Before we proceed to the investigation of the laws by which the living principle or excitability is acted on, it will be first necessary to define some terms, which I shall have occasion to use, to avoid circumlocution: and here it may not be improper to observe, that most of our errors in reasoning have arisen from want of strict attention to this circumstance, the accurate definition of those terms which we use in our reasoning. We may use what terms we please, provided we accurately define them, and adhere strictly to the definition. On this depends the excellence and certainty of the mathematical sciences. The terms are few, and accurately defined; and in their different chains of reasoning mathematicians adhere with the most scrupulous strictness to the original definition of the terms. If the same method were made use of in reasoning on other subjects, they would approach to the mathematics in simplicity and in truth, and the science of medicine in particular would be stripped of the heaps of learned rubbish which now encumber it, and would appear in true and native simplicity. Such is the method I propose to follow: I am certain of the rectitude of the plan; of the success of the reasoning it does not become me to judge.
When the excitability is in such a state as to be very susceptible of the action of external powers, I shall call it abundant or accumulated; but when it is found in a state not very capable of receiving their action, I say it is deficient or exhausted. Let no one however suppose that by these terms I mean to hint in the least at the nature of the excitability. I do not mean by them that it is really at one time increased in quantity or magnitude, and at another time diminished: its abstract nature is by no means attempted to be investigated. These or similar terms the poverty or imperfection of language obliges us to use. We know nothing of the nature of the excitability or vital principle, and by the terms here used I mean only to say, that the excitability is sometimes easily acted on by the external powers, and then I call it abundant or accumulated; at other times the living body is with more difficulty excited, and then I say the vital principle or excitability, whatever it may be, is deficient or exhausted.
On examination we shall find the laws by which external powers act on living bodies to be the following.
First, when the powerful action of the exciting powers ceases for some time, the excitability accumulates, or becomes more capable of receiving their action, and is more powerfully affected by them.
If we examine separately the different exciting powers which act on the body, we shall find abundant confirmation of this law. Besides the exciting powers which act on the body, which I mentioned; viz. heat, food, and air, there are several others, such as light, sound, odorous substances, &c. which will be examined in their proper places. These powers, acting by a certain impulse, and producing a vigorous action of the body, are called stimulants, and life we shall find to be the effect of these and other stimulants acting on the excitability.
The stimulus of light, though its influence in this respect is feeble, when compared with some other external powers, yet has its proportion of force. This stimulus acts upon the body through the medium of the organ of vision. Its influence on the animal spirits strongly demonstrates its connexion with animal life, and hence we find a cheerful and depressed state of mind in many people, and more especially in invalids, to be intimately connected with the presence or absence of the sun. Indeed to be convinced of the effects of light we have only to examine its influence on vegetables. Some of them lose their colour when deprived of it, many of them discover a partiality to it in the direction of their flowers; and all of them perspire oxygen gas only when exposed to it; nay it would seem that organization, sensation, spontaneous motion, and life, exist only at the surface of the earth, and in places exposed to light. Without light nature is lifeless, inanimate, and torpid.
Let us now examine if the action of light upon the body is subject to the law that has been mentioned. If a person be kept in darkness for some time, and then be brought into a room in which there is only an ordinary degree of light, it will be almost too oppressive for him, and will appear excessively bright; and if he have been kept for a considerable time in a very dark place, the sensation will be very painful. In this case, while the retina or optic nerve was deprived of light, its excitability accumulated, or became more easily affected by light: for if a person go out of one room into another, which has an equal degree of light, he will perceive no effect.
You may convince yourselves of the truth of this law, by a very simple experiment; shut your eyes, and cover them for a minute or two with your hand, and endeavour not to think of the light, or what you are doing; then open them, and the daylight will for a short time appear brighter.
If you look attentively at a window for about two minutes, then cast your eyes upon a sheet of white paper, the shape of the window frames will be perfectly visible upon the paper; those parts which express the wood work appearing brighter than the other parts. The parts of the optic nerve on which the image of the frame falls, are covered by the wood work from the action of the light; the excitability of these parts will therefore accumulate; and the parts of the paper which fall upon them must of course appear brighter.
If a person be brought out of a dark room where he has been confined, into a field covered with snow, when the sun shines, it has been known to affect him so much as to deprive him of sight altogether.