Zoonomia; Or, the Laws of Organic Life, Vol. I

by Erasmus Darwin

[9]. From the accounts of the plague, virulent catarrh, and putrid dysentery, it seems uncertain, whether these diseases are experienced more than once; but the venereal disease and itch are doubtless repeatedly infectious; and as these diseases are never cured spontaneously, but require medicines, which act without apparent operation, some have suspected, that the contagious material produces similar matter rather by a chemical change of the fluids, than by an animal process; and that the specific medicines destroy their virus by chemically combining with it. This opinion is successfully combated by Mr. Hunter, in his Treatise on Venereal Disease, Part I. c. i.

But this opinion wants the support of analogy, as there is no known process in animal bodies, which is purely chemical, not even digestion; nor can any of these matters be produced by chemical processes. Add to this, that it is probable, that the insects, observed in the pustules of the itch, and in the stools of dysenteric patients, are the consequences, and not the causes of these diseases. And that the specific medicines, which cure the itch and lues venerea, as brimstone and mercury, act only by increasing the absorption of the matter in the ulcuscles of those diseases, and thence disposing them to heal; which would otherwise continue to spread.

Why the venereal disease, and itch, and tenia, or scald head, are repeatedly contagious, while those contagions attended with fever can be received but once, seems to depend on their being rather local diseases than universal ones, and are hence not attended with fever, except the purulent fever in their last stages, when the patient is destroyed by them. On this account the whole of the system does not become habituated to these morbid actions, so as to cease to be affected with sensation by a repetition of the contagion. Thus the contagious matter of the venereal disease, and of the tenia, affects the lymphatic glands, as the inquinal glands, and those about the roots of the hair and neck, where it is arrested, but does not seem to affect the blood-vessels, since no fever ensues.

Hence it would appear, that these kinds of contagion are propagated not by means of the circulation, but by sympathy of distant parts with each other; since if a distant part, as the palate, should be excited by sensitive association into the same kind of motions, as the parts originally affected by the contact of infectious matter; that distant part will produce the same kind of infectious matter; for every secretion from the blood is formed from it by the peculiar motions of the fine extremities of the gland, which secretes it; the various secreted fluids, as the bile, saliva, gastric juice, not previously existing, as such, in the blood-vessels.

And this peculiar sympathy between the genitals and the throat, owing to sensitive association, appears not only in the production of venereal ulcers in the throat, but in variety of other instances, as in the mumps, in the hydrophobia, some coughs, strangulation, the production of the beard, change of voice at puberty. Which are further described in Class IV. 1. 2. 7.

To evince that the production of such large quantities of contagious matter, as are seen in some variolous patients, so as to cover the whole skin almost with pustules, does not arise from any chemical fermentation in the blood, but that it is owing to morbid motions of the fine extremities of the capillaries, or glands, whether these be ruptured or not, appears from the quantity of this matter always corresponding with the quantity of the fever; that is, with the violent exertions of those glands and capillaries, which are the terminations of the arterial system.

The truth of this theory is evinced further by a circumstance observed by Mr. J. Hunter, in his Treatise on Venereal Disease; that in a patient, who was inoculated for the small-pox, and who appeared afterwards to have been previously infested with the measles, the progress of the small-pox was delayed till the measles had run their course, and that then the small-pox went through its usual periods.

Two similar cases fell under my care, which I shall here relate, as it confirms that of Mr. Hunter, and contributes to illustrate this part of the theory of contagious diseases. I have transcribed the particulars from a letter of Mr. Lightwood of Yoxal, the surgeon who daily attended them, and at my request, after I had seen them, kept a kind of journal of their cases.

Miss H. and Miss L. two sisters, the one about four and the other about three years old, were inoculated Feb. 7, 1791. On the 10th there was a redness on both arms discernible by a glass. On the 11th their arms were so much inflamed as to leave no doubt of the infection having taken place. On the 12th less appearance of inflammation on their arms. In the evening Miss L. had an eruption, which resembled the measles. On the 12th the eruption on Miss L. was very full on the face and breast, like the measles, with considerable fever. It was now known, that the measles were in a farm house in the neighbourhood. Miss H.'s arm less inflamed than yesterday. On the 14th Miss L.'s fever great, and the eruption universal. The arm appears to be healed. Miss H.'s arm somewhat redder. They were now put into separate rooms. On the 15th Miss L.'s arms as yesterday. Eruption continues. Miss H.'s arms have varied but little. 16th, the eruptions on Miss L. are dying away, her fever gone. Begins to have a little redness in one arm at the place of inoculation. Miss H.'s arms get redder, but she has no appearance of complaint. 20th, Miss L.'s arms have advanced slowly till this day, and now a few pustules appear. Miss H.'s arm has made little progress from the 16th to this day, and now she has some fever. 21st, Miss L. as yesterday. Miss H. has much inflammation, and an increase of the red circle on one arm to the size of half a crown, and had much fever at night, with fetid breath. 22d, Miss L.'s pustules continue advancing. Miss H.'s inflammation of her arm and red circle increases. A few red spots appear in different parts with some degree of fever this morning, 23d. Miss L. has a larger crop of pustules. Miss H. has small pustules and great inflammation of her arms, with but one pustule likely to suppurate. After this day they gradually got well, and the pustules disappeared.

In one of these cases the measles went through their common course with milder symptoms than usual, and in the other the measly contagion seemed just sufficient to stop the progress of variolous contagion, but without itself throwing the constitution into any disorder. At the same time both the measles and small-pox seem to have been rendered milder. Does not this give an idea, that if they were both inoculated at the same time, that neither of them might affect the patient?