[20]. As the immediate cause of sleep consists in the suspension of volition, it follows, that whatever diminishes the general quantity of sensorial power, or derives it from the faculty of volition, will constitute a remote cause of sleep; such as fatigue from muscular or mental exertion, which diminishes the general quantity of sensorial power; or an increase of the sensitive motions, as by attending to soft music, which diverts the sensorial power from the faculty of volition; or lastly, by increase of the irritative motions, as by wine, or food; or warmth; which not only by their expenditure of sensorial power diminish the quantity of volition; but also by their producing pleasureable sensations (which occasion other muscular or sensual motions in consequence), doubly decrease the voluntary power, and thus more forcibly produce sleep. See Sect. [XXXIV. 1. 4].
Another method of inducing sleep is delivered in a very ingenious work lately published by Dr. Beddoes. Who, after lamenting that opium frequently occasions restlessness, thinks, "that in most cases it would be better to induce sleep by the abstraction of stimuli, than by exhausting the excitability;" and adds, "upon this principle we could not have a better soporific than an atmosphere with a diminished proportion of oxygene air, and that common air might be admitted after the patient was asleep." (Observ. on Calculus, &c. by Dr. Beddoes, Murray.) If it should be found to be true, that the excitability of the system depends on the quantity of oxygene absorbed by the lungs in respiration according to the theory of Dr. Beddoes, and of M. Girtanner, this idea of sleeping in an atmosphere with less oxygene in its composition might be of great service in epileptic cases, and in cramp, and even in fits of the asthma, where their periods commence from the increase of irritability during sleep.
Sleep is likewise said to be induced by mechanic pressure on the brain in the cases of spina bifida. Where there has been a defect of one of the vertebræ of the back, a tumour is protruded in consequence; and, whenever this tumour has been compressed by the hand, sleep is said to be induced, because the whole of the brain both within the head and spine becomes compressed by the retrocession of the fluid within the tumour. But by what means a compression of the brain induces sleep has not been explained, but probably by diminishing the secretion of sensorial power, and then the voluntary motions become suspended previously to the irritative ones, as occurs in most dying persons.
Another way of procuring sleep mechanically was related to me by Mr. Brindley, the famous canal engineer, who was brought up to the business of a mill-wright; he told me, that he had more than once seen the experiment of a man extending himself across the large stone of a corn-mill, and that by gradually letting the stone whirl, the man fell asleep, before the stone had gained its full velocity, and he supposed would have died without pain by the continuance or increase of the motion. In this case the centrifugal motion of the head and feet must accumulate the blood in both those extremities of the body, and thus compress the brain.
Lastly, we should mention the application of cold; which, when in a less degree, produces watchfulness by the pain it occasions, and the tremulous convulsions of the subcutaneous muscles; but when it is applied in great degree, is said to produce sleep. To explain this effect it has been said, that as the vessels of the skin and extremities become first torpid by the want of the stimulus of heat, and as thence less blood is circulated through them, as appears from their paleness, a greater quantity of blood poured upon the brain produces sleep by its compression of that organ. But I should rather imagine, that the sensorial power becomes exhausted by the convulsive actions in consequence of the pain of cold, and of the voluntary exercise previously used to prevent it, and that the sleep is only the beginning to die, as the suspension of voluntary power in lingering deaths precedes for many hours the extinction of the irritative motions.
[21]. The following are the characteristic circumstances attending perfect sleep.
1. The power of volition is totally suspended.
2. The trains of ideas caused by sensation proceed with greater facility and vivacity; but become inconsistent with the usual order of nature. The muscular motions caused by sensation continue; as those concerned in our evacuations during infancy, and afterwards in digestion, and in priapismus.
3. The irritative muscular motions continue, as those concerned in the circulation, in secretion, in respiration. But the irritative sensual motions, or ideas, are not excited; as the immediate organs of sense are not stimulated into action by external objects, which are excluded by the external organs of sense; which are not in sleep adapted to their reception by the power of volition, as in our waking hours.
4. The associate motions continue; but their first link is not excited into action by volition, or by external stimuli. In all respects, except those above mentioned, the three last sensorial powers are somewhat increased in energy during the suspension of volition, owing to the consequent accumulation of the spirit of animation.