Curiosities of Medical Experience

Part 44

Chapter 444,041 wordsPublic domain

I do not at all presume to invalidate the statements of Dr. Gall. The profession is highly indebted to him for his accurate description of the brain; and physiology must ever consider him as one of the brightest ornaments of science: but I do maintain, that to recommend his conclusions as a guide to society would be the most rash of visionary speculations; and, to my personal knowledge, no man was ever more mistaken in his estimate of the persons whom he met in society than the learned doctor himself. Of this I had frequent opportunities of convincing myself, when I met him in Paris in the circle of a Russian family which he daily visited. If I could admit, with a late ingenious writer, "that phrenology teaches the true nature of man, and that its importance in medicine, education, jurisprudence, and everything relating to society and conduct must be at once apparent," I should certainly agree with him in recommending its study to parents, judges, and juries; but for the present, I am inclined to believe that, although it may prove a most interesting and valuable pursuit to the physiologist, it is by no means calculated to be the _vade mecum_ of any liberal man.

The memory of various persons is amazing, and has been remarked in ancient times with much surprise. Cyrus knew the name of every soldier in his army. Mithridates, who had troops of twenty-two nations serving under his banners, became a proficient in the language of each country. Cyneas, sent on a mission to Rome by Pyrrhus, made himself acquainted in two days with the names of all the senators and the principal citizens. Appius Claudius and the Emperor Hadrian, according to Seneca, could recite two thousand words in the order they had heard them, and afterwards repeat them from the end to the beginning. Portius Latro could deliver all the speeches he had hastily written without any study.

Esdras is stated by historians to have restored the sacred Hebrew volumes by memory when they had been destroyed by the Chaldeans; and, according to Eusebius, it is to his sole recollection that we are indebted for that part of Holy Writ. St. Anthony, the Egyptian hermit, although he could not read, knew the whole Scripture by heart: and St. Jerome mentions one Neopolien, an illiterate soldier, who, anxious to enter into monastic orders, learned to recite the works of all the fathers, and obtained the name of the Living Dictionary of Christianity; while St. Antonius, the Florentine, at the age of sixteen, could repeat all the Papal Bulls, the Decrees of Councils, and the Canons of the Church, without missing a word. Pope Clement V. owed his prodigious memory to a fall on his head. This accident at first had impaired this faculty; but by dint of application he endeavoured to recover its powers, and he succeeded so completely, that Petrarch informs us he never forgot anything that he had read. John Pico de la Mirandola, justly considered a prodigy, could maintain a thesis on any subject,--_de omni re scibili_,--when a mere child; and when verses were read to him, he could repeat them backward. Joseph Scaliger learned his Homer in twenty-one days, and all the Latin poets in four months. Haller mentions a German scholar, of the name of Muller, who could speak twenty languages correctly. Our own literary annals record many instances of this wonderful faculty.

To fortify this function when naturally weak, or to restore it to its pristine energy when enfeebled by any peculiar circumstances, has been long considered an essential study both by the philosopher and the physician. Reduced to an art, this pursuit has received the name of _Mnemonia_; and at various periods professors of it, more or less distinguished by their success, have appeared in the several capitals of Europe.

It has been justly observed, that remembrance is to the past what our sensations are to the present, and our busy conjectures to futurity. Memory gives a lesson to mankind, by stripping past events of their _prestige_; thus enabling us to view what passes around us with a more calm and philosophic resignation, while at the same time it tends to protect us, in the career lying before us, against the many contingencies that are likely to impede our path. Although it might appear desirable that we could obliterate from the mind the painful scenes of our past life, yet the wisdom of the Creator has deemed this faculty as necessary to our happiness as our utter ignorance of our future destiny. For let us mistake not by a hasty glance on this most important subject; the remembrance of past sufferings is not always painful. On the contrary, there is that which is holy in our past sorrows, that tends to produce a calm, nay a pleasurable sensation of gratitude. St. Theresa beautifully expressed this hallowed feeling when she exclaimed, "Where are those blissful days when I felt so unhappy!" _Et olim meminisse juvabit._

Memory depends in a great measure on the vivacity with which these past scenes are retraced--I may say re-transmitted to the mind, in ideal forms "as palpable" as those that may be present. Therefore reminiscence may be said to result from a connexion between ideas and images recalled into being by a regular succession of expressive signs that the brute creation do not possess. Those characteristic signs and images that are generally circumstantial are co-ordained and classified in the mind, and tend materially in weak memories to produce an artificial mode of recollecting the past. This faculty is therefore matured by habit. A literary man, whose library is properly classed, will find the book he wants in the dark. The classification of his books is ever present to his mind. These circumstantial signs are always remembered by a sort of association in our ideas. Thus Descartes, who fondly loved a girl who squinted, was always affected with strabismus when speaking of her. When we first see a person in any particular costume, the individual is clad in the same apparel whenever brought to our minds, even after a lapse of many years, when fashion has banished even from general recollection the costume that memory thus retraces individually. From these observations it has been concluded that the most probable method of improving memory would be to regulate these associations by a proper classification. One link of this ideal chain will naturally lead to another. Many military men, to recollect any number, will associate it with that of a regiment, so far at least as the number of regiments extend; and the recollection of this particular regiment will not only bring to his mind the number of the house he seeks, but various other circumstances connected both with the regiment and the number. For instance, I wish to recollect No. 87 in a certain street. I had, when the number was mentioned to me, attached it to the 87th regiment; and instantly I not only recollect that the 87th regiment are the Irish Fusiliers, but that they took an eagle at Barossa, where they distinguished themselves, and that the figure of that eagle is borne upon all the appointments of the corps. At the same moment, with the rapidity of lightning I recollect all the circumstances of the battle of Barossa; the different conversations I may have had at various times with the officers of the 87th; the town, the camp, the bivouac where I last had met them. Thus are innumerable circumstances instantaneously converging in a mental focus while simply seeking for the lodgings of an individual. This may be called the memory of locality, since it is locality that revives the recollection of it.

This train of thought has also been called the memory of association, and associations have been referred to three classes:--

I. Natural or philosophical associations.

II. Local or incidental associations.

III. Arbitrary or fictitious associations.

Dr. Abercrombie has admirably treated this subject, and I refer the reader to his interesting work.[44] The poet Simonides is said to have been the founder of the mnemonic art. Cicero informs us, that, supping one night with a noble Thessalian, he was called out by two of his acquaintance, and while in conversation with them the roof of the house fell in, and crushed to death all the guests he had left at table. When the bodies were sought for, they were so disfigured by the accident that they could not be recognised even by their nearest friends; but Simonides identified them all, by merely recollecting the seats they had held at the banquet.

Cicero and Quintilian adopted his system, connecting the ideas of a discourse with certain figures. The different parts of the hilt of a sword, for instance, might regulate the details of a battle; the different parts of a tree associate the relations of a journey. Other mnemonic teachers recommended the division of ideas to correspond with the distribution of a house; while some of them refreshed the memory by associations connected with the fingers and other parts of the hand. Cicero expresses himself plainly on this subject: "Qui multa voluerit meminisse, multa sibi loca comparet: oportet multos comparare locos, ut in multis locis multas imagines collocemus."

The celebrated Feinagle who delivered lectures on memory had adopted the system of aiding the memory by dates, changing the figures in the dates into the letters of the alphabet corresponding to them in number. These letters were then formed into a word to be in some way associated with the date to be remembered--for instance--Henry IV., King of England, was born in the year 1366. This date changed into letters makes _mff_ which was very easily changed into the word _muff_--the method is not so obvious of establishing with this a relation to Henry IV., but Hen_ry_ IV., says Mr. Feinagle, means four hens, and we put them in a muff, one in each corner, and no one after hearing this is in any danger of forgetting the date of Henry IV.'s birth.

Learning poetry by heart in infancy and youth is perhaps one of the best methods of improving memory, since it lays the early foundation of a classification of words and ideas. Virgil has justly said, "Numeros memini, si verba tenerem." To abridge, resume, and analyze what we have read or heard, is another practice highly beneficial; for, the more clearly we comprehend a subject, the deeper will it remain engraved in our memory. Reading what we wish to recollect before going to bed will materially assist the memory. We sleep over the impressions we have received, and dreams alone can weaken them. From this very reason we can write with more facility upon subjects that require much mental exertion in the morning, fasting, when the mind has not been disturbed by the events of the day, and when the functions of digestion have not drawn upon our faculties, too frequently with the lavishness of a spendthrift. It is somewhat singular, but, despite the interruption of dreams, our ideas are matured during our sleep. Quintilian expresses himself as follows on this subject: "Mirum dictu est quantum nox interposita adferat firmitatis, sivè quiescit labor ille cujus sibi ipsa fatigatio obstabat, sivè maturatur ac coquatur, seu firmissima ejus pars est recordatio. Quæ statim referri non poterant, contexuntur postero die, confirmatque memoriam idem illud tempus quod esse in causâ solet oblivionis."

Memory is subject to be variously disturbed in certain maladies. There is an affection called _amnesia_, in which it utterly fails, and another termed _dysmnesia_, when it is defective. Failure of memory is generally more manifest on some subjects than on others. Salmuth relates the case of a man who had forgotten to pronounce words, although he could write them. Another person could only recollect the first syllables. An old man had forgotten all the past events of his life, unless recalled to his recollection by some occurrence; yet every night he regularly recollected some one particular circumstance of his early days. A curious anecdote is recorded of an elderly gentleman who had fallen into the meshes of an artful courtesan, and who frequently took his own wife for this insidious acquaintance, frequently saying to her, "Madam, I feel that I am doing wrong by devoting to you so much of my time, for, when a man has a wife and children, such conduct is unpardonable;" and, after this polite observation, he took up his hat, and would have walked off, had not his wife, wise enough not to manifest displeasure, contrived to undeceive him.

Dietrich mentions a patient who remembered facts, but had totally forgotten words; while another could write, although he had lost the faculty of reading. Old men are frequently met with who confound substantives, and will call their snuff-box a cane, and their watch a hat. In other cases letters are transposed, and a musician has called his _flute_ a _tufle_. Dr. Abercrombie relates the case of a gentleman who uniformly called his snuff-box a hogshead. In Virginia he had been a trader in tobacco, so that the transition from snuff to tobacco, and from tobacco to a hogshead seemed to be natural. Another person, affected in a similar manner, always called for paper when he wanted coals, and coals when he needed paper. Others are known to invent names and unintelligible words. Some curious anagrams have been made by these irregularities. John Hunter was suddenly attacked with a loss of memory, which is thus related by Sir Everard Home: "He was at the time on a visit at the house of a friend. He did not know in what part of the house he was, not even the name of the street when he was told, nor where his own house was. He had not a conception of anything existing beyond the room in which he was, and yet he was perfectly conscious of the loss of memory. He was sensible of impressions of all kinds from the senses, and therefore looked out of the window, although rather dark, to see if he could be made sensible of the situation of the house. The loss of memory gradually went off, and in less than half an hour his memory was perfectly recovered." Such momentary accidents I have frequently observed in gouty patients; and for a second or two I have myself experienced the sensation, which was for the moment of a most alarming nature. Hunter was subject to arthritic attacks.

Corvinus Messala lost his memory for two years, and in his old age could not remember his own name. This is an occurrence by no means uncommon; and I knew a person in perfect health who could only recollect his name by writing it. We frequently see individuals who, although they are generally correct orthographers, cannot sometimes spell a simple conjunction. An anecdote is related in the Psychological Magazine of a German statesman, who having called at a gentleman's house, the servants of which not knowing him, was asked for his name, which he had, however, so totally forgotten, that he was under the necessity of turning round to a friend and saying with great earnestness, "Pray tell me who I am, for I cannot recollect."

Cases are recorded of the forgetfulness of a language constantly spoken, while one nearly forgotten from want of practice was recovered. A patient in St. Thomas's Hospital, who had been admitted with a brain-fever, on his recovery spoke an unknown language to his attendants. A Welsh milkman happened to be in the ward, and recognised his native dialect; although the patient had left Wales in early youth, had resided thirty years in England, and had nearly forgotten his native tongue. Boerhaave relates a curious case of a Spanish poet, author of several excellent tragedies, who had so completely lost his memory in consequence of an acute fever, that he not only had forgotten the languages he had formerly cultivated, but even the alphabet, and was obliged to begin again to learn to read. His own former productions were shown to him, but he could not recognise them. Afterwards, however, he began once more to compose verses, which bore so striking a resemblance to his former writings, that he at length became convinced of his having been the author of them.

Dr. Abercrombie relates the case of an aged gentleman, who, in an attack of the head, had almost forgotten the English language, and expressed himself in a mixed dialect of French, Italian, Spanish, German, and Turkish. Having been some time afterwards severely burnt about the head, by setting fire to the curtains of his bed, he was observed to make use of some English words; this being followed by a course of blistering, he continued to speak more English, but only occasionally and in very short sentences. These were sometimes correctly applied, but at other times most erroneously; for instance, having been taken to see a small house, he observed, "it is very neat, but it is a very little child."

Dr. Beattie mentions the case of a clergyman who, on his recovery from an apoplectic attack, had exactly forgotten a period of four years; and Dr. Abercrombie records a lady who had thus forgotten ten or twelve years of her life. Wepfer mentions a gentleman, who on recovery from an apoplectic attack, was found to know nobody and remember nothing. After several weeks he began to know his friends, to remember words, to repeat the Lord's Prayer, and to read a few words of Latin, rather than German, his native language. When urged to read more than a few words at a time, he said that he formerly understood those things, but now did not. After some time he began to pay more attention to what was passing around him, but while thus making slight and gradual progress, he was, after a few months, suddenly cut off by another attack of apoplexy. Dr. Beattie relates the case of a gentleman who, after a blow on the head, lost his knowledge of Greek, and did not appear to have lost any thing else.

Loss of memory has been observed as a frequent occurrence after the prevalence of pestilential diseases. Thucydides relates, that after the plague of Athens several of the inhabitants forgot their own names and those of their parents and friends. After the disastrous retreat of the French army in Russia, and the disease which swept away so many of their troops at Wilna, many of the survivors had no recollection of country or of home. Injuries of the head appear to occasion different results. This circumstance was observed by the ancients. Valerius Maximus relates the case of an Athenian, who, being struck on the head with a stone, forgot all literary attainments, although he preserved the recollection of other matters. A man wounded with a sword in the eye completely forgot Greek and Latin, in which he had formerly been a proficient. A young man, having fallen off his horse and contused his head, lost his memory to such an extent, that he would repeat a question a hundred times over, although the very first interrogation had been answered. He had not the slightest recollection of his accident. Epileptic and paralytic attacks frequently usher in this melancholy result, which has also been often observed after child-birth.

Dr. Abercrombie knew a lady who was seized with an apoplectic fit while engaged at cards; the attack took place on a Thursday evening--she lay in a state of stupor on Friday and Saturday, and recovered her consciousness rather suddenly on Sunday. The first words she then uttered were, "What is trump?"

Dr. Conolly mentions a young clergyman who, when on the point of being married, suffered an injury of the head, by which his understanding became impaired. He lived in this condition to the advanced age of eighty, and to the last day of his existence, spoke of nothing but his approaching wedding, expressing impatience for the arrival of the happy day.

A singular instance of forgetfulness is related of a lady who had been united to a man she loved, after much opposition on the part of her family, and who lost her memory after the birth of a child. She could not be made to recollect any circumstance that had occurred since her marriage; nor could she recognise her husband or her infant, both of whom she maintained were utter strangers to her. At first she repulsed them with apparent horror, but was at last, by the entreaties of her family, induced to believe that she was a wife and a mother; and although she yielded to their solicitations, yet for years she could not persuade herself that their assertions were correct, as she actually was convinced "against her will." In this instance disease not only destroyed memory, but affection.

The case of Dr. Broussonnet was remarkable. An accident he had met with in the Pyrenees brought on an apoplectic attack. When he recovered, he could neither write nor pronounce correctly any substantives or personal names either in French or Latin, while adjectives and epithets crowded in his mind. Thus, when speaking of a person, he would describe his appearance, his qualities, and, without pronouncing the word "coat," would name its colour. In his botanical pursuits he could point out the form and colour of plants, but had not the power of naming them. A Parisian merchant, after severe losses, experienced such a failure in recollection, that he was constantly guilty of the most absurd anachronisms;--would talk of the battles of Louis the Fourteenth with Alexander the Great, and describe Charles the Twelfth ascending triumphantly Mount Valerian; and one night, after witnessing the performance of Talma, could not be persuaded that he had not applauded Lekain.

Sudden fright has also obliterated this faculty. Artemidorus lost his memory from the terror inspired by treading on a crocodile. Bleeding has produced the same effects; while, on the other hand, blood-letting has restored an absent man to perfect recollection. Various venenose substances have also been said to produce amnesia. History records several instances of the kind. The soldiers of Anthony, on their return from the Parthian war, were attacked with loss of memory after eating some poisonous plants on their march. Bamba, king of the Goths, was suddenly deprived of all recollection after taking a draught presented to him by Eringius. Plater and Baldinger attributed a similar accident to the use of hemlock and arsenic. Narcotics, no doubt, may produce similar effects, but they will be of a transient nature; I do not know that this injurious power has been detected in any other productions, as the cases related by writers are not supported by sufficient authority to be entitled to unqualified belief.

The cause of these affections will most probably ever be unknown. Equally futile have proved all the endeavours to ascertain in what part of the brain memory is seated, since we have found some physiologists lodging this wonderful faculty in the posterior, and others in the anterior portion of the cranium. I apprehend that we might torture the brute creation, from the elephant down to the lowest reptile, for centuries, without being able to ascertain this point; and even could we attain this information, _cui bono_? Would it protect this privileged quarter of the cerebral organ from the action of external agency, or restore it to its healthy functions when diseased? The mode in which our mental faculties are developed is an impenetrable mystery; and, instead of vainly endeavouring to raise the mystic veil to gratify our curiosity, or rather our vanity, let us endeavour to apply these functions to the use for which they were intended by the allwise Creator, and exert them for the purpose of increasing the prosperity, or at any rate in endeavouring to diminish the sum of sufferings of his creatures, whether they be our fellow-men or the divers races that are submitted to our capricious power.

AFFECTIONS OF THE SIGHT.

The different terms applied to the various morbid affections of vision have been frequently misconceived, and consequently have occasioned much confusion in their application. Those vitiated conditions which are usually noticed may be classed as follows: