When these exertions from excess of volition, which in common language are termed involuntary motions, either of mind or body, are perpetually exerted in weak constitutions, the pulse becomes quick; which is occasioned by the too great expenditure of the sensorial power in these unceasing modes of activity. In the same manner as in very weak people in fevers, the pulse sometimes increases in frequency to 140 strokes in a minute, when the patients stand up or endeavour to walk; and subsides to 110, when they lie down again in their beds. Whence it appears, that when a very quick pulse accompanies convulsion or insanity, it simply indicates the weakness of the patient; that is, that the expenditure of sensorial power is too great for the supply of it. But if the strength of the patient is not previously exhausted, the exertions of the muscles are attended with temporary increase of circulation, the reciprocal swellings and elongations of their bellies push forwards the arterial blood, and promote the absorption of the venous blood; whence a temporary increase of secretion and of heat, and a stronger pulse.
SPECIES.
[1]. Jactitatio. Restlessness. There is one kind of restlessness attending fevers, which consists in a frequent change of posture to relieve the uneasiness of the pressure of one part of the body upon another, when the sensibility of the system, or of some parts of it, is increased by inflammation, as in the lumbago; which may sometimes be distinguished in its early stage by the incessant desire of the patient to turn himself in bed. But there is another restlessness, which approaches towards writhing or contortions of the body, which is a voluntary effort to relieve pain; and may be esteemed a slighter kind of convulsion, not totally unrestrainable by opposite or counteracting volitions.
M. M. A blister. Opium. Warm bath.
[2]. Tremor febrilis. Reciprocal convulsions of the subcutaneous muscles, originating from the pain of the sense of heat, owing to defect of its usual stimulus, and consequent accumulation of sensorial power in it. The actual deficiency of heat may exist in one part of the body, and the pain of cold be felt most vividly in some other part associated with it by sensitive sympathy. So a chillness down the back is first attended to in ague-fits, though the disease perhaps commences with the torpor and consequent coldness of some internal viscus. But in whatever part of the system the defect of heat exists, or the sensation of it, the convulsions of the subcutaneous muscles exerted to relieve it are very general; and, if the pain is still greater, a chattering of the teeth is added, the more suddenly to exhaust the sensorial power, and because the teeth are very sensible to cold.
These convulsive motions are nevertheless restrainable by violent voluntary counteraction; and as their intervals are owing to the pain of cold being for a time relieved by their exertion, they may be compared to laughter, except that there is no interval of pleasure preceding each moment of pain in this as in the latter.
M. M. See [I. 2. 2. 1].
[3]. Clamor. Screaming from pain. The talkative animals, as dogs, and swine, and children, scream most, when they are in pain, and even from fear; as they have used this kind of exertion from their birth most frequently and most forcibly; and can therefore sooner exhaust the accumulation of sensorial power in the affected muscular or sensual organs by this mode of exertion; as described in Sect. XXXIV. 1. 3. This facility of relieving pain by screaming is the source of laughter, as explained below.
[4]. Risus. The pleasurable sensations, which occasion laughter, are perpetually passing into the bounds of pain; for pleasure and pain are often produced by different degrees of the same stimulus; as warmth, light, aromatic or volatile odours, become painful by their excess; and the tickling on the soles of the feet in children is a painful sensation at the very time it produces laughter. When the pleasurable ideas, which excite us to laugh, pass into pain, we use some exertion, as a scream, to relieve the pain, but soon stop it again, as we are unwilling to lose the pleasure; and thus we repeatedly begin to scream, and stop again alternately. So that in laughing there are three stages, first of pleasure, then pain, then an exertion to relieve that pain. See Sect. XXXIV. 1. 3.
Every one has been in a situation, where some ludicrous circumstance has excited him to laugh; and at the same time a sense of decorum has forbid the exertion of these interrupted screams; and then the pain has become so violent, as to occasion him to use some other great action, as biting his tongue, and pinching himself, in lieu of the reiterated screams which constitute laughter.