The age-worn fibres goaded to contract
By repetition palsied, cease to act.
Canto II. l. 4
I. Effects of Age.
The immediate cause of the infirmities of age, or of the progress of life to death, has not yet been well ascertained. The answer to the question, why animals become feeble and diseased after a time, though nourished with the same food which increased their growth from infancy, and afterwards supported them for many years in unimpaired health and strength, must be sought for from the laws of animal excitability, which, though at first increased, is afterwards diminished by frequent repetitions of its adapted stimulus, and at length ceases to obey it.
1. There are four kinds of stimulus which induce the fibres to contract, which constitute the muscles or the organs of sense; as, first, The application of external bodies, which excites into action the sensorial power of irritation; 2dly, Pleasure and pain, which excite into action the sensorial power of sensation; 3dly, Desire and aversion, which excite into action the power of volition; and lastly, The fibrous contractions, which precede association, which is another sensorial power; see Zoonomia, Vol. I. Sect. II. 13.
Many of the motions of the organic system, which are necessary to life, are excited by more than one of these stimuli at the same time, and some of them occasionally by them all. Thus respiration is generally caused by the stimulus of blood in the lungs, or by the sensation of the want of oxygen; but is also occasionally voluntary. The actions of the heart also, though generally owing to the stimulus of the blood, are also inflamed by the association of its motions with those of the stomach, whence sometimes arises an inequality of the pulse, and with other parts of the system, as with the capillaries, whence heat of the skin in fevers with a feeble pulse, see Zoonomia. They are also occasionally influenced by sensation, as is seen in the paleness occasioned by fear, or the blush of shame and anger; and lastly the motions of the heart are sometimes assisted by volition; thus in those who are much weakened by fevers, the pulse is liable to stop during their sleep, and to induce great distress; which is owing at that time to the total suspension of voluntary power; the same occurs during sleep in some asthmatic patients.
2. The debility of approaching age appears to be induced by the inactivity of many parts of the system, or their disobedience to their usual kinds and quantities of stimulus: thus the pallid appearance of the skin of old age is owing to the inactivity of the heart, which ceases to obey the irritation caused by the stimulus of the blood, or its association with other moving organs with its former energy; whence the capillary arteries are not sufficiently distended in their diastole, and consequently contract by their elasticity, so as to close the canal, and their sides gradually coalesce. Of these, those which are most distant from the heart, and of the smallest diameters, will soonest close, and become impervious; hence the hard pulse of aged patients is occasioned by the coalescence of the sides of the vasa vasorum, or capillary arteries of the coats of the other arteries.
The veins of elderly people become turgid or distended with blood, and stand prominent on the skin; for as these do not possess the elasticity of the arteries, they become distended with accumulation of blood; when the heart by its lessened excitability does not contract sufficiently forcibly, or frequently, to receive, as fast as usual, the returning blood; and their apparent prominence on the skin is occasioned by the deficient secretion of fat or mucus in the cellular membrane; and also to the contraction and coalescence and consequent less bulk of many capillary arteries.
3. Not only the muscular fibres lose their degree of excitability from age, as in the above examples; and as may be observed in the tremulous hands and feeble step of elderly persons; but the organs of sense become less excitable by the stimulus of external objects; whence the sight and hearing become defective; the stimulus of the sensorial power of sensation also less affects the aged, who grieve less for the loss of friends or for other disappointments; it should nevertheless be observed, that when the sensorial power of irritation is much exhausted, or its production much diminished; the sensorial power of sensation appears for a time to be increased; as in intoxication there exists a kind of delirium and quick flow of ideas, and yet the person becomes so weak as to totter as he walks; but this delirium is owing to the defect of voluntary power to correct the streams of ideas by intuitive analogy, as in dreams: see Zoonomia: and thus also those who are enfeebled by habits of much vinous potation, or even by age alone, are liable to weep at shaking hands with a friend, whom they have not lately seen; which is owing to defect of voluntary power to correct their trains of ideas caused by sensation, and not to the increased quantity of sensation, as I formerly supposed.
The same want of voluntary power to keep the trains of sensitive ideas consistent, and to compare them by intuitive analogy with the order of nature, is the occasion of the starting at the clapping to of a door, or the fall of a key, which occasions violent surprise with fear and sometimes convulsions, in very feeble hysterical patients, and is not owing I believe (as I formerly supposed) to increased sensation; as they are less sensible to small stimuli than when in health.
Old people are less able also to perform the voluntary exertions of exercise or of reasoning, and lastly the association of their ideas becomes more imperfect, as they are forgetful of the names of persons and places; the associations of which are less permanent, than those of the other words of a language, which are more frequently repeated.