CASE I.
HEALTH.
Strange it is, that moral treatises, when professing to lay open the great edifice of human duties, and to expose its very foundations, should not have begun with, nay, should not have noticed at all, those duties which a man owes to himself, and, foremost amongst them, the duty of cultivating his own health. For it is evident, that, from mere neglect of that one personal duty, with the very best intentions possible, all other duties whatever may become impossible; for good intentions exist in all stages of efficiency, from the fugitive impulse to the realizing self-determination. In this life, the elementary blessing is health. What! do we presume to place it before peace of mind? Far from it; but we speak of the genesis; of the succession in which all blessings descend; not as to time, but the order of dependency. All morality implies free agency: it presumes beyond all other conditions an agent who is in perfect possession of his own volitions. Now, it is certain that a man without health is not uniformly master of his own purposes. Often he cannot be said either to be in the path of duty or out of it; so incoherent are the actions of a man forced back continually from the objects of his intellect and choice upon some alien objects dictated by internal wretchedness. It is true that, by possibility, some derangements of the human system are not incompatible with happiness: and a celebrated German author of the last century, Von Hardenberg—better known by his assumed name of Novalis—maintained, that certain modes of ill health, or valetudinarianism, were pre-requisites towards certain modes of intellectual development. But the ill health to which he pointed could not have gone beyond a luxurious indisposition; nor the corresponding intellectual purposes have been other than narrow, fleeting, and anomalous. Inflammatory action, in its earlier stages, is sometimes connected with voluptuous sensations: so is the preternatural stimulation of the liver. But these states, as pleasurable states, are transitory. All fixed derangements of the health are doubly hostile to the moral energies: first, through the intellect, which they debilitate unconsciously in many ways; and next, both consciously and semi-consciously, through the will. The judgment is, perhaps, too clouded to fix upon a right purpose: the will too enfeebled to pursue it.
Two general remarks may be applied to all, interferences of the physical with the moral sanity; 1st, That it is not so much by absolute deductions of time that ill health operates upon the serviceableness of a man, as by its lingering effects upon his temper and his animal spirits. Many a man has not lost one hour of his life from illness, whose faculties of usefulness have been most seriously impaired through gloom, or untuned feelings; 3d, That it is not the direct and known risks to our health which act with the most fatal effects, but the semi-conscious condition, the atmosphere of circumstances, with which artificial life surrounds us. The great cities of Europe, perhaps London beyond all others, under the modern modes of life and business, create a vortex of preternatural tumult, a rush and frenzy of excitement, which is fatal to far more than are heard of as express victims to that system.
The late Lord Londonderry's nervous seizure was no solitary or rare case. So much we happen to know. We are well assured by medical men of great London practice, that the case is one of growing frequency. In Lord Londonderry it attracted notice for reasons of obvious personal interest, as well as its tragical catastrophe. But the complaint, though one of modern growth, is well known, and comes forward under a most determinate type as to symptoms, among the mercantile class. The original predisposition to it, lies permanently in the condition of London life, especially as it exists for public men. But the immediate existing cause, which fires the train always ready for explosion, is invariably some combination of perplexities, such as are continually gathering into dark clouds over the heads of great merchants; sometimes only teasing and molesting, sometimes menacing and alarming. These perplexities are generally moving in counteracting paths: some progressive, some retrograde. There lies a man's safety. But at times it will happen that all comes at once; and then comes a shock such as no brain already predisposed by a London life, is strong enough (but more truly let us say—coarse enough) to support.
Lord Londonderry's case was precisely of that order: he had been worried by a long session of Parliament, which adds the crowning irritation in the interruption of sleep. The nervous system, ploughed up by intense wear and tear, is denied the last resource of natural relief. In this crisis, already perilous, a new tempest was called in—of all the most terrific—the tempest of anxiety: and from what source? Anxiety from fear, is bad: from hope delayed, is bad: but worst of all is anxiety from responsibility, in cases where disease or weakness makes a man feel that he is unequal to the burden. The diplomatic interests of the country had been repeatedly confided to Lord Londonderry: he had justified that confidence: he had received affecting testimonies of the honor which belonged to such a situation. But a short time before his fatal seizure, in passing through Birmingham at a moment when all the gentlemen of the place were assembled, he had witnessed the whole assembly—no mob, but the collective good sense of the place—by one impulse standing bareheaded in his presence,—a tribute of disinterested homage which affected him powerfully, and which was well understood as offered to his foreign diplomacy. Under these circumstances could he bear to transfer or delegate the business of future negotiation? Could he suffer to lapse into other hands, as a derelict, the consummation of that task which thus far he had so prosperously conducted? Was it in human nature to do so? He felt the same hectic of human passion which Lord Nelson felt in the very gates of death, when some act of command was thoughtlessly suggested as belonging to his successor—'Not whilst I live, Hardy; not whilst I live.' Yet, in Lord Londonderry's case, it was necessary, if he would not transfer the trust, that he should rally his enegies instantly: for a new Congress was even then assembling. There was no delay open to him by the nature of the case: the call was —now, now, just as you are, my lord, with those shattered nerves and that agitated brain, take charge of interests the most complex in Christendom: to say the truth, of interests which are those of Christendom.
This struggle, between a nervous systm too grievously shaken, and the instant demand for energy seven times intensified, was too much for any generous nature. A ceremonial embassy might have been fulfilled by shattered nerves; but not this embassy. Anxiety supervening upon nervous derangement was bad; anxiety through responsibility was worse; but through a responsibility created by grateful confidence, it was an appeal through the very pangs of martyrdom. No brain could stand such a siege. Lord Londonderry's gave way; and he fell with the tears of the generous, even where they might happen to differ from him in politics.
Meantime, this case, belonging to a class generated by a London life, was in some quarters well understood even then; now, it is well known that, had different remedies been applied, or had the sufferer been able to stand up under his torture until the cycle of the symptoms had begun to come round, he might have been saved. The treatment is now well understood; but even then it was understood by some physicians; amongst others by that Dr. Willis who had attended George III. In several similar cases overpowering doses had been given of opium, or of brandy; and usually a day or two had carried off the oppression of the brain by a tremendous reaction.
In Birmingham and other towns, where the body of people called Quakers are accumulated, different forms of nervous derangement are developed; the secret principle of which turns not, as in these London cases, upon feelings too much called out by preternatural stimulation, but upon feelings too much repelled and driven in. Morbid suppression of deep sensibilities must lead to states of disease equally terrific and perhaps even less tractable; not so sudden and critical perhaps, but more settled and gloomy. We speak not of any physical sensibilities, but of those which are purely moral—sensibilities to poetic emotions, to ambition, to social gaiety. Accordingly it is amongst the young men and women of this body that the most afflicting cases under this type occur. Even for children, however, the systematic repression of all ebullient feeling, under the Quaker discipline, must be sometimes perilous; and would be more so, were it not for that marvellous flexibility with which nature adapts herself to all changes—whether imposed by climate or by situation—by inflictions of Providence or by human spirit of system.
These cases we point to as formidable mementos, monumenta sacra, of those sudden catastrophes which either ignorance of what concerns the health, or neglect in midst of knowledge, may produce. Any mode of life in London, or not in London, which trains the nerves to a state of permanent irritation, prepares a nidus for disease; and unhappily not for chronic disease only, but for disease of that kind which finishes the struggle almost before it is begun. In such a state of habitual training for morbid action, it may happen—and often has happened—that one and the same week sees the victim apparently well and in his grave.