Some Medical Aspects of Old Age Being the Linacre lecture, 1922, St. John's college, Cambridge
Part 10
Longevity, alcohol influencing, 57 among professional men, 50, 53 auto- and hetero-suggestion influencing, 48, 49 “cell-memory” in relation to, 35 climatic conditions influencing, 39, 41 conditions favouring, 7, 33 diseases inimical to, 45 endocrine atrophy in relation to, 68–81 environment influencing, 33, 34, 39–46, 55 factors influencing, 32 fertility in relation to, 23, 24 functional activity influencing, 46, 55 hereditary aspects of, 19, 32–39 idleness inimical to, 47, 48 in the medical profession, 52 influence of past diseases on, 43 influence of blood pressure on, 37 influence of brain cells on, 36 integrity of cardio-vascular system necessary to, 36 of nations, compared, 39, 40 of the patriarchs, 15, 16 personal habits influencing, 55 potential, on what determined, 67 sex incidence of, 21, 22 smoking in relation to, 58 syphilis preventing, 45 vitality of central nervous system essential to, 36 _See also_ Old Age; Senescence
Lorand, A., 70
Lowe, Peter, 131
Luciani, 18, 102
Lungs, changes in, 103 diseases of, 147, 148
Lydston, G. F., 71
Lymphadenoma, 141
Lymphoid tissues, atrophy of, 63, 108
Maclachlan, D., 144
Maignon, Abbé, centenarian, 50
Malignant disease, 87, 141 cell senility in relation to, 88
Mammae, involution changes in, 114
Mania, senile, 145, 146
Mansell-Moullin, C. W., 78
Mansfield, Lord, octogenarian, 51
Marasmus, senile, 139
Marie, P., 146
Marinesco, 64, 78, 83, 97
Marx, K., 47
Mead, Richard, 131
Medical men, centenarians among, 52 duration of life of, 52, 53
Melancholia, senile, 146
Memory, impairment and loss of, 120, 122
Menopause, onset of old age at the, 26 ovarian changes at, 63, 79
Mental activity, influence on old age, 47, 48, 50, 54 unimpaired, in advanced age, examples of, 50, 51, 53
Mental deterioration, 49, 119, 122, 145, 146 causes of, 47, 48, 49 onset of, 53
Mental fatigue, tendency to, 120
Mental state, 119, 122, 123 and the physical, want of harmony between, 123 influence of, 48–50
Metabolism, disordered, 115, 116, 117, 154 gland therapy stimulating, 72, 81
Metchnikoff, E., 8, 13, 18, 82–86, 91, 97, 123
Methuselah, 14
Michael Angelo, mental activity at advanced age, 53
Micturition, disorders of, 153
Middle ear lesions, 143
Migraine, 140
Miles, W. E., 153
Mind, 121 and body, in old age, 47, 50 disintegration of, 120 disorders of, 122, 145, 146 _See also_ Mental
Molière, 53
Mönckeberg’s sclerosis, 106 causes of, 142
Montaigne, 14, 56
Moon, R. O., 136
Moore, Norman, 5
Morbus coxae senilis, 155
Morphine, 127, 128
Mott, F. W., on functions of cells of testes and ovaries, 75
Muscles, voluntary, changes in, 103
Muscular activity, danger of excess of, 54 impaired, 99, 119, 135
Muscular atrophy, 99, 119, 135 among workmen, 54
Myocardium, degeneration of, 104, 149
Myxoedema, as secondary senilism, 72
Nails, condition and appearance of, 96
Nanism, senile type of, 31
Nascher, I. L., 30, 98, 127
Nathan, 68, 74
National habits, influence on longevity, 40
Natural death. _See_ Death
Neck, senile tremor of, 143
Nemenow, 112
Nephropathy, chronic atrophic, 111
Nerves, cutaneous exposure of, 141
Nervous apprehension, tendency to, 122
Nervous disease, 145
Nervous system, 38 vitality of, hereditary factor in longevity, 36
Neurasthenia, 122
New growths, rarity of, 87, 89
Newton, Isaac, 53
Nicotine, effects of, 59
Nunneley, F. P., 151
Obesity, 60
Occupational neuroses, 54
Octogenarians, among active professional men, 51 census statistics of, 21
Oertel, H., 88
Old age, acceleration of, factors favouring, 26 anatomical and physiological changes in, 63 as a disease, 47, 136 attainment of, on what dependent, 6, 7, 10 biochemistry of, 64–68 biological aspect of, 10, 11, 23 bodily conformation in, 60 causes of, 62–89 cell changes leading to, 64, 65 “cell-memory” in relation to, 35 comparative freedom from chronic disease in, 44 death during, common causes of, 38 disabilities of, 137 disease in relation to, 44 diseases associated with, 93–114, 139–156 fertility rate in relation to, 23, 24, 26 glandular, endocrine, theory of, 70, 71, 81 healthy and morbid, distinction between, 135 hereditary aspects of, 32–39 hygiene of, 55–61 infantilism and, 31 mental activity during, 50, 54 examples of, 50, 51, 53 natural death from, 14 on what dependent, 10 onset of, 26 signs of, 29 pathological, 30, 82, 90 of septuagenarians, 53 physiological, 26, 90, 135 physiological and pathological confusion between, 90 factors in, 26 physiology of, 115 premature, 30 hot climates favouring, 26, 36 intestinal stasis as a cause of, 85 mental causes of, 48, 49 production of, Metchnikoff’s theory, 83 rarity of natural death from, 14, 91 sex incidence of, 21, 22 stages of, 29 vitality of body cells in, 62–68 writers on, 8, 15, 16 _See also_ Senescence; Longevity
Onychogryphosis, 96
Ophülz, W., 105
Oral sepsis, 44, 155
Orthobiosis, 55, 84
Osler, W., 2, 36, 151
Osteitis deformans, 156
Osteomalacia, senile, 139
Osteoporosis, senile, 99
Ovarian extract, rejuvenescence in relation to, 80
Ovaries, activity and function of cells of, 73, 74 degenerative changes in, 114 fibrotic atrophy of, 63 following menopause, 79 in relation to senescence, 75 internal secretion of, evidence of existence of, 79 senile, 114
Over-eating, 56, 118
Overwork, danger of, 54
Owen, I., 57
Paget, James, 36, 138
Paget’s disease of bone, 156
Pain, blunting of sensibility to, 117
Pallor, 93
Pancreas, fibrotic atrophy of, 102
Paralysis agitans, 144 age and sex incidence of, 144 causes of, 144 senile tremor compared with, 143
Paraplegia, senile, 138, 146 causes of, 146, 147 varieties of, 147
Parathyroids, 110
Parietal bones, changes in, 100
Parkinsonian syndrome, 144
Parr, Thomas, centenarian, 20
Pathological old age, 53, 82, 90
Patriarchal ages, length of the calendar during, 16
Patriarchs, explanation of reputed old age of, 15, 16
Pearson, K., 38, 86
Pecten band, 152, 153
Penis, changes in, 114
Pennington, Isaac, 6
Peristalsis, failure of, 152
Philalethes, Eugenius, on old age, 15
Phlebitis, 151
Phlebosclerosis, 107
Physical and mental states, want of harmony between, 123
Physiological life of man, 19
Physiological old age, 90 and morbid senility, distinction between, 135–138
Physiology of old age, 115–128
Pigmentation, cellular, 103 cutaneous, 93
Piles, 153
Pitman, Henry, medical centenarian, 52
Pituitary extract, influence on weight and growth, 12 rejuvenescence in relation to, 12, 80
Pityriasis versicolor, 141
Planarian flat worms, experimental modification of life cycle and growth of, 11
Plasma, vital phenomena of, 65–67, 88
Plethora, senile, 124
Pneumonia, 147, 148 disposition to, 140 sudden death from, 117
Premature senility, 30 causes of, 48 hot climates predisposing to, 26, 36 syphilis producing, 45
Presbyopia, 117
Pringle, J. J., 94
Prior, Matthew, 3
Professional men, age of retirement of, 54 longevity of, 50–54
Progeria, 30
Prostate gland, 27 _climacterium virile_ due to changes in, 27 hypertrophy of, 101, 112 age incidence of, 140 cause of, 112 cell changes in, 112, 113 glandular therapy of, 113 vesical disorders due to, 153 senile changes in, 111
Protoplasm, products inimical to vitality of, 65 vital phenomena of, 64, 65, 88
Protozoa, rejuvenation and senescence in, 9–11
Prurigo, senile, 141
Pruritus, senile, 141, 142
Pseudo-paraplegia, 146
Psychical activity, diminished, 119
Psychical fatigue, 122
Puberty, functional activity of cells of testes and ovaries at, 75 period of, 17
“Puberty gland,” 73
Puerilism, 122, 145
Pulmonary changes, 103, 147
Pulmonary tuberculosis, 148
Pulse-pressure, 125
Pulse-rate, 124
Pupils, contraction of, 117
Purgatives, 128
Pyelonephritis, 154
Quinquagenarians, diseases of, 140, 145, 156
Rectum, faecal accumulation in, 152
Reflexes, 119
Regression, 122
Rejuvenescence, 10 associated with reproduction, 9, 10, 64 attainment of old age dependent upon, 9, 10 experimental production of, 76, 77 following vasectomy, 78 gland extracts in production of, 12, 73, 80, 81 in animal life, 9, 10 power of reproduction favouring, 23, 24, 69 restricted diet in relation to, 56 testicular grafts producing, 77
Renal inadequacy, 126
Reproductive power, favouring rejuvenescence, 23, 24, 69 waning of, onset of old age following, 26 prolongation of life after waning of, 23
Retas, Joseph, centenarian, 33
Rheumatism, in old age, 44
Rhizomelic spondylitis, 155
Rhondda, Lord, 49
Richardson, B. W., on the duration of life, 18
Rivers, W. H. R., 122
Roberts, W., 154
Robertson and Ray, 12, 60
Rodent ulcer, 143
Roussy, G., 103, 148
Routh, Martin, centenarian, 50
Roy, D., 32, 95
Russian peasants, longevity of, 40
Salimbeni and Gery, 63, 84, 93, 102
Sand, K., 75
Saundby, R., 8, 44, 85
Savage, G., 34
Sclerosis, arterial, 105–107 Mönckeberg’s, 106, 142 spinal, 97
Scrotum, 114
“Second childhood,” 122, 145
Sedatives, 128
Self-preservation, instinct of, 122
Self-reliance, loss of, 48, 49
Seminal tubules, activity and function of, 74 atrophy of, 74, 112, 113 prostatic enlargement following, 112 regeneration of, 74
Senescence, 136 castration not a disposing factor to, 79 causes of, 62–89 Metchnikoff’s theory, 82, 83 pathological, 82 toxaemic, 82 cell changes during, 62–68 in ovaries and testes, 75, 76 colloidal dehydration leading to, 64, 65 diseases associated with, 139 endocrine glands in relation to, 68–81 healthy and morbid, distinction between, 135 nosological compensations of, 140 progress of, 135 rarity of carcinoma in, 87 rejuvenescence necessary to, 10 thyroid deficiency in relation to, 72 _See also_ Longevity; Old age
Senile climacteric, 30
Senile type of nanism, 31
Senility, 136
_Senium ex morbo_, 136
Sense organs, impairment and failure of, 117–121
Sensibility to pain, blunting of, 117
Septuagenarians, nervous disease among, 145 pathological old age of, 53
Sex characters, secondary, cause of, 75 following castration, 79
Sex glands, changes in, _climacterium virile_ due to, 27 internal secretion of, 70
Sex incidence of old age, 21, 22
Sexagenarians, diseases common to, 140 nervous disease among, 145
Sexual activity, as manifestation of bodily vigour, 69, 70 duration of, 69 leading to rejuvenescence, 69 waning of, 126
Sexual appetite, on what dependent, 75 perverted, 114
Sexual atrophy, as cause of old age and senility, 69–71
Shaking palsy, 144
Sharpey-Schafer, E. A., 63
Sight, impairment of, 117
Sinclair, John, 8, 20, 35
Singer, C., 86
Skeleton, changes in, 98
Skin, 93, 115 diseases of, 141 disposition to, 141 dry, 115 venules and angiomas on, 108
Skull, 100
Sleep, diminished, 119 over-indulgence in, 60
Smell, impairment of sense of, 117
Smith, John, 8, 131
Smith, Lapthorn, 53
Smoking, influence on longevity, 58–59
Sophocles, mental activity at advanced age, 53
Sour milk, destruction of intestinal bacteria by, 83
Spasm of arteriosclerotic vessels, 151
Spastic paraplegia, 147
Spinal cord, degenerative changes in, 97, 147
Spleen, atrophy of, 63, 109
Spondylitis, rhizomelic, 155
Spondylitis deformans, 99, 155
Stapes, fixation of, 118
Starvation, influencing the onset of senescence, 56, 57
Starvation treatment, 56, 57
Steinach, E., 11, 77, 78
Sterne, John, on the attainment of old age, 16
Stevenson, T. H. C., 41
Strachey, L., 47
Structural changes of the body, 90
Symmers, D., 102
Syphilis, influence on longevity, 45
Taste, impairment of, 117
Teeth, decay of, 44, 101 loss of, 44, 45, 99, 101 causes of, 101
Temperance, a characteristic of centenarians, 57
Temperature, and longevity, 26 of body, 116
Testes, atrophy of, 113 cells of, activity and function of, 73, 74 in relation to senescence, 75 changes in, following vasectomy, 77, 78 internal secretion of, 69–72, 74 prostatic atrophy in relation to, 112
Testicular extract, rejuvenescence in relation to, 80
Testicular grafts, rejuvenation by, 71, 72, 77 results of experiments, 76, 79
Thompson, R. J. C., 37, 44, 49, 96, 125
Thompson, W. J., 40
Thrombosis, 144 age incidence of, 145 cerebral, 145 venous, 151
Thymus, atrophy of, 109
Thyroid deficiency, 138 baldness resulting from, 96 effect on activity of body cells, 72 prostatic enlargement in relation to, 113
Thyroid extract, rejuvenescence in relation to, 80 for prostatic enlargement, 113
Thyroid gland, degenerative changes in, 109, 110
Tinnitus, 118
Tissues, connective, relation of cellular activity to, 68, 88, 89, 92
Titian, 53
Tobacco, and arteriosclerosis, 59 influence on longevity, 58 symptoms due to, 59
Todd, R. E., 37, 44, 49, 125
Toxaemia, as a cause of senescence, 82, 86 degenerative changes due to, 44, 55, 56, 86 intestinal, as cause of senescence, 82, 85 over-eating causing, 56
Transfusion, 66
Tremor, senile, 143
Tropical life, influence on longevity, 26, 36, 39
Trousseau, 151
Tuberculosis, senile, 148
Tumours, 86, 141
Turnbull, H. M., 106, 114
Ulcer, rodent, 143
Urea-nitrogen in the blood, 115
Urinary bladder, hypertrophy of, 153
Urine, condition of, 126
Uterine changes, 114
Valvulitis, chronic, 149, 150
Vanity, senile, 120, 121
Variation, correlated, 23
Varicosity, 151
Vascular lesions, 144
Vasectomy, changes due to, 74 changes in testes following, 77, 78 effect on sexual activity, 76 rejuvenescence following, 71, 78
Veins, changes in, 108
Venous thrombosis, 151
Vertebrae, changes in shape of, 99
Vertigo, causes of, 143
Visceral degeneration, 102, 103
Visceroptosis, 102
Vitality, danger of excess of, 54 loss of, 115, 119, 135 waning of, 139
Vitamins, influence on growth, 13
Voltaire, mental activity at advanced age, 53
Voronoff, testicular grafting by, 78
Walker, Kenneth, on changes in the testes, 112 on prostatic enlargement, 112, 113
Walking, functional disturbances in, 147
Waterhouse, B., on the onset of old age, 27
Watson, Thomas, Linacre Lecturer, 5
Weber, Hermann, 8, 34, 43, 57, 119
Weber, Parkes, 35, 104
Weissmann, 9, 16
“Will to live,” 35, 47
Will power, failure of, 122
Williams, Leonard, 61, 113, 128
Wilson, S. A. K., 144
Wounds, healing of, 126
Wrinkles, cause of, 93
Yeo, B., 50
Zorten, Petrasch, centenarian, 20
THE END
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Transcriber’s Notes
Punctuation and spelling were made consistent when a predominant preference was found in this book; otherwise they were not changed.
Simple typographical errors were corrected; occasional unbalanced quotation marks retained.
Ambiguous hyphens at the ends of lines were retained; occurrences of inconsistent hyphenation have not been changed.
In Chapter VI, the word “The”, followed by the italicized name of an organ, sometimes was italicized and sometimes was not. This possible inconsistency has not been changed here.
Footnotes, originally at the bottoms of pages, have been collected and placed just before the Index.
Index not checked for proper alphabetization or correct page references.
Page 3: “e sudore britanico” was printed with a macron above the “n” (n̄).
Fig. 1: “Sir William Beechey” was printed as “Beeching”, but the name appears correctly in Footnote 5, originally on page 4.