THE CASE OF NIETZSCHE
Friedrich Nietzsche is about as good a case as there is on record of a genius blasted by migraine. The originality and force of his mind, as well as the articulate music of an imaginative poet, places Nietzsche among the philosophic elect of the race. Showing that he was an unstable pituitary-centered of a certain type will throw light upon his malady, as well as upon his life and work.
In a set of volumes, entitled Biographic Clinics, Dr. George M. Gould of Philadelphia contended that the ill health of a number of men and women of genius of the nineteenth century was due to unconnected eye troubles. In attempting to bolster up his thesis he has collected biographic material useful to the student of personality. He never appears to have asked himself what was behind the eye trouble. The evidence relating to Nietzsche's endocrine personality is derived from some of the data he collected, as well as from the two volume life of the philosopher written by his sister, and the other biographies of him extant.
To reconstruct the endocrine formula or equation of Nietzsche inductively, one should analyze first the information available concerning his parents and relatives. His grandfather was a conservative bourgeois of a superior type, who was the author of treatises designed to narcotize the forces of rebellion of his time. What he was like physically, no epitaph declares. His father was a clergyman. A description of him reads … "tall and slender, with a noble and poetic personality, and a peculiar talent for music … short-sighted." That ranks him at once as a pituito-centric. The mother was dark and had a fiery temper and came of a family distinguished for the powerfully built anatomy of its members. In the heredity of Nietzsche, the father appears therefore to supply a pituitary predominating element, the mother an adrenal-pituitary predominating element.
Nietzsche himself worked strenuously at the intellectual life (after 20, when he probably stopped growing, and the brain tonic action of the ante-pituitary could manifest itself). Early distinction rewarded him with a professorship in philology at 24. One of Prussia's wars of conquest entangled him, and presented him with diphtheria. A friendship with Richard Wagner marked the turning point of his life, and the point of departure for his works on the most fundamental values of human life. Meanwhile, attacks of sick-headache of varying degrees of severity made him miserable periodically—they came about every two weeks and lasted two to three days—and left him wretched and exhausted. At last, at 44, a species of stroke terminated his sufferings, causing him to lose his speech and memory, and thenceforth there was progressive deterioration, physical and spiritual, with repeated attacks.
In the sister's biography there are several good photographs and reproductions of sculptures of Nietzsche at different ages. An examination of the frontispiece picture, which shows him in profile (profile views are the best for physiognomy), as well as of the bust of Nietzsche by Donndorf, exhibit the most striking traits of the head. To the student of internal secretions, the most prominent feature of the face, emphasized by both the camera and the artist, is the remarkable prominence of the supra-orbital arches, the bony protuberances from which the eyebrows spring. This is a definite pituitary character. The eyebrows themselves are luxurious and slope to meet, the bony development of the face as a whole is sharp and clean-cut, the skull tends to be long and narrow and the chin is square. All these point to a pituitary-centered personality. It is to be regretted that we have no picture or record of Nietzsche caught smiling, which would have preserved the state of his teeth for us. At any rate, considered as checks to my interpretation, his physiognomy and physique, the nature of his genius and the attacks which finally ruined his life, all fit into the conception of him as one whose life centered, like Napoleon's, around what was happening in his sella turcica.
The attacks of sick-headache, diagnosable symptomatically as migraine, were so devastating that in 1883, after the printing of his masterpiece, "Also Sprach Zarathustra," he wrote "My life has been a complete failure." Extracts from his letters, collected by Gould, provide some idea of his suffering. In 1888, just before his stroke, he said, "I have in my eyes a dynamometer of my entire condition."
The history of Nietzsche's eye trouble makes it probable that not simply a defect in his eyes themselves, but a deeper condition behind them was responsible. Up to the age of 15 he was a model scholar. Essential eye defects of refraction should make themselves felt during childhood. Then, with adolescence, he changed. Adolescence is one of the red-letter epochs for the pituitary, when its growth and enlargement precedes and stimulates the ripening of the sex cells in the reproductive organs. Until adolescence ended and physical development ceased, his intellectual interests were nil, and he was particularly backward in mathematics. Colds and coughs, and recurring pains in the head and eyes bothered him (colds and coughs are frequent in those whose pituitary expansion is limited by the bony sella turcica to any extent). After his puberty, migraine definitely became his demon companion. Following the diphtheria in the army (which must have damaged his adrenals), the attacks grew much worse, and complaints about them more bitter because the pituitary now, in addition to its own burden, had to compensate for the insufficient adrenals. So "his frequent illness made him more and more a subject of treatment and commiseration…. If only my eyes would hold out … it seems to me at the age of 30 as if I had lived 60 years … very frequent sufferings of stomach, head and eyes … acidity oppresses me, and everything except the tenderest food becomes acid…. I cannot doubt that I am the victim of a serious cerebral disease, and that stomach and eyes suffer only from this central cause … half-dead with pain and exhaustion." In December 1888, he fell, had to be helped home, lay silent for two days, then became loud, active and unbalanced. The attack was preceded by the drinking of much water.
The specific quality of the Nietzsche genius also directs attention to a pituitocentric, to a pituitocentric in whom both ante-pituitary and post-pituitary are extraordinarily well-functioning, but are in a state of unbalance in which the post-pituitary gets the upper hand. Now, as we have seen, the post-pituitary makes for that instability of association between the brain cells which must be at the bottom of originality and creative thought, as well as of phobias, obsessions, hysterias and hallucinations. Persons in whom the post-pituitary predominates have a lively fancy and are liable to suffer from the tricks of association. Nietzsche, as we have noted, was poor in mathematics and in the calm cool proportioned forward march of scientific thought in general. His most brilliant ideas came to him in flashes and gleams. That is why so much of his work has come down to us in the form of aphorisms and paragraphs. He was, essentially, a poet among the metaphysicians, which again favors the conception of him as a pituitary-centered with a dominant post-pituitary. Yet his incisive critical faculty, as well as his love of music, also document the supernormal ante-pituitary.
To sum up, the physique and physiognomy of Nietzsche, his migraine attacks and the later fate which overtook him, his likes and dislikes, his tastes, abilities and accomplishments followed from his composition as one pituitary-centered, with post-pituitary domination, a superior thyroid, and inferior adrenals.