CHAP. III.
The Changes wrought in the Animal Oeconomy from the above-mention'd Causes, may be reduced to such as depend either on the Increased Heat of the Air join'd with its Humidity; Or to such as are produced from the particular Qualities of the putrid and Contagious Particles floating in it; Or to the united and complicated Effects of all together.
Effects of a hot and moist Air.
The Alterations produced in the Body from a greater Heat continually surrounding it, provided it be not Excessive, are a Rarefaction of the Juices, and Relaxation of the Fibres on the Surface of the Body, and greater Derivation of the Fluids that way. Whence proceeds a large Evacuation of the perspirable Matter. This being continued in a greater Proportion than in a Natural State, will gradually deprive the Blood of its Aqueous and Spirituous Parts, and leave the remaining serous Part more stock'd with acrid and pungent Salts, and the Gross, Terrestrious, Oleaginous, and Viscous Particles more firmly united by their nearer Approach, and stronger Cohesion to each other. This greater Heat or Quantity of Fiery Particles, continually surrounding the Body, will necessarily insinuate it self into, and unite with the Saline, Sulphureous, and other Particles, in the same manner as we see it does with other Substances, both Solid and Liquid [l]; And likewise by increasing the Velocity of the Circulation and Attrition of the Particles against each other, render them on these Accounts also more Volatile, Pungent and Stimulating, and consequently the Blood will consist of Particles more gross and inspissated or coagulated, and likewise of those of a more acrid and pungent Disposition than in a natural State.
[ [l] Boyl's Experm. Nov. de Pond, Ignis & Flam. Newtoni Optic. Quæst. 21 & 22.
The Blood being in this depraved Condition, the rest of the Animal Juices must degenerate in Proportion thereto, and the Nervous Fluid, as it consists of the most volatil and subtil Parts, be extreamly acrid and pungent, as well as unequal in its Texture and Fluidity, from the more viscous Parts contain'd in it.
Putrid Fevers how produced.
This then being the State of the Blood and other juices of the Body, it is easy to perceive how from very Slight, and otherwise trivial Occasions, a Fever of a very Malignant Nature may be produced. Thus the perspirable Matter from a slight Cold taken being retained, or the Vessels any otherwise filled by Irregularities in Diet, or others of the Non-naturals, the Weight of the moving Fluid will be increased, and the Circulation be more languid and slow. Whence the intestine Motion of the Particles of the Blood being diminished, the viscous Parts will cohere more strongly and in greater Quantities than before, and obstruct the Capillary Arteries, especially in the Extremities, and a Coldness, Stretching, Yawning, Torpor, &c. necessarily succeed, the constant Attendants of a beginning Fever; All which will bear a Proportion to the Quantity retain'd, and the Viscosity of the moving Fluid.
These Disorders will necessarily be increased on account of the Air's Spring being weakned by its Heat, the Vessels of the Lungs being less inflated, and the Globules of the Blood less broken and divided, and the more especially in a humid Air, Heat and Moisture necessarily relaxing the Tone of the Fibres and Vessels, and rendring them less Springy and Elastic. Hence then the Quantity of Spirits being diminish'd, and their Motion more slow, the Contraction of the Heart and other Muscles will be more weak and languid, and being stimulated by the Acrimony of the Circulating Liquors, must contract more frequently than in a Natural State; The Consequence of which is Weakness, Faintness, Thirst, and Dejection of Spirits.
These and the preceeding Symptoms will necessarily continue, 'til such time as the gross and viscous Matter, being shook and loosen'd by the Action of the Capillary Vessels, is washed away into the Veins by the force of the Circulating Fluids, and there continues its Course with the rest, 'til it be either attenuated and secreted, or lodged again in the Capillaries to excite new Disorders.
Malignant Fevers.
Now if to this evil Disposition of the Air be added a number of pungent stimulating Particles, whether bred in the Body or floating in the Air, and thereby communicated to the Blood, which are apt to coagulate the Animal Juices, so as to form Moleculæ of such Shapes and Sizes as more firmly obstruct the Capillary Vessels, and at the same time stimulate and corrode the nervous Parts; It will necessarily happen, that the preceeding Symptoms must be highly exasperated, and a Fever of a much worse Nature produc'd.
Hence then must follow a violent Hurry and Colluctation of the Fluids, the Viscid and coagulated Parts of the Blood in some Parts obstructing the Circulation of the Juices, and the Acrid, Volatil, and Fiery Parts, rarefying and dissolving others of the more Liquid, to the greatest degree of Pungency and Volatility imaginable.
Hence it is easy to perceive how the Motion of the Blood must necessarily be in some Parts more languid, by the Cohesion of the more Viscous parts, in others quicker, join'd with a pungent and stimulating heat, from the increased Velocity and Acrimony of the moving Fluid, and the various Actions of the Particles upon each other, and their Impulses on the containing Vessels; As also how these are capable of almost infinite Variations, in Proportion to the different Quantities and Qualities of the constituent Particles. Hence then appears the Reason of that wandering and uncertain Heat and Coldness, in different Parts of the Body at the same time. Hence appears the Reason of that great Inquietude and Anxiety, of those uncertain and partial Sweats, Watchings, Tremors, stretching Pains of the head, and the like, as will be more fully shown hereafter.
But before I proceed to explain the Nature of a Fever truly Pestilential, it will be necessary to observe, that notwithstanding the foremention'd putrid Disposition be generally a Prelude to a Pestilential Constitution of the Air, yet it has never that I know of been observ'd, that these Causes alone at their first Onset, produced a real Plague or Pestilential Contagion, without the Concurrence of some preceeding Infection, either brought from abroad, or gradually augmented from the increased Putrifaction of the Air, and Poisonous Steams of Morbid Bodies.
Thus the putrid Air of Camps in hot Countries is frequently found to produce Pestilential Fevers, but this never happens at their first Onset; The Diseases first appearing being Fluxes, Putrid, and afterwards Malignant Fevers; which being exasperated and propagated by the Virulent Effluvia of Diseased Bodies, and the increased Putrifaction of the Air, grow up gradually to those of a Pestilential, and exceedingly infectious Disposition.
Of Putrifaction & Fermentation.
Now Putrifaction being only a kind of Fermentation, wherein the Particles of a putrifying Body are put into an intestine Motion, and by their Action and Attrition broken and divided, and since all fermenting Substances do emit vast Quantities of small separable Parts, it will necessarily follow, that the most subtil and active Particles of the Purifying Body will be elevated into the Air, and float in it.
Effluvia from putrified Bodies what.
These Effluvia consist of the finest and most volatil saline and oleaginous Particles, highly attenuated and set at Liberty from the gross Oil and Terrestrious Part, as appears from the Distillation of such Substances, all which afford great Quantities of a pungent and volatil Salt. It is likewise observable, that the subtil Oleaginous Particles being specifically lighter, as well as more easily attenuated and divided than those of a Saline Nature, will be thrown off in greater Proportion in the beginning of the Fermentation or Putrifaction than the heavier Salts will be, which must either be more attenuated and volatilised, or require a greater force to raise them into, and sustain them in the Air than the former, and consequently the greatest Emission of these saline Particles will be after the Fermentation has been for some time continued; As we find it happens in all fermenting Liquors, as Wine, Beer, Cyder, and the like. All which emit, during the Fermentation, greater Quantities of Particles of an active attenuated Oil or Spirit for some time, than of a Saline Nature, which requiring a longer time in order to attenuate them, are not raised till the former are in a manner quite exhaled, as appears from collecting the Steams of fermenting Liquors, and of those which are turn'd sower by Distillation, and consequently the Exhalations arising from putrifying Bodies will after some time consist mostly of Saline Particles highly attenuated and volatilised, and those not wrapt up and sheathed in the Oily ones, and thereby render'd innocuous, and often useful to the Body, but naked and exceedingly acrid and poignant.
How unfit an Air stock'd with these kind of Particles is for Respiration, appears from several of Mr. Boyl's Experiments on Animals, shut up with putrified Air in the Receiver, most of which with incredible Inquietude die sooner than in Vacuo, as also from the pernicious Effects of the Steams of Vaults, Mines, the Grotto de Cane, and such like. But besides this Inaptitude of such Air to expand the Pulmonary Vessels, these minute and pungent Particles may be considered as so many Stimuli or Lancets, acting upon and penetrating the Coats of the Stomach, Lungs, and other Vessels. On which Account they are not only capable of creating great Disordes, as Inflamation, Pain, Sickness, Anxiety, Vomiting, &c. in the Stomach and Nervous Parts; But likewise being carried immediately into the Blood, will there stimulate the ultimate Vessels, ferment, dissolve, or coagulate the circulating Juices according to the particular Qualities and Quantity of the Contagious Particles. Nor is it unlikely, that from the various Action of the Particles upon each other, and their different Combinations in a stagnating Air, Particles may be formed of Qualities vastly differing from, and in their Force almost infinitely exceeding those of their Primogenial Salts and first Principles, as in Sublimate, some Preparations of Antimony, &c. Instances of which those versed in Chymistry are no Strangers to.
Infectious Particles how produced.
Now supposing the Blood Saturated with these kind of Particles, and a Malignant Fever produced by their means, we all know that the Blood in this State throws off vast Quantities of subtil and active Particles thro' the Perspirable, Salival, and other Excretory Ducts of the Body, which not only must load the adjoining Air with great Quantities of them, and render it capable of producing more dismal Effects than the preceeding, but also the Particles thus thrown off must be endued with a more acrid and pungent Disposition than the former, inasmuch as they are more subtily divided and attenuated by the Force of the Fever, than those in the preceeding Disposition of the Air, where so powerful an Agent was wanting, And consequently produce a Fever of a most infectious and deleterious Nature; And especially when the Infection is taken toward the latter end of the Disease, at which time the Saline Particles will be more exalted and volatilised, as well as thrown off in greater Quantities, and thereby made more capable of producing an infectious Contagion.
For the Blood in these Circumstances may not unaptly be compared, as was before hinted, to a fermenting Liquor, whose Parts being constantly in Motion, are continually throwing off great Quantities of subtil and active Spirits, capable of exciting the same Fermentation, and producing the same Qualities in those of the like Species, as appears from our manner of fermenting Ale, Beer, &c. with Yeast, which is a Spirituous Ferment, and also from the Sower Ferments used in making Vinegar, &c.
Analogous to this we may observe, that the Blood in different Diseases, as well as different Animals, throws off great Quantities of active Particles, which when mixed with the Blood of a Healthful Person, are capable of exciting the same Fermentation and Disorder in the Animal Juices, with those of the Morbid Animal from which they exhale, as we find in the Small-Pox, Measles, Saliva of a Mad-dog, and the like.
This then being the Disposition of the Blood and other Juices, in those Fevers which we call Pestilential, it is evident, that whatever the particular Substance of the Contagious Particles may be, they must be endued with such Qualities as will Coagulate the Animal Juices, Stimulate the Fibres to frequent Vibrations, cause Obstructions in the Capillary Vessels, and render the Blood and other Juices of the Body exceedingly Acrid and Pungent, as appears from hence and the foregoing Propositions; The Symptoms and Consequences (cæteris paribus) being the same, whether the Disease has gradually grown up to this Height, or took its Rise only from Contagious Particles brought from abroad.
How propagated.
This is the Method by which I suppose these Contagious and Pestilential Particles to be first generated and produced, in those places which are most subject to them, and thence propagated first into the Neighbourhood, and afterwards to greater Distances by way of Intercourse and Commerce. The Pestilential Effluvia being pack'd up and conveyed in Goods of a soft and loose Texture, as Silk, Wool, Cotton, and the like; And so much the more easily, as the Air into which these infested Materials are brought, is predisposed to act in full Concert with them; as happens in all Places at some times more than others; At which time if these infectious Particles be communicated, they exert their Rage with the utmost Violence, but frequently are either dissipated and lost, or produce Diseases of less fatal Consequence, in an opposite Disposition of the Air.
Why the Plague ceases.
Thus hard Frost, strong cold and Northerly Winds, are found frequently to put an End to, or at least bridle the Fury of Contagious Diseases, and render them more mild and curable, as was observable in the Beginning of the last great Plague in London [m], and frequently taken Notice of in other places by the Writers on this Subject. Consonant to this we find in Ægypt, that the Rising of the Nile by giving a fresh Motion to, and altering the Disposition of their stagnating and putrid Air, by the mild Vapours and Nitrous Exhalations [n] issuing from it, immediately checks the Raging of the Plague, and reduces it to a Fever of a more mild and curable Nature; insomuch that as Purchas and others inform us, if there die in Grand Caire 500 Persons of the Plague the Day before, yet upon the Increase of the River it ceases to be Pestilential, and none die of it [o]. And indeed it can hardly be imagin'd, how the Plague when it has once got establish'd in any Place, shou'd cease but with the Destruction of all or most of the Inhabitants, was it not checked by some Alteration in the Disposition of the Air, and gradually reduced to a Fever of a more mild and curable Disposition.
[ [m] Hodges de Peste.
[ [n] Boyle's determ. Nat. Effluv. cap. 4. Plot's Nar. Hist. of Staffordsh. cap. 2. pag. 42.
[ [o] Purchas Pilgrim, lib. 6, cap. 7. Sandy's Travels, lib. 2. cap. 97.
It will I think be needless to show, that the Distempers here treated on are propagated by Contagion; But it may not be altogether unnecessary to explain by what Methods these Alterations in the Animal Oeconomy are brought about, and especially as the Means by which they are chiefly communicated, have not that I know of been fully examin'd.
