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[4]. Diarrhœa a timore. The absorbent vessels of the intestines invert their motions by direct consent with the skin; hence many liquid stools as well as much pale urine are liable to accompany continued fear, along with coldness of the skin. The immediate cause of this is the decreased sensorial power of association, which intervenes between the actions of the absorbents of the cold skin, and those of the intestinal absorbents; the motions of the latter become on that account weakened and at length retrograde. The remote cause is the torpor of the vessels of the skin catenated with the pain of fear, as explained in Sect. XVI. 8. 1.

The capillaries of the skin consent more generally by direct sympathy with those of the lower intestines, and of the bladder; but by reverse sympathy more generally with those of the stomach and upper intestines. As appears in fevers, where the hot skin accompanies indigestion of the stomach; and in diarrhœas attended with cold extremities.

The remote cause is the torpor of the skin owing to its reverse sympathy with the painful sensual motions, or ideas, of fear; which are now actuated with great energy, so as to deprive the second link of associated motions of their due share of sensorial power. It is also probable, that the pain of fear itself may contribute to exhaust the sensorial power, even when it produces no muscular action. See Class [IV. 2. 2].

[5]. Pallor et tremor a timore. A retrograde action of the capillaries of the skin producing paleness, and a torpor of the muscular fibres of the limbs occasioning trembling, are caused by their reverse associations with the ideas or imaginations of fear; which are now actuated with violent energy, and accompanied with great pain. The cause of these associations are explained in Sect XVI. 8. 1.

These torpid actions of the capillaries and muscles of the limbs are not caused immediately by the painful sensation of fear; as in that case they would have been increased and not decreased actions, as occurs in anger; where the painful volition increases the actions of the capillaries, exciting a blush and heat of the skin. Whence we may gain some knowledge of what is meant by depressing and exciting passions; the former confiding of ideas attended with pain, which pain occasions no muscular actions, like the pain of cold head-ach; the latter being attended with volitions, and consequent muscular exertions.

That is, the pain of fear, and the pain of anger, are produced by the exertion of certain ideas, or motions of certain nerves of sense; in the former case, the painful sensation of fear produces no muscular actions, yet it exhausts or employs so much sensorial power, that the whole system acts more feebly, or becomes retrograde; but some parts of it more so than others, according to their early associations described in Sect. XVI. 8. 1. hence the tremor of the limbs, palpitation of heart, and even syncope. In anger the painful volition produces violent muscular actions; but if previous to these any deliberation occurs, a flushed countenance sometimes, and a red skin, are produced by this superabundance of volition exerted on the arterial system; but at other times the skin becomes pale, and the legs tremble, from the exhaustion or expenditure of the sensorial power by the painful volitions of anger on the organs of sense, as by the painful sensations of fear above mentioned.

Where the passion of fear exists in a great degree, it exhausts or expends so much sensorial power, either simply by the pain which attends it, or by the violent and perpetual excitement of the terrific imaginations or ideas, that not only a cold and pale skin, but a retrograde motion of the cutaneous absorbents occurs, and a cold sweat appears upon the whole surface of the body, which probably sometimes increases pulmonary absorption; as in Class [II. 1. 6. 4]. and as in the cold sweats, which attend the paroxysms of humoral asthma. Hence anxiety, which is a continued pain of fear, so universally debilitates the constitution as to occasion a lingering death; which happens much more frequently than is usually supposed; and these victims of continued anxiety are said to die of a broken heart. Other kinds of paleness are described in Class [I. 2. 2. 2].

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[6]. Palpitatio cordis a timore. The palpitation of the heart from fear is owing to the weak action of it, and perhaps sometimes to the retrograde exertion of the ventricules and auricles; because it seems to be affected by its association with the capillaries, the actions of which, with those of the arteries and veins, constitute one great circle of associate motions. Now when the capillaries of the skin become torpid, coldness and paleness succeed; and with these are associated the capillaries of the lungs, whence difficult respiration; and with these the weak and retrograde actions of the heart. At the same time the absorbents of the skin, and of the bladder, and of the intestines, sometimes become retrograde, and regurgitate their contents; as appears by the pale urine in large quantities, which attends hysteric complaints along with this palpitation of the heart; and from the cold sweats, and diarrhœa; all which, as well as the hysteric complaints, are liable to be induced or attended by fear.