Fatigue, not Exhaustion. In the first place, then, fatigue very seldom means a lack of strength or an exhaustion of energy. The average man in the course of a lifetime probably never knows what it is to be truly exhausted. If he should become so tired that he could in no circumstances run for his life, no matter how many wild beasts were after him, then it might seem that he had drained himself of all his store of energy. But even in that case, a large part of his fatigue would be the result of another cause.
A Matter of Chemistry. True fatigue is a chemical affair. It is the result of recent effort,—physical, mental, or emotional,—and is the sum of sensations arising from the presence of waste material in the muscles and the blood. The whole picture becomes clear if we think of the body as a factory whose fires continuously burn, yielding heat and energy, together with certain waste material,—carbon dioxide and ash. Within man's body the fuel, instead of being the carbon of coal is the carbon of glycogen or animal starch, taken in as food and stored away within the cells of the muscles and the liver. The oxygen for combustion is continuously supplied by the lungs. So
far the factory is well equipped to maintain its fires. Nor does it fail when it comes to carrying away waste products. Like all factories, the body has its endless chain arrangement, the blood stream, which automatically picks up the debris in its tiny buckets—the blood-cells and serum—and carries it away to the several dumping-grounds in lungs, kidneys, intestines, and skin.
Besides the products of combustion, there are always to be washed away some broken-down particles from the tissues themselves, which, like all machinery, are being continuously worn out and repaired. By chemical tests in the laboratory, the physiologist finds that a muscle which has recently been in violent exercise contains among other things carbon dioxid, urea, creatin, and sarco-lactic acid, none of which are found in a rested muscle. Since all this debris is acid in reaction and since we are "marine animals," at home only in salt water or alkaline solution, the cells must be quickly washed of the fatigue products, which, if allowed to accumulate, would very soon poison the body and put out the fires.
No Back Debts. The human machine is regulated to carry away its fatigue products as fast as they are made, with but slight lagging behind that is made good in the hours of sleep, when bodily activities are lessened and time is allowed for repair. Unless the body is definitely diseased, it virtually never carries over its
fatigue from one day to another. In the matter of fatigue, there are no old debts to pay. Nature renews herself in cycles, and her cycle is twenty-four hours,—not nine or ten months as many school-teachers seem to imagine, or eleven months as some business men suppose. In order to make assurance doubly sure, many set apart every seventh day for a rest day, for change of occupation and thought, and for catching up any slight arrears which might exist. But the point is that a healthy body never gets far behind.
If through some flaw in the machine, waste products do pile up, they destroy the machine. If the heart leaks or the blood-cells fail in their carrying-power, or if lungs, kidneys or skin are out of repair, there is sometimes an accumulation of fatigue products which poisons the whole system and ends in death. But the person with tuberculosis or heart trouble does not usually allow this to happen. The body incapacitated by disease limits its activities as closely as possible within the range of its power to take care of waste matter. Even the sick body does not carry about its old toxins. The man who had not eliminated the poisons of a month-old effort would not be a tired man. He would be a dead man.
A Sliding Scale. If all this be true, real fatigue can only be the result of recent effort. If one is still alive, the results of earlier effort must long since have
disappeared. The tissue-cells retain not the slightest trace of its effects. Fatigue cannot possibly last, because it either kills us or cures itself. Up to a certain point, far beyond our usual high-water mark, the more a person does the more he can do. As Professor James has pointed out, the rate of repair increases with the rate of combustion. Under unusual stress, the rate of the whole machine is increased: the heart-pump speeds up, respirations deepen and quicken, the blood flows faster, the endless chain of filling and emptying buckets hurries the interchange of oxygen and carbon dioxid, until the extreme capacity is reached and the organism refuses to do more without a period of rest.
The whole arrangement illustrates the wonderful provisions of Nature. Although each individual is continuously manufacturing enough carbonic-acid gas to kill himself in a very few minutes, he need not be alarmed for fear that he may forget to expel his own poisons. Nobody can hold his breath for more than a few minutes. The naughty baby sometimes tries, but when he begins to get black in the face, he takes a breath in spite of himself. The presence of carbonic-acid gas in the circulation automatically regulates breathing, and the greater the amount of gas the deeper the breath. The faster we burn the faster we blow. As with breathing, so with all the rest of elimination and repair. The body dares not get behind.