered by Mr. Spooner, +should be the elementary matters of disease. Their existence was predicted +from the probability that living matter must be the agent; moreover, that +this matter when discovered {33} would be cellular, most probably +resembling the yeast plant as described by Mr. Spooner. + +It was predicted that a planet would be discovered in a certain position in +the heavens, because the perturbations of a comet indicated an attracting +body in the path of the eccentric wanderer; the prediction and the +fulfilment were almost simultaneous. + + * * * * * + +{34} + +SECTION II. + +HISTORICAL NOTICE OF EPIDEMIC DISEASES. + +The earliest notices we have of Pestilences are contained in Holy Writ. The +plagues which smote the Egyptians in the time of Moses are not unworthy +some comment here. Of those ten plagues, four out of the number were due to +the miraculous appearance of myriads of the lower animal tribes, in three +instances of insects,[13] viz. lice, flies, and locusts; in the fourth, +when Aaron stretched forth his hand with his rod over the streams, over the +rivers, and the ponds, frogs came up and covered the land of Egypt. In +these instances living beings are made the instruments in God's hand for +the punishment of the wicked. These plagues include the second, third, +fourth, and eighth. The first plague is mentioned as a conversion of the +waters into blood. Now if we may take this expression as being literal, +there is no reason to suppose that this blood differed in any respect from +ordinary sanguineous liquid; we therefore may assume, as the blood is every +where in Scripture spoken of as the _life_, that this fluid was endowed +with vital properties. + +{35} + +The fifth plague is described as a murrain among beasts; and the sixth, as +exhibiting itself as "a boil breaking forth with blains, upon man and upon +beast."[14] Now these affections bear a resemblance to the diseases known +to us at the present day through authentic records. The Black Death of the +14th century affords in its history but too awful a picture of the horrors +of such pestilences. In the tenth plague, the smiting of the first-born, we +are not told by what means it was brought about; but we have something even +here to lead us to conjecture. In the second visitation of the Black Death, +there were destroyed a great many children whom it had formerly spared, and +but few women. The seventh plague of hail is within our conception; as is +also that of darkness, the ninth plague. + +It is not a little remarkable that of the ten plagues, seven of them +depended upon agents intelligible to our comprehension; we can conceive of +{36} the invasion of a country by myriads of loathsome insects and +reptiles, and can imagine the wrath of an offended Deity directing the +force of a supernatural storm of hail upon a disobedient people; and we can +conjecture, though faintly, the consternation of human nature on being +subjected to a total darkness of three days' duration, when we consider +_that_ darkness has been described, as "a darkness that might be felt." + +From this abstract we discover that the three plagues whose causes we +cannot understand, or rather upon which no light has been thrown by +Scripture, bear analogies to those which we recognise, in the writings of +modern authors, as fearful pestilences. + +It is now our province to reflect on the causes supposed to be in operation +in the three instances, which become naturally separated from the rest. + +We are told that a murrain appeared among the cattle, without any +preliminary step. When the blains broke out upon man and beast, Moses had +been previously directed by the Almighty to take handfuls of the ashes of +the furnace, and sprinkle them towards the heaven in the sight of Pharaoh. +"_And it shall become small dust in all the land of Egypt_, and shall be a +boil breaking forth with blains upon man and upon beast, throughout all the +land of Egypt." + +Another coincidence, in connexion with subsequent pestilences, arrests the +attention, on the subject of the mysterious appearance on these occasions +of {37} matter resembling dust being prevalent about the houses, and on the +clothes of the people. Clouds also, and showers of dust-like particles, +were not of infrequent occurrence. Indeed, in the summer of 1849, during +the progress of the Cholera, several phenomena of a similar nature were +observed and authenticated; I myself can bear testimony to one instance of +the kind. It was observed by many persons in my neighbourhood after the +passage of an ominous and lurid cloud, that as they walked their clothes +became covered with a singular dust-like matter of very peculiar +appearance. That this phenomenon was not destitute of significance may be +gathered from the fact, that on the night of that day several severe cases +of Cholera occurred, though our village had been comparatively free for ten +days. + +Hecker, in writing on the Black Death says, the German accounts expressly +speak of a "thick stinking mist which advanced from the east,[15] and {38} +spread itself over Italy; there could be no deception in so palpable a +phenomenon." It is not unworthy of mention, that in the East successive +invasions of locusts "which had never perhaps darkened the sun in thicker +swarms," preceded the great outbreak of this disease, for they left famine +in their train. + +From 1500 to 1503 in Germany and France, during the prevalence of the +sweating sickness, spots of different colours made their appearance, +"principally red, but also white, yellow, grey, and black, often in a very +short time, on the roofs of houses, on clothes, on the veils and +neckerchiefs of women, &c." Blood rain is also mentioned as having occurred +at this time, which consisted of the aggregation of minute particles of red +matter. + +In the seven plagues, miraculous operations of the Deity consisted in the +unusual manifestation of phenomena, but which in their effects are +recognizable as of clear and definite import. The miracles here are,--in +the _mode_ of producing the swarms of frogs, locusts, &c. but they are +manifest and unmistakeable _causes_ of plague and famine; in the other +three, on the contrary, we witness only the effects, the causes are hidden +from us; we may, therefore, as in current events, legitimately investigate +the subject, and what better course can be adopted than that which +classifies the traditionary past with all subsequent history. Presuming +such a method of research to be admitted, I have assumed that as {39} the +_causes_ of the seven plagues have been distinctly given, the others, +though only mentioned in their effects, were due to causes of a nature in +some way to be compared with their concomitants, that is to say, if a +special intervention of the Deity brought about a miraculous appearance of +frogs, lice, &c. there is but little reason to doubt that some other agent +was miraculously multiplied and concentrated to induce the murrain, +engender the blain, and smite the first-born: as if to lead us into this +enquiry, on the visitation of the blain in man and beast, the Bible History +tells us that Moses threw ashes of the furnace, which became a dust +throughout all the land of Egypt; we cannot imagine that this simply as +ashes could have caused the blain, we may conclude that by some special +miracle, either the ashes were converted into a specific form of matter +capable of inducing the effects recorded, or that an independent septic +matter was generated for the purpose. If the latter, the act of throwing +the ashes of the furnace into the air may have been intended to signify +that the extremely minute division of the particles when thus cast into +space, typified the inscrutable and hidden nature of the matter endowed +with such marvellous properties.[16] + +{40} + +Further on in the book of Leviticus are passages which I cannot forbear +transcribing, for they point out to us most indubitably a line of enquiry +in reference to diseases of a contagious nature. + +"The garment also that the plague of leprosy is in, whether it be a woollen +garment, or a linen garment, whether it be in the warp or woof, of linen or +of woollen, whether in a skin, or in any thing made of skin, and if the +plague be greenish or reddish in the garment ... it is a plague of leprosy, +and shall be shewed unto the Priest, and the Priest shall look upon the +plague and shut up it that hath the plague seven days; and he shall look on +the plague on the seventh day; if the plague be spread in the garment, +either in the warp, &c. ... the plague is a fretting leprosy, it is +unclean. He shall therefore burn that garment ... wherein the plague is, +for it is a fretting leprosy; it shall be burnt in the fire. And if the +Priest shall look, and behold, the plague be not spread in the garment ... +then the Priest shall command that they wash the thing wherein the plague +is, and he shall shut it up seven days more: and the Priest shall look on +the plague, after that it is washed: and behold if the plague have _not_ +changed his colour, and the plague be not spread, it is unclean; thou {41} +shalt burn it in the fire; it is fret inward; whether it be bare within or +without. And if the Priest look and behold the plague be somewhat dark +after the washing of it, then he shall rend it out of the garment ... and +if it appear still in the garment either in the warp or the woof ... it is +a spreading plague: thou shalt burn that wherein the plague is with fire. +And the garment ... which thou shalt wash, if the plague be departed from +them, then it shall be washed the second time and shall be clean."--Chap. +xiii. 47-58. + +Again in Deuteronomy. The curse for disobedience: "The Lord shall make the +pestilence cleave to thee until he have consumed thee from off the +land.--The Lord shall smite thee with a consumption, and with a fever, and +with an inflammation, and with an extreme burning, and with the drought, +and with blasting, and with _mildew_, and they shall pursue thee until thou +perish.--The Lord shall make the rain of thy land _powder_ and _dust_: from +heaven shall it come down upon thee until thou be destroyed." + +It may be said, and I doubt not will be said, all this is unnecessarily +dragging the sacred volume into an enquiry totally foreign to its general +tenor; on the contrary, however, I maintain by that Book we are to learn +the ways of God to man, and further, that no study can impress mankind with +so awful, so terrific an idea of his responsible position, as that which +leads him into the investigation of the causes {42} by which the Almighty, +doubtless in His wisdom, has thought fit at various epochs of this world's +history, to place man face to face with pestilence, famine and sudden +death. + +There is no man would less willingly than myself introduce profanely the +revelations of Scripture. The observations here made are not, therefore, +intended for light or heedless controversy; if they have a significance of +any import, let them be alluded to in the same spirit with which they have +been quoted; if they convey nothing for approval to the reader, let silence +rest upon them. To those who would fain disregard my request, let me recall +to their minds the veneration which from childhood I trust we have always +felt on hearing or seeing those two words--Holy Bible. + +It is yet to be determined, whether the greenish or reddish appearance of +the garment spoken of, as being contaminated with the plague of the leprosy +had any specific relation to the disease itself. The priest orders that the +garment shall be shut up seven days, and on the seventh day, if the plague +be increased, by which, of course, is meant if the greenish or reddish +colour have increased, and from which we may gather that a power of +spontaneous increase was possessed by the matter, such a result indicated a +fretting leprosy, and the garment was to be burnt. Again, though there may +have been no increase, but a persistence of the coloured matter after +shutting up and washing the garment, it is to {43} be burnt, for it is fret +inward, signifying, that the germs of the affection are still there, and +may soon increase. Other rules follow in reference to the plague of +leprosy, and the mode of deciding whether an article be unclean or clean is +definitely laid down, but our purpose is served in mentioning the above, to +shew that in the time of Moses the spontaneous increase of certain minute +multiplying germs was supposed to have a close connexion with disease. It +is equally clear, that the priests were aware by the order given them, that +if the ordinary modes of purifying articles of clothing failed in their +effect, the safest and surest method of destroying infectious matter was to +resort to the practice of consuming by fire all materials capable of +propagating an infectious malady. + +The facts above noticed, accurately correspond to what we now know as +applicable to the matter of infectious and contagious maladies. It is a +rule, I believe universally adopted throughout the Poor-houses of this +country, to put the clothes of all persons about to become residents in +these establishments, into ovens, where they are submitted to a temperature +incompatible with the existence of either animal or vegetable life. By this +means all living matters are destroyed, but the fabrics and inorganic +matters retain their properties intact. This simple proceeding, I am +credibly informed, is an effectual preventive of contamination by articles +of clothing, a desideratum of no small importance, when it is {44} +remembered that the diseases among the poor owe much of their inveteracy to +the accumulation of effete organic matters about their persons and clothes. + +A few more observations are called for on the quotation from Deuteronomy, +in which allusion is made to living matter being an agent in the production +of disease. In the curse upon the children of Israel for disobedience, we +read that they are to be smitten with mildew. No further information, +however, is vouchsafed to us, nevertheless, we can conceive the wretched +condition of those on whom the curse might fall. Again, we find in a +continuation of this curse that the Almighty uses means such as He adopted +in the sixth plague of the Egyptians. The ashes of the furnace became a +small dust in all the land of Egypt, breaking forth with blains upon man +and beast. In the curse of the Israelites the words are: "The Lord shall +make the rain of thy land _powder and dust_: from Heaven shall it come down +upon thee until thou be destroyed." + +It might be conjectured that the absence of rain would be sufficient to +account for the extinction of the people on whom the curse was pronounced, +by the famine and drought necessarily attendant upon the loss of moisture. +But this does not appear to be the meaning of the passage, for the powder +and dust are mentioned as the agents of destruction; besides, in the +continuation of the curse, the locust is to destroy the grain, the worm the +grapes, and {45} the olive is to shed his fruit; we may thus take for +granted that drought and famine are not to be caused by the showering of +powder and dust, it must consequently be supposed that the effects of the +dust in the instance of the Egyptians are to be compared and classified +with those of the dust which smote the Israelites. + +As far then as Sacred History conducts us in the enquiry, concerning the +causes of pestilences, we gain encouragement in the belief that living +germs are the active agents, for in the case of the leprosy, we have +evidence of reproduction in connexion with infection, which, if our line of +argument be tenable, amounts to demonstration; then, in the other instances +of the plagues, by boils and blains, they distinctly bear comparison with +the accounts given by profane writers, of the visitations of pestilences on +the earth, subsequently to those mentioned in Scripture history. + +This leads now to the consideration of recorded facts observed and noted +during the various Epidemics in the early and subsequent periods of Man's +History, as given by those on whom reliance may be fairly placed. + +Setting aside the uncertain information contained in the writings of the +Chinese,[17] a people whose {46} progress in the science and practice of +Medicine has nothing to commend it (even as it is at the present day) to +the notice either of the physician or the historian, unless it be to the +latter as a mark of peculiarity both in a social and political point of +view,--passing also over the Egyptians, the Arabians, and the Greeks,--and +even Hippocrates himself, we are driven to the Romans for any authentic or +precise notice of Epidemic Affections. It has been attributed to +Hippocrates that he predicted the appearance of the Plague at Athens, {47} +and that when it was introduced into Greece he dispelled it, "by purifying +the air with fires into which were thrown sweet-scented herbs and flowers +along with other perfumes."[18] But little advantage can be derived from +enquiries concerning the first appearance of any disease, for the +probability of discovering the primary cause is certainly a {48} hopeless +case, if attempted by means of the writings of ancient authors, when it is +recollected that with all the science and learning of the ancient +Egyptians, the use of optical instruments was not comprised among the +paraphernalia of their arts. The knowledge that was limited to the powers +of natural vision, where the foundation of knowledge is based upon facts +obtained through the aid of that penetrator of nature's secrets, the +microscope, offers no advantages to the student of the present day. + +To say that a disease commenced in the East and travelled westward, and at +length found a habitation and a name in every part of the globe, is no more +than to say that disease is coeval with the fall of man. The cause is as +much hidden in the region of its birth, as in that where it sojourns for a +time. The cause of the sweating sickness was as much a mystery in England +as in all the other nations of Europe, which were visited by its +devastating power. And these observations apply with as much force to one +disease as another; for even our indigenous ague, originating in some +places so limited that the shadow of a passing cloud may mark the boundary +of its dwelling place, as inscrutably evades our vigilance, with all the +appliances that art can bring to our assistance, in endeavouring to evoke +its extraordinary properties under the cognizance of our senses. + +If we weigh the air which carries the poison, or analyze it by the most +delicate chemical tests, or {49} take the weight of the atmosphere which is +charged with it, or if we take the blood which carries the germs of the +disease to the tissues of the body, and submit them after the work of +destruction is accomplished, to the most rigid inspection, we can but +exclaim, + + "These are Thy marvellous works!" + +and confess our total inability to fathom the unbounded. + +If then no practical advantage can accrue from investigating the writings +of the ancients on these subjects, beyond comparing their historical +statements with those of more recent date, our purpose will be served by +occasionally embodying any remarkable observations of the former with those +of the latter. + +In proceeding with this course it were better to confine our minds chiefly +to two diseases which appear from history to have been known from the +earliest periods, these are the Plague and the Small Pox, mentioning other +diseases only _en route_. + +Passing then, to the sixth century of the Christian era for the first +distinct and connected account of the Plague, it appears from a host of +testimony, that the history of this disease, as given by Procopius, well +merits our attention. Drs. Friend and Hamilton, in their Histories of +Medicine, and Gibbon, in his History of Rome, are equally warm in their +praise of Procopius: the latter says, he "emulated the skill and diligence +of Thucydides in the {50} description of the Plague at Athens." The account +given by Procopius of this disease, does not differ materially from that +given by subsequent eye-witnesses of similar pestilences. Its point of +origin is clearly marked, and its mode of dispersion in all directions +distinctly traced from "the neighbourhood of Pelusium, between the +Serbonian bog and the eastern channel of the Nile." It commenced in the +year 542. It raged in Constantinople in the following year, and it was in +this city that our historian gathered the materials which are handed down +to us. When, however, we anxiously look for any explanation as to the cause +of the malady, we are told that it must have been a direct visitation from +Heaven, in consequence of the eccentric characters exhibited in its +wide-spreading influence, in not yielding to the scrutiny nor bending to +the laws known to prevail, and to regulate the course of other diseases: +neither country nor clime, age nor sex, the strong and healthy, nor the +weakly and previously diseased, could be said to be free from its +indiscriminate destruction. + +But some phenomena preceding the outbreak of the pestilence are observed as +coincidences by all authors. Gibbon thus writes: "I shall conclude this +chapter with the comets, the earthquakes, and the plague which astonished +or afflicted the age of Justinian." From the accounts given by this author, +earthquakes for some years had been threatening and destroying many +portions of the globe, {51} that in the ruins of cities and in the chasms +of the earth, great was the sacrifice of human life. Constantinople, which +suffered so severely from the plague is said to have been shaken for forty +days. These great disturbances of the globe have been always looked upon as +indicating other and important influences of a secret or hidden nature; +these impressions on the minds of the people are traceable throughout the +histories of all epidemics, and have been sufficiently distinct among the +people of our own time, preceding and during the period of infliction. + +From this short notice of the Plague of 543, I pass to the ninth century, +when Rhazes, the Arabian physician, endeavoured to enlighten the world on +the subject of Small Pox.[19] In quoting his opinions, I am not to be +understood as subscribing to them, but merely endeavouring to point out +some peculiar and interesting observations. + +First, then, Rhazes attributes the disease to a condition of the blood, +which he thus describes, to shew how it happens that in infancy and +childhood the disease is most prevalent, and that old age is {52} least +liable to the affection.[20] "The blood of infants and children may be +compared to _must_, in which the coction leading to perfect ripeness has +not yet begun, nor the movement towards fermentation taken place; the blood +of young men may be compared to must which has already fermented and made a +hissing noise, and has thrown out abundant vapours and its superfluous +parts, like wine which is now still and quiet, and arrived at its full +strength, and as to the blood of old men, it may be compared to wine which +has now lost its strength, and is beginning to grow vapid and sour." + +"Now the Small Pox arises when the blood putrifies and ferments, so that +the superfluous vapours are thrown out of it, and it is changed from the +blood of infants which is like must, into the blood of young men which is +like wine perfectly ripened: and the Small Pox itself may be compared to +the fermentation and the hissing noise which take place at that time." + +But the cause of the disease is simply alluded to by this author, as +depending upon "occult dispositions in the air," and as he speaks here of +Measles with the Small Pox he goes on to say--"which necessarily cause +these diseases and predispose bodies to them." This notion of Rhazes that +there is some peculiar condition of the blood which favours a process +resembling fermentation is not without interest. The circumstance that +individuals are not {53} usually liable to a second attack of the disease, +no doubt directed the attention of this physician to compare the process of +fermentation with disease of such a nature, seeing that when the whole of +the saccharine matter was converted into spirit, the hissing noise, as he +calls it, or the disengagement of carbonic acid gas would cease, and the +capacity for fermentation be entirely gone. So that the occult conditions +of the air, their power of inducing a disease, and multiplying the matter +capable of engendering a similar affection, stood in the mind of Rhazes as +analogous if not identical phenomena. + +We pass now without further comment to the epidemics of the Middle Ages; +and here the work of the philosophical Hecker leaves us little else to +desire in the way of information, as far as it is obtainable from published +records. From the manner in which he has grouped the facts which presented +themselves to his mind in the course of a most laborious research, he has +saved the student of this subject much toil in acquiring matter for +reflection; he has here but to read and digest. + +I know not how to select from this invaluable work the most striking +passages, to strengthen and support my hypothesis, for not a page is +destitute of facts corroborative of the doctrine that vital germs are the +material agents of pestilential disorders. The opening paragraph to the +Black Death is a most cogent illustration of the assertion; it is, as it +were, the theme of the work. "That {54} Omnipotence, which has called the +world with all _its living creatures into one animated being_, especially +reveals himself in the desolation of great pestilences. The powers of +creation come into violent collision; the sultry dryness of the atmosphere; +the subterranean thunders; the mist of overflowing waters are the +harbingers of destruction. Nature is not satisfied with the ordinary +alternations of life and death, and the destroying angel waves over man and +beast his flaming sword." + +I must here apologise for large transcripts from Hecker's work, for neither +could I command the amount of knowledge there displayed, nor use such +appropriate language as the learned translator has employed. + +It is not doubted that the Black Death was an Oriental plague, only of more +than usual severity, and wider spread influence of the infectious nature of +this disease, and the active properties of the matter producing it. Hecker +says, "articles of this kind--bedding and clothes--removed from the access +of air, not only retain the matter of contagion for an indefinite period, +_but also increase its activity, and engender it like a living being_, +frightful ill consequences followed for many years after the first fury of +the pestilence was past."[21] + +{55} + +As extraordinary atmospheric and telluric phenomena preceded the Plague in +the time of Justinian, so do we find similar instances recorded as the +precursor of a similar visitation 700 years later. I am concerned more with +those circumstances which refer more especially to my subject, _viz._ the +development of organic matter, and the peculiar odours of the atmosphere, +the latter being evidence of some foreign and unusual production in our +respiratory media. "On the island of Cyprus, before the earthquake, a +pestiferous wind spread so poisonous an odour, that many being overpowered +by it, fell down suddenly and expired in dreadful agonies. A thick stinking +mist advanced from the east, and spread itself over Italy." + +{56} + +It is probable that the atmosphere contained foreign and sensibly +perceptible admixtures to a great extent, which, at least in the lower +regions, could not be decomposed or rendered ineffective by separation. In +1348 an unexampled earthquake shook Greece, Italy, and the neighbouring +countries. During this earthquake the wine in the casks became turbid, a +proof that changes causing a decomposition of the atmosphere had taken +place. "The insect tribe was wonderfully called into life, as if animated +beings were destined to complete the destruction which astral and telluric +powers had began." + +"The corruption of the atmosphere came from the east, but the disease +itself came not upon the wings of the wind, but was only excited and +increased by the atmosphere where it had previously existed." + +"The most powerful of all the springs of the disease was contagion; for in +the most distant countries, which had scarcely yet heard the echo of the +first concussion, the people fell a sacrifice to organic poison, the +untimely offspring of vital energies thrown into violent commotion." + +"After the cessation of the Black Plague, a greater fecundity in women was +every where remarkable, a grand phenomena, which from its occurrence after +every destructive pestilence, proves to conviction the prevalence of a +higher power in the direction of general organic life." {57} + +In the article Contagion, of the Essay, Sweating Sickness: "Most fevers +which are produced by general causes, propagate themselves for a time +spontaneously." "The exhalations of the affected become the germs of a +similar decomposition in those bodies which receive them, and produce in +these a like attack upon the internal organs, _and thus a merely morbid +phenomenon of life, shows that it possesses the fundamental property of all +life, that of propagating itself in an appropriate soil. On this point +there is no doubt, the phenomena which prove it have been observed from +time immemorial, in an endless variety of circumstances, but always with a +uniform manifestation of a fundamental law._" + +Mead, in his Essay on the Plague, makes many observations of great interest +and worthy a physician of eminence; and where, in recent times, shall we +look for any more definite information concerning the causes of +pestilences? It is not a little singular that at the time this book was +published, it was read with such avidity that it went through seven +editions in one year.[22] From this circumstance we may gather that the +public generally took a lively and proper interest in a subject that was +not only of domestic, but national importance. Whether this interest was +stimulated by the fact that the work was written expressly by order of the +{58} government, it is now impossible to say, at any rate much credit is +due to the Lords of the Regency for having placed so important a duty upon +one so thoroughly and in every way so duly qualified for the task as Dr. +Mead. It had been well if some of the advice given at that time, as means +of protection against the Plague, had been applied and put in force during +the late visitation of epidemic Cholera, for, however the minds of some may +be convinced of the non-contagiousness of Cholera, there are many who hold +a different opinion, and all will acknowledge, that if not strictly a +contagious affection, it is clearly proved to be capable of being carried +from place to place, or to use Dr. Copland's words, it is "a portable +disease." But this is not the place to discuss the subject of contagion, +allusion will be made to it hereafter. To return, Mead's expressions are +singularly illustrative of the vital power possessed by the germs of +disease; he says, "There are instances of the distemper's being stopt by +the winter cold, and yet the seeds of it not destroyed, but only kept +unactive, _till the warmth of the following spring has given them new life +and force_. His confession as to the hidden cause of the disease, is worthy +transcribing: "We are acquainted too little with the laws, by which the +small parts of matter act upon each other, to be able precisely to +determine the qualities requisite to change animal juices into such +acrimonious humours, or to explain {59} how all the distinguishing symptoms +attending the disease are produced."[23] + +On the spread of the Plague is the following:--"The plague is a _real +poison_, which being bred in the southern parts of the world, maintains +itself there by circulating from infected persons to goods, that when the +constitution of the air happens to favour infection, it rages with great +violence." Contagious matter is lodged in goods of a loose and soft +texture, which being packed up, and carried into other countries, let out, +when opened, the imprisoned seeds of contagion, and produce the disease +whenever the air is disposed to give them force, "otherwise they may be +dispersed without any considerable ill effects." Gibbon thus speaks of the +above quoted work: "I have read with pleasure Mead's short but elegant +Treatise concerning Pestilential Disorders;" many also might read it at the +present day with infinite advantage. Mead most satisfactorily combats the +opinions of the French physicians who maintained the non-contagiousness of +the Plague. Experience proves beyond doubt, that certain conditions of +atmosphere, of {60} which we are ignorant, favour the growth and increase +of pestilences as they do of all vegetation. + +Dr. Bancroft was of opinion that specific contagions are each and severally +creatures of Divine Wisdom, as distinctly and designedly exerted for their +production, as it was to create the several species of animals and +vegetables around us. + +The indigenous fever of Ireland, which has several times shewn itself in an +epidemic form, appears to have been as fatal, as the Plague in the South of +Europe. Its devastations have generally been associated or preceded by +famine and general distress. Dr. Harty, writing in 1820, says that thrice +within the last eighty years has the same fever appeared in its epidemic +character. In the year 1741 Ireland lost 80,000 of her inhabitants from +this cause. It is a maculated typhus, and considered to be a special +product of the Emerald Isle. It has been shewn that fever began to exceed +its ordinary rate in those places first where famine and want of employment +were most severely felt,[24] and that in such places and under such +circumstances, it was most prevalent and fatal. The physicians generally +believed it to have been spontaneously produced and not to have been +imported. In the last Famine Fever of Ireland, Liverpool and several other +places suffered severely from the {61} importation of their Channel +neighbours with the disease in some instances, and the infection in others +about their persons. Hitherto these have to all appearance been the limits +of the affection; we know not, however, how soon the time may come when the +invisible bonds which have thus chained the disease to certain localities +may be severed, and spreading itself like other pestilences in an +aggravated form, attack this country as a last and crowning act of +retributive justice. At present it has but cost us money and regrets, but +if the history of pestilences is to be heeded, there are many tokens which +seem to indicate that a few slight concurrent circumstances only are +wanting, to bring the full force of this disease upon us; then will there +be a sacrifice of life. Edinburgh and other towns of Scotland have had some +visitations already, ourselves but slightly, but let our labouring +population suffer to any large extent for want of work, and we shall +inevitably be the sufferers from that fever which in consequence of general +destitution is now always more or less prevalent in Ireland. + +The Sweating Sickness prevailed in England alone at first, but at length +sought foreign victims. The Cholera is an exotic disease, as well as the +Plague, but they occasionally have visited our shores, and their seeds +remain among us. The Small Pox is now even not known in some parts of the +world, but when once it is established, who can predict the period of its +first appearance in an {62} epidemic form. The history of the disease +informs us that in all the countries where it has been introduced, sooner +or later an epidemic has seized the inhabitants. + +A disease previously unknown in India appeared at Rangoon in the year 1824, +which obtained the name of Scarlatina Rheumatica. Four years afterwards it +attacked the Southern States of North America, and though the disease was +so impartial as scarcely to spare a single individual of any town to which +it extended its influence, it was not accompanied with that mortality which +has usually been the characteristic of wide spread epidemics. + +There is one peculiar feature of all epidemics which may be here mentioned +as indicative of some definite, though at present unaccountable cause, +operating in the sudden suppression of the disease after a certain period +of duration. This distinctive character may almost be considered as a law +in reference to these affections; if we take three distinct diseases, the +Plague, the Irish Fever and the Cholera, we find the rule apply to all. Of +the latter disease we have so recently been witnesses, that I need not +quote authorities on this point concerning it. In Dr. Patrick Russell's +work on the Plague at Aleppo I find the following remarkable passage. After +alluding to the great increase of pestilential effluvia that there must be +towards the close of an epidemic, compared with the amount at the onset of +the disease, and expressing his {63} astonishment that so many escape +infection, he says: "The fact, however unaccountable, is unquestionably +certain; the distemper seems to be extinguished by some cause or causes +equally unknown, as those which concurred to render it more or less +epidemical in its advance and at its height." He then mentions that in +Europe the sudden cessation may be partly attributable to the measures +adopted for preventing its extension; but "at Aleppo, where the disease is +left to run its natural course, and few or no means of purification are +employed, it pursues nearly the same progress in different years; it +declines and revives in certain seasons, and at length, without the +interference of human aid, ceases entirely." + +The expressions of Dr. Harty on this subject, in connexion with the Irish +Fever, would apply as well to all other epidemics: "It is a fact, that +though every diversity of management was resorted to for effecting the +suppression of the disease, yet, nevertheless, there was an almost +simultaneous and apparently spontaneous decline of the epidemic in the +various and most remote parts of Ireland. It is not an easy matter to offer +a satisfactory explanation of this circumstance, _some general cause must_ +no doubt have influenced the subsidence of the disease, yet that cause +could not be atmospheric, inasmuch as the decline, though it might be said +to be simultaneous, was not sufficiently so to admit of that explanation." + + * * * * * + +{64} + +SECTION III. + +THE DISPERSION OF PLANTS AND DISEASES. + +The dispersion of Diseases and the dispersion of Plants, exhibit analogies +which might be little expected, on a superficial view of the enquiry. + +We are led to believe, that the earth as a whole, was not covered with +vegetation in a day, the geological history of this planet is one of +development, and though at first sight this expression of opinion may +appear to savour of doubt in the Mosaic record, a more extended +acquaintance with the subject, favours rather and confirms Scripture +history. + +As the peopling of the earth has been a gradual process with the animal +creation, so has it been also with the vegetable kingdom. We see at the +present day, that plants by various means of transit from place to place, +multiply themselves on new soils and in new climes, the same with animals. +By other means we observe, or can trace, the extinction from various +localities and countries, of members of both the animal and vegetable +kingdom. + +We learn that originally this planet had a temperature much higher than at +present, and that the variation of temperature between the equator and the +poles, which we now witness, did not obtain in the earlier condition of the +globe. We are given to understand, and not without considerable proof, {65} +if not demonstration, that the earth was a vast bog, in which rank +vegetation grew, and in which the ichthyosauri and plesiosauri, must have +floundered about as unwieldy and loathsome bodies. We can readily conceive +a condition of atmosphere at this time to have been loaded with pestiferous +vapours of an organized nature; it is entirely in accordance with all we +know, that it should have been so. Allied forms of plants to those now in +existence, are found in the form of fossils, by which comparisons are made, +but how the transition into the present Flora took place, or at what +period, it is impossible to say. That these plants should have been +entirely destroyed during the revolutions of the earth by earthquakes, and +their consequences; the collection of waters into the vacuities formed, and +their draining off from other places by elevations of the land, is not to +be dwelt on without astonishment; then again the ultimate changes of +temperature on the surface of the earth, may have been another element in +the history of their extinction. But if we may be allowed to imagine that +there were organic germs floating in the vapours of the atmosphere, these +would hardly be subject to the same influences as those which depended +solely on their fixation to the soil for subsistence. The atmosphere, their +native element, being influenced by the commotions from below, would be +agitated; vortiginous currents would be established, hurricanes would sweep +over the stagnant pool and reeking morass, {66} and the higher regions of +the air might have thus given protection to these subtle germs, while +almost a total extinction of the elegant ferns, the stately palm, and the +towering cane was in course of procedure. Then when the strife of the earth +and elements had subsided, these would descend with the gentle breezes, and +again find in various spots a local habitation-- + + "Where blue mists, through the unmoving atmosphere, + Scatter the seeds of pestilence _and feed unnatural vegetation_." + +In the new era, when the earth took its present physiognomy, who shall say +whether much of the pestiferous matter may not have been enclosed and +condensed in the bowels of the earth, and when it is remembered, that +earthquakes and convulsions of nature,[25] have invariably preceded the +outbreak of {67} any great pestilences, that stinking mists, coming from +some unknown regions, and unusual vegetations have made their appearance in +concert at these times, what I ask is more natural than to imagine, that +they have been let loose during the general convulsion? It may be asked, +what is to be said about that revolution of the earth, when the great +Deluge spread over the whole face of the globe? It can only be replied, +that this is a part of the scheme of cosmogony into which we are not called +upon to enter. There are yet strenuous supporters of the partial as well as +total submersion of this planet, but whether it be true that the vast +torrents which appear to have swept the surface uniformly in a southern +direction, were of a date coeval with the deluge, and constituted an +essential portion of the phenomena, of which one was, that "the fountains +of the great deep were broken up," or whether they were anterior to this +catastrophe, will not at all interfere with the conjecture of a very early +formation and propagation of the germs of pestilential diseases, for the +commotions of a deluge were less likely to interfere with the vapours of +the atmosphere, than extensive volcanic and electric disturbances. +Moreover, it is rather in favour of this theory, that the {68} regions +where the temperature and exhalations most nearly resemble those of the +former condition of the earth, are those in which pestilential disorders +most frequently arise, and where their virulence has always been most +strongly marked. + +After the various commotions which left the globe, with its present +physiognomy of mountains, plains, valleys, rivers, lakes, and oceans; a new +Flora and Fauna appeared to adorn and animate the scene of man's existence. +Plants and animals were created apparently in adaptation to the numerous +climes, which the seasons in the various latitudes or the elevations of the +soil, were prepared to render fruitful and useful each in its own sphere. +Besides this, the plants of the same latitude, in some instances, differ +materially from each other; in this case it seems that the soil has much to +do with this peculiarity, for it is certain that the soil and the +contiguous atmosphere, have a close and intimate relation; the drought of +the desert depends upon the sand, as humid atmosphere is connected with the +morass. To illustrate the tendency which vegetation shews in appropriating +one locality more than another, I may quote the following: "Some of the +volcanic masses of the Æolian or Lipari Islands, that have existed beyond +the reach of history, are still without a blade of verdure; while others in +various parts, of little more than two hundred years date, bear spontaneous +vegetation, and the same is seen on two lavas of Etna near each other, for +the one {69} of 1536 is still black and arid, while that of 1636, is +covered with oaks, fruit trees, and vines." + +In comparing the diffusion of plants, and the diffusion of diseases, the +different modes by which this generally has been effected may be considered +under heads, that the comparison may be more readily traced. + +_First_, seeds are diffused by the atmosphere, either by the prevalence of +certain currents, which are produced by known laws, in which case, no +difficulty occurs in the explanations; or in a more imperceptible manner, +as by those more uncertain atmospheric currents of a partial nature, which, +though they seem to have laws governing them, are not yet understood. + +_Second_, seeds are transported by water across oceans, &c. when they can +be floated on any material by which they are preserved, as by wrecks and +masses of wood, which have been washed down the rivers. + +_Third_, they are conveyed by man to all parts of the globe. + +_Fourth_, a period of latency is observed to apply to them, that is, they +require certain essential conditions before germination occurs; so that +even in some localities, a plant may not have been known to exist in a +particular neighbourhood, but by a train of circumstances, it may make its +appearance, and again be a centre of development. + +1st. I shall not here wander into the speculation, {70} whether plants had +originally one birth-place, as a centre from which they spread by various +agencies, as supposed by Linnæus, nor into any enquiry beyond those facts, +which may fairly come within our own comprehension, and within our own +means of demonstration. + +Many seeds are provided with means adapting them for floating in the +atmosphere, these are by pappi, or winglets and hairs, but it cannot be +doubted that the agency of atmospheric currents, is productive of +considerable effects in the dispersion of lighter seeds, such as those of +mosses, fungi, and lichens--lichens have been discovered in Brittany, which +are peculiar to Jamaica, and Monsieur De Candolle concludes, that their +seeds had been carried thence by the south-westerly winds, which prevail +during a great part of the year on this portion of the French coast. + +But Humboldt's testimony on the subject of winds is most satisfactory, for +he says, "Small singing birds, and even butterflies, are found at sea, at +great distances from the coast (as I have several times had opportunities +of observing in the Pacific), being carried there by the force of the wind, +when storms come off the land." It is generally believed, from abundance of +proofs, that the trade winds, and other continuous currents, are means by +which plants are conveyed from one country to another.[26] + +{71} + +As to the partial currents, Humboldt further says, "The heated crust of the +earth occasions an ascending vertical current of air by which light bodies +are borne upwards. M. Boussingault, and Don Mariano De Rivero, in ascending +the summit of the Silla, one of the gneiss mountains of Caraccas, saw in +the middle of the day, about noon, whitish shining bodies rise from the +valley to the summit of the mountain, 5755 feet high, and then sink down +towards the neighbouring sea coast. These movements continued +uninterruptedly for the space of an hour. The whitish shining bodies proved +to be small agglomerations of straws, or blades of grass, which were +recognized by Professor Kunth, for a species of vilfa, a genus, which +together with agrostis, is very abundant in the provinces of Caraccas and +Cumana." + +On the plague of locusts we read, that "the Lord brought an east wind upon +the land, all that day and all that night, and when it was morning the east +wind brought the locusts." + +On the Black Death we read, "There were many locusts which had been blown +into the sea by a hurricane, and a dense and awful fog was seen in the +heavens, rising in the east, and descending upon Italy." + +Of the Plague of 542, Gibbon says, "The winds might diffuse that subtle +venom, but unless the atmosphere be previously disposed for its reception, +the plague would soon expire in the cold or {72} temperate regions of the +north. The disease alternately languished and revived, but it was not till +a calamitous period of fifty-two years, that mankind recovered their +health, or the air resumed its pure and salubrious quality." + +In the history of the Sweating Sickness, of which there were five distinct +visitations, we find ample allusions to the atmosphere, and the mode in +which the disease was conveyed by this medium. + +I quote again from Hecker: "It seemed that _the banks of the Severn_ were +the _focus of the malady_, and that from hence, a true impestation of the +atmosphere, was diffused in every direction. Whithersoever the winds wafted +the stinking mists, the inhabitants became infested with the sweating +sickness. _These poisonous clouds of mists were observed moving from place +to place_, with the disease in their train, affecting one town after +another, and morning and evening spreading their nauseating insufferable +stench. At greater distances, these clouds being dispersed by the wind, +became gradually attenuated yet their dispersion set no bounds to the +pestilence, and it was as if they had imparted to the lower strata of the +atmosphere, _a kind of ferment which went on engendering itself even +without the presence of the thick misty vapour_, and being received into +men's lungs, produced the frightful disease everywhere."[27] + +{73} + +Mr. K. B. Martin, harbour-master of Ramsgate, in a communication to Lord +Carlisle on the Cholera of last autumn, says, "At midnight of the 31st +August (1849), the Samson (steam-tug) proceeded to the Goodwin Sands, where +the crew were employed under the Trinity agent, assisting in work carried +on there by that corporation. While there, at 3 A.M. 1st September, _a hot +humid haze, with a bog-like smell_, passed over them; and the greater +number of the men there employed instantly felt a nausea. They were in two +parties. One man at work on the sand was obliged to be carried to the boat; +and before they reached the steam vessel at anchor, the cramps and spasm +had supervened upon the vomitings; but here they found two of the party on +board similarly affected. Here then is a very marked case without any known +predisposing local cause. Doubtless it was atmospheric, and in the hot +blast of pestilence which passed over them." + +Many more instances might be quoted, to shew that the germs of disease, as +well as of plants, are borne on the wings of the wind from place to place +{74} in one country, and from one country to another, the distance being no +obstacle, however great that may be.[28] "Dust and sands," says Sharon +Turner, "heavier than many seeds, are borne by the winds and clouds for +several hundred miles across the atmosphere, falling on the earth and seas +as they pass along." "The clouds not only bring us occasionally meteoric +stones, hail, and _epidemics_, but also vegetable seeds."[29] + +2nd. The transportation of seeds of plants by water requires very little +notice; every one is familiar with the mode in which coral islands, which +gradually rise out of the sea, become covered with vegetation. "If new +lands are formed, the organic forces are ever ready to cover the naked rock +with life.--Lichens form the first covering of the barren {75} rocks, where +afterwards lofty forest trees wave their airy summits. The successive +growth of mosses, grasses, herbaceous plants and shrubs or bushes, occupies +the intervening period of long but undetermined duration." + +The following may be cited as an instance of the transportation of disease +by water. "Cyprus lost almost all its inhabitants, and ships without crews +were often seen in the Mediterranean, or afterwards in the North Sea, +driving about, _and spreading the plague wherever they went on shore_."[30] + +It requires no argument to enforce the conviction that cottons, woollens, +furs, skins, &c. will retain the matter of infection for almost an +indefinite period; instances of the kind have been already given; it is +therefore easy to understand that portions of wrecks and ship's goods would +be a frequent though unsuspected source of infection. Dr. Halley mentions a +case, in which a bale of cotton was put on shore at Bermuda by stealth; it +lay above a month without prejudice, where it was hid, but when opened and +distributed among the inhabitants, it produced such a contagion that the +living scarce sufficed to bury the dead. Dr. Walker found seeds dropt +accidentally into the sea in the West Indies cast ashore on the Hebrides. +He says, "the sea and rivers waft more seed than sails." The waters of many +rivers induce diarrhoea and dysentery.[31] Well water also in many {76} +places has a similar effect, especially if any surface drainage happens to +find its way into the well. + +3rd. The part performed by man himself in the communication of disease to +his fellow creatures, is perhaps the most fruitful source of the extensive +spread of epidemic and contagious diseases. + +In the time of Moses, restrictions were laid on those who had the plague of +the leprosy to avoid contagion; the dictum for one so affected was, "he +shall dwell alone; without the camp shall his habitation be."[32] All the +ancient authors believed in the {77} infectious nature of pestilential +fevers, and some other diseases; but, according. to Mr. Adams, they held +that no specific virus was the cause, and merely a contamination of the +surrounding air by effluvia from the sick. Thucydides, Hippocrates, +Procopius, Galen, Plutarch, all recognized the property of communicability +from one individual to another of the plague; and Hecker, on the epidemics +of the middle ages, abounds with instances in support of contagion. As +regards small-pox and measles, Rhazes observes particularly the connection +that exists between the condition of the air and the severity or mildness +of these diseases, remarking that small-pox seldom happens to old men, +except in pestilential, putrid, and malignant constitutions of the air in +which this disease is usually prevalent. + +The history of the introduction of Scarlet Fever, Hooping Cough, Lues, and +other diseases into the various countries of the globe, is sufficiently +convincing that men carry about with them the seeds of disease; that while +these attach themselves to the persons and clothing of those who introduce +them into new climes, and flourish independently of cultivation, yet the +exotics which they foster with so much care, often disappoint their most +sanguine expectations; and these "languishing in our {78} hothouses can +give but a very faint idea of the majestic vegetation of the tropical +zone." Art in this procedure fails to accomplish here, what nature but too +sadly, under some circumstances, effects most readily. The germs of some +diseases though of an exotic character, under congenial influences of +various kinds, appear to flourish with native vigour: is it not so, also, +with some forms of vegetation? The aloe, a native of Mexico, which lives, +but does not thrive well, or reproduce under ordinary circumstances in this +country, will occasionally send forth a most luxuriant blossom;[33] so rare +is this, that some say it occurs every 50 or 100 years, but no law seems to +be established on this point, any more than the statement that we may +expect pestilential diseases at certain intervals. But that there are +intervals of _uncertain_ duration when the aloe will blossom, when the +grapes will ripen, and a general productiveness of exotics will occur, is +as certain as that seasons will occur when contagion will be rife, and a +most unusual multiplication of disease prevail. This is not an imaginary or +speculative notion,--all observers of seasons and diseases within the last +twenty years, may fully verify the statement. + +In 1846, a large vine, the black Hambro-grape, {79} ripened its fruit out +of doors, and was as fine as any green-house production; but during nine +years that the vine has been under my inspection, this was the only time I +have witnessed such a result. + +We are apt to attribute an abundant or scarce fruit season to temperature +alone, but this is an error--for we have before remarked, that though +certain lands may be in the same degree of latitude, the plants which +thrive well on one land, will not do so on the other: in fine, that where +reason and analogy would lead one to expect a particular form of +vegetation, a totally different Flora is presented to the view. These facts +are indeed suggestive of new and important deductions. Is it yet explained +why the town of Birmingham should be free from Cholera? There is a large +manufacturing population, a great number of poor, the usual overcrowding of +individuals in small chambers, a considerable amount of destitution and +depravity; irregular habits of living, and unwholesome diet, and doubtless +many parts of the town, which on investigation would have yielded all the +elements usually considered necessary for the localization of the disease: +but no--here was some repelling cause, some opposing agent to the +generation and propagation of the pestilential seeds. There are no known +laws by which inorganic matter could be supposed to observe such a +selection, or such an antagonism. Electricity, magnetism, ozone, gases, +exhibit no such elective properties that here they will destroy, and {80} +there they will spare; that they can almost depopulate small villages, and +scarcely find a victim in Birmingham and Bath. But if we suppose a living, +and multiplying matter as the cause of disease, many local causes may +conspire to arrest the development of the germs, or perhaps, even utterly +destroy them. + +4th. As to the time of latency, facts crowd upon us indefinitely, as +elements of comparison between vegetation generally, and disease in its +early stages and history. The seeds of plants are extraordinarily tenacious +of life. What a mysterious arrangement of the ultimate particles of matter +must there be, by which the vital force remains apparently inactive for +many years, and yet when the conditions arise favourable to its +manifestation, as it were by an extraordinary fiat, life appears. + +Previous to the year 1715, no broom grew in the King's Park, at Stirling; +but in that year a camp was formed there, and the surface of the ground +consequently was broken in many places. Wherever it was broken, broom +sprang up. The plant was subsequently destroyed; but in 1745 a similar +growth appeared after the ground had been again broken for a like purpose. +Some time afterwards the park was ploughed up, and the broom became +generally spread over it. "In several places in the neighbourhood of +Edinburgh," says Professor Graham, "the breaking of the surface produces an +abundant crop of Fumaria parviflora, {81} although the same plant had never +before been observed in the neighbourhood. It is impossible to say the +lapse of time since these were buried, before they were again excited to +the performance of all their vital functions." Dr. Graham also gives +another proof of the vital force existing in seeds. "To the westward of +Stirling there is a large peat bog, a great part of which has been flooded +away by raising water from the River Teith, and discharging it into the +Forth,--the under soil of clay being then cultivated. The clergyman of the +parish standing by while the workmen were forming a ditch in this clay, +which had been covered with fourteen feet of peat earth, saw some seeds in +the clay which was thrown out of the ditch; he took some of them up and +sowed them: they germinated and produced a crop of Chrysanthemum septum. +What a period of years must have elapsed while the seeds were getting their +covering of clay, and while this clay became buried under fourteen feet of +peat earth!"[34] + +{82} + +What limit can there be to the dispersion of seeds when their vital +properties may remain so long unimpaired? The seeds of which we have been +speaking were, no doubt many of them, washed away with the waters of the +Teith, and carried by the stream into the Forth; and who shall then mark +their destination; for we have seen that by such means the most distant +lands are supplied with vegetation; for whence come the plants which cover +the Coral Islands, unless by the air and the water, and that both +contribute, has been incontestably proved. Dr. Lindley states that melon +seeds have been known to grow when forty-one years old; maize thirty years, +rye forty years, the sensitive plant sixty years, kidney-beans a hundred +years. But seeds in general have an indefinite period, apparently, at which +they can retain their power of germination; for many of the seeds which had +been kept in the herbarium of Tournefort for more than a century, were +found to have preserved their fertility. + +It has now to be shewn that the germs of disease also retain their vital +powers in a state of dormancy during a lengthened period. + +{83} + +Mead has very judiciously observed, "to breed a distemper, and to give +force to it when bred, are two different things." He further remarks, that +the seeds of the Plague may confine themselves to a house or two during a +hard frosty winter, and be preserved, and again put forth their malignant +quality as soon as the warmth of the spring gives them force. It is +certainly very remarkable that the Plague of London, which commenced at the +latter end of the year 1664, should "lie asleep," as Mead says, from +Christmas to the middle of February, and then break out in the same parish. + +It has been also known that an infected bed laid by for seven years had +done infinite mischief on being again brought into use. Indeed, it is quite +uncertain for how long a period woollen, fur, linen, cotton, and other +articles may retain infectious matter in a dormant state. It has been +supposed by some that in closely packed bed and body clothes a +multiplication of the germs may and does take place, nor do I see any +reason why this should not be the case, for these articles contain within +their structure the effluvia of the animal body, and they may possibly +there find sufficient nutriment for their development. Nees von Esenbeck +believed that some of the minute Cryptogamia were re-produced in the air, +we are not therefore exceeding philosophical conjecture when we imagine a +basis and substratum, though an unusual one, for the germs of vegetation. +Exclusion from air and light, {84} however, as would be the case in +packed-up clothes, would _a priori_ give a better colour to the conjecture, +as these are the usual conditions necessary for the growth of seeds. + +Small Pox and Cow Pox matter, which are now proved to be the same virus, +the former modified by having been through a process of growth and +maturation in the cow, are both remarkable for exhibiting their active +properties after having lain dormant for a considerable time. And each, +though so closely allied, retaining its specific properties. + +This peculiarity in the history of Small Pox virus suggests a comparison +with some phenomena of vegetation, _viz._ that of grafting or budding. The +lower Cryptogamia in their fructifications resemble rather multiplication +by buds than by seeds. M. Moyen's idea is that every spore or little +globule, independently of its neighbouring one, lives, absorbs, +assimilates, grows, and re-produces on its own account; this is certainly +the characteristic of the Torula and the Uredo, and doubtless is so of many +other of the Cryptogamia, the Protococcus nivalis is another instance. +Other modes of cultivation produce also great varieties of results of an +unexpected kind. + +Would any one, says Dr. Walker, imagine that cabbage, cauliflower, savoy, +kale, brocoli, and turnip-rooted cabbage, were the same species? yet +nothing is more certain than that they are only varieties produced by the +cultivation of the Brassica oleracea, {85} a plant which grows wild on the +sea-shores of Europe. + +These varieties in vegetables have now become permanent, and though it is +supposed that each is liable to return to its original condition, I am not +yet certain that such is the tendency. A deterioration is not unlikely to +ensue in the course of time, because the propagation by seeds must +necessarily very much approach the system of intermarriage, on which Mr. +Walker has so ably written and clearly shewn that as a result we may +invariably expect a deterioration of the species. Dr. Darwin has also +poetically described what his experience taught him. + + "So grafted trees with shadowy summits rise, + Spread their fair blossoms and perfume the skies, + _Till canker taints the vegetable blood_, + Mines round the bark and feeds upon the wood; + So years successive from perennial roots, + The wire or bulb with lessened vigour shoots, + Till curled leaves or barren flowers betray + A waning lineage verging to decay; + Or till amended by connubial powers, + Rise seedling progenies from sexual flowers." + +The minute nature of the germs of disease preclude all possibility of their +being submitted, as far as we know at present, to the inspection of the +physiologist, but we may infer many facts from results. In the same way, +though with humbler {86} ideas, as Cuvier could build up an animal from a +single bone, can we by a combination of facts infer the existence of living +beings and conjecture their forms. "The re-production or generation of +living organized bodies is the great criterion or characteristic which +distinguishes animation from mechanism." We find the virus of Small Pox, +according to Mr. Ceely's experiments, developing itself as a constitutional +disease upon the cow, and becoming modified into a form known as the Cow +Pox; this resembles the process of cultivation by which a species is +converted into a variety, this variety remains for a certain time +persistent; the time is not yet known, but it is known that by degrees, as +stated above, a deterioration occurs, and fertility becomes impaired, "a +waning lineage verging to decay," and this has been observed as a feature +in the result of vaccination. I believe Dr. Gregory was one of the first to +notice this fact, and deemed it necessary to obtain fresh lymph from the +cow; this has been done, and it is not improbable, if the analogy we have +drawn be correct, that the slowly spreading scepticism regarding +vaccination may be arrested in its progress. If we can explain the +deterioration of cow pox virus on this principle we have a hold at once +upon the public, and can assure them that the efficacy of the proceeding is +as certain as in the time of Jenner. The people, I contend, have a right to +demand of us the reason why vaccination is not so efficacious as formerly, +and I {87} affirm as unhesitatingly that we are bound to give the subject +our most earnest attention.[35] + +Now concerning the re-production of Cow Pox matter, and assuming it to +resemble that of the lower Cryptogamia, we can easily understand how +degeneration in a course of years should ensue, for we find that though the +Small Pox is a constitutional disease, that produced by vaccine lymph is a +local affection, so that it bears the relation that grafting does to +vegetation, and it is not improbable that such a modification takes place +in the germs by passing through or becoming generated in the blood of the +cow, that they entirely lose their original and characteristic form of +reproduction: the seeds of the disease were originally capable of +vegetating, if I may be allowed to use the term, by diffusion through the +atmosphere; they now, however, have lost that property, and require to be +grafted to exhibit any manifestation of vitality. + +How often will the seeds of a cultivated fruit grow? If you bud it upon +another plant, you obtain a being exactly like the parent, but this, as we +have seen, deteriorates in a course of years, we have also seen that the +virus deteriorates; but not to stretch this point to an unseemly length, I +cannot avoid expressing my conviction, that these are elements of +comparison, possessing an interest and a practical utility of no small +value. + +{88} + +I have before said, that the reproduction in the Cryptogamia, rather +resembles budding than seeding. If we observe the Torula, or take the +process of all formation, generally it will be found to accord more exactly +with the budding than the seeding process, and this peculiarity is not +confined to vegetation, it is also a marked feature in the reproduction of +infusoria, sponges, polypes, &c. + + "New buds surround the microscopic plant." + +The reproduction of plants and animals appears to be of two kinds, solitary +and sexual; the former occurs in the formation of the buds of trees, and +the bulbs of tulips. + +The microscopic productions of spontaneous vitality propagate by solitary +generation only. + +We have but reached the threshold of this vast and interesting subject, the +experiments which suggest themselves to the mind while reflecting upon it, +would alone occupy a whole life of leisure, and I can but feel how forcibly +Mr. Sewell's words apply to us: "The grand field of investigation lies +immediately before us, we are trampling every hour upon things which to the +ignorant seem nothing but dirt, but to the curious are precious as gold." + +It is difficult, perhaps, to bring many instances, in which the germs of +disease have lain dormant for a lengthened period, because many may take +exception to them, from the fact, that sporadic cases of {89} most epidemic +and infectious diseases, are rarely absent from any country in which those +diseases have become indigenous, and these cases may be said to be the foci +whence originates the epidemic constitution of the air; this, however, +would not invalidate the supposition, because one of two inferences must be +drawn, either that the germs of disease always exist in a dormant state, +requiring circumstances and conditions only for their development, or that +the germs are imported from some distant locality, where the disease has +occurred, and finding a nidus there, grow and multiply.[36] Whichever +notion we take, however, matters very little to the fact of the dormancy of +the germs, for in both, a certain period elapses between their transmission +and their propagation. It may fairly be presumed, that sometimes one method +may apply {90} and sometimes the other, perhaps both during general +epidemic conditions of the atmosphere. + +The Oidium vitis attacked the vines partially last year, and I believe +generally spared other forms of vegetation; but this year in my vicinity, +cucumbers, melons, and vegetable marrows, are all suffering more or less +under the disease.[37] How shall we say, whether are the seeds of last year +the cause of the general diffusion at the present time, or were there a +sufficient number of old and dormant seeds, universally diffused, and only +waiting opportunities for multiplying themselves? We are here on the horns +of a dilemma; and spontaneous generation, from which one naturally shrinks, +can alone extricate us, if we do not admit diffusion and dormancy. I think +I may, without undue assumption, affirm that a period of latency of +indefinite duration, applies as cogently to the germs of disease as to +those of plants. + +There is yet one other point in connection with this subject, and that is +the apparent extinction of some diseases, at any rate their non-appearance +in certain localities, which had been at one time congenial to them, and in +which they flourished. We have seen, in illustrating the dormancy of seeds, +that the broom must have been a common plant at {91} some considerable +period back, in the King's Park at Stirling, or on that site. + +Then again, the appearance of Fumaria parviflora in the vicinity of +Edinburgh, in several places where the ground is broken, is sufficiently +convincing that this plant must once have been a common form of vegetation +there; and as it had never before been observed in the neighbourhood, there +must have been a combination of peculiar circumstances capable of rendering +germination impossible, otherwise a continued multiplication, as in other +forms of vegetation, would have followed of necessity. + +But besides these instances, how many are passing under our own eyes of the +disappearance of plants under the influence of cultivation, and the +generation of the noxious fumes arising from different and innumerable +manufactories. In the vicinity of large cities and manufacturing towns, how +rarely do we see healthy vegetation; shrubs and animals drag on a sickly +and almost unprolific existence, and their term of natural life is much +shortened. + +And if we compare diseases with this peculiar feature of vegetation, how +very close do we find the analogies. The Sweating Sickness which appeared +in the latter part of the fifteenth century, and at certain intervals +multiplied and extended itself at first only in this country, but +ultimately more or less over the continent of Europe, has {92} never since +the year 1551 shewn any symptom of productiveness, indeed for all we know +the disease may be extinct; on the other hand, it is impossible to say +whether or not circumstances may arise, under which it may commence again, +to put forth its energies and again desolate the land.[38] + +Since 1665, the Bubo-plague has not found a congenial soil in this country, +or if the seeds be here, which is more than probable, the necessary +conditions to excite them to activity do not exist. + +It cannot be imagined that with all the merchandize which comes into this +country from the Mediterranean, but that an abundance of the germs of the +disease are annually brought into our ports, and disseminated throughout +the land. The law by which we have seen that they possess a power of +vitality and reproduction, holds now as it did in former times;--the +properties of matter never alter, but the conditions under which they exist +may be so modified, as to influence their properties, and the usual course +of their operations. It is therefore to {93} an alteration or modification +of conditions that we are to look for the exemption, during the last two +centuries, from an invasion of the Plague. To say what those conditions may +be in their totality is difficult, perhaps impossible. We may generalize on +the subject, and imagine the reason discovered, but all those causes which +were said to have conspired to favour the spread and contamination with +Plague, were as distinctly specified and attributed, as the cause of our +late infliction with Epidemic Cholera. Why then did we have the Cholera and +not the Plague? To what particular element was it--in the mode of living, +of destitution, of filth and want of drainage--can it be ascribed that we +suffer under one disease, and not under the other? + +We have made some few observations and comparisons on the mode of +dispersion of plants and diseases,--but there is yet one more point which +invites notice. Not only do seasons vary in their effects on vegetation in +a remarkable and unexplained manner, but there are many localities to which +some special form of vegetation attaches, and which appear to have a power +of exclusion of other forms; and as yet I have not been able to trace the +connexion, nor can I discover it in the writings of botanists and +travellers, who would be most likely to have sought an explanation of so +interesting and curious a fact. Dr. Prichard has on this subject some very +apposite illustrations. "Still further southward, the austral temperated +zone completely {94} changes the physiognomy of vegetation, and the Isle of +Norfolk has, in common with New Holland, the Auracania found also in the +harbour of Balade, and with New Zealand, the Phormium tenax. It is however +remarkable, that this vast island, composed of two lands, separated by a +channel, though so near New Holland, and lying under the same latitude, +differs from it so completely, that they display no resemblance in their +vegetation. Yet New Zealand, so rich in genera peculiar to its soil, and +little known, has some Indian plants: such as Pepper, the Olea, and a +reniform Fern, which is said to exist in the Isle of Maurice." + +I must quote one more passage from Dr. Prichard's excellent work. "We have +one instance of an island at no great distance from a continent, having a +peculiar vegetation. Mr. R. Brown has remarked, that there is not even a +single indigenous species characterising the vegetation of St. Helena, that +has been found either on the banks of the Congo, or on any other part of +the Western coast of Africa. Does the diversity of marine and atmospheric +currents more completely separate this island from the continent, than its +situation would imply; or are the nature of soil and other local +circumstances, the cause of so marked a diversity? The last supposition +seems the most probable; because not only the species of plants, but +likewise the genera in St. Helena, are different from those of the African +coast." {95} + +We are not without instances of diseases, observing this peculiarity which +attaches to plants; but their specific characters have hardly been +sufficiently considered in reference to climate and situation, together +with diet and local influences, to afford us accurate data for comparison. +It has, however, been remarked, in every country where Epidemics have +prevailed, that some districts or tracts of country, though supposed to +possess all the qualities favourable to the development of the diseases, +have nevertheless been entirely or nearly free from them. The following +passage on the course of the Cholera gives an example of this peculiarity. +"Whenever the malady deviated, so to speak, from its normal direction, and +passed towards the west, it seemed incapable of propagating itself; and +_died away spontaneously, even in places which appeared to be well fitted +for its reception_.--The rich fertile and densely peopled countries to the +right of the Dneiper, enjoyed an equal freedom from attack, which can only +be explained by the fact that they were situated _beyond the line of the +disease_." With this I close the subject of the diffusion of plants and +diseases, though it would require a volume of itself, to record all that +has been noticed. I have endeavoured to select such instances as shall mark +distinctly the features which point to comparison without overloading the +enquiry. + + * * * * * + +{96} + +SECTION IV. + +THE RELATION BETWEEN EPIDEMIC AND ENDEMIC DISEASES. + +Epidemic diseases, which multiply their germs in any climate, and under +apparently the most varying conditions of temperature and hygrometric and +electrical states of atmosphere, offer many points of contrast with Endemic +affections, and many of relationship. The latter are traceable to a certain +extent, to geological and geographical positions of the localities where +they are observed to prevail, in combination with atmospheric vicissitudes +and peculiarities, as well as to extent of cultivation of the soil: it has +been remarked that the sickly island (as it is called) of St. Lucia has +certain salubrious parts, but these are where sulphur abounds; this +geological peculiarity has been deemed sufficient to account for the +absence of endemic affections in these parts, and with much force of +reason; for in the neighbourhoods where sulphur or sulphurous acid, a +compound of sulphur, is an element prevalent in the soil or atmosphere, +vegetation and the ague disappear together. + +Now ague, and other endemic fevers, doubtless originate from some allied, +if not identical cause; for the localities in which they appear have so +many {97} features in common, that we are constrained to acknowledge that +endemic fevers have some relations and analogies, though not yet +unravelled. + +Geographical situation, together with certain vegetation, particularly of +grounds which grow rice, is one remarkable for the production of endemic +affections. But the soil which generates or gives force to the +contaminating matter, is not alone the part where human beings feel its +influence most severely. A low marshy ground, prolific of malaria, may be +comparatively free; while some neighbouring elevated land, to which +prevailing currents of air waft the volatile elements of disease, may be +desolated by their virulent and concentrated action. "Malaria may be +conveyed a considerable distance from its source, _and be condensed_ in the +exhaled vapour, when attracted by hills or acclivities in the vicinity, and +when there are no high trees or woods to confine it, or to intercept it in +its passage." + +The inhabitants of the city of Abydos were at one time subject to disease, +arising from malaria, generated in some neighbouring marshes; by draining +these marshes, which suspended the growth of rank vegetation, the city +became healthy. + +Rome is in like manner even now subject to fevers, having a similar origin. +Sir James Clark says, "Among the more prevalent diseases of Rome, malaria +fevers are the most remarkable, and claim our first notice." He considers +the fevers to be of exactly the same nature as those of Lincolnshire {98} +and Essex in this country, of Holland, and certain districts over the +greater part of the globe. To the climate, the season, or the concentration +of the cause of these fevers, he attributes their varieties. It is the same +disease, he says, whether from the swamps of Walcheren, or the pestilential +shores of Africa. + +From July to October the inhabitants of Rome are most subject to these +affections. + +Sir James Clark further says: "It may be stated as a general rule, that +houses in confined shaded situations, with damp courts or gardens, or +standing water close to them, are unhealthy in every climate and season; +but especially in a country subject to intermittent fevers, and during +summer and autumn. The exemption of the central parts of a large town from +these fevers, is explained by the dryness of the atmosphere, and by the +comparative equality of temperature which prevails there." + +In this respect there is a marked difference between an epidemic and an +endemic affection; for when an epidemic disease attacks a city or town we +do not discover that the central parts are more exempt than others; indeed, +it is rather the contrary; for the most crowded parts of towns and cities +are those, if not exactly in the centre, which would be comprised in a +space nearer to the centre than the circumference; and it has been in those +parts generally where the epidemic influences seem to have exercised the +most potent sway. One would more naturally suppose, that a city surrounded +by {99} paludal miasm, and not itself being capable of generating the +poison, should be more affected at the circumference, from the simple fact +that the paludal germs, which rise in the air, are suspended in the fogs +and dews of the atmosphere. These, unless widely dispersed by the winds, +would remain within a comparatively confined space; and those situations +nearest to them would be most subject to their influence. Besides, it has +been shewn, that a small wood or hill, or even a wall, has been sufficient +to cut off or obstruct the paludal miasm. + +Without enumerating all the known endemic diseases, two or three may be +alluded to for our present purpose; viz. that of shewing that endemic and +epidemic diseases have a similar origin.[39] + +It is well known that under certain favouring conditions an endemic may +become a malignant and pestilential disease; that Yellow Fever, which is +always endemic in the west, Cholera in the east, and the Plague in the +south of Europe and north of Africa, every few years takes on an epidemic +form, and desolates considerable tracts of country.[39] + +The Pestilence which raged in the summer and autumn of 1804 in Spain, +commenced at Malaga, and remained for a considerable time confined to its +{100} boundaries, in consequence of the measures of precaution that were +used, in preventing all communication between the inhabitants of the +infected city and those living in the surrounding country. It was only in +consequence of persons escaping through the cordon, and passing into the +interior of the country, that the disease spread, and extended its ravages +to distant places. + +It appears to be quite clear, that this disease may properly be considered +in the first instance of endemic origin; but the tendencies, atmospheric +and otherwise, were such as to favour its multiplication in other districts +than that in which it first came into active existence. From this we may +infer, that the seeds of the disease were dormant, and only became roused +into vital activity by fortuitous circumstances. Dr. Rush states, that the +endemic disorders of Pennsylvania were converted, by clearing the soil, to +bilious and malignant remittents, and to destructive epidemics. Dr. Copland +says, it has been observed, especially in warm climates, and in hot seasons +in temperate countries, that when the air has been long undisturbed by high +winds and thunder-storms, and at the same time hot and moist, endemic +diseases have assumed a very severe and even epidemic character. + +Dr. Robertson also confirms this view. "Endemic diseases, in cases of +neglect and preposterous management, are found to become more malignant +even in the most temperate climates; and to {101} generate a matter in +their course, capable of producing a particular disease in any +circumstances. _Indeed the origin of every_ contagious fever unattended +with eruptions, with the exception of Plague, must commence in this way." +Why Dr. Robertson should except eruptive Fevers and Plague I cannot +understand, for they must have had a commencement; and their many points of +similarity indicate, if not an identical, an analogous source to other +endemic fevers. + +It will doubtless be generally acknowledged that endemic and epidemic +diseases depend upon some unknown agents, having their source in malarious +districts, and being capable of assuming either a contagious or +non-contagious character, according to circumstances. + +If, therefore, we find that under any conditions an endemic affection +becomes capable of being propagated by contagion, the same law will hold +with regard to it as to the Plague; that the power of reproduction in this +matter is evidence of life, according to the doctrine laid down in the +earlier part of this work. But whether or not infection be admitted, a +matter generated in a malarious district, if confined in its effects to +that district alone, would not necessarily imply an inorganic nature of the +poison; for it is difficult to understand how inorganic poison, prevailing +generally over a certain tract of country, could select particular +individuals for its victims. If chloroform, chlorine, carbonic acid, +sulphuretted hydrogen, or even spores of poisonous fungi, (as {102} +supposed by Mitchell, which, as he regards their effects, would act in a +similar manner to inorganic compounds) were the agents, all persons would +suffer more or less, and the majority be similarly affected. We do not find +that uniformity of symptoms, which attend upon the exhibition of poisons in +the ordinary acceptation of the term, poisoning. This subject shall be more +particularly considered, when treating of the influence of organic germs on +animals and plants. + +The history of the Eclair steamer is particularly interesting, as shewing +the extraordinary tenacity with which the germs of disease attach +themselves to vessels, which we may call floating houses. + +The crew of the Eclair contracted Yellow Fever on the coast of Africa, and +a number of them died. The remainder, sick and well, landed at Bona Vista, +one of the Cape de Verde Islands, and the vessel underwent a process of +washing, whitewashing, and fumigating. Nevertheless, on the return of the +ship's company, the disease broke out again with equal intensity, and the +vessel was ordered home. Sixty-five out of 146 officers and men, who +composed the crew, died of the disease before reaching Portsmouth, and +twenty-three were sick at the time of arrival. + +Eight days after the Eclair left Bona Vista, a Portuguese soldier who had +mixed with her crew died in the fort which had been occupied by them. Other +soldiers then fell sick, and the fort was abandoned. The fever still +spread. + +From the 20th September, when the first soldier {103} was attacked, to the +first week in December, the fever continued to rage, and at that period it +had found its way into almost all the country villages. The fever was +believed to be the genuine black vomit fever; it proved contagious almost +without exception to the nurses of the sick. + +This is an abstract of Mr. Rendell's letter to Lord Aberdeen, Mr. Rendell +being British Consul at Bona Vista. + +Now at the time the fever broke out in the island the weather was +extraordinarily hot, and much rain had fallen, and the town itself was +badly drained and in a filthy state; can it be imagined then that the seeds +of a disease liable to assume a pestilential character should lie dormant +or be annihilated under circumstances the most favourable for their +development, especially when we know that endemic diseases may assume a +malignant character? + +This is just one of many cases which confirm our opinion in this respect, +that plants and diseases are not long in making their appearance where the +soil and atmosphere are congenial. + +The tenacity with which the disease attached itself to the Eclair is +sufficiently explained in the absence of due ventilation; in fact, that in +the first instance there was no ventilation at all in the hold of the ship. +This also the more readily affords a clue to the disaster through all its +stages, first in the contraction of the disease as an endemical affection +in the vessel; secondly, in the multiplication of the {104} germs in the +damp ill-ventilated hold, in a warm climate; and thirdly, the persistence +and entire localization of the disease to the vessel when it arrived in the +climate of the British shores; while, fourth and lastly, in the unusually +hot and damp island of Bona Vista, the seeds of the disease were sown, and, +as we might expect, multiplied indefinitely. + +The consecutive attacks of the crew of the Eclair shew that here a noxious +gas or a vaporized inorganic poison could not have been the cause of the +disease, for as I have before said, in this case the attacks should have +been simultaneous; we find, on the contrary, that as the depressing effects +of the melancholy condition of the crew was almost hourly undermining the +health of the stoutest of them they as surely became the victims. The +Kroomen, or natives on board the ship had not suffered, shewing that they +were inured to the miasm, or were destitute of that condition of blood +which would be favourable to a propagation of the materies of the disease. + +The Eclair we learn had left Bona Vista eight days when the first victim +breathed his last; this would give perhaps three or four days for the +incubation of the disease in the patient, or supposing he had not +contracted the germs of the disease before the crew of the Eclair left the +fort, some local favouring conditions were the means of keeping the germs +in a fertilizing state, for it is clear from this spot the infection spread +as from a centre or focus. {105} Such instances as these might be +multiplied to extend the length of the enquiry, but, I think, to little +advantage. The chief facts to be gathered are that an endemic affection +became epidemic and pestilential, contrary to its usual mode, for the +Portuguese official physician, on being consulted by the Governor of the +Island as to the safety of landing the contaminated crew, said, "No danger +at all; I have often brought sick men on shore coming in vessels from the +African coast, and I never knew any ill effects to arise." Putting the most +reasonable construction on this emphatic and straightforward language, we +may presume that ordinary, remittent, and yellow fever had been commonly +imported into the island, for it is not to be supposed but that both forms +of disease must have existed among those sick men who had "_often been +landed_," under the sanction of the Portuguese physician. + +To take another instance; intermittent fever or ague, is a disease known +among almost all nations of the world, but it usually occurs in the endemic +form only. It is universally supposed to depend entirely upon marsh +effluvia, and we are accustomed to consider it as attaching only to low +lying countries;[40] but this is not always the case, for disease in {106} +this respect, like vegetation, may be found in various latitudes, to +accommodate itself at varying altitudes, to the temperature and climatic +relations, so as to appear indigenous. But though our prejudices are in +favour of a simple miasmatic source of ague, as its sole cause, there are +some who believe in its infectious nature. M. Sigaud, in his work on the +Climate and Diseases of Brazil, speaks of Epidemics of _grave intermittent +Fever_, and Dr. Copland says, that the epidemic prevalence of ague is a +better established fact than its infection, and has been admitted by most +writers.[41] We have, therefore, but to go one step further to arrive at +infection, after having found that an endemic disease under peculiar +circumstances, though but rarely, becomes {107} epidemic. The number of +persons attacked by ague in a malarious district, in proportion to the +population, is not so great as might be expected, considering that they are +always subject by night and day, more or less, to respire the air +containing the germs of intermittent fever; we might, therefore, deny the +paludal source of the affection, as reasonably as deny infection, if we +found that occasionally, persons, though subject to all the usual +influences, yet escaped all injurious consequences. + +There are grades and varieties of infectious diseases, from the most +inveterate to the most mild and doubtful; but that all, without exception, +which can in any way be traced to a specific generating and organic cause, +may assume an exalted infectious character, and that the most inveterate, +on the contrary, may more resemble the mild and doubtfully infectious +forms, is a conviction that must be forced on all who pursue this enquiry +with unbiassed interest. + + * * * * * + + +{108} + +CHAPTER III. + +THE REASONABLENESS OF THE APPLICATION OF THE FACTS TO THE INFERENCE. + +-------- + +SECTION I. + +THE CHEMICAL THEORY OF EPIDEMICS UNTENABLE. + +It has been inferred that the germs of disease possess the property of +vitality, and a number of facts have been adduced to support the +proposition that vitality is the indwelling force by which the matter +generating epidemic and endemic disease exercises its influence over man +and animals. The reasonableness of the application of these facts to the +end in view has now to be considered. Chemistry cannot account for +epidemics. + +Our first subject of reflection points to the chemical discoveries of the +last few years, and particularly to those of the great German chemist +Liebig. We find in the first paragraph of his Organic Chemistry applied to +Physiology and Pathology, the following words: "In the animal ovum, as well +as in the seed of the plant, we recognize a certain remarkable force, _the +source of growth_ or increase in the mass, _and of reproduction_ or of +supply of the matter consumed; a force in a state of rest. By the action of +external influences, by impregnation, by the presence of air and moisture, +the condition {109} of static equilibrium is disturbed. This force is +called the _vital force_, _vis vitæ_, or vitality." + +The doctrine of Liebig, that the vital force manifests itself in two +conditions, or rather, that it is known to be in two different states, that +of static equilibrium as in the seed, and in a dynamic state, as in that of +growth and reproduction, is perfectly applicable to the germs of disease; +the static equilibrium is referrible to the matter of vaccine lymph when +dried and preserved for use, and the dynamic forces of the matter are known +to be in operation during its reproduction and growth in the system of the +vaccinated child. + +Then as to reproduction of matter by any chemical process, our author can +furnish us with no examples, for even in his explanation of the causes of +disease he is quite silent on this point, merely acknowledging that +diseased products must be either rendered "harmless, destroyed, or expelled +from the body." He further says, that "in all diseases where the formation +of contagious matter and of exanthemata is accompanied by fever, two +diseased conditions simultaneously exist, and two processes are +simultaneously completed," and that it is by means of the blood as a +carrier of oxygen that neutralization or equilibrium is established. Liebig +thus admits that an agent exists in the blood, capable of deteriorating it +at the expense of the oxygen, which he maintains is contained in the red +globules; he further acknowledges that two processes of diseased {110} +action are going on at the same time, and though he does not explain them, +I imagine him to mean that new contagious matter is generated and +eliminated from the blood, and that at the same time, there is that +condition of body which he would call simply a diseased state, and +characterizes it thus: "Disease occurs when the sum of vital force which +tends to neutralize all causes of disturbance, (in other words, when the +resistance offered by the vital force) is weaker than the acting cause of +the disturbance." + +If I rightly apprehend his notions, they perfectly harmonize with my ideas, +to a certain extent, on the subject. They accord, at any rate, most +completely with the theory attempted to be established, and fully confirm +the reasonableness of the application of the facts recorded to the +inference drawn from other sources. The difference only rests on the +question whether vitalized or non-vitalized matter is the _fons et origo +mali_. + +How is the production of new matter, resembling that originally causing the +disease, to be explained by any known hypothesis, except on the assumption +of living organized matter? Though Liebig and Mulder both deny the fact, +that the Torula cerevisiæ is the sole agent in the process of fermentation: +they both equally fail in shewing upon what it does depend, and their +difficulty rests entirely on their incapacity to explain the uniform +reproductive properties of the matter engaged in this, as well as in all +other allied operations. Liebig's statement {111} however on this matter +requires notice--he says, "that _putrifying_ blood, white of egg, flesh and +cheese, produce the same effects in a solution of sugar, as yeast or +ferment. The explanation is simply this; that ferment or yeast is nothing +but vegetable fibrine, albumen or caseine, in a state of decomposition." + +This state of decomposition, however, involves a much more complex +proceeding, than simply a reduction of matter into its elementary forms of +gases, earths, and minerals; for we nowhere find decomposition of this kind +going on without the development of some organized bodies, either animal or +vegetable: and since we have seen that the spores of the cryptogami are +always in existence in the atmosphere, and making their appearance under +favouring conditions, and especially when we find that fermentation is +invariably accompanied, and I may safely say, preceded by the deposition in +the fluid of the sporules of the Torula, we can hardly believe that they +are any other than the sole agents of the process. I have now a +considerable quantity of the Torula obtained from the urine of a diabetic +patient, in which they appeared, as it were, spontaneously. After the urine +had been allowed access to the air for a certain time, and the whole of the +saccharine matter was converted into new compounds, reproduction of the +Torula ceased;--and those which remained when the process was completed, +still continue as organic cells, deposited {112} in the bottle in an inert +state, but ready, on the addition of fresh sugar, as has been proved, to +resume an active existence. These germs, it is now well known, may be dried +into powder, so as to be blown away like dust without any, or but little, +detriment to their vital energies; and there is now no doubt that they +exist in this condition in the air, as do the spores of mucor, aspergillus, +oidium, agaricus, and all other fungi. + +Mulder, however, does allow some properties to the yeast vesicle; he says, +"a variety of strange ideas have been entertained respecting the nature of +yeast; recent experiments have convinced me that it undoubtedly is a +cellular plant consisting of isolated cells. They resemble the composition +of cellulose in some respects, but differ from it in many." "These +vesicles, consisting of a substance resembling that of cells, do not +contribute in the least to the fermentation, but are exosmotically +penetrated during fermentation by the protein compound." These chemists +seem to have an instinctive horror of allowing any active properties to the +yeast vesicle, that is as far as the conversion of sugar into carbonic acid +and alcohol is concerned in the act of fermentation. Dr. Carpenter, as if +desiring to conciliate the chemical and physiological disputants, considers +that the truth is to be found in the mean of the two extremes,--that is, +that the process of fermentation is neither entirely dependent on chemical +laws, nor on those laws which preside {113} over the growth of reproductive +matter, but is a process in which both perform certain offices, each +depending on the other to produce the combined result; he thus approaches +more nearly to the theory of Mulder, than that of Liebig. + +But to revert to Mulder, he speaks of the Torula cells being "exosmotically +penetrated during the process of fermentation by the protein compound." Now +the Torula is acknowledged to be one of the Fungals, and the chemical +constituents of the Fungi approach very nearly that of animal tissues. They +contain a peculiar principle, residing in and obtainable from them, termed +Fungin, which is as highly azotised as animal fibre. The protein compound +alluded to, Mulder says, is not gluten, because insoluble in boiling +alcohol, and not albumen, because it is very readily dissolved in acetic +acid, and he regards it as a superoxide of protein. This superoxide of +protein can only have been produced by a vital action in the cells of the +Torula, and as the fungi consume oxygen, and give out carbonic acid, we +clearly have all the elementary conditions for their growth in almost all +decomposing animal and vegetable matters. It is the nature of the fungi to +live on organized matter, but always when it has a tendency to decay; it is +for this reason they have been called "Scavengers." Again, we can +understand why some animalized or nitrogenous matter should be necessary +for fermentation, otherwise fungi could not grow, nitrogen being an +essential constituent of {114} their structure, and further fermentation +does not commence without the presence of oxygen, and like as in animals, +this gas supports their existence. The conversion of sugar into alcohol is +represented by the following formula:-- + + RESULT. + Sugar. Alcohol. Carbonic Acid. + Hydrogen 3 3 + Oxygen 3 1 2 + Carbon 3 2 1 + +If therefore the process were merely of a chemical nature, where is the +necessity for atmospheric oxygen to accomplish the end? it is quite certain +that fermentation cannot go on without its presence. Let us compare the +action of ferment or yeast in a dried state to the action of albumen, which +Liebig says is sufficient when decomposing to set up fermentation. "The +white of eggs when added to saccharine liquors requires a period of three +weeks, with a temperature of 96° F. before it will excite +fermentation."[42] But any saccharine liquor on exposure to the air, though +entirely destitute of albumen or gluten, will ferment, and the Torula may +be found in it. I have found the Torula in a great variety of syrups which +have spontaneously undergone fermentation. I have also discovered that the +development of the cells is delayed or accelerated by the nature of the +ingredient used in flavouring {115} the syrups, with other peculiarities +which need not here be mentioned. + +But the conversion of starch into sugar by means of gluten requires some +notice, as by some persons it is associated in their minds with the organic +process of fermentation.[43] Mulder ascribes the latter in the first +instance to the action of heat, evidently believing that the +pseudo-catalytic operation of gluten upon starch is the type of all such +actions, and regarding them all as simply chemical, but we here distinguish +a wide difference; in the latter instance the gluten is decomposed, and +rendered unfit for a repetition of the chemical phenomenon, and if it is +desired to renew the action fresh gluten must be obtained, and a certain +temperature kept up, otherwise the experiment fails. How different is +fermentation: in the ordinary temperature of the atmosphere the yeast +vesicle will multiply, no incremental or unnatural addition of heat is +requisite, and it is one of the commonest and most natural instances of +vegeto-chemistry: the grape cannot shed its juice, nor the sugar cane its +sap without admitting these germs, which, under certain {116} conditions +multiply themselves and convert the saccharine elements into new compounds. +The method by which the conversion of starch into sugar is accomplished is +thus described by Dr. Ure. He says that if starch one part be boiled with +twelve parts of water and left to itself, water merely being stirred in it +as it evaporates, at the end of a month or two in summer weather it is +changed into sugar and gum, bearing certain proportions to the amount of +starch used. But "if we boil two parts of potato starch into a paste, with +twenty parts of water, mix this paste with one part of the gluten of wheat +flour, and set the mixture for eight hours in a temperature of from 122° to +167° F. the mixture soon loses its pasty character, and becomes by degrees +limpid, transparent, and sweet, passing at the same time first into gum and +then into sugar."--"The residue has lost the faculty of acting upon fresh +portions of starch." + +Four points of contrast present themselves for notice as elements of +comparison with true fermentation. 1st. The starch solution has to be +boiled, so that heat, by which it is to be supposed that the starch globule +is ruptured, seems to be an essential portion of the chemical change, and +even this may in fact alone be sufficient in such a case to produce some +elementary change in the starch, and may prepare it for the subsequent +catalytic action of some related organic, though not vital material.[44] +{117} 2nd. Not only a summer heat is necessary, but a period of one or two +months time must elapse before the starch with the water simply becomes +converted into sugar, and if artificial heat is to be used to hasten the +operation, a temperature from 122° to 167° F. must be resorted to in order +to obtain the desired result. 3rd. When even this is accomplished there is +no reproduction of the fermenting matter, and artificial and chemical means +must again be applied to repeat the experiment. 4th. The conversion of +starch into sugar can be accomplished without the presence of gluten at +all, by the aid only of temperature and time. It seems to me, therefore, to +be entirely unnecessary to occupy more space in the elaboration of a proof +of the doctrine that the germs of the Torula are the sole agents in the +conversion of saccharine fluids into alcohol and carbonic acid. By another +chemical process starch can be converted into sugar, but I am not aware +that hitherto any method has been discovered by which sugar can be +converted into alcohol except by the process of fermentation proper. + +I have been thus particular in commenting on this subject, as it bears, in +an especial manner, on the question under consideration. + +{118} + +The physiologist cannot afford to lose this process from the category of +chemico-vital, or biochemical manifestations.[45] The philosophy of the age +has a tendency to make every thing chemical; it is true that the Divinity +is as much seen in the laws which govern the elementary particles of +matter, as in those laws which preside over the transmutation and +sustentation of those elementary and inorganic particles, when compounded +in the tissues which are engaged in the formation of living beings. The +laws by which acids and alkalies neutralize each other, and the affinities +single, double and elective, which the particles of matter exhibit, +together with the influences of light, heat, and electricity upon almost +every condition of matter, are as truly wonderful as the creative power. +Man may, in many instances, imitate the processes of nature, he can render +iron magnetic, and form alkaloids, but the {119} laws which govern the +particles of matter are still the secret of the whole proceedings. We do +but interpret the language of nature in discovery, the book is ever open +before us, and every atom of the world is a word and a theme, capable of +occupying the short span of sublunary existence allotted to man. We have +read of "sermons in stones," but a book has been written on a "pebble."[46] + +To return, as we every where in nature find a gradual transition in the +forms, arrangements and properties of matter, so we may expect to find a +link between the inorganic and vital chemistry of nature. The fungi, by +which we contend this transition appears to be accomplished, are also a +link in chemical composition, between the animal and vegetable kingdom, and +not only in that, but in their subsisting upon matter which has been +organized, they are deoxidizers and reducers, as the vegetable kingdom in +its highest function is a compounder. To their functions and offices in the +great scheme of creation, we may fairly apply ourselves with a sure and +certain result of the most interesting discovery. Is it no hint that +wherever decaying organic matter is found, there do we find fungi? is it no +hint that they are found in all parts of the world? that even in snow the +germs of fungi will grow and multiply to such an extent, according to Capt. +Ross, that the protococcus was seen {120} by him, clothing the sides of the +mountains at Baffin's Bay, rising, according to his report, to the height +of several _hundred feet_, and extending to the distance of _eight miles_? + +Even stones contain in their interior, or interspaces of their structure, +the germs of fungi. A species of Tufa is found in the vicinity of Naples of +a porous texture, which, when moistened and shaded, produces vast +mushrooms, four or five inches high, and eight or ten inches broad.[47] +This author further says: "In the Maremma, where the volcanic tufa is the +basis of the soil the surface is intermixed with the animal remains of +departed empires, and the ordure of cattle, is covered with grasses of old +pasturages, and is wet with heavy dews. Everything, therefore, conspires +there to a fungiferous end." + +They are found growing in and upon both vegetables and animals. Nees von +Esenbeck imagined, that minute forms multiplied themselves in the +atmosphere; and really, when we consider the amount of effluvia composed of +the atoms cast off from the bodies of living or decaying organic matters, +which are incessantly passing into the atmosphere, the conjecture is not an +unreasonable one. The minuteness of those, which we know are always found +growing on decomposing bodies, does not preclude the possibility, nay, +further favours {121} the probability, that others infinitely more +minute,[48] may be destined to remove the more subtle and vaporous +particles which escape into the air. + +We can, therefore, I think, conclude, that the lower tribes of vegetation, +may consistently be regarded as capable of existing in almost any +condition, and almost under any circumstances, they may be made to grow in +plants by inoculation, as shewn by De Candolle, and Dr. Hassall. If the +stem of wheat also is inoculated with vibriones, they will make their +appearance in the grain.[49] If the seed contain them and have not lost its +germinating properties, these worms will be found again in the grain. If +the grain containing them be dried for years, and moistened again with +water, these animalcules, according to Bauer and Steinbach, will present +all the phenomena of life. This experiment I have witnessed, and can +confirm the statement. These animalcules in the diseased grain, have under +the microscope the appearance of an immense {122} number of eels crowded +together in a small space, and presenting a movement more, perhaps, +vermicular than any other, and it is continued for a considerable time. Now +if these animalcules, or their ova, can be proved to pass with the sap to +the seed, there can be no difficulty in comprehending how germs, +considerably more minute and of a vegetable nature, should be found subject +to the same peculiar mode of obtaining an entrance into animals and +vegetables for sustenance. "It is usually imagined," says Dr. Carpenter, +"that the germs liberated by one plant are taken up by the roots of others, +and being carried along the current of the sap, are deposited and +developed, where vegetation is most active." + +The chemical theory of disease would be better sustained by a comparison of +"the artificial formation of alkaloids," and the phenomena of +transformation of blood into the tissues of animals, and their degeneration +into effete matters, and of sap into the tissues of plants and their +degenerations. + +Professor Kopp of Strasburg, says, "In a chemical point of view, the +alkaloids are remarkable for their composition, for their special +properties, both physical and chemical, and for the interesting reactions +to which many of them give rise, when exposed to the influence of different +reagents. Considered medically, the organic bases are distinguished by +their energetic properties. They {123} constitute at the same time, the +most violent and sudden poisons, and the most valuable and heroic +remedies." + +Upon this very intricate and interesting part of chemical philosophy, it is +rather dangerous to enter without a thorough and practical knowledge of the +subject. This, however, falls to the lot of few men. We, who are engaged in +the study of disease, and of the best methods of cure, are obliged to take +the investigations of the analytical chemist, and examine them for +ourselves in the intervals of leisure allowed us during the active exercise +of our calling. Though with less advantages for the study of these +transcendental relations of organic and inorganic matter, we are not, +nevertheless, precluded from forming our opinions on their practical +bearings to the phenomena and treatment of disease. + +That there is a matter of a poisonous nature concerned in the production of +endemic and epidemic affections, cannot be doubted by any one; I believe +indeed, that the chemical theorists admit this, at all events Liebig does, +for he says, "The morbid poison changes in the blood are fermentative, just +such as occur in beer making." If we start, then, with the consideration +that poisons, in a chemical point of view, are the objects of our research; +the obvious course to take is to enquire what is the source of poisons +generally, and what their effects on the animal economy? The mineral +poisons are entirely excluded from the enquiry by their {124} inaptitude +for diffusion, and their uniform effects upon all persons, differing only +in degree in their operation. The same objections apply to gaseous poisons, +except that to them the property of diffusion would be admitted.[50] We +come then to the alkaloids, which constitute, as Kopp says, the most +violent and sudden poisons. For the production of alkaloids by artificial +means, organic products of some kind are required. Artificial heat, +powerful chemical agents or length of time, are, as far as information at +present extends, the indispensable requirements to induce these peculiar +changes in matter. The only instance I can find, in which elementary +matters can by artificial means be combined, so as to resemble the products +of nature, is that of the conversion of carbon and nitrogen into cyanogen. +But the process by which this is accomplished, leads rather to doubt +whether it be really and simply by a combination of _elementary_ carbon and +nitrogen. I extract the following from the Annual Report of the Progress of +Chemistry, for 1848. "H. Delbruck has performed some experiments on the +important subject of the formation of cyanogen. He confirms the statements +of Desfosses and Fownes, inasmuch as a _weak but distinct_ formation of +cyanogen was observed on igniting {125} _sugar-charcoal_[51] with carbonate +of potassa in an atmosphere of nitrogen." The use of sugar-charcoal, may be +perhaps an explanation of the weak formation of cyanogen, for in these +numerous and successive chemical changes of matter, it is impossible to say +how many sources of error may arise. The constant contradictions of each +other, and the opposite statements made by chemists, of equal eminence, +leave us in a wilderness of doubt, from which we are not likely to be +freed, until definite laws shall be discovered to act as a guide in the +comprehension of the higher branches of Chemical Philosophy. + +But supposing that the generation of alkaloids could take place in the +body, or some analogous poisonous matter, we have yet to imagine a whole +host of peculiar and essential conditions to effect this change, besides an +atmospheric agent or agents to set in motion those compositions and +decompositions, capable of bringing out these new products from the +elements of blood. We are aware that in the blood, carbon and nitrogen are +sufficiently abundant as well as saline compounds, to generate cyanides, +and, with hydrogen also there in plenty, hydrocyanates, and thus from them +many other poisonous products, but how is all this to be effected? And even +if effected, it is yet a question if such compounds can in any way simulate +the attacks of epidemic disease. We have {126} already shewn that the +amount of most poisons necessary to destroy an individual, can be pretty +clearly estimated, and their _modus operandi_ is tolerably well understood. +Again, the most essential part, in which all chemical theory fails, is an +explanation of the reproduction of contagious matter. + +The catalytic process, by which decompositions are said to be effected, and +in which Liebig includes the various fermentations, is one of those +chemical relations of matter to matter, considered by some as the probable +cause of infection. Mr. Simon, in a late lecture, has said, "I consider the +phenomena of infective diseases, to be essentially chemical, and I look to +chemistry to enlighten the darkness of their pathology. Qualitative +modifications, affecting the molecules of matter as to their modes of +action and reaction, are such as form the subject of chemical science; and +those humoral changes which arise as the result of infection clearly fall +within the terms of its definitions." Further on he adds: "The phenomena of +infected diseases appears then, in many respects, to be sui generis. +Certainly they are chemical. _Probably_ they belong to that _class_ of +chemical actions called _catalytic_."[52] + +{127} + +It is not improbable that something resembling a catalytic action may take +place in the blood in those diseases of endemic and epidemic origin, but +that it can be by a chemical process alone is contrary to all experience of +catalytic operations, for except in the instance of fermentation proper, +there is no multiplication of the fermentative matter. The action of the +matter of contagion seems to stand on the confines between electro-chemical +and bio-chemical manifestations, and so long as no chemical explanation can +be given for the multiplication of the matter of infection, the most +rational course to adopt is to assume that life under some unknown form is, +as we every where find it, the sole reproductive agent. + + * * * * * + +{128} + +SECTION II. + +THE ANIMALCULAR THEORY OF EPIDEMICS UNTENABLE. + +The animalcular theory of disease, after remaining almost unnoticed for +nearly two centuries, has been again revived under the auspices of Dr. +Holland in this country, and Henle of Berlin. And though not entirely +buried in obscurity, this theory had completely failed to modify the +practice of physicians in the treatment of those diseases which were +supposed to owe their existence to these invisible atoms of created being. +The resuscitated notions and all their amplifications, to which the advance +of science has contributed so much, are threatened with a like fate, an +absence of all practical results. + +Though I would not attempt to deny the possibility, nay, even the +probability, that insect life may yet be discovered as the cause of some +diseases,[53] still {129} there are many and cogent reasons against both, +and which are at variance with facts and observations. Where insect life +has been found associated with disease, it more especially appears as a +consequence than as a cause. + +Disease, in its most enlarged sense, is a conversion of one form of matter +into another; it is a transformation of healthy blood and tissue into new +and abnormal products. Where insects in all their variety of forms are +discovered, their voracious propensities are their chief characteristics, +they are the consumers of matter after its partial disintegration, if +animal matter be their food, unless they be carnivorous and predacious, or +if herbivorous they usually feed upon the tender shoots of plants. Thus far +we are certain of the manner in which insects destroy living matter; it is +a process the unassisted eye may every where witness, and which experience +has amply attested. To take, however, the animalcular world as it presents +itself to us under the microscope, and as the intermediate step between the +manifest and the hidden for a fairer and more direct method of reaching the +truth, what do we observe to be the ruling law of infusory instinct? They +live to feed; the term polygastrica sufficiently implies their natural +tendency to consume. The simplest form of animalcular life, seen in the +genera of monads, still preserves the animal character by possessing a +stomach or stomachs in which the food is received, to be digested for the +nourishment of the {130} system; and even some of these minute objects +which vary in size from one _two-thousandth_, to one _three-thousandth_ of +a line in diameter, are said to be carnivorous and predacious. Upon this +fact alone, I would place the improbability of insects being the cause of +epidemic disease. Each insect doubtless has its own peculiar food, and +whether it be a vegetable or animal feeder, it consumes the matter already +organized for conversion into its own tissue, and the only change which +could be affected by them in the blood, would necessarily be that of +appropriation of some one of the constituents as an element of food; when +that food is digested, (taking digestion generally as an identical +process,) the excrementitious matter is composed of secretions and +disorganized matter, mixed together as an _effete_ product, and destined +then for reorganization by the vegetable kingdom. Now all animals, whether +they be large or small, live on organized matter,--they convert that matter +into an inorganic form, and I cannot help imagining that if epidemic +diseases and fevers depended upon animalcular growth and development in the +blood or tissues of the body, the excretions or secretions from them would +have yielded some information to the searching enquiries of the chemist, +supposing that these excretions and secretions were capable of reaching to +a sufficient amount in quantity, to bring about those fatal effects of +poisoning, we witness in Cholera and other epidemic affections. Insects, I +{131} believe are poisonous only by their secretions, and though they are +known to multiply with exceeding rapidity, I can hardly imagine that by +their development, however rapid, they could produce such a change in the +human body, as to bring about the speedy dissolution, and generally +gangrenous appearance, that has invariably been observed in those suddenly +dying under the influence of epidemic poisons. The vibriones, whose +destructive effects on wheat are so well known, are a genus of animalcules, +which at first would seem to favour the animalcular theory in a remarkable +manner; for on examining them, they do not appear to possess any other +structure than a gelatinous absorbing mass, in this respect resembling a +vegetable. + +But Ehrenberg's scrutiny corrected the error of De Blanville, and shewed, +that they were far from being agastria, or stomachless animals. The Rev. +William Kirby says, "Ehrenberg has studied the vibriones in almost every +climate, and has discovered, by keeping them in coloured waters, that they +are not the simple animals that Lamarck and others supposed, and that +almost all have a mouth and digestive organs, and that numbers of them have +many stomachs." All the discoveries indeed which have been made on the +minuter forms of animal life, have tended to confirm the doctrine that the +stomach is the exponent organ of an animal; that is, in all animals there +exists, in a variety of modified conditions, a receptacle for food. Some of +the {132} animalcules, however, are still supposed to exist by absorption, +as the vinegar eel, _vibrio anguilla_,[54] but when we find that the law +is, generally speaking, that the receptacles of food become multiplied in +number in these minute beings, and the vibriones which were supposed to be +stomachless, have been proved to emulate their associates in the number of +these organs; it would be more reasonable to conclude that our imperfect +vision is the barrier to their detection, rather than to suppose that they +do not exist. Besides, when we are told on undoubted authority that some of +the animals of this class, have as many as _forty or fifty_ stomachs; the +least we can do, is to allow that all of them possess, at least one +digestive organ, though we may not be able to detect it.[55] + +So far then for the consideration of animalcular structure: let us now more +particularly enquire into their destructive habits, and their functions, +inasmuch {133} as they may be supposed capable of engendering epidemic +diseases and fever. The truly carnivorous animalcules, or those truly +herbivorous in their instincts, we may presume to be beyond the limits of +our enquiry. We have rather to do with those which take an intermediate +position, namely, those which feed upon matter undergoing decomposition, or +upon fluids containing organic matters in solution, or suspension. If we +take Entozoa generally, they may be considered as most conveniently to be +placed in this intermediate class; and here we find still the digestive +apparatus, and more than this,--for upon the modifications of the organs +appropriated to digestion is their classification founded. "Rudolphi +divided the Entozoa into Sterelmintha, or those in which the nutrient tubes +without anal outlet are simply excavated in the general parenchyma, and +into the Coelelmintha, in which an intestinal canal with proper parietes +floats in a distinct abdominal cavity, and has a separate outlet for the +excrements."[56] + +How do these animals obtain their sustenance, and what changes can they +produce upon the vital fluid of the body? Analogy is here our only guide. +If the trichina spiralis is examined, it is found to be enclosed in a cyst +containing fluid; and this is, {134} doubtless, the source of its +nutriment, and contains in solution the elements for its nutrition; but in +this instance there is no selection, and there can be no locomotion to an +extent sufficient to imply searching for food, as the animalcule in its +natural state, when taken from the human muscle, is found coiled upon +itself, making about two and a half turns. The fluid of the cyst is thus in +all likelihood prepared by endosmosis, for the immediate and appropriate +nutrition of the parasite. The cyst is thus the part which performs the +diseased process, the containing animalcule is merely the consumer of what +is prepared for it by the cyst. And this would seem to be the rule with all +parasites, of the encysted kind. + +We have alluded to the vibriones which are found in the fluids of living +bodies, and the trichina which is found in the solid muscle; we have now to +refer to those which infest the cavities. It was, I believe, Ehrenberg, who +shewed that the tartar which accumulates on the teeth is composed of the +debris of minute animalcules; in fact, that it consists of calcareous +matter, having once formed a portion of the structure of their bodies, the +ubiquity of these creatures is therefore as much and clearly established as +the lower forms of vegetation. The intestinal worms, of which perhaps the +Tænia is the most curious and important to be noticed, are from the +locality in which they are found, chiefly injurious by the irritation they +set up, and by appropriating {135} to themselves the nutrient juices +elaborated in the process of animal digestion, thus depriving the +individuals they infest of that which was destined for their own +nourishment. In this, as in all associated instances, the character by +which these parasitic animals are marked is their consuming propensity. +There is, however, one more observation to make upon parasitic growths; but +the question is yet unsettled in what kingdom of nature is the +acephalocyst, or hydatid, to be placed. Mr. Owen says, "As the best +observers agree in stating, that the acephalocyst is impassive under the +application of stimuli of any kind, and manifests no contractile power, +either partial or general, save such as results from elasticity, in short, +neither feels nor moves, it cannot, as the animal kingdom is at present +characterized, be referred to that division of organic nature." + +We thus arrive at the simple cell, and the multiplication of living beings +by cell buds; it is the point at which the confines of the animal kingdom +are reached, and at which we are driven to speculation. The hydatid lives +like a plant, by imbibition; and procreates, like a plant, by budding, +either endogenously or exogenously, as regards the original or parent +cell.[57] + +{136} + +This condition of being, suggested the notion of Protozoa, or first +animals, in the same way that the purely cellular plants, that is, each +individual, consisting of a single cell, gave the idea of Protophyta, or +first plants. Mr. Kirby thus expresses himself on this subject: "The first +plants, and the first animals, are scarcely more than animated molecules, +and appear analogues of each other; and those above them in each kingdom +represent jointed fibrils." + +Admitting, then, that animals as well as plants exist in the form of simple +cells, and that their multiplication proceeds apparently upon the same +principle in each, it is nevertheless abundantly manifest, that the +cellular form of perfect individuals is infinitely more numerous in the +vegetable than in the animal kingdom. + +{137} + +From the mosses downwards to the fungi, the whole structure of the plants +consists of an aggregation of cells, more or less in number and complicate +arrangement, until, through a variety of gradations, we reach the single +cell as a perfect individual. + +It is rather remarkable, that the lower forms of vegetables and animals +seem to derive their nutriment from matter of a similar kind; and though +the office of plants is as a rule, to convert inorganic into organized +matter, it appears that some of the fungi may live as animals do on organic +matter when in a state of solution. This, however, is uncertain; for we do +not know what are the first signs of decomposition in organized bodies, and +for aught we can tell, it may be perpetually going on; so far as the +disengagement of carbon from the system is concerned, this is certain; but +whether the nitrogenous compounds also are subject to a resolution into +their elements in the living body, is another question, and not so easy of +solution. The partially decomposed elements of animal structures are, +however, particularly adapted for the nutrition of the lower forms of +vegetation; it is, indeed, from the decaying organic matters that the fungi +derive, it may be said, their entire food. + + * * * * * + +{138} + +SECTION III. + +SKETCH OF THE PHYSIOLOGY AND PATHOLOGY OF PLANTS AND ANIMALS. + +Animals and plants depend for their existence upon a nutritive fluid, which +permeates their structure; it is the element from which all their +secretions are formed, and their organs are nourished. + +The food of animals is composed of previously organized matters, and is +conveyed into a reservoir called a stomach, where it undergoes a process of +solution, previously to entering the circulation. At this period, the +animal and the plant again present points of resemblance, the lymphatics or +absorbent vessels take up the products of digestion, and convey them to the +blood-vessels, where mingling with the current of the blood, they are +conveyed to the lungs, there to undergo a process of oxygenation before +they become fitted for the renovation of the tissues of the body. Such is +the nature of the food of man, that it contains all the elements necessary +and adapted for transformation into bone, muscle, brain, and parenchyma, as +well as the other tissues of the body; besides other elementary matters, +which, though they form a very insignificant portion of {139} animal +textures, from their constant presence in the vital fluid, evidently +perform some important offices in the general economy of life; they are +partly, perhaps, occupied in forming constituents of secretions. + +Plants do not require a stomach,--the humus or soil to which they are fixed +is the laboratory, where the nutritive matter is prepared in a state fit +for absorption by the spongioles of their roots, and these correspond to +the lymphatics of animals; after being taken up by the spongioles, this new +fluid mingles with the sap, and passes to the leaves or breathing apparatus +of plants, where carbonic acid gas combines with the crude vital liquid, +and converts it into a condition fit for all the offices to be performed by +the plant: viz. the growth of tissues, and the elaboration of secretions. + +The tissues, however, of plants, though more simple in their nature, +present a much more varied character than those of animals, when the +different species are compared. + +The bones of animals which give them their form, are invariably constituted +of phosphate and carbonate of lime, deposited in a matrix of gluten; +muscle, nerve, brain, tendons, and ligaments, have nearly, if not +completely, an identical composition throughout the whole range of the +animal kingdom: their secretions, however, vary much more considerably, as +also do the secretions of vegetables. But vegetable tissue may contain, as +in the stems of {140} grasses, a considerable amount of silex, and some +notable quantity of sulphur, and so essential to their existence is the +former element, that they cannot live without its presence in the soil, and +also with it an alkali, to render it soluble. A large amount of soda, is an +invariable attendant upon the structure of marine plants, as potash is of +those growing on the land. + +Thus, whether we regard the health of animals, or vegetables, we discover, +that besides the matters which are absolutely indispensable for the +nutriment of the tissues which undergo rapid transformation, those of a +more permanent and durable nature require in an almost insensible degree, a +restitution of elements; and though not apparently absolutely necessary to +preserve vitality in the being, yet have so marked an influence over it, as +to indicate an extensive bearing of each individual part, on the whole +associated entity. + +The elementary tissues of both kingdoms have been traced, in whatever form +they may be found, to a cellular origin. The minutest vegetable germ, is a +cell containing a granular matter within it, and even man himself, in his +embryonic state, may be represented as an insignificant point in the realms +of space; and might be placed side by side with the smallest particle of +living matter, without suffering by the comparison. + +The laws by which the development of these elementary cells is regulated, +so that each advances {141} to its limit, and fulfils its destination, is +one of those inscrutable and overwhelming mysteries of nature, which leads +the admirer of creation on and on into the abyss of the future, and fills +his soul with aspirations for that time, when the veil of ignorance shall +be withdrawn. But this is not my subject. + +The organization of the two animated kingdoms, is then regulated by +definite laws, and all matter, whether acting upon them as agents of +nutrition or destruction, are equally under their dominion; to investigate +and to endeavour to fathom some of these laws, is the aim I have in view. + +The sap is to the plant, what the blood is to the animal,--the elements of +nutrition and secretion are contained in it, and whatever interferes with +its normal constitution by subtracting from, or adding to it, deteriorates +its qualities, and retards or accelerates the functions of the individual. +Excess or deficiency of the natural elements may also be a source of +disturbance; if carbonic acid be too abundantly liberated in the soil, as +Dr. Lindley expresses it, "plants become gorged;" and if, on the other +hand, the elimination be too slow, they become starved. It has been also +shewn, that plants though they give out oxygen from their leaves, do not +throw it off as animals do carbonic acid from their lungs; but that this +arises as a result of digestion, and the fixation of carbon in the system, +and that they really respire oxygen as {142} animals do, and give off +carbonic acid, both by day and night. + +That light is the stimulant of the digestive functions, and that, +therefore, during the day, the amount of oxygen thrown off, far exceeds the +amount of carbonic acid liberated during the same period. + +The great and important distinction between animals and plants is, that the +former possess a nervous system, by which they are subject to a very +extended series of psychological relations; it is in these chiefly, if not +entirely, that we are to look for the distinctive and well-marked +differences of diseased action. In animals there are special media of +communication between the sources of dynamic power, and the parts upon +which the force is exercised: and again, a return communication exists, +which conveys impressions to the source of power, and to use a simple +comparison, a system of telegraphing is in incessant and watchful +operation. This force is influenced and modified in its action, when +exercised in the regulation of nutrition, growth, and reproduction of +tissues, by the passions and emotions of the mind. All the secretions and +functions of the body are more or less susceptible of being accelerated, +retarded or modified by the psychical relations of mind and matter. Though +we are apt to imagine that in man alone, these phenomena obtain much +importance--there can be but little doubt, that wherever a {143} nervous +system exists, whether in the form of aggregated or diffused ganglia, the +interdependence of force and organization, each upon the other, bears a +certain and definite physiological comparison; the more aggregated the +ganglia, the more close, intimate, and extensive the psychical connexions, +and the gradations pass downwards, until they appear to be lost on the +confines of the vegetable kingdom. + +The diseases of plants and animals deserve a more careful comparison than, +I think, has hitherto been bestowed upon them.[58] If the study of +physiology, or an enquiry into the laws which regulate the functions of +living beings in a state of health, has been materially aided by the +intimate knowledge of vegetable physiology, which, from the simple +structure of plants, so favours the experiments of the student, there is +every reason to suppose that vegetable pathology may also lead us to an +equally important and useful result. + +It is quite certain, that if a healthy seed, or leaf-bud, be placed in such +a situation, that, according to the laws known, it will in all likelihood +germinate, if all the elements for its sustenance exist in the soil, and +the temperature and hygrometric {144} condition of the atmosphere are +adapted to it, a healthy plant will be the result. Light, heat, moisture, +and soil are therefore to be considered as the agents required to exist in +a certain balance, or proportion, in reference to the health or power of +vitality of the plant. Within a certain amount of variation, health may +persist in virtue of the power of selection, which appertains to the +spongioles of the root in absorbing nutriment; and also as regards light, +from the tendency which most plants have to accommodate themselves to any +deficiency of this element, by presenting their leafy expansion in that +direction where the most of its influence may be obtained. But beyond a +certain limit an unhealthy condition sets in. If the soil contain not the +inorganic elements, which are absolutely indispensable for the tissues of +the plant, or even if they be there and not in a state to be absorbed, a +dwindling and degeneration ensue; if light be deficient in quantity, +pallor, feebleness, and elongation of tissue follow, with more fluidity and +general softness of texture. These conditions of plants have their +analogues in the ill-fed and ill-nourished children in some of our +manufacturing districts; they are stunted and diseased. Transport a healthy +country lad, with the bloom of health on his cheek, from his native hills +and valleys, or woods and fields, to the stool behind a desk for eight +hours a day, in a narrow street in any city, where the rays of the sun +rarely penetrate, it will not be long before {145} the skin of the animal +and the cuticle of the plant may be submitted for comparison, when both +will testify to the importance of the solar rays, as an indispensable agent +in supporting the normal processes of organic life. So far common +observation is competent to a solution of the facts; but beyond this we +come to the enquiry, what resemblances are there in the early conditions of +plants and animals. Each originates from nucleated cells, endowed by the +All-seeing Power with a blind impulse of progressive development; the most +simple cell of a vegetable multiplies itself by a generation of new cells +within it, when the parent dies, and liberates the offspring. Here +progression is simply multiplication; it is, as it were, progression in +length only. The original cell, however, of animals, which is styled the +germinal vesicle, extends or becomes developed into dissimilar parts; and +whatever may be the variety, all alike proceed from the original germ cell, +and the _tout ensemble_ of parts constitutes the one and indivisible whole; +in this instance there is addition besides multiplication, tissues and +organs are added in all variety, until the maximum of organic development +is attained in the wonderful being, man. + +Yet how many points of resemblance are there between the vegetable cell and +the fully developed human being, in a physiological and pathological point +of view. There must be nourishment to sustain both; both require a certain +amount of light {146} and heat for their growth and increase, and are +dependent upon various unknown causes for active and healthy existence; and +when a certain time has expired, all alike return to a condition, in which +the particles composing them are subject only to the dominion of the laws +which preside over inorganic matter. + +But during the existence of plants and animals, we discover other features +of comparison; plants, as well as animals, are liable to disease; they are +subject to functional and organic affections. The former, among plants, are +usually traceable to atmospheric vicissitudes or irregularities, changes of +situation, &c.; and in man to irregularities of diet, and mental and bodily +excesses, as well as to atmospheric vicissitudes.[59] + +The organic diseases of plants and animals depend upon a repetition, or +continuance, of functional derangement. As a consequence of this, the +nutrition and reproduction of tissues lose their normal and definite +character, wherefrom an indefinite and abnormal result is obtained. There +is a limit to abnormal productions, and they are apparently {147} subject +to laws, though not yet understood. In animals, they may be either +excessive development of natural tissue in natural localities, as obesity +and fatty tumours; they may be natural products in unnatural situations, as +fatty degenerations of muscular tissue; or altogether new and unnatural +products, as tubercle and cancer. + +In plants, from their greater simplicity of structure, organic affections +are perhaps entirely limited to the two first forms of animal organic +disease; viz. to undue development of tissue in natural situations, and to +the formation of natural tissue in parts of a plant where they are not +usually found in a state of nature. The variety of excrescences seen on the +stems, branches, and twigs of plants, may be given as instances of the +former; and the conversion of stamina into petals, as in double flowers, as +an instance of the latter. + +We derive our sustenance from vegetables, and they from us; they produce +for us the soothing opiate and the deadly strychnia; we for them the +animating ammonia, and the distortions and sterility of excessive culture; +we engender in them, by the latter, debility, disease, and death; and in +our turn we become their prey. All this indeed is but a cycle of events, +that requires no learned mind to fathom, and to comprehend; it is a matter +of every day occurrence, and, though perhaps not entirely unheeded, is not +dwelt upon in the fulness of its bearings and importance. {148} + +Let us now consider the diseases of plants, as a study progressive to those +of man; and as their physiology has so extensively served us, we may +possibly also find in their pathology much material for instruction; not +that it will be attempted to shew that the same diseases affect both +kingdoms, but that diseases, though dissimilar in effects, may have similar +sources. + +Unfortunately, there are not many men in this country, who need go further +than their own gardens to find abundance of disease among their fruit trees +and vegetables. The vine, the apple and the potato, common to most gardens, +will furnish specimens. + +It is an error of a serious kind to suppose, that the parasites which +infest plants are not essentially the cause, or, perhaps, more properly +speaking, the elements of disease. I confine myself here to disease of +parasitic origin, as that is the subject of which I am chiefly treating. + +That parasitic growths are the elements of disease in some instances, is +now beyond dispute. The experiments of Mr. Hassall, detailed in Part II. of +the Transactions of the Microscopical Society of London, are most +conclusive; and they are of that simple nature, that any one may convince +himself of their accuracy, by a repetition of them from the directions +there laid down. + +He says, the decay is communicable at will "to any fruits of the apple and +peach kind, no matter {149} how strong their vital energies may be, by the +simple act of inoculation of the sound fruit with a portion of decayed +matter, containing filaments of the fungi. We may use with success the +sporules of such fungi; but in this case the decomposition does not set in +so quickly; in the one case, the smaller filaments of the fungi have +advanced several stages in their growth; while in the other, the sporules +have yet to pass through the several stages of their development." + +Mr. Hassan, however, seems to speak doubtfully as to the mode in which the +disease becomes naturally introduced;[60] how the spores enter the fruit, +"is not very clear--though probably, it is by insinuating themselves +between the cells of which the cuticle is composed, or perhaps by means of +the stomata, where they are present. I may here state that the experiments +were made on fruit, while living, and attached to the tree." + +But why should there be a doubt as to the parts by which the sporules of +minute fungi enter the plant, when it is clear, that not only can they +enter {150} by the spongioles, but by the stomata of the leaves, and mingle +with the sap. It is true, that they make their appearance and grow upon the +leaves and the fruit; but these are the situations most adapted for their +fructification. I have seen the spores of the fungi which attack the +cucumber and vegetable-marrow, in the cells of the hairs, and even their +filamentous prolongations; these appropriate the fluids conveyed to the +cells of the hair, rupture them, and at length fructify. + +On referring to Dr. Lindley's Medical and Economic Botany, I find that many +fungi are the active elements of disease, and in a manner which renders it +highly improbable that they are so in any other way, than by obtaining an +entrance to the sap of the plants. Of the microscopic fungus which destroys +wheat, the Uredo caries of De Candolle, we find the habitat to be within +the ovary of the corn, and that 4,000,000 may be contained in a grain of +wheat,--now this and another fungus, the Lanosa nivalis, are said to +destroy whole crops of corn: we cannot imagine that such an extensive +affection, can have any other source than by means of the spores through +the sap, seeing that bruising of the surface, or rupture of the cuticle of +the apple, a comparatively soft fruit is necessary to produce the disease +artificially in them; besides, a grain of corn containing vibriones, when +grown and having fruited, the new fruit also contains them--now here, as +this is I believe almost invariably the {151} case, either they or their +ova must be carried with the sap to the new germs. + +It is rather a remarkable fact, that these entophytes appropriate the +nutriment destined for the plant in which they grow, they are consequently +the means in many instances of its entire destruction, though only +partially so in others. + +There are many Fungi which have this tendency. The Puccinia gramienis, +"preys upon the juices of plants, and prevents the grain from swelling." +The Æcidium urticæ, common on nettles, deprives the plant on which it +grows, of the organizable matter, intended for its own nutrition. The +Erysiphe communis, overruns and destroys peas. The Botrytis infestans, +"attacks the leaves and stems of potatoes." The Oidium abortifaciens, +attacks the ovaries of grasses--and the Oidium Tuckeri, "a formidable +parasite, destroys the functions of the skin, of the parts it attacks." The +latter has been most injurious to the vines, during the last two years. I +have known instances in which the vines have been cut down, and every means +taken to rid the houses of the disease; but this year, it has made its +appearance, with all its former virulence, in the new shoots. + +This, however, is sufficient to shew that plants are liable to disease, +depending upon parasitic growths, which affect their vital powers, and +deprive them of their natural nutritive fluids. + +But somewhat similar diseases belong also to {152} warm climates; in a +letter from Cuba, dated Dec. 1843,--Mr. Bastian writes, "_a plague_ has +appeared among the orange trees--a mildew attacking the leaves and the +blossoms, which finally dry up. It most frequently kills the trees. None of +the orange family are exempt; lemons, limes, and their varieties, with the +shaddock and forbidden fruit, have all suffered." This disease has +continued without intermission, till the present year,--when the same +gentleman writes, Feb. 20th, 1850: "The evil exists, although in a +diminished degree, so much so, as to have allowed the trees to produce me +30,000 oranges again. In old times, the same plantations produced me +100,000." + +The West India sugar-canes are also liable to a disease, which the Rev. Mr. +Griffiths, in his Natural History of the Island of Barbadoes, speaks of, in +the following manner: "This, among diseases peculiar to canes, as among +those which happen to men, too justly claims the horrible precedence." This +disease is called the Yellow Blast. It is difficult to distinguish the +Blast in its infancy, from the effect of dry weather. + +There are often seen on such sickly canes, many small protuberant knobs, of +a soft downy substance. It is likewise observable, that such blades will be +full of brownish decaying spots. The disease is very destructive to the +canes. It is observed, that the Blast usually appears successively in the +same fields, and often in the very same spot of land. {153} + +This Blast is often found far from "infected places," and the infection +always spreads faster to the leeward, or with the wind. + +"_It is remarkable if canes_ have been once infected with the Blast, +although they afterwards to all appearance, seem to recover; yet the juice +of such canes will neither afford so much sugar, nor so good of its kind, +as if obtained from canes which were never infected." + +I may here allude to the circumstance, that in the island of Cuba, the +destructive mildew is commonly called, _la pesta_. + +It were needless to multiply instances of other endemic and epidemic +diseases of vegetables; they are well known by practical observers to be +very numerous, and I believe, in most instances, depending upon fungoid +growths. The destruction of vegetables by insects, is of a very different +nature to that produced by the fungi; it would be as unreasonable to +consider the consumption of corn and herbage by locusts, as a disease of +vegetation, as the massacre and devouring of human beings by cannibals, a +disease of the human body. + +It is true that insects are exceedingly destructive to plants, but as far +as I am able to obtain information, they appear to be so chiefly by their +voracious propensities; they consume the structure of the plant in its +entity, and do not primarily interfere with its vitality. The instance of +the vibriones, before-mentioned, seems at first to be an exception {154} to +the rule, but this is rather apparent, than real; and it may be made to +apply more as a confirmation, than an obstacle to the vegetable theory: for +if we may fairly compare the diseases of animals with those of plants, the +existence of entozoa in the latter, would be considered an essential point +to be substantiated. + +Having now considered the question as to the infeasibility of supposing +that chemical fermentation is the basis upon which a theory of diseases can +be sustained, and having shewn that life is inseparable from infection, and +miasmatic generation;--having explained the phenomena of the dispersion of +diseases by comparison with the dispersion of plants, and finally, having +demonstrated that the physiology and pathology of plants bear so close a +relation to each other, and that their epidemic affections depend upon +minute organic germs, I submit to the judgment of my readers, whether there +is not much reasonableness in the application of the facts to the +inference--that living germs are the cause of epidemic disease in man and +animals. + + * * * * * + + +{155} + +CHAPTER IV. + +RESULTS IN PROOF OF THE TENABLENESS OF THE PROPOSITION. + +-------- + +SECTION I. + +OBSERVATIONS ON SOME OF THE LAWS OF EPIDEMIC DISEASES. + +The results obtained by comparing certain facts connected with Epidemic +Affections of animals, with analogous affections in plants, afford, from +the few instances I shall here notice, a very strong presumption, that +analogous causes operate in the production of these affections. I have +already quoted from Hecker, to shew that previously to, and during the +Epidemics of the Middle Ages, the minuter forms of animal and vegetable +life appeared to be called into existence, much more abundantly than usual; +that famines prevailed in consequence of failure of cereal crops, no doubt +depending then, as now, upon the various forms of fungiferous growth. I +cannot refrain quoting here, a passage or two from our old friend Virgil; +for he confirms not only the fact of peculiar showers in {156} connexion +with diseases, but he also refers to the rust of corn, thus: + + 150. "Mox et frumentis labor additus; ut mala culmos + Esset rubigo ... + ... Intereunt segetes." + + _Georg. 1._ + +Then: + + 311. "Quid tempestates autumni et sidera dicam? + + . . . . . . + + 322. "Sæpe etiam[61] immensum coelo venit agmen aquarum + Et foedam glomerant tempestatem imbribus atris + Collectæ ex alto nubes." + + _Georg. 1._ + +The occurrence of black showers in this country has been observed during +the present year, and I understand that in the fenny countries of the East, +the corn has suffered much from the Uredo. I am not mentioning the +circumstances as cause and effect, but merely to call attention to the +fact, that unusual phenomena of this kind have been generally associated +with disease of the animal and vegetable tribes. + +The same causes also predispose plants as well as animals, to epidemic +attacks of disease. The repeated observations in the public journals on the +subject of ventilation, drainage, and over-crowding, render all notice from +me needless, to shew that these, though they do not produce the diseases +{157} treated of, yet that under the influence of bad air, bad drainage, +and over-crowding, epidemics are fostered and spread. + +Lastly, says the Count Philippo Ré, "I would remark that if _bad +cultivation, and especially bad drainage, does not produce bunt or smut, it +is certain that those fields, the worst treated in these respects, suffer +the most from these diseases_." + +It has been remarked by many observers, that a greater fecundity has +attended upon Pestilences, and this has been proved by comparison, that the +births in proportion have far exceeded the ordinary limit.[62] In +juxtaposition with this observation, I will place the following, not as a +proof, but as a remark made quite independently of the subject of which I +am treating. "From the first the diseased ears are larger than the healthy +ones, and are sooner matured. What appears singular, but which I have not, +perhaps, sufficiently verified, is _that the seeds are more abundant than +in a sound ear_." + +{158} + +Now these are facts which require amplification, and if these two alone +should be shewn upon an extensive field of observation, to apply not only +to corn, but to other members of the vegetable kingdom, as I doubt not will +be the case, though I am not fully prepared to prove it, it would be +difficult to dissociate the fertility of the two living kingdoms from the +operations of one and the same, or an analogous law. + +The epidemic diseases of plants are both infectious and contagious, at +times they are observed to be endemic only, and then depending particularly +upon some local causes. This is a law of diseases which applies equally to +those of men and animals. In connexion with this law is another, which, as +far as I am aware, has not hitherto been noticed in connexion with plants. +The potato disease, which excited so much interest and created so much +anxiety for the poorer classes of society, led the Government of this +country to employ the most learned men to investigate the subject, in the +hope of propounding some reasons which should explain the cause of the +calamity, and thereby deduce a method of eradicating the evil, or, in other +words, discover a cure for the disease. Many were the opinions as to the +cause of the distemper, which it were useless here to recount, but a method +was suggested, to which most people, I believe, looked forward with great +anticipations, and this was to obtain native seed, and to sow it on virgin +soil. Was the end accomplished? No. {159} For though the seed was sown, and +the plants grew, the disease still appeared among the newly imported +individuals, to as great an extent, as among the native or domesticated +plants. + +As a parallel to this, it may be stated, that, as regards either endemic or +epidemic disease, those persons newly arrived, either in a district or +country where these prevail, are even more liable to them than the +residents.[63] Again, I have learned, that where the potato disease has +been so bad as to render the crop almost valueless, the best plan to be +adopted is, to allow the plants to remain in the earth, and thus leave such +as retain their germinating powers to come up spontaneously the following +year. I certainly saw one large field treated in this way, yield a crop +almost without disease. + +{160} + +The seasoning, in this instance, seems to bear a comparison with the +seasoning of animals and man, under a variety of diseases, which for a time +renders them insusceptible of another attack. It therefore does not appear +so improbable, that these affections may be regarded, as Unger, the German +botanist supposed, the Exanthemata, or Eruptive Fevers of vegetables. + +Another feature seems to associate the Epidemics of plants and animals, in +a manner suggestive of analogous causes operating in both instances. + +The lungs of animals and the leaves of vegetables, are their respiratory +organs, by means of which, the blood in the one case and the sap in the +other, derive gas from the air, and impart gas to it, each taking what is +thrown off by the other. + +Now the epidemics among vegetables, have a remarkable tendency to exhibit +their effects primarily on the leaves, and particularly on those parts +which are appropriated to the function of respiration. It is from the +stomates that many of the fungi commence to germinate, and their +fructification may be seen sprouting from the opening composed of a chink, +surrounded by a peculiar arrangement of cells, which constitute the +breathing apparatus of their victim. + +In the earlier epidemics, of which we read, one of the most remarkable +circumstances, was the extraordinary influence the poisonous matter +appeared to {161} exercise over the lungs,[64] and they again, were the +means of propagating the disease, and spreading the contagious particles +through the atmosphere, for we read: "Thus did the plague rage in Avignon +for six or eight weeks, and the pestilential breath of the sick, who +expectorated blood, caused a terrible contagion far and near, for even the +vicinity of those who had fallen ill of plague was certain death; so that +parents abandoned their infected children, and all the ties of kindred were +dissolved."[65] "The like was seen in Egypt. Here also inflammation of the +lungs was predominant." "Here too the _breath_ of the sick spread a deadly +contagion." + +It is more than probable that all infectious matter obtains an entrance to +the system through the lungs. Inspiring the air containing the pestilential +semina is, indeed, the only plausible explanation of infection; for though +the skin is indubitably an absorbing {162} surface, and capable of taking +up and conveying to the blood any noxious matter applied to it, yet it is +far more probable that the lungs would effect this process with greater +rapidity. Then the stomach, the only other absorbing surface to which +extraneous matter can be applied, is not likely to be the part where the +elements of disease would obtain an entrance to the system, for many facts +prove, that infectious matter may be swallowed without any injurious +consequences, unless in a very concentrated state. Instances are not easily +found of diseased matter having been swallowed, except where diseased +vegetables have formed under some combination of circumstances, a portion +of diet.[66] + +Many facts are on record which prove the powerful effect of diseased grain +when made into bread, and taken for any length time as a principal article +of food. The history of Ergot of Rye is too fresh in the memory of most +people to require more than an allusion here. The stomach had no power over +the secale, its poisonous properties were retained, after having been +submitted to the digestive process, as was evidenced by the abortions and +gangrenes it occasioned. + +But diseased wheat is also capable of inducing {163} gangrene, and it is +more than probable, that many diseases might be traced to the use of +infected grain of various kinds. An interesting account of a family who +lived at Wattisham, near Stowmarket, in Suffolk, and all of whom suffered +more or less from living on bread made of smutty wheat, may be found in the +Philosophical Transactions. The mother of this family and five of the +children, consisting of three girls and two boys, all suffered from +gangrene of the extremities; the father lost the nails from his hands, and +had ulceration of two of his fingers.[67] Dr. Woollaston wrote thus in a +letter on this case: "The corn with which they made their bread was +certainly very bad: it was wheat that had been cut in a rainy season, and +had lain on the ground till many of the grains were black and totally +decayed, but many other poor families in the same village made use of the +same corn without receiving any injury from it. One man lost the use of his +arm for some time, and still imagines himself that he was afflicted with +the same disorder as Downing's family." It is not unlikely this was the +case, for numbness and loss of power was one of the well marked characters +of the disease. + +What other afflictions may be due to diseased vegetation and adulterated +articles of food, and what loss of life may accrue from cheap and +adulterated {164} drugs and chemicals is hardly yet dreamt of.[68] The +systematic practice of adulteration of almost every article of diet which +comes to table has become a serious question for the legislature to +consider. Take only the article of milk, upon which the young children of +large towns and cities, make their chief meals, with the addition of bread. +How much milk comes into London from the country, how much is obtained from +stall and grain-fed cows in the metropolis, and how much is said to be +consumed, would be an interesting calculation. It is pretty well known that +a mixture is sold by which a retailer of milk may increase his supply by +one-third or one-half. It was discovered in Paris that the brains of +animals, when prepared in a particular manner, formed, when mixed with a +certain proportion of milk and water, a very fine and deceptive cream; in +that city this system was carried on to a considerable extent. I could not +help alluding to these facts while speaking of diseased grain, for who +shall say to what extent a miller in a large way of business, may be able +to "work in," as it is called, a considerable amount of smutty corn in the +manufacture of flour? Now, as diseased grain is known {165} to induce +abortion, it is impossible to tell how small a portion may in some cases +produce the effect; we may therefore say with Thomas of Malmesbury, "There +is no action of man in this life which is not the beginning of so long a +chain of consequences, as that no human providence is high enough to give +us a prospect to the end."[69] + +To return,--associated with these observations are other facts of +considerable weight. Before and during pestilences, abortions are more +frequent than in ordinary times; infectious and contagious diseases induce +abortion; besides this, and independently of disease, conditions of the +atmosphere have been known to exist when abortion has been an epidemic +affection; of this Dr. Copland says, "to certain states of the atmosphere +only can be attributed those frequent abortions sometimes observed which +have even assumed an epidemic form, and of which Hippocrates, Fischer, +Tessier, Desormeaux, and others have made mention." With this reference I +will close the subject of comparison between the affections of the +breathing apparatus in animals and plants, merely alluding to the +probability that under some conditions of atmosphere, independently of +heat, &c. vegetables without any other assignable cause will become +abortive. + + * * * * * + +{166} + +SECTION II. + +WHAT IS THE NATURE OF THOSE POISONS WHICH MOST RESEMBLE THE MORBID POISONS +IN THEIR EFFECTS ON THE BODY? + +In the early part of this book, I considered the nature of poisons +generally, and had occasion to remark upon the characters which separated +poisons into two distinct classes. 1st, Those which have the power of self +multiplication; and 2nd, Those destitute of this property. + +Of the first we have seen that the poisons of epidemic diseases multiply +both in and out of the body. + +The poisons of infectious diseases, not usually epidemic, do the same. +Those of endemic affections, such as ague and some fevers, usually become +multiplied out of the body only, but under some circumstances, and peculiar +atmospheric conditions, they may be also multiplied within the body. The +amount of these poisons necessary to produce their specific effects, may be +inappreciable. Of the second class, there are two kinds, those derived from +the organic kingdom and those derived from the inorganic kingdom. Of these, +the amount necessary to produce their specific effects is appreciable and +pretty well known. + +But among those poisons, consisting of organic {167} products, there is one +which seems to hold an intermediate place. This is derived from one of the +Fungals, and as it takes this remarkable position as a link of connexion +between the two classes of poisons, I may be excused quoting a passage of +some length upon this agent, from Dr. Lindley's Vegetable Kingdom. "One of +the most poisonous of our fungi, is the Amanita muscaria, so called from +its power of killing flies, when steeped in milk. Even this is eaten in +Kamchatka, with no other than intoxicating effects, according to the +following account by Langsdorf, as translated by Greville. This variety of +Amanita muscaria, is used by the inhabitants of the north-eastern parts of +Asia in the same manner as wine, brandy, arrack, opium, &c. is by other +nations."--"The most singular effect of the amanita is the influence it +possesses over the urine. It is said, that from time immemorial, the +inhabitants have known that the fungus imparts an intoxicating quality to +that secretion, which _continues for a considerable time after taking it_. +For instance, a man moderately intoxicated to-day, will by the next morning +have slept himself sober, but (as is the custom) by taking a teacup of his +urine, he will be _more powerfully intoxicated_ than he was the preceding +day. It is, therefore, not uncommon for confirmed drunkards to preserve +their urine, as a precious liquor against a scarcity of the fungus. The +intoxicating property of the urine _is capable of_ {168} _being +propagated_; for every one who partakes of it has his urine similarly +affected. Thus with a very few amanitæ, a party of drunkards may keep up +their debauch for a week." + +This property of the amanita, at once places it in a separate category from +all other organic poisons, it has yet to be shewn upon what this +intoxicating fungus depends for its activity. Whether some secretion is +formed in the tissue of the plant, or whether some new arrangement of the +particles of matter or modification of the sporules, is brought about by +entering the system, it is impossible to say. Langsdorf states that the +small deep-coloured specimens of amanita, and thickly covered with warts, +are said to be more powerful than those of a larger size and paler colour. +As the effect is not produced until from one to two hours after swallowing +the bolus, and as a pleasant intoxication may be obtained by this agent for +a whole day, and from one dose only, there is a defined line between this +and the ordinary narcotics and stimulants in common use. That the digestive +powers of the stomach have no influence over the intoxicating properties of +the plant, is manifested in the fact, that the active principle passes into +the urine, not only not deteriorated but apparently increased, for, as we +have seen, a teacup of the urine from a man, intoxicated by taking the +amanita into his stomach, will cause him to be more powerfully intoxicated +than by the {169} original dose. We have, therefore, but two conjectures +left for consideration, either the original intoxicating principle is +excreted from the system in a condensed form, in which case its +indestructibility by digestion, makes it approach the ordinary organic +poisons, or there must be an increase of the toxic agent, in which case we +must suppose a reproductive process having taken place in the system. +"There is," says Dr. Mitchell, "in the wild regions of our western country, +a disease called the _milk sickness_, the _trembles_, the _tires_, the +_slows_, the _stiff-joints_, the _puking fever_, _&c._" The animals +affected with this disease, "stray irregularly, apparently without motive;" +they lose their power of attention, and finally tremble, stagger, and die. +"When other animals--men, dogs, cats, poultry, crows, buzzards, and hogs, +drink the milk or eat the flesh of a diseased cow, they suffer in a +somewhat similar manner." This disease is attributed by Dr. Mitchell to the +animals having grazed on pasture contaminated with mildew, and the +resemblance to the effects of the amanita, together with the persistence of +the specific principle within the fluids and tissues of the body, render it +more than probable that to some fungoid growth, is due the peculiar toxic +effects here noticed. Further: "The animals made sick by the beef of the +first one, have been in their turn the cause of a like affection in others; +so that three or four have thus fallen victims successively." De Graaf +states, that butter {170} made from the milk of diseased cows, though +heated until it caught fire, did not lose its deleterious properties. The +urine of diseased animals, collected and reduced by evaporation, produced +the characteristic symptoms. All these facts point to some peculiarity in +the properties of matter not yet investigated or at least not explained. If +we may assume that reproduction is here an element of the persistence and +apparent multiplication of active matter, I know only of one instance to +compare with it. A gentleman about to deliver a lecture on the properties +of arsenic, and its history generally, made two solutions of a given +quantity of arsenious acid, in the following manner. He took a certain +amount of distilled water, and the same of filtered Thames water, and made +his solutions of arsenic by separate boilings, he then as soon as possible +placed the liquids in identical bottles, carefully prepared for their +reception. In the one which contained the arsenic boiled in river water, +the hygrocrocis is now growing, while that boiled in distilled water +remains perfectly limpid and free from any vegetable production. There can +scarcely be a doubt, that the filtration of river water was not +sufficiently purifying to remove the minute spores of some lower forms of +vegetation, which not only live in arsenic but have resisted the +temperature employed in boiling an arsenical solution to saturation. + +As to the first class, or truly reproductive and {171} morbid poisons, the +most heterogenous ideas have from all time existed. I have introduced the +notice of the above poisons, viz. the Amanita, and that which engenders the +milk sickness, to compare the results of the morbid poisons on the human +body with them, and also to associate them with the effects of diseased +grain. From the Amanita and that other fungoid matter which is said to +produce the milk sickness, there appears to be a purely toxic action on the +system, but in the instance of diseased grain, a blood disease, ending in +gangrene, or a specific and peculiar action of the generative organs is the +consequence, and where the latter occurs, the poison usually expends itself +on these parts, either by inducing abortion, or augmenting the catamenial +secretion. + +Now, the morbid poisons, if studied only in their results, shew that there +is a combination of these two actions. There is usually, in the first +place, a toxic or poisonous action, and secondly, a deteriorating or +decomposing action on the blood, by which there is a tendency to low or +asthenic inflammation and gangrene. It matters not what form of fever we +take as an illustration, whether intermittent, pestilential, or +exanthematous, either will serve the purpose of shewing how completely the +effects of vegetable organic poisons resemble those which for the sake of +distinction (I suppose) have been denominated Morbid Poisons. + +Take an attack from the paludal poison. It is {172} usually ushered in with +head-ache, weariness, pains in the limbs, and thirst, with other symptoms; +all these are indicative of a poisonous agent in the blood: then come the +full phenomena of the disease at a longer or shorter interval, and tending +ultimately to destroy some organ of the body. The mind suffers during the +course of the attack, and delirium occasionally happens. In severe cases of +this disease, which were more frequent formerly than now, coma, delirium, +and frenzy were observed at the commencement of the attack, and a tendency +to rapid disorganization of one or several of the viscera. + +If we take the effects of poison of Erysipelas, of Scarlet Fever, or +Plague, in each we find at the onset more or less general derangement of +the system, usually with cerebral disturbance and disordered action of all +the dynamic forces of the body, which clearly indicate the action of a +poison; then, unless some favourable symptoms arise, the blood exhibits a +steady advance towards disorganization, and sphacelation of one or more +tissues or parts of the body ensues. In Erysipelas the force of the +diseased action is expended on the skin, and subcutaneous cellular tissue; +in Scarlet Fever the fauces ulcerate, and slough and the parotids +suppurate; in the Plague there is a general tendency to putrefaction, and +the formation of glandular abscesses with sphacelas. Without going any +further into this matter, for my present intention is merely to draw {173} +notice to certain facts, let me now ask, whether or not, do the poisons of +the Ergot, the Uredo, and the Amanita, exhibit more analogy in their action +on the nervous system, the blood and the tissues, than any other poisonous +agents with which we are acquainted? If the whole range of the lower fungi +could be examined in reference to their operation on the blood, as +decomposers of organic compounds,--if experiments could be made, by which +the properties of fungoid matter could be detected, I would venture to say +the whole of the phenomena of these diseases could be readily comprehended +and their intricacies unravelled. + +We know that the fungi are poisonous, that at times and seasons, and under +variations of climate, they vary in their effects, and perhaps lose +altogether these properties. We know that the fungi produce gangrene of the +tissues, and disorganization of the blood; we know that their spores +pervade the atmosphere, and are ready, under favouring conditions, to +increase and multiply; we know that they are ubiquitous, and that those +conditions most favourable to their development, are exactly such as are +proved to foster and engender disease, and above all, they have been proved +to be the elements of some diseases in man, in animals, and in plants. Can +as much be said of any other known agents, animate or inanimate, comprised +in our category? + +It has been said, we do not see after death,--the {174} interlacing +mycilium, or the sprouting pileus; therefore the fungi are not the agents +of disease--it has been said that carbonic acid and alcohol are not found +as products of diseased action--consequently disease is not a fermentative +process. "In all cases," says Liebig, "where the strictest investigation +has failed to demonstrate the presence of organic beings in the contagion +of a miasm, or contagious disease, the hypothesis that such beings have +cooperated, or do cooperate in the morbid process, must be rejected as +totally void of foundation and support." Much as I admire the genius of +this great man, it is difficult to refrain from remarking, that I doubt if +any of his great discoveries would have been made, if, in the first +instance, hypotheses had not formed the basis of all his researches. It has +been said, "that casual conjunctions in chemistry, gave us most of our +valuable discoveries:" and it is from casual conjunctions that hypotheses +are usually formed, the working out proves either their fallacy or their +truth, but to say that an hypothesis has no foundation, until demonstrated +to be true, is rather knocking down argument. And who, let me ask, has been +more prolific of hypotheses than our continental neighbour? Yet he, +according to his mode of reasoning, would sweep away all such words from +the vocabularies of philosophers. What foundation has the chemical +hypothesis of disease, when it fails to explain the most important element +{175} of contagious and infectious diseases: viz. the reproductive property +of their germs? + +It is perhaps necessary to say something in explanation of the sudden +deaths arising from morbid poisons. They may occur from two causes. One +being the result of a concentrated amount of poison germs being inhaled +into the lungs, and acting as an ordinary toxic agent; and the other, which +I put only hypothetically, the consequence of the rapid evolution of gas in +the vessels arising from a sudden decomposition of blood, as it passes +through the lungs. The only authority I have for this supposition, is the +fact that the blood after death, from pestilential affections, is found to +be far advanced towards decomposition; that in Paris last year, two +patients were bled while suffering from Cholera, and with the small +quantity of blood which flowed, bubbles of air also escaped:[70] and +besides this, it was demonstrated by Mr. Herapath, that ammonia was given +off from Cholera patients, both by the lungs and skin. These facts, though +they are not conclusive, nevertheless render it probable that such an +explanation is not entirely out of reason--especially too, when we know how +fatal are the effects of uncombined air, when it enters the vessels near to +the heart. + + * * * * * + +{176} + +SECTION III. + +WHAT RESULTS DO WE OBTAIN FROM THE EFFECTS OF REMEDIAL AGENTS, IN PROOF OF +THE HYPOTHESIS? + +I have here used the word hypothesis, because, having so far advanced in +the enquiry, I trust sufficient has been said to render the term +applicable. + +Under the term remedial agents, I shall include all those causes, whether +natural or artificial, which tend to neutralize or destroy the germs of +infection, or miasmatic poison, whether this be effected out of or within +the body. + +First, then, let us consider the results of drainage and cultivation in +removing the causes of endemic disease. One well authenticated case is as +good as a thousand. I will take one, which, from its source, will be +received as unexceptionable; and from its association with a very learned +and amusing book, will be accepted as an agreeable reminder of the many +pleasant hours spent in the perusal of the poet Southey's "Doctor." + +"Doncaster is built upon a peninsula, or ridge of land, about a mile +across, having a gentle slope from east to west, and bounded on the west by +the river; this ridge is composed of three strata; to wit, of the alluvial +soil deposited by the river in former {177} ages, and of limestone on the +north and west; and of sandstone to the south and east. To the south of +this neck of land, lies a tract called Potteric Carr, which is much below +the level of the river, and was a morass, or range of fens when our Doctor +first took up his abode in Doncaster. This tract extends about four miles +in length, and nearly three in breadth, and the security which it afforded +against an attack on that side, while the river protected the peninsula by +its semicircular bend on the other, was evidently one reason why the Romans +fixed upon the site of Doncaster for a station. In Brockett's Glossary of +North Country words, Carr is interpreted to mean 'flat marshy land,' 'a +pool or lake;' but the etymology of the word is yet to be discovered. + +"These fens were drained and enclosed pursuant to an Act of Parliament, +which was obtained for that purpose in the year 1766. Three principal +drains were then cut, fourteen feet wide, and about four miles long, into +which the water was conducted from every part of the Carr southward, to the +little river Torne, at Rossington Bridge, whence it flows into the Trent. +Before these drainings, the ground was liable to frequent inundations; and +about the centre there was a decoy for wild ducks; there is still a deep +water there of considerable extent, in which very large pike and eels are +found. The soil, which was so boggy at first that horses were lost in +attempting to drink at the drains, has been brought {178} into good +cultivation, (as all such ground may be) to the great improvement of the +district; for till this improvement was effected, _intermittent fevers and +sore throats were prevalent there, and they have ceased from the time the +land was drained_. The most unhealthy season now, is the spring, when cold +winds, from the north and north-east, usually prevail during some six +weeks; at other times Doncaster is considered to be a healthy place. It has +been observed that when endemic(?) diseases arrive there, they uniformly +come from the south; and that the state of the weather may be foretold from +a knowledge of what it has been at a given time in London, making an +allowance of about three days, for the chance of winds. Here, as in all +places which lie upon a great and frequented road, the transmission of +disease has been greatly facilitated by the increase of travelling." + +I feel certain of being excused for transcribing this long passage from +Southey. It would have been impossible to convey its whole meaning without +giving it entire. The continuation of the chapter is no less instructive +and applicable to our subject, though more particularly so to an extension +of the enquiry. The sore throats and intermittents, from which Doncaster +has been freed, by the drainage of Potteric Carr, informs us at once that +decomposing matter is the material by which the poison of fever is vivified +and sustained, the wet and boggy state of the soil is just the condition, +when no drainage exists, to bring into activity the germs of {179} disease, +which otherwise would lie latent. So satisfied and acquainted are we with +the elements necessary for the production of fever, that we might as +certainly bring about an endemic intermittent by forming an artificial bog, +as we could be sure of growing mushrooms by making a bed in the manner laid +down by gardeners for this purpose. Dr. Lindley also says, "the _Polyporus +fomentarius_ has been artificially produced in Germany, but merely by +placing wood in a favourable situation, and keeping it well moistened. Five +or six crops were obtained in the year." + +Let warmth, moisture, darkness, and decaying matter be given, and inanimate +disintegrated particles will soon be converted into definite forms and +combinations instinct with life. It is by the unseen forms of living +beings, that the atmosphere is preserved from becoming charged with deadly +gases; they take the first rank in the great scheme of animated beings, the +plant first, and then the animal. "Let the earth bring forth grass." "Let +there be lights in the firmament." "Let the waters bring forth the moving +creature, and fowl that may fly," and "Let the earth bring forth the +cattle, the creeping thing, and the beast." This is the order of creation, +of living things, and the earth was prepared by vegetation for the animal +world. The work of conversion is accomplished by vegetation; and this is +consumed for the construction of higher organizations. + +The laws which govern and control the universe, {180} are as definite and +as wonderful among invisible atoms, as those which regulate the enormous +masses floating in space; and the time will come when the advancing +intellect of man will measure and weigh the morbid poisons, as he measures +and weighs the stars. Why should the laws of Epidemics be less understood, +than the laws which govern the course of comets? The aspirations of man +have led him to penetrate the heavens, which charm and inspire him; he +studies rather the more violent disturbing elements of nature, the +thunder-cloud and the fire of heaven, than the silent pestilence which +steals over the earth. I cannot conceive it possible that the Intellects, +which are occupied in procuring means for the Majesty of this empire to +issue her mandates with the velocity of a spirit to the nethermost parts of +the earth, should be incapable of solving so deeply interesting a mystery +as the causes and nature of pestilential diseases. It would seem that man +prefers to issue a mandate of destruction many thousand miles distant, than +to disarm the pestilence at his door. It is barely a century since Galvani +observed the twitchings in the muscles of a frog's leg, and the battery, +still named after him, has already become an agent of instantaneous +communication between places many miles distant. But how many centuries +have passed away, each one succeeding the other, with its millions of +victims to epidemics? And where are the remedies for the evils? Drainage +and cleanliness, with all their advantages, were better understood and more +fully carried out by the ancient {181} Romans than by ourselves; there are +monuments, though crumbling to decay, to tell us of the vast enterprise of +these people and of the value they set upon a healthy and vigorous +constitution, and how well they understood the means of warding of disease. + +Cultivation and drainage are now fully understood to be the basis by which +a healthy condition of air is to be obtained, next to that, cleanliness and +ventilation; if either be neglected a sickly, mouldy, and unwholesome +contamination of atmosphere ensues; the odour of a bog is proverbially +mouldy, and so is that of an ill-ventilated house or cellar; dryness, or +the fresh pleasant scent of clean water, are the antagonists of these; the +aromatic odours of vegetation are opponents of putrefaction, and +consequently of the development of the lower forms of life. All +empyreumatic matters prevent mouldiness and decomposition; and odours +arrest and prevent the growth of mouldiness. The oil of birch, with which +the Russia leather is impregnated, and which gives it so pleasant an odour, +effectually prevents mouldiness, and consequently decay. + +Lindley says, "It is a most remarkable circumstance, and one which +_deserves particular enquiry_, that the growth of the _minute fungi_, which +constitute what is called mouldiness, is _effectually prevented_ by any +kind of perfume."[71] Cedar has {182} been used, from time immemorial, for +a like purpose; and I doubt not the recommendation of Virgil, before +quoted, in reference to the burning of cedar, was founded on some practical +utility of this kind, though its _modus operandi_ was unknown to him. +Allied to these is a curious circumstance, and worthy attention. I copy the +following from an old work on Pestilences. "It is remarkable that when the +Plague raged in London, Bucklersbury, which stood in the very heart of the +city, was free from that distemper; the reason given for it is, that it was +chiefly inhabited by druggists and apothecaries, the scent of whose drugs +kept away the infection, which were so unnatural to the pestilential +insects, that they were killed or driven away by the strong smell of some +sorts of them." "The smell of _rue_, and the smoke of tobacco, were +prescribed as remedies against the infection; but especially tar and pitch +barrels, which it was imagined preserved Limehouse, and some of the +dock-yards from infection."[72] + +Pitch and tar dealers are everywhere spoken of as being remarkably exempt +from infectious diseases. + +Cold infusion of tar was used in our colonies as a prophylactic against the +Small Pox. Bishop {183} Berkeley was induced to try it when this disease +raged in his neighbourhood. The trial fully answered expectation--for all +those who took tar-water, either escaped the disease, or had it very +slightly. + +Tan yards and places in the immediate vicinity, are said to be free from +pestilences. The tanners of Bermondsey are said to have escaped the Plague +of London, and one person only died in Gutter Lane, where was a tan yard. +The tanners of Rome are also stated to have been free from Plague. Dr. +McLean refers to the exemption of tanners at Cairo. _Tannin is prejudicial +to most vegetables_,--but Dr. Lindley says it is not always so to fungi. "A +species of Rhizomorpha is often developed in tan pits." I should imagine +that neither plants nor insects would be found very abundantly, where +tannin prevails; yet we find that the gall-nut is formed for the protection +of an insect from injury by weather, and as a temporary means of +sustenance. + +The custom of fumigating with odoriferous substances, does not therefore +appear upon this view of the matter to be destitute of importance; indeed, +the universal practice stamps it at once, as an efficacious remedy for the +purposes of disinfection. The introduction of chlorine fumigation, seems to +have superseded, in a great measure, the use of fragrant herbs and woods; +and it is questionable whether the substitution be altogether desirable or +{184} advantageous. Many scents may be agreeably and usefully employed, +with much less chance of annoyance to the patient, and considerably less +injury to articles of furniture, &c. + +The fumigations of sulphurous acid and chlorine are, perhaps, more adapted +as disinfectants in uninhabited apartments;--their power to destroy +vegetation, is well known. They have been used, chiefly, with the idea of +neutralizing gaseous exhalations, particularly chlorine, as it tends to +combine with hydrogen, to form hydrochloric acid, and then to unite with +ammoniacal matters, forming hydrochlorate of ammonia. This, supposing +noxious or pestilential effluvia consisted of the ammoniacal exudations +variously combined, was an exceedingly efficacious method of rendering them +inert; but as we feel convinced that no ammoniacal compound could possibly +be the cause of infection, we must look to the influence these gases +possess over other forms of matter, and as they are so destructive, even in +minute quantities, to vegetable existence, it is possible that their +beneficial effects may be due to this property. The immediate neighbourhood +of gas works is prejudicial to vegetation, I imagine, from the amount of +sulphurous vapours, and to this has been attributed the exemption of +persons employed in these works. Many other instances might be cited of a +similar nature. + +I have now to speak of medicinal agents, and here comes a considerable +difficulty. {185} + +If we might believe all that has been written on the sure and certain +remedies for the "ills that man is heir to," we should be led to +acknowledge that both nature and art were prodigal in antidotes and +specifics. The all-bountiful hand of nature, I do not doubt, has at the +same time scattered the seeds of good and of evil. The fertilizing showers +fall to irrigate the soil, and produce food and nourishment to man; here +and there is the reeking morass "feeding unnatural vegetation," and if man +takes up his abode in its vicinity, the rains which made it unhealthy, have +also made it highly fertile; by labour and cultivation he may convert the +mephitic bog into a waving corn-field, and the seeds of life and sustenance +be made to supplant the seeds of death and corruption. + +It is generally believed, that where there are particular and specific +diseases, there also may be found appropriate and specific remedies; the +discoveries of chemistry, it is not improbable, may in some respects have +retarded the progress of natural medicine. In the early ages of the world, +the "healing plant" must have formed the staple of medical commerce, for +though Tubal Cain[73] has been considered as the first surgical instrument +maker, because he was the first artificer in brass and iron, we have not +discovered that chemical compounds entered into the composition of physic, +till very {186} many years after his time. To the alchemists we owe the +science of chemistry, and much of the physic of the present day may be +traced to them. The multiplicity of ingredients which at one time entered +into the composition of one dose of physic could only be spoken of under +the title of "legion." Who shall specify the active and curative ingredient +(if there be one), when from five to a hundred may have been exhibited at +the same time? It has been the pride of our physicians, that the +pharmacopoeia has been simplified; it has not reached its most simple form +yet. That many simple plants have specific and wonderful power over +disease, is an indubitable fact, but I firmly believe that the laudable, +though mistaken efforts of physicians to improve their effect by various +combinations, have been the means of throwing many valuable medicines into +oblivion; I must also add, that cheap physic and adulterations have had no +small share too in the banishment of much valuable physic from ordinary +practice. It has been believed, and I think with much reason, that a +thorough search into the qualities of plants, would shew that "they are +capable of affording not only great relief, but also effectual and specific +remedies." "That they are not already found, is rather an argument that we +have not been sufficiently inquisitive, than that there are no such plants +endued with these virtues." + +Of the result obtained by medical treatment, in cases of epidemic or +infectious disease, it is most {187} difficult to speak, but as my province +here is only to shew that living germs are the morbific agents, I have but +to refer to such remedies as have been most extolled in controlling these +affections. The disinfectants have already been mentioned in a cursory +manner. An enumeration only of simple medicines used during the late +Epidemic, shall conclude this work, as the treatment in former times could +not by any possibility furnish satisfactory information. Aromatics and +fragrant stimulants have in all times taken the foremost rank with acids, +such as vinegar, lime and lemon juice. Mr. Guthrie's adoption of lemon +juice in preference to bark, which he said made him worse while suffering +from an attack of fever, during the Peninsular campaign, and his speedy +recovery from the disease, though not from its effects, shews, when many +others can bear equal testimony to its value, that such a remedy though +simple is not to be despised. + +But to the late Epidemic. Dr. Stevens' saline treatment, appears, on the +whole, to have been the most successful. Common salt was used both +medically and dietetically, and formed the greatest bulk of the medicine +employed. Chlorate of potash and carbonate of soda were added to the +medicine. + +The nitro-hydrochloric acid was used with success at St. Thomas's Hospital. + +Dr. Copland used chlorate of potash, bicarb. soda, hydrochloric, ether, and +camphor water. + +Dr. Ayre's calomel treatment had as many, if {188} not more, opponents than +advocates. Phosphorus had several advocates. + +Creasote and camphor were lauded by some. The beneficial operation of all +these remedies might be explained on the theory here supposed, that living +germs are the cause of Epidemic disease, but the specific action of any one +remedy has not yet had sufficient attention or trial to enable me to make +any deductions of a satisfactory or conclusive nature. + +In the uncertainty which generally prevailed as to the best method of +treating Cholera patients, I was induced (for reasons stated in a pamphlet +published last year) to try the efficacy of sulphur, which had been +extolled as a specific. In its effects I was not disappointed; but as the +results are already before the public, I need not do more than refer to it +among other remedies. + +I did not contemplate even alluding to this subject, as it would extend far +beyond my intended limits. This portion of the enquiry would be more +properly carried out by keeping records of cases, treated in accordance +with the view attempted to be established, and I have not the slightest +hesitation in saying, that the most ample success would ultimately attend a +well directed practice, based upon the principles inculcated in these +pages. + + * * * * * + + +{189} + +CONCLUSION. + +In making the foregoing sketch, I have attempted to put together some ideas +on a subject, which has for the last few years been a theme for meditation +in leisure hours, viz. What are the causes of Epidemic, Endemic, and +Infectious Diseases? The occurrence of Epidemic Cholera last year in this +country, awakened a spirit of enquiry. Where there is unrest, whatever may +be the cause, there also is disquiet and discontent. When the oracles of +the age were consulted in the emergency, the discordant answers perplexed +and confused the anxious searcher after truth. In the spring of last year, +when the enemy was approaching, unseen and unheard, and the thousands of +unconscious victims, who are now lying in their graves, were faithfully +trusting and fully relying on the heads of our profession, and the +resources of our art, what was the state of our defences, and what the +nature or character of our resistance? One considerable body of men would +discharge from a little tube of glass, a host of almost invisible globular +atoms of sugar, said to be as potent and inscrutably operative as the +unseen enemy. These infinitesimal practitioners assured the people that +they "_had powerful means of subduing the disease_," {190} but even they +differed among themselves, though they carried out to the fullest extent +the doctrine of their leader, _similia similibus_, which we may suppose to +refer in this case to the minuteness of the opposing armamenta. Without, +however, agreeing with this school, I may quote a passage from Dr. Curie, +which is, alas! too true: "We have shewn, as they must (allopathists), and +many of them do acknowledge, that they have no fixed basis, no natural law +upon which their treatment rests." + +Who can deny the force of this observation? Sheltered by a principle, it +matters not how fallacious, a man is placed as behind a barrier. If with +any reason it could be shewn that the infinitesimal doses, could by no +possibility effect a cure in Cholera; if it could be demonstrated by any +line of argument, that a poison, a living poison, circulates with the +blood, or lodges in the tissues, the homæopathist must fall; his +"electricity and mineral magnetism," and "_powerful concentration of life +power towards the digestive canal_," will stand for what they are worth. +That minute doses of medicine can exert an active influence over the body +is not to be denied, but these must consist of powerful drugs, as arnica, +aconite, and nux vomica, with others, and it is more than probable, that of +such medicines, an inconceivably small amount may produce a specific effect +upon some portion of the organic nervous system. + +How is it that a dose of nitre or digitalis, "can {191} convert +cheerfulness into low spirits," or a grain of red sulphuret of antimony, +"excite warmth and lively spirits?"[74] + +Why should indigo dyers become melancholy, and scarlet dyers choleric?[75] +We do not know. But there is one thing we most certainly do know, that a +poison may be disarmed by an antidote, and the amount of the latter must be +in proportion to that of the former, and as epidemic and contagious +diseases do most unquestionably depend upon poisons of a specific nature, +and of great amount and activity, an infinitesimal remedy, however it may +claim to direct and control the organic forces, under slight and ordinary +disturbances, can be no more effectual in destroying the poison of fever, +or small pox, than in neutralizing arsenic or prussic acid. + +The uncertainty which generally prevails as to the treatment of Epidemic +diseases, Fevers, &c. induced me to put together the notions which are +contained in these pages, in the hope of leading to some definite ideas of +the causes of these affections, and consequently to a more uniform and +scientific mode of treating them. + +I have endeavoured to shew that reproduction is a phenomenon inseparable +from morbific matter, and that in all probability the vegetable kingdom is +the source of the germs. + +{192} + +The train of argument adopted is such as appeared to me most natural for +such an enquiry, and it rests now only with those who are capable of +deciding whether such a course, though (I am sensibly aware) not without +many faults in conception and execution, is calculated to advance the +science of medicine and the interests of mankind. + +The real tree of knowledge, possesses in the spongioles of its roots, an +elective property, by which truth alone can enter; nourished and sustained +by this, it sends a fragrant incense and breathing odour on high, and +dispels the mists of ignorance and superstition. In natural causes and +reasonable deductions we must seek for instruction and solid information, +for in over-straining either nature or art, deformity and error must +inevitably be the result. + +THE END. + +NORMAN AND SKEEN, PRINTERS, MAIDEN LANE, COVENT GARDEN. + + * * * * * + + +NOTES + +[1] "It matters little how vague and false hypotheses may appear at first: +experiment will gradually reduce and correct them, and all that is +required, is industry to elaborate the proof, and impartiality to secure it +from distortion."--_Sewell_ "On the Cultivation of the Intellect." + +[2] It is stated by Mr. Crosse, of Norwich, that vaccination was adopted in +Denmark, and made compulsory in 1800. After the year 1808 Small Pox no +longer existed there, and was a thing totally unknown; whereas during the +twelve years preceding the introduction of the preventive disease, 5,500 +persons died of the Small Pox in Copenhagen alone.--_Dr. Watson's +Lectures._ + +Dr. Blick, an intelligent Danish physician, corroborated the above +statement to Dr. Watson himself in the year 1838. + +[3] Philosophy of Life, Lecture 6, translated by the Rev. A. J. W. +Morrison, M.A. + +[4] The following I quote from Dr. Fuller on Small Pox and Measles:-- + +"To this purpose some (and particularly Kircherus) are of opinion that +animalcules have been the causes of malignant and pestilential fevers in +epidemic times, which differ in essence and symptoms, according to the +nature and venoms of those creatures. + +"Thus the atmosphere and air is filled both from above and beneath with +innumerable millions of millions of species or corpuscles, aporrhoeas, +steams, vapours, fumes, dust, little insects, &c. all which make it such a +wonderful chaotic compost of things that contains the _seeds_ of good and +evil to man as surpasseth the understanding (as I suppose) of even the +highest order of archangels." + +[5] I learn from an undoubted authority that the cow when "slack of health" +eats with avidity the "field parsley;" the sheep under similar +circumstances seeks the ivy, and the goat the plantain. + +From an equally good source I have the following: that rabbits and hares, +when they are what is commonly called _pot-gutted_, seek the green broom, +though at a distance of _twenty miles_. + +[6] "My settled opinion is, that in regard every effect is necessarily such +as its cause; it must needs be that every sort of venomous fevers is +produced by its proper and peculiar species of virus. + +"And that the manner and symptoms of every such fever is not so much from +the particular constitution of the sick; as from the different nature and +genius of their specific venom which caused them. + +"And I conceive that venomous febrile matters differ not in degree of +intenseness only, but in essence and _toto genere_ also; and that venomous +fevers are for the most part contagious."--_Thomas Fuller, M. D. 1730._ +"Another important class of organic poisons are those which when introduced +in almost inappreciable quantities into the system, seem to increase in +quantity; and which when communicated in the same inappreciable quantity +from the individual poisoned to one who is healthy, excite the same series +of febrile phenomena and local inflammation, and the same increase in the +quantity of the poisonous agent."--_Med. Chir. Review._ + +"This unseen influence working in the body, presents very striking +analogies to the modes of operation of different poisons."--_Dr. Ormerod on +Continued Fever._ + +[7] I am aware that the vesicle does not here strictly bear the relation to +the original germ, supposing one active particle alone to be sufficient for +its production, that the egg does to the bird, for in the former case +multitudes of active particles may have been generated from one. I have, +therefore, merely used this expression to signify an aggregation of vital +forces, such as may be imagined to exist in the bird. + +[8] "At an early period the form of the ovisacs is usually elliptical, and +their size extremely minute,--their long diameter measuring in the ox no +more than 1/562 of an inch, so that a cubic inch would contain nearly two +hundred millions of them. They are _at this time_ quite distinct from the +_stroma_ of the ovarium; this forms a cavity in which they are loosely +embedded." + +[9] Coleridge, p. 56. + +[10] "All vegetables," says Sharon Turner, "from that pettiness which +escapes our natural sight, to that magnitude which we feel to be gigantic, +have these properties in common with all animals--organization; an interior +power of progressive growth, a principle of life, with many phenomena that +resemble irritability, excitability, and susceptibility, and a +self-reproductive and multiplying faculty."--_Sharon Turner's Sacred +History._ + +[11] "Plants highly sensitive to light are those of the leguminous, or Pea +kind. They always close up in the evening and clasp their two upper +surfaces together, presenting only their backs to the air. Plants of +pinnated leaves, as the Tansy, are more sensible than these to the effects +of light. They fold up when light is too strong, as in Robinia; it produces +the same effect as want of light. Its leaves close up, apparently, because +they are receiving too much. So they do if a hot iron be brought near them. +They contract as if to avoid the heat. Sensitive plants, and those of the +Oxalis Lent. are so sensitive that the least motion, even a breath of air, +will make them close."--_Sir J. Smith._ + +"The vitality of plants seems to depend upon the existence of an +irritability, which although far inferior to that of animals, is +nevertheless of an analogous character."--_Lindley's Introduction to +Botany._ + +[12] Provincial Medical and Surgical Journal. July 10th, 1850. No. xiv. p. +367. "Practical Observations on the Vaccination Question." By E. Oke +Spooner, M. R. C. S., Blandford. + +"If we examine the Cow Pox and the Small Pox microscopically, as I have +done very carefully in every stage, we find that the essential character +consists of a number of minute cells, not exceeding the 10,000th part of an +inch in diameter, being about one-fourth smaller than the globules of the +blood, containing _within their circumference many still more minute +nuclei, and presenting_ beyond their circumference bud-like cells of the +same size and character as those contained within the circle. They exactly +resemble in everything except the size, the globules of the yeast plant, +the Torula Cerevesiæ. Now if we examine more circumstantially the analogies +of what I would call the Torula Variolæ with the Torula Cerevesiæ, we +observe the following corresponding facts. + +"What do we accomplish by inoculation as it is called? Simply this. We take +on the top of a lancet, or an ivory point, a few of these minute cells or +germs, and we put them _in their appropriate nidus_, the subcuticular +tissue, where, after a few days if they find their appropriate nutrient +elements, they grow and multiply." + +Simon, Chemistry of Man, vol. i. p. 127. "Macgregor ascertained that the +air expired by persons ill of confluent Small Pox, contained as much as +_eight_ per cent of carbonic acid, and in proportion as health was restored +the percentage was diminished to its natural standard." Carbonic acid is +also produced during the process of fermentation and germination. + +[13] See History of the Jews, p. 71. + +[14] It is said by Whewell, that the murrain is supposed to have fallen +only on the animals which were in the open pasture.--_History of the Jews._ + +"J. S. Michael Leger, published at Vienna, in 1775, a treatise concerning +the mildew as the principal cause of the epidemic disease among cattle. The +mildew is that which _burns_ and _dries_ the grass and leaves. It is +observed early in the morning, particularly after _thunder-storms_. Its +poisonous quality, which does not last above twenty-four hours, never +operates but when it is swallowed immediately after its +falling."--_Mitchell on Fevers._ + +[15] "The prevalence of the south-east wind was observed to be particularly +favourable to the increase of both cholera and influenza: and I cannot but +think that this had some connexion with the general tendency exhibited by +the former to spread from east to west. Has the morbific property of this +wind aught to do with the haziness of the air when it prevails--a haziness +seen in the country remote from smoke, and quite distinct from fog? What is +this haze? In the west of England a hazy day in spring is called a +_blight_."--_Dr. Williams' Principles of Medicine._ + +[16] We are to understand also that some peculiar operation took place of a +nature difficult to comprehend, which seems also to typify reproduction, +for the handfuls of ashes which Moses threw into the air _became a dust in +all the land of Egypt_, thus signifying an enormous reproduction of atomic +matter. + +[17] The Chinese affect to trace the origin of Small Pox back to a period +of at least 3000 years, or 20 years beyond the era of the Trojan war, 1212, +A. C. + +The Chinese pretend to discriminate no less than 40 different species of +Small Pox. + +"They also pretend to discover whether a person has died by violence or +from natural causes, not only after the body has been some time interred +and decomposition of the softer parts has commenced, but even after the +total disappearance of the soft parts, and when the dry skeleton alone is +left."--For the process, see _Hamilton's History of Medicine_, vol. i. p. +31. + +To give some notion of the state of Medical Science among the Chinese, I +may quote the following: "The theory of the circulation of the blood, Du +Halde affirms, was known by the Chinese about 400 years after the deluge; +be this assertion veracious or not, no correct knowledge up to the present +day, do the nation possess of the circulating system of the human +frame."--_China and the Chinese, Henry Charles Sirr, M. A._ + +According to their anatomy, the trachea extends from the larynx through the +lungs to the heart, whilst the oesophagus goes over them to the stomach. + +[18] "And Aaron took as Moses commanded, and ran into the midst of the +congregation: and behold the plague was begun among the people; and he put +on incense and made an atonement for the people. And he stood between the +dead and the living, and the plague was stayed."--_Numbers._ + +The practice of burning scented herbs has been observed in all times during +an invasion of the plague, as a means of protection. Also wearing perfumes +and aromatic preparations has been recommended. Whether they have any +counteracting influence, it is impossible to say. + +Virgil in the third Georgic speaks of a murrain among cattle. He says, if +any wore a vestment made of wool from an infected sheep, fiery blains and +filthy sweat overspread his body, and ere long a pestilential fire preyed +upon his infected limbs. + +In his directions for preserving the health of flocks he says-- + + "Disce et odoratam stabulis accendere cedrum." + +The motive for burning the fragrant cedar is not mentioned; we cannot doubt +but it was a good one, and having some great practical utility, from the +following line-- + + "Galbaneoque agitare graves nidore chelydros." + +[19] The earliest mention of this complaint upon which reliance can be +placed, is an ancient Arabic MS. preserved in the public library at Leyden. +"This year, in fine, the Small Pox and Measles made their first appearance +in Arabia." The year alluded to being that of the birth of Mahomet, or the +year 572 of the Christian æra.--_Hamilton's History of Medicine_, vol. i. +p. 215. + +[20] Dr. W. A. Greenhill's translation. + +[21] The Black Assize at Oxford, 1572, is an instance in which a +pestilential vapour suddenly appeared in the court, "whereby the judge, +several noblemen, and more than 300 others, died within three days." + +"Of an unaccountable vapour suddenly coming, I have this relation from +Richard Humphrey, my neighbour, and a man of veracity, that on Wednesday, +April 27, 1727, as he and one Walter, were travelling a-foot from +Canterbury; when they came to Rainham, they were assaulted with such a +strong loathsome stink, as he thought was like the stench from a corrupted +human corpse. They were so offended at it, as thinking it was from carrion +in that town, that they would not stay there to rest and refresh +themselves, but travelled on for about two hours, mostly in the stench, but +sometimes out of it, till they came to the hill that leads down to Chatham: +and there they went clear out of it and smelt it no more."--_Dr. Fuller_. + +It appears that these persons did not fall sick of any disease, but the +fact of itself is remarkable enough. + +[22] Hamilton's History of Medicine. + +[23] It has been said, that "an induction once carefully drawn, is as +perfect from a single instance as it is from ten thousand, and that it is +only an uncultivated mind which requires a load and accumulation of +knowledge to assist his thoughts."--_Sewell_ "on the Cultivation of the +Intellect." + +[24] See Dr. Alison's Pamphlet on the Fever in Edinburgh. + +[25] Earthquakes have in all times been considered to have some connexion +with pestilences. "A most grievous pestilence broke out in Seleucia, which +from thence to Parthia, Greece, and Italy, spread itself through a great +part of the world, from the opening of an ancient vault in the temple of +Apollo, and that it raged with so much fury as to sweep away a third part +of the inhabitants of those countries it visited."--_Dr. Quincy, on the +Causes of Pestilential Disease._ + +"Upon an earthquake the earth sends forth noisome vapours which infect the +air; so it was observed to be at Hull in Yorkshire, by the Rev. Mr. Banks, +of that place, after a small earthquake there in 1703, it was a most sickly +time for a considerable while afterwards, and the greatest mortality that +had been known for fifteen years."--_Anonymous_, 1769. + +[26] See Sharon Turner's Sacred History, text and notes, vol. i. p. 161 & +162. + +[27] + + "Each seed includes a plant; that plant, again, + Has other seeds, which other plants contain, + Those other plants have all their seeds; and those + More plants, again, successively enclose. + Thus ev'ry single berry that we find, + Has really in itself whole forests of its kind. + Empire and wealth one acorn may dispense, + By fleets to sail a thousand ages hence; + Each myrtle-seed includes a thousand groves, + Where future bards may warble forth their loves." + +[28] "On June 5th, 1849, a man and his son, a lad aged 14 years, left Noss +to fish, and when five miles out at sea, no vessel being in sight, they +both simultaneously became aware of a hot _offensive_ stream of air passing +over them. It was so decided, that the crab pots were examined to discover +if it were from them, but it did not, and five minutes after the father's +attention was directed to the boy, who was vomiting and purging."--_Dr. Roe +on the Cholera at Plymouth, Med. Gaz. Aug. 24th, 1850._ + +[29] Linnæus remarked that Erigeron Canadense was introduced into gardens +near Paris from North America. The seeds had been carried by the wind, and +this plant was in the course of a century spread over all France, Italy, +Sicily and Belgium. + +[30] Hecker. + +[31] This is found most generally to be the case where rivers flow through +uncultivated tracts of country. The Californian emigrants suffer much from +diarrhoea and dysentery, if they drink of the river and certain well waters +of that gold district. + +[32] "Purification from leprosy. As this fearful disease was contagious and +hereditary to the third and fourth generation, the separation of lepers +from the camp and congregation, and the destruction of infected houses and +clothes, was of the utmost importance to the preservation of public health. + +"Leprosy was of three kinds: 1st, Leprosy in man. 2nd, Leprosy in houses. +3rd, Leprosy in clothes. + +"Contagious or malignant leprosy was of two kinds, viz. + +"1st. The white leprosy, or bright berat, which was the most serious and +obstinate form which leprosy assumes. It exhibited itself as a bright white +and spreading scale, on an elevated base; turning the hair white in +patches, which were continually spreading. + +"2nd. The black leprosy, or dusky berat, which was less serious than the +foregoing. It did not change the colour of the hair, nor was there any +depression in the dusky spot; but the patches were perpetually spreading, +as in the white leprosy."--_Analysis and Summary of Old Testament History._ +_Oxford._ + +[33] The Mexican Aloe blows when nine years old, and then dies. At least +this is its usual course in the island of Cuba. + +[34] "Ground that has not been disturbed for some hundred years, on being +ploughed, has frequently surprised the cultivator by the appearance of +plants which he never sowed, and often which were then unknown to the +country. The principle has been ascertained to be capable of existing in +this latent state for above 2000 years, unextinguished, and springing again +into active vegetation, as soon as planted in a congenial soil. + +"In boring for water near Kingston on Thames, some earth was brought up +from a depth of 360 feet, and though carefully covered with a hand-glass to +prevent the possibility of other seeds being deposited on it, was yet in a +short time covered with vegetation. + +"Turner says, from the depth, these seeds must have been of the diluvian +age."--_Jesse's Gleanings._ + +[35] Hamilton's History of Medicine, vol. ii. p. 276, note. + +[36] "What I wish you to remark is this, that while almost all men are +prone to take the disorder, large portions of the world have remained for +centuries entirely exempt from it, until at length it was imported, and +that then it infallibly diffused and established itself in those +parts."--_Dr. Watson on the Principles and Practice of Physic._ + +Dr. R. Williams says, "The seeds of intermittent fever lay dormant for +months, it was not at all uncommon for cases of intermittent fever to be +brought into the hospital eight or ten months after the patients had +subjected themselves to the influence of paludal or marsh effluvia." + +[37] I have observed in the hot-houses, that many of the exotic plants, +which are in company with the diseased vines, have been attacked, while +others again have been entirely free. + +[38] By causes of the greatest variety plants may become extinct for a +time. It is not very easy to trace them, but one fact may be mentioned in +proof of the statement. Dr. Prichard states that vast forests are destroyed +either for the purpose of tillage or accidentally by conflagrations. "The +same trees do not reappear in the same spots, but they have successors, +which seem regularly to take their place. Thus the pine forests of North +America when burnt, afford room to forests of oak trees." + +[39] Hecker says of Chalin de Vinario, that "he asserted boldly and with +truth, that _all epidemic diseases might become contagious, and all fevers +epidemic_,--which attentive observers of all subsequent ages have +confirmed." P. 60. + +[40] In 1539, the thirty-first year of Henry the Eighth, was great death of +burning agues and flixes; and such a drought that welles and small rivers +were dryed up, and many cattle dyed for lacke of water; the salt water +flowed above London Bridge.--_Stowe._ + +In 1556, the fourth of Mary, and the third of Philip, about this time began +the burning fevers, quarterne agues, and other strange diseases, whereof +died many.--_Stowe._ + +The next winter, 1557, the quarterne agues continued in like manner, or +more vehemently than they had done the last yere.--_Stowe._ + +[41] Every writer on the climate of Egypt has remarked, that the Endemic +Fever which is so frequent, originating on the coast, particularly about +Alexandria, becomes occasionally so virulent, that it cannot be +distinguished from the _true Plague._--_Robertson on the Atmosphere_, vol. +2. p. 384. + +"Endemial Fevers of every situation become occasionally so aggravated, that +they cannot be distinguished from such as originate from contagion; and in +every unusual virulence of this Endemic Fever, it is probable that it may +be propagated afterwards by contagion as every epidemic." _Ibid._ p. 388. + +[42] Dr. Ure. + +[43] "The metamorphosis of starch into sugar depends simply, as is proved +by analysis, on the addition of the elements of water. All the carbon of +the starch is found in the sugar; none of its elements have been separated, +and except the elements of water, no foreign element has been added to it +in this transformation."--_Liebig_, _Organic Chemistry_, p. 71. + +[44] As regards starch there appears to be some peculiar faculty regarding +it. It is converted into sugar during the ripening of fruit, and it is just +possible that being as it is of a cellular nature, the property of vitality +may attach to it until it has, by being converted into sugar, fulfilled its +destination. + +[45] Though I do not consider that the fermentation process is a fac-simile +of diseased action, yet I think its phenomena generally afford an apt +illustration of the changes which may be effected by living germs. Many +able chemists still maintain the entire dependence of fermentation upon the +Torula: "M. Blondeau propounds the view that _every kind_ of fermentation +is _caused_ by the development of fungi." + +The varieties of opinions found in the literature of this subject, forms a +curious specimen of scientific enquiry, and is sufficient alone to convince +us of its vast importance and extensive relations. + +[46] By Dr. Mantell. + +[47] Mitchell on Fevers. + +[48] We wonder, and ask ourselves: "What does SMALL mean in +Nature?"--_Schleiden's Lectures on Botany._ + +[49] Speaking of the bunt in wheat: "It appears certainly to be contagious, +from numerous experiments, which shew that the contagious principle lasts a +long time. I have tried it myself; some, however, doubt it, but it cannot +be denied, that seed sown, infected with bunt, produces plants similarly +affected; every one who has had the slightest experience must be convinced +of it."--_Essay on the Diseases of Plants._ _Count Ré._ + +[50] We have already spoken of the effects of these poisons, and have +stated that the amount of each poison capable of destroying the body is +pretty accurately known. + +[51] The italics are my own. + +[52] Gmelin says: "But the mode of action in these transformations, +sometimes admits of other explanations; and when this is not the case, our +conception of it is by no means sufficiently clear to justify the positive +assumption of this, so called contact-action or catalytic force, which, +after all, merely states the fact without explaining it"--_Gmelin's +Hand-book of Chemistry_, vol. i. p. 115. + +[53] The history and symptoms of some epidemic diseases, such as cholera +and influenza, are not inconsistent with the hypothesis that they are +caused by the sudden development of animalcules from ova in the blood. But +there is a total want of direct observation in support of this +hypothesis.--_Dr. Williams' Principles of Medicine._ + +[54] Since writing the above, I have referred for information on this +subject, and find, that the Anguillula aceti exhibits sexual distinctions; +and that the ovaries of the females are situated on each side of the +alimentary canal.--_Cyclo. Anat. and Phys. Art. Entozoa._ + +[55] Speaking of the examination of the infusory animalcules--Mr. Kirby +says: "But to us the wondrous spectacle is seen, and known only in part; +for those that still escape all our methods of assisting sight, and remain +members of the invisible world, may probably _far exceed those that we +know_."--_Bridgewater Treatise_, vol. i. p. 158. + +[56] Mr. Owen has added another class, as the first, called Protelmintha, +which comprises the cercariadæ and vibrionidæ. + +[57] "It is probable that in the waters of our globe an infinity of animal +and vegetable molecules are suspended, that are too minute to form the food +of even the lowest and minute animals of the visible creation: and +therefore an infinite host of invisibles was necessary to remove them as +nuisances."--_Bridgewater Treatise_, vol. i. p. 159. + +"When Creative Wisdom covered the earth with plants, and peopled it with +animals, He laid the foundations of the vegetable and animal kingdoms with +such as were most easily convertible into nutriment for the tribes +immediately above them. The first plants, and the first animals, are +scarcely more than animated molecules,* and appear analogues of each other; +and those above them in each kingdom represent jointed +fibrils."+--_Bridgewater Treatise_, vol. i. p. 162. + +* Globulina and Monus. + Oscillatoria and Vibrio. + +[58] "A treatise which should present a systematic arrangement of all the +diseases of plants, giving in detail the exact history of each, and adding +the means of preventing and curing them, would certainly be of the greatest +utility to agriculture." --_Essay on the Diseases of Plants, Count Philippo +Ré, translated into Gardener's Chron._ + +[59] "Plenck published a treatise on Vegetable Pathology, in which he +divided diseases into eight classes: 1. External injuries; 2. Flux of +juices; 3. Debility; 4. Cachexies; 5. Putrefactions; 6. Excrescences; 7. +Monstrosities; and 8. Sterility. And he concludes with an enumeration of +the animals which injure plants."--_Essay on the Diseases of Plants, +Gardener's Chronicle._ + +[60] The Bunt. "This disease appears at the moment of the germination of +the plant. The affected individuals are of a dark green, and the stem is +discoloured. As the ears are issuing from the sheaths, their stalks are of +a dark green, but very slender. When the ear has fully grown out, its dull, +dirty colour, causes it to be immediately distinguished from the healthy +ones, and it soon turns white."--_Essay on the Diseases of Plants._ + +[61] _Vidi_ understood. + +[62] "At the close of the year 1665," says Dr. Hodges, "even women, before +deemed barren, were said to prove prolific." + +"After the cessation of the Black Plague, a greater fecundity in women was +every where remarkable--a grand phenomenon, which from its occurrence after +every destructive pestilence proves to conviction, if any occurrence can do +so, the prevalence of a higher power in the direction of general organic +life. Marriages were almost without exception prolific; and double and +treble births were more frequent than at other times."--_Hecker_, p. 31. + +[63] It is stated that on the decline of the Plague, 1665, those who +returned early to London, or new comers, were certain to be attacked. In +proof of this the 1st week of November, the deaths increased 400, and +"physicians reported that above 3000 fell sick that week, mostly new +comers." + +See also Dr. Copland's Dict. Pract. Med. Epidemic and Endemic Diseases. + +"The hardy mountaineer is a surer victim of paludal fever, whether he +visits the low countries of the tropics, or the marshes of a more temperate +climate, than the feebler native of those countries."--_Dr. R. Williams on +Morbid Poisons._ + +[64] "Substances presented to the gastro-intestinal surfaces, are mixed up +with various secretions, mucus, saliva, gastric juice, bile, pancreatic +liquor, and special exudations from the peculiar glands of each successive +section, while aerial poisons, unmixed and unfettered, are applied at once +to a surface on which, behind scarcely a shadow of a film, circulates the +blood prepared, by the habitual action of the respiratory function, to +absorb almost every vapour, and every odour, which may not be too +irritating to pass the gates of the _glottis_."--_Mitchell on Fevers._ + +[65] Hecker on the "Black Death." + +[66] The stomach in some cases is no doubt the medium by which some +diseases are contracted. It is well known, that in many places the water +induces diarrhoea, the permanent residents, however, may not suffer, but +all new comers are more or less affected by drinking it. + +[67] "Similar effects have been experienced from the use of mouldy +provisions."--_Dr. Lindley's Vegetable Kingdom._ + +[68] "Untold numbers die of the diseases produced by scanty and +_unwholesome food_."--_Southey._ + +A large, nay, a most extensive adulteration of flour with plaster of Paris +was detected not many years since. The flour was supplied by a contractor +for the manufacture of biscuits for the navy. + +[69] See Southey's Doctor, vol. ii. interchapter vi. p. 115, for an +illustration of this subject. + +[70] Both these patients died. + +[71] "A good part of the clove trees which grew so plentifully in the +island of Ternate, being felled at the solicitation of the Dutch, in order +to heighten the price of that fruit, such a change ensued in the air, _as +shewed the salutary effect of the effluvia of clove trees and their +blossoms; the whole island, soon after they were cut down, becoming +exceeding sickly_." + +[72] The observation is originally taken from the City Remembrancer, 133. + +[73] See Hamilton's History of Medicine, vol. i. p. 4. + +[74] Feuchtersleben's Medical Psychology, p. 176, 177. + +[75] Ibid. p. 321. + + * * * * * + + +CHANGES MADE AGAINST PRINTED ORIGINAL. + +Page 136. "the idea of Protophyta, or first plants": 'Prolophyta' in +original. + +Page 140. "an extensive bearing of each individual part": 'indivdual' in +original. + + + + + + +End of the Project Gutenberg EBook of Epidemics Examined and Explained: or, +Living Germs Proved by Analogy to be a Source of Disease, by John Grove + +*** END OF THIS PROJECT GUTENBERG EBOOK EPIDEMICS EXAMINED *** + +***** This file should be named 34603-8.txt or 34603-8.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/3/4/6/0/34603/ + +Produced by Bryan Ness, Keith Edkins and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Epidemics Examined and Explained: or, Living Germs Proved by Analogy to be a Source of Disease + +Author: John Grove + +Release Date: December 9, 2010 [EBook #34603] + +Language: English + +Character set encoding: ISO-8859-1 + +*** START OF THIS PROJECT GUTENBERG EBOOK EPIDEMICS EXAMINED *** + + + + +Produced by Bryan Ness, Keith Edkins and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + + + + + +</pre> + + +<table border="0" cellpadding="10" style="background-color: #ccccff;"> +<tr> +<td style="width:25%; vertical-align:top"> +Transcriber's note: +</td> +<td> +A few typographical errors have been corrected. They +appear in the text <span class="correction" title="explanation will pop up">like this</span>, and the +explanation will appear when the mouse pointer is moved over the marked +passage.<br /><br /> + +</td> +</tr> +</table> + +<h1>EPIDEMICS</h1> + +<h3>EXAMINED AND EXPLAINED:</h3> + +<p class="cenhead">OR,</p> + +<h2>LIVING GERMS</h2> + +<p class="cenhead">PROVED BY ANALOGY TO BE</p> + +<h2>A SOURCE OF DISEASE.</h2> + +<p class="cenhead">BY</p> + +<h2>JOHN GROVE, M.R.C.S.L.</h2> + +<p class="cenhead">AUTHOR OF "SULPHUR AS A REMEDY IN EPIDEMIC CHOLERA."</p> + +<h3>LONDON:</h3> + +<h3>JAMES RIDGWAY, PICCADILLY.</h3> + +<h3>MDCCCL.</h3> + +<hr class="full" /> + +<blockquote class="b1n"> + + <p>"The tendencies of the mind, the turn of thought of whole ages, have + frequently depended on prevailing diseases; for nothing exercises a more + potent influence over man, either in disposing him to calmness and + submission, or in kindling in him the wildest passions, than the + proximity of inevitable and universal danger."—<i>Hecker's + Epidemics of the Middle Ages.</i></p> + +</blockquote> + +<blockquote class="b1n"> + + <p>"The grand field of investigation lies immediately before us; we are + trampling every hour upon things which to the ignorant seem nothing but + dirt, but to the curious are precious as gold."—<i>Sewell on the + Cultivation of the Intellect.</i></p> + +</blockquote> + +<hr class="full" /> + +<h3>TO</h3> + +<h2>BENJAMIN GUY BABINGTON, F.R.S., M.D.,</h2> + +<h3>PHYSICIAN TO GUY'S HOSPITAL,</h3> + +<p class="cenhead">AND</p> + +<h3>PRESIDENT OF THE EPIDEMIOLOGICAL SOCIETY,</h3> + +<p class="cenhead">ETC. ETC.</p> + +<h3>THESE PAGES ARE, BY HIS KIND PERMISSION,</h3> + +<h2>Respectfully Dedicated,</h2> + +<h3>BY HIS OBLIGED AND FAITHFUL SERVANT,</h3> + +<h2>THE AUTHOR.</h2> + +<hr class="full" /> + +<p><!-- Page v --><span class="pagenum"><a name="pagev"></a>{v}</span></p> + +<h3>PREFACE.</h3> + + <p>The following pages have been written with a view to render some aid + in establishing a sound and firm basis for future research, on that + absorbing topic, the Causes and Nature of Epidemic Diseases.</p> + + <p>The amount of information already published on Fevers, on the + Exanthemata, and on the Plague, is truly astonishing, and the more so + when it is considered, that at present no rational account or explanation + is given of the causes of these affections.</p> + + <p>It appears to me but reasonable to suppose that as every thing on this + earth has been created on a wise and unerring principle, Epidemic and + Infectious Diseases are only indicative of some serious errors in our + social arrangements and habits. The dangers and misery brought upon us by + disease, may, as shewn by Dr. Spurzheim and Mr. Combe, be warnings + against the infringement of the natural laws.</p> + + <p>Indeed, what is more rational than to suppose that the Seeds of + Disease are coeval with the fall of man. His first disobedience <!-- Page + vi --><span class="pagenum"><a name="pagevi"></a>{vi}</span>brought + death:—that his subsequent errors should hasten its approaches is + not to be marvelled at. The undetected murderer, though he may escape the + punishment human justice would inflict upon him for his delinquency, + suffers a penalty in the tortures of conscience, infinitely more + horrifying than the most ignominious death. The law of nature is + triumphant.</p> + + <p>No less certain, though after a different manner, are the consequences + of minor forms of disobedience. It is so ordained, that certain diseases + shall arise, under peculiar conditions, which may have been brought about + by a train of causes, easily imagined, and difficult to be explained, but + all having their origin in the vices and errors of man in his moral and + social relations.</p> + + <p>If man neglects the cultivation of the ground; with rank vegetation, + the germs of fever will invisibly grow and multiply; if he harbours that + which is rotten and corrupt, he is himself consumed by those agents + destined to remove the rottenness and corruption; it is a part of the law + of nature that there should be active and energetic agents for this + purpose. The seeds of disease, like the seeds of plants, may be shewn to + have <!-- Page vii --><span class="pagenum"><a + name="pagevii"></a>{vii}</span>their indigenous localities; like them + they may be spread and multiplied; like them they may lie dormant, and + after awhile spring as it were into active existence; like them, when the + soil and other conditions favour, they are ever ready to make their + appearance. And this is the law, the germs of all disease exist, and have + existed. Despise the dictates of nature, be careless of yourself and + those around you, neglect to use the means which a noble intelligence has + placed at your command, and above all, transgress the laws of God, then + will disease pursue and attend you, as the conscience of the murderer + pursues and attends him until he is finally cut off.</p> + + <p>His wants and necessities, his sufferings and privations, are the + basis of the intellectual progress of man. The wonders of Omnipotence are + revealed through the whirlwind, the storm, the pestilence, and the + famine.</p> + + <p>The constructive and perceptive faculties of man have been developed + by the necessity of protecting himself from injury by winds and rains; + his intellectual faculties have been cultivated, by the sufferings of + disease having led him to the study of <!-- Page viii --><span + class="pagenum"><a name="pageviii"></a>{viii}</span>organization and + life, to discover the cause,—and to chemistry, and other sciences + for the cure of his ailments.</p> + + <p>Famine and distress have aroused his emotions, and softened down his + asperities, so that what appears at first to be the infliction of a Curse + without Pity, is in reality a Judgment with Mercy.</p> + + <p>It occurred to me, that on the formation of the Epidemiological + Society, the first question for consideration should be, What is the + nature of those agents, which induce Epidemic Diseases? are they composed + of animate or inanimate matter? In other words, do the manifestations of + these diseases exhibit the operations of living or of chemical + forces.</p> + + <p>Having, in my study, dwelt on the subject with an earnest desire to + find the truth, I put the suggestion, with my ideas, before the public to + reject or receive them. If they be rejected, I can but think a full + discussion of the enquiry will lead to the most important results. If + they be received with favour, I doubt not others, with more ability, will + take up the strain and resolve the discords into harmony.</p> + + <div class="poem"> + <div class="stanza"> + <p>J. G.</p> + </div> + + <div class="stanza"> + <p><i>Wandsworth, September, 1850.</i></p> + </div> + </div> + +<p><!-- Page ix --><span class="pagenum"><a name="pageix"></a>{ix}</span></p> + +<h3>CONTENTS.</h3> + +<table class="nobctr" summary="Contents" title="Contents"> +<tr><td class="hspcsingle"> </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> PAGE</td></tr> +<tr><td class="hspcsingle"> <span class="sc">Introduction</span> </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page1">1</a></td></tr> + +<tr><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> CHAPTER I.</td></tr> + +<tr><td class="hspcsingle"> IS IT PROBABLE THAT EPIDEMIC, ENDEMIC, AND INFECTIOUS DISEASES,<br /> +DEPEND UPON VITAL GERMS FOR THEIR MANIFESTATIONS? </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page11">11</a></td></tr> + +<tr><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> CHAPTER II.</td></tr> + +<tr><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> THE NUMBER AND VALUE OF FACTS TO SUPPORT +THE PROPOSITION.</td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section I.</span>—On Reproduction </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page22">22</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section II.</span>—Historical Notice of Epidemic Diseases</td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page34">34</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section III.</span>—The Dispersion of Plants and Diseases</td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page64">64</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section IV.</span>—The Relation between Epidemic and Endemic +Diseases </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page96">96</a></td></tr> + +<tr><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> CHAPTER III.</td></tr> + +<tr><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> THE REASONABLENESS OF THE APPLICATION OF +THE FACTS TO THE INFERENCE.</td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section I.</span>—The Chemical Theory of Epidemics untenable</td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page108">108</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section II.</span>—The Animalcular Theory of Epidemics untenable</td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page128">128</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section III.</span>—Sketch of the Physiology and Pathology of +Plants and Animals </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page138">138</a></td></tr> + +<tr><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> CHAPTER IV.</td></tr> + +<tr><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> RESULTS IN PROOF OF THE TENABLENESS OF THE +PROPOSITION.</td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section I.</span>—Observations on some of the Laws of Epidemic +Diseases </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page155">155</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section II.</span>—What is the nature of those Poisons which most +resemble the Morbid Poisons in their effects on the body?</td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page166">166</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Section III.</span>—What results do we obtain from the effects of +remedial agents, in proof of the hypothesis? </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page176">176</a></td></tr> + +<tr><td class="hspcsingle"> <span class="sc">Conclusion</span> </td><td class="hspcsingle" style="text-align:right; vertical-align:bottom"> <a href="#page189">189</a></td></tr> +</table> + +<hr class="full" /> + +<p><!-- Page 1 --><span class="pagenum"><a name="page1"></a>{1}</span></p> + +<h3>INTRODUCTION.</h3> + + <p>It is one thing for a man to convince himself, but a very different + thing to be able to convince others.</p> + + <p>I am not now speaking of a conviction arising from the impression made + by a few startling facts, nor of one forced on the mind by early + prejudices, or by the dogmas of the schools, but of a conviction arising + from careful enquiry.</p> + + <p>In the course of that enquiry, the collector of facts, sees their + relations to the idea in his mind, in a multiplicity of ways, from their + remaining, each, as one succeeds the other, an appreciable time on the + sensorium, and undergoing a certain process of comparison and relation, + with all other facts and ideas which have been previously stored up. As + the materials for an edifice which have been shaped and prepared in + accordance with the completion of the design, so do the facts and ideas + which are accumulated <!-- Page 2 --><span class="pagenum"><a + name="page2"></a>{2}</span>in the mind, become shaped and prepared for + the elimination of a truth. The ultimate design of the architect can no + more be conceived by the examination of the framework of a window, or the + capital of a column, than the whole truth of a proposition by the + examination of separate facts; the whole must be conceived and all the + relations of all the parts thoroughly understood, before the architect + can be comprehended or the harmony of his design appreciated.</p> + + <p>The process of thought in the minds of the architect, and in the + framer of a proposition, is never exactly the same as in those who + contemplate and examine their completed works. Much may be done, however, + by both to aid others in comprehending them. The more accurately they + keep in view the course their minds have taken, the more readily will + their descriptions be understood.</p> + + <p>To simplify the elements of our knowledge is to give others a ready + access to our thoughts.</p> + + <p>To arrange the course of our ideas in harmony with the elements of our + knowledge should be the end of all writing, as it is the only means of + multiplying knowledge. <!-- Page 3 --><span class="pagenum"><a + name="page3"></a>{3}</span></p> + + <p>It is not the mere accumulation of facts which constitutes science, + any more than a collection of building materials constitutes a house, it + is the arrangement and adaptation of the means to the end by which the + house becomes built and science cultivated.</p> + + <p>These reflections have been suggested by the circumstance that for the + last 3000 years and upwards, Pestilences have at certain intervals done + their work of destruction, and opened the springs of misery to untold + millions, and yet I see not that we are much further advanced as to the + knowledge of the cause of these inflictions than the Jews in the time of + Moses. In the Levitical law, as I shall have occasion more particularly + to shew hereafter, were directions specially given in reference to the + plague of leprosy; what means should be adopted for the cure of the + disease, and for preventing its extension, and moreover pointing very + significantly to certain facts having connexion with the cause of the + affection. Since that time historians generally, and medical writers in + particular, have diligently recorded their observations and accumulated + facts, on the various desolating plagues which <!-- Page 4 --><span + class="pagenum"><a name="page4"></a>{4}</span>have afflicted mankind. + Some of these men have grappled with the whole subject, and endeavoured + to shew the presumed relation of the supposed causes in all their + intricacies, but it is hardly necessary to say that all have signally + failed in their attempts to furnish us with any practical + information.</p> + + <p>Satisfied in my own mind that the whole subject is beyond the labour + of one man, and impressed with the belief that the basis of the enquiry + is in anything but a satisfactory state, I have applied myself entirely + to the study of the groundwork only, as the primary proceeding for a + solid superstructure.</p> + + <p>The days are past, when imaginary spirits, ethers, and astronomical + phenomena, were believed to have any essential influence over our + destinies in a physical point of view; we have therefore to deal with + <i>matter</i> in some form or other.</p> + + <p>The question, therefore, which I have proposed for enquiry, is, + whether the matter which causes epidemic and endemic diseases, exhibits + the properties of inorganic or organized matter.</p> + + <p>The properties and qualities of organized <!-- Page 5 --><span + class="pagenum"><a name="page5"></a>{5}</span>bodies, as well as those of + inorganic matter, need but be stated, and in some instances we may + picture to ourselves the object, without having seen it, and not be very + far from a true conception. But for this purpose a clear and definite + idea must be previously formed, and have taken possession of the mind, of + the great general divisions of objects in the material world.</p> + + <p>Having made these preliminary remarks, I have suggested a certain mode + of procedure in making enquiries of this kind, not perhaps in strict + accordance with logical systems, but on the principle of nature's + operations in our own minds, which appears to me, when reduced to a + systematic and simple form, to be sufficiently clear and strict for + synthetical application, and so concise as to be usefully and practicably + applied.</p> + + <p>In endeavouring to establish a theory for the explanation of + extraordinary phenomena, there are certain rules which should guide us in + the thorny and treacherous path of speculation. But these rules readily + flow from the train of thought, and if we examine our own minds during + their operations, we <!-- Page 6 --><span class="pagenum"><a + name="page6"></a>{6}</span>shall find that the following is the course of + our instinctive reflections. It is a course we adopt as the test of + theories when formed, and is a guide in all cases for their + construction.</p> + + <p>We first commence with an idea, which exists in our minds in the form + of a proposition: then the following rules naturally suggest + themselves:—</p> + + <p>1. The probability of the value of our proposition from inference.</p> + + <p>2. The number and value of facts to support the proposition.</p> + + <p>3. The reasonableness of the application of the facts to the + inference.</p> + + <p>4. What amount of information in the form of results can be produced + in proof of the tenableness of the proposition.<a name="NtA1" + href="#Nt1"><sup>[1]</sup></a></p> + + <p>In illustration of the value of these rules the history of Dr. + Jenner's discovery affords an appropriate example. To use the words of + Dr. Gregory, "he appears very early in <!-- Page 7 --><span + class="pagenum"><a name="page7"></a>{7}</span>life to have had his + attention fixed by a popular notion among the peasantry of + Gloucestershire, of the existence of an affection in the cow, supposed to + afford security against the Small Pox; but he was not successful in + convincing his professional brethren of the importance of the + <i>idea</i>."</p> + + <p>The popular notion of the peasantry originated the idea in Jenner's + mind, and it became fixed there as a proposition.</p> + + <p>1. He commenced his enquiry by observing that the hands of milkers on + the dairy farms were subject to an eruption, and he <i>inferred</i> that + the notion of the peasantry bore the stamp of probability, which + strengthened the idea in his mind and gave force to the proposition.</p> + + <p>2. His next step was to accumulate facts; he found on enquiry that the + persons engaged on these farms in milking, possessed an immunity from + Small Pox to an extent sufficient to strengthen the value of his + proposition.</p> + + <p>3. The reasonableness of the application of the facts to the inference + is clear from the coincidence that the eruption on the hands of the dairy + people bore a striking <!-- Page 8 --><span class="pagenum"><a + name="page8"></a>{8}</span>resemblance to the Small Pox, and as this + disease does not usually occur twice in the same individual, the + inference was most reasonable that this eruption protected the people + from Small Pox.</p> + + <p>4. We have but to take the almost universal adoption of vaccination, + and its acknowledged prophylactic powers against the propagation of Small + Pox to shew the application of our fourth rule.<a name="NtA2" + href="#Nt2"><sup>[2]</sup></a></p> + + <p>Between the conception of the idea and the accomplishment of Jenner's + designs, vaccination seems to have undergone an incubation of nearly + twenty years. During that period, with an energy and perseverance only to + be obtained by confidence, did this great man brood over and elaborate + his idea; and well might the 14th day of May, <!-- Page 9 --><span + class="pagenum"><a name="page9"></a>{9}</span>1796, be styled the birth + day of vaccination, for on that day was a child first inoculated from the + hands of a milker.</p> + + <p>In adopting the above method I have endeavoured to bear in mind M. + Quetelet's observations on the requirements necessary for medical + authorship; he says, "All reasonable men will, I think, agree on this + point, that we must inform ourselves by observation, collect + well-recorded facts, render them rigorously comparable, before seeking to + discuss them with a view of declaring their relations, and methodically + proceeding to the appreciation of causes."</p> + +<hr class="full" /> + +<p><!-- Page 10 --><span class="pagenum"><a name="page10"></a>{10}</span></p> + +<p><!-- Page 11 --><span class="pagenum"><a name="page11"></a>{11}</span></p> + +<h3>CHAPTER I.</h3> + +<p class="cenhead">IS IT PROBABLE THAT EPIDEMIC, ENDEMIC, AND +INFECTIOUS DISEASES, DEPEND UPON VITAL +GERMS FOR THEIR MANIFESTATIONS?</p> + + <p>It is, I believe, almost universally considered that Epidemic, + Endemic, and Infectious diseases, originate from some imaginary poisons + of a specific nature, each disease having its own peculiar poison. That + this conception should have taken possession of the minds of men, is most + natural from the symptoms which characterize these diseases, but when we + come to enquire into the nature of these agents, or supposed poisons, we + are at once struck with the idea that they exhibit one peculiarity which + separates them in a marked manner, from those poisons with which we are + familiar; for the poisons of Small Pox, Measles, Scarlet Fever, Hooping + Cough, Fever, &c. possess the power of multiplication, or spontaneous + increase, a property which attaches only to the organic kingdom, and is + never known in the inorganic kingdom. The source of most of the poisons + is to be found among mineral or vegetable products. A mineral in + combination with an acid or oxygen may become a poison, and <!-- Page 12 + --><span class="pagenum"><a name="page12"></a>{12}</span>nitrogen in + various combinations with oxygen, hydrogen, and carbon, or with carbon + alone, may become a poison; these combinations are, however, in most + instances the products of vegetable life, others again are obtained from + the animal kingdom, such as the poison of the serpent, &c. but in all + of these instances, there is not one in which the power of + self-multiplication is to be found.</p> + + <p>We are, therefore, constrained to admit that this feature, which + distinguishes poisons, is one well worthy attentive consideration. The + varieties of poisons may be classified into those which act topically as + escharotic poisons, those which act chemically on the blood, and those + whose effects are manifested in inducing a speedy annihilation of organic + or vital action, as in the case of hydrocyanic acid, which is supposed + specifically to affect the nervous centres from which originate the vital + manifestations. It is rather remarkable that the vital poisons (as I will + call them for distinction), seem to have their appropriate locality in + the blood, they do not primarily affect one organ more than another, all + the effects we witness resulting from them are to be traced progressively + from the blood to other parts of the body. When a person is inoculated + with small pox, a very minute portion (indeed it is impossible to say how + minute it may be) is sufficient, when absorbed, to excite a certain train + of symptoms, all due to absorption of the materies of the disease, and + the process by which <!-- Page 13 --><span class="pagenum"><a + name="page13"></a>{13}</span>that materies arrives at maturity, is that + known in the vegetable world as the fructification; this process of + fructification is a process of development and increase.</p> + + <p>I here may repeat that among all the poisons known, constituted as + they are of various combinations of elementary matter, they are without + exception destitute of the power of development or increase. Now, it is + pretty accurately known what amount of these poisons is necessary to + produce their effects on the living body; we can say how many drops are + sufficient of hydrocyanic acid of Scheeles strength, to destroy a man + instantaneously. Again, how many grains of arsenious acid are sufficient + to induce such an inflammatory condition of the stomach and intestine as + will end in death, and how many grains of morphia, will bring about a + fatal coma,—but who shall say the amount of the vital poisons + necessary to produce their results? It far exceeds the limit of + conjecture, to what extent the dilution of miasmatic or contagious matter + may be carried, and the poison yet be capable of committing in a short + time the most frightful ravages.</p> + + <p>We may fairly then infer, that if a quantity of matter inappreciable + in amount be sufficient to exhibit the characters of growth and increase, + that it is endowed with the properties of vitality. That the poisons of + scarlet fever, of measles, and of small-pox have this power of growth and + increase, is as much a matter of universal belief as that "the sun <!-- + Page 14 --><span class="pagenum"><a name="page14"></a>{14}</span>will + rise and set to-morrow, and that all living beings will die."</p> + + <p>This power of individual increase, or reproduction, is the very summit + of vital manifestation; indeed Coleridge, in his Theory of Life, (in + which he says, "I define life as the <i>principle of individuation</i>, + or the power which unites a given <i>all</i> into a whole that is + presupposed by all its parts,") places reproduction in the first rank, + and expresses his hypothesis thus: "the constituent forces of life in the + human living body are, first, the power of length or reproduction; 2nd, + the power of surface, or irritability; 3rd, the power of depth, or + sensibility—life itself is neither of these separately, but the + copula of all three."</p> + + <p>Extensive research is not required to shew that many thinking men + believe in the existence of living organic beings, as the elements of + contagious and epidemic diseases; the idea indeed seems to flow + spontaneously in that direction. Whenever thought, and enduring + contemplation, have been concentrated on the subject, the result appears + to have been the same, a firm conviction in each individual mind that a + vital force must be in operation; or as Schlegel would define it, "a + living reproductive power, capable of and designed to develope and + propagate itself."—"Its Maker originally fixed and assigned to it + the end towards which all its efforts were ultimately to be + directed."</p> + + <p>Referring further to beings having the property of reproduction and + propagation, he says, (using <!-- Page 15 --><span class="pagenum"><a + name="page15"></a>{15}</span>the word nature here evidently as the vital + principle for want of a better term,) "Nature indeed is not free like + man, but still is not a piece of dead clockwork. <i>There is life in + it.</i>"—"Thus we know that even plants sleep, and that they too as + much as animals, though after a different sort, have a true impregnation + and propagation."</p> + + <p>When Schlegel wrote this, how little could he have imagined the + intricacy of this proceeding among the lower forms of vegetation. It has + been shewn by Suminski, and verified by many others, that the mode of + impregnation, and the period at which it occurs in the ferns, do not at + all correspond to the general notion on this subject. He has discovered + in the early development of the frond of ferns certain cells, which he + denominates antheridia, or sperm cells; these contain in their cavity a + number of subordinate cells, each containing a spermatazoon. At a certain + period of the progress of the frond, the parent cells become ruptured and + liberate the spermatoza, these move about in a mucilaginous fluid, which + bedews the inferior surface of the frond, and become the means of + impregnating the germ cells, or pistillidia, with which they readily come + in contact. Thus the process of impregnation in these plants occurs + during the germination, or what corresponds to the period of germination + in the seeds of exogenous and endogenous plants.</p> + + <p>I have referred to the discovery of Suminski in <!-- Page 16 --><span + class="pagenum"><a name="page16"></a>{16}</span>this place to recal to + the mind the great and incomprehensible wonders of creation, for who + could conceive it possible or feasible that even for the impregnation of + an inferior vegetable, animal life should form an indispensable and + essential appurtenant of the process. Truly may we say with Coleridge, of + plants and insects, "so reciprocally inter-dependent and necessary are + they to each other, that we can almost as little think of vegetation + without insects, as of insects without vegetation."</p> + + <p>I will make but two more quotations on the supposed vital character of + the germs of disease. "That the air and atmosphere of our globe is in the + highest degree full of life, I may, I think, take here for granted, and + generally admitted. It is, however, of a mixed kind and quality, + combining the refreshing breath of spring with the parching simooms of + the desert, and where the healthy odours fluctuate in chaotic struggle + with the most deadly vapours. What else in general <i>is the wide-spread + and spreading pestilence</i>, but a living propagation of foulness, + corruption, and death? Are not many poisons, <i>especially animal + poisons, in a true sense, living forces</i>?"—Schlegel.<a + name="NtA3" href="#Nt3"><sup>[3]</sup></a></p> + + <p>It were useless to multiply quotations to shew <!-- Page 17 --><span + class="pagenum"><a name="page17"></a>{17}</span>that the opinions here + entertained are matters of general belief among thinking men.<a + name="NtA4" href="#Nt4"><sup>[4]</sup></a> I will at once then conclude + with an observation of Dr. C. J. B. Williams: he puts the question, "Does + the matter of contagion consist of vegetable seeds? Are infectious + diseases the results of the operations and invasions of living parasites, + disturbing in sundry ways the structures and functions of the body, each + after its own kind, until the vital powers either fail or succeed in + expelling the invading tribes from the system?"</p> + + <p>And this expression, the seeds, is an universal expression, it is a + "Household Word" in connexion with disease. That it has obtained this + position in the popular vocabulary is alone a proof of the applicability + of the term to the thing intended to be <!-- Page 18 --><span + class="pagenum"><a name="page18"></a>{18}</span>signified. Popular + notions, as we have seen in the case of Jenner's discovery, are not to be + unheeded. An instance occurs to me, it was a popular belief, that in acne + punctata, the matter of a sebaceous follicle, was itself, when pressed + out, a worm, the dark portion which results from the accumulation of dust + upon the matter at the mouth of the follicle was supposed to be the head + of the maggot, as it was called; subsequent observation, however, has + proved that though this matter is not a worm, it contains an animal + within its substance, the Acarus folliculorum.</p> + + <p>The popular notions found among savage tribes as to the efficacy of + certain remedies in the cure of disease have been the means of furnishing + us with some of our most valuable medicines, indeed it is almost + impossible to say whether originally man did not derive his remedies from + the herbs and trees by an instinctive faculty impelling him, as it does + the animals when in a state of liberty and with freedom of range, to seek + certain plants as they avoid others.</p> + + <p>It is well known that animals when indisposed will find out some spot + as if almost led to it by a visionary guide where the "healing plant" is + to be discovered. I am told that sheep have this faculty, and that they + will, when affected with the rot, feed upon some plant when they can + discover it, which eradicates the disease.</p> + + <p>Almost every one is familiar with the fact that cats and dogs will + crop herbage and eat it; I have <!-- Page 19 --><span class="pagenum"><a + name="page19"></a>{19}</span>seen them frequently leave the house and + proceed to the grass in the most business-like manner, partake of some + quantity, and quietly return.</p> + + <p>A close observer of diseased animals might obtain some useful + information by noticing the plants cropped by them while in that + condition. The observations should be made in a variety of districts in + consequence of the uncertain distribution of some even of the most + commonly scattered plants; in one year they may be abundant, but in + another they may be almost entirely absent from the same spot.<a + name="NtA5" href="#Nt5"><sup>[5]</sup></a></p> + + <p>Were it only on the fact of reproduction, I would be contented to take + my stand that the force of life is the indwelling power of pestilential + matter. Reproduction is a law of nature, and the law of nature is the law + of God. And where do we find He prevaricates with us? The more we study + His laws the more harmony and perfection we find; what is seeming + confusion in the ignorance of to-day, is order in the knowledge of + to-morrow. If any one ignorant of the law which regulates the diffusion + of gases were <!-- Page 20 --><span class="pagenum"><a + name="page20"></a>{20}</span>told that a heavier gas would ascend + contrary to its specific gravity through the septum in a vessel + containing a lighter gas above the heavier, he would naturally doubt your + assertion, and say, "that is contrary to the law of gravity;" but explain + to him the principle by which this comes about, and the objects of the + law; the order and beauty of the design become manifest. But this is no + equivocation, it is evidence there, that subordinate laws exist and + nothing more. It has never been found that men have gathered "grapes of + thorns and figs of thistles," nor has it ever been discovered that + inanimate matter multiplies itself. The seed of disease "is within + itself," multiplying and propagating itself; whether it formed a part of + creation at the beginning or not, is rather a question to be solved by + divines than physicians. When we know, however, the latency of seeds and + even of entire plants, and that they may be dried and remain so for years + yet being brought again into conditions adapted to their active + existence, they, as it were, revive from their sleep, and renew again + their reproductive properties: can we wonder if, in the great scheme of + nature, existences new to mankind should make their appearance? When the + New Zealander saw the surface of his ground producing to him unknown + plants, and the skins of his children generating peculiar eruptions, and + each propagating its kind, would he look, think you, to the wood or the + stones, the air or the water,—for the solution of the <!-- Page 21 + --><span class="pagenum"><a name="page21"></a>{21}</span>mystery? No, he + would naturally say these people brought the <i>seeds</i> with them. From + the property of reproduction possessed by these forms of matter, we infer + the value of the proposition.</p> + +<hr class="full" /> + +<p><!-- Page 22 --><span class="pagenum"><a name="page22"></a>{22}</span></p> + +<h3>CHAPTER II.</h3> + +<p class="cenhead">THE NUMBER AND VALUE OF FACTS TO SUPPORT +THE PROPOSITION.</p> + +<p class="cenhead">————</p> + +<p class="cenhead">SECTION I.</p> + +<p class="cenhead"><span class="scac">ON REPRODUCTION.</span></p> + + <p>It is inferred that the proposition, "<i>the matter which operates in + the production of Epidemic, Endemic, and Infectious Diseases, possesses + the property of vitality</i>," we proceed now to the enumeration of those + facts which further elucidate this subject.</p> + + <p>The facts must necessarily be such as illustrate the identity of + properties in the imaginary germs, that are known to exist in + demonstrable germs: we take therefore the law of reproduction to be to + life, what the law of attraction is to gravitation.<a name="NtA6" + href="#Nt6"><sup>[6]</sup></a></p> + +<p><!-- Page 23 --><span class="pagenum"><a name="page23"></a>{23}</span></p> + + <p>But further; do those matters which engender disease furnish to our + minds the properties inseparable from life in the abstract? Though the + faculty of reproduction is essentially an evidence that the thing which + reproduces its kind must be a living body, yet it is only a property or + power of living beings and is not itself life, it therefore is necessary + to establish the fact that the <i>materies morbi</i> not only has the + power of reproduction, but also those properties which in the abstract + will prove as far as demonstration can go, that it has the essential + properties common to all living bodies.</p> + + <p>I must again quote from Coleridge, he says: "By life I every where + mean the true idea of life, or that most general form under which life + manifests itself to us, which includes all its other forms. This I have + stated to be the <i>tendency to individuation</i> and the degrees or + intensities of life, to consist in the progressive realization of this + tendency. The <!-- Page 24 --><span class="pagenum"><a + name="page24"></a>{24}</span>power which is acknowledged to exist + wherever the realization is found, must subsist wherever the tendency is + manifested. The power which comes forth and stirs abroad in the bird, + must be latent in the egg."</p> + + <p>The tendency to individuation cannot be more strongly marked than in + the simple experiment of vaccination: we insert a small particle of the + so-called vaccine lymph under the skin, and by this means we multiply to + an enormous extent, the power which, in the first instance, we had in the + form of minute corpuscles in a dry and apparently inert state; + nevertheless, though in this condition there must have existed the + tendency to individuation or multiplication of individual existence, and + the germs are here to their active existence, as seen in the development + of the vaccine vesicle, what the egg is to the bird,<a name="NtA7" + href="#Nt7"><sup>[7]</sup></a> as described above; we may, therefore, say + that the power which exhibits itself in the production of a vaccine + vesicle, must have been latent in the dried matter. It is the opinion of + Muller that the entire vital principle of the egg <!-- Page 25 --><span + class="pagenum"><a name="page25"></a>{25}</span>resides in the germinal + disk alone, and since <i>the external influences which act on the + germs</i> of the most different organic beings are the same, we must + regard the simple germinal disk, consisting of granular amorphous matter, + as the potential whole of the future animal, endowed with the essential + and specific force or principle of the future being, and capable of + increasing the very small amount of this specific force and matter, which + it already possesses, by the assimilation of new matter.</p> + + <p>After speaking of inanimate objects, Dr. Carpenter says; "and what + compared with the permanence of these is the duration of any structure + subject to the conditions of <i>vitality</i>? <i>To be born</i>, to grow, + to arrive at maturity, to decline, to die, to decay, is the sum of the + history of every being that lives; from man, in the pomp of royalty, or + the pride of philosophy, to the gay and thoughtless insect that glitters + for a few hours in the sunbeam and is seen no more; from the stately oak, + the monarch of the forest through successive centuries, to the humble + fungus which shoots forth and withers in a day."</p> + + <p>To be born, signifies the faculty of reproduction existing or having + existed in an antecedent being to that one born, and also that itself + possesses equally a like power. To be born, is the first expression which + must be used in speaking of the faculties or properties of living beings + as independent existences, the annual formation of buds, trees, and + shrubs, is a multiplication of the species; the coral <!-- Page 26 + --><span class="pagenum"><a name="page26"></a>{26}</span>and various + budding polypes increase by this process, indeed what is the seed of a + plant, or the egg of a bird, or the ovum of mammalia, but cast off buds; + in all, the new being was originally a portion of its parent, and if we + examine the ovary of the vegetable, the bird, or the mammal, can we find + any expression more fitting to designate the process than that of + budding. To be born then, is the evidence of an act of one living being, + and the commencement of a series of vital phenomena in another, but all + these are subsequent to reproduction, and constitute another chain of + vital acts, all tending to a similar result, the multiplication of the + species.<a name="NtA8" href="#Nt8"><sup>[8]</sup></a></p> + + <p>Now, whether we apply the philosophical language of Coleridge, or the + language of observation of Muller, in confirmation of the doctrine here + inculcated, we arrive at the same point.</p> + + <p>Do we not witness in the newly formed vaccine vesicle, an increase of + the specific force and principle? We certainly have acquired by the + process of vaccination a manifold multiplication of power, and is there + not also assimilation of new matter in <!-- Page 27 --><span + class="pagenum"><a name="page27"></a>{27}</span>which this power resides? + And does not every particle of this new matter contain within itself the + same force and principle, as existed in that which generated it?</p> + + <p>"We revert again to potentiated length in the power of magnetism + (reproduction); to surface in the power of electricity, and to the + synthesis of both or potentiated depth in constructive, that is chemical + affinity."<a name="NtA9" href="#Nt9"><sup>[9]</sup></a></p> + + <p>Some may be at a loss to conceive, at first, how irritability may be + considered a property of all vegetable matter; that it does exist in some + vegetables is certain, but that it does exist in all living beings is + equally certain;<a name="NtA10" href="#Nt10"><sup>[10]</sup></a> the + term, however, which would appear more appropriate when that irritability + does not exhibit itself in an appreciable form, is <i>impressibility</i>. + Irritability, as commonly understood, is seen in its highest condition in + muscular tissue; but "the irritable power and an analogon of voluntary + motion first dawn on us in the vegetable world in the stamina and anthers + at the period of <!-- Page 28 --><span class="pagenum"><a + name="page28"></a>{28}</span>impregnation."—"The insect world is + the exponent of irritability, as the vegetable is of reproduction."</p> + + <p>The property of irritability attains its acme in man, the most highly + organized of all beings; and its gradations pass downwards through the + whole scale of animate creation; not so reproduction, for this faculty + observes the very opposite direction, for in plants a single impregnation + is sufficient for the evolution of myriads of detached lives.</p> + + <p>Reproduction is a fact, it is an essential property of life, and is a + reality to us from observation; but irritability is not so tangible and + demonstrable a property. We nevertheless may assume its universality, + from the circumstance that we lose sight of it by imperceptible degrees; + the irritability of the sensitive plant is as much irritability as that + of the highly organized muscle; but because the faculty evades our + perception, "in tapering by degrees, becoming beautifully less," we have + no reason for pronouncing its total extinction at any one point of the + vegetable kingdom,<a name="NtA11" href="#Nt11"><sup>[11]</sup></a> any + more than we should have <!-- Page 29 --><span class="pagenum"><a + name="page29"></a>{29}</span>in saying that we see the end of the earth, + when describing the extent of our vision as we stand on the sea shore. + The extreme limit of our vision is the tangent of the circle in reference + to our visual organs; but how many tangential points there may be beyond, + it is impossible to say without knowing the dimensions of the circle.</p> + + <p>I think we are now in a condition to assume, as far as abstraction + will conduct us without proceeding to an extreme length, that the + <i>materies morbi</i>, or, as I will now call them for the sake of + clearer distinction, <i>semina morbi</i>, possess those properties which + in the abstract are common to all living beings.</p> + + <p>Another argument strikes me as capable of adding further strength to + the proposition. We need but be told that a small piece of iron was + placed in a certain position with regard to another piece of iron, and + that the smaller piece moved through a given space and became attached to + the larger, to infer that magnetic force was in operation. Supposing this + magnet then to be folded in paper, and that it <!-- Page 30 --><span + class="pagenum"><a name="page30"></a>{30}</span>be promiscuously placed + near a compass, the deflection of the needle would indicate that some + object in the vicinity was the cause of the deflection; we may farther + try what positions the needle takes by varying the position of the + packet, and thus point out which is the north and which the south pole of + the screw of paper. If we may consider attraction then to be to + gravitation what reproduction is to life, we do not err in saying in the + one instance that there is a living being, and in the other there is a + magnet.</p> + + <p>The nebular theory, from which some astronomers made the foundation of + many speculations, came with so much interest to our minds that the + fascination could not be resisted. It was most delightful to revel in the + imagination that we possessed a key to the mode of formation of the + starry hosts, and when speculation had taken its extreme limits in the + "Vestiges of the Natural History of Creation," and the nebulæ had served + as the ground work of a gigantic scheme, Lord Ross's monster telescope + swept the heavens of its cobwebs. We can imagine this great promoter of + science saying to us, Gentlemen, the clouds which have obscured you, are + composed of myriads of stars, and comprise systems as vast and as + luminous as our own, had you but power of vision to discern them. A new + light thus appeared to philosophers, and though no great practical + results may flow from the discovery, it is instructive from the fact that + the imperfectly aided or unaided vision, should not limit legitimate <!-- + Page 31 --><span class="pagenum"><a + name="page31"></a>{31}</span>inference. The nebulæ before Lord Ross's + discovery were to the astronomer what the materies of epidemic and + infectious disease are to medical men. In the absence however of a giant + microscope to reveal such great truths, we may yet dimly shadow them by + the light of our reason. It was predicted in 1849 that minute vegetable + germs, in all probability all of the same type, were the agents producing + epidemic and infectious disease. In 1850, Mr. Oke Spooner says,<a + name="NtA12" href="#Nt12"><sup>[12]</sup></a> "On examining the matter of + Small <!-- Page 32 --><span class="pagenum"><a + name="page32"></a>{32}</span>Pox and Cow Pox in every stage, he finds its + essential character to consist of a number of minute cells not exceeding + the 10,000th part of an inch in diameter: being about one-fourth smaller + than the globules of the blood, containing within their circumference + many still more minute nuclei, and presenting beyond their circumference + bud-like cells of the same size and character as those contained within + the circle."</p> + + <p>Should these observations made by Mr. Spooner turn out to be correct, + they will but fulfil my anticipations. Then again shall we see the same + application of imperfect vision to the limitation or temporary + obstruction of solid and determinate knowledge.</p> + + <p>We may reasonably expect that these bodies, discovered by Mr. Spooner, + should be the elementary matters of disease. Their existence was + predicted from the probability that living matter must be the agent; + moreover, that this matter when discovered <!-- Page 33 --><span + class="pagenum"><a name="page33"></a>{33}</span>would be cellular, most + probably resembling the yeast plant as described by Mr. Spooner.</p> + + <p>It was predicted that a planet would be discovered in a certain + position in the heavens, because the perturbations of a comet indicated + an attracting body in the path of the eccentric wanderer; the prediction + and the fulfilment were almost simultaneous.</p> + +<hr class="short" /> + +<p><!-- Page 34 --><span class="pagenum"><a name="page34"></a>{34}</span></p> + +<p class="cenhead">SECTION II.</p> + +<p class="cenhead"><span class="scac">HISTORICAL NOTICE OF EPIDEMIC DISEASES.</span></p> + + <p>The earliest notices we have of Pestilences are contained in Holy + Writ. The plagues which smote the Egyptians in the time of Moses are not + unworthy some comment here. Of those ten plagues, four out of the number + were due to the miraculous appearance of myriads of the lower animal + tribes, in three instances of insects,<a name="NtA13" + href="#Nt13"><sup>[13]</sup></a> viz. lice, flies, and locusts; in the + fourth, when Aaron stretched forth his hand with his rod over the + streams, over the rivers, and the ponds, frogs came up and covered the + land of Egypt. In these instances living beings are made the instruments + in God's hand for the punishment of the wicked. These plagues include the + second, third, fourth, and eighth. The first plague is mentioned as a + conversion of the waters into blood. Now if we may take this expression + as being literal, there is no reason to suppose that this blood differed + in any respect from ordinary sanguineous liquid; we therefore may assume, + as the blood is every where in Scripture spoken of as the <i>life</i>, + that this fluid was endowed with vital properties.</p> + +<p><!-- Page 35 --><span class="pagenum"><a name="page35"></a>{35}</span></p> + + <p>The fifth plague is described as a murrain among beasts; and the + sixth, as exhibiting itself as "a boil breaking forth with blains, upon + man and upon beast."<a name="NtA14" href="#Nt14"><sup>[14]</sup></a> Now + these affections bear a resemblance to the diseases known to us at the + present day through authentic records. The Black Death of the 14th + century affords in its history but too awful a picture of the horrors of + such pestilences. In the tenth plague, the smiting of the first-born, we + are not told by what means it was brought about; but we have something + even here to lead us to conjecture. In the second visitation of the Black + Death, there were destroyed a great many children whom it had formerly + spared, and but few women. The seventh plague of hail is within our + conception; as is also that of darkness, the ninth plague.</p> + + <p>It is not a little remarkable that of the ten plagues, seven of them + depended upon agents intelligible to our comprehension; we can conceive + of <!-- Page 36 --><span class="pagenum"><a + name="page36"></a>{36}</span>the invasion of a country by myriads of + loathsome insects and reptiles, and can imagine the wrath of an offended + Deity directing the force of a supernatural storm of hail upon a + disobedient people; and we can conjecture, though faintly, the + consternation of human nature on being subjected to a total darkness of + three days' duration, when we consider <i>that</i> darkness has been + described, as "a darkness that might be felt."</p> + + <p>From this abstract we discover that the three plagues whose causes we + cannot understand, or rather upon which no light has been thrown by + Scripture, bear analogies to those which we recognise, in the writings of + modern authors, as fearful pestilences.</p> + + <p>It is now our province to reflect on the causes supposed to be in + operation in the three instances, which become naturally separated from + the rest.</p> + + <p>We are told that a murrain appeared among the cattle, without any + preliminary step. When the blains broke out upon man and beast, Moses had + been previously directed by the Almighty to take handfuls of the ashes of + the furnace, and sprinkle them towards the heaven in the sight of + Pharaoh. "<i>And it shall become small dust in all the land of Egypt</i>, + and shall be a boil breaking forth with blains upon man and upon beast, + throughout all the land of Egypt."</p> + + <p>Another coincidence, in connexion with subsequent pestilences, arrests + the attention, on the subject of the mysterious appearance on these + occasions of <!-- Page 37 --><span class="pagenum"><a + name="page37"></a>{37}</span>matter resembling dust being prevalent about + the houses, and on the clothes of the people. Clouds also, and showers of + dust-like particles, were not of infrequent occurrence. Indeed, in the + summer of 1849, during the progress of the Cholera, several phenomena of + a similar nature were observed and authenticated; I myself can bear + testimony to one instance of the kind. It was observed by many persons in + my neighbourhood after the passage of an ominous and lurid cloud, that as + they walked their clothes became covered with a singular dust-like matter + of very peculiar appearance. That this phenomenon was not destitute of + significance may be gathered from the fact, that on the night of that day + several severe cases of Cholera occurred, though our village had been + comparatively free for ten days.</p> + + <p>Hecker, in writing on the Black Death says, the German accounts + expressly speak of a "thick stinking mist which advanced from the east,<a + name="NtA15" href="#Nt15"><sup>[15]</sup></a> and <!-- Page 38 --><span + class="pagenum"><a name="page38"></a>{38}</span>spread itself over Italy; + there could be no deception in so palpable a phenomenon." It is not + unworthy of mention, that in the East successive invasions of locusts + "which had never perhaps darkened the sun in thicker swarms," preceded + the great outbreak of this disease, for they left famine in their + train.</p> + + <p>From 1500 to 1503 in Germany and France, during the prevalence of the + sweating sickness, spots of different colours made their appearance, + "principally red, but also white, yellow, grey, and black, often in a + very short time, on the roofs of houses, on clothes, on the veils and + neckerchiefs of women, &c." Blood rain is also mentioned as having + occurred at this time, which consisted of the aggregation of minute + particles of red matter.</p> + + <p>In the seven plagues, miraculous operations of the Deity consisted in + the unusual manifestation of phenomena, but which in their effects are + recognizable as of clear and definite import. The miracles here + are,—in the <i>mode</i> of producing the swarms of frogs, locusts, + &c. but they are manifest and unmistakeable <i>causes</i> of plague + and famine; in the other three, on the contrary, we witness only the + effects, the causes are hidden from us; we may, therefore, as in current + events, legitimately investigate the subject, and what better course can + be adopted than that which classifies the traditionary past with all + subsequent history. Presuming such a method of research to be admitted, I + have assumed that as <!-- Page 39 --><span class="pagenum"><a + name="page39"></a>{39}</span>the <i>causes</i> of the seven plagues have + been distinctly given, the others, though only mentioned in their + effects, were due to causes of a nature in some way to be compared with + their concomitants, that is to say, if a special intervention of the + Deity brought about a miraculous appearance of frogs, lice, &c. there + is but little reason to doubt that some other agent was miraculously + multiplied and concentrated to induce the murrain, engender the blain, + and smite the first-born: as if to lead us into this enquiry, on the + visitation of the blain in man and beast, the Bible History tells us that + Moses threw ashes of the furnace, which became a dust throughout all the + land of Egypt; we cannot imagine that this simply as ashes could have + caused the blain, we may conclude that by some special miracle, either + the ashes were converted into a specific form of matter capable of + inducing the effects recorded, or that an independent septic matter was + generated for the purpose. If the latter, the act of throwing the ashes + of the furnace into the air may have been intended to signify that the + extremely minute division of the particles when thus cast into space, + typified the inscrutable and hidden nature of the matter endowed with + such marvellous properties.<a name="NtA16" + href="#Nt16"><sup>[16]</sup></a></p> + +<p><!-- Page 40 --><span class="pagenum"><a name="page40"></a>{40}</span></p> + + <p>Further on in the book of Leviticus are passages which I cannot + forbear transcribing, for they point out to us most indubitably a line of + enquiry in reference to diseases of a contagious nature.</p> + + <p>"The garment also that the plague of leprosy is in, whether it be a + woollen garment, or a linen garment, whether it be in the warp or woof, + of linen or of woollen, whether in a skin, or in any thing made of skin, + and if the plague be greenish or reddish in the garment ... it is a + plague of leprosy, and shall be shewed unto the Priest, and the Priest + shall look upon the plague and shut up it that hath the plague seven + days; and he shall look on the plague on the seventh day; if the plague + be spread in the garment, either in the warp, &c. ... the plague is a + fretting leprosy, it is unclean. He shall therefore burn that garment ... + wherein the plague is, for it is a fretting leprosy; it shall be burnt in + the fire. And if the Priest shall look, and behold, the plague be not + spread in the garment ... then the Priest shall command that they wash + the thing wherein the plague is, and he shall shut it up seven days more: + and the Priest shall look on the plague, after that it is washed: and + behold if the plague have <i>not</i> changed his colour, and the plague + be not spread, it is unclean; thou <!-- Page 41 --><span + class="pagenum"><a name="page41"></a>{41}</span>shalt burn it in the + fire; it is fret inward; whether it be bare within or without. And if the + Priest look and behold the plague be somewhat dark after the washing of + it, then he shall rend it out of the garment ... and if it appear still + in the garment either in the warp or the woof ... it is a spreading + plague: thou shalt burn that wherein the plague is with fire. And the + garment ... which thou shalt wash, if the plague be departed from them, + then it shall be washed the second time and shall be clean."—Chap. + xiii. 47-58.</p> + + <p>Again in Deuteronomy. The curse for disobedience: "The Lord shall make + the pestilence cleave to thee until he have consumed thee from off the + land.—The Lord shall smite thee with a consumption, and with a + fever, and with an inflammation, and with an extreme burning, and with + the drought, and with blasting, and with <i>mildew</i>, and they shall + pursue thee until thou perish.—The Lord shall make the rain of thy + land <i>powder</i> and <i>dust</i>: from heaven shall it come down upon + thee until thou be destroyed."</p> + + <p>It may be said, and I doubt not will be said, all this is + unnecessarily dragging the sacred volume into an enquiry totally foreign + to its general tenor; on the contrary, however, I maintain by that Book + we are to learn the ways of God to man, and further, that no study can + impress mankind with so awful, so terrific an idea of his responsible + position, as that which leads him into the investigation of the causes + <!-- Page 42 --><span class="pagenum"><a name="page42"></a>{42}</span>by + which the Almighty, doubtless in His wisdom, has thought fit at various + epochs of this world's history, to place man face to face with + pestilence, famine and sudden death.</p> + + <p>There is no man would less willingly than myself introduce profanely + the revelations of Scripture. The observations here made are not, + therefore, intended for light or heedless controversy; if they have a + significance of any import, let them be alluded to in the same spirit + with which they have been quoted; if they convey nothing for approval to + the reader, let silence rest upon them. To those who would fain disregard + my request, let me recall to their minds the veneration which from + childhood I trust we have always felt on hearing or seeing those two + words—Holy Bible.</p> + + <p>It is yet to be determined, whether the greenish or reddish appearance + of the garment spoken of, as being contaminated with the plague of the + leprosy had any specific relation to the disease itself. The priest + orders that the garment shall be shut up seven days, and on the seventh + day, if the plague be increased, by which, of course, is meant if the + greenish or reddish colour have increased, and from which we may gather + that a power of spontaneous increase was possessed by the matter, such a + result indicated a fretting leprosy, and the garment was to be burnt. + Again, though there may have been no increase, but a persistence of the + coloured matter after shutting up and washing the garment, it is to <!-- + Page 43 --><span class="pagenum"><a name="page43"></a>{43}</span>be + burnt, for it is fret inward, signifying, that the germs of the affection + are still there, and may soon increase. Other rules follow in reference + to the plague of leprosy, and the mode of deciding whether an article be + unclean or clean is definitely laid down, but our purpose is served in + mentioning the above, to shew that in the time of Moses the spontaneous + increase of certain minute multiplying germs was supposed to have a close + connexion with disease. It is equally clear, that the priests were aware + by the order given them, that if the ordinary modes of purifying articles + of clothing failed in their effect, the safest and surest method of + destroying infectious matter was to resort to the practice of consuming + by fire all materials capable of propagating an infectious malady.</p> + + <p>The facts above noticed, accurately correspond to what we now know as + applicable to the matter of infectious and contagious maladies. It is a + rule, I believe universally adopted throughout the Poor-houses of this + country, to put the clothes of all persons about to become residents in + these establishments, into ovens, where they are submitted to a + temperature incompatible with the existence of either animal or vegetable + life. By this means all living matters are destroyed, but the fabrics and + inorganic matters retain their properties intact. This simple proceeding, + I am credibly informed, is an effectual preventive of contamination by + articles of clothing, a desideratum of no small importance, when it is + <!-- Page 44 --><span class="pagenum"><a + name="page44"></a>{44}</span>remembered that the diseases among the poor + owe much of their inveteracy to the accumulation of effete organic + matters about their persons and clothes.</p> + + <p>A few more observations are called for on the quotation from + Deuteronomy, in which allusion is made to living matter being an agent in + the production of disease. In the curse upon the children of Israel for + disobedience, we read that they are to be smitten with mildew. No further + information, however, is vouchsafed to us, nevertheless, we can conceive + the wretched condition of those on whom the curse might fall. Again, we + find in a continuation of this curse that the Almighty uses means such as + He adopted in the sixth plague of the Egyptians. The ashes of the furnace + became a small dust in all the land of Egypt, breaking forth with blains + upon man and beast. In the curse of the Israelites the words are: "The + Lord shall make the rain of thy land <i>powder and dust</i>: from Heaven + shall it come down upon thee until thou be destroyed."</p> + + <p>It might be conjectured that the absence of rain would be sufficient + to account for the extinction of the people on whom the curse was + pronounced, by the famine and drought necessarily attendant upon the loss + of moisture. But this does not appear to be the meaning of the passage, + for the powder and dust are mentioned as the agents of destruction; + besides, in the continuation of the curse, the locust is to destroy the + grain, the worm the grapes, and <!-- Page 45 --><span class="pagenum"><a + name="page45"></a>{45}</span>the olive is to shed his fruit; we may thus + take for granted that drought and famine are not to be caused by the + showering of powder and dust, it must consequently be supposed that the + effects of the dust in the instance of the Egyptians are to be compared + and classified with those of the dust which smote the Israelites.</p> + + <p>As far then as Sacred History conducts us in the enquiry, concerning + the causes of pestilences, we gain encouragement in the belief that + living germs are the active agents, for in the case of the leprosy, we + have evidence of reproduction in connexion with infection, which, if our + line of argument be tenable, amounts to demonstration; then, in the other + instances of the plagues, by boils and blains, they distinctly bear + comparison with the accounts given by profane writers, of the visitations + of pestilences on the earth, subsequently to those mentioned in Scripture + history.</p> + + <p>This leads now to the consideration of recorded facts observed and + noted during the various Epidemics in the early and subsequent periods of + Man's History, as given by those on whom reliance may be fairly + placed.</p> + + <p>Setting aside the uncertain information contained in the writings of + the Chinese,<a name="NtA17" href="#Nt17"><sup>[17]</sup></a> a people + whose <!-- Page 46 --><span class="pagenum"><a + name="page46"></a>{46}</span>progress in the science and practice of + Medicine has nothing to commend it (even as it is at the present day) to + the notice either of the physician or the historian, unless it be to the + latter as a mark of peculiarity both in a social and political point of + view,—passing also over the Egyptians, the Arabians, and the + Greeks,—and even Hippocrates himself, we are driven to the Romans + for any authentic or precise notice of Epidemic Affections. It has been + attributed to Hippocrates that he predicted the appearance of the Plague + at Athens, <!-- Page 47 --><span class="pagenum"><a + name="page47"></a>{47}</span>and that when it was introduced into Greece + he dispelled it, "by purifying the air with fires into which were thrown + sweet-scented herbs and flowers along with other perfumes."<a + name="NtA18" href="#Nt18"><sup>[18]</sup></a> But little advantage can be + derived from enquiries concerning the first appearance of any disease, + for the probability of discovering the primary cause is certainly a <!-- + Page 48 --><span class="pagenum"><a name="page48"></a>{48}</span>hopeless + case, if attempted by means of the writings of ancient authors, when it + is recollected that with all the science and learning of the ancient + Egyptians, the use of optical instruments was not comprised among the + paraphernalia of their arts. The knowledge that was limited to the powers + of natural vision, where the foundation of knowledge is based upon facts + obtained through the aid of that penetrator of nature's secrets, the + microscope, offers no advantages to the student of the present day.</p> + + <p>To say that a disease commenced in the East and travelled westward, + and at length found a habitation and a name in every part of the globe, + is no more than to say that disease is coeval with the fall of man. The + cause is as much hidden in the region of its birth, as in that where it + sojourns for a time. The cause of the sweating sickness was as much a + mystery in England as in all the other nations of Europe, which were + visited by its devastating power. And these observations apply with as + much force to one disease as another; for even our indigenous ague, + originating in some places so limited that the shadow of a passing cloud + may mark the boundary of its dwelling place, as inscrutably evades our + vigilance, with all the appliances that art can bring to our assistance, + in endeavouring to evoke its extraordinary properties under the + cognizance of our senses.</p> + + <p>If we weigh the air which carries the poison, or analyze it by the + most delicate chemical tests, or <!-- Page 49 --><span class="pagenum"><a + name="page49"></a>{49}</span>take the weight of the atmosphere which is + charged with it, or if we take the blood which carries the germs of the + disease to the tissues of the body, and submit them after the work of + destruction is accomplished, to the most rigid inspection, we can but + exclaim,</p> + + <div class="poem"> + <div class="stanza"> + <p class="hg3">"These are Thy marvellous works!"</p> + </div> + </div> + + <p>and confess our total inability to fathom the unbounded.</p> + + <p>If then no practical advantage can accrue from investigating the + writings of the ancients on these subjects, beyond comparing their + historical statements with those of more recent date, our purpose will be + served by occasionally embodying any remarkable observations of the + former with those of the latter.</p> + + <p>In proceeding with this course it were better to confine our minds + chiefly to two diseases which appear from history to have been known from + the earliest periods, these are the Plague and the Small Pox, mentioning + other diseases only <i>en route</i>.</p> + + <p>Passing then, to the sixth century of the Christian era for the first + distinct and connected account of the Plague, it appears from a host of + testimony, that the history of this disease, as given by Procopius, well + merits our attention. Drs. Friend and Hamilton, in their Histories of + Medicine, and Gibbon, in his History of Rome, are equally warm in their + praise of Procopius: the latter says, he "emulated the skill and + diligence of Thucydides in the <!-- Page 50 --><span class="pagenum"><a + name="page50"></a>{50}</span>description of the Plague at Athens." The + account given by Procopius of this disease, does not differ materially + from that given by subsequent eye-witnesses of similar pestilences. Its + point of origin is clearly marked, and its mode of dispersion in all + directions distinctly traced from "the neighbourhood of Pelusium, between + the Serbonian bog and the eastern channel of the Nile." It commenced in + the year 542. It raged in Constantinople in the following year, and it + was in this city that our historian gathered the materials which are + handed down to us. When, however, we anxiously look for any explanation + as to the cause of the malady, we are told that it must have been a + direct visitation from Heaven, in consequence of the eccentric characters + exhibited in its wide-spreading influence, in not yielding to the + scrutiny nor bending to the laws known to prevail, and to regulate the + course of other diseases: neither country nor clime, age nor sex, the + strong and healthy, nor the weakly and previously diseased, could be said + to be free from its indiscriminate destruction.</p> + + <p>But some phenomena preceding the outbreak of the pestilence are + observed as coincidences by all authors. Gibbon thus writes: "I shall + conclude this chapter with the comets, the earthquakes, and the plague + which astonished or afflicted the age of Justinian." From the accounts + given by this author, earthquakes for some years had been threatening and + destroying many portions of the globe, <!-- Page 51 --><span + class="pagenum"><a name="page51"></a>{51}</span>that in the ruins of + cities and in the chasms of the earth, great was the sacrifice of human + life. Constantinople, which suffered so severely from the plague is said + to have been shaken for forty days. These great disturbances of the globe + have been always looked upon as indicating other and important influences + of a secret or hidden nature; these impressions on the minds of the + people are traceable throughout the histories of all epidemics, and have + been sufficiently distinct among the people of our own time, preceding + and during the period of infliction.</p> + + <p>From this short notice of the Plague of 543, I pass to the ninth + century, when Rhazes, the Arabian physician, endeavoured to enlighten the + world on the subject of Small Pox.<a name="NtA19" + href="#Nt19"><sup>[19]</sup></a> In quoting his opinions, I am not to be + understood as subscribing to them, but merely endeavouring to point out + some peculiar and interesting observations.</p> + + <p>First, then, Rhazes attributes the disease to a condition of the + blood, which he thus describes, to shew how it happens that in infancy + and childhood the disease is most prevalent, and that old age is <!-- + Page 52 --><span class="pagenum"><a name="page52"></a>{52}</span>least + liable to the affection.<a name="NtA20" href="#Nt20"><sup>[20]</sup></a> + "The blood of infants and children may be compared to <i>must</i>, in + which the coction leading to perfect ripeness has not yet begun, nor the + movement towards fermentation taken place; the blood of young men may be + compared to must which has already fermented and made a hissing noise, + and has thrown out abundant vapours and its superfluous parts, like wine + which is now still and quiet, and arrived at its full strength, and as to + the blood of old men, it may be compared to wine which has now lost its + strength, and is beginning to grow vapid and sour."</p> + + <p>"Now the Small Pox arises when the blood putrifies and ferments, so + that the superfluous vapours are thrown out of it, and it is changed from + the blood of infants which is like must, into the blood of young men + which is like wine perfectly ripened: and the Small Pox itself may be + compared to the fermentation and the hissing noise which take place at + that time."</p> + + <p>But the cause of the disease is simply alluded to by this author, as + depending upon "occult dispositions in the air," and as he speaks here of + Measles with the Small Pox he goes on to say—"which necessarily + cause these diseases and predispose bodies to them." This notion of + Rhazes that there is some peculiar condition of the blood which favours a + process resembling fermentation is not without interest. The circumstance + that individuals are not <!-- Page 53 --><span class="pagenum"><a + name="page53"></a>{53}</span>usually liable to a second attack of the + disease, no doubt directed the attention of this physician to compare the + process of fermentation with disease of such a nature, seeing that when + the whole of the saccharine matter was converted into spirit, the hissing + noise, as he calls it, or the disengagement of carbonic acid gas would + cease, and the capacity for fermentation be entirely gone. So that the + occult conditions of the air, their power of inducing a disease, and + multiplying the matter capable of engendering a similar affection, stood + in the mind of Rhazes as analogous if not identical phenomena.</p> + + <p>We pass now without further comment to the epidemics of the Middle + Ages; and here the work of the philosophical Hecker leaves us little else + to desire in the way of information, as far as it is obtainable from + published records. From the manner in which he has grouped the facts + which presented themselves to his mind in the course of a most laborious + research, he has saved the student of this subject much toil in acquiring + matter for reflection; he has here but to read and digest.</p> + + <p>I know not how to select from this invaluable work the most striking + passages, to strengthen and support my hypothesis, for not a page is + destitute of facts corroborative of the doctrine that vital germs are the + material agents of pestilential disorders. The opening paragraph to the + Black Death is a most cogent illustration of the assertion; it is, as it + were, the theme of the work. "That <!-- Page 54 --><span + class="pagenum"><a name="page54"></a>{54}</span>Omnipotence, which has + called the world with all <i>its living creatures into one animated + being</i>, especially reveals himself in the desolation of great + pestilences. The powers of creation come into violent collision; the + sultry dryness of the atmosphere; the subterranean thunders; the mist of + overflowing waters are the harbingers of destruction. Nature is not + satisfied with the ordinary alternations of life and death, and the + destroying angel waves over man and beast his flaming sword."</p> + + <p>I must here apologise for large transcripts from Hecker's work, for + neither could I command the amount of knowledge there displayed, nor use + such appropriate language as the learned translator has employed.</p> + + <p>It is not doubted that the Black Death was an Oriental plague, only of + more than usual severity, and wider spread influence of the infectious + nature of this disease, and the active properties of the matter producing + it. Hecker says, "articles of this kind—bedding and + clothes—removed from the access of air, not only retain the matter + of contagion for an indefinite period, <i>but also increase its activity, + and engender it like a living being</i>, frightful ill consequences + followed for many years after the first fury of the pestilence was + past."<a name="NtA21" href="#Nt21"><sup>[21]</sup></a></p> + +<p><!-- Page 55 --><span class="pagenum"><a name="page55"></a>{55}</span></p> + + <p>As extraordinary atmospheric and telluric phenomena preceded the + Plague in the time of Justinian, so do we find similar instances recorded + as the precursor of a similar visitation 700 years later. I am concerned + more with those circumstances which refer more especially to my subject, + <i>viz.</i> the development of organic matter, and the peculiar odours of + the atmosphere, the latter being evidence of some foreign and unusual + production in our respiratory media. "On the island of Cyprus, before the + earthquake, a pestiferous wind spread so poisonous an odour, that many + being overpowered by it, fell down suddenly and expired in dreadful + agonies. A thick stinking mist advanced from the east, and spread itself + over Italy."</p> + +<p><!-- Page 56 --><span class="pagenum"><a name="page56"></a>{56}</span></p> + + <p>It is probable that the atmosphere contained foreign and sensibly + perceptible admixtures to a great extent, which, at least in the lower + regions, could not be decomposed or rendered ineffective by separation. + In 1348 an unexampled earthquake shook Greece, Italy, and the + neighbouring countries. During this earthquake the wine in the casks + became turbid, a proof that changes causing a decomposition of the + atmosphere had taken place. "The insect tribe was wonderfully called into + life, as if animated beings were destined to complete the destruction + which astral and telluric powers had began."</p> + + <p>"The corruption of the atmosphere came from the east, but the disease + itself came not upon the wings of the wind, but was only excited and + increased by the atmosphere where it had previously existed."</p> + + <p>"The most powerful of all the springs of the disease was contagion; + for in the most distant countries, which had scarcely yet heard the echo + of the first concussion, the people fell a sacrifice to organic poison, + the untimely offspring of vital energies thrown into violent + commotion."</p> + + <p>"After the cessation of the Black Plague, a greater fecundity in women + was every where remarkable, a grand phenomena, which from its occurrence + after every destructive pestilence, proves to conviction the prevalence + of a higher power in the direction of general organic life." <!-- Page 57 + --><span class="pagenum"><a name="page57"></a>{57}</span></p> + + <p>In the article Contagion, of the Essay, Sweating Sickness: "Most + fevers which are produced by general causes, propagate themselves for a + time spontaneously." "The exhalations of the affected become the germs of + a similar decomposition in those bodies which receive them, and produce + in these a like attack upon the internal organs, <i>and thus a merely + morbid phenomenon of life, shows that it possesses the fundamental + property of all life, that of propagating itself in an appropriate soil. + On this point there is no doubt, the phenomena which prove it have been + observed from time immemorial, in an endless variety of circumstances, + but always with a uniform manifestation of a fundamental law.</i>"</p> + + <p>Mead, in his Essay on the Plague, makes many observations of great + interest and worthy a physician of eminence; and where, in recent times, + shall we look for any more definite information concerning the causes of + pestilences? It is not a little singular that at the time this book was + published, it was read with such avidity that it went through seven + editions in one year.<a name="NtA22" href="#Nt22"><sup>[22]</sup></a> + From this circumstance we may gather that the public generally took a + lively and proper interest in a subject that was not only of domestic, + but national importance. Whether this interest was stimulated by the fact + that the work was written expressly by order of the <!-- Page 58 --><span + class="pagenum"><a name="page58"></a>{58}</span>government, it is now + impossible to say, at any rate much credit is due to the Lords of the + Regency for having placed so important a duty upon one so thoroughly and + in every way so duly qualified for the task as Dr. Mead. It had been well + if some of the advice given at that time, as means of protection against + the Plague, had been applied and put in force during the late visitation + of epidemic Cholera, for, however the minds of some may be convinced of + the non-contagiousness of Cholera, there are many who hold a different + opinion, and all will acknowledge, that if not strictly a contagious + affection, it is clearly proved to be capable of being carried from place + to place, or to use Dr. Copland's words, it is "a portable disease." But + this is not the place to discuss the subject of contagion, allusion will + be made to it hereafter. To return, Mead's expressions are singularly + illustrative of the vital power possessed by the germs of disease; he + says, "There are instances of the distemper's being stopt by the winter + cold, and yet the seeds of it not destroyed, but only kept unactive, + <i>till the warmth of the following spring has given them new life and + force</i>. His confession as to the hidden cause of the disease, is + worthy transcribing: "We are acquainted too little with the laws, by + which the small parts of matter act upon each other, to be able precisely + to determine the qualities requisite to change animal juices into such + acrimonious humours, or to explain <!-- Page 59 --><span + class="pagenum"><a name="page59"></a>{59}</span>how all the + distinguishing symptoms attending the disease are produced."<a + name="NtA23" href="#Nt23"><sup>[23]</sup></a></p> + + <p>On the spread of the Plague is the following:—"The plague is a + <i>real poison</i>, which being bred in the southern parts of the world, + maintains itself there by circulating from infected persons to goods, + that when the constitution of the air happens to favour infection, it + rages with great violence." Contagious matter is lodged in goods of a + loose and soft texture, which being packed up, and carried into other + countries, let out, when opened, the imprisoned seeds of contagion, and + produce the disease whenever the air is disposed to give them force, + "otherwise they may be dispersed without any considerable ill effects." + Gibbon thus speaks of the above quoted work: "I have read with pleasure + Mead's short but elegant Treatise concerning Pestilential Disorders;" + many also might read it at the present day with infinite advantage. Mead + most satisfactorily combats the opinions of the French physicians who + maintained the non-contagiousness of the Plague. Experience proves beyond + doubt, that certain conditions of atmosphere, of <!-- Page 60 --><span + class="pagenum"><a name="page60"></a>{60}</span>which we are ignorant, + favour the growth and increase of pestilences as they do of all + vegetation.</p> + + <p>Dr. Bancroft was of opinion that specific contagions are each and + severally creatures of Divine Wisdom, as distinctly and designedly + exerted for their production, as it was to create the several species of + animals and vegetables around us.</p> + + <p>The indigenous fever of Ireland, which has several times shewn itself + in an epidemic form, appears to have been as fatal, as the Plague in the + South of Europe. Its devastations have generally been associated or + preceded by famine and general distress. Dr. Harty, writing in 1820, says + that thrice within the last eighty years has the same fever appeared in + its epidemic character. In the year 1741 Ireland lost 80,000 of her + inhabitants from this cause. It is a maculated typhus, and considered to + be a special product of the Emerald Isle. It has been shewn that fever + began to exceed its ordinary rate in those places first where famine and + want of employment were most severely felt,<a name="NtA24" + href="#Nt24"><sup>[24]</sup></a> and that in such places and under such + circumstances, it was most prevalent and fatal. The physicians generally + believed it to have been spontaneously produced and not to have been + imported. In the last Famine Fever of Ireland, Liverpool and several + other places suffered severely from the <!-- Page 61 --><span + class="pagenum"><a name="page61"></a>{61}</span>importation of their + Channel neighbours with the disease in some instances, and the infection + in others about their persons. Hitherto these have to all appearance been + the limits of the affection; we know not, however, how soon the time may + come when the invisible bonds which have thus chained the disease to + certain localities may be severed, and spreading itself like other + pestilences in an aggravated form, attack this country as a last and + crowning act of retributive justice. At present it has but cost us money + and regrets, but if the history of pestilences is to be heeded, there are + many tokens which seem to indicate that a few slight concurrent + circumstances only are wanting, to bring the full force of this disease + upon us; then will there be a sacrifice of life. Edinburgh and other + towns of Scotland have had some visitations already, ourselves but + slightly, but let our labouring population suffer to any large extent for + want of work, and we shall inevitably be the sufferers from that fever + which in consequence of general destitution is now always more or less + prevalent in Ireland.</p> + + <p>The Sweating Sickness prevailed in England alone at first, but at + length sought foreign victims. The Cholera is an exotic disease, as well + as the Plague, but they occasionally have visited our shores, and their + seeds remain among us. The Small Pox is now even not known in some parts + of the world, but when once it is established, who can predict the period + of its first appearance in an <!-- Page 62 --><span class="pagenum"><a + name="page62"></a>{62}</span>epidemic form. The history of the disease + informs us that in all the countries where it has been introduced, sooner + or later an epidemic has seized the inhabitants.</p> + + <p>A disease previously unknown in India appeared at Rangoon in the year + 1824, which obtained the name of Scarlatina Rheumatica. Four years + afterwards it attacked the Southern States of North America, and though + the disease was so impartial as scarcely to spare a single individual of + any town to which it extended its influence, it was not accompanied with + that mortality which has usually been the characteristic of wide spread + epidemics.</p> + + <p>There is one peculiar feature of all epidemics which may be here + mentioned as indicative of some definite, though at present unaccountable + cause, operating in the sudden suppression of the disease after a certain + period of duration. This distinctive character may almost be considered + as a law in reference to these affections; if we take three distinct + diseases, the Plague, the Irish Fever and the Cholera, we find the rule + apply to all. Of the latter disease we have so recently been witnesses, + that I need not quote authorities on this point concerning it. In Dr. + Patrick Russell's work on the Plague at Aleppo I find the following + remarkable passage. After alluding to the great increase of pestilential + effluvia that there must be towards the close of an epidemic, compared + with the amount at the onset of the disease, and expressing his <!-- Page + 63 --><span class="pagenum"><a name="page63"></a>{63}</span>astonishment + that so many escape infection, he says: "The fact, however unaccountable, + is unquestionably certain; the distemper seems to be extinguished by some + cause or causes equally unknown, as those which concurred to render it + more or less epidemical in its advance and at its height." He then + mentions that in Europe the sudden cessation may be partly attributable + to the measures adopted for preventing its extension; but "at Aleppo, + where the disease is left to run its natural course, and few or no means + of purification are employed, it pursues nearly the same progress in + different years; it declines and revives in certain seasons, and at + length, without the interference of human aid, ceases entirely."</p> + + <p>The expressions of Dr. Harty on this subject, in connexion with the + Irish Fever, would apply as well to all other epidemics: "It is a fact, + that though every diversity of management was resorted to for effecting + the suppression of the disease, yet, nevertheless, there was an almost + simultaneous and apparently spontaneous decline of the epidemic in the + various and most remote parts of Ireland. It is not an easy matter to + offer a satisfactory explanation of this circumstance, <i>some general + cause must</i> no doubt have influenced the subsidence of the disease, + yet that cause could not be atmospheric, inasmuch as the decline, though + it might be said to be simultaneous, was not sufficiently so to admit of + that explanation."</p> + +<hr class="short" /> + +<p><!-- Page 64 --><span class="pagenum"><a name="page64"></a>{64}</span></p> + +<p class="cenhead">SECTION III.</p> + +<p class="cenhead"><span class="scac">THE DISPERSION OF PLANTS AND DISEASES.</span></p> + + <p>The dispersion of Diseases and the dispersion of Plants, exhibit + analogies which might be little expected, on a superficial view of the + enquiry.</p> + + <p>We are led to believe, that the earth as a whole, was not covered with + vegetation in a day, the geological history of this planet is one of + development, and though at first sight this expression of opinion may + appear to savour of doubt in the Mosaic record, a more extended + acquaintance with the subject, favours rather and confirms Scripture + history.</p> + + <p>As the peopling of the earth has been a gradual process with the + animal creation, so has it been also with the vegetable kingdom. We see + at the present day, that plants by various means of transit from place to + place, multiply themselves on new soils and in new climes, the same with + animals. By other means we observe, or can trace, the extinction from + various localities and countries, of members of both the animal and + vegetable kingdom.</p> + + <p>We learn that originally this planet had a temperature much higher + than at present, and that the variation of temperature between the + equator and the poles, which we now witness, did not obtain in the + earlier condition of the globe. We are given to understand, and not + without considerable proof, <!-- Page 65 --><span class="pagenum"><a + name="page65"></a>{65}</span>if not demonstration, that the earth was a + vast bog, in which rank vegetation grew, and in which the ichthyosauri + and plesiosauri, must have floundered about as unwieldy and loathsome + bodies. We can readily conceive a condition of atmosphere at this time to + have been loaded with pestiferous vapours of an organized nature; it is + entirely in accordance with all we know, that it should have been so. + Allied forms of plants to those now in existence, are found in the form + of fossils, by which comparisons are made, but how the transition into + the present Flora took place, or at what period, it is impossible to say. + That these plants should have been entirely destroyed during the + revolutions of the earth by earthquakes, and their consequences; the + collection of waters into the vacuities formed, and their draining off + from other places by elevations of the land, is not to be dwelt on + without astonishment; then again the ultimate changes of temperature on + the surface of the earth, may have been another element in the history of + their extinction. But if we may be allowed to imagine that there were + organic germs floating in the vapours of the atmosphere, these would + hardly be subject to the same influences as those which depended solely + on their fixation to the soil for subsistence. The atmosphere, their + native element, being influenced by the commotions from below, would be + agitated; vortiginous currents would be established, hurricanes would + sweep over the stagnant pool and reeking morass, <!-- Page 66 --><span + class="pagenum"><a name="page66"></a>{66}</span>and the higher regions of + the air might have thus given protection to these subtle germs, while + almost a total extinction of the elegant ferns, the stately palm, and the + towering cane was in course of procedure. Then when the strife of the + earth and elements had subsided, these would descend with the gentle + breezes, and again find in various spots a local habitation—</p> + + <div class="poem"> + <div class="stanza"> + <p class="hg3">"Where blue mists, through the unmoving atmosphere,</p> + <p>Scatter the seeds of pestilence <i>and feed unnatural vegetation</i>."</p> + </div> + </div> + + <p>In the new era, when the earth took its present physiognomy, who shall + say whether much of the pestiferous matter may not have been enclosed and + condensed in the bowels of the earth, and when it is remembered, that + earthquakes and convulsions of nature,<a name="NtA25" + href="#Nt25"><sup>[25]</sup></a> have invariably preceded the outbreak of + <!-- Page 67 --><span class="pagenum"><a name="page67"></a>{67}</span>any + great pestilences, that stinking mists, coming from some unknown regions, + and unusual vegetations have made their appearance in concert at these + times, what I ask is more natural than to imagine, that they have been + let loose during the general convulsion? It may be asked, what is to be + said about that revolution of the earth, when the great Deluge spread + over the whole face of the globe? It can only be replied, that this is a + part of the scheme of cosmogony into which we are not called upon to + enter. There are yet strenuous supporters of the partial as well as total + submersion of this planet, but whether it be true that the vast torrents + which appear to have swept the surface uniformly in a southern direction, + were of a date coeval with the deluge, and constituted an essential + portion of the phenomena, of which one was, that "the fountains of the + great deep were broken up," or whether they were anterior to this + catastrophe, will not at all interfere with the conjecture of a very + early formation and propagation of the germs of pestilential diseases, + for the commotions of a deluge were less likely to interfere with the + vapours of the atmosphere, than extensive volcanic and electric + disturbances. Moreover, it is rather in favour of this theory, that the + <!-- Page 68 --><span class="pagenum"><a + name="page68"></a>{68}</span>regions where the temperature and + exhalations most nearly resemble those of the former condition of the + earth, are those in which pestilential disorders most frequently arise, + and where their virulence has always been most strongly marked.</p> + + <p>After the various commotions which left the globe, with its present + physiognomy of mountains, plains, valleys, rivers, lakes, and oceans; a + new Flora and Fauna appeared to adorn and animate the scene of man's + existence. Plants and animals were created apparently in adaptation to + the numerous climes, which the seasons in the various latitudes or the + elevations of the soil, were prepared to render fruitful and useful each + in its own sphere. Besides this, the plants of the same latitude, in some + instances, differ materially from each other; in this case it seems that + the soil has much to do with this peculiarity, for it is certain that the + soil and the contiguous atmosphere, have a close and intimate relation; + the drought of the desert depends upon the sand, as humid atmosphere is + connected with the morass. To illustrate the tendency which vegetation + shews in appropriating one locality more than another, I may quote the + following: "Some of the volcanic masses of the Æolian or Lipari Islands, + that have existed beyond the reach of history, are still without a blade + of verdure; while others in various parts, of little more than two + hundred years date, bear spontaneous vegetation, and the same is seen on + two lavas of Etna near each other, for the one <!-- Page 69 --><span + class="pagenum"><a name="page69"></a>{69}</span>of 1536 is still black + and arid, while that of 1636, is covered with oaks, fruit trees, and + vines."</p> + + <p>In comparing the diffusion of plants, and the diffusion of diseases, + the different modes by which this generally has been effected may be + considered under heads, that the comparison may be more readily + traced.</p> + + <p><i>First</i>, seeds are diffused by the atmosphere, either by the + prevalence of certain currents, which are produced by known laws, in + which case, no difficulty occurs in the explanations; or in a more + imperceptible manner, as by those more uncertain atmospheric currents of + a partial nature, which, though they seem to have laws governing them, + are not yet understood.</p> + + <p><i>Second</i>, seeds are transported by water across oceans, &c. + when they can be floated on any material by which they are preserved, as + by wrecks and masses of wood, which have been washed down the rivers.</p> + + <p><i>Third</i>, they are conveyed by man to all parts of the globe.</p> + + <p><i>Fourth</i>, a period of latency is observed to apply to them, that + is, they require certain essential conditions before germination occurs; + so that even in some localities, a plant may not have been known to exist + in a particular neighbourhood, but by a train of circumstances, it may + make its appearance, and again be a centre of development.</p> + + <p>1st. I shall not here wander into the speculation, <!-- Page 70 + --><span class="pagenum"><a name="page70"></a>{70}</span>whether plants + had originally one birth-place, as a centre from which they spread by + various agencies, as supposed by Linnæus, nor into any enquiry beyond + those facts, which may fairly come within our own comprehension, and + within our own means of demonstration.</p> + + <p>Many seeds are provided with means adapting them for floating in the + atmosphere, these are by pappi, or winglets and hairs, but it cannot be + doubted that the agency of atmospheric currents, is productive of + considerable effects in the dispersion of lighter seeds, such as those of + mosses, fungi, and lichens—lichens have been discovered in + Brittany, which are peculiar to Jamaica, and Monsieur De Candolle + concludes, that their seeds had been carried thence by the south-westerly + winds, which prevail during a great part of the year on this portion of + the French coast.</p> + + <p>But Humboldt's testimony on the subject of winds is most satisfactory, + for he says, "Small singing birds, and even butterflies, are found at + sea, at great distances from the coast (as I have several times had + opportunities of observing in the Pacific), being carried there by the + force of the wind, when storms come off the land." It is generally + believed, from abundance of proofs, that the trade winds, and other + continuous currents, are means by which plants are conveyed from one + country to another.<a name="NtA26" href="#Nt26"><sup>[26]</sup></a></p> + +<p><!-- Page 71 --><span class="pagenum"><a name="page71"></a>{71}</span></p> + + <p>As to the partial currents, Humboldt further says, "The heated crust + of the earth occasions an ascending vertical current of air by which + light bodies are borne upwards. M. Boussingault, and Don Mariano De + Rivero, in ascending the summit of the Silla, one of the gneiss mountains + of Caraccas, saw in the middle of the day, about noon, whitish shining + bodies rise from the valley to the summit of the mountain, 5755 feet + high, and then sink down towards the neighbouring sea coast. These + movements continued uninterruptedly for the space of an hour. The whitish + shining bodies proved to be small agglomerations of straws, or blades of + grass, which were recognized by Professor Kunth, for a species of vilfa, + a genus, which together with agrostis, is very abundant in the provinces + of Caraccas and Cumana."</p> + + <p>On the plague of locusts we read, that "the Lord brought an east wind + upon the land, all that day and all that night, and when it was morning + the east wind brought the locusts."</p> + + <p>On the Black Death we read, "There were many locusts which had been + blown into the sea by a hurricane, and a dense and awful fog was seen in + the heavens, rising in the east, and descending upon Italy."</p> + + <p>Of the Plague of 542, Gibbon says, "The winds might diffuse that + subtle venom, but unless the atmosphere be previously disposed for its + reception, the plague would soon expire in the cold or <!-- Page 72 + --><span class="pagenum"><a name="page72"></a>{72}</span>temperate + regions of the north. The disease alternately languished and revived, but + it was not till a calamitous period of fifty-two years, that mankind + recovered their health, or the air resumed its pure and salubrious + quality."</p> + + <p>In the history of the Sweating Sickness, of which there were five + distinct visitations, we find ample allusions to the atmosphere, and the + mode in which the disease was conveyed by this medium.</p> + + <p>I quote again from Hecker: "It seemed that <i>the banks of the + Severn</i> were the <i>focus of the malady</i>, and that from hence, a + true impestation of the atmosphere, was diffused in every direction. + Whithersoever the winds wafted the stinking mists, the inhabitants became + infested with the sweating sickness. <i>These poisonous clouds of mists + were observed moving from place to place</i>, with the disease in their + train, affecting one town after another, and morning and evening + spreading their nauseating insufferable stench. At greater distances, + these clouds being dispersed by the wind, became gradually attenuated yet + their dispersion set no bounds to the pestilence, and it was as if they + had imparted to the lower strata of the atmosphere, <i>a kind of ferment + which went on engendering itself even without the presence of the thick + misty vapour</i>, and being received into men's lungs, produced the + frightful disease everywhere."<a name="NtA27" + href="#Nt27"><sup>[27]</sup></a></p> + +<p><!-- Page 73 --><span class="pagenum"><a name="page73"></a>{73}</span></p> + + <p>Mr. K. B. Martin, harbour-master of Ramsgate, in a communication to + Lord Carlisle on the Cholera of last autumn, says, "At midnight of the + 31st August (1849), the Samson (steam-tug) proceeded to the Goodwin + Sands, where the crew were employed under the Trinity agent, assisting in + work carried on there by that corporation. While there, at 3 A.M. 1st + September, <i>a hot humid haze, with a bog-like smell</i>, passed over + them; and the greater number of the men there employed instantly felt a + nausea. They were in two parties. One man at work on the sand was obliged + to be carried to the boat; and before they reached the steam vessel at + anchor, the cramps and spasm had supervened upon the vomitings; but here + they found two of the party on board similarly affected. Here then is a + very marked case without any known predisposing local cause. Doubtless it + was atmospheric, and in the hot blast of pestilence which passed over + them."</p> + + <p>Many more instances might be quoted, to shew that the germs of + disease, as well as of plants, are borne on the wings of the wind from + place to place <!-- Page 74 --><span class="pagenum"><a + name="page74"></a>{74}</span>in one country, and from one country to + another, the distance being no obstacle, however great that may be.<a + name="NtA28" href="#Nt28"><sup>[28]</sup></a> "Dust and sands," says + Sharon Turner, "heavier than many seeds, are borne by the winds and + clouds for several hundred miles across the atmosphere, falling on the + earth and seas as they pass along." "The clouds not only bring us + occasionally meteoric stones, hail, and <i>epidemics</i>, but also + vegetable seeds."<a name="NtA29" href="#Nt29"><sup>[29]</sup></a></p> + + <p>2nd. The transportation of seeds of plants by water requires very + little notice; every one is familiar with the mode in which coral + islands, which gradually rise out of the sea, become covered with + vegetation. "If new lands are formed, the organic forces are ever ready + to cover the naked rock with life.—Lichens form the first covering + of the barren <!-- Page 75 --><span class="pagenum"><a + name="page75"></a>{75}</span>rocks, where afterwards lofty forest trees + wave their airy summits. The successive growth of mosses, grasses, + herbaceous plants and shrubs or bushes, occupies the intervening period + of long but undetermined duration."</p> + + <p>The following may be cited as an instance of the transportation of + disease by water. "Cyprus lost almost all its inhabitants, and ships + without crews were often seen in the Mediterranean, or afterwards in the + North Sea, driving about, <i>and spreading the plague wherever they went + on shore</i>."<a name="NtA30" href="#Nt30"><sup>[30]</sup></a></p> + + <p>It requires no argument to enforce the conviction that cottons, + woollens, furs, skins, &c. will retain the matter of infection for + almost an indefinite period; instances of the kind have been already + given; it is therefore easy to understand that portions of wrecks and + ship's goods would be a frequent though unsuspected source of infection. + Dr. Halley mentions a case, in which a bale of cotton was put on shore at + Bermuda by stealth; it lay above a month without prejudice, where it was + hid, but when opened and distributed among the inhabitants, it produced + such a contagion that the living scarce sufficed to bury the dead. Dr. + Walker found seeds dropt accidentally into the sea in the West Indies + cast ashore on the Hebrides. He says, "the sea and rivers waft more seed + than sails." The waters of many rivers induce diarrhœa and + dysentery.<a name="NtA31" href="#Nt31"><sup>[31]</sup></a> Well water + also in many <!-- Page 76 --><span class="pagenum"><a + name="page76"></a>{76}</span>places has a similar effect, especially if + any surface drainage happens to find its way into the well.</p> + + <p>3rd. The part performed by man himself in the communication of disease + to his fellow creatures, is perhaps the most fruitful source of the + extensive spread of epidemic and contagious diseases.</p> + + <p>In the time of Moses, restrictions were laid on those who had the + plague of the leprosy to avoid contagion; the dictum for one so affected + was, "he shall dwell alone; without the camp shall his habitation be."<a + name="NtA32" href="#Nt32"><sup>[32]</sup></a> All the ancient authors + believed in the <!-- Page 77 --><span class="pagenum"><a + name="page77"></a>{77}</span>infectious nature of pestilential fevers, + and some other diseases; but, according. to Mr. Adams, they held that no + specific virus was the cause, and merely a contamination of the + surrounding air by effluvia from the sick. Thucydides, Hippocrates, + Procopius, Galen, Plutarch, all recognized the property of + communicability from one individual to another of the plague; and Hecker, + on the epidemics of the middle ages, abounds with instances in support of + contagion. As regards small-pox and measles, Rhazes observes particularly + the connection that exists between the condition of the air and the + severity or mildness of these diseases, remarking that small-pox seldom + happens to old men, except in pestilential, putrid, and malignant + constitutions of the air in which this disease is usually prevalent.</p> + + <p>The history of the introduction of Scarlet Fever, Hooping Cough, Lues, + and other diseases into the various countries of the globe, is + sufficiently convincing that men carry about with them the seeds of + disease; that while these attach themselves to the persons and clothing + of those who introduce them into new climes, and flourish independently + of cultivation, yet the exotics which they foster with so much care, + often disappoint their most sanguine expectations; and these "languishing + in our <!-- Page 78 --><span class="pagenum"><a + name="page78"></a>{78}</span>hothouses can give but a very faint idea of + the majestic vegetation of the tropical zone." Art in this procedure + fails to accomplish here, what nature but too sadly, under some + circumstances, effects most readily. The germs of some diseases though of + an exotic character, under congenial influences of various kinds, appear + to flourish with native vigour: is it not so, also, with some forms of + vegetation? The aloe, a native of Mexico, which lives, but does not + thrive well, or reproduce under ordinary circumstances in this country, + will occasionally send forth a most luxuriant blossom;<a name="NtA33" + href="#Nt33"><sup>[33]</sup></a> so rare is this, that some say it occurs + every 50 or 100 years, but no law seems to be established on this point, + any more than the statement that we may expect pestilential diseases at + certain intervals. But that there are intervals of <i>uncertain</i> + duration when the aloe will blossom, when the grapes will ripen, and a + general productiveness of exotics will occur, is as certain as that + seasons will occur when contagion will be rife, and a most unusual + multiplication of disease prevail. This is not an imaginary or + speculative notion,—all observers of seasons and diseases within + the last twenty years, may fully verify the statement.</p> + + <p>In 1846, a large vine, the black Hambro-grape, <!-- Page 79 --><span + class="pagenum"><a name="page79"></a>{79}</span>ripened its fruit out of + doors, and was as fine as any green-house production; but during nine + years that the vine has been under my inspection, this was the only time + I have witnessed such a result.</p> + + <p>We are apt to attribute an abundant or scarce fruit season to + temperature alone, but this is an error—for we have before + remarked, that though certain lands may be in the same degree of + latitude, the plants which thrive well on one land, will not do so on the + other: in fine, that where reason and analogy would lead one to expect a + particular form of vegetation, a totally different Flora is presented to + the view. These facts are indeed suggestive of new and important + deductions. Is it yet explained why the town of Birmingham should be free + from Cholera? There is a large manufacturing population, a great number + of poor, the usual overcrowding of individuals in small chambers, a + considerable amount of destitution and depravity; irregular habits of + living, and unwholesome diet, and doubtless many parts of the town, which + on investigation would have yielded all the elements usually considered + necessary for the localization of the disease: but no—here was some + repelling cause, some opposing agent to the generation and propagation of + the pestilential seeds. There are no known laws by which inorganic matter + could be supposed to observe such a selection, or such an antagonism. + Electricity, magnetism, ozone, gases, exhibit no such elective properties + that here they will destroy, and <!-- Page 80 --><span class="pagenum"><a + name="page80"></a>{80}</span>there they will spare; that they can almost + depopulate small villages, and scarcely find a victim in Birmingham and + Bath. But if we suppose a living, and multiplying matter as the cause of + disease, many local causes may conspire to arrest the development of the + germs, or perhaps, even utterly destroy them.</p> + + <p>4th. As to the time of latency, facts crowd upon us indefinitely, as + elements of comparison between vegetation generally, and disease in its + early stages and history. The seeds of plants are extraordinarily + tenacious of life. What a mysterious arrangement of the ultimate + particles of matter must there be, by which the vital force remains + apparently inactive for many years, and yet when the conditions arise + favourable to its manifestation, as it were by an extraordinary fiat, + life appears.</p> + + <p>Previous to the year 1715, no broom grew in the King's Park, at + Stirling; but in that year a camp was formed there, and the surface of + the ground consequently was broken in many places. Wherever it was + broken, broom sprang up. The plant was subsequently destroyed; but in + 1745 a similar growth appeared after the ground had been again broken for + a like purpose. Some time afterwards the park was ploughed up, and the + broom became generally spread over it. "In several places in the + neighbourhood of Edinburgh," says Professor Graham, "the breaking of the + surface produces an abundant crop of Fumaria parviflora, <!-- Page 81 + --><span class="pagenum"><a name="page81"></a>{81}</span>although the + same plant had never before been observed in the neighbourhood. It is + impossible to say the lapse of time since these were buried, before they + were again excited to the performance of all their vital functions." Dr. + Graham also gives another proof of the vital force existing in seeds. "To + the westward of Stirling there is a large peat bog, a great part of which + has been flooded away by raising water from the River Teith, and + discharging it into the Forth,—the under soil of clay being then + cultivated. The clergyman of the parish standing by while the workmen + were forming a ditch in this clay, which had been covered with fourteen + feet of peat earth, saw some seeds in the clay which was thrown out of + the ditch; he took some of them up and sowed them: they germinated and + produced a crop of Chrysanthemum septum. What a period of years must have + elapsed while the seeds were getting their covering of clay, and while + this clay became buried under fourteen feet of peat earth!"<a + name="NtA34" href="#Nt34"><sup>[34]</sup></a></p> + +<p><!-- Page 82 --><span class="pagenum"><a name="page82"></a>{82}</span></p> + + <p>What limit can there be to the dispersion of seeds when their vital + properties may remain so long unimpaired? The seeds of which we have been + speaking were, no doubt many of them, washed away with the waters of the + Teith, and carried by the stream into the Forth; and who shall then mark + their destination; for we have seen that by such means the most distant + lands are supplied with vegetation; for whence come the plants which + cover the Coral Islands, unless by the air and the water, and that both + contribute, has been incontestably proved. Dr. Lindley states that melon + seeds have been known to grow when forty-one years old; maize thirty + years, rye forty years, the sensitive plant sixty years, kidney-beans a + hundred years. But seeds in general have an indefinite period, + apparently, at which they can retain their power of germination; for many + of the seeds which had been kept in the herbarium of Tournefort for more + than a century, were found to have preserved their fertility.</p> + + <p>It has now to be shewn that the germs of disease also retain their + vital powers in a state of dormancy during a lengthened period.</p> + +<p><!-- Page 83 --><span class="pagenum"><a name="page83"></a>{83}</span></p> + + <p>Mead has very judiciously observed, "to breed a distemper, and to give + force to it when bred, are two different things." He further remarks, + that the seeds of the Plague may confine themselves to a house or two + during a hard frosty winter, and be preserved, and again put forth their + malignant quality as soon as the warmth of the spring gives them force. + It is certainly very remarkable that the Plague of London, which + commenced at the latter end of the year 1664, should "lie asleep," as + Mead says, from Christmas to the middle of February, and then break out + in the same parish.</p> + + <p>It has been also known that an infected bed laid by for seven years + had done infinite mischief on being again brought into use. Indeed, it is + quite uncertain for how long a period woollen, fur, linen, cotton, and + other articles may retain infectious matter in a dormant state. It has + been supposed by some that in closely packed bed and body clothes a + multiplication of the germs may and does take place, nor do I see any + reason why this should not be the case, for these articles contain within + their structure the effluvia of the animal body, and they may possibly + there find sufficient nutriment for their development. Nees von Esenbeck + believed that some of the minute Cryptogamia were re-produced in the air, + we are not therefore exceeding philosophical conjecture when we imagine a + basis and substratum, though an unusual one, for the germs of vegetation. + Exclusion from air and light, <!-- Page 84 --><span class="pagenum"><a + name="page84"></a>{84}</span>however, as would be the case in packed-up + clothes, would <i>a priori</i> give a better colour to the conjecture, as + these are the usual conditions necessary for the growth of seeds.</p> + + <p>Small Pox and Cow Pox matter, which are now proved to be the same + virus, the former modified by having been through a process of growth and + maturation in the cow, are both remarkable for exhibiting their active + properties after having lain dormant for a considerable time. And each, + though so closely allied, retaining its specific properties.</p> + + <p>This peculiarity in the history of Small Pox virus suggests a + comparison with some phenomena of vegetation, <i>viz.</i> that of + grafting or budding. The lower Cryptogamia in their fructifications + resemble rather multiplication by buds than by seeds. M. Moyen's idea is + that every spore or little globule, independently of its neighbouring + one, lives, absorbs, assimilates, grows, and re-produces on its own + account; this is certainly the characteristic of the Torula and the + Uredo, and doubtless is so of many other of the Cryptogamia, the + Protococcus nivalis is another instance. Other modes of cultivation + produce also great varieties of results of an unexpected kind.</p> + + <p>Would any one, says Dr. Walker, imagine that cabbage, cauliflower, + savoy, kale, brocoli, and turnip-rooted cabbage, were the same species? + yet nothing is more certain than that they are only varieties produced by + the cultivation of the Brassica oleracea, <!-- Page 85 --><span + class="pagenum"><a name="page85"></a>{85}</span>a plant which grows wild + on the sea-shores of Europe.</p> + + <p>These varieties in vegetables have now become permanent, and though it + is supposed that each is liable to return to its original condition, I am + not yet certain that such is the tendency. A deterioration is not + unlikely to ensue in the course of time, because the propagation by seeds + must necessarily very much approach the system of intermarriage, on which + Mr. Walker has so ably written and clearly shewn that as a result we may + invariably expect a deterioration of the species. Dr. Darwin has also + poetically described what his experience taught him.</p> + + <div class="poem"> + <div class="stanza"> + <p class="hg3">"So grafted trees with shadowy summits rise,</p> + <p>Spread their fair blossoms and perfume the skies,</p> + <p><i>Till canker taints the vegetable blood</i>,</p> + <p>Mines round the bark and feeds upon the wood;</p> + <p>So years successive from perennial roots,</p> + <p>The wire or bulb with lessened vigour shoots,</p> + <p>Till curled leaves or barren flowers betray</p> + <p>A waning lineage verging to decay;</p> + <p>Or till amended by connubial powers,</p> + <p>Rise seedling progenies from sexual flowers."</p> + </div> + </div> + + <p>The minute nature of the germs of disease preclude all possibility of + their being submitted, as far as we know at present, to the inspection of + the physiologist, but we may infer many facts from results. In the same + way, though with humbler <!-- Page 86 --><span class="pagenum"><a + name="page86"></a>{86}</span>ideas, as Cuvier could build up an animal + from a single bone, can we by a combination of facts infer the existence + of living beings and conjecture their forms. "The re-production or + generation of living organized bodies is the great criterion or + characteristic which distinguishes animation from mechanism." We find the + virus of Small Pox, according to Mr. Ceely's experiments, developing + itself as a constitutional disease upon the cow, and becoming modified + into a form known as the Cow Pox; this resembles the process of + cultivation by which a species is converted into a variety, this variety + remains for a certain time persistent; the time is not yet known, but it + is known that by degrees, as stated above, a deterioration occurs, and + fertility becomes impaired, "a waning lineage verging to decay," and this + has been observed as a feature in the result of vaccination. I believe + Dr. Gregory was one of the first to notice this fact, and deemed it + necessary to obtain fresh lymph from the cow; this has been done, and it + is not improbable, if the analogy we have drawn be correct, that the + slowly spreading scepticism regarding vaccination may be arrested in its + progress. If we can explain the deterioration of cow pox virus on this + principle we have a hold at once upon the public, and can assure them + that the efficacy of the proceeding is as certain as in the time of + Jenner. The people, I contend, have a right to demand of us the reason + why vaccination is not so efficacious as formerly, and I <!-- Page 87 + --><span class="pagenum"><a name="page87"></a>{87}</span>affirm as + unhesitatingly that we are bound to give the subject our most earnest + attention.<a name="NtA35" href="#Nt35"><sup>[35]</sup></a></p> + + <p>Now concerning the re-production of Cow Pox matter, and assuming it to + resemble that of the lower Cryptogamia, we can easily understand how + degeneration in a course of years should ensue, for we find that though + the Small Pox is a constitutional disease, that produced by vaccine lymph + is a local affection, so that it bears the relation that grafting does to + vegetation, and it is not improbable that such a modification takes place + in the germs by passing through or becoming generated in the blood of the + cow, that they entirely lose their original and characteristic form of + reproduction: the seeds of the disease were originally capable of + vegetating, if I may be allowed to use the term, by diffusion through the + atmosphere; they now, however, have lost that property, and require to be + grafted to exhibit any manifestation of vitality.</p> + + <p>How often will the seeds of a cultivated fruit grow? If you bud it + upon another plant, you obtain a being exactly like the parent, but this, + as we have seen, deteriorates in a course of years, we have also seen + that the virus deteriorates; but not to stretch this point to an unseemly + length, I cannot avoid expressing my conviction, that these are elements + of comparison, possessing an interest and a practical utility of no small + value.</p> + +<p><!-- Page 88 --><span class="pagenum"><a name="page88"></a>{88}</span></p> + + <p>I have before said, that the reproduction in the Cryptogamia, rather + resembles budding than seeding. If we observe the Torula, or take the + process of all formation, generally it will be found to accord more + exactly with the budding than the seeding process, and this peculiarity + is not confined to vegetation, it is also a marked feature in the + reproduction of infusoria, sponges, polypes, &c.</p> + +<blockquote class="b1n"> + + <p>"New buds surround the microscopic plant."</p> + +</blockquote> + + <p>The reproduction of plants and animals appears to be of two kinds, + solitary and sexual; the former occurs in the formation of the buds of + trees, and the bulbs of tulips.</p> + + <p>The microscopic productions of spontaneous vitality propagate by + solitary generation only.</p> + + <p>We have but reached the threshold of this vast and interesting + subject, the experiments which suggest themselves to the mind while + reflecting upon it, would alone occupy a whole life of leisure, and I can + but feel how forcibly Mr. Sewell's words apply to us: "The grand field of + investigation lies immediately before us, we are trampling every hour + upon things which to the ignorant seem nothing but dirt, but to the + curious are precious as gold."</p> + + <p>It is difficult, perhaps, to bring many instances, in which the germs + of disease have lain dormant for a lengthened period, because many may + take exception to them, from the fact, that sporadic cases of <!-- Page + 89 --><span class="pagenum"><a name="page89"></a>{89}</span>most epidemic + and infectious diseases, are rarely absent from any country in which + those diseases have become indigenous, and these cases may be said to be + the foci whence originates the epidemic constitution of the air; this, + however, would not invalidate the supposition, because one of two + inferences must be drawn, either that the germs of disease always exist + in a dormant state, requiring circumstances and conditions only for their + development, or that the germs are imported from some distant locality, + where the disease has occurred, and finding a nidus there, grow and + multiply.<a name="NtA36" href="#Nt36"><sup>[36]</sup></a> Whichever + notion we take, however, matters very little to the fact of the dormancy + of the germs, for in both, a certain period elapses between their + transmission and their propagation. It may fairly be presumed, that + sometimes one method may apply <!-- Page 90 --><span class="pagenum"><a + name="page90"></a>{90}</span>and sometimes the other, perhaps both during + general epidemic conditions of the atmosphere.</p> + + <p>The Oidium vitis attacked the vines partially last year, and I believe + generally spared other forms of vegetation; but this year in my vicinity, + cucumbers, melons, and vegetable marrows, are all suffering more or less + under the disease.<a name="NtA37" href="#Nt37"><sup>[37]</sup></a> How + shall we say, whether are the seeds of last year the cause of the general + diffusion at the present time, or were there a sufficient number of old + and dormant seeds, universally diffused, and only waiting opportunities + for multiplying themselves? We are here on the horns of a dilemma; and + spontaneous generation, from which one naturally shrinks, can alone + extricate us, if we do not admit diffusion and dormancy. I think I may, + without undue assumption, affirm that a period of latency of indefinite + duration, applies as cogently to the germs of disease as to those of + plants.</p> + + <p>There is yet one other point in connection with this subject, and that + is the apparent extinction of some diseases, at any rate their + non-appearance in certain localities, which had been at one time + congenial to them, and in which they flourished. We have seen, in + illustrating the dormancy of seeds, that the broom must have been a + common plant at <!-- Page 91 --><span class="pagenum"><a + name="page91"></a>{91}</span>some considerable period back, in the King's + Park at Stirling, or on that site.</p> + + <p>Then again, the appearance of Fumaria parviflora in the vicinity of + Edinburgh, in several places where the ground is broken, is sufficiently + convincing that this plant must once have been a common form of + vegetation there; and as it had never before been observed in the + neighbourhood, there must have been a combination of peculiar + circumstances capable of rendering germination impossible, otherwise a + continued multiplication, as in other forms of vegetation, would have + followed of necessity.</p> + + <p>But besides these instances, how many are passing under our own eyes + of the disappearance of plants under the influence of cultivation, and + the generation of the noxious fumes arising from different and + innumerable manufactories. In the vicinity of large cities and + manufacturing towns, how rarely do we see healthy vegetation; shrubs and + animals drag on a sickly and almost unprolific existence, and their term + of natural life is much shortened.</p> + + <p>And if we compare diseases with this peculiar feature of vegetation, + how very close do we find the analogies. The Sweating Sickness which + appeared in the latter part of the fifteenth century, and at certain + intervals multiplied and extended itself at first only in this country, + but ultimately more or less over the continent of Europe, has <!-- Page + 92 --><span class="pagenum"><a name="page92"></a>{92}</span>never since + the year 1551 shewn any symptom of productiveness, indeed for all we know + the disease may be extinct; on the other hand, it is impossible to say + whether or not circumstances may arise, under which it may commence + again, to put forth its energies and again desolate the land.<a + name="NtA38" href="#Nt38"><sup>[38]</sup></a></p> + + <p>Since 1665, the Bubo-plague has not found a congenial soil in this + country, or if the seeds be here, which is more than probable, the + necessary conditions to excite them to activity do not exist.</p> + + <p>It cannot be imagined that with all the merchandize which comes into + this country from the Mediterranean, but that an abundance of the germs + of the disease are annually brought into our ports, and disseminated + throughout the land. The law by which we have seen that they possess a + power of vitality and reproduction, holds now as it did in former + times;—the properties of matter never alter, but the conditions + under which they exist may be so modified, as to influence their + properties, and the usual course of their operations. It is therefore to + <!-- Page 93 --><span class="pagenum"><a name="page93"></a>{93}</span>an + alteration or modification of conditions that we are to look for the + exemption, during the last two centuries, from an invasion of the Plague. + To say what those conditions may be in their totality is difficult, + perhaps impossible. We may generalize on the subject, and imagine the + reason discovered, but all those causes which were said to have conspired + to favour the spread and contamination with Plague, were as distinctly + specified and attributed, as the cause of our late infliction with + Epidemic Cholera. Why then did we have the Cholera and not the Plague? To + what particular element was it—in the mode of living, of + destitution, of filth and want of drainage—can it be ascribed that + we suffer under one disease, and not under the other?</p> + + <p>We have made some few observations and comparisons on the mode of + dispersion of plants and diseases,—but there is yet one more point + which invites notice. Not only do seasons vary in their effects on + vegetation in a remarkable and unexplained manner, but there are many + localities to which some special form of vegetation attaches, and which + appear to have a power of exclusion of other forms; and as yet I have not + been able to trace the connexion, nor can I discover it in the writings + of botanists and travellers, who would be most likely to have sought an + explanation of so interesting and curious a fact. Dr. Prichard has on + this subject some very apposite illustrations. "Still further southward, + the austral temperated zone completely <!-- Page 94 --><span + class="pagenum"><a name="page94"></a>{94}</span>changes the physiognomy + of vegetation, and the Isle of Norfolk has, in common with New Holland, + the Auracania found also in the harbour of Balade, and with New Zealand, + the Phormium tenax. It is however remarkable, that this vast island, + composed of two lands, separated by a channel, though so near New + Holland, and lying under the same latitude, differs from it so + completely, that they display no resemblance in their vegetation. Yet New + Zealand, so rich in genera peculiar to its soil, and little known, has + some Indian plants: such as Pepper, the Olea, and a reniform Fern, which + is said to exist in the Isle of Maurice."</p> + + <p>I must quote one more passage from Dr. Prichard's excellent work. "We + have one instance of an island at no great distance from a continent, + having a peculiar vegetation. Mr. R. Brown has remarked, that there is + not even a single indigenous species characterising the vegetation of St. + Helena, that has been found either on the banks of the Congo, or on any + other part of the Western coast of Africa. Does the diversity of marine + and atmospheric currents more completely separate this island from the + continent, than its situation would imply; or are the nature of soil and + other local circumstances, the cause of so marked a diversity? The last + supposition seems the most probable; because not only the species of + plants, but likewise the genera in St. Helena, are different from those + of the African coast." <!-- Page 95 --><span class="pagenum"><a + name="page95"></a>{95}</span></p> + + <p>We are not without instances of diseases, observing this peculiarity + which attaches to plants; but their specific characters have hardly been + sufficiently considered in reference to climate and situation, together + with diet and local influences, to afford us accurate data for + comparison. It has, however, been remarked, in every country where + Epidemics have prevailed, that some districts or tracts of country, + though supposed to possess all the qualities favourable to the + development of the diseases, have nevertheless been entirely or nearly + free from them. The following passage on the course of the Cholera gives + an example of this peculiarity. "Whenever the malady deviated, so to + speak, from its normal direction, and passed towards the west, it seemed + incapable of propagating itself; and <i>died away spontaneously, even in + places which appeared to be well fitted for its reception</i>.—The + rich fertile and densely peopled countries to the right of the Dneiper, + enjoyed an equal freedom from attack, which can only be explained by the + fact that they were situated <i>beyond the line of the disease</i>." With + this I close the subject of the diffusion of plants and diseases, though + it would require a volume of itself, to record all that has been noticed. + I have endeavoured to select such instances as shall mark distinctly the + features which point to comparison without overloading the enquiry.</p> + +<hr class="short" /> + +<p><!-- Page 96 --><span class="pagenum"><a name="page96"></a>{96}</span></p> + +<p class="cenhead">SECTION IV.</p> + +<p class="cenhead"><span class="scac">THE RELATION BETWEEN EPIDEMIC AND ENDEMIC DISEASES.</span></p> + + <p>Epidemic diseases, which multiply their germs in any climate, and + under apparently the most varying conditions of temperature and + hygrometric and electrical states of atmosphere, offer many points of + contrast with Endemic affections, and many of relationship. The latter + are traceable to a certain extent, to geological and geographical + positions of the localities where they are observed to prevail, in + combination with atmospheric vicissitudes and peculiarities, as well as + to extent of cultivation of the soil: it has been remarked that the + sickly island (as it is called) of St. Lucia has certain salubrious + parts, but these are where sulphur abounds; this geological peculiarity + has been deemed sufficient to account for the absence of endemic + affections in these parts, and with much force of reason; for in the + neighbourhoods where sulphur or sulphurous acid, a compound of sulphur, + is an element prevalent in the soil or atmosphere, vegetation and the + ague disappear together.</p> + + <p>Now ague, and other endemic fevers, doubtless originate from some + allied, if not identical cause; for the localities in which they appear + have so many <!-- Page 97 --><span class="pagenum"><a + name="page97"></a>{97}</span>features in common, that we are constrained + to acknowledge that endemic fevers have some relations and analogies, + though not yet unravelled.</p> + + <p>Geographical situation, together with certain vegetation, particularly + of grounds which grow rice, is one remarkable for the production of + endemic affections. But the soil which generates or gives force to the + contaminating matter, is not alone the part where human beings feel its + influence most severely. A low marshy ground, prolific of malaria, may be + comparatively free; while some neighbouring elevated land, to which + prevailing currents of air waft the volatile elements of disease, may be + desolated by their virulent and concentrated action. "Malaria may be + conveyed a considerable distance from its source, <i>and be condensed</i> + in the exhaled vapour, when attracted by hills or acclivities in the + vicinity, and when there are no high trees or woods to confine it, or to + intercept it in its passage."</p> + + <p>The inhabitants of the city of Abydos were at one time subject to + disease, arising from malaria, generated in some neighbouring marshes; by + draining these marshes, which suspended the growth of rank vegetation, + the city became healthy.</p> + + <p>Rome is in like manner even now subject to fevers, having a similar + origin. Sir James Clark says, "Among the more prevalent diseases of Rome, + malaria fevers are the most remarkable, and claim our first notice." He + considers the fevers to be of exactly the same nature as those of + Lincolnshire <!-- Page 98 --><span class="pagenum"><a + name="page98"></a>{98}</span>and Essex in this country, of Holland, and + certain districts over the greater part of the globe. To the climate, the + season, or the concentration of the cause of these fevers, he attributes + their varieties. It is the same disease, he says, whether from the swamps + of Walcheren, or the pestilential shores of Africa.</p> + + <p>From July to October the inhabitants of Rome are most subject to these + affections.</p> + + <p>Sir James Clark further says: "It may be stated as a general rule, + that houses in confined shaded situations, with damp courts or gardens, + or standing water close to them, are unhealthy in every climate and + season; but especially in a country subject to intermittent fevers, and + during summer and autumn. The exemption of the central parts of a large + town from these fevers, is explained by the dryness of the atmosphere, + and by the comparative equality of temperature which prevails there."</p> + + <p>In this respect there is a marked difference between an epidemic and + an endemic affection; for when an epidemic disease attacks a city or town + we do not discover that the central parts are more exempt than others; + indeed, it is rather the contrary; for the most crowded parts of towns + and cities are those, if not exactly in the centre, which would be + comprised in a space nearer to the centre than the circumference; and it + has been in those parts generally where the epidemic influences seem to + have exercised the most potent sway. One would more naturally suppose, + that a city surrounded by <!-- Page 99 --><span class="pagenum"><a + name="page99"></a>{99}</span>paludal miasm, and not itself being capable + of generating the poison, should be more affected at the circumference, + from the simple fact that the paludal germs, which rise in the air, are + suspended in the fogs and dews of the atmosphere. These, unless widely + dispersed by the winds, would remain within a comparatively confined + space; and those situations nearest to them would be most subject to + their influence. Besides, it has been shewn, that a small wood or hill, + or even a wall, has been sufficient to cut off or obstruct the paludal + miasm.</p> + + <p>Without enumerating all the known endemic diseases, two or three may + be alluded to for our present purpose; viz. that of shewing that endemic + and epidemic diseases have a similar origin.<a name="NtA39" + href="#Nt39"><sup>[39]</sup></a></p> + + <p>It is well known that under certain favouring conditions an endemic + may become a malignant and pestilential disease; that Yellow Fever, which + is always endemic in the west, Cholera in the east, and the Plague in the + south of Europe and north of Africa, every few years takes on an epidemic + form, and desolates considerable tracts of country.<a + href="#Nt39"><sup>[39]</sup></a></p> + + <p>The Pestilence which raged in the summer and autumn of 1804 in Spain, + commenced at Malaga, and remained for a considerable time confined to its + <!-- Page 100 --><span class="pagenum"><a + name="page100"></a>{100}</span>boundaries, in consequence of the measures + of precaution that were used, in preventing all communication between the + inhabitants of the infected city and those living in the surrounding + country. It was only in consequence of persons escaping through the + cordon, and passing into the interior of the country, that the disease + spread, and extended its ravages to distant places.</p> + + <p>It appears to be quite clear, that this disease may properly be + considered in the first instance of endemic origin; but the tendencies, + atmospheric and otherwise, were such as to favour its multiplication in + other districts than that in which it first came into active existence. + From this we may infer, that the seeds of the disease were dormant, and + only became roused into vital activity by fortuitous circumstances. Dr. + Rush states, that the endemic disorders of Pennsylvania were converted, + by clearing the soil, to bilious and malignant remittents, and to + destructive epidemics. Dr. Copland says, it has been observed, especially + in warm climates, and in hot seasons in temperate countries, that when + the air has been long undisturbed by high winds and thunder-storms, and + at the same time hot and moist, endemic diseases have assumed a very + severe and even epidemic character.</p> + + <p>Dr. Robertson also confirms this view. "Endemic diseases, in cases of + neglect and preposterous management, are found to become more malignant + even in the most temperate climates; and to <!-- Page 101 --><span + class="pagenum"><a name="page101"></a>{101}</span>generate a matter in + their course, capable of producing a particular disease in any + circumstances. <i>Indeed the origin of every</i> contagious fever + unattended with eruptions, with the exception of Plague, must commence in + this way." Why Dr. Robertson should except eruptive Fevers and Plague I + cannot understand, for they must have had a commencement; and their many + points of similarity indicate, if not an identical, an analogous source + to other endemic fevers.</p> + + <p>It will doubtless be generally acknowledged that endemic and epidemic + diseases depend upon some unknown agents, having their source in + malarious districts, and being capable of assuming either a contagious or + non-contagious character, according to circumstances.</p> + + <p>If, therefore, we find that under any conditions an endemic affection + becomes capable of being propagated by contagion, the same law will hold + with regard to it as to the Plague; that the power of reproduction in + this matter is evidence of life, according to the doctrine laid down in + the earlier part of this work. But whether or not infection be admitted, + a matter generated in a malarious district, if confined in its effects to + that district alone, would not necessarily imply an inorganic nature of + the poison; for it is difficult to understand how inorganic poison, + prevailing generally over a certain tract of country, could select + particular individuals for its victims. If chloroform, chlorine, carbonic + acid, sulphuretted hydrogen, or even spores of poisonous fungi, (as <!-- + Page 102 --><span class="pagenum"><a + name="page102"></a>{102}</span>supposed by Mitchell, which, as he regards + their effects, would act in a similar manner to inorganic compounds) were + the agents, all persons would suffer more or less, and the majority be + similarly affected. We do not find that uniformity of symptoms, which + attend upon the exhibition of poisons in the ordinary acceptation of the + term, poisoning. This subject shall be more particularly considered, when + treating of the influence of organic germs on animals and plants.</p> + + <p>The history of the Eclair steamer is particularly interesting, as + shewing the extraordinary tenacity with which the germs of disease attach + themselves to vessels, which we may call floating houses.</p> + + <p>The crew of the Eclair contracted Yellow Fever on the coast of Africa, + and a number of them died. The remainder, sick and well, landed at Bona + Vista, one of the Cape de Verde Islands, and the vessel underwent a + process of washing, whitewashing, and fumigating. Nevertheless, on the + return of the ship's company, the disease broke out again with equal + intensity, and the vessel was ordered home. Sixty-five out of 146 + officers and men, who composed the crew, died of the disease before + reaching Portsmouth, and twenty-three were sick at the time of + arrival.</p> + + <p>Eight days after the Eclair left Bona Vista, a Portuguese soldier who + had mixed with her crew died in the fort which had been occupied by them. + Other soldiers then fell sick, and the fort was abandoned. The fever + still spread.</p> + + <p>From the 20th September, when the first soldier <!-- Page 103 --><span + class="pagenum"><a name="page103"></a>{103}</span>was attacked, to the + first week in December, the fever continued to rage, and at that period + it had found its way into almost all the country villages. The fever was + believed to be the genuine black vomit fever; it proved contagious almost + without exception to the nurses of the sick.</p> + + <p>This is an abstract of Mr. Rendell's letter to Lord Aberdeen, Mr. + Rendell being British Consul at Bona Vista.</p> + + <p>Now at the time the fever broke out in the island the weather was + extraordinarily hot, and much rain had fallen, and the town itself was + badly drained and in a filthy state; can it be imagined then that the + seeds of a disease liable to assume a pestilential character should lie + dormant or be annihilated under circumstances the most favourable for + their development, especially when we know that endemic diseases may + assume a malignant character?</p> + + <p>This is just one of many cases which confirm our opinion in this + respect, that plants and diseases are not long in making their appearance + where the soil and atmosphere are congenial.</p> + + <p>The tenacity with which the disease attached itself to the Eclair is + sufficiently explained in the absence of due ventilation; in fact, that + in the first instance there was no ventilation at all in the hold of the + ship. This also the more readily affords a clue to the disaster through + all its stages, first in the contraction of the disease as an endemical + affection in the vessel; secondly, in the multiplication of the <!-- Page + 104 --><span class="pagenum"><a name="page104"></a>{104}</span>germs in + the damp ill-ventilated hold, in a warm climate; and thirdly, the + persistence and entire localization of the disease to the vessel when it + arrived in the climate of the British shores; while, fourth and lastly, + in the unusually hot and damp island of Bona Vista, the seeds of the + disease were sown, and, as we might expect, multiplied indefinitely.</p> + + <p>The consecutive attacks of the crew of the Eclair shew that here a + noxious gas or a vaporized inorganic poison could not have been the cause + of the disease, for as I have before said, in this case the attacks + should have been simultaneous; we find, on the contrary, that as the + depressing effects of the melancholy condition of the crew was almost + hourly undermining the health of the stoutest of them they as surely + became the victims. The Kroomen, or natives on board the ship had not + suffered, shewing that they were inured to the miasm, or were destitute + of that condition of blood which would be favourable to a propagation of + the materies of the disease.</p> + + <p>The Eclair we learn had left Bona Vista eight days when the first + victim breathed his last; this would give perhaps three or four days for + the incubation of the disease in the patient, or supposing he had not + contracted the germs of the disease before the crew of the Eclair left + the fort, some local favouring conditions were the means of keeping the + germs in a fertilizing state, for it is clear from this spot the + infection spread as from a centre or focus. <!-- Page 105 --><span + class="pagenum"><a name="page105"></a>{105}</span>Such instances as these + might be multiplied to extend the length of the enquiry, but, I think, to + little advantage. The chief facts to be gathered are that an endemic + affection became epidemic and pestilential, contrary to its usual mode, + for the Portuguese official physician, on being consulted by the Governor + of the Island as to the safety of landing the contaminated crew, said, + "No danger at all; I have often brought sick men on shore coming in + vessels from the African coast, and I never knew any ill effects to + arise." Putting the most reasonable construction on this emphatic and + straightforward language, we may presume that ordinary, remittent, and + yellow fever had been commonly imported into the island, for it is not to + be supposed but that both forms of disease must have existed among those + sick men who had "<i>often been landed</i>," under the sanction of the + Portuguese physician.</p> + + <p>To take another instance; intermittent fever or ague, is a disease + known among almost all nations of the world, but it usually occurs in the + endemic form only. It is universally supposed to depend entirely upon + marsh effluvia, and we are accustomed to consider it as attaching only to + low lying countries;<a name="NtA40" href="#Nt40"><sup>[40]</sup></a> but + this is not always the case, for disease in <!-- Page 106 --><span + class="pagenum"><a name="page106"></a>{106}</span>this respect, like + vegetation, may be found in various latitudes, to accommodate itself at + varying altitudes, to the temperature and climatic relations, so as to + appear indigenous. But though our prejudices are in favour of a simple + miasmatic source of ague, as its sole cause, there are some who believe + in its infectious nature. M. Sigaud, in his work on the Climate and + Diseases of Brazil, speaks of Epidemics of <i>grave intermittent + Fever</i>, and Dr. Copland says, that the epidemic prevalence of ague is + a better established fact than its infection, and has been admitted by + most writers.<a name="NtA41" href="#Nt41"><sup>[41]</sup></a> We have, + therefore, but to go one step further to arrive at infection, after + having found that an endemic disease under peculiar circumstances, though + but rarely, becomes <!-- Page 107 --><span class="pagenum"><a + name="page107"></a>{107}</span>epidemic. The number of persons attacked + by ague in a malarious district, in proportion to the population, is not + so great as might be expected, considering that they are always subject + by night and day, more or less, to respire the air containing the germs + of intermittent fever; we might, therefore, deny the paludal source of + the affection, as reasonably as deny infection, if we found that + occasionally, persons, though subject to all the usual influences, yet + escaped all injurious consequences.</p> + + <p>There are grades and varieties of infectious diseases, from the most + inveterate to the most mild and doubtful; but that all, without + exception, which can in any way be traced to a specific generating and + organic cause, may assume an exalted infectious character, and that the + most inveterate, on the contrary, may more resemble the mild and + doubtfully infectious forms, is a conviction that must be forced on all + who pursue this enquiry with unbiassed interest.</p> + +<hr class="full" /> + +<p><!-- Page 108 --><span class="pagenum"><a name="page108"></a>{108}</span></p> + +<h3>CHAPTER III.</h3> + +<p class="cenhead">THE REASONABLENESS OF THE APPLICATION +OF THE FACTS TO THE INFERENCE.</p> + +<p class="cenhead">————</p> + +<p class="cenhead">SECTION I.</p> + +<p class="cenhead"><span class="scac">THE CHEMICAL THEORY OF EPIDEMICS UNTENABLE.</span></p> + + <p>It has been inferred that the germs of disease possess the property of + vitality, and a number of facts have been adduced to support the + proposition that vitality is the indwelling force by which the matter + generating epidemic and endemic disease exercises its influence over man + and animals. The reasonableness of the application of these facts to the + end in view has now to be considered. Chemistry cannot account for + epidemics.</p> + + <p>Our first subject of reflection points to the chemical discoveries of + the last few years, and particularly to those of the great German chemist + Liebig. We find in the first paragraph of his Organic Chemistry applied + to Physiology and Pathology, the following words: "In the animal ovum, as + well as in the seed of the plant, we recognize a certain remarkable + force, <i>the source of growth</i> or increase in the mass, <i>and of + reproduction</i> or of supply of the matter consumed; a force in a state + of rest. By the action of external influences, by impregnation, by the + presence of air and moisture, the condition <!-- Page 109 --><span + class="pagenum"><a name="page109"></a>{109}</span>of static equilibrium + is disturbed. This force is called the <i>vital force</i>, <i>vis + vitæ</i>, or vitality."</p> + + <p>The doctrine of Liebig, that the vital force manifests itself in two + conditions, or rather, that it is known to be in two different states, + that of static equilibrium as in the seed, and in a dynamic state, as in + that of growth and reproduction, is perfectly applicable to the germs of + disease; the static equilibrium is referrible to the matter of vaccine + lymph when dried and preserved for use, and the dynamic forces of the + matter are known to be in operation during its reproduction and growth in + the system of the vaccinated child.</p> + + <p>Then as to reproduction of matter by any chemical process, our author + can furnish us with no examples, for even in his explanation of the + causes of disease he is quite silent on this point, merely acknowledging + that diseased products must be either rendered "harmless, destroyed, or + expelled from the body." He further says, that "in all diseases where the + formation of contagious matter and of exanthemata is accompanied by + fever, two diseased conditions simultaneously exist, and two processes + are simultaneously completed," and that it is by means of the blood as a + carrier of oxygen that neutralization or equilibrium is established. + Liebig thus admits that an agent exists in the blood, capable of + deteriorating it at the expense of the oxygen, which he maintains is + contained in the red globules; he further acknowledges that two processes + of diseased <!-- Page 110 --><span class="pagenum"><a + name="page110"></a>{110}</span>action are going on at the same time, and + though he does not explain them, I imagine him to mean that new + contagious matter is generated and eliminated from the blood, and that at + the same time, there is that condition of body which he would call simply + a diseased state, and characterizes it thus: "Disease occurs when the sum + of vital force which tends to neutralize all causes of disturbance, (in + other words, when the resistance offered by the vital force) is weaker + than the acting cause of the disturbance."</p> + + <p>If I rightly apprehend his notions, they perfectly harmonize with my + ideas, to a certain extent, on the subject. They accord, at any rate, + most completely with the theory attempted to be established, and fully + confirm the reasonableness of the application of the facts recorded to + the inference drawn from other sources. The difference only rests on the + question whether vitalized or non-vitalized matter is the <i>fons et + origo mali</i>.</p> + + <p>How is the production of new matter, resembling that originally + causing the disease, to be explained by any known hypothesis, except on + the assumption of living organized matter? Though Liebig and Mulder both + deny the fact, that the Torula cerevisiæ is the sole agent in the process + of fermentation: they both equally fail in shewing upon what it does + depend, and their difficulty rests entirely on their incapacity to + explain the uniform reproductive properties of the matter engaged in + this, as well as in all other allied operations. Liebig's statement <!-- + Page 111 --><span class="pagenum"><a + name="page111"></a>{111}</span>however on this matter requires + notice—he says, "that <i>putrifying</i> blood, white of egg, flesh + and cheese, produce the same effects in a solution of sugar, as yeast or + ferment. The explanation is simply this; that ferment or yeast is nothing + but vegetable fibrine, albumen or caseine, in a state of + decomposition."</p> + + <p>This state of decomposition, however, involves a much more complex + proceeding, than simply a reduction of matter into its elementary forms + of gases, earths, and minerals; for we nowhere find decomposition of this + kind going on without the development of some organized bodies, either + animal or vegetable: and since we have seen that the spores of the + cryptogami are always in existence in the atmosphere, and making their + appearance under favouring conditions, and especially when we find that + fermentation is invariably accompanied, and I may safely say, preceded by + the deposition in the fluid of the sporules of the Torula, we can hardly + believe that they are any other than the sole agents of the process. I + have now a considerable quantity of the Torula obtained from the urine of + a diabetic patient, in which they appeared, as it were, spontaneously. + After the urine had been allowed access to the air for a certain time, + and the whole of the saccharine matter was converted into new compounds, + reproduction of the Torula ceased;—and those which remained when + the process was completed, still continue as organic cells, deposited + <!-- Page 112 --><span class="pagenum"><a + name="page112"></a>{112}</span>in the bottle in an inert state, but + ready, on the addition of fresh sugar, as has been proved, to resume an + active existence. These germs, it is now well known, may be dried into + powder, so as to be blown away like dust without any, or but little, + detriment to their vital energies; and there is now no doubt that they + exist in this condition in the air, as do the spores of mucor, + aspergillus, oidium, agaricus, and all other fungi.</p> + + <p>Mulder, however, does allow some properties to the yeast vesicle; he + says, "a variety of strange ideas have been entertained respecting the + nature of yeast; recent experiments have convinced me that it undoubtedly + is a cellular plant consisting of isolated cells. They resemble the + composition of cellulose in some respects, but differ from it in many." + "These vesicles, consisting of a substance resembling that of cells, do + not contribute in the least to the fermentation, but are exosmotically + penetrated during fermentation by the protein compound." These chemists + seem to have an instinctive horror of allowing any active properties to + the yeast vesicle, that is as far as the conversion of sugar into + carbonic acid and alcohol is concerned in the act of fermentation. Dr. + Carpenter, as if desiring to conciliate the chemical and physiological + disputants, considers that the truth is to be found in the mean of the + two extremes,—that is, that the process of fermentation is neither + entirely dependent on chemical laws, nor on those laws which preside <!-- + Page 113 --><span class="pagenum"><a name="page113"></a>{113}</span>over + the growth of reproductive matter, but is a process in which both perform + certain offices, each depending on the other to produce the combined + result; he thus approaches more nearly to the theory of Mulder, than that + of Liebig.</p> + + <p>But to revert to Mulder, he speaks of the Torula cells being + "exosmotically penetrated during the process of fermentation by the + protein compound." Now the Torula is acknowledged to be one of the + Fungals, and the chemical constituents of the Fungi approach very nearly + that of animal tissues. They contain a peculiar principle, residing in + and obtainable from them, termed Fungin, which is as highly azotised as + animal fibre. The protein compound alluded to, Mulder says, is not + gluten, because insoluble in boiling alcohol, and not albumen, because it + is very readily dissolved in acetic acid, and he regards it as a + superoxide of protein. This superoxide of protein can only have been + produced by a vital action in the cells of the Torula, and as the fungi + consume oxygen, and give out carbonic acid, we clearly have all the + elementary conditions for their growth in almost all decomposing animal + and vegetable matters. It is the nature of the fungi to live on organized + matter, but always when it has a tendency to decay; it is for this reason + they have been called "Scavengers." Again, we can understand why some + animalized or nitrogenous matter should be necessary for fermentation, + otherwise fungi could not grow, nitrogen being an essential constituent + of <!-- Page 114 --><span class="pagenum"><a + name="page114"></a>{114}</span>their structure, and further fermentation + does not commence without the presence of oxygen, and like as in animals, + this gas supports their existence. The conversion of sugar into alcohol + is represented by the following formula:—</p> + +<table class="nobctr" summary="Conversion of sugar into alcohol" title="Conversion of sugar into alcohol"> + +<tr><td class="hspcsingle"> </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> </td><td class="hspcsingle" style="text-align:center; padding-top:1em" colspan="2"> <span class="sc">Result.</span></td></tr> +<tr><td class="hspcsingle"> </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> Sugar.</td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> Alcohol. </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> Carbonic Acid.</td></tr> +<tr><td class="hspcsingle"> Hydrogen </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 3 </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 3</td></tr> +<tr><td class="hspcsingle"> Oxygen </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 3 </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 1 </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 2</td></tr> +<tr><td class="hspcsingle"> Carbon </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 3 </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 2 </td><td class="hspcsingle" style="text-align:center; vertical-align:bottom"> 1</td></tr> +</table> + + <p>If therefore the process were merely of a chemical nature, where is + the necessity for atmospheric oxygen to accomplish the end? it is quite + certain that fermentation cannot go on without its presence. Let us + compare the action of ferment or yeast in a dried state to the action of + albumen, which Liebig says is sufficient when decomposing to set up + fermentation. "The white of eggs when added to saccharine liquors + requires a period of three weeks, with a temperature of 96° F. before it + will excite fermentation."<a name="NtA42" + href="#Nt42"><sup>[42]</sup></a> But any saccharine liquor on exposure to + the air, though entirely destitute of albumen or gluten, will ferment, + and the Torula may be found in it. I have found the Torula in a great + variety of syrups which have spontaneously undergone fermentation. I have + also discovered that the development of the cells is delayed or + accelerated by the nature of the ingredient used in flavouring <!-- Page + 115 --><span class="pagenum"><a name="page115"></a>{115}</span>the + syrups, with other peculiarities which need not here be mentioned.</p> + + <p>But the conversion of starch into sugar by means of gluten requires + some notice, as by some persons it is associated in their minds with the + organic process of fermentation.<a name="NtA43" + href="#Nt43"><sup>[43]</sup></a> Mulder ascribes the latter in the first + instance to the action of heat, evidently believing that the + pseudo-catalytic operation of gluten upon starch is the type of all such + actions, and regarding them all as simply chemical, but we here + distinguish a wide difference; in the latter instance the gluten is + decomposed, and rendered unfit for a repetition of the chemical + phenomenon, and if it is desired to renew the action fresh gluten must be + obtained, and a certain temperature kept up, otherwise the experiment + fails. How different is fermentation: in the ordinary temperature of the + atmosphere the yeast vesicle will multiply, no incremental or unnatural + addition of heat is requisite, and it is one of the commonest and most + natural instances of vegeto-chemistry: the grape cannot shed its juice, + nor the sugar cane its sap without admitting these germs, which, under + certain <!-- Page 116 --><span class="pagenum"><a + name="page116"></a>{116}</span>conditions multiply themselves and convert + the saccharine elements into new compounds. The method by which the + conversion of starch into sugar is accomplished is thus described by Dr. + Ure. He says that if starch one part be boiled with twelve parts of water + and left to itself, water merely being stirred in it as it evaporates, at + the end of a month or two in summer weather it is changed into sugar and + gum, bearing certain proportions to the amount of starch used. But "if we + boil two parts of potato starch into a paste, with twenty parts of water, + mix this paste with one part of the gluten of wheat flour, and set the + mixture for eight hours in a temperature of from 122° to 167° F. the + mixture soon loses its pasty character, and becomes by degrees limpid, + transparent, and sweet, passing at the same time first into gum and then + into sugar."—"The residue has lost the faculty of acting upon fresh + portions of starch."</p> + + <p>Four points of contrast present themselves for notice as elements of + comparison with true fermentation. 1st. The starch solution has to be + boiled, so that heat, by which it is to be supposed that the starch + globule is ruptured, seems to be an essential portion of the chemical + change, and even this may in fact alone be sufficient in such a case to + produce some elementary change in the starch, and may prepare it for the + subsequent catalytic action of some related organic, though not vital + material.<a name="NtA44" href="#Nt44"><sup>[44]</sup></a> <!-- Page 117 + --><span class="pagenum"><a name="page117"></a>{117}</span>2nd. Not only + a summer heat is necessary, but a period of one or two months time must + elapse before the starch with the water simply becomes converted into + sugar, and if artificial heat is to be used to hasten the operation, a + temperature from 122° to 167° F. must be resorted to in order to obtain + the desired result. 3rd. When even this is accomplished there is no + reproduction of the fermenting matter, and artificial and chemical means + must again be applied to repeat the experiment. 4th. The conversion of + starch into sugar can be accomplished without the presence of gluten at + all, by the aid only of temperature and time. It seems to me, therefore, + to be entirely unnecessary to occupy more space in the elaboration of a + proof of the doctrine that the germs of the Torula are the sole agents in + the conversion of saccharine fluids into alcohol and carbonic acid. By + another chemical process starch can be converted into sugar, but I am not + aware that hitherto any method has been discovered by which sugar can be + converted into alcohol except by the process of fermentation proper.</p> + + <p>I have been thus particular in commenting on this subject, as it + bears, in an especial manner, on the question under consideration.</p> + +<p><!-- Page 118 --><span class="pagenum"><a name="page118"></a>{118}</span></p> + + <p>The physiologist cannot afford to lose this process from the category + of chemico-vital, or biochemical manifestations.<a name="NtA45" + href="#Nt45"><sup>[45]</sup></a> The philosophy of the age has a tendency + to make every thing chemical; it is true that the Divinity is as much + seen in the laws which govern the elementary particles of matter, as in + those laws which preside over the transmutation and sustentation of those + elementary and inorganic particles, when compounded in the tissues which + are engaged in the formation of living beings. The laws by which acids + and alkalies neutralize each other, and the affinities single, double and + elective, which the particles of matter exhibit, together with the + influences of light, heat, and electricity upon almost every condition of + matter, are as truly wonderful as the creative power. Man may, in many + instances, imitate the processes of nature, he can render iron magnetic, + and form alkaloids, but the <!-- Page 119 --><span class="pagenum"><a + name="page119"></a>{119}</span>laws which govern the particles of matter + are still the secret of the whole proceedings. We do but interpret the + language of nature in discovery, the book is ever open before us, and + every atom of the world is a word and a theme, capable of occupying the + short span of sublunary existence allotted to man. We have read of + "sermons in stones," but a book has been written on a "pebble."<a + name="NtA46" href="#Nt46"><sup>[46]</sup></a></p> + + <p>To return, as we every where in nature find a gradual transition in + the forms, arrangements and properties of matter, so we may expect to + find a link between the inorganic and vital chemistry of nature. The + fungi, by which we contend this transition appears to be accomplished, + are also a link in chemical composition, between the animal and vegetable + kingdom, and not only in that, but in their subsisting upon matter which + has been organized, they are deoxidizers and reducers, as the vegetable + kingdom in its highest function is a compounder. To their functions and + offices in the great scheme of creation, we may fairly apply ourselves + with a sure and certain result of the most interesting discovery. Is it + no hint that wherever decaying organic matter is found, there do we find + fungi? is it no hint that they are found in all parts of the world? that + even in snow the germs of fungi will grow and multiply to such an extent, + according to Capt. Ross, that the protococcus was seen <!-- Page 120 + --><span class="pagenum"><a name="page120"></a>{120}</span>by him, + clothing the sides of the mountains at Baffin's Bay, rising, according to + his report, to the height of several <i>hundred feet</i>, and extending + to the distance of <i>eight miles</i>?</p> + + <p>Even stones contain in their interior, or interspaces of their + structure, the germs of fungi. A species of Tufa is found in the vicinity + of Naples of a porous texture, which, when moistened and shaded, produces + vast mushrooms, four or five inches high, and eight or ten inches + broad.<a name="NtA47" href="#Nt47"><sup>[47]</sup></a> This author + further says: "In the Maremma, where the volcanic tufa is the basis of + the soil the surface is intermixed with the animal remains of departed + empires, and the ordure of cattle, is covered with grasses of old + pasturages, and is wet with heavy dews. Everything, therefore, conspires + there to a fungiferous end."</p> + + <p>They are found growing in and upon both vegetables and animals. Nees + von Esenbeck imagined, that minute forms multiplied themselves in the + atmosphere; and really, when we consider the amount of effluvia composed + of the atoms cast off from the bodies of living or decaying organic + matters, which are incessantly passing into the atmosphere, the + conjecture is not an unreasonable one. The minuteness of those, which we + know are always found growing on decomposing bodies, does not preclude + the possibility, nay, further favours <!-- Page 121 --><span + class="pagenum"><a name="page121"></a>{121}</span>the probability, that + others infinitely more minute,<a name="NtA48" + href="#Nt48"><sup>[48]</sup></a> may be destined to remove the more + subtle and vaporous particles which escape into the air.</p> + + <p>We can, therefore, I think, conclude, that the lower tribes of + vegetation, may consistently be regarded as capable of existing in almost + any condition, and almost under any circumstances, they may be made to + grow in plants by inoculation, as shewn by De Candolle, and Dr. Hassall. + If the stem of wheat also is inoculated with vibriones, they will make + their appearance in the grain.<a name="NtA49" + href="#Nt49"><sup>[49]</sup></a> If the seed contain them and have not + lost its germinating properties, these worms will be found again in the + grain. If the grain containing them be dried for years, and moistened + again with water, these animalcules, according to Bauer and Steinbach, + will present all the phenomena of life. This experiment I have witnessed, + and can confirm the statement. These animalcules in the diseased grain, + have under the microscope the appearance of an immense <!-- Page 122 + --><span class="pagenum"><a name="page122"></a>{122}</span>number of eels + crowded together in a small space, and presenting a movement more, + perhaps, vermicular than any other, and it is continued for a + considerable time. Now if these animalcules, or their ova, can be proved + to pass with the sap to the seed, there can be no difficulty in + comprehending how germs, considerably more minute and of a vegetable + nature, should be found subject to the same peculiar mode of obtaining an + entrance into animals and vegetables for sustenance. "It is usually + imagined," says Dr. Carpenter, "that the germs liberated by one plant are + taken up by the roots of others, and being carried along the current of + the sap, are deposited and developed, where vegetation is most + active."</p> + + <p>The chemical theory of disease would be better sustained by a + comparison of "the artificial formation of alkaloids," and the phenomena + of transformation of blood into the tissues of animals, and their + degeneration into effete matters, and of sap into the tissues of plants + and their degenerations.</p> + + <p>Professor Kopp of Strasburg, says, "In a chemical point of view, the + alkaloids are remarkable for their composition, for their special + properties, both physical and chemical, and for the interesting reactions + to which many of them give rise, when exposed to the influence of + different reagents. Considered medically, the organic bases are + distinguished by their energetic properties. They <!-- Page 123 --><span + class="pagenum"><a name="page123"></a>{123}</span>constitute at the same + time, the most violent and sudden poisons, and the most valuable and + heroic remedies."</p> + + <p>Upon this very intricate and interesting part of chemical philosophy, + it is rather dangerous to enter without a thorough and practical + knowledge of the subject. This, however, falls to the lot of few men. We, + who are engaged in the study of disease, and of the best methods of cure, + are obliged to take the investigations of the analytical chemist, and + examine them for ourselves in the intervals of leisure allowed us during + the active exercise of our calling. Though with less advantages for the + study of these transcendental relations of organic and inorganic matter, + we are not, nevertheless, precluded from forming our opinions on their + practical bearings to the phenomena and treatment of disease.</p> + + <p>That there is a matter of a poisonous nature concerned in the + production of endemic and epidemic affections, cannot be doubted by any + one; I believe indeed, that the chemical theorists admit this, at all + events Liebig does, for he says, "The morbid poison changes in the blood + are fermentative, just such as occur in beer making." If we start, then, + with the consideration that poisons, in a chemical point of view, are the + objects of our research; the obvious course to take is to enquire what is + the source of poisons generally, and what their effects on the animal + economy? The mineral poisons are entirely excluded from the enquiry by + their <!-- Page 124 --><span class="pagenum"><a + name="page124"></a>{124}</span>inaptitude for diffusion, and their + uniform effects upon all persons, differing only in degree in their + operation. The same objections apply to gaseous poisons, except that to + them the property of diffusion would be admitted.<a name="NtA50" + href="#Nt50"><sup>[50]</sup></a> We come then to the alkaloids, which + constitute, as Kopp says, the most violent and sudden poisons. For the + production of alkaloids by artificial means, organic products of some + kind are required. Artificial heat, powerful chemical agents or length of + time, are, as far as information at present extends, the indispensable + requirements to induce these peculiar changes in matter. The only + instance I can find, in which elementary matters can by artificial means + be combined, so as to resemble the products of nature, is that of the + conversion of carbon and nitrogen into cyanogen. But the process by which + this is accomplished, leads rather to doubt whether it be really and + simply by a combination of <i>elementary</i> carbon and nitrogen. I + extract the following from the Annual Report of the Progress of + Chemistry, for 1848. "H. Delbruck has performed some experiments on the + important subject of the formation of cyanogen. He confirms the + statements of Desfosses and Fownes, inasmuch as a <i>weak but + distinct</i> formation of cyanogen was observed on igniting <!-- Page 125 + --><span class="pagenum"><a + name="page125"></a>{125}</span><i>sugar-charcoal</i><a name="NtA51" + href="#Nt51"><sup>[51]</sup></a> with carbonate of potassa in an + atmosphere of nitrogen." The use of sugar-charcoal, may be perhaps an + explanation of the weak formation of cyanogen, for in these numerous and + successive chemical changes of matter, it is impossible to say how many + sources of error may arise. The constant contradictions of each other, + and the opposite statements made by chemists, of equal eminence, leave us + in a wilderness of doubt, from which we are not likely to be freed, until + definite laws shall be discovered to act as a guide in the comprehension + of the higher branches of Chemical Philosophy.</p> + + <p>But supposing that the generation of alkaloids could take place in the + body, or some analogous poisonous matter, we have yet to imagine a whole + host of peculiar and essential conditions to effect this change, besides + an atmospheric agent or agents to set in motion those compositions and + decompositions, capable of bringing out these new products from the + elements of blood. We are aware that in the blood, carbon and nitrogen + are sufficiently abundant as well as saline compounds, to generate + cyanides, and, with hydrogen also there in plenty, hydrocyanates, and + thus from them many other poisonous products, but how is all this to be + effected? And even if effected, it is yet a question if such compounds + can in any way simulate the attacks of epidemic disease. We have <!-- + Page 126 --><span class="pagenum"><a + name="page126"></a>{126}</span>already shewn that the amount of most + poisons necessary to destroy an individual, can be pretty clearly + estimated, and their <i>modus operandi</i> is tolerably well understood. + Again, the most essential part, in which all chemical theory fails, is an + explanation of the reproduction of contagious matter.</p> + + <p>The catalytic process, by which decompositions are said to be + effected, and in which Liebig includes the various fermentations, is one + of those chemical relations of matter to matter, considered by some as + the probable cause of infection. Mr. Simon, in a late lecture, has said, + "I consider the phenomena of infective diseases, to be essentially + chemical, and I look to chemistry to enlighten the darkness of their + pathology. Qualitative modifications, affecting the molecules of matter + as to their modes of action and reaction, are such as form the subject of + chemical science; and those humoral changes which arise as the result of + infection clearly fall within the terms of its definitions." Further on + he adds: "The phenomena of infected diseases appears then, in many + respects, to be sui generis. Certainly they are chemical. <i>Probably</i> + they belong to that <i>class</i> of chemical actions called + <i>catalytic</i>."<a name="NtA52" href="#Nt52"><sup>[52]</sup></a></p> + +<p><!-- Page 127 --><span class="pagenum"><a name="page127"></a>{127}</span></p> + + <p>It is not improbable that something resembling a catalytic action may + take place in the blood in those diseases of endemic and epidemic origin, + but that it can be by a chemical process alone is contrary to all + experience of catalytic operations, for except in the instance of + fermentation proper, there is no multiplication of the fermentative + matter. The action of the matter of contagion seems to stand on the + confines between electro-chemical and bio-chemical manifestations, and so + long as no chemical explanation can be given for the multiplication of + the matter of infection, the most rational course to adopt is to assume + that life under some unknown form is, as we every where find it, the sole + reproductive agent.</p> + +<hr class="short" /> + +<p><!-- Page 128 --><span class="pagenum"><a name="page128"></a>{128}</span></p> + +<p class="cenhead">SECTION II.</p> + +<p class="cenhead"><span class="scac">THE ANIMALCULAR THEORY OF EPIDEMICS UNTENABLE.</span></p> + + <p>The animalcular theory of disease, after remaining almost unnoticed + for nearly two centuries, has been again revived under the auspices of + Dr. Holland in this country, and Henle of Berlin. And though not entirely + buried in obscurity, this theory had completely failed to modify the + practice of physicians in the treatment of those diseases which were + supposed to owe their existence to these invisible atoms of created + being. The resuscitated notions and all their amplifications, to which + the advance of science has contributed so much, are threatened with a + like fate, an absence of all practical results.</p> + + <p>Though I would not attempt to deny the possibility, nay, even the + probability, that insect life may yet be discovered as the cause of some + diseases,<a name="NtA53" href="#Nt53"><sup>[53]</sup></a> still <!-- Page + 129 --><span class="pagenum"><a name="page129"></a>{129}</span>there are + many and cogent reasons against both, and which are at variance with + facts and observations. Where insect life has been found associated with + disease, it more especially appears as a consequence than as a cause.</p> + + <p>Disease, in its most enlarged sense, is a conversion of one form of + matter into another; it is a transformation of healthy blood and tissue + into new and abnormal products. Where insects in all their variety of + forms are discovered, their voracious propensities are their chief + characteristics, they are the consumers of matter after its partial + disintegration, if animal matter be their food, unless they be + carnivorous and predacious, or if herbivorous they usually feed upon the + tender shoots of plants. Thus far we are certain of the manner in which + insects destroy living matter; it is a process the unassisted eye may + every where witness, and which experience has amply attested. To take, + however, the animalcular world as it presents itself to us under the + microscope, and as the intermediate step between the manifest and the + hidden for a fairer and more direct method of reaching the truth, what do + we observe to be the ruling law of infusory instinct? They live to feed; + the term polygastrica sufficiently implies their natural tendency to + consume. The simplest form of animalcular life, seen in the genera of + monads, still preserves the animal character by possessing a stomach or + stomachs in which the food is received, to be digested for the + nourishment of the <!-- Page 130 --><span class="pagenum"><a + name="page130"></a>{130}</span>system; and even some of these minute + objects which vary in size from one <i>two-thousandth</i>, to one + <i>three-thousandth</i> of a line in diameter, are said to be carnivorous + and predacious. Upon this fact alone, I would place the improbability of + insects being the cause of epidemic disease. Each insect doubtless has + its own peculiar food, and whether it be a vegetable or animal feeder, it + consumes the matter already organized for conversion into its own tissue, + and the only change which could be affected by them in the blood, would + necessarily be that of appropriation of some one of the constituents as + an element of food; when that food is digested, (taking digestion + generally as an identical process,) the excrementitious matter is + composed of secretions and disorganized matter, mixed together as an + <i>effete</i> product, and destined then for reorganization by the + vegetable kingdom. Now all animals, whether they be large or small, live + on organized matter,—they convert that matter into an inorganic + form, and I cannot help imagining that if epidemic diseases and fevers + depended upon animalcular growth and development in the blood or tissues + of the body, the excretions or secretions from them would have yielded + some information to the searching enquiries of the chemist, supposing + that these excretions and secretions were capable of reaching to a + sufficient amount in quantity, to bring about those fatal effects of + poisoning, we witness in Cholera and other epidemic affections. Insects, + I <!-- Page 131 --><span class="pagenum"><a + name="page131"></a>{131}</span>believe are poisonous only by their + secretions, and though they are known to multiply with exceeding + rapidity, I can hardly imagine that by their development, however rapid, + they could produce such a change in the human body, as to bring about the + speedy dissolution, and generally gangrenous appearance, that has + invariably been observed in those suddenly dying under the influence of + epidemic poisons. The vibriones, whose destructive effects on wheat are + so well known, are a genus of animalcules, which at first would seem to + favour the animalcular theory in a remarkable manner; for on examining + them, they do not appear to possess any other structure than a gelatinous + absorbing mass, in this respect resembling a vegetable.</p> + + <p>But Ehrenberg's scrutiny corrected the error of De Blanville, and + shewed, that they were far from being agastria, or stomachless animals. + The Rev. William Kirby says, "Ehrenberg has studied the vibriones in + almost every climate, and has discovered, by keeping them in coloured + waters, that they are not the simple animals that Lamarck and others + supposed, and that almost all have a mouth and digestive organs, and that + numbers of them have many stomachs." All the discoveries indeed which + have been made on the minuter forms of animal life, have tended to + confirm the doctrine that the stomach is the exponent organ of an animal; + that is, in all animals there exists, in a variety of modified + conditions, a receptacle for food. Some of the <!-- Page 132 --><span + class="pagenum"><a name="page132"></a>{132}</span>animalcules, however, + are still supposed to exist by absorption, as the vinegar eel, <i>vibrio + anguilla</i>,<a name="NtA54" href="#Nt54"><sup>[54]</sup></a> but when we + find that the law is, generally speaking, that the receptacles of food + become multiplied in number in these minute beings, and the vibriones + which were supposed to be stomachless, have been proved to emulate their + associates in the number of these organs; it would be more reasonable to + conclude that our imperfect vision is the barrier to their detection, + rather than to suppose that they do not exist. Besides, when we are told + on undoubted authority that some of the animals of this class, have as + many as <i>forty or fifty</i> stomachs; the least we can do, is to allow + that all of them possess, at least one digestive organ, though we may not + be able to detect it.<a name="NtA55" href="#Nt55"><sup>[55]</sup></a></p> + + <p>So far then for the consideration of animalcular structure: let us now + more particularly enquire into their destructive habits, and their + functions, inasmuch <!-- Page 133 --><span class="pagenum"><a + name="page133"></a>{133}</span>as they may be supposed capable of + engendering epidemic diseases and fever. The truly carnivorous + animalcules, or those truly herbivorous in their instincts, we may + presume to be beyond the limits of our enquiry. We have rather to do with + those which take an intermediate position, namely, those which feed upon + matter undergoing decomposition, or upon fluids containing organic + matters in solution, or suspension. If we take Entozoa generally, they + may be considered as most conveniently to be placed in this intermediate + class; and here we find still the digestive apparatus, and more than + this,—for upon the modifications of the organs appropriated to + digestion is their classification founded. "Rudolphi divided the Entozoa + into Sterelmintha, or those in which the nutrient tubes without anal + outlet are simply excavated in the general parenchyma, and into the + Cœlelmintha, in which an intestinal canal with proper parietes + floats in a distinct abdominal cavity, and has a separate outlet for the + excrements."<a name="NtA56" href="#Nt56"><sup>[56]</sup></a></p> + + <p>How do these animals obtain their sustenance, and what changes can + they produce upon the vital fluid of the body? Analogy is here our only + guide. If the trichina spiralis is examined, it is found to be enclosed + in a cyst containing fluid; and this is, <!-- Page 134 --><span + class="pagenum"><a name="page134"></a>{134}</span>doubtless, the source + of its nutriment, and contains in solution the elements for its + nutrition; but in this instance there is no selection, and there can be + no locomotion to an extent sufficient to imply searching for food, as the + animalcule in its natural state, when taken from the human muscle, is + found coiled upon itself, making about two and a half turns. The fluid of + the cyst is thus in all likelihood prepared by endosmosis, for the + immediate and appropriate nutrition of the parasite. The cyst is thus the + part which performs the diseased process, the containing animalcule is + merely the consumer of what is prepared for it by the cyst. And this + would seem to be the rule with all parasites, of the encysted kind.</p> + + <p>We have alluded to the vibriones which are found in the fluids of + living bodies, and the trichina which is found in the solid muscle; we + have now to refer to those which infest the cavities. It was, I believe, + Ehrenberg, who shewed that the tartar which accumulates on the teeth is + composed of the debris of minute animalcules; in fact, that it consists + of calcareous matter, having once formed a portion of the structure of + their bodies, the ubiquity of these creatures is therefore as much and + clearly established as the lower forms of vegetation. The intestinal + worms, of which perhaps the Tænia is the most curious and important to be + noticed, are from the locality in which they are found, chiefly injurious + by the irritation they set up, and by appropriating <!-- Page 135 + --><span class="pagenum"><a name="page135"></a>{135}</span>to themselves + the nutrient juices elaborated in the process of animal digestion, thus + depriving the individuals they infest of that which was destined for + their own nourishment. In this, as in all associated instances, the + character by which these parasitic animals are marked is their consuming + propensity. There is, however, one more observation to make upon + parasitic growths; but the question is yet unsettled in what kingdom of + nature is the acephalocyst, or hydatid, to be placed. Mr. Owen says, "As + the best observers agree in stating, that the acephalocyst is impassive + under the application of stimuli of any kind, and manifests no + contractile power, either partial or general, save such as results from + elasticity, in short, neither feels nor moves, it cannot, as the animal + kingdom is at present characterized, be referred to that division of + organic nature."</p> + + <p>We thus arrive at the simple cell, and the multiplication of living + beings by cell buds; it is the point at which the confines of the animal + kingdom are reached, and at which we are driven to speculation. The + hydatid lives like a plant, by imbibition; and procreates, like a plant, + by budding, either endogenously or exogenously, as regards the original + or parent cell.<a name="NtA57" href="#Nt57"><sup>[57]</sup></a></p> + +<p><!-- Page 136 --><span class="pagenum"><a name="page136"></a>{136}</span></p> + + <p>This condition of being, suggested the notion of Protozoa, or first + animals, in the same way that the purely cellular plants, that is, each + individual, consisting of a single cell, gave the idea of <span + class="correction" title="Original reads 'Prolophyta'." + >Protophyta</span>, or first plants. Mr. Kirby thus expresses himself on + this subject: "The first plants, and the first animals, are scarcely more + than animated molecules, and appear analogues of each other; and those + above them in each kingdom represent jointed fibrils."</p> + + <p>Admitting, then, that animals as well as plants exist in the form of + simple cells, and that their multiplication proceeds apparently upon the + same principle in each, it is nevertheless abundantly manifest, that the + cellular form of perfect individuals is infinitely more numerous in the + vegetable than in the animal kingdom.</p> + +<p><!-- Page 137 --><span class="pagenum"><a name="page137"></a>{137}</span></p> + + <p>From the mosses downwards to the fungi, the whole structure of the + plants consists of an aggregation of cells, more or less in number and + complicate arrangement, until, through a variety of gradations, we reach + the single cell as a perfect individual.</p> + + <p>It is rather remarkable, that the lower forms of vegetables and + animals seem to derive their nutriment from matter of a similar kind; and + though the office of plants is as a rule, to convert inorganic into + organized matter, it appears that some of the fungi may live as animals + do on organic matter when in a state of solution. This, however, is + uncertain; for we do not know what are the first signs of decomposition + in organized bodies, and for aught we can tell, it may be perpetually + going on; so far as the disengagement of carbon from the system is + concerned, this is certain; but whether the nitrogenous compounds also + are subject to a resolution into their elements in the living body, is + another question, and not so easy of solution. The partially decomposed + elements of animal structures are, however, particularly adapted for the + nutrition of the lower forms of vegetation; it is, indeed, from the + decaying organic matters that the fungi derive, it may be said, their + entire food.</p> + +<hr class="short" /> + +<p><!-- Page 138 --><span class="pagenum"><a name="page138"></a>{138}</span></p> + +<p class="cenhead">SECTION III.</p> + +<p class="cenhead"><span class="scac">SKETCH OF THE PHYSIOLOGY AND PATHOLOGY OF PLANTS AND ANIMALS.</span></p> + + <p>Animals and plants depend for their existence upon a nutritive fluid, + which permeates their structure; it is the element from which all their + secretions are formed, and their organs are nourished.</p> + + <p>The food of animals is composed of previously organized matters, and + is conveyed into a reservoir called a stomach, where it undergoes a + process of solution, previously to entering the circulation. At this + period, the animal and the plant again present points of resemblance, the + lymphatics or absorbent vessels take up the products of digestion, and + convey them to the blood-vessels, where mingling with the current of the + blood, they are conveyed to the lungs, there to undergo a process of + oxygenation before they become fitted for the renovation of the tissues + of the body. Such is the nature of the food of man, that it contains all + the elements necessary and adapted for transformation into bone, muscle, + brain, and parenchyma, as well as the other tissues of the body; besides + other elementary matters, which, though they form a very insignificant + portion of <!-- Page 139 --><span class="pagenum"><a + name="page139"></a>{139}</span>animal textures, from their constant + presence in the vital fluid, evidently perform some important offices in + the general economy of life; they are partly, perhaps, occupied in + forming constituents of secretions.</p> + + <p>Plants do not require a stomach,—the humus or soil to which they + are fixed is the laboratory, where the nutritive matter is prepared in a + state fit for absorption by the spongioles of their roots, and these + correspond to the lymphatics of animals; after being taken up by the + spongioles, this new fluid mingles with the sap, and passes to the leaves + or breathing apparatus of plants, where carbonic acid gas combines with + the crude vital liquid, and converts it into a condition fit for all the + offices to be performed by the plant: viz. the growth of tissues, and the + elaboration of secretions.</p> + + <p>The tissues, however, of plants, though more simple in their nature, + present a much more varied character than those of animals, when the + different species are compared.</p> + + <p>The bones of animals which give them their form, are invariably + constituted of phosphate and carbonate of lime, deposited in a matrix of + gluten; muscle, nerve, brain, tendons, and ligaments, have nearly, if not + completely, an identical composition throughout the whole range of the + animal kingdom: their secretions, however, vary much more considerably, + as also do the secretions of vegetables. But vegetable tissue may + contain, as in the stems of <!-- Page 140 --><span class="pagenum"><a + name="page140"></a>{140}</span>grasses, a considerable amount of silex, + and some notable quantity of sulphur, and so essential to their existence + is the former element, that they cannot live without its presence in the + soil, and also with it an alkali, to render it soluble. A large amount of + soda, is an invariable attendant upon the structure of marine plants, as + potash is of those growing on the land.</p> + + <p>Thus, whether we regard the health of animals, or vegetables, we + discover, that besides the matters which are absolutely indispensable for + the nutriment of the tissues which undergo rapid transformation, those of + a more permanent and durable nature require in an almost insensible + degree, a restitution of elements; and though not apparently absolutely + necessary to preserve vitality in the being, yet have so marked an + influence over it, as to indicate an extensive bearing of each <span + class="correction" title="Original reads 'indivdual'.">individual</span> + part, on the whole associated entity.</p> + + <p>The elementary tissues of both kingdoms have been traced, in whatever + form they may be found, to a cellular origin. The minutest vegetable + germ, is a cell containing a granular matter within it, and even man + himself, in his embryonic state, may be represented as an insignificant + point in the realms of space; and might be placed side by side with the + smallest particle of living matter, without suffering by the + comparison.</p> + + <p>The laws by which the development of these elementary cells is + regulated, so that each advances <!-- Page 141 --><span + class="pagenum"><a name="page141"></a>{141}</span>to its limit, and + fulfils its destination, is one of those inscrutable and overwhelming + mysteries of nature, which leads the admirer of creation on and on into + the abyss of the future, and fills his soul with aspirations for that + time, when the veil of ignorance shall be withdrawn. But this is not my + subject.</p> + + <p>The organization of the two animated kingdoms, is then regulated by + definite laws, and all matter, whether acting upon them as agents of + nutrition or destruction, are equally under their dominion; to + investigate and to endeavour to fathom some of these laws, is the aim I + have in view.</p> + + <p>The sap is to the plant, what the blood is to the animal,—the + elements of nutrition and secretion are contained in it, and whatever + interferes with its normal constitution by subtracting from, or adding to + it, deteriorates its qualities, and retards or accelerates the functions + of the individual. Excess or deficiency of the natural elements may also + be a source of disturbance; if carbonic acid be too abundantly liberated + in the soil, as Dr. Lindley expresses it, "plants become gorged;" and if, + on the other hand, the elimination be too slow, they become starved. It + has been also shewn, that plants though they give out oxygen from their + leaves, do not throw it off as animals do carbonic acid from their lungs; + but that this arises as a result of digestion, and the fixation of carbon + in the system, and that they really respire oxygen as <!-- Page 142 + --><span class="pagenum"><a name="page142"></a>{142}</span>animals do, + and give off carbonic acid, both by day and night.</p> + + <p>That light is the stimulant of the digestive functions, and that, + therefore, during the day, the amount of oxygen thrown off, far exceeds + the amount of carbonic acid liberated during the same period.</p> + + <p>The great and important distinction between animals and plants is, + that the former possess a nervous system, by which they are subject to a + very extended series of psychological relations; it is in these chiefly, + if not entirely, that we are to look for the distinctive and well-marked + differences of diseased action. In animals there are special media of + communication between the sources of dynamic power, and the parts upon + which the force is exercised: and again, a return communication exists, + which conveys impressions to the source of power, and to use a simple + comparison, a system of telegraphing is in incessant and watchful + operation. This force is influenced and modified in its action, when + exercised in the regulation of nutrition, growth, and reproduction of + tissues, by the passions and emotions of the mind. All the secretions and + functions of the body are more or less susceptible of being accelerated, + retarded or modified by the psychical relations of mind and matter. + Though we are apt to imagine that in man alone, these phenomena obtain + much importance—there can be but little doubt, that wherever a <!-- + Page 143 --><span class="pagenum"><a + name="page143"></a>{143}</span>nervous system exists, whether in the form + of aggregated or diffused ganglia, the interdependence of force and + organization, each upon the other, bears a certain and definite + physiological comparison; the more aggregated the ganglia, the more + close, intimate, and extensive the psychical connexions, and the + gradations pass downwards, until they appear to be lost on the confines + of the vegetable kingdom.</p> + + <p>The diseases of plants and animals deserve a more careful comparison + than, I think, has hitherto been bestowed upon them.<a name="NtA58" + href="#Nt58"><sup>[58]</sup></a> If the study of physiology, or an + enquiry into the laws which regulate the functions of living beings in a + state of health, has been materially aided by the intimate knowledge of + vegetable physiology, which, from the simple structure of plants, so + favours the experiments of the student, there is every reason to suppose + that vegetable pathology may also lead us to an equally important and + useful result.</p> + + <p>It is quite certain, that if a healthy seed, or leaf-bud, be placed in + such a situation, that, according to the laws known, it will in all + likelihood germinate, if all the elements for its sustenance exist in the + soil, and the temperature and hygrometric <!-- Page 144 --><span + class="pagenum"><a name="page144"></a>{144}</span>condition of the + atmosphere are adapted to it, a healthy plant will be the result. Light, + heat, moisture, and soil are therefore to be considered as the agents + required to exist in a certain balance, or proportion, in reference to + the health or power of vitality of the plant. Within a certain amount of + variation, health may persist in virtue of the power of selection, which + appertains to the spongioles of the root in absorbing nutriment; and also + as regards light, from the tendency which most plants have to accommodate + themselves to any deficiency of this element, by presenting their leafy + expansion in that direction where the most of its influence may be + obtained. But beyond a certain limit an unhealthy condition sets in. If + the soil contain not the inorganic elements, which are absolutely + indispensable for the tissues of the plant, or even if they be there and + not in a state to be absorbed, a dwindling and degeneration ensue; if + light be deficient in quantity, pallor, feebleness, and elongation of + tissue follow, with more fluidity and general softness of texture. These + conditions of plants have their analogues in the ill-fed and + ill-nourished children in some of our manufacturing districts; they are + stunted and diseased. Transport a healthy country lad, with the bloom of + health on his cheek, from his native hills and valleys, or woods and + fields, to the stool behind a desk for eight hours a day, in a narrow + street in any city, where the rays of the sun rarely penetrate, it will + not be long before <!-- Page 145 --><span class="pagenum"><a + name="page145"></a>{145}</span>the skin of the animal and the cuticle of + the plant may be submitted for comparison, when both will testify to the + importance of the solar rays, as an indispensable agent in supporting the + normal processes of organic life. So far common observation is competent + to a solution of the facts; but beyond this we come to the enquiry, what + resemblances are there in the early conditions of plants and animals. + Each originates from nucleated cells, endowed by the All-seeing Power + with a blind impulse of progressive development; the most simple cell of + a vegetable multiplies itself by a generation of new cells within it, + when the parent dies, and liberates the offspring. Here progression is + simply multiplication; it is, as it were, progression in length only. The + original cell, however, of animals, which is styled the germinal vesicle, + extends or becomes developed into dissimilar parts; and whatever may be + the variety, all alike proceed from the original germ cell, and the + <i>tout ensemble</i> of parts constitutes the one and indivisible whole; + in this instance there is addition besides multiplication, tissues and + organs are added in all variety, until the maximum of organic development + is attained in the wonderful being, man.</p> + + <p>Yet how many points of resemblance are there between the vegetable + cell and the fully developed human being, in a physiological and + pathological point of view. There must be nourishment to sustain both; + both require a certain amount of light <!-- Page 146 --><span + class="pagenum"><a name="page146"></a>{146}</span>and heat for their + growth and increase, and are dependent upon various unknown causes for + active and healthy existence; and when a certain time has expired, all + alike return to a condition, in which the particles composing them are + subject only to the dominion of the laws which preside over inorganic + matter.</p> + + <p>But during the existence of plants and animals, we discover other + features of comparison; plants, as well as animals, are liable to + disease; they are subject to functional and organic affections. The + former, among plants, are usually traceable to atmospheric vicissitudes + or irregularities, changes of situation, &c.; and in man to + irregularities of diet, and mental and bodily excesses, as well as to + atmospheric vicissitudes.<a name="NtA59" + href="#Nt59"><sup>[59]</sup></a></p> + + <p>The organic diseases of plants and animals depend upon a repetition, + or continuance, of functional derangement. As a consequence of this, the + nutrition and reproduction of tissues lose their normal and definite + character, wherefrom an indefinite and abnormal result is obtained. There + is a limit to abnormal productions, and they are apparently <!-- Page 147 + --><span class="pagenum"><a name="page147"></a>{147}</span>subject to + laws, though not yet understood. In animals, they may be either excessive + development of natural tissue in natural localities, as obesity and fatty + tumours; they may be natural products in unnatural situations, as fatty + degenerations of muscular tissue; or altogether new and unnatural + products, as tubercle and cancer.</p> + + <p>In plants, from their greater simplicity of structure, organic + affections are perhaps entirely limited to the two first forms of animal + organic disease; viz. to undue development of tissue in natural + situations, and to the formation of natural tissue in parts of a plant + where they are not usually found in a state of nature. The variety of + excrescences seen on the stems, branches, and twigs of plants, may be + given as instances of the former; and the conversion of stamina into + petals, as in double flowers, as an instance of the latter.</p> + + <p>We derive our sustenance from vegetables, and they from us; they + produce for us the soothing opiate and the deadly strychnia; we for them + the animating ammonia, and the distortions and sterility of excessive + culture; we engender in them, by the latter, debility, disease, and + death; and in our turn we become their prey. All this indeed is but a + cycle of events, that requires no learned mind to fathom, and to + comprehend; it is a matter of every day occurrence, and, though perhaps + not entirely unheeded, is not dwelt upon in the fulness of its bearings + and importance. <!-- Page 148 --><span class="pagenum"><a + name="page148"></a>{148}</span></p> + + <p>Let us now consider the diseases of plants, as a study progressive to + those of man; and as their physiology has so extensively served us, we + may possibly also find in their pathology much material for instruction; + not that it will be attempted to shew that the same diseases affect both + kingdoms, but that diseases, though dissimilar in effects, may have + similar sources.</p> + + <p>Unfortunately, there are not many men in this country, who need go + further than their own gardens to find abundance of disease among their + fruit trees and vegetables. The vine, the apple and the potato, common to + most gardens, will furnish specimens.</p> + + <p>It is an error of a serious kind to suppose, that the parasites which + infest plants are not essentially the cause, or, perhaps, more properly + speaking, the elements of disease. I confine myself here to disease of + parasitic origin, as that is the subject of which I am chiefly + treating.</p> + + <p>That parasitic growths are the elements of disease in some instances, + is now beyond dispute. The experiments of Mr. Hassall, detailed in Part + II. of the Transactions of the Microscopical Society of London, are most + conclusive; and they are of that simple nature, that any one may convince + himself of their accuracy, by a repetition of them from the directions + there laid down.</p> + + <p>He says, the decay is communicable at will "to any fruits of the apple + and peach kind, no matter <!-- Page 149 --><span class="pagenum"><a + name="page149"></a>{149}</span>how strong their vital energies may be, by + the simple act of inoculation of the sound fruit with a portion of + decayed matter, containing filaments of the fungi. We may use with + success the sporules of such fungi; but in this case the decomposition + does not set in so quickly; in the one case, the smaller filaments of the + fungi have advanced several stages in their growth; while in the other, + the sporules have yet to pass through the several stages of their + development."</p> + + <p>Mr. Hassan, however, seems to speak doubtfully as to the mode in which + the disease becomes naturally introduced;<a name="NtA60" + href="#Nt60"><sup>[60]</sup></a> how the spores enter the fruit, "is not + very clear—though probably, it is by insinuating themselves between + the cells of which the cuticle is composed, or perhaps by means of the + stomata, where they are present. I may here state that the experiments + were made on fruit, while living, and attached to the tree."</p> + + <p>But why should there be a doubt as to the parts by which the sporules + of minute fungi enter the plant, when it is clear, that not only can they + enter <!-- Page 150 --><span class="pagenum"><a + name="page150"></a>{150}</span>by the spongioles, but by the stomata of + the leaves, and mingle with the sap. It is true, that they make their + appearance and grow upon the leaves and the fruit; but these are the + situations most adapted for their fructification. I have seen the spores + of the fungi which attack the cucumber and vegetable-marrow, in the cells + of the hairs, and even their filamentous prolongations; these appropriate + the fluids conveyed to the cells of the hair, rupture them, and at length + fructify.</p> + + <p>On referring to Dr. Lindley's Medical and Economic Botany, I find that + many fungi are the active elements of disease, and in a manner which + renders it highly improbable that they are so in any other way, than by + obtaining an entrance to the sap of the plants. Of the microscopic fungus + which destroys wheat, the Uredo caries of De Candolle, we find the + habitat to be within the ovary of the corn, and that 4,000,000 may be + contained in a grain of wheat,—now this and another fungus, the + Lanosa nivalis, are said to destroy whole crops of corn: we cannot + imagine that such an extensive affection, can have any other source than + by means of the spores through the sap, seeing that bruising of the + surface, or rupture of the cuticle of the apple, a comparatively soft + fruit is necessary to produce the disease artificially in them; besides, + a grain of corn containing vibriones, when grown and having fruited, the + new fruit also contains them—now here, as this is I believe almost + invariably the <!-- Page 151 --><span class="pagenum"><a + name="page151"></a>{151}</span>case, either they or their ova must be + carried with the sap to the new germs.</p> + + <p>It is rather a remarkable fact, that these entophytes appropriate the + nutriment destined for the plant in which they grow, they are + consequently the means in many instances of its entire destruction, + though only partially so in others.</p> + + <p>There are many Fungi which have this tendency. The Puccinia gramienis, + "preys upon the juices of plants, and prevents the grain from swelling." + The Æcidium urticæ, common on nettles, deprives the plant on which it + grows, of the organizable matter, intended for its own nutrition. The + Erysiphe communis, overruns and destroys peas. The Botrytis infestans, + "attacks the leaves and stems of potatoes." The Oidium abortifaciens, + attacks the ovaries of grasses—and the Oidium Tuckeri, "a + formidable parasite, destroys the functions of the skin, of the parts it + attacks." The latter has been most injurious to the vines, during the + last two years. I have known instances in which the vines have been cut + down, and every means taken to rid the houses of the disease; but this + year, it has made its appearance, with all its former virulence, in the + new shoots.</p> + + <p>This, however, is sufficient to shew that plants are liable to + disease, depending upon parasitic growths, which affect their vital + powers, and deprive them of their natural nutritive fluids.</p> + + <p>But somewhat similar diseases belong also to <!-- Page 152 --><span + class="pagenum"><a name="page152"></a>{152}</span>warm climates; in a + letter from Cuba, dated Dec. 1843,—Mr. Bastian writes, "<i>a + plague</i> has appeared among the orange trees—a mildew attacking + the leaves and the blossoms, which finally dry up. It most frequently + kills the trees. None of the orange family are exempt; lemons, limes, and + their varieties, with the shaddock and forbidden fruit, have all + suffered." This disease has continued without intermission, till the + present year,—when the same gentleman writes, Feb. 20th, 1850: "The + evil exists, although in a diminished degree, so much so, as to have + allowed the trees to produce me 30,000 oranges again. In old times, the + same plantations produced me 100,000."</p> + + <p>The West India sugar-canes are also liable to a disease, which the + Rev. Mr. Griffiths, in his Natural History of the Island of Barbadoes, + speaks of, in the following manner: "This, among diseases peculiar to + canes, as among those which happen to men, too justly claims the horrible + precedence." This disease is called the Yellow Blast. It is difficult to + distinguish the Blast in its infancy, from the effect of dry weather.</p> + + <p>There are often seen on such sickly canes, many small protuberant + knobs, of a soft downy substance. It is likewise observable, that such + blades will be full of brownish decaying spots. The disease is very + destructive to the canes. It is observed, that the Blast usually appears + successively in the same fields, and often in the very same spot of land. + <!-- Page 153 --><span class="pagenum"><a + name="page153"></a>{153}</span></p> + + <p>This Blast is often found far from "infected places," and the + infection always spreads faster to the leeward, or with the wind.</p> + + <p>"<i>It is remarkable if canes</i> have been once infected with the + Blast, although they afterwards to all appearance, seem to recover; yet + the juice of such canes will neither afford so much sugar, nor so good of + its kind, as if obtained from canes which were never infected."</p> + + <p>I may here allude to the circumstance, that in the island of Cuba, the + destructive mildew is commonly called, <i>la pesta</i>.</p> + + <p>It were needless to multiply instances of other endemic and epidemic + diseases of vegetables; they are well known by practical observers to be + very numerous, and I believe, in most instances, depending upon fungoid + growths. The destruction of vegetables by insects, is of a very different + nature to that produced by the fungi; it would be as unreasonable to + consider the consumption of corn and herbage by locusts, as a disease of + vegetation, as the massacre and devouring of human beings by cannibals, a + disease of the human body.</p> + + <p>It is true that insects are exceedingly destructive to plants, but as + far as I am able to obtain information, they appear to be so chiefly by + their voracious propensities; they consume the structure of the plant in + its entity, and do not primarily interfere with its vitality. The + instance of the vibriones, before-mentioned, seems at first to be an + exception <!-- Page 154 --><span class="pagenum"><a + name="page154"></a>{154}</span>to the rule, but this is rather apparent, + than real; and it may be made to apply more as a confirmation, than an + obstacle to the vegetable theory: for if we may fairly compare the + diseases of animals with those of plants, the existence of entozoa in the + latter, would be considered an essential point to be substantiated.</p> + + <p>Having now considered the question as to the infeasibility of + supposing that chemical fermentation is the basis upon which a theory of + diseases can be sustained, and having shewn that life is inseparable from + infection, and miasmatic generation;—having explained the phenomena + of the dispersion of diseases by comparison with the dispersion of + plants, and finally, having demonstrated that the physiology and + pathology of plants bear so close a relation to each other, and that + their epidemic affections depend upon minute organic germs, I submit to + the judgment of my readers, whether there is not much reasonableness in + the application of the facts to the inference—that living germs are + the cause of epidemic disease in man and animals.</p> + +<hr class="full" /> + +<p><!-- Page 155 --><span class="pagenum"><a name="page155"></a>{155}</span></p> + +<h3>CHAPTER IV.</h3> + +<p class="cenhead">RESULTS IN PROOF OF THE TENABLENESS OF THE +PROPOSITION.</p> + +<p class="cenhead">————</p> + +<p class="cenhead">SECTION I.</p> + +<p class="cenhead"><span class="scac">OBSERVATIONS ON SOME OF THE LAWS OF EPIDEMIC DISEASES.</span></p> + + <p>The results obtained by comparing certain facts connected with + Epidemic Affections of animals, with analogous affections in plants, + afford, from the few instances I shall here notice, a very strong + presumption, that analogous causes operate in the production of these + affections. I have already quoted from Hecker, to shew that previously + to, and during the Epidemics of the Middle Ages, the minuter forms of + animal and vegetable life appeared to be called into existence, much more + abundantly than usual; that famines prevailed in consequence of failure + of cereal crops, no doubt depending then, as now, upon the various forms + of fungiferous growth. I cannot refrain quoting here, a passage or two + from our old friend Virgil; for he confirms not only the fact of peculiar + showers in <!-- Page 156 --><span class="pagenum"><a + name="page156"></a>{156}</span>connexion with diseases, but he also + refers to the rust of corn, thus:</p> + + <div class="poem"> + <div class="stanza"> + <p>150. "Mox et frumentis labor additus; ut mala culmos</p> + <p>Esset rubigo ...</p> + <p>... Intereunt segetes."</p> + </div> + + <div class="stanza"> + <p><i>Georg. 1.</i></p> + </div> + </div> + + <p>Then:</p> + + <div class="poem"> + <div class="stanza"> + <p>311. "Quid tempestates autumni et sidera dicam?</p> + </div> + + <div class="stanza"> + <p> . . . . . . </p> + </div> + + <div class="stanza"> + <p>322. "Sæpe etiam<a name="NtA61" href="#Nt61"><sup>[61]</sup></a> immensum cœlo venit agmen aquarum</p> + <p>Et fœdam glomerant tempestatem imbribus atris</p> + <p>Collectæ ex alto nubes."</p> + </div> + + <div class="stanza"> + <p><i>Georg. 1.</i></p> + </div> + </div> + + <p>The occurrence of black showers in this country has been observed + during the present year, and I understand that in the fenny countries of + the East, the corn has suffered much from the Uredo. I am not mentioning + the circumstances as cause and effect, but merely to call attention to + the fact, that unusual phenomena of this kind have been generally + associated with disease of the animal and vegetable tribes.</p> + + <p>The same causes also predispose plants as well as animals, to epidemic + attacks of disease. The repeated observations in the public journals on + the subject of ventilation, drainage, and over-crowding, render all + notice from me needless, to shew that these, though they do not produce + the diseases <!-- Page 157 --><span class="pagenum"><a + name="page157"></a>{157}</span>treated of, yet that under the influence + of bad air, bad drainage, and over-crowding, epidemics are fostered and + spread.</p> + + <p>Lastly, says the Count Philippo Ré, "I would remark that if <i>bad + cultivation, and especially bad drainage, does not produce bunt or smut, + it is certain that those fields, the worst treated in these respects, + suffer the most from these diseases</i>."</p> + + <p>It has been remarked by many observers, that a greater fecundity has + attended upon Pestilences, and this has been proved by comparison, that + the births in proportion have far exceeded the ordinary limit.<a + name="NtA62" href="#Nt62"><sup>[62]</sup></a> In juxtaposition with this + observation, I will place the following, not as a proof, but as a remark + made quite independently of the subject of which I am treating. "From the + first the diseased ears are larger than the healthy ones, and are sooner + matured. What appears singular, but which I have not, perhaps, + sufficiently verified, is <i>that the seeds are more abundant than in a + sound ear</i>."</p> + +<p><!-- Page 158 --><span class="pagenum"><a name="page158"></a>{158}</span></p> + + <p>Now these are facts which require amplification, and if these two + alone should be shewn upon an extensive field of observation, to apply + not only to corn, but to other members of the vegetable kingdom, as I + doubt not will be the case, though I am not fully prepared to prove it, + it would be difficult to dissociate the fertility of the two living + kingdoms from the operations of one and the same, or an analogous + law.</p> + + <p>The epidemic diseases of plants are both infectious and contagious, at + times they are observed to be endemic only, and then depending + particularly upon some local causes. This is a law of diseases which + applies equally to those of men and animals. In connexion with this law + is another, which, as far as I am aware, has not hitherto been noticed in + connexion with plants. The potato disease, which excited so much interest + and created so much anxiety for the poorer classes of society, led the + Government of this country to employ the most learned men to investigate + the subject, in the hope of propounding some reasons which should explain + the cause of the calamity, and thereby deduce a method of eradicating the + evil, or, in other words, discover a cure for the disease. Many were the + opinions as to the cause of the distemper, which it were useless here to + recount, but a method was suggested, to which most people, I believe, + looked forward with great anticipations, and this was to obtain native + seed, and to sow it on virgin soil. Was the end accomplished? No. <!-- + Page 159 --><span class="pagenum"><a name="page159"></a>{159}</span>For + though the seed was sown, and the plants grew, the disease still appeared + among the newly imported individuals, to as great an extent, as among the + native or domesticated plants.</p> + + <p>As a parallel to this, it may be stated, that, as regards either + endemic or epidemic disease, those persons newly arrived, either in a + district or country where these prevail, are even more liable to them + than the residents.<a name="NtA63" href="#Nt63"><sup>[63]</sup></a> + Again, I have learned, that where the potato disease has been so bad as + to render the crop almost valueless, the best plan to be adopted is, to + allow the plants to remain in the earth, and thus leave such as retain + their germinating powers to come up spontaneously the following year. I + certainly saw one large field treated in this way, yield a crop almost + without disease.</p> + +<p><!-- Page 160 --><span class="pagenum"><a name="page160"></a>{160}</span></p> + + <p>The seasoning, in this instance, seems to bear a comparison with the + seasoning of animals and man, under a variety of diseases, which for a + time renders them insusceptible of another attack. It therefore does not + appear so improbable, that these affections may be regarded, as Unger, + the German botanist supposed, the Exanthemata, or Eruptive Fevers of + vegetables.</p> + + <p>Another feature seems to associate the Epidemics of plants and + animals, in a manner suggestive of analogous causes operating in both + instances.</p> + + <p>The lungs of animals and the leaves of vegetables, are their + respiratory organs, by means of which, the blood in the one case and the + sap in the other, derive gas from the air, and impart gas to it, each + taking what is thrown off by the other.</p> + + <p>Now the epidemics among vegetables, have a remarkable tendency to + exhibit their effects primarily on the leaves, and particularly on those + parts which are appropriated to the function of respiration. It is from + the stomates that many of the fungi commence to germinate, and their + fructification may be seen sprouting from the opening composed of a + chink, surrounded by a peculiar arrangement of cells, which constitute + the breathing apparatus of their victim.</p> + + <p>In the earlier epidemics, of which we read, one of the most remarkable + circumstances, was the extraordinary influence the poisonous matter + appeared to <!-- Page 161 --><span class="pagenum"><a + name="page161"></a>{161}</span>exercise over the lungs,<a name="NtA64" + href="#Nt64"><sup>[64]</sup></a> and they again, were the means of + propagating the disease, and spreading the contagious particles through + the atmosphere, for we read: "Thus did the plague rage in Avignon for six + or eight weeks, and the pestilential breath of the sick, who expectorated + blood, caused a terrible contagion far and near, for even the vicinity of + those who had fallen ill of plague was certain death; so that parents + abandoned their infected children, and all the ties of kindred were + dissolved."<a name="NtA65" href="#Nt65"><sup>[65]</sup></a> "The like was + seen in Egypt. Here also inflammation of the lungs was predominant." + "Here too the <i>breath</i> of the sick spread a deadly contagion."</p> + + <p>It is more than probable that all infectious matter obtains an + entrance to the system through the lungs. Inspiring the air containing + the pestilential semina is, indeed, the only plausible explanation of + infection; for though the skin is indubitably an absorbing <!-- Page 162 + --><span class="pagenum"><a name="page162"></a>{162}</span>surface, and + capable of taking up and conveying to the blood any noxious matter + applied to it, yet it is far more probable that the lungs would effect + this process with greater rapidity. Then the stomach, the only other + absorbing surface to which extraneous matter can be applied, is not + likely to be the part where the elements of disease would obtain an + entrance to the system, for many facts prove, that infectious matter may + be swallowed without any injurious consequences, unless in a very + concentrated state. Instances are not easily found of diseased matter + having been swallowed, except where diseased vegetables have formed under + some combination of circumstances, a portion of diet.<a name="NtA66" + href="#Nt66"><sup>[66]</sup></a></p> + + <p>Many facts are on record which prove the powerful effect of diseased + grain when made into bread, and taken for any length time as a principal + article of food. The history of Ergot of Rye is too fresh in the memory + of most people to require more than an allusion here. The stomach had no + power over the secale, its poisonous properties were retained, after + having been submitted to the digestive process, as was evidenced by the + abortions and gangrenes it occasioned.</p> + + <p>But diseased wheat is also capable of inducing <!-- Page 163 --><span + class="pagenum"><a name="page163"></a>{163}</span>gangrene, and it is + more than probable, that many diseases might be traced to the use of + infected grain of various kinds. An interesting account of a family who + lived at Wattisham, near Stowmarket, in Suffolk, and all of whom suffered + more or less from living on bread made of smutty wheat, may be found in + the Philosophical Transactions. The mother of this family and five of the + children, consisting of three girls and two boys, all suffered from + gangrene of the extremities; the father lost the nails from his hands, + and had ulceration of two of his fingers.<a name="NtA67" + href="#Nt67"><sup>[67]</sup></a> Dr. Woollaston wrote thus in a letter on + this case: "The corn with which they made their bread was certainly very + bad: it was wheat that had been cut in a rainy season, and had lain on + the ground till many of the grains were black and totally decayed, but + many other poor families in the same village made use of the same corn + without receiving any injury from it. One man lost the use of his arm for + some time, and still imagines himself that he was afflicted with the same + disorder as Downing's family." It is not unlikely this was the case, for + numbness and loss of power was one of the well marked characters of the + disease.</p> + + <p>What other afflictions may be due to diseased vegetation and + adulterated articles of food, and what loss of life may accrue from cheap + and adulterated <!-- Page 164 --><span class="pagenum"><a + name="page164"></a>{164}</span>drugs and chemicals is hardly yet dreamt + of.<a name="NtA68" href="#Nt68"><sup>[68]</sup></a> The systematic + practice of adulteration of almost every article of diet which comes to + table has become a serious question for the legislature to consider. Take + only the article of milk, upon which the young children of large towns + and cities, make their chief meals, with the addition of bread. How much + milk comes into London from the country, how much is obtained from stall + and grain-fed cows in the metropolis, and how much is said to be + consumed, would be an interesting calculation. It is pretty well known + that a mixture is sold by which a retailer of milk may increase his + supply by one-third or one-half. It was discovered in Paris that the + brains of animals, when prepared in a particular manner, formed, when + mixed with a certain proportion of milk and water, a very fine and + deceptive cream; in that city this system was carried on to a + considerable extent. I could not help alluding to these facts while + speaking of diseased grain, for who shall say to what extent a miller in + a large way of business, may be able to "work in," as it is called, a + considerable amount of smutty corn in the manufacture of flour? Now, as + diseased grain is known <!-- Page 165 --><span class="pagenum"><a + name="page165"></a>{165}</span>to induce abortion, it is impossible to + tell how small a portion may in some cases produce the effect; we may + therefore say with Thomas of Malmesbury, "There is no action of man in + this life which is not the beginning of so long a chain of consequences, + as that no human providence is high enough to give us a prospect to the + end."<a name="NtA69" href="#Nt69"><sup>[69]</sup></a></p> + + <p>To return,—associated with these observations are other facts of + considerable weight. Before and during pestilences, abortions are more + frequent than in ordinary times; infectious and contagious diseases + induce abortion; besides this, and independently of disease, conditions + of the atmosphere have been known to exist when abortion has been an + epidemic affection; of this Dr. Copland says, "to certain states of the + atmosphere only can be attributed those frequent abortions sometimes + observed which have even assumed an epidemic form, and of which + Hippocrates, Fischer, Tessier, Desormeaux, and others have made mention." + With this reference I will close the subject of comparison between the + affections of the breathing apparatus in animals and plants, merely + alluding to the probability that under some conditions of atmosphere, + independently of heat, &c. vegetables without any other assignable + cause will become abortive.</p> + +<hr class="short" /> + +<p><!-- Page 166 --><span class="pagenum"><a name="page166"></a>{166}</span></p> + +<p class="cenhead">SECTION II.</p> + +<p class="cenhead"><span class="scac">WHAT IS THE NATURE OF THOSE POISONS WHICH MOST RESEMBLE THE MORBID POISONS IN THEIR EFFECTS ON THE BODY?</span></p> + + <p>In the early part of this book, I considered the nature of poisons + generally, and had occasion to remark upon the characters which separated + poisons into two distinct classes. 1st, Those which have the power of + self multiplication; and 2nd, Those destitute of this property.</p> + + <p>Of the first we have seen that the poisons of epidemic diseases + multiply both in and out of the body.</p> + + <p>The poisons of infectious diseases, not usually epidemic, do the same. + Those of endemic affections, such as ague and some fevers, usually become + multiplied out of the body only, but under some circumstances, and + peculiar atmospheric conditions, they may be also multiplied within the + body. The amount of these poisons necessary to produce their specific + effects, may be inappreciable. Of the second class, there are two kinds, + those derived from the organic kingdom and those derived from the + inorganic kingdom. Of these, the amount necessary to produce their + specific effects is appreciable and pretty well known.</p> + + <p>But among those poisons, consisting of organic <!-- Page 167 --><span + class="pagenum"><a name="page167"></a>{167}</span>products, there is one + which seems to hold an intermediate place. This is derived from one of + the Fungals, and as it takes this remarkable position as a link of + connexion between the two classes of poisons, I may be excused quoting a + passage of some length upon this agent, from Dr. Lindley's Vegetable + Kingdom. "One of the most poisonous of our fungi, is the Amanita + muscaria, so called from its power of killing flies, when steeped in + milk. Even this is eaten in Kamchatka, with no other than intoxicating + effects, according to the following account by Langsdorf, as translated + by Greville. This variety of Amanita muscaria, is used by the inhabitants + of the north-eastern parts of Asia in the same manner as wine, brandy, + arrack, opium, &c. is by other nations."—"The most singular + effect of the amanita is the influence it possesses over the urine. It is + said, that from time immemorial, the inhabitants have known that the + fungus imparts an intoxicating quality to that secretion, which + <i>continues for a considerable time after taking it</i>. For instance, a + man moderately intoxicated to-day, will by the next morning have slept + himself sober, but (as is the custom) by taking a teacup of his urine, he + will be <i>more powerfully intoxicated</i> than he was the preceding day. + It is, therefore, not uncommon for confirmed drunkards to preserve their + urine, as a precious liquor against a scarcity of the fungus. The + intoxicating property of the urine <i>is capable of</i> <!-- Page 168 + --><span class="pagenum"><a name="page168"></a>{168}</span><i>being + propagated</i>; for every one who partakes of it has his urine similarly + affected. Thus with a very few amanitæ, a party of drunkards may keep up + their debauch for a week."</p> + + <p>This property of the amanita, at once places it in a separate category + from all other organic poisons, it has yet to be shewn upon what this + intoxicating fungus depends for its activity. Whether some secretion is + formed in the tissue of the plant, or whether some new arrangement of the + particles of matter or modification of the sporules, is brought about by + entering the system, it is impossible to say. Langsdorf states that the + small deep-coloured specimens of amanita, and thickly covered with warts, + are said to be more powerful than those of a larger size and paler + colour. As the effect is not produced until from one to two hours after + swallowing the bolus, and as a pleasant intoxication may be obtained by + this agent for a whole day, and from one dose only, there is a defined + line between this and the ordinary narcotics and stimulants in common + use. That the digestive powers of the stomach have no influence over the + intoxicating properties of the plant, is manifested in the fact, that the + active principle passes into the urine, not only not deteriorated but + apparently increased, for, as we have seen, a teacup of the urine from a + man, intoxicated by taking the amanita into his stomach, will cause him + to be more powerfully intoxicated than by the <!-- Page 169 --><span + class="pagenum"><a name="page169"></a>{169}</span>original dose. We have, + therefore, but two conjectures left for consideration, either the + original intoxicating principle is excreted from the system in a + condensed form, in which case its indestructibility by digestion, makes + it approach the ordinary organic poisons, or there must be an increase of + the toxic agent, in which case we must suppose a reproductive process + having taken place in the system. "There is," says Dr. Mitchell, "in the + wild regions of our western country, a disease called the <i>milk + sickness</i>, the <i>trembles</i>, the <i>tires</i>, the <i>slows</i>, + the <i>stiff-joints</i>, the <i>puking fever</i>, <i>&c.</i>" The + animals affected with this disease, "stray irregularly, apparently + without motive;" they lose their power of attention, and finally tremble, + stagger, and die. "When other animals—men, dogs, cats, poultry, + crows, buzzards, and hogs, drink the milk or eat the flesh of a diseased + cow, they suffer in a somewhat similar manner." This disease is + attributed by Dr. Mitchell to the animals having grazed on pasture + contaminated with mildew, and the resemblance to the effects of the + amanita, together with the persistence of the specific principle within + the fluids and tissues of the body, render it more than probable that to + some fungoid growth, is due the peculiar toxic effects here noticed. + Further: "The animals made sick by the beef of the first one, have been + in their turn the cause of a like affection in others; so that three or + four have thus fallen victims successively." De Graaf states, that butter + <!-- Page 170 --><span class="pagenum"><a + name="page170"></a>{170}</span>made from the milk of diseased cows, + though heated until it caught fire, did not lose its deleterious + properties. The urine of diseased animals, collected and reduced by + evaporation, produced the characteristic symptoms. All these facts point + to some peculiarity in the properties of matter not yet investigated or + at least not explained. If we may assume that reproduction is here an + element of the persistence and apparent multiplication of active matter, + I know only of one instance to compare with it. A gentleman about to + deliver a lecture on the properties of arsenic, and its history + generally, made two solutions of a given quantity of arsenious acid, in + the following manner. He took a certain amount of distilled water, and + the same of filtered Thames water, and made his solutions of arsenic by + separate boilings, he then as soon as possible placed the liquids in + identical bottles, carefully prepared for their reception. In the one + which contained the arsenic boiled in river water, the hygrocrocis is now + growing, while that boiled in distilled water remains perfectly limpid + and free from any vegetable production. There can scarcely be a doubt, + that the filtration of river water was not sufficiently purifying to + remove the minute spores of some lower forms of vegetation, which not + only live in arsenic but have resisted the temperature employed in + boiling an arsenical solution to saturation.</p> + + <p>As to the first class, or truly reproductive and <!-- Page 171 + --><span class="pagenum"><a name="page171"></a>{171}</span>morbid + poisons, the most heterogenous ideas have from all time existed. I have + introduced the notice of the above poisons, viz. the Amanita, and that + which engenders the milk sickness, to compare the results of the morbid + poisons on the human body with them, and also to associate them with the + effects of diseased grain. From the Amanita and that other fungoid matter + which is said to produce the milk sickness, there appears to be a purely + toxic action on the system, but in the instance of diseased grain, a + blood disease, ending in gangrene, or a specific and peculiar action of + the generative organs is the consequence, and where the latter occurs, + the poison usually expends itself on these parts, either by inducing + abortion, or augmenting the catamenial secretion.</p> + + <p>Now, the morbid poisons, if studied only in their results, shew that + there is a combination of these two actions. There is usually, in the + first place, a toxic or poisonous action, and secondly, a deteriorating + or decomposing action on the blood, by which there is a tendency to low + or asthenic inflammation and gangrene. It matters not what form of fever + we take as an illustration, whether intermittent, pestilential, or + exanthematous, either will serve the purpose of shewing how completely + the effects of vegetable organic poisons resemble those which for the + sake of distinction (I suppose) have been denominated Morbid Poisons.</p> + + <p>Take an attack from the paludal poison. It is <!-- Page 172 --><span + class="pagenum"><a name="page172"></a>{172}</span>usually ushered in with + head-ache, weariness, pains in the limbs, and thirst, with other + symptoms; all these are indicative of a poisonous agent in the blood: + then come the full phenomena of the disease at a longer or shorter + interval, and tending ultimately to destroy some organ of the body. The + mind suffers during the course of the attack, and delirium occasionally + happens. In severe cases of this disease, which were more frequent + formerly than now, coma, delirium, and frenzy were observed at the + commencement of the attack, and a tendency to rapid disorganization of + one or several of the viscera.</p> + + <p>If we take the effects of poison of Erysipelas, of Scarlet Fever, or + Plague, in each we find at the onset more or less general derangement of + the system, usually with cerebral disturbance and disordered action of + all the dynamic forces of the body, which clearly indicate the action of + a poison; then, unless some favourable symptoms arise, the blood exhibits + a steady advance towards disorganization, and sphacelation of one or more + tissues or parts of the body ensues. In Erysipelas the force of the + diseased action is expended on the skin, and subcutaneous cellular + tissue; in Scarlet Fever the fauces ulcerate, and slough and the parotids + suppurate; in the Plague there is a general tendency to putrefaction, and + the formation of glandular abscesses with sphacelas. Without going any + further into this matter, for my present intention is merely to draw <!-- + Page 173 --><span class="pagenum"><a + name="page173"></a>{173}</span>notice to certain facts, let me now ask, + whether or not, do the poisons of the Ergot, the Uredo, and the Amanita, + exhibit more analogy in their action on the nervous system, the blood and + the tissues, than any other poisonous agents with which we are + acquainted? If the whole range of the lower fungi could be examined in + reference to their operation on the blood, as decomposers of organic + compounds,—if experiments could be made, by which the properties of + fungoid matter could be detected, I would venture to say the whole of the + phenomena of these diseases could be readily comprehended and their + intricacies unravelled.</p> + + <p>We know that the fungi are poisonous, that at times and seasons, and + under variations of climate, they vary in their effects, and perhaps lose + altogether these properties. We know that the fungi produce gangrene of + the tissues, and disorganization of the blood; we know that their spores + pervade the atmosphere, and are ready, under favouring conditions, to + increase and multiply; we know that they are ubiquitous, and that those + conditions most favourable to their development, are exactly such as are + proved to foster and engender disease, and above all, they have been + proved to be the elements of some diseases in man, in animals, and in + plants. Can as much be said of any other known agents, animate or + inanimate, comprised in our category?</p> + + <p>It has been said, we do not see after death,—the <!-- Page 174 + --><span class="pagenum"><a name="page174"></a>{174}</span>interlacing + mycilium, or the sprouting pileus; therefore the fungi are not the agents + of disease—it has been said that carbonic acid and alcohol are not + found as products of diseased action—consequently disease is not a + fermentative process. "In all cases," says Liebig, "where the strictest + investigation has failed to demonstrate the presence of organic beings in + the contagion of a miasm, or contagious disease, the hypothesis that such + beings have cooperated, or do cooperate in the morbid process, must be + rejected as totally void of foundation and support." Much as I admire the + genius of this great man, it is difficult to refrain from remarking, that + I doubt if any of his great discoveries would have been made, if, in the + first instance, hypotheses had not formed the basis of all his + researches. It has been said, "that casual conjunctions in chemistry, + gave us most of our valuable discoveries:" and it is from casual + conjunctions that hypotheses are usually formed, the working out proves + either their fallacy or their truth, but to say that an hypothesis has no + foundation, until demonstrated to be true, is rather knocking down + argument. And who, let me ask, has been more prolific of hypotheses than + our continental neighbour? Yet he, according to his mode of reasoning, + would sweep away all such words from the vocabularies of philosophers. + What foundation has the chemical hypothesis of disease, when it fails to + explain the most important element <!-- Page 175 --><span + class="pagenum"><a name="page175"></a>{175}</span>of contagious and + infectious diseases: viz. the reproductive property of their germs?</p> + + <p>It is perhaps necessary to say something in explanation of the sudden + deaths arising from morbid poisons. They may occur from two causes. One + being the result of a concentrated amount of poison germs being inhaled + into the lungs, and acting as an ordinary toxic agent; and the other, + which I put only hypothetically, the consequence of the rapid evolution + of gas in the vessels arising from a sudden decomposition of blood, as it + passes through the lungs. The only authority I have for this supposition, + is the fact that the blood after death, from pestilential affections, is + found to be far advanced towards decomposition; that in Paris last year, + two patients were bled while suffering from Cholera, and with the small + quantity of blood which flowed, bubbles of air also escaped:<a + name="NtA70" href="#Nt70"><sup>[70]</sup></a> and besides this, it was + demonstrated by Mr. Herapath, that ammonia was given off from Cholera + patients, both by the lungs and skin. These facts, though they are not + conclusive, nevertheless render it probable that such an explanation is + not entirely out of reason—especially too, when we know how fatal + are the effects of uncombined air, when it enters the vessels near to the + heart.</p> + +<hr class="short" /> + +<p><!-- Page 176 --><span class="pagenum"><a name="page176"></a>{176}</span></p> + +<p class="cenhead">SECTION III.</p> + +<p class="cenhead"><span class="scac">WHAT RESULTS DO WE OBTAIN FROM THE EFFECTS OF REMEDIAL AGENTS, IN PROOF OF THE HYPOTHESIS?</span></p> + + <p>I have here used the word hypothesis, because, having so far advanced + in the enquiry, I trust sufficient has been said to render the term + applicable.</p> + + <p>Under the term remedial agents, I shall include all those causes, + whether natural or artificial, which tend to neutralize or destroy the + germs of infection, or miasmatic poison, whether this be effected out of + or within the body.</p> + + <p>First, then, let us consider the results of drainage and cultivation + in removing the causes of endemic disease. One well authenticated case is + as good as a thousand. I will take one, which, from its source, will be + received as unexceptionable; and from its association with a very learned + and amusing book, will be accepted as an agreeable reminder of the many + pleasant hours spent in the perusal of the poet Southey's "Doctor."</p> + + <p>"Doncaster is built upon a peninsula, or ridge of land, about a mile + across, having a gentle slope from east to west, and bounded on the west + by the river; this ridge is composed of three strata; to wit, of the + alluvial soil deposited by the river in former <!-- Page 177 --><span + class="pagenum"><a name="page177"></a>{177}</span>ages, and of limestone + on the north and west; and of sandstone to the south and east. To the + south of this neck of land, lies a tract called Potteric Carr, which is + much below the level of the river, and was a morass, or range of fens + when our Doctor first took up his abode in Doncaster. This tract extends + about four miles in length, and nearly three in breadth, and the security + which it afforded against an attack on that side, while the river + protected the peninsula by its semicircular bend on the other, was + evidently one reason why the Romans fixed upon the site of Doncaster for + a station. In Brockett's Glossary of North Country words, Carr is + interpreted to mean 'flat marshy land,' 'a pool or lake;' but the + etymology of the word is yet to be discovered.</p> + + <p>"These fens were drained and enclosed pursuant to an Act of + Parliament, which was obtained for that purpose in the year 1766. Three + principal drains were then cut, fourteen feet wide, and about four miles + long, into which the water was conducted from every part of the Carr + southward, to the little river Torne, at Rossington Bridge, whence it + flows into the Trent. Before these drainings, the ground was liable to + frequent inundations; and about the centre there was a decoy for wild + ducks; there is still a deep water there of considerable extent, in which + very large pike and eels are found. The soil, which was so boggy at first + that horses were lost in attempting to drink at the drains, has been + brought <!-- Page 178 --><span class="pagenum"><a + name="page178"></a>{178}</span>into good cultivation, (as all such ground + may be) to the great improvement of the district; for till this + improvement was effected, <i>intermittent fevers and sore throats were + prevalent there, and they have ceased from the time the land was + drained</i>. The most unhealthy season now, is the spring, when cold + winds, from the north and north-east, usually prevail during some six + weeks; at other times Doncaster is considered to be a healthy place. It + has been observed that when endemic(?) diseases arrive there, they + uniformly come from the south; and that the state of the weather may be + foretold from a knowledge of what it has been at a given time in London, + making an allowance of about three days, for the chance of winds. Here, + as in all places which lie upon a great and frequented road, the + transmission of disease has been greatly facilitated by the increase of + travelling."</p> + + <p>I feel certain of being excused for transcribing this long passage + from Southey. It would have been impossible to convey its whole meaning + without giving it entire. The continuation of the chapter is no less + instructive and applicable to our subject, though more particularly so to + an extension of the enquiry. The sore throats and intermittents, from + which Doncaster has been freed, by the drainage of Potteric Carr, informs + us at once that decomposing matter is the material by which the poison of + fever is vivified and sustained, the wet and boggy state of the soil is + just the condition, when no drainage exists, to bring into activity the + germs of <!-- Page 179 --><span class="pagenum"><a + name="page179"></a>{179}</span>disease, which otherwise would lie latent. + So satisfied and acquainted are we with the elements necessary for the + production of fever, that we might as certainly bring about an endemic + intermittent by forming an artificial bog, as we could be sure of growing + mushrooms by making a bed in the manner laid down by gardeners for this + purpose. Dr. Lindley also says, "the <i>Polyporus fomentarius</i> has + been artificially produced in Germany, but merely by placing wood in a + favourable situation, and keeping it well moistened. Five or six crops + were obtained in the year."</p> + + <p>Let warmth, moisture, darkness, and decaying matter be given, and + inanimate disintegrated particles will soon be converted into definite + forms and combinations instinct with life. It is by the unseen forms of + living beings, that the atmosphere is preserved from becoming charged + with deadly gases; they take the first rank in the great scheme of + animated beings, the plant first, and then the animal. "Let the earth + bring forth grass." "Let there be lights in the firmament." "Let the + waters bring forth the moving creature, and fowl that may fly," and "Let + the earth bring forth the cattle, the creeping thing, and the beast." + This is the order of creation, of living things, and the earth was + prepared by vegetation for the animal world. The work of conversion is + accomplished by vegetation; and this is consumed for the construction of + higher organizations.</p> + + <p>The laws which govern and control the universe, <!-- Page 180 --><span + class="pagenum"><a name="page180"></a>{180}</span>are as definite and as + wonderful among invisible atoms, as those which regulate the enormous + masses floating in space; and the time will come when the advancing + intellect of man will measure and weigh the morbid poisons, as he + measures and weighs the stars. Why should the laws of Epidemics be less + understood, than the laws which govern the course of comets? The + aspirations of man have led him to penetrate the heavens, which charm and + inspire him; he studies rather the more violent disturbing elements of + nature, the thunder-cloud and the fire of heaven, than the silent + pestilence which steals over the earth. I cannot conceive it possible + that the Intellects, which are occupied in procuring means for the + Majesty of this empire to issue her mandates with the velocity of a + spirit to the nethermost parts of the earth, should be incapable of + solving so deeply interesting a mystery as the causes and nature of + pestilential diseases. It would seem that man prefers to issue a mandate + of destruction many thousand miles distant, than to disarm the pestilence + at his door. It is barely a century since Galvani observed the twitchings + in the muscles of a frog's leg, and the battery, still named after him, + has already become an agent of instantaneous communication between places + many miles distant. But how many centuries have passed away, each one + succeeding the other, with its millions of victims to epidemics? And + where are the remedies for the evils? Drainage and cleanliness, with all + their advantages, were better understood and more fully carried out by + the ancient <!-- Page 181 --><span class="pagenum"><a + name="page181"></a>{181}</span>Romans than by ourselves; there are + monuments, though crumbling to decay, to tell us of the vast enterprise + of these people and of the value they set upon a healthy and vigorous + constitution, and how well they understood the means of warding of + disease.</p> + + <p>Cultivation and drainage are now fully understood to be the basis by + which a healthy condition of air is to be obtained, next to that, + cleanliness and ventilation; if either be neglected a sickly, mouldy, and + unwholesome contamination of atmosphere ensues; the odour of a bog is + proverbially mouldy, and so is that of an ill-ventilated house or cellar; + dryness, or the fresh pleasant scent of clean water, are the antagonists + of these; the aromatic odours of vegetation are opponents of + putrefaction, and consequently of the development of the lower forms of + life. All empyreumatic matters prevent mouldiness and decomposition; and + odours arrest and prevent the growth of mouldiness. The oil of birch, + with which the Russia leather is impregnated, and which gives it so + pleasant an odour, effectually prevents mouldiness, and consequently + decay.</p> + + <p>Lindley says, "It is a most remarkable circumstance, and one which + <i>deserves particular enquiry</i>, that the growth of the <i>minute + fungi</i>, which constitute what is called mouldiness, is <i>effectually + prevented</i> by any kind of perfume."<a name="NtA71" + href="#Nt71"><sup>[71]</sup></a> Cedar has <!-- Page 182 --><span + class="pagenum"><a name="page182"></a>{182}</span>been used, from time + immemorial, for a like purpose; and I doubt not the recommendation of + Virgil, before quoted, in reference to the burning of cedar, was founded + on some practical utility of this kind, though its <i>modus operandi</i> + was unknown to him. Allied to these is a curious circumstance, and worthy + attention. I copy the following from an old work on Pestilences. "It is + remarkable that when the Plague raged in London, Bucklersbury, which + stood in the very heart of the city, was free from that distemper; the + reason given for it is, that it was chiefly inhabited by druggists and + apothecaries, the scent of whose drugs kept away the infection, which + were so unnatural to the pestilential insects, that they were killed or + driven away by the strong smell of some sorts of them." "The smell of + <i>rue</i>, and the smoke of tobacco, were prescribed as remedies against + the infection; but especially tar and pitch barrels, which it was + imagined preserved Limehouse, and some of the dock-yards from + infection."<a name="NtA72" href="#Nt72"><sup>[72]</sup></a></p> + + <p>Pitch and tar dealers are everywhere spoken of as being remarkably + exempt from infectious diseases.</p> + + <p>Cold infusion of tar was used in our colonies as a prophylactic + against the Small Pox. Bishop <!-- Page 183 --><span class="pagenum"><a + name="page183"></a>{183}</span>Berkeley was induced to try it when this + disease raged in his neighbourhood. The trial fully answered + expectation—for all those who took tar-water, either escaped the + disease, or had it very slightly.</p> + + <p>Tan yards and places in the immediate vicinity, are said to be free + from pestilences. The tanners of Bermondsey are said to have escaped the + Plague of London, and one person only died in Gutter Lane, where was a + tan yard. The tanners of Rome are also stated to have been free from + Plague. Dr. M‘Lean refers to the exemption of tanners at Cairo. + <i>Tannin is prejudicial to most vegetables</i>,—but Dr. Lindley + says it is not always so to fungi. "A species of Rhizomorpha is often + developed in tan pits." I should imagine that neither plants nor insects + would be found very abundantly, where tannin prevails; yet we find that + the gall-nut is formed for the protection of an insect from injury by + weather, and as a temporary means of sustenance.</p> + + <p>The custom of fumigating with odoriferous substances, does not + therefore appear upon this view of the matter to be destitute of + importance; indeed, the universal practice stamps it at once, as an + efficacious remedy for the purposes of disinfection. The introduction of + chlorine fumigation, seems to have superseded, in a great measure, the + use of fragrant herbs and woods; and it is questionable whether the + substitution be altogether desirable or <!-- Page 184 --><span + class="pagenum"><a name="page184"></a>{184}</span>advantageous. Many + scents may be agreeably and usefully employed, with much less chance of + annoyance to the patient, and considerably less injury to articles of + furniture, &c.</p> + + <p>The fumigations of sulphurous acid and chlorine are, perhaps, more + adapted as disinfectants in uninhabited apartments;—their power to + destroy vegetation, is well known. They have been used, chiefly, with the + idea of neutralizing gaseous exhalations, particularly chlorine, as it + tends to combine with hydrogen, to form hydrochloric acid, and then to + unite with ammoniacal matters, forming hydrochlorate of ammonia. This, + supposing noxious or pestilential effluvia consisted of the ammoniacal + exudations variously combined, was an exceedingly efficacious method of + rendering them inert; but as we feel convinced that no ammoniacal + compound could possibly be the cause of infection, we must look to the + influence these gases possess over other forms of matter, and as they are + so destructive, even in minute quantities, to vegetable existence, it is + possible that their beneficial effects may be due to this property. The + immediate neighbourhood of gas works is prejudicial to vegetation, I + imagine, from the amount of sulphurous vapours, and to this has been + attributed the exemption of persons employed in these works. Many other + instances might be cited of a similar nature.</p> + + <p>I have now to speak of medicinal agents, and here comes a considerable + difficulty. <!-- Page 185 --><span class="pagenum"><a + name="page185"></a>{185}</span></p> + + <p>If we might believe all that has been written on the sure and certain + remedies for the "ills that man is heir to," we should be led to + acknowledge that both nature and art were prodigal in antidotes and + specifics. The all-bountiful hand of nature, I do not doubt, has at the + same time scattered the seeds of good and of evil. The fertilizing + showers fall to irrigate the soil, and produce food and nourishment to + man; here and there is the reeking morass "feeding unnatural vegetation," + and if man takes up his abode in its vicinity, the rains which made it + unhealthy, have also made it highly fertile; by labour and cultivation he + may convert the mephitic bog into a waving corn-field, and the seeds of + life and sustenance be made to supplant the seeds of death and + corruption.</p> + + <p>It is generally believed, that where there are particular and specific + diseases, there also may be found appropriate and specific remedies; the + discoveries of chemistry, it is not improbable, may in some respects have + retarded the progress of natural medicine. In the early ages of the + world, the "healing plant" must have formed the staple of medical + commerce, for though Tubal Cain<a name="NtA73" + href="#Nt73"><sup>[73]</sup></a> has been considered as the first + surgical instrument maker, because he was the first artificer in brass + and iron, we have not discovered that chemical compounds entered into the + composition of physic, till very <!-- Page 186 --><span + class="pagenum"><a name="page186"></a>{186}</span>many years after his + time. To the alchemists we owe the science of chemistry, and much of the + physic of the present day may be traced to them. The multiplicity of + ingredients which at one time entered into the composition of one dose of + physic could only be spoken of under the title of "legion." Who shall + specify the active and curative ingredient (if there be one), when from + five to a hundred may have been exhibited at the same time? It has been + the pride of our physicians, that the pharmacopœia has been + simplified; it has not reached its most simple form yet. That many simple + plants have specific and wonderful power over disease, is an indubitable + fact, but I firmly believe that the laudable, though mistaken efforts of + physicians to improve their effect by various combinations, have been the + means of throwing many valuable medicines into oblivion; I must also add, + that cheap physic and adulterations have had no small share too in the + banishment of much valuable physic from ordinary practice. It has been + believed, and I think with much reason, that a thorough search into the + qualities of plants, would shew that "they are capable of affording not + only great relief, but also effectual and specific remedies." "That they + are not already found, is rather an argument that we have not been + sufficiently inquisitive, than that there are no such plants endued with + these virtues."</p> + + <p>Of the result obtained by medical treatment, in cases of epidemic or + infectious disease, it is most <!-- Page 187 --><span class="pagenum"><a + name="page187"></a>{187}</span>difficult to speak, but as my province + here is only to shew that living germs are the morbific agents, I have + but to refer to such remedies as have been most extolled in controlling + these affections. The disinfectants have already been mentioned in a + cursory manner. An enumeration only of simple medicines used during the + late Epidemic, shall conclude this work, as the treatment in former times + could not by any possibility furnish satisfactory information. Aromatics + and fragrant stimulants have in all times taken the foremost rank with + acids, such as vinegar, lime and lemon juice. Mr. Guthrie's adoption of + lemon juice in preference to bark, which he said made him worse while + suffering from an attack of fever, during the Peninsular campaign, and + his speedy recovery from the disease, though not from its effects, shews, + when many others can bear equal testimony to its value, that such a + remedy though simple is not to be despised.</p> + + <p>But to the late Epidemic. Dr. Stevens' saline treatment, appears, on + the whole, to have been the most successful. Common salt was used both + medically and dietetically, and formed the greatest bulk of the medicine + employed. Chlorate of potash and carbonate of soda were added to the + medicine.</p> + + <p>The nitro-hydrochloric acid was used with success at St. Thomas's + Hospital.</p> + + <p>Dr. Copland used chlorate of potash, bicarb. soda, hydrochloric, + ether, and camphor water.</p> + + <p>Dr. Ayre's calomel treatment had as many, if <!-- Page 188 --><span + class="pagenum"><a name="page188"></a>{188}</span>not more, opponents + than advocates. Phosphorus had several advocates.</p> + + <p>Creasote and camphor were lauded by some. The beneficial operation of + all these remedies might be explained on the theory here supposed, that + living germs are the cause of Epidemic disease, but the specific action + of any one remedy has not yet had sufficient attention or trial to enable + me to make any deductions of a satisfactory or conclusive nature.</p> + + <p>In the uncertainty which generally prevailed as to the best method of + treating Cholera patients, I was induced (for reasons stated in a + pamphlet published last year) to try the efficacy of sulphur, which had + been extolled as a specific. In its effects I was not disappointed; but + as the results are already before the public, I need not do more than + refer to it among other remedies.</p> + + <p>I did not contemplate even alluding to this subject, as it would + extend far beyond my intended limits. This portion of the enquiry would + be more properly carried out by keeping records of cases, treated in + accordance with the view attempted to be established, and I have not the + slightest hesitation in saying, that the most ample success would + ultimately attend a well directed practice, based upon the principles + inculcated in these pages.</p> + +<hr class="full" /> + +<p><!-- Page 189 --><span class="pagenum"><a name="page189"></a>{189}</span></p> + +<h3>CONCLUSION.</h3> + + <p>In making the foregoing sketch, I have attempted to put together some + ideas on a subject, which has for the last few years been a theme for + meditation in leisure hours, viz. What are the causes of Epidemic, + Endemic, and Infectious Diseases? The occurrence of Epidemic Cholera last + year in this country, awakened a spirit of enquiry. Where there is + unrest, whatever may be the cause, there also is disquiet and discontent. + When the oracles of the age were consulted in the emergency, the + discordant answers perplexed and confused the anxious searcher after + truth. In the spring of last year, when the enemy was approaching, unseen + and unheard, and the thousands of unconscious victims, who are now lying + in their graves, were faithfully trusting and fully relying on the heads + of our profession, and the resources of our art, what was the state of + our defences, and what the nature or character of our resistance? One + considerable body of men would discharge from a little tube of glass, a + host of almost invisible globular atoms of sugar, said to be as potent + and inscrutably operative as the unseen enemy. These infinitesimal + practitioners assured the people that they "<i>had powerful means of + subduing the disease</i>," <!-- Page 190 --><span class="pagenum"><a + name="page190"></a>{190}</span>but even they differed among themselves, + though they carried out to the fullest extent the doctrine of their + leader, <i>similia similibus</i>, which we may suppose to refer in this + case to the minuteness of the opposing armamenta. Without, however, + agreeing with this school, I may quote a passage from Dr. Curie, which + is, alas! too true: "We have shewn, as they must (allopathists), and many + of them do acknowledge, that they have no fixed basis, no natural law + upon which their treatment rests."</p> + + <p>Who can deny the force of this observation? Sheltered by a principle, + it matters not how fallacious, a man is placed as behind a barrier. If + with any reason it could be shewn that the infinitesimal doses, could by + no possibility effect a cure in Cholera; if it could be demonstrated by + any line of argument, that a poison, a living poison, circulates with the + blood, or lodges in the tissues, the homæopathist must fall; his + "electricity and mineral magnetism," and "<i>powerful concentration of + life power towards the digestive canal</i>," will stand for what they are + worth. That minute doses of medicine can exert an active influence over + the body is not to be denied, but these must consist of powerful drugs, + as arnica, aconite, and nux vomica, with others, and it is more than + probable, that of such medicines, an inconceivably small amount may + produce a specific effect upon some portion of the organic nervous + system.</p> + + <p>How is it that a dose of nitre or digitalis, "can <!-- Page 191 + --><span class="pagenum"><a name="page191"></a>{191}</span>convert + cheerfulness into low spirits," or a grain of red sulphuret of antimony, + "excite warmth and lively spirits?"<a name="NtA74" + href="#Nt74"><sup>[74]</sup></a></p> + + <p>Why should indigo dyers become melancholy, and scarlet dyers + choleric?<a name="NtA75" href="#Nt75"><sup>[75]</sup></a> We do not know. + But there is one thing we most certainly do know, that a poison may be + disarmed by an antidote, and the amount of the latter must be in + proportion to that of the former, and as epidemic and contagious diseases + do most unquestionably depend upon poisons of a specific nature, and of + great amount and activity, an infinitesimal remedy, however it may claim + to direct and control the organic forces, under slight and ordinary + disturbances, can be no more effectual in destroying the poison of fever, + or small pox, than in neutralizing arsenic or prussic acid.</p> + + <p>The uncertainty which generally prevails as to the treatment of + Epidemic diseases, Fevers, &c. induced me to put together the notions + which are contained in these pages, in the hope of leading to some + definite ideas of the causes of these affections, and consequently to a + more uniform and scientific mode of treating them.</p> + + <p>I have endeavoured to shew that reproduction is a phenomenon + inseparable from morbific matter, and that in all probability the + vegetable kingdom is the source of the germs.</p> + +<p><!-- Page 192 --><span class="pagenum"><a name="page192"></a>{192}</span></p> + + <p>The train of argument adopted is such as appeared to me most natural + for such an enquiry, and it rests now only with those who are capable of + deciding whether such a course, though (I am sensibly aware) not without + many faults in conception and execution, is calculated to advance the + science of medicine and the interests of mankind.</p> + + <p>The real tree of knowledge, possesses in the spongioles of its roots, + an elective property, by which truth alone can enter; nourished and + sustained by this, it sends a fragrant incense and breathing odour on + high, and dispels the mists of ignorance and superstition. In natural + causes and reasonable deductions we must seek for instruction and solid + information, for in over-straining either nature or art, deformity and + error must inevitably be the result.</p> + +<h3>THE END.</h3> + + <p>NORMAN AND SKEEN, PRINTERS, MAIDEN LANE, COVENT GARDEN.</p> + +<hr class="full" /> + +<h3>NOTES</h3> + +<div class="note"> + <p><a name="Nt1" href="#NtA1">[1]</a> "It matters little how vague and + false hypotheses may appear at first: experiment will gradually reduce + and correct them, and all that is required, is industry to elaborate the + proof, and impartiality to secure it from + distortion."—<i>Sewell</i> "On the Cultivation of the + Intellect."</p> + + <p><a name="Nt2" href="#NtA2">[2]</a> It is stated by Mr. Crosse, of + Norwich, that vaccination was adopted in Denmark, and made compulsory in + 1800. After the year 1808 Small Pox no longer existed there, and was a + thing totally unknown; whereas during the twelve years preceding the + introduction of the preventive disease, 5,500 persons died of the Small + Pox in Copenhagen alone.—<i>Dr. Watson's Lectures.</i></p> + + <p>Dr. Blick, an intelligent Danish physician, corroborated the above + statement to Dr. Watson himself in the year 1838.</p> + + <p><a name="Nt3" href="#NtA3">[3]</a> Philosophy of Life, Lecture 6, + translated by the Rev. A. J. W. Morrison, M.A.</p> + + <p><a name="Nt4" href="#NtA4">[4]</a> The following I quote from Dr. + Fuller on Small Pox and Measles:—</p> + + <p>"To this purpose some (and particularly Kircherus) are of opinion that + animalcules have been the causes of malignant and pestilential fevers in + epidemic times, which differ in essence and symptoms, according to the + nature and venoms of those creatures.</p> + + <p>"Thus the atmosphere and air is filled both from above and beneath + with innumerable millions of millions of species or corpuscles, + aporrhœas, steams, vapours, fumes, dust, little insects, &c. + all which make it such a wonderful chaotic compost of things that + contains the <i>seeds</i> of good and evil to man as surpasseth the + understanding (as I suppose) of even the highest order of + archangels."</p> + + <p><a name="Nt5" href="#NtA5">[5]</a> I learn from an undoubted authority + that the cow when "slack of health" eats with avidity the "field + parsley;" the sheep under similar circumstances seeks the ivy, and the + goat the plantain.</p> + + <p>From an equally good source I have the following: that rabbits and + hares, when they are what is commonly called <i>pot-gutted</i>, seek the + green broom, though at a distance of <i>twenty miles</i>.</p> + + <p><a name="Nt6" href="#NtA6">[6]</a> "My settled opinion is, that in + regard every effect is necessarily such as its cause; it must needs be + that every sort of venomous fevers is produced by its proper and peculiar + species of virus.</p> + + <p>"And that the manner and symptoms of every such fever is not so much + from the particular constitution of the sick; as from the different + nature and genius of their specific venom which caused them.</p> + + <p>"And I conceive that venomous febrile matters differ not in degree of + intenseness only, but in essence and <i>toto genere</i> also; and that + venomous fevers are for the most part contagious."—<i>Thomas + Fuller, M. D. 1730.</i> "Another important class of organic poisons are + those which when introduced in almost inappreciable quantities into the + system, seem to increase in quantity; and which when communicated in the + same inappreciable quantity from the individual poisoned to one who is + healthy, excite the same series of febrile phenomena and local + inflammation, and the same increase in the quantity of the poisonous + agent."—<i>Med. Chir. Review.</i></p> + + <p>"This unseen influence working in the body, presents very striking + analogies to the modes of operation of different poisons."—<i>Dr. + Ormerod on Continued Fever.</i></p> + + <p><a name="Nt7" href="#NtA7">[7]</a> I am aware that the vesicle does + not here strictly bear the relation to the original germ, supposing one + active particle alone to be sufficient for its production, that the egg + does to the bird, for in the former case multitudes of active particles + may have been generated from one. I have, therefore, merely used this + expression to signify an aggregation of vital forces, such as may be + imagined to exist in the bird.</p> + + <p><a name="Nt8" href="#NtA8">[8]</a> "At an early period the form of the + ovisacs is usually elliptical, and their size extremely + minute,—their long diameter measuring in the ox no more than 1/562 + of an inch, so that a cubic inch would contain nearly two hundred + millions of them. They are <i>at this time</i> quite distinct from the + <i>stroma</i> of the ovarium; this forms a cavity in which they are + loosely embedded."</p> + + <p><a name="Nt9" href="#NtA9">[9]</a> Coleridge, p. 56.</p> + + <p><a name="Nt10" href="#NtA10">[10]</a> "All vegetables," says Sharon + Turner, "from that pettiness which escapes our natural sight, to that + magnitude which we feel to be gigantic, have these properties in common + with all animals—organization; an interior power of progressive + growth, a principle of life, with many phenomena that resemble + irritability, excitability, and susceptibility, and a self-reproductive + and multiplying faculty."—<i>Sharon Turner's Sacred + History.</i></p> + + <p><a name="Nt11" href="#NtA11">[11]</a> "Plants highly sensitive to + light are those of the leguminous, or Pea kind. They always close up in + the evening and clasp their two upper surfaces together, presenting only + their backs to the air. Plants of pinnated leaves, as the Tansy, are more + sensible than these to the effects of light. They fold up when light is + too strong, as in Robinia; it produces the same effect as want of light. + Its leaves close up, apparently, because they are receiving too much. So + they do if a hot iron be brought near them. They contract as if to avoid + the heat. Sensitive plants, and those of the Oxalis Lent. are so + sensitive that the least motion, even a breath of air, will make them + close."—<i>Sir J. Smith.</i></p> + + <p>"The vitality of plants seems to depend upon the existence of an + irritability, which although far inferior to that of animals, is + nevertheless of an analogous character."—<i>Lindley's Introduction + to Botany.</i></p> + + <p><a name="Nt12" href="#NtA12">[12]</a> Provincial Medical and Surgical + Journal. July 10th, 1850. No. xiv. p. 367. "Practical Observations on the + Vaccination Question." By E. Oke Spooner, M. R. C. S., Blandford.</p> + + <p>"If we examine the Cow Pox and the Small Pox microscopically, as I + have done very carefully in every stage, we find that the essential + character consists of a number of minute cells, not exceeding the + 10,000th part of an inch in diameter, being about one-fourth smaller than + the globules of the blood, containing <i>within their circumference many + still more minute nuclei, and presenting</i> beyond their circumference + bud-like cells of the same size and character as those contained within + the circle. They exactly resemble in everything except the size, the + globules of the yeast plant, the Torula Cerevesiæ. Now if we examine more + circumstantially the analogies of what I would call the Torula Variolæ + with the Torula Cerevesiæ, we observe the following corresponding + facts.</p> + + <p>"What do we accomplish by inoculation as it is called? Simply this. We + take on the top of a lancet, or an ivory point, a few of these minute + cells or germs, and we put them <i>in their appropriate nidus</i>, the + subcuticular tissue, where, after a few days if they find their + appropriate nutrient elements, they grow and multiply."</p> + + <p>Simon, Chemistry of Man, vol. i. p. 127. "Macgregor ascertained that + the air expired by persons ill of confluent Small Pox, contained as much + as <i>eight</i> per cent of carbonic acid, and in proportion as health + was restored the percentage was diminished to its natural standard." + Carbonic acid is also produced during the process of fermentation and + germination.</p> + + <p><a name="Nt13" href="#NtA13">[13]</a> See History of the Jews, p. + 71.</p> + + <p><a name="Nt14" href="#NtA14">[14]</a> It is said by Whewell, that the + murrain is supposed to have fallen only on the animals which were in the + open pasture.—<i>History of the Jews.</i></p> + + <p>"J. S. Michael Leger, published at Vienna, in 1775, a treatise + concerning the mildew as the principal cause of the epidemic disease + among cattle. The mildew is that which <i>burns</i> and <i>dries</i> the + grass and leaves. It is observed early in the morning, particularly after + <i>thunder-storms</i>. Its poisonous quality, which does not last above + twenty-four hours, never operates but when it is swallowed immediately + after its falling."—<i>Mitchell on Fevers.</i></p> + + <p><a name="Nt15" href="#NtA15">[15]</a> "The prevalence of the + south-east wind was observed to be particularly favourable to the + increase of both cholera and influenza: and I cannot but think that this + had some connexion with the general tendency exhibited by the former to + spread from east to west. Has the morbific property of this wind aught to + do with the haziness of the air when it prevails—a haziness seen in + the country remote from smoke, and quite distinct from fog? What is this + haze? In the west of England a hazy day in spring is called a + <i>blight</i>."—<i>Dr. Williams' Principles of Medicine.</i></p> + + <p><a name="Nt16" href="#NtA16">[16]</a> We are to understand also that + some peculiar operation took place of a nature difficult to comprehend, + which seems also to typify reproduction, for the handfuls of ashes which + Moses threw into the air <i>became a dust in all the land of Egypt</i>, + thus signifying an enormous reproduction of atomic matter.</p> + + <p><a name="Nt17" href="#NtA17">[17]</a> The Chinese affect to trace the + origin of Small Pox back to a period of at least 3000 years, or 20 years + beyond the era of the Trojan war, 1212, A. C.</p> + + <p>The Chinese pretend to discriminate no less than 40 different species + of Small Pox.</p> + + <p>"They also pretend to discover whether a person has died by violence + or from natural causes, not only after the body has been some time + interred and decomposition of the softer parts has commenced, but even + after the total disappearance of the soft parts, and when the dry + skeleton alone is left."—For the process, see <i>Hamilton's History + of Medicine</i>, vol. i. p. 31.</p> + + <p>To give some notion of the state of Medical Science among the Chinese, + I may quote the following: "The theory of the circulation of the blood, + Du Halde affirms, was known by the Chinese about 400 years after the + deluge; be this assertion veracious or not, no correct knowledge up to + the present day, do the nation possess of the circulating system of the + human frame."—<i>China and the Chinese, Henry Charles Sirr, M. + A.</i></p> + + <p>According to their anatomy, the trachea extends from the larynx + through the lungs to the heart, whilst the œsophagus goes over them + to the stomach.</p> + + <p><a name="Nt18" href="#NtA18">[18]</a> "And Aaron took as Moses + commanded, and ran into the midst of the congregation: and behold the + plague was begun among the people; and he put on incense and made an + atonement for the people. And he stood between the dead and the living, + and the plague was stayed."—<i>Numbers.</i></p> + + <p>The practice of burning scented herbs has been observed in all times + during an invasion of the plague, as a means of protection. Also wearing + perfumes and aromatic preparations has been recommended. Whether they + have any counteracting influence, it is impossible to say.</p> + + <p>Virgil in the third Georgic speaks of a murrain among cattle. He says, + if any wore a vestment made of wool from an infected sheep, fiery blains + and filthy sweat overspread his body, and ere long a pestilential fire + preyed upon his infected limbs.</p> + + <p>In his directions for preserving the health of flocks he + says—</p> + + <div class="poem"> + <div class="stanza"> + <p class="hg3">"Disce et odoratam stabulis accendere cedrum."</p> + </div> + </div> + + <p>The motive for burning the fragrant cedar is not mentioned; we cannot + doubt but it was a good one, and having some great practical utility, + from the following line—</p> + + <div class="poem"> + <div class="stanza"> + <p class="hg3">"Galbaneoque agitare graves nidore chelydros."</p> + </div> + </div> + + <p><a name="Nt19" href="#NtA19">[19]</a> The earliest mention of this + complaint upon which reliance can be placed, is an ancient Arabic MS. + preserved in the public library at Leyden. "This year, in fine, the Small + Pox and Measles made their first appearance in Arabia." The year alluded + to being that of the birth of Mahomet, or the year 572 of the Christian + æra.—<i>Hamilton's History of Medicine</i>, vol. i. p. 215.</p> + + <p><a name="Nt20" href="#NtA20">[20]</a> Dr. W. A. Greenhill's + translation.</p> + + <p><a name="Nt21" href="#NtA21">[21]</a> The Black Assize at Oxford, + 1572, is an instance in which a pestilential vapour suddenly appeared in + the court, "whereby the judge, several noblemen, and more than 300 + others, died within three days."</p> + + <p>"Of an unaccountable vapour suddenly coming, I have this relation from + Richard Humphrey, my neighbour, and a man of veracity, that on Wednesday, + April 27, 1727, as he and one Walter, were travelling a-foot from + Canterbury; when they came to Rainham, they were assaulted with such a + strong loathsome stink, as he thought was like the stench from a + corrupted human corpse. They were so offended at it, as thinking it was + from carrion in that town, that they would not stay there to rest and + refresh themselves, but travelled on for about two hours, mostly in the + stench, but sometimes out of it, till they came to the hill that leads + down to Chatham: and there they went clear out of it and smelt it no + more."—<i>Dr. Fuller</i>.</p> + + <p>It appears that these persons did not fall sick of any disease, but + the fact of itself is remarkable enough.</p> + + <p><a name="Nt22" href="#NtA22">[22]</a> Hamilton's History of + Medicine.</p> + + <p><a name="Nt23" href="#NtA23">[23]</a> It has been said, that "an + induction once carefully drawn, is as perfect from a single instance as + it is from ten thousand, and that it is only an uncultivated mind which + requires a load and accumulation of knowledge to assist his + thoughts."—<i>Sewell</i> "on the Cultivation of the Intellect."</p> + + <p><a name="Nt24" href="#NtA24">[24]</a> See Dr. Alison's Pamphlet on the + Fever in Edinburgh.</p> + + <p><a name="Nt25" href="#NtA25">[25]</a> Earthquakes have in all times + been considered to have some connexion with pestilences. "A most grievous + pestilence broke out in Seleucia, which from thence to Parthia, Greece, + and Italy, spread itself through a great part of the world, from the + opening of an ancient vault in the temple of Apollo, and that it raged + with so much fury as to sweep away a third part of the inhabitants of + those countries it visited."—<i>Dr. Quincy, on the Causes of + Pestilential Disease.</i></p> + + <p>"Upon an earthquake the earth sends forth noisome vapours which infect + the air; so it was observed to be at Hull in Yorkshire, by the Rev. Mr. + Banks, of that place, after a small earthquake there in 1703, it was a + most sickly time for a considerable while afterwards, and the greatest + mortality that had been known for fifteen years."—<i>Anonymous</i>, + 1769.</p> + + <p><a name="Nt26" href="#NtA26">[26]</a> See Sharon Turner's Sacred + History, text and notes, vol. i. p. 161 & 162.</p> + + <p></p> + + <div class="poem"> + <div class="stanza"> + <span class="unpoem"><a name="Nt27" href="#NtA27">[27]</a></span> + <p class="hg3">"Each seed includes a plant; that plant, again,</p> + <p>Has other seeds, which other plants contain,</p> + <p>Those other plants have all their seeds; and those</p> + <p>More plants, again, successively enclose.</p> + <p>Thus ev'ry single berry that we find,</p> + <p>Has really in itself whole forests of its kind.</p> + <p>Empire and wealth one acorn may dispense,</p> + <p>By fleets to sail a thousand ages hence;</p> + <p>Each myrtle-seed includes a thousand groves,</p> + <p>Where future bards may warble forth their loves."</p> + </div> + </div> + + <p><a name="Nt28" href="#NtA28">[28]</a> "On June 5th, 1849, a man and + his son, a lad aged 14 years, left Noss to fish, and when five miles out + at sea, no vessel being in sight, they both simultaneously became aware + of a hot <i>offensive</i> stream of air passing over them. It was so + decided, that the crab pots were examined to discover if it were from + them, but it did not, and five minutes after the father's attention was + directed to the boy, who was vomiting and purging."—<i>Dr. Roe on + the Cholera at Plymouth, Med. Gaz. Aug. 24th, 1850.</i></p> + + <p><a name="Nt29" href="#NtA29">[29]</a> Linnæus remarked that Erigeron + Canadense was introduced into gardens near Paris from North America. The + seeds had been carried by the wind, and this plant was in the course of a + century spread over all France, Italy, Sicily and Belgium.</p> + + <p><a name="Nt30" href="#NtA30">[30]</a> Hecker.</p> + + <p><a name="Nt31" href="#NtA31">[31]</a> This is found most generally to + be the case where rivers flow through uncultivated tracts of country. The + Californian emigrants suffer much from diarrhœa and dysentery, if + they drink of the river and certain well waters of that gold + district.</p> + + <p><a name="Nt32" href="#NtA32">[32]</a> "Purification from leprosy. As + this fearful disease was contagious and hereditary to the third and + fourth generation, the separation of lepers from the camp and + congregation, and the destruction of infected houses and clothes, was of + the utmost importance to the preservation of public health.</p> + + <p>"Leprosy was of three kinds: 1st, Leprosy in man. 2nd, Leprosy in + houses. 3rd, Leprosy in clothes.</p> + + <p>"Contagious or malignant leprosy was of two kinds, viz.</p> + + <p>"1st. The white leprosy, or bright berat, which was the most serious + and obstinate form which leprosy assumes. It exhibited itself as a bright + white and spreading scale, on an elevated base; turning the hair white in + patches, which were continually spreading.</p> + + <p>"2nd. The black leprosy, or dusky berat, which was less serious than + the foregoing. It did not change the colour of the hair, nor was there + any depression in the dusky spot; but the patches were perpetually + spreading, as in the white leprosy."—<i>Analysis and Summary of Old + Testament History.</i> <i>Oxford.</i></p> + + <p><a name="Nt33" href="#NtA33">[33]</a> The Mexican Aloe blows when nine + years old, and then dies. At least this is its usual course in the island + of Cuba.</p> + + <p><a name="Nt34" href="#NtA34">[34]</a> "Ground that has not been + disturbed for some hundred years, on being ploughed, has frequently + surprised the cultivator by the appearance of plants which he never + sowed, and often which were then unknown to the country. The principle + has been ascertained to be capable of existing in this latent state for + above 2000 years, unextinguished, and springing again into active + vegetation, as soon as planted in a congenial soil.</p> + + <p>"In boring for water near Kingston on Thames, some earth was brought + up from a depth of 360 feet, and though carefully covered with a + hand-glass to prevent the possibility of other seeds being deposited on + it, was yet in a short time covered with vegetation.</p> + + <p>"Turner says, from the depth, these seeds must have been of the + diluvian age."—<i>Jesse's Gleanings.</i></p> + + <p><a name="Nt35" href="#NtA35">[35]</a> Hamilton's History of Medicine, + vol. ii. p. 276, note.</p> + + <p><a name="Nt36" href="#NtA36">[36]</a> "What I wish you to remark is + this, that while almost all men are prone to take the disorder, large + portions of the world have remained for centuries entirely exempt from + it, until at length it was imported, and that then it infallibly diffused + and established itself in those parts."—<i>Dr. Watson on the + Principles and Practice of Physic.</i></p> + + <p>Dr. R. Williams says, "The seeds of intermittent fever lay dormant for + months, it was not at all uncommon for cases of intermittent fever to be + brought into the hospital eight or ten months after the patients had + subjected themselves to the influence of paludal or marsh effluvia."</p> + + <p><a name="Nt37" href="#NtA37">[37]</a> I have observed in the + hot-houses, that many of the exotic plants, which are in company with the + diseased vines, have been attacked, while others again have been entirely + free.</p> + + <p><a name="Nt38" href="#NtA38">[38]</a> By causes of the greatest + variety plants may become extinct for a time. It is not very easy to + trace them, but one fact may be mentioned in proof of the statement. Dr. + Prichard states that vast forests are destroyed either for the purpose of + tillage or accidentally by conflagrations. "The same trees do not + reappear in the same spots, but they have successors, which seem + regularly to take their place. Thus the pine forests of North America + when burnt, afford room to forests of oak trees."</p> + + <p><a name="Nt39" href="#NtA39">[39]</a> Hecker says of Chalin de + Vinario, that "he asserted boldly and with truth, that <i>all epidemic + diseases might become contagious, and all fevers + epidemic</i>,—which attentive observers of all subsequent ages have + confirmed." P. 60.</p> + + <p><a name="Nt40" href="#NtA40">[40]</a> In 1539, the thirty-first year + of Henry the Eighth, was great death of burning agues and flixes; and + such a drought that welles and small rivers were dryed up, and many + cattle dyed for lacke of water; the salt water flowed above London + Bridge.—<i>Stowe.</i></p> + + <p>In 1556, the fourth of Mary, and the third of Philip, about this time + began the burning fevers, quarterne agues, and other strange diseases, + whereof died many.—<i>Stowe.</i></p> + + <p>The next winter, 1557, the quarterne agues continued in like manner, + or more vehemently than they had done the last + yere.—<i>Stowe.</i></p> + + <p><a name="Nt41" href="#NtA41">[41]</a> Every writer on the climate of + Egypt has remarked, that the Endemic Fever which is so frequent, + originating on the coast, particularly about Alexandria, becomes + occasionally so virulent, that it cannot be distinguished from the + <i>true Plague.</i>—<i>Robertson on the Atmosphere</i>, vol. 2. p. + 384.</p> + + <p>"Endemial Fevers of every situation become occasionally so aggravated, + that they cannot be distinguished from such as originate from contagion; + and in every unusual virulence of this Endemic Fever, it is probable that + it may be propagated afterwards by contagion as every epidemic." + <i>Ibid.</i> p. 388.</p> + + <p><a name="Nt42" href="#NtA42">[42]</a> Dr. Ure.</p> + + <p><a name="Nt43" href="#NtA43">[43]</a> "The metamorphosis of starch + into sugar depends simply, as is proved by analysis, on the addition of + the elements of water. All the carbon of the starch is found in the + sugar; none of its elements have been separated, and except the elements + of water, no foreign element has been added to it in this + transformation."—<i>Liebig</i>, <i>Organic Chemistry</i>, p. + 71.</p> + + <p><a name="Nt44" href="#NtA44">[44]</a> As regards starch there appears + to be some peculiar faculty regarding it. It is converted into sugar + during the ripening of fruit, and it is just possible that being as it is + of a cellular nature, the property of vitality may attach to it until it + has, by being converted into sugar, fulfilled its destination.</p> + + <p><a name="Nt45" href="#NtA45">[45]</a> Though I do not consider that + the fermentation process is a fac-simile of diseased action, yet I think + its phenomena generally afford an apt illustration of the changes which + may be effected by living germs. Many able chemists still maintain the + entire dependence of fermentation upon the Torula: "M. Blondeau propounds + the view that <i>every kind</i> of fermentation is <i>caused</i> by the + development of fungi."</p> + + <p>The varieties of opinions found in the literature of this subject, + forms a curious specimen of scientific enquiry, and is sufficient alone + to convince us of its vast importance and extensive relations.</p> + + <p><a name="Nt46" href="#NtA46">[46]</a> By Dr. Mantell.</p> + + <p><a name="Nt47" href="#NtA47">[47]</a> Mitchell on Fevers.</p> + + <p><a name="Nt48" href="#NtA48">[48]</a> We wonder, and ask ourselves: + "What does <span class="scac">SMALL</span> mean in + Nature?"—<i>Schleiden's Lectures on Botany.</i></p> + + <p><a name="Nt49" href="#NtA49">[49]</a> Speaking of the bunt in wheat: + "It appears certainly to be contagious, from numerous experiments, which + shew that the contagious principle lasts a long time. I have tried it + myself; some, however, doubt it, but it cannot be denied, that seed sown, + infected with bunt, produces plants similarly affected; every one who has + had the slightest experience must be convinced of it."—<i>Essay on + the Diseases of Plants.</i> <i>Count Ré.</i></p> + + <p><a name="Nt50" href="#NtA50">[50]</a> We have already spoken of the + effects of these poisons, and have stated that the amount of each poison + capable of destroying the body is pretty accurately known.</p> + + <p><a name="Nt51" href="#NtA51">[51]</a> The italics are my own.</p> + + <p><a name="Nt52" href="#NtA52">[52]</a> Gmelin says: "But the mode of + action in these transformations, sometimes admits of other explanations; + and when this is not the case, our conception of it is by no means + sufficiently clear to justify the positive assumption of this, so called + contact-action or catalytic force, which, after all, merely states the + fact without explaining it"—<i>Gmelin's Hand-book of Chemistry</i>, + vol. i. p. 115.</p> + + <p><a name="Nt53" href="#NtA53">[53]</a> The history and symptoms of some + epidemic diseases, such as cholera and influenza, are not inconsistent + with the hypothesis that they are caused by the sudden development of + animalcules from ova in the blood. But there is a total want of direct + observation in support of this hypothesis.—<i>Dr. Williams' + Principles of Medicine.</i></p> + + <p><a name="Nt54" href="#NtA54">[54]</a> Since writing the above, I have + referred for information on this subject, and find, that the Anguillula + aceti exhibits sexual distinctions; and that the ovaries of the females + are situated on each side of the alimentary canal.—<i>Cyclo. Anat. + and Phys. Art. Entozoa.</i></p> + + <p><a name="Nt55" href="#NtA55">[55]</a> Speaking of the examination of + the infusory animalcules—Mr. Kirby says: "But to us the wondrous + spectacle is seen, and known only in part; for those that still escape + all our methods of assisting sight, and remain members of the invisible + world, may probably <i>far exceed those that we + know</i>."—<i>Bridgewater Treatise</i>, vol. i. p. 158.</p> + + <p><a name="Nt56" href="#NtA56">[56]</a> Mr. Owen has added another + class, as the first, called Protelmintha, which comprises the cercariadæ + and vibrionidæ.</p> + + <p><a name="Nt57" href="#NtA57">[57]</a> "It is probable that in the + waters of our globe an infinity of animal and vegetable molecules are + suspended, that are too minute to form the food of even the lowest and + minute animals of the visible creation: and therefore an infinite host of + invisibles was necessary to remove them as + nuisances."—<i>Bridgewater Treatise</i>, vol. i. p. 159.</p> + + <p>"When Creative Wisdom covered the earth with plants, and peopled it + with animals, He laid the foundations of the vegetable and animal + kingdoms with such as were most easily convertible into nutriment for the + tribes immediately above them. The first plants, and the first animals, + are scarcely more than animated molecules,* and appear analogues of each + other; and those above them in each kingdom represent jointed + fibrils."†—<i>Bridgewater Treatise</i>, vol. i. p. 162.</p> + + <p>* Globulina and Monus. † + Oscillatoria and Vibrio.</p> + + <p><a name="Nt58" href="#NtA58">[58]</a> "A treatise which should present + a systematic arrangement of all the diseases of plants, giving in detail + the exact history of each, and adding the means of preventing and curing + them, would certainly be of the greatest utility to agriculture." + —<i>Essay on the Diseases of Plants, Count Philippo Ré, translated + into Gardener's Chron.</i></p> + + <p><a name="Nt59" href="#NtA59">[59]</a> "Plenck published a treatise on + Vegetable Pathology, in which he divided diseases into eight classes: 1. + External injuries; 2. Flux of juices; 3. Debility; 4. Cachexies; 5. + Putrefactions; 6. Excrescences; 7. Monstrosities; and 8. Sterility. And + he concludes with an enumeration of the animals which injure + plants."—<i>Essay on the Diseases of Plants, Gardener's + Chronicle.</i></p> + + <p><a name="Nt60" href="#NtA60">[60]</a> The Bunt. "This disease appears + at the moment of the germination of the plant. The affected individuals + are of a dark green, and the stem is discoloured. As the ears are issuing + from the sheaths, their stalks are of a dark green, but very slender. + When the ear has fully grown out, its dull, dirty colour, causes it to be + immediately distinguished from the healthy ones, and it soon turns + white."—<i>Essay on the Diseases of Plants.</i></p> + + <p><a name="Nt61" href="#NtA61">[61]</a> <i>Vidi</i> understood.</p> + + <p><a name="Nt62" href="#NtA62">[62]</a> "At the close of the year 1665," + says Dr. Hodges, "even women, before deemed barren, were said to prove + prolific."</p> + + <p>"After the cessation of the Black Plague, a greater fecundity in women + was every where remarkable—a grand phenomenon, which from its + occurrence after every destructive pestilence proves to conviction, if + any occurrence can do so, the prevalence of a higher power in the + direction of general organic life. Marriages were almost without + exception prolific; and double and treble births were more frequent than + at other times."—<i>Hecker</i>, p. 31.</p> + + <p><a name="Nt63" href="#NtA63">[63]</a> It is stated that on the decline + of the Plague, 1665, those who returned early to London, or new comers, + were certain to be attacked. In proof of this the 1st week of November, + the deaths increased 400, and "physicians reported that above 3000 fell + sick that week, mostly new comers."</p> + + <p>See also Dr. Copland's Dict. Pract. Med. Epidemic and Endemic + Diseases.</p> + + <p>"The hardy mountaineer is a surer victim of paludal fever, whether he + visits the low countries of the tropics, or the marshes of a more + temperate climate, than the feebler native of those + countries."—<i>Dr. R. Williams on Morbid Poisons.</i></p> + + <p><a name="Nt64" href="#NtA64">[64]</a> "Substances presented to the + gastro-intestinal surfaces, are mixed up with various secretions, mucus, + saliva, gastric juice, bile, pancreatic liquor, and special exudations + from the peculiar glands of each successive section, while aerial + poisons, unmixed and unfettered, are applied at once to a surface on + which, behind scarcely a shadow of a film, circulates the blood prepared, + by the habitual action of the respiratory function, to absorb almost + every vapour, and every odour, which may not be too irritating to pass + the gates of the <i>glottis</i>."—<i>Mitchell on Fevers.</i></p> + + <p><a name="Nt65" href="#NtA65">[65]</a> Hecker on the "Black Death."</p> + + <p><a name="Nt66" href="#NtA66">[66]</a> The stomach in some cases is no + doubt the medium by which some diseases are contracted. It is well known, + that in many places the water induces diarrhœa, the permanent + residents, however, may not suffer, but all new comers are more or less + affected by drinking it.</p> + + <p><a name="Nt67" href="#NtA67">[67]</a> "Similar effects have been + experienced from the use of mouldy provisions."—<i>Dr. Lindley's + Vegetable Kingdom.</i></p> + + <p><a name="Nt68" href="#NtA68">[68]</a> "Untold numbers die of the + diseases produced by scanty and <i>unwholesome + food</i>."—<i>Southey.</i></p> + + <p>A large, nay, a most extensive adulteration of flour with plaster of + Paris was detected not many years since. The flour was supplied by a + contractor for the manufacture of biscuits for the navy.</p> + + <p><a name="Nt69" href="#NtA69">[69]</a> See Southey's Doctor, vol. ii. + interchapter vi. p. 115, for an illustration of this subject.</p> + + <p><a name="Nt70" href="#NtA70">[70]</a> Both these patients died.</p> + + <p><a name="Nt71" href="#NtA71">[71]</a> "A good part of the clove trees + which grew so plentifully in the island of Ternate, being felled at the + solicitation of the Dutch, in order to heighten the price of that fruit, + such a change ensued in the air, <i>as shewed the salutary effect of the + effluvia of clove trees and their blossoms; the whole island, soon after + they were cut down, becoming exceeding sickly</i>."</p> + + <p><a name="Nt72" href="#NtA72">[72]</a> The observation is originally + taken from the City Remembrancer, 133.</p> + + <p><a name="Nt73" href="#NtA73">[73]</a> See Hamilton's History of + Medicine, vol. i. p. 4.</p> + + <p><a name="Nt74" href="#NtA74">[74]</a> Feuchtersleben's Medical + Psychology, p. 176, 177.</p> + + <p><a name="Nt75" href="#NtA75">[75]</a> Ibid. p. 321.</p> + +</div> + + + + + + + +<pre> + + + + + +End of the Project Gutenberg EBook of Epidemics Examined and Explained: or, +Living Germs Proved by Analogy to be a Source of Disease, by John Grove + +*** END OF THIS PROJECT GUTENBERG EBOOK EPIDEMICS EXAMINED *** + +***** This file should be named 34603-h.htm or 34603-h.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/3/4/6/0/34603/ + +Produced by Bryan Ness, Keith Edkins and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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You may copy it, give it away or +re-use it under the terms of the Project Gutenberg License included +with this eBook or online at www.gutenberg.org + + +Title: Epidemics Examined and Explained: or, Living Germs Proved by Analogy to be a Source of Disease + +Author: John Grove + +Release Date: December 9, 2010 [EBook #34603] + +Language: English + +Character set encoding: ASCII + +*** START OF THIS PROJECT GUTENBERG EBOOK EPIDEMICS EXAMINED *** + + + + +Produced by Bryan Ness, Keith Edkins and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + + + + +Transcriber's note: A few typographical errors have been corrected: they +are listed at the end of the text. + + * * * * * + + +Page numbers enclosed by curly braces (example: {25}) have been +incorporated to facilitate the use of the Table of Contents. + + * * * * * + + +EPIDEMICS + +EXAMINED AND EXPLAINED: + +OR, + +LIVING GERMS + +PROVED BY ANALOGY TO BE + +A SOURCE OF DISEASE. + +BY + +JOHN GROVE, M.R.C.S.L. + +AUTHOR OF "SULPHUR AS A REMEDY IN EPIDEMIC CHOLERA." + +LONDON: + +JAMES RIDGWAY, PICCADILLY. + +MDCCCL. + + * * * * * + + + "The tendencies of the mind, the turn of thought of whole ages, have + frequently depended on prevailing diseases; for nothing exercises a + more potent influence over man, either in disposing him to calmness and + submission, or in kindling in him the wildest passions, than the + proximity of inevitable and universal danger."--_Hecker's Epidemics of + the Middle Ages._ + + "The grand field of investigation lies immediately before us; we are + trampling every hour upon things which to the ignorant seem nothing but + dirt, but to the curious are precious as gold."--_Sewell on the + Cultivation of the Intellect._ + + * * * * * + + +TO + +BENJAMIN GUY BABINGTON, F.R.S., M.D., + +PHYSICIAN TO GUY'S HOSPITAL, + +AND + +PRESIDENT OF THE EPIDEMIOLOGICAL SOCIETY, + +ETC. ETC. + +THESE PAGES ARE, BY HIS KIND PERMISSION, + +Respectfully Dedicated, + +BY HIS OBLIGED AND FAITHFUL SERVANT, + +THE AUTHOR. + + * * * * * + + +{v} + +PREFACE. + +The following pages have been written with a view to render some aid in +establishing a sound and firm basis for future research, on that absorbing +topic, the Causes and Nature of Epidemic Diseases. + +The amount of information already published on Fevers, on the Exanthemata, +and on the Plague, is truly astonishing, and the more so when it is +considered, that at present no rational account or explanation is given of +the causes of these affections. + +It appears to me but reasonable to suppose that as every thing on this +earth has been created on a wise and unerring principle, Epidemic and +Infectious Diseases are only indicative of some serious errors in our +social arrangements and habits. The dangers and misery brought upon us by +disease, may, as shewn by Dr. Spurzheim and Mr. Combe, be warnings against +the infringement of the natural laws. + +Indeed, what is more rational than to suppose that the Seeds of Disease are +coeval with the fall of man. His first disobedience {vi} brought +death:--that his subsequent errors should hasten its approaches is not to +be marvelled at. The undetected murderer, though he may escape the +punishment human justice would inflict upon him for his delinquency, +suffers a penalty in the tortures of conscience, infinitely more horrifying +than the most ignominious death. The law of nature is triumphant. + +No less certain, though after a different manner, are the consequences of +minor forms of disobedience. It is so ordained, that certain diseases shall +arise, under peculiar conditions, which may have been brought about by a +train of causes, easily imagined, and difficult to be explained, but all +having their origin in the vices and errors of man in his moral and social +relations. + +If man neglects the cultivation of the ground; with rank vegetation, the +germs of fever will invisibly grow and multiply; if he harbours that which +is rotten and corrupt, he is himself consumed by those agents destined to +remove the rottenness and corruption; it is a part of the law of nature +that there should be active and energetic agents for this purpose. The +seeds of disease, like the seeds of plants, may be shewn to have {vii} +their indigenous localities; like them they may be spread and multiplied; +like them they may lie dormant, and after awhile spring as it were into +active existence; like them, when the soil and other conditions favour, +they are ever ready to make their appearance. And this is the law, the +germs of all disease exist, and have existed. Despise the dictates of +nature, be careless of yourself and those around you, neglect to use the +means which a noble intelligence has placed at your command, and above all, +transgress the laws of God, then will disease pursue and attend you, as the +conscience of the murderer pursues and attends him until he is finally cut +off. + +His wants and necessities, his sufferings and privations, are the basis of +the intellectual progress of man. The wonders of Omnipotence are revealed +through the whirlwind, the storm, the pestilence, and the famine. + +The constructive and perceptive faculties of man have been developed by the +necessity of protecting himself from injury by winds and rains; his +intellectual faculties have been cultivated, by the sufferings of disease +having led him to the study of {viii} organization and life, to discover +the cause,--and to chemistry, and other sciences for the cure of his +ailments. + +Famine and distress have aroused his emotions, and softened down his +asperities, so that what appears at first to be the infliction of a Curse +without Pity, is in reality a Judgment with Mercy. + +It occurred to me, that on the formation of the Epidemiological Society, +the first question for consideration should be, What is the nature of those +agents, which induce Epidemic Diseases? are they composed of animate or +inanimate matter? In other words, do the manifestations of these diseases +exhibit the operations of living or of chemical forces. + +Having, in my study, dwelt on the subject with an earnest desire to find +the truth, I put the suggestion, with my ideas, before the public to reject +or receive them. If they be rejected, I can but think a full discussion of +the enquiry will lead to the most important results. If they be received +with favour, I doubt not others, with more ability, will take up the strain +and resolve the discords into harmony. + + J. G. + + _Wandsworth, September, 1850._ + +{ix} + +CONTENTS. + + PAGE + INTRODUCTION 1 + + CHAPTER I. + + IS IT PROBABLE THAT EPIDEMIC, ENDEMIC, AND INFECTIOUS + DISEASES, DEPEND UPON VITAL GERMS + FOR THEIR MANIFESTATIONS? 11 + + CHAPTER II. + + THE NUMBER AND VALUE OF FACTS TO SUPPORT + THE PROPOSITION. + + SECTION I.--On Reproduction 22 + + SECTION II.--Historical Notice of Epidemic Diseases 34 + + SECTION III.--The Dispersion of Plants and Diseases 64 + + SECTION IV.--The Relation between Epidemic and Endemic + Diseases 96 + + CHAPTER III. + + THE REASONABLENESS OF THE APPLICATION OF + THE FACTS TO THE INFERENCE. + + SECTION I.--The Chemical Theory of Epidemics untenable 108 + + SECTION II.--The Animalcular Theory of Epidemics untenable 128 + + SECTION III.--Sketch of the Physiology and Pathology of + Plants and Animals 138 + + CHAPTER IV. + + RESULTS IN PROOF OF THE TENABLENESS OF THE + PROPOSITION. + + SECTION I.--Observations on some of the Laws of Epidemic + Diseases 155 + + SECTION II.--What is the nature of those Poisons which most + resemble the Morbid Poisons in their effects on the body? 166 + + SECTION III.--What results do we obtain from the effects of + remedial agents, in proof of the hypothesis? 176 + + CONCLUSION 189 + + * * * * * + + +{1} + +INTRODUCTION. + +It is one thing for a man to convince himself, but a very different thing +to be able to convince others. + +I am not now speaking of a conviction arising from the impression made by a +few startling facts, nor of one forced on the mind by early prejudices, or +by the dogmas of the schools, but of a conviction arising from careful +enquiry. + +In the course of that enquiry, the collector of facts, sees their relations +to the idea in his mind, in a multiplicity of ways, from their remaining, +each, as one succeeds the other, an appreciable time on the sensorium, and +undergoing a certain process of comparison and relation, with all other +facts and ideas which have been previously stored up. As the materials for +an edifice which have been shaped and prepared in accordance with the +completion of the design, so do the facts and ideas which are accumulated +{2} in the mind, become shaped and prepared for the elimination of a truth. +The ultimate design of the architect can no more be conceived by the +examination of the framework of a window, or the capital of a column, than +the whole truth of a proposition by the examination of separate facts; the +whole must be conceived and all the relations of all the parts thoroughly +understood, before the architect can be comprehended or the harmony of his +design appreciated. + +The process of thought in the minds of the architect, and in the framer of +a proposition, is never exactly the same as in those who contemplate and +examine their completed works. Much may be done, however, by both to aid +others in comprehending them. The more accurately they keep in view the +course their minds have taken, the more readily will their descriptions be +understood. + +To simplify the elements of our knowledge is to give others a ready access +to our thoughts. + +To arrange the course of our ideas in harmony with the elements of our +knowledge should be the end of all writing, as it is the only means of +multiplying knowledge. {3} + +It is not the mere accumulation of facts which constitutes science, any +more than a collection of building materials constitutes a house, it is the +arrangement and adaptation of the means to the end by which the house +becomes built and science cultivated. + +These reflections have been suggested by the circumstance that for the last +3000 years and upwards, Pestilences have at certain intervals done their +work of destruction, and opened the springs of misery to untold millions, +and yet I see not that we are much further advanced as to the knowledge of +the cause of these inflictions than the Jews in the time of Moses. In the +Levitical law, as I shall have occasion more particularly to shew +hereafter, were directions specially given in reference to the plague of +leprosy; what means should be adopted for the cure of the disease, and for +preventing its extension, and moreover pointing very significantly to +certain facts having connexion with the cause of the affection. Since that +time historians generally, and medical writers in particular, have +diligently recorded their observations and accumulated facts, on the +various desolating plagues which {4} have afflicted mankind. Some of these +men have grappled with the whole subject, and endeavoured to shew the +presumed relation of the supposed causes in all their intricacies, but it +is hardly necessary to say that all have signally failed in their attempts +to furnish us with any practical information. + +Satisfied in my own mind that the whole subject is beyond the labour of one +man, and impressed with the belief that the basis of the enquiry is in +anything but a satisfactory state, I have applied myself entirely to the +study of the groundwork only, as the primary proceeding for a solid +superstructure. + +The days are past, when imaginary spirits, ethers, and astronomical +phenomena, were believed to have any essential influence over our destinies +in a physical point of view; we have therefore to deal with _matter_ in +some form or other. + +The question, therefore, which I have proposed for enquiry, is, whether the +matter which causes epidemic and endemic diseases, exhibits the properties +of inorganic or organized matter. + +The properties and qualities of organized {5} bodies, as well as those of +inorganic matter, need but be stated, and in some instances we may picture +to ourselves the object, without having seen it, and not be very far from a +true conception. But for this purpose a clear and definite idea must be +previously formed, and have taken possession of the mind, of the great +general divisions of objects in the material world. + +Having made these preliminary remarks, I have suggested a certain mode of +procedure in making enquiries of this kind, not perhaps in strict +accordance with logical systems, but on the principle of nature's +operations in our own minds, which appears to me, when reduced to a +systematic and simple form, to be sufficiently clear and strict for +synthetical application, and so concise as to be usefully and practicably +applied. + +In endeavouring to establish a theory for the explanation of extraordinary +phenomena, there are certain rules which should guide us in the thorny and +treacherous path of speculation. But these rules readily flow from the +train of thought, and if we examine our own minds during their operations, +we {6} shall find that the following is the course of our instinctive +reflections. It is a course we adopt as the test of theories when formed, +and is a guide in all cases for their construction. + +We first commence with an idea, which exists in our minds in the form of a +proposition: then the following rules naturally suggest themselves:-- + +1. The probability of the value of our proposition from inference. + +2. The number and value of facts to support the proposition. + +3. The reasonableness of the application of the facts to the inference. + +4. What amount of information in the form of results can be produced in +proof of the tenableness of the proposition.[1] + +In illustration of the value of these rules the history of Dr. Jenner's +discovery affords an appropriate example. To use the words of Dr. Gregory, +"he appears very early in {7} life to have had his attention fixed by a +popular notion among the peasantry of Gloucestershire, of the existence of +an affection in the cow, supposed to afford security against the Small Pox; +but he was not successful in convincing his professional brethren of the +importance of the _idea_." + +The popular notion of the peasantry originated the idea in Jenner's mind, +and it became fixed there as a proposition. + +1. He commenced his enquiry by observing that the hands of milkers on the +dairy farms were subject to an eruption, and he _inferred_ that the notion +of the peasantry bore the stamp of probability, which strengthened the idea +in his mind and gave force to the proposition. + +2. His next step was to accumulate facts; he found on enquiry that the +persons engaged on these farms in milking, possessed an immunity from Small +Pox to an extent sufficient to strengthen the value of his proposition. + +3. The reasonableness of the application of the facts to the inference is +clear from the coincidence that the eruption on the hands of the dairy +people bore a striking {8} resemblance to the Small Pox, and as this +disease does not usually occur twice in the same individual, the inference +was most reasonable that this eruption protected the people from Small Pox. + +4. We have but to take the almost universal adoption of vaccination, and +its acknowledged prophylactic powers against the propagation of Small Pox +to shew the application of our fourth rule.[2] + +Between the conception of the idea and the accomplishment of Jenner's +designs, vaccination seems to have undergone an incubation of nearly twenty +years. During that period, with an energy and perseverance only to be +obtained by confidence, did this great man brood over and elaborate his +idea; and well might the 14th day of May, {9} 1796, be styled the birth day +of vaccination, for on that day was a child first inoculated from the hands +of a milker. + +In adopting the above method I have endeavoured to bear in mind M. +Quetelet's observations on the requirements necessary for medical +authorship; he says, "All reasonable men will, I think, agree on this +point, that we must inform ourselves by observation, collect well-recorded +facts, render them rigorously comparable, before seeking to discuss them +with a view of declaring their relations, and methodically proceeding to +the appreciation of causes." + + * * * * * + + +{10} + +{11} + +CHAPTER I. + +IS IT PROBABLE THAT EPIDEMIC, ENDEMIC, AND INFECTIOUS DISEASES, DEPEND UPON +VITAL GERMS FOR THEIR MANIFESTATIONS? + +It is, I believe, almost universally considered that Epidemic, Endemic, and +Infectious diseases, originate from some imaginary poisons of a specific +nature, each disease having its own peculiar poison. That this conception +should have taken possession of the minds of men, is most natural from the +symptoms which characterize these diseases, but when we come to enquire +into the nature of these agents, or supposed poisons, we are at once struck +with the idea that they exhibit one peculiarity which separates them in a +marked manner, from those poisons with which we are familiar; for the +poisons of Small Pox, Measles, Scarlet Fever, Hooping Cough, Fever, &c. +possess the power of multiplication, or spontaneous increase, a property +which attaches only to the organic kingdom, and is never known in the +inorganic kingdom. The source of most of the poisons is to be found among +mineral or vegetable products. A mineral in combination with an acid or +oxygen may become a poison, and {12} nitrogen in various combinations with +oxygen, hydrogen, and carbon, or with carbon alone, may become a poison; +these combinations are, however, in most instances the products of +vegetable life, others again are obtained from the animal kingdom, such as +the poison of the serpent, &c. but in all of these instances, there is not +one in which the power of self-multiplication is to be found. + +We are, therefore, constrained to admit that this feature, which +distinguishes poisons, is one well worthy attentive consideration. The +varieties of poisons may be classified into those which act topically as +escharotic poisons, those which act chemically on the blood, and those +whose effects are manifested in inducing a speedy annihilation of organic +or vital action, as in the case of hydrocyanic acid, which is supposed +specifically to affect the nervous centres from which originate the vital +manifestations. It is rather remarkable that the vital poisons (as I will +call them for distinction), seem to have their appropriate locality in the +blood, they do not primarily affect one organ more than another, all the +effects we witness resulting from them are to be traced progressively from +the blood to other parts of the body. When a person is inoculated with +small pox, a very minute portion (indeed it is impossible to say how minute +it may be) is sufficient, when absorbed, to excite a certain train of +symptoms, all due to absorption of the materies of the disease, and the +process by which {13} that materies arrives at maturity, is that known in +the vegetable world as the fructification; this process of fructification +is a process of development and increase. + +I here may repeat that among all the poisons known, constituted as they are +of various combinations of elementary matter, they are without exception +destitute of the power of development or increase. Now, it is pretty +accurately known what amount of these poisons is necessary to produce their +effects on the living body; we can say how many drops are sufficient of +hydrocyanic acid of Scheeles strength, to destroy a man instantaneously. +Again, how many grains of arsenious acid are sufficient to induce such an +inflammatory condition of the stomach and intestine as will end in death, +and how many grains of morphia, will bring about a fatal coma,--but who +shall say the amount of the vital poisons necessary to produce their +results? It far exceeds the limit of conjecture, to what extent the +dilution of miasmatic or contagious matter may be carried, and the poison +yet be capable of committing in a short time the most frightful ravages. + +We may fairly then infer, that if a quantity of matter inappreciable in +amount be sufficient to exhibit the characters of growth and increase, that +it is endowed with the properties of vitality. That the poisons of scarlet +fever, of measles, and of small-pox have this power of growth and increase, +is as much a matter of universal belief as that "the sun {14} will rise and +set to-morrow, and that all living beings will die." + +This power of individual increase, or reproduction, is the very summit of +vital manifestation; indeed Coleridge, in his Theory of Life, (in which he +says, "I define life as the _principle of individuation_, or the power +which unites a given _all_ into a whole that is presupposed by all its +parts,") places reproduction in the first rank, and expresses his +hypothesis thus: "the constituent forces of life in the human living body +are, first, the power of length or reproduction; 2nd, the power of surface, +or irritability; 3rd, the power of depth, or sensibility--life itself is +neither of these separately, but the copula of all three." + +Extensive research is not required to shew that many thinking men believe +in the existence of living organic beings, as the elements of contagious +and epidemic diseases; the idea indeed seems to flow spontaneously in that +direction. Whenever thought, and enduring contemplation, have been +concentrated on the subject, the result appears to have been the same, a +firm conviction in each individual mind that a vital force must be in +operation; or as Schlegel would define it, "a living reproductive power, +capable of and designed to develope and propagate itself."--"Its Maker +originally fixed and assigned to it the end towards which all its efforts +were ultimately to be directed." + +Referring further to beings having the property of reproduction and +propagation, he says, (using {15} the word nature here evidently as the +vital principle for want of a better term,) "Nature indeed is not free like +man, but still is not a piece of dead clockwork. _There is life in +it._"--"Thus we know that even plants sleep, and that they too as much as +animals, though after a different sort, have a true impregnation and +propagation." + +When Schlegel wrote this, how little could he have imagined the intricacy +of this proceeding among the lower forms of vegetation. It has been shewn +by Suminski, and verified by many others, that the mode of impregnation, +and the period at which it occurs in the ferns, do not at all correspond to +the general notion on this subject. He has discovered in the early +development of the frond of ferns certain cells, which he denominates +antheridia, or sperm cells; these contain in their cavity a number of +subordinate cells, each containing a spermatazoon. At a certain period of +the progress of the frond, the parent cells become ruptured and liberate +the spermatoza, these move about in a mucilaginous fluid, which bedews the +inferior surface of the frond, and become the means of impregnating the +germ cells, or pistillidia, with which they readily come in contact. Thus +the process of impregnation in these plants occurs during the germination, +or what corresponds to the period of germination in the seeds of exogenous +and endogenous plants. + +I have referred to the discovery of Suminski in {16} this place to recal to +the mind the great and incomprehensible wonders of creation, for who could +conceive it possible or feasible that even for the impregnation of an +inferior vegetable, animal life should form an indispensable and essential +appurtenant of the process. Truly may we say with Coleridge, of plants and +insects, "so reciprocally inter-dependent and necessary are they to each +other, that we can almost as little think of vegetation without insects, as +of insects without vegetation." + +I will make but two more quotations on the supposed vital character of the +germs of disease. "That the air and atmosphere of our globe is in the +highest degree full of life, I may, I think, take here for granted, and +generally admitted. It is, however, of a mixed kind and quality, combining +the refreshing breath of spring with the parching simooms of the desert, +and where the healthy odours fluctuate in chaotic struggle with the most +deadly vapours. What else in general _is the wide-spread and spreading +pestilence_, but a living propagation of foulness, corruption, and death? +Are not many poisons, _especially animal poisons, in a true sense, living +forces_?"--Schlegel.[3] + +It were useless to multiply quotations to shew {17} that the opinions here +entertained are matters of general belief among thinking men.[4] I will at +once then conclude with an observation of Dr. C. J. B. Williams: he puts +the question, "Does the matter of contagion consist of vegetable seeds? Are +infectious diseases the results of the operations and invasions of living +parasites, disturbing in sundry ways the structures and functions of the +body, each after its own kind, until the vital powers either fail or +succeed in expelling the invading tribes from the system?" + +And this expression, the seeds, is an universal expression, it is a +"Household Word" in connexion with disease. That it has obtained this +position in the popular vocabulary is alone a proof of the applicability of +the term to the thing intended to be {18} signified. Popular notions, as we +have seen in the case of Jenner's discovery, are not to be unheeded. An +instance occurs to me, it was a popular belief, that in acne punctata, the +matter of a sebaceous follicle, was itself, when pressed out, a worm, the +dark portion which results from the accumulation of dust upon the matter at +the mouth of the follicle was supposed to be the head of the maggot, as it +was called; subsequent observation, however, has proved that though this +matter is not a worm, it contains an animal within its substance, the +Acarus folliculorum. + +The popular notions found among savage tribes as to the efficacy of certain +remedies in the cure of disease have been the means of furnishing us with +some of our most valuable medicines, indeed it is almost impossible to say +whether originally man did not derive his remedies from the herbs and trees +by an instinctive faculty impelling him, as it does the animals when in a +state of liberty and with freedom of range, to seek certain plants as they +avoid others. + +It is well known that animals when indisposed will find out some spot as if +almost led to it by a visionary guide where the "healing plant" is to be +discovered. I am told that sheep have this faculty, and that they will, +when affected with the rot, feed upon some plant when they can discover it, +which eradicates the disease. + +Almost every one is familiar with the fact that cats and dogs will crop +herbage and eat it; I have {19} seen them frequently leave the house and +proceed to the grass in the most business-like manner, partake of some +quantity, and quietly return. + +A close observer of diseased animals might obtain some useful information +by noticing the plants cropped by them while in that condition. The +observations should be made in a variety of districts in consequence of the +uncertain distribution of some even of the most commonly scattered plants; +in one year they may be abundant, but in another they may be almost +entirely absent from the same spot.[5] + +Were it only on the fact of reproduction, I would be contented to take my +stand that the force of life is the indwelling power of pestilential +matter. Reproduction is a law of nature, and the law of nature is the law +of God. And where do we find He prevaricates with us? The more we study His +laws the more harmony and perfection we find; what is seeming confusion in +the ignorance of to-day, is order in the knowledge of to-morrow. If any one +ignorant of the law which regulates the diffusion of gases were {20} told +that a heavier gas would ascend contrary to its specific gravity through +the septum in a vessel containing a lighter gas above the heavier, he would +naturally doubt your assertion, and say, "that is contrary to the law of +gravity;" but explain to him the principle by which this comes about, and +the objects of the law; the order and beauty of the design become manifest. +But this is no equivocation, it is evidence there, that subordinate laws +exist and nothing more. It has never been found that men have gathered +"grapes of thorns and figs of thistles," nor has it ever been discovered +that inanimate matter multiplies itself. The seed of disease "is within +itself," multiplying and propagating itself; whether it formed a part of +creation at the beginning or not, is rather a question to be solved by +divines than physicians. When we know, however, the latency of seeds and +even of entire plants, and that they may be dried and remain so for years +yet being brought again into conditions adapted to their active existence, +they, as it were, revive from their sleep, and renew again their +reproductive properties: can we wonder if, in the great scheme of nature, +existences new to mankind should make their appearance? When the New +Zealander saw the surface of his ground producing to him unknown plants, +and the skins of his children generating peculiar eruptions, and each +propagating its kind, would he look, think you, to the wood or the stones, +the air or the water,--for the solution of the {21} mystery? No, he would +naturally say these people brought the _seeds_ with them. From the property +of reproduction possessed by these forms of matter, we infer the value of +the proposition. + + * * * * * + + +{22} + +CHAPTER II. + +THE NUMBER AND VALUE OF FACTS TO SUPPORT THE PROPOSITION. + +-------- + +SECTION I. + +ON REPRODUCTION. + +It is inferred that the proposition, "_the matter which operates in the +production of Epidemic, Endemic, and Infectious Diseases, possesses the +property of vitality_," we proceed now to the enumeration of those facts +which further elucidate this subject. + +The facts must necessarily be such as illustrate the identity of properties +in the imaginary germs, that are known to exist in demonstrable germs: we +take therefore the law of reproduction to be to life, what the law of +attraction is to gravitation.[6] + +{23} + +But further; do those matters which engender disease furnish to our minds +the properties inseparable from life in the abstract? Though the faculty of +reproduction is essentially an evidence that the thing which reproduces its +kind must be a living body, yet it is only a property or power of living +beings and is not itself life, it therefore is necessary to establish the +fact that the _materies morbi_ not only has the power of reproduction, but +also those properties which in the abstract will prove as far as +demonstration can go, that it has the essential properties common to all +living bodies. + +I must again quote from Coleridge, he says: "By life I every where mean the +true idea of life, or that most general form under which life manifests +itself to us, which includes all its other forms. This I have stated to be +the _tendency to individuation_ and the degrees or intensities of life, to +consist in the progressive realization of this tendency. The {24} power +which is acknowledged to exist wherever the realization is found, must +subsist wherever the tendency is manifested. The power which comes forth +and stirs abroad in the bird, must be latent in the egg." + +The tendency to individuation cannot be more strongly marked than in the +simple experiment of vaccination: we insert a small particle of the +so-called vaccine lymph under the skin, and by this means we multiply to an +enormous extent, the power which, in the first instance, we had in the form +of minute corpuscles in a dry and apparently inert state; nevertheless, +though in this condition there must have existed the tendency to +individuation or multiplication of individual existence, and the germs are +here to their active existence, as seen in the development of the vaccine +vesicle, what the egg is to the bird,[7] as described above; we may, +therefore, say that the power which exhibits itself in the production of a +vaccine vesicle, must have been latent in the dried matter. It is the +opinion of Muller that the entire vital principle of the egg {25} resides +in the germinal disk alone, and since _the external influences which act on +the germs_ of the most different organic beings are the same, we must +regard the simple germinal disk, consisting of granular amorphous matter, +as the potential whole of the future animal, endowed with the essential and +specific force or principle of the future being, and capable of increasing +the very small amount of this specific force and matter, which it already +possesses, by the assimilation of new matter. + +After speaking of inanimate objects, Dr. Carpenter says; "and what compared +with the permanence of these is the duration of any structure subject to +the conditions of _vitality_? _To be born_, to grow, to arrive at maturity, +to decline, to die, to decay, is the sum of the history of every being that +lives; from man, in the pomp of royalty, or the pride of philosophy, to the +gay and thoughtless insect that glitters for a few hours in the sunbeam and +is seen no more; from the stately oak, the monarch of the forest through +successive centuries, to the humble fungus which shoots forth and withers +in a day." + +To be born, signifies the faculty of reproduction existing or having +existed in an antecedent being to that one born, and also that itself +possesses equally a like power. To be born, is the first expression which +must be used in speaking of the faculties or properties of living beings as +independent existences, the annual formation of buds, trees, and shrubs, is +a multiplication of the species; the coral {26} and various budding polypes +increase by this process, indeed what is the seed of a plant, or the egg of +a bird, or the ovum of mammalia, but cast off buds; in all, the new being +was originally a portion of its parent, and if we examine the ovary of the +vegetable, the bird, or the mammal, can we find any expression more fitting +to designate the process than that of budding. To be born then, is the +evidence of an act of one living being, and the commencement of a series of +vital phenomena in another, but all these are subsequent to reproduction, +and constitute another chain of vital acts, all tending to a similar +result, the multiplication of the species.[8] + +Now, whether we apply the philosophical language of Coleridge, or the +language of observation of Muller, in confirmation of the doctrine here +inculcated, we arrive at the same point. + +Do we not witness in the newly formed vaccine vesicle, an increase of the +specific force and principle? We certainly have acquired by the process of +vaccination a manifold multiplication of power, and is there not also +assimilation of new matter in {27} which this power resides? And does not +every particle of this new matter contain within itself the same force and +principle, as existed in that which generated it? + +"We revert again to potentiated length in the power of magnetism +(reproduction); to surface in the power of electricity, and to the +synthesis of both or potentiated depth in constructive, that is chemical +affinity."[9] + +Some may be at a loss to conceive, at first, how irritability may be +considered a property of all vegetable matter; that it does exist in some +vegetables is certain, but that it does exist in all living beings is +equally certain;[10] the term, however, which would appear more appropriate +when that irritability does not exhibit itself in an appreciable form, is +_impressibility_. Irritability, as commonly understood, is seen in its +highest condition in muscular tissue; but "the irritable power and an +analogon of voluntary motion first dawn on us in the vegetable world in the +stamina and anthers at the period of {28} impregnation."--"The insect world +is the exponent of irritability, as the vegetable is of reproduction." + +The property of irritability attains its acme in man, the most highly +organized of all beings; and its gradations pass downwards through the +whole scale of animate creation; not so reproduction, for this faculty +observes the very opposite direction, for in plants a single impregnation +is sufficient for the evolution of myriads of detached lives. + +Reproduction is a fact, it is an essential property of life, and is a +reality to us from observation; but irritability is not so tangible and +demonstrable a property. We nevertheless may assume its universality, from +the circumstance that we lose sight of it by imperceptible degrees; the +irritability of the sensitive plant is as much irritability as that of the +highly organized muscle; but because the faculty evades our perception, "in +tapering by degrees, becoming beautifully less," we have no reason for +pronouncing its total extinction at any one point of the vegetable +kingdom,[11] any more than we should have {29} in saying that we see the +end of the earth, when describing the extent of our vision as we stand on +the sea shore. The extreme limit of our vision is the tangent of the circle +in reference to our visual organs; but how many tangential points there may +be beyond, it is impossible to say without knowing the dimensions of the +circle. + +I think we are now in a condition to assume, as far as abstraction will +conduct us without proceeding to an extreme length, that the _materies +morbi_, or, as I will now call them for the sake of clearer distinction, +_semina morbi_, possess those properties which in the abstract are common +to all living beings. + +Another argument strikes me as capable of adding further strength to the +proposition. We need but be told that a small piece of iron was placed in a +certain position with regard to another piece of iron, and that the smaller +piece moved through a given space and became attached to the larger, to +infer that magnetic force was in operation. Supposing this magnet then to +be folded in paper, and that it {30} be promiscuously placed near a +compass, the deflection of the needle would indicate that some object in +the vicinity was the cause of the deflection; we may farther try what +positions the needle takes by varying the position of the packet, and thus +point out which is the north and which the south pole of the screw of +paper. If we may consider attraction then to be to gravitation what +reproduction is to life, we do not err in saying in the one instance that +there is a living being, and in the other there is a magnet. + +The nebular theory, from which some astronomers made the foundation of many +speculations, came with so much interest to our minds that the fascination +could not be resisted. It was most delightful to revel in the imagination +that we possessed a key to the mode of formation of the starry hosts, and +when speculation had taken its extreme limits in the "Vestiges of the +Natural History of Creation," and the nebulae had served as the ground work +of a gigantic scheme, Lord Ross's monster telescope swept the heavens of +its cobwebs. We can imagine this great promoter of science saying to us, +Gentlemen, the clouds which have obscured you, are composed of myriads of +stars, and comprise systems as vast and as luminous as our own, had you but +power of vision to discern them. A new light thus appeared to philosophers, +and though no great practical results may flow from the discovery, it is +instructive from the fact that the imperfectly aided or unaided vision, +should not limit legitimate {31} inference. The nebulae before Lord Ross's +discovery were to the astronomer what the materies of epidemic and +infectious disease are to medical men. In the absence however of a giant +microscope to reveal such great truths, we may yet dimly shadow them by the +light of our reason. It was predicted in 1849 that minute vegetable germs, +in all probability all of the same type, were the agents producing epidemic +and infectious disease. In 1850, Mr. Oke Spooner says,[12] "On examining +the matter of Small {32} Pox and Cow Pox in every stage, he finds its +essential character to consist of a number of minute cells not exceeding +the 10,000th part of an inch in diameter: being about one-fourth smaller +than the globules of the blood, containing within their circumference many +still more minute nuclei, and presenting beyond their circumference +bud-like cells of the same size and character as those contained within the +circle." + +Should these observations made by Mr. Spooner turn out to be correct, they +will but fulfil my anticipations. Then again shall we see the same +application of imperfect vision to the limitation or temporary obstruction +of solid and determinate knowledge. + +We may reasonably expect that these bodies, discovered by Mr. Spooner, +should be the elementary matters of disease. Their existence was predicted +from the probability that living matter must be the agent; moreover, that +this matter when discovered {33} would be cellular, most probably +resembling the yeast plant as described by Mr. Spooner. + +It was predicted that a planet would be discovered in a certain position in +the heavens, because the perturbations of a comet indicated an attracting +body in the path of the eccentric wanderer; the prediction and the +fulfilment were almost simultaneous. + + * * * * * + +{34} + +SECTION II. + +HISTORICAL NOTICE OF EPIDEMIC DISEASES. + +The earliest notices we have of Pestilences are contained in Holy Writ. The +plagues which smote the Egyptians in the time of Moses are not unworthy +some comment here. Of those ten plagues, four out of the number were due to +the miraculous appearance of myriads of the lower animal tribes, in three +instances of insects,[13] viz. lice, flies, and locusts; in the fourth, +when Aaron stretched forth his hand with his rod over the streams, over the +rivers, and the ponds, frogs came up and covered the land of Egypt. In +these instances living beings are made the instruments in God's hand for +the punishment of the wicked. These plagues include the second, third, +fourth, and eighth. The first plague is mentioned as a conversion of the +waters into blood. Now if we may take this expression as being literal, +there is no reason to suppose that this blood differed in any respect from +ordinary sanguineous liquid; we therefore may assume, as the blood is every +where in Scripture spoken of as the _life_, that this fluid was endowed +with vital properties. + +{35} + +The fifth plague is described as a murrain among beasts; and the sixth, as +exhibiting itself as "a boil breaking forth with blains, upon man and upon +beast."[14] Now these affections bear a resemblance to the diseases known +to us at the present day through authentic records. The Black Death of the +14th century affords in its history but too awful a picture of the horrors +of such pestilences. In the tenth plague, the smiting of the first-born, we +are not told by what means it was brought about; but we have something even +here to lead us to conjecture. In the second visitation of the Black Death, +there were destroyed a great many children whom it had formerly spared, and +but few women. The seventh plague of hail is within our conception; as is +also that of darkness, the ninth plague. + +It is not a little remarkable that of the ten plagues, seven of them +depended upon agents intelligible to our comprehension; we can conceive of +{36} the invasion of a country by myriads of loathsome insects and +reptiles, and can imagine the wrath of an offended Deity directing the +force of a supernatural storm of hail upon a disobedient people; and we can +conjecture, though faintly, the consternation of human nature on being +subjected to a total darkness of three days' duration, when we consider +_that_ darkness has been described, as "a darkness that might be felt." + +From this abstract we discover that the three plagues whose causes we +cannot understand, or rather upon which no light has been thrown by +Scripture, bear analogies to those which we recognise, in the writings of +modern authors, as fearful pestilences. + +It is now our province to reflect on the causes supposed to be in operation +in the three instances, which become naturally separated from the rest. + +We are told that a murrain appeared among the cattle, without any +preliminary step. When the blains broke out upon man and beast, Moses had +been previously directed by the Almighty to take handfuls of the ashes of +the furnace, and sprinkle them towards the heaven in the sight of Pharaoh. +"_And it shall become small dust in all the land of Egypt_, and shall be a +boil breaking forth with blains upon man and upon beast, throughout all the +land of Egypt." + +Another coincidence, in connexion with subsequent pestilences, arrests the +attention, on the subject of the mysterious appearance on these occasions +of {37} matter resembling dust being prevalent about the houses, and on the +clothes of the people. Clouds also, and showers of dust-like particles, +were not of infrequent occurrence. Indeed, in the summer of 1849, during +the progress of the Cholera, several phenomena of a similar nature were +observed and authenticated; I myself can bear testimony to one instance of +the kind. It was observed by many persons in my neighbourhood after the +passage of an ominous and lurid cloud, that as they walked their clothes +became covered with a singular dust-like matter of very peculiar +appearance. That this phenomenon was not destitute of significance may be +gathered from the fact, that on the night of that day several severe cases +of Cholera occurred, though our village had been comparatively free for ten +days. + +Hecker, in writing on the Black Death says, the German accounts expressly +speak of a "thick stinking mist which advanced from the east,[15] and {38} +spread itself over Italy; there could be no deception in so palpable a +phenomenon." It is not unworthy of mention, that in the East successive +invasions of locusts "which had never perhaps darkened the sun in thicker +swarms," preceded the great outbreak of this disease, for they left famine +in their train. + +From 1500 to 1503 in Germany and France, during the prevalence of the +sweating sickness, spots of different colours made their appearance, +"principally red, but also white, yellow, grey, and black, often in a very +short time, on the roofs of houses, on clothes, on the veils and +neckerchiefs of women, &c." Blood rain is also mentioned as having occurred +at this time, which consisted of the aggregation of minute particles of red +matter. + +In the seven plagues, miraculous operations of the Deity consisted in the +unusual manifestation of phenomena, but which in their effects are +recognizable as of clear and definite import. The miracles here are,--in +the _mode_ of producing the swarms of frogs, locusts, &c. but they are +manifest and unmistakeable _causes_ of plague and famine; in the other +three, on the contrary, we witness only the effects, the causes are hidden +from us; we may, therefore, as in current events, legitimately investigate +the subject, and what better course can be adopted than that which +classifies the traditionary past with all subsequent history. Presuming +such a method of research to be admitted, I have assumed that as {39} the +_causes_ of the seven plagues have been distinctly given, the others, +though only mentioned in their effects, were due to causes of a nature in +some way to be compared with their concomitants, that is to say, if a +special intervention of the Deity brought about a miraculous appearance of +frogs, lice, &c. there is but little reason to doubt that some other agent +was miraculously multiplied and concentrated to induce the murrain, +engender the blain, and smite the first-born: as if to lead us into this +enquiry, on the visitation of the blain in man and beast, the Bible History +tells us that Moses threw ashes of the furnace, which became a dust +throughout all the land of Egypt; we cannot imagine that this simply as +ashes could have caused the blain, we may conclude that by some special +miracle, either the ashes were converted into a specific form of matter +capable of inducing the effects recorded, or that an independent septic +matter was generated for the purpose. If the latter, the act of throwing +the ashes of the furnace into the air may have been intended to signify +that the extremely minute division of the particles when thus cast into +space, typified the inscrutable and hidden nature of the matter endowed +with such marvellous properties.[16] + +{40} + +Further on in the book of Leviticus are passages which I cannot forbear +transcribing, for they point out to us most indubitably a line of enquiry +in reference to diseases of a contagious nature. + +"The garment also that the plague of leprosy is in, whether it be a woollen +garment, or a linen garment, whether it be in the warp or woof, of linen or +of woollen, whether in a skin, or in any thing made of skin, and if the +plague be greenish or reddish in the garment ... it is a plague of leprosy, +and shall be shewed unto the Priest, and the Priest shall look upon the +plague and shut up it that hath the plague seven days; and he shall look on +the plague on the seventh day; if the plague be spread in the garment, +either in the warp, &c. ... the plague is a fretting leprosy, it is +unclean. He shall therefore burn that garment ... wherein the plague is, +for it is a fretting leprosy; it shall be burnt in the fire. And if the +Priest shall look, and behold, the plague be not spread in the garment ... +then the Priest shall command that they wash the thing wherein the plague +is, and he shall shut it up seven days more: and the Priest shall look on +the plague, after that it is washed: and behold if the plague have _not_ +changed his colour, and the plague be not spread, it is unclean; thou {41} +shalt burn it in the fire; it is fret inward; whether it be bare within or +without. And if the Priest look and behold the plague be somewhat dark +after the washing of it, then he shall rend it out of the garment ... and +if it appear still in the garment either in the warp or the woof ... it is +a spreading plague: thou shalt burn that wherein the plague is with fire. +And the garment ... which thou shalt wash, if the plague be departed from +them, then it shall be washed the second time and shall be clean."--Chap. +xiii. 47-58. + +Again in Deuteronomy. The curse for disobedience: "The Lord shall make the +pestilence cleave to thee until he have consumed thee from off the +land.--The Lord shall smite thee with a consumption, and with a fever, and +with an inflammation, and with an extreme burning, and with the drought, +and with blasting, and with _mildew_, and they shall pursue thee until thou +perish.--The Lord shall make the rain of thy land _powder_ and _dust_: from +heaven shall it come down upon thee until thou be destroyed." + +It may be said, and I doubt not will be said, all this is unnecessarily +dragging the sacred volume into an enquiry totally foreign to its general +tenor; on the contrary, however, I maintain by that Book we are to learn +the ways of God to man, and further, that no study can impress mankind with +so awful, so terrific an idea of his responsible position, as that which +leads him into the investigation of the causes {42} by which the Almighty, +doubtless in His wisdom, has thought fit at various epochs of this world's +history, to place man face to face with pestilence, famine and sudden +death. + +There is no man would less willingly than myself introduce profanely the +revelations of Scripture. The observations here made are not, therefore, +intended for light or heedless controversy; if they have a significance of +any import, let them be alluded to in the same spirit with which they have +been quoted; if they convey nothing for approval to the reader, let silence +rest upon them. To those who would fain disregard my request, let me recall +to their minds the veneration which from childhood I trust we have always +felt on hearing or seeing those two words--Holy Bible. + +It is yet to be determined, whether the greenish or reddish appearance of +the garment spoken of, as being contaminated with the plague of the leprosy +had any specific relation to the disease itself. The priest orders that the +garment shall be shut up seven days, and on the seventh day, if the plague +be increased, by which, of course, is meant if the greenish or reddish +colour have increased, and from which we may gather that a power of +spontaneous increase was possessed by the matter, such a result indicated a +fretting leprosy, and the garment was to be burnt. Again, though there may +have been no increase, but a persistence of the coloured matter after +shutting up and washing the garment, it is to {43} be burnt, for it is fret +inward, signifying, that the germs of the affection are still there, and +may soon increase. Other rules follow in reference to the plague of +leprosy, and the mode of deciding whether an article be unclean or clean is +definitely laid down, but our purpose is served in mentioning the above, to +shew that in the time of Moses the spontaneous increase of certain minute +multiplying germs was supposed to have a close connexion with disease. It +is equally clear, that the priests were aware by the order given them, that +if the ordinary modes of purifying articles of clothing failed in their +effect, the safest and surest method of destroying infectious matter was to +resort to the practice of consuming by fire all materials capable of +propagating an infectious malady. + +The facts above noticed, accurately correspond to what we now know as +applicable to the matter of infectious and contagious maladies. It is a +rule, I believe universally adopted throughout the Poor-houses of this +country, to put the clothes of all persons about to become residents in +these establishments, into ovens, where they are submitted to a temperature +incompatible with the existence of either animal or vegetable life. By this +means all living matters are destroyed, but the fabrics and inorganic +matters retain their properties intact. This simple proceeding, I am +credibly informed, is an effectual preventive of contamination by articles +of clothing, a desideratum of no small importance, when it is {44} +remembered that the diseases among the poor owe much of their inveteracy to +the accumulation of effete organic matters about their persons and clothes. + +A few more observations are called for on the quotation from Deuteronomy, +in which allusion is made to living matter being an agent in the production +of disease. In the curse upon the children of Israel for disobedience, we +read that they are to be smitten with mildew. No further information, +however, is vouchsafed to us, nevertheless, we can conceive the wretched +condition of those on whom the curse might fall. Again, we find in a +continuation of this curse that the Almighty uses means such as He adopted +in the sixth plague of the Egyptians. The ashes of the furnace became a +small dust in all the land of Egypt, breaking forth with blains upon man +and beast. In the curse of the Israelites the words are: "The Lord shall +make the rain of thy land _powder and dust_: from Heaven shall it come down +upon thee until thou be destroyed." + +It might be conjectured that the absence of rain would be sufficient to +account for the extinction of the people on whom the curse was pronounced, +by the famine and drought necessarily attendant upon the loss of moisture. +But this does not appear to be the meaning of the passage, for the powder +and dust are mentioned as the agents of destruction; besides, in the +continuation of the curse, the locust is to destroy the grain, the worm the +grapes, and {45} the olive is to shed his fruit; we may thus take for +granted that drought and famine are not to be caused by the showering of +powder and dust, it must consequently be supposed that the effects of the +dust in the instance of the Egyptians are to be compared and classified +with those of the dust which smote the Israelites. + +As far then as Sacred History conducts us in the enquiry, concerning the +causes of pestilences, we gain encouragement in the belief that living +germs are the active agents, for in the case of the leprosy, we have +evidence of reproduction in connexion with infection, which, if our line of +argument be tenable, amounts to demonstration; then, in the other instances +of the plagues, by boils and blains, they distinctly bear comparison with +the accounts given by profane writers, of the visitations of pestilences on +the earth, subsequently to those mentioned in Scripture history. + +This leads now to the consideration of recorded facts observed and noted +during the various Epidemics in the early and subsequent periods of Man's +History, as given by those on whom reliance may be fairly placed. + +Setting aside the uncertain information contained in the writings of the +Chinese,[17] a people whose {46} progress in the science and practice of +Medicine has nothing to commend it (even as it is at the present day) to +the notice either of the physician or the historian, unless it be to the +latter as a mark of peculiarity both in a social and political point of +view,--passing also over the Egyptians, the Arabians, and the Greeks,--and +even Hippocrates himself, we are driven to the Romans for any authentic or +precise notice of Epidemic Affections. It has been attributed to +Hippocrates that he predicted the appearance of the Plague at Athens, {47} +and that when it was introduced into Greece he dispelled it, "by purifying +the air with fires into which were thrown sweet-scented herbs and flowers +along with other perfumes."[18] But little advantage can be derived from +enquiries concerning the first appearance of any disease, for the +probability of discovering the primary cause is certainly a {48} hopeless +case, if attempted by means of the writings of ancient authors, when it is +recollected that with all the science and learning of the ancient +Egyptians, the use of optical instruments was not comprised among the +paraphernalia of their arts. The knowledge that was limited to the powers +of natural vision, where the foundation of knowledge is based upon facts +obtained through the aid of that penetrator of nature's secrets, the +microscope, offers no advantages to the student of the present day. + +To say that a disease commenced in the East and travelled westward, and at +length found a habitation and a name in every part of the globe, is no more +than to say that disease is coeval with the fall of man. The cause is as +much hidden in the region of its birth, as in that where it sojourns for a +time. The cause of the sweating sickness was as much a mystery in England +as in all the other nations of Europe, which were visited by its +devastating power. And these observations apply with as much force to one +disease as another; for even our indigenous ague, originating in some +places so limited that the shadow of a passing cloud may mark the boundary +of its dwelling place, as inscrutably evades our vigilance, with all the +appliances that art can bring to our assistance, in endeavouring to evoke +its extraordinary properties under the cognizance of our senses. + +If we weigh the air which carries the poison, or analyze it by the most +delicate chemical tests, or {49} take the weight of the atmosphere which is +charged with it, or if we take the blood which carries the germs of the +disease to the tissues of the body, and submit them after the work of +destruction is accomplished, to the most rigid inspection, we can but +exclaim, + + "These are Thy marvellous works!" + +and confess our total inability to fathom the unbounded. + +If then no practical advantage can accrue from investigating the writings +of the ancients on these subjects, beyond comparing their historical +statements with those of more recent date, our purpose will be served by +occasionally embodying any remarkable observations of the former with those +of the latter. + +In proceeding with this course it were better to confine our minds chiefly +to two diseases which appear from history to have been known from the +earliest periods, these are the Plague and the Small Pox, mentioning other +diseases only _en route_. + +Passing then, to the sixth century of the Christian era for the first +distinct and connected account of the Plague, it appears from a host of +testimony, that the history of this disease, as given by Procopius, well +merits our attention. Drs. Friend and Hamilton, in their Histories of +Medicine, and Gibbon, in his History of Rome, are equally warm in their +praise of Procopius: the latter says, he "emulated the skill and diligence +of Thucydides in the {50} description of the Plague at Athens." The account +given by Procopius of this disease, does not differ materially from that +given by subsequent eye-witnesses of similar pestilences. Its point of +origin is clearly marked, and its mode of dispersion in all directions +distinctly traced from "the neighbourhood of Pelusium, between the +Serbonian bog and the eastern channel of the Nile." It commenced in the +year 542. It raged in Constantinople in the following year, and it was in +this city that our historian gathered the materials which are handed down +to us. When, however, we anxiously look for any explanation as to the cause +of the malady, we are told that it must have been a direct visitation from +Heaven, in consequence of the eccentric characters exhibited in its +wide-spreading influence, in not yielding to the scrutiny nor bending to +the laws known to prevail, and to regulate the course of other diseases: +neither country nor clime, age nor sex, the strong and healthy, nor the +weakly and previously diseased, could be said to be free from its +indiscriminate destruction. + +But some phenomena preceding the outbreak of the pestilence are observed as +coincidences by all authors. Gibbon thus writes: "I shall conclude this +chapter with the comets, the earthquakes, and the plague which astonished +or afflicted the age of Justinian." From the accounts given by this author, +earthquakes for some years had been threatening and destroying many +portions of the globe, {51} that in the ruins of cities and in the chasms +of the earth, great was the sacrifice of human life. Constantinople, which +suffered so severely from the plague is said to have been shaken for forty +days. These great disturbances of the globe have been always looked upon as +indicating other and important influences of a secret or hidden nature; +these impressions on the minds of the people are traceable throughout the +histories of all epidemics, and have been sufficiently distinct among the +people of our own time, preceding and during the period of infliction. + +From this short notice of the Plague of 543, I pass to the ninth century, +when Rhazes, the Arabian physician, endeavoured to enlighten the world on +the subject of Small Pox.[19] In quoting his opinions, I am not to be +understood as subscribing to them, but merely endeavouring to point out +some peculiar and interesting observations. + +First, then, Rhazes attributes the disease to a condition of the blood, +which he thus describes, to shew how it happens that in infancy and +childhood the disease is most prevalent, and that old age is {52} least +liable to the affection.[20] "The blood of infants and children may be +compared to _must_, in which the coction leading to perfect ripeness has +not yet begun, nor the movement towards fermentation taken place; the blood +of young men may be compared to must which has already fermented and made a +hissing noise, and has thrown out abundant vapours and its superfluous +parts, like wine which is now still and quiet, and arrived at its full +strength, and as to the blood of old men, it may be compared to wine which +has now lost its strength, and is beginning to grow vapid and sour." + +"Now the Small Pox arises when the blood putrifies and ferments, so that +the superfluous vapours are thrown out of it, and it is changed from the +blood of infants which is like must, into the blood of young men which is +like wine perfectly ripened: and the Small Pox itself may be compared to +the fermentation and the hissing noise which take place at that time." + +But the cause of the disease is simply alluded to by this author, as +depending upon "occult dispositions in the air," and as he speaks here of +Measles with the Small Pox he goes on to say--"which necessarily cause +these diseases and predispose bodies to them." This notion of Rhazes that +there is some peculiar condition of the blood which favours a process +resembling fermentation is not without interest. The circumstance that +individuals are not {53} usually liable to a second attack of the disease, +no doubt directed the attention of this physician to compare the process of +fermentation with disease of such a nature, seeing that when the whole of +the saccharine matter was converted into spirit, the hissing noise, as he +calls it, or the disengagement of carbonic acid gas would cease, and the +capacity for fermentation be entirely gone. So that the occult conditions +of the air, their power of inducing a disease, and multiplying the matter +capable of engendering a similar affection, stood in the mind of Rhazes as +analogous if not identical phenomena. + +We pass now without further comment to the epidemics of the Middle Ages; +and here the work of the philosophical Hecker leaves us little else to +desire in the way of information, as far as it is obtainable from published +records. From the manner in which he has grouped the facts which presented +themselves to his mind in the course of a most laborious research, he has +saved the student of this subject much toil in acquiring matter for +reflection; he has here but to read and digest. + +I know not how to select from this invaluable work the most striking +passages, to strengthen and support my hypothesis, for not a page is +destitute of facts corroborative of the doctrine that vital germs are the +material agents of pestilential disorders. The opening paragraph to the +Black Death is a most cogent illustration of the assertion; it is, as it +were, the theme of the work. "That {54} Omnipotence, which has called the +world with all _its living creatures into one animated being_, especially +reveals himself in the desolation of great pestilences. The powers of +creation come into violent collision; the sultry dryness of the atmosphere; +the subterranean thunders; the mist of overflowing waters are the +harbingers of destruction. Nature is not satisfied with the ordinary +alternations of life and death, and the destroying angel waves over man and +beast his flaming sword." + +I must here apologise for large transcripts from Hecker's work, for neither +could I command the amount of knowledge there displayed, nor use such +appropriate language as the learned translator has employed. + +It is not doubted that the Black Death was an Oriental plague, only of more +than usual severity, and wider spread influence of the infectious nature of +this disease, and the active properties of the matter producing it. Hecker +says, "articles of this kind--bedding and clothes--removed from the access +of air, not only retain the matter of contagion for an indefinite period, +_but also increase its activity, and engender it like a living being_, +frightful ill consequences followed for many years after the first fury of +the pestilence was past."[21] + +{55} + +As extraordinary atmospheric and telluric phenomena preceded the Plague in +the time of Justinian, so do we find similar instances recorded as the +precursor of a similar visitation 700 years later. I am concerned more with +those circumstances which refer more especially to my subject, _viz._ the +development of organic matter, and the peculiar odours of the atmosphere, +the latter being evidence of some foreign and unusual production in our +respiratory media. "On the island of Cyprus, before the earthquake, a +pestiferous wind spread so poisonous an odour, that many being overpowered +by it, fell down suddenly and expired in dreadful agonies. A thick stinking +mist advanced from the east, and spread itself over Italy." + +{56} + +It is probable that the atmosphere contained foreign and sensibly +perceptible admixtures to a great extent, which, at least in the lower +regions, could not be decomposed or rendered ineffective by separation. In +1348 an unexampled earthquake shook Greece, Italy, and the neighbouring +countries. During this earthquake the wine in the casks became turbid, a +proof that changes causing a decomposition of the atmosphere had taken +place. "The insect tribe was wonderfully called into life, as if animated +beings were destined to complete the destruction which astral and telluric +powers had began." + +"The corruption of the atmosphere came from the east, but the disease +itself came not upon the wings of the wind, but was only excited and +increased by the atmosphere where it had previously existed." + +"The most powerful of all the springs of the disease was contagion; for in +the most distant countries, which had scarcely yet heard the echo of the +first concussion, the people fell a sacrifice to organic poison, the +untimely offspring of vital energies thrown into violent commotion." + +"After the cessation of the Black Plague, a greater fecundity in women was +every where remarkable, a grand phenomena, which from its occurrence after +every destructive pestilence, proves to conviction the prevalence of a +higher power in the direction of general organic life." {57} + +In the article Contagion, of the Essay, Sweating Sickness: "Most fevers +which are produced by general causes, propagate themselves for a time +spontaneously." "The exhalations of the affected become the germs of a +similar decomposition in those bodies which receive them, and produce in +these a like attack upon the internal organs, _and thus a merely morbid +phenomenon of life, shows that it possesses the fundamental property of all +life, that of propagating itself in an appropriate soil. On this point +there is no doubt, the phenomena which prove it have been observed from +time immemorial, in an endless variety of circumstances, but always with a +uniform manifestation of a fundamental law._" + +Mead, in his Essay on the Plague, makes many observations of great interest +and worthy a physician of eminence; and where, in recent times, shall we +look for any more definite information concerning the causes of +pestilences? It is not a little singular that at the time this book was +published, it was read with such avidity that it went through seven +editions in one year.[22] From this circumstance we may gather that the +public generally took a lively and proper interest in a subject that was +not only of domestic, but national importance. Whether this interest was +stimulated by the fact that the work was written expressly by order of the +{58} government, it is now impossible to say, at any rate much credit is +due to the Lords of the Regency for having placed so important a duty upon +one so thoroughly and in every way so duly qualified for the task as Dr. +Mead. It had been well if some of the advice given at that time, as means +of protection against the Plague, had been applied and put in force during +the late visitation of epidemic Cholera, for, however the minds of some may +be convinced of the non-contagiousness of Cholera, there are many who hold +a different opinion, and all will acknowledge, that if not strictly a +contagious affection, it is clearly proved to be capable of being carried +from place to place, or to use Dr. Copland's words, it is "a portable +disease." But this is not the place to discuss the subject of contagion, +allusion will be made to it hereafter. To return, Mead's expressions are +singularly illustrative of the vital power possessed by the germs of +disease; he says, "There are instances of the distemper's being stopt by +the winter cold, and yet the seeds of it not destroyed, but only kept +unactive, _till the warmth of the following spring has given them new life +and force_. His confession as to the hidden cause of the disease, is worthy +transcribing: "We are acquainted too little with the laws, by which the +small parts of matter act upon each other, to be able precisely to +determine the qualities requisite to change animal juices into such +acrimonious humours, or to explain {59} how all the distinguishing symptoms +attending the disease are produced."[23] + +On the spread of the Plague is the following:--"The plague is a _real +poison_, which being bred in the southern parts of the world, maintains +itself there by circulating from infected persons to goods, that when the +constitution of the air happens to favour infection, it rages with great +violence." Contagious matter is lodged in goods of a loose and soft +texture, which being packed up, and carried into other countries, let out, +when opened, the imprisoned seeds of contagion, and produce the disease +whenever the air is disposed to give them force, "otherwise they may be +dispersed without any considerable ill effects." Gibbon thus speaks of the +above quoted work: "I have read with pleasure Mead's short but elegant +Treatise concerning Pestilential Disorders;" many also might read it at the +present day with infinite advantage. Mead most satisfactorily combats the +opinions of the French physicians who maintained the non-contagiousness of +the Plague. Experience proves beyond doubt, that certain conditions of +atmosphere, of {60} which we are ignorant, favour the growth and increase +of pestilences as they do of all vegetation. + +Dr. Bancroft was of opinion that specific contagions are each and severally +creatures of Divine Wisdom, as distinctly and designedly exerted for their +production, as it was to create the several species of animals and +vegetables around us. + +The indigenous fever of Ireland, which has several times shewn itself in an +epidemic form, appears to have been as fatal, as the Plague in the South of +Europe. Its devastations have generally been associated or preceded by +famine and general distress. Dr. Harty, writing in 1820, says that thrice +within the last eighty years has the same fever appeared in its epidemic +character. In the year 1741 Ireland lost 80,000 of her inhabitants from +this cause. It is a maculated typhus, and considered to be a special +product of the Emerald Isle. It has been shewn that fever began to exceed +its ordinary rate in those places first where famine and want of employment +were most severely felt,[24] and that in such places and under such +circumstances, it was most prevalent and fatal. The physicians generally +believed it to have been spontaneously produced and not to have been +imported. In the last Famine Fever of Ireland, Liverpool and several other +places suffered severely from the {61} importation of their Channel +neighbours with the disease in some instances, and the infection in others +about their persons. Hitherto these have to all appearance been the limits +of the affection; we know not, however, how soon the time may come when the +invisible bonds which have thus chained the disease to certain localities +may be severed, and spreading itself like other pestilences in an +aggravated form, attack this country as a last and crowning act of +retributive justice. At present it has but cost us money and regrets, but +if the history of pestilences is to be heeded, there are many tokens which +seem to indicate that a few slight concurrent circumstances only are +wanting, to bring the full force of this disease upon us; then will there +be a sacrifice of life. Edinburgh and other towns of Scotland have had some +visitations already, ourselves but slightly, but let our labouring +population suffer to any large extent for want of work, and we shall +inevitably be the sufferers from that fever which in consequence of general +destitution is now always more or less prevalent in Ireland. + +The Sweating Sickness prevailed in England alone at first, but at length +sought foreign victims. The Cholera is an exotic disease, as well as the +Plague, but they occasionally have visited our shores, and their seeds +remain among us. The Small Pox is now even not known in some parts of the +world, but when once it is established, who can predict the period of its +first appearance in an {62} epidemic form. The history of the disease +informs us that in all the countries where it has been introduced, sooner +or later an epidemic has seized the inhabitants. + +A disease previously unknown in India appeared at Rangoon in the year 1824, +which obtained the name of Scarlatina Rheumatica. Four years afterwards it +attacked the Southern States of North America, and though the disease was +so impartial as scarcely to spare a single individual of any town to which +it extended its influence, it was not accompanied with that mortality which +has usually been the characteristic of wide spread epidemics. + +There is one peculiar feature of all epidemics which may be here mentioned +as indicative of some definite, though at present unaccountable cause, +operating in the sudden suppression of the disease after a certain period +of duration. This distinctive character may almost be considered as a law +in reference to these affections; if we take three distinct diseases, the +Plague, the Irish Fever and the Cholera, we find the rule apply to all. Of +the latter disease we have so recently been witnesses, that I need not +quote authorities on this point concerning it. In Dr. Patrick Russell's +work on the Plague at Aleppo I find the following remarkable passage. After +alluding to the great increase of pestilential effluvia that there must be +towards the close of an epidemic, compared with the amount at the onset of +the disease, and expressing his {63} astonishment that so many escape +infection, he says: "The fact, however unaccountable, is unquestionably +certain; the distemper seems to be extinguished by some cause or causes +equally unknown, as those which concurred to render it more or less +epidemical in its advance and at its height." He then mentions that in +Europe the sudden cessation may be partly attributable to the measures +adopted for preventing its extension; but "at Aleppo, where the disease is +left to run its natural course, and few or no means of purification are +employed, it pursues nearly the same progress in different years; it +declines and revives in certain seasons, and at length, without the +interference of human aid, ceases entirely." + +The expressions of Dr. Harty on this subject, in connexion with the Irish +Fever, would apply as well to all other epidemics: "It is a fact, that +though every diversity of management was resorted to for effecting the +suppression of the disease, yet, nevertheless, there was an almost +simultaneous and apparently spontaneous decline of the epidemic in the +various and most remote parts of Ireland. It is not an easy matter to offer +a satisfactory explanation of this circumstance, _some general cause must_ +no doubt have influenced the subsidence of the disease, yet that cause +could not be atmospheric, inasmuch as the decline, though it might be said +to be simultaneous, was not sufficiently so to admit of that explanation." + + * * * * * + +{64} + +SECTION III. + +THE DISPERSION OF PLANTS AND DISEASES. + +The dispersion of Diseases and the dispersion of Plants, exhibit analogies +which might be little expected, on a superficial view of the enquiry. + +We are led to believe, that the earth as a whole, was not covered with +vegetation in a day, the geological history of this planet is one of +development, and though at first sight this expression of opinion may +appear to savour of doubt in the Mosaic record, a more extended +acquaintance with the subject, favours rather and confirms Scripture +history. + +As the peopling of the earth has been a gradual process with the animal +creation, so has it been also with the vegetable kingdom. We see at the +present day, that plants by various means of transit from place to place, +multiply themselves on new soils and in new climes, the same with animals. +By other means we observe, or can trace, the extinction from various +localities and countries, of members of both the animal and vegetable +kingdom. + +We learn that originally this planet had a temperature much higher than at +present, and that the variation of temperature between the equator and the +poles, which we now witness, did not obtain in the earlier condition of the +globe. We are given to understand, and not without considerable proof, {65} +if not demonstration, that the earth was a vast bog, in which rank +vegetation grew, and in which the ichthyosauri and plesiosauri, must have +floundered about as unwieldy and loathsome bodies. We can readily conceive +a condition of atmosphere at this time to have been loaded with pestiferous +vapours of an organized nature; it is entirely in accordance with all we +know, that it should have been so. Allied forms of plants to those now in +existence, are found in the form of fossils, by which comparisons are made, +but how the transition into the present Flora took place, or at what +period, it is impossible to say. That these plants should have been +entirely destroyed during the revolutions of the earth by earthquakes, and +their consequences; the collection of waters into the vacuities formed, and +their draining off from other places by elevations of the land, is not to +be dwelt on without astonishment; then again the ultimate changes of +temperature on the surface of the earth, may have been another element in +the history of their extinction. But if we may be allowed to imagine that +there were organic germs floating in the vapours of the atmosphere, these +would hardly be subject to the same influences as those which depended +solely on their fixation to the soil for subsistence. The atmosphere, their +native element, being influenced by the commotions from below, would be +agitated; vortiginous currents would be established, hurricanes would sweep +over the stagnant pool and reeking morass, {66} and the higher regions of +the air might have thus given protection to these subtle germs, while +almost a total extinction of the elegant ferns, the stately palm, and the +towering cane was in course of procedure. Then when the strife of the earth +and elements had subsided, these would descend with the gentle breezes, and +again find in various spots a local habitation-- + + "Where blue mists, through the unmoving atmosphere, + Scatter the seeds of pestilence _and feed unnatural vegetation_." + +In the new era, when the earth took its present physiognomy, who shall say +whether much of the pestiferous matter may not have been enclosed and +condensed in the bowels of the earth, and when it is remembered, that +earthquakes and convulsions of nature,[25] have invariably preceded the +outbreak of {67} any great pestilences, that stinking mists, coming from +some unknown regions, and unusual vegetations have made their appearance in +concert at these times, what I ask is more natural than to imagine, that +they have been let loose during the general convulsion? It may be asked, +what is to be said about that revolution of the earth, when the great +Deluge spread over the whole face of the globe? It can only be replied, +that this is a part of the scheme of cosmogony into which we are not called +upon to enter. There are yet strenuous supporters of the partial as well as +total submersion of this planet, but whether it be true that the vast +torrents which appear to have swept the surface uniformly in a southern +direction, were of a date coeval with the deluge, and constituted an +essential portion of the phenomena, of which one was, that "the fountains +of the great deep were broken up," or whether they were anterior to this +catastrophe, will not at all interfere with the conjecture of a very early +formation and propagation of the germs of pestilential diseases, for the +commotions of a deluge were less likely to interfere with the vapours of +the atmosphere, than extensive volcanic and electric disturbances. +Moreover, it is rather in favour of this theory, that the {68} regions +where the temperature and exhalations most nearly resemble those of the +former condition of the earth, are those in which pestilential disorders +most frequently arise, and where their virulence has always been most +strongly marked. + +After the various commotions which left the globe, with its present +physiognomy of mountains, plains, valleys, rivers, lakes, and oceans; a new +Flora and Fauna appeared to adorn and animate the scene of man's existence. +Plants and animals were created apparently in adaptation to the numerous +climes, which the seasons in the various latitudes or the elevations of the +soil, were prepared to render fruitful and useful each in its own sphere. +Besides this, the plants of the same latitude, in some instances, differ +materially from each other; in this case it seems that the soil has much to +do with this peculiarity, for it is certain that the soil and the +contiguous atmosphere, have a close and intimate relation; the drought of +the desert depends upon the sand, as humid atmosphere is connected with the +morass. To illustrate the tendency which vegetation shews in appropriating +one locality more than another, I may quote the following: "Some of the +volcanic masses of the Aeolian or Lipari Islands, that have existed beyond +the reach of history, are still without a blade of verdure; while others in +various parts, of little more than two hundred years date, bear spontaneous +vegetation, and the same is seen on two lavas of Etna near each other, for +the one {69} of 1536 is still black and arid, while that of 1636, is +covered with oaks, fruit trees, and vines." + +In comparing the diffusion of plants, and the diffusion of diseases, the +different modes by which this generally has been effected may be considered +under heads, that the comparison may be more readily traced. + +_First_, seeds are diffused by the atmosphere, either by the prevalence of +certain currents, which are produced by known laws, in which case, no +difficulty occurs in the explanations; or in a more imperceptible manner, +as by those more uncertain atmospheric currents of a partial nature, which, +though they seem to have laws governing them, are not yet understood. + +_Second_, seeds are transported by water across oceans, &c. when they can +be floated on any material by which they are preserved, as by wrecks and +masses of wood, which have been washed down the rivers. + +_Third_, they are conveyed by man to all parts of the globe. + +_Fourth_, a period of latency is observed to apply to them, that is, they +require certain essential conditions before germination occurs; so that +even in some localities, a plant may not have been known to exist in a +particular neighbourhood, but by a train of circumstances, it may make its +appearance, and again be a centre of development. + +1st. I shall not here wander into the speculation, {70} whether plants had +originally one birth-place, as a centre from which they spread by various +agencies, as supposed by Linnaeus, nor into any enquiry beyond those facts, +which may fairly come within our own comprehension, and within our own +means of demonstration. + +Many seeds are provided with means adapting them for floating in the +atmosphere, these are by pappi, or winglets and hairs, but it cannot be +doubted that the agency of atmospheric currents, is productive of +considerable effects in the dispersion of lighter seeds, such as those of +mosses, fungi, and lichens--lichens have been discovered in Brittany, which +are peculiar to Jamaica, and Monsieur De Candolle concludes, that their +seeds had been carried thence by the south-westerly winds, which prevail +during a great part of the year on this portion of the French coast. + +But Humboldt's testimony on the subject of winds is most satisfactory, for +he says, "Small singing birds, and even butterflies, are found at sea, at +great distances from the coast (as I have several times had opportunities +of observing in the Pacific), being carried there by the force of the wind, +when storms come off the land." It is generally believed, from abundance of +proofs, that the trade winds, and other continuous currents, are means by +which plants are conveyed from one country to another.[26] + +{71} + +As to the partial currents, Humboldt further says, "The heated crust of the +earth occasions an ascending vertical current of air by which light bodies +are borne upwards. M. Boussingault, and Don Mariano De Rivero, in ascending +the summit of the Silla, one of the gneiss mountains of Caraccas, saw in +the middle of the day, about noon, whitish shining bodies rise from the +valley to the summit of the mountain, 5755 feet high, and then sink down +towards the neighbouring sea coast. These movements continued +uninterruptedly for the space of an hour. The whitish shining bodies proved +to be small agglomerations of straws, or blades of grass, which were +recognized by Professor Kunth, for a species of vilfa, a genus, which +together with agrostis, is very abundant in the provinces of Caraccas and +Cumana." + +On the plague of locusts we read, that "the Lord brought an east wind upon +the land, all that day and all that night, and when it was morning the east +wind brought the locusts." + +On the Black Death we read, "There were many locusts which had been blown +into the sea by a hurricane, and a dense and awful fog was seen in the +heavens, rising in the east, and descending upon Italy." + +Of the Plague of 542, Gibbon says, "The winds might diffuse that subtle +venom, but unless the atmosphere be previously disposed for its reception, +the plague would soon expire in the cold or {72} temperate regions of the +north. The disease alternately languished and revived, but it was not till +a calamitous period of fifty-two years, that mankind recovered their +health, or the air resumed its pure and salubrious quality." + +In the history of the Sweating Sickness, of which there were five distinct +visitations, we find ample allusions to the atmosphere, and the mode in +which the disease was conveyed by this medium. + +I quote again from Hecker: "It seemed that _the banks of the Severn_ were +the _focus of the malady_, and that from hence, a true impestation of the +atmosphere, was diffused in every direction. Whithersoever the winds wafted +the stinking mists, the inhabitants became infested with the sweating +sickness. _These poisonous clouds of mists were observed moving from place +to place_, with the disease in their train, affecting one town after +another, and morning and evening spreading their nauseating insufferable +stench. At greater distances, these clouds being dispersed by the wind, +became gradually attenuated yet their dispersion set no bounds to the +pestilence, and it was as if they had imparted to the lower strata of the +atmosphere, _a kind of ferment which went on engendering itself even +without the presence of the thick misty vapour_, and being received into +men's lungs, produced the frightful disease everywhere."[27] + +{73} + +Mr. K. B. Martin, harbour-master of Ramsgate, in a communication to Lord +Carlisle on the Cholera of last autumn, says, "At midnight of the 31st +August (1849), the Samson (steam-tug) proceeded to the Goodwin Sands, where +the crew were employed under the Trinity agent, assisting in work carried +on there by that corporation. While there, at 3 A.M. 1st September, _a hot +humid haze, with a bog-like smell_, passed over them; and the greater +number of the men there employed instantly felt a nausea. They were in two +parties. One man at work on the sand was obliged to be carried to the boat; +and before they reached the steam vessel at anchor, the cramps and spasm +had supervened upon the vomitings; but here they found two of the party on +board similarly affected. Here then is a very marked case without any known +predisposing local cause. Doubtless it was atmospheric, and in the hot +blast of pestilence which passed over them." + +Many more instances might be quoted, to shew that the germs of disease, as +well as of plants, are borne on the wings of the wind from place to place +{74} in one country, and from one country to another, the distance being no +obstacle, however great that may be.[28] "Dust and sands," says Sharon +Turner, "heavier than many seeds, are borne by the winds and clouds for +several hundred miles across the atmosphere, falling on the earth and seas +as they pass along." "The clouds not only bring us occasionally meteoric +stones, hail, and _epidemics_, but also vegetable seeds."[29] + +2nd. The transportation of seeds of plants by water requires very little +notice; every one is familiar with the mode in which coral islands, which +gradually rise out of the sea, become covered with vegetation. "If new +lands are formed, the organic forces are ever ready to cover the naked rock +with life.--Lichens form the first covering of the barren {75} rocks, where +afterwards lofty forest trees wave their airy summits. The successive +growth of mosses, grasses, herbaceous plants and shrubs or bushes, occupies +the intervening period of long but undetermined duration." + +The following may be cited as an instance of the transportation of disease +by water. "Cyprus lost almost all its inhabitants, and ships without crews +were often seen in the Mediterranean, or afterwards in the North Sea, +driving about, _and spreading the plague wherever they went on shore_."[30] + +It requires no argument to enforce the conviction that cottons, woollens, +furs, skins, &c. will retain the matter of infection for almost an +indefinite period; instances of the kind have been already given; it is +therefore easy to understand that portions of wrecks and ship's goods would +be a frequent though unsuspected source of infection. Dr. Halley mentions a +case, in which a bale of cotton was put on shore at Bermuda by stealth; it +lay above a month without prejudice, where it was hid, but when opened and +distributed among the inhabitants, it produced such a contagion that the +living scarce sufficed to bury the dead. Dr. Walker found seeds dropt +accidentally into the sea in the West Indies cast ashore on the Hebrides. +He says, "the sea and rivers waft more seed than sails." The waters of many +rivers induce diarrhoea and dysentery.[31] Well water also in many {76} +places has a similar effect, especially if any surface drainage happens to +find its way into the well. + +3rd. The part performed by man himself in the communication of disease to +his fellow creatures, is perhaps the most fruitful source of the extensive +spread of epidemic and contagious diseases. + +In the time of Moses, restrictions were laid on those who had the plague of +the leprosy to avoid contagion; the dictum for one so affected was, "he +shall dwell alone; without the camp shall his habitation be."[32] All the +ancient authors believed in the {77} infectious nature of pestilential +fevers, and some other diseases; but, according. to Mr. Adams, they held +that no specific virus was the cause, and merely a contamination of the +surrounding air by effluvia from the sick. Thucydides, Hippocrates, +Procopius, Galen, Plutarch, all recognized the property of communicability +from one individual to another of the plague; and Hecker, on the epidemics +of the middle ages, abounds with instances in support of contagion. As +regards small-pox and measles, Rhazes observes particularly the connection +that exists between the condition of the air and the severity or mildness +of these diseases, remarking that small-pox seldom happens to old men, +except in pestilential, putrid, and malignant constitutions of the air in +which this disease is usually prevalent. + +The history of the introduction of Scarlet Fever, Hooping Cough, Lues, and +other diseases into the various countries of the globe, is sufficiently +convincing that men carry about with them the seeds of disease; that while +these attach themselves to the persons and clothing of those who introduce +them into new climes, and flourish independently of cultivation, yet the +exotics which they foster with so much care, often disappoint their most +sanguine expectations; and these "languishing in our {78} hothouses can +give but a very faint idea of the majestic vegetation of the tropical +zone." Art in this procedure fails to accomplish here, what nature but too +sadly, under some circumstances, effects most readily. The germs of some +diseases though of an exotic character, under congenial influences of +various kinds, appear to flourish with native vigour: is it not so, also, +with some forms of vegetation? The aloe, a native of Mexico, which lives, +but does not thrive well, or reproduce under ordinary circumstances in this +country, will occasionally send forth a most luxuriant blossom;[33] so rare +is this, that some say it occurs every 50 or 100 years, but no law seems to +be established on this point, any more than the statement that we may +expect pestilential diseases at certain intervals. But that there are +intervals of _uncertain_ duration when the aloe will blossom, when the +grapes will ripen, and a general productiveness of exotics will occur, is +as certain as that seasons will occur when contagion will be rife, and a +most unusual multiplication of disease prevail. This is not an imaginary or +speculative notion,--all observers of seasons and diseases within the last +twenty years, may fully verify the statement. + +In 1846, a large vine, the black Hambro-grape, {79} ripened its fruit out +of doors, and was as fine as any green-house production; but during nine +years that the vine has been under my inspection, this was the only time I +have witnessed such a result. + +We are apt to attribute an abundant or scarce fruit season to temperature +alone, but this is an error--for we have before remarked, that though +certain lands may be in the same degree of latitude, the plants which +thrive well on one land, will not do so on the other: in fine, that where +reason and analogy would lead one to expect a particular form of +vegetation, a totally different Flora is presented to the view. These facts +are indeed suggestive of new and important deductions. Is it yet explained +why the town of Birmingham should be free from Cholera? There is a large +manufacturing population, a great number of poor, the usual overcrowding of +individuals in small chambers, a considerable amount of destitution and +depravity; irregular habits of living, and unwholesome diet, and doubtless +many parts of the town, which on investigation would have yielded all the +elements usually considered necessary for the localization of the disease: +but no--here was some repelling cause, some opposing agent to the +generation and propagation of the pestilential seeds. There are no known +laws by which inorganic matter could be supposed to observe such a +selection, or such an antagonism. Electricity, magnetism, ozone, gases, +exhibit no such elective properties that here they will destroy, and {80} +there they will spare; that they can almost depopulate small villages, and +scarcely find a victim in Birmingham and Bath. But if we suppose a living, +and multiplying matter as the cause of disease, many local causes may +conspire to arrest the development of the germs, or perhaps, even utterly +destroy them. + +4th. As to the time of latency, facts crowd upon us indefinitely, as +elements of comparison between vegetation generally, and disease in its +early stages and history. The seeds of plants are extraordinarily tenacious +of life. What a mysterious arrangement of the ultimate particles of matter +must there be, by which the vital force remains apparently inactive for +many years, and yet when the conditions arise favourable to its +manifestation, as it were by an extraordinary fiat, life appears. + +Previous to the year 1715, no broom grew in the King's Park, at Stirling; +but in that year a camp was formed there, and the surface of the ground +consequently was broken in many places. Wherever it was broken, broom +sprang up. The plant was subsequently destroyed; but in 1745 a similar +growth appeared after the ground had been again broken for a like purpose. +Some time afterwards the park was ploughed up, and the broom became +generally spread over it. "In several places in the neighbourhood of +Edinburgh," says Professor Graham, "the breaking of the surface produces an +abundant crop of Fumaria parviflora, {81} although the same plant had never +before been observed in the neighbourhood. It is impossible to say the +lapse of time since these were buried, before they were again excited to +the performance of all their vital functions." Dr. Graham also gives +another proof of the vital force existing in seeds. "To the westward of +Stirling there is a large peat bog, a great part of which has been flooded +away by raising water from the River Teith, and discharging it into the +Forth,--the under soil of clay being then cultivated. The clergyman of the +parish standing by while the workmen were forming a ditch in this clay, +which had been covered with fourteen feet of peat earth, saw some seeds in +the clay which was thrown out of the ditch; he took some of them up and +sowed them: they germinated and produced a crop of Chrysanthemum septum. +What a period of years must have elapsed while the seeds were getting their +covering of clay, and while this clay became buried under fourteen feet of +peat earth!"[34] + +{82} + +What limit can there be to the dispersion of seeds when their vital +properties may remain so long unimpaired? The seeds of which we have been +speaking were, no doubt many of them, washed away with the waters of the +Teith, and carried by the stream into the Forth; and who shall then mark +their destination; for we have seen that by such means the most distant +lands are supplied with vegetation; for whence come the plants which cover +the Coral Islands, unless by the air and the water, and that both +contribute, has been incontestably proved. Dr. Lindley states that melon +seeds have been known to grow when forty-one years old; maize thirty years, +rye forty years, the sensitive plant sixty years, kidney-beans a hundred +years. But seeds in general have an indefinite period, apparently, at which +they can retain their power of germination; for many of the seeds which had +been kept in the herbarium of Tournefort for more than a century, were +found to have preserved their fertility. + +It has now to be shewn that the germs of disease also retain their vital +powers in a state of dormancy during a lengthened period. + +{83} + +Mead has very judiciously observed, "to breed a distemper, and to give +force to it when bred, are two different things." He further remarks, that +the seeds of the Plague may confine themselves to a house or two during a +hard frosty winter, and be preserved, and again put forth their malignant +quality as soon as the warmth of the spring gives them force. It is +certainly very remarkable that the Plague of London, which commenced at the +latter end of the year 1664, should "lie asleep," as Mead says, from +Christmas to the middle of February, and then break out in the same parish. + +It has been also known that an infected bed laid by for seven years had +done infinite mischief on being again brought into use. Indeed, it is quite +uncertain for how long a period woollen, fur, linen, cotton, and other +articles may retain infectious matter in a dormant state. It has been +supposed by some that in closely packed bed and body clothes a +multiplication of the germs may and does take place, nor do I see any +reason why this should not be the case, for these articles contain within +their structure the effluvia of the animal body, and they may possibly +there find sufficient nutriment for their development. Nees von Esenbeck +believed that some of the minute Cryptogamia were re-produced in the air, +we are not therefore exceeding philosophical conjecture when we imagine a +basis and substratum, though an unusual one, for the germs of vegetation. +Exclusion from air and light, {84} however, as would be the case in +packed-up clothes, would _a priori_ give a better colour to the conjecture, +as these are the usual conditions necessary for the growth of seeds. + +Small Pox and Cow Pox matter, which are now proved to be the same virus, +the former modified by having been through a process of growth and +maturation in the cow, are both remarkable for exhibiting their active +properties after having lain dormant for a considerable time. And each, +though so closely allied, retaining its specific properties. + +This peculiarity in the history of Small Pox virus suggests a comparison +with some phenomena of vegetation, _viz._ that of grafting or budding. The +lower Cryptogamia in their fructifications resemble rather multiplication +by buds than by seeds. M. Moyen's idea is that every spore or little +globule, independently of its neighbouring one, lives, absorbs, +assimilates, grows, and re-produces on its own account; this is certainly +the characteristic of the Torula and the Uredo, and doubtless is so of many +other of the Cryptogamia, the Protococcus nivalis is another instance. +Other modes of cultivation produce also great varieties of results of an +unexpected kind. + +Would any one, says Dr. Walker, imagine that cabbage, cauliflower, savoy, +kale, brocoli, and turnip-rooted cabbage, were the same species? yet +nothing is more certain than that they are only varieties produced by the +cultivation of the Brassica oleracea, {85} a plant which grows wild on the +sea-shores of Europe. + +These varieties in vegetables have now become permanent, and though it is +supposed that each is liable to return to its original condition, I am not +yet certain that such is the tendency. A deterioration is not unlikely to +ensue in the course of time, because the propagation by seeds must +necessarily very much approach the system of intermarriage, on which Mr. +Walker has so ably written and clearly shewn that as a result we may +invariably expect a deterioration of the species. Dr. Darwin has also +poetically described what his experience taught him. + + "So grafted trees with shadowy summits rise, + Spread their fair blossoms and perfume the skies, + _Till canker taints the vegetable blood_, + Mines round the bark and feeds upon the wood; + So years successive from perennial roots, + The wire or bulb with lessened vigour shoots, + Till curled leaves or barren flowers betray + A waning lineage verging to decay; + Or till amended by connubial powers, + Rise seedling progenies from sexual flowers." + +The minute nature of the germs of disease preclude all possibility of their +being submitted, as far as we know at present, to the inspection of the +physiologist, but we may infer many facts from results. In the same way, +though with humbler {86} ideas, as Cuvier could build up an animal from a +single bone, can we by a combination of facts infer the existence of living +beings and conjecture their forms. "The re-production or generation of +living organized bodies is the great criterion or characteristic which +distinguishes animation from mechanism." We find the virus of Small Pox, +according to Mr. Ceely's experiments, developing itself as a constitutional +disease upon the cow, and becoming modified into a form known as the Cow +Pox; this resembles the process of cultivation by which a species is +converted into a variety, this variety remains for a certain time +persistent; the time is not yet known, but it is known that by degrees, as +stated above, a deterioration occurs, and fertility becomes impaired, "a +waning lineage verging to decay," and this has been observed as a feature +in the result of vaccination. I believe Dr. Gregory was one of the first to +notice this fact, and deemed it necessary to obtain fresh lymph from the +cow; this has been done, and it is not improbable, if the analogy we have +drawn be correct, that the slowly spreading scepticism regarding +vaccination may be arrested in its progress. If we can explain the +deterioration of cow pox virus on this principle we have a hold at once +upon the public, and can assure them that the efficacy of the proceeding is +as certain as in the time of Jenner. The people, I contend, have a right to +demand of us the reason why vaccination is not so efficacious as formerly, +and I {87} affirm as unhesitatingly that we are bound to give the subject +our most earnest attention.[35] + +Now concerning the re-production of Cow Pox matter, and assuming it to +resemble that of the lower Cryptogamia, we can easily understand how +degeneration in a course of years should ensue, for we find that though the +Small Pox is a constitutional disease, that produced by vaccine lymph is a +local affection, so that it bears the relation that grafting does to +vegetation, and it is not improbable that such a modification takes place +in the germs by passing through or becoming generated in the blood of the +cow, that they entirely lose their original and characteristic form of +reproduction: the seeds of the disease were originally capable of +vegetating, if I may be allowed to use the term, by diffusion through the +atmosphere; they now, however, have lost that property, and require to be +grafted to exhibit any manifestation of vitality. + +How often will the seeds of a cultivated fruit grow? If you bud it upon +another plant, you obtain a being exactly like the parent, but this, as we +have seen, deteriorates in a course of years, we have also seen that the +virus deteriorates; but not to stretch this point to an unseemly length, I +cannot avoid expressing my conviction, that these are elements of +comparison, possessing an interest and a practical utility of no small +value. + +{88} + +I have before said, that the reproduction in the Cryptogamia, rather +resembles budding than seeding. If we observe the Torula, or take the +process of all formation, generally it will be found to accord more exactly +with the budding than the seeding process, and this peculiarity is not +confined to vegetation, it is also a marked feature in the reproduction of +infusoria, sponges, polypes, &c. + + "New buds surround the microscopic plant." + +The reproduction of plants and animals appears to be of two kinds, solitary +and sexual; the former occurs in the formation of the buds of trees, and +the bulbs of tulips. + +The microscopic productions of spontaneous vitality propagate by solitary +generation only. + +We have but reached the threshold of this vast and interesting subject, the +experiments which suggest themselves to the mind while reflecting upon it, +would alone occupy a whole life of leisure, and I can but feel how forcibly +Mr. Sewell's words apply to us: "The grand field of investigation lies +immediately before us, we are trampling every hour upon things which to the +ignorant seem nothing but dirt, but to the curious are precious as gold." + +It is difficult, perhaps, to bring many instances, in which the germs of +disease have lain dormant for a lengthened period, because many may take +exception to them, from the fact, that sporadic cases of {89} most epidemic +and infectious diseases, are rarely absent from any country in which those +diseases have become indigenous, and these cases may be said to be the foci +whence originates the epidemic constitution of the air; this, however, +would not invalidate the supposition, because one of two inferences must be +drawn, either that the germs of disease always exist in a dormant state, +requiring circumstances and conditions only for their development, or that +the germs are imported from some distant locality, where the disease has +occurred, and finding a nidus there, grow and multiply.[36] Whichever +notion we take, however, matters very little to the fact of the dormancy of +the germs, for in both, a certain period elapses between their transmission +and their propagation. It may fairly be presumed, that sometimes one method +may apply {90} and sometimes the other, perhaps both during general +epidemic conditions of the atmosphere. + +The Oidium vitis attacked the vines partially last year, and I believe +generally spared other forms of vegetation; but this year in my vicinity, +cucumbers, melons, and vegetable marrows, are all suffering more or less +under the disease.[37] How shall we say, whether are the seeds of last year +the cause of the general diffusion at the present time, or were there a +sufficient number of old and dormant seeds, universally diffused, and only +waiting opportunities for multiplying themselves? We are here on the horns +of a dilemma; and spontaneous generation, from which one naturally shrinks, +can alone extricate us, if we do not admit diffusion and dormancy. I think +I may, without undue assumption, affirm that a period of latency of +indefinite duration, applies as cogently to the germs of disease as to +those of plants. + +There is yet one other point in connection with this subject, and that is +the apparent extinction of some diseases, at any rate their non-appearance +in certain localities, which had been at one time congenial to them, and in +which they flourished. We have seen, in illustrating the dormancy of seeds, +that the broom must have been a common plant at {91} some considerable +period back, in the King's Park at Stirling, or on that site. + +Then again, the appearance of Fumaria parviflora in the vicinity of +Edinburgh, in several places where the ground is broken, is sufficiently +convincing that this plant must once have been a common form of vegetation +there; and as it had never before been observed in the neighbourhood, there +must have been a combination of peculiar circumstances capable of rendering +germination impossible, otherwise a continued multiplication, as in other +forms of vegetation, would have followed of necessity. + +But besides these instances, how many are passing under our own eyes of the +disappearance of plants under the influence of cultivation, and the +generation of the noxious fumes arising from different and innumerable +manufactories. In the vicinity of large cities and manufacturing towns, how +rarely do we see healthy vegetation; shrubs and animals drag on a sickly +and almost unprolific existence, and their term of natural life is much +shortened. + +And if we compare diseases with this peculiar feature of vegetation, how +very close do we find the analogies. The Sweating Sickness which appeared +in the latter part of the fifteenth century, and at certain intervals +multiplied and extended itself at first only in this country, but +ultimately more or less over the continent of Europe, has {92} never since +the year 1551 shewn any symptom of productiveness, indeed for all we know +the disease may be extinct; on the other hand, it is impossible to say +whether or not circumstances may arise, under which it may commence again, +to put forth its energies and again desolate the land.[38] + +Since 1665, the Bubo-plague has not found a congenial soil in this country, +or if the seeds be here, which is more than probable, the necessary +conditions to excite them to activity do not exist. + +It cannot be imagined that with all the merchandize which comes into this +country from the Mediterranean, but that an abundance of the germs of the +disease are annually brought into our ports, and disseminated throughout +the land. The law by which we have seen that they possess a power of +vitality and reproduction, holds now as it did in former times;--the +properties of matter never alter, but the conditions under which they exist +may be so modified, as to influence their properties, and the usual course +of their operations. It is therefore to {93} an alteration or modification +of conditions that we are to look for the exemption, during the last two +centuries, from an invasion of the Plague. To say what those conditions may +be in their totality is difficult, perhaps impossible. We may generalize on +the subject, and imagine the reason discovered, but all those causes which +were said to have conspired to favour the spread and contamination with +Plague, were as distinctly specified and attributed, as the cause of our +late infliction with Epidemic Cholera. Why then did we have the Cholera and +not the Plague? To what particular element was it--in the mode of living, +of destitution, of filth and want of drainage--can it be ascribed that we +suffer under one disease, and not under the other? + +We have made some few observations and comparisons on the mode of +dispersion of plants and diseases,--but there is yet one more point which +invites notice. Not only do seasons vary in their effects on vegetation in +a remarkable and unexplained manner, but there are many localities to which +some special form of vegetation attaches, and which appear to have a power +of exclusion of other forms; and as yet I have not been able to trace the +connexion, nor can I discover it in the writings of botanists and +travellers, who would be most likely to have sought an explanation of so +interesting and curious a fact. Dr. Prichard has on this subject some very +apposite illustrations. "Still further southward, the austral temperated +zone completely {94} changes the physiognomy of vegetation, and the Isle of +Norfolk has, in common with New Holland, the Auracania found also in the +harbour of Balade, and with New Zealand, the Phormium tenax. It is however +remarkable, that this vast island, composed of two lands, separated by a +channel, though so near New Holland, and lying under the same latitude, +differs from it so completely, that they display no resemblance in their +vegetation. Yet New Zealand, so rich in genera peculiar to its soil, and +little known, has some Indian plants: such as Pepper, the Olea, and a +reniform Fern, which is said to exist in the Isle of Maurice." + +I must quote one more passage from Dr. Prichard's excellent work. "We have +one instance of an island at no great distance from a continent, having a +peculiar vegetation. Mr. R. Brown has remarked, that there is not even a +single indigenous species characterising the vegetation of St. Helena, that +has been found either on the banks of the Congo, or on any other part of +the Western coast of Africa. Does the diversity of marine and atmospheric +currents more completely separate this island from the continent, than its +situation would imply; or are the nature of soil and other local +circumstances, the cause of so marked a diversity? The last supposition +seems the most probable; because not only the species of plants, but +likewise the genera in St. Helena, are different from those of the African +coast." {95} + +We are not without instances of diseases, observing this peculiarity which +attaches to plants; but their specific characters have hardly been +sufficiently considered in reference to climate and situation, together +with diet and local influences, to afford us accurate data for comparison. +It has, however, been remarked, in every country where Epidemics have +prevailed, that some districts or tracts of country, though supposed to +possess all the qualities favourable to the development of the diseases, +have nevertheless been entirely or nearly free from them. The following +passage on the course of the Cholera gives an example of this peculiarity. +"Whenever the malady deviated, so to speak, from its normal direction, and +passed towards the west, it seemed incapable of propagating itself; and +_died away spontaneously, even in places which appeared to be well fitted +for its reception_.--The rich fertile and densely peopled countries to the +right of the Dneiper, enjoyed an equal freedom from attack, which can only +be explained by the fact that they were situated _beyond the line of the +disease_." With this I close the subject of the diffusion of plants and +diseases, though it would require a volume of itself, to record all that +has been noticed. I have endeavoured to select such instances as shall mark +distinctly the features which point to comparison without overloading the +enquiry. + + * * * * * + +{96} + +SECTION IV. + +THE RELATION BETWEEN EPIDEMIC AND ENDEMIC DISEASES. + +Epidemic diseases, which multiply their germs in any climate, and under +apparently the most varying conditions of temperature and hygrometric and +electrical states of atmosphere, offer many points of contrast with Endemic +affections, and many of relationship. The latter are traceable to a certain +extent, to geological and geographical positions of the localities where +they are observed to prevail, in combination with atmospheric vicissitudes +and peculiarities, as well as to extent of cultivation of the soil: it has +been remarked that the sickly island (as it is called) of St. Lucia has +certain salubrious parts, but these are where sulphur abounds; this +geological peculiarity has been deemed sufficient to account for the +absence of endemic affections in these parts, and with much force of +reason; for in the neighbourhoods where sulphur or sulphurous acid, a +compound of sulphur, is an element prevalent in the soil or atmosphere, +vegetation and the ague disappear together. + +Now ague, and other endemic fevers, doubtless originate from some allied, +if not identical cause; for the localities in which they appear have so +many {97} features in common, that we are constrained to acknowledge that +endemic fevers have some relations and analogies, though not yet +unravelled. + +Geographical situation, together with certain vegetation, particularly of +grounds which grow rice, is one remarkable for the production of endemic +affections. But the soil which generates or gives force to the +contaminating matter, is not alone the part where human beings feel its +influence most severely. A low marshy ground, prolific of malaria, may be +comparatively free; while some neighbouring elevated land, to which +prevailing currents of air waft the volatile elements of disease, may be +desolated by their virulent and concentrated action. "Malaria may be +conveyed a considerable distance from its source, _and be condensed_ in the +exhaled vapour, when attracted by hills or acclivities in the vicinity, and +when there are no high trees or woods to confine it, or to intercept it in +its passage." + +The inhabitants of the city of Abydos were at one time subject to disease, +arising from malaria, generated in some neighbouring marshes; by draining +these marshes, which suspended the growth of rank vegetation, the city +became healthy. + +Rome is in like manner even now subject to fevers, having a similar origin. +Sir James Clark says, "Among the more prevalent diseases of Rome, malaria +fevers are the most remarkable, and claim our first notice." He considers +the fevers to be of exactly the same nature as those of Lincolnshire {98} +and Essex in this country, of Holland, and certain districts over the +greater part of the globe. To the climate, the season, or the concentration +of the cause of these fevers, he attributes their varieties. It is the same +disease, he says, whether from the swamps of Walcheren, or the pestilential +shores of Africa. + +From July to October the inhabitants of Rome are most subject to these +affections. + +Sir James Clark further says: "It may be stated as a general rule, that +houses in confined shaded situations, with damp courts or gardens, or +standing water close to them, are unhealthy in every climate and season; +but especially in a country subject to intermittent fevers, and during +summer and autumn. The exemption of the central parts of a large town from +these fevers, is explained by the dryness of the atmosphere, and by the +comparative equality of temperature which prevails there." + +In this respect there is a marked difference between an epidemic and an +endemic affection; for when an epidemic disease attacks a city or town we +do not discover that the central parts are more exempt than others; indeed, +it is rather the contrary; for the most crowded parts of towns and cities +are those, if not exactly in the centre, which would be comprised in a +space nearer to the centre than the circumference; and it has been in those +parts generally where the epidemic influences seem to have exercised the +most potent sway. One would more naturally suppose, that a city surrounded +by {99} paludal miasm, and not itself being capable of generating the +poison, should be more affected at the circumference, from the simple fact +that the paludal germs, which rise in the air, are suspended in the fogs +and dews of the atmosphere. These, unless widely dispersed by the winds, +would remain within a comparatively confined space; and those situations +nearest to them would be most subject to their influence. Besides, it has +been shewn, that a small wood or hill, or even a wall, has been sufficient +to cut off or obstruct the paludal miasm. + +Without enumerating all the known endemic diseases, two or three may be +alluded to for our present purpose; viz. that of shewing that endemic and +epidemic diseases have a similar origin.[39] + +It is well known that under certain favouring conditions an endemic may +become a malignant and pestilential disease; that Yellow Fever, which is +always endemic in the west, Cholera in the east, and the Plague in the +south of Europe and north of Africa, every few years takes on an epidemic +form, and desolates considerable tracts of country.[39] + +The Pestilence which raged in the summer and autumn of 1804 in Spain, +commenced at Malaga, and remained for a considerable time confined to its +{100} boundaries, in consequence of the measures of precaution that were +used, in preventing all communication between the inhabitants of the +infected city and those living in the surrounding country. It was only in +consequence of persons escaping through the cordon, and passing into the +interior of the country, that the disease spread, and extended its ravages +to distant places. + +It appears to be quite clear, that this disease may properly be considered +in the first instance of endemic origin; but the tendencies, atmospheric +and otherwise, were such as to favour its multiplication in other districts +than that in which it first came into active existence. From this we may +infer, that the seeds of the disease were dormant, and only became roused +into vital activity by fortuitous circumstances. Dr. Rush states, that the +endemic disorders of Pennsylvania were converted, by clearing the soil, to +bilious and malignant remittents, and to destructive epidemics. Dr. Copland +says, it has been observed, especially in warm climates, and in hot seasons +in temperate countries, that when the air has been long undisturbed by high +winds and thunder-storms, and at the same time hot and moist, endemic +diseases have assumed a very severe and even epidemic character. + +Dr. Robertson also confirms this view. "Endemic diseases, in cases of +neglect and preposterous management, are found to become more malignant +even in the most temperate climates; and to {101} generate a matter in +their course, capable of producing a particular disease in any +circumstances. _Indeed the origin of every_ contagious fever unattended +with eruptions, with the exception of Plague, must commence in this way." +Why Dr. Robertson should except eruptive Fevers and Plague I cannot +understand, for they must have had a commencement; and their many points of +similarity indicate, if not an identical, an analogous source to other +endemic fevers. + +It will doubtless be generally acknowledged that endemic and epidemic +diseases depend upon some unknown agents, having their source in malarious +districts, and being capable of assuming either a contagious or +non-contagious character, according to circumstances. + +If, therefore, we find that under any conditions an endemic affection +becomes capable of being propagated by contagion, the same law will hold +with regard to it as to the Plague; that the power of reproduction in this +matter is evidence of life, according to the doctrine laid down in the +earlier part of this work. But whether or not infection be admitted, a +matter generated in a malarious district, if confined in its effects to +that district alone, would not necessarily imply an inorganic nature of the +poison; for it is difficult to understand how inorganic poison, prevailing +generally over a certain tract of country, could select particular +individuals for its victims. If chloroform, chlorine, carbonic acid, +sulphuretted hydrogen, or even spores of poisonous fungi, (as {102} +supposed by Mitchell, which, as he regards their effects, would act in a +similar manner to inorganic compounds) were the agents, all persons would +suffer more or less, and the majority be similarly affected. We do not find +that uniformity of symptoms, which attend upon the exhibition of poisons in +the ordinary acceptation of the term, poisoning. This subject shall be more +particularly considered, when treating of the influence of organic germs on +animals and plants. + +The history of the Eclair steamer is particularly interesting, as shewing +the extraordinary tenacity with which the germs of disease attach +themselves to vessels, which we may call floating houses. + +The crew of the Eclair contracted Yellow Fever on the coast of Africa, and +a number of them died. The remainder, sick and well, landed at Bona Vista, +one of the Cape de Verde Islands, and the vessel underwent a process of +washing, whitewashing, and fumigating. Nevertheless, on the return of the +ship's company, the disease broke out again with equal intensity, and the +vessel was ordered home. Sixty-five out of 146 officers and men, who +composed the crew, died of the disease before reaching Portsmouth, and +twenty-three were sick at the time of arrival. + +Eight days after the Eclair left Bona Vista, a Portuguese soldier who had +mixed with her crew died in the fort which had been occupied by them. Other +soldiers then fell sick, and the fort was abandoned. The fever still +spread. + +From the 20th September, when the first soldier {103} was attacked, to the +first week in December, the fever continued to rage, and at that period it +had found its way into almost all the country villages. The fever was +believed to be the genuine black vomit fever; it proved contagious almost +without exception to the nurses of the sick. + +This is an abstract of Mr. Rendell's letter to Lord Aberdeen, Mr. Rendell +being British Consul at Bona Vista. + +Now at the time the fever broke out in the island the weather was +extraordinarily hot, and much rain had fallen, and the town itself was +badly drained and in a filthy state; can it be imagined then that the seeds +of a disease liable to assume a pestilential character should lie dormant +or be annihilated under circumstances the most favourable for their +development, especially when we know that endemic diseases may assume a +malignant character? + +This is just one of many cases which confirm our opinion in this respect, +that plants and diseases are not long in making their appearance where the +soil and atmosphere are congenial. + +The tenacity with which the disease attached itself to the Eclair is +sufficiently explained in the absence of due ventilation; in fact, that in +the first instance there was no ventilation at all in the hold of the ship. +This also the more readily affords a clue to the disaster through all its +stages, first in the contraction of the disease as an endemical affection +in the vessel; secondly, in the multiplication of the {104} germs in the +damp ill-ventilated hold, in a warm climate; and thirdly, the persistence +and entire localization of the disease to the vessel when it arrived in the +climate of the British shores; while, fourth and lastly, in the unusually +hot and damp island of Bona Vista, the seeds of the disease were sown, and, +as we might expect, multiplied indefinitely. + +The consecutive attacks of the crew of the Eclair shew that here a noxious +gas or a vaporized inorganic poison could not have been the cause of the +disease, for as I have before said, in this case the attacks should have +been simultaneous; we find, on the contrary, that as the depressing effects +of the melancholy condition of the crew was almost hourly undermining the +health of the stoutest of them they as surely became the victims. The +Kroomen, or natives on board the ship had not suffered, shewing that they +were inured to the miasm, or were destitute of that condition of blood +which would be favourable to a propagation of the materies of the disease. + +The Eclair we learn had left Bona Vista eight days when the first victim +breathed his last; this would give perhaps three or four days for the +incubation of the disease in the patient, or supposing he had not +contracted the germs of the disease before the crew of the Eclair left the +fort, some local favouring conditions were the means of keeping the germs +in a fertilizing state, for it is clear from this spot the infection spread +as from a centre or focus. {105} Such instances as these might be +multiplied to extend the length of the enquiry, but, I think, to little +advantage. The chief facts to be gathered are that an endemic affection +became epidemic and pestilential, contrary to its usual mode, for the +Portuguese official physician, on being consulted by the Governor of the +Island as to the safety of landing the contaminated crew, said, "No danger +at all; I have often brought sick men on shore coming in vessels from the +African coast, and I never knew any ill effects to arise." Putting the most +reasonable construction on this emphatic and straightforward language, we +may presume that ordinary, remittent, and yellow fever had been commonly +imported into the island, for it is not to be supposed but that both forms +of disease must have existed among those sick men who had "_often been +landed_," under the sanction of the Portuguese physician. + +To take another instance; intermittent fever or ague, is a disease known +among almost all nations of the world, but it usually occurs in the endemic +form only. It is universally supposed to depend entirely upon marsh +effluvia, and we are accustomed to consider it as attaching only to low +lying countries;[40] but this is not always the case, for disease in {106} +this respect, like vegetation, may be found in various latitudes, to +accommodate itself at varying altitudes, to the temperature and climatic +relations, so as to appear indigenous. But though our prejudices are in +favour of a simple miasmatic source of ague, as its sole cause, there are +some who believe in its infectious nature. M. Sigaud, in his work on the +Climate and Diseases of Brazil, speaks of Epidemics of _grave intermittent +Fever_, and Dr. Copland says, that the epidemic prevalence of ague is a +better established fact than its infection, and has been admitted by most +writers.[41] We have, therefore, but to go one step further to arrive at +infection, after having found that an endemic disease under peculiar +circumstances, though but rarely, becomes {107} epidemic. The number of +persons attacked by ague in a malarious district, in proportion to the +population, is not so great as might be expected, considering that they are +always subject by night and day, more or less, to respire the air +containing the germs of intermittent fever; we might, therefore, deny the +paludal source of the affection, as reasonably as deny infection, if we +found that occasionally, persons, though subject to all the usual +influences, yet escaped all injurious consequences. + +There are grades and varieties of infectious diseases, from the most +inveterate to the most mild and doubtful; but that all, without exception, +which can in any way be traced to a specific generating and organic cause, +may assume an exalted infectious character, and that the most inveterate, +on the contrary, may more resemble the mild and doubtfully infectious +forms, is a conviction that must be forced on all who pursue this enquiry +with unbiassed interest. + + * * * * * + + +{108} + +CHAPTER III. + +THE REASONABLENESS OF THE APPLICATION OF THE FACTS TO THE INFERENCE. + +-------- + +SECTION I. + +THE CHEMICAL THEORY OF EPIDEMICS UNTENABLE. + +It has been inferred that the germs of disease possess the property of +vitality, and a number of facts have been adduced to support the +proposition that vitality is the indwelling force by which the matter +generating epidemic and endemic disease exercises its influence over man +and animals. The reasonableness of the application of these facts to the +end in view has now to be considered. Chemistry cannot account for +epidemics. + +Our first subject of reflection points to the chemical discoveries of the +last few years, and particularly to those of the great German chemist +Liebig. We find in the first paragraph of his Organic Chemistry applied to +Physiology and Pathology, the following words: "In the animal ovum, as well +as in the seed of the plant, we recognize a certain remarkable force, _the +source of growth_ or increase in the mass, _and of reproduction_ or of +supply of the matter consumed; a force in a state of rest. By the action of +external influences, by impregnation, by the presence of air and moisture, +the condition {109} of static equilibrium is disturbed. This force is +called the _vital force_, _vis vitae_, or vitality." + +The doctrine of Liebig, that the vital force manifests itself in two +conditions, or rather, that it is known to be in two different states, that +of static equilibrium as in the seed, and in a dynamic state, as in that of +growth and reproduction, is perfectly applicable to the germs of disease; +the static equilibrium is referrible to the matter of vaccine lymph when +dried and preserved for use, and the dynamic forces of the matter are known +to be in operation during its reproduction and growth in the system of the +vaccinated child. + +Then as to reproduction of matter by any chemical process, our author can +furnish us with no examples, for even in his explanation of the causes of +disease he is quite silent on this point, merely acknowledging that +diseased products must be either rendered "harmless, destroyed, or expelled +from the body." He further says, that "in all diseases where the formation +of contagious matter and of exanthemata is accompanied by fever, two +diseased conditions simultaneously exist, and two processes are +simultaneously completed," and that it is by means of the blood as a +carrier of oxygen that neutralization or equilibrium is established. Liebig +thus admits that an agent exists in the blood, capable of deteriorating it +at the expense of the oxygen, which he maintains is contained in the red +globules; he further acknowledges that two processes of diseased {110} +action are going on at the same time, and though he does not explain them, +I imagine him to mean that new contagious matter is generated and +eliminated from the blood, and that at the same time, there is that +condition of body which he would call simply a diseased state, and +characterizes it thus: "Disease occurs when the sum of vital force which +tends to neutralize all causes of disturbance, (in other words, when the +resistance offered by the vital force) is weaker than the acting cause of +the disturbance." + +If I rightly apprehend his notions, they perfectly harmonize with my ideas, +to a certain extent, on the subject. They accord, at any rate, most +completely with the theory attempted to be established, and fully confirm +the reasonableness of the application of the facts recorded to the +inference drawn from other sources. The difference only rests on the +question whether vitalized or non-vitalized matter is the _fons et origo +mali_. + +How is the production of new matter, resembling that originally causing the +disease, to be explained by any known hypothesis, except on the assumption +of living organized matter? Though Liebig and Mulder both deny the fact, +that the Torula cerevisiae is the sole agent in the process of +fermentation: they both equally fail in shewing upon what it does depend, +and their difficulty rests entirely on their incapacity to explain the +uniform reproductive properties of the matter engaged in this, as well as +in all other allied operations. Liebig's statement {111} however on this +matter requires notice--he says, "that _putrifying_ blood, white of egg, +flesh and cheese, produce the same effects in a solution of sugar, as yeast +or ferment. The explanation is simply this; that ferment or yeast is +nothing but vegetable fibrine, albumen or caseine, in a state of +decomposition." + +This state of decomposition, however, involves a much more complex +proceeding, than simply a reduction of matter into its elementary forms of +gases, earths, and minerals; for we nowhere find decomposition of this kind +going on without the development of some organized bodies, either animal or +vegetable: and since we have seen that the spores of the cryptogami are +always in existence in the atmosphere, and making their appearance under +favouring conditions, and especially when we find that fermentation is +invariably accompanied, and I may safely say, preceded by the deposition in +the fluid of the sporules of the Torula, we can hardly believe that they +are any other than the sole agents of the process. I have now a +considerable quantity of the Torula obtained from the urine of a diabetic +patient, in which they appeared, as it were, spontaneously. After the urine +had been allowed access to the air for a certain time, and the whole of the +saccharine matter was converted into new compounds, reproduction of the +Torula ceased;--and those which remained when the process was completed, +still continue as organic cells, deposited {112} in the bottle in an inert +state, but ready, on the addition of fresh sugar, as has been proved, to +resume an active existence. These germs, it is now well known, may be dried +into powder, so as to be blown away like dust without any, or but little, +detriment to their vital energies; and there is now no doubt that they +exist in this condition in the air, as do the spores of mucor, aspergillus, +oidium, agaricus, and all other fungi. + +Mulder, however, does allow some properties to the yeast vesicle; he says, +"a variety of strange ideas have been entertained respecting the nature of +yeast; recent experiments have convinced me that it undoubtedly is a +cellular plant consisting of isolated cells. They resemble the composition +of cellulose in some respects, but differ from it in many." "These +vesicles, consisting of a substance resembling that of cells, do not +contribute in the least to the fermentation, but are exosmotically +penetrated during fermentation by the protein compound." These chemists +seem to have an instinctive horror of allowing any active properties to the +yeast vesicle, that is as far as the conversion of sugar into carbonic acid +and alcohol is concerned in the act of fermentation. Dr. Carpenter, as if +desiring to conciliate the chemical and physiological disputants, considers +that the truth is to be found in the mean of the two extremes,--that is, +that the process of fermentation is neither entirely dependent on chemical +laws, nor on those laws which preside {113} over the growth of reproductive +matter, but is a process in which both perform certain offices, each +depending on the other to produce the combined result; he thus approaches +more nearly to the theory of Mulder, than that of Liebig. + +But to revert to Mulder, he speaks of the Torula cells being "exosmotically +penetrated during the process of fermentation by the protein compound." Now +the Torula is acknowledged to be one of the Fungals, and the chemical +constituents of the Fungi approach very nearly that of animal tissues. They +contain a peculiar principle, residing in and obtainable from them, termed +Fungin, which is as highly azotised as animal fibre. The protein compound +alluded to, Mulder says, is not gluten, because insoluble in boiling +alcohol, and not albumen, because it is very readily dissolved in acetic +acid, and he regards it as a superoxide of protein. This superoxide of +protein can only have been produced by a vital action in the cells of the +Torula, and as the fungi consume oxygen, and give out carbonic acid, we +clearly have all the elementary conditions for their growth in almost all +decomposing animal and vegetable matters. It is the nature of the fungi to +live on organized matter, but always when it has a tendency to decay; it is +for this reason they have been called "Scavengers." Again, we can +understand why some animalized or nitrogenous matter should be necessary +for fermentation, otherwise fungi could not grow, nitrogen being an +essential constituent of {114} their structure, and further fermentation +does not commence without the presence of oxygen, and like as in animals, +this gas supports their existence. The conversion of sugar into alcohol is +represented by the following formula:-- + + RESULT. + Sugar. Alcohol. Carbonic Acid. + Hydrogen 3 3 + Oxygen 3 1 2 + Carbon 3 2 1 + +If therefore the process were merely of a chemical nature, where is the +necessity for atmospheric oxygen to accomplish the end? it is quite certain +that fermentation cannot go on without its presence. Let us compare the +action of ferment or yeast in a dried state to the action of albumen, which +Liebig says is sufficient when decomposing to set up fermentation. "The +white of eggs when added to saccharine liquors requires a period of three +weeks, with a temperature of 96deg F. before it will excite +fermentation."[42] But any saccharine liquor on exposure to the air, though +entirely destitute of albumen or gluten, will ferment, and the Torula may +be found in it. I have found the Torula in a great variety of syrups which +have spontaneously undergone fermentation. I have also discovered that the +development of the cells is delayed or accelerated by the nature of the +ingredient used in flavouring {115} the syrups, with other peculiarities +which need not here be mentioned. + +But the conversion of starch into sugar by means of gluten requires some +notice, as by some persons it is associated in their minds with the organic +process of fermentation.[43] Mulder ascribes the latter in the first +instance to the action of heat, evidently believing that the +pseudo-catalytic operation of gluten upon starch is the type of all such +actions, and regarding them all as simply chemical, but we here distinguish +a wide difference; in the latter instance the gluten is decomposed, and +rendered unfit for a repetition of the chemical phenomenon, and if it is +desired to renew the action fresh gluten must be obtained, and a certain +temperature kept up, otherwise the experiment fails. How different is +fermentation: in the ordinary temperature of the atmosphere the yeast +vesicle will multiply, no incremental or unnatural addition of heat is +requisite, and it is one of the commonest and most natural instances of +vegeto-chemistry: the grape cannot shed its juice, nor the sugar cane its +sap without admitting these germs, which, under certain {116} conditions +multiply themselves and convert the saccharine elements into new compounds. +The method by which the conversion of starch into sugar is accomplished is +thus described by Dr. Ure. He says that if starch one part be boiled with +twelve parts of water and left to itself, water merely being stirred in it +as it evaporates, at the end of a month or two in summer weather it is +changed into sugar and gum, bearing certain proportions to the amount of +starch used. But "if we boil two parts of potato starch into a paste, with +twenty parts of water, mix this paste with one part of the gluten of wheat +flour, and set the mixture for eight hours in a temperature of from 122deg +to 167deg F. the mixture soon loses its pasty character, and becomes by +degrees limpid, transparent, and sweet, passing at the same time first into +gum and then into sugar."--"The residue has lost the faculty of acting upon +fresh portions of starch." + +Four points of contrast present themselves for notice as elements of +comparison with true fermentation. 1st. The starch solution has to be +boiled, so that heat, by which it is to be supposed that the starch globule +is ruptured, seems to be an essential portion of the chemical change, and +even this may in fact alone be sufficient in such a case to produce some +elementary change in the starch, and may prepare it for the subsequent +catalytic action of some related organic, though not vital material.[44] +{117} 2nd. Not only a summer heat is necessary, but a period of one or two +months time must elapse before the starch with the water simply becomes +converted into sugar, and if artificial heat is to be used to hasten the +operation, a temperature from 122deg to 167deg F. must be resorted to in +order to obtain the desired result. 3rd. When even this is accomplished +there is no reproduction of the fermenting matter, and artificial and +chemical means must again be applied to repeat the experiment. 4th. The +conversion of starch into sugar can be accomplished without the presence of +gluten at all, by the aid only of temperature and time. It seems to me, +therefore, to be entirely unnecessary to occupy more space in the +elaboration of a proof of the doctrine that the germs of the Torula are the +sole agents in the conversion of saccharine fluids into alcohol and +carbonic acid. By another chemical process starch can be converted into +sugar, but I am not aware that hitherto any method has been discovered by +which sugar can be converted into alcohol except by the process of +fermentation proper. + +I have been thus particular in commenting on this subject, as it bears, in +an especial manner, on the question under consideration. + +{118} + +The physiologist cannot afford to lose this process from the category of +chemico-vital, or biochemical manifestations.[45] The philosophy of the age +has a tendency to make every thing chemical; it is true that the Divinity +is as much seen in the laws which govern the elementary particles of +matter, as in those laws which preside over the transmutation and +sustentation of those elementary and inorganic particles, when compounded +in the tissues which are engaged in the formation of living beings. The +laws by which acids and alkalies neutralize each other, and the affinities +single, double and elective, which the particles of matter exhibit, +together with the influences of light, heat, and electricity upon almost +every condition of matter, are as truly wonderful as the creative power. +Man may, in many instances, imitate the processes of nature, he can render +iron magnetic, and form alkaloids, but the {119} laws which govern the +particles of matter are still the secret of the whole proceedings. We do +but interpret the language of nature in discovery, the book is ever open +before us, and every atom of the world is a word and a theme, capable of +occupying the short span of sublunary existence allotted to man. We have +read of "sermons in stones," but a book has been written on a "pebble."[46] + +To return, as we every where in nature find a gradual transition in the +forms, arrangements and properties of matter, so we may expect to find a +link between the inorganic and vital chemistry of nature. The fungi, by +which we contend this transition appears to be accomplished, are also a +link in chemical composition, between the animal and vegetable kingdom, and +not only in that, but in their subsisting upon matter which has been +organized, they are deoxidizers and reducers, as the vegetable kingdom in +its highest function is a compounder. To their functions and offices in the +great scheme of creation, we may fairly apply ourselves with a sure and +certain result of the most interesting discovery. Is it no hint that +wherever decaying organic matter is found, there do we find fungi? is it no +hint that they are found in all parts of the world? that even in snow the +germs of fungi will grow and multiply to such an extent, according to Capt. +Ross, that the protococcus was seen {120} by him, clothing the sides of the +mountains at Baffin's Bay, rising, according to his report, to the height +of several _hundred feet_, and extending to the distance of _eight miles_? + +Even stones contain in their interior, or interspaces of their structure, +the germs of fungi. A species of Tufa is found in the vicinity of Naples of +a porous texture, which, when moistened and shaded, produces vast +mushrooms, four or five inches high, and eight or ten inches broad.[47] +This author further says: "In the Maremma, where the volcanic tufa is the +basis of the soil the surface is intermixed with the animal remains of +departed empires, and the ordure of cattle, is covered with grasses of old +pasturages, and is wet with heavy dews. Everything, therefore, conspires +there to a fungiferous end." + +They are found growing in and upon both vegetables and animals. Nees von +Esenbeck imagined, that minute forms multiplied themselves in the +atmosphere; and really, when we consider the amount of effluvia composed of +the atoms cast off from the bodies of living or decaying organic matters, +which are incessantly passing into the atmosphere, the conjecture is not an +unreasonable one. The minuteness of those, which we know are always found +growing on decomposing bodies, does not preclude the possibility, nay, +further favours {121} the probability, that others infinitely more +minute,[48] may be destined to remove the more subtle and vaporous +particles which escape into the air. + +We can, therefore, I think, conclude, that the lower tribes of vegetation, +may consistently be regarded as capable of existing in almost any +condition, and almost under any circumstances, they may be made to grow in +plants by inoculation, as shewn by De Candolle, and Dr. Hassall. If the +stem of wheat also is inoculated with vibriones, they will make their +appearance in the grain.[49] If the seed contain them and have not lost its +germinating properties, these worms will be found again in the grain. If +the grain containing them be dried for years, and moistened again with +water, these animalcules, according to Bauer and Steinbach, will present +all the phenomena of life. This experiment I have witnessed, and can +confirm the statement. These animalcules in the diseased grain, have under +the microscope the appearance of an immense {122} number of eels crowded +together in a small space, and presenting a movement more, perhaps, +vermicular than any other, and it is continued for a considerable time. Now +if these animalcules, or their ova, can be proved to pass with the sap to +the seed, there can be no difficulty in comprehending how germs, +considerably more minute and of a vegetable nature, should be found subject +to the same peculiar mode of obtaining an entrance into animals and +vegetables for sustenance. "It is usually imagined," says Dr. Carpenter, +"that the germs liberated by one plant are taken up by the roots of others, +and being carried along the current of the sap, are deposited and +developed, where vegetation is most active." + +The chemical theory of disease would be better sustained by a comparison of +"the artificial formation of alkaloids," and the phenomena of +transformation of blood into the tissues of animals, and their degeneration +into effete matters, and of sap into the tissues of plants and their +degenerations. + +Professor Kopp of Strasburg, says, "In a chemical point of view, the +alkaloids are remarkable for their composition, for their special +properties, both physical and chemical, and for the interesting reactions +to which many of them give rise, when exposed to the influence of different +reagents. Considered medically, the organic bases are distinguished by +their energetic properties. They {123} constitute at the same time, the +most violent and sudden poisons, and the most valuable and heroic +remedies." + +Upon this very intricate and interesting part of chemical philosophy, it is +rather dangerous to enter without a thorough and practical knowledge of the +subject. This, however, falls to the lot of few men. We, who are engaged in +the study of disease, and of the best methods of cure, are obliged to take +the investigations of the analytical chemist, and examine them for +ourselves in the intervals of leisure allowed us during the active exercise +of our calling. Though with less advantages for the study of these +transcendental relations of organic and inorganic matter, we are not, +nevertheless, precluded from forming our opinions on their practical +bearings to the phenomena and treatment of disease. + +That there is a matter of a poisonous nature concerned in the production of +endemic and epidemic affections, cannot be doubted by any one; I believe +indeed, that the chemical theorists admit this, at all events Liebig does, +for he says, "The morbid poison changes in the blood are fermentative, just +such as occur in beer making." If we start, then, with the consideration +that poisons, in a chemical point of view, are the objects of our research; +the obvious course to take is to enquire what is the source of poisons +generally, and what their effects on the animal economy? The mineral +poisons are entirely excluded from the enquiry by their {124} inaptitude +for diffusion, and their uniform effects upon all persons, differing only +in degree in their operation. The same objections apply to gaseous poisons, +except that to them the property of diffusion would be admitted.[50] We +come then to the alkaloids, which constitute, as Kopp says, the most +violent and sudden poisons. For the production of alkaloids by artificial +means, organic products of some kind are required. Artificial heat, +powerful chemical agents or length of time, are, as far as information at +present extends, the indispensable requirements to induce these peculiar +changes in matter. The only instance I can find, in which elementary +matters can by artificial means be combined, so as to resemble the products +of nature, is that of the conversion of carbon and nitrogen into cyanogen. +But the process by which this is accomplished, leads rather to doubt +whether it be really and simply by a combination of _elementary_ carbon and +nitrogen. I extract the following from the Annual Report of the Progress of +Chemistry, for 1848. "H. Delbruck has performed some experiments on the +important subject of the formation of cyanogen. He confirms the statements +of Desfosses and Fownes, inasmuch as a _weak but distinct_ formation of +cyanogen was observed on igniting {125} _sugar-charcoal_[51] with carbonate +of potassa in an atmosphere of nitrogen." The use of sugar-charcoal, may be +perhaps an explanation of the weak formation of cyanogen, for in these +numerous and successive chemical changes of matter, it is impossible to say +how many sources of error may arise. The constant contradictions of each +other, and the opposite statements made by chemists, of equal eminence, +leave us in a wilderness of doubt, from which we are not likely to be +freed, until definite laws shall be discovered to act as a guide in the +comprehension of the higher branches of Chemical Philosophy. + +But supposing that the generation of alkaloids could take place in the +body, or some analogous poisonous matter, we have yet to imagine a whole +host of peculiar and essential conditions to effect this change, besides an +atmospheric agent or agents to set in motion those compositions and +decompositions, capable of bringing out these new products from the +elements of blood. We are aware that in the blood, carbon and nitrogen are +sufficiently abundant as well as saline compounds, to generate cyanides, +and, with hydrogen also there in plenty, hydrocyanates, and thus from them +many other poisonous products, but how is all this to be effected? And even +if effected, it is yet a question if such compounds can in any way simulate +the attacks of epidemic disease. We have {126} already shewn that the +amount of most poisons necessary to destroy an individual, can be pretty +clearly estimated, and their _modus operandi_ is tolerably well understood. +Again, the most essential part, in which all chemical theory fails, is an +explanation of the reproduction of contagious matter. + +The catalytic process, by which decompositions are said to be effected, and +in which Liebig includes the various fermentations, is one of those +chemical relations of matter to matter, considered by some as the probable +cause of infection. Mr. Simon, in a late lecture, has said, "I consider the +phenomena of infective diseases, to be essentially chemical, and I look to +chemistry to enlighten the darkness of their pathology. Qualitative +modifications, affecting the molecules of matter as to their modes of +action and reaction, are such as form the subject of chemical science; and +those humoral changes which arise as the result of infection clearly fall +within the terms of its definitions." Further on he adds: "The phenomena of +infected diseases appears then, in many respects, to be sui generis. +Certainly they are chemical. _Probably_ they belong to that _class_ of +chemical actions called _catalytic_."[52] + +{127} + +It is not improbable that something resembling a catalytic action may take +place in the blood in those diseases of endemic and epidemic origin, but +that it can be by a chemical process alone is contrary to all experience of +catalytic operations, for except in the instance of fermentation proper, +there is no multiplication of the fermentative matter. The action of the +matter of contagion seems to stand on the confines between electro-chemical +and bio-chemical manifestations, and so long as no chemical explanation can +be given for the multiplication of the matter of infection, the most +rational course to adopt is to assume that life under some unknown form is, +as we every where find it, the sole reproductive agent. + + * * * * * + +{128} + +SECTION II. + +THE ANIMALCULAR THEORY OF EPIDEMICS UNTENABLE. + +The animalcular theory of disease, after remaining almost unnoticed for +nearly two centuries, has been again revived under the auspices of Dr. +Holland in this country, and Henle of Berlin. And though not entirely +buried in obscurity, this theory had completely failed to modify the +practice of physicians in the treatment of those diseases which were +supposed to owe their existence to these invisible atoms of created being. +The resuscitated notions and all their amplifications, to which the advance +of science has contributed so much, are threatened with a like fate, an +absence of all practical results. + +Though I would not attempt to deny the possibility, nay, even the +probability, that insect life may yet be discovered as the cause of some +diseases,[53] still {129} there are many and cogent reasons against both, +and which are at variance with facts and observations. Where insect life +has been found associated with disease, it more especially appears as a +consequence than as a cause. + +Disease, in its most enlarged sense, is a conversion of one form of matter +into another; it is a transformation of healthy blood and tissue into new +and abnormal products. Where insects in all their variety of forms are +discovered, their voracious propensities are their chief characteristics, +they are the consumers of matter after its partial disintegration, if +animal matter be their food, unless they be carnivorous and predacious, or +if herbivorous they usually feed upon the tender shoots of plants. Thus far +we are certain of the manner in which insects destroy living matter; it is +a process the unassisted eye may every where witness, and which experience +has amply attested. To take, however, the animalcular world as it presents +itself to us under the microscope, and as the intermediate step between the +manifest and the hidden for a fairer and more direct method of reaching the +truth, what do we observe to be the ruling law of infusory instinct? They +live to feed; the term polygastrica sufficiently implies their natural +tendency to consume. The simplest form of animalcular life, seen in the +genera of monads, still preserves the animal character by possessing a +stomach or stomachs in which the food is received, to be digested for the +nourishment of the {130} system; and even some of these minute objects +which vary in size from one _two-thousandth_, to one _three-thousandth_ of +a line in diameter, are said to be carnivorous and predacious. Upon this +fact alone, I would place the improbability of insects being the cause of +epidemic disease. Each insect doubtless has its own peculiar food, and +whether it be a vegetable or animal feeder, it consumes the matter already +organized for conversion into its own tissue, and the only change which +could be affected by them in the blood, would necessarily be that of +appropriation of some one of the constituents as an element of food; when +that food is digested, (taking digestion generally as an identical +process,) the excrementitious matter is composed of secretions and +disorganized matter, mixed together as an _effete_ product, and destined +then for reorganization by the vegetable kingdom. Now all animals, whether +they be large or small, live on organized matter,--they convert that matter +into an inorganic form, and I cannot help imagining that if epidemic +diseases and fevers depended upon animalcular growth and development in the +blood or tissues of the body, the excretions or secretions from them would +have yielded some information to the searching enquiries of the chemist, +supposing that these excretions and secretions were capable of reaching to +a sufficient amount in quantity, to bring about those fatal effects of +poisoning, we witness in Cholera and other epidemic affections. Insects, I +{131} believe are poisonous only by their secretions, and though they are +known to multiply with exceeding rapidity, I can hardly imagine that by +their development, however rapid, they could produce such a change in the +human body, as to bring about the speedy dissolution, and generally +gangrenous appearance, that has invariably been observed in those suddenly +dying under the influence of epidemic poisons. The vibriones, whose +destructive effects on wheat are so well known, are a genus of animalcules, +which at first would seem to favour the animalcular theory in a remarkable +manner; for on examining them, they do not appear to possess any other +structure than a gelatinous absorbing mass, in this respect resembling a +vegetable. + +But Ehrenberg's scrutiny corrected the error of De Blanville, and shewed, +that they were far from being agastria, or stomachless animals. The Rev. +William Kirby says, "Ehrenberg has studied the vibriones in almost every +climate, and has discovered, by keeping them in coloured waters, that they +are not the simple animals that Lamarck and others supposed, and that +almost all have a mouth and digestive organs, and that numbers of them have +many stomachs." All the discoveries indeed which have been made on the +minuter forms of animal life, have tended to confirm the doctrine that the +stomach is the exponent organ of an animal; that is, in all animals there +exists, in a variety of modified conditions, a receptacle for food. Some of +the {132} animalcules, however, are still supposed to exist by absorption, +as the vinegar eel, _vibrio anguilla_,[54] but when we find that the law +is, generally speaking, that the receptacles of food become multiplied in +number in these minute beings, and the vibriones which were supposed to be +stomachless, have been proved to emulate their associates in the number of +these organs; it would be more reasonable to conclude that our imperfect +vision is the barrier to their detection, rather than to suppose that they +do not exist. Besides, when we are told on undoubted authority that some of +the animals of this class, have as many as _forty or fifty_ stomachs; the +least we can do, is to allow that all of them possess, at least one +digestive organ, though we may not be able to detect it.[55] + +So far then for the consideration of animalcular structure: let us now more +particularly enquire into their destructive habits, and their functions, +inasmuch {133} as they may be supposed capable of engendering epidemic +diseases and fever. The truly carnivorous animalcules, or those truly +herbivorous in their instincts, we may presume to be beyond the limits of +our enquiry. We have rather to do with those which take an intermediate +position, namely, those which feed upon matter undergoing decomposition, or +upon fluids containing organic matters in solution, or suspension. If we +take Entozoa generally, they may be considered as most conveniently to be +placed in this intermediate class; and here we find still the digestive +apparatus, and more than this,--for upon the modifications of the organs +appropriated to digestion is their classification founded. "Rudolphi +divided the Entozoa into Sterelmintha, or those in which the nutrient tubes +without anal outlet are simply excavated in the general parenchyma, and +into the Coelelmintha, in which an intestinal canal with proper parietes +floats in a distinct abdominal cavity, and has a separate outlet for the +excrements."[56] + +How do these animals obtain their sustenance, and what changes can they +produce upon the vital fluid of the body? Analogy is here our only guide. +If the trichina spiralis is examined, it is found to be enclosed in a cyst +containing fluid; and this is, {134} doubtless, the source of its +nutriment, and contains in solution the elements for its nutrition; but in +this instance there is no selection, and there can be no locomotion to an +extent sufficient to imply searching for food, as the animalcule in its +natural state, when taken from the human muscle, is found coiled upon +itself, making about two and a half turns. The fluid of the cyst is thus in +all likelihood prepared by endosmosis, for the immediate and appropriate +nutrition of the parasite. The cyst is thus the part which performs the +diseased process, the containing animalcule is merely the consumer of what +is prepared for it by the cyst. And this would seem to be the rule with all +parasites, of the encysted kind. + +We have alluded to the vibriones which are found in the fluids of living +bodies, and the trichina which is found in the solid muscle; we have now to +refer to those which infest the cavities. It was, I believe, Ehrenberg, who +shewed that the tartar which accumulates on the teeth is composed of the +debris of minute animalcules; in fact, that it consists of calcareous +matter, having once formed a portion of the structure of their bodies, the +ubiquity of these creatures is therefore as much and clearly established as +the lower forms of vegetation. The intestinal worms, of which perhaps the +Taenia is the most curious and important to be noticed, are from the +locality in which they are found, chiefly injurious by the irritation they +set up, and by appropriating {135} to themselves the nutrient juices +elaborated in the process of animal digestion, thus depriving the +individuals they infest of that which was destined for their own +nourishment. In this, as in all associated instances, the character by +which these parasitic animals are marked is their consuming propensity. +There is, however, one more observation to make upon parasitic growths; but +the question is yet unsettled in what kingdom of nature is the +acephalocyst, or hydatid, to be placed. Mr. Owen says, "As the best +observers agree in stating, that the acephalocyst is impassive under the +application of stimuli of any kind, and manifests no contractile power, +either partial or general, save such as results from elasticity, in short, +neither feels nor moves, it cannot, as the animal kingdom is at present +characterized, be referred to that division of organic nature." + +We thus arrive at the simple cell, and the multiplication of living beings +by cell buds; it is the point at which the confines of the animal kingdom +are reached, and at which we are driven to speculation. The hydatid lives +like a plant, by imbibition; and procreates, like a plant, by budding, +either endogenously or exogenously, as regards the original or parent +cell.[57] + +{136} + +This condition of being, suggested the notion of Protozoa, or first +animals, in the same way that the purely cellular plants, that is, each +individual, consisting of a single cell, gave the idea of Protophyta, or +first plants. Mr. Kirby thus expresses himself on this subject: "The first +plants, and the first animals, are scarcely more than animated molecules, +and appear analogues of each other; and those above them in each kingdom +represent jointed fibrils." + +Admitting, then, that animals as well as plants exist in the form of simple +cells, and that their multiplication proceeds apparently upon the same +principle in each, it is nevertheless abundantly manifest, that the +cellular form of perfect individuals is infinitely more numerous in the +vegetable than in the animal kingdom. + +{137} + +From the mosses downwards to the fungi, the whole structure of the plants +consists of an aggregation of cells, more or less in number and complicate +arrangement, until, through a variety of gradations, we reach the single +cell as a perfect individual. + +It is rather remarkable, that the lower forms of vegetables and animals +seem to derive their nutriment from matter of a similar kind; and though +the office of plants is as a rule, to convert inorganic into organized +matter, it appears that some of the fungi may live as animals do on organic +matter when in a state of solution. This, however, is uncertain; for we do +not know what are the first signs of decomposition in organized bodies, and +for aught we can tell, it may be perpetually going on; so far as the +disengagement of carbon from the system is concerned, this is certain; but +whether the nitrogenous compounds also are subject to a resolution into +their elements in the living body, is another question, and not so easy of +solution. The partially decomposed elements of animal structures are, +however, particularly adapted for the nutrition of the lower forms of +vegetation; it is, indeed, from the decaying organic matters that the fungi +derive, it may be said, their entire food. + + * * * * * + +{138} + +SECTION III. + +SKETCH OF THE PHYSIOLOGY AND PATHOLOGY OF PLANTS AND ANIMALS. + +Animals and plants depend for their existence upon a nutritive fluid, which +permeates their structure; it is the element from which all their +secretions are formed, and their organs are nourished. + +The food of animals is composed of previously organized matters, and is +conveyed into a reservoir called a stomach, where it undergoes a process of +solution, previously to entering the circulation. At this period, the +animal and the plant again present points of resemblance, the lymphatics or +absorbent vessels take up the products of digestion, and convey them to the +blood-vessels, where mingling with the current of the blood, they are +conveyed to the lungs, there to undergo a process of oxygenation before +they become fitted for the renovation of the tissues of the body. Such is +the nature of the food of man, that it contains all the elements necessary +and adapted for transformation into bone, muscle, brain, and parenchyma, as +well as the other tissues of the body; besides other elementary matters, +which, though they form a very insignificant portion of {139} animal +textures, from their constant presence in the vital fluid, evidently +perform some important offices in the general economy of life; they are +partly, perhaps, occupied in forming constituents of secretions. + +Plants do not require a stomach,--the humus or soil to which they are fixed +is the laboratory, where the nutritive matter is prepared in a state fit +for absorption by the spongioles of their roots, and these correspond to +the lymphatics of animals; after being taken up by the spongioles, this new +fluid mingles with the sap, and passes to the leaves or breathing apparatus +of plants, where carbonic acid gas combines with the crude vital liquid, +and converts it into a condition fit for all the offices to be performed by +the plant: viz. the growth of tissues, and the elaboration of secretions. + +The tissues, however, of plants, though more simple in their nature, +present a much more varied character than those of animals, when the +different species are compared. + +The bones of animals which give them their form, are invariably constituted +of phosphate and carbonate of lime, deposited in a matrix of gluten; +muscle, nerve, brain, tendons, and ligaments, have nearly, if not +completely, an identical composition throughout the whole range of the +animal kingdom: their secretions, however, vary much more considerably, as +also do the secretions of vegetables. But vegetable tissue may contain, as +in the stems of {140} grasses, a considerable amount of silex, and some +notable quantity of sulphur, and so essential to their existence is the +former element, that they cannot live without its presence in the soil, and +also with it an alkali, to render it soluble. A large amount of soda, is an +invariable attendant upon the structure of marine plants, as potash is of +those growing on the land. + +Thus, whether we regard the health of animals, or vegetables, we discover, +that besides the matters which are absolutely indispensable for the +nutriment of the tissues which undergo rapid transformation, those of a +more permanent and durable nature require in an almost insensible degree, a +restitution of elements; and though not apparently absolutely necessary to +preserve vitality in the being, yet have so marked an influence over it, as +to indicate an extensive bearing of each individual part, on the whole +associated entity. + +The elementary tissues of both kingdoms have been traced, in whatever form +they may be found, to a cellular origin. The minutest vegetable germ, is a +cell containing a granular matter within it, and even man himself, in his +embryonic state, may be represented as an insignificant point in the realms +of space; and might be placed side by side with the smallest particle of +living matter, without suffering by the comparison. + +The laws by which the development of these elementary cells is regulated, +so that each advances {141} to its limit, and fulfils its destination, is +one of those inscrutable and overwhelming mysteries of nature, which leads +the admirer of creation on and on into the abyss of the future, and fills +his soul with aspirations for that time, when the veil of ignorance shall +be withdrawn. But this is not my subject. + +The organization of the two animated kingdoms, is then regulated by +definite laws, and all matter, whether acting upon them as agents of +nutrition or destruction, are equally under their dominion; to investigate +and to endeavour to fathom some of these laws, is the aim I have in view. + +The sap is to the plant, what the blood is to the animal,--the elements of +nutrition and secretion are contained in it, and whatever interferes with +its normal constitution by subtracting from, or adding to it, deteriorates +its qualities, and retards or accelerates the functions of the individual. +Excess or deficiency of the natural elements may also be a source of +disturbance; if carbonic acid be too abundantly liberated in the soil, as +Dr. Lindley expresses it, "plants become gorged;" and if, on the other +hand, the elimination be too slow, they become starved. It has been also +shewn, that plants though they give out oxygen from their leaves, do not +throw it off as animals do carbonic acid from their lungs; but that this +arises as a result of digestion, and the fixation of carbon in the system, +and that they really respire oxygen as {142} animals do, and give off +carbonic acid, both by day and night. + +That light is the stimulant of the digestive functions, and that, +therefore, during the day, the amount of oxygen thrown off, far exceeds the +amount of carbonic acid liberated during the same period. + +The great and important distinction between animals and plants is, that the +former possess a nervous system, by which they are subject to a very +extended series of psychological relations; it is in these chiefly, if not +entirely, that we are to look for the distinctive and well-marked +differences of diseased action. In animals there are special media of +communication between the sources of dynamic power, and the parts upon +which the force is exercised: and again, a return communication exists, +which conveys impressions to the source of power, and to use a simple +comparison, a system of telegraphing is in incessant and watchful +operation. This force is influenced and modified in its action, when +exercised in the regulation of nutrition, growth, and reproduction of +tissues, by the passions and emotions of the mind. All the secretions and +functions of the body are more or less susceptible of being accelerated, +retarded or modified by the psychical relations of mind and matter. Though +we are apt to imagine that in man alone, these phenomena obtain much +importance--there can be but little doubt, that wherever a {143} nervous +system exists, whether in the form of aggregated or diffused ganglia, the +interdependence of force and organization, each upon the other, bears a +certain and definite physiological comparison; the more aggregated the +ganglia, the more close, intimate, and extensive the psychical connexions, +and the gradations pass downwards, until they appear to be lost on the +confines of the vegetable kingdom. + +The diseases of plants and animals deserve a more careful comparison than, +I think, has hitherto been bestowed upon them.[58] If the study of +physiology, or an enquiry into the laws which regulate the functions of +living beings in a state of health, has been materially aided by the +intimate knowledge of vegetable physiology, which, from the simple +structure of plants, so favours the experiments of the student, there is +every reason to suppose that vegetable pathology may also lead us to an +equally important and useful result. + +It is quite certain, that if a healthy seed, or leaf-bud, be placed in such +a situation, that, according to the laws known, it will in all likelihood +germinate, if all the elements for its sustenance exist in the soil, and +the temperature and hygrometric {144} condition of the atmosphere are +adapted to it, a healthy plant will be the result. Light, heat, moisture, +and soil are therefore to be considered as the agents required to exist in +a certain balance, or proportion, in reference to the health or power of +vitality of the plant. Within a certain amount of variation, health may +persist in virtue of the power of selection, which appertains to the +spongioles of the root in absorbing nutriment; and also as regards light, +from the tendency which most plants have to accommodate themselves to any +deficiency of this element, by presenting their leafy expansion in that +direction where the most of its influence may be obtained. But beyond a +certain limit an unhealthy condition sets in. If the soil contain not the +inorganic elements, which are absolutely indispensable for the tissues of +the plant, or even if they be there and not in a state to be absorbed, a +dwindling and degeneration ensue; if light be deficient in quantity, +pallor, feebleness, and elongation of tissue follow, with more fluidity and +general softness of texture. These conditions of plants have their +analogues in the ill-fed and ill-nourished children in some of our +manufacturing districts; they are stunted and diseased. Transport a healthy +country lad, with the bloom of health on his cheek, from his native hills +and valleys, or woods and fields, to the stool behind a desk for eight +hours a day, in a narrow street in any city, where the rays of the sun +rarely penetrate, it will not be long before {145} the skin of the animal +and the cuticle of the plant may be submitted for comparison, when both +will testify to the importance of the solar rays, as an indispensable agent +in supporting the normal processes of organic life. So far common +observation is competent to a solution of the facts; but beyond this we +come to the enquiry, what resemblances are there in the early conditions of +plants and animals. Each originates from nucleated cells, endowed by the +All-seeing Power with a blind impulse of progressive development; the most +simple cell of a vegetable multiplies itself by a generation of new cells +within it, when the parent dies, and liberates the offspring. Here +progression is simply multiplication; it is, as it were, progression in +length only. The original cell, however, of animals, which is styled the +germinal vesicle, extends or becomes developed into dissimilar parts; and +whatever may be the variety, all alike proceed from the original germ cell, +and the _tout ensemble_ of parts constitutes the one and indivisible whole; +in this instance there is addition besides multiplication, tissues and +organs are added in all variety, until the maximum of organic development +is attained in the wonderful being, man. + +Yet how many points of resemblance are there between the vegetable cell and +the fully developed human being, in a physiological and pathological point +of view. There must be nourishment to sustain both; both require a certain +amount of light {146} and heat for their growth and increase, and are +dependent upon various unknown causes for active and healthy existence; and +when a certain time has expired, all alike return to a condition, in which +the particles composing them are subject only to the dominion of the laws +which preside over inorganic matter. + +But during the existence of plants and animals, we discover other features +of comparison; plants, as well as animals, are liable to disease; they are +subject to functional and organic affections. The former, among plants, are +usually traceable to atmospheric vicissitudes or irregularities, changes of +situation, &c.; and in man to irregularities of diet, and mental and bodily +excesses, as well as to atmospheric vicissitudes.[59] + +The organic diseases of plants and animals depend upon a repetition, or +continuance, of functional derangement. As a consequence of this, the +nutrition and reproduction of tissues lose their normal and definite +character, wherefrom an indefinite and abnormal result is obtained. There +is a limit to abnormal productions, and they are apparently {147} subject +to laws, though not yet understood. In animals, they may be either +excessive development of natural tissue in natural localities, as obesity +and fatty tumours; they may be natural products in unnatural situations, as +fatty degenerations of muscular tissue; or altogether new and unnatural +products, as tubercle and cancer. + +In plants, from their greater simplicity of structure, organic affections +are perhaps entirely limited to the two first forms of animal organic +disease; viz. to undue development of tissue in natural situations, and to +the formation of natural tissue in parts of a plant where they are not +usually found in a state of nature. The variety of excrescences seen on the +stems, branches, and twigs of plants, may be given as instances of the +former; and the conversion of stamina into petals, as in double flowers, as +an instance of the latter. + +We derive our sustenance from vegetables, and they from us; they produce +for us the soothing opiate and the deadly strychnia; we for them the +animating ammonia, and the distortions and sterility of excessive culture; +we engender in them, by the latter, debility, disease, and death; and in +our turn we become their prey. All this indeed is but a cycle of events, +that requires no learned mind to fathom, and to comprehend; it is a matter +of every day occurrence, and, though perhaps not entirely unheeded, is not +dwelt upon in the fulness of its bearings and importance. {148} + +Let us now consider the diseases of plants, as a study progressive to those +of man; and as their physiology has so extensively served us, we may +possibly also find in their pathology much material for instruction; not +that it will be attempted to shew that the same diseases affect both +kingdoms, but that diseases, though dissimilar in effects, may have similar +sources. + +Unfortunately, there are not many men in this country, who need go further +than their own gardens to find abundance of disease among their fruit trees +and vegetables. The vine, the apple and the potato, common to most gardens, +will furnish specimens. + +It is an error of a serious kind to suppose, that the parasites which +infest plants are not essentially the cause, or, perhaps, more properly +speaking, the elements of disease. I confine myself here to disease of +parasitic origin, as that is the subject of which I am chiefly treating. + +That parasitic growths are the elements of disease in some instances, is +now beyond dispute. The experiments of Mr. Hassall, detailed in Part II. of +the Transactions of the Microscopical Society of London, are most +conclusive; and they are of that simple nature, that any one may convince +himself of their accuracy, by a repetition of them from the directions +there laid down. + +He says, the decay is communicable at will "to any fruits of the apple and +peach kind, no matter {149} how strong their vital energies may be, by the +simple act of inoculation of the sound fruit with a portion of decayed +matter, containing filaments of the fungi. We may use with success the +sporules of such fungi; but in this case the decomposition does not set in +so quickly; in the one case, the smaller filaments of the fungi have +advanced several stages in their growth; while in the other, the sporules +have yet to pass through the several stages of their development." + +Mr. Hassan, however, seems to speak doubtfully as to the mode in which the +disease becomes naturally introduced;[60] how the spores enter the fruit, +"is not very clear--though probably, it is by insinuating themselves +between the cells of which the cuticle is composed, or perhaps by means of +the stomata, where they are present. I may here state that the experiments +were made on fruit, while living, and attached to the tree." + +But why should there be a doubt as to the parts by which the sporules of +minute fungi enter the plant, when it is clear, that not only can they +enter {150} by the spongioles, but by the stomata of the leaves, and mingle +with the sap. It is true, that they make their appearance and grow upon the +leaves and the fruit; but these are the situations most adapted for their +fructification. I have seen the spores of the fungi which attack the +cucumber and vegetable-marrow, in the cells of the hairs, and even their +filamentous prolongations; these appropriate the fluids conveyed to the +cells of the hair, rupture them, and at length fructify. + +On referring to Dr. Lindley's Medical and Economic Botany, I find that many +fungi are the active elements of disease, and in a manner which renders it +highly improbable that they are so in any other way, than by obtaining an +entrance to the sap of the plants. Of the microscopic fungus which destroys +wheat, the Uredo caries of De Candolle, we find the habitat to be within +the ovary of the corn, and that 4,000,000 may be contained in a grain of +wheat,--now this and another fungus, the Lanosa nivalis, are said to +destroy whole crops of corn: we cannot imagine that such an extensive +affection, can have any other source than by means of the spores through +the sap, seeing that bruising of the surface, or rupture of the cuticle of +the apple, a comparatively soft fruit is necessary to produce the disease +artificially in them; besides, a grain of corn containing vibriones, when +grown and having fruited, the new fruit also contains them--now here, as +this is I believe almost invariably the {151} case, either they or their +ova must be carried with the sap to the new germs. + +It is rather a remarkable fact, that these entophytes appropriate the +nutriment destined for the plant in which they grow, they are consequently +the means in many instances of its entire destruction, though only +partially so in others. + +There are many Fungi which have this tendency. The Puccinia gramienis, +"preys upon the juices of plants, and prevents the grain from swelling." +The Aecidium urticae, common on nettles, deprives the plant on which it +grows, of the organizable matter, intended for its own nutrition. The +Erysiphe communis, overruns and destroys peas. The Botrytis infestans, +"attacks the leaves and stems of potatoes." The Oidium abortifaciens, +attacks the ovaries of grasses--and the Oidium Tuckeri, "a formidable +parasite, destroys the functions of the skin, of the parts it attacks." The +latter has been most injurious to the vines, during the last two years. I +have known instances in which the vines have been cut down, and every means +taken to rid the houses of the disease; but this year, it has made its +appearance, with all its former virulence, in the new shoots. + +This, however, is sufficient to shew that plants are liable to disease, +depending upon parasitic growths, which affect their vital powers, and +deprive them of their natural nutritive fluids. + +But somewhat similar diseases belong also to {152} warm climates; in a +letter from Cuba, dated Dec. 1843,--Mr. Bastian writes, "_a plague_ has +appeared among the orange trees--a mildew attacking the leaves and the +blossoms, which finally dry up. It most frequently kills the trees. None of +the orange family are exempt; lemons, limes, and their varieties, with the +shaddock and forbidden fruit, have all suffered." This disease has +continued without intermission, till the present year,--when the same +gentleman writes, Feb. 20th, 1850: "The evil exists, although in a +diminished degree, so much so, as to have allowed the trees to produce me +30,000 oranges again. In old times, the same plantations produced me +100,000." + +The West India sugar-canes are also liable to a disease, which the Rev. Mr. +Griffiths, in his Natural History of the Island of Barbadoes, speaks of, in +the following manner: "This, among diseases peculiar to canes, as among +those which happen to men, too justly claims the horrible precedence." This +disease is called the Yellow Blast. It is difficult to distinguish the +Blast in its infancy, from the effect of dry weather. + +There are often seen on such sickly canes, many small protuberant knobs, of +a soft downy substance. It is likewise observable, that such blades will be +full of brownish decaying spots. The disease is very destructive to the +canes. It is observed, that the Blast usually appears successively in the +same fields, and often in the very same spot of land. {153} + +This Blast is often found far from "infected places," and the infection +always spreads faster to the leeward, or with the wind. + +"_It is remarkable if canes_ have been once infected with the Blast, +although they afterwards to all appearance, seem to recover; yet the juice +of such canes will neither afford so much sugar, nor so good of its kind, +as if obtained from canes which were never infected." + +I may here allude to the circumstance, that in the island of Cuba, the +destructive mildew is commonly called, _la pesta_. + +It were needless to multiply instances of other endemic and epidemic +diseases of vegetables; they are well known by practical observers to be +very numerous, and I believe, in most instances, depending upon fungoid +growths. The destruction of vegetables by insects, is of a very different +nature to that produced by the fungi; it would be as unreasonable to +consider the consumption of corn and herbage by locusts, as a disease of +vegetation, as the massacre and devouring of human beings by cannibals, a +disease of the human body. + +It is true that insects are exceedingly destructive to plants, but as far +as I am able to obtain information, they appear to be so chiefly by their +voracious propensities; they consume the structure of the plant in its +entity, and do not primarily interfere with its vitality. The instance of +the vibriones, before-mentioned, seems at first to be an exception {154} to +the rule, but this is rather apparent, than real; and it may be made to +apply more as a confirmation, than an obstacle to the vegetable theory: for +if we may fairly compare the diseases of animals with those of plants, the +existence of entozoa in the latter, would be considered an essential point +to be substantiated. + +Having now considered the question as to the infeasibility of supposing +that chemical fermentation is the basis upon which a theory of diseases can +be sustained, and having shewn that life is inseparable from infection, and +miasmatic generation;--having explained the phenomena of the dispersion of +diseases by comparison with the dispersion of plants, and finally, having +demonstrated that the physiology and pathology of plants bear so close a +relation to each other, and that their epidemic affections depend upon +minute organic germs, I submit to the judgment of my readers, whether there +is not much reasonableness in the application of the facts to the +inference--that living germs are the cause of epidemic disease in man and +animals. + + * * * * * + + +{155} + +CHAPTER IV. + +RESULTS IN PROOF OF THE TENABLENESS OF THE PROPOSITION. + +-------- + +SECTION I. + +OBSERVATIONS ON SOME OF THE LAWS OF EPIDEMIC DISEASES. + +The results obtained by comparing certain facts connected with Epidemic +Affections of animals, with analogous affections in plants, afford, from +the few instances I shall here notice, a very strong presumption, that +analogous causes operate in the production of these affections. I have +already quoted from Hecker, to shew that previously to, and during the +Epidemics of the Middle Ages, the minuter forms of animal and vegetable +life appeared to be called into existence, much more abundantly than usual; +that famines prevailed in consequence of failure of cereal crops, no doubt +depending then, as now, upon the various forms of fungiferous growth. I +cannot refrain quoting here, a passage or two from our old friend Virgil; +for he confirms not only the fact of peculiar showers in {156} connexion +with diseases, but he also refers to the rust of corn, thus: + + 150. "Mox et frumentis labor additus; ut mala culmos + Esset rubigo ... + ... Intereunt segetes." + + _Georg. 1._ + +Then: + + 311. "Quid tempestates autumni et sidera dicam? + + . . . . . . + + 322. "Saepe etiam[61] immensum coelo venit agmen aquarum + Et foedam glomerant tempestatem imbribus atris + Collectae ex alto nubes." + + _Georg. 1._ + +The occurrence of black showers in this country has been observed during +the present year, and I understand that in the fenny countries of the East, +the corn has suffered much from the Uredo. I am not mentioning the +circumstances as cause and effect, but merely to call attention to the +fact, that unusual phenomena of this kind have been generally associated +with disease of the animal and vegetable tribes. + +The same causes also predispose plants as well as animals, to epidemic +attacks of disease. The repeated observations in the public journals on the +subject of ventilation, drainage, and over-crowding, render all notice from +me needless, to shew that these, though they do not produce the diseases +{157} treated of, yet that under the influence of bad air, bad drainage, +and over-crowding, epidemics are fostered and spread. + +Lastly, says the Count Philippo R['e], "I would remark that if _bad +cultivation, and especially bad drainage, does not produce bunt or smut, it +is certain that those fields, the worst treated in these respects, suffer +the most from these diseases_." + +It has been remarked by many observers, that a greater fecundity has +attended upon Pestilences, and this has been proved by comparison, that the +births in proportion have far exceeded the ordinary limit.[62] In +juxtaposition with this observation, I will place the following, not as a +proof, but as a remark made quite independently of the subject of which I +am treating. "From the first the diseased ears are larger than the healthy +ones, and are sooner matured. What appears singular, but which I have not, +perhaps, sufficiently verified, is _that the seeds are more abundant than +in a sound ear_." + +{158} + +Now these are facts which require amplification, and if these two alone +should be shewn upon an extensive field of observation, to apply not only +to corn, but to other members of the vegetable kingdom, as I doubt not will +be the case, though I am not fully prepared to prove it, it would be +difficult to dissociate the fertility of the two living kingdoms from the +operations of one and the same, or an analogous law. + +The epidemic diseases of plants are both infectious and contagious, at +times they are observed to be endemic only, and then depending particularly +upon some local causes. This is a law of diseases which applies equally to +those of men and animals. In connexion with this law is another, which, as +far as I am aware, has not hitherto been noticed in connexion with plants. +The potato disease, which excited so much interest and created so much +anxiety for the poorer classes of society, led the Government of this +country to employ the most learned men to investigate the subject, in the +hope of propounding some reasons which should explain the cause of the +calamity, and thereby deduce a method of eradicating the evil, or, in other +words, discover a cure for the disease. Many were the opinions as to the +cause of the distemper, which it were useless here to recount, but a method +was suggested, to which most people, I believe, looked forward with great +anticipations, and this was to obtain native seed, and to sow it on virgin +soil. Was the end accomplished? No. {159} For though the seed was sown, and +the plants grew, the disease still appeared among the newly imported +individuals, to as great an extent, as among the native or domesticated +plants. + +As a parallel to this, it may be stated, that, as regards either endemic or +epidemic disease, those persons newly arrived, either in a district or +country where these prevail, are even more liable to them than the +residents.[63] Again, I have learned, that where the potato disease has +been so bad as to render the crop almost valueless, the best plan to be +adopted is, to allow the plants to remain in the earth, and thus leave such +as retain their germinating powers to come up spontaneously the following +year. I certainly saw one large field treated in this way, yield a crop +almost without disease. + +{160} + +The seasoning, in this instance, seems to bear a comparison with the +seasoning of animals and man, under a variety of diseases, which for a time +renders them insusceptible of another attack. It therefore does not appear +so improbable, that these affections may be regarded, as Unger, the German +botanist supposed, the Exanthemata, or Eruptive Fevers of vegetables. + +Another feature seems to associate the Epidemics of plants and animals, in +a manner suggestive of analogous causes operating in both instances. + +The lungs of animals and the leaves of vegetables, are their respiratory +organs, by means of which, the blood in the one case and the sap in the +other, derive gas from the air, and impart gas to it, each taking what is +thrown off by the other. + +Now the epidemics among vegetables, have a remarkable tendency to exhibit +their effects primarily on the leaves, and particularly on those parts +which are appropriated to the function of respiration. It is from the +stomates that many of the fungi commence to germinate, and their +fructification may be seen sprouting from the opening composed of a chink, +surrounded by a peculiar arrangement of cells, which constitute the +breathing apparatus of their victim. + +In the earlier epidemics, of which we read, one of the most remarkable +circumstances, was the extraordinary influence the poisonous matter +appeared to {161} exercise over the lungs,[64] and they again, were the +means of propagating the disease, and spreading the contagious particles +through the atmosphere, for we read: "Thus did the plague rage in Avignon +for six or eight weeks, and the pestilential breath of the sick, who +expectorated blood, caused a terrible contagion far and near, for even the +vicinity of those who had fallen ill of plague was certain death; so that +parents abandoned their infected children, and all the ties of kindred were +dissolved."[65] "The like was seen in Egypt. Here also inflammation of the +lungs was predominant." "Here too the _breath_ of the sick spread a deadly +contagion." + +It is more than probable that all infectious matter obtains an entrance to +the system through the lungs. Inspiring the air containing the pestilential +semina is, indeed, the only plausible explanation of infection; for though +the skin is indubitably an absorbing {162} surface, and capable of taking +up and conveying to the blood any noxious matter applied to it, yet it is +far more probable that the lungs would effect this process with greater +rapidity. Then the stomach, the only other absorbing surface to which +extraneous matter can be applied, is not likely to be the part where the +elements of disease would obtain an entrance to the system, for many facts +prove, that infectious matter may be swallowed without any injurious +consequences, unless in a very concentrated state. Instances are not easily +found of diseased matter having been swallowed, except where diseased +vegetables have formed under some combination of circumstances, a portion +of diet.[66] + +Many facts are on record which prove the powerful effect of diseased grain +when made into bread, and taken for any length time as a principal article +of food. The history of Ergot of Rye is too fresh in the memory of most +people to require more than an allusion here. The stomach had no power over +the secale, its poisonous properties were retained, after having been +submitted to the digestive process, as was evidenced by the abortions and +gangrenes it occasioned. + +But diseased wheat is also capable of inducing {163} gangrene, and it is +more than probable, that many diseases might be traced to the use of +infected grain of various kinds. An interesting account of a family who +lived at Wattisham, near Stowmarket, in Suffolk, and all of whom suffered +more or less from living on bread made of smutty wheat, may be found in the +Philosophical Transactions. The mother of this family and five of the +children, consisting of three girls and two boys, all suffered from +gangrene of the extremities; the father lost the nails from his hands, and +had ulceration of two of his fingers.[67] Dr. Woollaston wrote thus in a +letter on this case: "The corn with which they made their bread was +certainly very bad: it was wheat that had been cut in a rainy season, and +had lain on the ground till many of the grains were black and totally +decayed, but many other poor families in the same village made use of the +same corn without receiving any injury from it. One man lost the use of his +arm for some time, and still imagines himself that he was afflicted with +the same disorder as Downing's family." It is not unlikely this was the +case, for numbness and loss of power was one of the well marked characters +of the disease. + +What other afflictions may be due to diseased vegetation and adulterated +articles of food, and what loss of life may accrue from cheap and +adulterated {164} drugs and chemicals is hardly yet dreamt of.[68] The +systematic practice of adulteration of almost every article of diet which +comes to table has become a serious question for the legislature to +consider. Take only the article of milk, upon which the young children of +large towns and cities, make their chief meals, with the addition of bread. +How much milk comes into London from the country, how much is obtained from +stall and grain-fed cows in the metropolis, and how much is said to be +consumed, would be an interesting calculation. It is pretty well known that +a mixture is sold by which a retailer of milk may increase his supply by +one-third or one-half. It was discovered in Paris that the brains of +animals, when prepared in a particular manner, formed, when mixed with a +certain proportion of milk and water, a very fine and deceptive cream; in +that city this system was carried on to a considerable extent. I could not +help alluding to these facts while speaking of diseased grain, for who +shall say to what extent a miller in a large way of business, may be able +to "work in," as it is called, a considerable amount of smutty corn in the +manufacture of flour? Now, as diseased grain is known {165} to induce +abortion, it is impossible to tell how small a portion may in some cases +produce the effect; we may therefore say with Thomas of Malmesbury, "There +is no action of man in this life which is not the beginning of so long a +chain of consequences, as that no human providence is high enough to give +us a prospect to the end."[69] + +To return,--associated with these observations are other facts of +considerable weight. Before and during pestilences, abortions are more +frequent than in ordinary times; infectious and contagious diseases induce +abortion; besides this, and independently of disease, conditions of the +atmosphere have been known to exist when abortion has been an epidemic +affection; of this Dr. Copland says, "to certain states of the atmosphere +only can be attributed those frequent abortions sometimes observed which +have even assumed an epidemic form, and of which Hippocrates, Fischer, +Tessier, Desormeaux, and others have made mention." With this reference I +will close the subject of comparison between the affections of the +breathing apparatus in animals and plants, merely alluding to the +probability that under some conditions of atmosphere, independently of +heat, &c. vegetables without any other assignable cause will become +abortive. + + * * * * * + +{166} + +SECTION II. + +WHAT IS THE NATURE OF THOSE POISONS WHICH MOST RESEMBLE THE MORBID POISONS +IN THEIR EFFECTS ON THE BODY? + +In the early part of this book, I considered the nature of poisons +generally, and had occasion to remark upon the characters which separated +poisons into two distinct classes. 1st, Those which have the power of self +multiplication; and 2nd, Those destitute of this property. + +Of the first we have seen that the poisons of epidemic diseases multiply +both in and out of the body. + +The poisons of infectious diseases, not usually epidemic, do the same. +Those of endemic affections, such as ague and some fevers, usually become +multiplied out of the body only, but under some circumstances, and peculiar +atmospheric conditions, they may be also multiplied within the body. The +amount of these poisons necessary to produce their specific effects, may be +inappreciable. Of the second class, there are two kinds, those derived from +the organic kingdom and those derived from the inorganic kingdom. Of these, +the amount necessary to produce their specific effects is appreciable and +pretty well known. + +But among those poisons, consisting of organic {167} products, there is one +which seems to hold an intermediate place. This is derived from one of the +Fungals, and as it takes this remarkable position as a link of connexion +between the two classes of poisons, I may be excused quoting a passage of +some length upon this agent, from Dr. Lindley's Vegetable Kingdom. "One of +the most poisonous of our fungi, is the Amanita muscaria, so called from +its power of killing flies, when steeped in milk. Even this is eaten in +Kamchatka, with no other than intoxicating effects, according to the +following account by Langsdorf, as translated by Greville. This variety of +Amanita muscaria, is used by the inhabitants of the north-eastern parts of +Asia in the same manner as wine, brandy, arrack, opium, &c. is by other +nations."--"The most singular effect of the amanita is the influence it +possesses over the urine. It is said, that from time immemorial, the +inhabitants have known that the fungus imparts an intoxicating quality to +that secretion, which _continues for a considerable time after taking it_. +For instance, a man moderately intoxicated to-day, will by the next morning +have slept himself sober, but (as is the custom) by taking a teacup of his +urine, he will be _more powerfully intoxicated_ than he was the preceding +day. It is, therefore, not uncommon for confirmed drunkards to preserve +their urine, as a precious liquor against a scarcity of the fungus. The +intoxicating property of the urine _is capable of_ {168} _being +propagated_; for every one who partakes of it has his urine similarly +affected. Thus with a very few amanitae, a party of drunkards may keep up +their debauch for a week." + +This property of the amanita, at once places it in a separate category from +all other organic poisons, it has yet to be shewn upon what this +intoxicating fungus depends for its activity. Whether some secretion is +formed in the tissue of the plant, or whether some new arrangement of the +particles of matter or modification of the sporules, is brought about by +entering the system, it is impossible to say. Langsdorf states that the +small deep-coloured specimens of amanita, and thickly covered with warts, +are said to be more powerful than those of a larger size and paler colour. +As the effect is not produced until from one to two hours after swallowing +the bolus, and as a pleasant intoxication may be obtained by this agent for +a whole day, and from one dose only, there is a defined line between this +and the ordinary narcotics and stimulants in common use. That the digestive +powers of the stomach have no influence over the intoxicating properties of +the plant, is manifested in the fact, that the active principle passes into +the urine, not only not deteriorated but apparently increased, for, as we +have seen, a teacup of the urine from a man, intoxicated by taking the +amanita into his stomach, will cause him to be more powerfully intoxicated +than by the {169} original dose. We have, therefore, but two conjectures +left for consideration, either the original intoxicating principle is +excreted from the system in a condensed form, in which case its +indestructibility by digestion, makes it approach the ordinary organic +poisons, or there must be an increase of the toxic agent, in which case we +must suppose a reproductive process having taken place in the system. +"There is," says Dr. Mitchell, "in the wild regions of our western country, +a disease called the _milk sickness_, the _trembles_, the _tires_, the +_slows_, the _stiff-joints_, the _puking fever_, _&c._" The animals +affected with this disease, "stray irregularly, apparently without motive;" +they lose their power of attention, and finally tremble, stagger, and die. +"When other animals--men, dogs, cats, poultry, crows, buzzards, and hogs, +drink the milk or eat the flesh of a diseased cow, they suffer in a +somewhat similar manner." This disease is attributed by Dr. Mitchell to the +animals having grazed on pasture contaminated with mildew, and the +resemblance to the effects of the amanita, together with the persistence of +the specific principle within the fluids and tissues of the body, render it +more than probable that to some fungoid growth, is due the peculiar toxic +effects here noticed. Further: "The animals made sick by the beef of the +first one, have been in their turn the cause of a like affection in others; +so that three or four have thus fallen victims successively." De Graaf +states, that butter {170} made from the milk of diseased cows, though +heated until it caught fire, did not lose its deleterious properties. The +urine of diseased animals, collected and reduced by evaporation, produced +the characteristic symptoms. All these facts point to some peculiarity in +the properties of matter not yet investigated or at least not explained. If +we may assume that reproduction is here an element of the persistence and +apparent multiplication of active matter, I know only of one instance to +compare with it. A gentleman about to deliver a lecture on the properties +of arsenic, and its history generally, made two solutions of a given +quantity of arsenious acid, in the following manner. He took a certain +amount of distilled water, and the same of filtered Thames water, and made +his solutions of arsenic by separate boilings, he then as soon as possible +placed the liquids in identical bottles, carefully prepared for their +reception. In the one which contained the arsenic boiled in river water, +the hygrocrocis is now growing, while that boiled in distilled water +remains perfectly limpid and free from any vegetable production. There can +scarcely be a doubt, that the filtration of river water was not +sufficiently purifying to remove the minute spores of some lower forms of +vegetation, which not only live in arsenic but have resisted the +temperature employed in boiling an arsenical solution to saturation. + +As to the first class, or truly reproductive and {171} morbid poisons, the +most heterogenous ideas have from all time existed. I have introduced the +notice of the above poisons, viz. the Amanita, and that which engenders the +milk sickness, to compare the results of the morbid poisons on the human +body with them, and also to associate them with the effects of diseased +grain. From the Amanita and that other fungoid matter which is said to +produce the milk sickness, there appears to be a purely toxic action on the +system, but in the instance of diseased grain, a blood disease, ending in +gangrene, or a specific and peculiar action of the generative organs is the +consequence, and where the latter occurs, the poison usually expends itself +on these parts, either by inducing abortion, or augmenting the catamenial +secretion. + +Now, the morbid poisons, if studied only in their results, shew that there +is a combination of these two actions. There is usually, in the first +place, a toxic or poisonous action, and secondly, a deteriorating or +decomposing action on the blood, by which there is a tendency to low or +asthenic inflammation and gangrene. It matters not what form of fever we +take as an illustration, whether intermittent, pestilential, or +exanthematous, either will serve the purpose of shewing how completely the +effects of vegetable organic poisons resemble those which for the sake of +distinction (I suppose) have been denominated Morbid Poisons. + +Take an attack from the paludal poison. It is {172} usually ushered in with +head-ache, weariness, pains in the limbs, and thirst, with other symptoms; +all these are indicative of a poisonous agent in the blood: then come the +full phenomena of the disease at a longer or shorter interval, and tending +ultimately to destroy some organ of the body. The mind suffers during the +course of the attack, and delirium occasionally happens. In severe cases of +this disease, which were more frequent formerly than now, coma, delirium, +and frenzy were observed at the commencement of the attack, and a tendency +to rapid disorganization of one or several of the viscera. + +If we take the effects of poison of Erysipelas, of Scarlet Fever, or +Plague, in each we find at the onset more or less general derangement of +the system, usually with cerebral disturbance and disordered action of all +the dynamic forces of the body, which clearly indicate the action of a +poison; then, unless some favourable symptoms arise, the blood exhibits a +steady advance towards disorganization, and sphacelation of one or more +tissues or parts of the body ensues. In Erysipelas the force of the +diseased action is expended on the skin, and subcutaneous cellular tissue; +in Scarlet Fever the fauces ulcerate, and slough and the parotids +suppurate; in the Plague there is a general tendency to putrefaction, and +the formation of glandular abscesses with sphacelas. Without going any +further into this matter, for my present intention is merely to draw {173} +notice to certain facts, let me now ask, whether or not, do the poisons of +the Ergot, the Uredo, and the Amanita, exhibit more analogy in their action +on the nervous system, the blood and the tissues, than any other poisonous +agents with which we are acquainted? If the whole range of the lower fungi +could be examined in reference to their operation on the blood, as +decomposers of organic compounds,--if experiments could be made, by which +the properties of fungoid matter could be detected, I would venture to say +the whole of the phenomena of these diseases could be readily comprehended +and their intricacies unravelled. + +We know that the fungi are poisonous, that at times and seasons, and under +variations of climate, they vary in their effects, and perhaps lose +altogether these properties. We know that the fungi produce gangrene of the +tissues, and disorganization of the blood; we know that their spores +pervade the atmosphere, and are ready, under favouring conditions, to +increase and multiply; we know that they are ubiquitous, and that those +conditions most favourable to their development, are exactly such as are +proved to foster and engender disease, and above all, they have been proved +to be the elements of some diseases in man, in animals, and in plants. Can +as much be said of any other known agents, animate or inanimate, comprised +in our category? + +It has been said, we do not see after death,--the {174} interlacing +mycilium, or the sprouting pileus; therefore the fungi are not the agents +of disease--it has been said that carbonic acid and alcohol are not found +as products of diseased action--consequently disease is not a fermentative +process. "In all cases," says Liebig, "where the strictest investigation +has failed to demonstrate the presence of organic beings in the contagion +of a miasm, or contagious disease, the hypothesis that such beings have +cooperated, or do cooperate in the morbid process, must be rejected as +totally void of foundation and support." Much as I admire the genius of +this great man, it is difficult to refrain from remarking, that I doubt if +any of his great discoveries would have been made, if, in the first +instance, hypotheses had not formed the basis of all his researches. It has +been said, "that casual conjunctions in chemistry, gave us most of our +valuable discoveries:" and it is from casual conjunctions that hypotheses +are usually formed, the working out proves either their fallacy or their +truth, but to say that an hypothesis has no foundation, until demonstrated +to be true, is rather knocking down argument. And who, let me ask, has been +more prolific of hypotheses than our continental neighbour? Yet he, +according to his mode of reasoning, would sweep away all such words from +the vocabularies of philosophers. What foundation has the chemical +hypothesis of disease, when it fails to explain the most important element +{175} of contagious and infectious diseases: viz. the reproductive property +of their germs? + +It is perhaps necessary to say something in explanation of the sudden +deaths arising from morbid poisons. They may occur from two causes. One +being the result of a concentrated amount of poison germs being inhaled +into the lungs, and acting as an ordinary toxic agent; and the other, which +I put only hypothetically, the consequence of the rapid evolution of gas in +the vessels arising from a sudden decomposition of blood, as it passes +through the lungs. The only authority I have for this supposition, is the +fact that the blood after death, from pestilential affections, is found to +be far advanced towards decomposition; that in Paris last year, two +patients were bled while suffering from Cholera, and with the small +quantity of blood which flowed, bubbles of air also escaped:[70] and +besides this, it was demonstrated by Mr. Herapath, that ammonia was given +off from Cholera patients, both by the lungs and skin. These facts, though +they are not conclusive, nevertheless render it probable that such an +explanation is not entirely out of reason--especially too, when we know how +fatal are the effects of uncombined air, when it enters the vessels near to +the heart. + + * * * * * + +{176} + +SECTION III. + +WHAT RESULTS DO WE OBTAIN FROM THE EFFECTS OF REMEDIAL AGENTS, IN PROOF OF +THE HYPOTHESIS? + +I have here used the word hypothesis, because, having so far advanced in +the enquiry, I trust sufficient has been said to render the term +applicable. + +Under the term remedial agents, I shall include all those causes, whether +natural or artificial, which tend to neutralize or destroy the germs of +infection, or miasmatic poison, whether this be effected out of or within +the body. + +First, then, let us consider the results of drainage and cultivation in +removing the causes of endemic disease. One well authenticated case is as +good as a thousand. I will take one, which, from its source, will be +received as unexceptionable; and from its association with a very learned +and amusing book, will be accepted as an agreeable reminder of the many +pleasant hours spent in the perusal of the poet Southey's "Doctor." + +"Doncaster is built upon a peninsula, or ridge of land, about a mile +across, having a gentle slope from east to west, and bounded on the west by +the river; this ridge is composed of three strata; to wit, of the alluvial +soil deposited by the river in former {177} ages, and of limestone on the +north and west; and of sandstone to the south and east. To the south of +this neck of land, lies a tract called Potteric Carr, which is much below +the level of the river, and was a morass, or range of fens when our Doctor +first took up his abode in Doncaster. This tract extends about four miles +in length, and nearly three in breadth, and the security which it afforded +against an attack on that side, while the river protected the peninsula by +its semicircular bend on the other, was evidently one reason why the Romans +fixed upon the site of Doncaster for a station. In Brockett's Glossary of +North Country words, Carr is interpreted to mean 'flat marshy land,' 'a +pool or lake;' but the etymology of the word is yet to be discovered. + +"These fens were drained and enclosed pursuant to an Act of Parliament, +which was obtained for that purpose in the year 1766. Three principal +drains were then cut, fourteen feet wide, and about four miles long, into +which the water was conducted from every part of the Carr southward, to the +little river Torne, at Rossington Bridge, whence it flows into the Trent. +Before these drainings, the ground was liable to frequent inundations; and +about the centre there was a decoy for wild ducks; there is still a deep +water there of considerable extent, in which very large pike and eels are +found. The soil, which was so boggy at first that horses were lost in +attempting to drink at the drains, has been brought {178} into good +cultivation, (as all such ground may be) to the great improvement of the +district; for till this improvement was effected, _intermittent fevers and +sore throats were prevalent there, and they have ceased from the time the +land was drained_. The most unhealthy season now, is the spring, when cold +winds, from the north and north-east, usually prevail during some six +weeks; at other times Doncaster is considered to be a healthy place. It has +been observed that when endemic(?) diseases arrive there, they uniformly +come from the south; and that the state of the weather may be foretold from +a knowledge of what it has been at a given time in London, making an +allowance of about three days, for the chance of winds. Here, as in all +places which lie upon a great and frequented road, the transmission of +disease has been greatly facilitated by the increase of travelling." + +I feel certain of being excused for transcribing this long passage from +Southey. It would have been impossible to convey its whole meaning without +giving it entire. The continuation of the chapter is no less instructive +and applicable to our subject, though more particularly so to an extension +of the enquiry. The sore throats and intermittents, from which Doncaster +has been freed, by the drainage of Potteric Carr, informs us at once that +decomposing matter is the material by which the poison of fever is vivified +and sustained, the wet and boggy state of the soil is just the condition, +when no drainage exists, to bring into activity the germs of {179} disease, +which otherwise would lie latent. So satisfied and acquainted are we with +the elements necessary for the production of fever, that we might as +certainly bring about an endemic intermittent by forming an artificial bog, +as we could be sure of growing mushrooms by making a bed in the manner laid +down by gardeners for this purpose. Dr. Lindley also says, "the _Polyporus +fomentarius_ has been artificially produced in Germany, but merely by +placing wood in a favourable situation, and keeping it well moistened. Five +or six crops were obtained in the year." + +Let warmth, moisture, darkness, and decaying matter be given, and inanimate +disintegrated particles will soon be converted into definite forms and +combinations instinct with life. It is by the unseen forms of living +beings, that the atmosphere is preserved from becoming charged with deadly +gases; they take the first rank in the great scheme of animated beings, the +plant first, and then the animal. "Let the earth bring forth grass." "Let +there be lights in the firmament." "Let the waters bring forth the moving +creature, and fowl that may fly," and "Let the earth bring forth the +cattle, the creeping thing, and the beast." This is the order of creation, +of living things, and the earth was prepared by vegetation for the animal +world. The work of conversion is accomplished by vegetation; and this is +consumed for the construction of higher organizations. + +The laws which govern and control the universe, {180} are as definite and +as wonderful among invisible atoms, as those which regulate the enormous +masses floating in space; and the time will come when the advancing +intellect of man will measure and weigh the morbid poisons, as he measures +and weighs the stars. Why should the laws of Epidemics be less understood, +than the laws which govern the course of comets? The aspirations of man +have led him to penetrate the heavens, which charm and inspire him; he +studies rather the more violent disturbing elements of nature, the +thunder-cloud and the fire of heaven, than the silent pestilence which +steals over the earth. I cannot conceive it possible that the Intellects, +which are occupied in procuring means for the Majesty of this empire to +issue her mandates with the velocity of a spirit to the nethermost parts of +the earth, should be incapable of solving so deeply interesting a mystery +as the causes and nature of pestilential diseases. It would seem that man +prefers to issue a mandate of destruction many thousand miles distant, than +to disarm the pestilence at his door. It is barely a century since Galvani +observed the twitchings in the muscles of a frog's leg, and the battery, +still named after him, has already become an agent of instantaneous +communication between places many miles distant. But how many centuries +have passed away, each one succeeding the other, with its millions of +victims to epidemics? And where are the remedies for the evils? Drainage +and cleanliness, with all their advantages, were better understood and more +fully carried out by the ancient {181} Romans than by ourselves; there are +monuments, though crumbling to decay, to tell us of the vast enterprise of +these people and of the value they set upon a healthy and vigorous +constitution, and how well they understood the means of warding of disease. + +Cultivation and drainage are now fully understood to be the basis by which +a healthy condition of air is to be obtained, next to that, cleanliness and +ventilation; if either be neglected a sickly, mouldy, and unwholesome +contamination of atmosphere ensues; the odour of a bog is proverbially +mouldy, and so is that of an ill-ventilated house or cellar; dryness, or +the fresh pleasant scent of clean water, are the antagonists of these; the +aromatic odours of vegetation are opponents of putrefaction, and +consequently of the development of the lower forms of life. All +empyreumatic matters prevent mouldiness and decomposition; and odours +arrest and prevent the growth of mouldiness. The oil of birch, with which +the Russia leather is impregnated, and which gives it so pleasant an odour, +effectually prevents mouldiness, and consequently decay. + +Lindley says, "It is a most remarkable circumstance, and one which +_deserves particular enquiry_, that the growth of the _minute fungi_, which +constitute what is called mouldiness, is _effectually prevented_ by any +kind of perfume."[71] Cedar has {182} been used, from time immemorial, for +a like purpose; and I doubt not the recommendation of Virgil, before +quoted, in reference to the burning of cedar, was founded on some practical +utility of this kind, though its _modus operandi_ was unknown to him. +Allied to these is a curious circumstance, and worthy attention. I copy the +following from an old work on Pestilences. "It is remarkable that when the +Plague raged in London, Bucklersbury, which stood in the very heart of the +city, was free from that distemper; the reason given for it is, that it was +chiefly inhabited by druggists and apothecaries, the scent of whose drugs +kept away the infection, which were so unnatural to the pestilential +insects, that they were killed or driven away by the strong smell of some +sorts of them." "The smell of _rue_, and the smoke of tobacco, were +prescribed as remedies against the infection; but especially tar and pitch +barrels, which it was imagined preserved Limehouse, and some of the +dock-yards from infection."[72] + +Pitch and tar dealers are everywhere spoken of as being remarkably exempt +from infectious diseases. + +Cold infusion of tar was used in our colonies as a prophylactic against the +Small Pox. Bishop {183} Berkeley was induced to try it when this disease +raged in his neighbourhood. The trial fully answered expectation--for all +those who took tar-water, either escaped the disease, or had it very +slightly. + +Tan yards and places in the immediate vicinity, are said to be free from +pestilences. The tanners of Bermondsey are said to have escaped the Plague +of London, and one person only died in Gutter Lane, where was a tan yard. +The tanners of Rome are also stated to have been free from Plague. Dr. +McLean refers to the exemption of tanners at Cairo. _Tannin is prejudicial +to most vegetables_,--but Dr. Lindley says it is not always so to fungi. "A +species of Rhizomorpha is often developed in tan pits." I should imagine +that neither plants nor insects would be found very abundantly, where +tannin prevails; yet we find that the gall-nut is formed for the protection +of an insect from injury by weather, and as a temporary means of +sustenance. + +The custom of fumigating with odoriferous substances, does not therefore +appear upon this view of the matter to be destitute of importance; indeed, +the universal practice stamps it at once, as an efficacious remedy for the +purposes of disinfection. The introduction of chlorine fumigation, seems to +have superseded, in a great measure, the use of fragrant herbs and woods; +and it is questionable whether the substitution be altogether desirable or +{184} advantageous. Many scents may be agreeably and usefully employed, +with much less chance of annoyance to the patient, and considerably less +injury to articles of furniture, &c. + +The fumigations of sulphurous acid and chlorine are, perhaps, more adapted +as disinfectants in uninhabited apartments;--their power to destroy +vegetation, is well known. They have been used, chiefly, with the idea of +neutralizing gaseous exhalations, particularly chlorine, as it tends to +combine with hydrogen, to form hydrochloric acid, and then to unite with +ammoniacal matters, forming hydrochlorate of ammonia. This, supposing +noxious or pestilential effluvia consisted of the ammoniacal exudations +variously combined, was an exceedingly efficacious method of rendering them +inert; but as we feel convinced that no ammoniacal compound could possibly +be the cause of infection, we must look to the influence these gases +possess over other forms of matter, and as they are so destructive, even in +minute quantities, to vegetable existence, it is possible that their +beneficial effects may be due to this property. The immediate neighbourhood +of gas works is prejudicial to vegetation, I imagine, from the amount of +sulphurous vapours, and to this has been attributed the exemption of +persons employed in these works. Many other instances might be cited of a +similar nature. + +I have now to speak of medicinal agents, and here comes a considerable +difficulty. {185} + +If we might believe all that has been written on the sure and certain +remedies for the "ills that man is heir to," we should be led to +acknowledge that both nature and art were prodigal in antidotes and +specifics. The all-bountiful hand of nature, I do not doubt, has at the +same time scattered the seeds of good and of evil. The fertilizing showers +fall to irrigate the soil, and produce food and nourishment to man; here +and there is the reeking morass "feeding unnatural vegetation," and if man +takes up his abode in its vicinity, the rains which made it unhealthy, have +also made it highly fertile; by labour and cultivation he may convert the +mephitic bog into a waving corn-field, and the seeds of life and sustenance +be made to supplant the seeds of death and corruption. + +It is generally believed, that where there are particular and specific +diseases, there also may be found appropriate and specific remedies; the +discoveries of chemistry, it is not improbable, may in some respects have +retarded the progress of natural medicine. In the early ages of the world, +the "healing plant" must have formed the staple of medical commerce, for +though Tubal Cain[73] has been considered as the first surgical instrument +maker, because he was the first artificer in brass and iron, we have not +discovered that chemical compounds entered into the composition of physic, +till very {186} many years after his time. To the alchemists we owe the +science of chemistry, and much of the physic of the present day may be +traced to them. The multiplicity of ingredients which at one time entered +into the composition of one dose of physic could only be spoken of under +the title of "legion." Who shall specify the active and curative ingredient +(if there be one), when from five to a hundred may have been exhibited at +the same time? It has been the pride of our physicians, that the +pharmacopoeia has been simplified; it has not reached its most simple form +yet. That many simple plants have specific and wonderful power over +disease, is an indubitable fact, but I firmly believe that the laudable, +though mistaken efforts of physicians to improve their effect by various +combinations, have been the means of throwing many valuable medicines into +oblivion; I must also add, that cheap physic and adulterations have had no +small share too in the banishment of much valuable physic from ordinary +practice. It has been believed, and I think with much reason, that a +thorough search into the qualities of plants, would shew that "they are +capable of affording not only great relief, but also effectual and specific +remedies." "That they are not already found, is rather an argument that we +have not been sufficiently inquisitive, than that there are no such plants +endued with these virtues." + +Of the result obtained by medical treatment, in cases of epidemic or +infectious disease, it is most {187} difficult to speak, but as my province +here is only to shew that living germs are the morbific agents, I have but +to refer to such remedies as have been most extolled in controlling these +affections. The disinfectants have already been mentioned in a cursory +manner. An enumeration only of simple medicines used during the late +Epidemic, shall conclude this work, as the treatment in former times could +not by any possibility furnish satisfactory information. Aromatics and +fragrant stimulants have in all times taken the foremost rank with acids, +such as vinegar, lime and lemon juice. Mr. Guthrie's adoption of lemon +juice in preference to bark, which he said made him worse while suffering +from an attack of fever, during the Peninsular campaign, and his speedy +recovery from the disease, though not from its effects, shews, when many +others can bear equal testimony to its value, that such a remedy though +simple is not to be despised. + +But to the late Epidemic. Dr. Stevens' saline treatment, appears, on the +whole, to have been the most successful. Common salt was used both +medically and dietetically, and formed the greatest bulk of the medicine +employed. Chlorate of potash and carbonate of soda were added to the +medicine. + +The nitro-hydrochloric acid was used with success at St. Thomas's Hospital. + +Dr. Copland used chlorate of potash, bicarb. soda, hydrochloric, ether, and +camphor water. + +Dr. Ayre's calomel treatment had as many, if {188} not more, opponents than +advocates. Phosphorus had several advocates. + +Creasote and camphor were lauded by some. The beneficial operation of all +these remedies might be explained on the theory here supposed, that living +germs are the cause of Epidemic disease, but the specific action of any one +remedy has not yet had sufficient attention or trial to enable me to make +any deductions of a satisfactory or conclusive nature. + +In the uncertainty which generally prevailed as to the best method of +treating Cholera patients, I was induced (for reasons stated in a pamphlet +published last year) to try the efficacy of sulphur, which had been +extolled as a specific. In its effects I was not disappointed; but as the +results are already before the public, I need not do more than refer to it +among other remedies. + +I did not contemplate even alluding to this subject, as it would extend far +beyond my intended limits. This portion of the enquiry would be more +properly carried out by keeping records of cases, treated in accordance +with the view attempted to be established, and I have not the slightest +hesitation in saying, that the most ample success would ultimately attend a +well directed practice, based upon the principles inculcated in these +pages. + + * * * * * + + +{189} + +CONCLUSION. + +In making the foregoing sketch, I have attempted to put together some ideas +on a subject, which has for the last few years been a theme for meditation +in leisure hours, viz. What are the causes of Epidemic, Endemic, and +Infectious Diseases? The occurrence of Epidemic Cholera last year in this +country, awakened a spirit of enquiry. Where there is unrest, whatever may +be the cause, there also is disquiet and discontent. When the oracles of +the age were consulted in the emergency, the discordant answers perplexed +and confused the anxious searcher after truth. In the spring of last year, +when the enemy was approaching, unseen and unheard, and the thousands of +unconscious victims, who are now lying in their graves, were faithfully +trusting and fully relying on the heads of our profession, and the +resources of our art, what was the state of our defences, and what the +nature or character of our resistance? One considerable body of men would +discharge from a little tube of glass, a host of almost invisible globular +atoms of sugar, said to be as potent and inscrutably operative as the +unseen enemy. These infinitesimal practitioners assured the people that +they "_had powerful means of subduing the disease_," {190} but even they +differed among themselves, though they carried out to the fullest extent +the doctrine of their leader, _similia similibus_, which we may suppose to +refer in this case to the minuteness of the opposing armamenta. Without, +however, agreeing with this school, I may quote a passage from Dr. Curie, +which is, alas! too true: "We have shewn, as they must (allopathists), and +many of them do acknowledge, that they have no fixed basis, no natural law +upon which their treatment rests." + +Who can deny the force of this observation? Sheltered by a principle, it +matters not how fallacious, a man is placed as behind a barrier. If with +any reason it could be shewn that the infinitesimal doses, could by no +possibility effect a cure in Cholera; if it could be demonstrated by any +line of argument, that a poison, a living poison, circulates with the +blood, or lodges in the tissues, the homaeopathist must fall; his +"electricity and mineral magnetism," and "_powerful concentration of life +power towards the digestive canal_," will stand for what they are worth. +That minute doses of medicine can exert an active influence over the body +is not to be denied, but these must consist of powerful drugs, as arnica, +aconite, and nux vomica, with others, and it is more than probable, that of +such medicines, an inconceivably small amount may produce a specific effect +upon some portion of the organic nervous system. + +How is it that a dose of nitre or digitalis, "can {191} convert +cheerfulness into low spirits," or a grain of red sulphuret of antimony, +"excite warmth and lively spirits?"[74] + +Why should indigo dyers become melancholy, and scarlet dyers choleric?[75] +We do not know. But there is one thing we most certainly do know, that a +poison may be disarmed by an antidote, and the amount of the latter must be +in proportion to that of the former, and as epidemic and contagious +diseases do most unquestionably depend upon poisons of a specific nature, +and of great amount and activity, an infinitesimal remedy, however it may +claim to direct and control the organic forces, under slight and ordinary +disturbances, can be no more effectual in destroying the poison of fever, +or small pox, than in neutralizing arsenic or prussic acid. + +The uncertainty which generally prevails as to the treatment of Epidemic +diseases, Fevers, &c. induced me to put together the notions which are +contained in these pages, in the hope of leading to some definite ideas of +the causes of these affections, and consequently to a more uniform and +scientific mode of treating them. + +I have endeavoured to shew that reproduction is a phenomenon inseparable +from morbific matter, and that in all probability the vegetable kingdom is +the source of the germs. + +{192} + +The train of argument adopted is such as appeared to me most natural for +such an enquiry, and it rests now only with those who are capable of +deciding whether such a course, though (I am sensibly aware) not without +many faults in conception and execution, is calculated to advance the +science of medicine and the interests of mankind. + +The real tree of knowledge, possesses in the spongioles of its roots, an +elective property, by which truth alone can enter; nourished and sustained +by this, it sends a fragrant incense and breathing odour on high, and +dispels the mists of ignorance and superstition. In natural causes and +reasonable deductions we must seek for instruction and solid information, +for in over-straining either nature or art, deformity and error must +inevitably be the result. + +THE END. + +NORMAN AND SKEEN, PRINTERS, MAIDEN LANE, COVENT GARDEN. + + * * * * * + + +NOTES + +[1] "It matters little how vague and false hypotheses may appear at first: +experiment will gradually reduce and correct them, and all that is +required, is industry to elaborate the proof, and impartiality to secure it +from distortion."--_Sewell_ "On the Cultivation of the Intellect." + +[2] It is stated by Mr. Crosse, of Norwich, that vaccination was adopted in +Denmark, and made compulsory in 1800. After the year 1808 Small Pox no +longer existed there, and was a thing totally unknown; whereas during the +twelve years preceding the introduction of the preventive disease, 5,500 +persons died of the Small Pox in Copenhagen alone.--_Dr. Watson's +Lectures._ + +Dr. Blick, an intelligent Danish physician, corroborated the above +statement to Dr. Watson himself in the year 1838. + +[3] Philosophy of Life, Lecture 6, translated by the Rev. A. J. W. +Morrison, M.A. + +[4] The following I quote from Dr. Fuller on Small Pox and Measles:-- + +"To this purpose some (and particularly Kircherus) are of opinion that +animalcules have been the causes of malignant and pestilential fevers in +epidemic times, which differ in essence and symptoms, according to the +nature and venoms of those creatures. + +"Thus the atmosphere and air is filled both from above and beneath with +innumerable millions of millions of species or corpuscles, aporrhoeas, +steams, vapours, fumes, dust, little insects, &c. all which make it such a +wonderful chaotic compost of things that contains the _seeds_ of good and +evil to man as surpasseth the understanding (as I suppose) of even the +highest order of archangels." + +[5] I learn from an undoubted authority that the cow when "slack of health" +eats with avidity the "field parsley;" the sheep under similar +circumstances seeks the ivy, and the goat the plantain. + +From an equally good source I have the following: that rabbits and hares, +when they are what is commonly called _pot-gutted_, seek the green broom, +though at a distance of _twenty miles_. + +[6] "My settled opinion is, that in regard every effect is necessarily such +as its cause; it must needs be that every sort of venomous fevers is +produced by its proper and peculiar species of virus. + +"And that the manner and symptoms of every such fever is not so much from +the particular constitution of the sick; as from the different nature and +genius of their specific venom which caused them. + +"And I conceive that venomous febrile matters differ not in degree of +intenseness only, but in essence and _toto genere_ also; and that venomous +fevers are for the most part contagious."--_Thomas Fuller, M. D. 1730._ +"Another important class of organic poisons are those which when introduced +in almost inappreciable quantities into the system, seem to increase in +quantity; and which when communicated in the same inappreciable quantity +from the individual poisoned to one who is healthy, excite the same series +of febrile phenomena and local inflammation, and the same increase in the +quantity of the poisonous agent."--_Med. Chir. Review._ + +"This unseen influence working in the body, presents very striking +analogies to the modes of operation of different poisons."--_Dr. Ormerod on +Continued Fever._ + +[7] I am aware that the vesicle does not here strictly bear the relation to +the original germ, supposing one active particle alone to be sufficient for +its production, that the egg does to the bird, for in the former case +multitudes of active particles may have been generated from one. I have, +therefore, merely used this expression to signify an aggregation of vital +forces, such as may be imagined to exist in the bird. + +[8] "At an early period the form of the ovisacs is usually elliptical, and +their size extremely minute,--their long diameter measuring in the ox no +more than 1/562 of an inch, so that a cubic inch would contain nearly two +hundred millions of them. They are _at this time_ quite distinct from the +_stroma_ of the ovarium; this forms a cavity in which they are loosely +embedded." + +[9] Coleridge, p. 56. + +[10] "All vegetables," says Sharon Turner, "from that pettiness which +escapes our natural sight, to that magnitude which we feel to be gigantic, +have these properties in common with all animals--organization; an interior +power of progressive growth, a principle of life, with many phenomena that +resemble irritability, excitability, and susceptibility, and a +self-reproductive and multiplying faculty."--_Sharon Turner's Sacred +History._ + +[11] "Plants highly sensitive to light are those of the leguminous, or Pea +kind. They always close up in the evening and clasp their two upper +surfaces together, presenting only their backs to the air. Plants of +pinnated leaves, as the Tansy, are more sensible than these to the effects +of light. They fold up when light is too strong, as in Robinia; it produces +the same effect as want of light. Its leaves close up, apparently, because +they are receiving too much. So they do if a hot iron be brought near them. +They contract as if to avoid the heat. Sensitive plants, and those of the +Oxalis Lent. are so sensitive that the least motion, even a breath of air, +will make them close."--_Sir J. Smith._ + +"The vitality of plants seems to depend upon the existence of an +irritability, which although far inferior to that of animals, is +nevertheless of an analogous character."--_Lindley's Introduction to +Botany._ + +[12] Provincial Medical and Surgical Journal. July 10th, 1850. No. xiv. p. +367. "Practical Observations on the Vaccination Question." By E. Oke +Spooner, M. R. C. S., Blandford. + +"If we examine the Cow Pox and the Small Pox microscopically, as I have +done very carefully in every stage, we find that the essential character +consists of a number of minute cells, not exceeding the 10,000th part of an +inch in diameter, being about one-fourth smaller than the globules of the +blood, containing _within their circumference many still more minute +nuclei, and presenting_ beyond their circumference bud-like cells of the +same size and character as those contained within the circle. They exactly +resemble in everything except the size, the globules of the yeast plant, +the Torula Cerevesiae. Now if we examine more circumstantially the +analogies of what I would call the Torula Variolae with the Torula +Cerevesiae, we observe the following corresponding facts. + +"What do we accomplish by inoculation as it is called? Simply this. We take +on the top of a lancet, or an ivory point, a few of these minute cells or +germs, and we put them _in their appropriate nidus_, the subcuticular +tissue, where, after a few days if they find their appropriate nutrient +elements, they grow and multiply." + +Simon, Chemistry of Man, vol. i. p. 127. "Macgregor ascertained that the +air expired by persons ill of confluent Small Pox, contained as much as +_eight_ per cent of carbonic acid, and in proportion as health was restored +the percentage was diminished to its natural standard." Carbonic acid is +also produced during the process of fermentation and germination. + +[13] See History of the Jews, p. 71. + +[14] It is said by Whewell, that the murrain is supposed to have fallen +only on the animals which were in the open pasture.--_History of the Jews._ + +"J. S. Michael Leger, published at Vienna, in 1775, a treatise concerning +the mildew as the principal cause of the epidemic disease among cattle. The +mildew is that which _burns_ and _dries_ the grass and leaves. It is +observed early in the morning, particularly after _thunder-storms_. Its +poisonous quality, which does not last above twenty-four hours, never +operates but when it is swallowed immediately after its +falling."--_Mitchell on Fevers._ + +[15] "The prevalence of the south-east wind was observed to be particularly +favourable to the increase of both cholera and influenza: and I cannot but +think that this had some connexion with the general tendency exhibited by +the former to spread from east to west. Has the morbific property of this +wind aught to do with the haziness of the air when it prevails--a haziness +seen in the country remote from smoke, and quite distinct from fog? What is +this haze? In the west of England a hazy day in spring is called a +_blight_."--_Dr. Williams' Principles of Medicine._ + +[16] We are to understand also that some peculiar operation took place of a +nature difficult to comprehend, which seems also to typify reproduction, +for the handfuls of ashes which Moses threw into the air _became a dust in +all the land of Egypt_, thus signifying an enormous reproduction of atomic +matter. + +[17] The Chinese affect to trace the origin of Small Pox back to a period +of at least 3000 years, or 20 years beyond the era of the Trojan war, 1212, +A. C. + +The Chinese pretend to discriminate no less than 40 different species of +Small Pox. + +"They also pretend to discover whether a person has died by violence or +from natural causes, not only after the body has been some time interred +and decomposition of the softer parts has commenced, but even after the +total disappearance of the soft parts, and when the dry skeleton alone is +left."--For the process, see _Hamilton's History of Medicine_, vol. i. p. +31. + +To give some notion of the state of Medical Science among the Chinese, I +may quote the following: "The theory of the circulation of the blood, Du +Halde affirms, was known by the Chinese about 400 years after the deluge; +be this assertion veracious or not, no correct knowledge up to the present +day, do the nation possess of the circulating system of the human +frame."--_China and the Chinese, Henry Charles Sirr, M. A._ + +According to their anatomy, the trachea extends from the larynx through the +lungs to the heart, whilst the oesophagus goes over them to the stomach. + +[18] "And Aaron took as Moses commanded, and ran into the midst of the +congregation: and behold the plague was begun among the people; and he put +on incense and made an atonement for the people. And he stood between the +dead and the living, and the plague was stayed."--_Numbers._ + +The practice of burning scented herbs has been observed in all times during +an invasion of the plague, as a means of protection. Also wearing perfumes +and aromatic preparations has been recommended. Whether they have any +counteracting influence, it is impossible to say. + +Virgil in the third Georgic speaks of a murrain among cattle. He says, if +any wore a vestment made of wool from an infected sheep, fiery blains and +filthy sweat overspread his body, and ere long a pestilential fire preyed +upon his infected limbs. + +In his directions for preserving the health of flocks he says-- + + "Disce et odoratam stabulis accendere cedrum." + +The motive for burning the fragrant cedar is not mentioned; we cannot doubt +but it was a good one, and having some great practical utility, from the +following line-- + + "Galbaneoque agitare graves nidore chelydros." + +[19] The earliest mention of this complaint upon which reliance can be +placed, is an ancient Arabic MS. preserved in the public library at Leyden. +"This year, in fine, the Small Pox and Measles made their first appearance +in Arabia." The year alluded to being that of the birth of Mahomet, or the +year 572 of the Christian aera.--_Hamilton's History of Medicine_, vol. i. +p. 215. + +[20] Dr. W. A. Greenhill's translation. + +[21] The Black Assize at Oxford, 1572, is an instance in which a +pestilential vapour suddenly appeared in the court, "whereby the judge, +several noblemen, and more than 300 others, died within three days." + +"Of an unaccountable vapour suddenly coming, I have this relation from +Richard Humphrey, my neighbour, and a man of veracity, that on Wednesday, +April 27, 1727, as he and one Walter, were travelling a-foot from +Canterbury; when they came to Rainham, they were assaulted with such a +strong loathsome stink, as he thought was like the stench from a corrupted +human corpse. They were so offended at it, as thinking it was from carrion +in that town, that they would not stay there to rest and refresh +themselves, but travelled on for about two hours, mostly in the stench, but +sometimes out of it, till they came to the hill that leads down to Chatham: +and there they went clear out of it and smelt it no more."--_Dr. Fuller_. + +It appears that these persons did not fall sick of any disease, but the +fact of itself is remarkable enough. + +[22] Hamilton's History of Medicine. + +[23] It has been said, that "an induction once carefully drawn, is as +perfect from a single instance as it is from ten thousand, and that it is +only an uncultivated mind which requires a load and accumulation of +knowledge to assist his thoughts."--_Sewell_ "on the Cultivation of the +Intellect." + +[24] See Dr. Alison's Pamphlet on the Fever in Edinburgh. + +[25] Earthquakes have in all times been considered to have some connexion +with pestilences. "A most grievous pestilence broke out in Seleucia, which +from thence to Parthia, Greece, and Italy, spread itself through a great +part of the world, from the opening of an ancient vault in the temple of +Apollo, and that it raged with so much fury as to sweep away a third part +of the inhabitants of those countries it visited."--_Dr. Quincy, on the +Causes of Pestilential Disease._ + +"Upon an earthquake the earth sends forth noisome vapours which infect the +air; so it was observed to be at Hull in Yorkshire, by the Rev. Mr. Banks, +of that place, after a small earthquake there in 1703, it was a most sickly +time for a considerable while afterwards, and the greatest mortality that +had been known for fifteen years."--_Anonymous_, 1769. + +[26] See Sharon Turner's Sacred History, text and notes, vol. i. p. 161 & +162. + +[27] + + "Each seed includes a plant; that plant, again, + Has other seeds, which other plants contain, + Those other plants have all their seeds; and those + More plants, again, successively enclose. + Thus ev'ry single berry that we find, + Has really in itself whole forests of its kind. + Empire and wealth one acorn may dispense, + By fleets to sail a thousand ages hence; + Each myrtle-seed includes a thousand groves, + Where future bards may warble forth their loves." + +[28] "On June 5th, 1849, a man and his son, a lad aged 14 years, left Noss +to fish, and when five miles out at sea, no vessel being in sight, they +both simultaneously became aware of a hot _offensive_ stream of air passing +over them. It was so decided, that the crab pots were examined to discover +if it were from them, but it did not, and five minutes after the father's +attention was directed to the boy, who was vomiting and purging."--_Dr. Roe +on the Cholera at Plymouth, Med. Gaz. Aug. 24th, 1850._ + +[29] Linnaeus remarked that Erigeron Canadense was introduced into gardens +near Paris from North America. The seeds had been carried by the wind, and +this plant was in the course of a century spread over all France, Italy, +Sicily and Belgium. + +[30] Hecker. + +[31] This is found most generally to be the case where rivers flow through +uncultivated tracts of country. The Californian emigrants suffer much from +diarrhoea and dysentery, if they drink of the river and certain well waters +of that gold district. + +[32] "Purification from leprosy. As this fearful disease was contagious and +hereditary to the third and fourth generation, the separation of lepers +from the camp and congregation, and the destruction of infected houses and +clothes, was of the utmost importance to the preservation of public health. + +"Leprosy was of three kinds: 1st, Leprosy in man. 2nd, Leprosy in houses. +3rd, Leprosy in clothes. + +"Contagious or malignant leprosy was of two kinds, viz. + +"1st. The white leprosy, or bright berat, which was the most serious and +obstinate form which leprosy assumes. It exhibited itself as a bright white +and spreading scale, on an elevated base; turning the hair white in +patches, which were continually spreading. + +"2nd. The black leprosy, or dusky berat, which was less serious than the +foregoing. It did not change the colour of the hair, nor was there any +depression in the dusky spot; but the patches were perpetually spreading, +as in the white leprosy."--_Analysis and Summary of Old Testament History._ +_Oxford._ + +[33] The Mexican Aloe blows when nine years old, and then dies. At least +this is its usual course in the island of Cuba. + +[34] "Ground that has not been disturbed for some hundred years, on being +ploughed, has frequently surprised the cultivator by the appearance of +plants which he never sowed, and often which were then unknown to the +country. The principle has been ascertained to be capable of existing in +this latent state for above 2000 years, unextinguished, and springing again +into active vegetation, as soon as planted in a congenial soil. + +"In boring for water near Kingston on Thames, some earth was brought up +from a depth of 360 feet, and though carefully covered with a hand-glass to +prevent the possibility of other seeds being deposited on it, was yet in a +short time covered with vegetation. + +"Turner says, from the depth, these seeds must have been of the diluvian +age."--_Jesse's Gleanings._ + +[35] Hamilton's History of Medicine, vol. ii. p. 276, note. + +[36] "What I wish you to remark is this, that while almost all men are +prone to take the disorder, large portions of the world have remained for +centuries entirely exempt from it, until at length it was imported, and +that then it infallibly diffused and established itself in those +parts."--_Dr. Watson on the Principles and Practice of Physic._ + +Dr. R. Williams says, "The seeds of intermittent fever lay dormant for +months, it was not at all uncommon for cases of intermittent fever to be +brought into the hospital eight or ten months after the patients had +subjected themselves to the influence of paludal or marsh effluvia." + +[37] I have observed in the hot-houses, that many of the exotic plants, +which are in company with the diseased vines, have been attacked, while +others again have been entirely free. + +[38] By causes of the greatest variety plants may become extinct for a +time. It is not very easy to trace them, but one fact may be mentioned in +proof of the statement. Dr. Prichard states that vast forests are destroyed +either for the purpose of tillage or accidentally by conflagrations. "The +same trees do not reappear in the same spots, but they have successors, +which seem regularly to take their place. Thus the pine forests of North +America when burnt, afford room to forests of oak trees." + +[39] Hecker says of Chalin de Vinario, that "he asserted boldly and with +truth, that _all epidemic diseases might become contagious, and all fevers +epidemic_,--which attentive observers of all subsequent ages have +confirmed." P. 60. + +[40] In 1539, the thirty-first year of Henry the Eighth, was great death of +burning agues and flixes; and such a drought that welles and small rivers +were dryed up, and many cattle dyed for lacke of water; the salt water +flowed above London Bridge.--_Stowe._ + +In 1556, the fourth of Mary, and the third of Philip, about this time began +the burning fevers, quarterne agues, and other strange diseases, whereof +died many.--_Stowe._ + +The next winter, 1557, the quarterne agues continued in like manner, or +more vehemently than they had done the last yere.--_Stowe._ + +[41] Every writer on the climate of Egypt has remarked, that the Endemic +Fever which is so frequent, originating on the coast, particularly about +Alexandria, becomes occasionally so virulent, that it cannot be +distinguished from the _true Plague._--_Robertson on the Atmosphere_, vol. +2. p. 384. + +"Endemial Fevers of every situation become occasionally so aggravated, that +they cannot be distinguished from such as originate from contagion; and in +every unusual virulence of this Endemic Fever, it is probable that it may +be propagated afterwards by contagion as every epidemic." _Ibid._ p. 388. + +[42] Dr. Ure. + +[43] "The metamorphosis of starch into sugar depends simply, as is proved +by analysis, on the addition of the elements of water. All the carbon of +the starch is found in the sugar; none of its elements have been separated, +and except the elements of water, no foreign element has been added to it +in this transformation."--_Liebig_, _Organic Chemistry_, p. 71. + +[44] As regards starch there appears to be some peculiar faculty regarding +it. It is converted into sugar during the ripening of fruit, and it is just +possible that being as it is of a cellular nature, the property of vitality +may attach to it until it has, by being converted into sugar, fulfilled its +destination. + +[45] Though I do not consider that the fermentation process is a fac-simile +of diseased action, yet I think its phenomena generally afford an apt +illustration of the changes which may be effected by living germs. Many +able chemists still maintain the entire dependence of fermentation upon the +Torula: "M. Blondeau propounds the view that _every kind_ of fermentation +is _caused_ by the development of fungi." + +The varieties of opinions found in the literature of this subject, forms a +curious specimen of scientific enquiry, and is sufficient alone to convince +us of its vast importance and extensive relations. + +[46] By Dr. Mantell. + +[47] Mitchell on Fevers. + +[48] We wonder, and ask ourselves: "What does SMALL mean in +Nature?"--_Schleiden's Lectures on Botany._ + +[49] Speaking of the bunt in wheat: "It appears certainly to be contagious, +from numerous experiments, which shew that the contagious principle lasts a +long time. I have tried it myself; some, however, doubt it, but it cannot +be denied, that seed sown, infected with bunt, produces plants similarly +affected; every one who has had the slightest experience must be convinced +of it."--_Essay on the Diseases of Plants._ _Count R['e]._ + +[50] We have already spoken of the effects of these poisons, and have +stated that the amount of each poison capable of destroying the body is +pretty accurately known. + +[51] The italics are my own. + +[52] Gmelin says: "But the mode of action in these transformations, +sometimes admits of other explanations; and when this is not the case, our +conception of it is by no means sufficiently clear to justify the positive +assumption of this, so called contact-action or catalytic force, which, +after all, merely states the fact without explaining it"--_Gmelin's +Hand-book of Chemistry_, vol. i. p. 115. + +[53] The history and symptoms of some epidemic diseases, such as cholera +and influenza, are not inconsistent with the hypothesis that they are +caused by the sudden development of animalcules from ova in the blood. But +there is a total want of direct observation in support of this +hypothesis.--_Dr. Williams' Principles of Medicine._ + +[54] Since writing the above, I have referred for information on this +subject, and find, that the Anguillula aceti exhibits sexual distinctions; +and that the ovaries of the females are situated on each side of the +alimentary canal.--_Cyclo. Anat. and Phys. Art. Entozoa._ + +[55] Speaking of the examination of the infusory animalcules--Mr. Kirby +says: "But to us the wondrous spectacle is seen, and known only in part; +for those that still escape all our methods of assisting sight, and remain +members of the invisible world, may probably _far exceed those that we +know_."--_Bridgewater Treatise_, vol. i. p. 158. + +[56] Mr. Owen has added another class, as the first, called Protelmintha, +which comprises the cercariadae and vibrionidae. + +[57] "It is probable that in the waters of our globe an infinity of animal +and vegetable molecules are suspended, that are too minute to form the food +of even the lowest and minute animals of the visible creation: and +therefore an infinite host of invisibles was necessary to remove them as +nuisances."--_Bridgewater Treatise_, vol. i. p. 159. + +"When Creative Wisdom covered the earth with plants, and peopled it with +animals, He laid the foundations of the vegetable and animal kingdoms with +such as were most easily convertible into nutriment for the tribes +immediately above them. The first plants, and the first animals, are +scarcely more than animated molecules,* and appear analogues of each other; +and those above them in each kingdom represent jointed +fibrils."+--_Bridgewater Treatise_, vol. i. p. 162. + +* Globulina and Monus. + Oscillatoria and Vibrio. + +[58] "A treatise which should present a systematic arrangement of all the +diseases of plants, giving in detail the exact history of each, and adding +the means of preventing and curing them, would certainly be of the greatest +utility to agriculture." --_Essay on the Diseases of Plants, Count Philippo +R['e], translated into Gardener's Chron._ + +[59] "Plenck published a treatise on Vegetable Pathology, in which he +divided diseases into eight classes: 1. External injuries; 2. Flux of +juices; 3. Debility; 4. Cachexies; 5. Putrefactions; 6. Excrescences; 7. +Monstrosities; and 8. Sterility. And he concludes with an enumeration of +the animals which injure plants."--_Essay on the Diseases of Plants, +Gardener's Chronicle._ + +[60] The Bunt. "This disease appears at the moment of the germination of +the plant. The affected individuals are of a dark green, and the stem is +discoloured. As the ears are issuing from the sheaths, their stalks are of +a dark green, but very slender. When the ear has fully grown out, its dull, +dirty colour, causes it to be immediately distinguished from the healthy +ones, and it soon turns white."--_Essay on the Diseases of Plants._ + +[61] _Vidi_ understood. + +[62] "At the close of the year 1665," says Dr. Hodges, "even women, before +deemed barren, were said to prove prolific." + +"After the cessation of the Black Plague, a greater fecundity in women was +every where remarkable--a grand phenomenon, which from its occurrence after +every destructive pestilence proves to conviction, if any occurrence can do +so, the prevalence of a higher power in the direction of general organic +life. Marriages were almost without exception prolific; and double and +treble births were more frequent than at other times."--_Hecker_, p. 31. + +[63] It is stated that on the decline of the Plague, 1665, those who +returned early to London, or new comers, were certain to be attacked. In +proof of this the 1st week of November, the deaths increased 400, and +"physicians reported that above 3000 fell sick that week, mostly new +comers." + +See also Dr. Copland's Dict. Pract. Med. Epidemic and Endemic Diseases. + +"The hardy mountaineer is a surer victim of paludal fever, whether he +visits the low countries of the tropics, or the marshes of a more temperate +climate, than the feebler native of those countries."--_Dr. R. Williams on +Morbid Poisons._ + +[64] "Substances presented to the gastro-intestinal surfaces, are mixed up +with various secretions, mucus, saliva, gastric juice, bile, pancreatic +liquor, and special exudations from the peculiar glands of each successive +section, while aerial poisons, unmixed and unfettered, are applied at once +to a surface on which, behind scarcely a shadow of a film, circulates the +blood prepared, by the habitual action of the respiratory function, to +absorb almost every vapour, and every odour, which may not be too +irritating to pass the gates of the _glottis_."--_Mitchell on Fevers._ + +[65] Hecker on the "Black Death." + +[66] The stomach in some cases is no doubt the medium by which some +diseases are contracted. It is well known, that in many places the water +induces diarrhoea, the permanent residents, however, may not suffer, but +all new comers are more or less affected by drinking it. + +[67] "Similar effects have been experienced from the use of mouldy +provisions."--_Dr. Lindley's Vegetable Kingdom._ + +[68] "Untold numbers die of the diseases produced by scanty and +_unwholesome food_."--_Southey._ + +A large, nay, a most extensive adulteration of flour with plaster of Paris +was detected not many years since. The flour was supplied by a contractor +for the manufacture of biscuits for the navy. + +[69] See Southey's Doctor, vol. ii. interchapter vi. p. 115, for an +illustration of this subject. + +[70] Both these patients died. + +[71] "A good part of the clove trees which grew so plentifully in the +island of Ternate, being felled at the solicitation of the Dutch, in order +to heighten the price of that fruit, such a change ensued in the air, _as +shewed the salutary effect of the effluvia of clove trees and their +blossoms; the whole island, soon after they were cut down, becoming +exceeding sickly_." + +[72] The observation is originally taken from the City Remembrancer, 133. + +[73] See Hamilton's History of Medicine, vol. i. p. 4. + +[74] Feuchtersleben's Medical Psychology, p. 176, 177. + +[75] Ibid. p. 321. + + * * * * * + + +CHANGES MADE AGAINST PRINTED ORIGINAL. + +Page 136. "the idea of Protophyta, or first plants": 'Prolophyta' in +original. + +Page 140. "an extensive bearing of each individual part": 'indivdual' in +original. + + + + + + +End of the Project Gutenberg EBook of Epidemics Examined and Explained: or, +Living Germs Proved by Analogy to be a Source of Disease, by John Grove + +*** END OF THIS PROJECT GUTENBERG EBOOK EPIDEMICS EXAMINED *** + +***** This file should be named 34603.txt or 34603.zip ***** +This and all associated files of various formats will be found in: + http://www.gutenberg.org/3/4/6/0/34603/ + +Produced by Bryan Ness, Keith Edkins and the Online +Distributed Proofreading Team at http://www.pgdp.net (This +file was produced from images generously made available +by The Internet Archive/American Libraries.) + + +Updated editions will replace the previous one--the old editions +will be renamed. + +Creating the works from public domain print editions means that no +one owns a United States copyright in these works, so the Foundation +(and you!) can copy and distribute it in the United States without +permission and without paying copyright royalties. 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